First Trust Health Care AlphaDEX Fund (FXH) Performance
FXH total return
Distributions reinvested · as of Oct 23, 2026- YTD
- +19.3% since Dec 31, 2025
- 1 year
- +20.3% total return
- 5 years
- +2.9% a year
- 10 years
- +9.0% a year
- Since first price
- +10.5% a year since 2007
FXH trailing returns vs SPY, QQQ, AGG
| Period | FXH total return | Price only | S&P 500 (SPY) | Nasdaq-100 (QQQ) | U.S. bonds (AGG) |
|---|---|---|---|---|---|
| 1 month | +3.4% | +3.4% | −1.0% | −5.0% | +0.9% |
| 3 months | +10.1% | +9.9% | +3.2% | +1.9% | −0.4% |
| 6 months | +20.6% | +20.2% | +7.8% | +8.4% | −1.5% |
| YTD | +19.3% | +18.8% | +12.3% | +15.1% | −1.0% |
| 1 year | +20.3% | +19.6% | +14.4% | +15.9% | −1.1% |
| 3 years | +48.0%+14.0%/yr | +45.4% | +87.4%+23.3%/yr | +101.4%+26.3%/yr | +16.6%+5.2%/yr |
| 5 years | +15.4%+2.9%/yr | +12.9% | +79.3%+12.4%/yr | +94.0%+14.2%/yr | −0.8%−0.2%/yr |
| 10 years | +135.9%+9.0%/yr | +131.0% | +315.9%+15.3%/yr | +538.9%+20.4%/yr | +14.0%+1.3%/yr |
| 15 years | +421.6%+11.6%/yr | +408.3% | +696.0%+14.8%/yr | +1,299.3%+19.2%/yr | +32.2%+1.9%/yr |
| Since inceptionMay 10, 2007 | +596.0%+10.5%/yr | +576.9% | — | — | — |
Total return from adjusted closes (distributions reinvested, before tax). Periods of 3 years or more are also shown annualized. Price only excludes distributions.
Growth of $10,000: FXH vs SPY
From May 10, 2007: FXH grew to $69,602, SPY to $72,541.
Year-end values with distributions reinvested, no taxes or trading costs. Start: first common trading day of both funds.
FXH returns by calendar year
13 of 18 full years positive. Best 2009 (+51.2%), worst 2008 (−29.5%). 2026 is year to date.
FXH annual returns table
| Year | FXH | Largest drop | SPY | QQQ | AGG |
|---|---|---|---|---|---|
| 2026YTD | +19.3% | −12.2% | +12.3% | +15.1% | −1.0% |
| 2025 | +10.2% | −16.4% | +17.7% | +20.8% | +7.2% |
| 2024 | +1.0% | −8.9% | +24.9% | +25.6% | +1.3% |
| 2023 | −4.5% | −21.1% | +26.2% | +54.9% | +5.7% |
| 2022 | −12.2% | −21.2% | −18.2% | −32.6% | −13.0% |
| 2021 | +15.2% | −10.0% | +28.7% | +27.4% | −1.8% |
| 2020 | +28.0% | −30.6% | +18.3% | +48.6% | +7.5% |
| 2019 | +22.3% | −8.9% | +31.2% | +39.0% | +8.5% |
| 2018 | −1.3% | −24.6% | −4.6% | −0.1% | +0.1% |
| 2017 | +21.8% | −6.9% | +21.7% | +32.7% | +3.6% |
| 2016 | −5.2% | −16.8% | +12.0% | +7.1% | +2.4% |
| 2015 | +0.3% | −19.5% | +1.2% | +9.4% | +0.5% |
| 2014 | +25.4% | −10.6% | +13.5% | +19.2% | +6.0% |
| 2013 | +47.6% | −4.2% | +32.3% | +36.6% | −2.0% |
| 2012 | +20.6% | −8.2% | +16.0% | +18.1% | +3.8% |
| 2011 | +5.7% | −22.1% | +1.9% | +3.4% | +7.7% |
| 2010 | +19.0% | −13.3% | +15.1% | +19.9% | +6.4% |
| 2009 | +51.2% | −20.4% | +26.4% | +54.7% | +3.0% |
| 2008 | −29.5% | −42.3% | −36.8% | −41.7% | +7.9% |
Largest drop = deepest fall from a high within that calendar year.
Calendar-year return vs largest drop within the year
Most years include a sizable fall at some point even when the year ends higher.
