XHEvsXPHETF Comparison
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State Street SPDR S&P Health Care Equipment ETF (XHE) and State Street SPDR S&P Pharmaceuticals ETF (XPH) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. Both XHE and XPH have the same Total Expense Ratio (TER) of 0.35%. XHE is down -11.03% year-to-date (YTD) with -$12M in YTD flows. XPH performs better with 1.04% YTD performance, and +$116M in YTD flows. Run a side-by-side ETF comparison of XHE and XPH 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 XPH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/29/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHE XPH | +2.67%+10.12% | -9.09%+1.59% | -11.03%+1.04% | -1.96%+38.97% | -20.03%+38.52% | -37.91%+21.48% |
| Flows | XHE XPH | -$12M+$25M | -$8M+$60M | -$12M+$116M | -$41M+$141M | -$308M+$48M | -$410M+$71M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHE XPH | +24.07%+24.56% | +21.60%+21.15% | +21.42%+19.48% | +24.36%+20.46% |
| Max drawdown | XHE XPH | -14.31%-11.78% | -18.20%-11.78% | -32.46%-23.45% | -49.90%-31.59% |
| Max drawdown duration | XHE XPH | 62d50d | 111d50d | 1017d322d | 1700d1566d |
Trading data
XHE | XPH | |
Last sale 4/30/2026 at 1:30 PM | $80.33 | $57.61 |
| Previous close 04/29/2026 | $78.40 | $56.54 |
| Consolidated volume 04/29/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of April 29, 2026
1-year trailing difference
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XHE | XPH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/30/2026 at 1:30 PM
Live
Closed
XHE | XPH | |
|---|---|---|
| Last price | $80.33 | $57.61 |
| 1D performance | +2.46% | +1.89% |
| AuM | $125.44 M | $348.13 M |
| E/R | 0.35% | 0.35% |
Characteristics
XHE | XPH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | State Street Investment Management |
| Benchmark | S&P Health Care Equipment Select Industry Index | S&P Pharmaceuticals Select Industry Index |
| N° of holdings | 61 | 48 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | January 26, 2011 | June 19, 2006 |
| ESG | No | No |
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Exposure
Countries
XHE
USA
92.19%
Other
7.81%
XPH
USA
87.77%
Other
12.23%
Sectors
XHE
Health Care
89.87%
Other
10.13%
XPH
Health Care
82.36%
Other
17.64%
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Diversification
XHE
Total weight of top 15 holdings out of 15
26.74%
XPH
Total weight of top 15 holdings out of 15
30.65%
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%
XPH
US29337E1029
2.45%
CORCEPT THERAPEUTICS
2.29%
TERNS PHARMACEUTICALS
2.16%
PERRIGO CO PLC
2.10%
AXSOME THERA CMN STK
2.03%
INNOVIVA INC
1.99%
MERCK & CO INC
1.98%
PFIZER
1.97%
ROYALTY PHARMA
1.97%
ELANCO ANIMAL HEALTH INC
1.96%
JAZZ PHARMACEUTICALS
1.96%
ESPERION THERAPEUTICS
1.95%
EDGEWISE THERAPEUTICS
1.95%
US55287L1017
1.95%
BRISTOL-MYERS SQUIBB
1.94%
Frequently asked questions about XHE and XPH
How have the XHE and XPH ETFs performed in 2026?
As of April 29, 2026, XHE is down -11.03% year-to-date (YTD), while XPH has returned 1.04%. That puts XPH better performer ahead so far this year.
Which ETF is attracting more investor money: XHE or XPH?
Year-to-date, the XHE ETF saw -$12M in flows, compared to +$116M for XPH.
Which ETF is more volatile: XHE or XPH?
Over the past year, XHE had a volatility of 21.6%, while XPH experienced 21.15%.
Which ETF is bigger: XHE or XPH?
As of April 29, 2026, XHE holds $125.44 M in assets under management (AUM), while XPH manages $348.13 M.
What sectors do the XHE and XPH ETFs invest in?
XHE leans toward sectors like Health Care. Meanwhile, XPH focuses on Health Care.
What are the top holdings of the XHE ETF and XPH ETF?
XHE top holdings include TELEFLEX, STAAR SURGICAL and BUTTERFLY NETWORK INC. XPH holds in its top three: US29337E1029, CORCEPT THERAPEUTICS and TERNS PHARMACEUTICALS.
Which ETF is more diversified: XHE or XPH?
XHE holds 67 securities with 26.74% of its assets in the top 15. XPH has 57 securities and a top 15 weight of 30.65%.
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