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XLVvsFHLCETF Comparison

ETF 1
XLV

State Street Health Care Select Sector SPDR ETF

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

Fidelity MSCI Health Care Index ETF

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

State Street Health Care Select Sector SPDR ETF (XLV) and Fidelity MSCI Health Care Index ETF (FHLC) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. Both XLV and FHLC have the same Total Expense Ratio (TER) of 0.08%. XLV is down -1.22% year-to-date (YTD) with +$922M in YTD flows. FHLC performs worse with -1.48% YTD performance, and +$111M in YTD flows. Run a side-by-side ETF comparison of XLV and FHLC 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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XLV vs FHLC 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 03/11/2026
1M3MYTD1Y3Y5Y
Perf.
XLV
FHLC
-2.18%-1.39%
-0.02%+0.15%
-1.22%-1.48%
+6.49%+7.42%
+28.22%+29.92%
+44.77%+35.91%
Flows
XLV
FHLC
-$726M+$34M
+$102M+$130M
+$922M+$111M
+$101M-$10M
-$4.93B-$619M
+$6.94B-$230M
Volatility and drawdown
3M1Y3Y5Y
Volatility
XLV
FHLC
+13.57%+13.18%
+17.40%+17.31%
+13.59%+13.68%
+14.47%+14.81%
Max drawdown
XLV
FHLC
-4.63%-5.00%
-12.43%-11.86%
-17.05%-16.88%
-17.05%-17.78%
Max drawdown duration
XLV
FHLC
10d62d
211d190d
444d435d
444d762d
Trading data

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XLV
FHLC
Last sale
3/12/2026 at 1:30 PM
$150.17
$71.60
Previous close
03/11/2026
$152.85
$73.01
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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XLV
FHLC
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
XLV
FHLC
Last price
$150.17
$71.60
1D performance
-1.75%
-1.93%
AuM$40.10 B$2.91 B
E/R0.08%0.08%
Characteristics
XLV
FHLC
Management strategyPassivePassive
ProviderSPDRFidelity
BenchmarkS&P Health Care Select Sector IndexMSCI USA IMI Health Care Index
N° of holdings57277
Asset classEquitiesEquities
Trailing 12m distribution yield
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Inception dateDecember 16, 1998October 21, 2013
ESGNoNo
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Exposure

Countries

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

Sectors

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

XLV

Total weight of top 15 holdings out of 15

70.12%
FHLC

Total weight of top 15 holdings out of 15

59.98%

Top 15 holdings

Data as of January 31, 2026
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%
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%
Frequently asked questions about XLV and FHLC

How have the XLV and FHLC ETFs performed in 2026?

As of March 11, 2026, XLV is down -1.22% year-to-date (YTD), while FHLC has lost -1.48%. That puts XLV better performer ahead so far this year.

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

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

Which ETF is more volatile: XLV or FHLC?

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

Which ETF is bigger: XLV or FHLC?

As of March 11, 2026, XLV holds $40.10 B in assets under management (AUM), while FHLC manages $2.91 B.

What sectors do the XLV and FHLC ETFs invest in?

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

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

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

Which ETF is more diversified: XLV or FHLC?

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

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