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State Street® SPDR® S&P® Health Care Equipment ETF

SPDR · US78464A5810

State Street® SPDR® S&P® Health Care Equipment ETF is an exchange-traded fund (ETF) from SPDR, traded under the ticker XHE (ISIN US78464A5810). One trade buys a whole basket of holdings, so your money is spread out instead of riding on a single company. At its core it is a focused, thematic fund: it concentrates on the health care part of…

· Tracks the S&P Health Care Equipment Select Industry Index index ?
Equity ?Unknown Physical ?United States ?
Mid-range feeOwns the shares directlyOtherBroadly spread
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SPDR fundsDomiciled in United StatesUnknownPhysically replicatedOther stocksYearly fee under 0.5%

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Fund size (AUM) ?
€149.9M
1-year return ?
+19.8%
Price Return · to 2026-08-19
Yearly fee (TER) ?
0.35%
All-in cost ≈ 0.00%

About this fund

What you own

The S&P Health Care Equipment Select Industry Index index is the benchmark this fund aims to copy. By holding it, this fund gives you a stake in around 70 companies across Other in a single purchase.

How it works

The fund actually buys every share in the index it tracks (full replication).

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Owning every holding keeps things transparent — what is in the index is what the fund actually owns. It can be a touch costlier to run for indexes with thousands of tiny positions, since the fund has to buy and maintain them all. There is no swap bank involved, so there is no extra “what if the partner fails” question to weigh.

Cost

0.35%Yearly fee (TER)
0.00%All-in cost

The yearly running cost of the fund, shown as a % of your money. Lower is cheaper.

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For example, a 0.20% fee works out at €0.20 a year for every €100 invested — that’s a generic illustration of the mechanic, not this fund’s own fee. It is skimmed quietly from inside the fund a little each day, so you never get a bill — but it drags on your return every year you hold. On a broad index ETF it is usually a small fraction of a percent; the gap between a cheap and a pricey fund looks tiny on day one but compounds over decades, which is why it is worth a glance.

Fund facts

Index tracked ?
S&P Health Care Equipment Select Industry Index
Replication ?
Physical
Full — buys every share
Launched
Jan 2011
15-year track record

Performance

46.560.975.289.6104202120242026

Growth of $100 invested — the line starts at $100.

State Street® SPDR® S&P® Health Care Equipment ETF

End-of-day prices, rebased to a common start so the shapes are comparable. Past performance does not predict future results.

YTD+9.8%
1 year+19.8%
3 years+4.1%
5 years-4.9%

Return, year by year

-23.4
-6.3
+5.0
-0.3
'22'23'24'25
1 of 4 up yearsBest: 2024 +5.0%Worst: 2022 -23.4%Calendar-year total returns, in USD

How bumpy has it been?

23.0%
Volatility (1y) ?
How much the price swings year to year — lower is calmer.
-24.4%
Worst drop (3y) ?
The biggest fall from a peak over the last three years.
0.18
Return for the risk (3y) ?
Reward earned per unit of bumpiness.

The bigger picture

-24.0%
Since inception
Total growth since launch — about -5.2% a year.
+38.1%
Best 12 months
The strongest one-year stretch on record.
-36.3%
Worst 12 months
The weakest one-year stretch on record.
-49.9%
Worst fall on record ?
It has not fully recovered yet.

What's inside

By sector ?

Health Care78.3%
Cash/Other8.5%
Consumer Staples8.2%
Corporate5.1%

The 10 biggest holdings make up 21.4% of the fund — the rest is spread across roughly 60 more companies.

Top 10 holdings

#CompanyWeight
1BUTTERFLY NETWORK INC2.5%
2ATRICURE INC2.5%
3GLAUKOS CORP2.2%
4TANDEM DIABETES CARE INC2.2%
5ARTIVION INC2.1%
6INTEGER HOLDINGS CORP2.0%
7INSPIRE MEDICAL SYSTEMS INC2.0%
8CONMED CORP2.0%
9UFP TECHNOLOGIES INC2.0%
10MERIT MEDICAL SYSTEMS INC2.0%

Where to buy this fund

Set from your language & location — change it if it's wrong.

