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FXH

First Trust Health Care AlphaDEX Fund (FXH)

Rating:71Outperform
Price Target:$144.00â–²(4.60% Upside)

FXH, the First Trust Health Care AlphaDEX Fund, earns a solid overall rating driven mainly by strong, growing healthcare companies like Globus Medical, Medpace, and Dexcom, which show robust financial performance and positive earnings outlooks. However, some holdings such as Centene, with profitability challenges, and names facing legal or cash flow issues slightly weigh on the fund’s quality, and investors should note the key risk that the ETF is concentrated in the healthcare sector, making it sensitive to industry-specific pressures and regulations.

Positive Factors
Strong Year-to-Date PerformanceThe ETF has delivered strong gains so far this year, showing solid momentum in its strategy.
Healthy Top Holdings PerformanceMany of the largest positions, including Halozyme, Centene, Natera, and others, have shown strong or steady performance, helping support the fund’s returns.
Focused Health Care ExposureThe fund is heavily invested in the health care sector, giving investors targeted exposure to a defensive industry that can be more resilient in different economic environments.
Negative Factors
High Sector ConcentrationWith almost all assets in health care, the ETF is vulnerable if this single sector faces a downturn.
U.S.-Only Geographic ExposureThe fund is almost entirely invested in U.S. companies, offering little diversification across global markets.
Relatively High Expense RatioThe ETF charges a higher fee than many broad market index funds, which can slightly reduce investors’ net returns over time.

FXH vs. SPDR S&P 500 ETF (SPY)

AUM
1.16B
Region
North America
Expense Ratio
0.61%
Beta
0.62
Issuer
First Trust
Inception Date
May 08, 2007
Dividend Yield
0.53%
Asset Class
Equity
Index Tracked
StrataQuant Health Care Index

FXH Summary

FXH is an exchange-traded fund that focuses on the U.S. health care sector, following the StrataQuant Health Care Index. It holds a mix of companies involved in pharmaceuticals, biotech, medical equipment, and health care services. Well-known names in the fund include Cigna and Centene. Investors might consider FXH if they want growth potential from medical innovation and a way to diversify into health care without picking individual stocks. A key risk is that the fund is heavily concentrated in health care, so its value can rise or fall sharply if the sector faces challenges or market downturns.

How much will it cost me?

FXH has an expense ratio of 0.61%, which means you’ll pay about $6.10 per year for every $1,000 invested. This cost is higher than the average ETF because FXH is actively managed using the AlphaDEX strategy rather than simply tracking a broad market index.

What would affect this ETF?

FXH focuses on U.S. health care companies like Centene, Cigna, and medical equipment and services providers, so it could benefit from aging populations, ongoing demand for medical care, and new drug or technology breakthroughs. On the negative side, changes in government health care policies, tighter regulations on drug pricing or insurance, and economic slowdowns that pressure hospital and insurer profits could weigh on the fund, while higher interest rates may also hurt investor appetite for stocks in this sector.

FXH Top 10 Holdings

FXH is leaning hard into U.S. health care, with a bench dominated by fast-moving innovators. Halozyme and Natera have been rising steadily, giving the fund much of its recent spark, while Guardant Health adds more momentum from the precision oncology corner. Medpace has also been climbing, though its rich valuation could cool the pace. On the flip side, Globus Medical looks mixed and Universal Health is dragging, tempering some of the gains. Overall, this is a concentrated bet on U.S. health care growth stories rather than defensive blue chips.

FXH top ten holdings
NameCompany NameWeight %Market ValueMarket CapYearly GainOverall Rating
HALOHALOHalozyme2.63%$30.68M$14.86B97.81%73Outperform
CAICAICaris Life Sciences, Inc.2.36%$27.52M$9.70B6.72%49Neutral
CNCCNCCentene2.42%$28.13M$33.89B88.10%58Neutral
CICICigna2.45%$28.52M$78.80B20.78%72Outperform
ZBHZBHZimmer Biomet Holdings2.47%$28.78M$18.03B-3.19%73Outperform
MEDPMEDPMedpace Holdings2.34%$27.27M$18.24B10.81%79Outperform
GMEDGMEDGlobus Medical2.39%$27.86M$10.48B31.58%82Outperform
UHSUHSUniversal Health2.34%$27.23M$10.37B-16.75%74Outperform
GHGHGuardant Health2.16%$25.14M$23.99B83.54%61Neutral
NTRANTRANatera2.07%$24.08M$59.72B90.48%73Outperform

FXH Technical Analysis

Technical Analysis SentimentPositive
Last Price137.67

Price Trends

50DMA132.38Positive
100DMA128.56Positive
200DMA120.61Positive

Market Momentum

MACD1.73Negative
RSI64.51Neutral
STOCH77.41Neutral

Evaluating momentum and price trends is crucial in ETF analysis to make informed investment decisions. For FXH, the sentiment is Positive. The current price of 137.67 is above the 20-day moving average (MA) of 133.47, above the 50-day MA of 132.38, and above the 200-day MA of 120.61, indicating a bullish trend. The MACD of 1.73 indicates Negative momentum. The RSI at 64.51 is Neutral, neither overbought nor oversold. The STOCH value of 77.41 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for FXH.

FXH Peer Comparison

Comparison Results

FXH against its peer funds
NamePricePrice TargetAUMExpense RatioOverall Rating
FXHFXH$137.67$144.00(4.60% Upside)$1.16B0.61%71Outperform
IYHIYH$77.60$84.20(8.50% Upside)$4.71B0.37%73Outperform
FHLCFHLC$88.24$98.15(11.23% Upside)$3.95B0.08%71Outperform
IHIIHI$56.51$62.74(11.02% Upside)$3.62B0.37%74Outperform
FBTFBT$273.89$336.78(22.96% Upside)$3.13B0.55%71Outperform
IHEIHE$106.92$126.72(18.52% Upside)$1.62B0.37%70Neutral

Performance Comparison

-20%0%20%40%FXHIYHFHLCIHIFBTIHEDec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26Nov '26
FXH and its peers over the selected period
Show on chartTickerCompany NamePriceChange% Change
FXHFirst Trust Health Care AlphaDEX Fund137.6727.0824.49%
IYHiShares U.S. Healthcare ETF77.6017.3328.75%
FHLCFidelity MSCI Health Care Index ETF88.2419.3828.14%
IHIiShares U.S. Medical Devices ETF56.51-4.22-6.95%
FBTFirst Trust NYSE Arca Biotechnology Index Fund273.8983.7944.08%
IHEiShares U.S. Pharmaceuticals ETF106.9232.1442.97%
Glossary
BuyAn ETF rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the ETF is likely to deliver higher returns compared to other ETFs in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldAn ETF rated as a "Hold" s expected to perform in line with the overall market or a specific benchmark. This rating indicates that the ETF is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellAn ETF rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the ETF may deliver lower returns compared to other ETFs in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
Disclaimer

This AI Analyst ETF Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in ETFs carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.