State Street® SPDR® MSCI World Health Care UCITS ETF

ISIN IE00BYTRRB94 · SPFS EU World

The State Street® SPDR® MSCI World Health Care UCITS ETF is an exchange-traded index fund (ETF) from SPDR that tracks the MSCI World Health Care index physically. With a total expense ratio (TER) of 0.30% per year it is in the mid cost range for its category. Income is automatically reinvested (accumulating); it trades as a Europe-domiciled UCITS fund. The fund spreads across 110 individual holdings – the largest currently Eli Lilly at 12.41%. The full composition plus the sector and country breakdown are shown below; it is one of 104 ETFs we cover.

The ten largest holdings make up 49.3% of the fund, out of 110 in total. The largest sector is Health Care at 100.0% (as of Oct 30, 2026).

Alysly Data Analysis: SPFS

Data Points

The map shows how SPFS connects to ETFs, indices and other names. Each link is based on measured data and is not a recommendation.

View the full data network

The 100 Largest Holdings

of 110 in total · as of Oct 30, 2026

Top holdings
#StockTickerWeight
1Eli LillyLLY12.41%
2Johnson & JohnsonJNJ7.20%
3AbbVie Inc.ABBV5.70%
4UnitedHealth Group IncorporatedUNH4.04%
5Merck & Co. Inc.MRK4.04%
6Roche Holding LtdRO3.93%
7Novartis AGNOVN3.26%
8Astrazeneca plcAZN3.09%
9Thermo Fisher Scientific Inc.TMO2.84%
10Amgen Inc.AMGN2.75%
11Gilead Sciences Inc.GILD2.33%
12Abbott LaboratoriesABT2.03%
13Pfizer Inc.PFE1.90%
14Intuitive Surgical Inc.ISRG1.67%
15Danaher CorporationDHR1.62%
16Vertex Pharmaceuticals IncorporatedVRTX1.56%
17Novo Nordisk A/S Class B1.40%
18Bristol-Myers Squibb CompanyBMY1.40%
19Medtronic PlcMDT1.36%
20McKesson CorporationMCK1.28%
21CVS Health CorporationCVS1.26%
22Stryker CorporationSYK1.10%
23GlaxosmithklineGSK1.10%
24Sanofi SASAN1.07%
25Regeneron Pharmaceuticals Inc.REGN1.05%
26Elevance Health Inc.ELV1.00%
27Cigna GroupCI0.86%
28HCA Healthcare IncHCA0.81%
29CSL LimitedCSL0.74%
30Takeda Pharmaceutical Co. Ltd.45020.74%
31Boston Scientific CorporationBSX0.68%
32Cencora Inc.COR0.67%
33Essilorluxottica SAEL0.65%
34Cardinal Health Inc.CAH0.64%
35argenx SEARGX0.62%
36Natera Inc.NTRA0.62%
37Hoya Corp.77410.61%
38Lonza Group AGLONN0.61%
39Bayer AGBAYN0.61%
40Becton Dickinson and Company0.60%
41Edwards Lifesciences CorporationEW0.58%
42Agilent Technologies Inc.A0.55%
43Humana Inc.HUM0.54%
44Teva Pharmaceutical Industries LimitedTEVA0.54%
45Veeva Systems Inc. Class AVEEV0.50%
46Waters CorporationWAT0.50%
47IQVIA Holdings IncIQV0.49%
48IDEXX Laboratories Inc.IDXX0.48%
49Galderma Group N AGGALD0.47%
50Sandoz Group LtdSDZ0.46%
51Haleon plcHLN0.42%
52UCB S.A.UCB0.42%
53Biogen Inc.BIIB0.41%
54Alcon AGALC0.39%
55Illumina Inc.ILMN0.39%
56Genmab A/SGMAB0.39%
57GE Healthcare Technologies Inc.GEHC0.38%
58Centene CorporationCNC0.37%
59Zoetis Inc. Class AZTS0.36%
60ResMed Inc.RMD0.36%
61Mettler-Toledo International Inc.0.36%
62Revolution Medicines Inc.RVMD0.35%
63Otsuka Corp.47680.35%
64DexCom Inc.DXCM0.35%
65West Pharmaceutical Services Inc.WST0.33%
66Labcorp Holdings Inc.LH0.32%
67Chugai Pharmaceutical Co. Ltd.45190.32%
68Daiichi Sankyo Company Limited45680.32%
69Astellas Pharma Inc.45030.31%
70Quest Diagnostics IncorporatedDGX0.31%
71Royalty Pharma Plc Class ARPRX0.30%
72Insmed IncorporatedINSM0.26%
73United Therapeutics CorporationUTHR0.25%
74Fresenius SE & Co. KGaAFRE0.25%
75Alnylam Pharmaceuticals IncALNY0.24%
76STERIS plcSTE0.24%
77Koninklijke Philips N.V.PHIA0.24%
78Merck KGaAMRK0.24%
79Incyte CorporationINCY0.22%
80Terumo Corporation45430.22%
81Roivant Sciences Ltd.ROIV0.21%
82Zimmer Biomet Holdings Inc.ZBH0.20%
83Sonova Holding AGSOON0.18%
84Siemens Healthineers AGSHL0.17%
85Fisher & Paykel Healthcare Corporation LimitedFPH0.17%
86Shionogi & Co. Ltd.45070.15%
87Neurocrine Biosciences Inc.NBIX0.15%
88Straumann Holding AGSTMN0.14%
89Orion Oyj Class BORNBV0.14%
90Olympus Corp.77330.13%
91Medline Inc. Class AMDLN0.13%
92Cooper Companies Inc.0.13%
93Smith and Nephew plcSN.0.12%
94Eurofins Scientific SEERF0.12%
95Qiagen N.V.QIA0.12%
96Sigma Healthcare LtdSIG0.11%
97Eisai Co. Ltd.45230.10%
98Coloplast A/S Class BCOLO B0.10%
99Swedish Orphan Biovitrum ABSOBI0.10%
100Fresenius Medical Care AGFME0.09%

