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. XHE's top 2 sector exposures are Healthcare and Finance. In contrast, XHS's top sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. Both XHE and XHS have the same Total Expense Ratio (TER) of 0.35%. XHE is up 5.47% year-to-date (YTD) with -$11M in YTD flows. XHS performs better with 33.12% YTD performance, and +$103M 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 10/26/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHE XHS | +1.46%+5.94% | +6.27%+6.60% | +5.47%+33.12% | +13.71%+34.96% | +39.01%+81.55% | -25.84%+38.23% |
| Flows | XHE XHS | -$43M-$14M | -$13M+$3M | -$11M+$103M | -$15M+$106M | -$225M+$77M | -$401M+$37M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHE XHS | +20.52%+17.17% | +22.75%+17.57% | +21.88%+18.29% | +24.86%+21.37% |
| Max drawdown | XHE XHS | -9.09%-5.21% | -18.20%-11.97% | -24.35%-14.46% | -49.37%-29.93% |
| Max drawdown duration | XHE XHS | 68d30d | 207d121d | 565d250d | 1818d1477d |
Trading data
XHE | XHS | |
Last sale 10/27/2026 at 1:30 PM | $93.25 | $140.98 |
| Previous close 10/26/2026 | $93.09 | $142.40 |
| Consolidated volume 10/26/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of September 30, 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 10/27/2026 at 1:30 PM
Live
Closed
XHE | XHS | |
|---|---|---|
| Last price | $93.25 | $140.98 |
| 1D performance | +0.17% | -1.00% |
| AuM | $151.04 M | $223.22 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 | 67 | 59 |
| 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
93.57%
Other
6.43%
XHS
USA
99.94%
Other
0.06%
Sectors
XHE
Healthcare
97.47%
Other
2.53%
XHS
Healthcare
95.16%
Other
4.84%
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Diversification
XHE
Total weight of top 15 holdings out of 15
30.96%
XHS
Total weight of top 15 holdings out of 15
33.1%
Top 15 holdings
Data as of August 31, 2026
XHE
AtriCure, Inc.
2.59%
Strive, Inc. (United States)
2.47%
Inspire Medical Systems, Inc.
2.19%
Glaukos Corp.
2.16%
Butterfly Network, Inc.
2.15%
CONMED Corp.
2.02%
Integer Holdings Corp.
2.02%
Tandem Diabetes Care, Inc.
2.00%
Merit Medical Systems, Inc.
1.99%
Artivion, Inc.
1.94%
Haemonetics Corp.
1.93%
UFP Technologies, Inc.
1.89%
Baxter International, Inc.
1.88%
Becton, Dickinson & Co.
1.87%
Neogen Corp.
1.86%
XHS
Tenet Healthcare Corp.
2.65%
NeoGenomics, Inc.
2.60%
Lifestance Health Group, Inc.
2.58%
GeneDx Holdings Corp.
2.56%
Hinge Health, Inc.
2.45%
RadNet, Inc.
2.14%
Concentra Group Holdings Parent, Inc.
2.08%
Aveanna Healthcare Holdings, Inc.
2.07%
Labcorp Holdings, Inc.
2.03%
U.S. Physical Therapy, Inc.
2.03%
PACS Group, Inc.
2.02%
Addus HomeCare Corp.
2.02%
Guardant Health, Inc.
1.99%
Chemed Corp.
1.96%
Quest Diagnostics, Inc.
1.93%
Frequently asked questions about XHE and XHS
How have the XHE and XHS ETFs performed in 2026?
As of October 26, 2026, XHE is up 5.47% year-to-date (YTD), while XHS has returned 33.12%. 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 -$11M in flows, compared to +$103M for XHS.
Which ETF is more volatile: XHE or XHS?
Over the past year, XHE had a volatility of 22.75%, while XHS experienced 17.57%.
Which ETF is bigger: XHE or XHS?
As of October 26, 2026, XHE holds $151.04 M in assets under management (AUM), while XHS manages $223.22 M.
What sectors do the XHE and XHS ETFs invest in?
XHE leans toward sectors like Healthcare. Meanwhile, XHS focuses on Healthcare.
What are the top holdings of the XHE ETF and XHS ETF?
XHE top holdings include AtriCure, Inc., Strive, Inc. (United States) and Inspire Medical Systems, Inc.. XHS holds in its top three: Tenet Healthcare Corp., NeoGenomics, Inc. and Lifestance Health Group, Inc..
Which ETF is more diversified: XHE or XHS?
XHE holds 67 securities with 30.96% of its assets in the top 15. XHS has 59 securities and a top 15 weight of 33.1%.
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