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MDEV vs VHT

First Trust Indxx Medical Devices ETF

MDEVDCboe

Vanguard Health Care ETF

VHTANYSE Arca

Overlap

Expense ratio

VHT −0.61pt a year

MDEV0.70%VHT0.09%

Avg volume · 30D

VHT 94.5×the volume

MDEV2.5KVHT237K

5Y return · a year

VHT +10.8pt

MDEV−3.7%VHT+7.1%

MDEV vs VHT Performance

Nov 2, 2021 – Nov 2, 2026

−17.0%MDEV+40.9%VHT

Nov 2, 2021 to Nov 2, 2026. MDEV −17.0%. VHT +40.9%. Use the arrow keys to read each point.−40%0%20%Nov 2021Apr 2024Nov 2026
Expense ratio
MDEV 0.70%
VHT 0.09%, better
Fund size
MDEV $3M
VHT $21.8B
1Y total return
MDEV +7.8%
VHT +28.3%, better
Yield (12M)
MDEV No data
VHT 1.35%
Holdings
MDEV 53
VHT 416
Avg volume (30D)
MDEV 2.5K sh
VHT 237K sh, better
NAV per share
MDEV $21.94
VHT $342.46
52W range

ETF.net Grade

MDEV: Cost 17, Risk 37, Mission 77, Tradability 11, Holdings 75, Durability 23. VHT: Cost 92, Risk 79, Mission 82, Tradability 57, Holdings 58, Durability 92.
Pillar letters and Scores for MDEV, VHT, with each pillar’s weight
PillarMDEVVHT
Cost30% weightF17A92Higher
Mission25% weightA77A82Higher
Risk15% weightD37A79Higher
Tradability15% weightF11B57Higher
Holdings10% weightA75HigherB58
Durability5% weightF23A92Higher

Rank among Health Care (Broad) funds

Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

Same Category. MDEV and VHT are both graded against the same 25 Health Care (Broad) funds, so their Grades compare head to head.

Health Care (Broad)⁠

Category · 25 funds
See all 25 ›

VHT ranks 3rd and MDEV 22nd of 25 funds in the Health Care (Broad) Category.

  1. Rank 1AXLVState Street Health Care Select Sector SPDR ETFScore 85
  2. Rank 2AFHLCFidelity MSCI Health Care Index ETFScore 83
  3. Rank 3AVHTVanguard Health Care ETFScore 77
  4. Rank 4AXHSState Street SPDR S&P Health Care Services ETFScore 74
  5. Rank 21DHLTHTema Healthcare AI ETFScore 28
  6. Rank 22DMDEVFirst Trust Indxx Medical Devices ETFScore 27
  7. Rank 23DKUREKraneShares MSCI All China Health Care Index ETFScore 26

Our read on each fund

ETF.net Research

MDEVDFirst Trust Indxx Medical Devices ETF

VHTAVanguard Health Care ETF

In short

MDEV Medical devices, worldwide and evenly sliced. MDEV tracks a global index of roughly 50 device and equipment makers in similar-sized weights, so a mid-cap scanner or surgical-robot maker counts about as much as the household-name giants.

VHT The whole US health care sector in one ticket: roughly 400 stocks, an index that reaches well past the megacaps, and a nine-basis-point fee. Trading since 2004, it is one of the category's originals.

Stated mandate

MDEV The Fund seeks to track the performance of the Indxx Medical Devices Index before fees and expenses, using an indexing approach.

VHT The fund seeks to track a benchmark index measuring the investment return of health care stocks.

Why people hold it

  • MDEV Pure play by design: the index covers the medical equipment industry only, and at least 80% of net assets go into its constituents. No pharma or insurers riding along.usnews.com
  • Equal weighting keeps one mega-cap from running the show. About 50 device names get similar-sized slices, pushing real weight toward the mid-sized makers.public.comrobinhood.com
  • Global by mandate, not US-only: the fund holds common stocks and depositary receipts from device makers listed outside the States, using plain physical index replication.businesswire.comusnews.com
  • VHT Costs 0.09% a year while the typical fund in its health care peer group charges 0.50%. Same sector, a fraction of the toll.
  • Roughly 400 holdings drawn from an investable-market index, so mid and small health care companies count too, not just the sector's giants.vanguard.com
  • Two decades old, now a multi-billion-dollar fund, moderately traded, and it has hugged its benchmark closely. Pays out quarterly.
  • On cost, tracking and tradability together, it stands among the strongest builds in a 24-fund health care cohort.

