HLTH vs SPY

HLTH vs SPY

Which is better, HLTH or SPY?

All Cap Blend against Large Cap Blend.

SPY has a lower expense ratio.

Lower Fees: SPY

MarketXLS is not an investment adviser. This comparison is generated automatically from market data and is for information only. A Best mark means the better reading on that one measure, not a recommendation to buy.

Side-by-Side Comparison

MetricHLTHSPY
Expense Ratio0.75%0.09%Best
AUM$8M$804.7B
Dividend Yield0.00%0.98%
Holdings31505
YTD Return+11.27%+11.45%Best
1Y Return-+15.87%
3Y Return (annualized)-+20.93%
5Y Return (annualized)-+12.59%
Fund FamilyTema Global LimitedState Street Investment Management
CategoryEquityEquity
StyleAll Cap BlendLarge Cap Blend
InceptionJul 21, 2026Jan 22, 1993

Not shown on this pair: Volatility (annualized), Max Drawdown, $10,000 over the window, Top 10 Weight.

HLTH vs SPY growth

Month-end closes. Both lines start at 0% in the first month shown, so the gap between them is the difference in growth across that window. The full view is available from the range buttons; it is not the opening view here because over the whole period one of these two funds moves so much further than the other that its line would sit flat on the axis.

HLTH vs SPY Performance

Tema Healthcare AI ETF (HLTH) is an ETF from Tema Global Limited and State Street SPDR S&P 500 ETF Trust (SPY) is an ETF from State Street Investment Management. Year to date, HLTH is up 11.27% versus a gain of 11.45% for SPY.

Past performance does not guarantee future results.

Fees and Cost Over Time

HLTH charges 0.75% per year while SPY charges 0.09%. On a $10,000 position that is $75 vs $9 annually, a gap of $66 per year that compounds over a long holding period. On income, HLTH currently yields 0.00% against 0.98% for SPY.

Holdings Overlap

SPY already in HLTH0.9%

At least 0.9% of SPY's money is in holdings HLTH also owns.

Stated as a floor: for HLTH, our book for it covers 92.8% of that fund, so a holding it does not list is one we cannot count as shared. The real figure is this or higher.

We cannot see either book well enough to say how much of this pair is duplicated.

5 positions in common, counted across the 31 positions we hold weights for in HLTH and 504 in SPY, against full books of 31 and 505.

Top Shared Holdings

StockWeight in HLTHWeight in SPYDifference
VRTXNvaesrtex Pharmaceuticals Inc4.46%0.21%4.25%
ISRGIntuitive Surgical Inc.3.93%0.20%3.73%
DXCMDexcom Inc.3.65%0.05%3.60%
CAHCardinal Health Inc.3.39%0.09%3.30%
TMOThermo Fisherscientific Inc.3.14%0.34%2.80%

You are not choosing between two funds in isolation.

Whichever of HLTH and SPY you pick has to sit alongside everything else you own. Add the rest and see what the combination actually holds.

HLTHSPY

Free for up to 10 holdings. No account needed.

Frequently Asked Questions

Which is cheaper, HLTH or SPY?

HLTH has an expense ratio of 0.75% while SPY charges 0.09%. SPY is the cheaper option, by $66 a year on a $10,000 investment.

Which pays a higher dividend, HLTH or SPY?

HLTH yields 0.00% while SPY yields 0.98%, so SPY currently pays the higher dividend yield.

Is SPY better than HLTH?

SPY has a lower expense ratio. Which one suits a particular account depends on what it is for. This is information, not a recommendation.