FHLC vs FXH
Fidelity MSCI Health Care Index ETF against First Trust Health Care AlphaDEX Fund: cost, size, returns, what they hold and how much of it is the same.
Overlap by weight
36%
74 shared positions
Fee gap
53 bp
FHLC is cheaper
1-year return gap
3.8 pts
FHLC is ahead
Larger fund
FHLC
$3.5B
Side by side
| FHLC | FXH | |
|---|---|---|
| Fund | Fidelity MSCI Health Care Index ETF | First Trust Health Care AlphaDEX Fund |
| Issuer | Fidelity | First Trust |
| Category | Health Care | Health Care |
| Expense ratio | 0.08% | 0.61% |
| Assets | $3.5B | $1.1B |
| Average daily dollar volume | $25M | $8.5M |
| Listed | Oct 21, 2013 | May 8, 2007 |
| FrenzyCap score | 83 | 54 |
| 1-month return | +2.5% | +0.7% |
| 3-month return | +5.1% | +5.3% |
| Year to date | +11.0% | +14.3% |
| 1-year return | +18.9% | +15.1% |
| 30-day volatility | 13.6% | 13.1% |
| Worst drawdown, 1 year | −10.7% | −12.3% |
| Trailing 12-month yield | 1.24% | 0.56% |
| Holdings | 340 | 78 |
| Top 10 weight | 50.6% | 25.6% |
| Look-through P/E | 41.3 | 26.4 |
| Holdings vs fair value | +5.0% | +13.0% |
| Holdings above 200-day average | 79% | 75% |
| Net flow, latest 3 reported months | +$89M thru Jul 2026 | +$62M thru Jul 2026 |
| 30-day implied volatility | 18.9% | 21.0% |
| Holdings as of | as of Apr 30, 2026SEC filing | as of Apr 30, 2026SEC filing |
Returns are price returns and exclude distributions. Flows are each fund's own latest reported months and may not cover the same period.
Largest shared holdings
85% of FHLC · 98% of FXH| Holding | FHLC | FXH |
|---|---|---|
| AMGN | 3.01% | 1.70% |
| PFE | 2.45% | 1.65% |
| MRK | 4.38% | 1.57% |
| ELV | 1.35% | 2.78% |
| BMY | 1.99% | 1.30% |
| CI | 1.25% | 2.36% |
| GILD | 2.62% | 1.22% |
| Medtronic PLC | 1.68% | 1.21% |
| UNH | 5.42% | 1.19% |
| REGN | 1.18% | 1.98% |
| HCA | 1.12% | 1.99% |
| COR | 1.05% | 1.74% |
| LLY | 12.13% | 0.88% |
| TMO | 2.91% | 0.84% |
| ZTS | 0.82% | 0.84% |
| JNJ | 8.94% | 0.81% |
| ABT | 2.55% | 0.77% |
| CAH | 0.74% | 1.98% |
| BDX | 0.69% | 1.64% |
| A | 0.53% | 0.88% |
| RMD | 0.50% | 1.24% |
| WAT | 0.49% | 0.90% |
| INSM | 0.47% | 1.44% |
| HUM | 0.46% | 2.95% |
| BIIB | 0.45% | 2.23% |
Sector mix of the stock holdings
| Sector | FHLC | FXH | Gap |
|---|---|---|---|
| Health Care | 86.9% | 84.7% | +2.1% |
| Technology | 7.6% | 9.6% | −2.0% |
| Consumer Staples | 1.7% | 0.0% | +1.7% |
| Industrials | 0.3% | 1.3% | −1.0% |
| Financials | 0.0% | 0.0% | +0.0% |
| Other | 0.0% | 0.0% | 0.0% |
More: full overlap table · FHLC holdings · FXH holdings
Fund data comes from each fund's SEC filings and issuer disclosures and is shown with the date it is as of. SEC portfolio and flow filings become public about 60 days after the period they cover. Nothing here is investment advice; see Terms.