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›ETF Providers›First Trust›FXH
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FXH
US33734X1431
Passive ETFEquity

FXH ETF · First Trust Health Care AlphaDEX Fund ETF

The FXH Exchange Traded Fund (ETF) is provided by First Trust. It is built to track an index: StrataQuant Health Care Index. The FXH ETF provides physical exposure, so by buying it you actually own parts of all the 75 underlying holdings. This share class generates a stream of income by distributing dividends.
Last update Yesterday at 1:30 PM UTC
LIVE
CLOSED
This fund is part ofUS Health Care1M perf.+3.07%
Last price
$112.52
1M perf.
+7.08%
1M flows
-€9.2M
AuM
€749M
E/R
0.61%
Rating
ESG Consensus®
esg grade icon
FXH
$112.52

Performance & flows

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January 22, 2026 → April 22, 2026
0-12-10-8-6-4-20%FEBMARAPRFEBMARAPR
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FXH
$113.62
-3.72%
US Health Care
-5.35%

Historic performance and flows

1M3M1Y3Y5YMTDQTDYTD
Perf.
+7.08%
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-3.72%
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+19.62%
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+4.49%
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+0.43%
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+3.50%
+3.50%
+0.06%
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Flows

Key fund info

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This ETF's jurisdiction country is not in your region (Europe and Middle East) Â· 
Main characteristics
CUSIP
33734X143
ISIN
US33734X1431
AuM
€749M
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E/R
0.61%
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Replication rating
icon
ESG Consensus®
esg grade icon
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More details
NAV
4/22/2026
$113.62
1D NAV change
+0.34%
Dividend policy
Replication method
Direct (Physical)
Replication model
Full replication
No. of holdings
75
Inception date
5/8/2007
Jurisdiction
United States
Distribution
United States
Legal structure
Open-end Fund
Base currency
USD
Dividend distribution
Trailing 12-month distr. yield
Distribution frequency
Last distribution
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Classification
Product type
Asset class
Factors
N/A
Investment strategy
The First Trust Health Care AlphaDEX® Fund is an exchange-traded fund. The investment objective of the Fund is to seek investment results that correspond generally to the price and yield, before fees and expenses, of an equity index called the StrataQuant® Health Care Index. The StrataQuant® Health Care Index is an "enhanced" index developed, maintained and sponsored by the NYSE Group, Inc. or its affiliates ("NYSE") which employs the AlphaDEX® stock selection methodology to select stocks from the Russell 1000® Index.
Tax optimisation
PEA
France
UK Reporting Status
United Kingdom
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Risk profile

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Historical risk/return profile

3M1Y3Y5Y
Returns
-3.72%
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+19.62%
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+4.49%
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+0.43%
icon
Volatility
Perf./Volatility
Max drawdown
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Synthetic Risk and Reward Indicator (SRRI)
UCITS
N/A
PRIIPS
N/A
More exposure metrics are available, exclusively in Trackinsight Enterprise

Exposure

Countries
USA
95.47%
Ireland
2.64%
Unavailable
1.35%
Other
0.54%
Sectors
Health Care
93.76%
Unavailable
6.24%
Diversification
Total weight of top 15 holdings out of 75
Top 15 holdings
Data as of March 31, 2026
ACADIA HEALTHCARE COMPANY
APELLIS PHARMACEUTICALS
PFIZER
BIOGEN INC
CARDINAL HEALTH
HCA HEALTHCARE
INCYTE
IONIS PHARMACEUTICALS INC
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INSMED
UTD THERAPEUT
MERCK & CO INC
LILLY
NATERA
MEDPACE HOLDINGS INC
AMGEN-T
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More risk metrics are available, exclusively in Trackinsight Enterprise

Sustainability

Integrates ESG criteria
No
SDG

ESG Consensus® by Conser

Data as of February 27, 2026
Methodology

Our partner Conser gathers the industry's consensus on the business practices of the underlying holdings. We have computed the following metrics about FXH ETF's sustainability, based on their methodology.

Learn more about Conser

ESG Consensus®
esg grade icon

ESG Consensus® is based on the Final Sustainability Grade, which itself consists of 10 grades. Our partner Conser calculates the exact grade, based on market intelligence, using their proprietary ESG Consensus® methodology.


FXH’s has a Final Sustainability Grade of either B+, B, or B-.

This fund’s exact Final Sustainability Grade is available in Trackinsight Enterprise.
Learn more about Trackinsight Enterprise
Holdings review
84.45% of holdings have positive scoring
16.92% of holdings have negative scoring
20.98%
46.95%
16.51%
10.39%
Consensus levels
Strong
Medium
Weak
More sustainability metrics are available, exclusively in Trackinsight Enterprise

Replication

Trackinsight replication rating:
1-year trailing difference
As of March 31, 2026
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FXH
N/A
Replication quality
Calculated over 12m, as of March 31, 2026
Tracking error
Tracking difference
1-year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
Replication information
Index
Index ticker
Index dividend policy
Replication method
Replication model

Issuer

First Trust
First Trust ID Card
Number of funds
410
Total AuM
€222.1B
Expense ratio range
0.15% - 13.69%
Average expense ratio
0.8035%

Frequently asked questions about FXH

What does First Trust Health Care AlphaDEX Fund ETF, FXH, invest in?

FXH is a Passive ETF. This ETF provides exposure to Other Large Cap US Health Care Equities.

Which benchmark or index does FXH replicate?

FXH tracks the StrataQuant Health Care Total Return Index - USD, through a full replication replication method.

What is the Total Expense ratio (TER) of FXH?

FXH carries a total expense ratio (TER) of 0.61%, indicating the annual cost for holding the fund.

When was FXH launched?

FXH was introduced to the market on May 8, 2007. It trades on United States

Who is the ETF issuer of FXH?

First Trust Health Care AlphaDEX Fund ETF, FXH, is provided by First Trust. Learn more about First Trust here.

What is the current assets under management (AUM) of FXH?

FXH oversees €749M in assets as of April 22, 2026.

How has FXH performed lately?

Based on data from April 22, 2026, FXH returned 7.08% over the past month, -3.72% over the last three months and 0.06% year-to-date.

What are the latest inflows or outflows for FXH?

As of April 22, 2026, FXH recorded net flows of -€9.3M over the last month and -€52M year-to-date.

Does FXH distribute dividends?

FXH follows a distributing dividend policy, meaning it pays out income to investors. As of April 22, 2026, its 12-month trailing yield was 0.85%.

What are the main country or region exposures of FXH?

As of March 31, 2026, FXH has significant geographic allocations in USA and Ireland.

In which sector or theme does FXH invest in?

As of March 31, 2026, FXH focuses largely on Health Care.

How many securities does FXH hold and how diversified is it?

As of March 31, 2026, FXH holds 75 positions in its portfolio, with 35.37% of assets concentrated in its top 15 holdings.

What are the main positions in FXH?

As of March 31, 2026, FXH top three holdings include ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER.

What is the base currency of FXH?

The base currency of FXH is USD.

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