Top Sectors

Geographic Breakdown

United States73.7%
Switzerland9.4%
United Kingdom4.7%
Japan3.3%
France2.1%
Denmark1.9%
Germany1.6%
Belgium1.1%
Australia0.9%
Israel0.5%
Netherlands0.2%
New Zealand0.2%

Holdings lists from our database since Sep 30, 2026, 2 reporting dates.

Data note 1

Changes in Holdings

This compares the holdings list of Sep 30, 2026 with that of Oct 30, 2026: 0 names were added and 0 dropped out. Weights also shift without any buying or selling, because the prices of the holdings move differently.

Weight Up

  • Roche Holding Ltd · 3.93% (+3.78 pp)
  • Eli Lilly and Company · 12.41% (+1.28 pp)
  • AbbVie Inc. · 5.70% (+0.15 pp)
  • AstraZeneca PLC · 3.09% (+0.13 pp)
  • Genmab A/S · 0.39% (+0.13 pp)

Weight Down

  • Johnson & Johnson · 7.20% (-0.46 pp)
  • Merck & Co. Inc. · 4.04% (-0.27 pp)
  • Thermo Fisher Scientific Inc. · 2.84% (-0.18 pp)
  • Alnylam Pharmaceuticals Inc · 0.24% (-0.15 pp)
  • Bristol-Myers Squibb Company · 1.40% (-0.13 pp)

Data note 2

Compared With Other Funds

How much this fund overlaps with others — the figure is the share of capital financing the same companies in both.

Data note 3

Data and Charts: SPFS

ListingEurope (UCITS)
Cost (TER)0.30%
IndexMSCI World Health Care
ReplicationPhysical
DistributionAccumulating
Holdings110
effective27

Effective means the number of equally weighted holdings that would produce the same spread as this fund's 110 counted positions.

Data note 4

Key Facts

Key facts
InceptionFeb 28, 2009
Fund size804 M
DistributionAccumulating
Product structurePhysical

Data note 5

NAV History

The chart shows net asset value per share and is set to the current year by default. The NAV is up 15.5% year to date and up 23.8% over twelve months. The last recorded close on October 30, 2026, was at 100% of the 52-week range.

Net asset value per share in USD, set once per trading day. It is not an exchange price. Distributions are not added back, so for distributing funds the value drops by the amount paid out on the distribution date.

Net asset values from our database since Apr 29, 2016, 2,689 daily values.

Data note 6

Performance

Calculated from the fund's NAV history.

Performance figures
Trailing (1Y)+23.8%Year to date+15.5%
Calendar year 2017+19.7%
Calendar year 2018+2.5%
Calendar year 2019+23.3%
Calendar year 2020+13.3%
Calendar year 2021+19.6%
Calendar year 2022-5.6%
Calendar year 2023+3.6%
Calendar year 2024+1.0%
Calendar year 2025+14.8%

Data note 7

Published Fund Performance

NAV$78.05
Year to date+5.19%
1 year+16.31%
Published fund performance
Year to date+5.19%
1 year annualized+16.31%
3 years annualized+8.87%
5 years annualized+5.19%
10 years annualized+8.76%

Periods of one year or longer are annualized, as of Sep 30, 2026.

Data note 8

Fundamental Analysis: SPFS

Tax (Germany)

Equity ETF: 30% partial exemption (Teilfreistellung). Accumulating → Vorabpauschale advance tax applies. Details.

Updated