State Street SPDR S&P Health Care Services ETF
$136.84−0.40 (−0.29%)
- 0.35%
- $208M
- +37.8%
- 0.16%
- 0M sh
- $136.12
- low $98.15high $139.68
The ETF.net XHS Grade
A
Score 74 out of 100
- 4 of 25
Score 74 of 100 falls in the A band. A is 70 or higher, B 55 to under 70, C 40 to under 55, D 25 to under 40, F under 25.
Cost
The fund’s net expense ratio, ranked against its category.A81 out of 100Rank 5 of 25Mission
Whether the fund did what it promised, tested against its stated mandate.Risk
How the fund held up when markets fell: downside volatility, drawdowns and tail loss.A77 out of 100Rank 5 of 24Tradability
How easy the fund is to trade: daily volume, and how far its price strays from net asset value.C53 out of 100Rank 11 of 25Holdings
How concentrated the fund is, and how complete and current its disclosed holdings are.A88 out of 100Rank 2 of 25Durability
Whether the fund is likely to stay open, judged by its age, its assets and its issuer’s assets.B63 out of 100Rank 12 of 25
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
- 63
- 19%
- OPCH
Sectors
- Health Care98.1%
- 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$13,779
Returns run to the Oct 12, 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 | +28.6% |
| 1 month | +1.0% |
| 3 months | +1.8% |
| 1 year | +37.8% |
| 3 years | +20.1% |
| 5 years | +6.5% |
| 10 years | +10.3% |
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 | +28.6% | |
| 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
XHS Risk
- 20.7%
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.
- 0.64
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.
- 0.93
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.
Other funds in Health Care (Broad)
- AXLVState Street Health Care Select Sector SPDR ETFExpense ratio 0.08%1 year return +23.0%
- AVHTVanguard Health Care ETFExpense ratio 0.09%1 year return +23.1%
- AIYHiShares U.S. Healthcare ETFExpense ratio 0.37%1 year return +22.7%
- BIXJiShares Global Healthcare ETFExpense ratio 0.38%1 year return +15.9%
- BPSCHInvesco S&P SmallCap Health Care ETFExpense ratio 0.29%1 year return +28.5%