FXH ETF — First Trust Health Care AlphaDEX® Fund

First Trust Health Care AlphaDEX® Fund (FXH)

Updated October 16, 2026.

FXH is an ETF. its distribution rate is 0.88%, its trailing-12-month yield is 0.56%, its expense ratio is 0.61%. Dividend Vision Distribution Safety Score™ is 80/100 (Safe). Total return is 581.9% over the past 19.4 years, 46.7 points behind SPY at 628.6%.

First Trust Health Care AlphaDEX® Fund is an ETF that seeks positive alpha by investing at least 90% of its assets in health care stocks selected from the Russell 1000® Index using the AlphaDEX® methodology, which applies a modified equal-dollar weighted approach. The fund carries a modest distribution rate paid quarterly and an expense ratio of 0.61%. It appeals to equity investors focused on the health care sector who are seeking both potential outperformance and modest income.

FXH performance versus SPY

Price and return data through 2026-10-16.

Total return is 581.9% over the past 19.4 years, 46.7 points behind SPY at 628.6%. Over the past year its total return — price change plus distributions reinvested — is 20.1%. Its deepest 1-year drawdown was 12.2%.

FXH key facts

Distribution Safety Score™

80 · Safe

Safety-Adjusted Yield

0.70%

Issuer

First Trust

Asset type

ETF

Asset class

Equity

Inception date

05/08/2007

Expense ratio

0.61%

Distribution rate

0.88%

Distribution frequency

Quarterly

Trailing yield

0.56%

Last close

$132.43 (as of 2026-10-16)

AUM

$1,119,555,064

Average volume

19463.0

Dividend

$0.292

Ex-dividend date

09/24/2026

Payment date

09/30/2026

Beta

0.76

How Dividend Vision calculates yield and returns

Distribution rate (0.88%) uses calculation basis unavailable. Issuer rates can use a different denominator and date, including ex-date NAV. Trailing-12-month yield (0.56%) is the sum of split-adjusted cash distributions with ex-dates in the last 12 months, divided by the published price. It lags a recent raise or cut. Total return uses split-adjusted close with distributions reinvested on the ex-dividend date (a modeling convention, not the cash-settlement date) from the first stored bar on or after inception through the latest bar, compared with the same window on the benchmark. That is the security's total return, not your personal gain/loss.

Yield and safety methodology · Distribution rate methodology · Distribution Safety Score methodology

Sources and review

Primary sources: First Trust or company page; prices and distributions from Dividend Vision, derived from vendor EOD data.

Reviewed by Bert Sweet, CEO and Co-owner of Dividend Vision. Methodology: Distribution Safety Score.

FXH risks and drawbacks

FXH's current distribution rate is moderate, not a high-yield payout — the strategy is dividend quality more than maximum income. Payments are quarterly, so cash flow is lumpy versus a monthly fund. Total return has trailed SPY over the available window. The deepest 1-year drawdown on record here is 12.2%.

Who may consider FXH — and who may not

FXH may suit someone looking for a high Distribution Safety Score. It is a weaker fit for investors who need monthly cash flow (FXH pays quarterly); investors hunting double-digit covered-call yields; investors whose main goal is matching SPY total return. This is educational context, not a recommendation to buy or sell.

More on FXH

• All tickers starting with F

Tagged: Healthcare.

Frequently asked questions

More securities from First Trust.