FHLC vs. FSMD

Last updated Jun 14, 2026

FHLC (Fidelity MSCI Health Care Index ETF) and FSMD (Fidelity Small-Mid Multifactor ETF) are both exchange-traded funds - FHLC is a Health & Biotech Equities fund tracking the MSCI USA IMI Health Care Index, while FSMD is a Small Cap Growth Equities fund tracking the Fidelity Small-Mid Multifactor Index. Both are passively managed. Over the past 5 years, FHLC returned 4.76%/yr vs 10.00%/yr for FSMD. A 0.64 correlation means they provide meaningful diversification when combined. FHLC charges 0.08%/yr vs 0.29%/yr for FSMD.

Performance

FHLC vs. FSMD - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Fidelity MSCI Health Care Index ETF (FHLC) and Fidelity Small-Mid Multifactor ETF (FSMD). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, FHLC achieves a 0.03% return, which is significantly lower than FSMD's 17.58% return.

FHLC

• 1D: -0.13%
• 1M: 5.86%
• YTD: 0.03%
• 6M: 0.58%
• 1Y: 16.58%
• 3Y*: 7.18%
• 5Y*: 4.76%
• 10Y*: 9.76%

FSMD

• 1D: 1.00%
• 1M: 6.31%
• YTD: 17.58%
• 6M: 15.58%
• 1Y: 29.65%
• 3Y*: 17.46%
• 5Y*: 10.00%
• 10Y*: —

*Multi-year figures are annualized to reflect compound growth (CAGR)

FHLC vs. FSMD - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019
FHLC Fidelity MSCI Health Care Index ETF	0.03%	15.42%	2.48%	2.58%	-5.55%	20.39%	18.13%	12.82%
FSMD Fidelity Small-Mid Multifactor ETF	17.58%	8.70%	15.18%	17.37%	-11.15%	26.40%	8.94%	8.81%

Correlation

The correlation between FHLC and FSMD is 0.49, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.49
Correlation (3Y) Calculated over the trailing 3-year period	0.57
Correlation (5Y) Calculated over the trailing 5-year period	0.62
Correlation (All Time) Calculated using the full available price history since Feb 28, 2019	0.64

The correlation between FHLC and FSMD shifts across timeframes, from 0.49 (1 year) to 0.64 (all time), reflecting how their relationship changes across market environments.

FHLC vs. FSMD - Sectors Allocation Comparison

Sectors	FHLC	FSMD
Healthcare	99.6%	11.7%
Financial Services	0.0%	14.8%
Technology	0.0%	20.5%
Industrials	0.0%	20.1%
Basic Materials	-	4.0%
Communication Services	-	2.9%
Consumer Cyclical	-	10.6%
Consumer Defensive	-	3.1%
Energy	-	4.1%
Real Estate	-	6.2%
Utilities	-	2.1%

Return for Risk

FHLC vs. FSMD — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

FHLC

FHLC Risk / Return Rank: 34
FHLC Sharpe Ratio Rank: 34
FHLC Sortino Ratio Rank: 37
FHLC Omega Ratio Rank: 32
FHLC Calmar Ratio Rank: 35
FHLC Martin Ratio Rank: 30

FSMD

FSMD Risk / Return Rank: 66
FSMD Sharpe Ratio Rank: 61
FSMD Sortino Ratio Rank: 64
FSMD Omega Ratio Rank: 58
FSMD Calmar Ratio Rank: 74
FSMD Martin Ratio Rank: 73

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

FHLC vs. FSMD - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Fidelity MSCI Health Care Index ETF (FHLC) and Fidelity Small-Mid Multifactor ETF (FSMD). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	FHLC	FSMD	Difference
Sharpe ratio: Return per unit of total volatility	1.09	1.78	-0.68
Sortino ratio: Return per unit of downside risk	1.72	2.58	-0.86
Omega ratio: Gain probability vs. loss probability	1.19	1.31	-0.12
Calmar ratio: Return relative to maximum drawdown	1.55	3.30	-1.75
Martin ratio: Return relative to average drawdown	3.86	11.89	-8.03

FHLC vs. FSMD - Sharpe Ratio Comparison

The current FHLC Sharpe Ratio is 1.09, which is lower than the FSMD Sharpe Ratio of 1.78. The chart below compares the historical Sharpe Ratios of FHLC and FSMD, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

FHLC vs. FSMD - Drawdown Comparison

The maximum FHLC drawdown since its inception was -28.76%, smaller than the maximum FSMD drawdown of -40.67%. Use the drawdown chart below to compare losses from any high point for FHLC and FSMD.

