FXH vs XHS
First Trust Health Care AlphaDEX Fund against State Street SPDR S&P Health Care Services ETF: cost, size, returns, what they hold and how much of it is the same.
Overlap by weight
26%
16 shared positions
Fee gap
26 bp
XHS is cheaper
1-year return gap
17.1 pts
XHS is ahead
Larger fund
FXH
$1.1B
Side by side
| FXH | XHS | |
|---|---|---|
| Fund | First Trust Health Care AlphaDEX Fund | State Street SPDR S&P Health Care Services ETF |
| Issuer | First Trust | State Street SPDR |
| Category | Health Care | Health Care |
| Expense ratio | 0.61% | 0.35% |
| Assets | $1.1B | $204M |
| Average daily dollar volume | $8.5M | $4.9M |
| Listed | May 8, 2007 | Sep 28, 2011 |
| FrenzyCap score | 54 | 63 |
| 1-month return | +0.7% | +0.6% |
| 3-month return | +5.3% | +0.8% |
| Year to date | +14.3% | +27.3% |
| 1-year return | +15.1% | +32.2% |
| 30-day volatility | 13.1% | 14.4% |
| Worst drawdown, 1 year | −12.3% | −12.0% |
| Trailing 12-month yield | 0.56% | 0.16% |
| Holdings | 78 | 62 |
| Top 10 weight | 25.6% | 19.1% |
| Look-through P/E | 26.4 | 87.1 |
| Holdings vs fair value | +13.0% | +18.1% |
| Holdings above 200-day average | 75% | 82% |
| Net flow, latest 3 reported months | +$62M thru Jul 2026 | +$29M thru Jun 2026 |
| 30-day implied volatility | 21.0% | 22.4% |
| Holdings as of | as of Apr 30, 2026SEC filing | as of Oct 8, 2026issuer data |
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
31% of FXH · 28% of XHS
Sector mix of the stock holdings
| Sector | FXH | XHS | Gap |
|---|---|---|---|
| Health Care | 84.7% | 82.4% | +2.3% |
| Industrials | 1.3% | 10.4% | −9.1% |
| Technology | 9.6% | 1.9% | +7.7% |
| Consumer Staples | 0.0% | 3.3% | −3.3% |
| Financials | 0.0% | 1.9% | −1.9% |
More: full overlap table · FXH holdings · XHS 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.