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FMED vs XLV

Fidelity Disruptive Medicine ETF

FMEDCNasdaq

State Street Health Care Select Sector SPDR ETF

XLVANYSE Arca

Overlap

Expense ratio

XLV −0.42pt a year

FMED0.50%XLV0.08%

Avg volume · 30D

XLV 1109.0×the volume

FMED8.21KXLV9.1M

3Y return · a year

FMED +1.1pt

FMED+17.1%XLV+16.0%

FMED vs XLV Performance

Oct 31, 2025 – Oct 30, 2026

+23.6%FMED+30.3%XLV

Oct 31, 2025 to Oct 30, 2026. FMED +23.6%. XLV +30.3%. Use the arrow keys to read each point.−10%0%10%Oct 2025Apr 2026Oct 2026
Expense ratio
FMED 0.50%
XLV 0.08%, better
Fund size
FMED $52M
XLV $48.5B
1Y total return
FMED +23.6%
XLV +30.3%, better
Yield (12M)
FMED 0.00%
XLV 1.38%, better
Holdings
FMED 75
XLV 64
Avg volume (30D)
FMED 8.21K sh
XLV 9.1M sh, better
NAV per share
FMED $32.47
XLV $184.09
52W range

ETF.net Grade

FMED: Cost 52, Risk 44, Mission 68, Tradability 27, Holdings 77, Durability 48. XLV: Cost 98, Risk 78, Mission 84, Tradability 100, Holdings 39, Durability 87.
Pillar letters and Scores for FMED, XLV, with each pillar’s weight
PillarFMEDXLV
Cost30% weightC52A98Higher
Mission25% weightB68A84Higher
Risk15% weightC44A78Higher
Tradability15% weightD27A100Higher
Holdings10% weightA77HigherD39
Durability5% weightC48A87Higher

Rank among Health Care (Broad) funds

How we build Categories ›
Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

Same Category. FMED and XLV are both graded against the same 25 Health Care (Broad) funds, so their Grades compare head to head.

Health Care (Broad)⁠

Category · 25 funds
See all 25 ›

XLV ranks 1st and FMED 14th of 25 funds in the Health Care (Broad) Category.

  1. Rank 1AXLVState Street Health Care Select Sector SPDR ETFScore 85
  2. Rank 2AFHLCFidelity MSCI Health Care Index ETFScore 83
  3. Rank 13CPTHInvesco Dorsey Wright Healthcare Momentum ETFScore 50
  4. Rank 14CFMEDFidelity Disruptive Medicine ETFScore 48
  5. Rank 14CPINKSimplify Health Care ETFScore 48

Our read on each fund

ETF.net Research

FMEDCFidelity Disruptive Medicine ETF

XLVAState Street Health Care Select Sector SPDR ETF

In short

FMED Fidelity's stock-picking take on health care: roughly 60 global companies its managers judge to be disrupting medicine. Actively run, deliberately concentrated, and priced right at the median fee for broad health care funds.

XLV Live since 1998, XLV is the original way to own health care: about 60 S&P 500 names, a 0.08% fee, and one of the busiest tickers in the sector. Big pharma and device makers, not small-cap biotech.

Stated mandate

FMED The fund seeks long-term growth of capital and normally invests at least 80% of its assets in securities of disruptive medicine companies.

XLV The fund seeks to track, before expenses, the price and yield performance of the Health Care Select Sector Index, which represents the health care sector of the S&P 500 Index.

Why people hold it

  • FMED Real active management, not closet indexing: about 60 global names, with at least 80% of assets in disruptive medicine companies per the prospectus.fidelity.com
  • At 0.50%, it charges the median fee for broad health care ETFs while doing hand-picked selection rather than tracking an index.
  • The portfolio itself is the strong part of the story, one of the better built line-ups in the broad health care group.
  • XLV 0.08% a year against a cohort median of 0.50%. That ties it with FHLC as the cheapest in the group and edges VHT at 0.09%.
  • One of the most actively traded funds in its category, which generally keeps bid-ask spreads thin whether you trade 10 shares or 10,000.
  • Launched December 1998 as one of the first US sector funds, and it has tracked its S&P 500 health care index closely ever since.
  • Covers the whole sector in one line: pharma, devices, providers, biotech, life-science tools and health tech. Pays quarterly.ssga.com

Worth knowing

  • FMED Plain sector beta is far cheaper. VHT (0.09%), FHLC (0.08%) and XLV (0.08%) cover health care for a fraction of the fee, so the stock picking has to earn its keep.
  • A small fund that trades lightly, so spreads can widen and order type matters more than it would with the category giants.
  • Concentration cuts both ways: with roughly 60 holdings, individual names move this fund far more than they would a full-sector index portfolio.
  • XLV Cap-weighted and about 60 names deep, so the largest drug and device makers carry most of the weight.ssga.com
  • S&P 500 members only. Mid- and small-cap health care names sit outside the mandate.
  • One sector, one set of headlines: drug pricing rules, patent expirations and policy shifts move the whole basket together.

