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

In the year to Oct 28, 2026, with distributions reinvested, FXH returned +21.5% and IYH +25.3%.

Which is cheaper, FXH or IYH?

IYH 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 IYH overlap with the S&P 500?

By their latest filed holdings, 59% of FXH and 90% of IYH by weight is stocks the S&P 500 already holds.

Data as of Oct 28, 2026.

Across categories

FXH vs IYH: Differences, Returns & Fees

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Over the year to Oct 28, 2026, FXH returned +21.5% to IYH's +25.3%; 35% of their weight is in the same names.

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Net assets: $1.1bn on Oct 27, 2026 for First Trust Health Care AlphaDEX Fund, and $4.5bn on Oct 28, 2026 for iShares U.S. Healthcare ETF.

FXH on its own →IYH on its own →

At a glance

+21.5%

FXH total return, 1 year

+25.3%

IYH total return, 1 year

0.61%

FXH expense ratio

0.37%

IYH expense ratio

Pair scorecard

IYH costs 0.24 points a year less; their one-year returns differ by 3.8 points; IYH is 4.1 times larger.

FXH vs IYH: Differences, Returns & Fees
Measure	FXH	IYH
Return
Measure	FXH	IYH
Total return, 1 year	+21.5%	+25.3%
Benchmark
Measure	FXH	IYH
What it tracks	StrataQuant Health Care Index	Russell 1000 Health Care RIC 22
Cost and size
Measure	FXH	IYH
Expense ratio	0.61%	0.37%
Net assets, as of Oct 27, 2026	$1.1bn	$4.5bn
Holdings
Measure	FXH	IYH
Holdings in common	35%
Top ten holdings, share of the fund	24.7%	58.9%

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 IYH

Return

Total return edge FXH (slight) +601.0% +585.9%

Annualized edge Tie +10.5% +10.4%

Price return edge FXH +581.6% +422.6%

Risk

Volatility edge IYH (slight) 18.5% 16.9%

Max drawdown edge IYH −41.9% −37.3%

Risk-adjusted

Sharpe edge IYH (slight) 0.55 0.58

Sortino edge IYH (slight) 0.77 0.82

Calmar edge IYH (slight) 0.25 0.28

Reading

FXH returned slightly more: +601.0% to +585.9%. IYH swung slightly less: 16.9% to 18.5%. IYH fell less at its worst: −37.3% to −41.9%.

Full scorecard

9 measures, with how each is measured Open ↓

Risk and return: FXH vs IYH: Differences, Returns & Fees
Measure	FXH	IYH	Edge	How it is measured
Return
Total return	+601.0%	+585.9%	FXH (slight)	Price change plus distributions, reinvested.
Annualized	+10.5%	+10.4%	Tie	Total return as a yearly rate.
Price return	+581.6%	+422.6%	FXH	Price change alone, distributions left out.
Risk
Volatility	18.5%	16.9%	IYH (slight)	Spread of weekly returns, annualized. Lower is steadier.
Downside deviation	13.2%	12.0%	IYH (slight)	Like volatility, counting only weeks below the Treasury bill rate.
Max drawdown	−41.9%	−37.3%	IYH	Deepest fall from a high to the low after it.
Risk-adjusted
Sharpe	0.55	0.58	IYH (slight)	Return above Treasury bills per unit of volatility.
Sortino	0.77	0.82	IYH (slight)	Return above Treasury bills per unit of downside deviation.
Calmar	0.25	0.28	IYH (slight)	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

35%

By the books each fund has filed, FXH and IYH hold 35% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

50%

0 half 100%

half

35% in common

Positions both hold · largest shared weight first FXH IYH

Eli Lilly and Company 2.04% 15.29%

Amgen Inc. 1.96% 3.61%

Bristol-Myers Squibb Company 1.82% 1.88%

Medtronic Plc 1.92% 1.72%

AbbVie Inc. 1.41% 7.57%

Elevance Health Inc. 1.40% 1.37%

Regeneron Pharmaceuticals, Inc. 1.98% 1.21%

The Cigna Group 2.53% 1.16%

Boston Scientific Corporation 1.90% 1.00%

HCA Healthcare, Inc. 1.36% 0.98%

Abbott Laboratories 0.96% 2.67%

Pfizer Inc. 0.96% 2.53%

Only in one fund ↓

Only in FXH

Only in IYH

MERCK & CO INC 5.24%

GILEAD SCIENCES 2.95%

MODERNA 1.13%

EDWARDS LIFESCIENCES 0.77%

WATERS CORP 0.69%

IQVIA HOLDINGS INC 0.66%

ILLUMINA INC 0.63%

ALNYLAM PHARMACEUTICALS 0.45%

Check overlap with more funds →

Side by side

FXH First Trust Health Care AlphaDEX Fund IYH iShares U.S. Healthcare 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% +25.3%

Expense ratio 0.61% 0.37%

Already in the S&P 500 59.2% 90.3%

Holdings 72 101

Net assets, FXH as of Oct 27, 2026 and IYH as of Oct 28, 2026 $1.1bn $4.5bn

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

Client brief · page 1 of 2 Report BR-442542313B

FXH and IYH 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 IYH follows Russell 1000 Health Care RIC 22.
Holdings in common. 35% 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 IYH +25.3% with distributions reinvested, a gap of 3.8 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%.

IYH

IYH tracks an index. Over the year to Oct 28, 2026 it returned +25.3% with distributions reinvested. The prospectus expense ratio is 0.37% a year. By its holdings published by its issuer for Oct 27, 2026, 90% of the fund by weight is stocks the S&P 500 also holds, across 101 positions, with the top ten at 58.9%.

Questions people ask

Which returned more over the last year, FXH or IYH?: In the year to Oct 28, 2026, with distributions reinvested, FXH returned +21.5% and IYH +25.3%.
Which is cheaper, FXH or IYH?: IYH 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 IYH overlap with the S&P 500?: By their latest filed holdings, 59% of FXH and 90% of IYH by weight is stocks the S&P 500 already holds.

Other comparisons

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

Where to next

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

Sources and dates

FXH filings on SEC EDGAR ↗

FXH prospectus with the expense ratio (SEC) ↗

First Trust page for FXH ↗

IYH filings on SEC EDGAR ↗

IYH prospectus with the expense ratio (SEC) ↗

iShares page for IYH ↗

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 IYH, data as of Oct 28, 2026. https://etfiq.com/compare/any/fxh-vs-iyh

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