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XHSvsFXHETF Comparison
SPDR S&P Health Care Services ETF (XHS) and First Trust Health Care AlphaDEX Fund ETF (FXH) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. XHS is less expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.61% for FXH. XHS is down -1.75% year-to-date (YTD) with +$6M in YTD flows. FXH performs worse with -3.01% YTD performance, and -$40M in YTD flows. Run a side-by-side ETF comparison of XHS and FXH below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
XHS vs FXH performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHS FXH | -3.11%-4.09% | -3.76%-4.41% | -1.75%-3.01% | +10.69%+6.85% | +26.75%+8.38% | -0.05%+4.68% |
| Flows | XHS FXH | -$8M-$17M | +$2M-$34M | +$6M-$40M | -$3M-$160M | -$34M-$708M | -$36M-$511M |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHS FXH | +17.45%+13.46% | +19.20%+18.27% | +18.15%+15.03% | +21.12%+16.51% |
| Max drawdown | XHS FXH | -6.02%-7.48% | -12.54%-11.60% | -17.78%-18.79% | -32.53%-29.40% |
| Max drawdown duration | XHS FXH | 64d63d | 128d143d | 362d490d | 1717d1647d |
XHS | FXH | |
Last sale 3/12/2026 at 1:30 PM | $103.05 | $108.36 |
| Previous close 03/11/2026 | $104.90 | $110.30 |
| Consolidated volume 03/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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XHS | FXH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
XHS | FXH | |
|---|---|---|
| Last price | $103.05 | $108.36 |
| 1D performance | -1.76% | -1.76% |
| AuM | $87.16 M | $871.47 M |
| E/R | 0.35% | 0.61% |
XHS | FXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | SPDR | First Trust |
| Benchmark | S&P Health Care Services Select Industry Index | StrataQuant Health Care Index |
| N° of holdings | 52 | 71 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 28, 2011 | May 8, 2007 |
| ESG | No | No |
Countries
Sectors
Diversification
Total weight of top 15 holdings out of 15
Total weight of top 15 holdings out of 15
Top 15 holdings
How have the XHS and FXH ETFs performed in 2026?
As of March 11, 2026, XHS is down -1.75% year-to-date (YTD), while FXH has lost -3.01%. That puts XHS better performer ahead so far this year.
Which ETF is attracting more investor money: XHS or FXH?
Year-to-date, the XHS ETF saw +$6M in flows, compared to -$40M for FXH.
Which ETF is more volatile: XHS or FXH?
Over the past year, XHS had a volatility of 19.2%, while FXH experienced 18.27%.
Which ETF is bigger: XHS or FXH?
As of March 11, 2026, XHS holds $87.16 M in assets under management (AUM), while FXH manages $871.47 M.
What sectors do the XHS and FXH ETFs invest in?
XHS leans toward sectors like Health Care. Meanwhile, FXH focuses on Health Care.
What are the top holdings of the XHS ETF and FXH ETF?
XHS top holdings include BROOKDALE SENIOR LIVING, ALIGNMENT HEALTHCARE and US20603L1026. FXH holds in its top three: ORGANON & CO, PFIZER and IONIS PHARMACEUTICALS INC.
Which ETF is more diversified: XHS or FXH?
XHS holds 59 securities with 33.22% of its assets in the top 15. FXH has 75 securities and a top 15 weight of 33.8%.
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