XHE vs SMDX
Comparison between STATE STREET(R) SPDR(R) S&P(R) HEALTH CARE EQUIPMENT ETF (XHE, ETF) and INTECH S&P SMALL-MID CAP DIVERSIFIED ALPHA ETF (SMDX, ETF).
XHE vs SMDX - Performance Comparison
Key Characteristics
Financial metrics and valuation ratios
Net Assets
Winner
XHE
$127M
SMDX
$127M
Expense Ratio
XHE
0.35%
SMDX
0.35%
Max Drawdown
XHE
49.94%
Winner
SMDX
14.52%
Sharpe Ratio
XHE
-0.08
Winner
SMDX
1.48
5Y Beta
Winner
XHE
0.87
SMDX
0.95
P/E Ratio
Winner
XHE
-20.06
SMDX
22.88
Forward P/E
XHE
15.40
Winner
SMDX
14.65
5Y Dividends CAGR
XHE
100.29%
SMDX
N/A
5Y EPS CAGR
XHE
7.52%
Winner
SMDX
16.61%
Debt to Equity
Winner
XHE
-74.96%
SMDX
49.70%
P/S Ratio
XHE
1.95
Winner
SMDX
1.27
P/B Ratio
XHE
2.52
Winner
SMDX
2.34
XHE vs SMDX - Holdings Comparison
XHE and SMDX have 23 common holdings. Overlap is 2.03%
XHE's top 25 holdings weight is 49.16%. SMDX's top 25 holdings weight is 19.15%.
| Rank | XHE | SMDX |
|---|---|---|
| #1 | STAAR SURGICAL CO (STAA) - 2.87% | JONES LANG LASALLE INC (JLL) - 1.25% |
| #2 | NOVOCURE LTD (NVCR) - 2.23% | EAST WEST BANCORP INC (EWBC) - 1.24% |
| #3 | AXOGEN INC (AXGN) - 2.18% | US FOODS HOLDING CORP (USFD) - 1.02% |
| #4 | AVANOS MEDICAL INC (AVNS) - 2.16% | XPO INC (XPO) - 1.01% |
| #5 | INTEGRA LIFESCIENCES HOLDINGS CORP (IART) - 2.14% | LAMAR ADVERTISING CO CLASS A (LAMR) - 1.01% |
| #6 | n/a (BFLY) - 2.13% | TENET HEALTHCARE CORP (THC) - 0.96% |
| #7 | LIVANOVA PLC (LIVN) - 2.09% | EXELIXIS INC (EXEL) - 0.89% |
| #8 | LANTHEUS HOLDINGS INC (LNTH) - 2.08% | UNITED THERAPEUTICS CORP (UTHR) - 0.88% |
| #9 | SOLVENTUM CORP (SOLV) - 2.01% | AECOM (ACM) - 0.88% |
| #10 | OMNICELL INC (OMCL) - 1.99% | ORMAT TECHNOLOGIES INC (ORA) - 0.81% |
| #11 | TELEFLEX INC (TFX) - 1.99% | EVERPURE INC CLASS A (P) - 0.76% |
| #12 | DEXCOM INC (DXCM) - 1.97% | MEDPACE HOLDINGS INC (MEDP) - 0.75% |
| #13 | HAEMONETICS CORP (HAE) - 1.95% | WOODWARD INC (WWD) - 0.75% |
| #14 | GLAUKOS CORP (GKOS) - 1.91% | ACUITY INC (AYI) - 0.73% |
| #15 | INTEGER HOLDINGS CORP (ITGR) - 1.88% | UNIVERSAL DISPLAY CORP (OLED) - 0.73% |
| #16 | UFP TECHNOLOGIES INC (UFPT) - 1.84% | VALLEY NATIONAL BANCORP (VLY) - 0.71% |
| #17 | BAXTER INTERNATIONAL INC (BAX) - 1.84% | BRADY CORP CLASS A (BRC) - 0.70% |
| #18 | EDWARDS LIFESCIENCES CORP (EW) - 1.84% | COMMERCIAL METALS CO (CMC) - 0.70% |
| #19 | MASIMO CORP (MASI) - 1.82% | OMEGA HEALTHCARE INVESTORS INC (OHI) - 0.69% |
| #20 | ICU MEDICAL INC (ICUI) - 1.74% | GRANITE CONSTRUCTION INC (GVA) - 0.68% |
| #21 | PROCEPT BIOROBOTICS CORP (PRCT) - 1.72% | ROGERS CORP (ROG) - 0.41% |
| #22 | STRIVE INC CLASS A (ASST) - 1.71% | INTERFACE INC (TILE) - 0.40% |
| #23 | ALIGN TECHNOLOGY INC (ALGN) - 1.69% | CARLISLE COMPANIES INC (CSL) - 0.40% |
| #24 | STERIS PLC (STE) - 1.69% | AUTONATION INC (AN) - 0.40% |
| #25 | PENUMBRA INC (PEN) - 1.69% | ENERSYS (ENS) - 0.39% |
| Total Holdings | 69 | 519 |
XHE vs SMDX - Historical Returns
Returns include dividend reinvestment.
