BMEDvsXLVIETF Comparison
State Street Health Care Select Sector SPDR Premium Income Fund
iShares Health Innovation Active ETF (BMED) belongs to the Healthcare Technology segment. State Street Health Care Select Sector SPDR Premium Income Fund (XLVI) is part of the Options Strategies 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 0.35% for XLVI. BMED is down -7.92% year-to-date (YTD) with +$4M in YTD flows. XLVI performs better with -3.01% YTD performance, and +$853K in YTD flows. Run a side-by-side ETF comparison of BMED and XLVI below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
BMED vs XLVI performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | BMED XLVI | -2.92%-0.07% | -9.68%-3.94% | -7.92%-3.01% | +14.49%n/a | +14.70%n/a | -3.37%n/a |
| Flows | BMED XLVI | --$1M | +$1M+$319K | +$4M+$853K | +$7M- | +$4M- | +$5M- |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | BMED XLVI | +16.95%+13.38% | +15.53%n/a | +15.60%n/a | +17.55%n/a |
| Max drawdown | BMED XLVI | -10.97%-8.21% | -13.52%n/a | -19.76%n/a | -33.96%n/a |
| Max drawdown duration | BMED XLVI | 64d64d | 102dn/a | 237dn/a | 1586dn/a |
BMED | XLVI | |
Last sale 5/5/2026 at 1:30 PM | $28.13 | $24.63 |
| Previous close 05/04/2026 | $27.84 | $24.54 |
| Consolidated volume 05/04/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
BMED | XLVI | |
|---|---|---|
| Last price | $28.13 | $24.63 |
| 1D performance | +1.03% | +0.36% |
| AuM | $10.04 M | $11.52 M |
| E/R | 0.77% | 0.35% |
BMED | XLVI | |
|---|---|---|
| Management strategy | Active | Active |
| Provider | iShares | State Street Investment Management |
| Benchmark | - | - |
| N° of holdings | 35 | 56 |
| Asset class | - | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 29, 2020 | July 30, 2025 |
| ESG | No | No |
Countries
Sectors
Diversification
Total weight of top 15 holdings out of 15
Total weight of top 15 holdings out of 15
