ETF · Broad Market

XHE(XHE)

$87.56
-1.89%
Expense Ratio
$135M
Total AUM
Holdings
Inception
Active Share vs VOO
Truly Active
0%20%60%100%
98.1%

AI Look-Through Summary

AI Generated

The portfolio's sector allocation is heavily skewed towards Healthcare, with a significant presence of Other sectors, while Financial Services accounts for less than 2% of the total. This suggests that the fund has a strong bias towards growth-oriented industries. The weighted P/E and P/B ratios indicate that the fund holds companies with moderate to high valuations, which may be a concern in a market downturn.

The top holdings are concentrated among a handful of mid-cap stocks, with no single stock dominating the portfolio. However, this concentration could pose risks if any of these names experience significant volatility or underperformance. The sector mix diverges from the broader market, where Healthcare is typically a smaller component. A favorable macro environment for this portfolio might be one characterized by strong growth in the Healthcare industry, while an unfavorable scenario could be a recessionary period with heightened valuation concerns.

Generated by Qwen-32B from constituent-level data. Not investment advice. Updated: 2026-07-14 10:06:30.041978+00

🔍 Theme Alignment Audit

AI GeneratedPurity: 85/100

The investment theme implied by the ticker XHE, typically associated with healthcare innovation or specific medical sectors, demonstrates a strong alignment with its actual portfolio composition. The top holdings are predominantly concentrated within the Healthcare sector, which accounts for nearly half of the total assets under management. While several positions in the top fifteen lack explicit sector labels in the provided data, their tickers correspond to companies often involved in biotechnology or specialized medical services, reinforcing the thematic focus rather than diluting it with unrelated industries like technology or consumer goods. The absence of significant exposure to non-healthcare sectors suggests that the fund is not merely using broad market names as a proxy for stability but is actively maintaining a narrow investment scope consistent with its stated identity.

Concentration risk appears moderate, with the top ten holdings representing approximately 22.5% of the portfolio and no single position exceeding three percent. This distribution indicates a diversified approach within the niche theme rather than an over-reliance on a handful of mega-cap stocks that could mask thematic drift. The sector breakdown further supports coherence, as Financial Services exposure is minimal at less than two percent, preventing any significant deviation from the primary healthcare mandate. Consequently, the fund appears genuinely differentiated from broad market indices by its heavy weighting in specialized medical entities while avoiding the dilution common in general health ETFs that include pharma giants or hospital operators outside a specific innovation lens. The data suggests a focused strategy where sector weights remain consistent with the intended theme without relying on misleading asset names to stabilize returns.

AI analysis of holdings alignment vs fund theme. Not investment advice. Updated: 2026-05-21 23:02:35.613029+00

🏢 Sector Analysis

AI Generated

The fund exhibits an exceptionally concentrated exposure to the healthcare sector, which accounts for over 44% of total assets through a narrow universe of just thirty holdings. This heavy weighting suggests an investment thesis predicated on deep specialization within life sciences and biotechnology rather than broad diversification across market capitalizations or industries. The presence of financial services at merely 1.7%, represented by a single holding, indicates that the portfolio is not designed to capture general economic growth drivers but instead focuses almost exclusively on specific therapeutic areas or sub-segments where these top-tier companies operate.

Concentration risk appears elevated given that the top ten positions collectively represent nearly one-quarter of the fund's value, with individual holdings like STAA and GKOS commanding significant weight despite lacking explicit sector labels in the provided data. This structure implies a factor tilt toward small-cap or micro-cap biotech firms, as evidenced by the dominance of names such as AVNS and AXGN which are typically associated with specialized pharmaceutical development rather than large-cap stability. The limited number of holdings relative to the massive sector concentration further amplifies idiosyncratic risk, meaning performance will be heavily correlated with the success or failure of a very small group of companies within the healthcare space.

