VS
Compare First Trust AlphaDEX U.S. Health Care Sector Index ETF (FHH) vs First Trust AlphaDEX U.S. Health Care Sector Index ETF (FHH.F) to find the best fit for your portfolio. FHH and FHH.F provide the same top sector exposures: Health Care. When evaluating costs, FHH features a management fee (MER) of 0.7%, compared to 0.7% for FHH.F. Performance-wise, FHH has returned 0.58% year-to-date with +$0 M in net flows, whereas FHH.F is at 0.76% 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
FHH
FHH.F
| AuM | $6.26 M | $2.96 M |
| Management Fees | 0.70% | 0.70% |
| Exp. ratio | 0.76% | 0.76% |
| 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% |
FHH.F | +2.34% | -1.05% | -0.76% | +11.73% | +1.63% | |
| Flows | FHH | +$0 M | +$0 M | +$0 M | -$4 M | -$6 M |
FHH.F | +$0 M | +$0 M | +$0 M | -$0 M | +$0 M |
FHH vs FHH.F exposure
Countries
FHH
USA
95.47%
FHH.F
USA
95.47%
Sectors
FHH
Health Care
93.76%
FHH.F
Health Care
93.76%
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%
FHH.F
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
FHH
Total weight of top 10 holdings out of 75 total
25.20%
FHH.F
Total weight of top 10 holdings out of 75 total
25.20%
Characteristics
Compare
FHH
FHH.F
| Provider | First Trust | First Trust |
| Management | Passively managed | Passively managed |
| Benchmark | StrataQuant Health Care CAD Total Return Index - CAD | StrataQuant Health Care Index - USD |
| Replication Method | Direct (Physical) | Direct (Physical) |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.34% | 0.30% |
| Meets ESG criteria | No | No |
| Inception Date | October 30, 2014 | December 7, 2017 |
Frequently asked questions about FHH and FHH.F
Which ETF has performed better year to date: FHH or FHH.F?
As of May 7, 2026, FHH has returned -0.58% year to date, while FHH.F has returned -0.76%. FHH is ahead on YTD performance.
Which ETF is larger by assets under management: FHH or FHH.F?
As of May 7, 2026, FHH manages $6.26 M in assets, while FHH.F manages $2.96 M. FHH is the larger fund by AUM.
How are FHH and FHH.F managed?
FHH is passively managed by First Trust. It tracks the StrataQuant Health Care CAD Total Return Index - CAD benchmark. FHH.F is passively managed by First Trust. It tracks the StrataQuant Health Care Index - USD benchmark.
What sectors do FHH and FHH.F emphasize?
FHH is most exposed to Health Care. FHH.F is most exposed to Health Care.
Which ETF is attracting more investor flows: FHH or FHH.F?
Year to date, FHH has seen +$0.00 M in net flows, compared with +$0.00 M for FHH.F. FHH has attracted more net investor money so far.
How do the fees of FHH and FHH.F compare?
FHH has an expense ratio of 0.76%, while FHH.F has an expense ratio of 0.76%.
What are the top holdings of FHH and FHH.F?
FHH's largest holdings include ACADIA HEALTHCARE COMPANY and APELLIS PHARMACEUTICALS. FHH.F's top holdings include ACADIA HEALTHCARE COMPANY and APELLIS PHARMACEUTICALS.
Which ETF is more diversified: FHH or FHH.F?
FHH holds 71 securities, while FHH.F holds 71. On holdings count, FHH is the more diversified portfolio.
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All content on the ETF Market Canada is for your general information use only, Cboe is not responsible for any use of content by you outside this scope. In particular, the content does not constitute any form of advice, recommendation, representation, endorsement or arrangement by Cboe and is not intended to be relied upon by users in making (or refraining from making) any specific investment or other decisions.

