FSMD vs. FHLC

Last updated Jun 14, 2026

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

Performance

FSMD vs. FHLC - Performance Comparison

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

Returns By Period

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

FSMD

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

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%

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

FSMD vs. FHLC - Yearly Performance Comparison

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

Correlation

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

FSMD vs. FHLC - Sectors Allocation Comparison

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

Return for Risk

FSMD vs. FHLC — Risk / Return Rank

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

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

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

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.

FSMD vs. FHLC - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Fidelity Small-Mid Multifactor ETF (FSMD) and Fidelity MSCI Health Care Index ETF (FHLC). 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.

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

FSMD vs. FHLC - Sharpe Ratio Comparison

The current FSMD Sharpe Ratio is 1.78, which is higher than the FHLC Sharpe Ratio of 1.09. The chart below compares the historical Sharpe Ratios of FSMD and FHLC, 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

FSMD vs. FHLC - Drawdown Comparison

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

Drawdown Indicators

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

Volatility

FSMD vs. FHLC - Volatility Comparison

Fidelity Small-Mid Multifactor ETF (FSMD) has a higher volatility of 5.14% compared to Fidelity MSCI Health Care Index ETF (FHLC) at 4.87%. This indicates that FSMD's price experiences larger fluctuations and is considered to be riskier than FHLC based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

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

FSMD vs. FHLC - Expense Ratio Comparison

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

Dividends

FSMD vs. FHLC - Dividend Comparison

FSMD's dividend yield for the trailing twelve months is around 1.18%, less than FHLC's 1.37% 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 FSMD and FHLC in my portfolio?

FSMD and FHLC 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, FSMD or FHLC?

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

Which ETF is better, FSMD or FHLC?

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, FSMD or FHLC?

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, FSMD or FHLC?

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

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

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

What is the main difference between FSMD and FHLC?

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

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.