HLTH vs SPY
Tema Healthcare AI ETF vs State Street SPDR S&P 500 ETF Trust
Which is better, HLTH or SPY?
All Cap Blend against Large Cap Blend.
SPY has a lower expense ratio. SPY is less concentrated, with 38.2% of the fund in its ten largest positions against 52.6%.
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
| Metric | HLTH | SPY |
|---|---|---|
| Expense Ratio | 0.75% | 0.09%Best |
| AUM | $11M | $823.2B |
| Dividend Yield | 0.00% | 0.99% |
| Holdings | 33 | 1,515 |
| YTD Return | +8.95% | +13.53%Best |
| 1Y Return | - | +17.47% |
| 3Y Return (annualized) | - | +22.36% |
| 5Y Return (annualized) | - | +13.21% |
| Top 10 Weight | 52.6% | 38.2%Best |
| Fund Family | Tema Global Limited | State Street Investment Management |
| Category | Equity | Equity |
| Style | All Cap Blend | Large Cap Blend |
| Inception | Jul 21, 2026 | Jan 22, 1993 |
Not shown on this pair: Volatility (annualized), Max Drawdown, $10,000 over the window.
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 8.95% versus a gain of 13.53% 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 0.99% for SPY.
Holdings Overlap
19.1% of HLTH's money is in holdings SPY also owns. 0.9% of SPY's money is in holdings HLTH also owns.
HLTH and SPY share little of their money.
5 positions in common, counted across the 33 positions we hold weights for in HLTH and 504 in SPY, against full books of 33 and 1,515.
What only one of them owns
Our book lists 491 positions for SPY that do not appear in our book for HLTH (98.2% of the fund), and 27 for HLTH that do not appear in SPY (79.5%).
Some of those will be the same company recorded under a different code in one of the two books, so the real difference in what you would own is no larger than this and may be smaller. We do not name the individual positions here for that reason.
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.
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.
What is the holdings overlap between HLTH and SPY?
19.1% of HLTH's money is in holdings SPY also owns. 0.9% of SPY's is in holdings HLTH also owns. They hold 5 positions in common, counted across the 33 positions we hold weights for in HLTH and 504 in SPY.
Which pays a higher dividend, HLTH or SPY?
HLTH yields 0.00% while SPY yields 0.99%, so SPY currently pays the higher dividend yield.
Is SPY better than HLTH?
SPY has a lower expense ratio. SPY is less concentrated, with 38.2% of the fund in its ten largest positions against 52.6%. Which one suits a particular account depends on what it is for. This is information, not a recommendation.