"SPDR MSCI Europe Health Care UCITS ETF" is an exchange-traded investment fund (ETF). It refers to the MSCI Europe Health Care Capped 35/20 Index. This index reflects the development of only 42 European stocks and is therefore not very well diversified. The ETF replicates its index using full physical replication, so it contains all the securities of its reference index. The ETF's earnings (dividends) are automatically reinvested (accumulated). The fund company SPDR claims a total expense ratio (TER) of 0.18% per year. The yearly average divergence from the index performance (Tracking Difference) since 2015 was 0.12% per year. Therefore, the ETF was less expensive than the TER suggests.