ETF Evaluator:
Fidelity MSCI Health Care ETF ()
Follow This ETF
(as of Aug 26)
Best Performing in Health Over the Last Year
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ETF Details
Fidelity MSCI Health Care ETF Overview
Fidelity MSCI Health Care ETF (FHLC) is a passively managed Sector Equity Health exchange-traded fund (ETF). Fidelity Investments launched the ETF in 2013.
The investment seeks to provide investment returns that correspond, before fees and expenses, generally to the performance of the MSCI USA IMI Health Care 25/50 Index.
The fund invests at least 80% of assets in securities included in the fund's underlying index. The fund's underlying index is the MSCI USA IMI Health Care 25/50 Index, which represents the performance of the health care sector in the U.S. equity market. It may or may not hold all of the securities in the MSCI USA IMI Health Care 25/50 Index. The fund is non-diversified.
About Fidelity MSCI Health Care ETF (FHLC)
There are 4 members of the management team with an average tenure of 4.40 years: Jennifer Hsui (2013), Peter Sietsema (2023), Matt Waldron (2025) and Steven White (2025). Management tenure is more important for actively managed ETFs than passive index ETFs.
The ETF has 2 primary benchmarks: S&P 500 (TR) (1970) index with a weighting of 100% and MSCI USA IMI/HEALTH CARE 25-50 GR USD index with a weighting of 100%. Fidelity MSCI Health Care ETF has 338 securities in its portfolio. The top 10 holdings constitute 51.8% of the ETF’s assets. The ETF meets the SEC requirement of being classified as a nondiversified fund. The ETF is not considered to have an ESG focus with its investment selection and management.
Fidelity MSCI Health Care ETF is part of the Equity global asset class and is within the Sector Equity ETF group. Fidelity MSCI Health Care ETF has 0.5% of its portfolio invested in foreign issues. The overall assets allocated to domestic stock is 99.4% There is 0.5% allocated to foreign stock, and 0.0% is allocated to preferred stocks. The bond allocation as a percentage of total assets is 0.0% (0.0% domestic bond, 0.0% foreign bond and 0.0% convertible bond). Fidelity MSCI Health Care ETF has 0.2% of the portfolio in cash.
Assets Under Management
The fund has $3 billion in total assets, which is above the $1 billion average for the Health category. Normally, lower assets under management translates to higher average expense ratios, and greater total assets are desired. However, for some investment categories, such as small-cap investing, it may be difficult for the manager to fully employ the desired active strategy if assets grow too large or too quickly.
FHLC Performance and Fees
The expense ratio measures how much of a fund’s assets are used for administrative expenses and operating expenses, including adviser fees and fees for the transfer agent and custodial services. The Fidelity MSCI Health Care ETF expense ratio is low compared to funds in the Health category. Fidelity MSCI Health Care ETF has an expense ratio of 0.08%, which is 84% lower than its category average, making the fund expense ratio grade a A. While it is difficult to predict returns, it is known that high annual expense ratios reduce your rate of return, and excessive fees are difficult to overcome. Active management normally comes with higher expense ratios than passive index management. Certain investment categories such as small company and foreign also normally have higher expense ratios. It is best to compare fund expense ratios against the category averages for meaningful assessments.
High portfolio turnover can translate to higher expenses and lower aftertax returns. Fidelity MSCI Health Care ETF has a portfolio turnover rate of 3%, which indicates that it holds its assets around / 0.3 years. By way of comparison, the average portfolio turnover is 45% for the Health category.
Recently, in the month of July 2026, Fidelity MSCI Health Care ETF returned 1.9%, which earned it a grade of B, as the Health category had an average return of -0.1%. The letter grades of A, B, C, D and F are based upon relative rankings within the investment category. A grade of A, for example, would indicate that the return is in the highest 20% for that time period compared to all ETFs in that category.
Fidelity MSCI Health Care ETF has a trailing yield of 1.29%, which is above the 1.10% category average.
The fund normally distributes its income quarterly.
It’s natural to seek the best-performing investments, but you must consider the relationship between risk and return and the impact of costs and taxes on your realized returns.
Fidelity MSCI Health Care ETF Grades
Year to date, the ETF has returned 6.8%, 3.0 percentage points worse than the category, which translates into a grade of C. The fund has returned 28.5% over the past year (grade of D), 8.9% over the past three years (grade of C) and 5.1% per year over the past five years (grade of B) and 9.9% per year over the past 10 years (grade of A).
