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XHE ETF · State Street SPDR S&P Health Care Equipment ETF
The XHE Exchange Traded Fund (ETF) is provided by State Street Investment Management. It is built to track an index: S&P Health Care Equipment Select Industry Index. The XHE ETF provides physical exposure, so by buying it you actually own parts of all the 67 underlying holdings. This share class generates a stream of income by distributing dividends.
Last update 5/1/2026, 1:30 PM UTC
LIVE
CLOSED
This fund is part ofUS Health Care1M perf.-0.31%
Last price
$81.67
1M perf.
+3.90%
1M flows
-€8.4M
AuM
€111M
E/R
0.35%
Rating
ESG Consensus®
XHE
$81.67
Performance & flows
Segment for quartile rank
February 2, 2026 → May 1, 2026
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XHE
$81.68
-5.37%
US Health Care
-5.09%
Historic performance and flows
| 1M | 3M | 1Y | 3Y | 5Y | MTD | QTD | YTD | ||
|---|---|---|---|---|---|---|---|---|---|
| Perf. | +3.90%  | -5.37%  | +3.60%  | -16.69% | -34.99% | +0.78% | +4.25% | -7.32% | |
| Flows |
Key fund info
Segment for quartile rank
This ETF's jurisdiction country is not in your region (Europe and Middle East) ·
Main characteristics
CUSIP
78464A581
ISIN
US78464A5810
AuM
€111M
E/R
0.35%
Replication rating
ESG Consensus®
More details
NAV
5/1/2026
$81.68
1D NAV change
+0.78%
Dividend policy
Replication method
Direct (Physical)
Replication model
Optimized sampling
No. of holdings
67
Inception date
1/26/2011
Jurisdiction
United States
Distribution
United States
Legal structure
Open-end Fund
Base currency
USD
Dividend distribution
Trailing 12-month distr. yield
Distribution frequency
Last distribution
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Classification
Product type
Asset class
Factors
N/A
Investment strategy
The SPDR® S&P® Health Care Equipment ETF seeks to provide investment results that, before fees and expenses, correspond generally to the total return performance of S&P® Health Care Equipment Select Industry Index. The Index represents the health care equipment and supplies sector of the S&P Total Market Index ("S&P TMI"). The Index is one of twenty five (25) S&P Select Industry Indices (the "Select Industry Indices"), each designed to measure the performance of a narrow sub-industry or group of sub-industries as defined by the Global Industry Classification Standards ("GICS"). Membership in the Select Industry Indices is determined by a stock's GICS classification, as well as by liquidity and market cap requirements. Companies in the Select Industry Indices are classified based primarily on revenues; however, earnings and market perception are also considered. The Health Care Index is a modified equal weight index.
Tax optimisation
PEA
France
UK Reporting Status
United Kingdom
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Risk profile
Segment for quartile rank
Historical risk/return profile
| 3M | 1Y | 3Y | 5Y | |
|---|---|---|---|---|
| Returns | -5.37% | +3.60% | -16.69% | -34.99% |
| Volatility | ||||
| Perf./Volatility | ||||
| Max drawdown |
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Synthetic Risk and Reward Indicator (SRRI)
UCITS
N/A
PRIIPS
N/A
More exposure metrics are available, exclusively in Trackinsight Enterprise
Exposure
Countries
USA
92.19%
Ireland
3.43%
United Kingdom
1.78%
Jersey
1.50%
Unavailable
0.15%
Other
0.95%
Sectors
Health Care
89.87%
Unavailable
10.13%
Diversification
Total weight of top 15 holdings out of 67
Top 15 holdings
Data as of March 31, 2026
TELEFLEX
STAAR SURGICAL
BUTTERFLY NETWORK INC
US58507V1070
GLAUKOS
INTEGER HOLDINGS
AXOGEN
LIVANOVA
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MASIMO
LEMAITRE VASCULAR
ARTIVION INC
HOLOGIC
STERIS
GLOBUS MEDICAL
IRHYTHM TECHNOLOGIES
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More risk metrics are available, exclusively in Trackinsight Enterprise
Sustainability
Integrates ESG criteria
No
SDG
ESG Consensus® by Conser
Data as of February 27, 2026
MethodologyOur partner Conser gathers the industry's consensus on the business practices of the underlying holdings. We have computed the following metrics about XHE ETF's sustainability, based on their methodology.