1M
Winner
XHE
+5.91%
SMDX
+5.86%
3M
XHE
+1.95%
Winner
SMDX
+13.64%
6M
XHE
-7.75%
Winner
SMDX
+15.33%
1Y
XHE
+1.73%
Winner
SMDX
+30.82%
5Y(CAGR)
XHE
-8.08%
SMDX
N/A
10Y(CAGR)
XHE
+6.13%
SMDX
N/A
Max(CAGR)
XHE
+8.89%
Winner
SMDX
+24.74%
XHE vs SMDX - Annual Returns (2011 - 2026)
Returns include dividend reinvestment.
| Year | XHE | SMDX |
|---|---|---|
| 2026 | -6.19% | +15.15% |
| 2025 | -0.75% | +14.21% |
| 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 SMDX 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 SMDX was -14.52%, occurring on Apr 7, 2025. Recovery took 50 trading sessions.
The current XHE drawdown is -38.32%. The current SMDX drawdown is -0.10%.
| Rank | XHE | SMDX |
|---|---|---|
| #1 | -49.92% Sep 2, 2021 - Oct 30, 2023 | -14.52% Feb 28, 2025 - May 12, 2025 |
| #2 | -34.17% Feb 19, 2020 - Jul 2, 2020 | -8.66% Feb 6, 2026 - Apr 14, 2026 |
| #3 | -27.37% Sep 13, 2018 - Jan 22, 2020 | -6.74% Oct 27, 2025 - Nov 28, 2025 |
| #4 | -22.05% Jul 7, 2011 - May 1, 2012 | -5.15% Sep 11, 2025 - Oct 24, 2025 |
| #5 | -20.04% Jul 22, 2015 - Jun 7, 2016 | -4.44% May 6, 2026 - Jun 4, 2026 |
| #6 | -11.92% Sep 7, 2016 - Feb 9, 2017 | -3.79% Jul 25, 2025 - Aug 12, 2025 |
| #7 | -11.24% Feb 12, 2021 - Jun 24, 2021 | -3.74% May 16, 2025 - Jun 23, 2025 |
| #8 | -10.41% Oct 3, 2012 - Jan 25, 2013 | -3.16% Jul 10, 2025 - Jul 25, 2025 |
| #9 | -10.13% Jan 29, 2018 - Mar 9, 2018 | -2.52% Dec 11, 2025 - Jan 6, 2026 |
| #10 | -9.42% May 2, 2012 - Jun 29, 2012 | -2.21% Apr 20, 2026 - May 6, 2026 |
| #11 | -9.25% Mar 4, 2014 - Oct 29, 2014 | -1.76% Aug 13, 2025 - Aug 22, 2025 |
| #12 | -8.30% Jul 3, 2012 - Sep 6, 2012 | -1.69% Jan 15, 2026 - Jan 21, 2026 |
| #13 | -6.97% Aug 5, 2020 - Oct 7, 2020 | -1.56% Jan 21, 2026 - Feb 4, 2026 |
| #14 | -6.92% Jun 25, 2021 - Aug 31, 2021 | -1.42% Jun 4, 2026 - Jun 11, 2026 |
| #15 | -6.51% Jan 16, 2014 - Mar 4, 2014 | -1.08% Aug 27, 2025 - Sep 4, 2025 |
Correlation
Correlation between XHE and SMDX is 0.08 which considered as a very weak or no correlation - the stocks move independently of each other.
0.08
-101
Dividend Comparison (2011 - 2025)
XHE vs SMDX dividend yield comparison.
| Year | XHE | SMDX |
|---|---|---|
| 2025 | 0.08% | 0.61% |
| 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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