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 3.73% year-to-date (YTD) with +$13M in YTD flows. XHS performs better with 27% YTD performance, and +$111M 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 09/09/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHE XHS | -3.04%-0.81% | +10.11%+13.32% | +3.73%+27.00% | +10.83%+36.60% | +9.19%+58.87% | -30.39%+23.72% |
| Flows | XHE XHS | +$5M+$12M | +$14M+$99M | +$13M+$111M | +$2M+$114M | -$264M+$72M | -$380M+$11M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHE XHS | +24.07%+17.83% | +22.81%+17.60% | +22.21%+18.29% | +24.83%+21.34% |
| Max drawdown | XHE XHS | -5.67%-4.21% | -18.20%-11.97% | -24.35%-14.46% | -49.37%-29.93% |
| Max drawdown duration | XHE XHS | 21d66d | 207d121d | 565d250d | 1771d1477d |
Trading data
XHE | XHS | |
Last sale 9/10/2026 at 1:30 PM | $89.53 | $135.16 |
| Previous close 09/09/2026 | $91.41 | $135.73 |
| Consolidated volume 09/09/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of August 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 9/10/2026 at 1:30 PM
Live
Closed
XHE | XHS | |
|---|---|---|
| Last price | $89.53 | $135.16 |
| 1D performance | -2.06% | -0.42% |
| AuM | $173.68 M | $221.10 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 | 66 | 60 |
| 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
93.56%
Other
6.44%
XHS
USA
99.96%
Other
0.04%
Sectors
XHE
Healthcare
98.72%
Other
1.28%
XHS
Healthcare
94.85%
Other
5.15%
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Diversification
XHE
Total weight of top 15 holdings out of 15
30.19%
XHS
Total weight of top 15 holdings out of 15
31.01%
Top 15 holdings
Data as of July 31, 2026
XHE
AtriCure, Inc.
2.14%
Glaukos Corp.
2.13%
Dentsply Sirona, Inc.
2.08%
Enovis Corp.
2.07%
Integer Holdings Corp.
2.07%
Butterfly Network, Inc.
2.06%
Neogen Corp.
2.05%
Artivion, Inc.
2.05%
Baxter International, Inc.
2.01%
CONMED Corp.
1.99%
Merit Medical Systems, Inc.
1.98%
QuidelOrtho Corp.
1.94%
ICU Medical, Inc.
1.88%
Tandem Diabetes Care, Inc.
1.88%
Inspire Medical Systems, Inc.
1.85%
XHS
Tenet Healthcare Corp.
2.53%
NeoGenomics, Inc.
2.22%
PACS Group, Inc.
2.19%
Lifestance Health Group, Inc.
2.18%
U.S. Physical Therapy, Inc.
2.06%
Addus HomeCare Corp.
2.03%
Guardant Health, Inc.
2.03%
Acadia Healthcare Co., Inc.
2.03%
Chemed Corp.
2.00%
DaVita, Inc.
1.98%
Hinge Health, Inc.
1.97%
Progyny, Inc.
1.97%
GeneDx Holdings Corp.
1.96%
Concentra Group Holdings Parent, Inc.
1.95%
National HealthCare Corp.
1.93%
Frequently asked questions about XHE and XHS
How have the XHE and XHS ETFs performed in 2026?
As of September 9, 2026, XHE is up 3.73% year-to-date (YTD), while XHS has returned 27%. 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 +$13M in flows, compared to +$111M for XHS.
Which ETF is more volatile: XHE or XHS?
Over the past year, XHE had a volatility of 22.81%, while XHS experienced 17.6%.
Which ETF is bigger: XHE or XHS?
As of September 9, 2026, XHE holds $173.68 M in assets under management (AUM), while XHS manages $221.10 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., Glaukos Corp. and Dentsply Sirona, Inc.. XHS holds in its top three: Tenet Healthcare Corp., NeoGenomics, Inc. and PACS Group, Inc..
Which ETF is more diversified: XHE or XHS?
XHE holds 66 securities with 30.19% of its assets in the top 15. XHS has 60 securities and a top 15 weight of 31.01%.
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