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MDEVvsFXHETF Comparison

ETF 1
MDEV

First Trust Indxx Medical Devices ETF

This fund is part of
Healthcare Technology
+0%
VS
ETF 2
FXH

First Trust Health Care AlphaDEX Fund ETF

This fund is part of
US Health Care
+0%

First Trust Indxx Medical Devices ETF (MDEV) belongs to the Healthcare Technology segment. First Trust Health Care AlphaDEX Fund ETF (FXH) is part of the US Health Care segment. Both ETFs have the same top 3 sector exposures: and Health Care. MDEV is more expensive with a Total Expense Ratio (TER) of 0.7%, versus 0.61% for FXH. MDEV is down -11.2% year-to-date (YTD) with - in YTD flows. FXH performs better with -1.02% YTD performance, and -$56M in YTD flows. Run a side-by-side ETF comparison of MDEV and FXH 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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MDEV vs FXH performance and flow charts

Performance

0.02.04.06.08.0%Mar 30Apr 7Apr 14Apr 21Apr 28

Cumulative Flows

-5 M-4 M-3 M-2 M-1 M0 MMar 30Apr 7Apr 14Apr 21Apr 28

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

Historic performance and flows
Data as of 04/28/2026
1M3MYTD1Y3Y5Y
Perf.
MDEV
FXH
+0.21%+6.72%
-11.20%-2.22%
-11.20%-1.02%
-6.36%+14.25%
-11.36%+4.49%
n/a-1.02%
Flows
MDEV
FXH
-+$354K
--$62M
--$56M
+$0K-$118M
-$228K-$713M
--$500M
Volatility and drawdown
3M1Y3Y5Y
Volatility
MDEV
FXH
+16.66%+17.09%
+15.79%+16.22%
+15.87%+15.23%
n/a+16.68%
Max drawdown
MDEV
FXH
-11.47%-9.86%
-14.75%-12.07%
-22.71%-17.89%
n/a-29.40%
Max drawdown duration
MDEV
FXH
90d58d
112d111d
307d331d
n/a1695d
Trading data

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MDEV
FXH
Last sale
4/30/2026 at 1:30 PM
$18.52
$112.93
Previous close
04/29/2026
$18.14
$111.91
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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MDEV
FXH
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 4/30/2026 at 1:30 PM
Live
Closed
MDEV
FXH
Last price
$18.52
$112.93
1D performance
+2.10%
+0.91%
AuM$1.87 M$870.97 M
E/R0.7%0.61%
Characteristics
MDEV
FXH
Management strategyPassivePassive
ProviderFirst TrustFirst Trust
BenchmarkIndxx Global Medical Equipment IndexStrataQuant Health Care Index
N° of holdings4771
Asset classEquitiesEquities
Trailing 12m distribution yield
Join
Join
Inception dateJune 23, 2021May 8, 2007
ESGNoNo
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Exposure

Countries

MDEV
USA
60.07%
Japan
7.84%
Other
32.09%
FXH
USA
95.47%
Other
4.53%

Sectors

MDEV
Health Care
93.19%
Other
6.81%
FXH
Health Care
93.76%
Other
6.24%

Diversification

MDEV

Total weight of top 15 holdings out of 15

37.53%
FXH

Total weight of top 15 holdings out of 15

35.37%

Top 15 holdings

Data as of March 31, 2026
MDEV
GLOBUS MEDICAL
3.36%
ALIGN TECHNOLOGY
2.98%
PENUMBRA
2.74%
MASIMO
2.67%
HOYA
2.67%
WATERS
2.43%
HOLOGIC
2.42%
WUXI APPTEC CO LTD
2.39%
EDWARDS LIFESCIENCES
2.38%
INTUITIVE SURGICAL
2.33%
ALCON INC
2.27%
US2166485019
2.26%
FISHER PAYKEL
2.23%
METTLER TOLEDO
2.20%
US36266G1076
2.20%
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%
Frequently asked questions about MDEV and FXH

How have the MDEV and FXH ETFs performed in 2026?

As of April 28, 2026, MDEV is down -11.2% year-to-date (YTD), while FXH has lost -1.02%. That puts FXH better performer ahead so far this year.

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

Year-to-date, the MDEV ETF saw - in flows, compared to -$56M for FXH.

Which ETF is more volatile: MDEV or FXH?

Over the past year, MDEV had a volatility of 15.79%, while FXH experienced 16.22%.

Which ETF is bigger: MDEV or FXH?

As of April 28, 2026, MDEV holds $1.87 M in assets under management (AUM), while FXH manages $870.97 M.

What sectors do the MDEV and FXH ETFs invest in?

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

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

MDEV top holdings include GLOBUS MEDICAL, ALIGN TECHNOLOGY and PENUMBRA. FXH holds in its top three: ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER.

Which ETF is more diversified: MDEV or FXH?

MDEV holds 48 securities with 37.53% of its assets in the top 15. FXH has 75 securities and a top 15 weight of 35.37%.

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