XHE vs CSTK
Comparison between STATE STREET(R) SPDR(R) S&P(R) HEALTH CARE EQUIPMENT ETF (XHE, ETF) and Invesco Comstock Contrarian Equity ETF (CSTK, ETF).
XHE vs CSTK - Performance Comparison
Key Characteristics
Financial metrics and valuation ratios
Net Assets
Winner
XHE
$130M
CSTK
$129M
Expense Ratio
XHE
0.35%
CSTK
0.35%
Max Drawdown
XHE
49.94%
Winner
CSTK
9.35%
Sharpe Ratio
XHE
-0.08
Winner
CSTK
1.84
5Y Beta
XHE
0.87
Winner
CSTK
0.73
P/E Ratio
Winner
XHE
-20.00
CSTK
20.79
Forward P/E
Winner
XHE
15.47
CSTK
15.76
PEG Ratio
XHE
N/A
CSTK
0.52
5Y Dividends CAGR
XHE
100.29%
CSTK
N/A
5Y EPS CAGR
XHE
7.72%
Winner
CSTK
11.06%
Debt to Equity
Winner
XHE
-80.40%
CSTK
-36.99%
P/S Ratio
Winner
XHE
1.89
CSTK
1.96
P/B Ratio
Winner
XHE
2.41
CSTK
2.72
XHE vs CSTK - Holdings Comparison
XHE and CSTK have 4 common holdings. Overlap is 2.55%
XHE's top 25 holdings weight is 48.74%. CSTK's top 25 holdings weight is 62.73%.
| Rank | XHE | CSTK |
|---|---|---|
| #1 | STAAR SURGICAL CO (STAA) - 2.81% | ALPHABET INC CLASS A (GOOGL) - 4.47% |
| #2 | NOVOCURE LTD (NVCR) - 2.56% | CISCO SYSTEMS INC (CSCO) - 3.68% |
| #3 | GLAUKOS CORP (GKOS) - 2.34% | BANK OF AMERICA CORP (BAC) - 3.62% |
| #4 | AXOGEN INC (AXGN) - 2.24% | CVS HEALTH CORP (CVS) - 3.20% |
| #5 | AVANOS MEDICAL INC (AVNS) - 2.12% | INVESCO PREMIER US GOVERNMENT MONEY INST (IUGXX) - 2.81% |
| #6 | LANTHEUS HOLDINGS INC (LNTH) - 2.06% | WELLS FARGO & CO (WFC) - 2.76% |
| #7 | OMNICELL INC (OMCL) - 2.06% | STATE STREET CORP (STT) - 2.69% |
| #8 | LIVANOVA PLC (LIVN) - 2.03% | PHILIP MORRIS INTERNATIONAL INC (PM) - 2.60% |
| #9 | TELEFLEX INC (TFX) - 2.03% | CHEVRON CORP (CVX) - 2.57% |
| #10 | SOLVENTUM CORP (SOLV) - 1.96% | NXP SEMICONDUCTORS NV (NXPI) - 2.53% |
| #11 | n/a (BFLY) - 1.92% | MERCK & CO INC (MRK) - 2.52% |
| #12 | INTEGRA LIFESCIENCES HOLDINGS CORP (IART) - 1.87% | MICROSOFT CORP (MSFT) - 2.47% |
| #13 | UFP TECHNOLOGIES INC (UFPT) - 1.86% | CITIZENS FINANCIAL GROUP INC (CFG) - 2.36% |
| #14 | ENOVIS CORP (ENOV) - 1.85% | CATERPILLAR INC (CAT) - 2.29% |
| #15 | PROCEPT BIOROBOTICS CORP (PRCT) - 1.82% | INTEL CORP (INTC) - 2.29% |
| #16 | MASIMO CORP (MASI) - 1.80% | FEDEX CORP (FDX) - 2.26% |
| #17 | STRIVE INC CLASS A (ASST) - 1.79% | SEMPRA (SRE) - 2.21% |
| #18 | INTEGER HOLDINGS CORP (ITGR) - 1.76% | ELEVANCE HEALTH INC (ELV) - 2.12% |
| #19 | BAXTER INTERNATIONAL INC (BAX) - 1.75% | EATON CORP PLC (ETN) - 2.10% |
| #20 | IRHYTHM HOLDINGS INC (IRTC) - 1.74% | JOHNSON CONTROLS INTERNATIONAL PLC REGISTERED SHARES (JCI) - 2.07% |
| #21 | PENUMBRA INC (PEN) - 1.70% | EMERSON ELECTRIC CO (EMR) - 1.90% |
| #22 | STERIS PLC (STE) - 1.68% | UNITEDHEALTH GROUP INC (UNH) - 1.83% |
| #23 | ALIGN TECHNOLOGY INC (ALGN) - 1.67% | CONOCOPHILLIPS (COP) - 1.81% |
| #24 | EDWARDS LIFESCIENCES CORP (EW) - 1.66% | COCA-COLA CO (KO) - 1.80% |
| #25 | CONMED CORP (CNMD) - 1.66% | JOHNSON & JOHNSON (JNJ) - 1.77% |
| Total Holdings | 69 | 54 |
XHE vs CSTK - Historical Returns
Returns include dividend reinvestment.
