FXH vs SPY
Comparison between FIRST TRUST HEALTH CARE ALPHADEX FUND (FXH, ETF) and SPDR S&P 500 ETF Trust (SPY, ETF).
5-Year PerformanceSPY has outperformed FXH, delivering a return of +12.4% compared to +0.7%
FXH vs SPY - Performance Comparison
Key Characteristics
Financial metrics and valuation ratios
Net Assets
FXH
$959M
Winner
SPY
$781B
Expense Ratio
FXH
0.61%
Winner
SPY
0.09%
Max Drawdown
Winner
FXH
43.70%
SPY
56.47%
Sharpe Ratio
FXH
1.20
Winner
SPY
1.22
5Y Beta
Winner
FXH
0.65
SPY
1.00
P/E Ratio
FXH
29.60
Winner
SPY
28.78
Forward P/E
Winner
FXH
15.03
SPY
21.25
5Y Dividends CAGR
FXH
N/A
SPY
6.00%
5Y EPS CAGR
FXH
12.21%
Winner
SPY
25.62%
Debt to Equity
FXH
51.26%
Winner
SPY
31.92%
P/S Ratio
Winner
FXH
1.61
SPY
3.76
P/B Ratio
Winner
FXH
3.46
SPY
5.64
FXH vs SPY - Holdings Comparison
FXH and SPY have 45 common holdings. Overlap is 6.53%
FXH's top 25 holdings weight is 53.68%. SPY's top 25 holdings weight is 51.74%.
| Rank | FXH | SPY |
|---|---|---|
| #1 | GUARDANT HEALTH INC (GH) - 2.55% | NVIDIA CORP (NVDA) - 7.89% |
| #2 | THE CIGNA GROUP (CI) - 2.54% | APPLE INC (AAPL) - 7.37% |
| #3 | REGENERON PHARMACEUTICALS INC (REGN) - 2.50% | MICROSOFT CORP (MSFT) - 4.50% |
| #4 | ZIMMER BIOMET HOLDINGS INC (ZBH) - 2.46% | AMAZON.COM INC (AMZN) - 3.82% |
| #5 | CENTENE CORP (CNC) - 2.44% | ALPHABET INC CLASS A (GOOGL) - 3.33% |
| #6 | DAVITA INC (DVA) - 2.44% | BROADCOM INC (AVGO) - 2.86% |
| #7 | PFIZER INC (PFE) - 2.42% | ALPHABET INC CLASS C (GOOG) - 2.68% |
| #8 | NATERA INC (NTRA) - 2.40% | META PLATFORMS INC CLASS A (META) - 2.29% |
| #9 | SOLVENTUM CORP (SOLV) - 2.38% | TESLA INC (TSLA) - 1.70% |
| #10 | BOSTON SCIENTIFIC CORP (BSX) - 2.37% | MICRON TECHNOLOGY INC (MU) - 1.56% |
| #11 | MEDLINE INC ORDINARY SHARES CLASS A (MDLN) - 2.35% | JPMORGAN CHASE & CO (JPM) - 1.42% |
| #12 | UNIVERSAL HEALTH SERVICES INC CLASS B (UHS) - 2.34% | ELI LILLY AND CO (LLY) - 1.40% |
| #13 | GLOBUS MEDICAL INC CLASS A (GMED) - 2.33% | BERKSHIRE HATHAWAY INC CLASS B (BRK-B) - 1.37% |
| #14 | AXSOME THERAPEUTICS INC (AXSM) - 2.28% | ADVANCED MICRO DEVICES INC (AMD) - 1.32% |
| #15 | ENCOMPASS HEALTH CORP (EHC) - 1.91% | EXXONMOBIL HOLDINGS CORP (XOM) - 0.92% |
| #16 | QIAGEN NV (QGEN) - 1.85% | JOHNSON & JOHNSON (JNJ) - 0.91% |
| #17 | ZOETIS INC CLASS A (ZTS) - 1.82% | VISA INC CLASS A (V) - 0.90% |
| #18 | CORCEPT THERAPEUTICS INC (CORT) - 1.81% | WALMART INC (WMT) - 0.76% |
| #19 | MEDTRONIC PLC (MDT) - 1.80% | INTEL CORP (INTC) - 0.75% |
| #20 | TENET HEALTHCARE CORP (THC) - 1.80% | APPLIED MATERIALS INC (AMAT) - 0.70% |
| #21 | NEUROCRINE BIOSCIENCES INC (NBIX) - 1.79% | CISCO SYSTEMS INC (CSCO) - 0.68% |
| #22 | RESMED INC (RMD) - 1.79% | MASTERCARD INC CLASS A (MA) - 0.66% |
| #23 | INCYTE CORP (INCY) - 1.78% | ABBVIE INC (ABBV) - 0.66% |
| #24 | ELEVANCE HEALTH INC (ELV) - 1.77% | CATERPILLAR INC (CAT) - 0.65% |
| #25 | ASCENDIS PHARMA AS (ASND) - 1.76% | LAM RESEARCH CORP (LRCX) - 0.64% |
| Total Holdings | 76 | 505 |
FXH vs SPY - Historical Returns
Returns include dividend reinvestment.
