First TrustSectorsHealth Care#151 of 264 by YTD

First Trust Indxx Medical Devices ETFMDEV

1D 1M 3M YTD 1Y 3Y 5Y MAX

S&P 500 Bucket avg Compare

$22.61−1.6%

−$0.36 · Nov 6 close

Buy

AUM: $3M
Fee: 0.70%
Yield: 0.1%

Bumpy · 1Y: 1.3×S&P
Volume: 1K
NAV: $22.71

What's insideAll 53 →

GEHC 2.4%PHIA.AS 2.3%TFX 2.3%SYK 2.2%

52-week range3% below the high

$17.85$23.32

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	−1.6%	+9.8%	+6.5%	+7.9%	+11.0%	+29.6%	−11.6%	−10.6%
Peer average	+0.8%	+5.8%	+2.9%	+20.5%	+29.5%	+75.3%	+27.5%	—
S&P 500 · VOO	+0.3%	−5.0%	−4.6%	+8.7%	+9.8%	+80.8%	+71.8%	—

MDEV in One Breath

MDEV Among Health Care ETFs

YTD

#1IDNAiShares+62.2%$346M

#2ARKGARK+56.9%$2.2B

#3XHSSPDR+35.4%$243M

#4BBHVanEck+33.9%$524M

#5FTXHFirst Trust+32.4%$1.2B

#6BBPVirtus+28.3%$131M

#7IHEiShares+26.8%$1.7B

#8PSCHInvesco+26.5%$181M

#29MDEVFirst Trust+7.9%$3.4M

End-of-day Nov 9, 2026 · 33 Health care ETFs by YTD

$10,000 in MDEV

$10,000 in MDEV became

$8,839

In the S&P 500 (VOO)

$17,827

Total return, dividends in · Oct 14, 2021 – Nov 6, 2026 · S&P 500 uses VOO

MDEV’s Top Holdings

Today

GEHCGE HealthCare Technologies2.4%PHIA.AS2.3%TFX2.3%SYK2.2%ZBH2.2%LIVN2.2%COH.AX2.2%MDT2.2%STE2.2%EW2.2%STMN.SW2.2%ALC.SW2.2%

Medical - DevicesMedical - InstrumentsMedical - DiagnosticsMedical - Specialties

First Trust MDEV · 50 holdings · top 22 shown · tile size = share of the fund · as of Nov 6, 2026

What MDEV Holds

Today

Medical - Devices45.2%

GEHC 2.4 · PHIA.AS 2.3 · SYK 2.2 · ZBH 2.2 · LIVN 2.2 · COH.AX 2.2 · MDT 2.2

Medical - Instruments & Supplies28.0%

TFX 2.3 · STMN.SW 2.2 · COO 2.2 · BDX 2.2 · ISRG 2.1 · AFX.DE 2.0 · WST 2.0

Medical - Diagnostics & Research15.3%

BIM.PA 2.1 · MTD 2.0 · WAT 1.9 · DHR 1.9 · TMO 1.9 · A 1.9 · RVTY 1.8

Medical - Specialties6.4%

STE 2.2 · ALC.SW 2.2 · 6869.T 2.0

Other holdings5.0%

[…]

First Trust MDEV · share of the fund by industry · as of Nov 6, 2026

GE’s Share of MDEV

Today

2.4%

$24 of every $1,000 in MDEV is GE

GE held by MDEV

$81K

Most GE per dollar

CSD10.2%

MVAL5.2%

HEAL4.7%

IHI4.6%

First Trust MDEV · each square = $10 of $1,000 · as of Nov 6, 2026

MDEV’s Share of Health Care ETFs

Today

0.0%

of the $110B in 39 Health care ETFs

MDEV$3.4M0.0%

XLV$49.9B45.4%

VHT$19.1B17.3%

36 others$41.1B37.3%

Health care ETF AUM · Nov 9, 2026

MDEV Fee per $100 vs Peers

Today

$0.70a year
per $100

$70 a year on $10,000

XLV$0.08

VHT$0.09

XBI$0.35

IYH$0.37

IXJ$0.38

MDEV$0.70

Expense ratio · Health care peers · Nov 9, 2026

Inside MDEV

50 holdings · as of Nov 6, 2026

MDEV

First Trust Indxx Medical Devices ETF

Today

Medical - Devices45.2%GEHC2.4%PHIA.AS2.3%SYK2.2%ZBH2.2%LIVN2.2%COH.AX2.2%MDT2.2%EW2.2%PODD2.1%SHL.DE2.1%ABT2.1%4543.T2.1%ALGN2.1%SOON.SW2.1%8 more holdings14.6% of the fundMedical - Instruments28.0%TFX2.3%STMN.SW2.2%COO2.2%BDX2.2%ISRG2.1%AFX.DE2.0%WST2.0%BAX2.0%DIM.PA1.9%RMD1.9%LMAT1.9%MMSIFPH.NZMedical - Diagnostics15.3%BIM.PA2.1%MTD2.0%WATDHRTMOA RVTYMedical - Specialties6.4%STEALC.SWOther5.0%

