Is the first excited state of the $alpha$-particle a breathing mode?

The isoscalar monopole excitation of 4He is studied within a few-body ab initio approach. We consider the transition density to the low-lying and narrow 0+ resonance, as well as various sum rules and the strength energy distribution itself at different momentum transfers q. Realistic nuclear forces of chiral and phenomenological nature are employed. Various indications for a collective breathing mode are found: i) the specific shape of the transition density, ii) the high degree of exhaustion of the non-energy-weighted sum rule at low q and iii) the complete dominance of the resonance peak in the excitation spectrum. For the incompressibility K of the alpha-particle values between 20 and 30 MeV are found.