FXH
First Trust Health Care AlphaDEX Fund
First Trust Health Care AlphaDEX Fund seeks investment results that correspond to the StrataQuant Health Care AlphaDEX Index.
US
EQUITY
Rules-Based
MANAGEMENT STYLE
904.8 M
ASSETS UNDER MGMT
62 bp
EXPENSES
Fund Basics
| Fund sponsor | First Trust Advisors LP |
| Category | US |
| Asset class | Equity |
| Website | link... |
| Inception date | May 08, 2007 |
| Assets (mns) | $905 |
| Expense ratio | 62 bp |
| Currency | USD |
Sector Breakdown
Fund Structure
| Regulation | Open-Ended Fund |
| Distributions | Quarterly |
| Taxation | 1099 |
| Stock selection | Multi-Factor |
| Weighting | Tiered |
| Holdings Transparency | Full |
| Derivatives-based | No |
| Options available | Yes |
| Currency hedged | No |
| Fund of funds | No |
Top 10 Holdings
Complete list +
| INSMED INC | 2.9 % |
| INCYTE CORP | 2.7 % |
| GLOBUS MEDICAL INC - A | 2.6 % |
| REGENERON PHARMACEUTICALS | 2.6 % |
| MEDPACE HOLDINGS, INC. | 2.5 % |
| IONIS PHARMACEUTICALS, INC. | 2.5 % |
| UNIVERSAL HEALTH SERVICES-B | 2.4 % |
| BIOGEN IDEC INC | 2.4 % |
| UNITED THERAPEUTICS CORP | 2.3 % |
| CENTENE CORP | 2.3 % |
Constituent Breakdown
| Number of holdings | 77 |
| Herfindahl-Hirschman Index | 167 |
| Wgt avg mkt cap (mns) | $48,829 |
| Large cap (>$10bn) | 71.3% |
| Mid cap ($2-10bn) | 24.8% |
| Small cap (<$2bn) | 1.5% |
| Developed mkts. | 99.9% |
| Emerging mkts. | 0.0% |
Country Exposure
 |
UNITED STATES | 96.9 % |
 |
IRELAND | 2.1 % |
 |
NETHERLANDS | 0.9 % |
Historical Performance
Standardized Performance (as of 10/31/2025)
| YTD | 1 YR | 2 YR | 3 YR | 5 YR | 10 YR | 20 YR | Incep. | |
|---|---|---|---|---|---|---|---|---|
| Price Returns | 7.0% | 4.1% | 10.9% | 2.1% | 3.2% | 6.5% | -- | 9.8% |
| Dividend Yield | 0.6% | 0.6% | 0.5% | 0.4% | 0.2% | 0.1% | -- | 0.1% |
| Total Returns | 7.6% | 4.7% | 11.4% | 2.5% | 3.4% | 6.6% | -- | 9.9% | Ann. Volatility | 18.9% | 18.3% | 15.8% | 15.3% | 16.6% | 18.7% | -- | 19.2% |
Market Correlations
| versus... | Beta | R-squared |
| S&P 500 | 0.88 | 55% |
| MSCI EAFE | 0.62 | 35% |
| MSCI Emg Mkts | 0.39 | 16% |
Liquidity Measures
| Avg. volume (000) | 14 |
| ADV traded (mns) | $2 |
| Turnover | 0.2% |
| Avg. Bid/Ask (% of price) | 0.25% |
Technical Indicators
| Recent close | $111.02 |
| 30d moving avg. | $111.71 |
| Annualized volatility | 15.4% |
| Relative strength (RSI) | 54 |
| Short interest | 0.1% |
Distributions
Assets Under Management (mns)
Money Flows (mns)
Short Interest (as % of shares outstanding)
Long Money Flows (mns)
Top Ten Comparable ETFs only shown here. For an extended list become an Individual or Professional subscriber. Start your FREE trial
Comparable ETFs Based on Overlap
| Ticker | Fund Name | Overlap vs. |
Expenses vs. |
ALTAR Score™ vs. |
|---|---|---|---|---|
| RSPH | Invesco S&P 500 Equal Weight Health Care ETF | 47.5% | -22 bp | +8.0% |
| IYH | iShares U.S. Healthcare ETF | 36.7% | -22 bp | +6.6% |
| VHT | Vanguard Health Care ETF | 34.5% | -53 bp | +5.8% |
| FHLC | Fidelity MSCI Health Care Index ETF | 33.9% | -54 bp | +6.0% |
