BMEDvsXLVETF Comparison
VS
iShares Health Innovation Active ETF (BMED) belongs to the Healthcare Technology segment. State Street Health Care Select Sector SPDR ETF (XLV) is part of the US Health Care segment. Both ETFs have the same top 3 sector exposures: and Health Care. BMED is more expensive with a Total Expense Ratio (TER) of 0.77%, versus 0.08% for XLV. BMED is down -7.1% year-to-date (YTD) with +$4M in YTD flows. XLV performs better with -5.73% YTD performance, and +$459M in YTD flows. Run a side-by-side ETF comparison of BMED and XLV below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
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BMED vs XLV performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 05/05/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | BMED XLV | -2.05%-0.65% | -7.29%-5.82% | -7.10%-5.73% | +15.51%+7.13% | +14.75%+14.32% | -1.63%+28.00% |
| Flows | BMED XLV | --$655M | +$1M-$1.12B | +$4M+$459M | +$7M-$90M | +$4M-$5.73B | +$5M+$6.41B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | BMED XLV | +16.78%+15.29% | +15.52%+15.64% | +15.60%+13.74% | +17.55%+14.61% |
| Max drawdown | BMED XLV | -10.97%-10.51% | -13.52%-10.51% | -19.76%-17.05% | -33.96%-17.05% |
| Max drawdown duration | BMED XLV | 65d65d | 103d65d | 237d444d | 1586d444d |
Trading data
BMED | XLV | |
Last sale 5/5/2026 at 1:30 PM | $28.13 | $145.30 |
| Previous close 05/05/2026 | $27.84 | $144.73 |
| Consolidated volume 05/05/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of April 30, 2026
1-year trailing difference
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BMED
is actively managed and doesn’t replicate an indexBMED | XLV | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 5/5/2026 at 1:30 PM
Live
Closed
BMED | XLV | |
|---|---|---|
| Last price | $28.13 | $145.30 |
| 1D performance | +1.03% | +0.39% |
| AuM | $10.13 M | $37.64 B |
| E/R | 0.77% | 0.08% |
Characteristics
BMED | XLV | |
|---|---|---|
| Management strategy | Active | Passive |
| Provider | iShares | State Street Investment Management |
| Benchmark | - | S&P Health Care Select Sector Index |
| N° of holdings | 35 | 56 |
| Asset class | - | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 29, 2020 | December 16, 1998 |
| ESG | No | No |
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Exposure
Countries
BMED
USA
91.63%
Other
8.37%
XLV
USA
97.26%
Other
2.74%
Sectors
BMED
Health Care
85.5%
Other
14.5%
XLV
Health Care
98.29%
Other
1.71%
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Diversification
BMED
Total weight of top 15 holdings out of 15
61.4%
XLV
Total weight of top 15 holdings out of 15
70.96%
Top 15 holdings
Data as of March 31, 2026
BMED
JOHNSON&JOHNSON
7.99%
US0669224778
7.13%
MERCK & CO INC
5.59%
GILEAD SCIENCES
5.48%
AMGEN-T
4.46%
EDWARDS LIFESCIENCES
4.33%
BIOGEN INC
3.36%
GUARDANT HEALTH INC
3.04%
WUXI BIOLOGICS (CAYMAN)
3.02%
METTLER TOLEDO
2.93%
VERTEX PHARMACEUTICALS
2.92%
WATERS
2.92%
CHRLS RIVER LABS
2.91%
MODERNA INC
2.79%
US04016X1019
2.54%
XLV
LILLY
13.74%
JOHNSON&JOHNSON
11.10%
ABBVIE
7.25%
MERCK & CO INC
5.63%
UNITEDHEALTH GRP
4.62%
AMGEN-T
3.57%
THERMO FISHER SCIENTIFIC
3.48%
ABBOTT LABS
3.37%
GILEAD SCIENCES
3.26%
INTUITIVE SURGICAL
3.09%
PFIZER
3.01%
BRISTOL-MYERS SQUIBB
2.33%
DANAHER
2.25%
VERTEX PHARMACEUTICALS
2.14%
STRYKER
2.13%
Frequently asked questions about BMED and XLV
How have the BMED and XLV ETFs performed in 2026?
As of May 5, 2026, BMED is down -7.1% year-to-date (YTD), while XLV has lost -5.73%. That puts XLV better performer ahead so far this year.
Which ETF is attracting more investor money: BMED or XLV?
Year-to-date, the BMED ETF saw +$4M in flows, compared to +$459M for XLV.
Which ETF is more volatile: BMED or XLV?
Over the past year, BMED had a volatility of 15.52%, while XLV experienced 15.64%.
Which ETF is bigger: BMED or XLV?
As of May 5, 2026, BMED holds $10.13 M in assets under management (AUM), while XLV manages $37.64 B.
What sectors do the BMED and XLV ETFs invest in?
BMED leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.
What are the top holdings of the BMED ETF and XLV ETF?
BMED top holdings include JOHNSON&JOHNSON, US0669224778 and MERCK & CO INC. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: BMED or XLV?
BMED holds 48 securities with 61.4% of its assets in the top 15. XLV has 59 securities and a top 15 weight of 70.96%.
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