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 32.24% year-to-date (YTD) with +$103M in YTD flows. XHE performs worse with 5.54% YTD performance, and -$11M 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 10/23/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHS XHE | +5.46%+1.87% | +7.08%+9.46% | +32.24%+5.54% | +35.98%+14.34% | +78.28%+33.01% | +36.44%-25.86% |
| Flows | XHS XHE | -$13M-$45M | +$3M-$15M | +$103M-$11M | +$107M-$21M | +$74M-$225M | +$37M-$401M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHS XHE | +17.05%+20.85% | +17.59%+22.71% | +18.30%+21.97% | +21.37%+24.86% |
| Max drawdown | XHS XHE | -5.21%-9.09% | -11.97%-18.20% | -14.46%-24.35% | -29.93%-49.37% |
| Max drawdown duration | XHS XHE | 30d65d | 121d207d | 250d565d | 1477d1815d |
Trading data
XHS | XHE | |
Last sale 10/23/2026 at 1:30 PM | $141.40 | $93.08 |
| Previous close 10/22/2026 | $142.69 | $93.34 |
| Consolidated volume 10/22/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of September 30, 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 10/23/2026 at 1:30 PM
Live
Closed
XHS | XHE | |
|---|---|---|
| Last price | $141.40 | $93.08 |
| 1D performance | -0.90% | -0.28% |
| AuM | $221.73 M | $151.14 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 | 59 | 67 |
| 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
99.94%
Other
0.06%
XHE
USA
93.57%
Other
6.43%
Sectors
XHS
Healthcare
95.16%
Other
4.84%
XHE
Healthcare
97.47%
Other
2.53%
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Diversification
XHS
Total weight of top 15 holdings out of 15
33.1%
XHE
Total weight of top 15 holdings out of 15
30.96%
Top 15 holdings
Data as of August 31, 2026
XHS
Tenet Healthcare Corp.
2.65%
NeoGenomics, Inc.
2.60%
Lifestance Health Group, Inc.
2.58%
GeneDx Holdings Corp.
2.56%
Hinge Health, Inc.
2.45%
RadNet, Inc.
2.14%
Concentra Group Holdings Parent, Inc.
2.08%
Aveanna Healthcare Holdings, Inc.
2.07%
Labcorp Holdings, Inc.
2.03%
U.S. Physical Therapy, Inc.
2.03%
PACS Group, Inc.
2.02%
Addus HomeCare Corp.
2.02%
Guardant Health, Inc.
1.99%
Chemed Corp.
1.96%
Quest Diagnostics, Inc.
1.93%
XHE
AtriCure, Inc.
2.59%
Strive, Inc. (United States)
2.47%
Inspire Medical Systems, Inc.
2.19%
Glaukos Corp.
2.16%
Butterfly Network, Inc.
2.15%
CONMED Corp.
2.02%
Integer Holdings Corp.
2.02%
Tandem Diabetes Care, Inc.
2.00%
Merit Medical Systems, Inc.
1.99%
Artivion, Inc.
1.94%
Haemonetics Corp.
1.93%
UFP Technologies, Inc.
1.89%
Baxter International, Inc.
1.88%
Becton, Dickinson & Co.
1.87%
Neogen Corp.
1.86%
Frequently asked questions about XHS and XHE
How have the XHS and XHE ETFs performed in 2026?
As of October 23, 2026, XHS is up 32.24% year-to-date (YTD), while XHE has returned 5.54%. 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 +$103M in flows, compared to -$11M for XHE.
Which ETF is more volatile: XHS or XHE?
Over the past year, XHS had a volatility of 17.59%, while XHE experienced 22.71%.
Which ETF is bigger: XHS or XHE?
As of October 23, 2026, XHS holds $221.73 M in assets under management (AUM), while XHE manages $151.14 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 Lifestance Health Group, Inc.. XHE holds in its top three: AtriCure, Inc., Strive, Inc. (United States) and Inspire Medical Systems, Inc..
Which ETF is more diversified: XHS or XHE?
XHS holds 59 securities with 33.1% of its assets in the top 15. XHE has 67 securities and a top 15 weight of 30.96%.
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