Ultimately, the allocation profile reveals a strategy that prioritizes intense focus on niche medical innovations over portfolio breadth. Investors seeking exposure to emerging biotech trends may find this structure appealing due to its targeted approach, while those concerned about volatility stemming from single-stock movements or sector-specific regulatory shifts might view the lack of diversification as a significant limitation. The data underscores a deliberate choice to accept higher concentration risk in exchange for potential upside tied specifically to breakthroughs within the healthcare domain.

AI-generated sector analysis from constituent-level data. Not investment advice. Updated: 2026-05-21 11:00:08.802851+00

Flow Driver Analysis

2-Step Circle

Which larger ETFs share XHE's holdings — and mechanically drive its price through index rebalancing flows?

Approximately 100% of XHE's weight flows through these larger ETFs

Driver ETFAUMExpenseShared StocksWeight Overlap
VHTVHT$19B6295.6%
SPTMSPTM$12B4674.1%
ONEOONEO$25M2435.7%
SPSMSPSM$14B2033.2%
ESGVESGV$11B1930.4%

96% of XHE's portfolio by weight is also held by VHT, which commands 139× more assets under management. When VHT receives inflows, it mechanically buys these shared stocks — dragging XHE's NAV along regardless of any thematic or sector catalyst. Combined, the top 5 overlapping ETFs control exposure to 100% ofXHE's weight.

Overlap computed from constituent-level holdings data across 5 ETFs. Price co-movement with driver ETFs is structural, not coincidental. Not investment advice.

ETF Look-Through Dashboard

Peer through the ETF wrapper to see exactly what you own. Every metric is computed from constituent-level data.

28.1x
Weighted P/E
2.86x
Weighted P/B
$17B
Wtd Avg Market Cap

Weighted metrics calculated based on 59% of fund assets with available data.

Herfindahl-Hirschman Concentration Index

01000200030004000160
Well Diversified
Top 5: 10.2%Top 10: 19.8%

Morningstar-Style Box

Value
Blend
Growth
Large
Mid
Small
Mid Growth

Sector & Cap Explorer

Other52.1%Healthcare46.7%
Visualization Mode

ETF Fundamental Radar

Total Analysis
99% Weight
Market Cap
Large
Risk Profile
Moderate

Operational health is mixed, with the bulk of weight in the mid-range (4–6) Piotroski scores.

Piotroski F-Score (Operational Health)

Score 0-9: Measures Profitability, Leverage, and Efficiency

↑ Weight (%)100%80%60%40%20%
12%
0–3 Weak
59%
4–6 Average
28%
7–9 Strong

Computed by rolling up individual stock Piotroski F-Scores, Altman Z-Scores, and Beneish M-Scores weighted by each constituent's allocation.

Dividend Safety True-Up

Deterministic
45%
Wtd FCF Payout Ratio
TTM Yield
Very Safe
Dividend Durability
45% of FCF
0% (retains all cash)50%100% (pays out everything)

The dividend-paying companies inside XHE collectively pay out 45% of their Free Cash Flow to maintain the current yield. This leaves a substantial cash buffer, making dividend cuts unlikely even in a downturn. Based on 22% of fund weight in dividend-paying stocks.

FCF Payout Ratio = Dividends Paid / Free Cash Flow, weighted by constituent allocation. Not investment advice.

Earnings vs. Price Decomposition

Proprietary
+14.2%
ETF 1Y Return
+16.5%
Wtd Earnings Growth
-2.3%
Multiple Contraction
Earnings

XHE is up 14.2% over the last 12 months. The underlying weighted earnings growth of its constituents is +16.5%. Despite earnings growth, valuations have contracted by 2.3% — the market is paying less per dollar of earnings than a year ago.

Earnings growth = weighted average YoY EPS growth of all constituents (capped at ±500% to limit outlier distortion). Based on 91% of fund weight with earnings data. Not investment advice.

Value Creation Map

ROIC vs WACC

What percentage of XHE's weight is allocated to companies that create economic value (ROIC > WACC) vs. destroy it?

28% Creators
72% Destroyers
Value Creators (ROIC > WACC)16.3%
Value Destroyers41.1%

Of XHE's analyzed weight, 28% is invested in companies earning more than their cost of capital — genuine value creators. The remaining 72% consists of companies whose ROIC falls below their WACC, effectively destroying shareholder value with every dollar invested.

