XPHvsXHSETF Comparison
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State Street SPDR S&P Pharmaceuticals ETF (XPH) and State Street SPDR S&P Health Care Services ETF (XHS) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. Both XPH and XHS have the same Total Expense Ratio (TER) of 0.35%. XPH is up 2.61% year-to-date (YTD) with +$116M in YTD flows. XHS performs worse with 1.76% YTD performance, and +$9M in YTD flows. Run a side-by-side ETF comparison of XPH and XHS 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 XHS performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XPH XHS | +9.68%+7.11% | +2.44%-2.43% | +2.61%+1.76% | +44.99%+14.80% | +40.83%+21.34% | +22.16%-0.83% |
| Flows | XPH XHS | +$25M+$1M | +$82M-$5M | +$116M+$9M | +$141M-$3M | +$48M-$30M | +$64M-$34M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XPH XHS | +24.78%+18.84% | +21.12%+17.87% | +19.49%+18.09% | +20.45%+21.14% |
| Max drawdown | XPH XHS | -11.78%-11.77% | -11.78%-12.54% | -23.45%-17.78% | -31.59%-32.53% |
| Max drawdown duration | XPH XHS | 50d88d | 50d128d | 322d362d | 1566d1761d |
Trading data
XPH | XHS | |
Last sale 4/24/2026 at 1:30 PM | $57.40 | $108.83 |
| Previous close 04/24/2026 | $57.20 | $107.79 |
| Consolidated volume 04/24/2026 | ||
| 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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XPH | XHS | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/24/2026 at 1:30 PM
Live
Closed
XPH | XHS | |
|---|---|---|
| Last price | $57.40 | $108.83 |
| 1D performance | +0.35% | +0.96% |
| AuM | $353.54 M | $93.51 M |
| E/R | 0.35% | 0.35% |
Characteristics
XPH | XHS | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | State Street Investment Management |
| Benchmark | S&P Pharmaceuticals Select Industry Index | S&P Health Care Services Select Industry Index |
| N° of holdings | 48 | 51 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | June 19, 2006 | September 28, 2011 |
| ESG | No | No |
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Exposure
Countries
XPH
USA
87.77%
Other
12.23%
XHS
USA
99.89%
Other
0.11%
Sectors
XPH
Health Care
82.36%
Other
17.64%
XHS
Health Care
86.56%
Other
13.44%
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Diversification
XPH
Total weight of top 15 holdings out of 15
30.65%
XHS
Total weight of top 15 holdings out of 15
30.62%
Top 15 holdings
Data as of March 31, 2026
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%
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%
Frequently asked questions about XPH and XHS
How have the XPH and XHS ETFs performed in 2026?
As of April 24, 2026, XPH is up 2.61% year-to-date (YTD), while XHS has returned 1.76%. That puts XPH better performer ahead so far this year.
Which ETF is attracting more investor money: XPH or XHS?
Year-to-date, the XPH ETF saw +$116M in flows, compared to +$9M for XHS.
Which ETF is more volatile: XPH or XHS?
Over the past year, XPH had a volatility of 21.12%, while XHS experienced 17.87%.
Which ETF is bigger: XPH or XHS?
As of April 24, 2026, XPH holds $353.54 M in assets under management (AUM), while XHS manages $93.51 M.
What sectors do the XPH and XHS ETFs invest in?
XPH leans toward sectors like Health Care. Meanwhile, XHS focuses on Health Care.
What are the top holdings of the XPH ETF and XHS ETF?
XPH top holdings include US29337E1029, CORCEPT THERAPEUTICS and TERNS PHARMACEUTICALS. XHS holds in its top three: MEDNAX, HEALTHEQUITY I/D and GUARDANT HEALTH INC.
Which ETF is more diversified: XPH or XHS?
XPH holds 57 securities with 30.65% of its assets in the top 15. XHS has 58 securities and a top 15 weight of 30.62%.
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