XHSvsXHEETF Comparison
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State Street SPDR S&P Health Care Services ETF (XHS) and State Street SPDR S&P Health Care Equipment ETF (XHE) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. Both XHS and XHE have the same Total Expense Ratio (TER) of 0.35%. XHS is up 12.07% year-to-date (YTD) with +$12M in YTD flows. XHE performs worse with -5.79% YTD performance, and -$535K in YTD flows. Run a side-by-side ETF comparison of XHS and XHE 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 XHE performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/09/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHS XHE | +7.45%+7.18% | +11.99%+0.21% | +12.07%-5.79% | +22.43%+0.96% | +32.91%-12.31% | +6.12%-32.04% |
| Flows | XHS XHE | -+$14M | +$5M+$4M | +$12M-$535K | -$1M-$25M | -$24M-$319M | -$74M-$384M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHS XHE | +17.40%+25.77% | +17.96%+21.85% | +17.98%+21.71% | +21.22%+24.47% |
| Max drawdown | XHS XHE | -8.05%-8.81% | -11.97%-18.20% | -17.78%-32.46% | -32.53%-49.90% |
| Max drawdown duration | XHS XHE | 38d51d | 121d152d | 362d1058d | 1786d1741d |
Trading data
XHS | XHE | |
Last sale 6/10/2026 at 1:30 PM | $120.18 | $81.59 |
| Previous close 06/09/2026 | $119.84 | $83.11 |
| Consolidated volume 06/09/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 2026
1-year trailing difference
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XHS | XHE | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 6/10/2026 at 1:30 PM
Live
Closed
XHS | XHE | |
|---|---|---|
| Last price | $120.18 | $81.59 |
| 1D performance | +0.29% | -1.83% |
| AuM | $106.57 M | $145.28 M |
| E/R | 0.35% | 0.35% |
Characteristics
XHS | XHE | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | State Street Investment Management |
| Benchmark | S&P Health Care Services Select Industry Index | S&P Health Care Equipment Select Industry Index |
| N° of holdings | 51 | 60 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 28, 2011 | January 26, 2011 |
| ESG | No | No |
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Exposure
Countries
XHS
USA
99.91%
Other
0.09%
XHE
USA
92.03%
Other
7.97%
Sectors
XHS
Health Care
86.95%
Other
13.05%
XHE
Health Care
89.92%
Other
10.08%
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Diversification
XHS
Total weight of top 15 holdings out of 15
33.75%
XHE
Total weight of top 15 holdings out of 15
29.69%
Top 15 holdings
Data as of April 30, 2026
XHS
CENTENE
2.76%
HUMANA
2.55%
MOLINA HLTHCRE
2.44%
ELEVANCE HEALTH INC
2.39%
UNITEDHEALTH GRP
2.39%
ALIGNMENT HEALTHCARE
2.31%
CLOVER HEALTH INV CORP
2.28%
APOLLO MEDICAL HOLDINGS INC
2.25%
US10950A1060
2.14%
MEDNAX
2.10%
PRIVIA HEALTH GROUP
2.07%
CIGNA
2.05%
CVS HEALTH CORP
2.03%
CORVEL
2.00%
ACADIA HEALTHCARE COMPANY
2.00%
XHE
STAAR SURGICAL
2.55%
GLAUKOS
2.39%
AXOGEN
2.29%
BUTTERFLY NETWORK INC
2.14%
NOVOCURE LTD
2.07%
AVANOS MEDICAL INC
2.05%
TELEFLEX
1.89%
OMNICELL
1.89%
IRHYTHM TECHNOLOGIES
1.84%
US58507V1070
1.79%
INTEGER HOLDINGS
1.78%
GLOBUS MEDICAL
1.77%
LANTHEUS HOLDINGS
1.76%
MASIMO
1.74%
LEMAITRE VASCULAR
1.73%
Frequently asked questions about XHS and XHE
How have the XHS and XHE ETFs performed in 2026?
As of June 9, 2026, XHS is up 12.07% year-to-date (YTD), while XHE has lost -5.79%. That puts XHS better performer ahead so far this year.
Which ETF is attracting more investor money: XHS or XHE?
Year-to-date, the XHS ETF saw +$12M in flows, compared to -$535K for XHE.
Which ETF is more volatile: XHS or XHE?
Over the past year, XHS had a volatility of 17.96%, while XHE experienced 21.85%.
Which ETF is bigger: XHS or XHE?
As of June 9, 2026, XHS holds $106.57 M in assets under management (AUM), while XHE manages $145.28 M.
What sectors do the XHS and XHE ETFs invest in?
XHS leans toward sectors like Health Care. Meanwhile, XHE focuses on Health Care.
What are the top holdings of the XHS ETF and XHE ETF?
XHS top holdings include CENTENE, HUMANA and MOLINA HLTHCRE. XHE holds in its top three: STAAR SURGICAL, GLAUKOS and AXOGEN.
Which ETF is more diversified: XHS or XHE?
XHS holds 58 securities with 33.75% of its assets in the top 15. XHE has 66 securities and a top 15 weight of 29.69%.
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