New

Turn ETF ideas into real portfolios. Try the builder now →

Advertisement
Advertisement

FHLCvsXLVIETF Comparison

ETF 1
FHLC

Fidelity MSCI Health Care Index ETF

This fund is part of
US Health Care
-1.08%
VS
ETF 2
XLVI

State Street Health Care Select Sector SPDR Premium Income Fund

This fund is part of
Options Strategies
+0.26%

Fidelity MSCI Health Care Index ETF (FHLC) belongs to the US Health Care segment. State Street 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 -4.71% year-to-date (YTD) with +$175M in YTD flows. XLVI performs better with -3.62% 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.

Find out how industry players manage ETF portfolios.  Discover our library of Model portfolios

FHLC vs XLVI performance and flow charts

Performance

-1.00.01.02.03.04.0%Mar 23Mar 30Apr 7Apr 14Apr 21

Cumulative Flows

010,000,00020,000,00030,000,00040,000,00050,000,00060,000,000Mar 23Mar 30Apr 7Apr 14Apr 21

Get all the metrics on this page, and more, through a reliable ETF data feed

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

Historic performance and flows
Data as of 04/23/2026
1M3MYTD1Y3Y5Y
Perf.
FHLC
XLVI
+1.70%+0.50%
-6.30%-5.57%
-4.71%-3.62%
+12.41%n/a
+14.95%n/a
+21.43%n/a
Flows
FHLC
XLVI
+$57M+$501K
+$186M+$2M
+$175M+$2M
+$107M-
-$543M-
-$143M-
Volatility and drawdown
3M1Y3Y5Y
Volatility
FHLC
XLVI
+15.13%+13.09%
+15.53%n/a
+13.82%n/a
+14.90%n/a
Max drawdown
FHLC
XLVI
-9.85%-8.21%
-10.35%n/a
-16.88%n/a
-17.78%n/a
Max drawdown duration
FHLC
XLVI
53d54d
106dn/a
435dn/a
762dn/a
Trading data

Create an account to view trading data

Join for free
FHLC
XLVI
Last sale
4/24/2026 at 1:30 PM
$69.73
$24.65
Previous close
04/24/2026
$70.56
$24.90
Consolidated volume
04/24/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of March 31, 2026
1-year trailing difference

Create an account to view replication metrics

Join for free

XLVI
is actively managed and doesn’t replicate an index

Create an account to view replication quality

Join for free
FHLC
XLVI
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
Advertisement
Main metrics
Last update 4/24/2026 at 1:30 PM
Live
Closed
FHLC
XLVI
Last price
$69.73
$24.65
1D performance
-1.18%
-1.02%
AuM$2.86 B$13.04 M
E/R0.08%0.35%
Characteristics
FHLC
XLVI
Management strategyPassiveActive
ProviderFidelityState Street Investment Management
BenchmarkMSCI USA IMI Health Care 25/50 Index-
N° of holdings28456
Asset class--
Trailing 12m distribution yield
Join
Join
Inception dateOctober 21, 2013July 30, 2025
ESGNoNo
Advertisement
Exposure

Countries

FHLC
USA
96.47%
Other
3.53%
XLVI
USA
96.44%
Other
3.56%

Sectors

FHLC
Health Care
97.4%
Other
2.6%
XLVI
Health Care
97.46%
Other
2.54%

Diversification

FHLC

Total weight of top 15 holdings out of 15

60.44%
XLVI

Total weight of top 15 holdings out of 15

70.36%

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%
XLVI
LILLY
13.62%
JOHNSON&JOHNSON
11.01%
ABBVIE
7.19%
MERCK & CO INC
5.58%
UNITEDHEALTH GRP
4.58%
AMGEN-T
3.54%
THERMO FISHER SCIENTIFIC
3.45%
ABBOTT LABS
3.34%
GILEAD SCIENCES
3.23%
INTUITIVE SURGICAL
3.06%
PFIZER
2.98%
BRISTOL-MYERS SQUIBB
2.31%
DANAHER
2.23%
VERTEX PHARMACEUTICALS
2.12%
STRYKER
2.12%
Frequently asked questions about FHLC and XLVI

How have the FHLC and XLVI ETFs performed in 2026?

As of April 23, 2026, FHLC is down -4.71% year-to-date (YTD), while XLVI has lost -3.62%. 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 +$175M in flows, compared to +$2M for XLVI.

Which ETF is bigger: FHLC or XLVI?

As of April 23, 2026, FHLC holds $2.86 B in assets under management (AUM), while XLVI manages $13.04 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 337 securities with 60.44% of its assets in the top 15. XLVI has 59 securities and a top 15 weight of 70.36%.

Advertisement
Advertisement
Advertisement
ETF INVESTOR TOOLS

Build and Analyze Your ETF Portfolio Like a Pro

Create your own ETF portfolio in minutes and instantly see allocations, exposures, performance, and risk. Visualize diversification across asset classes, regions, and sectors. Stress-test ideas, compare benchmarks, and refine your strategy with professional-grade analytics.

Portfolio Builder