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XHE

SPDR S&P Health Care Equipment ETF (XHE)

Rating:63Neutral
Price Target:$96.00â–²(2.95% Upside)

XHE, the SPDR S&P Health Care Equipment ETF, has a solid overall rating that reflects a portfolio led by strong companies like Intuitive Surgical and Idexx Laboratories, which show robust financial performance and positive earnings call sentiment. Other key holdings such as Resmed, Stryker, and GE Healthcare also support the fund’s quality through strong growth and strategic initiatives, though common issues like high valuations, leverage, and some technical caution signals introduce risk. The main risk factor is that many top holdings share similar challenges—especially premium valuations and occasional technical or liquidity concerns—which can increase volatility if market sentiment toward the health care equipment sector turns negative.

Positive Factors
Solid Recent PerformanceThe ETF has shown steady gains over the past three months and year-to-date, indicating positive recent momentum.
Benefiting from Strong Individual StocksSeveral top holdings, such as Haemonetics, Atricure, and Resmed, have delivered strong year-to-date performance, helping support the fund’s returns.
Focused Exposure to Health Care EquipmentThe fund’s heavy weighting in the health care sector gives investors targeted exposure to medical equipment and related companies, which can benefit from long-term demand for health services.
Negative Factors
Mixed Performance Among Top HoldingsA number of key positions, including Alphatec Holdings, Intuitive Surgical, and Beta Bionics, have weak year-to-date performance, which can drag on overall returns.
High Sector ConcentrationWith most assets in the health care sector, the ETF is heavily exposed to industry-specific risks and less protected if this sector struggles.
Limited Geographic DiversificationThe fund is almost entirely invested in U.S. companies, offering little diversification across different global markets.

XHE vs. SPDR S&P 500 ETF (SPY)

AUM
151.14M
Region
North America
Expense Ratio
0.35%
Beta
0.80
Issuer
SPDR
Inception Date
Jan 26, 2011
Dividend Yield
0.08%
Asset Class
Equity
Index Tracked
S&P Healthcare Equipment Select Industry

XHE Summary

XHE is the SPDR S&P Health Care Equipment ETF, which follows the S&P Health Care Equipment Select Industry Index. It focuses on U.S. companies that make medical devices and supplies used in hospitals and clinics. Well-known holdings include Intuitive Surgical and Stryker, along with many smaller, specialized equipment makers. Someone might invest in XHE to tap into the long-term growth of medical technology and to spread their money across many health care equipment companies instead of picking just one stock. A key risk is that it can go up or down with the health care sector and may be more volatile than the broader market.

How much will it cost me?

XHE has an expense ratio of 0.35%, which means you’ll pay about $3.50 per year for every $1,000 invested. This cost is a bit higher than the average broad-market index ETF because XHE is a more specialized, sector-focused fund that requires more targeted management.

What would affect this ETF?

XHE could benefit from ongoing medical technology innovation, an aging U.S. population, and steady demand for health care equipment from companies like Intuitive Surgical and Stryker, especially if health care spending and supportive regulations continue. On the negative side, tighter hospital budgets, changes in U.S. health care policy or reimbursement, and higher interest rates that pressure growth-focused health care stocks could weigh on the fund’s performance.

XHE Top 10 Holdings

XHE is a pure play on U.S. medical technology, with health care equipment names steering the ship. High-fliers like Strive, Atricure, and Neogen have been rising steadily, giving the fund a helpful tailwind, while Inspire Medical Systems and Intuitive Surgical are more mixed, with strong businesses but choppier stock action. Alphatec has been lagging and occasionally drags on performance, and Dexcom’s recent softness hasn’t helped. Overall, this is a concentrated bet on innovative medtech rather than broad health care, with North America firmly in the driver’s seat.

XHE top ten holdings
NameCompany NameWeight %Market ValueMarket CapYearly GainOverall Rating
ISRGISRGIntuitive Surgical1.98%$2.99M$154.56B-19.11%78Outperform
ATECATECAlphatec Holdings1.88%$2.84M$1.68B-34.44%57Neutral
RMDRMDResmed1.78%$2.69M$35.27B-3.24%76Outperform
HAEHAEHaemonetics1.79%$2.70M$5.46B134.27%70Outperform
OMCLOMCLOmnicell1.70%$2.57M$1.68B20.37%71Outperform
SYKSYKStryker1.72%$2.60M$115.62B-21.45%70Outperform
ATRCATRCAtricure1.78%$2.69M$3.13B68.66%71Outperform
ENOVENOVEnovis1.72%$2.60M$1.24B-34.45%46Neutral
BDXBDXBecton Dickinson1.69%$2.56M$53.12B4.27%67Neutral
BBNXBBNXBeta Bionics, Inc.1.82%$2.75M$1.15B-9.94%62Neutral

XHE Technical Analysis

Technical Analysis SentimentPositive
Last Price93.25

Price Trends

50DMA92.10Positive
100DMA89.66Positive
200DMA86.21Positive

Market Momentum

MACD0.45Negative
RSI58.23Neutral
STOCH94.24Negative

Evaluating momentum and price trends is crucial in ETF analysis to make informed investment decisions. For XHE, the sentiment is Positive. The current price of 93.25 is above the 20-day moving average (MA) of 90.58, above the 50-day MA of 92.10, and above the 200-day MA of 86.21, indicating a bullish trend. The MACD of 0.45 indicates Negative momentum. The RSI at 58.23 is Neutral, neither overbought nor oversold. The STOCH value of 94.24 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for XHE.

XHE Peer Comparison

Comparison Results

XHE against its peer funds
NamePricePrice TargetAUMExpense RatioOverall Rating
XHEXHE$93.25$96.00(2.95% Upside)$151.14M0.35%63Neutral
RSPHRSPH$39.35$42.25(7.37% Upside)$976.29M0.40%71Outperform
PJPPJP$126.36$155.32(22.92% Upside)$558.31M0.58%70Neutral
XPHXPH$63.96$105.79(65.40% Upside)$438.96M0.35%57Neutral
PBEPBE$100.74$122.44(21.53% Upside)$431.86M0.59%70Outperform
PINKPINK$39.96$49.43(23.69% Upside)$325.98M0.51%65Neutral

Performance Comparison

0%20%40%XHERSPHPJPXPHPBEPINKNov '25Dec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26
XHE and its peers over the selected period
Show on chartTickerCompany NamePriceChange% Change
XHESPDR S&P Health Care Equipment ETF93.2512.7115.78%
RSPHInvesco S&P 500 Equal Weight Health Care ETF39.359.1930.49%
PJPInvesco Dynamic Pharmaceuticals ETF126.3632.3834.45%
XPHSPDR S&P Pharmaceuticals ETF63.9615.6432.37%
PBEInvesco Dynamic Biotechnology & Genome ETF100.7429.1040.62%
PINKSimplify Health Care ETF39.966.9020.87%
Glossary
BuyAn ETF rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the ETF is likely to deliver higher returns compared to other ETFs in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldAn ETF rated as a "Hold" s expected to perform in line with the overall market or a specific benchmark. This rating indicates that the ETF is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellAn ETF rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the ETF may deliver lower returns compared to other ETFs in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
Disclaimer

This AI Analyst ETF Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in ETFs carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.