FSMEX vs. FMED

Last updated Aug 4, 2026

FSMEX (Fidelity Select Medical Technology and Devices Portfolio) and FMED (Fidelity Disruptive Medicine ETF) are both Health & Biotech Equities funds from Fidelity. Both are actively managed. Over the past 3 years, FSMEX returned 4.26%/yr vs 5.14%/yr for FMED. Their correlation of 0.82 means they have usually moved in the same direction. FSMEX charges 0.62%/yr vs 0.50%/yr for FMED.

Performance

FSMEX vs. FMED - Performance Comparison

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

Returns By Period

In the year-to-date period, FSMEX achieves a -7.61% return, which is significantly lower than FMED's 4.22% return.

FSMEX

• 1D: -1.12%
• 1M: 0.10%
• 6M: -5.06%
• YTD: -7.61%
• 1Y: 0.30%
• 3Y*: 4.26%
• 5Y*: -1.64%
• 10Y*: 9.67%
• ALL TIME*: 12.69%

FMED

• 1D: 0.70%
• 1M: -4.03%
• 6M: 4.93%
• YTD: 4.22%
• 1Y: 19.61%
• 3Y*: 5.14%
• 5Y*: —
• 10Y*: —
• ALL TIME*: 3.89%

*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	$95.15K	$203.04K	$469.12K
FSMEX Fidelity Select Medical Technology and Devices Portfolio	$0.00	$0.00	$0.00

FSMEX vs. FMED - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023
FSMEX Fidelity Select Medical Technology and Devices Portfolio	-7.61%	8.13%	18.37%	-2.21%
FMED Fidelity Disruptive Medicine ETF	4.22%	9.69%	2.29%	-3.59%

Correlation

The correlation between FSMEX and FMED is 0.75, 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.	0.75
Correlation (3Y) Balances recent behavior with more history.	0.82
Correlation (All Time) Calculated using the full available price history since Jun 12, 2023	0.82

The correlation between FSMEX and FMED has been stable across timeframes, ranging from 0.75 to 0.82 - a consistent structural relationship.

Return for Risk

FSMEX vs. FMED — Risk / Return Rank

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

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

FMED

FMED Risk / Return Rank: 35
FMED Sharpe Ratio Rank: 38
FMED Sortino Ratio Rank: 40
FMED Omega Ratio Rank: 36
FMED Calmar Ratio Rank: 32
FMED Martin Ratio Rank: 27

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.

FSMEX vs. FMED - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Fidelity Select Medical Technology and Devices Portfolio (FSMEX) and Fidelity Disruptive Medicine ETF (FMED). 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.

	FSMEX	FMED	Difference
Sharpe ratio: Return per unit of total volatility	-0.01	0.99	-1.00
Sortino ratio: Return per unit of downside risk	0.13	1.54	-1.42
Omega ratio: Gain probability vs. loss probability	1.01	1.17	-0.16
Calmar ratio: Return relative to maximum drawdown	-0.01	1.07	-1.09
Martin ratio: Return relative to average drawdown	-0.02	2.32	-2.34

FSMEX vs. FMED - Sharpe Ratio Comparison

The current FSMEX Sharpe Ratio is -0.01, which is lower than the FMED Sharpe Ratio of 0.99. The chart below compares the historical Sharpe Ratios of FSMEX and FMED, 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

FSMEX vs. FMED - Drawdown Comparison

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

Drawdown Indicators

	FSMEX	FMED	Difference
Max Drawdown Largest peak-to-trough decline	-40.34%	-21.84%	-18.50%
Max Drawdown (1Y) Largest decline over 1 year	-26.28%	-18.33%	-7.95%
Max Drawdown (3Y) Largest decline over 3 years	-26.28%	-19.46%	-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	-13.48%	-6.36%	-7.12%
Average Drawdown Average peak-to-trough decline	-7.81%	-6.98%	-0.83%
Ulcer Index Depth and duration of drawdowns from previous peaks	12.48%	8.47%	+4.01%

Volatility

FSMEX vs. FMED - Volatility Comparison

Fidelity Select Medical Technology and Devices Portfolio (FSMEX) has a higher volatility of 6.43% compared to Fidelity Disruptive Medicine ETF (FMED) at 5.98%. This indicates that FSMEX's price experiences larger fluctuations and is considered to be riskier than FMED based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	FSMEX	FMED	Difference
Volatility (1M) Calculated over the trailing 1-month period	6.43%	5.98%	+0.45%
Volatility (6M) Calculated over the trailing 6-month period	16.56%	15.92%	+0.64%
Volatility (1Y) Calculated over the trailing 1-year period	20.02%	19.98%	+0.04%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	21.35%	18.68%	+2.67%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	20.89%	18.68%	+2.21%

FSMEX vs. FMED - Expense Ratio Comparison

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

Dividends

FSMEX vs. FMED - Dividend Comparison

FSMEX's dividend yield for the trailing twelve months is around 19.65%, while FMED has not paid dividends to shareholders.

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	19.65%	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 FSMEX and FMED in my portfolio?

FSMEX and FMED have a correlation of 0.75, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, FSMEX or FMED?

FSMEX has higher volatility (6.43%) compared to FMED (5.98%). In terms of maximum drawdown, FSMEX dropped -40.34% vs FMED's -21.84%.

Which has better risk-adjusted returns?

FMED currently has the higher Sharpe Ratio (0.99 vs -0.01), 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.