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FHLC vs MDEV

Fidelity MSCI Health Care Index ETF

FHLCANYSE Arca

First Trust Indxx Medical Devices ETF

MDEVDCboe

Overlap

16.0%by weight

Expense ratio

FHLC −0.62pt a year

FHLC0.08%MDEV0.70%

Avg volume · 30D

FHLC 98.3×the volume

FHLC246KMDEV2.5K

5Y return · a year

FHLC +10.8pt

FHLC+7.1%MDEV−3.7%

FHLC vs MDEV Performance

Nov 2, 2021 – Nov 2, 2026

+41.1%FHLC−17.0%MDEV

Nov 2, 2021 to Nov 2, 2026. FHLC +41.1%. MDEV −17.0%. Use the arrow keys to read each point.−40%0%20%Nov 2021Apr 2024Nov 2026
Expense ratio
FHLC 0.08%, better
MDEV 0.70%
Fund size
FHLC $3.54B
MDEV $3M
1Y total return
FHLC +28.5%, better
MDEV +7.8%
Yield (12M)
FHLC 1.15%
MDEV No data
Holdings
FHLC 344
MDEV 53
Avg volume (30D)
FHLC 246K sh, better
MDEV 2.5K sh
NAV per share
FHLC $88.53
MDEV $21.94
52W range

ETF.net Grade

FHLC: Cost 98, Risk 79, Mission 81, Tradability 79, Holdings 54, Durability 77. MDEV: Cost 17, Risk 37, Mission 77, Tradability 11, Holdings 75, Durability 23.
Pillar letters and Scores for FHLC, MDEV, with each pillar’s weight
PillarFHLCMDEV
Cost30% weightA98HigherF17
Mission25% weightA81HigherA77
Risk15% weightA79HigherD37
Tradability15% weightA79HigherF11
Holdings10% weightC54A75Higher
Durability5% weightA77HigherF23

Rank among Health Care (Broad) funds

Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

Same Category. FHLC and MDEV are both graded against the same 25 Health Care (Broad) funds, so their Grades compare head to head.

Health Care (Broad)⁠

Category · 25 funds
See all 25 ›

FHLC ranks 2nd and MDEV 22nd of 25 funds in the Health Care (Broad) Category.

  1. Rank 1AXLVState Street Health Care Select Sector SPDR ETFScore 85
  2. Rank 2AFHLCFidelity MSCI Health Care Index ETFScore 83
  3. Rank 3AVHTVanguard Health Care ETFScore 77
  4. Rank 21DHLTHTema Healthcare AI ETFScore 28
  5. Rank 22DMDEVFirst Trust Indxx Medical Devices ETFScore 27
  6. Rank 23DKUREKraneShares MSCI All China Health Care Index ETFScore 26

Our read on each fund

ETF.net Research

FHLCAFidelity MSCI Health Care Index ETF

MDEVDFirst Trust Indxx Medical Devices ETF

In short

FHLC Health care, whole market. FHLC tracks an MSCI index that runs from mega-cap pharma down to small-cap biotech and device makers, roughly 400 names, for 0.08% a year.

MDEV Medical devices, worldwide and evenly sliced. MDEV tracks a global index of roughly 50 device and equipment makers in similar-sized weights, so a mid-cap scanner or surgical-robot maker counts about as much as the household-name giants.

Stated mandate

FHLC The fund seeks to track the performance of the MSCI USA IMI Health Care Index before fees and expenses.

MDEV The Fund seeks to track the performance of the Indxx Medical Devices Index before fees and expenses, using an indexing approach.