| FTXH | First Trust Nasdaq Pharmaceuticals ETF | 31.0% | -2 bp | +8.8% |
| XLV | The Health Care Select Sector SPDR Fund | 29.9% | -54 bp | +7.4% |
| HTEC | ROBO Global Healthcare Technology and Innovation ETF | 27.5% | +6 bp | +2.3% |
| IXJ | iShares Global Healthcare ETF | 25.4% | -20 bp | +7.0% |
| BBH | VanEck Biotech ETF | 25.2% | -27 bp | +5.6% |
| FBT | First Trust NYSE Arca Biotechnology Index Fund | 24.9% | -6 bp | +3.1% |
Risk and Returns: FXH vs. Comps (1 YR)
Notes: Top 10 overlapping ETFs. Funds with insufficient history not shown. Some funds may overlap. Hover over data point for ticker symbol.
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Results & Estimates
| 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | 2026 | ||
|---|---|---|---|---|---|---|---|---|
| Sales per share | -- | -- | -- | -- | -- | -- | -- | |
| change (%) | -- | -- | -- | -- | -- | -- | -- | |
| Earnings per share | -- | -- | -- | -- | -- | -- | -- | |
| change (%) | -- | -- | -- | -- | -- | -- | -- | |
| Dividends per share | -- | -- | -- | -- | -- | -- | -- | |
| change (%) | -- | -- | -- | -- | -- | -- | -- | |
| Book value per share | -- | -- | -- | -- | -- | -- | -- | |
| change (%) | -- | -- | -- | -- | -- | -- | -- |
Return on Equity
Net Margins
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Valuation Metrics
| Fwd Est | 2024 | 2025 | 2026 | |
| Price-to-sales | --x | --x | --x | --x |
| Price-to-earnings | --x | --x | --x | --x |
| Price-to-cash flow | --x | --x | --x | --x |
| Price-to-growth | --x | --x | --x | --x |
| Price-to-book value | --x | --x | --x | --x |
| Yield | --% | --% | --x | --% |
Based on closing prices from 11/9/2025
Peer Group Comparison Sample data. Subscribe for access.
Price-to-Earnings
Price-to-Sales
Price-to-Book Value
Price-to-Cash Flow
Price-to-Growth
Dividend Yield
Historical Valuation Trends Sample data. Subscribe for access.
SHOWING:
Price-to-Earnings
Price-to-Earnings
Notes: Based on adjusted historical results for current fund constituents. May differ from results achieved by past fund constituents. Max P/E of 100x.
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ETF Research Center Rating
SPECULATIVE
Deeply undervalued but risky. A rating of SPECULATIVE is assigned to ETFs with ALTAR Scores in the top quintile (the top 20%) of their category, indicating exceptional appreciation potential. However, often these are narrowly-focused funds or in industries with structural issues, which may also make them very risky. Nonetheless they may still be useful as part of a well-diversified portfolio.
ALTAR Score™
FXH
8.1%
Cat. Avg
5.7%
ALTAR Score™ Calculation
Category Overview
There are 996 funds in the US Equity category, with an average ALTAR Score™
of 5.7% and a standard deviation of
2.4%. FXH's ALTAR Score™ is approximately
1.0 standard deviations
above
the category average. This places FXH in the 85th percentile among funds in the category.
Sell Side Consensus Rating
Sell-side recommendations on the ETF's individual constituents
FXHSELL
U/W
HOLD
O/W
BUY