Dividend-adjusted total return · S&P 500 uses VOO · Oct 28, 2021 – Nov 5, 2026XHES&P 500 · VOO
| Returns | 1D | 1M | 3M | YTD | 1Y | 3Y | 5Y | MAX |
|---|---|---|---|---|---|---|---|---|
| Total return | −3.6% | +8.6% | +3.3% | +8.7% | +18.3% | +41.1% | −23.4% | +330.7% |
| Peer average | −3.4% | +4.6% | +3.5% | +19.7% | +29.0% | +75.3% | +27.3% | — |
| S&P 500 · VOO | −4.4% | −5.7% | −4.9% | +8.4% | +9.8% | +82.2% | +71.6% | — |
Key Statistics
Open all fund facts →- AUM
- $153M
- Expense ratio
- 0.35%
- Distribution yield
- 0.0%
- NAV
- $92.58
- Volume
- 16K
- Avg. volume 30D
- 32K
- High today
- $100.75
- Low today
- $94.71
- Previous close
- $99.51
- 52-week high
- $100.75
- 52-week low
- $76.00
- Our risk indicator
- 4/5
XHE in One Breath
XHE Among Health Care ETFs
YTDEnd-of-day Nov 6, 2026 · 33 Health care ETFs by YTD
$10,000 in XHE
5Y$10,000 in XHE became
$7,659
In the S&P 500 (VOO)
$17,156
Total return, dividends in · Oct 28, 2021 – Nov 5, 2026 · S&P 500 uses VOO
XHE’s Top Holdings
TodayGKOS2.0%ISRG2.0%IDXX2.0%GEHC1.9%ENOV1.9%ATRC1.8%HAE1.8%SYK1.8%PODD1.7%LIVN1.7%MDLN1.7%UFPT1.7%OMCL1.7%GMED1.7%BDX1.7%ZBH1.7%EW1.7%STE1.7%CNMD1.7%MDT1.7%QDEL1.6%IRTC1.6%
GKOSGlaukos2.0%ISRG2.0%IDXX2.0%GEHC1.9%ENOV1.9%ATRC1.8%HAE1.8%SYK1.8%PODD1.7%LIVN1.7%MDLN1.7%UFPT1.7%
Medical - DevicesMedical - InstrumentsMedical - SpecialtiesMedical - DiagnosticsMedical - Healthcare Information Services
SPDR XHE · 73 holdings · top 22 shown · tile size = share of the fund · as of Nov 5, 2026
What XHE Holds
TodayMedical - Devices62.0%
GKOS 2.0 · GEHC 1.9 · ENOV 1.9 · HAE 1.8 · SYK 1.8 · PODD 1.7 · LIVN 1.7
Medical - Instruments & Supplies27.2%
ISRG 2.0 · ATRC 1.8 · MDLN 1.7 · BDX 1.7 · STAA 1.6 · LMAT 1.6 · TFX 1.6
Medical - Specialties3.3%
STE 1.7 · QDEL 1.6
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 5, 2026
Glaukos’ Share of XHE
Today2.0%
$20 of every $1,000 in XHE is Glaukos
Glaukos held by XHE
$3.0M
SPDR XHE · each square = $10 of $1,000 · as of Nov 5, 2026
XHE’s Share of Health Care ETFs
Today0.1%
of the $110B in 39 Health care ETFs
$153M0.1%
$49.1B44.7%
$19.1B17.4%
$41.4B37.7%
Health care ETF AUM · Nov 6, 2026
XHE Fee per $100 vs Peers
TodayExpense ratio · Health care peers · Nov 6, 2026
Inside XHE
73 holdings · as of Nov 5, 2026XHE
State Street SPDR S&P Health Care Equipment ETF
Today| # | Ticker | Company | Weight ▼ |
|---|---|---|---|
| 1 | GKOS | Glaukos | 1.99% |
| 2 | ISRG | Intuitive Surgical | 1.98% |
| 3 | IDXX | Idexx Laboratories | 1.96% |
| 4 | GEHC | GE Healthcare Technology | 1.91% |
| 5 | ENOV | Enovis | 1.86% |
| 6 | ATRC | Atricure | 1.79% |
| 7 | HAE | Haemonetics /mass | 1.79% |
| 8 | SYK | Stryker | 1.78% |
| 9 | PODD | Insulet | 1.73% |
| 10 | LIVN | Livanova | 1.73% |
