XHS vs. MHIP

Last updated Aug 4, 2026

XHS (SPDR S&P Health Care Services ETF) and MHIP (Milliman Healthcare Inflation Plus ETF) are both Health & Biotech Equities funds. XHS is passively managed, while MHIP is actively managed. Their 0.56 correlation means they have sometimes moved together and sometimes differently. XHS charges 0.35%/yr vs 0.55%/yr for MHIP.

Performance

XHS vs. MHIP - Performance Comparison

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

Returns By Period

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%

MHIP

• 1D: 0.39%
• 1M: -0.68%
• 6M: —
• YTD: —
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —
• ALL TIME*: —

*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)
MHIP Milliman Healthcare Inflation Plus ETF	$1.34K	$877.52	$4.14K
XHS SPDR S&P Health Care Services ETF	$3.18M	$3.55M	$3.01M

XHS vs. MHIP - Yearly Performance Comparison

	2026 (YTD)
XHS SPDR S&P Health Care Services ETF	24.15%
MHIP Milliman Healthcare Inflation Plus ETF	0.60%

Correlation

The correlation between XHS and MHIP is 0.56, which is moderate. They have sometimes moved together and sometimes differently, sharing some price drivers without tracking each other closely.

	Correlation
Correlation (All Time) Calculated using the full available price history since Apr 21, 2026	0.56

Return for Risk

XHS vs. MHIP — Risk / Return Rank

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

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

MHIP

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

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.

XHS vs. MHIP - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for SPDR S&P Health Care Services ETF (XHS) and Milliman Healthcare Inflation Plus ETF (MHIP). 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	MHIP	Difference
Sharpe ratio: Return per unit of total volatility	3.04	—	—
Sortino ratio: Return per unit of downside risk	4.07	—	—
Omega ratio: Gain probability vs. loss probability	1.52	—	—
Calmar ratio: Return relative to maximum drawdown	4.43	—	—
Martin ratio: Return relative to average drawdown	15.51	—	—

Drawdowns

XHS vs. MHIP - Drawdown Comparison

The maximum XHS drawdown since its inception was -39.32%, which is greater than MHIP's maximum drawdown of -3.09%. Use the drawdown chart below to compare losses from any high point for XHS and MHIP.

Drawdown Indicators

	XHS	MHIP	Difference
Max Drawdown Largest peak-to-trough decline	-39.32%	-3.09%	-36.23%
Max Drawdown (1Y) Largest decline over 1 year	-11.99%	—	—
Max Drawdown (3Y) Largest decline over 3 years	-16.23%	—	—
Max Drawdown (5Y) Largest decline over 5 years	-31.30%	—	—
Max Drawdown (10Y) Largest decline over 10 years	-39.32%	—	—
Current Drawdown Current decline from peak	-2.57%	-1.02%	-1.55%
Average Drawdown Average peak-to-trough decline	-10.10%	-1.30%	-8.80%
Ulcer Index Depth and duration of drawdowns from previous peaks	3.42%	—	—

Volatility

Volatility by Period

	XHS	MHIP	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.70%	—	—
Volatility (6M) Calculated over the trailing 6-month period	12.31%	—	—
Volatility (1Y) Calculated over the trailing 1-year period	17.51%	10.92%	+6.59%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	21.24%	10.92%	+10.32%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	22.42%	10.92%	+11.50%

XHS vs. MHIP - Expense Ratio Comparison

XHS has a 0.35% expense ratio, which is lower than MHIP's 0.55% expense ratio.

Dividends

XHS vs. MHIP - Dividend Comparison

XHS's dividend yield for the trailing twelve months is around 0.20%, while MHIP has not paid dividends to shareholders.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
MHIP Milliman Healthcare Inflation Plus 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	0.20%	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 XHS and MHIP in my portfolio?

XHS and MHIP have a correlation of 0.56, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which ETF is better, XHS or MHIP?

On fees, XHS is cheaper at 0.35% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, XHS or MHIP?

XHS is cheaper with a 0.35% expense ratio, compared with 0.55% for MHIP.

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

XHS has the higher dividend yield at 0.20%, compared with 0.00% for MHIP.

What is the main difference between XHS and MHIP?

They also come from different issuers: State Street and Milliman. Their fees differ too: 0.35% for XHS and 0.55% for MHIP.