First Trust Health Care AlphaDEX Fund
$129.89−0.99 (−0.76%)
- 0.61%
- $1.1B
- +20.2%
- 0.56%
- 0.1M sh
- $130.22
- low $104.53high $135.82
The ETF.net FXH Grade
B
Score 58 out of 100
- 10 of 25
Score 58 of 100 falls in the B band. A is 70 or higher, B 55 to under 70, C 40 to under 55, D 25 to under 40, F under 25.
Cost
The fund’s net expense ratio, ranked against its category.D38 out of 100Rank 16 of 25Mission
Whether the fund did what it promised, tested against its stated mandate.Risk
How the fund held up when markets fell: downside volatility, drawdowns and tail loss.B65 out of 100Rank 8 of 24Tradability
How easy the fund is to trade: daily volume, and how far its price strays from net asset value.A75 out of 100Rank 6 of 25Holdings
How concentrated the fund is, and how complete and current its disclosed holdings are.A83 out of 100Rank 5 of 25Durability
Whether the fund is likely to stay open, judged by its age, its assets and its issuer’s assets.B68 out of 100Rank 10 of 25
Our read on FXH
BA 2007-vintage twist on health care: instead of owning the whole sector, FXH runs Russell 1000 health care names through First Trust's AlphaDEX growth-and-value screen and holds roughly 80 of them.
The fund seeks before-fee results generally corresponding to the price and yield of the StrataQuant® Health Care Index. That index uses the AlphaDEX® methodology to select and weight health care stocks from the Russell 1000® Index.
Why people hold it
- AlphaDEX selects and weights health care stocks from the Russell 1000 using growth and value marks. A published rules screen, not a manager's hunch.ftportfolios.com
- Live since 2007 and now a multi-billion-dollar fund. This is a long-running strategy with a real record, not a recent launch chasing a theme.
- A focused book of about 80 stocks, so the screen's picks actually show up in results rather than getting diluted across the full sector. Pays quarterly.
Worth knowing
- The 0.61% fee runs near double the typical multifactor fund's. Cheap core peers like IUSG and VONV charge a small fraction of it.
- Thinly traded for its size, so spreads can widen and fills on a market order may land away from the fund's underlying value.
- Fee load and volatility profile leave it in the bottom quartile of its multifactor peer group, a group topped by broad, low-cost core funds.
FXH Holdings
- Stocks
- 73
- 24%
- CNC
Sectors
- Health Care99.5%
- Technology0.5%
Geography
- United States92.08%
- Ireland5.19%
- Netherlands1.38%
- Denmark1.35%
FXH Performance
Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.
FXH$12,018
Returns run to the Oct 12, 2026 close, with cash distributions reinvested. Each period starts on the same date that many months or years earlier. Periods over one year show the average yearly return.
| Period | FXH |
|---|---|
| Year to date | +15.6% |
| 1 month | +1.2% |
| 3 months | +5.8% |
| 1 year | +20.2% |
| 3 years | +11.9% |
| 5 years | +2.9% |
| 10 years | +8.6% |
Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.
| Year | Return bar | FXH |
|---|---|---|
| 2026 YTD | +15.6% | |
| 2025 | +10.2% | |
| 2024 | +1.0% | |
| 2023 | −4.5% | |
| 2022 | −12.2% | |
| 2021 | +15.2% | |
| 2020 | +28.0% |
FXH in the news
FXH Dividends
- 0.56%
- $0.74
- $0.29 per share
- Quarterly
Distribution history
FXH Risk
- 14.8%
How it’s calculated: standard deviation
The sample standard deviation of monthly total returns, multiplied by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Total returns include reinvested distributions.
- 0.48
How it’s calculated: Sharpe ratio
Subtract each month’s Treasury-bill return from the fund’s monthly total return.
Divide the average of those excess returns by their sample standard deviation, then multiply by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Each month uses the Treasury yield quoted at the end of the previous month.
- −27.6%
How it’s calculated: maximum drawdown
The largest percentage decline from an earlier peak, using total returns with reinvested distributions.
Uses up to five years through the last close, with at least 12 months required.
- 0.72
How it’s calculated: beta
The beta figure is supplied by FMP. The comparison index depends on the fund’s broad asset class.
FXH Cost
0.61%
FXH0.61%
- The middle half of Health Care (Broad) funds
- Median 0.50%
15 of the 25 Health Care (Broad) funds charge less.
Other funds in Health Care (Broad)
- BRSPHInvesco S&P 500 Equal Weight Health Care ETFExpense ratio 0.40%1 year return +29.1%
- BXHEState Street SPDR S&P Health Care Equipment ETFExpense ratio 0.35%1 year return +17.8%
- BIHIiShares U.S. Medical Devices ETFExpense ratio 0.37%1 year return −9.8%
- BIHFiShares U.S. Healthcare Providers ETFExpense ratio 0.37%1 year return +16.5%
- CPINKSimplify Health Care ETFExpense ratio 0.51%1 year return +20.0%