Which returned more over the last year, FHLC or FXH?

In the year to Oct 28, 2026, with distributions reinvested, FHLC returned +25.4% and FXH +21.5%.

Which is cheaper, FHLC or FXH?

FHLC is cheaper, by 0.53 percentage points a year. That is about $53 on $10,000 held for a year. Fees come from each fund's prospectus.

How much do FHLC and FXH overlap with the S&P 500?

By their latest filed holdings, 85% of FHLC and 59% of FXH by weight is stocks the S&P 500 already holds.

Data as of Oct 28, 2026.

Across categories

FHLC vs FXH: Differences, Returns & Fees

Share on X Download as PDF

Over the year to Oct 28, 2026, FHLC returned +25.4% to FXH's +21.5%; 30% of their weight is in the same names.

askIQ about this page

askIQ about FHLC and FXH

Net assets: $3.5bn on Sep 30, 2026 for Fidelity MSCI Health Care Index ETF, and $1.1bn on Oct 27, 2026 for First Trust Health Care AlphaDEX Fund.

FHLC on its own →FXH on its own →

At a glance

+25.4%

FHLC total return, 1 year

+21.5%

FXH total return, 1 year

0.08%

FHLC expense ratio

0.61%

FXH expense ratio

Pair scorecard

FHLC costs 0.53 points a year less; their one-year returns differ by 3.9 points.

FHLC vs FXH: Differences, Returns & Fees
Measure	FHLC	FXH
Return
Measure	FHLC	FXH
Total return, 1 year	+25.4%	+21.5%
Benchmark
Measure	FHLC	FXH
What it tracks	MSCI USA IMI Health Care 25/50 Index	StrataQuant Health Care Index
Cost and size
Measure	FHLC	FXH
Expense ratio	0.08%	0.61%
Net assets, FHLC as of Sep 30, 2026 and FXH as of Oct 27, 2026	$3.5bn	$1.1bn
Holdings
Measure	FHLC	FXH
Holdings in common	30%
Top ten holdings, share of the fund	51.9%	24.7%

Holdings in common uses holdings dated Jul 31, 2026 and Oct 27, 2026. Method

Risk and return

Nov 1, 2013 to Oct 23, 2026 · 677 weekly returns

FHLC FXH

Return

Total return edge FHLC +309.3% +207.7%

Annualized edge FHLC +11.4% +9.0%

Price return edge FHLC +240.0% +201.2%

Risk

Volatility edge FHLC (slight) 16.6% 17.9%

Max drawdown edge FHLC −25.2% −29.5%

Risk-adjusted

Sharpe edge FHLC 0.62 0.46

Sortino edge FHLC 0.89 0.66

Calmar edge FHLC 0.45 0.31

Reading

FHLC returned more: +309.3% to +207.7%. FHLC swung slightly less: 16.6% to 17.9%. FHLC fell less at its worst: −25.2% to −29.5%.

Full scorecard

9 measures, with how each is measured Open ↓

Risk and return: FHLC vs FXH: Differences, Returns & Fees
Measure	FHLC	FXH	Edge	How it is measured
Return
Total return	+309.3%	+207.7%	FHLC	Price change plus distributions, reinvested.
Annualized	+11.4%	+9.0%	FHLC	Total return as a yearly rate.
Price return	+240.0%	+201.2%	FHLC	Price change alone, distributions left out.
Risk
Volatility	16.6%	17.9%	FHLC (slight)	Spread of weekly returns, annualized. Lower is steadier.
Downside deviation	11.5%	12.6%	FHLC (slight)	Like volatility, counting only weeks below the Treasury bill rate.
Max drawdown	−25.2%	−29.5%	FHLC	Deepest fall from a high to the low after it.
Risk-adjusted
Sharpe	0.62	0.46	FHLC	Return above Treasury bills per unit of volatility.
Sortino	0.89	0.66	FHLC	Return above Treasury bills per unit of downside deviation.
Calmar	0.45	0.31	FHLC	Annualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 677 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

30%

By the books each fund has filed, FHLC and FXH hold 30% of their money in the same securities at the same weight. Holdings dated Jul 31, 2026 and Oct 27, 2026.