ESG Consensus®
ESG Consensus® is based on the Final Sustainability Grade, which itself consists of 10 grades. Our partner Conser calculates the exact grade, based on market intelligence, using their proprietary ESG Consensus® methodology.
XHE’s has a Final Sustainability Grade of either A+, A, or A-.
A+
A
A-
B+
B
B-
C+
C
C-
D
This fund’s exact Final Sustainability Grade is available in Trackinsight Enterprise.
Learn more about Trackinsight EnterpriseHoldings review
96.51% of holdings have positive scoring
3.65% of holdings have negative scoring
20.73%
59.92%
15.86%
Consensus levels
Strong
Medium
Weak
More sustainability metrics are available, exclusively in Trackinsight Enterprise
Replication
Trackinsight replication rating:
1-year trailing difference
As of April 30, 2026
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XHE
N/A
Replication quality
Calculated over 12m, as of April 30, 2026
Tracking error
Tracking difference
1-year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
Replication information
Index
Index ticker
Index dividend policy
Replication method
Replication model
Issuer
State Street Investment Management
State Street Investment Management ID Card
Number of funds
378
Total AuM
€1.85T
Expense ratio range
0.02% - 0.9%
Average expense ratio
0.2566%
Top 5 funds by State Street Investment Management
| AuM | ||
|---|---|---|
SPY | State Street SPDR S&P 500 ETF Trust | €631.71B |
GLD | State Street SPDR Gold Shares ETF | €130.3B |
SPYM | State Street SPDR Portfolio S&P 500 ETF | €117.88B |
XLK | State Street Technology Select Sector SPDR ETF | €89.46B |
XLF | State Street Financial Select Sector SPDR ETF | €44.23B |
Frequently asked questions about XHE
What does State Street SPDR S&P Health Care Equipment ETF, XHE, invest in?
XHE is a Passive ETF. This ETF provides exposure to Other US Health Care Equipment Equities.
Which benchmark or index does XHE replicate?
XHE tracks the S&P Health Care Equipment Select Industry Total Return Index - USD, through a optimized sampling replication method.
What is the Total Expense ratio (TER) of XHE?
XHE carries a total expense ratio (TER) of 0.35%, indicating the annual cost for holding the fund.
When was XHE launched?
XHE was introduced to the market on January 26, 2011. It trades on United States
Who is the ETF issuer of XHE?
State Street SPDR S&P Health Care Equipment ETF, XHE, is provided by State Street Investment Management. Learn more about State Street Investment Management here.
What is the current assets under management (AUM) of XHE?
XHE oversees €111M in assets as of May 1, 2026.
How has XHE performed lately?
Based on data from May 1, 2026, XHE returned 3.90% over the past month, -5.37% over the last three months and -7.32% year-to-date.
What are the latest inflows or outflows for XHE?
As of May 1, 2026, XHE recorded net flows of -€8.5M over the last month and -€11M year-to-date.
Does XHE distribute dividends?
XHE follows a distributing dividend policy, meaning it pays out income to investors. As of May 1, 2026, its 12-month trailing yield was 0.09%.
What are the main country or region exposures of XHE?
As of March 31, 2026, XHE has significant geographic allocations in USA, Ireland and United Kingdom.
In which sector or theme does XHE invest in?
As of March 31, 2026, XHE focuses largely on Health Care.
How many securities does XHE hold and how diversified is it?
As of March 31, 2026, XHE holds 67 positions in its portfolio, with 26.74% of assets concentrated in its top 15 holdings.
What are the main positions in XHE?
As of March 31, 2026, XHE top three holdings include TELEFLEX, STAAR SURGICAL and BUTTERFLY NETWORK INC.
What is the base currency of XHE?
The base currency of XHE is USD.
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