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%

Price history from exchange data. Dividend yields from reported distributions; some earlier years are derived from total-return vs price-return data or are ETFHub estimates. AUM history is an ETFHub estimate modelled from current assets and annual returns (fund flows not reflected) and may differ from official fund records. Data as of October 2026.

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