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KURE vs XHS

KraneShares MSCI All China Health Care Index ETF

KUREDNYSE Arca

State Street SPDR S&P Health Care Services ETF

XHSANYSE Arca

Overlap

Expense ratio

XHS −0.30pt a year

KURE0.65%XHS0.35%

Avg volume · 30D

KURE 2.5×the volume

KURE80.8KXHS31.9K

5Y return · a year

XHS +15.4pt

KURE−9.3%XHS+6.1%

KURE vs XHS Performance

Nov 2, 2021 – Nov 2, 2026

−38.5%KURE+34.4%XHS

Nov 2, 2021 to Nov 2, 2026. KURE −38.5%. XHS +34.4%. Use the arrow keys to read each point.−60%−20%0%20%Nov 2021May 2024Nov 2026
Expense ratio
KURE 0.65%
XHS 0.35%, better
Fund size
KURE $108M
XHS $234M
1Y total return
KURE −6.6%
XHS +38.0%, better
Yield (12M)
KURE 4.12%, better
XHS 0.15%
Holdings
KURE 44
XHS 63
Avg volume (30D)
KURE 80.8K sh, better
XHS 31.9K sh
NAV per share
KURE $17.55
XHS $144.25
52W range

ETF.net Grade

KURE: Cost 27, Risk 9, Mission not scored, Tradability 24, Holdings 52, Durability 36. XHS: Cost 81, Risk 78, Mission not scored, Tradability 54, Holdings 87, Durability 64.
Pillar letters and Scores for KURE, XHS, with each pillar’s weight
PillarKUREXHS
Cost30% weightD27A81Higher
Mission25% weightNot scoredNot scored
Risk15% weightF9A78Higher
Tradability15% weightF24C54Higher
Holdings10% weightC52A87Higher
Durability5% weightD36B64Higher

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. KURE 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 KURE 23rd 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 22DMDEVFirst Trust Indxx Medical Devices ETFScore 27
  7. Rank 23DKUREKraneShares MSCI All China Health Care Index ETFScore 26
  8. Rank 24DGDOCGoldman Sachs Future Health Care Equity ETFScore 25

Our read on each fund

ETF.net Research

KUREDKraneShares MSCI All China Health Care Index ETF

XHSAState Street SPDR S&P Health Care Services ETF

In short

KURE The US-listed route into China's health care sector in one ticker: about 50 Chinese pharma and medical names listed in the Mainland, Hong Kong and the US. A narrow, volatile slice of a huge market, not a broad pharma fund.

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

KURE KURE is designed to track the MSCI China All Shares Healthcare 10/40 Index, which represents Chinese companies engaged in the healthcare sector.

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

  • KURE One ticker spans Chinese health care across all three venues it trades in: Mainland A-shares, Hong Kong and US listings. Most funds in this category stop at US pharma.kraneshares.com
  • Rules-based mandate, not a manager's China hunch: it tracks a published MSCI China health care benchmark and has been listed since 2018.sec.gov
  • About 50 holdings keeps it a pure China health care basket, with no US mega-cap pharma diluting the exposure.
  • 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

  • KURE Costs 0.65% net of a waiver through August 1, 2028 (0.79% gross), above the health care category median. Broad US sector funds like XLV (0.08%) and VHT (0.09%) sit a tier below.
  • Single-country, single-sector, about 50 names: swings have run among the widest in its health care peer group, and Chinese policy shifts can move the whole basket.sec.gov
  • Moderately traded rather than a category heavyweight, so spreads and order type matter more. Distributions come once or twice a year, not monthly.
  • 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 KURE profile⁠

Full XHS profile⁠

KURE vs 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.

KURE vs XHS Cost

Overpaying KURE vs XHS

$5,591

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

  • KURE 0.65%

    $12,717

  • XHS 0.35%

    $7,126

$10,000
30 years

Cost over time

  • KURE 0.65%
  • 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$15K051015202530KURE $12,717XHS $7,126

Year by year

YearKUREXHSOverpaying
10$1,163$634$529
20$4,440$2,454$1,986
30$12,717$7,126$5,591

Expense ratio

  • 0.65%KURE
  • 0.35%XHS, cheaper
  • Middle half of Health Care (Broad) funds
  • Median 0.50%

XHS 5th cheapest of 25 funds

KURE 18th cheapest of 25 funds

KURE vs XHS Dividends

Last 12 months to Nov 2, 2026
Yield (12M)
KURE 4.12%, better
XHS 0.15%
Payout (12M)
KURE $0.71
XHS $0.21
Last payment
KURE $0.71
XHS $0.01
Ex-dividend
KURE Dec 22, 2025
XHS Sep 21, 2026
Paid on
KURE Dec 23, 2025
XHS Sep 23, 2026
Frequency
KURE Annual
XHS Quarterly

Distribution history

Per share, 2017 to 2026, same scale for both

KUREAnnual · 8 paymentsAll KURE payments⁠
One bar per payment. 8 payments from 2017 to 2026 YTD. Dec 26, 2018 $0.08; Dec 27, 2019 $0.06; Dec 29, 2020 $0.00011; Dec 29, 2021 $4.05; Dec 28, 2022 $0.01; Dec 18, 2023 $0.11; Dec 17, 2024 $0.18; Dec 22, 2025 $0.71. Use the arrow keys to read each point.$0$2.502017202020232026YTD
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$2.502017202020232026YTD

KURE vs XHS Risk

Fall from peak · 5 years

  • KURE
  • XHS
Nov 2, 2021 to Nov 2, 2026. Worst fall: KURE −58.6% · Jul 2024. Use the arrow keys to read each point.−60%−40%−20%0%Nov 2021May 2024Nov 2026

Risk facts

VolatilityStd dev, 3 years
KURE 26.5%XHS 20.8%, better
Return per unit of riskSharpe ratio, 3 years
KURE −0.02XHS 0.85, better
Worst fallMax drawdown, 5 years
KURE −58.6%XHS −30.0%, better
Market sensitivityBeta, 5 years
KURE 0.30XHS 0.93

KURE and XHS in the news

All news⁠

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