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Data as of .

FMED vs LFSC: which is really different?

FMED and LFSC hold 11% of their weight in the same names, and LFSC returned more over the year.

Fidelity Disruptive Medicine ETF and F/m Emerald Life Sciences Innovation ETF.

25.4%FMED in the S&P 500
0.0%LFSC in the S&P 500
+28.3%FMED total return, 1 year
+53.0%LFSC total return, 1 year

ETFIQ Off-Index Score: LFSC scores higher

How much of it is not the index it is sold as an alternative to?

FMED 40.1LFSC 91.80.1, the lowest in this set91.8, the highest

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

FMED75% of its weight is outside the S&P 500 · 1 year to Sep 18, 2026
25%75%in the S&P 500of its weight outside the S&P 500active share 97% · top ten 32% of the fund · 68 holdings filed May 31, 2026 · Nasdaq-100: 9% in25%75%inoutside the S&P 500active share 97% · top ten 32% of the fund
LFSC100% of its weight is outside the S&P 500 · 1 year to Sep 18, 2026
0%100%0% of its weight in S&P 500 companiesof its weight outside the S&P 500active share 100% · top ten 55% of the fund · 39 holdings filed May 31, 2026 · Nasdaq-100: 1% in0%100%0% of its weight in S&P 500 companiesof its weight outside the S&P 500active share 100% · top ten 55% of the fund

11% 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 LFSC hold 11% of their money in the same securities at the same weight.

Positions FMED and LFSC both hold, largest shared weight first
HoldingFMEDLFSC
COGENT BIOSCIENCES INC2.86%7.52%
AXSOME THERAPEUTICS INC1.58%2.84%
CYTOKINETICS INC1.55%3.16%
GUARDANT HEALTH INC1.39%5.51%
VIRIDIAN THERAPEUTICS INC1.34%2.23%
WAYSTAR HOLDING CORP0.98%1.04%
INSMED INC1.80%0.61%
MIRUM PHARMACEUTICALS INC0.54%4.92%
SPYRE THERAPEUTICS INC0.05%6.41%
Only in each
Only in FMEDOnly in LFSC
UCB SA 4.75%Travere Therapeutics Inc 7.66%
LIFESTANCE HEALTH GROUP INC 4.29%LivaNova PLC 7.11%
DANAHER CORP 3.43%Corcept Therapeutics Inc 4.79%
10X GENOMICS INC 3.12%United Therapeutics Corp 4.15%
INTUITIVE SURGICAL INC 2.93%VeraDermics Inc 3.42%
ALNYLAM PHARMACEUTICALS INC 2.80%Savara Inc 3.22%
ARGENX SE 2.79%Nektar Therapeutics 3.14%
LEGEND BIOTECH CORP 2.30%Trevi Therapeutics Inc 3.12%

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.

Performance, window by window

FMED and LFSC over each window. Every figure is an ETFIQ calculation with distributions reinvested. Source: ETFIQ.
WindowTotal returnvs the S&P 500vs the Nasdaq-100
FMEDLFSCFMEDLFSCFMEDLFSC
3 months+21.3%+8.7%+19.0 pts+6.5 pts+23.7 pts+11.2 pts
6 months+32.3%+36.0%+14.3 pts+17.9 pts+8.0 pts+11.7 pts
1 year+28.3%+53.0%+11.7 pts+36.5 pts+6.5 pts+31.3 pts
3 years+39.6%not published−38.8 ptsnot published−58.5 ptsnot published
Since launch+25.8%+81.3%−57.6 pts+44.3 pts−78.1 pts+30.9 pts
Open the live comparison on ETFIQ
FMED and LFSC on the same fields, as of Sep 18, 2026. Source: ETFIQ.
FMED
Fidelity Disruptive Medicine ETF
Holds 68 stocks in broad innovation and megatrends, 25% of its weight in S&P 500 companies
LFSC
F/m Emerald Life Sciences Innovation ETF
Holds 39 stocks in broad innovation and megatrends, 0% of its weight in S&P 500 companies
IssuerFidelityF/m
ThemeBroad innovation and megatrendsBroad innovation and megatrends
In the S&P 50025.4%0.0%
Active share vs the S&P 50097.1%100.0%
In the Nasdaq-1008.7%0.6%
Holdings6839
Top ten, share of the fund31.5%54.7%
Expense ratio0.50%0.54%
Fee for the differing part0.51%0.54%
Total return, 1 year+28.3%+53.0%
vs the S&P 500+11.7 pts+36.5 pts
vs the Nasdaq-100+6.5 pts+31.3 pts
Below its high−3.8%−6.8%
Net assets$52m$105m

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.

LFSC in plain words

By weight, 0% of LFSC's portfolio is stocks that are also in the S&P 500; its active share against the S&P 500 is 100%. The top ten holdings are 55% of the fund across 39 positions, as filed for May 31, 2026. Over the year to Sep 18, 2026 the fund returned +53.0% with distributions reinvested against +16.6% for the S&P 500, so a holder was ahead by 36.5 pts. It sits 6.8% below its all-time high of Aug 19, 2026.

Questions people ask

Do FMED and LFSC hold the same stocks?
By their latest filings, 11% 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 LFSC?
FMED has 25% of its weight in S&P 500 names and LFSC has 0%, so LFSC differs more from the index.
Which is cheaper, FMED or LFSC?
FMED charges 0.50% a year and LFSC charges 0.54%, 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.

FMED against LFSC, ETFIQ, data as of Sep 18, 2026. Every figure is calculated from a named public source; the method is at etfiq.com/methodology. A comparison is not a recommendation.

Cite this page. ETFIQ, FMED against LFSC, data as of Sep 18, 2026. https://etfiq.com/compare/themes/fmed-vs-lfsc Free to use with attribution; the underlying files are at Open data.

How every figure is computed · Standards and sources