Dividend-adjusted total return · S&P 500 uses VOO · Dec 31, 2025 – Nov 3, 2026XHES&P 500 · VOO
| Returns | 1D | 1M | 3M | YTD | 1Y | 3Y | 5Y | MAX |
|---|---|---|---|---|---|---|---|---|
| Total return | −0.1% | +1.7% | +0.3% | +4.8% | +16.0% | +38.1% | −26.2% | +315.4% |
| Peer average | +0.6% | +4.0% | +6.1% | +21.0% | +29.0% | +81.2% | +28.9% | — |
| S&P 500 · VOO | +0.3% | −2.6% | −1.7% | +11.5% | +11.9% | +90.9% | +77.5% | — |
Key Statistics
Open all fund facts →- AUM
- $153M
- Expense ratio
- 0.35%
- Distribution yield
- 0.0%
- NAV
- $92.61
- Volume
- 10K
- Avg. volume 30D
- 32K
- High today
- $93.05
- Low today
- $92.49
- Previous close
- $92.63
- 52-week high
- $97.65
- 52-week low
- $76.00
- Our risk indicator
- 4/5
XHE in One Breath
XHE Among Health Care ETFs
YTDEnd-of-day Nov 4, 2026 · 33 Health care ETFs by YTD
$10,000 in XHE
5Y$10,000 in XHE became
$7,378
In the S&P 500 (VOO)
$17,749
Total return, dividends in · Oct 26, 2021 – Nov 3, 2026 · S&P 500 uses VOO
XHE’s Top Holdings
TodayGKOS2.0%ISRG1.9%ATEC1.9%ENOV1.8%ATRC1.8%GEHC1.8%HAE1.8%RMD1.7%SYK1.7%IDXX1.7%GMED1.7%PODD1.7%BDX1.7%OMCL1.7%EW1.7%QDEL1.6%STE1.6%LMAT1.6%MMSI1.6%INSP1.6%IRTC1.6%MDT1.6%
GKOSGlaukos2.0%ISRG1.9%ATEC1.9%ENOV1.8%ATRC1.8%GEHC1.8%HAE1.8%RMD1.7%SYK1.7%IDXX1.7%GMED1.7%PODD1.7%
Medical - DevicesMedical - InstrumentsMedical - SpecialtiesMedical - DiagnosticsMedical - Healthcare Information Services
SPDR XHE · 73 holdings · top 22 shown · tile size = share of the fund · as of Nov 1, 2026
What XHE Holds
TodayMedical - Devices62.4%
GKOS 2.0 · ATEC 1.9 · ENOV 1.8 · GEHC 1.8 · HAE 1.8 · SYK 1.7 · GMED 1.7
Medical - Instruments & Supplies26.9%
ISRG 1.9 · ATRC 1.8 · RMD 1.7 · BDX 1.7 · LMAT 1.6 · MMSI 1.6 · ICUI 1.6
Medical - Specialties3.3%
QDEL 1.6 · STE 1.6
Medical - Diagnostics & Research1.7%
IDXX 1.7
Medical - Healthcare Information Services1.7%
OMCL 1.7
Drug Manufacturers - Specialty & Generic1.5%
LNTH 1.5
Asset Management1.4%
ASST 1.4
SPDR XHE · share of the fund by industry · as of Nov 1, 2026
Glaukos’ Share of XHE
Today2.0%
$20 of every $1,000 in XHE is Glaukos
Glaukos held by XHE
$3.1M
SPDR XHE · each square = $10 of $1,000 · as of Nov 1, 2026
XHE’s Share of Health Care ETFs
Today0.1%
of the $109B in 39 Health care ETFs
$153M0.1%
$49.1B45.0%
$19.1B17.5%
$40.7B37.3%
Health care ETF AUM · Nov 4, 2026
XHE Fee per $100 vs Peers
TodayExpense ratio · Health care peers · Nov 4, 2026
Inside XHE
73 holdings · as of Nov 1, 2026XHE
State Street SPDR S&P Health Care Equipment ETF
Today| # | Ticker | Company | Weight ▼ |
|---|---|---|---|
| 1 | GKOS | Glaukos | 2.04% |
| 2 | ISRG | Intuitive Surgical | 1.92% |
| 3 | ATEC | Alphatec | 1.91% |
| 4 | ENOV | Enovis | 1.81% |
| 5 | ATRC | Atricure | 1.78% |
| 6 | GEHC | GE Healthcare Technology | 1.77% |
| 7 | HAE | Haemonetics /mass | 1.76% |
| 8 | RMD | Resmed | 1.74% |
| 9 | SYK | Stryker | 1.71% |
| 10 | IDXX | Idexx Laboratories | 1.69% |
Medical - DevicesMedical - InstrumentsMedical - SpecialtiesMedical - DiagnosticsMedical - Healthcare Information ServicesDrug Manufacturers - SpecialtyAsset ManagementMedical - EquipmentOther
