XLV vs FXH
YTDYear to date
FXH wins+1.2 pts
Past year
XLV wins+4.5 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
YTD$138.33 · −3.7% last sessionDividend-adjusted total return. S&P 500 uses VOO.CompareS&P 500+ Peer avg+ Add a fund
Return1D1M3MYTD ▼1Y3Y5YMAX
Total return−3.7%+7.4%+5.9%+22.1%+25.1%+55.4%+17.6%+612.3%
Peer average−3.4%+4.6%+3.5%+19.7%+29.0%+75.3%+27.3%—
S&P 500 · VOO−4.4%−5.7%−4.9%+8.4%+9.8%+82.2%+71.6%+790.6%
First Trust FXH and Vanguard VOO · total return, dividends in · as of Nov 5, 2026
FXH’s Holdings
TodayZBH2.7%CNC2.6%HALO2.6%GMED2.5%UHS2.4%CI2.4%CAI2.3%MEDP2.3%GEHC2.3%DXCM2.2%ZTS2.2%SOLV2.2%EXEL2.2%REGN2.1%LLY2.1%NTRA2.0%GH2.0%MDT2.0%TEM2.0%THC2.0%COO2.0%AMGN2.0%
ZBHZimmer Biomet2.7%CNC2.6%HALO2.6%GMED2.5%UHS2.4%CI2.4%CAI2.3%MEDP2.3%GEHC2.3%DXCM2.2%ZTS2.2%SOLV2.2%
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 5, 2026
All 39 Health Care ETFs
YTD| # | Trend | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | XLV | State Street Health Care Select Sector SPDRReadDesk | 0.08% | 1.4% | +20.9% | +20.9% | $49.1B | |
| 2 | VHT | Health CareReadDesk | 0.09% | 1.4% | +19.7% | +19.7% | $19.1B | |
| 3 | XBI | State Street SPDR S&P BiotechReadDesk | 0.35% | 0.4% | +21.8% | +21.8% | $10.6B | |
| 4 | IYH | U.S. HealthcareReadDesk | 0.37% | 1.0% | +20.3% | +20.3% | $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% | 1.2% | +20.0% | +20.0% | $3.5B | |
| 8 | ARKG | ARK Genomic RevolutionReadDesk | 0.75% | — | +54.0% | +54.0% | $2.2B | |
| 9 | IHE | U.S. PharmaceuticalsReadDesk | 0.37% | 1.4% | +25.6% | +25.6% | $1.7B | |
| 10 | IHF | U.S. Healthcare ProvidersReadDesk | 0.37% | 0.9% | +24.9% | +24.9% | $1.5B | |
| 11 | PBPH | Portfolio Building Block World Pharma and BiotechReadDesk | 0.13% | 0.1% | +22.8% | +22.8% | $1.2B | |
| 12 | FTXH | First Trust Nasdaq PharmaceuticalsReadDesk | 0.60% | 0.7% | +31.5% | +31.5% | $1.2B | |
| 13 | PPH | VanEck PharmaceuticalReadDesk | 0.36% | 1.8% | +17.4% | +17.4% | $1.2B | |
| 14 | FXH | First Trust Health Care AlphaDEXReadDesk | 0.61% | 0.5% | +22.1% | +22.1% | $1.2B | |
| 15 | PJP | PharmaceuticalsReadDesk | 0.58% | 0.9% | +21.9% | +21.9% | $579M | |
| 16 | BBH | VanEck BiotechReadDesk | 0.35% | 0.4% | +32.6% | +32.6% | $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% | 1.4% | −2.5% | +20.9% | +29.6% | $49.1B | |
| 2 | VHT | Vanguard Health Care ETFReadVersus | 0.09% | 1.4% | −2.9% | +19.7% | +28.0% | $19.1B | |
| 3 | XBI | State Street SPDR S&P Biotech ETFReadVersus | 0.35% | 0.4% | −6.7% | +21.8% | +37.9% | $10.6B | |
| 4 | IYH | iShares U.S. Healthcare ETFReadVersus | 0.37% | 1.0% | −2.8% | +20.3% | +28.8% | $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% | −3.7% | +22.1% | +25.1% | $1.2B |
#11 of 33 this year · #31 cheapest of 39 · sorted by assetsOpen the Sectors table →
FXH and its peer group · total return · as of Nov 6, 2026
Cards for This View
FXH’s Top 10 Holdings
Today24.4%of FXH sits in these 10
First Trust FXH · weight in the fund · as of Nov 5, 2026
FXH’s Holdings
TodayZBH2.7%CNC2.6%HALO2.6%GMED2.5%UHS2.4%CI2.4%CAI2.3%MEDP2.3%GEHC2.3%DXCM2.2%ZTS2.2%SOLV2.2%EXEL2.2%REGN2.1%LLY2.1%NTRA2.0%GH2.0%MDT2.0%TEM2.0%THC2.0%COO2.0%AMGN2.0%
ZBHZimmer Biomet2.7%CNC2.6%HALO2.6%GMED2.5%UHS2.4%CI2.4%CAI2.3%MEDP2.3%GEHC2.3%DXCM2.2%ZTS2.2%SOLV2.2%
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 5, 2026
FXH vs Peer Average
YTDFXHAvsBPeer average
1D−3.7%−3.4%
1M+7.4%+4.6%
3M+5.9%+3.5%
YTD+22.1%+19.7%
1Y+25.1%+29.0%
3Y+55.4%+75.3%
5Y+17.6%+27.3%
3–4Peer average wins
38 Health care peers · each row scaled to its leader