Jake Lerch, The Motley Fool
Mon, July 27, 2026 astatine 7:55 AM CDT 6 min read
Key Points
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The State Street Health Care Select Sector SPDR ETF manages $41.7 cardinal successful assets nether absorption (AUM), providing importantly higher liquidity than the Fidelity MSCI Health Care Index ETF
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Fidelity MSCI Health Care Index ETF tracks a broader beingness of 365 holdings compared to the concentrated 60-stock portfolio of the State Street money
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Both healthcare funds stock an identical 0.08% disbursal ratio, making them immoderate of the astir cost-efficient options successful the assemblage
The Health Care Select Sector SPDR ETF (NYSEMKT:XLV) and the Fidelity MSCI Health Care Index ETF (NYSEMKT:FHLC) some connection low-cost vulnerability to home healthcare, but they disagree importantly successful their market-cap absorption and liquidity profiles.
The healthcare assemblage tin service arsenic a antiaircraft anchor for diversified portfolios, offering a premix of dependable pharmaceutical giants and high-growth biotech companies. This examination examines however these 2 funds way the manufacture utilizing antithetic indexing strategies, highlighting their structural contrasts and humanities risk-adjusted returns.
Snapshot (cost & size)
Beta measures terms volatility comparative to the S&P 500; beta is calculated from monthly returns implicit the disposable money past (up to 5 years). The 1-yr instrumentality represents full instrumentality implicit the trailing 12 months. Dividend output is the trailing-12-month organisation yield.
Cost is not a differentiating origin here, arsenic some funds transportation a precise debased 0.08% disbursal ratio. However, investors seeking higher currency travel whitethorn similar the State Street fund, which presently offers a higher organisation yield.
Performance & hazard examination
What's wrong
The State Street Health Care Select Sector SPDR ETF focuses connected the 60 largest healthcare companies successful the S&P 500, offering a concentrated mega-cap portfolio. Its assemblage vulnerability is 99.00% healthcare, and its largest positions see Eli Lilly + Co (NYSE:LLY) astatine 16.11%, Johnson + Johnson (NYSE:JNJ) astatine 10.72%, and Abbvie Inc (NYSE:ABBV) astatine 7.79%. The money was launched successful 1998. State Street Health Care Select Sector SPDR ETF has paid $2.53 per stock implicit the trailing 12 months, which, astatine its caller ~$161.44 stock price, yields 1.60%.

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