Medical - Devices45.2%GEHCPHIA.ASYKZBHLIVNCOH.AX16 more holdings31.6% of the fundMedical - Instruments28.0%TFXSTMN.SCOOBDXISRGAFX.DE8 moreMedical - Diagnostics15.3%BIM.PAMTDWATDHRTMOA2 moreMedical - Specialties6.4%STEALC.SWOther5.0%

#	Ticker	Company	Weight ▼
1	GEHC	GE HealthCare Technologies	2.37%
2	PHIA.AS	Koninklijke Philips	2.32%
3	TFX	Teleflex Incorporated	2.26%
4	SYK	Stryker	2.25%
5	ZBH	Zimmer Biomet	2.23%
6	LIVN	LivaNova	2.22%
7	COH.AX	Cochlear Limited	2.20%
8	MDT	Medtronic	2.20%
9	STE	Steris	2.20%
10	EW	Edwards Lifesciences	2.20%

See all 53 holdings ↓

Medical - DevicesMedical - InstrumentsMedical - DiagnosticsMedical - SpecialtiesOther

First Trust MDEV · current holdings by weight · as of Nov 6, 2026 · each tile is one holding · top 20 = 43.8%

All MDEV Holdings

53 holdings · as of Nov 6, 2026

MDEV

MDEV’s Holdings

Today

#
1	GEHCGE HealthCare Technologies	Healthcare	2.37%	$236.77	973	$81K
2	PHIA.ASKoninklijke Philips	Healthcare	2.32%	$232.00	2,623	$80K
3	TFXTeleflex Incorporated	Healthcare	2.26%	$225.90	511	$78K
4	SYKStryker	Healthcare	2.25%	$224.90	231	$77K
5	ZBHZimmer Biomet	Healthcare	2.23%	$222.91	718	$77K
6	LIVNLivaNova	Healthcare	2.22%	$221.65	837	$76K
7	—Coloplast A/S ()	—	2.21%	$221.07	980	$76K
8	COH.AXCochlear Limited	Healthcare	2.20%	$220.43	714	$76K
9	MDTMedtronic	Healthcare	2.20%	$220.24	723	$76K
10	STESteris	Healthcare	2.20%	$220.03	298	$76K
11	EWEdwards Lifesciences	Healthcare	2.20%	$219.99	751	$76K
12	STMN.SWStraumann AG (Registered)	Healthcare	2.20%	$219.81	592	$76K
13	ALC.SWAlcon	Healthcare	2.20%	$219.68	1,001	$76K
14	COOThe Cooper Companies	Healthcare	2.17%	$217.01	1,176	$75K
15	—Smith & Nephew	—	2.16%	$216.39	4,739	$74K

First Trust MDEV · every reported holding · per $10,000 = dollars of each holding in a $10,000 stake · as of Nov 6, 2026

How It Compares

MDEV

First Trust Indxx Medical Devices ETF’s Peers

YTD


XLV	SPDRRead Desk	0.08%	+20.9%	+29.0%	$49.9B
VHT	VanguardRead Desk	0.09%	+19.8%	+27.4%	$19.1B
XBI	SPDRRead Desk	0.35%	+25.0%	+40.0%	$10.0B
IYH	iSharesRead Desk	0.37%	+20.0%	+27.9%	$4.7B
IXJ	iSharesRead Desk	0.38%	+17.0%	+25.1%	$4.6B
MDEV	First TrustThis fundRead Desk	0.70%	+7.9%	+11.0%	$3M

Health care peers · YTD and past-year returns · as of Nov 9, 2026 · sorted by AUM

Head to Head

Put MDEV head to head with XLV →

XLV vs MDEV

YTD

XLVSPDR · Health careMDEVFirst Trust · Health care

Year to date

+20.9%

+7.9%

XLV wins+12.9 pts

Past year

+29.0%

+11.0%

XLV wins+18.0 pts

Fee

0.08%

0.70%

XLV winslower fee

Yield

1.4%

0.1%

XLV wins+1.3 pts

AUM

$49.9B

$3.4M

XLV14658.9× more

4–0XLV wins

SPDR XLV and First Trust MDEV · year-to-date · as of Nov 9, 2026 · AUM not scored

MDEV vs VOO

YTD

MDEV · First Trust Indxx Medical Devices

+7.9%

VOO · S&P 500

+8.7%

Gap

0.8 pts

First Trust MDEV and Vanguard VOO · YTD total return · as of Nov 9, 2026

MDEV vs Its Peer Average

YTD

MDEVAvsBPeer average

1D−1.6%+0.8%

1M+9.8%+5.8%

3M+6.5%+2.9%

YTD+7.9%+20.5%

1Y+11.0%+29.5%

3Y+29.6%+75.3%

5Y−11.6%+27.5%

2–5Peer average wins

38 Health care peers · each row scaled to its leader

How Bumpy Is MDEV?

