MDEVvsFXHETF Comparison
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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 1 sector exposures: Healthcare. MDEV is more expensive with a Total Expense Ratio (TER) of 0.7%, versus 0.61% for FXH. MDEV is down -2.08% year-to-date (YTD) with +$994K in YTD flows. FXH performs better with 15.43% YTD performance, and +$65M 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
Cumulative Flows
Historic performance and flows
Data as of 09/15/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | MDEV FXH | -3.05%-0.15% | +9.45%+11.64% | -2.08%+15.43% | +1.29%+22.10% | +9.38%+31.90% | -25.22%+6.85% |
| Flows | MDEV FXH | -+$20M | +$994K+$132M | +$994K+$65M | +$994K+$44M | +$767K-$498M | -$24M-$437M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | MDEV FXH | +17.32%+15.93% | +16.31%+15.53% | +16.40%+15.64% | +19.25%+16.94% |
| Max drawdown | MDEV FXH | -6.88%-4.40% | -18.07%-12.07% | -20.26%-17.66% | -41.66%-28.28% |
| Max drawdown duration | MDEV FXH | 23d21d | 252d168d | 593d395d | 1818d1742d |
Trading data
MDEV | FXH | |
Last sale 9/16/2026 at 1:30 PM | $20.44 | $131.00 |
| Previous close 09/16/2026 | $20.38 | $130.88 |
| Consolidated volume 09/16/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of August 31, 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 9/16/2026 at 1:30 PM
Live
Closed
MDEV | FXH | |
|---|---|---|
| Last price | $20.44 | $131.00 |
| 1D performance | +0.27% | +0.09% |
| AuM | $3.09 M | $1.14 B |
| E/R | 0.7% | 0.61% |
Characteristics
MDEV | FXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | First Trust |
| Benchmark | Indxx Global Medical Equipment Index | StrataQuant Health Care Index |
| N° of holdings | 47 | 72 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 23, 2021 | May 8, 2007 |
| ESG | No | No |
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Exposure
Countries
MDEV
USA
55.07%
Japan
8.74%
Other
36.19%
FXH
USA
93.07%
Other
6.93%
Sectors
MDEV
Healthcare
95.98%
Other
4.02%
FXH
Healthcare
98.24%
Other
1.76%
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Diversification
MDEV
Total weight of top 15 holdings out of 15
37.67%
FXH
Total weight of top 15 holdings out of 15
35.54%
Top 15 holdings
Data as of July 31, 2026
MDEV
WuXi AppTec Co., Ltd.
2.91%
Baxter International, Inc.
2.82%
Demant A/S
2.62%
DexCom, Inc.
2.57%
Olympus Corp.
2.55%
Sysmex Corp.
2.54%
Revvity, Inc.
2.53%
West Pharmaceutical Services, Inc.
2.51%
Agilent Technologies, Inc.
2.48%
Bio-Rad Laboratories, Inc.
2.46%
Merit Medical Systems, Inc.
2.42%
Sonova Holding AG
2.38%
Waters Corp.
2.31%
Thermo Fisher Scientific, Inc.
2.29%
LivaNova Plc
2.28%
FXH
Regeneron Pharmaceuticals, Inc.
2.85%
Natera, Inc.
2.57%
Universal Health Services, Inc.
2.50%
Boston Scientific Corp.
2.49%
Pfizer Inc.
2.48%
Zimmer Biomet Holdings, Inc.
2.47%
Solventum Corp.
2.47%
Guardant Health, Inc.
2.41%
Tenet Healthcare Corp.
2.34%
Globus Medical, Inc.
2.33%
Corcept Therapeutics, Inc.
2.24%
Halozyme Therapeutics, Inc.
2.18%
Centene Corp.
2.15%
The Cigna Group
2.14%
Encompass Health Corp.
1.92%
Frequently asked questions about MDEV and FXH
How have the MDEV and FXH ETFs performed in 2026?
As of September 15, 2026, MDEV is down -2.08% year-to-date (YTD), while FXH has returned 15.43%. 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 +$994K in flows, compared to +$65M for FXH.
Which ETF is more volatile: MDEV or FXH?
Over the past year, MDEV had a volatility of 16.31%, while FXH experienced 15.53%.
Which ETF is bigger: MDEV or FXH?
As of September 15, 2026, MDEV holds $3.09 M in assets under management (AUM), while FXH manages $1.14 B.
What sectors do the MDEV and FXH ETFs invest in?
MDEV leans toward sectors like Healthcare. Meanwhile, FXH focuses on Healthcare.
What are the top holdings of the MDEV ETF and FXH ETF?
MDEV top holdings include WuXi AppTec Co., Ltd., Baxter International, Inc. and Demant A/S. FXH holds in its top three: Regeneron Pharmaceuticals, Inc., Natera, Inc. and Universal Health Services, Inc..
Which ETF is more diversified: MDEV or FXH?
MDEV holds 47 securities with 37.67% of its assets in the top 15. FXH has 72 securities and a top 15 weight of 35.54%.
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