Skip to content
etf.net

HLTH vs XHS

Tema Healthcare AI ETF

HLTHDNasdaq

State Street SPDR S&P Health Care Services ETF

XHSANYSE Arca

Overlap

3.6%by weight

Expense ratio

XHS −0.40pt a year

HLTH0.75%XHS0.35%

Avg volume · 30D

XHS 3.1×the volume

HLTH10.2KXHS31.9K

HLTH vs XHS Performance

Jul 31, 2026 – Nov 2, 2026

+7.4%HLTH+6.6%XHS

Jul 31, 2026 to Nov 2, 2026. HLTH +7.4%. XHS +6.6%. Use the arrow keys to read each point.0%10%15%20%Jul 2026Sep 2026Nov 2026
Expense ratio
HLTH 0.75%
XHS 0.35%, better
Fund size
HLTH $12M
XHS $234M
1Y total return
HLTH No data
XHS +38.0%
Yield (12M)
HLTH No data
XHS 0.15%
Holdings
HLTH 33
XHS 63
Avg volume (30D)
HLTH 10.2K sh
XHS 31.9K sh, better
NAV per share
HLTH $28.63
XHS $144.25
52W range

ETF.net Grade

HLTH: Cost 8, Risk 49, Mission not scored, Tradability 29, Holdings 62, Durability 27. XHS: Cost 81, Risk 78, Mission not scored, Tradability 54, Holdings 87, Durability 64.
Pillar letters and Scores for HLTH, XHS, with each pillar’s weight
PillarHLTHXHS
Cost30% weightF8A81Higher
Mission25% weightNot scoredNot scored
Risk15% weightC49A78Higher
Tradability15% weightD29C54Higher
Holdings10% weightB62A87Higher
Durability5% weightD27B64Higher

Rank among Health Care (Broad) funds

How we build Categories ›
Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

Same Category. HLTH and XHS are both graded against the same 25 Health Care (Broad) funds, so their Grades compare head to head.

Health Care (Broad)⁠

Category · 25 funds
See all 25 ›

XHS ranks 4th and HLTH 21st of 25 funds in the Health Care (Broad) Category.

  1. Rank 1AXLVState Street Health Care Select Sector SPDR ETFScore 85
  2. Rank 2AFHLCFidelity MSCI Health Care Index ETFScore 83
  3. Rank 3AVHTVanguard Health Care ETFScore 77
  4. Rank 4AXHSState Street SPDR S&P Health Care Services ETFScore 74
  5. Rank 5AIYHiShares U.S. Healthcare ETFScore 71
  6. Rank 20DHRTSTema Heart & Health ETFScore 31
  7. Rank 21DHLTHTema Healthcare AI ETFScore 28
  8. Rank 22DMDEVFirst Trust Indxx Medical Devices ETFScore 27

Our read on each fund

ETF.net Research

HLTHDTema Healthcare AI ETF

XHSAState Street SPDR S&P Health Care Services ETF

In short

HLTH No data

XHS Most health care ETFs are pharma funds in disguise. XHS buys the delivery system instead: insurers, hospitals, distributors and clinics, roughly equal weighted so one giant insurer does not run the show.

Stated mandate

HLTH No data

XHS The fund seeks to track the total return of the S&P Health Care Services Select Industry Index before fees and expenses, providing targeted exposure to health care services companies.

Why people hold it

HLTH No data

  • XHS No drugmakers, no device makers. The index tracks four slices of care delivery: distributors, facilities, health care services and managed care.ssga.com
  • Modified equal weighting spreads about 60 names across large, mid and small caps, so the portfolio is not a bet on two or three mega caps.ssga.com
  • 0.35% a year sits below the 0.50% median for broad health care ETFs, on a fund that has been running since 2011.
  • Ranks in the top quartile of the broad health care ETFs we grade.

Worth knowing

HLTH No data

  • XHS Cheap against the median, not against the giants: XLV, VHT and FHLC charge under a tenth of a percent for cap weighted whole sector exposure.
  • Thinly traded next to the big sector funds, so spreads and limit orders matter more here.
  • Leaving out pharma and biotech means it moves differently from a whole sector fund, and insurers and hospitals sit close to reimbursement policy.ssga.com

Full HLTH profile⁠

Full XHS profile⁠

HLTH vs XHS Holdings

How HLTH and XHS differ

Overlap by weight

3.6%

Shared holdings make up 8.8% of HLTH and 3.6% of XHS.

Level by level

  • Holdings2 in both3.6%
  • Asset classEquity100%
  • Countryby domicile100%

Sector

No Sector split for HLTH.

Country, concentration and asset class

Country by domicile

Country weights in HLTH and XHS, widest gap first
CountryMore in HLTHMore in XHS
United StatesSame weight

Concentration

Weight in the 10 largest Holdings

  • HLTH50.9%
  • XHS20.7%

Securities held

  • HLTH32
  • XHS61

Asset class

HLTH
Equity
XHS
Equity

Holdings

  • Only in HLTH30
  • In both2
  • Only in XHS59

Only in HLTH

30 securities, 90.9% of HLTH by weight

  • 10X Genomics Inc6.37%
  • Natera Inc5.57%
  • Twist Bioscience Corp5.50%

Only in XHS

59 securities, 96.3% of XHS by weight

  • Surgery Partners Inc2.71%
  • Amn Healthcare Services Inc2.25%
  • Option Care Health Inc2.22%

Weight gaps

All 2 Holdings in both funds, largest gap first.

