State Street SPDR S&P Health Care Services ETFXHS

SPDRSectorsHealth Care#25 of 264 by YTD

$141.87

+0.3% last session

+32.9% YTD

Data as of 11/3/20264:00 PM ET · End-of-day

Dividend-adjusted total return · S&P 500 uses VOO · Dec 31, 2025 – Nov 3, 2026XHSS&P 500 · VOO

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	+0.3%	+4.7%	+6.0%	+32.9%	+38.4%	+83.0%	+38.0%	+543.1%
Peer average	+0.6%	+4.0%	+6.1%	+21.0%	+29.0%	+81.2%	+28.9%	—
S&P 500 · VOO	+0.3%	−2.6%	−1.7%	+11.5%	+11.9%	+90.9%	+77.5%	—

Key Statistics

Open all fund facts →

AUM: $229M
Expense ratio: 0.35%
Distribution yield: 0.2%
NAV: $141.23
Volume: 18K
Avg. volume 30D: 34K
High today: $143.30
Low today: $141.19
Previous close: $141.41
52-week high: $144.61
52-week low: $98.15
Our risk indicator: 4/5

XHS in One Breath

XHS Among Health Care ETFs

YTD

#1ARKGARK+70.9%$2.2B

#2IDNAiShares+62.8%$340M

#3BBHVanEck+35.0%$525M

#4FTXHFirst Trust+33.8%$1.2B

#5XHSSPDR+32.9%$229M

#6BBPVirtus+29.5%$132M

#7XBISPDR+27.2%$10.5B

#8IHEiShares+26.9%$1.6B

#9PSCHInvesco+25.9%$178M

End-of-day Nov 4, 2026 · 33 Health care ETFs by YTD

$10,000 in XHS

$10,000 in XHS became

$13,795

In the S&P 500 (VOO)

$17,749

Total return, dividends in · Oct 26, 2021 – Nov 3, 2026 · S&P 500 uses VOO

XHS’s Top Holdings

Today

SGRYSurgery Partners2.7%AMN2.2%OPCH2.2%HNGE2.1%CON2.0%CRVL1.9%BLLN1.9%LH1.9%GH1.9%HCA1.9%PACS1.8%USPH1.8%MCK1.8%HQY1.8%ENSG1.8%EHC1.8%LFST1.8%MD1.8%PRVA1.8%DGX1.8%CI1.8%CNC1.8%

SGRYSurgery Partners2.7%AMN2.2%OPCH2.2%HNGE2.1%CON2.0%CRVL1.9%BLLN1.9%LH1.9%GH1.9%HCA1.9%PACS1.8%USPH1.8%

Medical - Care FacilitiesMedical - Healthcare PlansMedical - DiagnosticsMedical - Healthcare Information ServicesMedical - DistributionInsurance - Brokers

SPDR XHS · 61 holdings · top 22 shown · tile size = share of the fund · as of Nov 1, 2026

