FHLCvsXLVETF Comparison
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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 -6.93% year-to-date (YTD) with +$171M in YTD flows. XLV performs worse with -7.37% YTD performance, and +$904M 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
Cumulative Flows
Historic performance and flows
Data as of 04/29/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FHLC XLV | +0.15%-0.71% | -6.40%-6.82% | -6.93%-7.37% | +6.80%+4.34% | +12.91%+11.78% | +19.98%+27.17% |
| Flows | FHLC XLV | +$50M-$209M | +$175M-$416M | +$171M+$904M | +$120M+$716M | -$537M-$4.50B | -$143M+$7.16B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FHLC XLV | +14.99%+14.91% | +15.53%+15.81% | +13.80%+13.69% | +14.91%+14.58% |
| Max drawdown | FHLC XLV | -9.85%-10.51% | -10.35%-10.51% | -16.88%-17.05% | -17.78%-17.05% |
| Max drawdown duration | FHLC XLV | 59d59d | 112d59d | 435d444d | 762d444d |
Trading data
FHLC | XLV | |
Last sale 4/30/2026 at 1:30 PM | $70.40 | $145.99 |
| Previous close 04/29/2026 | $68.94 | $142.84 |
| Consolidated volume 04/29/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of April 29, 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 4/30/2026 at 1:30 PM
Live
Closed
FHLC | XLV | |
|---|---|---|
| Last price | $70.40 | $145.99 |
| 1D performance | +2.12% | +2.21% |
| AuM | $2.79 B | $37.43 B |
| E/R | 0.08% | 0.08% |
Characteristics
FHLC | XLV | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Fidelity | State Street Investment Management |
| Benchmark | MSCI USA IMI Health Care 25/50 Index | S&P Health Care Select Sector Index |
| N° of holdings | 284 | 56 |
| Asset class | - | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | October 21, 2013 | December 16, 1998 |
| ESG | No | No |
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Exposure
Countries
FHLC
USA
96.47%
Other
3.53%
XLV
USA
97.26%
Other
2.74%
Sectors
FHLC
Health Care
97.4%
Other
2.6%
XLV
Health Care
98.29%
Other
1.71%
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Diversification
FHLC
Total weight of top 15 holdings out of 15
60.44%
XLV
Total weight of top 15 holdings out of 15
70.96%
Top 15 holdings
Data as of March 31, 2026
FHLC
LILLY
11.69%
JOHNSON&JOHNSON
9.35%
ABBVIE
6.05%
MERCK & CO INC
4.79%
UNITEDHEALTH GRP
3.94%
AMGEN-T
3.08%
THERMO FISHER SCIENTIFIC
2.98%
ABBOTT LABS
2.95%
GILEAD SCIENCES
2.75%
INTUITIVE SURGICAL
2.69%
PFIZER
2.54%
BRISTOL-MYERS SQUIBB
1.96%
DANAHER
1.93%
VERTEX PHARMACEUTICALS
1.87%
STRYKER
1.86%
XLV
LILLY
13.74%
JOHNSON&JOHNSON
11.10%
ABBVIE
7.25%
MERCK & CO INC
5.63%
UNITEDHEALTH GRP
4.62%
AMGEN-T
3.57%
THERMO FISHER SCIENTIFIC
3.48%
ABBOTT LABS
3.37%
GILEAD SCIENCES
3.26%
INTUITIVE SURGICAL
3.09%
PFIZER
3.01%
BRISTOL-MYERS SQUIBB
2.33%
DANAHER
2.25%
VERTEX PHARMACEUTICALS
2.14%
STRYKER
2.13%
Frequently asked questions about FHLC and XLV
How have the FHLC and XLV ETFs performed in 2026?
As of April 29, 2026, FHLC is down -6.93% year-to-date (YTD), while XLV has lost -7.37%. That puts FHLC better performer ahead so far this year.
Which ETF is attracting more investor money: FHLC or XLV?
Year-to-date, the FHLC ETF saw +$171M in flows, compared to +$904M for XLV.
Which ETF is more volatile: FHLC or XLV?
Over the past year, FHLC had a volatility of 15.53%, while XLV experienced 15.81%.
Which ETF is bigger: FHLC or XLV?
As of April 29, 2026, FHLC holds $2.79 B in assets under management (AUM), while XLV manages $37.43 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 337 securities with 60.44% of its assets in the top 15. XLV has 59 securities and a top 15 weight of 70.96%.
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