TMED vs VOO
TMED vs VOO
T. Rowe Price Health Care ETF vs Vanguard S&P 500 ETF
Quick Verdict
VOO has a lower expense ratio. TMED delivered stronger 1-year returns. VOO offers more diversification with 505 holdings.
Side-by-Side Comparison
| Metric | TMED | VOO | Winner |
|---|---|---|---|
| Expense Ratio | 0.44% | 0.03% | |
| AUM | - | $979.0B | |
| Dividend Yield | - | 1.09% | |
| Holdings | 347 | 509 | |
| YTD Return | +17.55% | +13.80% | |
| 1Y Return | +48.61% | +23.71% | |
| 3Y Return (annualized) | - | +21.50% | |
| 5Y Return (annualized) | - | +13.44% | |
| Volatility (annualized) | 14.3% | 14.1% | |
| Max Drawdown | -11.1% | -34.3% | |
| Fund Family | T.Rowe Price | Vanguard (US) | |
| Category | Equity | Equity | |
| Inception | Jun 11, 2025 | Sep 7, 2010 |
TMED vs VOO Performance
T. Rowe Price Health Care ETF (TMED) is a ETF from T.Rowe Price and Vanguard S&P 500 ETF (VOO) is a ETF from Vanguard (US). Over the past year TMED returned +48.61% while VOO returned +23.71%. Year to date, TMED is up 17.55% versus a gain of 13.80% for VOO.
Risk: Volatility and Drawdowns
TMED has been the more volatile fund, with annualized monthly volatility of 14.3% compared with 14.1% for VOO. 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 -34.3% for VOO. 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 0.38. They move independently enough that combining them can meaningfully diversify a portfolio.
Fees and Cost Over Time
TMED charges 0.44% per year while VOO 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.
Holdings Overlap
TMED and VOO 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, TMED or VOO?
TMED has an expense ratio of 0.44% while VOO charges 0.03%. VOO is the cheaper option. On a $10,000 investment, that is $41 per year of difference.
Which performed better, TMED or VOO?
Over the past year TMED returned +48.61% vs +23.71% for VOO, so TMED leads on 1-year performance. Over the longest common window we track (1 years), TMED annualized +33.57% vs +13.58% for VOO. Past performance does not guarantee future results.
Which is riskier, TMED or VOO?
TMED has been the more volatile fund at 14.3% annualized versus 14.1% for VOO. Worst drawdown: TMED -11.1% vs VOO -34.3%.
Should I hold both TMED and VOO?
TMED and VOO have a monthly-return correlation of 0.38, so combining them can provide real diversification depending on your allocation goals.
What is the holdings overlap between TMED and VOO?
TMED and VOO share 0 common holdings with a 0.0% weight overlap. Combined, they hold 667 unique securities.
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