Skip to content

XHE

GradeBNew York Stock Exchange Arca

State Street SPDR S&P Health Care Equipment ETF

Sectors · SPDR · Inception 2011-01-26 · SEC filings

$91.24−1.65 (−1.78%)

As of Sep 23, 2026, 3:15 PM EDT

Intraday session: down, 69 prints from 92.89 to 91.24. Range 91.12 to 92.88. Use the arrow keys to read each point.$91.00$91.50$92.00$92.50$93.0010 AM12 PM2 PM4 PM
Expense ratio
0.35%
Fund size
$192M
1Y return
+15.2%
Yield · Last 12 months
0.02%
Holdings
73
Volume · 30D
0M sh
NAV per share
$91.33
52W range
low $76.00high $97.65

The ETF.net XHE Grade

B

64/ 100

Rank 9 of 25 in Health Care (Broad)

Confidence Medium

Six-pillar profile for XHE. Scores out of 100: Cost 81, Risk 26, Mission not scored, Tradability 50, Holdings 92, Durability 70. Strongest: Holdings (92). Weakest: Risk (26). Based on 5 of 6 pillars.
F< 25
D≥ 25
C≥ 40
B≥ 55
A≥ 70

Score 64 of 100 sits in the B band. Bands: A ≥ 70, B ≥ 55, C ≥ 40, D ≥ 25, F < 25; the scale skips E.

  • Cost

    What you pay to own it — the expense ratio plus trading frictions, ranked within its category.
    AScore 81
    Category rank5/25 · top 20%
  • Mission

    How faithfully it does the job it claims — tracking its mandate or index with minimal slippage.
    Not scored
  • Risk

    How violently it can move — volatility, drawdown depth, and downside capture versus its category.
    DScore 26
    Category rank19/24 · bottom quartile
  • Tradability

    How cheaply and easily you can get in and out — liquidity, spread, and premium/discount stability.
    CScore 50
    Category rank13/25 · mid-pack
  • Holdings

    What it actually owns — the quality, breadth, and concentration of the underlying portfolio.
    AScore 92
    Category rank1/25 · top 4%
  • Durability

    Whether it will still be here — the fund’s assets, age, flows, and issuer staying power.
    AScore 70
    Category rank9/25 · top 36%

Graded as of Sep 22, 2026 · Based on 5 of 6 pillars

Our read on XHE

ETF.net Research

BHealth care minus the pharma giants. XHE holds a focused basket of US medical device and supply makers at near-equal weight, so a small stent company gets roughly the same shelf space as an industry titan.

Stated mandate

The fund seeks to match, before fees and expenses, the total return performance of the S&P Health Care Equipment Select Industry Index and provide exposure to the health care equipment segment of the S&P TMI.

Why people hold it

  1. 01Modified equal weighting, reset on a quarterly schedule, keeps any one giant from dominating the basket. Small and mid-cap device names carry real weight here.ssga.comspglobal.com
  2. 020.35% a year, below the median for health care ETFs in its peer group. Unusual for a slice this narrow, where issuers often charge up.
  3. 03A true pure play: equipment and supplies drawn from the S&P Total Market Index. No pharma, no insurers, no hospital chains diluting the theme.ssga.com
  4. 04Launched in 2011 by State Street, so this one has traded through more than a decade of device-sector cycles rather than arriving with the latest theme.

Worth knowing

  1. 01Broad health care ETFs like VHT, FHLC and XLV charge a fraction of this. The targeted device basket is what the extra costs buy.
  2. 02Thinly traded next to the big sector funds, so spreads can widen when markets move fast.
  3. 03One sub-industry, tilted toward smaller companies, and SSGA notes the fund can become non-diversified purely from index weight shifts.ssga.com

XHE Holdings

As of Sep 21, 2026, 3:50 PM
Asset class
Stocks
Holdings
73
Top-10 weight
18%
Largest holding
BBNX2.0%

Sectors

  • Health Care97.5%
  • Financials2.5%

Geography

  • United States95.14%
  • Ireland1.78%
  • Switzerland1.55%
  • United Kingdom1.53%
The fund’s holdings, weight-ordered — page 1 of 5.
#TickerCompanyWeight %SharesMarket valueIn ETFs
001BBNXBETA BIONICS INC1.99%173,228$4M48
002INSPINSPIRE MEDICAL SYSTEMS INC1.82%45,392$3M107
003ATECALPHATEC HOLDINGS INC1.79%335,852$3M63
004ASSTSTRIVE INC A1.78%113,062$3M47
005ISRGINTUITIVE SURGICAL INC1.76%8,543$3M406
006ATRCATRICURE INC1.73%56,904$3M93
007NEOGNEOGEN CORP1.72%253,157$3M94
008NVCRNOVOCURE LTD1.69%193,067$3M82
009DXCMDEXCOM INC1.68%35,976$3M365
010BFLYBUTTERFLY NETWORK INC1.67%404,509$3M68
011HAEHAEMONETICS CORP/MASS1.66%29,252$3M141
012EWEDWARDS LIFESCIENCES CORP1.62%35,015$3M318
013RMDRESMED INC1.62%13,720$3M317
014PODDINSULET CORP1.61%21,880$3M220
015ZBHZIMMER BIOMET HOLDINGS INC1.59%31,896$3M251

Showing 1–15 of 75 holdings

XHE Performance

Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.

