First Trust Health Care AlphaDEX FundFXH

First TrustSectorsHealth Care#56 of 264 by YTD

$137.97

+0.2% last session

+21.8% YTD

Data as of 11/3/20264:00 PM ET · End-of-day

Dividend-adjusted return from the previous close · S&P 500 uses VOOFXHS&P 500 · VOO

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	+0.2%	+5.4%	+7.8%	+21.8%	+24.6%	+56.0%	+17.8%	+610.5%
Peer average	+0.6%	+4.0%	+6.1%	+21.0%	+29.0%	+81.2%	+28.9%	—
S&P 500 · VOO	+0.3%	−2.6%	−1.7%	+11.5%	+11.9%	+90.9%	+77.5%	—

Key Statistics

Open all fund facts →

AUM: $1.2B
Expense ratio: 0.61%
Distribution yield: 0.5%
NAV: $137.71
Volume: 45K
Avg. volume 30D: 49K
High today: $139.55
Low today: $137.45
Previous close: $137.67
52-week high: $139.55
52-week low: $104.53
Our risk indicator: 4/5

FXH in One Breath

FXH Among Health Care ETFs

YTD

#1ARKGARK+70.9%$2.2B

#2IDNAiShares+62.8%$340M

#3BBHVanEck+35.0%$525M

#4FTXHFirst Trust+33.8%$1.2B

#5XHSSPDR+32.9%$229M

#6BBPVirtus+29.5%$132M

#7XBISPDR+27.2%$10.5B

#8IHEiShares+26.9%$1.6B

#14FXHFirst Trust+21.8%$1.2B

End-of-day Nov 4, 2026 · 33 Health care ETFs by YTD

$10,000 in FXH

$10,000 in FXH became

$11,783

In the S&P 500 (VOO)

$17,749

Total return, dividends in · Oct 26, 2021 – Nov 3, 2026 · S&P 500 uses VOO

FXH’s Top Holdings

Today

HALO2.7%CAI2.5%CNC2.5%CI2.5%ZBH2.4%MEDP2.4%GMED2.4%UHS2.3%GH2.3%NTRA2.3%LLY2.2%REGN2.2%DXCM2.2%EXEL2.2%GEHC2.1%SOLV2.1%ZTS2.1%AMGN2.0%UTHR2.0%TEM2.0%MDT1.9%THC1.9%

HALOHalozyme Therapeutics2.7%CAI2.5%CNC2.5%CI2.5%ZBH2.4%MEDP2.4%GMED2.4%UHS2.3%GH2.3%NTRA2.3%LLY2.2%REGN2.2%

