XHEvsXHSETF Comparison
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State Street SPDR S&P Health Care Equipment ETF (XHE) and State Street SPDR S&P Health Care Services ETF (XHS) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. Both XHE and XHS have the same Total Expense Ratio (TER) of 0.35%. XHE is down -6.96% year-to-date (YTD) with -$535K in YTD flows. XHS performs better with 13.78% YTD performance, and +$12M in YTD flows. Run a side-by-side ETF comparison of XHE and XHS below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
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XHE vs XHS performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/11/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHE XHS | +5.85%+9.09% | -0.19%+15.82% | -6.96%+13.78% | -0.18%+24.93% | -13.91%+34.36% | -34.26%+6.97% |
| Flows | XHE XHS | +$14M- | +$4M+$6M | -$535K+$12M | -$33M-$1M | -$319M-$24M | -$381M-$75M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHE XHS | +25.90%+17.13% | +21.85%+17.99% | +21.72%+17.98% | +24.47%+21.23% |
| Max drawdown | XHE XHS | -8.81%-6.33% | -18.20%-11.97% | -32.46%-17.78% | -49.90%-32.53% |
| Max drawdown duration | XHE XHS | 53d27d | 154d121d | 1060d362d | 1743d1786d |
Trading data
XHE | XHS | |
Last sale 6/12/2026 at 5:24 PM | $82.05 | $122.14 |
| Previous close 06/11/2026 | $82.05 | $121.70 |
| Consolidated volume 06/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 2026
1-year trailing difference
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XHE | XHS | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 6/12/2026 at 5:24 PM
Live
Closed
XHE | XHS | |
|---|---|---|
| Last price | $82.05 | $122.14 |
| 1D performance | -0.00% | +0.36% |
| AuM | $143.48 M | $108.20 M |
| E/R | 0.35% | 0.35% |
Characteristics
XHE | XHS | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | State Street Investment Management |
| Benchmark | S&P Health Care Equipment Select Industry Index | S&P Health Care Services Select Industry Index |
| N° of holdings | 60 | 51 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | January 26, 2011 | September 28, 2011 |
| ESG | No | No |
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Exposure
Countries
XHE
USA
92.03%
Other
7.97%
XHS
USA
99.91%
Other
0.09%
Sectors
XHE
Health Care
89.92%
Other
10.08%
XHS
Health Care
86.95%
Other
13.05%
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Diversification
XHE
Total weight of top 15 holdings out of 15
29.69%
XHS
Total weight of top 15 holdings out of 15
33.75%
Top 15 holdings
Data as of April 30, 2026
XHE
STAAR SURGICAL
2.55%
GLAUKOS
2.39%
AXOGEN
2.29%
BUTTERFLY NETWORK INC
2.14%
NOVOCURE LTD
2.07%
AVANOS MEDICAL INC
2.05%
TELEFLEX
1.89%
OMNICELL
1.89%
IRHYTHM TECHNOLOGIES
1.84%
US58507V1070
1.79%
INTEGER HOLDINGS
1.78%
GLOBUS MEDICAL
1.77%
LANTHEUS HOLDINGS
1.76%
MASIMO
1.74%
LEMAITRE VASCULAR
1.73%
XHS
CENTENE
2.76%
HUMANA
2.55%
MOLINA HLTHCRE
2.44%
ELEVANCE HEALTH INC
2.39%
UNITEDHEALTH GRP
2.39%
ALIGNMENT HEALTHCARE
2.31%
CLOVER HEALTH INV CORP
2.28%
APOLLO MEDICAL HOLDINGS INC
2.25%
US10950A1060
2.14%
MEDNAX
2.10%
PRIVIA HEALTH GROUP
2.07%
CIGNA
2.05%
CVS HEALTH CORP
2.03%
CORVEL
2.00%
ACADIA HEALTHCARE COMPANY
2.00%
Frequently asked questions about XHE and XHS
How have the XHE and XHS ETFs performed in 2026?
As of June 11, 2026, XHE is down -6.96% year-to-date (YTD), while XHS has returned 13.78%. That puts XHS better performer ahead so far this year.
Which ETF is attracting more investor money: XHE or XHS?
Year-to-date, the XHE ETF saw -$535K in flows, compared to +$12M for XHS.
Which ETF is more volatile: XHE or XHS?
Over the past year, XHE had a volatility of 21.85%, while XHS experienced 17.99%.
Which ETF is bigger: XHE or XHS?
As of June 11, 2026, XHE holds $143.48 M in assets under management (AUM), while XHS manages $108.20 M.
What sectors do the XHE and XHS ETFs invest in?
XHE leans toward sectors like Health Care. Meanwhile, XHS focuses on Health Care.
What are the top holdings of the XHE ETF and XHS ETF?
XHE top holdings include STAAR SURGICAL, GLAUKOS and AXOGEN. XHS holds in its top three: CENTENE, HUMANA and MOLINA HLTHCRE.
Which ETF is more diversified: XHE or XHS?
XHE holds 66 securities with 29.69% of its assets in the top 15. XHS has 58 securities and a top 15 weight of 33.75%.
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