HEAL vs. XHS

Last updated Aug 4, 2026

HEAL (Global X HealthTech ETF) and XHS (SPDR S&P Health Care Services ETF) are both Health & Biotech Equities funds - HEAL tracks the Global X HealthTech Index while XHS tracks the S&P Health Care Services Select Industry Index. Both are passively managed. Over the past 5 years, HEAL returned -12.95%/yr vs 3.90%/yr for XHS. Their 0.71 correlation means they have sometimes moved together and sometimes differently. HEAL charges 0.50%/yr vs 0.35%/yr for XHS.

Performance

HEAL vs. XHS - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Global X HealthTech ETF (HEAL) and SPDR S&P Health Care Services ETF (XHS). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, HEAL achieves a -5.19% return, which is significantly lower than XHS's 25.67% return.

HEAL

• 1D: 2.94%
• 1M: -4.37%
• 6M: -2.05%
• YTD: -5.19%
• 1Y: -10.31%
• 3Y*: -6.93%
• 5Y*: -12.95%
• 10Y*: —
• ALL TIME*: -9.16%

XHS

• 1D: 1.12%
• 1M: -2.57%
• 6M: 24.75%
• YTD: 25.67%
• 1Y: 52.87%
• 3Y*: 13.30%
• 5Y*: 3.90%
• 10Y*: 9.33%
• ALL TIME*: 12.70%

*Multi-year figures are annualized to reflect compound growth (CAGR)

Liquidity Comparison

Position	Avg. Volume Value (2W)	Avg. Volume Value (1M)	Avg. Volume Value (3M)
HEAL Global X HealthTech ETF	$260.96K	$227.88K	$213.27K
XHS SPDR S&P Health Care Services ETF	$3.18M	$3.55M	$3.01M

HEAL vs. XHS - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020
HEAL Global X HealthTech ETF	-5.19%	-0.62%	-2.87%	-12.61%	-29.99%	-14.21%	16.89%
XHS SPDR S&P Health Care Services ETF	25.67%	18.83%	1.76%	5.15%	-19.87%	9.76%	26.87%

Correlation

The correlation between HEAL and XHS is 0.63, which is moderate. They have sometimes moved together and sometimes differently, sharing some price drivers without tracking each other closely.

	Correlation
Correlation (1Y) Focuses on recent behavior, but can change the most.	0.63
Correlation (3Y) Balances recent behavior with more history.	0.66
Correlation (5Y) Shows whether the relationship held over a longer period.	0.74
Correlation (All Time) Calculated using the full available price history since Jul 30, 2020	0.71

The correlation between HEAL and XHS shifts across timeframes, from 0.63 (1 year) to 0.74 (5 years), reflecting how their relationship changes across market environments.

HEAL vs. XHS - Sectors Allocation Comparison

Sectors	HEAL	XHS
Healthcare	94.1%	98.3%
Technology	5.3%	-
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Financial Services	-	1.7%
Industrials	-	0.5%
Real Estate	-	-
Utilities	-	-

Return for Risk

HEAL vs. XHS — Risk / Return Rank

Compare historical risk-adjusted metric ranks over the past 12 months.

HEAL

HEAL Risk / Return Rank: 6
HEAL Sharpe Ratio Rank: 5
HEAL Sortino Ratio Rank: 5
HEAL Omega Ratio Rank: 6
HEAL Calmar Ratio Rank: 6
HEAL Martin Ratio Rank: 7

XHS

XHS Risk / Return Rank: 94
XHS Sharpe Ratio Rank: 96
XHS Sortino Ratio Rank: 95
XHS Omega Ratio Rank: 94
XHS Calmar Ratio Rank: 92
XHS Martin Ratio Rank: 91

The rank (0–100) uses a weighted average of the Sharpe, Sortino, Omega, Calmar, and Martin percentile ranks for the trailing 12 months. Higher means stronger historical risk-adjusted performance within the peer group.

