HLTH.L vs. IMID.L

Last updated Jun 5, 2026

HLTH.L (SPDR® MSCI Europe Health Care UCITS ETF) and IMID.L (SPDR MSCI ACWI IMI) are both exchange-traded funds - HLTH.L is a Health & Biotech Equities fund tracking the MSCI World/Health Care NR USD, while IMID.L is a Global Equities fund tracking the MSCI ACWI NR USD. Both are passively managed. Over the past 5 years, HLTH.L returned 5.77%/yr vs 12.01%/yr for IMID.L. At a 0.48 correlation, their price movements are largely independent. HLTH.L charges 0.18%/yr vs 0.40%/yr for IMID.L.

Performance

HLTH.L vs. IMID.L - Performance Comparison

The chart below illustrates the hypothetical performance of a €10,000 investment in SPDR® MSCI Europe Health Care UCITS ETF (HLTH.L) and SPDR MSCI ACWI IMI (IMID.L). The values are adjusted to include any dividend payments, if applicable.

Different Trading Currencies

HLTH.L is traded in EUR, while IMID.L is traded in USD. To make them comparable, the IMID.L values have been converted to EUR using the latest available exchange rates.

Returns By Period

In the year-to-date period, HLTH.L achieves a -1.46% return, which is significantly lower than IMID.L's 13.66% return.

HLTH.L

• 1D: 3.12%
• 1M: 1.53%
• YTD: -1.46%
• 6M: -0.41%
• 1Y: 6.14%
• 3Y*: 2.79%
• 5Y*: 5.77%
• 10Y*: 6.14%

IMID.L

• 1D: 0.00%
• 1M: 5.17%
• YTD: 13.66%
• 6M: 14.03%
• 1Y: 27.93%
• 3Y*: 17.63%
• 5Y*: 12.01%
• 10Y*: —

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

HLTH.L vs. IMID.L - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018
HLTH.L SPDR® MSCI Europe Health Care UCITS ETF	-1.46%	7.01%	4.14%	7.61%	-3.78%	25.28%	-1.76%	30.59%	-0.57%
IMID.L SPDR MSCI ACWI IMI	13.63%	7.66%	23.99%	18.00%	-12.54%	26.66%	6.56%	28.18%	-9.27%

Correlation

The correlation between HLTH.L and IMID.L is 0.34, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.34
Correlation (3Y) Calculated over the trailing 3-year period	0.38
Correlation (5Y) Calculated over the trailing 5-year period	0.42
Correlation (All Time) Calculated using the full available price history since May 30, 2018	0.48

The correlation between HLTH.L and IMID.L shifts across timeframes, from 0.34 (1 year) to 0.48 (all time), reflecting how their relationship changes across market environments.

HLTH.L vs. IMID.L - Sectors Allocation Comparison

Sectors	HLTH.L	IMID.L
Healthcare	100.0%	9.6%
Basic Materials	-	8.2%
Communication Services	-	3.1%
Consumer Cyclical	-	9.7%
Consumer Defensive	-	9.7%
Energy	-	1.6%
Financial Services	-	13.0%
Industrials	-	19.5%
Real Estate	-	8.0%
Technology	-	9.6%
Utilities	-	3.3%

Return for Risk

HLTH.L vs. IMID.L — Risk / Return Rank

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

HLTH.L

HLTH.L Risk / Return Rank: 15
HLTH.L Sharpe Ratio Rank: 15
HLTH.L Sortino Ratio Rank: 15
HLTH.L Omega Ratio Rank: 15
HLTH.L Calmar Ratio Rank: 15
HLTH.L Martin Ratio Rank: 14

IMID.L

IMID.L Risk / Return Rank: 75
IMID.L Sharpe Ratio Rank: 74
IMID.L Sortino Ratio Rank: 80
IMID.L Omega Ratio Rank: 75
IMID.L Calmar Ratio Rank: 70
IMID.L Martin Ratio Rank: 75

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.

HLTH.L vs. IMID.L - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for SPDR® MSCI Europe Health Care UCITS ETF (HLTH.L) and SPDR MSCI ACWI IMI (IMID.L). 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.

