Data as of Oct 28, 2026.
FXH vs VHT: Differences, Returns & Fees
Over the year to Oct 28, 2026, FXH returned +21.5% to VHT's +25.0%; 33% 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 $19.1bn on Sep 30, 2026 for Vanguard Health Care ETF.
Pair scorecard
VHT costs 0.52 points a year less; their one-year returns differ by 3.5 points.
| Measure | FXH | VHT |
|---|---|---|
| Return | ||
| Total return, 1 year | +21.5% | +25.0% |
| Benchmark | ||
| What it tracks | StrataQuant Health Care Index | MSCI US Investable Market Index (IMI)/Health Care 25/50 |
| Cost and size | ||
| Expense ratio | 0.61% | 0.09% |
| Net assets, FXH as of Oct 27, 2026 and VHT as of Sep 30, 2026 | $1.1bn | $19.1bn |
| Holdings | ||
| Holdings in common | 33% | |
| Top ten holdings, share of the fund | 24.7% | 51.8% |
Holdings in common uses holdings dated Sep 30, 2026 and Oct 27, 2026. Method
Risk and return
May 18, 2007 to Oct 23, 2026 · 1,014 weekly returnsVHT returned slightly more: +621.4% to +601.0%. VHT swung slightly less: 17.2% to 18.5%. VHT fell slightly less at its worst: −38.1% to −41.9%.
Full scorecard
9 measures, with how each is measured Open ↓
| Measure | FXH | VHT | Edge | How it is measured |
|---|---|---|---|---|
| Return | ||||
| Total return | +601.0% | +621.4% | VHT (slight) | Price change plus distributions, reinvested. |
| Annualized | +10.5% | +10.7% | Tie | Total return as a yearly rate. |
| Price return | +581.6% | +435.0% | FXH | Price change alone, distributions left out. |
| Risk | ||||
| Volatility | 18.5% | 17.2% | VHT (slight) | Spread of weekly returns, annualized. Lower is steadier. |
| Downside deviation | 13.2% | 12.2% | VHT (slight) | Like volatility, counting only weeks below the Treasury bill rate. |
| Max drawdown | −41.9% | −38.1% | VHT (slight) | Deepest fall from a high to the low after it. |
| Risk-adjusted | ||||
| Sharpe | 0.55 | 0.59 | VHT (slight) | Return above Treasury bills per unit of volatility. |
| Sortino | 0.77 | 0.83 | VHT (slight) | Return above Treasury bills per unit of downside deviation. |
| Calmar | 0.25 | 0.28 | VHT | 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
By the books each fund has filed, FXH and VHT hold 33% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.
half
33% in common
Only in one fund ↓
Side by side
FXH and VHT on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
FXH and VHT 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 VHT follows MSCI US Investable Market Index (IMI)/Health Care 25/50.
- Holdings in common. 33% of the weight is in the same securities (holdings dated Oct 27, 2026 and Sep 30, 2026).
- One-year total return. Over 1 year to Oct 28, 2026 FXH returned +21.5% and VHT +25.0% with distributions reinvested, a gap of 3.5 points.
Data as of Oct 28, 2026.
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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%.
VHT
VHT tracks an index of Health Care. Over the year to Oct 28, 2026 it returned +25.0% with distributions reinvested, against +25.4% for its benchmark, the MSCI US Investable Market Index (IMI)/Health Care 25/50. The prospectus expense ratio is 0.09% a year. By its holdings published by its issuer as of Sep 30, 2026, 86% of the fund by weight is stocks the S&P 500 also holds, across 414 positions, with the top ten at 51.8%.
Questions people ask
- Which returned more over the last year, FXH or VHT?
- In the year to Oct 28, 2026, with distributions reinvested, FXH returned +21.5% and VHT +25.0%.
- Which is cheaper, FXH or VHT?
- VHT is cheaper, by 0.52 percentage points a year. That is about $52 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, FXH against VHT, data as of Oct 28, 2026. https://etfiq.com/compare/any/fxh-vs-vht
ETFIQ. (Oct 28, 2026). FXH against VHT. Retrieved from https://etfiq.com/compare/any/fxh-vs-vht
[FXH against VHT (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/fxh-vs-vht)
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