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TMEDvsXLVETF Comparison
T. Rowe Price Health Care ETF (TMED) and State Street Health Care Select Sector SPDR ETF (XLV) belong to the same industry segment: US Health Care. TMED's top 3 sector exposures are Health Care and Financials. In contrast, XLV's top sector exposures are Health Care TMED is more expensive with a Total Expense Ratio (TER) of 0.44%, versus 0.08% for XLV. TMED is down -0.34% year-to-date (YTD) with +$3M in YTD flows. XLV performs worse with -2.96% YTD performance, and +$900M in YTD flows. Run a side-by-side ETF comparison of TMED 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.
TMED vs XLV performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | TMED XLV | +0.34%-3.74% | +0.27%-2.07% | -0.34%-2.96% | n/a+5.69% | n/a+25.97% | n/a+41.91% |
| Flows | TMED XLV | +$1M-$710M | +$3M-$28M | +$3M+$900M | --$38M | --$4.95B | -+$6.87B |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | TMED XLV | +16.51%+14.03% | n/a+17.46% | n/a+13.62% | n/a+14.49% |
| Max drawdown | TMED XLV | -7.14%-6.25% | n/a-12.43% | n/a-17.05% | n/a-17.05% |
| Max drawdown duration | TMED XLV | 48d11d | n/a211d | n/a444d | n/a444d |
TMED | XLV | |
Last sale 3/12/2026 at 1:30 PM | $28.71 | $150.16 |
| Previous close 03/12/2026 | $29.57 | $152.85 |
| Consolidated volume 03/12/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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TMED | XLV | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
TMED | XLV | |
|---|---|---|
| Last price | $28.71 | $150.16 |
| 1D performance | -2.93% | -1.76% |
| AuM | $19.23 M | $39.37 B |
| E/R | 0.44% | 0.08% |
TMED | XLV | |
|---|---|---|
| Management strategy | Active | Passive |
| Provider | T. Rowe Price | SPDR |
| Benchmark | - | S&P Health Care Select Sector Index |
| N° of holdings | 74 | 57 |
| Asset class | - | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 11, 2025 | December 16, 1998 |
| ESG | No | No |
Countries
Sectors
Diversification
Total weight of top 15 holdings out of 15
Total weight of top 15 holdings out of 15
Top 15 holdings
How have the TMED and XLV ETFs performed in 2026?
As of March 11, 2026, TMED is down -0.34% year-to-date (YTD), while XLV has lost -2.96%. That puts TMED better performer ahead so far this year.
Which ETF is attracting more investor money: TMED or XLV?
Year-to-date, the TMED ETF saw +$3M in flows, compared to +$900M for XLV.
Which ETF is bigger: TMED or XLV?
As of March 11, 2026, TMED holds $19.23 M in assets under management (AUM), while XLV manages $39.37 B.
What sectors do the TMED and XLV ETFs invest in?
TMED leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.
What are the top holdings of the TMED ETF and XLV ETF?
TMED top holdings include LILLY, UNITEDHEALTH GRP and GILEAD SCIENCES. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: TMED or XLV?
TMED holds 80 securities with 56.46% of its assets in the top 15. XLV has 60 securities and a top 15 weight of 70.12%.
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