Why people hold it

  • FHLC Charges 0.08% a year against a 0.50% median for broad health care ETFs. Only XLV matches that sticker; VHT sits a hair above.
  • The IMI index it follows reaches for about 99% of US free-float market value, so smaller biotech and device names ride along with the pharma giants.msci.com
  • Mirrors its benchmark closely, one of the tighter tracking jobs among broad health care funds. Distributions come quarterly.
  • Fidelity has run it since 2013, and it has grown into a multi-billion-dollar fund with a plain vanilla index mandate.fidelity.com
  • MDEV Pure play by design: the index covers the medical equipment industry only, and at least 80% of net assets go into its constituents. No pharma or insurers riding along.usnews.com
  • Equal weighting keeps one mega-cap from running the show. About 50 device names get similar-sized slices, pushing real weight toward the mid-sized makers.public.comrobinhood.com
  • Global by mandate, not US-only: the fund holds common stocks and depositary receipts from device makers listed outside the States, using plain physical index replication.businesswire.comusnews.com

Worth knowing

  • FHLC One sector, one country. Drug-pricing politics, patent cliffs and FDA rulings move the whole portfolio at once.
  • Free-float cap weighting means a handful of mega-cap insurers and drugmakers carry most of the weight; that long tail of small names counts for less than it looks.msci.com
  • Moderately traded rather than the category's volume leader, so spreads matter more on large or hurried orders.
  • MDEV At 0.70% a year, it costs more than the typical global thematic fund, and well above cheaper cohort names like PBPH (0.13%) or UFOX (0.30%).
  • Small and thinly traded: spreads can run wide, and sub-scale funds face a higher chance of closure or merger than their bigger shelf-mates.
  • One industry, about 50 stocks. Reimbursement rules, hospital budgets and regulators move the whole basket at once, and payouts come once or twice a year.

Full FHLC profile⁠

Full MDEV profile⁠

FHLC vs MDEV Holdings

How FHLC and MDEV differ

Overlap by weight

16.0%

Shared holdings make up 56.9% of MDEV and 17.6% of FHLC.

Level by level

  • Holdings28 in both16.0%
  • Countryby domicile64.6%
  • Asset classEquity100%
  • Sector1 Sector100%

Sector

Sector weights in FHLC and MDEV, widest gap first
SectorMore in FHLCMore in MDEV
Health CareSame weight

Country, concentration and asset class

Country by domicile

Country weights in FHLC and MDEV, widest gap first
CountryMore in FHLCMore in MDEV
United StatesFHLC +35.4 points
JapanMDEV +7.7 points
SwitzerlandMDEV +6.2 points
GermanyMDEV +4.2 points
DenmarkMDEV +4.2 points
ChinaMDEV +3.1 points
AustraliaMDEV +2.1 points
NetherlandsMDEV +2.1 points
Other countries (4)MDEV +5.8 points

Outside the US: MDEV 91% developed, 9% emerging.

Concentration

Weight in the 10 largest Holdings

  • FHLC53.3%
  • MDEV21.7%

Securities held

  • FHLC343
  • MDEV49

Asset class

FHLC
Equity
MDEV
Equity

Holdings

  • Only in FHLC315
  • In both28
  • Only in MDEV21

Only in FHLC

315 securities, 83.8% of FHLC by weight

  • Eli Lilly & Co14.62%
  • Johnson & Johnson8.48%
  • AbbVie Inc6.71%

Only in MDEV

21 securities, 42.3% of MDEV by weight

  • Cochlear Limited2.19%
  • Alcon Inc.2.17%
  • Coloplast A/S (Class B)2.15%

Weight gaps

All 28 Holdings in both funds, largest gap first.

Holding weights in FHLC and MDEV, widest gap first
HoldingMore in FHLCMore in MDEV
Teleflex IncTFXMDEV +2.09 points
Insulet CorpPODDMDEV +2.02 points
Cooper Companies IncCOOMDEV +1.98 points
Livanova PLCLIVNMDEV +1.95 points
Lemaitre Vascular IncLMATMDEV +1.93 points
Globus Medical IncGMEDMDEV +1.92 points
Align Technology IncALGNMDEV +1.91 points
Bio Rad Labs Class ABIOMDEV +1.89 points

All 365 FHLC holdings⁠All 50 MDEV holdings⁠

How we measure overlap

Each holding counts at its smaller weight in the two funds, summed over the full Holdings. Sector, country and asset class use the same rule on each fund’s split. Cash, FX and derivative lines stay out of the counts. Two bond funds get no overlap figure.

