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State Street® SPDR® MSCI Europe Health Care UCITS ETF

SPDR · IE00BKWQ0H23

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…

· Tracks the MSCI Europe Health Care 35/20 Capped Index index ?
Equity ?Accumulating ?Physical ?Ireland ?
Low yearly feeReinvests dividendsOwns the shares directlyEuropeConcentrated in a few names
Fund size (AUM) ?
€514.7M
Risk level (SRI) ?
4 / 7 · Medium
1-year return ?
+0.2%
Price Return · to 2026-10-06
Yearly fee (TER) ?
0.18%
All-in cost ≈ 0.20%

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

0.18%Yearly fee (TER)
0.20%All-in 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

Index tracked ?
MSCI Europe Health Care 35/20 Capped Index
Replication ?
Physical
Full — buys every share
Regulation ?
UCITS
Yes
Launched
Sep 2001
25-year track record
Recommended holding period
5 years

Performance

95.698.3101104106202520252025

Growth of $100 invested — both lines start at $100.

State Street® SPDR® MSCI Europe Health Care UCITS ETF Average MSCI Europe Health Care 35/20 Capped Index ETF (funds we track) ?

Compared with the average fund tracking the same index — our own data, not the licensed index itself.

YTD-2.6%
1 year+0.2%
3 years+1.9%
5 years+1.1%

Return, year by year

-9.1
+1.8
+5.0
+6.8
'22'23'24'25
3 of 4 up yearsBest: 2025 +6.8%Worst: 2022 -9.1%Calendar-year total returns, in USD

How bumpy has it been?

16.9%
Volatility (1y) ?
How much the price swings year to year — lower is calmer.
-27.7%
Worst drop (3y) ?
The biggest fall from a peak over the last three years.
0.11
Return for the risk (3y) ?
Reward earned per unit of bumpiness.

The bigger picture

+5.8%
Since inception
Total growth since launch — about +1.1% a year.
+23.9%
Best 12 months
The strongest one-year stretch on record.
-19.0%
Worst 12 months
The weakest one-year stretch on record.
-27.7%
Worst fall on record ?
It has not fully recovered yet.

What's inside

The 10 biggest holdings make up 61.3% of the fund — the rest is spread across roughly 27 more companies.

Top 10 holdings

#CompanyWeight
2Novartis AG14.6%
3AstraZeneca PLC14.3%
4Novo Nordisk A/S Class B7.2%
5GSK plc5.8%
6Sanofi SA5.2%
7argenx SE3.4%
8Bayer AG3.1%
9Lonza Group AG2.7%
10EssilorLuxottica SA2.7%
11Haleon PLC2.3%

Where to buy this fund

Set from your language & location — change it if it's wrong.

Where it trades

ExchangeTickerCurrency
LSEHLTHUSD★ Primary
CHF listings
SIXSTWXCHF
EUR listings
Borsa ItalianaSTWXEUR
Euronext ParisSTWEUR
FrankfurtSPYHEUR
USD listings
B2STWUSD
B3HLTHLUSD
B3HEAELUSD
B3STWXZUSD
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For serious comparison — full data holdings, percentiles, advanced risk, tilt, flows

Full holdings

As of 2026-10-06 · the fund's own published holdings.

#CompanyWeight
2Novartis AG14.6%
3AstraZeneca PLC14.3%
4Novo Nordisk A/S Class B7.2%
5GSK plc5.8%
6Sanofi SA5.2%
7argenx SE3.4%
8Bayer AG3.1%
9Lonza Group AG2.7%
10EssilorLuxottica SA2.7%
11Haleon PLC2.3%
12Galderma Group AG2.1%
13Sandoz Group Ltd2.0%
14Alcon AG1.8%
15UCB S.A.1.7%
16Fresenius SE & Co. KGaA1.2%
17Genmab A/S1.2%
18Koninklijke Philips N.V.1.1%
19Merck KGaA1.1%
20Sonova Holding AG0.8%
21Siemens Healthineers AG0.8%
22Roche Holding Ltd0.7%
23Straumann Holding AG0.7%
24Orion Oyj Class B0.6%
25Smith & Nephew plc0.6%
26Eurofins Scientific SE0.6%
27QIAGEN NV0.5%
28Fresenius Medical Care AG0.5%
29Coloplast A/S Class B0.5%
30Swedish Orphan Biovitrum AB0.5%
31Sartorius AG Pref0.4%
32Sartorius Stedim Biotech SA0.4%
33Abivax SA0.4%
34Ipsen SA0.3%
35Recordati S.p.A.0.3%
36Financiere de Tubize S.A.0.2%
37Demant A/S0.2%
38bioMerieux SA0.2%

⭳ Download full holdings (CSV)

How it ranks vs peers

🪙 Cheaper than 54% of similar ETFs💰 All-in cost cheaper than 67%📈 Higher 1-yr return than 4%📈 Higher 3-yr return than 5%📈 Higher 5-yr return than 11%📊 Behind its category by 13.1% (1-yr) (category average +13.3%)📊 Behind its category by 8.1% (3-yr) (category average +10.0%)📊 Behind its category by 2.7% (5-yr) (category average +3.9%)

Versus the Equity (stocks) · Europe · CHF ETFs we track.

Advanced risk

0.15
Sortino (3y) ?
0.07
Calmar (3y) ?
11.6%
Downside deviation ?
58%
Up months (hit rate) ?
$223.60
52-week high ?
$195.26
52-week low ?

Concentration depth

~11 ?
Effective number of holdings

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.

Matched on🌍 Europe stocks
Compare side by side
6 similar funds
State Street® SPDR® MSCI Europe Health Care UCITS ETFSPDRYou're viewingInvesco S&P 500 UCITS ETF EUR Hdg AccInvescoBroader matchAmundi Core S&P 500 Swap UCITS ETF EUR Hedged DistAmundiBroader matchAmundi Core S&P 500 Swap UCITS ETF EUR Hedged AccAmundiBroader matchAmundi Core Stoxx Europe 600 UCITS ETF USD Hedged AccAmundiBroader matchAmundi Core Stoxx Europe 600 UCITS ETF EUR Hedged DistAmundiBroader matchAmundi Core Stoxx Europe 600 UCITS ETF AccAmundiBroader match
Why it's similarThis is the fund on this page.
StocksAccumulatingCheaper fee
Tracks a different index in the same category.
StocksCheaper fee
Tracks a different index in the same category.
StocksAccumulatingCheaper 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.
StocksAccumulatingPhysicalCheaper fee
Tracks a different index in the same category.
Index trackedMSCI Europe Health Care 35/20 Capped IndexS&P 500 Daily Hedged Euro Net Total Return IndexS&P 500 Daily Hedged Euro Index Net TRS&P 500 Daily Hedged Euro Index Net TRSTOXX Europe 600 (Net Return) EURSTOXX Europe 600 (Net Return) EURSTOXX Europe 600 (Net Return) EUR
Yearly fee (TER)0.18%0.05%0.07%0.07%0.09%0.15%0.07%
All-in cost0.20%0.45%0.07%0.00%0.09%0.15%0.07%
Fund size€514.7M€53.7B€30.8B€30B€21.6B€21.6B€21.5B
DomicileIrelandIrelandLULULULULU
ReplicationPhysical (full)Synthetic (swap)Synthetic (swap)Synthetic (swap)Physical (full)Physical (full)Physical (full)
3-yr return p.a.+1.9%+20.7%+20.0%
5-yr return p.a.+1.1%+11.2%+9.8%
# holdings382771010612612612

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Data as of 2026-10-06 · Source: issuer data, compiled by Finance Hamster

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