IVV vs TMED
iShares Core S&P 500 ETF vs T. Rowe Price Health Care ETF
Quick Verdict
IVV has a lower expense ratio. TMED delivered stronger 1-year returns. IVV offers more diversification with 508 holdings.
Side-by-Side Comparison
| Metric | IVV | TMED | Winner |
|---|---|---|---|
| Expense Ratio | 0.03% | 0.44% | |
| AUM | $907.0B | $30M | |
| Dividend Yield | 1.10% | 0.48% | |
| Holdings | 508 | 347 | |
| YTD Return | +12.71% | +22.32% | |
| 1Y Return | +21.89% | +45.18% | |
| 3Y Return (annualized) | +22.08% | - | |
| 5Y Return (annualized) | +12.96% | - | |
| Volatility (annualized) | 15.1% | 14.9% | |
| Max Drawdown | -56.5% | -11.1% | |
| Fund Family | iShares by BlackRock (US) | T.Rowe Price | |
| Category | Equity | Equity | |
| Inception | May 15, 2000 | Jun 11, 2025 |
IVV vs TMED Performance
iShares Core S&P 500 ETF (IVV) is a ETF from iShares by BlackRock (US) and T. Rowe Price Health Care ETF (TMED) is a ETF from T.Rowe Price. Over the past year IVV returned +21.89% while TMED returned +45.18%. Year to date, IVV is up 12.71% versus a gain of 22.32% for TMED.
Risk: Volatility and Drawdowns
IVV has been the more volatile fund, with annualized monthly volatility of 15.1% compared with 14.9% for TMED. Lower volatility generally means a smoother ride, though it often comes with lower long-run returns.
The deepest peak-to-trough decline in our data was -56.5% for IVV and -11.1% for TMED. Drawdown depth is worth weighing if you expect to sell during market stress rather than ride it out.
The two funds' monthly returns correlate at 0.37. They move independently enough that combining them can meaningfully diversify a portfolio.
Fees and Cost Over Time
IVV charges 0.03% per year while TMED charges 0.44%. On a $10,000 position that is $3 vs $44 annually, a gap of $41 per year that compounds over a long holding period. On income, IVV currently yields 1.10% against 0.48% for TMED.
Holdings Overlap
IVV and TMED share 0 holdings out of 667 unique holdings combined, representing a 0.0% weight overlap.
Moderate overlap means holding both could provide meaningful diversification benefits.
Frequently Asked Questions
Which is cheaper, IVV or TMED?
IVV has an expense ratio of 0.03% while TMED charges 0.44%. IVV is the cheaper option. On a $10,000 investment, that is $41 per year of difference.
Which performed better, IVV or TMED?
Over the past year IVV returned +21.89% vs +45.18% for TMED, so TMED leads on 1-year performance. Over the longest common window we track (1 years), IVV annualized +7.00% vs +36.82% for TMED. Past performance does not guarantee future results.
Which is riskier, IVV or TMED?
IVV has been the more volatile fund at 15.1% annualized versus 14.9% for TMED. Worst drawdown: IVV -56.5% vs TMED -11.1%.
Should I hold both IVV and TMED?
IVV and TMED have a monthly-return correlation of 0.37, so combining them can provide real diversification depending on your allocation goals.
What is the holdings overlap between IVV and TMED?
IVV and TMED share 0 common holdings with a 0.0% weight overlap. Combined, they hold 667 unique securities.
Which pays a higher dividend, IVV or TMED?
IVV yields 1.10% while TMED yields 0.48%, so IVV currently pays the higher dividend yield.
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