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FHLCvsXLVETF Comparison

ETF 1
FHLC

Fidelity MSCI Health Care Index ETF

This fund is part of
US Health Care
-0.31%
Full FHLC fund page
VS
ETF 2
XLV

State Street Health Care Select Sector SPDR ETF

This fund is part of
US Health Care
-0.31%
Full XLV fund page

Fidelity MSCI Health Care Index ETF (FHLC) and State Street Health Care Select Sector SPDR ETF (XLV) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. Both FHLC and XLV have the same Total Expense Ratio (TER) of 0.08%. FHLC is down -1.48% year-to-date (YTD) with +$111M in YTD flows. XLV performs better with -1.22% YTD performance, and +$922M in YTD flows. Run a side-by-side ETF comparison of FHLC and XLV below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.

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FHLC vs XLV performance and flow charts

Performance

-2.0-1.00.01.02.03.0%Feb 10Feb 18Feb 25Mar 4Mar 11

Cumulative Flows

-800 M-600 M-400 M-200 M0 M200 M400 MFeb 10Feb 18Feb 25Mar 4Mar 11

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Historic performance and flows
Data as of 03/10/2026
1M3MYTD1Y3Y5Y
Perf.
FHLC
XLV
-1.39%-2.18%
+0.15%-0.02%
-1.48%-1.22%
+7.42%+6.49%
+29.92%+28.22%
+35.91%+44.77%
Flows
FHLC
XLV
+$34M-$726M
+$130M+$102M
+$111M+$922M
-$10M+$101M
-$619M-$4.93B
-$230M+$6.94B
Volatility and drawdown
3M1Y3Y5Y
Volatility
FHLC
XLV
+13.18%+13.57%
+17.31%+17.40%
+13.68%+13.59%
+14.81%+14.47%
Max drawdown
FHLC
XLV
-5.00%-4.63%
-11.86%-12.43%
-16.88%-17.05%
-17.78%-17.05%
Max drawdown duration
FHLC
XLV
62d10d
190d211d
435d444d
762d444d
Trading data

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FHLC
XLV
Last sale
3/12/2026 at 1:30 PM
$71.59
$150.16
Previous close
03/11/2026
$73.01
$152.85
Consolidated volume
03/11/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of February 27, 2026
1-year trailing difference

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FHLC
XLV
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 3/12/2026 at 1:30 PM
Live
Closed
FHLC
XLV
Last price
$71.59
$150.16
1D performance
-1.94%
-1.76%
AuM$2.91 B$40.10 B
E/R0.08%0.08%
Characteristics
FHLC
XLV
Management strategyPassivePassive
ProviderFidelitySPDR
BenchmarkMSCI USA IMI Health Care IndexS&P Health Care Select Sector Index
N° of holdings27757
Asset classEquitiesEquities
Trailing 12m distribution yield
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Inception dateOctober 21, 2013December 16, 1998
ESGNoNo
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Exposure

Countries

FHLC
USA
96.26%
Other
3.74%
XLV
USA
96.98%
Other
3.02%

Sectors

FHLC
Health Care
97.32%
Other
2.68%
XLV
Health Care
98.26%
Other
1.74%
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Diversification

FHLC

Total weight of top 15 holdings out of 15

59.98%
XLV

Total weight of top 15 holdings out of 15

70.12%

Top 15 holdings

Data as of January 31, 2026
FHLC
LILLY
12.56%
JOHNSON&JOHNSON
8.36%
ABBVIE
5.89%
MERCK & CO INC
4.07%
UNITEDHEALTH GRP
4.06%
THERMO FISHER SCIENTIFIC
3.50%
INTUITIVE SURGICAL
2.85%
ABBOTT LABS
2.81%
AMGEN-T
2.81%
GILEAD SCIENCES
2.64%
PFIZER
2.24%
DANAHER
2.21%
BOSTON SCIENTIFIC
2.12%
MEDTRONIC PLC
1.97%
STRYKER
1.88%
XLV
LILLY
14.69%
JOHNSON&JOHNSON
9.77%
ABBVIE
7.03%
MERCK & CO INC
4.88%
UNITEDHEALTH GRP
4.64%
THERMO FISHER SCIENTIFIC
3.88%
ABBOTT LABS
3.39%
AMGEN-T
3.28%
INTUITIVE SURGICAL
3.19%
GILEAD SCIENCES
3.14%
PFIZER
2.68%
BOSTON SCIENTIFIC
2.47%
DANAHER
2.45%
MEDTRONIC PLC
2.36%
STRYKER
2.27%
Frequently asked questions about FHLC and XLV

How have the FHLC and XLV ETFs performed in 2026?

As of March 10, 2026, FHLC is down -1.48% year-to-date (YTD), while XLV has lost -1.22%. That puts XLV better performer ahead so far this year.

Which ETF is attracting more investor money: FHLC or XLV?

Year-to-date, the FHLC ETF saw +$111M in flows, compared to +$922M for XLV.

Which ETF is more volatile: FHLC or XLV?

Over the past year, FHLC had a volatility of 17.31%, while XLV experienced 17.4%.

Which ETF is bigger: FHLC or XLV?

As of March 10, 2026, FHLC holds $2.91 B in assets under management (AUM), while XLV manages $40.10 B.

What sectors do the FHLC and XLV ETFs invest in?

FHLC leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.

What are the top holdings of the FHLC ETF and XLV ETF?

FHLC top holdings include LILLY, JOHNSON&JOHNSON and ABBVIE. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.

Which ETF is more diversified: FHLC or XLV?

FHLC holds 328 securities with 59.98% of its assets in the top 15. XLV has 60 securities and a top 15 weight of 70.12%.

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