First Trust Health Care AlphaDEX Fund
$130.57−1.54 (−1.17%)
- Expense ratio
- 0.61%
- Fund size
- $1.1B
- 1Y return
- +22.2%
- Yield · Last 12 months
- 0.78%
- Holdings
- 73
- Volume · 30D
- 0.1M sh
- NAV per share
- $130.93
- 52W range
The ETF.net FXH Grade
Score 59 of 100 sits in the B band. Bands: A ≥ 70, B ≥ 55, C ≥ 40, D ≥ 25, F < 25; the scale skips E.
Cost
What you pay to own it — the expense ratio plus trading frictions, ranked within its category.DScore 38Category rankMission
How faithfully it does the job it claims — tracking its mandate or index with minimal slippage.Not scoredRisk
How violently it can move — volatility, drawdown depth, and downside capture versus its category.BScore 65Category rankTradability
How cheaply and easily you can get in and out — liquidity, spread, and premium/discount stability.AScore 78Category rankHoldings
What it actually owns — the quality, breadth, and concentration of the underlying portfolio.AScore 86Category rankDurability
Whether it will still be here — the fund’s assets, age, flows, and issuer staying power.BScore 68Category rank
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
- 25%
- NTRA
Sectors
- Health Care98.8%
- Technology1.2%
Geography
- United States93.49%
- Ireland3.23%
- Netherlands1.82%
- Denmark1.46%
FXH Performance
Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.
Returns run to the Sep 22, 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 | +16.4% |
| 1 month | −2.3% |
| 3 months | +14.4% |
| 1 year | +22.2% |
| 3 years | +11.1% |
| 5 years | +1.5% |
| 10 years | +8.2% |
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 | +16.4% | |
| 2025 | +10.2% | |
| 2024 | +1.0% | |
| 2023 | −4.5% | |
| 2022 | −12.2% | |
| 2021 | +15.2% | |
| 2020 | +28.0% |
FXH in the news
ETF.net Research hasn’t filed on FXH yet — coverage lands here as it’s written.
FXH Dividends
- 0.78%
- $1.03
- $0.12 per share
- Quarterly
Distribution history
| Ex-date | Pay date | Amount per share |
|---|---|---|
| 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 | $0.06 |
| Mar 27, 2025 | Mar 31, 2025 | $0.07 |
| Dec 13, 2024 | Dec 31, 2024 | $0.09 |
| 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 |
| Sep 22, 2023 | Sep 29, 2023 | $0.03 |
FXH Risk
- 15.4%
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.
- 0.35
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.
- −28.3%
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.
- 0.73
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
- The middle half of Health Care (Broad) funds
- Median 0.50%
15 of the 25 Health Care (Broad) funds charge less.