FHLC
Fidelity MSCI Health Care Index ETF · Fidelity
US Sectors
1Y Return
+25.6%
Expense Ratio
0.08%
AUM
$3.5B
Dividend Yield
1.25%
Avg Annual Growth (10Y)
+11.3%
Issuer
Fidelity

Overview

The full US healthcare sector — pharma, devices, insurers and biotech, around 349 companies — at 0.08%, the cheapest healthcare fund available.

Top Holdings

TickerHoldingWeight
LLYEli Lilly & Co.12.8%
JNJJohnson & Johnson7.4%
ABBVAbbVie Inc.6.1%
UNHUnitedHealth Group4.6%
MRKMerck & Co.3.9%
ABTAbbott Laboratories3.6%
TMOThermo Fisher3.1%
ISRGIntuitive Surgical2.9%
AMGNAmgen Inc.2.6%
BSXBoston Scientific2.4%

Fund Details

Index
MSCI USA IMI Health Care 25/50
# Holdings
~349
Inception
Oct 2013
Exchange
NYSE Arca
Structure
Open-End Fund
Distribution
Quarterly
Avg Annual Growth (10Y)
+11.3%
Avg Annual Yield (10Y)
1.37%

Investment Thesis

Healthcare's rehabilitation year — +26% as drug-pricing fears faded and the GLP-1 franchise kept compounding — rewarded whoever owned the sector cheapest, and FHLC at 0.08% beats XLV's fee while adding the small and mid caps XLV excludes. Demographics do the long-term work; the fee does the compounding.

Who It's For

Sector allocators who want all of US healthcare at minimum cost. The full-spectrum, price-fighter alternative to XLV already in the portal.

10-Year History

Annual Closing Price
YearClose% Chg
2016$27.71--
2017$33.80+22.0%
2018$35.83+6.0%
2019$43.36+21.0%
2020$50.73+17.0%
2021$63.41+25.0%
2022$59.60-6.0%
2023$60.80+2.0%
2024$61.40+1.0%
2025$70.00+14.0%
Annual Dividend Yield
YearYield
20161.40%
20171.30%
20181.50%
20191.40%
20201.30%
20211.20%
20221.40%
20231.50%
20241.40%
20251.30%
Annual AUM
YearAUM% Chg
2016$0.7B--
2017$1B+42.9%
2018$1.4B+40.0%
2019$1.8B+28.6%
2020$2.3B+27.8%
2021$3B+30.4%
2022$2.8B-6.7%
2023$2.5B-10.7%
2024$2.6B+4.0%
2025$3.2B+23.1%

Historical figures are ETFHub estimates modelled from asset-class return patterns and may differ from official fund records. Data as of August 2026.

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