XPHvsXHEETF Comparison
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State Street SPDR S&P Pharmaceuticals ETF (XPH) 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 XPH and XHE have the same Total Expense Ratio (TER) of 0.35%. XPH is up 7.68% year-to-date (YTD) with +$110M in YTD flows. XHE performs worse with -6.98% YTD performance, and -$535K in YTD flows. Run a side-by-side ETF comparison of XPH 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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XPH vs XHE performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/12/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XPH XHE | +3.73%+4.32% | +12.67%+2.70% | +7.68%-6.98% | +44.62%+0.63% | +53.31%-13.93% | +21.61%-34.60% |
| Flows | XPH XHE | -$8M+$14M | +$23M+$4M | +$110M-$535K | +$133M-$33M | +$51M-$319M | +$63M-$381M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XPH XHE | +25.05%+25.26% | +21.48%+21.83% | +19.89%+21.71% | +20.72%+24.47% |
| Max drawdown | XPH XHE | -8.13%-8.81% | -11.78%-18.20% | -23.45%-32.46% | -31.59%-49.90% |
| Max drawdown duration | XPH XHE | 37d54d | 50d155d | 322d1061d | 1566d1744d |
Trading data
XPH | XHE | |
Last sale 6/12/2026 at 1:30 PM | $60.27 | $81.88 |
| Previous close 06/11/2026 | $59.77 | $82.05 |
| Consolidated volume 06/11/2026 | ||
| 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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XPH | 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 6/12/2026 at 1:30 PM
Live
Closed
XPH | XHE | |
|---|---|---|
| Last price | $60.27 | $81.88 |
| 1D performance | +0.84% | -0.21% |
| AuM | $364.98 M | $143.46 M |
| E/R | 0.35% | 0.35% |
Characteristics
XPH | XHE | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | State Street Investment Management |
| Benchmark | S&P Pharmaceuticals Select Industry Index | S&P Health Care Equipment Select Industry Index |
| N° of holdings | 48 | 60 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 19, 2006 | January 26, 2011 |
| ESG | No | No |
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Exposure
Countries
XPH
USA
89.49%
Other
10.51%
XHE
USA
92.03%
Other
7.97%
Sectors
XPH
Health Care
82.05%
Other
17.95%
XHE
Health Care
89.92%
Other
10.08%
Diversification
XPH
Total weight of top 15 holdings out of 15
33.31%
XHE
Total weight of top 15 holdings out of 15
29.69%
Top 15 holdings
Data as of April 30, 2026
XPH
ORGANON & CO
3.72%
CORCEPT THERAPEUTICS
2.48%
US29337E1029
2.41%
AXSOME THERA CMN STK
2.34%
OMEROS
2.20%
PERRIGO CO PLC
2.17%
US6402683063
2.08%
TREVI THERAPEUTICS
2.07%
TERNS PHARMACEUTICALS
2.03%
US45579U1097
2.01%
PACIRA BIOSCIENCES INC
2.00%
HARROW HEALTH
1.97%
JAZZ PHARMACEUTICALS
1.97%
HARMONY BIOSCIENCES HLDG
1.95%
ROYALTY PHARMA
1.93%
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 XPH and XHE
How have the XPH and XHE ETFs performed in 2026?
As of June 12, 2026, XPH is up 7.68% year-to-date (YTD), while XHE has lost -6.98%. That puts XPH better performer ahead so far this year.
Which ETF is attracting more investor money: XPH or XHE?
Year-to-date, the XPH ETF saw +$110M in flows, compared to -$535K for XHE.
Which ETF is more volatile: XPH or XHE?
Over the past year, XPH had a volatility of 21.48%, while XHE experienced 21.83%.
Which ETF is bigger: XPH or XHE?
As of June 12, 2026, XPH holds $364.98 M in assets under management (AUM), while XHE manages $143.46 M.
What sectors do the XPH and XHE ETFs invest in?
XPH leans toward sectors like Health Care. Meanwhile, XHE focuses on Health Care.
What are the top holdings of the XPH ETF and XHE ETF?
XPH top holdings include ORGANON & CO, CORCEPT THERAPEUTICS and US29337E1029. XHE holds in its top three: STAAR SURGICAL, GLAUKOS and AXOGEN.
Which ETF is more diversified: XPH or XHE?
XPH holds 58 securities with 33.31% of its assets in the top 15. XHE has 66 securities and a top 15 weight of 29.69%.
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