FBT vs. FXH

Last updated Jun 23, 2026

FBT (First Trust Amex Biotechnology Index) and FXH (First Trust Health Care AlphaDEX Fund) are both Health & Biotech Equities funds from First Trust - FBT tracks the NYSE Arca Biotechnology Index while FXH tracks the StrataQuant Health Care Index. Both are passively managed. Over the past 10 years, FBT returned 10.45%/yr vs 7.40%/yr for FXH. A 0.79 correlation means they provide meaningful diversification when combined. FBT charges 0.57%/yr vs 0.61%/yr for FXH.

Performance

FBT vs. FXH - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in First Trust Amex Biotechnology Index (FBT) and First Trust Health Care AlphaDEX Fund (FXH). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, FBT achieves a 11.27% return, which is significantly higher than FXH's 1.77% return. Over the past 10 years, FBT has outperformed FXH with an annualized return of 10.45%, while FXH has yielded a comparatively lower 7.40% annualized return.

FBT

• 1D: 0.41%
• 1M: 7.91%
• YTD: 11.27%
• 6M: 6.83%
• 1Y: 44.08%
• 3Y*: 13.78%
• 5Y*: 6.30%
• 10Y*: 10.45%

FXH

• 1D: 0.16%
• 1M: 0.75%
• YTD: 1.77%
• 6M: 0.18%
• 1Y: 15.05%
• 3Y*: 3.15%
• 5Y*: 0.25%
• 10Y*: 7.40%

*Multi-year figures are annualized to reflect compound growth (CAGR)

FBT vs. FXH - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
FBT First Trust Amex Biotechnology Index	11.27%	24.25%	5.88%	2.55%	-4.83%	-2.26%	12.96%	19.74%	-0.30%	37.07%
FXH First Trust Health Care AlphaDEX Fund	1.77%	10.16%	0.96%	-4.53%	-12.24%	15.20%	28.00%	22.26%	-1.33%	21.82%

Correlation

The correlation between FBT and FXH is 0.79, which is moderate. They share some common price drivers but move independently often enough to provide real diversification benefit when combined.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.79
Correlation (3Y) Calculated over the trailing 3-year period	0.80
Correlation (5Y) Calculated over the trailing 5-year period	0.81
Correlation (10Y) Calculated over the trailing 10-year period	0.82
Correlation (All Time) Calculated using the full available price history since May 10, 2007	0.79

The correlation between FBT and FXH has been stable across timeframes, ranging from 0.79 to 0.82 - a consistent structural relationship.

FBT vs. FXH - Sectors Allocation Comparison

Sectors	FBT	FXH
Healthcare	100.0%	100.0%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Financial Services	-	-
Industrials	-	-
Real Estate	-	-
Technology	-	-
Utilities	-	-

Return for Risk

FBT vs. FXH — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

FBT

FBT Risk / Return Rank: 63
FBT Sharpe Ratio Rank: 67
FBT Sortino Ratio Rank: 69
FBT Omega Ratio Rank: 62
FBT Calmar Ratio Rank: 64
FBT Martin Ratio Rank: 54

FXH

FXH Risk / Return Rank: 27
FXH Sharpe Ratio Rank: 27
FXH Sortino Ratio Rank: 29
FXH Omega Ratio Rank: 25
FXH Calmar Ratio Rank: 26
FXH Martin Ratio Rank: 28

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

FBT vs. FXH - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for First Trust Amex Biotechnology Index (FBT) and First Trust Health Care AlphaDEX Fund (FXH). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

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.

