Dividend-adjusted total return · S&P 500 uses VOO · Dec 31, 2025 – Nov 5, 2026FXHS&P 500 · VOOSectors average
First Trust Health Care AlphaDEX FundFXH
$138.33
−3.7% last session
+22.1% YTD
Data as of 11/5/20264:00 PM ET · End-of-day
| Returns | 1D | 1M | 3M | YTD | 1Y | 3Y | 5Y | MAX |
|---|---|---|---|---|---|---|---|---|
| Total return | −3.7% | +7.4% | +5.9% | +22.1% | +25.1% | +55.4% | +17.6% | +612.3% |
| Peer average | −3.4% | +4.6% | +3.5% | +19.7% | +29.0% | +75.3% | +27.3% | — |
| S&P 500 · VOO | −4.4% | −5.7% | −4.9% | +8.4% | +9.8% | +82.2% | +71.6% | — |
Key Statistics
Open all fund facts →- AUM
- $1.2B
- Expense ratio
- 0.61%
- Distribution yield
- 0.5%
- NAV
- $137.95
- Volume
- 118K
- Avg. volume 30D
- 53K
- High today
- $143.96
- Low today
- $137.86
- Previous close
- $143.63
- 52-week high
- $143.96
- 52-week low
- $104.53
- Our risk indicator
- 4/5
FXH in One Breath
FXH Among Health Care ETFs
YTDEnd-of-day Nov 6, 2026 · 33 Health care ETFs by YTD
$10,000 in FXH
5Y$10,000 in FXH became
$11,760
In the S&P 500 (VOO)
$17,156
Total return, dividends in · Oct 28, 2021 – Nov 5, 2026 · S&P 500 uses VOO
FXH’s Top Holdings
TodayZBH2.7%CNC2.6%HALO2.6%GMED2.5%UHS2.4%CI2.4%CAI2.3%MEDP2.3%GEHC2.3%DXCM2.2%ZTS2.2%SOLV2.2%EXEL2.2%REGN2.1%LLY2.1%NTRA2.0%GH2.0%MDT2.0%TEM2.0%THC2.0%COO2.0%AMGN2.0%
ZBHZimmer Biomet2.7%CNC2.6%HALO2.6%GMED2.5%UHS2.4%CI2.4%CAI2.3%MEDP2.3%GEHC2.3%DXCM2.2%ZTS2.2%SOLV2.2%
BiotechnologyMedical - DevicesMedical - DiagnosticsMedical - Care FacilitiesDrug Manufacturers - GeneralMedical - InstrumentsOther
First Trust FXH · 72 holdings · top 22 shown · tile size = share of the fund · as of Nov 5, 2026
What FXH Holds
TodayBiotechnology23.1%
HALO 2.6 · CAI 2.3 · EXEL 2.2 · REGN 2.1 · UTHR 1.9 · JAZZ 1.8 · INCY 1.8
Medical - Devices16.8%
ZBH 2.7 · GMED 2.5 · GEHC 2.3 · DXCM 2.2 · MDT 2.0 · BSX 1.8 · ALGN 1.4
Medical - Diagnostics & Research12.4%
MEDP 2.3 · NTRA 2.0 · GH 2.0 · LH 1.4 · QGEN 1.4 · DGX 1.3 · IDXX
Medical - Care Facilities10.5%
UHS 2.4 · THC 2.0 · HCA 1.5 · EHC 1.4 · DVA 1.3 · ENSG · CHE
Drug Manufacturers - General9.6%
LLY 2.1 · AMGN 2.0 · BMY 1.8 · ABBV 1.4 · BIIB · PFE · JNJ
Medical - Instruments & Supplies8.9%
SOLV 2.2 · COO 2.0 · RMD 1.3 · BDX 1.0 · NVST 1.0 · ISRG · MDLN
Other holdings18.8%
CNC 2.6 · CI 2.4 · ZTS 2.2 · TEM 2.0 · CORT 1.5 · STE 1.4 · ELV 1.4
First Trust FXH · share of the fund by industry · as of Nov 5, 2026
Zimmer’s Share of FXH
Today2.7%
$27 of every $1,000 in FXH is Zimmer
Zimmer held by FXH
$31.3M
First Trust FXH · each square = $10 of $1,000 · as of Nov 5, 2026
FXH’s Share of Health Care ETFs
Today1.1%
of the $110B in 39 Health care ETFs
$1.2B1.1%
$49.1B44.7%
$19.1B17.4%
$40.4B36.8%
Health care ETF AUM · Nov 6, 2026
FXH Fee per $100 vs Peers
TodayExpense ratio · Health care peers · Nov 6, 2026
Inside FXH
72 holdings · as of Nov 5, 2026FXH
First Trust Health Care AlphaDEX Fund
TodayBiotechnology23.1%HALO2.6%CAI2.3%EXEL2.2%REGN2.1%UTHRJAZZINCYNBIXASNDRVMDBBIOVRTXARWRMDGLMedical - Devices16.8%ZBH2.7%GMED2.5%GEHC2.3%DXCM2.2%MDT2.0%BSXALGNABTSYKBIOMedical - Diagnostics12.4%MEDP2.3%NTRA2.0%GH2.0%LHQGENDGXDHRTMOMedical - Care Facilities10.5%UHS2.4%THC2.0%HCAEHCDVAENSGCHEDrug Manufacturers - General9.6%LLY2.1%AMGN2.0%BMYABBVBIIBPFEJNJMedical - Instruments8.9%SOLVCOORMDBDXNVSTISRGMDLNOther18.8%CNC2.6%CI2.4%ZTS2.2%TEM2.0%CORTSTEELVVTRSDOCSHSICHUMVEEV
