VS
First Trust NYSE Arca Biotechnology ETF (FBT) and First Trust AlphaDEX U.S. Health Care Sector Index ETF (FHH) offer distinct profiles for Canadian ETF investors. A direct comparison shows that FBT focuses its top 3 sector exposures on Health Care, while FHH leans towards Health Care. When evaluating costs, FBT features a management fee (MER) of 0.15%, compared to 0.7% for FHH. Performance-wise, FBT has returned 1.7% year-to-date with +$2 M in net flows, whereas FHH is at 0.58% with +$0 M. Use the comparison tool below to benchmark these funds across top 10 holdings, yield, sector weights and historical returns.
NAV Performance and Flows
Key Data
Compare
FBT
FHH
| AuM | $3.99 M | $6.26 M |
| Management Fees | 0.15% | 0.70% |
| Exp. ratio | 0.71% | 0.76% |
| Tracking Difference | - | -0.98% |
Historical performance and flows
As of May 7, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | FBT | +3.31% | +0.33% | +1.70% | +33.28% | +40.19% |
FHH | +0.75% | +0.19% | -0.58% | +12.49% | +8.31% | |
| Flows | FBT | +$0 M | +$2 M | +$2 M | +$2 M | +$1 M |
FHH | +$0 M | +$0 M | +$0 M | -$4 M | -$6 M |
FBT vs FHH exposure
Countries
FBT
USA
95.76%
FHH
USA
95.47%
Sectors
FBT
Health Care
90.59%
Other
9.41%
FHH
Health Care
93.76%
As of May 7, 2026
Top 10 Holdings
FBT
MODERNA INC
5.14%
ALKERMES
4.16%
UTD THERAPEUT
4.15%
GILEAD SCIENCES
4.08%
CORCEPT THERAPEUTICS
3.94%
AXSOME THERA CMN STK
3.91%
AMGEN-T
3.81%
EXELIXIS
3.52%
KRYSTAL BIOTECH INC
3.49%
BIOGEN INC
3.45%
FHH
ACADIA HEALTHCARE COMPANY
3.83%
APELLIS PHARMACEUTICALS
2.95%
PFIZER
2.63%
BIOGEN INC
2.40%
CARDINAL HEALTH
2.37%
HCA HEALTHCARE
2.33%
INCYTE
2.19%
IONIS PHARMACEUTICALS INC
2.18%
INSMED
2.17%
UTD THERAPEUT
2.15%
Diversification
FBT
Total weight of top 10 holdings out of 30 total
39.65%
FHH
Total weight of top 10 holdings out of 75 total
25.20%
Characteristics
Compare
FBT
FHH
| Provider | First Trust | First Trust |
| Management | Passively managed | Passively managed |
| Benchmark | NYSE Arca Biotechnology Total Return Index - USD | StrataQuant Health Care CAD Total Return Index - CAD |
| Replication Method | Direct (Physical) | |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.00% | 0.34% |
| Meets ESG criteria | No | No |
| Inception Date | October 30, 2014 | October 30, 2014 |
Frequently asked questions about FBT and FHH
Which ETF has performed better year to date: FBT or FHH?
As of May 7, 2026, FBT has returned 1.70% year to date, while FHH has returned -0.58%. FBT is ahead on YTD performance.
Which ETF is larger by assets under management: FBT or FHH?
As of May 7, 2026, FBT manages $3.99 M in assets, while FHH manages $6.26 M. FHH is the larger fund by AUM.
How are FBT and FHH managed?
FBT is passively managed by First Trust. It tracks the NYSE Arca Biotechnology Total Return Index - USD benchmark. FHH is passively managed by First Trust. It tracks the StrataQuant Health Care CAD Total Return Index - CAD benchmark.
What sectors do FBT and FHH emphasize?
FBT is most exposed to Health Care. FHH is most exposed to Health Care.
Which ETF is attracting more investor flows: FBT or FHH?
Year to date, FBT has seen +$2.12 M in net flows, compared with +$0.00 M for FHH. FBT has attracted more net investor money so far.
How do the fees of FBT and FHH compare?
FBT has an expense ratio of 0.71%, while FHH has an expense ratio of 0.76%.
What are the top holdings of FBT and FHH?
FBT's largest holdings include MODERNA INC and ALKERMES. FHH's top holdings include ACADIA HEALTHCARE COMPANY and APELLIS PHARMACEUTICALS.
Which ETF is more diversified: FBT or FHH?
FBT holds 28 securities, while FHH holds 71. On holdings count, FHH is the more diversified portfolio.
Recent articles about FBT and FHH
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