SPDRSectorsHealth Care#160 of 264 by YTD

State Street SPDR S&P Health Care Equipment ETFXHE

1D 1M 3M YTD 1Y 3Y 5Y MAX

S&P 500 Bucket avg Compare

$93.77−2.2%

−$2.14 · Nov 6 close

Buy

AUM: $164M
Fee: 0.35%
Yield: 0.0%

Bumpy · 1Y: 1.8×S&P
Volume: 19K
NAV: $99.44

What's insideAll 74 →

ENOV 2.3%ISRG 2.0%IDXX 2.0%GEHC 1.9%

52-week range7% below the high

$76.00$101

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	−2.2%	+6.4%	−0.5%	+6.3%	+16.9%	+36.3%	−25.3%	+321.1%
Peer average	+0.8%	+5.8%	+2.9%	+20.5%	+29.5%	+75.3%	+27.5%	—
S&P 500 · VOO	+0.3%	−5.0%	−4.6%	+8.7%	+9.8%	+80.8%	+71.8%	—

XHE in One Breath

XHE Among Health Care ETFs

YTD

#1IDNAiShares+62.2%$346M

#2ARKGARK+56.9%$2.2B

#3XHSSPDR+35.4%$243M

#4BBHVanEck+33.9%$524M

#5FTXHFirst Trust+32.4%$1.2B

#6BBPVirtus+28.3%$131M

#7IHEiShares+26.8%$1.7B

#8PSCHInvesco+26.5%$187M

#31XHESPDR+6.3%$164M

End-of-day Nov 7, 2026 · 33 Health care ETFs by YTD

$10,000 in XHE

$10,000 in XHE became

$7,466

In the S&P 500 (VOO)

$17,177

Total return, dividends in · Oct 29, 2021 – Nov 6, 2026 · S&P 500 uses VOO

XHE’s Top Holdings

Today

ENOV2.3%ISRG2.0%IDXX2.0%GEHC1.9%GKOS1.8%SYK1.8%HAE1.8%BDX1.8%STE1.8%EW1.8%MDLN1.8%ATRC1.7%LIVN1.7%MDT1.7%PODD1.7%OMCL1.7%ZBH1.7%CNMD1.7%TFX1.7%STAA1.7%GMED1.6%IRTC1.6%

ENOVEnovis2.3%ISRG2.0%IDXX2.0%GEHC1.9%GKOS1.8%SYK1.8%HAE1.8%BDX1.8%STE1.8%EW1.8%MDLN1.8%ATRC1.7%

Medical - DevicesMedical - InstrumentsMedical - SpecialtiesMedical - DiagnosticsMedical - Healthcare Information Services

SPDR XHE · 73 holdings · top 22 shown · tile size = share of the fund · as of Nov 6, 2026

