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XHE vs XLVI

State Street SPDR S&P Health Care Equipment ETF vs State Street Health Care Select Sector SPDR Premium Income ETF

XHE

State Street SPDR S&P Health Care Equipment ETF

State Street Investment Management

Annual cost

0.35%

Fund size

$130M

XLVI

State Street Health Care Select Sector SPDR Premium Income ETF

State Street Investment Management

Annual cost

0.35%

Fund size

$14M

Key differences

  • XHE is significantly larger than XLVI — larger funds tend to be more liquid and less likely to close.
  • XHE is classified as equity, while XLVI is alternative — different risk/return profiles.
  • XHE follows a index tracking strategy; XLVI uses option income.
  • XHE has a longer track record, which may reduce uncertainty around long-term behavior.

Side-by-side comparison

XHEXLVI
Annual cost (TER)0.35%0.35%
Fund size (AUM)$130M$14M
Since20112025
Dividend yield0.09%
Asset classequityalternative
Regionnorth americanorth america
Strategyindex trackingoption income
CAGR 1Y-0.3%N/A
CAGR 3Y-6.1%N/A
CAGR 5Y-7.4%N/A
Sharpe 3Y-0.34N/A
Volatility 1Y21.53%
Max drawdown-49.92%-8.15%

Green dot indicates the better value for that metric. Performance data is historical and does not predict future results.

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