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 -6.1% year-to-date (YTD) with -$6M in YTD flows. XHS performs better with 1.76% YTD performance, and +$9M 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 04/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHE XHS | +4.44%+7.11% | -6.33%-2.43% | -6.10%+1.76% | +4.10%+14.80% | -16.38%+21.34% | -34.81%-0.83% |
| Flows | XHE XHS | +$345K+$1M | -$4M-$5M | -$6M+$9M | -$35M-$3M | -$282M-$30M | -$404M-$34M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHE XHS | +23.06%+18.84% | +21.27%+17.87% | +21.32%+18.09% | +24.31%+21.14% |
| Max drawdown | XHE XHS | -14.31%-11.77% | -18.20%-12.54% | -32.60%-17.78% | -49.90%-32.53% |
| Max drawdown duration | XHE XHS | 57d88d | 106d128d | 1096d362d | 1695d1761d |
Trading data
XHE | XHS | |
Last sale 4/27/2026 at 1:30 PM | $82.67 | $110.03 |
| Previous close 04/24/2026 | $82.71 | $108.83 |
| Consolidated volume 04/24/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 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 4/27/2026 at 1:30 PM
Live
Closed
XHE | XHS | |
|---|---|---|
| Last price | $82.67 | $110.03 |
| 1D performance | -0.05% | +1.10% |
| AuM | $138.61 M | $93.51 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 | 61 | 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
92.19%
Other
7.81%
XHS
USA
99.89%
Other
0.11%
Sectors
XHE
Health Care
89.87%
Other
10.13%
XHS
Health Care
86.56%
Other
13.44%
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Diversification
XHE
Total weight of top 15 holdings out of 15
26.74%
XHS
Total weight of top 15 holdings out of 15
30.62%
Top 15 holdings
Data as of March 31, 2026
XHE
TELEFLEX
1.86%
STAAR SURGICAL
1.84%
BUTTERFLY NETWORK INC
1.84%
US58507V1070
1.83%
GLAUKOS
1.82%
INTEGER HOLDINGS
1.79%
AXOGEN
1.79%
LIVANOVA
1.78%
MASIMO
1.76%
LEMAITRE VASCULAR
1.75%
ARTIVION INC
1.75%
HOLOGIC
1.74%
STERIS
1.74%
GLOBUS MEDICAL
1.72%
IRHYTHM TECHNOLOGIES
1.72%
XHS
MEDNAX
2.18%
HEALTHEQUITY I/D
2.15%
GUARDANT HEALTH INC
2.12%
CORVEL
2.08%
US10950A1060
2.08%
CIGNA
2.06%
HUMANA
2.05%
ELEVANCE HEALTH INC
2.04%
DAVITA INC
2.00%
US5049221055
1.99%
ACADIA HEALTHCARE COMPANY
1.98%
CARDINAL HEALTH
1.98%
ALIGNMENT HEALTHCARE
1.98%
QUEST DIAGNOSTICS
1.97%
PROGYNY INC
1.96%
Frequently asked questions about XHE and XHS
How have the XHE and XHS ETFs performed in 2026?
As of April 24, 2026, XHE is down -6.1% year-to-date (YTD), while XHS has returned 1.76%. 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 -$6M in flows, compared to +$9M for XHS.
Which ETF is more volatile: XHE or XHS?
Over the past year, XHE had a volatility of 21.27%, while XHS experienced 17.87%.
Which ETF is bigger: XHE or XHS?
As of April 24, 2026, XHE holds $138.61 M in assets under management (AUM), while XHS manages $93.51 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 TELEFLEX, STAAR SURGICAL and BUTTERFLY NETWORK INC. XHS holds in its top three: MEDNAX, HEALTHEQUITY I/D and GUARDANT HEALTH INC.
Which ETF is more diversified: XHE or XHS?
XHE holds 67 securities with 26.74% of its assets in the top 15. XHS has 58 securities and a top 15 weight of 30.62%.
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