FHLC vs MDEV Cost

Overpaying MDEV vs FHLC

$11,833

On $10,000 over 30 years. 7% growth a year before fees, expense ratio only.

  • FHLC 0.084%

    $1,773

  • MDEV 0.70%

    $13,606

$10,000
30 years

Cost over time

  • FHLC 0.084%
  • MDEV 0.70%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$5K$10K$15K051015202530MDEV $13,606FHLC $1,773

Year by year

YearFHLCMDEVOverpaying
10$154$1,250$1,096
20$603$4,760$4,157
30$1,773$13,606$11,833

Expense ratio

  • 0.08%FHLC, cheaper
  • 0.70%MDEV
  • Middle half of Health Care (Broad) funds
  • Median 0.50%

FHLC 2nd cheapest of 25 funds

MDEV 21st cheapest of 25 funds

FHLC vs MDEV Dividends

Last 12 months to Nov 2, 2026
Yield (12M)
FHLC 1.15%
MDEV No data
Payout (12M)
FHLC $1.02
MDEV No data
Last payment
FHLC $0.25
MDEV $0.02
Ex-dividend
FHLC Sep 18, 2026
MDEV Jun 25, 2026
Paid on
FHLC Sep 22, 2026
MDEV Jun 30, 2026
Frequency
FHLC Quarterly
MDEV Irregular

Distribution history

Per share, 2017 to 2026, same scale for both

FHLCQuarterly · 40 paymentsAll FHLC payments⁠
One bar per payment. 40 payments from 2017 to 2026 YTD. Mar 17, 2017 $0.13; Jun 16, 2017 $0.14; Sep 15, 2017 $0.13; Dec 15, 2017 $0.16; Mar 16, 2018 $0.13; Jun 15, 2018 $0.15; Sep 21, 2018 $0.14; Dec 21, 2018 $0.15; Dec 28, 2018 $0.32; Mar 15, 2019 $0.16; Jun 21, 2019 $0.16; Sep 20, 2019 $0.17; Dec 20, 2019 $0.09; Mar 20, 2020 $0.25; Jun 19, 2020 $0.17; Sep 18, 2020 $0.18; Dec 18, 2020 $0.23; Mar 19, 2021 $0.20; Jun 18, 2021 $0.18; Sep 17, 2021 $0.19; Dec 17, 2021 $0.22; Mar 18, 2022 $0.22; Jun 17, 2022 $0.20; Sep 16, 2022 $0.22; Dec 16, 2022 $0.19; Mar 17, 2023 $0.23; Jun 16, 2023 $0.23; Sep 15, 2023 $0.22; Dec 15, 2023 $0.22; Mar 15, 2024 $0.24; Jun 21, 2024 $0.24; Sep 20, 2024 $0.25; Dec 20, 2024 $0.26; Mar 21, 2025 $0.25; Jun 20, 2025 $0.26; Sep 19, 2025 $0.26; Dec 19, 2025 $0.27; Mar 20, 2026 $0.23; Jun 18, 2026 $0.26; Sep 18, 2026 $0.25. Use the arrow keys to read each point.$0$0.252017202020232026YTD
MDEVIrregular · 1 paymentAll MDEV payments⁠
One bar per payment. 1 payment from 2017 to 2026 YTD. Jun 25, 2026 $0.02. Use the arrow keys to read each point.$0$0.252017202020232026YTD

FHLC vs MDEV Risk

Fall from peak · 5 years

  • FHLC
  • MDEV
Nov 2, 2021 to Nov 2, 2026. Worst fall: MDEV −39.5% · Sep 2022. Use the arrow keys to read each point.−40%−30%−20%−10%0%Nov 2021Apr 2024Nov 2026

Risk facts

VolatilityStd dev, 3 years
FHLC 14.5%, betterMDEV 15.7%
Return per unit of riskSharpe ratio, 3 years
FHLC 0.83, betterMDEV 0.37
Worst fallMax drawdown, 5 years
FHLC −17.7%, betterMDEV −39.5%
Market sensitivityBeta, 5 years
FHLC 0.59MDEV 0.86

FHLC and MDEV in the news

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