XHSvsXPHETF Comparison
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State Street SPDR S&P Health Care Services ETF (XHS) and State Street SPDR S&P Pharmaceuticals ETF (XPH) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. Both XHS and XPH have the same Total Expense Ratio (TER) of 0.35%. XHS is up 3.18% year-to-date (YTD) with +$12M in YTD flows. XPH performs worse with 2.38% YTD performance, and +$116M in YTD flows. Run a side-by-side ETF comparison of XHS and XPH 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 XPH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/28/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHS XPH | +12.12%+11.59% | +4.03%+3.53% | +3.18%+2.38% | +15.77%+42.75% | +24.19%+41.57% | +0.99%+22.36% |
| Flows | XHS XPH | +$9M+$25M | -$2M+$79M | +$12M+$116M | -$1M+$141M | -$27M+$48M | -$31M+$71M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHS XPH | +16.78%+24.42% | +17.89%+21.14% | +18.08%+19.47% | +21.15%+20.46% |
| Max drawdown | XHS XPH | -9.92%-11.78% | -12.54%-11.78% | -17.78%-23.45% | -32.53%-31.59% |
| Max drawdown duration | XHS XPH | 53d50d | 128d50d | 362d322d | 1765d1566d |
Trading data
XHS | XPH | |
Last sale 4/29/2026 at 1:30 PM | $110.08 | $56.54 |
| Previous close 04/28/2026 | $110.18 | $57.35 |
| Consolidated volume 04/28/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 2026
1-year trailing difference
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XHS | XPH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/29/2026 at 1:30 PM
Live
Closed
XHS | XPH | |
|---|---|---|
| Last price | $110.08 | $56.54 |
| 1D performance | -0.09% | -1.41% |
| AuM | $98.11 M | $352.77 M |
| E/R | 0.35% | 0.35% |
Characteristics
XHS | XPH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | State Street Investment Management |
| Benchmark | S&P Health Care Services Select Industry Index | S&P Pharmaceuticals Select Industry Index |
| N° of holdings | 51 | 48 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 28, 2011 | June 19, 2006 |
| ESG | No | No |
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Exposure
Countries
XHS
USA
99.89%
Other
0.11%
XPH
USA
87.77%
Other
12.23%
Sectors
XHS
Health Care
86.56%
Other
13.44%
XPH
Health Care
82.36%
Other
17.64%
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Diversification
XHS
Total weight of top 15 holdings out of 15
30.62%
XPH
Total weight of top 15 holdings out of 15
30.65%
Top 15 holdings
Data as of March 31, 2026
XHS
MEDNAX
2.18%
HEALTHEQUITY I/D
2.15%
GUARDANT HEALTH INC
2.12%
CORVEL
2.08%
US10950A1060
2.08%
CIGNA
2.06%
HUMANA
2.05%
ELEVANCE HEALTH INC
2.04%
DAVITA INC
2.00%
US5049221055
1.99%
ACADIA HEALTHCARE COMPANY
1.98%
CARDINAL HEALTH
1.98%
ALIGNMENT HEALTHCARE
1.98%
QUEST DIAGNOSTICS
1.97%
PROGYNY INC
1.96%
XPH
US29337E1029
2.45%
CORCEPT THERAPEUTICS
2.29%
TERNS PHARMACEUTICALS
2.16%
PERRIGO CO PLC
2.10%
AXSOME THERA CMN STK
2.03%
INNOVIVA INC
1.99%
MERCK & CO INC
1.98%
PFIZER
1.97%
ROYALTY PHARMA
1.97%
ELANCO ANIMAL HEALTH INC
1.96%
JAZZ PHARMACEUTICALS
1.96%
ESPERION THERAPEUTICS
1.95%
EDGEWISE THERAPEUTICS
1.95%
US55287L1017
1.95%
BRISTOL-MYERS SQUIBB
1.94%
Frequently asked questions about XHS and XPH
How have the XHS and XPH ETFs performed in 2026?
As of April 28, 2026, XHS is up 3.18% year-to-date (YTD), while XPH has returned 2.38%. That puts XHS better performer ahead so far this year.
Which ETF is attracting more investor money: XHS or XPH?
Year-to-date, the XHS ETF saw +$12M in flows, compared to +$116M for XPH.
Which ETF is more volatile: XHS or XPH?
Over the past year, XHS had a volatility of 17.89%, while XPH experienced 21.14%.
Which ETF is bigger: XHS or XPH?
As of April 28, 2026, XHS holds $98.11 M in assets under management (AUM), while XPH manages $352.77 M.
What sectors do the XHS and XPH ETFs invest in?
XHS leans toward sectors like Health Care. Meanwhile, XPH focuses on Health Care.
What are the top holdings of the XHS ETF and XPH ETF?
XHS top holdings include MEDNAX, HEALTHEQUITY I/D and GUARDANT HEALTH INC. XPH holds in its top three: US29337E1029, CORCEPT THERAPEUTICS and TERNS PHARMACEUTICALS.
Which ETF is more diversified: XHS or XPH?
XHS holds 58 securities with 30.62% of its assets in the top 15. XPH has 57 securities and a top 15 weight of 30.65%.
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