Where it trades

ExchangeTickerCurrency
NYSEXHEUSD★ Primary
EUR listings
Frankfurt4JZQEUR
USD listings
B4XHEUSDUSD
E1XHEGBPUSD
E1XHEUSDUSD
EUXHEGBPUSD
EUXHEUSDUSD
MFXHE*USD
MMXHE*USD
MUXHE*USD
NYSE ArcaXHEUSD
OCXHEUSD
UAXHEUSD
UBXHEUSD
UCXHEUSD
UDXHEUSD
UFXHEUSD
UMXHEUSD
USXHEUSD
UTXHEUSD
UXXHEUSD
VFXHEUSD
VGXHEUSD
VJXHEUSD
VKXHEUSD
VPXHEUSD
VYXHEUSD
XAXHEUSDUSD
XAXHEGBPUSD
XEXHEGBPUSD
XEXHEUSDUSD
XFXHEGBPUSD
XFXHEUSDUSD
XGXHEGBPUSD
XGXHEUSDUSD
XHXHEUSDUSD
XHXHEGBPUSD
XJXHEGBPUSD
XJXHEUSDUSD
XLXHEGBPUSD
XLXHEUSDUSD
XOXHEUSDUSD
XOXHEGBPUSD
XQXHEGBPUSD
XQXHEUSDUSD
XSXHEGBPUSD
XSXHEUSDUSD
XUXHEGBPUSD
XUXHEUSDUSD
XVXHEUSDUSD
XVXHEGBPUSD
XWXHEGBPUSD
XWXHEUSDUSD
XXXHEGBPUSD
XXXHEUSDUSD
XZXHEGBPUSD
XZXHEUSDUSD
For serious comparison — full data holdings, percentiles, advanced risk, tilt, flows

Full holdings

As of 2026-08-19 · the fund's own published holdings.

#CompanyWeight
1BUTTERFLY NETWORK INC2.5%
2ATRICURE INC2.5%
3GLAUKOS CORP2.2%
4TANDEM DIABETES CARE INC2.2%
5ARTIVION INC2.1%
6INTEGER HOLDINGS CORP2.0%
7INSPIRE MEDICAL SYSTEMS INC2.0%
8CONMED CORP2.0%
9UFP TECHNOLOGIES INC2.0%
10MERIT MEDICAL SYSTEMS INC2.0%
11HAEMONETICS CORP/MASS2.0%
12ICU MEDICAL INC1.9%
13BAXTER INTERNATIONAL INC1.9%
14ABBOTT LABORATORIES1.9%
15NEOGEN CORP1.9%
16BECTON DICKINSON AND CO1.8%
17AXOGEN INC1.8%
18TRANSMEDICS GROUP INC1.8%
19DEXCOM INC1.8%
20ALPHATEC HOLDINGS INC1.7%
21ENOVIS CORP1.7%
22ENVISTA HOLDINGS CORP1.7%
23MEDTRONIC PLC1.7%
24GE HEALTHCARE TECHNOLOGY1.7%
25RESMED INC1.7%
26ZIMMER BIOMET HOLDINGS INC1.7%
27COOPER COS INC/THE1.7%
28STERIS PLC1.6%
29DENTSPLY SIRONA INC1.6%
30SOLVENTUM CORP1.6%
31STRYKER CORP1.6%
32GLOBUS MEDICAL INC A1.6%
33EDWARDS LIFESCIENCES CORP1.6%
34BOSTON SCIENTIFIC CORP1.5%
35NOVOCURE LTD1.5%
36LIVANOVA PLC1.5%
37PENUMBRA INC1.5%
38IRHYTHM HOLDINGS INC1.5%
39LANTHEUS HOLDINGS INC1.5%
40TELEFLEX INC1.5%
41QUIDELORTHO CORP1.5%
42IDEXX LABORATORIES INC1.5%
43PULSE BIOSCIENCES INC1.5%
44ALIGN TECHNOLOGY INC1.5%
45INSULET CORP1.5%
46INTUITIVE SURGICAL INC1.4%
47OMNICELL INC1.4%
48MEDLINE INC CL A1.4%
49BETA BIONICS INC1.3%
50SI BONE INC1.3%
51STRIVE INC A1.3%
52LEMAITRE VASCULAR INC1.3%
53STAAR SURGICAL CO1.2%
54INTEGRA LIFESCIENCES HOLDING1.2%
55KESTRA MEDICAL TECHNOLOGIES1.2%
56PROCEPT BIOROBOTICS CORP1.1%
57IRADIMED CORP1.0%
58BIOVENTUS INC A0.9%
59CLEARPOINT NEURO INC0.8%
60TACTILE SYSTEMS TECHNOLOGY I0.8%
61VAREX IMAGING CORP0.8%
62ANTERIS TECHNOLOGIES GLOBAL0.6%
63ANGIODYNAMICS INC0.6%
64CERUS CORP0.5%
65ORTHOFIX MEDICAL INC0.4%
66NEUROPACE INC0.3%
67SSI US GOV MONEY MARKET CLASS0.1%
68CONTRA PARAGON 28 INC0.0%
69CONTRA HOLOGIC INCORPO0.0%
70SENSEONICS HOLDINGS INC0.0%

