Available in 10 markets
State Street® SPDR® MSCI Europe Health Care UCITS ETF
State Street® SPDR® MSCI Europe Health Care UCITS ETF is an exchange-traded fund (ETF) from SPDR, traded under the ticker HLTH (ISIN IE00BKWQ0H23). One trade buys a whole basket of holdings, so your money is spread out instead of riding on a single company. In plain terms it is about owning small slices of companies, so you share in their…
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About this fund
What you own
The MSCI Europe Health Care 35/20 Capped Index index is the benchmark this fund aims to copy. By holding it, this fund gives you a stake in around 38 companies across Europe in a single purchase.
Dividends
The fund automatically reinvests dividends back into itself, so your holding grows without cash payouts.
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Rolling the dividends straight back in means your money compounds automatically, with nothing for you to reinvest by hand. The flip side is there is no cash income; the growth simply shows up as a higher fund value. Note that reinvested dividends can still be taxable in some countries even though you never receive the cash — the rules depend on where you live.
How it works
The fund actually buys every share in the index it tracks (full replication).
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Owning every holding keeps things transparent — what is in the index is what the fund actually owns. It can be a touch costlier to run for indexes with thousands of tiny positions, since the fund has to buy and maintain them all. There is no swap bank involved, so there is no extra “what if the partner fails” question to weigh.
Cost
The yearly running cost of the fund, shown as a % of your money. Lower is cheaper.
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For example, a 0.20% fee works out at €0.20 a year for every €100 invested — that’s a generic illustration of the mechanic, not this fund’s own fee. It is skimmed quietly from inside the fund a little each day, so you never get a bill — but it drags on your return every year you hold. On a broad index ETF it is usually a small fraction of a percent; the gap between a cheap and a pricey fund looks tiny on day one but compounds over decades, which is why it is worth a glance.
Fund facts
Performance
The bigger picture
What's inside
The 10 biggest holdings make up 61.4% of the fund — the rest is spread across roughly 27 more companies.
Top 10 holdings
| # | Company | Weight |
|---|---|---|
| 2 | Novartis AG | 15.3% |
| 3 | AstraZeneca PLC | 13.0% |
| 4 | Novo Nordisk A/S Class B | 8.2% |
| 5 | GSK plc | 5.6% |
| 6 | Sanofi SA | 5.1% |
| 7 | EssilorLuxottica SA | 3.2% |
| 8 | Bayer AG | 3.0% |
| 9 | argenx SE | 2.9% |
| 10 | Lonza Group AG | 2.7% |
| 11 | Haleon PLC | 2.4% |
Where to buy this fund
Set from your language & location — change it if it's wrong.
Where it trades
| Exchange | Ticker | Currency | |
|---|---|---|---|
| LSE | HLTH | USD | ★ Primary |
| CHF listings | |||
