Data as of .
FMED vs ILDR: which is really different?
FMED and ILDR hold 5% of their weight in the same names, and FMED returned more over the year.
ETFIQ Off-Index Score: FMED scores higher
How much of it is not the index it is sold as an alternative to?
A percentile among the 379 thematic ETFs with a holdings filing. It is a position in a set, not a rating, and neither end of it is a recommendation. All thematic ETFs ranked by it · How it is computed
5% of the two portfolios are the same securities at the same weight.
What they hold in common
By the books each fund has filed, FMED and ILDR hold 5% of their money in the same securities at the same weight.
| Holding | FMED | ILDR |
|---|---|---|
| ASCENDIS PHARMA A/S | 2.12% | 0.93% |
| ARGENX SE | 2.79% | 0.91% |
| ALNYLAM PHARMACEUTICALS INC | 2.80% | 0.57% |
| MIRUM PHARMACEUTICALS INC | 0.54% | 0.90% |
| KYMERA THERAPEUTICS INC | 1.99% | 0.50% |
| VIRIDIAN THERAPEUTICS INC | 1.34% | 0.47% |
| Only in FMED | Only in ILDR |
|---|---|
| UCB SA 4.75% | NVIDIA Corporation 9.78% |
| LIFESTANCE HEALTH GROUP INC 4.29% | Advanced Micro Devices, Inc. 5.79% |
| DANAHER CORP 3.43% | Amazon.com, Inc. 5.79% |
| 10X GENOMICS INC 3.12% | Alphabet Inc. (Class A) 4.81% |
| INTUITIVE SURGICAL INC 2.93% | Broadcom Inc. 3.57% |
| COGENT BIOSCIENCES INC 2.86% | Marvell Technology, Inc. 3.13% |
| LEGEND BIOTECH CORP 2.30% | Eli Lilly and Company 3.02% |
| UNITEDHEALTH GROUP INC 2.26% | Micron Technology, Inc. 2.80% |
Weight overlap is an ETFIQ calculation: for every security both funds hold, the smaller of the two weights, summed. Above 50%, holding both is close to holding one of them twice. Holdings dated May 31, 2026 and Sep 18, 2026.
Performance, window by window
| Window | Total return | vs the S&P 500 | vs the Nasdaq-100 | |||
|---|---|---|---|---|---|---|
| FMED | ILDR | FMED | ILDR | FMED | ILDR | |
| 3 months | +21.3% | +0.3% | +19.0 pts | −1.9 pts | +23.7 pts | +2.8 pts |
| 6 months | +32.3% | +31.0% | +14.3 pts | +12.9 pts | +8.0 pts | +6.7 pts |
| 1 year | +28.3% | +19.9% | +11.7 pts | +3.3 pts | +6.5 pts | −1.9 pts |
| 3 years | +39.6% | +120.9% | −38.8 pts | +42.5 pts | −58.5 pts | +22.7 pts |
| Since launch | +25.8% | +92.7% | −57.6 pts | −3.0 pts | −78.1 pts | −30.0 pts |
| FMED Fidelity Disruptive Medicine ETF Holds 68 stocks in broad innovation and megatrends, 25% of its weight in S&P 500 companies | ILDR First Trust Innovation Leaders ETF Holds 82 stocks in broad innovation and megatrends, 66% of its weight in S&P 500 companies | |
|---|---|---|
| Issuer | Fidelity | First Trust |
| Theme | Broad innovation and megatrends | Broad innovation and megatrends |
| In the S&P 500 | 25.4% | 65.8% |
| Active share vs the S&P 500 | 97.1% | 67.1% |
| In the Nasdaq-100 | 8.7% | 49.0% |
| Holdings | 68 | 82 |
| Top ten, share of the fund | 31.5% | 44.1% |
| Expense ratio | 0.50% | 0.75% |
| Fee for the differing part | 0.51% | 1.12% |
| Total return, 1 year | +28.3% | +19.9% |
| vs the S&P 500 | +11.7 pts | +3.3 pts |
| vs the Nasdaq-100 | +6.5 pts | −1.9 pts |
| Below its high | −3.8% | −3.5% |
| Net assets | $52m | $342m |
FMED in plain words
By weight, 25% of FMED's portfolio is stocks that are also in the S&P 500; its active share against the S&P 500 is 97%. The top ten holdings are 32% of the fund across 68 positions, as filed for May 31, 2026. Over the year to Sep 18, 2026 the fund returned +28.3% with distributions reinvested against +16.6% for the S&P 500, so a holder was ahead by 11.7 pts.
ILDR in plain words
By weight, 66% of ILDR's portfolio is stocks that are also in the S&P 500; its active share against the S&P 500 is 67%. The top ten holdings are 44% of the fund across 82 positions, as published by its issuer for Sep 18, 2026. Over the year to Sep 18, 2026 the fund returned +19.9% with distributions reinvested against +16.6% for the S&P 500, so a holder was ahead by 3.3 pts.
Questions people ask
- Do FMED and ILDR hold the same stocks?
- By their latest filings, 5% of their books are the same securities at the same weight, which is mostly different names. Overlap is the sum of the smaller weight of every security they share.
- Which is more different from the S&P 500, FMED or ILDR?
- FMED has 25% of its weight in S&P 500 names and ILDR has 66%, so FMED differs more from the index.
- Which is cheaper, FMED or ILDR?
- FMED charges 0.50% a year and ILDR charges 0.75%, so FMED is cheaper. Fees come from each fund's prospectus.
Other comparisons
Where these figures came from
ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.
Cite this page. ETFIQ, FMED against ILDR, data as of Sep 18, 2026. https://etfiq.com/compare/themes/fmed-vs-ildr Free to use with attribution; the underlying files are at Open data.