What XHE Holds

Today

Medical - Devices61.9%

ENOV 2.3 · GEHC 1.9 · GKOS 1.8 · SYK 1.8 · HAE 1.8 · EW 1.8 · LIVN 1.7

Medical - Instruments & Supplies27.4%

ISRG 2.0 · BDX 1.8 · MDLN 1.8 · ATRC 1.7 · TFX 1.7 · STAA 1.7 · RMD 1.6

Medical - Specialties3.3%

STE 1.8 · QDEL 1.5

Medical - Diagnostics & Research2.0%

IDXX 2.0

Medical - Healthcare Information Services1.7%

OMCL 1.7

Drug Manufacturers - Specialty & Generic1.5%

LNTH 1.5

Asset Management1.2%

ASST 1.2

SPDR XHE · share of the fund by industry · as of Nov 6, 2026

Enovis’ Share of XHE

Today

2.3%

$23 of every $1,000 in XHE is Enovis

Enovis held by XHE

$3.7M

Most Enovis per dollar

XHE2.3%

ISMD0.3%

SPDR XHE · each square = $10 of $1,000 · as of Nov 6, 2026

XHE’s Share of Health Care ETFs

Today

0.1%

of the $112B in 39 Health care ETFs

XHE$164M0.1%

XLV$50.9B45.4%

VHT$19.1B17.0%

36 others$41.9B37.4%

Health care ETF AUM · Nov 7, 2026

XHE Fee per $100 vs Peers

Today

$0.35a year
per $100

$35 a year on $10,000

XLV$0.08

VHT$0.09

XHE$0.35

XBI$0.35

IYH$0.37

IXJ$0.38

Expense ratio · Health care peers · Nov 7, 2026

Inside XHE

73 holdings · as of Nov 6, 2026

XHE

State Street SPDR S&P Health Care Equipment ETF

Today

#	Ticker	Company	Weight ▼
1	ENOV	Enovis	2.26%
2	ISRG	Intuitive Surgical	1.99%
3	IDXX	Idexx Laboratories	1.96%
4	GEHC	GE Healthcare Technology	1.93%
5	GKOS	Glaukos	1.84%
6	SYK	Stryker	1.83%
7	HAE	Haemonetics /mass	1.81%
8	BDX	Becton Dickinson AND	1.78%
9	STE	Steris	1.77%
10	EW	Edwards Lifesciences	1.76%

See all 74 holdings ↓

Medical - DevicesMedical - InstrumentsMedical - SpecialtiesMedical - DiagnosticsMedical - Healthcare Information ServicesDrug Manufacturers - SpecialtyAsset ManagementMedical - EquipmentOther

SPDR XHE · current holdings by weight · as of Nov 6, 2026 · each tile is one holding · top 20 = 36.0%

All XHE Holdings

74 holdings · as of Nov 6, 2026

XHE

XHE’s Holdings

Today

#
1	ENOVEnovis	Healthcare	2.26%	$225.89	125K	$3.6M
2	ISRGIntuitive Surgical	Healthcare	1.99%	$199.21	6,723	$3.1M
3	IDXXIdexx Laboratories	Healthcare	1.96%	$195.51	4,609	$3.1M
4	GEHCGE Healthcare Technology	Healthcare	1.93%	$193.00	36K	$3.1M
5	GKOSGlaukos	Healthcare	1.84%	$183.87	13K	$2.9M
6	SYKStryker	Healthcare	1.83%	$182.68	8,620	$2.9M
7	HAEHaemonetics /mass	Healthcare	1.81%	$180.73	23K	$2.9M
8	BDXBecton Dickinson AND	Healthcare	1.78%	$178.48	13K	$2.8M
9	STESteris	Healthcare	1.77%	$177.43	11K	$2.8M
10	EWEdwards Lifesciences	Healthcare	1.76%	$175.71	28K	$2.8M
11	MDLNMedline	Healthcare	1.75%	$175.38	70K	$2.8M
12	ATRCAtricure	Healthcare	1.74%	$173.59	45K	$2.7M
13	LIVNLivanova	Healthcare	1.73%	$173.48	30K	$2.7M
14	MDTMedtronic	Healthcare	1.71%	$171.37	26K	$2.7M
15	PODDInsulet	Healthcare	1.70%	$170.06	17K	$2.7M

SPDR XHE · every reported holding · per $10,000 = dollars of each holding in a $10,000 stake · as of Nov 6, 2026

How It Compares

XHE

State Street SPDR S&P Health Care Equipment ETF’s Peers

YTD


XLV	SPDRRead Desk	0.08%	+20.9%	+29.0%	$50.9B
VHT	VanguardRead Desk	0.09%	+19.8%	+27.4%	$19.1B
XBI	SPDRRead Desk	0.35%	+25.0%	+40.0%	$10.9B
IYH	iSharesRead Desk	0.37%	+20.0%	+27.9%	$4.7B
IXJ	iSharesRead Desk	0.38%	+17.0%	+25.1%	$4.6B
XHE	SPDRThis fundRead Desk	0.35%	+6.3%	+16.9%	$164M

Health care peers · YTD and past-year returns · as of Nov 8, 2026 · sorted by AUM

Head to Head

Put XHE head to head with XLV →

XLV vs XHE

YTD

XLVSPDR · Health careXHESPDR · Health care

Year to date

+20.9%

+6.3%

XLV wins+14.6 pts

Past year

+29.0%

+16.9%

XLV wins+12.1 pts

Fee

0.08%

0.35%

XLV winslower fee

Yield

1.4%

0.0%

XLV wins+1.4 pts

AUM

$50.9B

$164M

XLV310.4× more

4–0XLV wins

SPDR XLV and SPDR XHE · year-to-date · as of Nov 8, 2026 · AUM not scored

XHE vs VOO

YTD

XHE · SPDR S&P Health Care Equipment

+6.3%

VOO · S&P 500

+8.7%

Gap

2.4 pts

SPDR XHE and Vanguard VOO · YTD total return · as of Nov 8, 2026

XHE vs Its Peer Average

YTD

XHEAvsBPeer average

1D−2.2%+0.8%

1M+6.4%+5.8%

3M−0.5%+2.9%

YTD+6.3%+20.5%

1Y+16.9%+29.5%

3Y+36.3%+75.3%

5Y−25.3%+27.5%

1–6Peer average wins

38 Health care peers · each row scaled to its leader

How Bumpy Is XHE?

