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. XHS's top 3 sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. In contrast, XHE's top sector exposures are Healthcare and Finance. Both XHS and XHE have the same Total Expense Ratio (TER) of 0.35%. XHS is up 26.65% year-to-date (YTD) with +$111M in YTD flows. XHE performs worse with 4.83% YTD performance, and +$13M 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 09/08/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHS XHE | -1.08%-2.01% | +16.30%+13.88% | +26.65%+4.83% | +35.80%+11.92% | +58.89%+12.15% | +23.34%-30.36% |
| Flows | XHS XHE | +$12M+$5M | +$99M+$10M | +$111M+$13M | +$112M+$2M | +$72M-$264M | +$10M-$380M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHS XHE | +18.63%+24.33% | +17.60%+22.79% | +18.29%+22.22% | +21.34%+24.83% |
| Max drawdown | XHS XHE | -4.21%-4.79% | -11.97%-18.20% | -14.46%-24.35% | -29.93%-49.72% |
| Max drawdown duration | XHS XHE | 65d11d | 121d207d | 250d565d | 1477d1826d |
Trading data
XHS | XHE | |
Last sale 9/8/2026 at 1:30 PM | $135.28 | $92.32 |
| Previous close 09/08/2026 | $135.61 | $94.20 |
| 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 | 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 9/8/2026 at 1:30 PM
Live
Closed
XHS | XHE | |
|---|---|---|
| Last price | $135.28 | $92.32 |
| 1D performance | -0.24% | -2.00% |
| AuM | $220.51 M | $175.52 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 | 60 | 66 |
| 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
99.96%
Other
0.04%
XHE
USA
93.56%
Other
6.44%
Sectors
XHS
Healthcare
94.85%
Other
5.15%
XHE
Healthcare
98.72%
Other
1.28%
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Diversification
XHS
Total weight of top 15 holdings out of 15
31.01%
XHE
Total weight of top 15 holdings out of 15
30.19%
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%
XHE
AtriCure, Inc.
2.14%
Glaukos Corp.
2.13%
Dentsply Sirona, Inc.
2.08%
Enovis Corp.
2.07%
Integer Holdings Corp.
2.07%
Butterfly Network, Inc.
2.06%
Neogen Corp.
2.05%
Artivion, Inc.
2.05%
Baxter International, Inc.
2.01%
CONMED Corp.
1.99%
Merit Medical Systems, Inc.
1.98%
QuidelOrtho Corp.
1.94%
ICU Medical, Inc.
1.88%
Tandem Diabetes Care, Inc.
1.88%
Inspire Medical Systems, Inc.
1.85%
Frequently asked questions about XHS and XHE
How have the XHS and XHE ETFs performed in 2026?
As of September 8, 2026, XHS is up 26.65% year-to-date (YTD), while XHE has returned 4.83%. 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 +$111M in flows, compared to +$13M for XHE.
Which ETF is more volatile: XHS or XHE?
Over the past year, XHS had a volatility of 17.6%, while XHE experienced 22.79%.
Which ETF is bigger: XHS or XHE?
As of September 8, 2026, XHS holds $220.51 M in assets under management (AUM), while XHE manages $175.52 M.
What sectors do the XHS and XHE ETFs invest in?
XHS leans toward sectors like Healthcare. Meanwhile, XHE focuses on Healthcare.
What are the top holdings of the XHS ETF and XHE ETF?
XHS top holdings include Tenet Healthcare Corp., NeoGenomics, Inc. and PACS Group, Inc.. XHE holds in its top three: AtriCure, Inc., Glaukos Corp. and Dentsply Sirona, Inc..
Which ETF is more diversified: XHS or XHE?
XHS holds 60 securities with 31.01% of its assets in the top 15. XHE has 66 securities and a top 15 weight of 30.19%.
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