What XHS Holds

Today

Medical - Care Facilities49.7%

SGRY 2.7 · AMN 2.2 · OPCH 2.2 · CON 2.0 · HCA 1.9 · PACS 1.8 · USPH 1.8

Medical - Healthcare Plans16.4%

CI 1.8 · CNC 1.8 · ELV 1.7 · CLOV 1.7 · PGNY 1.7 · UNH 1.7 · HUM 1.7

Medical - Diagnostics & Research14.9%

BLLN 1.9 · LH 1.9 · GH 1.9 · DGX 1.8 · RDNT 1.7 · NEO 1.7 · CSTL 1.4

Medical - Healthcare Information Services8.8%

HNGE 2.1 · HQY 1.8 · PRVA 1.8 · BTSG 1.6 · OMDA 1.5

Medical - Distribution6.8%

MCK 1.8 · CAH 1.7 · COR 1.7 · HSIC 1.6

Insurance - Brokers1.9%

CRVL 1.9

Medical - Devices1.3%

AHCO 1.3

SPDR XHS · share of the fund by industry · as of Nov 1, 2026

Surgery’s Share of XHS

Today

2.7%

$27 of every $1,000 in XHS is Surgery

Surgery held by XHS

$6.2M

Most Surgery per dollar

XHS2.7%

ISMD0.3%

SPDR XHS · each square = $10 of $1,000 · as of Nov 1, 2026

XHS’s Share of Health Care ETFs

Today

0.2%

of the $109B in 39 Health care ETFs

XHS$229M0.2%

XLV$49.1B45.0%

VHT$19.1B17.5%

36 others$40.6B37.2%

Health care ETF AUM · Nov 4, 2026

XHS Fee per $100 vs Peers

Today

$0.35a year
per $100

$35 a year on $10,000

XLV$0.08

VHT$0.09

XHS$0.35

XBI$0.35

IYH$0.37

IXJ$0.38

Expense ratio · Health care peers · Nov 4, 2026

Inside XHS

61 holdings · as of Nov 1, 2026

XHS

State Street SPDR S&P Health Care Services ETF

Today

Medical - Care Facilities49.7%SGRY2.7%AMN2.2%OPCH2.2%CON2.0%HCA1.9%PACSUSPHENSGEHCLFST1.8%MD1.8%HIMS1.7%NUTX1.7%DVA16 more holdings22.7% of the fundMedical - Healthcare Plans16.4%CI CNCELVCLOVPGNYUNHHUMMOHCVSALHCMedical - Diagnostics14.9%BLLNLH GH DGXRDNTNEOCSTLWGSFLGTOPKMedical - Healthcare Information Services8.8%HNGE2.1%HQY1.8%PRVABTSGOMDAMedical - Distribution6.8%MCKCAHCORHSICInsurance - Brokers1.9%CRVLMedical - Devices1.3%AHCO

Medical - Care Facilities49.7%SGRYAMNOPCHCONHCAPACS24 more holdings36.9% of the fundMedical - Healthcare Plans16.4%CI CNCELVCLOVPGNYUNH4 moreMedical - Diagnostics14.9%BLLNLH GH DGXRDNTNEO4 moreMedical - Healthcare Information Services8.8%HNGEHQYPRVABTSGMedical - Distribution6.8%MCKCAHCORHSICCRVLAHCO

#	Ticker	Company	Weight ▼
1	SGRY	Surgery Partners	2.71%
2	AMN	AMN Healthcare Services	2.25%
3	OPCH	Option Care Health	2.22%
4	HNGE	Hinge Health A	2.11%
5	CON	Concentra Group PAR	1.98%
6	CRVL	Corvel	1.93%
7	BLLN	Billiontoone	1.90%
8	LH	Labcorp	1.89%
9	GH	Guardant Health	1.87%
10	HCA	HCA Healthcare	1.86%

Medical - Care FacilitiesMedical - Healthcare PlansMedical - DiagnosticsMedical - Healthcare Information ServicesMedical - DistributionInsurance - BrokersMedical - Devices

SPDR XHS · current holdings by weight · as of Nov 1, 2026 · each tile is one holding · top 20 = 38.6%

How It Compares

XHS

State Street SPDR S&P Health Care Services ETF’s Peers

YTD


XLV	SPDRRead Desk	0.08%	+20.4%	+29.7%	$49.1B
VHT	VanguardRead Desk	0.09%	+19.6%	+28.1%	$19.1B
XBI	SPDRRead Desk	0.35%	+27.2%	+38.1%	$10.5B
IYH	iSharesRead Desk	0.37%	+19.8%	+28.6%	$4.7B
IXJ	iSharesRead Desk	0.38%	+16.0%	+24.7%	$4.6B
XHS	SPDRThis fundRead Desk	0.35%	+32.9%	+38.4%	$229M

Health care peers · YTD and past-year returns · as of Nov 4, 2026 · sorted by AUM