ROIC-WACC spread for 57% of fund weight with available data. Not investment advice.

Passive Crowding Score

MODERATE

How much of each constituent's market cap is structurally locked in passive ETFs — a proxy for liquidity fragility during sell-offs.

25/ 100
Wtd Avg Passive Ownership7.4%
Most Crowded HoldingGEHC (18.4%)
Least CrowdedTCMD (1.0%)
Coverage67% of fund weight
0 — Low255075100 — Extreme

XHE has a Passive Crowding Score of 25/100. On average, 7.4% of the market capitalization of XHE's underlying holdings is structurally locked in passive ETF vehicles. This indicates relatively low passive crowding — the underlying stocks have ample active-market liquidity to absorb ETF-driven flows without significant price distortion.

Passive $ = Σ(ETF AUM × holding weight) across all 8 tracked ETFs. Actual passive ownership is higher (includes mutual funds, pension funds). Not investment advice.

Under the Hood — Top 15 Constituents

Top 10 Concentration19.8%
#TickerCompanyWeightP/EF-Score
1XRAY
DENTSPLY SIRONA INC
Healthcare
2.13%
6/9
2QDEL
QUIDELORTHO CORP
2.09%
3BFLY
BUTTERFLY NETWORK INC
Healthcare
2.01%
4/9
4ATRC
ATRICURE INC
Healthcare
2.00%
5ENOV
ENOVIS CORP
Healthcare
1.98%
6GKOS
GLAUKOS CORP
1.96%
7AORT
ARTIVION INC
Healthcare
1.94%
166.9x7/9
8CNMD
CONMED CORP
Healthcare
1.91%
22.9x6/9
9OMCL
OMNICELL INC
1.90%
826.3x6/9
10INSP
INSPIRE MEDICAL SYSTEMS INC
1.89%
10.1x6/9
11ICUI
ICU MEDICAL INC
1.79%
6234.5x6/9
12BAX
BAXTER INTERNATIONAL INC
Healthcare
1.77%
5/9
13ATEC
ALPHATEC HOLDINGS INC
Healthcare
1.76%
14MMSI
MERIT MEDICAL SYSTEMS INC
1.74%
32.1x7/9
15NEOG
NEOGEN CORP
1.74%
The bottom 54 stocks in XHE account for only 71.4% of the total fund weight.

Historical Holdings Snapshots

Browse how XHE’s holdings have changed across SEC filing dates. Showing top holdings per snapshot.

2026-07-19

15 holdings · 28.6% tracked weight
#TickerWeightSharesMarket Value
1XRAY2.13%244,052
2QDEL2.09%181,509
3BFLY2.01%454,210
4ATRC2.00%89,066
5ENOV1.98%111,538
6GKOS1.96%20,002
7AORT1.94%119,700
8CNMD1.91%67,204
9OMCL1.90%64,179
10INSP1.89%57,956
11ICUI1.79%17,446
12BAX1.77%120,116
13ATEC1.76%301,353
14MMSI1.74%36,578
15NEOG1.74%267,213

2026-07-18

15 holdings · 28.6% tracked weight
#TickerWeightSharesMarket Value
1XRAY2.13%244,052
2QDEL2.09%181,509
3BFLY2.01%454,210
4ATRC2.00%89,066
5ENOV1.98%111,538
6GKOS1.96%20,002
7AORT1.94%119,700
8CNMD1.91%67,204
9OMCL1.90%64,179
10INSP1.89%57,956
11ICUI1.79%17,446
12BAX1.77%120,116
13ATEC1.76%301,353
14MMSI1.74%36,578
15NEOG1.74%267,213

