HEAL.L vs. BTEC

Last updated Jun 5, 2026

HEAL.L (iShares Healthcare Innovation UCITS ETF USD (Acc)) and BTEC (Principal Healthcare Innovators Index ETF) are both Health & Biotech Equities funds - HEAL.L tracks the MSCI World/Health Care NR USD while BTEC tracks the NASDAQ U.S. Health Care Innovators Index. Both are passively managed. HEAL.L charges 0.40%/yr vs 0.42%/yr for BTEC.

Performance

HEAL.L vs. BTEC - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in iShares Healthcare Innovation UCITS ETF USD (Acc) (HEAL.L) and Principal Healthcare Innovators Index ETF (BTEC). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

HEAL.L

• 1D: 3.48%
• 1M: 4.82%
• YTD: 0.64%
• 6M: -0.41%
• 1Y: 20.32%
• 3Y*: 6.08%
• 5Y*: -1.96%
• 10Y*: —

BTEC

• 1D: 0.00%
• 1M: 0.00%
• YTD: —
• 6M: —
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —

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

HEAL.L vs. BTEC - Yearly Performance Comparison

	2026 (YTD)
HEAL.L iShares Healthcare Innovation UCITS ETF USD (Acc)	-0.93%
BTEC Principal Healthcare Innovators Index ETF	0.00%

HEAL.L vs. BTEC - Sectors Allocation Comparison

Sectors	HEAL.L	BTEC
Healthcare	98.0%	99.4%
Technology	1.2%	-
Industrials	0.5%	0.6%
Basic Materials	0.4%	-
Financial Services	0.2%	-
Consumer Defensive	0.1%	-
Communication Services	-	-
Consumer Cyclical	-	-
Energy	-	-
Real Estate	-	-
Utilities	-	-

Return for Risk

HEAL.L vs. BTEC — Risk / Return Rank

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

HEAL.L

HEAL.L Risk / Return Rank: 32
HEAL.L Sharpe Ratio Rank: 33
HEAL.L Sortino Ratio Rank: 34
HEAL.L Omega Ratio Rank: 31
HEAL.L Calmar Ratio Rank: 33
HEAL.L Martin Ratio Rank: 28

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.

HEAL.L vs. BTEC - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for iShares Healthcare Innovation UCITS ETF USD (Acc) (HEAL.L) and Principal Healthcare Innovators Index ETF (BTEC). 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.

	HEAL.L	BTEC	Difference
Sharpe ratio: Return per unit of total volatility	1.16	—	—
Sortino ratio: Return per unit of downside risk	1.80	—	—
Omega ratio: Gain probability vs. loss probability	1.20	—	—
Calmar ratio: Return relative to maximum drawdown	1.61	—	—
Martin ratio: Return relative to average drawdown	3.96	—	—
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

Sharpe Ratios by Period

	HEAL.L	BTEC	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	1.16	—	—
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	-0.10	—	—
Sharpe Ratio (All Time) Calculated using the full available price history	0.33	—	—

Drawdowns

HEAL.L vs. BTEC - Drawdown Comparison

The maximum HEAL.L drawdown since its inception was -46.43%, which is greater than BTEC's maximum drawdown of 0.00%. Use the drawdown chart below to compare losses from any high point for HEAL.L and BTEC.

Drawdown Indicators

	HEAL.L	BTEC	Difference
Max Drawdown Largest peak-to-trough decline	-46.43%	0.00%	-46.43%
Max Drawdown (1Y) Largest decline over 1 year	-12.59%	—	—
Max Drawdown (3Y) Largest decline over 3 years	-21.46%	—	—
Max Drawdown (5Y) Largest decline over 5 years	-43.70%	—	—
Current Drawdown Current decline from peak	-20.00%	0.00%	-20.00%
Average Drawdown Average peak-to-trough decline	-18.60%	0.00%	-18.60%
Ulcer Index Depth and duration of drawdowns from previous peaks	5.12%	—	—

Volatility

Volatility by Period

	HEAL.L	BTEC	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.13%	—	—
Volatility (6M) Calculated over the trailing 6-month period	13.28%	—	—
Volatility (1Y) Calculated over the trailing 1-year period	17.48%	0.00%	+17.48%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	19.87%	0.00%	+19.87%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	19.91%	0.00%	+19.91%

HEAL.L vs. BTEC - Expense Ratio Comparison

HEAL.L has a 0.40% expense ratio, which is lower than BTEC's 0.42% expense ratio.

Dividends

HEAL.L vs. BTEC - Dividend Comparison

Neither HEAL.L nor BTEC has paid dividends to shareholders.

Tickers have no history of dividend payments

Frequently Asked Questions

Which ETF is better, HEAL.L or BTEC?

On fees, HEAL.L is cheaper at 0.40% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, HEAL.L or BTEC?

HEAL.L is cheaper with a 0.40% expense ratio, compared with 0.42% for BTEC.

What is the main difference between HEAL.L and BTEC?

HEAL.L tracks MSCI World/Health Care NR USD, while BTEC tracks NASDAQ U.S. Health Care Innovators Index. They also come from different issuers: iShares and Principal. Their fees differ too: 0.40% for HEAL.L and 0.42% for BTEC.