Holding weights in HLTH and XHS, widest gap first
HoldingMore in HLTHMore in XHS
Guardant Health IncGHHLTH +2.74 points
Cardinal Health IncCAHHLTH +2.45 points

All 33 HLTH holdings⁠All 61 XHS holdings⁠

How we measure overlap

Each holding counts at its smaller weight in the two funds, summed over the full Holdings. Sector, country and asset class use the same rule on each fund’s split. Cash, FX and derivative lines stay out of the counts. Two bond funds get no overlap figure.

HLTH vs XHS Cost

Overpaying HLTH vs XHS

$7,356

On $10,000 over 30 years. 7% growth a year before fees, expense ratio only.

  • HLTH 0.75%

    $14,482

  • XHS 0.35%

    $7,126

$10,000
30 years

Cost over time

  • HLTH 0.75%
  • XHS 0.35%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$5K$10K$15K051015202530HLTH $14,482XHS $7,126

Year by year

YearHLTHXHSOverpaying
10$1,336$634$702
20$5,078$2,454$2,624
30$14,482$7,126$7,356

Expense ratio

  • 0.75%HLTH
  • 0.35%XHS, cheaper
  • Middle half of Health Care (Broad) funds
  • Median 0.50%

XHS 5th cheapest of 25 funds

HLTH 22nd cheapest of 25 funds

HLTH vs XHS Dividends

Last 12 months to Nov 2, 2026
Yield (12M)
HLTH No data
XHS 0.15%
Payout (12M)
HLTH None
XHS $0.21
Last payment
HLTH No data
XHS $0.01
Ex-dividend
HLTH No data
XHS Sep 21, 2026
Paid on
HLTH No data
XHS Sep 23, 2026
Frequency
HLTH No data
XHS Quarterly

Distribution history

Per share, 2017 to 2026, same scale for both

HLTHAll HLTH payments⁠

No distribution history available.

XHSQuarterly · 39 paymentsAll XHS payments⁠
One bar per payment. 39 payments from 2017 to 2026 YTD. Mar 17, 2017 $0.02; Jun 16, 2017 $0.03; Sep 15, 2017 $0.03; Dec 15, 2017 $0.06; Mar 19, 2018 $0.02; Jun 18, 2018 $0.05; Sep 24, 2018 $0.07; Dec 24, 2018 $0.08; Mar 18, 2019 $0.03; Jun 24, 2019 $0.05; Sep 23, 2019 $0.05; Dec 23, 2019 $1.59; Mar 23, 2020 $0.03; Jun 22, 2020 $0.06; Sep 21, 2020 $0.04; Dec 21, 2020 $0.09; Mar 22, 2021 $0.03; Jun 21, 2021 $0.04; Sep 20, 2021 $0.07; Dec 20, 2021 $0.07; Mar 21, 2022 $0.02; Jun 21, 2022 $0.04; Sep 19, 2022 $0.03; Dec 19, 2022 $0.07; Mar 20, 2023 $0.03; Jun 20, 2023 $0.05; Sep 18, 2023 $0.07; Dec 18, 2023 $0.05; Mar 18, 2024 $0.06; Jun 24, 2024 $0.10; Sep 23, 2024 $0.09; Dec 23, 2024 $0.08; Mar 24, 2025 $0.04; Jun 23, 2025 $0.06; Sep 22, 2025 $0.07; Dec 22, 2025 $0.12; Mar 23, 2026 $0.04; Jun 22, 2026 $0.04; Sep 21, 2026 $0.01. Use the arrow keys to read each point.$0$12017202020232026YTD

HLTH vs XHS Risk

Fall from peak · 5 years

This chart needs five years of history for both funds.

Risk facts

VolatilityStd dev, 3 years
HLTH No dataXHS 20.8%
Return per unit of riskSharpe ratio, 3 years
HLTH No dataXHS 0.85
Worst fallMax drawdown, 5 years
HLTH No dataXHS −30.0%
Market sensitivityBeta, 5 years
HLTH 3.41XHS 0.93

HLTH and XHS in the news

All news⁠

Popular comparisons

  • HLTHDvsXLVA

    Tema Healthcare AI ETF · State Street Health Care Select Sector SPDR ETF

    Expense ratio
    0.75% · 0.08%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

  • XHSAvsXLVA

    State Street SPDR S&P Health Care Services ETF · State Street Health Care Select Sector SPDR ETF

    Expense ratio
    0.35% · 0.08%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

  • HLTHDvsFHLCA

    Tema Healthcare AI ETF · Fidelity MSCI Health Care Index ETF

    Expense ratio
    0.75% · 0.08%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

  • XHSAvsFHLCA

    State Street SPDR S&P Health Care Services ETF · Fidelity MSCI Health Care Index ETF

    Expense ratio
    0.35% · 0.08%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

  • HLTHDvsVHTA

    Tema Healthcare AI ETF · Vanguard Health Care ETF

    Expense ratio
    0.75% · 0.09%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

  • XHSAvsVHTA

    State Street SPDR S&P Health Care Services ETF · Vanguard Health Care ETF

    Expense ratio
    0.35% · 0.09%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.