Data as of Oct 28, 2026.

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FTXH vs IHF: Differences, Returns & Fees

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Over the year to Oct 28, 2026, FTXH returned +47.9% to IHF's +17.6%; 1% of their weight is in the same names.

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Net assets on Oct 27, 2026: $1.2bn for First Trust Nasdaq Pharmaceuticals ETF and $1.4bn for iShares U.S. Healthcare Providers ETF.

At a glance
+47.9%
FTXH total return, 1 year
+17.6%
IHF total return, 1 year
0.60%
FTXH expense ratio
0.37%
IHF expense ratio

Pair scorecard

IHF costs 0.23 points a year less; their one-year returns differ by 30.3 points; IHF is 1.2 times larger.

FTXH vs IHF: Differences, Returns & Fees
MeasureFTXHIHF
Return
Total return, 1 year+47.9%+17.6%
Benchmark
What it tracksNasdaq US Smart Pharmaceuticals IndexDow Jones U.S. Select Health Care Providers Index
Cost and size
Expense ratio0.60%0.37%
Net assets, as of Oct 27, 2026$1.2bn$1.4bn
Holdings
Holdings in common1%
Top ten holdings, share of the fund54.8%73.7%

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

Risk and return

Sep 30, 2016 to Oct 23, 2026 · 525 weekly returns
FTXH IHF
Return
Total return edge IHF +145.2% +169.6%
Annualized edge IHF (slight) +9.3% +10.3%
Price return edge IHF +116.4% +143.4%
Risk
Volatility edge FTXH 18.3% 21.7%
Max drawdown edge FTXH −28.9% −32.1%
Risk-adjusted
Sharpe edge Tie 0.44 0.45
Sortino edge Tie 0.63 0.63
Calmar edge Tie 0.32 0.32
Reading

IHF returned more: +169.6% to +145.2%. FTXH swung less: 18.3% to 21.7%. FTXH fell less at its worst: −28.9% to −32.1%.

Full scorecard

9 measures, with how each is measured
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Risk and return: FTXH vs IHF: Differences, Returns & Fees
MeasureFTXHIHFEdgeHow it is measured
Return
Total return+145.2%+169.6%IHFPrice change plus distributions, reinvested.
Annualized+9.3%+10.3%IHF (slight)Total return as a yearly rate.
Price return+116.4%+143.4%IHFPrice change alone, distributions left out.
Risk
Volatility18.3%21.7%FTXHSpread of weekly returns, annualized. Lower is steadier.
Downside deviation12.8%15.3%FTXHLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−28.9%−32.1%FTXHDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.440.45TieReturn above Treasury bills per unit of volatility.
Sortino0.630.63TieReturn above Treasury bills per unit of downside deviation.
Calmar0.320.32TieAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 525 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

1%

By the books each fund has filed, FTXH and IHF hold 1% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

0 half 100%

half

1% in common

Positions both hold · largest shared weight first FTXH IHF
Guardant Health, Inc. 0.54% 2.96%
Only in one fund ↓
Only in FTXH
AbbVie Inc. 7.68%
Eli Lilly and Company 7.62%
Pfizer Inc. 7.20%
Johnson & Johnson 6.95%
Merck & Co., Inc. 6.60%
Biogen Inc. 4.01%
Viatris Inc. 3.90%
Gilead Sciences, Inc. 3.74%
Only in IHF
UNITEDHEALTH GROUP 22.48%
CVS HEALTH 12.07%
ELEVANCE HEALTH INC 9.45%
VEEVA SYSTEMS CLASS A 5.18%
CIGNA 4.62%
HCA HEALTHCARE 4.59%
HUMANA 4.47%
CENTENE CORP 4.21%
Check overlap with more funds →

Side by side

FTXH First Trust Nasdaq Pharmaceuticals ETF IHF iShares U.S. Healthcare Providers ETF
Where it sits Stock ETF Stock ETF
What it is Tracks an index Tracks an index
Total return, 1 year +47.9% +17.6%
Expense ratio 0.60% 0.37%
Already in the S&P 500 68.0% 74.4%
Holdings 50 62
Net assets, as of Oct 27, 2026 $1.2bn $1.4bn

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

Client brief · page 1 of 2 Report BR-22B57C95A5

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

  1. What each follows. FTXH follows Nasdaq US Smart Pharmaceuticals Index and IHF follows Dow Jones U.S. Select Health Care Providers Index.
  2. Holdings in common. 1% of the weight is in the same securities (holdings dated Oct 27, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 FTXH returned +47.9% and IHF +17.6% with distributions reinvested, a gap of 30.3 points.

Data as of Oct 28, 2026.

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About each fund
FTXH

FTXH tracks an index. Over the year to Oct 28, 2026 it returned +47.9% with distributions reinvested. The prospectus expense ratio is 0.60% a year. By its holdings published by its issuer for Oct 27, 2026, 68% of the fund by weight is stocks the S&P 500 also holds, across 50 positions, with the top ten at 54.8%.

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, FTXH or IHF?
In the year to Oct 28, 2026, with distributions reinvested, FTXH returned +47.9% and IHF +17.6%.
Which is cheaper, FTXH or IHF?
IHF is cheaper, by 0.23 percentage points a year. That is about $23 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do FTXH and IHF overlap with the S&P 500?
By their latest filed holdings, 68% of FTXH and 74% of IHF by weight is stocks the S&P 500 already holds.
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ETFIQ, FTXH against IHF, data as of Oct 28, 2026. https://etfiq.com/compare/any/ftxh-vs-ihf

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