XLVvsTMEDETF Comparison
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State Street Health Care Select Sector SPDR ETF (XLV) and T. Rowe Price Health Care ETF (TMED) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. XLV is less expensive with a Total Expense Ratio (TER) of 0.08%, versus 0.44% for TMED. XLV is down -0.85% year-to-date (YTD) with -$168M in YTD flows. TMED performs better with 7.68% YTD performance, and +$3M in YTD flows. Run a side-by-side ETF comparison of XLV and TMED 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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XLV vs TMED performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/10/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV TMED | +6.87%+6.06% | +0.18%+6.68% | -0.85%+7.68% | +14.66%+28.84% | +22.77%n/a | +32.06%n/a |
| Flows | XLV TMED | -$610M-$4K | -$1.23B-$53K | -$168M+$3M | -$111M+$17M | -$7.31B- | +$4.91B- |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV TMED | +16.30%+21.42% | +15.00%+18.12% | +13.97%n/a | +14.72%n/a |
| Max drawdown | XLV TMED | -6.41%-7.71% | -10.51%-11.09% | -17.05%n/a | -17.05%n/a |
| Max drawdown duration | XLV TMED | 86d29d | 101d125d | 444dn/a | 444dn/a |
Trading data
XLV | TMED | |
Last sale 6/10/2026 at 1:30 PM | $152.85 | $31.40 |
| Previous close 06/10/2026 | $154.57 | $31.97 |
| Consolidated volume 06/10/2026 | ||
| 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 indexXLV | TMED | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 6/10/2026 at 1:30 PM
Live
Closed
XLV | TMED | |
|---|---|---|
| Last price | $152.85 | $31.40 |
| 1D performance | -1.11% | -1.77% |
| AuM | $38.95 B | $20.77 M |
| E/R | 0.08% | 0.44% |
Characteristics
XLV | TMED | |
|---|---|---|
| Management strategy | Passive | Active |
| Provider | State Street Investment Management | T. Rowe Price |
| Benchmark | S&P Health Care Select Sector Index | - |
| N° of holdings | 55 | 74 |
| Asset class | Equities | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | December 16, 1998 | June 11, 2025 |
| ESG | No | No |
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Exposure
Countries
XLV
USA
97.39%
Other
2.61%
TMED
USA
85.53%
Other
14.47%
Sectors
XLV
Health Care
98.41%
Other
1.59%
TMED
Health Care
87.36%
Other
12.64%
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Diversification
XLV
Total weight of top 15 holdings out of 15
70.92%
TMED
Total weight of top 15 holdings out of 15
53.6%
Top 15 holdings
Data as of April 30, 2026
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%
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%
WEST PHARM SVCS
1.75%
ALNYLAM PHARMACEUTICALS
1.75%
BOSTON SCIENTIFIC
1.72%
WATERS
1.64%
AGILENT TECHNOLOGIES
1.63%
MEDTRONIC PLC
1.56%
Frequently asked questions about XLV and TMED
How have the XLV and TMED ETFs performed in 2026?
As of June 10, 2026, XLV is down -0.85% year-to-date (YTD), while TMED has returned 7.68%. That puts TMED better performer ahead so far this year.
Which ETF is attracting more investor money: XLV or TMED?
Year-to-date, the XLV ETF saw -$168M in flows, compared to +$3M for TMED.
Which ETF is more volatile: XLV or TMED?
Over the past year, XLV had a volatility of 15%, while TMED experienced 18.12%.
Which ETF is bigger: XLV or TMED?
As of June 10, 2026, XLV holds $38.95 B in assets under management (AUM), while TMED manages $20.77 M.
What sectors do the XLV and TMED ETFs invest in?
XLV leans toward sectors like Health Care. Meanwhile, TMED focuses on Health Care.
What are the top holdings of the XLV ETF and TMED ETF?
XLV top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. TMED holds in its top three: LILLY, UNITEDHEALTH GRP and GILEAD SCIENCES.
Which ETF is more diversified: XLV or TMED?
XLV holds 58 securities with 70.92% of its assets in the top 15. TMED has 79 securities and a top 15 weight of 53.6%.
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