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. XHE's top 3 sector exposures are Healthcare and Finance. In contrast, XPH's top sector exposures are Healthcare Both XHE and XPH have the same Total Expense Ratio (TER) of 0.35%. XHE is down -0.75% year-to-date (YTD) with +$2M in YTD flows. XPH performs better with 22.32% YTD performance, and +$175M 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 07/27/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHE XPH | +1.78%+3.23% | +5.94%+18.49% | -0.75%+22.32% | +10.33%+60.58% | -9.83%+68.59% | -30.38%+40.57% |
| Flows | XHE XPH | +$2M+$61M | +$8M+$60M | +$2M+$175M | -$18M+$200M | -$382M+$128M | -$391M+$141M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHE XPH | +26.58%+24.47% | +22.76%+22.24% | +22.23%+20.33% | +24.72%+20.88% |
| Max drawdown | XHE XPH | -6.19%-8.13% | -18.20%-11.78% | -32.14%-23.45% | -49.90%-31.59% |
| Max drawdown duration | XHE XPH | 42d41d | 200d50d | 1093d322d | 1789d1566d |
Trading data
XHE | XPH | |
Last sale 7/28/2026 at 1:30 PM | $89.59 | $69.00 |
| Previous close 07/27/2026 | $87.54 | $68.54 |
| Consolidated volume 07/27/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of June 30, 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 7/28/2026 at 1:30 PM
Live
Closed
XHE | XPH | |
|---|---|---|
| Last price | $89.59 | $69.00 |
| 1D performance | +2.34% | +0.67% |
| AuM | $155.25 M | $479.27 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 | 67 | 63 |
| 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
89.54%
Other
10.46%
XPH
USA
90.15%
Other
9.85%
Sectors
XHE
Healthcare
94.54%
Other
5.46%
XPH
Healthcare
94.73%
Other
5.27%
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Diversification
XHE
Total weight of top 15 holdings out of 15
26.73%
XPH
Total weight of top 15 holdings out of 15
29.74%
Top 15 holdings
Data as of June 30, 2026
XHE
Butterfly Network, Inc.
2.45%
QuidelOrtho Corp.
2.04%
Glaukos Corp.
1.79%
UFP Technologies, Inc.
1.79%
Axogen, Inc.
1.76%
Lantheus Holdings, Inc.
1.74%
Artivion, Inc.
1.73%
Envista Holdings Corp.
1.72%
Omnicell, Inc.
1.71%
Medline, Inc.
1.69%
Alphatec Holdings, Inc.
1.67%
Dentsply Sirona, Inc.
1.66%
Inspire Medical Systems, Inc.
1.66%
The Cooper Cos., Inc.
1.66%
Edwards Lifesciences Corp.
1.65%
XPH
MBX Biosciences, Inc.
2.72%
Alumis, Inc.
2.14%
Trevi Therapeutics, Inc.
2.12%
Enliven Therapeutics, Inc.
2.09%
Amylyx Pharmaceuticals, Inc.
2.04%
Veradermics, Inc.
2.02%
Ligand Pharmaceuticals, Inc.
1.94%
Nuvation Bio, Inc.
1.89%
Edgewise Therapeutics, Inc.
1.88%
Nektar Therapeutics
1.88%
Liquidia Corp.
1.86%
Maze Therapeutics, Inc.
1.85%
Harrow, Inc.
1.81%
EyePoint, Inc.
1.77%
Amneal Pharmaceuticals, Inc.
1.72%
Frequently asked questions about XHE and XPH
How have the XHE and XPH ETFs performed in 2026?
As of July 27, 2026, XHE is down -0.75% year-to-date (YTD), while XPH has returned 22.32%. 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 +$2M in flows, compared to +$175M for XPH.
Which ETF is more volatile: XHE or XPH?
Over the past year, XHE had a volatility of 22.76%, while XPH experienced 22.24%.
Which ETF is bigger: XHE or XPH?
As of July 27, 2026, XHE holds $155.25 M in assets under management (AUM), while XPH manages $479.27 M.
What sectors do the XHE and XPH ETFs invest in?
XHE leans toward sectors like Healthcare. Meanwhile, XPH focuses on Healthcare.
What are the top holdings of the XHE ETF and XPH ETF?
XHE top holdings include Butterfly Network, Inc., QuidelOrtho Corp. and Glaukos Corp.. XPH holds in its top three: MBX Biosciences, Inc., Alumis, Inc. and Trevi Therapeutics, Inc..
Which ETF is more diversified: XHE or XPH?
XHE holds 67 securities with 26.73% of its assets in the top 15. XPH has 63 securities and a top 15 weight of 29.74%.
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