Biotechnology23.1%HALOCAIEXELREGNUTHRJAZZ10 moreMedical - Devices16.8%ZBHGMEDGEHCDXCMMDTBSX4 moreMedical - Diagnostics12.4%MEDPNTRAGHLHQGENDGXMedical - Care Facilities10.5%UHSTHCHCAEHCDVAENSGDrug Manufacturers - General9.6%LLYAMGNBMYABBVBIIBPFEMedical - Instruments8.9%SOLVCOORMDBDXNVSTOther18.8%CNCCIZTSTEMCORTSTE8 more
| # | Ticker | Company | Weight ▼ |
|---|---|---|---|
| 1 | ZBH | Zimmer Biomet | 2.68% |
| 2 | CNC | Centene | 2.65% |
| 3 | HALO | Halozyme Therapeutics | 2.55% |
| 4 | GMED | Globus Medical, () | 2.52% |
| 5 | UHS | Universal Health Services, () | 2.44% |
| 6 | CI | The Cigna Group | 2.43% |
| 7 | CAI | Caris Life Sciences | 2.35% |
| 8 | MEDP | Medpace | 2.28% |
| 9 | GEHC | GE HealthCare Technologies | 2.27% |
| 10 | DXCM | DexCom | 2.22% |
BiotechnologyMedical - DevicesMedical - DiagnosticsMedical - Care FacilitiesDrug Manufacturers - GeneralMedical - InstrumentsOther
First Trust FXH · current holdings by weight · as of Nov 5, 2026 · each tile is one holding · top 20 = 45.3%
All FXH Holdings
73 holdings · as of Nov 5, 2026FXH
FXH’s Holdings
Today| # | ||||||
|---|---|---|---|---|---|---|
| 1 | ZBHZimmer Biomet | Healthcare | 2.68% | $268.35 | 296K | $32.6M |
| 2 | CNCCentene | Healthcare | 2.65% | $264.79 | 423K | $32.1M |
| 3 | HALOHalozyme Therapeutics | Healthcare | 2.55% | $255.49 | 238K | $31.0M |
| 4 | GMEDGlobus Medical, () | Healthcare | 2.52% | $251.66 | 351K | $30.5M |
| 5 | UHSUniversal Health Services, () | Healthcare | 2.44% | $243.98 | 151K | $29.6M |
| 6 | CIThe Cigna Group | Healthcare | 2.43% | $243.14 | 97K | $29.5M |
| 7 | CAICaris Life Sciences | Healthcare | 2.35% | $234.71 | 857K | $28.5M |
| 8 | MEDPMedpace | Healthcare | 2.28% | $227.70 | 42K | $27.6M |
| 9 | GEHCGE HealthCare Technologies | Healthcare | 2.27% | $227.26 | 321K | $27.6M |
| 10 | DXCMDexCom | Healthcare | 2.22% | $221.90 | 304K | $26.9M |
| 11 | ZTSZoetis | Healthcare | 2.21% | $221.15 | 301K | $26.8M |
| 12 | SOLVSolventum | Healthcare | 2.19% | $219.35 | 298K | $26.6M |
| 13 | EXELExelixis | Healthcare | 2.16% | $215.63 | 360K | $26.2M |
| 14 | REGNRegeneron Pharmaceuticals | Healthcare | 2.12% | $212.48 | 28K | $25.8M |
| 15 | LLYEli Lilly and Company | Healthcare | 2.12% | $212.20 | 18K | $25.8M |
First Trust FXH · every reported holding · per $10,000 = dollars of each holding in a $10,000 stake · as of Nov 5, 2026
How It Compares
FXH
First Trust Health Care AlphaDEX Fund’s Peers
YTDHealth care peers · YTD and past-year returns · as of Nov 6, 2026 · sorted by AUM
Head to Head
Put FXH head to head with XLV →XLV vs FXH
YTDYear to date
FXH wins+1.2 pts
Past year
XLV wins+4.5 pts
Fee
XLV winslower fee
Yield
XLV wins+0.8 pts
AUM
XLV42.1× more
3–1XLV wins
SPDR XLV and First Trust FXH · year-to-date · as of Nov 6, 2026 · AUM not scored
FXH vs VOO
YTDFXH · First Trust Health Care AlphaDEX Fund
+22.1%
VOO · S&P 500
+8.4%
Gap
13.7 pts
First Trust FXH and Vanguard VOO · YTD total return · as of Nov 6, 2026
FXH vs Its Peer Average
YTDFXHAvsBPeer average
1D−3.7%−3.4%
1M+7.4%+4.6%
3M+5.9%+3.5%
YTD+22.1%+19.7%
1Y+25.1%+29.0%
