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XHSvsTMEDETF Comparison
SPDR S&P Health Care Services ETF (XHS) and T. Rowe Price Health Care ETF (TMED) 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 0.44% for TMED. XHS is down -1.75% year-to-date (YTD) with +$6M in YTD flows. TMED performs better with 0.13% YTD performance, and +$3M in YTD flows. Run a side-by-side ETF comparison of XHS and TMED 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 TMED performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHS TMED | -3.11%+1.16% | -3.76%+1.57% | -1.75%+0.13% | +10.69%n/a | +26.75%n/a | -0.05%n/a |
| Flows | XHS TMED | -$8M+$1M | +$2M+$4M | +$6M+$3M | -$3M- | -$34M- | -$36M- |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHS TMED | +17.45%+16.57% | +19.20%n/a | +18.15%n/a | +21.12%n/a |
| Max drawdown | XHS TMED | -6.02%-7.14% | -12.54%n/a | -17.78%n/a | -32.53%n/a |
| Max drawdown duration | XHS TMED | 64d47d | 128dn/a | 362dn/a | 1717dn/a |
XHS | TMED | |
Last sale 3/12/2026 at 1:30 PM | $103.05 | $28.82 |
| Previous close 03/11/2026 | $104.90 | $29.57 |
| 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 | TMED | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
XHS | TMED | |
|---|---|---|
| Last price | $103.05 | $28.82 |
| 1D performance | -1.76% | -2.56% |
| AuM | $87.16 M | $19.32 M |
| E/R | 0.35% | 0.44% |
XHS | TMED | |
|---|---|---|
| Management strategy | Passive | Active |
| Provider | SPDR | T. Rowe Price |
| Benchmark | S&P Health Care Services Select Industry Index | - |
| N° of holdings | 52 | 74 |
| Asset class | Equities | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 28, 2011 | June 11, 2025 |
| 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 TMED ETFs performed in 2026?
As of March 11, 2026, XHS is down -1.75% year-to-date (YTD), while TMED has returned 0.13%. That puts TMED better performer ahead so far this year.
Which ETF is attracting more investor money: XHS or TMED?
Year-to-date, the XHS ETF saw +$6M in flows, compared to +$3M for TMED.
Which ETF is bigger: XHS or TMED?
As of March 11, 2026, XHS holds $87.16 M in assets under management (AUM), while TMED manages $19.32 M.
What sectors do the XHS and TMED ETFs invest in?
XHS leans toward sectors like Health Care. Meanwhile, TMED focuses on Health Care.
What are the top holdings of the XHS ETF and TMED ETF?
XHS top holdings include BROOKDALE SENIOR LIVING, ALIGNMENT HEALTHCARE and US20603L1026. TMED holds in its top three: LILLY, UNITEDHEALTH GRP and GILEAD SCIENCES.
Which ETF is more diversified: XHS or TMED?
XHS holds 59 securities with 33.22% of its assets in the top 15. TMED has 80 securities and a top 15 weight of 56.46%.
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