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FXHvsTMEDETF Comparison

ETF 1

FXH

First Trust Health Care AlphaDEX Fund ETF

This fund is part of

US Health Care

+0%

Full FXH fund page

VS

ETF 2

TMED

T. Rowe Price Health Care ETF

This fund is part of

US Health Care

+0%

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 -1.02% year-to-date (YTD) with -$56M in YTD flows. TMED performs better with -0.4% 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

Cumulative Flows

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Data Services

Historic performance and flows

Data as of 04/28/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	FXH TMED	+6.72%+6.75%	-2.22%-0.47%	-1.02%-0.40%	+14.25%n/a	+4.49%n/a	-1.02%n/a
Flows	FXH TMED	+$354K-$41K	-$62M+$3M	-$56M+$3M	-$118M-	-$713M-	-$500M-

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	FXH TMED	+17.09%+20.74%	+16.22%n/a	+15.23%n/a	+16.68%n/a
Max drawdown	FXH TMED	-9.86%-9.37%	-12.07%n/a	-17.89%n/a	-29.40%n/a
Max drawdown duration	FXH TMED	58d46d	111dn/a	331dn/a	1695dn/a

Trading data

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	FXH	TMED
Last sale 4/30/2026 at 1:30 PM	$112.93	$30.01
Previous close 04/29/2026	$111.91	$29.19
Consolidated volume 04/29/2026
Average volume 30 days
Average discount or premium 30 days
Average Bid/Ask spread 30 days

Replication quality

Data as of April 28, 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

Main metrics

Last update 4/30/2026 at 1:30 PM

Live

Closed

	FXH	TMED
Last price	$112.93	$30.01
1D performance	+0.91%	+2.81%
AuM	$870.97 M	$19.21 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	76
Asset class	Equities	-
Trailing 12m distribution yield	Join	Join
Inception date	May 8, 2007	June 11, 2025
ESG	No	No

More FXH data on Trackinsight

More TMED data on Trackinsight

Exposure

Countries

FXH

USA

95.47%

Other

4.53%

TMED

USA

82.66%

Other

17.34%

Sectors

FXH

Health Care

93.76%

Other

6.24%

TMED

Health Care

85.09%

Other

14.91%

Diversification

FXH

Total weight of top 15 holdings out of 15

35.37%

TMED

Total weight of top 15 holdings out of 15

52.88%

Top 15 holdings

Data as of March 31, 2026

FXH

ACADIA HEALTHCARE COMPANY

3.83%

APELLIS PHARMACEUTICALS

2.95%

PFIZER

2.63%

BIOGEN INC

2.40%

CARDINAL HEALTH

2.37%

HCA HEALTHCARE

2.33%

INCYTE

2.19%

IONIS PHARMACEUTICALS INC

2.18%

INSMED

2.17%

UTD THERAPEUT

2.15%

MERCK & CO INC

2.11%

NATERA

2.04%

LILLY

2.04%

MEDPACE HOLDINGS INC

2.00%

AMGEN-T

1.98%

TMED

LILLY

14.48%

UNITEDHEALTH GRP

6.54%

THERMO FISHER SCIENTIFIC

4.59%

GILEAD SCIENCES

4.14%

ABBOTT LABS

3.91%

DANAHER

2.73%

MEDTRONIC PLC

2.24%

ALNYLAM PHARMACEUTICALS

2.06%

STRYKER

2.00%

DYNE THERAPEUTICS INC

1.88%

WATERS

1.75%

BECTON DICKINSON AND CO

1.71%

AGILENT TECHNOLOGIES

1.69%

ELANCO ANIMAL HEALTH INC

1.59%

HUMANA

1.57%

Frequently asked questions about FXH and TMED

How have the FXH and TMED ETFs performed in 2026?

As of April 28, 2026, FXH is down -1.02% year-to-date (YTD), while TMED has lost -0.4%. 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 -$56M in flows, compared to +$3M for TMED.

Which ETF is bigger: FXH or TMED?

As of April 28, 2026, FXH holds $870.97 M in assets under management (AUM), while TMED manages $19.21 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 ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER. TMED holds in its top three: LILLY, UNITEDHEALTH GRP and THERMO FISHER SCIENTIFIC.

FXHvsTMEDETF Comparison

First Trust Health Care AlphaDEX Fund ETF

T. Rowe Price Health Care ETF

FXH vs TMED performance and flow charts

Performance

Cumulative Flows

Get all the metrics on this page, and more, through a reliable ETF data feed

Countries

Sectors

Diversification

Top 15 holdings

How have the FXH and TMED ETFs performed in 2026?

As of April 28, 2026, FXH is down -1.02% year-to-date (YTD), while TMED has lost -0.4%. 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 -$56M in flows, compared to +$3M for TMED.

Which ETF is bigger: FXH or TMED?

As of April 28, 2026, FXH holds $870.97 M in assets under management (AUM), while TMED manages $19.21 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 ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER. TMED holds in its top three: LILLY, UNITEDHEALTH GRP and THERMO FISHER SCIENTIFIC.

Which ETF is more diversified: FXH or TMED?

FXH holds 75 securities with 35.37% of its assets in the top 15. TMED has 82 securities and a top 15 weight of 52.88%.

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