At a glance
AGNG charges 0.5% a year, above the 0.34% average of the 8 funds most like it (the 7th cheapest of 9). It has $81.8M in assets, the 7th largest of that group; it paid 0.86% of its price in distributions over the past 12 months, semiannual. Over the past year it returned +13.3% with distributions reinvested (S&P 500: +11.5%), the weakest of those 9 funds; over three years it returned +17.2% a year. At its worst it fell 21.7% in the 2022 bear market (S&P 500: 24.5%), and was back at its earlier high 17 months after the low. Its ten largest positions make up 32.1% of the fund, out of 84 in all.
The short version
Global X Aging Population ETF (AGNG) tracks the Indxx Aging Population Thematic Index, which picks drugmakers, medical device firms and senior housing companies in developed markets. Unlike most health care funds, it owns senior-living landlords such as Welltower and Ventas and spreads money fairly evenly: its 10 largest of 84 holdings were 32% of assets as of May 31, 2026. Its 0.50% expense ratio is above the 0.34% average of similar funds.
Price history
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AGNG +13.3% over the year to Oct 27, 2026, total return with distributions reinvested.
How it has behaved
| YTD | 1 yr | 3 yr | 5 yr | 10 yr | Since start | |
|---|---|---|---|---|---|---|
| AGNG official prospectus, to Dec 31, 2025 | — | +19.71% | — | +5.87% | — | +10.14% |
| AGNG price data to Oct 27, 2026 | +7.4% | +13.3% | +17.2% | +6.4% | — | +6.8% |
- Over the year to Oct 27, 2026, AGNG returned +13.3%, 9th of 9 among similar funds.
- Its 5-year annualized return was +6.4%.
- Its worst full calendar year was 2022 (-8.6%); its best was 2025 (+20.0%).
- The deepest fall in its price history was 25.7% (Sep 2, 2021 to Sep 27, 2022), recovered by Jul 10, 2024.
Show as a table
| Year | Price data | Prospectus (official) |
|---|---|---|
| 2026 (to date) | +7.5% | — |
| 2025 | +20.0% | +19.71% |
| 2024 | +7.0% | +6.81% |
| 2023 | +9.6% | +9.71% |
| 2022 | -8.6% | -8.52% |
| 2021 | — | +3.63% |
| 2020 | — | +19.28% |
| 2019 | — | +24.98% |
| 2018 | — | -0.71% |
| 2017 | — | +29.20% |
| 2008 financial crisis stocks fell Oct 9, 2007 – Mar 9, 2009 | Before this security existed |
|---|---|
| 2020 COVID crash stocks fell Feb 19, 2020 – Mar 23, 2020 | Not in the price data, which starts Apr 1, 2021 |
| 2022 bear market stocks fell Jan 3, 2022 – Oct 12, 2022 | Lost 18.4% over that stretch · deepest drop along the way 21.7%, back to its old high 16.6 months after the low |
Dividends and income
Show as a table
| Year | Per share | Change |
|---|---|---|
| 2026 (to date) | $0.1600 | |
| 2025 | $0.3100 | +24.0% |
| 2024 | $0.2500 | -7.4% |
| 2023 | $0.2700 | +107.7% |
| 2022 | $0.1300 |
What's inside
As of May 31, 2026, the fund held 84 securities; the ten largest made up 32.15% of assets.
| Holding | Weight | |
|---|---|---|
| NOVO NORDISK A/S | 3.80% | |
| ELI LILLY AND COMPANY | 3.58% | |
| EDWARDS LIFESCIENCES CORPORATION | 3.37% | |
| Roche Holding AG | 3.21% | |
| ABBVIE INC. | 3.16% | |
| WELLTOWER INC. | 3.07% | |
| VENTAS, INC. | 3.06% | |
| MERCK & CO., INC. | 2.99% | |
| BRISTOL-MYERS SQUIBB COMPANY | 2.98% | |
| AMGEN INC. | 2.93% | |
| JOHNSON & JOHNSON | 2.88% | |
| UCB SA | 2.86% | |
| ASTRAZENECA PLC | 2.80% | |
| STRYKER CORPORATION | 2.78% | |
| CHUGAI PHARMACEUTICAL CO., LTD. | 2.78% |
By country
United States 61.65%Switzerland 11.4%Japan 6.52%Denmark 5.92%Hong Kong 3.7%By asset type
Stocks 99.74%What changed recently
- Over the three months to May 31, 2026, investors withdrew a net $64K (creations minus redemptions, per the N-PORT report).
- Monthly total returns reported for that quarter: 0.00%, -0.82%, -7.59%.
How it works
AGNG is an index fund. Its adviser, Global X Management Company LLC, part of Mirae Asset Global Investments, does not try to beat the Indxx Aging Population Thematic Index. It also does not move into cash when markets fall. Indxx starts with liquid stocks from developed markets, from the US and Europe to Japan and Australia. As of January 31, 2026, a company needed a market value of at least $500 million and average daily trading of at least $2 million over six months.
Indxx then looks for companies tied to four themes: health care products, health care services, medical devices and senior homes. A company qualifies if a large share of its revenue comes from these areas, or if its main business is focused on them. The index weights holdings by company size, with adjustments (a "modified" market-cap method). As of May 31, 2026, no holding was above 3.8%. The index is reshuffled and rebalanced once a year, and the fund's portfolio turnover was 9.93%.
The fund generally buys every stock in the index in about the same proportions. When that is impractical, it may hold a representative sample instead. It uses no leverage or derivatives. Because it owns Swiss, Japanese, Danish and other foreign shares, changes in exchange rates affect its value. The index and the fund's objective can change without a shareholder vote.
