FHLC vs XLV: Holdings Overlap
FHLCFidelity MSCI Health Care Index ETF
Fidelity · 337 holdings · $3.3B · as of 2026-04-30
XLVState Street® Health Care Select Sector SPDR® ETF
State Street (SPDR) · 61 holdings · $41.9B · as of 2026-08-06
Holdings snapshots are 98 days apart (FHLC: 2026-04-30, XLV: 2026-08-06). Weights and index membership change between snapshots, so the true current overlap is typically higher than shown. For funds tracking the same index, the gap can be 5–15 points.
How similar are FHLC and XLV?
Fidelity MSCI Health Care Index ETF (FHLC, by Fidelity) holds 337 positions; State Street® Health Care Select Sector SPDR® ETF (XLV, by State Street (SPDR)) holds 61. They have 60 holdings in common, and by portfolio weight the two funds are 84.5% identical. In practical terms the pair is heavily overlapping, with largely the same stocks driving both funds.
- Overlap by Weight
- 84.5%Sum of the smaller weight of each shared holding
- Shared Holdings
- 60FHLC holds 337 · XLV holds 61
- Weight in Shared Holdings
- FHLC 85%·XLV 100%Share of each fund's weight in stocks both funds own
Based on each fund's latest official holdings. How is this calculated?
What makes each fund different
Only in FHLC
277 of 337 positions (14.2% of the fund) are not held by XLV. Showing the top 30 by weight.
Only in XLV
1 of 61 positions (0.0% of the fund) are not held by FHLC.
IXCU6XAV HEALTH CARE SEP260.01%
Sector Breakdown
| Sector | FHLC | XLV |
|---|---|---|
| Health Care | 99.6% | 99.8% |
| Other Sectors | 0.0% | 0.0% |
Share of each fund's portfolio weight by GICS-style sector, compiled from issuer fund data and our own classification of the holdings, not the issuers' published sector charts.
Performance
| Fund | 1M | YTD | 1Y | 3Y (ann.) | 5Y (ann.) | 10Y (ann.) | Yield |
|---|---|---|---|---|---|---|---|
| FHLC | +0.7% | +9.3% | +33.0% | +10.0% | +5.3% | +10.1% | 1.26% |
| XLV | +0.8% | +7.9% | +30.7% | +9.2% | +6.2% | +10.0% | 1.53% |
Total returns including dividends, from adjusted daily closes as of 2026-08-07. 3Y/5Y/10Y are annualized. Yield is trailing-12-month distributions over the last close. Past performance does not predict future results.
Project the growth of $10,000 in FHLC vs XLV →
Shared Holdings(60)
The top 10 shared positions account for 60% of the overlap, led by LLY, JNJ and ABBV.
 LLYEli Lilly & Co. COM | 12.13% | 15.88% | 12.13% |
|---|---|---|---|
 JNJJohnson & Johnson COM | 8.94% | 10.42% | 8.94% |
 ABBVAbbVie Inc. COM | 6.03% | 7.26% | 6.03% |
 UNHUnitedHealth Group Inc. COM | 5.42% | 6.18% | 5.42% |
 MRKMerck & Co., Inc COM | 4.38% | 5.34% | 4.38% |
 AMGNAmgen Inc. COM | 3.01% | 3.68% | 3.01% |
 TMOThermo Fisher Scientific Inc COM | 2.91% | 3.63% | 2.91% |
 GILDGilead Sciences Inc. COM | 2.62% | 2.74% | 2.62% |
 ABTAbbott Laboratories COM | 2.55% | 3.17% | 2.55% |
 PFEPfizer Inc. COM | 2.45% | 2.52% | 2.45% |
 ISRGIntuitive Surgical Inc. COM NEW | 2.62% | 2.23% | 2.23% |
 BMYBristol-Myers Squibb Company COM | 1.99% | 2.21% | 1.99% |
 DHRDanaher Corporation COM | 1.84% | 2.12% | 1.84% |
 SYKStryker Corporation COM | 1.75% | 1.96% | 1.75% |
 VRTXVertex Pharmaceuticals Incorporated COM | 1.75% | 2.07% | 1.75% |
 CVSCVS Health Corp COM | 1.71% | 2.07% | 1.71% |
 MDTMedtronic PLC USD0.0001 | 1.68% | 1.86% | 1.68% |
 MCKMckesson Corp. COM | 1.62% | 1.76% | 1.62% |
 ELVElevance Health Inc. COM | 1.35% | 1.43% | 1.35% |
 BSXBoston Scientific Corporation COM | 1.38% | 1.23% | 1.23% |
 CIThe Cigna Group COM | 1.25% | 1.23% | 1.23% |
 REGNRegeneron Pharmaceuticals, Inc. COM | 1.18% | 1.30% | 1.18% |
 HCAHCA Healthcare Inc COM | 1.12% | 1.07% | 1.07% |
 CORCencora Inc COM | 0.92% | 1.06% | 0.92% |
 EWEdwards Lifesciences Corporation COM | 0.78% | 0.87% | 0.78% |
Frequently Asked Questions
How much do FHLC and XLV overlap?
FHLC and XLV overlap by 84.5% of portfolio weight. They share 60 holdings (FHLC holds 337 positions and XLV holds 61), based on each fund's latest SEC-reported holdings.
Is it redundant to own both FHLC and XLV?
The two portfolios are 84.5% identical by weight. Owning both mostly doubles down on the shared core rather than diversifying: the same large positions drive both funds.
What are the biggest shared holdings of FHLC and XLV?
The largest positions held by both funds are LLY, JNJ, ABBV, UNH and MRK. Together the top 10 shared positions account for 60% of the total overlap.
What does FHLC own that XLV doesn't?
277 positions (14.2% of FHLC) are unique to FHLC, led by ALNY, INSM and NTRA. In the other direction, 1 positions (0.0% of XLV) are unique to XLV.