State Street SPDR S&P Health Care Services ETF (XHS)
About this ETF
The State Street SPDR S&P Health Care Services ETF aims to deliver investment outcomes that closely match the total return performance of the S&P Health Care Services Select Industry Index, before accounting for fees and expenses. It provides focused exposure to the healthcare services segment of the S&P Total Market Index, encompassing sub-industries such as Health Care Distributors, Health Care Facilities, Health Care Services, and Managed Health Care. The ETF tracks a modified equal-weighted index, which is designed to offer diversified industry exposure across large, mid, and small-capitalization companies, avoiding over-concentration. This structure allows investors to adopt more precise strategic or tactical positions within the health care sector than is possible with traditional, broader sector investments.
Price
Top 10 holdings
| HINGE HEALTH INC A HNGE | 2.30% |
| LIFESTANCE HEALTH GROUP INC LFST | 2.19% |
| ACADIA HEALTHCARE CO INC ACHC | 2.11% |
| PACS GROUP INC PACS | 2.03% |
| NEOGENOMICS INC NEO | 2.01% |
| TENET HEALTHCARE CORP THC | 2.00% |
| HIMS + HERS HEALTH INC HIMS | 1.99% |
| GUARDANT HEALTH INC GH | 1.97% |
| ASTRANA HEALTH INC ASTH | 1.95% |
| GENEDX HOLDINGS CORP WGS | 1.95% |
Sector mix
Price chart
Returns
| 1 month | +12.33% |
| 3 months | +31.50% |
| 6 months | +21.51% |
| Year to date | +26.33% |
| 1 year | +40.29% |
| 3 years (ann.) | +13.96% |
| 5 years (ann.) | +3.24% |
| 10 years (ann.) | +8.95% |
Risk profile
| Volatility (1y, ann.) | 18.10% |
| Sharpe (1y) | 1.96 |
| Sharpe (3y) | 0.81 |
| Sortino (1y) | 2.96 |
| Max drawdown (1y) | -12.03% |
| Max drawdown (5y) | -32.39% |
| Max drawdown (full) | -39.36% |
| Beta vs S&P 500 (1y) | 0.58 |
| Correlation vs S&P 500 (1y) | 0.41 |
Technical outlook as of 2026-07-13
The Monte Carlo cone is drawn on the price chart above (Forecast overlay); RSI, MACD and the rest of the oscillators live in its indicator panels.
Full holdings
| Constituent | ISIN | Market value | Weight |
|---|---|---|---|
| Loading… | |||
Sector breakdown
Geographic exposure
Cost vs. peers
Comparison universe: 6,948 funds of the same asset class.
Cost impact calculator
Dividend history
Distributing share class Income is paid out to shareholders.
| Ex-date | Payment | Amount |
|---|---|---|
| 2026-06-22 | 2026-06-24 | USD 0.0420 |
| 2026-03-23 | 2026-03-25 | USD 0.0420 |
| 2025-12-22 | 2025-12-24 | USD 0.1179 |
| 2025-09-22 | 2025-09-24 | USD 0.0670 |
| 2025-06-23 | 2025-06-25 | USD 0.0598 |
| 2025-03-24 | 2025-03-26 | USD 0.0446 |
| 2024-12-23 | 2024-12-26 | USD 0.0848 |
| 2024-09-23 | 2024-09-25 | USD 0.0903 |
| 2024-06-24 | 2024-06-26 | USD 0.1019 |
| 2024-03-18 | 2024-03-21 | USD 0.0625 |