SPDR XHE · current holdings by weight · as of Nov 1, 2026 · each tile is one holding · top 20 = 34.6%
How It Compares
XHE
State Street SPDR S&P Health Care Equipment ETF’s Peers
YTDHealth care peers · YTD and past-year returns · as of Nov 4, 2026 · sorted by AUM
Head to Head
Put XHE head to head with XLV →XLV vs XHE
YTDYear to date
XLV wins+15.5 pts
Past year
XLV wins+13.7 pts
Fee
XLV winslower fee
Yield
XLV wins+1.4 pts
AUM
XLV321.4× more
4–0XLV wins
SPDR XLV and SPDR XHE · year-to-date · as of Nov 4, 2026 · AUM not scored
XHE vs VOO
YTDXHE · SPDR S&P Health Care Equipment
+4.8%
VOO · S&P 500
+11.5%
Gap
6.7 pts
SPDR XHE and Vanguard VOO · YTD total return · as of Nov 4, 2026
XHE vs Its Peer Average
YTDXHEAvsBPeer average
1D−0.1%+0.6%
1M+1.7%+4.0%
3M+0.3%+6.1%
YTD+4.8%+21.0%
1Y+16.0%+29.0%
3Y+38.1%+81.2%
5Y−26.2%+28.9%
0–7Peer average wins
38 Health care peers · each row scaled to its leader
The Details
XHE
Risk
1Y4/5our risk indicator
CalmerBumpier
Volatility · 1Y23.13%
Deepest drop · 1Y−18.3%
Lowest point · 5Y−46.6%
52-week range
$92.50
$76.00−5.3% from the high$97.65
SPDR XHE · past-year price moves · as of Nov 4, 2026
XHE
Fund Facts
Today2011launched Jan 26
Tracks[…]
Exchange · CUSIPAMEX · 78464A581
StructureETF
Leverage1x
Cost on $10,000$35 a year
Go deeper
SPDR XHE · fund facts · as of Nov 4, 2026
XHE
Payouts by Year
11Y$0.0217per share, Dec 2025
Distribution yield0.0%
PaidEvery quarter
Latest ex-date · paidDec 22 · Dec 24, 2025
12 payouts added up$0.17 a share
SPDR XHE · distributions by ex-date · 2014–2025
All Fund FactsDocuments · trading · fees · every payout
Prospectus & Documents
summary prospectus · SEC 497K ↗SEC reported portfolio · 2026-06-30 ↗SEC reported portfolio · 2026-03-31 ↗SEC reported portfolio · 2025-12-31 ↗SEC reported portfolio · 2025-09-30 ↗summary prospectus · SEC 497K ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2025-06-30 ↗SEC reported portfolio · 2025-03-31 ↗SEC reported portfolio · 2024-12-31 ↗SEC reported portfolio · 2024-09-30 ↗
Trading & Liquidity
Net asset value$92.61
Premium / discount[…]
Median spread · 30D[…]
Volume today10K
Average volume · 30D32K
Shares outstanding[…]
Options[…]
Fees & Costs
Net expense ratio0.35%
Gross expense ratio[…]
Management fee[…]
Cost on $10,000 a year$35.00
Our risk indicator4/5
Estimated yearly cost excludes trading costs and assumes constant assets.
Distributions
| Ex-date | Paid | Per share |
|---|---|---|
| Dec 22, 2025 | Dec 24, 2025 | $0.0217 |
| Sep 22, 2025 | Sep 24, 2025 | $0.0297 |
| Jun 23, 2025 | Jun 25, 2025 | $0.0201 |
| Dec 23, 2024 | Dec 26, 2024 | $0.0252 |
| Sep 23, 2024 | Sep 25, 2024 | $0.0070 |
| Dec 18, 2023 | Dec 21, 2023 | $0.0274 |
| Dec 19, 2022 | Dec 22, 2022 | $0.0066 |
| Sep 19, 2022 | Sep 22, 2022 | $0.0136 |
| Jun 21, 2022 | Jun 24, 2022 | $0.0026 |
| Mar 21, 2022 | Mar 24, 2022 | $0.0117 |
| Dec 20, 2021 | Dec 23, 2021 | $0.0019 |
| Dec 23, 2019 | Dec 27, 2019 | $0.0032 |
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