Medical - DevicesMedical - InstrumentsMedical - SpecialtiesMedical - DiagnosticsMedical - Healthcare Information ServicesDrug Manufacturers - SpecialtyAsset ManagementMedical - EquipmentOther
SPDR XHE · current holdings by weight · as of Nov 5, 2026 · each tile is one holding · top 20 = 35.3%
All XHE Holdings
74 holdings · as of Nov 5, 2026XHE
XHE’s Holdings
Today| # | ||||||
|---|---|---|---|---|---|---|
| 1 | GKOSGlaukos | Healthcare | 1.99% | $198.70 | 13K | $3.3M |
| 2 | ISRGIntuitive Surgical | Healthcare | 1.98% | $197.52 | 6,723 | $3.2M |
| 3 | IDXXIdexx Laboratories | Healthcare | 1.96% | $196.21 | 4,609 | $3.2M |
| 4 | GEHCGE Healthcare Technology | Healthcare | 1.91% | $190.55 | 36K | $3.1M |
| 5 | ENOVEnovis | Healthcare | 1.86% | $185.72 | 125K | $3.0M |
| 6 | ATRCAtricure | Healthcare | 1.79% | $178.87 | 45K | $2.9M |
| 7 | HAEHaemonetics /mass | Healthcare | 1.79% | $178.80 | 23K | $2.9M |
| 8 | SYKStryker | Healthcare | 1.78% | $178.43 | 8,620 | $2.9M |
| 9 | PODDInsulet | Healthcare | 1.73% | $173.21 | 17K | $2.8M |
| 10 | LIVNLivanova | Healthcare | 1.73% | $172.76 | 30K | $2.8M |
| 11 | MDLNMedline | Healthcare | 1.72% | $171.51 | 70K | $2.8M |
| 12 | UFPTUFP Technologies | Healthcare | 1.71% | $171.45 | 8,530 | $2.8M |
| 13 | OMCLOmnicell | Healthcare | 1.70% | $169.55 | 71K | $2.8M |
| 14 | GMEDGlobus Medical | Healthcare | 1.69% | $169.20 | 32K | $2.8M |
| 15 | BDXBecton Dickinson AND | Healthcare | 1.68% | $168.47 | 13K | $2.8M |
SPDR XHE · every reported holding · per $10,000 = dollars of each holding in a $10,000 stake · as of Nov 5, 2026
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 6, 2026 · sorted by AUM
Head to Head
Put XHE head to head with XLV →XLV vs XHE
YTDYear to date
XLV wins+12.2 pts
Past year
XLV wins+11.2 pts
Fee
XLV winslower fee
Yield
XLV wins+1.4 pts
AUM
XLV321.6× more
4–0XLV wins
SPDR XLV and SPDR XHE · year-to-date · as of Nov 6, 2026 · AUM not scored
XHE vs VOO
YTDXHE · SPDR S&P Health Care Equipment
+8.7%
VOO · S&P 500
+8.4%
Gap
0.3 pts
SPDR XHE and Vanguard VOO · YTD total return · as of Nov 6, 2026
XHE vs Its Peer Average
YTDXHEAvsBPeer average
1D−3.6%−3.4%
1M+8.6%+4.6%
3M+3.3%+3.5%
YTD+8.7%+19.7%
1Y+18.3%+29.0%
3Y+41.1%+75.3%
5Y−23.4%+27.3%
1–6Peer average wins
38 Health care peers · each row scaled to its leader
The Details
XHE
Risk
1Y4/5our risk indicator
CalmerBumpier
Volatility · 1Y24.51%
Deepest drop · 1Y−18.3%
Lowest point · 5Y−45.7%
52-week range
$95.91
$76.00−4.8% from the high$100.75
SPDR XHE · past-year price moves · as of Nov 6, 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 6, 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$92.58
Premium / discount[…]
Median spread · 30D[…]
Volume today16K
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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