VanEck Global Healthcare Leaders ETF (HLTH) Review & Analysis

MER Β· Top 50%AUM Β· #330 of 5081Y Return Β· Top 50%3Y Return Β· #216 of 3005Y Return Β· #193 of 225
What's new this monthData to 30 September 2026
  • βˆ’0.4% in September (total return), behind the median international shares ETF at +0.0%.
  • Investors added a net $2.4m (4.2% of the fund).
  • The unit price closed the month at $11.88, 9% below its 12-month high (range $10.50 to $13.00).

About HLTH

HLTH is an international shares ETF from VanEck, listed on the ASX since September 2020. With $59m under management it is number 167 of 254 international shares ETFs by size. The management fee is 0.45% a year, about $45 on every $10,000 invested, cheaper than the typical international shares ETF at 0.55%.

Its largest holdings are UCB SA, Mettler-Toledo International Inc and Eli Lilly & Co, and the top 10 make up 23% of the fund. By sector it leans towards health care (98%) and financials (2%). United States is the biggest country exposure at 66%.

Over five years it has returned βˆ’0.1% a year including distributions, against +8.8% for the median international shares ETF. With its focus on healthcare, it is the kind of fund many investors use as a smaller satellite holding alongside a diversified core.

HLTH distributions and dividend dates

HLTH pays distributions yearly, usually going ex-distribution in July, with payment about 26 days after the ex-date. (Pattern estimated from recent payments.)

The latest distribution was $0.04 per unit (0% franked), ex-distribution on 1 July 2026 and paid on 27 July 2026. To receive it you need to own HLTH before the ex-date.

Its distribution yield over the past 12 months is about 0.3%. Distributions vary and past payments are not a guide to future ones.

From ASX announcements, updated nightly. See every ETF in the dividend calendar.

Compare HLTH with

HLTH price by TradingView

Stock CodeHLTH
Fund ManagerVanEck
Asset ClassInternational shares
AUM$59m
MER (%)0.45%
Net flows (Sep)+$2.4m
Last Price$11.88
52-Week Range$10.50 – $13.00
Bid/Ask Spread0.21%
Listing Date10/09/2020
ExchangeASX
Index trackedMarketGrader Developed Markets ex Australia Health Care AUD Index
Issuer websiteVanEck β†—

Performance (% return)

-1%6%13%20%1M-0.4%1Y5.5%3Y20.2%5Y-0.6%
1 monthβˆ’0.4%
1 year+5.5%
3 years p.a.+6.3%
5 years p.a.βˆ’0.1%

$10,000 invested…

1 year ago$10,5493 years ago$12,0185 years ago$9,943

Value at 30 September 2026 with distributions reinvested, before tax and brokerage.

Total returns including distributions, to 30 September 2026. 1M, 1Y, 3Y and 5Y bars are cumulative.

HLTH at a glance: strengths and things to watch

πŸ‘ Strengths

  • In an uptrend. Its price has been trending up since 21 October (as at 7 November).

⚠️ Things to watch

  • Behind its peers. βˆ’0.1% a year over 5 years, against +8.8% for the median international shares ETF.

Worked out from HLTH's fees, size, flows, returns and trend against the 257 international shares ETFs in Australia, to 30 September 2026. General information, not a recommendation.

Joshua StegaetfadviserTrend check
Uptrend since 21 Oct 2026

HLTH is in an uptrend. Here's why that matters.

HLTH's price is above its 20-day average and its 10, 20, 50 and 200-day averages are stacked upward. The trend is on investors' side. Its price is 1.0% below its 12-month high.

Why it matters: Uptrends are when satellite ETFs tend to do their best work. The key is knowing when the trend breaks, so gains aren't handed back.

At ETF Adviser the core of a portfolio stays invested through every stage, and satellite ETFs are only bought in an uptrend. Members get a weekly update on which ETFs are breaking out of a base and which trends have broken.

Oct 25Jan 26Apr 26Jul 26Oct 26
UptrendBaseDowntrend

HLTH weekly price, past 12 months, shaded by trend stage. Stage as at 7 November 2026, updated weekly. A technical label, not a recommendation.

Investment Focus

Exposure Regions

Global

Themes & Sectors

Healthcare

Portfolio Breakdown

Top 10 holdings (23.3% of the fund)

SymbolCompany% assets
UCB2.47%
MTD2.43%
LLY2.38%
EXEL2.32%
AMGN2.32%
ORNBV2.30%
HALO2.29%
ALKB2.28%
UTHR2.26%
A2.23%

Sector breakdown

  • Health Care98.3%
  • Financials1.7%

Country breakdown

  • United States66.0%
  • Japan15.7%
  • DK4.0%
  • South Korea3.5%
  • BE2.5%
  • FI2.3%
  • United Kingdom2.2%
  • NZ2.0%
  • France1.8%

Holdings from the issuer's published portfolio as at 30 October 2026. Breakdowns are based on the largest 52 positions, covering 100% of the fund. Compare HLTH's holdings with other ETFs β†’

Best-endeavours estimate. Built from each issuer's published holdings, which may be weeks or months old, may cover only part of a fund (some publish only their top 10) and are matched by company name. Figures may be incomplete or inaccurate. Check the issuer's website and PDS before relying on them. General information only.

