XHSvsIHEETF Comparison
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State Street SPDR S&P Health Care Services ETF (XHS) and iShares U.S. Pharmaceuticals ETF (IHE) 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 0.38% for IHE. XHS is up 1.76% year-to-date (YTD) with +$9M in YTD flows. IHE performs better with 1.79% YTD performance, and +$81M in YTD flows. Run a side-by-side ETF comparison of XHS and IHE 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 IHE performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHS IHE | +7.11%+2.19% | -2.43%-0.54% | +1.76%+1.79% | +14.80%+32.62% | +21.34%+49.10% | -0.83%+55.06% |
| Flows | XHS IHE | +$1M-$48M | -$5M-$25M | +$9M+$81M | -$3M+$205M | -$30M+$312M | -$34M+$345M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHS IHE | +18.84%+18.50% | +17.87%+17.94% | +18.09%+16.14% | +21.14%+15.99% |
| Max drawdown | XHS IHE | -11.77%-8.48% | -12.54%-9.18% | -17.78%-16.04% | -32.53%-16.12% |
| Max drawdown duration | XHS IHE | 88d54d | 128d82d | 362d210d | 1761d669d |
Trading data
XHS | IHE | |
Last sale 4/24/2026 at 1:30 PM | $108.83 | $86.02 |
| Previous close 04/23/2026 | $107.79 | $86.87 |
| Consolidated volume 04/23/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 2026
1-year trailing difference
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XHS | IHE | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/24/2026 at 1:30 PM
Live
Closed
XHS | IHE | |
|---|---|---|
| Last price | $108.83 | $86.02 |
| 1D performance | +0.96% | -0.98% |
| AuM | $93.51 M | $941.80 M |
| E/R | 0.35% | 0.38% |
Characteristics
XHS | IHE | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | iShares |
| Benchmark | S&P Health Care Services Select Industry Index | Dow Jones U.S. Select Pharmaceuticals Index |
| N° of holdings | 51 | 45 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 28, 2011 | May 1, 2006 |
| ESG | No | No |
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Exposure
Countries
XHS
USA
99.89%
Other
0.11%
IHE
USA
90.65%
Other
9.35%
Sectors
XHS
Health Care
86.56%
Other
13.44%
IHE
Health Care
95.58%
Other
4.42%
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Diversification
XHS
Total weight of top 15 holdings out of 15
30.62%
IHE
Total weight of top 15 holdings out of 15
84.72%
Top 15 holdings
Data as of March 31, 2026
XHS
MEDNAX
2.18%
HEALTHEQUITY I/D
2.15%
GUARDANT HEALTH INC
2.12%
CORVEL
2.08%
US10950A1060
2.08%
CIGNA
2.06%
HUMANA
2.05%
ELEVANCE HEALTH INC
2.04%
DAVITA INC
2.00%
US5049221055
1.99%
ACADIA HEALTHCARE COMPANY
1.98%
CARDINAL HEALTH
1.98%
ALIGNMENT HEALTHCARE
1.98%
QUEST DIAGNOSTICS
1.97%
PROGYNY INC
1.96%
IHE
JOHNSON&JOHNSON
23.02%
LILLY
21.05%
MERCK & CO INC
4.74%
PFIZER
4.71%
ROYALTY PHARMA
4.70%
BRISTOL-MYERS SQUIBB
4.63%
ZOETIS INC
4.52%
VIATRIS INC
4.35%
ELANCO ANIMAL HEALTH INC
3.32%
JAZZ PHARMACEUTICALS
3.21%
AXSOME THERA CMN STK
2.00%
TERNS PHARMACEUTICALS
1.27%
LIGAND PHARMACEUTICALS
1.10%
US45579U1097
1.06%
CORCEPT THERAPEUTICS
1.05%
Frequently asked questions about XHS and IHE
How have the XHS and IHE ETFs performed in 2026?
As of April 24, 2026, XHS is up 1.76% year-to-date (YTD), while IHE has returned 1.79%. That puts IHE better performer ahead so far this year.
Which ETF is attracting more investor money: XHS or IHE?
Year-to-date, the XHS ETF saw +$9M in flows, compared to +$81M for IHE.
Which ETF is more volatile: XHS or IHE?
Over the past year, XHS had a volatility of 17.87%, while IHE experienced 17.94%.
Which ETF is bigger: XHS or IHE?
As of April 24, 2026, XHS holds $93.51 M in assets under management (AUM), while IHE manages $941.80 M.
What sectors do the XHS and IHE ETFs invest in?
XHS leans toward sectors like Health Care. Meanwhile, IHE focuses on Health Care.
What are the top holdings of the XHS ETF and IHE ETF?
XHS top holdings include MEDNAX, HEALTHEQUITY I/D and GUARDANT HEALTH INC. IHE holds in its top three: JOHNSON&JOHNSON, LILLY and MERCK & CO INC.
Which ETF is more diversified: XHS or IHE?
XHS holds 58 securities with 30.62% of its assets in the top 15. IHE has 57 securities and a top 15 weight of 84.72%.
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