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 3, 2026

What FXH Holds

Today

Biotechnology23.7%

HALO 2.7 · CAI 2.5 · REGN 2.2 · EXEL 2.2 · UTHR 2.0 · INCY 1.8 · JAZZ 1.7

Medical - Devices15.9%

ZBH 2.4 · GMED 2.4 · DXCM 2.2 · GEHC 2.1 · MDT 1.9 · BSX 1.7 · ALGN 1.3

Medical - Diagnostics & Research13.0%

MEDP 2.4 · GH 2.3 · NTRA 2.3 · LH 1.5 · QGEN 1.5 · DGX 1.4 · IDXX

Medical - Care Facilities10.3%

UHS 2.3 · THC 1.9 · EHC 1.4 · HCA 1.4 · DVA 1.4 · CHE · ENSG

Drug Manufacturers - General9.9%

LLY 2.2 · AMGN 2.0 · BMY 1.8 · ABBV 1.4 · BIIB 1.0 · PFE · JNJ

Medical - Instruments & Supplies8.5%

SOLV 2.1 · COO 1.9 · RMD 1.3 · BDX 1.0 · NVST · WST · ISRG

Other holdings18.7%

CNC 2.5 · CI 2.5 · ZTS 2.1 · TEM 2.0 · CORT 1.6 · STE 1.4 · ELV 1.4

First Trust FXH · share of the fund by industry · as of Nov 3, 2026

Halozyme’s Share of FXH

Today

2.7%

$27 of every $1,000 in FXH is Halozyme

Halozyme held by FXH

$31.2M

Most Halozyme per dollar

FFLS5.4%

CSMD4.4%

CANC3.8%

FBT3.8%

First Trust FXH · each square = $10 of $1,000 · as of Nov 3, 2026

FXH’s Share of Health Care ETFs

Today

1.1%

of the $109B in 39 Health care ETFs

FXH$1.2B1.1%

XLV$49.1B45.0%

VHT$19.1B17.5%

36 others$39.7B36.4%

Health care ETF AUM · Nov 4, 2026

FXH Fee per $100 vs Peers

Today

$0.61a year
per $100

$61 a year on $10,000

XLV$0.08

VHT$0.09

XBI$0.35

IYH$0.37

IXJ$0.38

FXH$0.61

Expense ratio · Health care peers · Nov 4, 2026

Inside FXH

72 holdings · as of Nov 3, 2026

FXH

First Trust Health Care AlphaDEX Fund

Today

#	Ticker	Company	Weight ▼
1	HALO	Halozyme Therapeutics	2.68%
2	CAI	Caris Life Sciences	2.54%
3	CNC	Centene	2.49%
4	CI	The Cigna Group	2.48%
5	ZBH	Zimmer Biomet	2.41%
6	MEDP	Medpace	2.36%
7	GMED	Globus Medical, ()	2.36%
8	UHS	Universal Health Services, ()	2.29%
9	GH	Guardant Health	2.27%
10	NTRA	Natera	2.27%

BiotechnologyMedical - DevicesMedical - DiagnosticsMedical - Care FacilitiesDrug Manufacturers - GeneralMedical - InstrumentsOther

First Trust FXH · current holdings by weight · as of Nov 3, 2026 · each tile is one holding · top 20 = 45.2%

How It Compares

FXH

First Trust Health Care AlphaDEX Fund’s Peers

Today


XLV	SPDRRead Desk	0.08%	−0.3%	+29.7%	$49.1B
VHT	VanguardRead Desk	0.09%	−0.1%	+28.1%	$19.1B
XBI	SPDRRead Desk	0.35%	+1.9%	+38.1%	$10.5B
IYH	iSharesRead Desk	0.37%	−0.4%	+28.6%	$4.7B
IXJ	iSharesRead Desk	0.38%	−0.5%	+24.7%	$4.6B
FXH	First TrustThis fundRead Desk	0.61%	+0.2%	+24.6%	$1.2B

Health care peers · Today’s and past-year returns · as of Nov 4, 2026 · sorted by AUM

Head to Head

Put FXH head to head with XLV →

XLV vs FXH

YTD

XLVSPDR · Health careFXHFirst Trust · Health care

Year to date

+20.4%

+21.8%

FXH wins+1.5 pts

Past year

+29.7%

+24.6%

XLV wins+5.1 pts

Fee

0.08%

0.61%

XLV winslower fee

Yield

1.4%

0.5%

XLV wins+0.9 pts

AUM

$49.1B

$1.2B

XLV42.2× more

3–1XLV wins

SPDR XLV and First Trust FXH · year-to-date · as of Nov 4, 2026 · AUM not scored

FXH vs VOO

YTD

FXH · First Trust Health Care AlphaDEX Fund

+21.8%

VOO · S&P 500

+11.5%

Gap

10.3 pts

First Trust FXH and Vanguard VOO · Today total return · as of Nov 4, 2026

FXH vs Its Peer Average

YTD

FXHAvsBPeer average

1D+0.2%+0.6%

1M+5.4%+4.0%

3M+7.8%+6.1%

YTD+21.8%+21.0%

1Y+24.6%+29.0%

3Y+56.0%+81.2%

5Y+17.8%+28.9%

3–4Peer average wins

38 Health care peers · each row scaled to its leader

The Details

FXH

Risk

4/5our risk indicator

CalmerBumpier

Volatility · 1Y15.92%

Deepest drop · 1Y−12.2%

Lowest point · 5Y−24.5%

52-week range

$137.97

$104.53−1.1% from the high$139.55

First Trust FXH · past-year price moves · as of Nov 4, 2026

FXH

Fund Facts

Today

2007launched May 8

Tracks[…]

Exchange · CUSIPAMEX · 33734X143

StructureETF

Leverage1x

Cost on $10,000$61 a year

Go deeper

Prospectus & documents Trading & liquidity Fees & costs Distributions

First Trust FXH · fund facts · as of Nov 4, 2026

FXH

Payouts by Year

$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

Trading & Liquidity

Net asset value$137.71

Premium / discount[…]

Median spread · 30D[…]

Volume today45K

Average volume · 30D49K

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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