HRTS vs. XHS

Last updated Jun 24, 2026

HRTS (Tema Obesity & Cardiometabolic ETF) and XHS (SPDR S&P Health Care Services ETF) are both Health & Biotech Equities funds. HRTS is actively managed, while XHS is passively managed. Over the past year, HRTS returned 25.88% vs 28.59% for XHS. A 0.56 correlation means they provide meaningful diversification when combined. HRTS charges 0.75%/yr vs 0.35%/yr for XHS.

Performance

HRTS vs. XHS - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Tema Obesity & Cardiometabolic ETF (HRTS) 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, HRTS achieves a -1.45% return, which is significantly lower than XHS's 15.40% return.

HRTS

• 1D: 1.50%
• 1M: 1.21%
• YTD: -1.45%
• 6M: -2.09%
• 1Y: 25.88%
• 3Y*: —
• 5Y*: —
• 10Y*: —

XHS

• 1D: 0.88%
• 1M: 8.42%
• YTD: 15.40%
• 6M: 14.24%
• 1Y: 28.59%
• 3Y*: 11.29%
• 5Y*: 1.64%
• 10Y*: 8.61%

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

HRTS vs. XHS - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023
HRTS Tema Obesity & Cardiometabolic ETF	-1.45%	23.93%	-4.30%	13.88%
XHS SPDR S&P Health Care Services ETF	15.40%	18.83%	1.76%	4.94%

Correlation

The correlation between HRTS and XHS is 0.47, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.47
Correlation (All Time) Calculated using the full available price history since Nov 21, 2023	0.56

The correlation between HRTS and XHS has been stable across timeframes, ranging from 0.47 to 0.56 - a consistent structural relationship.

HRTS vs. XHS - Sectors Allocation Comparison

Sectors	HRTS	XHS
Healthcare	100.0%	97.9%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Financial Services	-	2.1%
Industrials	-	-
Real Estate	-	-
Technology	-	-
Utilities	-	-

Return for Risk

HRTS vs. XHS — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

HRTS

HRTS Risk / Return Rank: 48
HRTS Sharpe Ratio Rank: 49
HRTS Sortino Ratio Rank: 54
HRTS Omega Ratio Rank: 46
HRTS Calmar Ratio Rank: 51
HRTS Martin Ratio Rank: 39

XHS

XHS Risk / Return Rank: 47
XHS Sharpe Ratio Rank: 48
XHS Sortino Ratio Rank: 47
XHS Omega Ratio Rank: 47
XHS Calmar Ratio Rank: 51
XHS Martin Ratio Rank: 43

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

HRTS vs. XHS - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Tema Obesity & Cardiometabolic ETF (HRTS) 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.

	HRTS	XHS	Difference
Sharpe ratio: Return per unit of total volatility	1.60	1.60	0.00
Sortino ratio: Return per unit of downside risk	2.42	2.21	+0.21
Omega ratio: Gain probability vs. loss probability	1.27	1.29	-0.01
Calmar ratio: Return relative to maximum drawdown	2.36	2.39	-0.03
Martin ratio: Return relative to average drawdown	5.70	6.63	-0.93

HRTS vs. XHS - Sharpe Ratio Comparison

The current HRTS Sharpe Ratio is 1.60, which is comparable to the XHS Sharpe Ratio of 1.60. The chart below compares the historical Sharpe Ratios of HRTS 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

HRTS vs. XHS - Drawdown Comparison

The maximum HRTS drawdown since its inception was -25.81%, smaller than the maximum XHS drawdown of -39.32%. Use the drawdown chart below to compare losses from any high point for HRTS and XHS.

Drawdown Indicators

	HRTS	XHS	Difference
Max Drawdown Largest peak-to-trough decline	-25.81%	-39.32%	+13.51%
Max Drawdown (1Y) Largest decline over 1 year	-11.01%	-11.99%	+0.98%
Max Drawdown (3Y) Largest decline over 3 years	—	-17.81%	—
Max Drawdown (5Y) Largest decline over 5 years	—	-32.62%	—
Max Drawdown (10Y) Largest decline over 10 years	—	-39.32%	—
Current Drawdown Current decline from peak	-5.04%	0.00%	-5.04%
Average Drawdown Average peak-to-trough decline	-8.96%	-10.16%	+1.20%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.55%	4.32%	+0.23%

Volatility

HRTS vs. XHS - Volatility Comparison

Tema Obesity & Cardiometabolic ETF (HRTS) has a higher volatility of 5.41% compared to SPDR S&P Health Care Services ETF (XHS) at 4.47%. This indicates that HRTS'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

	HRTS	XHS	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.41%	4.47%	+0.94%
Volatility (6M) Calculated over the trailing 6-month period	11.72%	12.25%	-0.53%
Volatility (1Y) Calculated over the trailing 1-year period	16.22%	17.92%	-1.70%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	19.08%	21.13%	-2.05%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	19.08%	22.40%	-3.32%

HRTS vs. XHS - Expense Ratio Comparison

HRTS has a 0.75% expense ratio, which is higher than XHS's 0.35% expense ratio.

Dividends

HRTS vs. XHS - Dividend Comparison

HRTS's dividend yield for the trailing twelve months is around 1.36%, more than XHS's 0.22% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
HRTS Tema Obesity & Cardiometabolic ETF	1.36%	1.34%	1.63%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
XHS SPDR S&P Health Care Services ETF	0.22%	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 HRTS and XHS in my portfolio?

HRTS and XHS have a correlation of 0.47, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, HRTS or XHS?

HRTS has higher volatility (5.41%) compared to XHS (4.47%). In terms of maximum drawdown, HRTS dropped -25.81% vs XHS's -39.32%.

Which ETF is better, HRTS or XHS?

On 1-year performance, XHS leads with 28.59% vs 25.88% for HRTS. On fees, XHS is cheaper at 0.35% per year. On volatility, XHS has been the lower-risk option at 4.47%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, HRTS or XHS?

Over the 1-year period, XHS has performed better with a 28.59% return vs 25.88%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, HRTS or XHS?

XHS is cheaper with a 0.35% expense ratio, compared with 0.75% for HRTS.

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

HRTS has the higher dividend yield at 1.36%, compared with 0.22% for XHS.

What is the main difference between HRTS and XHS?

They also come from different issuers: Tema and State Street. Their fees differ too: 0.75% for HRTS and 0.35% for XHS.

Which has better risk-adjusted returns?

XHS currently has the higher Sharpe Ratio (1.60 vs 1.60), 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.