XHE holdings and overlap
State Street SPDR S&P Health Care Equipment ETF (XHE) holds 72 positions in its SPDR file of 2026-10-27. Its three largest are Intuitive Surgical (ISRG) at 1.95%, Beta Bionics Inc (BBNX) at 1.90% and Alphatec (ATEC) at 1.87%, and its ten largest make up 17.9% of the fund.
In its SPDR file of 2026-10-27, XHE is 99.9% health care by sector, with none of it in mega-cap tech or in the ten largest US companies by market value.
What does XHE hold, as of its issuer file of 2026-10-27?
Intuitive Surgical is 1.95% of XHE on its own, against a median largest position of 8.6% across the 28 Health Care funds with a page here. 97 of the 594 funds with a page hold ISRG, and XHE gives it more weight than all but 9 of them.
| Rank | Company | Weight | Weight bar |
|---|---|---|---|
| 1 | ISRG Intuitive Surgical | 1.95% | |
| 2 | BBNX Beta Bionics Inc | 1.9% | |
| 3 | ATEC Alphatec | 1.87% | |
| 4 | HAE Haemonetics | 1.8% | |
| 5 | ATRC AtriCure | 1.79% | |
| 6 | RMD ResMed | 1.76% | |
| 7 | ENOV Enovis | 1.75% | |
| 8 | SYK Stryker | 1.69% | |
| 9 | OMCL Omnicell | 1.69% | |
| 10 | GEHC GE HealthCare | 1.69% | |
| 11 | IDXX Idexx Laboratories | 1.68% | |
| 12 | PODD Insulet | 1.68% | |
| 13 | GMED Globus Medical | 1.68% | |
| 14 | BDX Becton Dickinson | 1.68% | |
| 15 | QDEL QuidelOrtho | 1.66% | |
| 16 | MMSI Merit Medical Systems | 1.66% | |
| 17 | INSP Inspire Medical Systems | 1.66% | |
| 18 | STE Steris | 1.64% | |
| 19 | UFPT UFP Technologies | 1.64% | |
| 20 | LMAT LeMaitre Vascular | 1.63% | |
| 21 | EW Edwards Lifesciences | 1.63% | |
| 22 | NEOG Neogen | 1.62% | |
| 23 | IRTC iRhythm | 1.6% | |
| 24 | TFX Teleflex | 1.58% | |
| 25 | MDT Medtronic | 1.58% | |
| 26 | BAX Baxter International | 1.58% | |
| 27 | LIVN LivaNova | 1.57% | |
| 28 | ASST Strive | 1.57% | |
| 29 | ZBH Zimmer Biomet | 1.57% | |
| 30 | PEN Penumbra | 1.57% | |
| 31 | ICUI ICU Medical | 1.57% | |
| 32 | GKOS Glaukos | 1.56% | |
| 33 | ITGR Integer | 1.56% | |
| 34 | TNDM Tandem Diabetes Care | 1.55% | |
| 35 | CNMD CONMED | 1.55% | |
| 36 | IRMD iRadimed | 1.55% | |
| 37 | BSX Boston Scientific | 1.55% | |
| 38 | STAA STAAR Surgical | 1.54% | |
| 39 | LNTH Lantheus | 1.54% | |
| 40 | ALGN Align Technology | 1.53% | |
| 41 | BFLY Butterfly Network | 1.53% | |
| 42 | ABT Abbott Laboratories | 1.51% | |
| 43 | PLSE Pulse Biosciences | 1.49% | |
| 44 | PRCT PROCEPT BioRobotics | 1.47% | |
| 45 | MDLN Medline Inc | 1.47% | |
| 46 | COO Cooper Companies | 1.46% | |
| 47 | DXCM Dexcom | 1.45% | |
| 48 | NVCR NovoCure Limited | 1.45% | |
| 49 | SOLV Solventum | 1.42% | |
| 50 | AORT Artivion | 1.41% | |
| 51 | NVST Envista | 1.38% | |
| 52 | XRAY DENTSPLY SIRONA | 1.35% | |
| 53 | SIBN SI-BONE | 1.28% | |
| 54 | KMTS Kestra Medical Technologies | 1.25% | |
| 55 | TMDX TransMedics Group | 1.25% | |
| 56 | AXGN Axogen | 1.22% | |
| 57 | BVS Bioventus | 1.14% | |