What it really costs
- AGNG charges 0.5% a year, versus an average of 0.34% for the similar funds below (7th of 9, cheapest first).
- Using the prospectus's standard example, $10,000 invested would cost about $51 in the first year and $628 over 10 years (assuming a 5% annual return).
| Cost of $10,000 (SEC example) | 1 yr | 3 yrs | 5 yrs | 10 yrs |
|---|---|---|---|---|
| AGNG | $51 | $160 | $280 | $628 |
In a retirement portfolio
It is a narrow, theme-based fund concentrated in pharmaceuticals, medical devices and senior housing, so it fits best as a small add-on to a broad core.
AGNG could add a focused bet on health care and senior housing alongside a broad stock fund. Its record covers few crises. It launched in 2016, so it has no 2008 history. It gained 19.28% in 2020. In 2022 it fell 21.7% between April 7 and September 27, and it took about 17 months, until February 15, 2024, to get back to its earlier high. Its worst calendar year was 2022, at -8.52%. Its deepest drop in price data starting April 2021 was 25.7%, and recovering from it took about 21 months. Selling shares during a stretch like that would lock in losses.
Income is small. The trailing yield was 0.86% as of October 27, 2026, paid twice a year. Under the SEC example, costs on $10,000 come to $51 after one year and $628 after 10 years. Past results don't predict the future, and a plan should look at the whole portfolio, not one fund.
Who it may suit — and who should look elsewhere
May suit
- Investors wanting a longevity theme via the Indxx Aging Population Thematic Index: drugmakers like Novo Nordisk, device makers like Stryker, senior-housing landlords like Welltower.
- Investors wanting health care beyond the US: as of May 31, 2026, Swiss, Japanese and Danish stocks made up 11.4%, 6.5% and 5.9% of assets.
- Patient holders who can ride out slumps: from April 2021 to October 27, 2026, its deepest fall was 25.7%, taking 21.4 months to recover.
Look elsewhere if
- Cost-conscious investors: the 0.50% yearly expense ratio, or about $51 in year one on $10,000, exceeds the 0.34% average of similar funds.
- Retirees who need steady income: the yield over the prior year was 0.86% as of October 27, 2026, paid only twice a year.
- Investors wanting broad health-care exposure: AGNG's 13.3% one-year gain to October 27, 2026, trailed all 8 similar funds, including lower-cost XLV and VHT.
Close alternatives
Matched by holdings overlap from the latest N-PORT reports.
| Fund | Overlap | Cost | Net assets | 1 yr | 3 yr |
|---|---|---|---|---|---|
| AGNG this fund | — | 0.5% | $81.8M | +13.3% | +17.2% |
| IXJ iShares Global Healthcare ETF | 31% | 0.41% | $3.84B | +19.5% | +13.4% |
| JDOC JPMorgan Healthcare Leaders ETF | 30% | 0.65% | $9.1M | +15.7% | — |
| IYH iShares U.S. Healthcare ETF | 27% | 0.39% | $3.56B | +23.8% | +15.0% |
| FTXH First Trust Nasdaq Pharmaceuticals ETF | 27% | 0.6% | $36.2M | +46.9% | +23.4% |
| FHLC Fidelity MSCI Health Care Index ETF | 27% | 0.084% | $3.29B | +23.8% | +16.0% |
| VHT Vanguard Health Care ETF | 26% | 0.09% | $22.04B | +28.9% | +16.9% |
| XLV Health Care Select Sector SPDR Fund | 26% | 0.08% | $40.60B | +30.2% | +16.2% |
Questions investors ask
What does AGNG invest in?
AGNG invests in companies tied to longer life spans and an aging population. It tracks the Indxx Aging Population Thematic Index, which screens for four themes: health care products, health care services, medical devices and senior homes. As of May 31, 2026, it held 84 stocks. The largest were Novo Nordisk, Eli Lilly, Edwards Lifesciences, Roche and AbbVie, along with senior-housing REITs (real estate investment trusts) Welltower and Ventas. About 62% of assets were in US companies.
How has AGNG performed?
AGNG returned 19.71% in 2025, according to its prospectus. As of December 31, 2025, it averaged 5.87% a year over five years and 10.14% a year since its 2016 launch. Its weakest calendar year was 2022, at -8.52%. Based on price, it returned 13.3% over the year to October 27, 2026, the lowest of 9 similar funds. Over three years it ranked 2nd of 8.
Does AGNG pay dividends?
Yes, but only twice a year, and the amounts are small. Over the 12 months to October 27, 2026, it paid about $0.33 per share, a trailing yield of 0.86%. A trailing yield is the past year's payouts divided by the share price. At that level, AGNG is built mainly around its health care and aging theme rather than steady income.
AGNG vs IXJ: what's the difference?
Both hold global health care stocks, but AGNG follows a narrower aging-population theme. iShares Global Healthcare ETF (IXJ) shares about 31% of its holdings with AGNG, the most of any similar fund. IXJ costs less, at 0.41% a year versus 0.50%. It is also far larger, with about $3.8 billion in net assets as of June 30, 2026. As of October 27, 2026, IXJ returned 19.5% over one year versus 13.3% for AGNG. Over three years, AGNG led, 17.2% versus 13.4% a year.
What is AGNG's expense ratio?
AGNG's expense ratio is 0.50%, according to the prospectus filed March 27, 2026. All of it is the management fee. That puts it 7th of 9 on cost among similar funds, which average 0.34%. Broad health care funds such as XLV (0.08%) and VHT (0.09%) cost much less. In the SEC's standard example, $10,000 earning 5% a year would pay about $51 in costs after one year and $628 after 10 years.