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First Trust AlphaDEX U.S. Health Care Sector Index ETF (FHH) and First Trust NYSE Arca Biotechnology ETF (FBT) offer distinct profiles for Canadian ETF investors. A direct comparison shows that FHH focuses its top 3 sector exposures on Health Care, while FBT leans towards Health Care. When evaluating costs, FHH features a management fee (MER) of 0.7%, compared to 0.15% for FBT. Performance-wise, FHH has returned 0.58% year-to-date with +$0 M in net flows, whereas FBT is at 1.7% with +$2 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
FHH
FBT
| AuM | $6.26 M | $3.99 M |
| Management Fees | 0.70% | 0.15% |
| Exp. ratio | 0.76% | 0.71% |
| Tracking Difference | -0.98% | - |
Historical performance and flows
As of May 7, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | FHH | +0.75% | +0.19% | -0.58% | +12.49% | +8.31% |
FBT | +3.31% | +0.33% | +1.70% | +33.28% | +40.19% | |
| Flows | FHH | +$0 M | +$0 M | +$0 M | -$4 M | -$6 M |
FBT | +$0 M | +$2 M | +$2 M | +$2 M | +$1 M |
FHH vs FBT exposure
Countries
FHH
USA
95.47%
FBT
USA
95.76%
Sectors
FHH
Health Care
93.76%
FBT
Health Care
90.59%
Other
9.41%
As of May 7, 2026
Top 10 Holdings
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%
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%
Diversification
FHH
Total weight of top 10 holdings out of 75 total
25.20%
FBT
Total weight of top 10 holdings out of 30 total
39.65%
Characteristics
Compare
FHH
FBT
| Provider | First Trust | First Trust |
| Management | Passively managed | Passively managed |
| Benchmark | StrataQuant Health Care CAD Total Return Index - CAD | NYSE Arca Biotechnology Total Return Index - USD |
| Replication Method | Direct (Physical) | |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.34% | 0.00% |
| Meets ESG criteria | No | No |
| Inception Date | October 30, 2014 | October 30, 2014 |
Frequently asked questions about FHH and FBT
Which ETF has performed better year to date: FHH or FBT?
As of May 7, 2026, FHH has returned -0.58% year to date, while FBT has returned 1.70%. FBT is ahead on YTD performance.
Which ETF is larger by assets under management: FHH or FBT?
As of May 7, 2026, FHH manages $6.26 M in assets, while FBT manages $3.99 M. FHH is the larger fund by AUM.
How are FHH and FBT managed?
FHH is passively managed by First Trust. It tracks the StrataQuant Health Care CAD Total Return Index - CAD benchmark. FBT is passively managed by First Trust. It tracks the NYSE Arca Biotechnology Total Return Index - USD benchmark.
What sectors do FHH and FBT emphasize?
FHH is most exposed to Health Care. FBT is most exposed to Health Care.
Which ETF is attracting more investor flows: FHH or FBT?
Year to date, FHH has seen +$0.00 M in net flows, compared with +$2.12 M for FBT. FBT has attracted more net investor money so far.
How do the fees of FHH and FBT compare?
FHH has an expense ratio of 0.76%, while FBT has an expense ratio of 0.71%.
What are the top holdings of FHH and FBT?
FHH's largest holdings include ACADIA HEALTHCARE COMPANY and APELLIS PHARMACEUTICALS. FBT's top holdings include MODERNA INC and ALKERMES.
Which ETF is more diversified: FHH or FBT?
FHH holds 71 securities, while FBT holds 28. On holdings count, FHH is the more diversified portfolio.
Recent articles about FHH and FBT
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