	HLTH.L	IMID.L	Difference
Sharpe ratio: Return per unit of total volatility	0.37	2.20	-1.83
Sortino ratio: Return per unit of downside risk	0.66	3.12	-2.46
Omega ratio: Gain probability vs. loss probability	1.08	1.41	-0.33
Calmar ratio: Return relative to maximum drawdown	0.49	4.43	-3.94
Martin ratio: Return relative to average drawdown	1.07	16.60	-15.52
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

HLTH.L vs. IMID.L - Sharpe Ratio Comparison

The current HLTH.L Sharpe Ratio is 0.37, which is lower than the IMID.L Sharpe Ratio of 2.20. The chart below compares the historical Sharpe Ratios of HLTH.L and IMID.L, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Sharpe Ratios by Period

	HLTH.L	IMID.L	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	0.37	2.20	-1.83
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.37	0.81	-0.44
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.39	—	—
Sharpe Ratio (All Time) Calculated using the full available price history	0.35	0.57	-0.22

Drawdowns

HLTH.L vs. IMID.L - Drawdown Comparison

The maximum HLTH.L drawdown since its inception was -26.57%, smaller than the maximum IMID.L drawdown of -41.43%. Use the drawdown chart below to compare losses from any high point for HLTH.L and IMID.L.

Drawdown Indicators

	HLTH.L	IMID.L	Difference
Max Drawdown Largest peak-to-trough decline	-26.57%	-41.43%	+14.86%
Max Drawdown (1Y) Largest decline over 1 year	-12.57%	-6.25%	-6.32%
Max Drawdown (3Y) Largest decline over 3 years	-26.57%	-20.76%	-5.81%
Max Drawdown (5Y) Largest decline over 5 years	-26.57%	-20.76%	-5.81%
Max Drawdown (10Y) Largest decline over 10 years	-26.57%	—	—
Current Drawdown Current decline from peak	-10.88%	-0.47%	-10.41%
Average Drawdown Average peak-to-trough decline	-9.38%	-4.64%	-4.74%
Ulcer Index Depth and duration of drawdowns from previous peaks	5.71%	1.67%	+4.04%

Volatility

HLTH.L vs. IMID.L - Volatility Comparison

SPDR® MSCI Europe Health Care UCITS ETF (HLTH.L) has a higher volatility of 5.58% compared to SPDR MSCI ACWI IMI (IMID.L) at 3.48%. This indicates that HLTH.L's price experiences larger fluctuations and is considered to be riskier than IMID.L based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	HLTH.L	IMID.L	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.58%	3.48%	+2.10%
Volatility (6M) Calculated over the trailing 6-month period	11.64%	9.45%	+2.19%
Volatility (1Y) Calculated over the trailing 1-year period	16.68%	12.58%	+4.10%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	15.59%	14.81%	+0.78%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	15.69%	20.71%	-5.02%

HLTH.L vs. IMID.L - Expense Ratio Comparison

HLTH.L has a 0.18% expense ratio, which is lower than IMID.L's 0.40% expense ratio.

Dividends

HLTH.L vs. IMID.L - Dividend Comparison

Neither HLTH.L nor IMID.L has paid dividends to shareholders.

Tickers have no history of dividend payments

Frequently Asked Questions

Can I hold both HLTH.L and IMID.L in my portfolio?

HLTH.L and IMID.L have a correlation of 0.34, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which ETF is better, HLTH.L or IMID.L?

On fees, HLTH.L is cheaper at 0.18% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, HLTH.L or IMID.L?

HLTH.L is cheaper with a 0.18% expense ratio, compared with 0.40% for IMID.L.

What is the main difference between HLTH.L and IMID.L?

HLTH.L is categorized as Health & Biotech Equities, while IMID.L is Global Equities. HLTH.L tracks MSCI World/Health Care NR USD, while IMID.L tracks MSCI ACWI NR USD. Their fees differ too: 0.18% for HLTH.L and 0.40% for IMID.L.