SPDR S&P Health Care Equipment ETF (XHE): outlook, holdings and fees
SPDR S&P Health Care Equipment ETF (XHE) is an exchange-traded fund and is managed by State Street Investment Management. The expense ratio is 0.36% and the yield is 0.02%. The ten largest holdings are 18% of the fund.
Fund data as of Oct 14, 2026 · Price Nov 2, 2026
ATLAS view on XHE
| Last price | $93.03 (+2.1%) |
|---|---|
| ATLAS chance of a higher price in 1 month | 52% |
| Likely 1-month range (50%) | $89.42 – $97.42 |
| Normal 1-day range (±1σ) | ±1.5% |
| Distribution yield | 0.02% |
ATLAS probabilities use the same calibrated model as every stock page. A fair value is shown for companies, not funds; the holdings below link to the fair value of each company.
XHE fund facts
| Issuer | State Street Investment Management |
|---|---|
| Theme | Healthcare |
| Assets under management | $178M |
| Expense ratio | 0.36% |
| Number of holdings | 50 |
| Portfolio turnover | 47% |
| Inception | Jan 26, 2011 |
| Exchange | NYSE |
In seeking to track the performance of the S&P Health Care Equipment Select Industry Index (the index), the fund employs a sampling strategy. It generally invests substantially all, but at least 80%, of its total assets in the securities comprising the index. The index represents the health care equipment segment of the S&P Total Market Index (S&P TMI).
XHE top holdings
| Holding | Sector | Weight |
|---|---|---|
| Intuitive Surgical Inc ISRG | Healthcare | 1.92% |
| Alphatec Holdings Inc ATEC | Healthcare | 1.85% |
| Haemonetics Corporation HAE | Healthcare | 1.83% |
| Butterfly Network Inc BFLY | Healthcare | 1.80% |
| Medline Inc. Class A Common Stock MDLN | Healthcare | 1.75% |
| Omnicell Inc OMCL | Healthcare | 1.75% |
| Quidel Corporation QDEL | Healthcare | 1.74% |
| AtriCure Inc ATRC | Healthcare | 1.73% |
| Iradimed Co IRMD | Healthcare | 1.72% |
| ResMed Inc RMD | Healthcare | 1.61% |
Holdings with an ATLAS page link to their probability range, fair value and earnings calendar.
XHE sector breakdown
| Sector | Weight |
|---|---|
| Healthcare | 98.1% |
| Financial Services | 1.9% |
By region: North America 100.0%.
XHE returns and risk
| Year to date | +1.1% |
|---|---|
| 1 year | +10.9% |
| 3 years (annualised) | +5.6% |
| 5 years (annualised) | -6.2% |
| 10 years (annualised) | +5.9% |
| Volatility (3 years) | 20.3% |
| Sharpe ratio (3 years) | 0.13 |
Past returns do not guarantee future results.
XHE: frequently asked questions
What does XHE invest in?
SPDR S&P Health Care Equipment ETF invests in a portfolio of securities. Its largest holdings are Intuitive Surgical Inc (1.9%), Alphatec Holdings Inc (1.9%), Haemonetics Corporation (1.8%), Butterfly Network Inc (1.8%), Medline Inc. Class A Common Stock (1.8%).
What is the XHE expense ratio?
0.36% a year: about $36.00 for every $10,000 invested.
What is the XHE dividend yield?
0.02%. ATLAS does not hold the exact distribution dates for ETFs.
Will XHE go up?
Nobody can know. The ATLAS model puts the chance of a higher price in one month at 52%, with a likely range (50%) of $89.42 to $97.42 from $93.03 today. It is a probability, not a prediction.
How has XHE performed?
Year to date +1.1%, one year +10.9%, three years +5.6% a year, five years -6.2% a year. Past returns do not guarantee future results.
Similar ETFs: Healthcare
- State Street Health Care Select Sector SPDR ETF (XLV)
- Vanguard Health Care ETF (VHT)
- iShares Global Healthcare ETF (IXJ)
- iShares U.S. Healthcare ETF (IYH)
- iShares U.S. Medical Devices ETF (IHI)
- Fidelity MSCI Health Care Index ETF (FHLC)
- iShares U.S. Pharmaceuticals ETF (IHE)
- First Trust Health Care AlphaDEX Fund (FXH)
Educational information, not investment advice. Disclaimer