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FHLCvsXLVIETF Comparison

ETF 1
FHLC

Fidelity MSCI Health Care Index ETF

This fund is part of
US Health Care
-0.51%
Full FHLC fund page
VS
ETF 2
XLVI

The Health Care Select Sector SPDR Premium Income Fund

This fund is part of
Options Strategies
-0.11%
Full XLVI fund page

Fidelity MSCI Health Care Index ETF (FHLC) belongs to the US Health Care segment. The Health Care Select Sector SPDR Premium Income Fund (XLVI) is part of the Options Strategies segment. Both ETFs have the same top 3 sector exposures: and Health Care. FHLC is less expensive with a Total Expense Ratio (TER) of 0.08%, versus 0.35% for XLVI. FHLC is down -0.8% year-to-date (YTD) with +$111M in YTD flows. XLVI performs better with 0.43% YTD performance, and +$2M in YTD flows. Run a side-by-side ETF comparison of FHLC and XLVI 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 XLVI performance and flow charts

Performance

-2.0-1.00.01.02.0%Feb 9Feb 17Feb 24Mar 3Mar 10

Cumulative Flows

05,000,00010,000,00015,000,00020,000,00025,000,00030,000,00035,000,000Feb 9Feb 17Feb 24Mar 3Mar 10

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Historic performance and flows
Data as of 03/09/2026
1M3MYTD1Y3Y5Y
Perf.
FHLC
XLVI
-1.23%-0.34%
+2.15%+2.91%
-0.80%+0.43%
+8.16%n/a
+29.48%n/a
+37.11%n/a
Flows
FHLC
XLVI
+$34M+$788K
+$130M+$3M
+$111M+$2M
-$10M-
-$619M-
-$233M-
Volatility and drawdown
3M1Y3Y5Y
Volatility
FHLC
XLVI
+13.36%+10.28%
+17.33%n/a
+13.69%n/a
+14.80%n/a
Max drawdown
FHLC
XLVI
-5.00%-3.26%
-11.86%n/a
-16.88%n/a
-17.78%n/a
Max drawdown duration
FHLC
XLVI
61d9d
190dn/a
435dn/a
762dn/a
Trading data

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FHLC
XLVI
Last sale
3/11/2026 at 1:30 PM
$72.99
$25.92
Previous close
03/10/2026
$73.17
$25.98
Consolidated volume
03/10/2026
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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XLVI
is actively managed and doesn’t replicate an index

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FHLC
XLVI
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 3/11/2026 at 1:30 PM
Live
Closed
FHLC
XLVI
Last price
$72.99
$25.92
1D performance
-0.25%
-0.23%
AuM$2.93 B$13.26 M
E/R0.08%0.35%
Characteristics
FHLC
XLVI
Management strategyPassiveActive
ProviderFidelitySPDR
BenchmarkMSCI USA IMI Health Care Index-
N° of holdings27757
Asset classEquities-
Trailing 12m distribution yield
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Inception dateOctober 21, 2013July 30, 2025
ESGNoNo
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Exposure

Countries

FHLC
USA
96.26%
Other
3.74%
XLVI
USA
96.37%
Other
3.63%

Sectors

FHLC
Health Care
97.32%
Other
2.68%
XLVI
Health Care
97.65%
Other
2.35%
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Diversification

FHLC

Total weight of top 15 holdings out of 15

59.98%
XLVI

Total weight of top 15 holdings out of 15

69.69%

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%
XLVI
LILLY
14.60%
JOHNSON&JOHNSON
9.71%
ABBVIE
6.99%
MERCK & CO INC
4.85%
UNITEDHEALTH GRP
4.61%
THERMO FISHER SCIENTIFIC
3.85%
ABBOTT LABS
3.37%
AMGEN-T
3.26%
INTUITIVE SURGICAL
3.17%
GILEAD SCIENCES
3.12%
PFIZER
2.66%
BOSTON SCIENTIFIC
2.46%
DANAHER
2.44%
MEDTRONIC PLC
2.34%
STRYKER
2.25%
Frequently asked questions about FHLC and XLVI

How have the FHLC and XLVI ETFs performed in 2026?

As of March 9, 2026, FHLC is down -0.8% year-to-date (YTD), while XLVI has returned 0.43%. That puts XLVI better performer ahead so far this year.

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

Year-to-date, the FHLC ETF saw +$111M in flows, compared to +$2M for XLVI.

Which ETF is bigger: FHLC or XLVI?

As of March 9, 2026, FHLC holds $2.93 B in assets under management (AUM), while XLVI manages $13.26 M.

What sectors do the FHLC and XLVI ETFs invest in?

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

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

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

Which ETF is more diversified: FHLC or XLVI?

FHLC holds 328 securities with 59.98% of its assets in the top 15. XLVI has 60 securities and a top 15 weight of 69.69%.

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