State Street SPDR S&P Health Care Services ETF
$134.96−1.27 (−0.93%)
- Expense ratio
- 0.35%
- Fund size
- $223M
- 1Y return
- +36.2%
- Yield · Last 12 months
- 0.16%
- Holdings
- 61
- Volume · 30D
- 0M sh
- NAV per share
- $135.43
- 52W range
The ETF.net XHS Grade
Score 74 of 100 sits in the A band. Bands: A ≥ 70, B ≥ 55, C ≥ 40, D ≥ 25, F < 25; the scale skips E.
Cost
What you pay to own it — the expense ratio plus trading frictions, ranked within its category.AScore 81Category rankMission
How faithfully it does the job it claims — tracking its mandate or index with minimal slippage.Not scoredRisk
How violently it can move — volatility, drawdown depth, and downside capture versus its category.AScore 78Category rankTradability
How cheaply and easily you can get in and out — liquidity, spread, and premium/discount stability.CScore 53Category rankHoldings
What it actually owns — the quality, breadth, and concentration of the underlying portfolio.AScore 89Category rankDurability
Whether it will still be here — the fund’s assets, age, flows, and issuer staying power.BScore 63Category rank
Our read on XHS
AMost 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.
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
- 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
- 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
XHS Holdings
- Stocks
- 61
- 19%
- WGS
Sectors
- Health Care98.2%
- Financials1.9%
Geography
- United States100.00%
XHS Performance
Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.
XHS$13,622
Returns run to the Sep 22, 2026 close, with cash distributions reinvested. Each period starts on the same date that many months or years earlier. Periods over one year show the average yearly return.
| Period | XHS |
|---|---|
| Year to date | +27.5% |
| 1 month | −0.3% |
| 3 months | +11.5% |
| 1 year | +36.2% |
| 3 years | +18.0% |
| 5 years | +5.1% |
| 10 years | +9.9% |
Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.
| Year | Return bar | XHS |
|---|---|---|
| 2026 YTD | +27.5% | |
| 2025 | +18.8% | |
| 2024 | +1.8% | |
| 2023 | +5.1% | |
| 2022 | −19.9% | |
| 2021 | +9.8% | |
| 2020 | +33.7% |
XHS in the news
XHS Dividends
- 0.16%
- $0.21
- $0.01 per share
- Quarterly
Distribution history
| Ex-date | Pay date | Amount per share |
|---|---|---|
| Sep 21, 2026 | Pays Sep 23, 2026 | $0.01 |
| Jun 22, 2026 | Jun 24, 2026 | $0.04 |
| Mar 23, 2026 | Mar 25, 2026 | $0.04 |
| Dec 22, 2025 | Dec 24, 2025 | $0.12 |
| Sep 22, 2025 | Sep 24, 2025 | $0.07 |
| Jun 23, 2025 | Jun 25, 2025 | $0.06 |
| Mar 24, 2025 | Mar 26, 2025 | $0.04 |
| Dec 23, 2024 | Dec 26, 2024 | $0.08 |
| Sep 23, 2024 | Sep 25, 2024 | $0.09 |
| Jun 24, 2024 | Jun 26, 2024 | $0.10 |
| Mar 18, 2024 | Mar 21, 2024 | $0.06 |
| Dec 18, 2023 | Dec 21, 2023 | $0.05 |
XHS Risk
- 21.2%
How it’s calculated: standard deviation
The sample standard deviation of monthly total returns, multiplied by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Total returns include reinvested distributions.
- 0.54
How it’s calculated: Sharpe ratio
Subtract each month’s Treasury-bill return from the fund’s monthly total return.
Divide the average of those excess returns by their sample standard deviation, then multiply by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Each month uses the Treasury yield quoted at the end of the previous month.
- −30.0%
How it’s calculated: maximum drawdown
The largest percentage decline from an earlier peak, using total returns with reinvested distributions.
Uses up to five years through the last close, with at least 12 months required.
- 0.94
How it’s calculated: beta
The beta figure is supplied by FMP. The comparison index depends on the fund’s broad asset class.
XHS Cost
0.35%
XHS0.35%
- The middle half of Health Care (Broad) funds
- Median 0.50%
4 of the 25 Health Care (Broad) funds charge less.