Head to Head

Put XHS head to head with XLV →

XLV vs XHS

YTD

XLVSPDR · Health careXHSSPDR · Health care

Year to date

+20.4%

+32.9%

XHS wins+12.5 pts

Past year

+29.7%

+38.4%

XHS wins+8.7 pts

Fee

0.08%

0.35%

XLV winslower fee

Yield

1.4%

0.2%

XLV wins+1.2 pts

AUM

$49.1B

$229M

XLV214.6× more

2–2level

SPDR XLV and SPDR XHS · year-to-date · as of Nov 4, 2026 · AUM not scored

XHS vs VOO

YTD

XHS · SPDR S&P Health Care Services

+32.9%

VOO · S&P 500

+11.5%

Gap

21.3 pts

SPDR XHS and Vanguard VOO · YTD total return · as of Nov 4, 2026

XHS vs Its Peer Average

YTD

XHSAvsBPeer average

1D+0.3%+0.6%

1M+4.7%+4.0%

3M+6.0%+6.1%

YTD+32.9%+21.0%

1Y+38.4%+29.0%

3Y+83.0%+81.2%

5Y+38.0%+28.9%

5–2XHS wins

38 Health care peers · each row scaled to its leader

The Details

XHS

Risk

4/5our risk indicator

CalmerBumpier

Volatility · 1Y17.55%

Deepest drop · 1Y−12.0%

Lowest point · 5Y−24.6%

52-week range

$141.87

$98.15−1.9% from the high$144.61

SPDR XHS · past-year price moves · as of Nov 4, 2026

XHS

Fund Facts

Today

2011launched Sep 28

Tracks[…]

Exchange · CUSIPAMEX · 78464A573

StructureETF

Leverage1x

Cost on $10,000$35 a year

Go deeper

Prospectus & documents Trading & liquidity Fees & costs Distributions

SPDR XHS · fund facts · as of Nov 4, 2026

XHS

Payouts by Year

13Y

$0.0110per share, Sep 2026

Distribution yield0.2%

PaidEvery quarter

Latest ex-date · paidSep 21 · Sep 23, 2026

12 payouts added up$0.78 a share

SPDR XHS · distributions by ex-date · 2014–2026

All Fund FactsDocuments · trading · fees · every payout

Prospectus & Documents

summary prospectus · SEC 497K ↗SEC reported portfolio · 2026-06-30 ↗SEC reported portfolio · 2026-03-31 ↗SEC reported portfolio · 2025-12-31 ↗SEC reported portfolio · 2025-09-30 ↗summary prospectus · SEC 497K ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2025-06-30 ↗SEC reported portfolio · 2025-03-31 ↗SEC reported portfolio · 2024-12-31 ↗SEC reported portfolio · 2024-09-30 ↗

Trading & Liquidity

Net asset value$141.23

Premium / discount[…]

Median spread · 30D[…]

Volume today18K

Average volume · 30D34K

Shares outstanding[…]

Options[…]

Fees & Costs

Net expense ratio0.35%

Gross expense ratio[…]

Management fee[…]

Cost on $10,000 a year$35.00

Our risk indicator4/5

Estimated yearly cost excludes trading costs and assumes constant assets.

Distributions

Ex-date	Paid	Per share
Sep 21, 2026	Sep 23, 2026	$0.0110
Jun 22, 2026	Jun 24, 2026	$0.0420
Mar 23, 2026	Mar 25, 2026	$0.0420
Dec 22, 2025	Dec 24, 2025	$0.12
Sep 22, 2025	Sep 24, 2025	$0.0670
Jun 23, 2025	Jun 25, 2025	$0.0598
Mar 24, 2025	Mar 26, 2025	$0.0446
Dec 23, 2024	Dec 26, 2024	$0.0848
Sep 23, 2024	Sep 25, 2024	$0.0903
Jun 24, 2024	Jun 26, 2024	$0.10
Mar 18, 2024	Mar 21, 2024	$0.0625
Dec 18, 2023	Dec 21, 2023	$0.0518

Issuer contentFrom SPDRHear the strategy from the people behind XHS.No issuer videos have been published for this fund.Are you the issuer? Claim this fund →