Full FMED profile⁠

Full XLV profile⁠

FMED vs XLV Holdings

How we measure overlap

Each holding counts at its smaller weight in the two funds, summed over the full Holdings. Sector, country and asset class use the same rule on each fund’s split. Cash, FX and derivative lines stay out of the counts. Two bond funds get no overlap figure.

FMED vs XLV Cost

Overpaying FMED vs XLV

$8,290

On $10,000 over 30 years. 7% growth a year before fees, expense ratio only.

  • FMED 0.50%

    $9,979

  • XLV 0.08%

    $1,689

$10,000
30 years

Cost over time

  • FMED 0.50%
  • XLV 0.08%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$2K$4K$6K$8K$10K051015202530FMED $9,979XLV $1,689

Year by year

YearFMEDXLVOverpaying
10$900$147$753
20$3,460$575$2,885
30$9,979$1,689$8,290

Expense ratio

  • 0.50%FMED
  • 0.08%XLV, cheaper
  • Middle half of Health Care (Broad) funds
  • Median 0.50%

XLV cheapest of 25 funds

FMED 12th cheapest of 25 funds

FMED vs XLV Dividends

Last 12 months to Oct 30, 2026
Yield (12M)
FMED 0.00%
XLV 1.38%, better
Payout (12M)
FMED None
XLV $2.55
Last payment
FMED No data
XLV $0.64
Ex-dividend
FMED No data
XLV Sep 21, 2026
Paid on
FMED No data
XLV Sep 23, 2026
Frequency
FMED No data
XLV Quarterly

Distribution history

Per share, 2017 to 2026, same scale for both

FMED2 paymentsAll FMED payments⁠
One bar per payment. 2 payments from 2017 to 2026 YTD. Jun 21, 2024 $0.001; Dec 20, 2024 $0.11. Use the arrow keys to read each point.$0$0.502017202020232026YTD
XLVQuarterly · 40 paymentsAll XLV payments⁠
One bar per payment. 40 payments from 2017 to 2026 YTD. Mar 17, 2017 $0.27; Jun 16, 2017 $0.31; Sep 15, 2017 $0.30; Dec 15, 2017 $0.33; Mar 16, 2018 $0.30; Jun 15, 2018 $0.32; Sep 21, 2018 $0.37; Dec 21, 2018 $0.38; Mar 15, 2019 $0.34; Jun 21, 2019 $0.40; Sep 20, 2019 $0.38; Dec 20, 2019 $0.42; Dec 30, 2019 $0.67; Mar 23, 2020 $0.38; Jun 22, 2020 $0.42; Sep 21, 2020 $0.42; Dec 21, 2020 $0.46; Mar 22, 2021 $0.40; Jun 21, 2021 $0.48; Sep 20, 2021 $0.47; Dec 20, 2021 $0.53; Mar 21, 2022 $0.43; Jun 21, 2022 $0.50; Sep 19, 2022 $0.51; Dec 19, 2022 $0.56; Mar 20, 2023 $0.49; Jun 20, 2023 $0.54; Sep 18, 2023 $0.54; Dec 18, 2023 $0.60; Mar 18, 2024 $0.52; Jun 24, 2024 $0.57; Sep 23, 2024 $0.58; Dec 23, 2024 $0.62; Mar 24, 2025 $0.56; Jun 23, 2025 $0.63; Sep 22, 2025 $0.62; Dec 22, 2025 $0.66; Mar 23, 2026 $0.59; Jun 22, 2026 $0.66; Sep 21, 2026 $0.64. Use the arrow keys to read each point.$0$0.502017202020232026YTD

FMED vs XLV Risk

Fall from peak · 5 years

This chart needs five years of history for both funds.

Risk facts

VolatilityStd dev, 3 years
FMED 18.4%XLV 14.8%, better
Return per unit of riskSharpe ratio, 3 years
FMED 0.71XLV 0.78, better
Worst fallMax drawdown, 5 years
FMED −21.8%since Jun 2023XLV −17.1%
Market sensitivityBeta, 5 years
FMED 0.77XLV 0.56

FMED and XLV in the news

All news⁠

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