FXHvsTMEDETF Comparison
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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 up 1.69% year-to-date (YTD) with -$49M in YTD flows. TMED performs better with 6.74% YTD performance, and +$4M 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
Cumulative Flows
Historic performance and flows
Data as of 06/19/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH TMED | +1.69%+5.19% | +8.07%+11.48% | +1.69%+6.74% | +14.62%+31.08% | +9.05%n/a | +1.05%n/a |
| Flows | FXH TMED | +$23M+$778K | -$4M+$743K | -$49M+$4M | -$106M+$8M | -$670M- | -$527M- |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH TMED | +16.99%+20.52% | +15.77%+18.04% | +15.25%n/a | +16.72%n/a |
| Max drawdown | FXH TMED | -3.04%-5.14% | -12.07%-11.09% | -17.66%n/a | -29.40%n/a |
| Max drawdown duration | FXH TMED | 5d31d | 163d125d | 395dn/a | 1747dn/a |
Trading data
FXH | TMED | |
Last sale 6/18/2026 at 1:30 PM | $115.45 | $31.73 |
| Previous close 06/18/2026 | $115.94 | $31.60 |
| Consolidated volume 06/18/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 2026
1-year trailing difference
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TMED
is actively managed and doesn’t replicate an indexFXH | 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 6/18/2026 at 1:30 PM
Live
Closed
FXH | TMED | |
|---|---|---|
| Last price | $115.45 | $31.73 |
| 1D performance | -0.42% | +0.39% |
| AuM | $900.56 M | $21.38 M |
| E/R | 0.61% | 0.44% |
Characteristics
FXH | TMED | |
|---|---|---|
| Management strategy | Passive | Active |
| Provider | First Trust | T. Rowe Price |
| Benchmark | StrataQuant Health Care Index | - |
| N° of holdings | 71 | 74 |
| Asset class | Equities | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 8, 2007 | June 11, 2025 |
| ESG | No | No |
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Exposure
Countries
FXH
USA
95.62%
Other
4.38%
TMED
USA
85.53%
Other
14.47%
Sectors
FXH
Health Care
91.9%
Other
8.1%
TMED
Health Care
87.36%
Other
12.64%
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Diversification
FXH
Total weight of top 15 holdings out of 15
35.71%
TMED
Total weight of top 15 holdings out of 15
53.6%
Top 15 holdings
Data as of April 30, 2026
FXH
ORGANON & CO
3.85%
HUMANA
2.93%
ELEVANCE HEALTH INC
2.76%
MOLINA HLTHCRE
2.51%
GLOBUS MEDICAL
2.30%
CIGNA
2.30%
INCYTE
2.24%
US83444M1018
2.22%
BIOGEN INC
2.22%
EXELIXIS
2.21%
DAVITA INC
2.14%
UNIVERSAL HEALTH SERVICES
2.03%
CARDINAL HEALTH
2.01%
BIO RAD LABORATORIES
2.00%
ZIMMER BIOMET HOLDINGS INC
1.99%
TMED
LILLY
14.29%
UNITEDHEALTH GRP
8.22%
GILEAD SCIENCES
4.61%
THERMO FISHER SCIENTIFIC
4.23%
ABBOTT LABS
3.82%
DANAHER
2.60%
STRYKER
2.08%
HUMANA
1.91%
DYNE THERAPEUTICS INC
1.79%
WEST PHARM SVCS
1.75%
ALNYLAM PHARMACEUTICALS
1.75%
BOSTON SCIENTIFIC
1.72%
WATERS
1.64%
AGILENT TECHNOLOGIES
1.63%
MEDTRONIC PLC
1.56%
Frequently asked questions about FXH and TMED
How have the FXH and TMED ETFs performed in 2026?
As of June 19, 2026, FXH is up 1.69% year-to-date (YTD), while TMED has returned 6.74%. 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 -$49M in flows, compared to +$4M for TMED.
Which ETF is more volatile: FXH or TMED?
Over the past year, FXH had a volatility of 15.77%, while TMED experienced 18.04%.
Which ETF is bigger: FXH or TMED?
As of June 19, 2026, FXH holds $900.56 M in assets under management (AUM), while TMED manages $21.38 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, HUMANA and ELEVANCE HEALTH INC. TMED holds in its top three: LILLY, UNITEDHEALTH GRP and GILEAD SCIENCES.
Which ETF is more diversified: FXH or TMED?
FXH holds 76 securities with 35.71% of its assets in the top 15. TMED has 79 securities and a top 15 weight of 53.6%.
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