Data as of Oct 28, 2026.
FHLC vs IHF: Differences, Returns & Fees
Over the year to Oct 28, 2026, FHLC returned +25.4% to IHF's +17.6%; 15% 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 $1.4bn on Oct 27, 2026 for iShares U.S. Healthcare Providers ETF.
Pair scorecard
FHLC costs 0.29 points a year less; their one-year returns differ by 7.8 points; FHLC is 2.5 times larger.
| Measure | FHLC | IHF |
|---|---|---|
| Return | ||
| Total return, 1 year | +25.4% | +17.6% |
| Benchmark | ||
| What it tracks | MSCI USA IMI Health Care 25/50 Index | Dow Jones U.S. Select Health Care Providers Index |
| Cost and size | ||
| Expense ratio | 0.08% | 0.37% |
| Net assets, as of Sep 30, 2026 | $3.5bn | $1.4bn |
| Holdings | ||
| Holdings in common | 15% | |
| Top ten holdings, share of the fund | 51.9% | 73.7% |
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 returnsFHLC returned slightly more: +309.3% to +283.9%. FHLC swung less: 16.6% to 20.3%. FHLC fell less at its worst: −25.2% to −32.1%.
Full scorecard
9 measures, with how each is measured Open ↓
| Measure | FHLC | IHF | Edge | How it is measured |
|---|---|---|---|---|
| Return | ||||
| Total return | +309.3% | +283.9% | FHLC (slight) | Price change plus distributions, reinvested. |
| Annualized | +11.4% | +10.9% | FHLC (slight) | Total return as a yearly rate. |
| Price return | +240.0% | +244.5% | Tie | Price change alone, distributions left out. |
| Risk | ||||
| Volatility | 16.6% | 20.3% | FHLC | Spread of weekly returns, annualized. Lower is steadier. |
| Downside deviation | 11.5% | 14.3% | FHLC | Like volatility, counting only weeks below the Treasury bill rate. |
| Max drawdown | −25.2% | −32.1% | FHLC | Deepest fall from a high to the low after it. |
| Risk-adjusted | ||||
| Sharpe | 0.62 | 0.51 | FHLC | Return above Treasury bills per unit of volatility. |
| Sortino | 0.89 | 0.73 | FHLC | Return above Treasury bills per unit of downside deviation. |
| Calmar | 0.45 | 0.34 | 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
By the books each fund has filed, FHLC and IHF hold 15% of their money in the same securities at the same weight. Holdings dated Jul 31, 2026 and Oct 27, 2026.
half
15% in common
Only in one fund ↓
Side by side
FHLC and IHF on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
FHLC and IHF 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 IHF follows Dow Jones U.S. Select Health Care Providers Index.
- Holdings in common. 15% 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 IHF +17.6% with distributions reinvested, a gap of 7.8 points.
Data as of Oct 28, 2026.
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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%.
IHF
IHF tracks an index. Over the year to Oct 28, 2026 it returned +17.6% with distributions reinvested. The prospectus expense ratio is 0.37% a year. By its holdings published by its issuer for Oct 27, 2026, 74% of the fund by weight is stocks the S&P 500 also holds, across 62 positions, with the top ten at 73.7%.
Questions people ask
- Which returned more over the last year, FHLC or IHF?
- In the year to Oct 28, 2026, with distributions reinvested, FHLC returned +25.4% and IHF +17.6%.
- Which is cheaper, FHLC or IHF?
- 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.
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.
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ETFIQ, FHLC against IHF, data as of Oct 28, 2026. https://etfiq.com/compare/any/fhlc-vs-ihf
ETFIQ. (Oct 28, 2026). FHLC against IHF. Retrieved from https://etfiq.com/compare/any/fhlc-vs-ihf
[FHLC against IHF (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/fhlc-vs-ihf)
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