- ISIN
- US33734X1431
- CUSIP
- 33734X143
- Issuer
- First Trust
- Inception Date
- May 8, 2007
- Region
- North America (U.S.)
- Category
- Health & Biotech Equities
- Leveraged
- 1x (No leverage)
- Index Tracked
- StrataQuant Health Care Index
- Distribution Policy
- Distributing
- Asset Class
- Equity
- Asset Class Size
- Mid-Cap
- Asset Class Style
- Growth
- Assets Under Management
- $901M
Share Price Chart
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Performance
FXH Performance Chart
First Trust Health Care AlphaDEX Fund (FXH) is up 1.8% since the beginning of the year. FXH is currently trading at $116 per share. Investors who bought $1,000 worth of FXH shares 5 years ago would now be looking at an investment worth $1,013.
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Returns By Period
First Trust Health Care AlphaDEX Fund (FXH) has returned 1.77% so far this year and 15.05% over the past 12 months. Over the last ten years, FXH has returned 7.40% per year, falling short of the S&P 500 Index benchmark, which averaged 13.88% annually.
First Trust Health Care AlphaDEX Fund
- 1D
- 0.16%
- 1M
- 0.75%
- YTD
- 1.77%
- 6M
- 0.18%
- 1Y
- 15.05%
- 3Y*
- 3.15%
- 5Y*
- 0.25%
- 10Y*
- 7.40%
Benchmark (S&P 500 Index)
- 1D
- -0.37%
- 1M
- -0.01%
- YTD
- 9.16%
- 6M
- 8.64%
- 1Y
- 25.22%
- 3Y*
- 19.78%
- 5Y*
- 11.99%
- 10Y*
- 13.88%
FXH Monthly Returns History
Based on dividend-adjusted daily data since May 10, 2007, FXH's average daily return is +0.04%, while the average monthly return is +0.89%. At this rate, an investment would double in approximately 6.5 years.
Historically, 63% of months were positive and 37% were negative. The best month was Apr 2020 with a return of +14.1%, while the worst month was Oct 2008 at -19.0%. The longest winning streak lasted 9 consecutive months, and the longest losing streak was 5 months.
On a daily basis, FXH closed higher 53% of trading days. The best single day was Mar 24, 2020 with a return of +7.4%, while the worst single day was Mar 16, 2020 at -11.5%.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | Total | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026 | 0.44% | 1.67% | -5.40% | 2.88% | 1.98% | 0.41% | 1.77% | ||||||
| 2025 | 6.50% | -3.66% | -2.97% | -2.86% | 1.03% | 2.03% | -4.67% | 8.64% | 2.68% | 1.63% | 5.99% | -3.54% | 10.16% |
| 2024 | -1.13% | 4.20% | 2.83% | -5.64% | 1.62% | -0.44% | 4.51% | 4.20% | -1.61% | -4.30% | 4.00% | -6.39% | 0.96% |
| 2023 | 3.32% | -4.80% | 0.58% | 1.52% | -6.50% | 6.16% | -1.81% | -2.51% | -6.26% | -6.73% | 6.23% | 7.71% | -4.53% |
| 2022 | -10.95% | 0.59% | 3.10% | -6.99% | 1.50% | -4.73% | 5.36% | -6.06% | -4.67% | 7.61% | 4.51% | -0.43% | -12.24% |
| 2021 | 0.66% | -0.65% | 0.76% | 5.48% | -0.33% | 2.56% | 4.22% | 2.84% | -5.16% | 1.62% | -3.36% | 6.20% | 15.20% |
Benchmark Metrics
First Trust Health Care AlphaDEX Fund has an annualized alpha of 3.54%, beta of 0.74, and R2 of 0.60 versus S&P 500 Index. Calculated based on daily prices since May 10, 2007.
- This ETF participates in less of S&P 500 Index's moves in both directions, but captures a larger share of gains (91.12%) than losses (86.55%) - typical of diversified or defensive assets.
- This ETF generated an annualized alpha of 3.54% versus S&P 500 Index - delivering returns beyond what market exposure alone would predict.
- Alpha
- 3.54%
- Beta
- 0.74
- R²
- 0.60
- Upside Capture
- 91.12%
- Downside Capture
- 86.55%
Expense Ratio
FXH has an expense ratio of 0.61%, placing it in the medium range.
Return for Risk
Risk / Return Rank
FXH ranks 27 for risk / return — below 27% of ETFs on our site. The returns aren't fully compensating for the risk involved. This isn't necessarily a dealbreaker, but factor it into your decision — especially if you're risk-averse.
Return / Risk — by metrics
The table below present risk-adjusted performance metrics for First Trust Health Care AlphaDEX Fund (FXH) and compare them to S&P 500 Index.
Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.
| FXH | Benchmark | Difference | |
|---|---|---|---|
| Sharpe ratioReturn per unit of total volatility | -1.09 | ||
| Sortino ratioReturn per unit of downside risk | -1.26 | ||
| Omega ratioGain probability vs. loss probability | 1.17 | 1.37 | -0.20 |
| Calmar ratioReturn relative to maximum drawdown | 1.24 | 2.78 | -1.54 |
| Martin ratioReturn relative to average drawdown | 3.76 | 12.44 | -8.68 |
Dividends
Dividend History
First Trust Health Care AlphaDEX Fund provided a 0.84% dividend yield over the last twelve months, with an annual payout of $0.97 per share. The fund has been increasing its distributions for 3 consecutive years.
| Period | TTM | 2025 | 2024 | 2023 | 2022 |
|---|---|---|---|---|---|
| Dividend | $0.97 | $0.85 | $0.43 | $0.25 | $0.22 |
Dividend yield | 0.84% | 0.75% | 0.41% | 0.24% | 0.20% |
Monthly Dividends
The table displays the monthly dividend distributions for First Trust Health Care AlphaDEX Fund. The dividends shown in the table have been adjusted to account for any splits that may have occurred.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | Total | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026 | $0.00 | $0.00 | $0.19 | $0.00 | $0.00 | $0.00 | $0.19 | ||||||
| 2025 | $0.00 | $0.00 | $0.07 | $0.00 | $0.00 | $0.06 | $0.00 | $0.00 | $0.58 | $0.00 | $0.00 | $0.14 | $0.85 |
| 2024 | $0.00 | $0.00 | $0.11 | $0.00 | $0.00 | $0.11 | $0.00 | $0.00 | $0.13 | $0.00 | $0.00 | $0.09 | $0.43 |
| 2023 | $0.00 | $0.00 | $0.04 | $0.00 | $0.00 | $0.04 | $0.00 | $0.00 | $0.03 | $0.00 | $0.00 | $0.13 | $0.25 |
| 2022 | $0.10 | $0.00 | $0.00 | $0.12 | $0.22 |
Drawdowns
Drawdowns Chart
The Drawdowns chart displays portfolio losses from any high point along the way. Drawdowns are calculated considering price movements and all distributions paid, if any.
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Worst Drawdowns
The table below displays the maximum drawdowns of the First Trust Health Care AlphaDEX Fund. A maximum drawdown is a measure of risk, indicating the largest reduction in portfolio value due to a series of losing trades.
The maximum drawdown for the First Trust Health Care AlphaDEX Fund was 43.70%, occurring on Nov 20, 2008. Recovery took 267 trading sessions.
The current First Trust Health Care AlphaDEX Fund drawdown is 8.09%.
Related event | Drawdown | Fall | Recovery | Underwater |
|---|---|---|---|---|
Financial crisis2007–2009 | -43.70%Nov 2008 | 1y 1mo | 1y 24d | 2y 2moOct 2007 - Dec 2009 |
COVID crash2020 | -30.61%Mar 2020 | 1mo 2d | 2mo 6d | 3mo 8dFeb 2020 - May 2020 |
2023 bear market2023 | -29.49%Oct 2023 | 2y 1mo | — | 4y 9moSep 2021 - now |
2016 bear market2016 | -29.42%Feb 2016 | 6mo 23d | 1y 10mo | 2y 5moJul 2015 - Jan 2018 |
Rate-hike selloffLate 2018 | -24.59%Dec 2018 | 2mo 24d | 12mo 4d | 1y 2moOct 2018 - Dec 2019 |
Drawdown Indicators
| FXH | Benchmark | Difference | |
|---|---|---|---|
Max DrawdownLargest peak-to-trough decline | -43.70% | -56.78% | +13.08% |
Max Drawdown (1Y)Largest decline over 1 year | -12.20% | -9.10% | -3.10% |
Max Drawdown (3Y)Largest decline over 3 years | -17.53% | -18.90% | +1.37% |
Max Drawdown (5Y)Largest decline over 5 years | -29.49% | -25.43% | -4.06% |
Max Drawdown (10Y)Largest decline over 10 years | -30.61% | -33.92% | +3.31% |
Current DrawdownCurrent decline from peak | -8.09% | -1.80% | -6.29% |
Average DrawdownAverage peak-to-trough decline | -9.45% | -10.71% | +1.26% |
Ulcer IndexDepth and duration of drawdowns from previous peaks | 4.02% | 2.03% | +1.99% |
Volatility
Volatility Chart
The chart below shows the rolling one-month volatility.
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