| 58 | IART Integra LifeSciences | 1.14% | |
| 59 | MMED Minimed Group Inc | 1.05% | |
| 60 | CBLL Ceribell Inc | 1.0% | |
| 61 | AVR Anteris Technologies Global | 0.98% | |
| 62 | CERS Cerus | 0.94% | |
| 63 | TCMD Tactile Systems Technology | 0.9% | |
| 64 | DCTH Delcath Systems | 0.81% | |
| 65 | CLPT ClearPoint Neuro | 0.71% | |
| 66 | VREX Varex Imaging | 0.59% | |
| 67 | ANGO AngioDynamics | 0.55% | |
| 68 | OFIX Orthofix Medical | 0.53% | |
| 69 | SENS Senseonics | 0.5% | |
| 70 | KIDS OrthoPediatrics | 0.49% | |
| 71 | NPCE Neuropace | 0.34% | |
| 72 | 2602335D Contra Hologic Incorpo | 0.0% |
The most recent file State Street SPDR has published for XHE is dated 2026-10-27, 1 day before these prices, which is the median for the State Street SPDR ETFs covered here. Every one of the 72 positions XHE holds, with its weight, is in the fund's JSON file. See the other 96 ETFs with a page here that hold ISRG, and how their weights compare with the 1.95% XHE gives it.
Category: Health Care, set by TickerInside from the ETF's own latest file. In its file of 2026-10-27, 100% of its stocks whose sector is known are health care companies, each in the sector the site gives that company. How categories are set.
https://tickerinside.com/api/v1/fund/xhe.jsonhttps://tickerinside.com/api/v1/fund/xhe.csv=IMPORTDATA("https://tickerinside.com/api/v1/fund/xhe.csv")If your sheet uses a decimal comma: =IMPORTDATA("https://tickerinside.com/api/v1/fund/xhe.csv"; ","; "en_US")curl -s https://tickerinside.com/api/v1/fund/xhe.jsonHow much money went into or out of XHE?
On the close of Friday, October 23, 2026, XHE neither created nor redeemed shares. Over its last 5 closes, a net outflow of $26 million.
From XHE's own holdings files. Every ETF's latest flows.
How is XHE split by sector?
| Sector | Weight | Weight bar |
|---|---|---|
| Health care | 99.9% |
From its SPDR file of 2026-10-27. How these are measured.
What did XHE hold in its SEC reports since 2019?
In XHE's SEC filings, its largest position went from Insulet Corporation (PODD) at 2.00% on 2019-09-30 to Butterfly Network, Inc. (BFLY) at 2.56% on 2026-06-30, across 28 quarterly reports.
| Report | Positions | Largest | Top 10 |
|---|---|---|---|
| 2019-09-30 | 65 | PODD 2.00% | 18.1% |
| 2019-12-31 | 65 | DXCM 1.78% | 17.5% |
| 2020-12-31 | 80 | NARI 1.69% | 15.6% |
| 2021-12-31 | 84 | IRTC 1.61% | 14.3% |
| 2022-12-31 | 78 | ALGN 1.65% | 15.8% |
| 2023-12-31 | 68 | SILK 1.88% | 18.1% |
| 2024-12-31 | 65 | QDEL 2.01% | 19.0% |
| 2025-12-31 | 65 | LNTH 1.93% | 18.6% |
| 2026-06-30 | 67 | BFLY 2.56% | 19.2% |
The first report, then the last of each year, of the 28 reports XHE filed on SEC Form N-PORT from 2019-09-30 to 2026-06-30, each company under its ticker today. Every position of every report is in its quarterly file, and at any date at /api/v1/history/xhe/{date}.json. How these are read.
What does XHE share with other ETFs?
