FXH vs TRUH
First Trust Health Care AlphaDEX Fund against VanEck Healthcare TruSector ETF: cost, size, returns, what they hold and how much of it is the same.
Overlap by weight
33%
49 shared positions
Fee gap
—
same fee
1-year return gap
—
Larger fund
FXH
$1.1B
Side by side
| FXH | TRUH | |
|---|---|---|
| Fund | First Trust Health Care AlphaDEX Fund | VanEck Healthcare TruSector ETF |
| Issuer | First Trust | VanEck |
| Category | Health Care | Health Care |
| Expense ratio | 0.61% | — |
| Assets | $1.1B | $833K |
| Average daily dollar volume | $8.5M | $21K |
| Listed | May 8, 2007 | Apr 1, 2026 |
| FrenzyCap score | 54 | 12 |
| 1-month return | +0.7% | +3.0% |
| 3-month return | +5.3% | +5.8% |
| Year to date | +14.3% | — |
| 1-year return | +15.1% | — |
| 30-day volatility | 13.1% | 14.0% |
| Worst drawdown, 1 year | −12.3% | −5.7% |
| Trailing 12-month yield | 0.56% | 0.72% |
| Holdings | 78 | 60 |
| Top 10 weight | 25.6% | 61.7% |
| Look-through P/E | 26.4 | 33.6 |
| Holdings vs fair value | +13.0% | +4.5% |
| Holdings above 200-day average | 75% | 84% |
| Net flow, latest 3 reported months | +$62M thru Jul 2026 | +$784K thru Jun 2026 |
| 30-day implied volatility | 21.0% | — |
| Holdings as of | as of Apr 30, 2026SEC filing | as of Jun 30, 2026SEC filing |
Returns are price returns and exclude distributions. Flows are each fund's own latest reported months and may not cover the same period.
Largest shared holdings
62% of FXH · 94% of TRUH| Holding | FXH | TRUH |
|---|---|---|
| AMGN | 1.70% | 3.39% |
| PFE | 1.65% | 2.40% |
| MRK | 1.57% | 5.54% |
| ELV | 2.78% | 1.49% |
| BMY | 1.30% | 2.05% |
| CI | 2.36% | 1.26% |
| GILD | 1.22% | 2.75% |
| MEDTRONIC PLC | 1.21% | 1.76% |
| UNH | 1.19% | 6.58% |
| REGN | 1.98% | 1.12% |
| HCA | 1.99% | 1.08% |
| CAH | 1.98% | 0.97% |
| COR | 1.74% | 0.95% |
| LLY | 0.88% | 16.56% |
| TMO | 0.84% | 3.25% |
| JNJ | 0.81% | 10.67% |
| HUM | 2.95% | 0.81% |
| ABT | 0.77% | 2.76% |
| BDX | 1.64% | 0.73% |
| A | 0.88% | 0.65% |
| WAT | 0.90% | 0.63% |
| IQV | 0.80% | 0.56% |
| BIIB | 2.23% | 0.55% |
| ZTS | 0.84% | 0.53% |
| GEHC | 1.11% | 0.51% |
Sector mix of the stock holdings
| Sector | FXH | TRUH | Gap |
|---|---|---|---|
| Health Care | 84.7% | 87.6% | −2.8% |
| Technology | 9.6% | 7.8% | +1.8% |
| Consumer Staples | 0.0% | 2.3% | −2.3% |
| Industrials | 1.3% | 0.1% | +1.2% |
More: full overlap table · FXH holdings · TRUH holdings
Fund data comes from each fund's SEC filings and issuer disclosures and is shown with the date it is as of. SEC portfolio and flow filings become public about 60 days after the period they cover. Nothing here is investment advice; see Terms.