MDEV vs. FXH

Last updated Aug 4, 2026

MDEV (First Trust Indxx Medical Devices ETF) and FXH (First Trust Health Care AlphaDEX Fund) are both Health & Biotech Equities funds from First Trust - MDEV tracks the Indxx Global Medical Equipment Index while FXH tracks the StrataQuant Health Care Index. Both are passively managed. Over the past 5 years, MDEV returned -5.05%/yr vs 1.03%/yr for FXH. Their correlation of 0.83 means they have usually moved in the same direction. MDEV charges 0.70%/yr vs 0.61%/yr for FXH.

Performance

MDEV vs. FXH - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in First Trust Indxx Medical Devices ETF (MDEV) and First Trust Health Care AlphaDEX Fund (FXH). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, MDEV achieves a -1.23% return, which is significantly lower than FXH's 12.75% return.

MDEV

• 1D: 2.23%
• 1M: 4.66%
• 6M: -0.70%
• YTD: -1.23%
• 1Y: 5.18%
• 3Y*: 0.95%
• 5Y*: -5.05%
• 10Y*: —
• ALL TIME*: -3.86%

FXH

• 1D: 0.72%
• 1M: 1.42%
• 6M: 11.87%
• YTD: 12.75%
• 1Y: 30.98%
• 3Y*: 7.54%
• 5Y*: 1.03%
• 10Y*: 7.76%
• ALL TIME*: 10.27%

*Multi-year figures are annualized to reflect compound growth (CAGR)

Liquidity Comparison

Position	Avg. Volume Value (2W)	Avg. Volume Value (1M)	Avg. Volume Value (3M)
FXH First Trust Health Care AlphaDEX Fund	$8.23M	$7.53M	$5.49M
MDEV First Trust Indxx Medical Devices ETF	$145.59K	$80.86K	$64.49K

MDEV vs. FXH - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021
MDEV First Trust Indxx Medical Devices ETF	-1.23%	2.00%	1.79%	7.55%	-28.59%	3.83%
FXH First Trust Health Care AlphaDEX Fund	12.75%	10.16%	0.96%	-4.53%	-12.24%	6.34%

Correlation

The correlation between MDEV and FXH is 0.78, which is moderate. They have sometimes moved together and sometimes differently, sharing some price drivers without tracking each other closely.

	Correlation
Correlation (1Y) Focuses on recent behavior, but can change the most.	0.78
Correlation (3Y) Balances recent behavior with more history.	0.80
Correlation (5Y) Shows whether the relationship held over a longer period.	0.83
Correlation (All Time) Calculated using the full available price history since Jun 23, 2021	0.83

The correlation between MDEV and FXH has been stable across timeframes, ranging from 0.78 to 0.83 - a consistent structural relationship.

MDEV vs. FXH - Sectors Allocation Comparison

Sectors	MDEV	FXH
Healthcare	100.0%	97.3%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Financial Services	-	-
Industrials	-	-
Real Estate	-	-
Technology	-	1.4%
Utilities	-	-

Return for Risk

MDEV vs. FXH — Risk / Return Rank

Compare historical risk-adjusted metric ranks over the past 12 months.

MDEV

MDEV Risk / Return Rank: 16
MDEV Sharpe Ratio Rank: 18
MDEV Sortino Ratio Rank: 17
MDEV Omega Ratio Rank: 17
MDEV Calmar Ratio Rank: 15
MDEV Martin Ratio Rank: 15

FXH

FXH Risk / Return Rank: 74
FXH Sharpe Ratio Rank: 79
FXH Sortino Ratio Rank: 83
FXH Omega Ratio Rank: 75
FXH Calmar Ratio Rank: 69
FXH Martin Ratio Rank: 63

The rank (0–100) uses a weighted average of the Sharpe, Sortino, Omega, Calmar, and Martin percentile ranks for the trailing 12 months. Higher means stronger historical risk-adjusted performance within the peer group.