50%

0 half 100%

half

30% in common

Positions both hold · largest shared weight first FHLC FXH

Amgen Inc 3.00% 1.96%

Bristol-Myers Squibb Co 1.93% 1.82%

Medtronic PLC 1.59% 1.92%

AbbVie Inc 6.42% 1.41%

Elevance Health Inc 1.19% 1.40%

Regeneron Pharmaceuticals Inc 1.15% 1.98%

Cigna Group 1.06% 2.53%

Boston Scientific Corp 1.00% 1.90%

Abbott Laboratories 2.66% 0.96%

Pfizer Inc 2.06% 0.96%

Vertex Pharmaceuticals Inc 1.75% 0.92%

HCA Healthcare Inc 0.91% 1.36%

Only in one fund ↓

Only in FHLC

Eli Lilly & Co 13.35%

Merck & Co Inc 4.66%

Gilead Sciences Inc 2.34%

CVS Health Corp 1.92%

McKesson Corp 1.52%

Cencora Inc 0.83%

Cardinal Health Inc 0.78%

Edwards Lifesciences Corp 0.72%

Only in FXH

Caris Life Sciences, Inc. 2.53%

Eli Lilly and Company 2.04%

The Cooper Companies, Inc. 1.95%

QIAGEN N.V. 1.48%

Ascendis Pharma A/S 1.39%

Becton, Dickinson and Company 1.00%

Check overlap with more funds →

Side by side

FHLC Fidelity MSCI Health Care Index ETF FXH First Trust Health Care AlphaDEX Fund

Where it sits Stock ETF Stock ETF

Issuer Fidelity First Trust

What it is Tracks an index Tracks an index

Total return, 1 year +25.4% +21.5%

Its benchmark over the same days +25.0% (VHT) not measured

Gap to its benchmark +0.4 pts vs VHT not measured

Expense ratio 0.08% 0.61%

Already in the S&P 500 85.1% 59.2%

Holdings 334 72

Net assets, FHLC as of Sep 30, 2026 and FXH as of Oct 27, 2026 $3.5bn $1.1bn

FHLC and FXH on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.

Client brief · page 1 of 2 Report BR-3C2D8B1D69

FHLC and FXH are built for the same job. How do they differ in cost, holdings and results?

What each follows. FHLC follows MSCI USA IMI Health Care 25/50 Index and FXH follows StrataQuant Health Care Index.
Holdings in common. 30% of the weight is in the same securities (holdings dated Jul 31, 2026 and Oct 27, 2026).
One-year total return. Over 1 year to Oct 28, 2026 FHLC returned +25.4% and FXH +21.5% with distributions reinvested, a gap of 3.9 points.

Data as of Oct 28, 2026.

The two-page PDF for this pair is coming. Save the comparison to follow its changes. Free. It needs an email sign-in, once.

Your saved page · Privacy.

Alert

About each fund

FHLC

FHLC tracks an index. Over the year to Oct 28, 2026 it returned +25.4% with distributions reinvested, against +25.0% for its benchmark, the MSCI USA IMI Health Care 25/50 Index. The prospectus expense ratio is 0.08% a year. By its holdings filed for Jul 31, 2026, 85% of the fund by weight is stocks the S&P 500 also holds, across 334 positions, with the top ten at 51.9%.

FXH

FXH tracks an index. Over the year to Oct 28, 2026 it returned +21.5% with distributions reinvested. The prospectus expense ratio is 0.61% a year. By its holdings published by its issuer for Oct 27, 2026, 59% of the fund by weight is stocks the S&P 500 also holds, across 72 positions, with the top ten at 24.7%.

Questions people ask

Which returned more over the last year, FHLC or FXH?: In the year to Oct 28, 2026, with distributions reinvested, FHLC returned +25.4% and FXH +21.5%.
Which is cheaper, FHLC or FXH?: FHLC is cheaper, by 0.53 percentage points a year. That is about $53 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do FHLC and FXH overlap with the S&P 500?: By their latest filed holdings, 85% of FHLC and 59% of FXH by weight is stocks the S&P 500 already holds.

Other comparisons

FHLC vs FTXH FHLC vs IXJ FHLC vs IYH FHLC vs VHT FXH vs IXJ FXH vs IYH FXH vs IHE FXH vs IHF

Where to next

FHLC on its own →FXH on its own →Hold both: look the portfolio through →Rankings →FHLC dividend history →FHLC holdings →FXH dividend history →FXH holdings →Standards and sources →

Sources and dates

FHLC filings on SEC EDGAR ↗

FHLC prospectus with the expense ratio (SEC) ↗

Fidelity website ↗

FXH filings on SEC EDGAR ↗

FXH prospectus with the expense ratio (SEC) ↗

First Trust page for FXH ↗

Links are sources, not endorsements. A comparison is not a recommendation.

How this is computed

Overlap adds up the smaller of the two weights for each security both funds hold.

Cite this pageCitation, APA and Markdown

ETFIQ, FHLC against FXH, data as of Oct 28, 2026. https://etfiq.com/compare/any/fhlc-vs-fxh

Open data →

Free to use with attribution for data ETFIQ computes; issuer data stays under its owner's terms.