TMED vs VTI
T. Rowe Price Health Care ETF vs Vanguard Morningstar Total Stock Market ETF
Quick Verdict
VTI has a lower expense ratio. TMED delivered stronger 1-year returns. VTI offers more diversification with 3,543 holdings.
Side-by-Side Comparison
| Metric | TMED | VTI | Winner |
|---|---|---|---|
| Expense Ratio | 0.44% | 0.03% | |
| AUM | $30M | $666.9B | |
| Dividend Yield | 0.48% | 1.07% | |
| Holdings | 347 | 3,543 | |
| YTD Return | +22.32% | +13.14% | |
| 1Y Return | +45.18% | +22.35% | |
| 3Y Return (annualized) | - | +21.83% | |
| 5Y Return (annualized) | - | +12.01% | |
| Volatility (annualized) | 14.9% | 15.3% | |
| Max Drawdown | -11.1% | -56.6% | |
| Fund Family | T.Rowe Price | Vanguard (US) | |
| Category | Equity | Equity | |
| Inception | Jun 11, 2025 | May 24, 2001 |
TMED vs VTI Performance
T. Rowe Price Health Care ETF (TMED) is a ETF from T.Rowe Price and Vanguard Morningstar Total Stock Market ETF (VTI) is a ETF from Vanguard (US). Over the past year TMED returned +45.18% while VTI returned +22.35%. Year to date, TMED is up 22.32% versus a gain of 13.14% for VTI.
Risk: Volatility and Drawdowns
VTI has been the more volatile fund, with annualized monthly volatility of 15.3% 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 -11.1% for TMED and -56.6% for VTI. 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 0.41. They move independently enough that combining them can meaningfully diversify a portfolio.
Fees and Cost Over Time
TMED charges 0.44% per year while VTI charges 0.03%. On a $10,000 position that is $44 vs $3 annually, a gap of $41 per year that compounds over a long holding period. On income, TMED currently yields 0.48% against 1.07% for VTI.
Holdings Overlap
TMED and VTI share 0 holdings out of 2949 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, TMED or VTI?
TMED has an expense ratio of 0.44% while VTI charges 0.03%. VTI is the cheaper option. On a $10,000 investment, that is $41 per year of difference.
Which performed better, TMED or VTI?
Over the past year TMED returned +45.18% vs +22.35% for VTI, so TMED leads on 1-year performance. Over the longest common window we track (1 years), TMED annualized +36.82% vs +8.09% for VTI. Past performance does not guarantee future results.
Which is riskier, TMED or VTI?
VTI has been the more volatile fund at 15.3% annualized versus 14.9% for TMED. Worst drawdown: TMED -11.1% vs VTI -56.6%.
Should I hold both TMED and VTI?
TMED and VTI have a monthly-return correlation of 0.41, so combining them can provide real diversification depending on your allocation goals.
What is the holdings overlap between TMED and VTI?
TMED and VTI share 0 common holdings with a 0.0% weight overlap. Combined, they hold 2949 unique securities.
Which pays a higher dividend, TMED or VTI?
TMED yields 0.48% while VTI yields 1.07%, so VTI currently pays the higher dividend yield.
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