| SIX | STWX | CHF | |
| EUR listings | |||
| Borsa Italiana | STWX | EUR | |
| Euronext Paris | STW | EUR | |
| Frankfurt | SPYH | EUR | |
| USD listings | |||
| B2 | STW | USD | |
| B3 | HLTHL | USD | |
| B3 | HEAEL | USD | |
| B3 | STWXZ | USD | |
| B3 | STWXM | USD | |
| B3 | STWP | USD | |
| B3 | SPYHD | USD | |
| B4 | STWEUR | USD | |
| BW | STWX | USD | |
| E1 | STW | USD | |
| E1 | STWGBX | USD | |
| E1 | STWUSD | USD | |
| EB | STWXZ | USD | |
| EB | STWP | USD | |
| EB | SPYHD | USD | |
| EB | STWXM | USD | |
| EB | HLTHL | USD | |
| EO | STW | USD | |
| EO | STWGBX | USD | |
| EO | STWUSD | USD | |
| EP | STW | USD | |
| EP | STWUSD | USD | |
| EU | STWUSD | USD | |
| EU | STW | USD | |
| EU | STWGBX | USD | |
| EZ | STW | USD | |
| EZ | STWUSD | USD | |
| GD | SPYH | USD | |
| GF | SPYH | USD | |
| GH | SPYH | USD | |
| GM | SPYH | USD | |
| GS | SPYH | USD | |
| GT | SPYH | USD | |
| GZ | SPYH | USD | |
| I2 | STWXM | USD | |
| I2 | STWP | USD | |
| I2 | SPYHD | USD | |
| IX | STWXZ | USD | |
| IX | STWXM | USD | |
| IX | STWP | USD | |
| IX | SPYHD | USD | |
| IX | HLTHL | USD | |
| L1 | STWXZ | USD | |
| L1 | STWXM | USD | |
| L1 | STWP | USD | |
| L1 | SPYHD | USD | |
| L1 | HLTHL | USD | |
| L1 | HEAEL | USD | |
| L3 | STWXZ | USD | |
| L3 | STWXM | USD | |
| L3 | STWP | USD | |
| L3 | SPYHD | USD | |
| L3 | HLTHL | USD | |
| L3 | HEAEL | USD | |
| LA | SPYH | USD | |
| LSE | HEAE | USD | |
| LU | SPYH | USD | |
| MF | HLTHN | USD | |
| MM | HLTHN | USD | |
| MU | HLTHN | USD | |
| PO | HEAEL | USD | |
| PO | HLTHL | USD | |
| PO | SPYHD | USD | |
| PO | STWP | USD | |
| PO | STWXM | USD | |
| PO | STWXZ | USD | |
| PQ | SSHXF | USD | |
| QE | SPYHD | USD | |
| QE | STWP | USD | |
| QX | HLTHL | USD | |
| QX | SPYHD | USD | |
| QX | STWP | USD | |
| QX | STWXZ | USD | |
| S1 | HLTHL | USD | |
| SE | STWX | USD | |
| T2 | HLTH | USD | |
| T2 | STWX | USD | |
| TH | SPYH | USD | |
| US | SSHXF | USD | |
| UV | SSHXF | USD | |
| WT | STWX | USD | |
| WT | HLTH | USD | |
| X1 | STWUSD | USD | |
| X2 | STW | USD | |
| X2 | STWGBX | USD | |
| X2 | STWUSD | USD | |
| X9 | STW | USD | |
| X9 | STWEUR | USD | |
| XA | STWUSD | USD | |
| XA | STWGBX | USD | |
| XE | STWGBX | USD | |
| XE | STWUSD | USD | |
| XF | STWGBX | USD | |
| XF | STWUSD | USD | |
| XG | STWGBX | USD | |
| XG | STWUSD | USD | |
| XH | STWUSD | USD | |
| XH | STWGBX | USD | |
| XJ | STWGBX | USD | |
| XJ | STWUSD | USD | |
| XL | STW | USD | |
| XL | STWGBX | USD | |
| XL | STWUSD | USD | |
| XO | STWUSD | USD | |
| XO | STWGBX | USD | |
| XQ | STWGBX | USD | |
| XQ | STWUSD | USD | |
| XU | STWGBX | USD | |
| XU | STWUSD | USD | |
| XV | STWGBX | USD | |
| XV | STWUSD | USD | |
| XW | STWUSD | USD | |
| XW | STWGBX | USD | |
| XW | STW | USD | |
| XX | STW | USD | |
| XX | STWGBX | USD | |
| XX | STWUSD | USD | |
| XZ | STWGBX | USD | |
| XZ | STWUSD | USD | |
For serious comparison — full data holdings, percentiles, advanced risk, tilt, flows
Full holdings
As of 2026-08-19 · the fund's own published holdings.