The ETF nearest to XHE is IHI: the two hold 35.8% of their weight in common, in the 48 companies both own, and 72.0% of XHE itself is also held there. No covered ETF holds more than that in common with XHE; it duplicates nothing here closely.
| ETF | Overlap by weight | Of XHE held there | Of that ETF in XHE | Companies in both | Overlap bar |
|---|---|---|---|---|---|
| IHI | 35.8% | 72.0% | 100.0% | 48 | |
| RSPH | 28.9% | 29.1% | 29.1% | 18 | |
| PSCH | 20.2% | 29.8% | 28.2% | 19 | |
| VHT | 14.4% | 92.1% | 15.7% | 63 | |
| IYH | 13.5% | 36.8% | 15.2% | 23 | |
| XLV | 13.0% | 29.1% | 14.9% | 19 | |
| IXJ | 10.7% | 29.1% | 11.3% | 18 | |
| FMED | 7.3% | 9.4% | 7.6% | 6 | |
| POWA | 6.6% | 6.6% | 7.6% | 4 | |
| PTH | 5.4% | 8.0% | 6.3% | 5 | |
| SDY | 4.8% | 6.4% | 5.1% | 4 | |
| NOBL | 4.8% | 4.8% | 4.8% | 3 |
VHT's holdings are from its SEC Form N-PORT for the period ended 2026-05-31, filed 2026-07-29. FMED's holdings are from its SEC Form N-PORT for the period ended 2026-08-31, filed 2026-10-26. NOBL's holdings are from its SEC Form N-PORT for the period ended 2026-08-31, filed 2026-10-28. The other ETFs' holdings are from their issuers' latest files. Check XHE against any ETF in the ETF overlap calculator · how overlap is measured.
What adds something different to XHE?
MCHI shares 0% of weight with XHE and its weekly returns correlate with it at 0.21 over three years. The table lists the covered ETFs with the least in common with XHE, least shared weight first and, among equals, lowest correlation.
| ETF | Name | Overlap by weight | Correlation, 3y | Companies in both |
|---|---|---|---|---|
| MCHI | iShares MSCI China ETF | 0.0% | 0.21 | 0 |
| RING | iShares MSCI Global Gold Miners ETF | 0.0% | 0.24 | 0 |
| SOXX | iShares Semiconductor ETF | 0.0% | 0.33 | 0 |
| MTUM | iShares MSCI USA Momentum Factor ETF | 0.0% | 0.37 | 0 |
| PICK | iShares MSCI Global Metals & Mining Producers ETF | 0.0% | 0.40 | 0 |
| PFF | iShares Preferred and Income Securities ETF | 0.0% | 0.50 | 0 |
| SCZ | iShares MSCI EAFE Small-Cap ETF | 0.0% | 0.55 | 0 |
| USRT | iShares Core U.S. REIT ETF | 0.0% | 0.59 | 0 |
Cost, returns and risk
| Expense ratio | 0.35% |
|---|---|
| Dividend yield | 0.02% |
| Total return, 1 year | 17.9% |
| Total return, 3 years cumulative | 31.7% |
| Total return, 5 years cumulative | -28.2% |
| Volatility, annualised | 19.8% |
| Worst fall, 3 years | -21.0% |
| Beta against SPY, 3 years of weekly returns | 0.81 |
| Weight in the ten largest positions | 17.9% |
| Largest single position | 2.0% |
| Assets under management | $0.2B |
Expense ratio, yield and assets are reference data (the expense ratio from XHE's SEC filing of 2026-10-26); the weight in the ten largest positions and the largest single position are from the issuer file of 2026-10-27; every other figure is computed here from weekly closes.
How it moves with the market
| Against | Correlation, 3 years | Covariance, annualised, in percent squared |
|---|---|---|
| SPY | 0.57loosely linked | 156 |
| QQQ | 0.43loosely linked | 165 |
Weekly total returns. What the bands mean · why the covariance is printed.
Year by year
| Year | Total return |
|---|---|
| 2026 | 6.6% |
| 2025 | -0.2% |
| 2024 | 5.1% |
| 2023 | -6.2% |
| 2022 | -23.3% |
One year
Where to go next
- XHS, State Street SPDR S&P Health Care Services ETF
- XLV, Health Care Select Sector SPDR Fund
- XPH, State Street SPDR S&P Pharmaceuticals ETF
- ARKG, ARK Genomic Revolution ETF
- Run a portfolio x-ray to see what XHE carries once you look through it
- Compare XHE against any other ETF in the builder
Holdings from the most recent file State Street SPDR has published, dated 2026-10-27. Prices through 2026-10-28. How every figure here is produced. Measurements, not investment advice.
Cite this page
TickerInside, State Street SPDR S&P Health Care Equipment ETF (XHE), holdings from the issuer's file of 2026-10-27, https://tickerinside.com/etf/xhe/, CC BY 4.0
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