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XHSvsXHEETF Comparison

ETF 1
XHS

SPDR S&P Health Care Services ETF

This fund is part of
US Health Care
-2%
Full XHS fund page
VS
ETF 2
XHE

SPDR S&P Health Care Equipment ETF

This fund is part of
US Health Care
-2%
Full XHE fund page

SPDR S&P Health Care Services ETF (XHS) and 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 down -3.54% year-to-date (YTD) with +$6M in YTD flows. XHE performs worse with -9.43% YTD performance, and -$6M 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

-4.0-2.00.02.04.06.0%Feb 12Feb 20Feb 27Mar 6

Cumulative Flows

-8 M-6 M-4 M-2 M0 MFeb 12Feb 20Feb 27Mar 6

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Historic performance and flows
Data as of 03/12/2026
1M3MYTD1Y3Y5Y
Perf.
XHS
XHE
-3.48%-4.50%
-5.76%-10.55%
-3.54%-9.43%
+9.47%-3.01%
+24.45%-9.90%
-2.70%-33.44%
Flows
XHS
XHE
-$8M-$2M
+$2M-$9M
+$6M-$6M
-$3M-$46M
-$34M-$297M
-$34M-$432M
Volatility and drawdown
3M1Y3Y5Y
Volatility
XHS
XHE
+17.81%+19.72%
+19.28%+23.64%
+18.17%+21.12%
+21.14%+24.20%
Max drawdown
XHS
XHE
-7.72%-14.50%
-12.54%-14.50%
-17.78%-32.63%
-32.53%-49.90%
Max drawdown duration
XHS
XHE
65d63d
128d63d
362d1054d
1718d1652d
Trading data

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XHS
XHE
Last sale
3/12/2026 at 1:30 PM
$103.05
$79.38
Previous close
03/12/2026
$104.90
$79.80
Consolidated volume
03/12/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of February 27, 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 3/12/2026 at 1:30 PM
Live
Closed
XHS
XHE
Last price
$103.05
$79.38
1D performance
-1.76%
-0.53%
AuM$85.58 M$133.70 M
E/R0.35%0.35%
Characteristics
XHS
XHE
Management strategyPassivePassive
ProviderSPDRSPDR
BenchmarkS&P Health Care Services Select Industry IndexS&P Health Care Equipment Select Industry Index
N° of holdings5261
Asset classEquitiesEquities
Trailing 12m distribution yield
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Inception dateSeptember 28, 2011January 26, 2011
ESGNoNo
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Exposure

Countries

XHS
USA
99.96%
Other
0.04%
XHE
USA
92.71%
Other
7.29%

Sectors

XHS
Health Care
87.38%
Other
12.62%
XHE
Health Care
93.87%
Other
6.13%
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Diversification

XHS

Total weight of top 15 holdings out of 15

33.22%
XHE

Total weight of top 15 holdings out of 15

30.47%

Top 15 holdings

Data as of January 31, 2026
XHS
BROOKDALE SENIOR LIVING
2.87%
ALIGNMENT HEALTHCARE
2.39%
US20603L1026
2.27%
CENTENE
2.25%
MOLINA HLTHCRE
2.24%
US10950A1060
2.24%
GUARDANT HEALTH INC
2.23%
CARDINAL HEALTH
2.17%
AMERISOURCEBERGEN
2.11%
CIGNA
2.09%
HCA HEALTHCARE
2.09%
QUEST DIAGNOSTICS
2.09%
US5049221055
2.08%
OPTION CARE HEALTH INC
2.06%
MCKESSON
2.04%
XHE
NEOGEN
2.63%
INTEGER HOLDINGS
2.17%
PENUMBRA
2.12%
UFP TECHNOLOGY
2.11%
AXOGEN
2.09%
OMNICELL
1.98%
LANTHEUS HOLDINGS
1.98%
BAXTER INTL
1.98%
GLAUKOS
1.97%
DEXCOM
1.94%
DENTSPLY SIRONA
1.92%
BUTTERFLY NETWORK INC
1.92%
ENVISTA HOLDINGS CORP
1.91%
STRYKER
1.88%
GLOBUS MEDICAL
1.86%
Frequently asked questions about XHS and XHE

How have the XHS and XHE ETFs performed in 2026?

As of March 12, 2026, XHS is down -3.54% year-to-date (YTD), while XHE has lost -9.43%. 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 +$6M in flows, compared to -$6M for XHE.

Which ETF is more volatile: XHS or XHE?

Over the past year, XHS had a volatility of 19.28%, while XHE experienced 23.64%.

Which ETF is bigger: XHS or XHE?

As of March 12, 2026, XHS holds $85.58 M in assets under management (AUM), while XHE manages $133.70 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 BROOKDALE SENIOR LIVING, ALIGNMENT HEALTHCARE and US20603L1026. XHE holds in its top three: NEOGEN, INTEGER HOLDINGS and PENUMBRA.

Which ETF is more diversified: XHS or XHE?

XHS holds 59 securities with 33.22% of its assets in the top 15. XHE has 64 securities and a top 15 weight of 30.47%.

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