Summary
First Trust Health Care AlphaDEX Fund is an ETF - a fund traded on an exchange like a stock - run by First Trust. Positions inside: 73. The ten largest make up 24% of the fund.
- Yearly costs
- 0.61%
- Fund size
- $1.16B
- Positions
- 73
- Dividend yield
- 0.53%
- Running since
- 2007
What speaks for it
- A large fund with $1.16B under management.
- Average yearly growth over the last ten years: 9.5%.
- It has been running since 2007.
What to watch
- 99% of the fund is in one sector (Healthcare).
- 100% of the fund is in one country (United States).
- Costs of 0.61% a year are above the middle of comparable funds (0.43%).
A fund has no Bulios Score and no Fair Price of its own - both are computed from the results of a single company. This page shows what is inside the fund and what it costs instead.
Price
Performance
- 1 month
- +6.1%
- 3 months
- +8.2%
- This year
- +21%
- 1 year
- +23%
- 3 years
- +49%
- 5 years
- +13%
- 10 years
- +148%
- Avg. market cap
- $84.5B
- P/E
- 19.8x
- Forward P/E
- 15.2x
- P/S
- 1.6x
- P/B
- 3.4x
- P/FCF
- 17.2x
- EV/EBITDA
- 12.8x
- Dividend yield
- 0.70%
- ROIC
- 13.0%
- ROE
- 29.4%
- Gross margin
- 61.8%
- Operating margin
- 17.2%
- Net margin
- 12.7%
- Payout ratio
- 13.9%
- Net debt/EBITDA
- 0.8x
- Beta
- 0.73
Weighted average of the 50 largest companies, which make up 87% of the fund. Banks and insurers are left out of the gross margin, the ROIC and the EBITDA figures.
What is inside?
Widely spread- 1 HAHalozyme Therapeutics HALO 2.7%
- 2 CACaris Life Sciences, Inc. CAI 2.5%
- 3 CNCentene CNC 2.5%
- 4 CICigna CI 2.5%
- 5 ZBZimmer Biomet ZBH 2.4%
- 6 GMGlobus Medical GMED 2.4%
- 7 MEMedpace MEDP 2.4%
- 8 UHUniversal Health Services UHS 2.3%
- 9 GHGuardant Health GH 2.3%
- 10 NTNatera NTRA 2.3%
Positions in the fund: 73. The ten largest make up 24% of it.
Composition as of Oct 31, 2026.
Where is it spread?
One sector dominatesBy sector
- Healthcare 99%
- Technology 0.5%
- Other 0.2%
By country
- United States 100%
By company size
- Mega cap 7.0%
- Large cap 80%
- Mid cap 13%
By the company's market value: Mega cap from $200B, Large cap from $10B, Mid cap from $2B, Small cap from $300M, Micro cap below $300M.
Largest sector: Healthcare (99%). Largest country: United States (100%). Largest size group: Large cap (80%).
What does it cost me?
Expensive- A year from $10,000
- $61.00
- Over 20 years
- $2,919
From every $10,000 invested the fund takes $61.00 a year. You do not pay it separately - it is taken out of the fund's value. Over 20 years at 5% yearly growth that adds up to about $2,919.
How has it done?
Growing over the long run- A year on average, 10 years
- +9.5%
- Deepest drop
- -30%
- Yearly volatility
- 16%
Average yearly growth over the last ten years: 9.5%. Deepest drop in these years: 30% below the earlier high.
Does it pay dividends?
Yes, it pays out- Yield
- 0.53%
- Payments a year
- 4
- Last payment
- $0.29
Over the last 12 months it paid $0.74 per share, which is 0.53% of today's price. The last payment was $0.29 on Sep 24, 2026.
Is it easy to buy and sell?
Yes- Traded a day
- $7.80M
- Shares a day
- 57K
On an average day about $7.80M of the fund changes hands.
How expensive are the companies inside?
Usual valuation- P/E of the companies inside
- 19.8
- Average Bulios Score
- 65 out of 100
Weight by Bulios Fair Price
- Undervalued 35%
- Fairly valued 14%
- Overvalued 51%
On average the companies inside trade for 19.8 times their yearly profit. By Fair Price, 51% of the rated weight comes out as overvalued.
Counted from its largest companies (50), which make up 87% of the fund. Each company counts by its weight. We use the metrics, the Bulios Score and the Fair Price of the companies themselves.
Similar funds
Funds that hold much of the same. The overlap says how much of their weight they share with this fund.
| Fund | Domicile | Size | 1-year change | Dividends | ||
|---|---|---|---|---|---|---|
FH FHH.TO First Trust AlphaDEX U.S. Health Care Sector Index ETF | Canada | 0.70% | $7.69M | +23% | Pays out | 90% |
ZH ZHU.TO BMO Equal Weight US Health Care Index ETF | Canada | 0.40% | $8.54M | +26% | Reinvests | 56% |
ZU ZUH.TO BMO Equal Weight US Health Care Hedged to CAD Index ETF | Canada | 0.39% | $139.3M | +24% | Reinvests | 56% |
RS RSPH Invesco S&P 500 Equal Weight Health Care ETF | United States | 0.40% | $804.3M | +31% | Pays out | 47% |
IY IYH iShares U.S. Healthcare ETF | United States | 0.37% | $4.64B | +28% | Pays out | 35% |
VH VHT Vanguard Health Care ETF | United States | 0.09% | $21.8B | +27% | Pays out | 33% |