XHE vs SPY
Comparison between STATE STREET(R) SPDR(R) S&P(R) HEALTH CARE EQUIPMENT ETF (XHE, ETF) and SPDR S&P 500 ETF Trust (SPY, ETF).
5-Year PerformanceSPY has outperformed XHE, delivering a return of +13.0% compared to -7.2%
XHE vs SPY - Performance Comparison
Key Characteristics
Financial metrics and valuation ratios
Net Assets
XHE
$151M
Winner
SPY
$781B
Expense Ratio
XHE
0.35%
Winner
SPY
0.09%
Max Drawdown
Winner
XHE
49.94%
SPY
56.47%
Sharpe Ratio
XHE
0.48
Winner
SPY
1.25
5Y Beta
Winner
XHE
0.86
SPY
1.00
P/E Ratio
Winner
XHE
-19.93
SPY
28.78
Forward P/E
Winner
XHE
15.87
SPY
21.23
5Y Dividends CAGR
Winner
XHE
100.29%
SPY
6.00%
5Y EPS CAGR
XHE
8.49%
Winner
SPY
25.62%
Debt to Equity
Winner
XHE
-156.21%
SPY
31.92%
P/S Ratio
Winner
XHE
2.12
SPY
3.76
P/B Ratio
Winner
XHE
2.60
SPY
5.64
XHE vs SPY - Holdings Comparison
XHE and SPY have 19 common holdings. Overlap is 1.38%
XHE's top 25 holdings weight is 44.83%. SPY's top 25 holdings weight is 51.74%.
| Rank | XHE | SPY |
|---|---|---|
| #1 | n/a (BFLY) - 2.17% | NVIDIA CORP (NVDA) - 7.89% |
| #2 | QUIDELORTHO CORP (QDEL) - 2.04% | APPLE INC (AAPL) - 7.37% |
| #3 | GLAUKOS CORP (GKOS) - 1.99% | MICROSOFT CORP (MSFT) - 4.50% |
| #4 | ATRICURE INC (ATRC) - 1.95% | AMAZON.COM INC (AMZN) - 3.82% |
| #5 | OMNICELL INC (OMCL) - 1.89% | ALPHABET INC CLASS A (GOOGL) - 3.33% |
| #6 | DENTSPLY SIRONA INC (XRAY) - 1.87% | BROADCOM INC (AVGO) - 2.86% |
| #7 | INSPIRE MEDICAL SYSTEMS INC (INSP) - 1.86% | ALPHABET INC CLASS C (GOOG) - 2.68% |
| #8 | ARTIVION INC (AORT) - 1.84% | META PLATFORMS INC CLASS A (META) - 2.29% |
| #9 | ALPHATEC HOLDINGS INC (ATEC) - 1.81% | TESLA INC (TSLA) - 1.70% |
| #10 | LEMAITRE VASCULAR INC (LMAT) - 1.76% | MICRON TECHNOLOGY INC (MU) - 1.56% |
| #11 | MEDLINE INC ORDINARY SHARES CLASS A (MDLN) - 1.75% | JPMORGAN CHASE & CO (JPM) - 1.42% |
| #12 | IRHYTHM HOLDINGS INC (IRTC) - 1.75% | ELI LILLY AND CO (LLY) - 1.40% |
| #13 | EDWARDS LIFESCIENCES CORP (EW) - 1.74% | BERKSHIRE HATHAWAY INC CLASS B (BRK-B) - 1.37% |
| #14 | UFP TECHNOLOGIES INC (UFPT) - 1.73% | ADVANCED MICRO DEVICES INC (AMD) - 1.32% |
| #15 | ICU MEDICAL INC (ICUI) - 1.73% | EXXONMOBIL HOLDINGS CORP (XOM) - 0.92% |
| #16 | ENOVIS CORP (ENOV) - 1.72% | JOHNSON & JOHNSON (JNJ) - 0.91% |
| #17 | BAXTER INTERNATIONAL INC (BAX) - 1.72% | VISA INC CLASS A (V) - 0.90% |
| #18 | ENVISTA HOLDINGS CORP ORDINARY SHARES (NVST) - 1.71% | WALMART INC (WMT) - 0.76% |
| #19 | LANTHEUS HOLDINGS INC (LNTH) - 1.70% | INTEL CORP (INTC) - 0.75% |
| #20 | ABBOTT LABORATORIES (ABT) - 1.70% | APPLIED MATERIALS INC (AMAT) - 0.70% |
| #21 | MERIT MEDICAL SYSTEMS INC (MMSI) - 1.69% | CISCO SYSTEMS INC (CSCO) - 0.68% |
| #22 | RESMED INC (RMD) - 1.69% | MASTERCARD INC CLASS A (MA) - 0.66% |
| #23 | STRYKER CORP (SYK) - 1.68% | ABBVIE INC (ABBV) - 0.66% |
| #24 | LIVANOVA PLC (LIVN) - 1.68% | CATERPILLAR INC (CAT) - 0.65% |
| #25 | INSULET CORP (PODD) - 1.66% | LAM RESEARCH CORP (LRCX) - 0.64% |
| Total Holdings | 70 | 505 |
XHE vs SPY - Historical Returns
Returns include dividend reinvestment.
