ETF comparison
FHLC vs XLV
Both Healthcare.
Fidelity MSCI Health Care Index ETF · State Street Health Care Select Sector SPDR ETF
Holdings overlap
58 positions appear in both funds. Buying equal dollars of FHLC and XLV would leave roughly 83.9% of each dollar exposed to the same underlying securities.
Side by side
Sub-score comparison
Tracking quality isn't part of the composite — see what we don't score for why.
Cost difference
Expense ratios are effectively identical (0.084% vs 0.080%).
Fee figure is the annual expense charged on $100,000. To see how the gap compounds over a multi-decade holding period, open the cost calculator pre-filled with FHLC vs XLV.
Top shared holdings
58 shared in total| # | Holding | In FHLC | In XLV | Overlap |
|---|---|---|---|---|
| 1 | Eli Lilly & Co | 12.13% | 13.74% | 12.13% |
| 2 | Johnson & Johnson | 8.94% | 11.10% | 8.94% |
| 3 | AbbVie Inc | 6.03% | 7.25% | 6.03% |
| 4 | UnitedHealth Group Inc | 5.42% | 4.62% | 4.62% |
| 5 | Merck & Co Inc | 4.38% | 5.63% | 4.38% |
| 6 | Amgen Inc | 3.01% | 3.57% | 3.01% |
| 7 | Thermo Fisher Scientific Inc | 2.91% | 3.48% | 2.91% |
| 8 | Gilead Sciences Inc | 2.62% | 3.26% | 2.62% |
| 9 | Intuitive Surgical Inc | 2.62% | 3.09% | 2.62% |
| 10 | Abbott Laboratories | 2.55% | 3.37% | 2.55% |
| 11 | Pfizer Inc | 2.45% | 3.01% | 2.45% |
| 12 | Bristol-Myers Squibb Co | 1.99% | 2.33% | 1.99% |
Only in FHLC
280 total- Alnylam Pharmaceuticals Inc 0.66%
- Insmed Inc 0.47%
- Natera Inc 0.44%
- Veeva Systems Inc 0.39%
- United Therapeutics Corp 0.38%
- Revolution Medicines Inc 0.38%
- Royalty Pharma PLC 0.33%
- Illumina Inc 0.31%
- Tenet Healthcare Corp 0.25%
- State Street Global Advisors 0.23%
Only in XLV
2 total- Hologic Inc 0.32%
- State Street Global Advisors 0.01%
Open FHLC or XLV at a brokerage
Both funds trade commission-free at major US brokerages.
Affiliate links — opening an account through these earns PlainIndex a one-time referral. Scoring is computed before any affiliate consideration; see our methodology and funding disclosure.
Holdings overlap is the sum of min(weight_a, weight_b) over positions
matched on ISIN (CUSIP fallback). Methodology: see
/methodology/.
Comparing two funds doesn't endorse swapping one for the other. Tax-lot history, account type, and personal goals matter — PlainIndex publishes data and methodology, not investment advice.