FXH vs VOO
First Trust Health Care AlphaDEX Fund vs Vanguard S&P 500 ETF
Which is better, FXH or VOO?
Large Cap Growth against Large Cap Blend.
VOO has a lower expense ratio. FXH led over 1Y, VOO over 3Y, 5Y and the full window. FXH is less concentrated, with 24.8% of the fund in its ten largest positions against 36.4%.
MarketXLS is not an investment adviser. This comparison is generated automatically from market data and is for information only. A Best mark means the better reading on that one measure, not a recommendation to buy.
Side-by-Side Comparison
| Metric | FXH | VOO |
|---|---|---|
| Expense Ratio | 0.61% | 0.03%Best |
| AUM | $1.2B | $997.4B |
| Dividend Yield | 0.81% | 1.08% |
| Holdings | 148 | 509 |
| YTD Return | +17.65%Best | +13.81% |
| 1Y Return | +25.59%Best | +21.53% |
| 3Y Return (annualized) | +9.96% | +21.46%Best |
| 5Y Return (annualized) | +1.36% | +12.87%Best |
| Volatility (annualized) | 15.3% | 14.1%Best |
| Max Drawdown | -30.6%Best | -34.3% |
| $10,000 over 5 years | $10,699 | $18,319Best |
| Top 10 Weight | 24.8%Best | 36.4% |
| Fund Family | First Trust Portfolios (US) | Vanguard (US) |
| Category | Equity | Equity |
| Style | Large Cap Growth | Large Cap Blend |
| Inception | May 8, 2007 | Sep 7, 2010 |
Volatility and max drawdown are measured over the window both funds cover: Sep 9, 2010 to Sep 3, 2026 (16 years).
FXH vs VOO growth
Month-end closes. Both lines start at 0% in the first month shown, so the gap between them is the difference in growth across that window. The full view covers the 16 years both funds cover.
FXH vs VOO Performance
First Trust Health Care AlphaDEX Fund (FXH) is an ETF from First Trust Portfolios (US) and Vanguard S&P 500 ETF (VOO) is an ETF from Vanguard (US). Over the past year FXH returned +25.59% while VOO returned +21.53%. Year to date, FXH is up 17.65% versus a gain of 13.81% for VOO.
Over three years, FXH compounded at +9.96% per year against +21.46% for VOO; over five years the annualized figures are +1.36% and +12.87% respectively. Across the full 16-year window we track, VOO has the edge at +13.51% annualized vs +12.07%.
Past performance does not guarantee future results.
Risk: Volatility and Drawdowns
FXH has been the more volatile fund, with annualized monthly volatility of 15.3% compared with 14.1% for VOO. Lower volatility generally means a smoother ride, though it often comes with lower long-run returns.
The deepest peak-to-trough decline in our data was -30.6% for FXH and -34.3% for VOO. Drawdown depth is what each fund did in the worst stretch of the window measured above.
The two funds' monthly returns correlate at 0.75. They usually move together, but the gap leaves some room for diversification.
Fees and Cost Over Time
FXH charges 0.61% per year while VOO charges 0.03%. On a $10,000 position that is $61 vs $3 annually, a gap of $58 per year that compounds over a long holding period. On income, FXH currently yields 0.81% against 1.08% for VOO.
Holdings Overlap
58.3% of FXH's money is in holdings VOO also owns. 7.0% of VOO's money is in holdings FXH also owns.
The two portfolios partly overlap.
43 positions in common, counted across the 73 positions we hold weights for in FXH and 505 in VOO, against full books of 148 and 509.
What only one of them owns
Our book lists 455 positions for VOO that do not appear in our book for FXH (92.5% of the fund), and 28 for FXH that do not appear in VOO (38.8%).
Some of those will be the same company recorded under a different code in one of the two books, so the real difference in what you would own is no larger than this and may be smaller. We do not name the individual positions here for that reason.
Top Shared Holdings
| Stock | Weight in FXH | Weight in VOO | Difference |
|---|---|---|---|
| LLYEli Lilly & Co. | 1.63% | 1.47% | 0.16% |
| REGNRegeneron Pharmaceuticals, Inc. | 2.76% | 0.10% | 2.66% |
| BSXBoston Scientific Corp. | 2.51% | 0.10% | 2.41% |
| PFEPfizer Inc | 2.40% | 0.21% | 2.19% |
| UHSUniversal Health Services Inc. | 2.59% | 0.01% | 2.58% |
| ZBHZimmer Biomet Holdings | 2.56% | 0.03% | 2.53% |
| SOLVSolventum Corp | 2.54% | 0.02% | 2.52% |
| CNCCentene | 2.34% | 0.05% | 2.29% |
| CICigna Corp. | 2.20% | 0.11% | 2.09% |
| MDTMedtronic Plc Ordinary Shares | 1.84% | 0.16% | 1.68% |
58.3% of FXH is already inside VOO.
You probably hold more than these two. Add the rest and see how much of the whole book is the same companies twice.
Free for up to 10 holdings. No account needed.
Frequently Asked Questions
Which is cheaper, FXH or VOO?
FXH has an expense ratio of 0.61% while VOO charges 0.03%. VOO is the cheaper option, by $58 a year on a $10,000 investment.
Which performed better, FXH or VOO?
Over the past year FXH returned +25.59% vs +21.53% for VOO, so FXH leads on 1-year performance. Over the longest common window we track (16 years), FXH annualized +12.07% vs +13.51% for VOO. Past performance does not guarantee future results. This is information, not a recommendation.
Which is riskier, FXH or VOO?
FXH has been the more volatile fund at 15.3% annualized versus 14.1% for VOO. Worst drawdown: FXH -30.6% vs VOO -34.3%.
Should I hold both FXH and VOO?
FXH and VOO have a monthly-return correlation of 0.75, so their returns are far enough apart for the mix to behave differently from either one alone. This is information, not a recommendation.
What is the holdings overlap between FXH and VOO?
58.3% of FXH's money is in holdings VOO also owns. 7.0% of VOO's is in holdings FXH also owns. They hold 43 positions in common, counted across the 73 positions we hold weights for in FXH and 505 in VOO.
Which pays a higher dividend, FXH or VOO?
FXH yields 0.81% while VOO yields 1.08%, so VOO currently pays the higher dividend yield.
Is VOO better than FXH?
VOO has a lower expense ratio. FXH led over 1Y, VOO over 3Y, 5Y and the full window. FXH is less concentrated, with 24.8% of the fund in its ten largest positions against 36.4%. Which one suits a particular account depends on what it is for. This is information, not a recommendation.