XHE$11,516
SPY tracks large US stocks. It provides market context, rather than representing this fund’s strategy, asset class or investment benchmark.$11,723
Sep 22, 2025 to Sep 22, 2026. XHE $11,516. SPY $11,723. Use the arrow keys to read each point.$9,262$10,750$12,238Sep 2025Mar 2026Sep 2026

Sep 22, 2025 – Sep 22, 2026

Returns run to the Sep 22, 2026 close, with cash distributions reinvested. Each period starts on the same date that many months or years earlier. Periods over one year show the average yearly return.

Trailing total return for XHE. Periods over one year show the average yearly return.
PeriodXHE
Year to date+5.1%
1 month−4.1%
3 months+15.4%
1 year+15.2%
3 years+6.1%per year
5 years−6.5%per year
10 years+6.0%per year

As of the close, with distributions reinvested.

Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.

Annual total returns for XHE
YearReturn barXHE
2026 YTD+5.1%
2025−0.2%
2024+5.1%
2023−6.2%
2022−23.3%
2021+3.0%
2020+32.9%

XHE in the news

XHE Dividends

Adds up every distribution paid per share over the last 12 months, divided by the last completed close. Distributions are counted by ex-date. Data through Sep 22, 2026.
0.02%Last 12 months
Payout per share
$0.02Last 12 months
Last payment
$0.02 per share
Paid on
Shares bought on or after this date do not qualify for this distribution.
Frequency
Quarterly

Distribution history

2017–2026

One bar per payment. 18 payments from 2017 to 2026 YTD. Jun 16, 2017 $0.0069; Sep 15, 2017 $0.00097; Dec 15, 2017 $0.49; Sep 24, 2018 $0.02; Dec 24, 2018 $0.05; Mar 18, 2019 $0.02; Jun 24, 2019 $0.02; Dec 23, 2019 $0.0032; Dec 20, 2021 $0.0019; Mar 21, 2022 $0.01; Sep 19, 2022 $0.01; Dec 19, 2022 $0.0066; Dec 18, 2023 $0.03; Sep 23, 2024 $0.007; Dec 23, 2024 $0.03; Jun 23, 2025 $0.02; Sep 22, 2025 $0.03; Dec 22, 2025 $0.02. Use the arrow keys to read each point.2017201820192020202120222023202420252026YTD
Ex-datePay dateAmount per share
Dec 22, 2025Dec 24, 2025$0.02
Sep 22, 2025Sep 24, 2025$0.03
Jun 23, 2025Jun 25, 2025$0.02
Dec 23, 2024Dec 26, 2024$0.03
Sep 23, 2024Sep 25, 2024$0.007
Dec 18, 2023Dec 21, 2023$0.03
Dec 19, 2022Dec 22, 2022$0.0066
Sep 19, 2022Sep 22, 2022$0.01
Jun 21, 2022Jun 24, 2022Data unavailable
Mar 21, 2022Mar 24, 2022$0.01
Dec 20, 2021Dec 23, 2021$0.0019
Dec 23, 2019Dec 27, 2019$0.0032

XHE Risk

How much the fund’s monthly returns vary, scaled to a year.
21.9%
Annualised · 36 months to Aug 2026
How it’s calculated: standard deviation

The sample standard deviation of monthly total returns, multiplied by the square root of 12.

Uses up to 36 complete months, with at least 12 required. Total returns include reinvested distributions.

Return above 3-month US Treasury bills per unit of volatility.
0.04
vs 3-month T-bills · to Aug 2026
How it’s calculated: Sharpe ratio

Subtract each month’s Treasury-bill return from the fund’s monthly total return.

Divide the average of those excess returns by their sample standard deviation, then multiply by the square root of 12.

Uses up to 36 complete months, with at least 12 required. Each month uses the Treasury yield quoted at the end of the previous month.

The largest fall from a peak to the low that followed.
−49.4%
Trough Oct 2023
How it’s calculated: maximum drawdown

The largest percentage decline from an earlier peak, using total returns with reinvested distributions.

Uses up to five years through the last close, with at least 12 months required.

How strongly the fund’s returns move with its asset-class index.
1.20
vs its asset-class index
How it’s calculated: beta

The beta figure is supplied by FMP. The comparison index depends on the fund’s broad asset class.

XHE Cost

Expense ratio0.35%
  • The middle half of Health Care (Broad) funds
  • Median 0.50%

4 of the 25 Health Care (Broad) funds charge less.

XHE costs $35.00 a year on $10,000. The median Health Care (Broad) fund costs $50.00.