1M
Winner
XHE
+7.70%
SPY
+0.52%
3M
XHE
+5.26%
Winner
SPY
+6.55%
6M
XHE
-3.51%
Winner
SPY
+9.76%
1Y
XHE
+13.06%
Winner
SPY
+20.32%
5Y(CAGR)
XHE
-7.18%
Winner
SPY
+13.01%
10Y(CAGR)
XHE
+5.86%
Winner
SPY
+15.06%
Max(CAGR)
Winner
XHE
+9.21%
SPY
+8.50%
XHE vs SPY - Annual Returns (1999 - 2026)
Returns include dividend reinvestment.
| Year | XHE | SPY |
|---|---|---|
| 2026 | -1.08% | +10.11% |
| 2025 | -0.75% | +18.00% |
| 2024 | +6.09% | +25.59% |
| 2023 | -5.73% | +26.72% |
| 2022 | -24.77% | -18.64% |
| 2021 | +3.60% | +30.52% |
| 2020 | +32.76% | +17.28% |
| 2019 | +24.69% | +31.09% |
| 2018 | +7.34% | -5.24% |
| 2017 | +30.33% | +20.78% |
| 2016 | +15.86% | +13.59% |
| 2015 | +10.94% | +1.31% |
| 2014 | +17.45% | +14.56% |
| 2013 | +34.35% | +29.00% |
| 2012 | +12.28% | +14.17% |
| 2011 | -1.58% | +0.85% |
| 2010 | N/A | +13.14% |
| 2009 | N/A | +22.67% |
| 2008 | N/A | -36.25% |
| 2007 | N/A | +5.32% |
| 2006 | N/A | +13.85% |
| 2005 | N/A | +5.32% |
| 2004 | N/A | +10.75% |
| 2003 | N/A | +24.18% |
| 2002 | N/A | -22.42% |
| 2001 | N/A | -10.13% |
| 2000 | N/A | -8.84% |
| 1999 | N/A | +8.61% |
XHE vs SPY 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 SPY was -55.20%, occurring on Mar 9, 2009. Recovery took 1224 trading sessions.
The current XHE drawdown is -34.96%. The current SPY drawdown is -1.24%.
| Rank | XHE | SPY |
|---|---|---|
| #1 | -49.92% Sep 2, 2021 - Oct 30, 2023 | -55.20% Oct 9, 2007 - Aug 16, 2012 |
| #2 | -34.17% Feb 19, 2020 - Jul 2, 2020 | -47.50% Mar 24, 2000 - Oct 26, 2006 |
| #3 | -27.37% Sep 13, 2018 - Jan 22, 2020 | -33.70% Feb 19, 2020 - Aug 10, 2020 |
| #4 | -22.05% Jul 7, 2011 - May 1, 2012 | -24.50% Jan 3, 2022 - Dec 13, 2023 |
| #5 | -20.04% Jul 22, 2015 - Jun 7, 2016 | -19.34% Sep 20, 2018 - Apr 12, 2019 |
| #6 | -11.92% Sep 7, 2016 - Feb 9, 2017 | -18.76% Feb 19, 2025 - Jun 26, 2025 |
| #7 | -11.24% Feb 12, 2021 - Jun 24, 2021 | -13.02% Jul 20, 2015 - Apr 18, 2016 |
| #8 | -10.41% Oct 3, 2012 - Jan 25, 2013 | -10.10% Jan 26, 2018 - Aug 6, 2018 |
| #9 | -10.13% Jan 29, 2018 - Mar 9, 2018 | -9.44% Sep 2, 2020 - Nov 11, 2020 |
| #10 | -9.42% May 2, 2012 - Jun 29, 2012 | -9.30% Jan 19, 2000 - Mar 17, 2000 |
| #11 | -9.25% Mar 4, 2014 - Oct 29, 2014 | -9.05% Jul 19, 2007 - Oct 5, 2007 |
| #12 | -8.30% Jul 3, 2012 - Sep 6, 2012 | -8.88% Jan 27, 2026 - Apr 14, 2026 |
| #13 | -6.97% Aug 5, 2020 - Oct 7, 2020 | -8.41% Jul 16, 2024 - Sep 19, 2024 |
| #14 | -6.92% Jun 25, 2021 - Aug 31, 2021 | -7.35% Sep 14, 2012 - Jan 2, 2013 |
| #15 | -6.51% Jan 16, 2014 - Mar 4, 2014 | -7.27% Sep 18, 2014 - Oct 31, 2014 |
Correlation
Correlation between XHE and SPY is 0.73 which considered as a strong positive correlation - the stocks tend to move together.
0.73
-101
Dividend Comparison (1999 - 2026)
XHE vs SPY dividend yield comparison.
| Year | XHE | SPY |
|---|---|---|
| 2026 | 0.00% | 0.49% |
| 2025 | 0.08% | 1.07% |
| 2024 | 0.04% | 1.21% |
| 2023 | 0.03% | 1.40% |
| 2022 | 0.04% | 1.65% |
| 2021 | 0.00% | 1.20% |
| 2020 | 0.00% | 1.52% |
| 2019 | 0.05% | 1.75% |
| 2018 | 0.09% | 2.04% |
| 2017 | 0.78% | 1.80% |
| 2016 | 0.17% | 2.03% |
| 2015 | 7.22% | 2.06% |
| 2014 | 1.83% | 1.87% |
| 2013 | 0.19% | 1.81% |
| 2012 | 2.03% | 2.18% |
| 2011 | 0.45% | 2.05% |
| 2010 | 0.00% | 1.80% |
| 2009 | 0.00% | 1.95% |
| 2008 | 0.00% | 3.02% |
| 2007 | 0.00% | 1.85% |
| 2006 | 0.00% | 1.73% |
| 2005 | 0.00% | 1.73% |
| 2004 | 0.00% | 1.82% |
| 2003 | 0.00% | 1.47% |
| 2002 | 0.00% | 1.70% |
| 2001 | 0.00% | 1.25% |
| 2000 | 0.00% | 1.15% |
| 1999 | 0.00% | 0.24% |
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