Quick Verdict

SPY has a lower expense ratio. SPY offers more diversification with 503 holdings.

Lower Fees: SPYHigher Returns: TiedMore Diversified: SPY

Side-by-Side Comparison

MetricMHIPSPYWinner
Expense Ratio0.55%0.09%
AUM$1M$789.1B
Dividend Yield0.00%1.01%
Holdings80505
YTD Return+4.93%+13.79%
1Y Return-+23.66%
3Y Return (annualized)-+21.40%
5Y Return (annualized)-+13.37%
Volatility (annualized)-15.3%
Max Drawdown-2.3%-56.5%
Fund FamilyMillimanState Street Investment Management
CategoryAllocation/BalancedEquity
InceptionApr 7, 2026Jan 22, 1993

MHIP vs SPY Performance

Milliman Healthcare Inflation Plus ETF (MHIP) is a ETF from Milliman and State Street SPDR S&P 500 ETF Trust (SPY) is a ETF from State Street Investment Management. Year to date, MHIP is up 4.93% versus a gain of 13.79% for SPY.

Risk: Volatility and Drawdowns

The deepest peak-to-trough decline in our data was -2.3% for MHIP and -56.5% for SPY. Drawdown depth is worth weighing if you expect to sell during market stress rather than ride it out.

Fees and Cost Over Time

MHIP charges 0.55% per year while SPY charges 0.09%. On a $10,000 position that is $55 vs $9 annually, a gap of $46 per year that compounds over a long holding period. On income, MHIP currently yields 0.00% against 1.01% for SPY.

Holdings Overlap

8.9%overlap

MHIP and SPY share 53 holdings out of 528 unique holdings combined, representing a 8.9% weight overlap.

Moderate overlap means holding both could provide meaningful diversification benefits.

Top Shared Holdings

StockWeight in MHIPWeight in SPYDifference
LLY3.18%1.46%1.72%
UNH3.33%0.59%2.74%
JNJ2.17%0.96%1.21%
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Frequently Asked Questions

Which is cheaper, MHIP or SPY?

MHIP has an expense ratio of 0.55% while SPY charges 0.09%. SPY is the cheaper option. On a $10,000 investment, that is $46 per year of difference.

What is the holdings overlap between MHIP and SPY?

MHIP and SPY share 53 common holdings with a 8.9% weight overlap. Combined, they hold 528 unique securities.

Which pays a higher dividend, MHIP or SPY?

MHIP yields 0.00% while SPY yields 1.01%, so SPY currently pays the higher dividend yield.

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