Drawdown Indicators

	FHLC	FSMD	Difference
Max Drawdown Largest peak-to-trough decline	-28.76%	-40.67%	+11.91%
Max Drawdown (1Y) Largest decline over 1 year	-10.38%	-8.44%	-1.94%
Max Drawdown (3Y) Largest decline over 3 years	-16.87%	-22.16%	+5.29%
Max Drawdown (5Y) Largest decline over 5 years	-17.73%	-22.16%	+4.43%
Max Drawdown (10Y) Largest decline over 10 years	-28.76%	—	—
Current Drawdown Current decline from peak	-3.15%	0.00%	-3.15%
Average Drawdown Average peak-to-trough decline	-5.19%	-5.98%	+0.79%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.16%	2.34%	+1.82%

Volatility

FHLC vs. FSMD - Volatility Comparison

The current volatility for Fidelity MSCI Health Care Index ETF (FHLC) is 4.87%, while Fidelity Small-Mid Multifactor ETF (FSMD) has a volatility of 5.14%. This indicates that FHLC experiences smaller price fluctuations and is considered to be less risky than FSMD based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	FHLC	FSMD	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.87%	5.14%	-0.27%
Volatility (6M) Calculated over the trailing 6-month period	10.50%	11.85%	-1.35%
Volatility (1Y) Calculated over the trailing 1-year period	14.69%	15.69%	-1.00%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	15.02%	18.55%	-3.53%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.84%	21.43%	-4.59%

FHLC vs. FSMD - Expense Ratio Comparison

FHLC has a 0.08% expense ratio, which is lower than FSMD's 0.29% expense ratio.

Dividends

FHLC vs. FSMD - Dividend Comparison

FHLC's dividend yield for the trailing twelve months is around 1.37%, more than FSMD's 1.18% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
FHLC Fidelity MSCI Health Care Index ETF	1.37%	1.40%	1.51%	1.40%	1.30%	1.16%	1.45%	1.18%	1.38%	1.38%	1.40%	2.07%
FSMD Fidelity Small-Mid Multifactor ETF	1.18%	1.33%	1.29%	1.37%	1.54%	1.18%	1.32%	1.37%	0.00%	0.00%	0.00%	0.00%

Frequently Asked Questions

Can I hold both FHLC and FSMD in my portfolio?

FHLC and FSMD have a correlation of 0.49, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, FHLC or FSMD?

FSMD has higher volatility (5.14%) compared to FHLC (4.87%). In terms of maximum drawdown, FHLC dropped -28.76% vs FSMD's -40.67%.

Which ETF is better, FHLC or FSMD?

On 5-year performance, FSMD leads with 10.00% vs 4.76% for FHLC. On fees, FHLC is cheaper at 0.08% per year. On volatility, FHLC has been the lower-risk option at 4.87%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, FHLC or FSMD?

Over the 5-year period, FSMD has performed better with a 10.00% return vs 4.76%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, FHLC or FSMD?

FHLC is cheaper with a 0.08% expense ratio, compared with 0.29% for FSMD.

Which ETF pays a higher dividend yield, FHLC or FSMD?

FHLC has the higher dividend yield at 1.37%, compared with 1.18% for FSMD.

What is the main difference between FHLC and FSMD?

FHLC is categorized as Health & Biotech Equities, while FSMD is Small Cap Growth Equities. FHLC tracks MSCI USA IMI Health Care Index, while FSMD tracks Fidelity Small-Mid Multifactor Index. Their fees differ too: 0.08% for FHLC and 0.29% for FSMD.

Which has better risk-adjusted returns?

FSMD currently has the higher Sharpe Ratio (1.78 vs 1.09), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.