3Y+55.4%+75.3%
5Y+17.6%+27.3%
3–4Peer average wins
38 Health care peers · each row scaled to its leader
The Details
FXH
Risk
1Y4/5our risk indicator
CalmerBumpier
Volatility · 1Y16.85%
Deepest drop · 1Y−12.2%
Lowest point · 5Y−24.3%
52-week range
$138.33
$104.53−3.9% from the high$143.96
First Trust FXH · past-year price moves · as of Nov 6, 2026
FXH
Fund Facts
Today2007launched May 8
Tracks[…]
Exchange · CUSIPAMEX · 33734X143
StructureETF
Leverage1x
Cost on $10,000$61 a year
Go deeper
First Trust FXH · fund facts · as of Nov 6, 2026
FXH
Payouts by Year
5Y$0.29per share, Sep 2026
Distribution yield0.5%
PaidEvery quarter
Latest ex-date · paidSep 24 · Sep 30, 2026
12 payouts added up$2.01 a share
First Trust FXH · distributions by ex-date · 2022–2026
All Fund FactsDocuments · trading · fees · every payout
Prospectus & Documents
summary prospectus · SEC 497K ↗SEC reported portfolio · 2026-07-31 ↗SEC reported portfolio · 2026-04-30 ↗SEC reported portfolio · 2026-01-31 ↗SEC reported portfolio · 2025-10-31 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2025-07-31 ↗SEC reported portfolio · 2025-04-30 ↗SEC reported portfolio · 2025-01-31 ↗SEC reported portfolio · 2024-10-31 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2024-07-31 ↗SEC reported portfolio · 2024-04-30 ↗SEC reported portfolio · 2024-01-31 ↗SEC reported portfolio · 2023-10-31 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2023-07-31 ↗SEC reported portfolio · 2023-04-28 ↗SEC reported portfolio · 2023-01-31 ↗SEC reported portfolio · 2022-10-31 ↗summary prospectus · SEC 497K ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2022-07-29 ↗SEC reported portfolio · 2022-04-29 ↗SEC reported portfolio · 2022-01-31 ↗SEC reported portfolio · 2021-10-29 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2021-07-30 ↗SEC reported portfolio · 2021-04-30 ↗SEC reported portfolio · 2021-01-29 ↗SEC reported portfolio · 2020-10-30 ↗summary prospectus · SEC 497K ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2020-07-31 ↗SEC reported portfolio · 2020-04-30 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2020-01-31 ↗SEC reported portfolio · 2019-10-31 ↗summary prospectus · SEC 497K ↗summary prospectus · SEC 497K ↗summary prospectus · SEC 497K ↗
Trading & Liquidity
Net asset value$137.95
Premium / discount[…]
Median spread · 30D[…]
Volume today118K
Average volume · 30D53K
Shares outstanding[…]
Options[…]
Fees & Costs
Net expense ratio0.61%
Gross expense ratio[…]
Management fee[…]
Cost on $10,000 a year$61.00
Our risk indicator4/5
Estimated yearly cost excludes trading costs and assumes constant assets.
Distributions
| Ex-date | Paid | Per share |
|---|---|---|
| Sep 24, 2026 | Sep 30, 2026 | $0.29 |
| Jun 25, 2026 | Jun 30, 2026 | $0.12 |
| Mar 26, 2026 | Mar 31, 2026 | $0.19 |
| Dec 12, 2025 | Dec 31, 2025 | $0.14 |
| Sep 25, 2025 | Sep 30, 2025 | $0.58 |
| Jun 26, 2025 | Jun 30, 2025 | $0.0616 |
| Mar 27, 2025 | Mar 31, 2025 | $0.0669 |
| Dec 13, 2024 | Dec 31, 2024 | $0.0899 |
| Sep 26, 2024 | Sep 30, 2024 | $0.13 |
| Jun 27, 2024 | Jun 28, 2024 | $0.11 |
| Mar 21, 2024 | Mar 28, 2024 | $0.11 |
| Dec 22, 2023 | Dec 29, 2023 | $0.13 |
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