	FBT	FXH	Difference
Sharpe ratio: Return per unit of total volatility	2.11	0.94	+1.16
Sortino ratio: Return per unit of downside risk	3.02	1.49	+1.53
Omega ratio: Gain probability vs. loss probability	1.36	1.17	+0.19
Calmar ratio: Return relative to maximum drawdown	3.11	1.24	+1.87
Martin ratio: Return relative to average drawdown	9.19	3.76	+5.43

FBT vs. FXH - Sharpe Ratio Comparison

The current FBT Sharpe Ratio is 2.11, which is higher than the FXH Sharpe Ratio of 0.94. The chart below compares the historical Sharpe Ratios of FBT and FXH, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

FBT vs. FXH - Drawdown Comparison

The maximum FBT drawdown since its inception was -40.51%, smaller than the maximum FXH drawdown of -43.70%. Use the drawdown chart below to compare losses from any high point for FBT and FXH.

Drawdown Indicators

	FBT	FXH	Difference
Max Drawdown Largest peak-to-trough decline	-40.51%	-43.70%	+3.19%
Max Drawdown (1Y) Largest decline over 1 year	-14.26%	-12.20%	-2.06%
Max Drawdown (3Y) Largest decline over 3 years	-20.05%	-17.53%	-2.52%
Max Drawdown (5Y) Largest decline over 5 years	-28.98%	-29.49%	+0.51%
Max Drawdown (10Y) Largest decline over 10 years	-32.37%	-30.61%	-1.76%
Current Drawdown Current decline from peak	0.00%	-8.09%	+8.09%
Average Drawdown Average peak-to-trough decline	-11.14%	-9.45%	-1.69%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.81%	4.02%	+0.79%

Volatility

FBT vs. FXH - Volatility Comparison

First Trust Amex Biotechnology Index (FBT) has a higher volatility of 6.54% compared to First Trust Health Care AlphaDEX Fund (FXH) at 4.43%. This indicates that FBT's price experiences larger fluctuations and is considered to be riskier than FXH based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	FBT	FXH	Difference
Volatility (1M) Calculated over the trailing 1-month period	6.54%	4.43%	+2.11%
Volatility (6M) Calculated over the trailing 6-month period	16.15%	11.42%	+4.73%
Volatility (1Y) Calculated over the trailing 1-year period	21.06%	16.04%	+5.02%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	21.88%	16.55%	+5.33%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	23.88%	18.49%	+5.39%

FBT vs. FXH - Expense Ratio Comparison

FBT has a 0.57% expense ratio, which is lower than FXH's 0.61% expense ratio.

Dividends

FBT vs. FXH - Dividend Comparison

FBT has not paid dividends to shareholders, while FXH's dividend yield for the trailing twelve months is around 0.84%.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
FBT First Trust Amex Biotechnology Index	0.00%	0.00%	0.71%	0.00%	0.00%	1.37%	0.00%	0.00%	0.00%	0.00%	0.00%	0.12%
FXH First Trust Health Care AlphaDEX Fund	0.84%	0.75%	0.41%	0.24%	0.20%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%

Frequently Asked Questions

Can I hold both FBT and FXH in my portfolio?

FBT and FXH have a correlation of 0.79, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, FBT or FXH?

FBT has higher volatility (6.54%) compared to FXH (4.43%). In terms of maximum drawdown, FBT dropped -40.51% vs FXH's -43.70%.

Which ETF is better, FBT or FXH?

On 10-year performance, FBT leads with 10.45% vs 7.40% for FXH. On fees, FBT is cheaper at 0.57% per year. On volatility, FXH has been the lower-risk option at 4.43%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, FBT or FXH?

Over the 10-year period, FBT has performed better with a 10.45% return vs 7.40%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, FBT or FXH?

FBT is cheaper with a 0.57% expense ratio, compared with 0.61% for FXH.

Which ETF pays a higher dividend yield, FBT or FXH?

FXH has the higher dividend yield at 0.84%, compared with 0.00% for FBT.

What is the main difference between FBT and FXH?

FBT tracks NYSE Arca Biotechnology Index, while FXH tracks StrataQuant Health Care Index. Their fees differ too: 0.57% for FBT and 0.61% for FXH.

Which has better risk-adjusted returns?

FBT currently has the higher Sharpe Ratio (2.11 vs 0.94), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.