FMED vs. FSMEX

Last updated Aug 2, 2026

FMED (Fidelity Disruptive Medicine ETF) and FSMEX (Fidelity Select Medical Technology and Devices Portfolio) are both Health & Biotech Equities funds from Fidelity. Both are actively managed. Over the past 3 years, FMED returned 3.80%/yr vs 4.41%/yr for FSMEX. Their correlation of 0.81 means they have usually moved in the same direction. FMED charges 0.50%/yr vs 0.62%/yr for FSMEX.

Performance

FMED vs. FSMEX - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Fidelity Disruptive Medicine ETF (FMED) and Fidelity Select Medical Technology and Devices Portfolio (FSMEX). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, FMED achieves a 3.49% return, which is significantly higher than FSMEX's -6.56% return.

FMED

• 1D: -2.53%
• 1M: -4.70%
• 6M: 4.95%
• YTD: 3.49%
• 1Y: 18.78%
• 3Y*: 3.80%
• 5Y*: —
• 10Y*: —
• ALL TIME*: 3.67%

FSMEX

• 1D: 0.55%
• 1M: 1.24%
• 6M: -3.83%
• YTD: -6.56%
• 1Y: 1.44%
• 3Y*: 4.41%
• 5Y*: -1.42%
• 10Y*: 9.72%
• ALL TIME*: 12.73%

*Multi-year figures are annualized to reflect compound growth (CAGR)

Liquidity Comparison

Position	Avg. Volume Value (2W)	Avg. Volume Value (1M)	Avg. Volume Value (3M)
FMED Fidelity Disruptive Medicine ETF	$97.22K	$229.29K	$475.48K
FSMEX Fidelity Select Medical Technology and Devices Portfolio	$0.00	$0.00	$0.00

FMED vs. FSMEX - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023
FMED Fidelity Disruptive Medicine ETF	3.49%	9.69%	2.29%	-3.59%
FSMEX Fidelity Select Medical Technology and Devices Portfolio	-6.56%	8.13%	18.37%	-2.21%

Correlation

The correlation between FMED and FSMEX is 0.74, which is moderate. They have sometimes moved together and sometimes differently, sharing some price drivers without tracking each other closely.

	Correlation
Correlation (1Y) Focuses on recent behavior, but can change the most.	0.74
Correlation (3Y) Balances recent behavior with more history.	0.81
Correlation (All Time) Calculated using the full available price history since Jun 12, 2023	0.81

The correlation between FMED and FSMEX has been stable across timeframes, ranging from 0.74 to 0.81 - a consistent structural relationship.

Return for Risk

FMED vs. FSMEX — Risk / Return Rank

Compare historical risk-adjusted metric ranks over the past 12 months.

FMED

FMED Risk / Return Rank: 33
FMED Sharpe Ratio Rank: 37
FMED Sortino Ratio Rank: 39
FMED Omega Ratio Rank: 34
FMED Calmar Ratio Rank: 30
FMED Martin Ratio Rank: 27

FSMEX

FSMEX Risk / Return Rank: 4
FSMEX Sharpe Ratio Rank: 4
FSMEX Sortino Ratio Rank: 4
FSMEX Omega Ratio Rank: 4
FSMEX Calmar Ratio Rank: 4
FSMEX Martin Ratio Rank: 4

The rank (0–100) uses a weighted average of the Sharpe, Sortino, Omega, Calmar, and Martin percentile ranks for the trailing 12 months. Higher means stronger historical risk-adjusted performance within the peer group.

FMED vs. FSMEX - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Fidelity Disruptive Medicine ETF (FMED) and Fidelity Select Medical Technology and Devices Portfolio (FSMEX). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	FMED	FSMEX	Difference
Sharpe ratio: Return per unit of total volatility	0.92	-0.09	+1.01
Sortino ratio: Return per unit of downside risk	1.45	0.02	+1.43
Omega ratio: Gain probability vs. loss probability	1.16	1.00	+0.16
Calmar ratio: Return relative to maximum drawdown	1.00	-0.07	+1.07
Martin ratio: Return relative to average drawdown	2.17	-0.14	+2.30

FMED vs. FSMEX - Sharpe Ratio Comparison

The current FMED Sharpe Ratio is 0.92, which is higher than the FSMEX Sharpe Ratio of -0.09. The chart below compares the historical Sharpe Ratios of FMED and FSMEX, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

FMED vs. FSMEX - Drawdown Comparison

The maximum FMED drawdown since its inception was -21.84%, smaller than the maximum FSMEX drawdown of -40.34%. Use the drawdown chart below to compare losses from any high point for FMED and FSMEX.

Drawdown Indicators

	FMED	FSMEX	Difference
Max Drawdown Largest peak-to-trough decline	-21.84%	-40.34%	+18.50%
Max Drawdown (1Y) Largest decline over 1 year	-18.33%	-26.28%	+7.95%
Max Drawdown (3Y) Largest decline over 3 years	-19.46%	-26.28%	+6.82%
Max Drawdown (5Y) Largest decline over 5 years	—	-40.34%	—
Max Drawdown (10Y) Largest decline over 10 years	—	-40.34%	—
Current Drawdown Current decline from peak	-7.01%	-12.50%	+5.49%
Average Drawdown Average peak-to-trough decline	-6.98%	-7.81%	+0.83%
Ulcer Index Depth and duration of drawdowns from previous peaks	8.46%	12.47%	-4.01%

Volatility

FMED vs. FSMEX - Volatility Comparison

The current volatility for Fidelity Disruptive Medicine ETF (FMED) is 6.15%, while Fidelity Select Medical Technology and Devices Portfolio (FSMEX) has a volatility of 6.57%. This indicates that FMED experiences smaller price fluctuations and is considered to be less risky than FSMEX based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	FMED	FSMEX	Difference
Volatility (1M) Calculated over the trailing 1-month period	6.15%	6.57%	-0.42%
Volatility (6M) Calculated over the trailing 6-month period	15.94%	16.61%	-0.67%
Volatility (1Y) Calculated over the trailing 1-year period	19.98%	19.99%	-0.01%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	18.69%	21.36%	-2.67%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.69%	20.89%	-2.20%

FMED vs. FSMEX - Expense Ratio Comparison

FMED has a 0.50% expense ratio, which is lower than FSMEX's 0.62% expense ratio.

Dividends

FMED vs. FSMEX - Dividend Comparison

FMED has not paid dividends to shareholders, while FSMEX's dividend yield for the trailing twelve months is around 19.43%.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
FMED Fidelity Disruptive Medicine ETF	0.00%	0.00%	0.46%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
FSMEX Fidelity Select Medical Technology and Devices Portfolio	19.43%	10.53%	17.04%	0.00%	1.80%	8.12%	6.65%	1.77%	7.47%	6.26%	5.84%	16.35%

Frequently Asked Questions

Can I hold both FMED and FSMEX in my portfolio?

FMED and FSMEX have a correlation of 0.74, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, FMED or FSMEX?

FSMEX has higher volatility (6.57%) compared to FMED (6.15%). In terms of maximum drawdown, FMED dropped -21.84% vs FSMEX's -40.34%.

Which has better risk-adjusted returns?

FMED currently has the higher Sharpe Ratio (0.92 vs -0.09), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.