View

XHE

How Bumpy

1.8×the S&P 500’s swings

CalmerBumpierS&P 1×XHE

Calm rank among 7 health care funds#6

Other health care funds1.2× to 2.2×

SPDR XHE · daily swings over the past year vs the S&P 500

XHE

Worst Drop

−18.3%from its Jan 8 high

Still below the high−5.8%

$10,000 at the high is now$9,420

SPDR XHE · fall from the highest close, past year

XHE

On a Bad Day

0.8×the S&P 500’s fall

XHE’s worst day: Friday, Oct 30

XHE

−4.0%

S&P 500

−1.8%

Up days47 of every 100

S&P 500 up days52 of every 100

SPDR XHE · average move on days the S&P 500 fell

XHE

Return for the Bumps

1Y#6 of 7 health care funds

#1XLVSPDR

most for the bumps

#2VHTVanguard

#3IYHiShares

#4IXJiShares

calmest ride

#5XBISPDR

#6XHESPDR

#7IHIiShares

lost money

Ranked by return above cash for each unit of bumpiness (Sharpe ratio) · cash = 3.8%

XHE

Cost

Today

$35a year per $10,000

XLV

VHT

XBI

$35

XHE

$35

IYH

$37

IHI

$37

IXJ

$38

Expense ratio 0.35%, taken from the fund’s value

XHE

Volatility & Beta

24.6%annual volatility

S&P 500 volatility13.6%

Downside volatility15.7%

Beta vs SPY0.89

Correlation vs SPY0.49

Beta rank, lowest first, of 7#6

Daily total returns × √252 · past 254 trading days

XHE

Max Drawdown

−18.3%peak to trough

Peak closeJan 8, 2026

Current drawdown−5.8%

Worst day−4.02% · Oct 30

Closing prices, dividends in

XHE

Up / Down Capture

81%down capture vs SPY

Down days

81%

Up days

93%

S&P 500

100%

Up ÷ down capture1.16

Up days46.9% (S&P 52.0%)

Average daily move on SPY up days and down days

XHE

Sharpe & Sortino vs Peers

Fund	Sharpe	Sortino	Volatility	Max DD	Beta	Fee / $10k
XLV	1.56	2.66	16.8%	−10.5%	0.29	$8
VHT	1.51	2.54	16.3%	−10.4%	0.37	$9
IYH	1.48	2.51	16.9%	−10.6%	0.34	$37
IXJ	1.35	2.26	16.3%	−10.8%	0.35	$38
XBI	1.18	1.78	30.0%	−14.9%	1.15	$35
XHE	0.52	0.82	24.6%	−18.3%	0.89	$35
IHI	−0.39	−0.58	22.1%	−26.1%	0.45	$37

Sharpe = (return − 3.8% cash) ÷ volatility · Sortino uses downside volatility only

XHE

Trading

Today

[…]premium / discount: the NAV on file is from an earlier day

Close$93.77

NAV$99.44

Fee per $10,000$35 a year

Avg. volume 30D32K shares

Premium / discount history starts once daily NAV is saved

Close vs net asset value, Nov 6

The Details

XHE

Fund Facts

Today

2011launched Jan 26

Tracks[…]

Exchange · CUSIPAMEX · 78464A581

StructureETF

Leverage1x

Cost on $10,000$35 a year

Go deeper

Prospectus & documents Trading & liquidity Fees & costs Distributions

SPDR XHE · fund facts · as of Nov 8, 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$99.44

Premium / discount[…]

Median spread · 30D[…]

Volume today19K

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

Issuer contentFrom SPDRHear the strategy from the people behind XHE.No issuer videos have been published for this fund.Are you the issuer? Claim this fund →