HEAL vs. XHS - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Global X HealthTech ETF (HEAL) and SPDR S&P Health Care Services ETF (XHS). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	HEAL	XHS	Difference
Sharpe ratio: Return per unit of total volatility	-0.45	3.04	-3.49
Sortino ratio: Return per unit of downside risk	-0.51	4.07	-4.59
Omega ratio: Gain probability vs. loss probability	0.94	1.52	-0.58
Calmar ratio: Return relative to maximum drawdown	-0.34	4.43	-4.77
Martin ratio: Return relative to average drawdown	-0.61	15.51	-16.12

HEAL vs. XHS - Sharpe Ratio Comparison

The current HEAL Sharpe Ratio is -0.45, which is lower than the XHS Sharpe Ratio of 3.04. The chart below compares the historical Sharpe Ratios of HEAL and XHS, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

HEAL vs. XHS - Drawdown Comparison

The maximum HEAL drawdown since its inception was -65.76%, which is greater than XHS's maximum drawdown of -39.32%. Use the drawdown chart below to compare losses from any high point for HEAL and XHS.

Drawdown Indicators

	HEAL	XHS	Difference
Max Drawdown Largest peak-to-trough decline	-65.76%	-39.32%	-26.44%
Max Drawdown (1Y) Largest decline over 1 year	-30.71%	-11.99%	-18.72%
Max Drawdown (3Y) Largest decline over 3 years	-34.56%	-16.23%	-18.33%
Max Drawdown (5Y) Largest decline over 5 years	-59.14%	-31.30%	-27.84%
Max Drawdown (10Y) Largest decline over 10 years	—	-39.32%	—
Current Drawdown Current decline from peak	-59.07%	-2.57%	-56.50%
Average Drawdown Average peak-to-trough decline	-43.49%	-10.10%	-33.39%
Ulcer Index Depth and duration of drawdowns from previous peaks	16.90%	3.42%	+13.48%

Volatility

HEAL vs. XHS - Volatility Comparison

Global X HealthTech ETF (HEAL) has a higher volatility of 6.91% compared to SPDR S&P Health Care Services ETF (XHS) at 4.70%. This indicates that HEAL's price experiences larger fluctuations and is considered to be riskier than XHS based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	HEAL	XHS	Difference
Volatility (1M) Calculated over the trailing 1-month period	6.91%	4.70%	+2.21%
Volatility (6M) Calculated over the trailing 6-month period	17.44%	12.31%	+5.13%
Volatility (1Y) Calculated over the trailing 1-year period	22.91%	17.51%	+5.40%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	26.67%	21.24%	+5.43%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	26.27%	22.42%	+3.85%

HEAL vs. XHS - Expense Ratio Comparison

HEAL has a 0.50% expense ratio, which is higher than XHS's 0.35% expense ratio.

Dividends

HEAL vs. XHS - Dividend Comparison

HEAL's dividend yield for the trailing twelve months is around 0.26%, more than XHS's 0.20% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
HEAL Global X HealthTech ETF	0.26%	0.33%	0.00%	0.00%	0.00%	0.00%	0.03%	0.00%	0.00%	0.00%	0.00%	0.00%
XHS SPDR S&P Health Care Services ETF	0.20%	0.27%	0.38%	0.23%	0.19%	0.20%	0.23%	2.37%	0.34%	0.22%	0.28%	0.93%

Frequently Asked Questions

Can I hold both HEAL and XHS in my portfolio?

HEAL and XHS have a correlation of 0.63, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, HEAL or XHS?

HEAL has higher volatility (6.91%) compared to XHS (4.70%). In terms of maximum drawdown, HEAL dropped -65.76% vs XHS's -39.32%.

Which ETF is better, HEAL or XHS?

On 5-year performance, XHS leads with 3.90% vs -12.95% for HEAL. On fees, XHS is cheaper at 0.35% per year. On volatility, XHS has been the lower-risk option at 4.70%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, HEAL or XHS?

Over the 5-year period, XHS has performed better with a 3.90% return vs -12.95%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, HEAL or XHS?

XHS is cheaper with a 0.35% expense ratio, compared with 0.50% for HEAL.

Which ETF pays a higher dividend yield, HEAL or XHS?

HEAL has the higher dividend yield at 0.26%, compared with 0.20% for XHS.

What is the main difference between HEAL and XHS?

HEAL tracks Global X HealthTech Index, while XHS tracks S&P Health Care Services Select Industry Index. They also come from different issuers: Global X and State Street. Their fees differ too: 0.50% for HEAL and 0.35% for XHS.

Which has better risk-adjusted returns?

XHS currently has the higher Sharpe Ratio (3.04 vs -0.45), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.