A Daily Network publication
Explore the network
Wealth Advisor Daily
The advisor's edition — practice, portfolio, and the book.
Wednesday, October 7, 2026The Morning Brief →Sign in
XHESPDRINDEX

SPDR S&P Health Care Equipment ETF

$89.20-1.89% vs prior close
769752-WK

Price through Oct 6, 2026 · Flows through Oct 5, 2026. Figures use the latest available records, not a live quote. Fund details retrieved Oct 6, 2026. Holdings snapshot retrieved Oct 6, 2026.

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
92.090.989.789.20DAILY NET FLOWSep 8Sep 17Sep 25Oct 6

SOURCE: MARKET TAPE & DAILY CREATION/REDEMPTION RECORDS · 1M SHOWN · NET +$11M OVER THIS RANGE

The desk’s read

Money keeps arriving — +$11M of net inflows over the past month, about 6.2% of the fund's asset base, while the price has returned +1.1% so far this year. At 0.35% a year it is not the cheapest way in — IWM has a reported fee of 0.19%.

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

$184Massets under management
0.35%expense ratio · $35 per $10,000 a year
+$11Mnet flow, trailing month
32Kavg daily volume, 30 days
68holdings · US-domiciled
2011listed January 26, 2011 · beta 0.84
The book at a glance
ASST-1.7%ATRC-4.8%INSP-3.6%BFLY-7.2%ITGR+0.0%GKOS-1.5%HAE-1.1%NEOG-8.1%UFPT-1.5%ATEC-1.7%MMSI-2.5%CNMD-6.0%BDX-0.2%BAX+0.6%ICUI-1.0%RMD-1.0%DXCM-4.0%ABT-1.9%MDT-1.0%TMDX-3.3%SOLV-1.1%AORT-3.4%PLSE-1.5%ZBH-2.1%GEHC-1.5%EW-0.9%STE-1.1%LNTH-0.2%PEN-0.0%TNDM-2.2%ISRG-0.4%MDLN-0.7%NVST-0.3%LIVN-2.0%GMED-0.2%TFX-0.4%IRTC-1.7%QDEL+3.5%OMCL+2.4%IDXX-2.2%

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

HoldingsDownload CSV
#HoldingWeightPriceDay52-wk
1ASSTASSET ENTITIES1.19%$29.75-1.7%
2ATRCATRICURE1.60%$53.68-4.8%
3INSPINSPIRE MEDICAL SYSTEMS1.66%$68.20-3.6%
4BFLYBUTTERFLY NETWORK2.45%$8.70-7.2%
5ITGRINTEGER HOLDINGS1.61%$126.47+0.0%
6GKOSGLAUKOS1.79%$161.59-1.5%
7HAEHAEMONETICS1.49%$103.52-1.1%
8NEOGNEOGEN1.54%$11.96-8.1%
9UFPTUFP TECHNOLOGIES1.79%$302.87-1.5%
10ATECALPHATEC HOLDINGS1.67%$10.54-1.7%
11MMSIMERIT MEDICAL SYSTEMS1.63%$84.96-2.5%
12CNMDCONMED1.41%$44.48-6.0%
13BDXBECTON DICKINSON &1.60%$180.30-0.2%
14BAXBAXTER INTERNATIONAL1.64%$24.36+0.6%
15ICUIICU MEDICAL1.64%$159.73-1.0%

The full book, free with one sign-in.

Top 15 positions are open to everyone. Sign in once and every fund’s complete holdings — plus CSV export, watchlists, and flow alerts — unlock across the network.

Sign in to see all 68
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-1.7%
1 month-5.3%
3 months+0.3%
6 months+14.1%
YTD+1.1%
1 year+11.3%
3 years—

PRICE RETURN, DISTRIBUTIONS NOT REINVESTED

Net flows
1 week−$7M
1 month+$11M
3 months+$28M
YTD+$25M
1 year+$25M

CREATION/REDEMPTION DOLLARS, DAILY RECORDS

Monthly net flows
NovDecJanFebMarAprMayJunJulAugSepOct
DAILY CREATION/REDEMPTION RECORDS, TRAILING TWELVE MONTHS
The risk read
19%realized volatility, 30 days (annualized)
23%realized volatility, 1 year
-18.3%deepest fall from a peak, 1 year
-8.0%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
1calls · latest snapshot
—puts · latest snapshot
—put/call ratio
14Kshares traded
Most-traded holdings, options premiumBullishBearish
BSX BOSTON SCIENTIFIC$4M$4M
ASST ASSET ENTITIES$3M$4M
ISRG INTUITIVE SURGICAL$2M$2M
MDT MEDTRONIC$855,906$1M
ABT ABBOTT LABORATORIES$592,046$544,861

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%$41B+$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%$18.4B+$199M-32bp on fee · 100× the assets · +$199M in over the monthHead-to-head
IDEV iShares Core MSCI International Developed Markets ETF0.04%$32.4B+$497M-31bp on fee · 176× the assets · +$497M in over the monthHead-to-head
IGSB iShares 1-5 Year Investment Grade Corporate Bond ETF0.04%$23.3B+$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 · 101× the assets · +$412M in over the monthHead-to-head
Sign in to save this to The RecordA timestamped copy for the file — documentation, not advice.
InstrumentsHarvest substitutesTrade cost at $1MClient tearsheetStress this fund
Every weekday · 6:30 a.m. ET

The Morning Brief

The latest from Wealth Advisor Daily, in your inbox every weekday. Free.