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Better Health Care ETF: Fidelity's FHLC vs. State Street's XLV

fool.com·May 24, 2026

The Fidelity MSCI Health Care Index ETF (FHLC) and the State Street Health Care Select Sector SPDR ETF (XLV) both have a low expense ratio of 0.08%, but differ in portfolio size and focus, with FHLC offering broader exposure through 365 holdings and XLV concentrating on 60 S&P 500 healthcare stocks. XLV provides a higher dividend yield of 1.7% compared to FHLC's 1.4%, appealing to income-focused investors, while FHLC may attract those seeking greater diversification and potential growth.

For an investor evaluating healthcare ETFs, the choice between Fidelity's FHLC and State Street's XLV hinges on your investment priorities: FHLC offers broader diversification across over 300 holdings, including mid- and small-cap stocks, which may lead to higher growth potential but also more volatility. Conversely, XLV provides concentrated exposure to large-cap S&P 500 healthcare stocks, offering a higher dividend yield of 1.7% compared to FHLC's 1.4%, which may appeal to those seeking more stable, blue-chip investments and higher current income.

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