State Street SPDR S&P Health Care Equipment ETF
$90.21−0.66 (−0.73%)
- 0.35%
- $174M
- +17.8%
- 0.02%
- 0M sh
- $89.39
- low $76.00high $97.65
The ETF.net XHE Grade
B
Score 66 out of 100
- 9 of 25
Score 66 of 100 falls in the B band. A is 70 or higher, B 55 to under 70, C 40 to under 55, D 25 to under 40, F under 25.
Cost
The fund’s net expense ratio, ranked against its category.A81 out of 100Rank 5 of 25Mission
Whether the fund did what it promised, tested against its stated mandate.Risk
How the fund held up when markets fell: downside volatility, drawdowns and tail loss.D33 out of 100Rank 19 of 24Tradability
How easy the fund is to trade: daily volume, and how far its price strays from net asset value.C51 out of 100Rank 13 of 25Holdings
How concentrated the fund is, and how complete and current its disclosed holdings are.A93 out of 100Rank 1 of 25Durability
Whether the fund is likely to stay open, judged by its age, its assets and its issuer’s assets.A70 out of 100Rank 9 of 25
Our read on XHE
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.
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
- Modified 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
- 0.35% a year, below the median for health care ETFs in its peer group. Unusual for a slice this narrow, where issuers often charge up.
- A 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
- Launched 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
- Broad health care ETFs like VHT, FHLC and XLV charge a fraction of this. The targeted device basket is what the extra costs buy.
- Thinly traded next to the big sector funds, so spreads can widen when markets move fast.
- One sub-industry, tilted toward smaller companies, and SSGA notes the fund can become non-diversified purely from index weight shifts.ssga.com
XHE Holdings
- Stocks
- 75
- 18%
- ISRG
Sectors
- Health Care98.3%
- Financials1.7%
Geography
- United States95.37%
- United Kingdom1.57%
- Ireland1.56%
- Switzerland1.49%
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$11,775
Returns run to the Oct 12, 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.
| Period | XHE |
|---|---|
| Year to date | +3.0% |
| 1 month | +1.0% |
| 3 months | +3.5% |
| 1 year | +17.8% |
| 3 years | +9.4% |
| 5 years | −5.8% |
| 10 years | +6.1% |
Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.
| Year | Return bar | XHE |
|---|---|---|
| 2026 YTD | +3.0% | |
| 2025 | −0.2% | |
| 2024 | +5.1% | |
| 2023 | −6.2% | |
| 2022 | −23.3% | |
| 2021 | +3.0% | |
| 2020 | +32.9% |
XHE in the news
XHE Dividends
- 0.02%
- $0.02
- $0.02 per share
- Quarterly
Distribution history
XHE Risk
- 21.2%
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.
- 0.13
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.
- −49.4%
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.
- 1.20
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
0.35%
XHE0.35%
- The middle half of Health Care (Broad) funds
- Median 0.50%
4 of the 25 Health Care (Broad) funds charge less.
Other funds in Health Care (Broad)
- BPSCHInvesco S&P SmallCap Health Care ETFExpense ratio 0.29%1 year return +28.5%
- BRSPHInvesco S&P 500 Equal Weight Health Care ETFExpense ratio 0.40%1 year return +29.1%
- BFXHFirst Trust Health Care AlphaDEX FundExpense ratio 0.61%1 year return +20.2%
- BIHIiShares U.S. Medical Devices ETFExpense ratio 0.37%1 year return −9.8%
- BIHFiShares U.S. Healthcare Providers ETFExpense ratio 0.37%1 year return +16.5%