SPDR S&P Health Care Services ETF (XHS) Alternatives
SPDR S&P Health Care Services ETF (XHS) belongs to the Health & Biotech Equities category. Below you'll find alternative ETFs from the same category, ranked by key criteria, plus funds that investors commonly compare with XHS. Use the tables to find lower-cost options, better risk-adjusted returns, or funds that fit a different role in your portfolio.
Cheapest Alternatives to XHS
XHS charges 0.35% annually. Among ETFs in the Health & Biotech Equities category, these options have the lowest expense ratios among XHS alternatives.
| Symbol | Name | Expense Ratio | Inception | |
|---|---|---|---|---|
| Fidelity MSCI Health Care Index ETF | 0.08% | Oct 21, 2013 | XHS vs FHLC | |
| State Street Health Care Select Sector SPDR ETF | 0.08% | Dec 16, 1998 | XHS vs XLV | |
| Vanguard Health Care ETF | 0.10% | Jan 26, 2004 | XHS vs VHT | |
| Invesco S&P SmallCap Health Care ETF | 0.29% | Apr 7, 2010 | XHS vs PSCH | |
| SPDR S&P Pharmaceuticals ETF | 0.35% | Jun 19, 2006 | XHS vs XPH |
Best Risk-Adjusted Alternatives to XHS
Among ETFs in the Health & Biotech Equities category, these options rank highest on PortfoliosLab's risk-adjusted score, which accounts for volatility, drawdown, and return consistency over a 1-year period.
| Symbol | Name | Risk / Return Rank | Inception | |
|---|---|---|---|---|
| Virtus LifeSci Biotech Clinical Trials ETF | 97 | Dec 16, 2014 | XHS vs BBC | |
| ALPS Medical Breakthroughs ETF | 95 | Dec 31, 2014 | XHS vs SBIO | |
| SPDR S&P Biotech ETF | 92 | Feb 6, 2006 | XHS vs XBI | |
| Tema Oncology ETF | 90 | Aug 14, 2023 | XHS vs CANC | |
| F/m Emerald Life Sciences Innovation ETF | 86 | Oct 30, 2024 | XHS vs LFSC |
Top Performing XHS Alternatives (YTD)
XHS alternatives from the Health & Biotech Equities category, sorted by year-to-date return.
| Symbol | Name | YTD Return | Inception | |
|---|---|---|---|---|
| iShares Genomics Immunology and Healthcare ETF Gen... | 10.92% | Jun 11, 2019 | XHS vs IDNA | |
| Virtus LifeSci Biotech Clinical Trials ETF | 7.95% | Dec 16, 2014 | XHS vs BBC | |
| Tema Oncology ETF | 5.69% | Aug 14, 2023 | XHS vs CANC | |
| SPDR S&P Biotech ETF | 4.76% | Feb 6, 2006 | XHS vs XBI | |
| First Trust Nasdaq Pharmaceuticals ETF | 4.48% | Sep 20, 2016 | XHS vs FTXH |
Lowest Volatility Alternatives to XHS
XHS alternatives from the Health & Biotech Equities category, sorted by annualized volatility over the past year.
| Symbol | Name | Volatility 1Y | Inception | |
|---|---|---|---|---|
| Principal Healthcare Innovators Index ETF | 0.00% | Aug 19, 2016 | XHS vs BTEC | |
| Loncar Cancer Immunotherapy ETF | 0.00% | Oct 13, 2015 | XHS vs CNCR | |
| Amplify Treatments, Testing and Advancements ETF | 0.00% | Jun 17, 2020 | XHS vs GERM | |
| Horizon Kinetics SPAC Active ETF | 8.60% | Jun 29, 2007 | XHS vs SPAQ | |
| Global X Aging Population ETF | 15.94% | May 9, 2016 | XHS vs AGNG |
Lowest Drawdown Alternatives to XHS
XHS alternatives from the Health & Biotech Equities category, sorted by maximum drawdown over the past year.
| Symbol | Name | Max Drawdown 1Y | Inception | |
|---|---|---|---|---|
| Amplify Treatments, Testing and Advancements ETF | 0.00% | Jun 17, 2020 | XHS vs GERM | |
| Horizon Kinetics SPAC Active ETF | -5.30% | Jun 29, 2007 | XHS vs SPAQ | |
| Jpmorgan Healthcare Leaders ETF | -9.68% | Nov 1, 2023 | XHS vs JDOC | |
| VanEck Vectors Pharmaceutical ETF | -10.02% | Dec 20, 2011 | XHS vs PPH | |
| Global X Aging Population ETF | -10.16% | May 9, 2016 | XHS vs AGNG |
Other ETFs from State Street
Most popular State Street ETFs on PortfoliosLab, across asset classes.
| Symbol | Name | Category | Risk / Return Rank | YTD Return | Inception | |
|---|---|---|---|---|---|---|
| State Street SPDR S&P 500 ETF | S&P 500 | 64 | -4.37% | Jan 22, 1993 | XHS vs SPY | |
| SPDR Gold Shares | Gold, Precious Metals | 87 | 8.57% | Nov 18, 2004 | XHS vs GLD | |
| State Street Technology Select Sector SPDR ETF | Technology Equities | 69 | -7.57% | Dec 16, 1998 | XHS vs XLK | |
| State Street SPDR Portfolio S&P 500 Growth ETF | S&P 500, Large Cap Growth Equities | 66 | -8.12% | Sep 25, 2000 | XHS vs SPYG | |
| SPDR Portfolio S&P 500 High Dividend ETF | S&P 500, Dividend | 30 | 6.32% | Oct 21, 2015 | XHS vs SPYD | |
| SPDR Gold MiniShares Trust | Precious Metals, Gold | 88 | 8.57% | Jun 25, 2018 | XHS vs GLDM | |
| State Street Energy Select Sector SPDR ETF | Energy Equities | 73 | 37.91% | Dec 16, 1998 | XHS vs XLE | |
| Utilities Select Sector SPDR Fund | Utilities Equities | 71 | 8.25% | Dec 16, 1998 | XHS vs XLU | |
| SPDR Barclays 1-3 Month T-Bill ETF | Government Bonds | 100 | 0.85% | May 25, 2007 | XHS vs BIL | |
| SPDR Dow Jones Industrial Average ETF | Large Cap Growth Equities | 47 | -3.25% | Jan 14, 1998 | XHS vs DIA |
Often Compared With XHS
What investors most often compare with XHS, based on PortfoliosLab usage data.
Compare XHS with Any Fund or Stock
Compare XHS with any ETF, mutual fund, or stock using PortfoliosLab's comparison tool.