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Wednesday, October 28, 2026 · Today’s edition, 6:30 a.m. ETWed, Oct 28 · 6:30 a.m. editionSign inMy Desk 0EditionsSign in
XHESPDRINDEX

SPDR S&P Health Care Equipment ETF

$93.25+0.17% vs prior close
769752-WK

Price through Oct 27, 2026 · Flows through Oct 26, 2026. Figures use the latest available records, not a live quote. Fund details retrieved Oct 27, 2026. Holdings snapshot retrieved Oct 27, 2026.

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 price

Source: Market tape, daily closes; price return, distributions not reinvested
Table
DateXHE close
Sep 28, 2026$91.53
Sep 29, 2026$91.32
Sep 30, 2026$90.72
Oct 1, 2026$89.28
Oct 2, 2026$88.86
Oct 5, 2026$90.93
Oct 6, 2026$89.20
Oct 7, 2026$88.30
Oct 8, 2026$88.14
Oct 9, 2026$89.44
Oct 12, 2026$90.87
Oct 13, 2026$90.21
Oct 14, 2026$89.02
Oct 15, 2026$91.25
Oct 16, 2026$89.45
Oct 19, 2026$90.03
Oct 20, 2026$91.78
Oct 21, 2026$91.43
Oct 22, 2026$93.34
Oct 23, 2026$93.08
Oct 26, 2026$93.09
Oct 27, 2026$93.25

Daily net flows, 1M

Net outflow over the range: −$43M

  • Inflow / above zero
  • Outflow / below zero
Sep 28Sep 30Oct 2Oct 6Oct 8Oct 12Oct 14Oct 16−$22.5MOct 20Oct 22$0Oct 26Sep 28Sep 30Oct 2Oct 6Oct 8Oct 12Oct 14Oct 16−$22.5MOct 20Oct 22$0Oct 26Sep 28Oct 5Oct 12−$22.5MOct 19$0Oct 26
Source: Daily creation and redemption records
Show as table
LabelValue ($)
Sep 28$0
Sep 29$0
Sep 30−$4.5M
Oct 1−$2.3M
Oct 2$0
Oct 5$0
Oct 6−$2.2M
Oct 7$0
Oct 8−$2.2M
Oct 9−$2.2M
Oct 12−$9M
Oct 13$0
Oct 14$0
Oct 15$0
Oct 16$2.3M
Oct 19−$22.5M
Oct 20$0
Oct 21$0
Oct 22$0
Oct 23$0
Oct 26$0
The desk’s read

Money is leaving — −$43M in net outflows over the past month, about 28.3% of the fund's asset base, while the price has returned +5.7% so far this year. At 0.35% a year it is not the cheapest way in — IWM has a reported fee of 0.19%.

COMPOSED FROM THE FUND’S OWN DAILY RECORDS · UPDATED WITH EACH REFRESH

$151Massets under management
0.35%expense ratio · $35 per $10,000 a year
−$43Mnet flow, trailing month
39Kavg daily volume, 30 days
68holdings · US-domiciled
2011listed January 26, 2011 · beta 0.82
The book at a glance
ATRC+0.7%ASST+3.1%INSP+0.4%HAE+0.7%GKOS+1.6%MMSI-0.7%ITGR+0.2%BFLY+10.8%NEOG+2.1%ATEC-0.3%BDX-0.7%CNMD-1.0%RMD-0.9%UFPT+1.2%BAX-1.5%TNDM+1.7%MDT-0.9%ICUI-1.7%ABT-1.7%PLSE+1.0%AORT-0.2%GEHC-1.2%STE-0.7%ZBH-1.4%IRTC+1.5%ISRG-1.3%EW+0.3%TFX+1.6%DXCM-0.0%LIVN-0.3%SOLV-3.3%BBNX+4.3%PEN-0.4%IDXX-1.6%QDEL-1.3%LNTH+0.2%GMED-1.1%SIBN+0.6%PODD+0.4%ENOV+1.8%

CELL SIZE IS PORTFOLIO WEIGHT · COLOR IS THE CHANGE IN THE LATEST AVAILABLE SNAPSHOT · TOP 40 POSITIONS

Holdings
#HoldingWeightPriceDay52-wk
1ATRCATRICURE1.60%$61.51+0.7%
2ASSTASSET ENTITIES1.19%$27.14+3.1%
3INSPINSPIRE MEDICAL SYSTEMS1.66%$71.30+0.4%
4HAEHAEMONETICS1.49%$119.97+0.7%
5GKOSGLAUKOS1.79%$181.17+1.6%
6MMSIMERIT MEDICAL SYSTEMS1.63%$93.53-0.7%
7ITGRINTEGER HOLDINGS1.61%$126.74+0.2%
8BFLYBUTTERFLY NETWORK2.45%$7.38+10.8%
9NEOGNEOGEN1.54%$12.47+2.1%
10ATECALPHATEC HOLDINGS1.67%$10.87-0.3%
11BDXBECTON DICKINSON &1.60%$195.03-0.7%
12CNMDCONMED1.41%$47.20-1.0%
13RMDRESMED1.58%$250.80-0.9%
14UFPTUFP TECHNOLOGIES1.79%$294.84+1.2%
15BAXBAXTER INTERNATIONAL1.64%$24.92-1.5%

