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 7.68% year-to-date (YTD) with +$110M in YTD flows. XHS performs better with 14.1% YTD performance, and +$13M 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 06/12/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XPH XHS | +3.73%+7.30% | +12.67%+18.28% | +7.68%+14.10% | +44.62%+25.29% | +53.31%+34.73% | +21.61%+7.94% |
| Flows | XPH XHS | -$8M+$1M | +$23M+$8M | +$110M+$13M | +$133M+$79K | +$51M-$23M | +$63M-$74M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XPH XHS | +25.05%+16.63% | +21.48%+17.99% | +19.89%+17.97% | +20.72%+21.22% |
| Max drawdown | XPH XHS | -8.13%-5.61% | -11.78%-11.97% | -23.45%-17.78% | -31.59%-32.53% |
| Max drawdown duration | XPH XHS | 37d21d | 50d121d | 322d362d | 1566d1786d |
Trading data
XPH | XHS | |
Last sale 6/12/2026 at 1:30 PM | $60.27 | $122.08 |
| Previous close 06/11/2026 | $59.77 | $121.70 |
| 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 | 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 6/12/2026 at 1:30 PM
Live
Closed
XPH | XHS | |
|---|---|---|
| Last price | $60.27 | $122.08 |
| 1D performance | +0.84% | +0.31% |
| AuM | $364.98 M | $109.72 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
89.49%
Other
10.51%
XHS
USA
99.91%
Other
0.09%
Sectors
XPH
Health Care
82.05%
Other
17.95%
XHS
Health Care
86.95%
Other
13.05%
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Diversification
XPH
Total weight of top 15 holdings out of 15
33.31%
XHS
Total weight of top 15 holdings out of 15
33.75%
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%
XHS
CENTENE
2.76%
HUMANA
2.55%
MOLINA HLTHCRE
2.44%
ELEVANCE HEALTH INC
2.39%
UNITEDHEALTH GRP
2.39%
ALIGNMENT HEALTHCARE
2.31%
CLOVER HEALTH INV CORP
2.28%
APOLLO MEDICAL HOLDINGS INC
2.25%
US10950A1060
2.14%
MEDNAX
2.10%
PRIVIA HEALTH GROUP
2.07%
CIGNA
2.05%
CVS HEALTH CORP
2.03%
CORVEL
2.00%
ACADIA HEALTHCARE COMPANY
2.00%
Frequently asked questions about XPH and XHS
How have the XPH and XHS ETFs performed in 2026?
As of June 12, 2026, XPH is up 7.68% year-to-date (YTD), while XHS has returned 14.1%. That puts XHS better performer ahead so far this year.
Which ETF is attracting more investor money: XPH or XHS?
Year-to-date, the XPH ETF saw +$110M in flows, compared to +$13M for XHS.
Which ETF is more volatile: XPH or XHS?
Over the past year, XPH had a volatility of 21.48%, while XHS experienced 17.99%.
Which ETF is bigger: XPH or XHS?
As of June 12, 2026, XPH holds $364.98 M in assets under management (AUM), while XHS manages $109.72 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 ORGANON & CO, CORCEPT THERAPEUTICS and US29337E1029. XHS holds in its top three: CENTENE, HUMANA and MOLINA HLTHCRE.
Which ETF is more diversified: XPH or XHS?
XPH holds 58 securities with 33.31% of its assets in the top 15. XHS has 58 securities and a top 15 weight of 33.75%.
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