Dividend-adjusted return from the previous close · S&P 500 uses VOOFXHS&P 500 · VOO
First Trust Health Care AlphaDEX FundFXH
$137.97
+0.2% last session
+21.8% YTD
Data as of 11/3/20264:00 PM ET · End-of-day
| 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
YTDEnd-of-day Nov 4, 2026 · 33 Health care ETFs by YTD
$10,000 in FXH
5Y$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
TodayHALO2.7%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
TodayBiotechnology23.7%
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
Today2.7%
$27 of every $1,000 in FXH is Halozyme
Halozyme held by FXH
$31.2M
First Trust FXH · each square = $10 of $1,000 · as of Nov 3, 2026
FXH’s Share of Health Care ETFs
Today1.1%
of the $109B in 39 Health care ETFs
$1.2B1.1%
$49.1B45.0%
$19.1B17.5%
$39.7B36.4%
Health care ETF AUM · Nov 4, 2026
FXH Fee per $100 vs Peers
TodayExpense ratio · Health care peers · Nov 4, 2026
Inside FXH
72 holdings · as of Nov 3, 2026FXH
First Trust Health Care AlphaDEX Fund
TodayBiotechnology23.7%HALO2.7%CAI2.5%REGNEXELUTHRINCY1.8%JAZZ1.7%ASNDNBIXRVMDBBIOVRTXARWRMDGL2 moreMedical - Devices15.9%ZBH2.4%GMED2.4%DXCM2.2%GEHC2.1%MDTBSXALGNABTSYKBIOMedical - Diagnostics13.0%MEDP2.4%GH2.3%NTRA2.3%LHQGENDGXIDXXDHRTMOAMedical - Care Facilities10.3%UHS2.3%THC1.9%EHCHCADVACHEENSGDrug Manufacturers - General9.9%LLY2.2%AMGN2.0%BMYABBVBIIBPFEJNJMedical - Instruments8.5%SOLVCOORMDBDXNVSTWSTISRGOther18.7%CNC2.5%CI2.5%ZTSTEM2.0%CORT1.6%STEELVVTRSDOCSHSICUNHELAN
Biotechnology23.7%HALOCAIREGNEXELUTHRINCY10 moreMedical - Devices15.9%ZBHGMEDDXCMGEHCMDTBSX4 moreMedical - Diagnostics13.0%MEDPGHNTRALHQGENDGXMedical - Care Facilities10.3%UHSTHCEHCHCADVADrug Manufacturers - General9.9%LLYAMGNBMYABBVBIIBPFEMedical - Instruments8.5%SOLVCOORMDBDXNVSTWSTOther18.7%CNCCIZTSTEMCORTSTE8 more
| # | 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
1YHealth care peers · Past-year and ytd returns · as of Nov 4, 2026 · sorted by AUM
Head to Head
Put FXH head to head with XLV →XLV vs FXH
YTDYear to date
FXH wins+1.5 pts
Past year
XLV wins+5.1 pts
Fee
XLV winslower fee
Yield
XLV wins+0.9 pts
AUM
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
1YFXH · First Trust Health Care AlphaDEX Fund
+24.6%
VOO · S&P 500
+11.9%
Gap
12.7 pts
First Trust FXH and Vanguard VOO · 1Y total return · as of Nov 4, 2026
FXH vs Its Peer Average
YTDFXHAvsBPeer 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
1Y4/5our 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
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 4, 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$137.71
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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