First Trust Health Care AlphaDEX FundFXH

First TrustSectorsHealth Care#37 of 264 by YTD

$143.63

+4.1% last session

+26.8% YTD

Data as of 11/4/20264:00 PM ET · End-of-day

Dividend-adjusted total return · S&P 500 uses VOO · Oct 27, 2021 – Nov 4, 2026FXHS&P 500 · VOO

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	+4.1%	+11.2%	+12.8%	+26.8%	+29.8%	+62.4%	+24.0%	+639.6%
Peer average	+2.7%	+8.5%	+8.9%	+24.4%	+33.4%	+84.3%	+34.0%	—
S&P 500 · VOO	+1.6%	−1.6%	0.0%	+13.4%	+13.5%	+91.7%	+81.2%	—

Key Statistics

Open all fund facts →

AUM: $1.2B
Expense ratio: 0.61%
Distribution yield: 0.5%
NAV: $137.71
Volume: 84K
Avg. volume 30D: 51K
High today: $143.82
Low today: $140.57
Previous close: $137.97
52-week high: $143.82
52-week low: $104.53
Our risk indicator: 4/5

FXH in One Breath

FXH Among Health Care ETFs

YTD

#1ARKGARK+71.5%$2.2B

#2IDNAiShares+69.3%$340M

#3XHSSPDR+40.0%$229M

#4BBHVanEck+38.2%$525M

#5FTXHFirst Trust+36.8%$1.2B

#6PSCHInvesco+31.7%$178M

#7XBISPDR+30.6%$10.5B

#8IHEiShares+29.8%$1.6B

#12FXHFirst Trust+26.8%$1.2B

End-of-day Nov 5, 2026 · 33 Health care ETFs by YTD

$10,000 in FXH

$10,000 in FXH became

$12,399

In the S&P 500 (VOO)

$18,115

Total return, dividends in · Oct 27, 2021 – Nov 4, 2026 · S&P 500 uses VOO

FXH’s Top Holdings

Today

HALO2.6%ZBH2.5%CI2.4%CNC2.4%CAI2.4%MEDP2.4%GMED2.4%REGN2.3%UHS2.3%EXEL2.2%GEHC2.2%GH2.2%LLY2.2%SOLV2.2%DXCM2.2%ZTS2.1%TEM2.1%NTRA2.1%UTHR2.0%MDT2.0%AMGN2.0%COO1.9%

HALOHalozyme Therapeutics2.6%ZBH2.5%CI2.4%CNC2.4%CAI2.4%MEDP2.4%GMED2.4%REGN2.3%UHS2.3%EXEL2.2%GEHC2.2%GH2.2%

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 4, 2026

What FXH Holds

Today

Biotechnology23.7%

HALO 2.6 · CAI 2.4 · REGN 2.3 · EXEL 2.2 · UTHR 2.0 · JAZZ 1.8 · INCY 1.7

Medical - Devices16.2%

ZBH 2.5 · GMED 2.4 · GEHC 2.2 · DXCM 2.2 · MDT 2.0 · BSX 1.8 · ALGN 1.3

Medical - Diagnostics & Research12.8%

MEDP 2.4 · GH 2.2 · NTRA 2.1 · QGEN 1.5 · LH 1.4 · DGX 1.3 · IDXX

Medical - Care Facilities10.2%

UHS 2.3 · THC 1.9 · EHC 1.4 · HCA 1.4 · DVA 1.3 · ENSG · CHE

Drug Manufacturers - General9.7%

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

Medical - Instruments & Supplies8.7%

SOLV 2.2 · COO 1.9 · RMD 1.3 · BDX · NVST · WST · ISRG

Other holdings18.8%

CI 2.4 · CNC 2.4 · ZTS 2.1 · TEM 2.1 · CORT 1.6 · STE 1.4 · VTRS 1.3

First Trust FXH · share of the fund by industry · as of Nov 4, 2026

Halozyme’s Share of FXH

Today

2.6%

$26 of every $1,000 in FXH is Halozyme

Halozyme held by FXH

$30.5M

Most Halozyme per dollar

FFLS5.3%

CSMD4.4%

CANC3.8%

FBT3.7%

First Trust FXH · each square = $10 of $1,000 · as of Nov 4, 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 5, 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 5, 2026

Inside FXH

72 holdings · as of Nov 4, 2026

FXH

First Trust Health Care AlphaDEX Fund

Today

#	Ticker	Company	Weight ▼
1	HALO	Halozyme Therapeutics	2.62%
2	ZBH	Zimmer Biomet	2.46%
3	CI	The Cigna Group	2.45%
4	CNC	Centene	2.45%
5	CAI	Caris Life Sciences	2.41%
6	MEDP	Medpace	2.39%
7	GMED	Globus Medical, ()	2.39%
8	REGN	Regeneron Pharmaceuticals	2.31%
9	UHS	Universal Health Services, ()	2.29%
10	EXEL	Exelixis	2.23%

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

First Trust FXH · current holdings by weight · as of Nov 4, 2026 · each tile is one holding · top 20 = 45.3%

How It Compares

FXH

First Trust Health Care AlphaDEX Fund’s Peers

YTD


XLV	SPDRRead Desk	0.08%	+24.0%	+33.5%	$49.1B
VHT	VanguardRead Desk	0.09%	+23.3%	+32.1%	$19.1B
XBI	SPDRRead Desk	0.35%	+30.6%	+45.4%	$10.5B
IYH	iSharesRead Desk	0.37%	+23.7%	+32.8%	$4.7B
IXJ	iSharesRead Desk	0.38%	+19.7%	+28.6%	$4.6B
FXH	First TrustThis fundRead Desk	0.61%	+26.8%	+29.8%	$1.2B

Health care peers · YTD and past-year returns · as of Nov 5, 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

+24.0%

+26.8%

FXH wins+2.8 pts

Past year

+33.5%

+29.8%

XLV wins+3.7 pts

Fee

0.08%

0.61%

XLV winslower fee

Yield

1.3%

0.5%

XLV wins+0.8 pts

AUM

$49.1B

$1.2B

XLV42.2× more

3–1XLV wins

SPDR XLV and First Trust FXH · year-to-date · as of Nov 5, 2026 · AUM not scored

FXH vs VOO

YTD

FXH · First Trust Health Care AlphaDEX Fund

+26.8%

VOO · S&P 500

+13.4%

Gap

13.5 pts

First Trust FXH and Vanguard VOO · YTD total return · as of Nov 5, 2026

FXH vs Its Peer Average

YTD

FXHAvsBPeer average

1D+4.1%+2.7%

1M+11.2%+8.5%

3M+12.8%+8.9%

YTD+26.8%+24.4%

1Y+29.8%+33.4%

3Y+62.4%+84.3%

5Y+24.0%+34.0%

4–3FXH wins

38 Health care peers · each row scaled to its leader

The Details

FXH

Risk

4/5our risk indicator

CalmerBumpier

Volatility · 1Y16.40%

Deepest drop · 1Y−12.2%

Lowest point · 5Y−23.7%

52-week range

$143.63

$104.53−0.1% from the high$143.82

First Trust FXH · past-year price moves · as of Nov 5, 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 5, 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 today84K

Average volume · 30D51K

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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