TMEDvsXLVETF Comparison
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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 up 6.93% year-to-date (YTD) with +$4M in YTD flows. XLV performs worse with -0.21% YTD performance, and -$14M 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.
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TMED vs XLV performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/11/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | TMED XLV | +5.32%+5.52% | +7.29%+2.83% | +6.93%-0.21% | +27.94%+14.42% | n/a+23.56% | n/a+33.70% |
| Flows | TMED XLV | +$2M-$27M | +$2M-$937M | +$4M-$14M | +$18M+$63M | --$7.15B | -+$4.72B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | TMED XLV | +21.78%+15.97% | +18.19%+15.00% | n/a+13.96% | n/a+14.72% |
| Max drawdown | TMED XLV | -6.52%-5.04% | -11.09%-10.51% | n/a-17.05% | n/a-17.05% |
| Max drawdown duration | TMED XLV | 27d72d | 125d103d | n/a444d | n/a444d |
Trading data
TMED | XLV | |
Last sale 6/12/2026 at 1:30 PM | $31.72 | $153.81 |
| Previous close 06/11/2026 | $31.77 | $154.09 |
| Consolidated volume 06/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 2026
1-year trailing difference
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TMED
is actively managed and doesn’t replicate an indexTMED | 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 6/12/2026 at 1:30 PM
Live
Closed
TMED | XLV | |
|---|---|---|
| Last price | $31.72 | $153.81 |
| 1D performance | -0.15% | -0.18% |
| AuM | $22.22 M | $39.35 B |
| E/R | 0.44% | 0.08% |
Characteristics
TMED | XLV | |
|---|---|---|
| Management strategy | Active | Passive |
| Provider | T. Rowe Price | State Street Investment Management |
| Benchmark | - | S&P Health Care Select Sector Index |
| N° of holdings | 74 | 55 |
| Asset class | - | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 11, 2025 | December 16, 1998 |
| ESG | No | No |
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Exposure
Countries
TMED
USA
85.53%
Other
14.47%
XLV
USA
97.39%
Other
2.61%
Sectors
TMED
Health Care
87.36%
Other
12.64%
XLV
Health Care
98.41%
Other
1.59%
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Diversification
TMED
Total weight of top 15 holdings out of 15
53.6%
XLV
Total weight of top 15 holdings out of 15
70.92%
Top 15 holdings
Data as of April 30, 2026
TMED
LILLY
14.29%
UNITEDHEALTH GRP
8.22%
GILEAD SCIENCES
4.61%
THERMO FISHER SCIENTIFIC
4.23%
ABBOTT LABS
3.82%
DANAHER
2.60%
STRYKER
2.08%
HUMANA
1.91%
DYNE THERAPEUTICS INC
1.79%
ALNYLAM PHARMACEUTICALS
1.75%
WEST PHARM SVCS
1.75%
BOSTON SCIENTIFIC
1.72%
WATERS
1.64%
AGILENT TECHNOLOGIES
1.63%
MEDTRONIC PLC
1.56%
XLV
LILLY
14.09%
JOHNSON&JOHNSON
10.54%
ABBVIE
7.10%
UNITEDHEALTH GRP
6.38%
MERCK & CO INC
5.15%
AMGEN-T
3.55%
THERMO FISHER SCIENTIFIC
3.42%
INTUITIVE SURGICAL
3.09%
GILEAD SCIENCES
3.09%
ABBOTT LABS
3.00%
PFIZER
2.89%
BRISTOL-MYERS SQUIBB
2.35%
DANAHER
2.14%
VERTEX PHARMACEUTICALS
2.06%
STRYKER
2.06%
Frequently asked questions about TMED and XLV
How have the TMED and XLV ETFs performed in 2026?
As of June 11, 2026, TMED is up 6.93% year-to-date (YTD), while XLV has lost -0.21%. 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 +$4M in flows, compared to -$14M for XLV.
Which ETF is more volatile: TMED or XLV?
Over the past year, TMED had a volatility of 18.19%, while XLV experienced 15%.
Which ETF is bigger: TMED or XLV?
As of June 11, 2026, TMED holds $22.22 M in assets under management (AUM), while XLV manages $39.35 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 79 securities with 53.6% of its assets in the top 15. XLV has 58 securities and a top 15 weight of 70.92%.
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