FXH largest drawdowns
Now 1.0% below the high| Peak | Decline | Bottom | Recovered | Fall | Underwater |
|---|---|---|---|---|---|
| Oct 10, 2007 | −43.7% | Nov 20, 2008 | Dec 14, 2009 | 1.1 years | 2.2 years |
| Feb 19, 2020 | −30.6% | Mar 23, 2020 | May 28, 2020 | 33 days | 3 months |
| Sep 3, 2021 | −29.5% | Oct 27, 2023 | Jul 2, 2026 | 2.1 years | 4.8 years |
| Jul 17, 2015 | −29.4% | Feb 8, 2016 | Jan 2, 2018 | 7 months | 2.5 years |
| Sep 28, 2018 | −24.6% | Dec 24, 2018 | Dec 23, 2019 | 3 months | 1.2 years |
| Jul 7, 2011 | −22.1% | Aug 8, 2011 | Mar 26, 2012 | 32 days | 9 months |
Declines from a closing high (distributions reinvested) of 10% or more. Underwater = time from the peak until the old high was regained.
FXH risk statistics
| Statistic | 3 years | 5 years | 10 years | Since 2007 |
|---|---|---|---|---|
| Annualized return | +11.1% | +2.3% | +8.2% | +10.3% |
| Volatility (annualized) | 14.8% | 16.0% | 16.2% | 16.3% |
| Sharpe ratio | 0.49 | -0.00 | 0.43 | 0.60 |
| Sortino ratio | 0.76 | -0.00 | 0.64 | 0.89 |
| Best month | +8.6% | +8.6% | +14.1% | +14.1% |
| Worst month | −6.7% | −11.0% | −11.9% | −19.0% |
| Best 12 months | +29.8% | +29.8% | +46.8% | +70.6% |
| Worst 12 months | −9.2% | −18.3% | −18.7% | −35.3% |
| Positive months | 61% | 57% | 61% | 63% |
| Beta vs S&P 500 | 0.69 | 0.72 | 0.80 | — |
| Correlation with S&P 500 | 0.58 | 0.71 | 0.76 | — |
From monthly total returns. Sharpe and Sortino use 1–3 month T-bills (BIL) as the risk-free rate, so they need history from 2007 on.
FXH rolling returns
| Holding period | Periods | Worst | Median | Best | Positive |
|---|---|---|---|---|---|
| 1-year | 222 | −35.3% | +11.1% | +70.6% | 73% |
| 3-year (a year) | 198 | −5.4% | +11.8% | +32.6% | 90% |
| 5-year (a year) | 174 | +0.1% | +11.1% | +31.6% | 100% |
| 10-year (a year) | 114 | +3.7% | +13.0% | +19.5% | 100% |
Every holding period starting at a month-end since 2007. Returns for 3 years and longer are annualized.
FXH performance overview
First Trust Health Care AlphaDEX Fund (FXH) returned +20.3% over the past year and +9.0% a year over ten years, with distributions reinvested. Since its first recorded price in 2007 it has returned +10.5% a year, turning $10,000 into about $69,602. Over the same year S&P 500 (SPY) returned +14.4%.
The deepest decline was −43.7%, from Oct 10, 2007 to Nov 20, 2008, and it took 1.1 years to get back to the old high. FXH finished 13 of its 18 full calendar years with a gain; the best year was 2009 (+51.2%) and the worst 2008 (−29.5%). Volatility has been 16.3% a year.
Related: FXH chart, FXH holdings, FXH dividends, FXH valuation. See the FXH overview for the latest quote and fund facts.
FXH performance FAQ
What is the FXH return over the past year?
FXH returned +20.3% over the 12 months to October 23, 2026, including reinvested distributions. On price alone it rose 19.6%.
What is the average annual return of FXH?
FXH has returned +2.9% a year over 5 years, +9.0% a year over 10 years, +10.5% a year since May 10, 2007 (total return, distributions reinvested).
How much would $10,000 invested in FXH be worth?
$10,000 invested in FXH at its first recorded close on May 10, 2007 would be worth about $69,602 on October 23, 2026 with distributions reinvested.
What was the worst year for FXH?
The worst calendar year was 2008, with a total return of −29.5%. The best was 2009 at +51.2%.
What is the biggest drawdown of FXH?
The largest peak-to-trough decline was −43.7% between October 10, 2007 and November 20, 2008. It recovered to the old high on December 14, 2009, 1.1 years after the bottom.
How volatile is FXH?
Over the past 3 years FXH had an annualized volatility of 14.8% and a Sharpe ratio of 0.49 (excess return over 1–3 month T-bills per unit of risk).