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Friday, October 2, 2026The Morning Brief →Sign in
XHESPDRINDEX

SPDR S&P Health Care Equipment ETF

$89.28-1.59% vs prior close
769752-WK

Price through Sep 30 · Flows through Sep 29. Figures use the latest available records, not a live quote. Fund details retrieved Oct 1. Holdings snapshot retrieved Oct 1.

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").

Price & daily flows
92.586.680.789.28DAILY NET FLOWOct 1Jan 30Jun 1Oct 1

SOURCE: MARKET TAPE & DAILY CREATION/REDEMPTION RECORDS · 1Y SHOWN · NET +$26M OVER THIS RANGE

The desk’s read

Money keeps arriving — +$14M of net inflows over the past month, about 7.4% of the fund's asset base, while the price has returned +1.2% so far this year. At 0.35% a year it is not the cheapest way in — AVIE has a reported fee of 0.25%.

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

$186Massets under management
0.35%expense ratio · $35 per $10,000 a year
+$14Mnet flow, trailing month
32Kavg daily volume, 30 days
68holdings · US-domiciled
2011listed January 25, 2011 · beta 0.84
The book at a glance
ASST+2.4%ATRC-4.6%INSP+2.0%BFLY-4.8%ITGR+0.1%NEOG-4.4%GKOS-0.6%HAE-0.9%MMSI-0.1%UFPT-0.6%CNMD-0.6%ATEC-4.1%BDX-0.5%BAX-1.5%DXCM-0.1%RMD+0.0%ICUI-2.1%SOLV-0.4%ABT-2.2%MDT+0.2%AORT-3.9%PLSE-0.2%TMDX-5.8%TNDM+1.2%STE-0.3%GEHC-2.1%PEN-0.1%ZBH-0.9%LNTH+0.1%EW-1.3%IRTC-2.3%ISRG-1.3%AXGN-4.8%NVST-1.3%LIVN-2.4%MDLN+0.7%NVCR-0.2%TFX+0.9%IDXX-0.9%GMED-0.7%

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

HoldingsDownload CSV
#HoldingWeightPriceDay52-wk
1ASSTASSET ENTITIES1.19%$30.11+2.4%
2ATRCATRICURE1.60%$53.59-4.6%
3INSPINSPIRE MEDICAL SYSTEMS1.66%$70.78+2.0%
4BFLYBUTTERFLY NETWORK2.45%$8.53-4.8%
5ITGRINTEGER HOLDINGS1.61%$126.42+0.1%
6NEOGNEOGEN1.54%$12.24-4.4%
7GKOSGLAUKOS1.79%$163.17-0.6%
8HAEHAEMONETICS1.49%$104.37-0.9%
9MMSIMERIT MEDICAL SYSTEMS1.63%$86.15-0.1%
10UFPTUFP TECHNOLOGIES1.79%$294.99-0.6%
11CNMDCONMED1.41%$45.93-0.6%
12ATECALPHATEC HOLDINGS1.67%$9.90-4.1%
13BDXBECTON DICKINSON &1.60%$178.07-0.5%
14BAXBAXTER INTERNATIONAL1.64%$23.64-1.5%
15DXCMDEXCOM1.41%$86.23-0.1%

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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%
PORTFOLIO COMPOSITION, LATEST DISCLOSURE
Country weights
United States100%
Ireland3.07%
United Kingdom1.92%
Jersey1.6%
PORTFOLIO COMPOSITION, LATEST DISCLOSURE
Performance
1 week-2.3%
1 month-5.0%
3 months+4.3%
6 months+17.1%
YTD+1.2%
1 year+13.4%
3 years—

PRICE RETURN, DISTRIBUTIONS NOT REINVESTED

Net flows
1 week−$7M
1 month+$14M
3 months+$23M
YTD+$27M
1 year+$26M

CREATION/REDEMPTION DOLLARS, DAILY RECORDS

Monthly net flows
OctNovDecJanFebMarAprMayJunJulAugSep
DAILY CREATION/REDEMPTION RECORDS, TRAILING TWELVE MONTHS
The risk read
16%realized volatility, 30 days (annualized)
23%realized volatility, 1 year
-18.3%deepest fall from a peak, 1 year
-7.9%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
10Kshares traded
Most-traded holdings, options premiumBullishBearish
MDT MEDTRONIC$4M$11M
BSX BOSTON SCIENTIFIC$1M$8M
ASST ASSET ENTITIES$2M$6M
SYK STRYKER$2M$5M
ISRG INTUITIVE SURGICAL$2M$4M

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 State Street SPDR Portfolio Developed World ex-US ETF0.03%$41.5B+$286M-32bp on fee · 223× the assets · +$286M in over the monthHead-to-head
SPMD State Street SPDR Portfolio S&P 400 Mid Cap ETF0.03%$18.2B+$199M-32bp on fee · 98× the assets · +$199M in over the monthHead-to-head
IDEV iShares Core MSCI International Developed Markets ETF0.04%$32.9B+$497M-31bp on fee · 177× the assets · +$497M in over the monthHead-to-head
IGSB iShares 1-5 Year Investment Grade Corporate Bond ETF0.04%$23.7B+$575M-31bp on fee · 127× the assets · +$575M in over the monthHead-to-head
IGIB iShares 5-10 Year Investment Grade Corporate Bond ETF0.04%$18.6B+$412M-31bp on fee · 100× the assets · +$412M in over the monthHead-to-head
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InstrumentsHarvest substitutesTrade cost at $1MClient tearsheetStress this fund
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