1M
XHE
+0.70%
Winner
CSTK
+3.14%
3M
XHE
-4.11%
Winner
CSTK
+7.88%
6M
XHE
-9.51%
Winner
CSTK
+13.27%
1Y
XHE
-0.93%
Winner
CSTK
+27.43%
5Y(CAGR)
XHE
-7.55%
CSTK
N/A
10Y(CAGR)
XHE
+6.00%
CSTK
N/A
Max(CAGR)
XHE
+8.80%
Winner
CSTK
+29.29%
XHE vs CSTK - Annual Returns (2011 - 2026)
Returns include dividend reinvestment.
| Year | XHE | CSTK |
|---|---|---|
| 2026 | -7.64% | +10.76% |
| 2025 | -0.75% | +18.33% |
| 2024 | +6.09% | N/A |
| 2023 | -5.73% | N/A |
| 2022 | -24.77% | N/A |
| 2021 | +3.60% | N/A |
| 2020 | +32.76% | N/A |
| 2019 | +24.69% | N/A |
| 2018 | +7.34% | N/A |
| 2017 | +30.33% | N/A |
| 2016 | +15.86% | N/A |
| 2015 | +10.94% | N/A |
| 2014 | +17.45% | N/A |
| 2013 | +34.35% | N/A |
| 2012 | +12.28% | N/A |
| 2011 | -1.58% | N/A |
XHE vs CSTK Drawdown Comparison
The maximum drawdown for XHE was -49.92%, occurring on Oct 30, 2023. This drawdown has not yet recovered.
The maximum drawdown for CSTK was -8.88%, occurring on Mar 30, 2026. Recovery took 54 trading sessions.
The current XHE drawdown is -39.27%. The current CSTK drawdown is -1.06%.
| Rank | XHE | CSTK |
|---|---|---|
| #1 | -49.92% Sep 2, 2021 - Oct 30, 2023 | -8.88% Feb 11, 2026 - Apr 30, 2026 |
| #2 | -34.17% Feb 19, 2020 - Jul 2, 2020 | -3.81% Oct 27, 2025 - Nov 26, 2025 |
| #3 | -27.37% Sep 13, 2018 - Jan 22, 2020 | -3.43% Oct 6, 2025 - Oct 24, 2025 |
| #4 | -22.05% Jul 7, 2011 - May 1, 2012 | -2.95% Jul 25, 2025 - Aug 13, 2025 |
| #5 | -20.04% Jul 22, 2015 - Jun 7, 2016 | -2.51% May 19, 2025 - Jun 6, 2025 |
| #6 | -11.92% Sep 7, 2016 - Feb 9, 2017 | -1.93% Jan 15, 2026 - Feb 2, 2026 |
| #7 | -11.24% Feb 12, 2021 - Jun 24, 2021 | -1.93% Jul 10, 2025 - Jul 23, 2025 |
| #8 | -10.41% Oct 3, 2012 - Jan 25, 2013 | -1.42% Apr 30, 2026 - May 6, 2026 |
| #9 | -10.13% Jan 29, 2018 - Mar 9, 2018 | -1.31% Aug 22, 2025 - Sep 30, 2025 |
| #10 | -9.42% May 2, 2012 - Jun 29, 2012 | -1.28% May 26, 2026 - Jun 4, 2026 |
| #11 | -9.25% Mar 4, 2014 - Oct 29, 2014 | -1.22% Dec 11, 2025 - Dec 24, 2025 |
| #12 | -8.30% Jul 3, 2012 - Sep 6, 2012 | -1.11% May 6, 2026 - May 14, 2026 |
| #13 | -6.97% Aug 5, 2020 - Oct 7, 2020 | -1.07% Jan 6, 2026 - Jan 8, 2026 |
| #14 | -6.92% Jun 25, 2021 - Aug 31, 2021 | -1.06% Jun 4, 2026 - Jun 5, 2026 |
| #15 | -6.51% Jan 16, 2014 - Mar 4, 2014 | -1.01% Jun 12, 2025 - Jun 24, 2025 |
Correlation
Correlation between XHE and CSTK is 0.18 which considered as a very weak or no correlation - the stocks move independently of each other.
0.18
-101
Dividend Comparison (2011 - 2026)
XHE vs CSTK dividend yield comparison.
| Year | XHE | CSTK |
|---|---|---|
| 2026 | 0.00% | 0.47% |
| 2025 | 0.08% | 1.44% |
| 2024 | 0.04% | 0.00% |
| 2023 | 0.03% | 0.00% |
| 2022 | 0.04% | 0.00% |
| 2021 | 0.00% | 0.00% |
| 2019 | 0.05% | 0.00% |
| 2018 | 0.09% | 0.00% |
| 2017 | 0.78% | 0.00% |
| 2016 | 0.17% | 0.00% |
| 2015 | 7.22% | 0.00% |
| 2014 | 1.83% | 0.00% |
| 2013 | 0.19% | 0.00% |
| 2012 | 2.03% | 0.00% |
| 2011 | 0.45% | 0.00% |
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