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FXHvsTMEDETF Comparison

ETF 1
FXH

First Trust Health Care AlphaDEX Fund ETF

This fund is part of
US Health Care
-2%
Full FXH fund page
VS
ETF 2
TMED

T. Rowe Price Health Care ETF

This fund is part of
US Health Care
-2%
Full TMED fund page

First Trust Health Care AlphaDEX Fund ETF (FXH) and T. Rowe Price Health Care ETF (TMED) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. FXH is more expensive with a Total Expense Ratio (TER) of 0.61%, versus 0.44% for TMED. FXH is down -4.88% year-to-date (YTD) with -$40M in YTD flows. TMED performs better with -0.34% YTD performance, and +$3M in YTD flows. Run a side-by-side ETF comparison of FXH and TMED below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.

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FXH vs TMED performance and flow charts

Performance

-6.0-4.0-2.00.02.04.0%Feb 11Feb 19Feb 26Mar 5Mar 12

Cumulative Flows

-15 M-10 M-5 M0 MFeb 11Feb 19Feb 26Mar 5Mar 12

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Historic performance and flows
Data as of 03/12/2026
1M3MYTD1Y3Y5Y
Perf.
FXH
TMED
-4.48%+0.34%
-5.96%+0.27%
-4.88%-0.34%
+5.66%n/a
+6.29%n/a
+2.41%n/a
Flows
FXH
TMED
-$17M+$1M
-$40M+$3M
-$40M+$3M
-$160M-
-$708M-
-$511M-
Volatility and drawdown
3M1Y3Y5Y
Volatility
FXH
TMED
+13.98%+16.51%
+18.35%n/a
+15.06%n/a
+16.53%n/a
Max drawdown
FXH
TMED
-9.26%-7.14%
-11.60%n/a
-18.79%n/a
-29.40%n/a
Max drawdown duration
FXH
TMED
64d48d
143dn/a
490dn/a
1648dn/a
Trading data

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FXH
TMED
Last sale
3/13/2026 at 1:30 PM
$107.94
$28.63
Previous close
03/12/2026
$108.23
$28.71
Consolidated volume
03/12/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of February 27, 2026
1-year trailing difference

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TMED
is actively managed and doesn’t replicate an index

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FXH
TMED
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 3/13/2026 at 1:30 PM
Live
Closed
FXH
TMED
Last price
$107.94
$28.63
1D performance
-0.27%
-0.25%
AuM$854.71 M$19.23 M
E/R0.61%0.44%
Characteristics
FXH
TMED
Management strategyPassiveActive
ProviderFirst TrustT. Rowe Price
BenchmarkStrataQuant Health Care Index-
N° of holdings7174
Asset classEquities-
Trailing 12m distribution yield
Join
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Inception dateMay 8, 2007June 11, 2025
ESGNoNo
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Exposure

Countries

FXH
USA
94.66%
Other
5.34%
TMED
USA
85.25%
Other
14.75%

Sectors

FXH
Health Care
93.03%
Other
6.97%
TMED
Health Care
86.52%
Other
13.48%
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Diversification

FXH

Total weight of top 15 holdings out of 15

33.8%
TMED

Total weight of top 15 holdings out of 15

56.46%

Top 15 holdings

Data as of January 31, 2026
FXH
ORGANON & CO
2.64%
PFIZER
2.36%
CARDINAL HEALTH
2.32%
IONIS PHARMACEUTICALS INC
2.32%
HCA HEALTHCARE
2.32%
MOLINA HLTHCRE
2.30%
MEDPACE HOLDINGS INC
2.30%
BIOGEN INC
2.27%
INCYTE
2.25%
NATERA
2.24%
US83444M1018
2.15%
LILLY
2.14%
ACADIA HEALTHCARE COMPANY
2.10%
UNIVERSAL HEALTH SERVICES
2.05%
PENUMBRA
2.04%
TMED
LILLY
15.36%
UNITEDHEALTH GRP
6.90%
GILEAD SCIENCES
4.56%
ABBOTT LABS
4.23%
THERMO FISHER SCIENTIFIC
3.98%
DANAHER
3.15%
BECTON DICKINSON AND CO
2.59%
ELANCO ANIMAL HEALTH INC
2.53%
CYTOKINETICS
2.50%
MEDTRONIC PLC
2.22%
ERASCA
1.89%
AMERISOURCEBERGEN
1.78%
STRYKER
1.67%
ARCELLX
1.57%
DYNE THERAPEUTICS INC
1.53%
Frequently asked questions about FXH and TMED

How have the FXH and TMED ETFs performed in 2026?

As of March 12, 2026, FXH is down -4.88% year-to-date (YTD), while TMED has lost -0.34%. That puts TMED better performer ahead so far this year.

Which ETF is attracting more investor money: FXH or TMED?

Year-to-date, the FXH ETF saw -$40M in flows, compared to +$3M for TMED.

Which ETF is bigger: FXH or TMED?

As of March 12, 2026, FXH holds $854.71 M in assets under management (AUM), while TMED manages $19.23 M.

What sectors do the FXH and TMED ETFs invest in?

FXH leans toward sectors like Health Care. Meanwhile, TMED focuses on Health Care.

What are the top holdings of the FXH ETF and TMED ETF?

FXH top holdings include ORGANON & CO, PFIZER and CARDINAL HEALTH. TMED holds in its top three: LILLY, UNITEDHEALTH GRP and GILEAD SCIENCES.

Which ETF is more diversified: FXH or TMED?

FXH holds 75 securities with 33.8% of its assets in the top 15. TMED has 80 securities and a top 15 weight of 56.46%.

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