Investment objective & strategy
As of Nov. 24, 2025 · prospectusObjective. 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. Investing at least 80% of assets in securities included in the MSCI USA IMI Health Care 25/50 Index. The MSCI USA IMI Health Care 25/50 Index represents the performance of the health care sector in the U.S. equity market. The index consists of U.S. companies that are classified in the health care sector according to the GICS . The GICS health care sector encompasses two main industry groups. The first group includes companies that manufacture health care equipment and supply or provide health care related services, including distributors of health care products, providers of basic health-care services, and owners and operators of health care facilities and organizations. The second group includes companies primarily involved in the research, development, production and … Investing at least 80% of assets in securities included in the MSCI USA IMI Health Care 25/50 Index. The MSCI USA IMI Health Care 25/50 Index represents the performance of the health care sector in the U.S. equity market. The index consists of U.S. companies that are classified in the health care sector according to the GICS . The GICS health care sector encompasses two main industry groups. The first group includes companies that manufacture health care equipment and supply or provide health care related services, including distributors of health care products, providers of basic health-care services, and owners and operators of health care facilities and organizations. The second group includes companies primarily involved in the research, development, production and marketing of pharmaceuticals and biotechnology products. Effective December 11, 2025, derivative instruments that provide investment exposure to the investments above or exposure to one or more market risk factors associated with such investments are included in the fund's 80% policy, consistent with the fund's investment policies and limitations with respect to investments in derivatives. Using a representative sampling indexing strategy to manage the fund. "Representative sampling" is an indexing strategy that involves investing in a representative sample of securities that collectively has an investment profile similar to the index. The securities selected are expected to have, in the aggregate, investment characteristics (based on factors such as market capitalization and industry weightings), fundamental characteristics (such as return variability and yield) and liquidity measures similar to those of the index. The fund may or may not hold all of the securities in the MSCI USA IMI Health Care 25/50 Index.
Top holdings
As of April 30, 2026 · N-PORT| Security | Ticker | Value | % of fund |
|---|---|---|---|
| LILLY ELI and CO | — | $346.22M | 12.13% |
| JOHNSON&JOHNSON | — | $255.28M | 8.94% |
| ABBVIE INC | — | $172.17M | 6.03% |
| UNITEDHEALTH GRP | — | $154.71M | 5.42% |
| MERCK & CO | — | $124.92M | 4.38% |
| AMGEN INC | — | $85.95M | 3.01% |
| THERMO FISHER SCIENTIFIC INC | — | $82.96M | 2.91% |
| GILEAD SCIENCES INC | — | $74.83M | 2.62% |
| INTUITIVE SURGICAL INC | — | $74.79M | 2.62% |
| ABBOTT LABS | — | $72.78M | 2.55% |
Portfolio moves
Jan 31, 2026 → Apr 30, 2026How many positions this fund opened, exited, grew, trimmed, or left unchanged between its two most recent N-PORT snapshots — net changes between point-in-time reports, not a trade log.
Similar funds
Funds whose portfolios most overlap this one, by weight| Fund | Overlap | Net exp. |
|---|---|---|
| JNL/Mellon Healthcare Sector Fund | 92% | 0.28% |
| VANGUARD HEALTH CARE INDEX FUND · VHCIX, VHT | 92% | 0.09% |
| State Street(R) Health Care Select Sector SPDR(R) ETF · XLV | 84% | 0.08% |
Advisers
| Firm | Role |
|---|---|
| BlackRock Fund Advisors | Sub-adviser |
| Fidelity Management & Research Company LLC | Adviser |
Footnotes
- Expense ratio as of November 24, 2025, from the fund's prospectus.
- Net assets and holdings count as of April 30, 2026, from the fund's N-PORT filing.
- Total return for calendar year 2025, before tax and after fund expenses. Computed by compounding the twelve monthly total returns the fund reported in its SEC N-PORT filings for 2025 (the latest prospectus does not yet chart this year).
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