XLVvsFHLCETF Comparison
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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 -0.96% year-to-date (YTD) with -$214M in YTD flows. FHLC performs better with -0.79% YTD performance, and +$232M 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
Cumulative Flows
Historic performance and flows
Data as of 06/08/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XLV FHLC | +6.34%+4.48% | -0.65%+0.28% | -0.96%-0.79% | +15.78%+17.88% | +23.42%+22.99% | +35.46%+27.64% |
| Flows | XLV FHLC | -$470M+$60M | -$1.39B+$124M | -$214M+$232M | -$231M+$221M | -$7.26B-$434M | +$4.55B-$73M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XLV FHLC | +16.13%+16.37% | +14.97%+14.67% | +13.94%+14.01% | +14.73%+15.05% |
| Max drawdown | XLV FHLC | -7.08%-6.65% | -10.51%-10.35% | -17.05%-16.88% | -17.05%-17.78% |
| Max drawdown duration | XLV FHLC | 91d87d | 99d149d | 444d435d | 444d762d |
Trading data
XLV | FHLC | |
Last sale 6/9/2026 at 4:11 PM | $154.12 | $73.91 |
| Previous close 06/08/2026 | $152.65 | $73.27 |
| Consolidated volume 06/08/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 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 6/9/2026 at 4:11 PM
Live
Closed
XLV | FHLC | |
|---|---|---|
| Last price | $154.12 | $73.91 |
| 1D performance | +0.96% | +0.87% |
| AuM | $38.86 B | $3.04 B |
| E/R | 0.08% | 0.08% |
Characteristics
XLV | FHLC | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | Fidelity |
| Benchmark | S&P Health Care Select Sector Index | MSCI USA IMI Health Care 25/50 Index |
| N° of holdings | 55 | 281 |
| Asset class | Equities | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | December 16, 1998 | October 21, 2013 |
| ESG | No | No |
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Exposure
Countries
XLV
USA
97.39%
Other
2.61%
FHLC
USA
96.36%
Other
3.64%
Sectors
XLV
Health Care
98.41%
Other
1.59%
FHLC
Health Care
97.13%
Other
2.87%
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Diversification
XLV
Total weight of top 15 holdings out of 15
70.92%
FHLC
Total weight of top 15 holdings out of 15
59.56%
Top 15 holdings
Data as of April 30, 2026
XLV
LILLY
14.09%
JOHNSON&JOHNSON
10.54%
ABBVIE
7.10%
UNITEDHEALTH GRP
6.38%
MERCK & CO INC
5.15%
AMGEN-T
3.55%
THERMO FISHER SCIENTIFIC
3.42%
INTUITIVE SURGICAL
3.09%
GILEAD SCIENCES
3.09%
ABBOTT LABS
3.00%
PFIZER
2.89%
BRISTOL-MYERS SQUIBB
2.35%
DANAHER
2.14%
VERTEX PHARMACEUTICALS
2.06%
STRYKER
2.06%
FHLC
LILLY
11.43%
JOHNSON&JOHNSON
8.89%
ABBVIE
5.71%
UNITEDHEALTH GRP
5.26%
MERCK & CO INC
4.48%
AMGEN-T
3.00%
THERMO FISHER SCIENTIFIC
2.88%
INTUITIVE SURGICAL
2.73%
ABBOTT LABS
2.64%
GILEAD SCIENCES
2.60%
PFIZER
2.49%
BRISTOL-MYERS SQUIBB
1.93%
DANAHER
1.88%
STRYKER
1.85%
VERTEX PHARMACEUTICALS
1.77%
Frequently asked questions about XLV and FHLC
How have the XLV and FHLC ETFs performed in 2026?
As of June 8, 2026, XLV is down -0.96% year-to-date (YTD), while FHLC has lost -0.79%. That puts FHLC better performer ahead so far this year.
Which ETF is attracting more investor money: XLV or FHLC?
Year-to-date, the XLV ETF saw -$214M in flows, compared to +$232M for FHLC.
Which ETF is more volatile: XLV or FHLC?
Over the past year, XLV had a volatility of 14.97%, while FHLC experienced 14.67%.
Which ETF is bigger: XLV or FHLC?
As of June 8, 2026, XLV holds $38.86 B in assets under management (AUM), while FHLC manages $3.04 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 58 securities with 70.92% of its assets in the top 15. FHLC has 336 securities and a top 15 weight of 59.56%.
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