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XHSvsGNOMETF Comparison

ETF 1
XHS

State Street SPDR S&P Health Care Services ETF

This fund is part of
US Health Care
-2.15%
VS
ETF 2
GNOM

Global X Genomics & Biotechnology ETF

This fund is part of
BioTech & Genomics
-0.93%

State Street SPDR S&P Health Care Services ETF (XHS) belongs to the US Health Care segment. Global X Genomics & Biotechnology ETF (GNOM) is part of the BioTech & Genomics segment. XHS's top 3 sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. XHS is less expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.5% for GNOM. XHS is up 26.65% year-to-date (YTD) with +$111M in YTD flows. GNOM performs better with 39.43% YTD performance, and +$17M in YTD flows. Run a side-by-side ETF comparison of XHS and GNOM 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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XHS vs GNOM performance and flow charts

Performance

0510%Aug 10Aug 17Aug 24Aug 31Sep 8

Cumulative Flows

0 M5 M10 MAug 10Aug 17Aug 24Aug 31Sep 8

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Historic performance and flows
Data as of 09/08/2026
1M3MYTD1Y3Y5Y
Perf.
XHS
GNOM
-1.08%+6.48%
+16.30%+32.91%
+26.65%+39.43%
+35.80%+72.43%
+58.89%+47.52%
+23.34%-32.80%
Flows
XHS
GNOM
+$12M-$688K
+$99M+$15M
+$111M+$17M
+$112M+$12M
+$72M-$57M
+$10M-$41M
Volatility and drawdown
3M1Y3Y5Y
Volatility
XHS
GNOM
+18.63%+38.16%
+17.60%+30.61%
+18.29%+30.38%
+21.34%+33.83%
Max drawdown
XHS
GNOM
-4.21%-8.57%
-11.97%-18.16%
-14.46%-43.10%
-29.93%-71.04%
Max drawdown duration
XHS
GNOM
65d32d
121d145d
250d674d
1477d1815d
Trading data

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XHS
GNOM
Last sale
9/9/2026 at 3:10 PM
$134.82
$62.86
Previous close
09/08/2026
$135.28
$63.44
Consolidated volume
09/08/2026
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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XHS
GNOM
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 9/9/2026 at 3:10 PM
Live
Closed
XHS
GNOM
Last price
$134.82
$62.86
1D performance
-0.34%
-0.92%
AuM$220.51 M$92.27 M
E/R0.35%0.5%
Characteristics
XHS
GNOM
Management strategyPassivePassive
ProviderState Street Investment ManagementGlobal X
BenchmarkS&P Health Care Services Select Industry IndexSolactive Genomics Index
N° of holdings60-
Asset classEquitiesEquities
Trailing 12m distribution yield
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Inception dateSeptember 28, 2011April 5, 2019
ESGNoNo
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Exposure

Countries

XHS
USA
99.96%
Other
0.04%
GNOM
Data will be available soon

Sectors

XHS
Healthcare
94.85%
Other
5.15%
GNOM
Data will be available soon
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Diversification

XHS

Total weight of top 15 holdings out of 15

31.01%
GNOM
Data will be available soon

Top 15 holdings

Data as of July 31, 2026
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%
GNOM
Data will be available soon
Frequently asked questions about XHS and GNOM

How have the XHS and GNOM ETFs performed in 2026?

As of September 8, 2026, XHS is up 26.65% year-to-date (YTD), while GNOM has returned 39.43%. That puts GNOM better performer ahead so far this year.

Which ETF is attracting more investor money: XHS or GNOM?

Year-to-date, the XHS ETF saw +$111M in flows, compared to +$17M for GNOM.

Which ETF is more volatile: XHS or GNOM?

Over the past year, XHS had a volatility of 17.6%, while GNOM experienced 30.61%.

Which ETF is bigger: XHS or GNOM?

As of September 8, 2026, XHS holds $220.51 M in assets under management (AUM), while GNOM manages $92.27 M.

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