XHS vs. GERM

Last updated Jun 24, 2026

XHS (SPDR S&P Health Care Services ETF) and GERM (Amplify Treatments, Testing and Advancements ETF) are both Health & Biotech Equities funds - XHS tracks the S&P Health Care Services Select Industry Index while GERM tracks the Prime Treatments, Testing and Advancements Index. Both are passively managed. Over the past year, XHS returned 28.59% vs 0.00% for GERM. XHS charges 0.35%/yr vs 0.68%/yr for GERM.

Performance

XHS vs. GERM - Performance Comparison

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

Returns By Period

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%

GERM

• 1D: 0.00%
• 1M: 0.00%
• YTD: 0.00%
• 6M: 0.00%
• 1Y: 0.00%
• 3Y*: —
• 5Y*: —
• 10Y*: —

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

XHS vs. GERM - Yearly Performance Comparison

	2026 (YTD)	2025	2024
XHS SPDR S&P Health Care Services ETF	15.40%	18.83%	-7.32%
GERM Amplify Treatments, Testing and Advancements ETF	0.00%	0.00%	0.00%

XHS vs. GERM - Sectors Allocation Comparison

Sectors	XHS	GERM
Healthcare	97.9%	99.3%
Financial Services	2.1%	0.4%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Industrials	-	-
Real Estate	-	-
Technology	-	-
Utilities	-	-

Return for Risk

XHS vs. GERM — Risk / Return Rank

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

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

GERM

Risk / return metrics aren't available yet — we need at least 12 months of trading data to calculate them.

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.

XHS vs. GERM - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for SPDR S&P Health Care Services ETF (XHS) and Amplify Treatments, Testing and Advancements ETF (GERM). 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.

	XHS	GERM	Difference
Sharpe ratio: Return per unit of total volatility	1.60	—	—
Sortino ratio: Return per unit of downside risk	2.21	—	—
Omega ratio: Gain probability vs. loss probability	1.29	—	—
Calmar ratio: Return relative to maximum drawdown	2.39	—	—
Martin ratio: Return relative to average drawdown	6.63	—	—

Drawdowns

XHS vs. GERM - Drawdown Comparison

The maximum XHS drawdown since its inception was -39.32%, which is greater than GERM's maximum drawdown of 0.00%. Use the drawdown chart below to compare losses from any high point for XHS and GERM.

Drawdown Indicators

	XHS	GERM	Difference
Max Drawdown Largest peak-to-trough decline	-39.32%	0.00%	-39.32%
Max Drawdown (1Y) Largest decline over 1 year	-11.99%	0.00%	-11.99%
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	0.00%	0.00%	0.00%
Average Drawdown Average peak-to-trough decline	-10.16%	0.00%	-10.16%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.32%	0.00%	+4.32%

Volatility

XHS vs. GERM - Volatility Comparison

SPDR S&P Health Care Services ETF (XHS) has a higher volatility of 4.47% compared to Amplify Treatments, Testing and Advancements ETF (GERM) at 0.00%. This indicates that XHS's price experiences larger fluctuations and is considered to be riskier than GERM based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	XHS	GERM	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.47%	0.00%	+4.47%
Volatility (6M) Calculated over the trailing 6-month period	12.25%	0.00%	+12.25%
Volatility (1Y) Calculated over the trailing 1-year period	17.92%	0.00%	+17.92%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	21.13%	0.00%	+21.13%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	22.40%	0.00%	+22.40%

XHS vs. GERM - Expense Ratio Comparison

XHS has a 0.35% expense ratio, which is lower than GERM's 0.68% expense ratio.

Dividends

XHS vs. GERM - Dividend Comparison

XHS's dividend yield for the trailing twelve months is around 0.22%, while GERM has not paid dividends to shareholders.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
GERM Amplify Treatments, Testing and Advancements ETF	0.00%	0.00%	0.00%	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

Which is riskier, XHS or GERM?

XHS has higher volatility (4.47%) compared to GERM (0.00%). In terms of maximum drawdown, XHS dropped -39.32% vs GERM's 0.00%.

Which ETF is better, XHS or GERM?

On 1-year performance, XHS leads with 28.59% vs 0.00% for GERM. On fees, XHS is cheaper at 0.35% per year. On volatility, GERM has been the lower-risk option at 0.00%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, XHS or GERM?

Over the 1-year period, XHS has performed better with a 28.59% return vs 0.00%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, XHS or GERM?

XHS is cheaper with a 0.35% expense ratio, compared with 0.68% for GERM.

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

XHS has the higher dividend yield at 0.22%, compared with 0.00% for GERM.

What is the main difference between XHS and GERM?

XHS tracks S&P Health Care Services Select Industry Index, while GERM tracks Prime Treatments, Testing and Advancements Index. They also come from different issuers: State Street and Amplify. Their fees differ too: 0.35% for XHS and 0.68% for GERM.