Dividend-adjusted total return · S&P 500 uses VOO · Dec 31, 2025 – Nov 4, 2026XHES&P 500 · VOO
| Returns | 1D | 1M | 3M | YTD | 1Y | 3Y | 5Y | MAX |
|---|---|---|---|---|---|---|---|---|
| Total return | +7.6% | +11.6% | +9.1% | +12.8% | +23.8% | +49.3% | −19.9% | +346.8% |
| Peer average | +2.7% | +8.5% | +8.9% | +24.4% | +33.4% | +84.3% | +34.0% | — |
| S&P 500 · VOO | +1.6% | −1.6% | 0.0% | +13.4% | +13.5% | +91.7% | +81.2% | — |
Key Statistics
Open all fund facts →- AUM
- $153M
- Expense ratio
- 0.35%
- Distribution yield
- 0.0%
- NAV
- $92.58
- Volume
- 17K
- Avg. volume 30D
- 33K
- High today
- $100.00
- Low today
- $95.07
- Previous close
- $92.50
- 52-week high
- $100.00
- 52-week low
- $76.00
- Our risk indicator
- 4/5
XHE in One Breath
XHE Among Health Care ETFs
YTDEnd-of-day Nov 5, 2026 · 33 Health care ETFs by YTD
$10,000 in XHE
5Y$10,000 in XHE became
$8,015
In the S&P 500 (VOO)
$18,115
Total return, dividends in · Oct 27, 2021 – Nov 4, 2026 · S&P 500 uses VOO
XHE’s Top Holdings
TodayIDXX2.0%GKOS2.0%ISRG1.9%GEHC1.9%HAE1.8%ATRC1.8%SYK1.8%PODD1.7%QDEL1.7%EW1.7%BDX1.7%ENOV1.7%MDT1.7%STE1.7%GMED1.7%IRTC1.6%OMCL1.6%AXGN1.6%BAX1.6%ABT1.6%STAA1.6%RMD1.6%
IDXXIdexx Laboratories2.0%GKOS2.0%ISRG1.9%GEHC1.9%HAE1.8%ATRC1.8%SYK1.8%PODD1.7%QDEL1.7%EW1.7%BDX1.7%ENOV1.7%
Medical - DevicesMedical - InstrumentsMedical - SpecialtiesMedical - DiagnosticsMedical - Healthcare Information Services
SPDR XHE · 73 holdings · top 22 shown · tile size = share of the fund · as of Nov 4, 2026
What XHE Holds
TodayMedical - Devices61.9%
GKOS 2.0 · GEHC 1.9 · HAE 1.8 · SYK 1.8 · PODD 1.7 · EW 1.7 · ENOV 1.7
Medical - Instruments & Supplies27.1%
ISRG 1.9 · ATRC 1.8 · BDX 1.7 · BAX 1.6 · STAA 1.6 · RMD 1.6 · TFX 1.6
Medical - Specialties3.4%
QDEL 1.7 · STE 1.7
Medical - Diagnostics & Research2.0%
IDXX 2.0
Medical - Healthcare Information Services1.6%
OMCL 1.6
Drug Manufacturers - Specialty & Generic1.6%
LNTH 1.6
Asset Management1.2%
ASST 1.2
SPDR XHE · share of the fund by industry · as of Nov 4, 2026
Idexx’s Share of XHE
Today2.0%
$20 of every $1,000 in XHE is Idexx
Idexx held by XHE
$3.1M
SPDR XHE · each square = $10 of $1,000 · as of Nov 4, 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 5, 2026
XHE Fee per $100 vs Peers
TodayExpense ratio · Health care peers · Nov 5, 2026
Inside XHE
73 holdings · as of Nov 4, 2026XHE
State Street SPDR S&P Health Care Equipment ETF
Today| # | Ticker | Company | Weight ▼ |
|---|---|---|---|
| 1 | IDXX | Idexx Laboratories | 2.03% |
| 2 | GKOS | Glaukos | 2.02% |
| 3 | ISRG | Intuitive Surgical | 1.94% |
| 4 | GEHC | GE Healthcare Technology | 1.92% |
| 5 | HAE | Haemonetics /mass | 1.81% |
| 6 | ATRC | Atricure | 1.77% |
| 7 | SYK | Stryker | 1.75% |
| 8 | PODD | Insulet | 1.75% |
| 9 | QDEL | Quidelortho | 1.73% |
| 10 | EW | Edwards Lifesciences | 1.72% |
Medical - DevicesMedical - InstrumentsMedical - SpecialtiesMedical - DiagnosticsMedical - Healthcare Information ServicesDrug Manufacturers - SpecialtyAsset ManagementMedical - EquipmentOther
SPDR XHE · current holdings by weight · as of Nov 4, 2026 · each tile is one holding · top 20 = 35.0%
How It Compares
XHE
State Street SPDR S&P Health Care Equipment ETF’s Peers
1YHealth care peers · Past-year and ytd returns · as of Nov 5, 2026 · sorted by AUM
Head to Head
Put XHE head to head with XLV →XLV vs XHE
YTDYear to date
XLV wins+11.3 pts
Past year
XLV wins+9.7 pts
Fee
XLV winslower fee
Yield
XLV wins+1.3 pts
AUM
XLV321.6× more
4–0XLV wins
SPDR XLV and SPDR XHE · year-to-date · as of Nov 5, 2026 · AUM not scored
XHE vs VOO
1YXHE · SPDR S&P Health Care Equipment
+23.8%
VOO · S&P 500
+13.5%
Gap
10.3 pts
SPDR XHE and Vanguard VOO · 1Y total return · as of Nov 5, 2026
XHE vs Its Peer Average
YTDXHEAvsBPeer average
1D+7.6%+2.7%
1M+11.6%+8.5%
3M+9.1%+8.9%
YTD+12.8%+24.4%
1Y+23.8%+33.4%
3Y+49.3%+84.3%
5Y−19.9%+34.0%
3–4Peer average wins
38 Health care peers · each row scaled to its leader
The Details
XHE
Risk
1Y4/5our risk indicator
CalmerBumpier
Volatility · 1Y24.23%
Deepest drop · 1Y−18.3%
Lowest point · 5Y−46.3%
52-week range
$99.51
$76.00−0.5% from the high$100.00
SPDR XHE · past-year price moves · as of Nov 5, 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 5, 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 today17K
Average volume · 30D33K
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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