State Street® SPDR® S&P® Health Care Equipment ETF
State Street® SPDR® S&P® Health Care Equipment ETF
About
State Street® SPDR® S&P® Health Care Equipment ETF (US78464A5810) is a US-listed physically replicated equity ETF tracking the S&P Health Care Equipment Select Industry Index. With a expense ratio of 0.35%, it is moderately priced, paying distributions. The fund holds 70 positions across 1 region with 152M in assets, with heavy concentration — 83% in United States, 83% in Health Care, launched in 2011. The fund declined 2.0% over the past year. We rate this fund 5.4/10.
5.4
5.4
- 21%Tracking Difference10.0
- TD Consistency—
- 9%Expense Ratio3.3
- 11.25%Holding Count3.6
- 22.5%Country Concentration4.8
- 11.25%Sector Concentration1.0
- 25%Assets Under Management5.6
Scores are scaled 1–10 on a logarithmic curve relative to all ETFs in the database. Data sources: provider factsheets, exchange data, and NAV history. Information for educational purposes only — not investment advice. Last updated: Jul 14, 2026
Ticker XHE
ISIN
Fund Size $152.1M
Issuer SPDR
Distribution Pays Distributions
Replication Physical
Inception Jan 2011
Base Currency USD
Index S&P Health Care Equipment Select Industry Index
Asset Class Equities
Category Equity Sector
Costs
8.0 This fund has low total costs, with competitive tracking and expense ratios.
Expense Ratio0.35%
Expense Ratio0.35%
| Metric | Value |
|---|---|
| Expense Ratio | 0.35% |
Cumulative Returns
Performance across different time periods.
1 Month-1.86%
3 Months+0.10%
Year to Date-9.74%
1 Year-2.03%
3 Years-5.09%
5 Years-8.01%
Inception+8.67%
1 Month-1.86%
3 Months+0.10%
Year to Date-9.74%
1 Year-2.03%
3 Years-5.09%
5 Years-8.01%
Inception+8.67%
| Period | Cumulative Return |
|---|---|
| 1 Month | -1.86% |
| 3 Months | +0.10% |
| 6 Months | -0.06% |
| 1 Year | -2.03% |
| 3 Years | -5.09% |
| 5 Years | -8.01% |
| 10 Years | +6.10% |
| YTD | -9.74% |
| Since Inception | +8.67% |
Holdings
3.6 With only 70 individual holdings, this fund is relatively concentrated compared to other ETFs.
| Holding | Weight |
|---|---|
| Butterfly Network Inc | 2.37% |
| QuidelOrtho Corp | 2.07% |
| DENTSPLY SIRONA Inc | 1.91% |
| Glaukos Corp | 1.89% |
| Artivion Inc | 1.87% |
| Omnicell Inc | 1.84% |
| Enovis Corp | 1.83% |
| AtriCure Inc | 1.83% |
| UFP Technologies Inc | 1.82% |
| Inspire Medical Systems Inc | 1.82% |
| MEDLINE INC CLASS A | 1.81% |
| Alphatec Holdings Inc | 1.78% |
| Envista Holdings Corp | 1.78% |
Sectors
1.0 This fund is concentrated in just a few of its 3 sectors, reducing diversification.
| Sector | Weight |
|---|---|
| Health Care | 83.33% |
| Unknown | 16.68% |
| Financials | 0.00% |
Regions
4.8 This fund is concentrated in just 2 countries, with significant geographic concentration.
| Country | Weight |
|---|---|
| United States | 83.34% |
| UNKNOWN | 16.66% |
Nerd Stuff
Advanced risk and return metrics (17 July 2023 — 7 July 2026).
22.0%
Volatility
-32.5%
Max Drawdown
-0.28
Sharpe Ratio
-0.39
Sortino Ratio
-0.19
Calmar Ratio
0.29
Beta
-11.48%
Alpha (Jensen's)
0.045
R²
Benchmark-relative metrics (Beta, Alpha, R²) are calculated against the iShares Core S&P 500 ETF (IE00B5BMR087).
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