Data as of Oct 28, 2026.

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FHLC vs IHE: Differences, Returns & Fees

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Over the year to Oct 28, 2026, FHLC returned +25.4% to IHE's +41.9%; 33% of their weight is in the same names.

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Net assets: $3.5bn on Sep 30, 2026 for Fidelity MSCI Health Care Index ETF, and $1.6bn on Oct 27, 2026 for iShares U.S. Pharmaceuticals ETF.

At a glance
+25.4%
FHLC total return, 1 year
+41.9%
IHE total return, 1 year
0.08%
FHLC expense ratio
0.37%
IHE expense ratio

Pair scorecard

FHLC costs 0.29 points a year less; their one-year returns differ by 16.5 points; FHLC is 2.2 times larger.

FHLC vs IHE: Differences, Returns & Fees
MeasureFHLCIHE
Return
Total return, 1 year+25.4%+41.9%
Drawdown
Below its high3.9%, high on Aug 19, 2026
Benchmark
What it tracksMSCI USA IMI Health Care 25/50 IndexDow Jones U.S. Select Pharmaceuticals Index
Cost and size
Expense ratio0.08%0.37%
Net assets, as of Sep 30, 2026$3.5bn$1.6bn
Holdings
Holdings in common33%
Top ten holdings, share of the fund51.9%80.4%

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 IHE
Return
Total return edge FHLC +309.3% +241.2%
Annualized edge FHLC +11.4% +9.9%
Price return edge FHLC +240.0% +180.7%
Risk
Volatility edge FHLC (slight) 16.6% 18.3%
Max drawdown edge FHLC −25.2% −29.3%
Risk-adjusted
Sharpe edge FHLC 0.62 0.50
Sortino edge FHLC 0.89 0.72
Calmar edge FHLC 0.45 0.34
Reading

FHLC returned more: +309.3% to +241.2%. FHLC swung slightly less: 16.6% to 18.3%. FHLC fell less at its worst: −25.2% to −29.3%.

Full scorecard

9 measures, with how each is measured
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Risk and return: FHLC vs IHE: Differences, Returns & Fees
MeasureFHLCIHEEdgeHow it is measured
Return
Total return+309.3%+241.2%FHLCPrice change plus distributions, reinvested.
Annualized+11.4%+9.9%FHLCTotal return as a yearly rate.
Price return+240.0%+180.7%FHLCPrice change alone, distributions left out.
Risk
Volatility16.6%18.3%FHLC (slight)Spread of weekly returns, annualized. Lower is steadier.
Downside deviation11.5%12.7%FHLC (slight)Like volatility, counting only weeks below the Treasury bill rate.
Max drawdown−25.2%−29.3%FHLCDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.620.50FHLCReturn above Treasury bills per unit of volatility.
Sortino0.890.72FHLCReturn above Treasury bills per unit of downside deviation.
Calmar0.450.34FHLCAnnualized 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

33%

By the books each fund has filed, FHLC and IHE hold 33% of their money in the same securities at the same weight. Holdings dated Jul 31, 2026 and Oct 27, 2026.

0 half 100%

half

33% in common

Positions both hold · largest shared weight first FHLC IHE
Eli Lilly & Co 13.35% 25.28%
Johnson & Johnson 8.93% 22.31%
Merck & Co Inc 4.66% 4.26%
Pfizer Inc 2.06% 4.76%
Bristol-Myers Squibb Co 1.93% 4.24%
Zoetis Inc 0.47% 4.73%
Royalty Pharma PLC 0.35% 4.78%
Viatris Inc 0.30% 4.67%
Jazz Pharmaceuticals PLC 0.20% 2.91%
Elanco Animal Health Inc 0.19% 2.46%
Corcept Therapeutics Inc 0.16% 1.81%
Axsome Therapeutics Inc 0.12% 1.37%
Only in one fund ↓
Only in FHLC
AbbVie Inc 6.42%
UnitedHealth Group Inc 5.44%
Thermo Fisher Scientific Inc 3.09%
Amgen Inc 3.00%
Abbott Laboratories 2.66%
Gilead Sciences Inc 2.34%
CVS Health Corp 1.92%
Intuitive Surgical Inc 1.81%
Only in IHE
HARMONY BIOSCIENCES HLDG 0.41%
AVALYN PHARMA INC 0.10%
EVOLUS INC 0.09%
BIOAGE LABS 0.05%
E-MINI HEALTH CARE SECTOR DEC 26 0.00%
Check overlap with more funds →

Side by side

FHLC Fidelity MSCI Health Care Index ETF IHE iShares U.S. Pharmaceuticals ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index Tracks an index
Total return, 1 year +25.4% +41.9%
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% 0.37%
Already in the S&P 500 85.1% 65.5%
Holdings 334 54
Net assets, FHLC as of Sep 30, 2026 and IHE as of Oct 27, 2026 $3.5bn $1.6bn

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

Client brief · page 1 of 2 Report BR-6CD1884248

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

  1. What each follows. FHLC follows MSCI USA IMI Health Care 25/50 Index and IHE follows Dow Jones U.S. Select Pharmaceuticals Index.
  2. Holdings in common. 33% of the weight is in the same securities (holdings dated Jul 31, 2026 and Oct 27, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 FHLC returned +25.4% and IHE +41.9% with distributions reinvested, a gap of 16.5 points.

Data as of Oct 28, 2026.

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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%.

IHE

IHE tracks an index. Over the year to Oct 28, 2026 it returned +41.9% with distributions reinvested. The prospectus expense ratio is 0.37% a year. By its holdings published by its issuer for Oct 27, 2026, 66% of the fund by weight is stocks the S&P 500 also holds, across 54 positions, with the top ten at 80.4%. It sat 3.9% below its high of Aug 19, 2026 on Oct 28, 2026.

Questions people ask

Which returned more over the last year, FHLC or IHE?
In the year to Oct 28, 2026, with distributions reinvested, FHLC returned +25.4% and IHE +41.9%.
Which is cheaper, FHLC or IHE?
FHLC is cheaper, by 0.29 percentage points a year. That is about $29 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do FHLC and IHE overlap with the S&P 500?
By their latest filed holdings, 85% of FHLC and 66% of IHE by weight is stocks the S&P 500 already holds.
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ETFIQ, FHLC against IHE, data as of Oct 28, 2026. https://etfiq.com/compare/any/fhlc-vs-ihe

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