XHE vs. IYH
Compare and contrast key facts about SPDR S&P Health Care Equipment ETF (XHE) and iShares U.S. Healthcare ETF (IYH).
XHE and IYH are both exchange-traded funds (ETFs), meaning they are traded on stock exchanges and can be bought and sold throughout the day. XHE is a passively managed fund by State Street that tracks the performance of the S&P Health Care Equipment Select Industry Index. It was launched on Jan 26, 2011. IYH is a passively managed fund by iShares that tracks the performance of the Dow Jones U.S. Health Care Index. It was launched on Jun 12, 2000. Both XHE and IYH are passive ETFs, meaning that they are not actively managed but aim to replicate the performance of the underlying index as closely as possible.
Performance
XHE vs. IYH - Performance Comparison
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XHE vs. IYH - Yearly Performance Comparison
| 2026 (YTD) | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | |
|---|---|---|---|---|---|---|---|---|---|---|
XHE SPDR S&P Health Care Equipment ETF | -10.92% | -0.23% | 5.08% | -6.23% | -23.34% | 3.04% | 32.91% | 22.30% | 8.90% | 30.51% |
IYH iShares U.S. Healthcare ETF | -4.28% | 13.16% | 2.99% | 2.14% | -4.46% | 23.41% | 15.56% | 20.80% | 5.80% | 22.27% |
Returns By Period
In the year-to-date period, XHE achieves a -10.92% return, which is significantly lower than IYH's -4.28% return. Over the past 10 years, XHE has underperformed IYH with an annualized return of 6.52%, while IYH has yielded a comparatively higher 9.51% annualized return.
XHE
- 1D
- 0.46%
- 1M
- -10.31%
- YTD
- -10.92%
- 6M
- -0.10%
- 1Y
- -3.79%
- 3Y*
- -5.61%
- 5Y*
- -8.06%
- 10Y*
- 6.52%
IYH
- 1D
- 0.78%
- 1M
- -5.70%
- YTD
- -4.28%
- 6M
- 3.41%
- 1Y
- 5.26%
- 3Y*
- 5.68%
- 5Y*
- 5.52%
- 10Y*
- 9.51%
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XHE vs. IYH - Expense Ratio Comparison
XHE has a 0.35% expense ratio, which is lower than IYH's 0.43% expense ratio.
Return for Risk
XHE vs. IYH — Risk / Return Rank
XHE
IYH
XHE vs. IYH - Risk-Adjusted Trends Comparison
This table presents a comparison of risk-adjusted performance metrics for SPDR S&P Health Care Equipment ETF (XHE) and iShares U.S. Healthcare ETF (IYH). 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.
| XHE | IYH | Difference | |
|---|---|---|---|
Sharpe ratioReturn per unit of total volatility | -0.16 | 0.30 | -0.46 |
Sortino ratioReturn per unit of downside risk | -0.06 | 0.53 | -0.60 |
Omega ratioGain probability vs. loss probability | 0.99 | 1.07 | -0.07 |
Calmar ratioReturn relative to maximum drawdown | -0.24 | 0.32 | -0.56 |
Martin ratioReturn relative to average drawdown | -0.69 | 0.68 | -1.37 |
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month. | |||
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Sharpe Ratios by Period
| XHE | IYH | Difference | |
|---|---|---|---|
Sharpe Ratio (1Y)Calculated over the trailing 1-year period | -0.16 | 0.30 | -0.46 |
Sharpe Ratio (5Y)Calculated over the trailing 5-year period | -0.33 | 0.38 | -0.71 |
Sharpe Ratio (10Y)Calculated over the trailing 10-year period | 0.29 | 0.57 | -0.28 |
Sharpe Ratio (All Time)Calculated using the full available price history | 0.41 | 0.43 | -0.02 |
Correlation
The correlation between XHE and IYH is 0.71, which is considered to be high. That indicates a strong positive relationship between their price movements. Having highly-correlated positions in a portfolio may signal a lack of diversification, potentially leading to increased risk during market downturns.
Dividends
XHE vs. IYH - Dividend Comparison
XHE's dividend yield for the trailing twelve months is around 0.09%, less than IYH's 1.30% yield.
| TTM | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
XHE SPDR S&P Health Care Equipment ETF | 0.09% | 0.08% | 0.04% | 0.03% | 0.04% | 0.00% | 0.00% | 0.05% | 0.09% | 0.78% | 0.17% | 7.22% |
IYH iShares U.S. Healthcare ETF | 1.30% | 1.19% | 1.25% | 1.18% | 1.10% | 0.94% | 1.16% | 1.14% | 1.95% | 1.10% | 1.29% | 2.02% |
Drawdowns
XHE vs. IYH - Drawdown Comparison
The maximum XHE drawdown since its inception was -49.92%, which is greater than IYH's maximum drawdown of -43.12%. Use the drawdown chart below to compare losses from any high point for XHE and IYH.
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Drawdown Indicators
| XHE | IYH | Difference | |
|---|---|---|---|
Max DrawdownLargest peak-to-trough decline | -49.92% | -43.12% | -6.80% |
Max Drawdown (1Y)Largest decline over 1 year | -18.29% | -10.52% | -7.77% |
Max Drawdown (5Y)Largest decline over 5 years | -49.92% | -17.91% | -32.01% |
Max Drawdown (10Y)Largest decline over 10 years | -49.92% | -28.40% | -21.52% |
Current DrawdownCurrent decline from peak | -40.94% | -7.45% | -33.49% |
Average DrawdownAverage peak-to-trough decline | -12.97% | -8.97% | -4.00% |
Ulcer IndexDepth and duration of drawdowns from previous peaks | 6.24% | 4.95% | +1.29% |
Volatility
XHE vs. IYH - Volatility Comparison
SPDR S&P Health Care Equipment ETF (XHE) has a higher volatility of 7.01% compared to iShares U.S. Healthcare ETF (IYH) at 4.91%. This indicates that XHE's price experiences larger fluctuations and is considered to be riskier than IYH based on this measure. The chart below showcases a comparison of their rolling one-month volatility.
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Volatility by Period
| XHE | IYH | Difference | |
|---|---|---|---|
Volatility (1M)Calculated over the trailing 1-month period | 7.01% | 4.91% | +2.10% |
Volatility (6M)Calculated over the trailing 6-month period | 14.84% | 10.32% | +4.52% |
Volatility (1Y)Calculated over the trailing 1-year period | 23.86% | 17.95% | +5.91% |
Volatility (5Y)Calculated over the trailing 5-year period, annualized | 24.25% | 14.79% | +9.46% |
Volatility (10Y)Calculated over the trailing 10-year period, annualized | 22.81% | 16.70% | +6.11% |