View

MDEV

How Bumpy

1.3×the S&P 500’s swings

CalmerBumpierS&P 1×MDEV

Calm rank among 7 health care funds#5

Other health care funds1.2× to 2.2×

First Trust MDEV · daily swings over the past year vs the S&P 500

MDEV

Worst Drop

−18.2%from its Jan 6 high

Still below the high−2.8%

$10,000 at the high is now$9,720

First Trust MDEV · fall from the highest close, past year

MDEV

On a Bad Day

0.6×the S&P 500’s fall

MDEV’s worst day: Wednesday, Apr 29

MDEV

−2.5%

S&P 500

−0.0%

Up days49 of every 100

S&P 500 up days52 of every 100

First Trust MDEV · average move on days the S&P 500 fell

MDEV

Return for the Bumps

1Y#6 of 7 health care funds

#1XLVSPDR

most for the bumps

#2VHTVanguard

#3IYHiShares

#4IXJiShares

calmest ride

#5XBISPDR

#6MDEVFirst Trust

#7IHIiShares

lost money

Ranked by return above cash for each unit of bumpiness (Sharpe ratio) · cash = 3.8%

MDEV

Cost

Today

$70a year per $10,000

XLV

VHT

XBI

$35

IYH

$37

IHI

$37

IXJ

$38

MDEV

$70

Expense ratio 0.70%, taken from the fund’s value

MDEV

Volatility & Beta

17.4%annual volatility

S&P 500 volatility13.6%

Downside volatility11.1%

Beta vs SPY0.60

Correlation vs SPY0.47

Beta rank, lowest first, of 7#6

Daily total returns × √252 · past 254 trading days

MDEV

Max Drawdown

−18.2%peak to trough

Peak closeJan 6, 2026

Current drawdown−2.8%

Worst day−2.53% · Apr 29

Closing prices, dividends in

MDEV

Up / Down Capture

56%down capture vs SPY

Down days

56%

Up days

64%

S&P 500

100%

Up ÷ down capture1.14

Up days48.8% (S&P 52.0%)

Average daily move on SPY up days and down days

MDEV

Sharpe & Sortino vs Peers

Fund	Sharpe	Sortino	Volatility	Max DD	Beta	Fee / $10k
XLV	1.56	2.66	16.8%	−10.5%	0.29	$8
VHT	1.51	2.54	16.3%	−10.4%	0.37	$9
IYH	1.48	2.51	16.9%	−10.6%	0.34	$37
IXJ	1.35	2.26	16.3%	−10.8%	0.35	$38
XBI	1.18	1.78	30.0%	−14.9%	1.15	$35
MDEV	0.42	0.65	17.4%	−18.2%	0.60	$70
IHI	−0.39	−0.58	22.1%	−26.1%	0.45	$37

Sharpe = (return − 3.8% cash) ÷ volatility · Sortino uses downside volatility only

MDEV

Trading

Today

−0.44%below its holdings’ value

Close$22.61

NAV$22.71

Fee per $10,000$70 a year

Avg. volume 30D2K shares

Premium / discount history starts once daily NAV is saved

Close vs net asset value, Nov 6

The Details

MDEV

Fund Facts

Today

2021launched Jun 22

Tracks[…]

Exchange · CUSIPCBOE · 33738R639

StructureETF

Leverage1x

Cost on $10,000$70 a year

Go deeper

Prospectus & documents Trading & liquidity Fees & costs Distributions

First Trust MDEV · fund facts · as of Nov 9, 2026

MDEV

Payouts by Year

$0.0220per share, Jun 2026

Distribution yield0.1%

Paid[…]

Latest ex-date · paidJun 25 · Jun 30, 2026

1 payouts added up$0.0220 a share

First Trust MDEV · distributions by ex-date · 2026–2026

All Fund FactsDocuments · trading · fees · every payout

Prospectus & Documents

Trading & Liquidity

Net asset value$22.71

Premium / discount[…]

Median spread · 30D[…]

Volume today1K

Average volume · 30D2K

Shares outstanding[…]

Options[…]

Fees & Costs

Net expense ratio0.70%

Gross expense ratio[…]

Management fee[…]

Cost on $10,000 a year$70.00

Our risk indicator4/5

Estimated yearly cost excludes trading costs and assumes constant assets.

Distributions

Ex-date	Paid	Per share
Jun 25, 2026	Jun 30, 2026	$0.0220

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