2026-07-17

15 holdings · 28.6% tracked weight
#TickerWeightSharesMarket Value
1BFLY2.15%441,422
2QDEL2.14%176,403
3XRAY2.12%237,186
4GKOS2.03%19,440
5ATRC1.99%86,560
6OMCL1.95%62,373
7INSP1.90%56,326
8AORT1.89%116,332
9CNMD1.86%65,306
10ENOV1.85%108,400
11ICUI1.78%16,954
12ATEC1.76%292,875
13NVST1.76%98,965
14MMSI1.73%35,550
15NEOG1.73%259,697

2026-07-16

15 holdings · 28.5% tracked weight
#TickerWeightSharesMarket Value
1BFLY2.32%447,816
2QDEL2.11%178,956
3XRAY2.04%240,618
4ATRC2.02%87,813
5GKOS2.01%19,721
6OMCL1.94%63,276
7INSP1.88%57,141
8CNMD1.85%66,255
9AORT1.83%118,015
10ENOV1.81%109,969
11ATEC1.78%297,114
12ICUI1.77%17,200
13NVST1.75%100,397
14BAX1.73%118,419
15MMSI1.71%36,064

2026-07-15

15 holdings · 28.5% tracked weight
#TickerWeightSharesMarket Value
1BFLY2.35%460,602
2QDEL2.07%184,062
3XRAY1.99%247,482
4ATRC1.98%90,319
5GKOS1.95%20,283
6OMCL1.91%65,082
7INSP1.90%58,771
8ATEC1.88%305,592
9ENOV1.87%113,105
10AORT1.84%121,381
11CNMD1.82%68,153
12ICUI1.76%17,692
13BAX1.73%121,813
14MDLN1.73%67,706
15MMSI1.71%37,092

2026-07-14

15 holdings · 28.3% tracked weight
#TickerWeightSharesMarket Value
1BFLY2.33%441,423
2QDEL2.13%176,403
3GKOS1.96%19,440
4ATRC1.96%86,560
5INSP1.93%56,326
6XRAY1.92%237,186
7ATEC1.85%292,875
8AORT1.85%116,332
9OMCL1.85%62,373
10ENOV1.84%108,398
11MDLN1.76%64,877
12LMAT1.75%25,790
13BAX1.74%116,722
14ICUI1.73%16,954
15MMSI1.73%35,550

Source: SEC filings and fund provider disclosures. Shows last 6 snapshot dates, top 15 holdings per date by weight.

Risk Profile

24.4%
Annual Volatility
0.40
Sharpe (1Y)
-0.28
Sharpe (3Y)
-32.6%
Max Drawdown (3Y)
-49.9%
Max Drawdown (5Y)

Sharpe = risk-adjusted return (higher is better). Computed from 1,200+ trading days with 5% risk-free rate.

Price Chart with Moving Averages

Loading chart...

What Drove XHE Today?

Daily return attribution — which holdings contributed most (and least) to the fund's move.

Fund move:-1.89%(2026-07-17)

Top Contributors

+0.032%
+0.031%

Top Detractors

-0.112%
-0.133%
-0.213%

Attribution = holding weight × stock daily return. Only the top contributors and detractors are shown.

Underwater (Drawdown from Peak)

How far below the all-time high the price has been over time. Deeper = more pain for holders.

Loading drawdown chart...

Rolling 60-Day Beta vs S&P 500 (VOO)

How the ETF's sensitivity to market moves changes over time. β > 1 = more volatile than the market.

Loading beta chart...
Rolling Beta Market (β = 1.0)

Yield & Income

TTM Yield
30-Day SEC Yield
5Y Div CAGR

Sector Drift Over Time

How XHE’s sector allocation has shifted across snapshots. Use the slider to travel through time.

2026-07-1994 snapshots
Other52.1%
Healthcare46.7%
Financial Services1.2%
Change since 2026-03-30
Healthcare
-0.6%
Other
+0.4%
Financial Services
+0.2%
2026-03-302026-07-19

Active Conviction Tracker

Shares bought and sold between the latest two data snapshots — reveals what the fund manager is actually doing.

No position changes detected between snapshots.

Explore More

Quant metrics computed deterministically from financial statements and price data. Updated: 2026-07-17.

SecuritiesDB is for informational purposes only. Not investment advice.