XHE vs. XHS

Last updated Jun 3, 2026

XHE (SPDR S&P Health Care Equipment ETF) and XHS (SPDR S&P Health Care Services ETF) are both Health & Biotech Equities funds from State Street - XHE tracks the S&P Health Care Equipment Select Industry Index while XHS tracks the S&P Health Care Services Select Industry Index. Both are passively managed. Over the past 10 years, XHE returned 5.72%/yr vs 7.43%/yr for XHS. A 0.72 correlation means they provide meaningful diversification when combined. Both charge a 0.35% expense ratio.

Performance

XHE vs. XHS - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in SPDR S&P Health Care Equipment ETF (XHE) 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, XHE achieves a -11.59% return, which is significantly lower than XHS's 6.02% return. Over the past 10 years, XHE has underperformed XHS with an annualized return of 5.72%, while XHS has yielded a comparatively higher 7.43% annualized return.

XHE

• 1D: -0.95%
• 1M: -4.49%
• YTD: -11.59%
• 6M: -10.52%
• 1Y: -2.63%
• 3Y*: -6.57%
• 5Y*: -8.01%
• 10Y*: 5.72%

XHS

• 1D: -1.05%
• 1M: 2.46%
• YTD: 6.02%
• 6M: 4.61%
• 1Y: 16.90%
• 3Y*: 8.37%
• 5Y*: 0.43%
• 10Y*: 7.43%

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

XHE vs. XHS - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
XHE SPDR S&P Health Care Equipment ETF	-11.59%	-0.23%	5.08%	-6.23%	-23.34%	3.04%	32.91%	22.30%	8.90%	30.51%
XHS SPDR S&P Health Care Services ETF	6.02%	18.83%	1.76%	5.15%	-19.87%	9.76%	33.66%	18.81%	1.96%	17.65%

Correlation

The correlation between XHE and XHS is 0.63, which is moderate. They share some common price drivers but move independently often enough to provide real diversification benefit when combined.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.63
Correlation (3Y) Calculated over the trailing 3-year period	0.69
Correlation (5Y) Calculated over the trailing 5-year period	0.78
Correlation (10Y) Calculated over the trailing 10-year period	0.75
Correlation (All Time) Calculated using the full available price history since Sep 30, 2011	0.72

The correlation between XHE and XHS shifts across timeframes, from 0.63 (1 year) to 0.78 (5 years), reflecting how their relationship changes across market environments.

XHE vs. XHS - Sectors Allocation Comparison

Sectors	XHE	XHS
Healthcare	98.4%	98.0%
Industrials	1.7%	-
Financial Services	1.6%	2.0%
Communication Services	1.4%	-
Basic Materials	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Real Estate	-	-
Technology	-	-
Utilities	-	-

Return for Risk

XHE vs. XHS — Risk / Return Rank

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

XHE

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

XHS

XHS Risk / Return Rank: 27
XHS Sharpe Ratio Rank: 27
XHS Sortino Ratio Rank: 26
XHS Omega Ratio Rank: 26
XHS Calmar Ratio Rank: 28
XHS Martin Ratio Rank: 26

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.

XHE vs. XHS - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for SPDR S&P Health Care Equipment ETF (XHE) 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.

	XHE	XHS	Difference
Sharpe ratio Return per unit of total volatility	-0.12	0.97	-1.09
Sortino ratio Return per unit of downside risk	-0.03	1.41	-1.44
Omega ratio Gain probability vs. loss probability	1.00	1.18	-0.18
Calmar ratio Return relative to maximum drawdown	-0.21	1.38	-1.59
Martin ratio Return relative to average drawdown	-0.48	3.83	-4.31
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

XHE vs. XHS - Sharpe Ratio Comparison

The current XHE Sharpe Ratio is -0.12, which is lower than the XHS Sharpe Ratio of 0.97. The chart below compares the historical Sharpe Ratios of XHE 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.

Sharpe Ratios by Period

	XHE	XHS	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	-0.12	0.97	-1.09
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	-0.33	0.02	-0.35
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.25	0.33	-0.08
Sharpe Ratio (All Time) Calculated using the full available price history	0.40	0.56	-0.16

Drawdowns

XHE vs. XHS - Drawdown Comparison

The maximum XHE drawdown since its inception was -49.92%, which is greater than XHS's maximum drawdown of -39.32%. Use the drawdown chart below to compare losses from any high point for XHE and XHS.

Drawdown Indicators

	XHE	XHS	Difference
Max Drawdown Largest peak-to-trough decline	-49.92%	-39.32%	-10.60%
Max Drawdown (1Y) Largest decline over 1 year	-18.29%	-11.99%	-6.30%
Max Drawdown (3Y) Largest decline over 3 years	-32.62%	-17.81%	-14.81%
Max Drawdown (5Y) Largest decline over 5 years	-49.92%	-32.62%	-17.30%
Max Drawdown (10Y) Largest decline over 10 years	-49.92%	-39.32%	-10.60%
Current Drawdown Current decline from peak	-41.39%	-2.06%	-39.33%
Average Drawdown Average peak-to-trough decline	-13.26%	-10.20%	-3.06%
Ulcer Index Depth and duration of drawdowns from previous peaks	8.00%	4.33%	+3.67%

Volatility

XHE vs. XHS - Volatility Comparison

SPDR S&P Health Care Equipment ETF (XHE) has a higher volatility of 5.82% compared to SPDR S&P Health Care Services ETF (XHS) at 4.80%. This indicates that XHE'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

	XHE	XHS	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.82%	4.80%	+1.02%
Volatility (6M) Calculated over the trailing 6-month period	15.38%	11.93%	+3.45%
Volatility (1Y) Calculated over the trailing 1-year period	21.39%	17.56%	+3.83%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	24.40%	21.10%	+3.30%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	22.93%	22.40%	+0.53%

XHE vs. XHS - Expense Ratio Comparison

Both XHE and XHS have an expense ratio of 0.35%.

Dividends

XHE vs. XHS - Dividend Comparison

XHE's dividend yield for the trailing twelve months is around 0.09%, less than XHS's 0.25% yield.

Position	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%
XHS SPDR S&P Health Care Services ETF	0.25%	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 XHE and XHS in my portfolio?

XHE 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, XHE or XHS?

XHE has higher volatility (5.82%) compared to XHS (4.80%). In terms of maximum drawdown, XHE dropped -49.92% vs XHS's -39.32%.

Which ETF is better, XHE or XHS?

On 10-year performance, XHS leads with 7.43% vs 5.72% for XHE. Both ETFs have the same 0.35% expense ratio. On volatility, XHS has been the lower-risk option at 4.80%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, XHE or XHS?

Over the 10-year period, XHS has performed better with a 7.43% return vs 5.72%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, XHE or XHS?

XHE and XHS have the same expense ratio: 0.35% per year.

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

XHS has the higher dividend yield at 0.25%, compared with 0.09% for XHE.

What is the main difference between XHE and XHS?

XHE tracks S&P Health Care Equipment Select Industry Index, while XHS tracks S&P Health Care Services Select Industry Index.

Which has better risk-adjusted returns?

XHS currently has the higher Sharpe Ratio (0.97 vs -0.12), 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.