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XLVIvsFHLCETF Comparison

ETF 1
XLVI

The Health Care Select Sector SPDR Premium Income Fund

This fund is part of
Options Strategies
-0.11%
Full XLVI fund page
VS
ETF 2
FHLC

Fidelity MSCI Health Care Index ETF

This fund is part of
US Health Care
-0.51%
Full FHLC fund page

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

Performance

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

Cumulative Flows

0 M5 M10 M15 M20 M25 M30 M35 MFeb 9Feb 17Feb 24Mar 3Mar 10

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Historic performance and flows
Data as of 03/10/2026
1M3MYTD1Y3Y5Y
Perf.
XLVI
FHLC
-0.34%-1.23%
+2.91%+2.15%
+0.43%-0.80%
n/a+8.16%
n/a+29.48%
n/a+37.11%
Flows
XLVI
FHLC
+$788K+$34M
+$3M+$130M
+$2M+$111M
--$10M
--$619M
--$233M
Volatility and drawdown
3M1Y3Y5Y
Volatility
XLVI
FHLC
+10.28%+13.36%
n/a+17.33%
n/a+13.69%
n/a+14.80%
Max drawdown
XLVI
FHLC
-3.26%-5.00%
n/a-11.86%
n/a-16.88%
n/a-17.78%
Max drawdown duration
XLVI
FHLC
9d61d
n/a190d
n/a435d
n/a762d
Trading data

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XLVI
FHLC
Last sale
3/11/2026 at 1:30 PM
$25.92
$73.01
Previous close
03/10/2026
$25.98
$73.17
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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XLVI
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 3/11/2026 at 1:30 PM
Live
Closed
XLVI
FHLC
Last price
$25.92
$73.01
1D performance
-0.23%
-0.22%
AuM$13.26 M$2.93 B
E/R0.35%0.08%
Characteristics
XLVI
FHLC
Management strategyActivePassive
ProviderSPDRFidelity
Benchmark-MSCI USA IMI Health Care Index
N° of holdings57277
Asset class-Equities
Trailing 12m distribution yield
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Inception dateJuly 30, 2025October 21, 2013
ESGNoNo
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Exposure

Countries

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

Sectors

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

XLVI

Total weight of top 15 holdings out of 15

69.69%
FHLC

Total weight of top 15 holdings out of 15

59.98%

Top 15 holdings

Data as of January 31, 2026
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%
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 XLVI and FHLC

How have the XLVI and FHLC ETFs performed in 2026?

As of March 10, 2026, XLVI is up 0.43% year-to-date (YTD), while FHLC has lost -0.8%. That puts XLVI better performer ahead so far this year.

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

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

Which ETF is bigger: XLVI or FHLC?

As of March 10, 2026, XLVI holds $13.26 M in assets under management (AUM), while FHLC manages $2.93 B.

What sectors do the XLVI and FHLC ETFs invest in?

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

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

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

Which ETF is more diversified: XLVI or FHLC?

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

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