⭳ Download full holdings (CSV)

How it ranks vs peers

🪙 Cheaper than 50% of similar ETFs📈 Higher 1-yr return than 59%📈 Higher 3-yr return than 15%📈 Higher 5-yr return than 6%📊 Beat its category by 1.8% (1-yr) (category average +18.0%)📊 Behind its category by 8.4% (3-yr) (category average +12.5%)📊 Behind its category by 10.5% (5-yr) (category average +5.6%)

Versus the Equity (stocks) · Other · USD ETFs we track.

Advanced risk

0.27
Sortino (3y) ?
0.17
Calmar (3y) ?
14.9%
Downside deviation ?
58%
Up months (hit rate) ?
$96.91
52-week high ?
$76.25
52-week low ?

Concentration depth

~61 ?
Effective number of holdings

Roughly 70 companies are held, but the largest names carry most of the weight — so it behaves like ~61 equal-sized positions.

Tilt vs a world tracker

Health Care+68.9
Technology-29.2
Financials-16.3
Industrials-11.6
Consumer Discretionary-9.0
Cash/Other+8.4

Percentage points over / under a broad world-equity tracker (not a licensed benchmark).

Similar funds

We found 6 funds that do much the same job as this one. To pick them we matched this fund's asset class and region, then show how close each match is below.

Matched on🌍 Other stocks
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Why it's similarThis is the fund on this page.
StocksUnknownPhysicalCheaper fee
Tracks a different index in the same category.
StocksUnknownPhysicalCheaper fee
Tracks a different index in the same category.
StocksUnknownPhysicalCheaper fee
Tracks a different index in the same category.
StocksPhysicalCheaper fee
Tracks a different index in the same category.
StocksPhysicalCheaper fee
Tracks a different index in the same category.
StocksUnknownPhysicalCheaper fee
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Index trackedS&P Health Care Equipment Select Industry IndexTechnology Select Sector IndexFTSE Developed ex US IndexFinancial Select Sector Index® ® S&p® 500 Hdg® ® S&p® 500 Mxn HdgHealth Care Select Sector Index
Yearly fee (TER)0.35%0.08%0.03%0.08%0.05%0.05%0.08%
All-in cost0.00%0.00%0.00%0.00%0.06%0.06%0.00%
Fund size€149.9M€106.4B€56.1B€49.2B€38.1B€37.9B€37.3B
DomicileUnited StatesUnited StatesUnited StatesUnited StatesIrelandIrelandUnited States
ReplicationPhysical (full)Physical (full)Physical (full)Physical (full)Physical (full)Physical (full)Physical (full)
3-yr return p.a.+4.1%+31.3%+13.9%+19.4%+8.3%
5-yr return p.a.-4.9%+19.6%+6.7%+9.1%+4.6%
# holdings70761,4948050550563

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Data as of 2026-08-19 · Source: issuer data, compiled by Finance Hamster

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