XLV vs FXH
YTDYear to date
FXH wins+2.8 pts
Past year
XLV wins+3.7 pts
Fee
XLV winslower fee
Yield
XLV wins+0.8 pts
AUM
XLV42.1× more
3–1XLV wins
XLV and FXH · year-to-date · as of Nov 5, 2026 · AUM not scored
FXH vs S&P 500
MAX$143.63 · +4.1% last sessionDividend-adjusted total return. S&P 500 uses VOO.CompareS&P 500+ Peer avg+ Add a fund
Return1D1M3MYTD1Y3Y5YMAX ▼
Total return+4.1%+11.2%+12.8%+26.8%+29.8%+62.4%+24.0%+639.6%
Peer average+2.7%+8.5%+8.9%+24.4%+33.4%+84.3%+34.0%—
S&P 500 · VOO+1.6%−1.6%0.0%+13.4%+13.5%+91.7%+81.2%+831.3%
First Trust FXH and Vanguard VOO · total return, dividends in · as of Nov 5, 2026
FXH’s Holdings
TodayHALO2.6%ZBH2.5%CI2.4%CNC2.4%CAI2.4%MEDP2.4%GMED2.4%REGN2.3%UHS2.3%EXEL2.2%GEHC2.2%GH2.2%LLY2.2%SOLV2.2%DXCM2.2%ZTS2.1%TEM2.1%NTRA2.1%UTHR2.0%MDT2.0%AMGN2.0%COO1.9%
HALOHalozyme Therapeutics2.6%ZBH2.5%CI2.4%CNC2.4%CAI2.4%MEDP2.4%GMED2.4%REGN2.3%UHS2.3%EXEL2.2%GEHC2.2%GH2.2%
BiotechnologyMedical - DevicesMedical - DiagnosticsMedical - Care FacilitiesDrug Manufacturers - GeneralMedical - InstrumentsOther
First Trust FXH · 72 holdings · top 22 shown · tile size = share of the fund · as of Nov 4, 2026
All 39 Health Care ETFs
YTD| # | Trend | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | XLV | State Street Health Care Select Sector SPDRReadDesk | 0.08% | 1.3% | +24.0% | +24.0% | $49.1B | |
| 2 | VHT | Health CareReadDesk | 0.09% | 1.3% | +23.3% | +23.3% | $19.1B | |
| 3 | XBI | State Street SPDR S&P BiotechReadDesk | 0.35% | 0.3% | +30.6% | +30.6% | $10.6B | |
| 4 | IYH | U.S. HealthcareReadDesk | 0.37% | 1.0% | +23.7% | +23.7% | $4.9B | |
| 5 | IXJ | Global HealthcareReadDesk | 0.38% | 1.2% | +19.7% | +19.7% | $4.7B | |
| 6 | IHI | U.S. Medical DevicesReadDesk | 0.37% | 0.4% | −2.7% | −2.7% | $4.1B | |
| 7 | FHLC | Fidelity MSCI Health CareReadDesk | 0.08% | 1.1% | +23.4% | +23.4% | $3.5B | |
| 8 | ARKG | ARK Genomic RevolutionReadDesk | 0.75% | — | +71.5% | +71.5% | $2.2B | |
| 9 | IHE | U.S. PharmaceuticalsReadDesk | 0.37% | 1.3% | +29.8% | +29.8% | $1.7B | |
| 10 | IHF | U.S. Healthcare ProvidersReadDesk | 0.37% | 0.9% | +27.1% | +27.1% | $1.5B | |
| 11 | PBPH | Portfolio Building Block World Pharma and BiotechReadDesk | 0.13% | 0.1% | +26.0% | +26.0% | $1.2B | |
| 12 | FTXH | First Trust Nasdaq PharmaceuticalsReadDesk | 0.60% | 0.6% | +36.8% | +36.8% | $1.2B | |
| 13 | PPH | VanEck PharmaceuticalReadDesk | 0.36% | 1.8% | +20.4% | +20.4% | $1.2B | |
| 14 | FXH | First Trust Health Care AlphaDEXReadDesk | 0.61% | 0.5% | +26.8% | +26.8% | $1.2B | |
| 15 | PJP | PharmaceuticalsReadDesk | 0.58% | 0.9% | +26.9% | +26.9% | $579M | |
| 16 | BBH | VanEck BiotechReadDesk | 0.35% | 0.4% | +38.2% | +38.2% | $538M |
1–16 of 39Page 1 of 3
Health Care · current AUM · as of Nov 5, 2026
FXH Payouts by Year
5YLatest payout, Sep 2026
$0.29
a share · every quarter
0.5% yield
0.5% yield
5 years added up
$2.34 a share
$2.34 a share
First Trust FXH · per-share distributions by ex-date · 2022–2026
FXH’s Peers
YTD| # | Trend | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 1 | XLV | State Street Health Care Select Sector SPDR ETFReadVersus | 0.08% | 1.3% | +3.1% | +24.0% | +33.5% | $49.1B | |
| 2 | VHT | Vanguard Health Care ETFReadVersus | 0.09% | 1.3% | +3.1% | +23.3% | +32.1% | $19.1B | |
| 3 | XBI | State Street SPDR S&P Biotech ETFReadVersus | 0.35% | 0.3% | +2.7% | +30.6% | +45.4% | $10.6B | |
| 4 | IYH | iShares U.S. Healthcare ETFReadVersus | 0.37% | 1.0% | +3.3% | +23.7% | +32.8% | $4.9B | |
| 5 | IXJ | iShares Global Healthcare ETFReadVersus | 0.38% | 1.2% | +3.2% | +19.7% | +28.6% | $4.7B | |
| 6 | FXH | First Trust Health Care AlphaDEX FundThis fund | 0.61% | 0.5% | +4.1% | +26.8% | +29.8% | $1.2B |
#12 of 33 this year · #31 cheapest of 39 · sorted by assetsOpen the Sectors table →
FXH and its peer group · total return · as of Nov 5, 2026
Cards for This View
FXH’s Top 10 Holdings
Today24.0%of FXH sits in these 10
First Trust FXH · weight in the fund · as of Nov 4, 2026
FXH’s Holdings
TodayHALO2.6%ZBH2.5%CI2.4%CNC2.4%CAI2.4%MEDP2.4%GMED2.4%REGN2.3%UHS2.3%EXEL2.2%GEHC2.2%GH2.2%LLY2.2%SOLV2.2%DXCM2.2%ZTS2.1%TEM2.1%NTRA2.1%UTHR2.0%MDT2.0%AMGN2.0%COO1.9%
HALOHalozyme Therapeutics2.6%ZBH2.5%CI2.4%CNC2.4%CAI2.4%MEDP2.4%GMED2.4%REGN2.3%UHS2.3%EXEL2.2%GEHC2.2%GH2.2%
BiotechnologyMedical - DevicesMedical - DiagnosticsMedical - Care FacilitiesDrug Manufacturers - GeneralMedical - InstrumentsOther
First Trust FXH · 72 holdings · top 22 shown · tile size = share of the fund · as of Nov 4, 2026
FXH vs Peer Average
YTDFXHAvsBPeer average
1D+4.1%+2.7%
1M+11.2%+8.5%
3M+12.8%+8.9%
YTD+26.8%+24.4%
1Y+29.8%+33.4%
3Y+62.4%+84.3%
5Y+24.0%+34.0%
4–3FXH wins
38 Health care peers · each row scaled to its leader