State Street SPDR S&P Health Care Equipment ETF (XHE) Gamma Exposure (GEX) & Greeks
Gamma exposure (GEX) analysis shows how options positioning creates dealer hedging pressure across strikes. Includes delta, vanna, charm, vomma, and vega exposure by strike price.
State Street SPDR S&P Health Care Equipment ETF (XHE) operates in the Financial Services sector, specifically the Asset Management industry, with a market capitalization near $128.1M, listed on AMEX, carrying a beta of 1.30 to the broader market. The State Street SPDR S&P Health Care Equipment ETF seeks to provide investment results that, before fees and expenses, correspond generally to the total return performance of S&PHealth Care Equipment Select Industry Index (the "Index")Seeks to provide exposure to the health care equipment segment of the S&P TMI, which comprises the following sub-industries: Health Care Equipment and Health Care SuppliesSeeks to track a modified equal weighted index which provides the potential for unconcentrated industry exposure across large, mid and small cap stocksAllows investors to take strategic or tactical positions at a more targeted level than traditional sector based investing public since 2011-01-27.
Snapshot as of May 15, 2026.
- Spot Price
- $77.65
- Net Gamma
- -$4.9K
- Net Delta
- $27.3K
- Net Vega
- -$53
- Gamma Concentration
- 0.46
As of May 15, 2026, State Street SPDR S&P Health Care Equipment ETF (XHE) has negative net gamma exposure of $4.9K under the standard dealer-hedging convention. Net delta exposure is $27.3K. Negative GEX means dealers are net short gamma: they must sell into weakness and buy into strength, amplifying realized volatility and accelerating directional moves.
XHE Strategy Sizing in the Current GEX Regime
State Street SPDR S&P Health Care Equipment ETF is in a negative dealer-gamma regime ($4.9K). Net dealer delta of $27.3K sets the size of the directional hedging flow that fires as spot moves. In this regime, momentum and breakout strategies fit the regime: long calls or puts, ratio backspreads, calendar spreads positioned for vol expansion. Realized volatility tends to overshoot implied during negative-gamma stretches, hurting indiscriminate short-vol exposure. The gamma-flip level - the spot price at which net dealer gamma changes sign - is the most actionable anchor for sizing: through-flip moves trigger qualitatively different hedging behavior than within-regime moves, so risk-defined structures sized to the current spot may not stay sized correctly if a flip is near.
Learn how gamma exposure is reported and how to read the data →
Frequently asked XHE gamma exposure (gex) & greeks questions
- What is the current XHE gamma exposure (GEX)?
- As of May 15, 2026, State Street SPDR S&P Health Care Equipment ETF (XHE) net gamma exposure is negative at $4.9K under the standard dealer-hedging convention. Net dealer delta exposure is $27.3K. GEX aggregates the gamma sitting on dealer books across all listed strikes and expirations.
- Is XHE in positive or negative dealer gamma right now?
- XHE is currently in negative dealer gamma. Dealers net short gamma must sell into weakness and buy into strength to maintain delta-neutrality, which amplifies realized volatility and tends to accelerate directional moves.
- What does XHE GEX tell options traders?
- GEX is a regime indicator: positive-gamma regimes favor mean-reverting strategies (premium-selling near established ranges); negative-gamma regimes favor momentum and breakout strategies. The same options-strategy structure can be appropriate or inappropriate depending on the dealer-gamma regime, so reading the sign and magnitude of net GEX before sizing positions is standard practice.