First TrustSectorsHealth Care#154 of 264 by YTD

First Trust Indxx Medical Devices ETFMDEV

S&P 500 Bucket avg Compare

$23.04+1.9%

+$0.43 · Nov 9 close

Buy

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

Bumpy · 1Y: 1.3×S&P
Volume: 9K
NAV: $22.71

What's insideAll 53 →

GEHC 2.4%PHIA.AS 2.3%TFX 2.3%EW 2.3%

52-week range1% below the high

$17.85$23.32

Returns	Today	1W	1M	3M	YTD	1Y	3Y	5Y	Max
Total return	+1.9%	+4.4%	+10.3%	+7.6%	+10.0%	+13.9%	+34.0%	−10.2%	−8.9%
Peer average	+2.4%	+2.8%	+6.4%	+5.5%	+23.4%	+33.1%	+76.7%	+28.9%	—
S&P 500 · VOO	+2.3%	+0.1%	−3.3%	−2.1%	+11.3%	+13.6%	+81.6%	+75.4%	—

MDEV in One Breath

MDEV Among Health Care ETFs

YTD

#1IDNAiShares+67.1%$363M

#2ARKGARK+66.6%$2.2B

#3XHSSPDR+37.5%$241M

#4BBHVanEck+37.1%$524M

#5FTXHFirst Trust+35.3%$1.2B

#6BBPVirtus+30.8%$133M

#7PSCHInvesco+29.7%$181M

#8XBISPDR+28.8%$10.3B

#30MDEVFirst Trust+10.0%$3.4M

End-of-day Nov 10, 2026 · 33 Health care ETFs by YTD

$10,000 in MDEV

$10,000 in MDEV became

$8,982

In the S&P 500 (VOO)

$18,105

Total return, dividends in · Oct 15, 2021 – Nov 9, 2026 · S&P 500 uses VOO

MDEV’s Top Holdings

Today

GEHCGE HealthCare Technologies2.4%PHIA.AS2.3%TFX2.3%EW2.3%COH.AX2.2%ZBH2.2%STMN.SW2.2%LIVN2.2%SYK2.2%STE2.2%ALC.SW2.2%ALGN2.2%

Medical - DevicesMedical - InstrumentsMedical - DiagnosticsMedical - Specialties

First Trust MDEV · 50 holdings · top 22 shown · tile size = share of the fund · as of Nov 9, 2026

What MDEV Holds

Today

Medical - Devices44.8%

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

Medical - Instruments & Supplies28.0%

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

Medical - Diagnostics & Research15.6%

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

Medical - Specialties6.5%

STE 2.2 · ALC.SW 2.2 · 6869.T 2.1

Other holdings5.0%

[…]

First Trust MDEV · share of the fund by industry · as of Nov 9, 2026

GE’s Share of MDEV

Today

2.4%

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

GE held by MDEV

$80K

Most GE per dollar

CSD9.8%

MVAL5.2%

HEAL4.7%

IHI4.7%

First Trust MDEV · each square = $10 of $1,000 · as of Nov 9, 2026

MDEV’s Share of Health Care ETFs

Today

0.0%

of the $110B in 39 Health care ETFs

MDEV$3.4M0.0%

XLV$49.7B45.0%

VHT$19.1B17.3%

36 others$41.7B37.7%

Health care ETF AUM · Nov 10, 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 10, 2026

Inside MDEV

50 holdings · as of Nov 9, 2026

MDEV

First Trust Indxx Medical Devices ETF

Today

Medical - Devices44.8%GEHC2.4%PHIA.AS2.3%EW2.3%COH.AX2.2%ZBH2.2%LIVN2.2%SYK2.2%ALGN2.2%MDT2.2%SHL.DE2.1%ABT2.1%SOON.SW2.1%4543.T2.1%DEMANT.CO2.1%8 more holdings14.2% of the fundMedical - Instruments28.0%TFX2.3%STMN.SW2.2%BDX2.2%COO2.2%WST2.1%AFX.DE2.0%ISRG2.0%BAX2.0%DIM.PA2.0%RMD1.9%FPH.NZ1.9%LMATMMSIMedical - Diagnostics15.6%BIM.PA2.1%MTD2.1%TMO2.0%WAT2.0%DHRA RVTYMedical - Specialties6.5%STEALC.SWOther5.0%

Medical - Devices44.8%GEHCPHIA.AEW COH.AXZBHLIVN16 more holdings31.2% of the fundMedical - Instruments28.0%TFXSTMN.SBDXCOOWSTAFX.DE8 moreMedical - Diagnostics15.6%BIM.PAMTDTMOWATDHRA2 moreMedical - Specialties6.5%STEALC.SWOther5.0%

#	Ticker	Company	Weight ▼
1	GEHC	GE HealthCare Technologies	2.35%
2	PHIA.AS	Koninklijke Philips	2.35%
3	TFX	Teleflex Incorporated	2.26%
4	EW	Edwards Lifesciences	2.25%
5	COH.AX	Cochlear Limited	2.24%
6	ZBH	Zimmer Biomet	2.23%
7	STMN.SW	Straumann AG (Registered)	2.21%
8	LIVN	LivaNova	2.21%
9	SYK	Stryker	2.21%
10	STE	Steris	2.21%

