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FHLC vs PTH

Fidelity MSCI Health Care Index ETF

FHLCANYSE Arca

Invesco Dorsey Wright Healthcare Momentum ETF

PTHCNasdaq

Overlap

Expense ratio

FHLC −0.52pt a year

FHLC0.08%PTH0.60%

Avg volume · 30D

FHLC 4.6×the volume

FHLC246KPTH53.6K

10Y return · a year

PTH +2.6pt

FHLC+12.5%PTH+15.1%

FHLC vs PTH Performance

Nov 2, 2021 – Nov 2, 2026

+41.1%FHLC+8.0%PTH

Nov 2, 2021 to Nov 2, 2026. FHLC +41.1%. PTH +8.0%. Use the arrow keys to read each point.−40%−20%20%Nov 2021May 2024Nov 2026
Expense ratio
FHLC 0.08%, better
PTH 0.60%
Fund size
FHLC $3.54B
PTH $295M
1Y total return
FHLC +28.5%, better
PTH +22.4%
Yield (12M)
FHLC 1.15%
PTH 2.64%, better
Holdings
FHLC 344
PTH 55
Avg volume (30D)
FHLC 246K sh, better
PTH 53.6K sh
NAV per share
FHLC $88.53
PTH $59.73
52W range

ETF.net Grade

FHLC: Cost 98, Risk 79, Mission 81, Tradability 79, Holdings 54, Durability 77. PTH: Cost 38, Risk 37, Mission not scored, Tradability 68, Holdings 73, Durability 71.
Pillar letters and Scores for FHLC, PTH, with each pillar’s weight
PillarFHLCPTH
Cost30% weightA98HigherD38
Mission25% weightA81Not scored
Risk15% weightA79HigherD37
Tradability15% weightA79HigherB68
Holdings10% weightC54A73Higher
Durability5% weightA77HigherA71

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 PTH 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 PTH 13th 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 12BIHIiShares U.S. Medical Devices ETFScore 55
  5. Rank 13CPTHInvesco Dorsey Wright Healthcare Momentum ETFScore 50
  6. Rank 14CFMEDFidelity Disruptive Medicine ETFScore 48

Our read on each fund

ETF.net Research

FHLCAFidelity MSCI Health Care Index ETF

PTHCInvesco Dorsey Wright Healthcare Momentum 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.

PTH Health care ranked by price strength instead of market cap. PTH's index has been running since 2006, holds about 50 relative-strength names, and reshuffles them every quarter, so the lineup can look nothing like the sector's megacap giants.

Stated mandate

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

PTH The Fund seeks to track the performance of its underlying index before fees and expenses. The index selects healthcare companies exhibiting relative strength or momentum.

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
  • PTH The momentum screen draws from a broad US healthcare universe, so the names that qualify can be anything from megacaps to small caps. A genuinely different portfolio than cap-weighted sector funds like XLV and VHT.invesco.comnasdaq.com
  • Live since October 2006, through multiple biotech booms and busts, well before momentum became a standard ETF label.
  • Discipline is built into the calendar: the index is reconstituted and rebalanced quarterly, and the fund normally keeps at least 90% of total assets in index securities.nasdaq.comnasdaq.com 2

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.
  • PTH 0.60% net of a waiver through August 31, 2028 (0.74% gross), above the category median and far above cap-weighted peers like XLV at 0.08% and VHT at 0.09%.
  • With about 50 holdings and momentum setting the lineup, single-name moves land harder here than in a several-hundred-stock cap-weighted health care fund.
  • Momentum, by design, buys what has already run and trims what has lagged, so sharp reversals can catch the index between quarterly rebalances.nasdaq.comnasdaq.com 2

Full FHLC profile⁠

Full PTH profile⁠

FHLC vs PTH 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 PTH Cost

Overpaying PTH vs FHLC

$10,044

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

  • FHLC 0.084%

    $1,773

  • PTH 0.60%

    $11,817

$10,000
30 years

Cost over time

  • FHLC 0.084%
  • PTH 0.60%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$2.5K$5K$7.5K$10K$12.5K051015202530PTH $11,817FHLC $1,773

Year by year

YearFHLCPTHOverpaying
10$154$1,076$922
20$603$4,116$3,513
30$1,773$11,817$10,044

Expense ratio

  • 0.08%FHLC, cheaper
  • 0.60%PTH
  • Middle half of Health Care (Broad) funds
  • Median 0.50%

FHLC 2nd cheapest of 25 funds

PTH 16th cheapest of 25 funds

FHLC vs PTH Dividends

Last 12 months to Nov 2, 2026
Yield (12M)
FHLC 1.15%
PTH 2.64%, better
Payout (12M)
FHLC $1.02
PTH $1.53
Last payment
FHLC $0.25
PTH $1.53
Ex-dividend
FHLC Sep 18, 2026
PTH Dec 22, 2025
Paid on
FHLC Sep 22, 2026
PTH Dec 26, 2025
Frequency
FHLC Quarterly
PTH 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$12017202020232026YTD
PTHIrregular · 2 paymentsAll PTH payments⁠
One bar per payment. 2 payments from 2017 to 2026 YTD. Jun 24, 2024 $0.03; Dec 22, 2025 $1.53. Use the arrow keys to read each point.$0$12017202020232026YTD

FHLC vs PTH Risk

Fall from peak · 5 years

  • FHLC
  • PTH
Nov 2, 2021 to Nov 2, 2026. Worst fall: PTH −47.1% · Oct 2023. Use the arrow keys to read each point.−50%−40%−30%−20%−10%0%Nov 2021May 2024Nov 2026

Risk facts

VolatilityStd dev, 3 years
FHLC 14.5%, betterPTH 23.9%
Return per unit of riskSharpe ratio, 3 years
FHLC 0.83PTH 0.93, better
Worst fallMax drawdown, 5 years
FHLC −17.7%, betterPTH −47.1%
Market sensitivityBeta, 5 years
FHLC 0.59PTH 0.97

FHLC and PTH in the news

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