MDEV vs. FXH - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for First Trust Indxx Medical Devices ETF (MDEV) and First Trust Health Care AlphaDEX Fund (FXH). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	MDEV	FXH	Difference
Sharpe ratio: Return per unit of total volatility	0.32	1.92	-1.60
Sortino ratio: Return per unit of downside risk	0.58	2.87	-2.29
Omega ratio: Gain probability vs. loss probability	1.06	1.33	-0.27
Calmar ratio: Return relative to maximum drawdown	0.29	2.55	-2.26
Martin ratio: Return relative to average drawdown	0.61	7.98	-7.36

MDEV vs. FXH - Sharpe Ratio Comparison

The current MDEV Sharpe Ratio is 0.32, which is lower than the FXH Sharpe Ratio of 1.92. The chart below compares the historical Sharpe Ratios of MDEV and FXH, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

MDEV vs. FXH - Drawdown Comparison

The maximum MDEV drawdown since its inception was -42.34%, roughly equal to the maximum FXH drawdown of -43.70%. Use the drawdown chart below to compare losses from any high point for MDEV and FXH.

Drawdown Indicators

	MDEV	FXH	Difference
Max Drawdown Largest peak-to-trough decline	-42.34%	-43.70%	+1.36%
Max Drawdown (1Y) Largest decline over 1 year	-18.13%	-12.20%	-5.93%
Max Drawdown (3Y) Largest decline over 3 years	-20.43%	-17.53%	-2.90%
Max Drawdown (5Y) Largest decline over 5 years	-42.34%	-29.49%	-12.85%
Max Drawdown (10Y) Largest decline over 10 years	—	-30.61%	—
Current Drawdown Current decline from peak	-26.08%	-0.24%	-25.84%
Average Drawdown Average peak-to-trough decline	-25.80%	-9.41%	-16.39%
Ulcer Index Depth and duration of drawdowns from previous peaks	8.46%	3.89%	+4.57%

Volatility

MDEV vs. FXH - Volatility Comparison

First Trust Indxx Medical Devices ETF (MDEV) has a higher volatility of 5.71% compared to First Trust Health Care AlphaDEX Fund (FXH) at 4.86%. This indicates that MDEV's price experiences larger fluctuations and is considered to be riskier than FXH based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	MDEV	FXH	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.71%	4.86%	+0.85%
Volatility (6M) Calculated over the trailing 6-month period	12.98%	12.08%	+0.90%
Volatility (1Y) Calculated over the trailing 1-year period	16.53%	16.25%	+0.28%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	19.15%	16.72%	+2.43%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.99%	18.51%	+0.48%

MDEV vs. FXH - Expense Ratio Comparison

MDEV has a 0.70% expense ratio, which is higher than FXH's 0.61% expense ratio.

Dividends

MDEV vs. FXH - Dividend Comparison

MDEV's dividend yield for the trailing twelve months is around 0.10%, less than FXH's 0.80% yield.

Position	TTM	2025	2024	2023	2022
FXH First Trust Health Care AlphaDEX Fund	0.80%	0.75%	0.41%	0.24%	0.20%
MDEV First Trust Indxx Medical Devices ETF	0.10%	0.00%	0.00%	0.00%	0.00%

Frequently Asked Questions

Can I hold both MDEV and FXH in my portfolio?

MDEV and FXH have a correlation of 0.78, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, MDEV or FXH?

MDEV has higher volatility (5.71%) compared to FXH (4.86%). In terms of maximum drawdown, MDEV dropped -42.34% vs FXH's -43.70%.

Which ETF is better, MDEV or FXH?

On 5-year performance, FXH leads with 1.03% vs -5.05% for MDEV. On fees, FXH is cheaper at 0.61% per year. On volatility, FXH has been the lower-risk option at 4.86%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, MDEV or FXH?

Over the 5-year period, FXH has performed better with a 1.03% return vs -5.05%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, MDEV or FXH?

FXH is cheaper with a 0.61% expense ratio, compared with 0.70% for MDEV.

Which ETF pays a higher dividend yield, MDEV or FXH?

FXH has the higher dividend yield at 0.80%, compared with 0.10% for MDEV.

What is the main difference between MDEV and FXH?

MDEV tracks Indxx Global Medical Equipment Index, while FXH tracks StrataQuant Health Care Index. Their fees differ too: 0.70% for MDEV and 0.61% for FXH.

Which has better risk-adjusted returns?

FXH currently has the higher Sharpe Ratio (1.92 vs 0.32), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.