1M
Winner
FXH
+5.53%
SPY
+0.63%
3M
Winner
FXH
+9.53%
SPY
+4.46%
6M
FXH
+5.22%
Winner
SPY
+7.67%
1Y
Winner
FXH
+21.18%
SPY
+17.68%
5Y(CAGR)
FXH
+0.66%
Winner
SPY
+12.42%
10Y(CAGR)
FXH
+7.43%
Winner
SPY
+14.84%
Max(CAGR)
Winner
FXH
+10.08%
SPY
+8.44%
FXH vs SPY - Annual Returns (1999 - 2026)
Returns include dividend reinvestment.
| Year | FXH | SPY |
|---|---|---|
| 2026 | +7.64% | +8.63% |
| 2025 | +10.05% | +18.00% |
| 2024 | -0.45% | +25.59% |
| 2023 | -4.09% | +26.72% |
| 2022 | -11.08% | -18.64% |
| 2021 | +16.28% | +30.52% |
| 2020 | +28.00% | +17.28% |
| 2019 | +24.04% | +31.09% |
| 2018 | -2.85% | -5.24% |
| 2017 | +20.62% | +20.78% |
| 2016 | -3.57% | +13.59% |
| 2015 | -0.05% | +1.31% |
| 2014 | +26.00% | +14.56% |
| 2013 | +44.68% | +29.00% |
| 2012 | +19.68% | +14.17% |
| 2011 | +4.62% | +0.85% |
| 2010 | +17.01% | +13.14% |
| 2009 | +48.93% | +22.67% |
| 2008 | -28.44% | -36.25% |
| 2007 | +1.50% | +5.32% |
| 2006 | N/A | +13.85% |
| 2005 | N/A | +5.32% |
| 2004 | N/A | +10.75% |
| 2003 | N/A | +24.18% |
| 2002 | N/A | -22.42% |
| 2001 | N/A | -10.13% |
| 2000 | N/A | -8.84% |
| 1999 | N/A | +8.61% |
FXH vs SPY Drawdown Comparison
The maximum drawdown for FXH was -43.70%, occurring on Nov 20, 2008. Recovery took 549 trading sessions.
The maximum drawdown for SPY was -55.20%, occurring on Mar 9, 2009. Recovery took 1224 trading sessions.
The current FXH drawdown is -2.94%. The current SPY drawdown is -2.57%.
| Rank | FXH | SPY |
|---|---|---|
| #1 | -43.70% Oct 10, 2007 - Dec 14, 2009 | -55.20% Oct 9, 2007 - Aug 16, 2012 |
| #2 | -30.61% Feb 19, 2020 - May 28, 2020 | -47.50% Mar 24, 2000 - Oct 26, 2006 |
| #3 | -29.49% Sep 3, 2021 - Jul 2, 2026 | -33.70% Feb 19, 2020 - Aug 10, 2020 |
| #4 | -29.42% Jul 17, 2015 - Jan 2, 2018 | -24.50% Jan 3, 2022 - Dec 13, 2023 |
| #5 | -24.59% Sep 28, 2018 - Dec 23, 2019 | -19.34% Sep 20, 2018 - Apr 12, 2019 |
| #6 | -22.08% Jul 7, 2011 - Mar 26, 2012 | -18.76% Feb 19, 2025 - Jun 26, 2025 |
| #7 | -13.28% Mar 23, 2010 - Oct 28, 2010 | -13.02% Jul 20, 2015 - Apr 18, 2016 |
| #8 | -11.86% Jan 29, 2018 - Jun 12, 2018 | -10.10% Jan 26, 2018 - Aug 6, 2018 |
| #9 | -10.56% Mar 4, 2014 - Jun 20, 2014 | -9.44% Sep 2, 2020 - Nov 11, 2020 |
| #10 | -9.98% Feb 12, 2021 - Apr 16, 2021 | -9.30% Jan 19, 2000 - Mar 17, 2000 |
| #11 | -8.24% Aug 5, 2020 - Oct 7, 2020 | -9.05% Jul 19, 2007 - Oct 5, 2007 |
| #12 | -8.24% May 2, 2012 - Sep 4, 2012 | -8.88% Jan 27, 2026 - Apr 14, 2026 |
| #13 | -8.21% Oct 4, 2012 - Jan 7, 2013 | -8.41% Jul 16, 2024 - Sep 19, 2024 |
| #14 | -7.41% Sep 24, 2014 - Oct 24, 2014 | -7.35% Sep 14, 2012 - Jan 2, 2013 |
| #15 | -7.03% Jan 19, 2010 - Mar 2, 2010 | -7.27% Sep 18, 2014 - Oct 31, 2014 |
Correlation
Correlation between FXH and SPY is 0.90 which considered as a very strong positive correlation - the stocks move almost identically together.
0.90
-101
Dividend Comparison (1999 - 2026)
FXH vs SPY dividend yield comparison.
| Year | FXH | SPY |
|---|---|---|
| 2026 | 0.25% | 0.50% |
| 2025 | 0.75% | 1.07% |
| 2024 | 0.41% | 1.21% |
| 2023 | 0.24% | 1.40% |
| 2022 | 0.20% | 1.65% |
| 2021 | 0.00% | 1.20% |
| 2020 | 0.00% | 1.52% |
| 2019 | 0.00% | 1.75% |
| 2018 | 0.00% | 2.04% |
| 2017 | 0.00% | 1.80% |
| 2016 | 0.00% | 2.03% |
| 2015 | 0.00% | 2.06% |
| 2014 | 0.00% | 1.87% |
| 2013 | 0.01% | 1.81% |
| 2012 | 0.43% | 2.18% |
| 2011 | 0.12% | 2.05% |
| 2010 | 0.11% | 1.80% |
| 2009 | 0.00% | 1.95% |
| 2008 | 0.00% | 3.02% |
| 2007 | 0.00% | 1.85% |
| 2006 | 0.00% | 1.73% |
| 2005 | 0.00% | 1.73% |
| 2004 | 0.00% | 1.82% |
| 2003 | 0.00% | 1.47% |
| 2002 | 0.00% | 1.70% |
| 2001 | 0.00% | 1.25% |
| 2000 | 0.00% | 1.15% |
| 1999 | 0.00% | 0.24% |
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