See all 53 holdings ↓

Medical - DevicesMedical - InstrumentsMedical - DiagnosticsMedical - SpecialtiesOther

First Trust MDEV · current holdings by weight · as of Nov 9, 2026 · each tile is one holding · top 20 = 43.8%

All MDEV Holdings

53 holdings · as of Nov 9, 2026

MDEV

MDEV’s Holdings

Today

#
1	GEHCGE HealthCare Technologies	Healthcare	2.35%	$235.36	973	$80K
2	PHIA.ASKoninklijke Philips	Healthcare	2.35%	$234.54	2,623	$80K
3	TFXTeleflex Incorporated	Healthcare	2.26%	$226.37	511	$77K
4	EWEdwards Lifesciences	Healthcare	2.25%	$225.23	751	$77K
5	COH.AXCochlear Limited	Healthcare	2.24%	$223.71	714	$76K
6	ZBHZimmer Biomet	Healthcare	2.23%	$222.61	718	$76K
7	STMN.SWStraumann AG (Registered)	Healthcare	2.21%	$221.43	592	$75K
8	LIVNLivaNova	Healthcare	2.21%	$221.16	837	$75K
9	SYKStryker	Healthcare	2.21%	$221.03	231	$75K
10	STESteris	Healthcare	2.21%	$220.76	298	$75K
11	ALC.SWAlcon	Healthcare	2.20%	$219.63	1,001	$75K
12	ALGNAlign Technology	Healthcare	2.18%	$218.36	448	$74K
13	—Coloplast A/S ()	—	2.18%	$217.98	980	$74K
14	BDXBecton, Dickinson and Company	Healthcare	2.17%	$216.50	348	$74K
15	MDTMedtronic	Healthcare	2.16%	$216.11	723	$74K

First Trust MDEV · every reported holding · per $10,000 = dollars of each holding in a $10,000 stake · as of Nov 9, 2026

How It Compares

MDEV

First Trust Indxx Medical Devices ETF’s Peers


XLV	SPDRRead Desk	0.08%	+31.2%	+23.2%	$49.7B
VHT	VanguardRead Desk	0.09%	+29.9%	+22.2%	$19.1B
XBI	SPDRRead Desk	0.35%	+44.2%	+28.8%	$10.3B
IYH	iSharesRead Desk	0.37%	+30.4%	+22.4%	$4.8B
IXJ	iSharesRead Desk	0.38%	+27.0%	+19.1%	$4.7B
MDEV	First TrustThis fundRead Desk	0.70%	+13.9%	+10.0%	$3M

Health care peers · Past-year and ytd returns · as of Nov 10, 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

+23.2%

+10.0%

XLV wins+13.2 pts

Past year

+31.2%

+13.9%

XLV wins+17.3 pts

Fee

0.08%

0.70%

XLV winslower fee

Yield

1.4%

0.1%

XLV wins+1.3 pts

AUM

$49.7B

$3.4M

XLV14585.8× more

4–0XLV wins

SPDR XLV and First Trust MDEV · year-to-date · as of Nov 10, 2026 · AUM not scored

MDEV vs VOO

MDEV · First Trust Indxx Medical Devices

+13.9%

VOO · S&P 500

+13.6%

Gap

0.3 pts

First Trust MDEV and Vanguard VOO · 1Y total return · as of Nov 10, 2026

MDEV vs Its Peer Average

YTD

MDEVAvsBPeer average

1D+1.9%+2.4%

1M+10.3%+6.4%

3M+7.6%+5.5%

YTD+10.0%+23.4%

1Y+13.9%+33.1%

3Y+34.0%+76.7%

5Y−10.2%+28.9%

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−0.9%

$10,000 at the high is now$9,910

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

17.5%annual volatility

S&P 500 volatility13.7%

Downside volatility11.1%

Beta vs SPY0.61

Correlation vs SPY0.48

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−0.9%

Worst day−2.53% · Apr 29

Closing prices, dividends in

MDEV

Up / Down Capture

57%down capture vs SPY

Down days

57%

Up days

64%

S&P 500

100%

Up ÷ down capture1.12

Up days48.8% (S&P 52.4%)

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	1.66	2.85	16.9%	−10.5%	0.31	$8
VHT	1.63	2.77	16.4%	−10.4%	0.39	$9
IYH	1.61	2.73	17.0%	−10.6%	0.36	$37
IXJ	1.46	2.46	16.4%	−10.8%	0.36	$38
XBI	1.40	2.12	30.1%	−14.9%	1.15	$35
MDEV	0.50	0.78	17.5%	−18.2%	0.61	$70
IHI	−0.33	−0.50	22.1%	−26.1%	0.47	$37

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

MDEV

Trading

Today

[…]premium / discount: the NAV on file is from an earlier day

Close$23.04

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 9

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 10, 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 today9K

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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