Similar ETFs

CodeNameSame holdingsMERAUM1Y3Y p.a.5Y p.a.
DRUGBetashares Global Healthcare Currency Hedged ETF Currency hedged
22%
0.57%$173m+21.1%+7.3%+4.9%
IXJiShares Global Healthcare ETF
20%
0.41%$1.5bn+14.9%+6.2%+5.9%
ETHIBetashares Global Sustainability Leaders ETF
6%
0.59%$3.8bn+6.2%+14.0%+8.5%
IHWLiShares Core MSCI World ex Australia ESG Leaders ETF
6%
0.13%$1.1bn+17.1%+20.3%+11.0%
QLTYBetashares Global Quality Leaders ETF
5%
0.35%$1.1bn+8.9%+15.3%+9.2%
HETHBetashares Global Sustainability Leaders Ch ETF
6%
0.62%$725m+14.2%+16.4%+7.9%

Same holdings is the share of HLTH's money in companies the other ETF also holds, weighted by size. Most similar first, then ETFs in the same category. See every ETF like HLTH β†’

HLTH vs its closest alternatives

What actually differs between HLTH and the ETFs most like it. Data to 30 Sep 2026.

DRUG Betashares Global Healthcare Currency Hedged ETF

  • They share 22% of their holdings: some overlap.
  • HLTH is cheaper (0.45% vs 0.57%), worth about $7,927 on $100,000 over 20 years.
  • Over 3 years, a year: HLTH +6.3%, DRUG +7.3% (DRUG ahead by 1.0 percentage points).
  • DRUG is about 3 times larger ($173m vs $59m), which usually means tighter trading spreads.
  • Different structure: HLTH is a standard fund, DRUG is currency hedged.

Compare HLTH and DRUG side by side β†’

IXJ iShares Global Healthcare ETF

  • They share 20% of their holdings: some overlap.
  • IXJ is cheaper (0.41% vs 0.45%), worth about $2,680 on $100,000 over 20 years.
  • Over 3 years, a year: HLTH +6.3%, IXJ +6.2% (almost identical).
  • IXJ is much larger ($1.5bn vs $59m), which usually means tighter trading spreads.

Compare HLTH and IXJ side by side β†’

ETHI Betashares Global Sustainability Leaders ETF

  • They share 6% of their holdings: mostly different companies.
  • HLTH is cheaper (0.45% vs 0.59%), worth about $9,231 on $100,000 over 20 years.
  • Over 3 years, a year: HLTH +6.3%, ETHI +14.0% (ETHI ahead by 7.6 percentage points).
  • ETHI is much larger ($3.8bn vs $59m), which usually means tighter trading spreads.

Compare HLTH and ETHI side by side β†’

General information only. Past performance is not a reliable indicator of future performance.

Related Reads

HLTH FAQs

What is the fee for HLTH?

HLTH charges a management fee (MER) of 0.45% a year, according to the TMX Australia monthly funds report as at 30 September 2026.

How big is HLTH?

HLTH had $59m in funds under management as at 30 September 2026.

How has HLTH performed?

HLTH returned +5.5% over the year to 30 September 2026 (total return, including distributions). Over three years it returned +6.3% a year. Past performance is not a reliable indicator of future performance.

Who manages HLTH?

HLTH is managed by VanEck and has been listed since September 2020.

Is HLTH franked?

Generally no. HLTH invests outside Australia, so its distributions carry little or no franking credits. Franking comes from Australian companies that have paid tax here.

What does HLTH hold?

HLTH's largest holdings are UCB SA (2.5%), Mettler-Toledo International Inc (2.4%), Eli Lilly & Co (2.4%), Exelixis Inc (2.3%), Amgen Inc (2.3%). It holds about 52 investments in total. The biggest sector is health care at 98%. Holdings as at 30 October 2026.

Is HLTH currency hedged?

No, HLTH is unhedged. Its returns move with the Australian dollar: a falling dollar adds to returns and a rising dollar reduces them.

Disclaimer

This review is general information only and does not take into account your objectives, financial situation or needs. Consider the VanEck product disclosure statement (PDS) and target market determination (TMD) before investing. Past performance is not a reliable indicator of future performance.