| 2023-12-18 | 2023-12-21 | USD 0.0518 |
| 2023-09-18 | 2023-09-21 | USD 0.0672 |
| 2023-06-20 | 2023-06-23 | USD 0.0527 |
| 2023-03-20 | 2023-03-23 | USD 0.0294 |
| 2022-12-19 | 2022-12-22 | USD 0.0666 |
| 2022-09-19 | 2022-09-22 | USD 0.0343 |
| 2022-06-21 | 2022-06-24 | USD 0.0421 |
| 2022-03-21 | 2022-03-24 | USD 0.0170 |
| 2021-12-20 | 2021-12-23 | USD 0.0700 |
| 2021-09-20 | 2021-09-23 | USD 0.0656 |
| 2021-06-21 | 2021-06-24 | USD 0.0406 |
| 2021-03-22 | 2021-03-25 | USD 0.0326 |
| 2020-12-21 | 2020-12-24 | USD 0.0916 |
| 2020-09-21 | 2020-09-24 | USD 0.0407 |
| 2020-06-22 | 2020-06-25 | USD 0.0578 |
| 2020-03-23 | 2020-03-26 | USD 0.0327 |
| 2019-12-23 | 2019-12-27 | USD 1.5906 |
| 2019-09-23 | 2019-09-26 | USD 0.0548 |
| 2019-06-24 | 2019-06-27 | USD 0.0492 |
| 2019-03-18 | 2019-03-21 | USD 0.0251 |
| 2018-12-24 | 2018-12-28 | USD 0.0806 |
| 2018-09-24 | 2018-09-27 | USD 0.0650 |
| 2018-06-18 | 2018-06-21 | USD 0.0496 |
| 2018-03-19 | 2018-03-22 | USD 0.0159 |
| 2017-12-15 | 2017-12-26 | USD 0.0631 |
| 2017-09-15 | 2017-09-25 | USD 0.0268 |
| 2017-06-16 | 2017-06-26 | USD 0.0253 |
| 2017-03-17 | 2017-03-27 | USD 0.0215 |
| 2016-12-16 | 2016-12-27 | USD 0.0430 |
| 2016-09-16 | 2016-09-26 | USD 0.0440 |
Splits
| 2015-09-11 | 2:1 |
ESG profile
Benchmark: average of 4,066 funds of the same asset class with derived ESG data.
Similar ETFs
| Fund | TER | AUM (USD) | Yield (TTM) | Return 1y | Sharpe 1y |
|---|---|---|---|---|---|
| Vanguard Total Stock Market ETF VTI | 0.03% | 2.30T | 1.05% | +19.93% | 1.48 |
| Vanguard S&P 500 ETF VOO | 0.03% | 1.70T | 1.07% | +19.68% | 1.49 |
| iShares Core S&P 500 ETF IVV | 0.03% | 894.38B | 1.09% | +19.68% | 1.49 |
| State Street SPDR S&P 500 ETF SPY | 0.09% | 789.23B | 1.00% | +19.71% | 1.49 |
| SPDR S&P 500 ETF Trust 1557.T | 0.09% | 789.09B | 0.49% | +37.54% | 2.26 |
| State Street SPDR S&P 500 ETF SPY.AX | 0.09% | 788.13B | 1.00% | +11.84% | 1.13 |
| Vanguard Total International Stock ETF VXUS | 0.05% | 652.30B | 2.61% | +20.58% | 1.21 |
| Invesco QQQ Trust, Series 1 QQQ | 0.18% | 481.14B | 0.43% | +28.14% | 1.43 |
| Vanguard Growth ETF VUG | 0.03% | 393.80B | 0.39% | +16.85% | 0.99 |
| Vanguard FTSE Developed Markets ETF VEA | 0.03% | 317.30B | 2.60% | +21.64% | 1.23 |
Cheaper alternatives
No fund of the class reaches 60% portfolio overlap — showing the cheapest funds of the class instead.
| Fund | TER | AUM (USD) | Overlap |
|---|---|---|---|
| Vanguard Value ETF VTV | 0.03% | 245.00B | 3.7% |
| Vanguard Small-Cap ETF VB | 0.03% | 182.70B | 2.0% |
| Vanguard Mid-Cap ETF VO | 0.03% | 218.80B | 1.9% |
| State Street SPDR Portfolio S&P 500 ETF SPYM | 0.02% | 159.32B | 1.7% |
| SPDR S&P 500 ETF Trust 1557.T | 0.09% | 789.09B | 1.7% |

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