XLV vs FXH
YTDYear to date
XLV wins+0.3 pts
Past year
XLV wins+5.7 pts
Fee
XLV winslower fee
Yield
XLV wins+0.8 pts
AUM
XLV42.0× more
4–0XLV wins
XLV and FXH · year-to-date · as of Nov 6, 2026 · AUM not scored
FXH vs XLV
YTD$136.58 · −1.3% last sessionDividend-adjusted total return. S&P 500 uses VOO.CompareXLV+ S&P 500+ Peer avg+ Add a fund
Return1D1M3MYTD ▼1Y3Y5YMAX
Total return−1.3%+6.4%+3.5%+20.6%+23.3%+52.8%+15.3%+603.3%
Peer average+0.8%+5.8%+2.9%+20.5%+29.5%+75.3%+27.5%—
S&P 500 · VOO+0.3%−5.0%−4.6%+8.7%+9.8%+80.8%+71.8%+793.2%
First Trust FXH and XLV · total return, dividends in · as of Nov 6, 2026
FXH’s Holdings
TodayZBHZimmer Biomet2.7%CNC2.7%UHS2.6%HALO2.5%CI2.5%GMED2.4%GEHC2.3%MEDP2.3%SOLV2.2%DXCM2.2%REGN2.1%LLY2.1%EXEL2.1%ZTS2.1%MDT2.1%COO2.0%THC2.0%NTRA2.0%AMGN2.0%GH1.9%TEM1.9%CAI1.9%
ZBHZimmer Biomet2.7%CNC2.7%UHS2.6%HALO2.5%CI2.5%GMED2.4%GEHC2.3%MEDP2.3%SOLV2.2%DXCM2.2%REGN2.1%LLY2.1%
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 6, 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% | $50.9B | |
| 2 | VHT | Health CareReadDesk | 0.09% | 1.4% | +19.8% | +19.8% | $19.1B | |
| 3 | XBI | State Street SPDR S&P BiotechReadDesk | 0.35% | 0.4% | +25.0% | +25.0% | $10.9B | |
| 4 | IYH | U.S. HealthcareReadDesk | 0.37% | 1.0% | +20.0% | +20.0% | $4.7B | |
| 5 | IXJ | Global HealthcareReadDesk | 0.38% | 1.3% | +17.0% | +17.0% | $4.6B | |
| 6 | IHI | U.S. Medical DevicesReadDesk | 0.37% | 0.5% | −7.0% | −7.0% | $4.1B | |
| 7 | FHLC | Fidelity MSCI Health CareReadDesk | 0.08% | 1.2% | +19.9% | +19.9% | $4.0B | |
| 8 | ARKG | ARK Genomic RevolutionReadDesk | 0.75% | — | +56.9% | +56.9% | $2.2B | |
| 9 | IHE | U.S. PharmaceuticalsReadDesk | 0.37% | 1.3% | +26.8% | +26.8% | $1.6B | |
| 10 | IHF | U.S. Healthcare ProvidersReadDesk | 0.37% | 0.9% | +24.4% | +24.4% | $1.5B | |
| 11 | PBPH | Portfolio Building Block World Pharma and BiotechReadDesk | 0.13% | 0.1% | +23.1% | +23.1% | $1.2B | |
| 12 | FXH | First Trust Health Care AlphaDEXReadDesk | 0.61% | 0.5% | +20.6% | +20.6% | $1.2B | |
| 13 | FTXH | First Trust Nasdaq PharmaceuticalsReadDesk | 0.60% | 0.7% | +32.4% | +32.4% | $1.2B | |
| 14 | PPH | VanEck PharmaceuticalReadDesk | 0.36% | 1.8% | +17.2% | +17.2% | $1.1B | |
| 15 | PJP | PharmaceuticalsReadDesk | 0.58% | 0.9% | +22.2% | +22.2% | $598M | |
| 16 | BBH | VanEck BiotechReadDesk | 0.35% | 0.4% | +33.9% | +33.9% | $519M |
1–16 of 39Page 1 of 3
Health Care · current AUM · as of Nov 6, 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% | −0.1% | +20.9% | +29.0% | $50.9B | |
| 2 | VHT | Vanguard Health Care ETFReadVersus | 0.09% | 1.4% | 0.0% | +19.8% | +27.4% | $19.1B | |
| 3 | XBI | State Street SPDR S&P Biotech ETFReadVersus | 0.35% | 0.4% | +2.6% | +25.0% | +40.0% | $10.9B | |
| 4 | IYH | iShares U.S. Healthcare ETFReadVersus | 0.37% | 1.0% | −0.2% | +20.0% | +27.9% | $4.7B | |
| 5 | IXJ | iShares Global Healthcare ETFReadVersus | 0.38% | 1.3% | +0.1% | +17.0% | +25.1% | $4.6B | |
| 6 | FXH | First Trust Health Care AlphaDEX FundThis fund | 0.61% | 0.5% | −1.3% | +20.6% | +23.3% | $1.2B |
#14 of 33 this year · #31 cheapest of 39 · sorted by assetsOpen the Sectors table →
FXH and its peer group · total return · as of Nov 7, 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 6, 2026
FXH’s Holdings
TodayZBHZimmer Biomet2.7%CNC2.7%UHS2.6%HALO2.5%CI2.5%GMED2.4%GEHC2.3%MEDP2.3%SOLV2.2%DXCM2.2%REGN2.1%LLY2.1%EXEL2.1%ZTS2.1%MDT2.1%COO2.0%THC2.0%NTRA2.0%AMGN2.0%GH1.9%TEM1.9%CAI1.9%
ZBHZimmer Biomet2.7%CNC2.7%UHS2.6%HALO2.5%CI2.5%GMED2.4%GEHC2.3%MEDP2.3%SOLV2.2%DXCM2.2%REGN2.1%LLY2.1%
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 6, 2026
FXH vs Peer Average
YTDFXHAvsBPeer average
1D−1.3%+0.8%
1M+6.4%+5.8%
3M+3.5%+2.9%
YTD+20.6%+20.5%
1Y+23.3%+29.5%
3Y+52.8%+75.3%
5Y+15.3%+27.5%
3–4Peer average wins
38 Health care peers · each row scaled to its leader