| # | Company | Weight |
|---|---|---|
| 2 | Novartis AG | 15.3% |
| 3 | AstraZeneca PLC | 13.0% |
| 4 | Novo Nordisk A/S Class B | 8.2% |
| 5 | GSK plc | 5.6% |
| 6 | Sanofi SA | 5.1% |
| 7 | EssilorLuxottica SA | 3.2% |
| 8 | Bayer AG | 3.0% |
| 9 | argenx SE | 2.9% |
| 10 | Lonza Group AG | 2.7% |
| 11 | Haleon PLC | 2.4% |
| 12 | Galderma Group AG | 2.2% |
| 13 | Alcon AG | 2.0% |
| 14 | Sandoz Group Ltd | 2.0% |
| 15 | UCB S.A. | 1.7% |
| 16 | Fresenius SE & Co. KGaA | 1.2% |
| 17 | Koninklijke Philips N.V. | 1.1% |
| 18 | Merck KGaA | 1.1% |
| 19 | Genmab A/S | 1.0% |
| 20 | Siemens Healthineers AG | 0.8% |
| 21 | Sonova Holding AG | 0.8% |
| 22 | Straumann Holding AG | 0.8% |
| 23 | Roche Holding Ltd | 0.7% |
| 24 | Smith & Nephew plc | 0.6% |
| 25 | Orion Oyj Class B | 0.5% |
| 26 | Eurofins Scientific SE | 0.5% |
| 27 | Fresenius Medical Care AG | 0.5% |
| 28 | QIAGEN NV | 0.5% |
| 29 | Coloplast A/S Class B | 0.5% |
| 30 | Swedish Orphan Biovitrum AB | 0.4% |
| 31 | Abivax SA | 0.4% |
| 32 | Sartorius AG Pref | 0.4% |
| 33 | Recordati S.p.A. | 0.3% |
| 34 | Sartorius Stedim Biotech SA | 0.3% |
| 35 | Ipsen SA | 0.3% |
| 36 | Financiere de Tubize S.A. | 0.2% |
| 37 | Demant A/S | 0.2% |
| 38 | bioMerieux SA | 0.2% |
How it ranks vs peers
Versus the Equity (stocks) · Europe · USD ETFs we track.
Advanced risk
Concentration depth
Roughly 38 companies are held, but the largest names carry most of the weight — so it behaves like ~11 equal-sized positions.
Similar funds
We found 6 funds that do much the same job as this one. To pick them we matched this fund's asset class and region, then show how close each match is below.
| State Street® SPDR® MSCI Europe Health Care UCITS ETFSPDRYou're viewing | Invesco S&P 500 UCITS ETF EUR Hdg AccInvescoBroader match | Amundi Core S&P 500 Swap UCITS ETF EUR Hedged AccAmundiBroader match | Amundi Core S&P 500 Swap UCITS ETF EUR Hedged DistAmundiBroader match | Amundi Core Stoxx Europe 600 UCITS ETF AccAmundiBroader match | Amundi Core Stoxx Europe 600 UCITS ETF USD Hedged AccAmundiBroader match | Amundi Core Stoxx Europe 600 UCITS ETF EUR Hedged DistAmundiBroader match | |
|---|---|---|---|---|---|---|---|
| Why it's similar | This is the fund on this page. | StocksAccumulatingCheaper fee Tracks a different index in the same category. | StocksAccumulatingCheaper fee Tracks a different index in the same category. | StocksCheaper fee Tracks a different index in the same category. | StocksAccumulatingPhysicalCheaper fee Tracks a different index in the same category. | StocksAccumulatingPhysicalCheaper fee Tracks a different index in the same category. | StocksPhysicalCheaper fee Tracks a different index in the same category. |
| Index tracked | MSCI Europe Health Care 35/20 Capped Index | S&P 500 Daily Hedged Euro Net Total Return Index | S&P 500 Daily Hedged Euro Index Net TR | S&P 500 Daily Hedged Euro Index Net TR | STOXX Europe 600 (Net Return) EUR | STOXX Europe 600 (Net Return) EUR | STOXX Europe 600 (Net Return) EUR |
| Yearly fee (TER) | 0.18% | 0.05% | 0.07% | 0.07% | 0.07% | 0.09% | 0.15% |
| All-in cost | 0.20% | 0.45% | 0.00% | 0.07% | 0.07% | 0.09% | 0.15% |
| Fund size | €507.3M | €50.3B | €28.7B | €28.4B | €21.7B | €21.6B | €21.4B |
| Domicile | Ireland | Ireland | LU | LU | LU | LU | LU |
| Replication | Physical (full) | Synthetic (swap) | Synthetic (swap) | Synthetic (swap) | Physical (full) | Physical (full) | Physical (full) |
| 3-yr return p.a. | +19.2% | +18.4% | |||||
| 5-yr return p.a. | +10.0% | +9.0% | |||||
| # holdings | 38 | 295 | 10 | 10 | 613 | 613 | 613 |
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