Fidelity MSCI Health Care Index ETF

FIDELITY COVINGTON TRUST · 1 share class

U.S. equity index ETF
One fund, 1 share class:FHLC
$2.85B NAV
340 positions · as of 2026-04-30 · filed 2026-06-23

Fund classification

Classified from what the fund holds · as of 2026 Q2

Fidelity MSCI Health Care Index ETF is a U.S. equity index ETF that tracks the MSCI USA IMI Health Care 25/50 Index. 20% of FHLC’s stock holdings are in companies whose revenue grew in the top quartile of U.S. companies over the last five fiscal years (covering 95% of the fund’s equity).

Asset class
Equity
Region
United States
Management
Index (passive)
Fund type
ETF
Features
Non-diversified

Fund profile

As filed in the prospectus · 2025 Q4

Fidelity MSCI Health Care Index ETF 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.

Strategy · summarised

The fund tracks the MSCI USA IMI Health Care 25/50 Index, which comprises U.S. health care companies classified by GICS, including equipment and service providers as well as pharmaceutical and biotechnology firms. It uses representative sampling, holding a subset of index securities selected to match the index's overall investment and fundamental characteristics rather than all constituents. Because the fund may not hold all securities in the index, its returns may diverge from the index.

Expenses
0.08%one share class
Share classExpense ratio
FHLC0.08%

Portfolio turnover 3.00% · as of 2025 Q4

Allocation

Asset groups · long / short shown separately, never netted · 2026 Q2

99.87%
of net assets
Stocks99.64%
Cash & short-term0.23%
Derivatives-0.00%

The outer band is exposure held short — written against the portfolio rather than part of it, which is why it sits outside the ring and why the two are never netted into one figure.

Derivatives are shown at market value, not notional exposure.

Sector allocation

The same holdings as Allocation above, grouped by market sector instead of asset type · as of 2026 Q2

100%
of net assets
Health Care97.4%
International2.4%
Cash0.2%
Industrials0.0%
Other0.0%

Government, Securitized and Cash are non-corporate buckets; International is foreign holdings we don’t sector-classify, and Other is the residual (held funds, unresolved names).

Portfolio growth profile

How much of the fund’s stock holdings are in fast-growing companies · as of 2026 Q2

Revenue growth
20%of stock holdings in top-quartile growers
covering 95% of the fund’s equity
Earnings growth
21%of stock holdings in top-quartile growers
covering 86% of the fund’s equity

Share of the fund’s equity (by value) in companies whose trailing five-year revenue — or net-income — growth ranks in the top 25% of U.S. public companies. Foreign and newly-listed holdings are excluded, so the figure covers only part of the book. From SEC filings — not investment advice. How we measure this.

Latest quarter

What changed since the fund's previous filing

2026Q2 vs 2026Q1: 25 new17 exited

Largest new: Terns Pharmaceuticals Inc, ERAS, CAPR, ALMS, KOD, EYPT, BFLY, UroGen Pharma Ltd

Largest exited: Exact Sciences Corp, Hologic Inc, Avidity Biosciences Inc, Amicus Therapeutics Inc, Arcellx Inc, Avadel Pharmaceuticals PLC, Dynavax Technologies Corp, Day One Biopharmaceuticals Inc

Return profile

Total return as filed — price change plus distributions reinvested · trailing figures to Apr 2026

1-year
+8.23%
3-year
+16.11%
5-year
+23.04%
Volatility
15.87%
Worst 3-yr fall
-14.99%
Cumulative return· May 2023 – Apr 2026

Holdings

By % of NAV · equity positions carry filed share counts · every resolvable issuer links to its company page

Issuer%NAVValue
Eli Lilly & CoLLY12.13%$346.22M
Johnson & JohnsonJNJ8.94%$255.28M
AbbVie IncABBV6.03%$172.17M
UnitedHealth Group IncUNH5.42%$154.71M
Merck & Co IncMRK4.38%$124.92M
Amgen IncAMGN3.01%$85.95M
Thermo Fisher Scientific IncTMO2.91%$82.96M
Gilead Sciences IncGILD2.62%$74.83M
Intuitive Surgical IncISRG2.62%$74.79M
Abbott LaboratoriesABT2.55%$72.78M
Showing 10 of 340Sign in to see more

Reported price is the fund's own reported value divided by its own reported shares at 2026-04-30 — not a live quote, and not what the fund paid.

Top 10 positions are 50.61% of net assets, top 25 73.42%, across 338 issuers.

See more of this fund's book

More positions with filed share counts, and the quarter-over-quarter change list rather than the largest few — free with an account, no card required.

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