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

In the year to Oct 28, 2026, with distributions reinvested, FXH returned +21.5% and IHF +17.6%.

Which is cheaper, FXH or IHF?

IHF is cheaper, by 0.24 percentage points a year. That is about $24 on $10,000 held for a year. Fees come from each fund's prospectus.

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

By their latest filed holdings, 59% of FXH and 74% of IHF by weight is stocks the S&P 500 already holds.

Data as of Oct 28, 2026.

Across categories

FXH vs IHF: Differences, Returns & Fees

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Over the year to Oct 28, 2026, FXH returned +21.5% to IHF's +17.6%; 22% of their weight is in the same names.

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Net assets on Oct 27, 2026: $1.1bn for First Trust Health Care AlphaDEX Fund and $1.4bn for iShares U.S. Healthcare Providers ETF.

FXH on its own →IHF on its own →

At a glance

+21.5%

FXH total return, 1 year

+17.6%

IHF total return, 1 year

0.61%

FXH expense ratio

0.37%

IHF expense ratio

Pair scorecard

IHF costs 0.24 points a year less; their one-year returns differ by 3.9 points; IHF is 1.3 times larger.

FXH vs IHF: Differences, Returns & Fees
Measure	FXH	IHF
Return
Measure	FXH	IHF
Total return, 1 year	+21.5%	+17.6%
Benchmark
Measure	FXH	IHF
What it tracks	StrataQuant Health Care Index	Dow Jones U.S. Select Health Care Providers Index
Cost and size
Measure	FXH	IHF
Expense ratio	0.61%	0.37%
Net assets, as of Oct 27, 2026	$1.1bn	$1.4bn
Holdings
Measure	FXH	IHF
Holdings in common	22%
Top ten holdings, share of the fund	24.7%	73.7%

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

Risk and return

May 18, 2007 to Oct 23, 2026 · 1,014 weekly returns

FXH IHF

Return

Total return edge FXH +601.0% +477.6%

Annualized edge FXH +10.5% +9.4%

Price return edge FXH +581.6% +401.4%

Risk

Volatility edge FXH 18.5% 22.4%

Max drawdown edge FXH −41.9% −56.9%

Risk-adjusted

Sharpe edge FXH 0.55 0.45

Sortino edge FXH 0.77 0.62

Calmar edge FXH 0.25 0.17

Reading

FXH returned more: +601.0% to +477.6%. FXH swung less: 18.5% to 22.4%. FXH fell less at its worst: −41.9% to −56.9%.

Full scorecard

9 measures, with how each is measured Open ↓

Risk and return: FXH vs IHF: Differences, Returns & Fees
Measure	FXH	IHF	Edge	How it is measured
Return
Total return	+601.0%	+477.6%	FXH	Price change plus distributions, reinvested.
Annualized	+10.5%	+9.4%	FXH	Total return as a yearly rate.
Price return	+581.6%	+401.4%	FXH	Price change alone, distributions left out.
Risk
Volatility	18.5%	22.4%	FXH	Spread of weekly returns, annualized. Lower is steadier.
Downside deviation	13.2%	16.1%	FXH	Like volatility, counting only weeks below the Treasury bill rate.
Max drawdown	−41.9%	−56.9%	FXH	Deepest fall from a high to the low after it.
Risk-adjusted
Sharpe	0.55	0.45	FXH	Return above Treasury bills per unit of volatility.
Sortino	0.77	0.62	FXH	Return above Treasury bills per unit of downside deviation.
Calmar	0.25	0.17	FXH	Annualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,014 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

22%

By the books each fund has filed, FXH and IHF hold 22% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

50%

0 half 100%

half

22% in common

Positions both hold · largest shared weight first FXH IHF

Centene Corporation 2.55% 4.21%

The Cigna Group 2.53% 4.62%

Guardant Health, Inc. 2.30% 2.96%

Tenet Healthcare Corporation 1.89% 2.62%

Elevance Health Inc. 1.40% 9.45%

Labcorp Holdings Inc. 1.39% 3.33%

HCA Healthcare, Inc. 1.36% 4.59%

Quest Diagnostics Incorporated 1.34% 3.32%

Encompass Health Corporation 1.29% 1.49%

Universal Health Services, Inc. (Class B) 2.34% 1.14%

The Ensign Group, Inc. 0.91% 1.21%

Chemed Corporation 0.93% 0.82%

Only in one fund ↓

Only in FXH

Halozyme Therapeutics, Inc. 2.68%

Caris Life Sciences, Inc. 2.53%

Globus Medical, Inc. (Class A) 2.49%

Zimmer Biomet Holdings, Inc. 2.49%

Medpace Holdings, Inc. 2.48%

Natera, Inc. 2.29%

Solventum Corporation 2.17%

DexCom, Inc. 2.10%

Only in IHF

CVS HEALTH 12.07%

MOLINA HEALTHCARE INC 1.29%

BRIGHTSPRING HEALTH SERVICES INC 1.23%

HEALTHEQUITY 1.05%

HINGE HEALTH CLASS A 0.84%

HIMS HERS HEALTH CLASS A 0.73%

RADNET 0.65%

CONCENTRA GROUP HOLDINGS PARENT IN 0.59%

Check overlap with more funds →

Side by side

FXH First Trust Health Care AlphaDEX Fund IHF iShares U.S. Healthcare Providers ETF

Where it sits Stock ETF Stock ETF

Issuer First Trust iShares

What it is Tracks an index Tracks an index

Total return, 1 year +21.5% +17.6%

Expense ratio 0.61% 0.37%

Already in the S&P 500 59.2% 74.4%

Holdings 72 62

Net assets, as of Oct 27, 2026 $1.1bn $1.4bn

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

Client brief · page 1 of 2 Report BR-E818CB66D9

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

What each follows. FXH follows StrataQuant Health Care Index and IHF follows Dow Jones U.S. Select Health Care Providers Index.
Holdings in common. 22% of the weight is in the same securities (holdings dated Oct 27, 2026).
One-year total return. Over 1 year to Oct 28, 2026 FXH returned +21.5% and IHF +17.6% with distributions reinvested, a gap of 3.9 points.

Data as of Oct 28, 2026.

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About each fund

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%.

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, FXH or IHF?: In the year to Oct 28, 2026, with distributions reinvested, FXH returned +21.5% and IHF +17.6%.
Which is cheaper, FXH or IHF?: IHF is cheaper, by 0.24 percentage points a year. That is about $24 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do FXH and IHF overlap with the S&P 500?: By their latest filed holdings, 59% of FXH and 74% of IHF by weight is stocks the S&P 500 already holds.

Other comparisons

FXH vs IHE FXH vs PPH FXH vs IXJ FXH vs IYH IHF vs IXJ IHF vs IYH IHF vs VHT IHF vs XLV

Where to next

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

Sources and dates

FXH filings on SEC EDGAR ↗

FXH prospectus with the expense ratio (SEC) ↗

First Trust page for FXH ↗

IHF filings on SEC EDGAR ↗

IHF prospectus with the expense ratio (SEC) ↗

iShares page for IHF ↗

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

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