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FHLC Trailing NAV Total Returns Data as of 7/31/26
| Last Month |
Last Quarter |
Ann'l. 1Yr |
Ann'l. 3Yr |
Ann'l. 5Yr |
Ann'l. 10Yr |
|
| FHLC Return (NAV) | 1.9% | 12.3% | 28.5% | 8.9% | 5.1% | 9.9% |
| FHLC Return (Price) | 1.9% | 12.3% | 28.5% | 8.9% | 5.0% | 9.9% |
| NAV +/- Price Return | -0.042% | 0.037% | 0.066% | -0.002% | 0.022% | -0.005% |
| Health Avg | -0.1% | 11.2% | 36.9% | 9.9% | 1.6% | 8.7% |
| FHLC Grade (NAV) | B | B | D | C | B | A |
| +/- Category (NAV) | 2.0% | 1.1% | -8.3% | -1.1% | 3.4% | 1.2% |
| FHLC Tax-Cost Ratio | na | na | 0.5% | 0.5% | 0.5% | 0.5% |
FHLC Annual NAV Total ReturnsData as of 7/31/26
| 2026 | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | |
| FHLC Return (NAV) | 6.8% | 15.4% | 2.6% | 2.5% | -5.5% | 20.4% | 18.1% | 21.9% | 5.5% | 23.3% | -3.3% |
| FHLC Return (Price) | 6.8% | 15.4% | 2.5% | 2.6% | -5.5% | 20.4% | 18.2% | 21.9% | 5.5% | 23.3% | -3.4% |
| NAV +/- Price Ret | -0.003% | 0.003% | -0.046% | 0.047% | 0.018% | 0.001% | 0.001% | -0.1% | 0.2% | 0.2% | 2.9% |
| Health Avg | 9.7% | 21.8% | 0.1% | 2.2% | -16.3% | 4.3% | 30.5% | 25.4% | -1.5% | 26.5% | -10.2% |
| FHLC Grade (NAV) | C | D | B | C | B | A | D | D | B | C | B |
| +/- Category | -3.0% | -6.4% | 2.5% | 0.3% | 10.9% | 16.1% | -12.3% | -3.4% | 7.0% | -3.1% | 6.9% |
| Risk Measures | |
| Beta: | 0.57 |
| R-Squared: | 25% |
| Standard Deviation: | 14.2% |
| Category Risk Index: | 0.71 |
| Category Risk Rating: | Low |
| Total Risk Index: | 1.16 |
| Total Risk Rating: | Average |
| Portfolio Characteristics | |
| Yield: | 1.3% |
| Total Assets: | $ 3,289 Mil |
| Share Class Assets: | $ 3,289 Mil |
| Turnover: | 3.0% |
| Expense Ratio: | 0.08% |
| Index Fund: | Yes |
| Index Tracked: | S&P 500 (TR) (1970) |
| Index Weighting: | 100% |
| Leveraged: | No |
| Socially Responsible Fund: | No |
| Capital Gains Distribution Frequency: | |
| Income Distribution Frequency: | Quarterly |
Management Team
| Number of Managers: 4 | |||
| Longest Tenure: 12.8 years | |||
| Average Tenure: 4.4 years | |||
| Managers (Year): Hsui Jennifer (2013), Sietsema Peter (2023), Waldron Matt (2025), White Steven (2025) | |||
Portfolio Composition (as of 7/31/26)
| # of Holdings: | 338 |
| % in Top 10 Holdings: | 51.8% |
| Fund is Non-Diversified: | Yes |
| % in Foreign Issues: | 0.5% |
Portfolio Allocation |
|
| Domestic Stock: | 99.4% |
| Foreign Stock: | 0.5% |
| Preferred Stock: | 0.0% |
| Domestic Bond: | 0.0% |
| Foreign Bond: | 0.0% |
| Convertible Bond: | 0.0% |
| Other: | 0.0% |
| Cash: | 0.2% |
Purchase Information
| Legal Structure: | Open Ended Investment Company |
| Fund Family: | Fidelity Investments |
| Phone Number: | 800-343-3548 |
| Website: | www.institutional.fidelity.com |
| Inception Date: | October 21, 2013 |
Expenses and Fees
| Expense Ratio (%): | 0.08% (Rating: Low) |
| Category Average Expense Ratio (%): | 0.52% |