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Sector weights

  • Healthcare98.42%
  • Health Technology91.09%
  • Electronic Technology2.41%
  • Producer Manufacturing1.8%
  • Distribution Services1.76%
  • Process Industries1.67%
  • Industrials1.58%
  • Technology Services1.14%
  • Other0.13%
  • Mutual fund0.13%
Source: Portfolio composition, latest disclosure
Show as table
ItemValue (%)
Healthcare98.42%
Health Technology91.09%
Electronic Technology2.41%
Producer Manufacturing1.8%
Distribution Services1.76%
Process Industries1.67%
Industrials1.58%
Technology Services1.14%
Other0.13%
Mutual fund0.13%

Country weights

  • United States100%
  • Ireland3.07%
  • United Kingdom1.92%
  • Jersey1.6%
Source: Portfolio composition, latest disclosure
Show as table
ItemValue (%)
United States100%
Ireland3.07%
United Kingdom1.92%
Jersey1.6%
Performance
1 week+2.0%
1 month+2.1%
3 months+6.5%
6 months+12.7%
YTD+5.7%
1 year+14.0%
3 years—

PRICE RETURN, DISTRIBUTIONS NOT REINVESTED

Net flows
1 week—
1 month−$43M
3 months−$13M
YTD−$11M
1 year−$15M

CREATION/REDEMPTION DOLLARS, DAILY RECORDS

Monthly net flows

  • Inflow / above zero
  • Outflow / below zero
+$500KNov+$2.2MDec−$4.4MJan$0Feb+$2.1MMar−$10.1MApr−$50KMay+$16MJun−$2MJul+$11.7MAug+$13.7MSep−$38.1MOctNovDecJanFebMarAprMayJunJulAugSep−$38.1MOctNovJanMarMayJul−$38.1MOct
Source: Daily creation/redemption records, trailing twelve months
Show as table
LabelValue ($)
Nov$500K
Dec$2.2M
Jan−$4.4M
Feb$0
Mar$2.1M
Apr−$10.1M
May−$50K
Jun$16M
Jul−$2M
Aug$11.7M
Sep$13.7M
Oct−$38.1M
The risk read
22%realized volatility, 30 days (annualized)
23%realized volatility, 1 year
-18.3%deepest fall from a peak, 1 year
-3.8%latest close versus that peak

The top holding is 2.5% of the book; the top ten carry 18%. Spread across 68+ names, it behaves like roughly 63 equally-weighted positions.

VOLATILITY & DRAWDOWN FROM THE DAILY TAPE · CONCENTRATION FROM THE LATEST DISCLOSED BOOK

Options tape
—calls · latest snapshot
—puts · latest snapshot
—put/call ratio
6Kshares traded
Most-traded holdings, options premiumBullishBearish
BSX BOSTON SCIENTIFIC$3M$3M
ASST ASSET ENTITIES$3M$3M
ISRG INTUITIVE SURGICAL$2M$2M
AXGN AXOGEN$2M$1M
GKOS GLAUKOS$638,579$392,529

TODAY’S OPTIONS PREMIUM IN THE FUND’S UNDERLYING NAMES

The case against XHE

Due diligence cuts both ways. These funds sit on the same shelf and beat XHE on at least one dimension that matters — the fee, the asset base, or where the money is going.

FundFeeAssetsFlow, 1MThe case
SPDW SPDR Portfolio Developed World ex-US ETF0.03%$40.7B+$609M-32bp on fee · 270× the assets · +$609M in over the monthHead-to-head
SPMD State Street SPDR Portfolio S&P 400 Mid Cap ETF0.03%$18.4B+$199M-32bp on fee · 122× the assets · +$199M in over the monthHead-to-head
IDEV iShares Core MSCI International Developed Markets ETF0.04%$32.4B+$497M-31bp on fee · 215× the assets · +$497M in over the monthHead-to-head
IGSB iShares 1-5 Year Investment Grade Corporate Bond ETF0.04%$23.7B+$47M-31bp on fee · 157× the assets · +$47M in over the monthHead-to-head
IGIB iShares 5-10 Year Investment Grade Corporate Bond ETF0.04%$18.6B+$412M-31bp on fee · 123× the assets · +$412M in over the monthHead-to-head
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