Worth knowing

  • MDEV At 0.70% a year, it costs more than the typical global thematic fund, and well above cheaper cohort names like PBPH (0.13%) or UFOX (0.30%).
  • Small and thinly traded: spreads can run wide, and sub-scale funds face a higher chance of closure or merger than their bigger shelf-mates.
  • One industry, about 50 stocks. Reimbursement rules, hospital budgets and regulators move the whole basket at once, and payouts come once or twice a year.
  • VHT FHLC and XLV each shave a basis point off the fee. If the fee line is your only tiebreaker, VHT is not the final word.
  • One sector, one news cycle. Drug pricing rules, patent expirations and regulatory decisions can move the entire basket at once.vanguard.com
  • Cap-weighted with a 25/50 diversification rule, so no single name can dominate outright, but the largest pharma and insurer positions still steer most of the ride.vanguard.com

Full MDEV profile⁠

Full VHT profile⁠

MDEV vs VHT Holdings

How we measure overlap

Each holding counts at its smaller weight in the two funds, summed over the full Holdings. Sector, country and asset class use the same rule on each fund’s split. Cash, FX and derivative lines stay out of the counts. Two bond funds get no overlap figure.

MDEV vs VHT Cost

Overpaying MDEV vs VHT

$11,708

On $10,000 over 30 years. 7% growth a year before fees, expense ratio only.

  • MDEV 0.70%

    $13,606

  • VHT 0.09%

    $1,898

$10,000
30 years

Cost over time

  • MDEV 0.70%
  • VHT 0.09%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$5K$10K$15K051015202530MDEV $13,606VHT $1,898

Year by year

YearMDEVVHTOverpaying
10$1,250$165$1,085
20$4,760$646$4,114
30$13,606$1,898$11,708

Expense ratio

  • 0.70%MDEV
  • 0.09%VHT, cheaper
  • Middle half of Health Care (Broad) funds
  • Median 0.50%

VHT 3rd cheapest of 25 funds

MDEV 21st cheapest of 25 funds

MDEV vs VHT Dividends

Last 12 months to Nov 2, 2026
Yield (12M)
MDEV No data
VHT 1.35%
Payout (12M)
MDEV No data
VHT $4.61
Last payment
MDEV $0.02
VHT $0.97
Ex-dividend
MDEV Jun 25, 2026
VHT Sep 23, 2026
Paid on
MDEV Jun 30, 2026
VHT Sep 25, 2026
Frequency
MDEV Irregular
VHT Quarterly

Distribution history

Per share, 2017 to 2026, same scale for both

MDEVIrregular · 1 paymentAll MDEV payments⁠
One bar per payment. 1 payment from 2017 to 2026 YTD. Jun 25, 2026 $0.02. Use the arrow keys to read each point.$0$12017202020232026YTD
VHTQuarterly · 39 paymentsAll VHT payments⁠
One bar per payment. 39 payments from 2017 to 2026 YTD. Mar 24, 2017 $0.44; Jun 28, 2017 $0.50; Sep 27, 2017 $0.52; Dec 14, 2017 $0.57; Mar 16, 2018 $0.39; Jun 28, 2018 $0.63; Sep 24, 2018 $0.58; Dec 13, 2018 $0.63; Mar 21, 2019 $1.11; Jun 21, 2019 $1.16; Sep 26, 2019 $0.63; Dec 16, 2019 $0.72; Mar 10, 2020 $0.45; Jun 22, 2020 $0.76; Sep 11, 2020 $0.63; Dec 17, 2020 $0.88; Mar 26, 2021 $0.64; Jun 24, 2021 $0.70; Sep 29, 2021 $0.89; Dec 16, 2021 $0.82; Mar 24, 2022 $0.72; Jun 23, 2022 $0.77; Sep 28, 2022 $0.82; Dec 15, 2022 $0.98; Mar 24, 2023 $0.76; Jun 29, 2023 $0.88; Sep 28, 2023 $0.88; Dec 19, 2023 $0.89; Mar 22, 2024 $0.82; Jun 28, 2024 $0.97; Sep 27, 2024 $1.17; Dec 18, 2024 $0.92; Mar 25, 2025 $0.94; Jun 26, 2025 $0.96; Sep 24, 2025 $1.08; Dec 17, 2025 $1.67; Mar 24, 2026 $0.99; Jun 24, 2026 $0.99; Sep 23, 2026 $0.97. Use the arrow keys to read each point.$0$12017202020232026YTD

MDEV vs VHT Risk

Fall from peak · 5 years

  • MDEV
  • VHT
Nov 2, 2021 to Nov 2, 2026. Worst fall: MDEV −39.5% · Sep 2022. Use the arrow keys to read each point.−40%−30%−20%−10%0%Nov 2021Apr 2024Nov 2026

Risk facts

VolatilityStd dev, 3 years
MDEV 15.7%VHT 14.5%, better
Return per unit of riskSharpe ratio, 3 years
MDEV 0.37VHT 0.83, better
Worst fallMax drawdown, 5 years
MDEV −39.5%VHT −17.7%, better
Market sensitivityBeta, 5 years
MDEV 0.86VHT 0.58

MDEV and VHT in the news

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