State Street SPDR S&P Health Care Services ETFXHS

SPDRSectorsHealth Care#17 of 264 by YTD

$147.28

−1.5% last session

+37.9% YTD

Data as of 11/5/20264:00 PM ET · End-of-day

Dividend-adjusted total return · S&P 500 uses VOO · Dec 31, 2025 – Nov 5, 2026XHSS&P 500 · VOOSectors average

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	−1.5%	+9.6%	+8.8%	+37.9%	+41.1%	+87.2%	+41.5%	+567.6%
Peer average	−3.4%	+4.6%	+3.5%	+19.7%	+29.0%	+75.3%	+27.3%	—
S&P 500 · VOO	−4.4%	−5.7%	−4.9%	+8.4%	+9.8%	+82.2%	+71.6%	—

Key Statistics

Open all fund facts →

AUM: $231M
Expense ratio: 0.35%
Distribution yield: 0.1%
NAV: $141.90
Volume: 53K
Avg. volume 30D: 37K
High today: $152.45
Low today: $145.59
Previous close: $149.54
52-week high: $152.45
52-week low: $98.15
Our risk indicator: 4/5

XHS in One Breath

XHS Among Health Care ETFs

YTD

#1IDNAiShares+58.8%$354M

#2ARKGARK+54.0%$2.2B

#3XHSSPDR+37.9%$231M

#4BBHVanEck+32.6%$538M

#5FTXHFirst Trust+31.5%$1.2B

#6BBPVirtus+26.9%$134M

#7PSCHInvesco+26.6%$179M

#8IHEiShares+25.6%$1.7B

#9IHFiShares+24.9%$1.5B

End-of-day Nov 5, 2026 · 33 Health care ETFs by YTD

$10,000 in XHS

$10,000 in XHS became

$14,148

In the S&P 500 (VOO)

$17,156

Total return, dividends in · Oct 28, 2021 – Nov 5, 2026 · S&P 500 uses VOO

XHS’s Top Holdings

Today

SGRYSurgery Partners2.6%AMN2.2%OPCH2.1%HNGE2.1%CON2.0%CRVL2.0%MD1.9%HCA1.9%MCK1.9%CNC1.9%HQY1.9%MOH1.9%EHC1.8%BLLN1.8%LH1.8%USPH1.8%ACHC1.8%RDNT1.8%PACS1.8%BTSG1.8%LFST1.8%UHS1.8%

SGRYSurgery Partners2.6%AMN2.2%OPCH2.1%HNGE2.1%CON2.0%CRVL2.0%MD1.9%HCA1.9%MCK1.9%CNC1.9%HQY1.9%MOH1.9%

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 5, 2026

What XHS Holds

Today

Medical - Care Facilities50.0%

SGRY 2.6 · AMN 2.2 · OPCH 2.1 · CON 2.0 · MD 1.9 · HCA 1.9 · EHC 1.8

Medical - Healthcare Plans16.3%

CNC 1.9 · MOH 1.9 · PGNY 1.8 · CI 1.7 · ELV 1.7 · CLOV 1.7 · HUM 1.7

Medical - Diagnostics & Research14.1%

BLLN 1.8 · LH 1.8 · RDNT 1.8 · DGX 1.7 · GH 1.6 · NEO 1.5 · CSTL 1.3

Medical - Healthcare Information Services8.9%

HNGE 2.1 · HQY 1.9 · BTSG 1.8 · PRVA 1.7 · OMDA 1.4

Medical - Distribution7.0%

MCK 1.9 · COR 1.7 · CAH 1.7 · HSIC 1.6

Insurance - Brokers2.0%

CRVL 2.0

Medical - Devices1.6%

AHCO 1.6

SPDR XHS · share of the fund by industry · as of Nov 5, 2026

Surgery’s Share of XHS

Today

2.6%

$26 of every $1,000 in XHS is Surgery

Surgery held by XHS

$6.0M

Most Surgery per dollar

XHS2.6%

ISMD0.3%

SPDR XHS · each square = $10 of $1,000 · as of Nov 5, 2026

XHS’s Share of Health Care ETFs

Today

0.2%

of the $110B in 39 Health care ETFs

XHS$231M0.2%

XLV$49.1B44.7%

VHT$19.1B17.4%

36 others$41.3B37.6%

Health care ETF AUM · Nov 5, 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 5, 2026

Inside XHS

61 holdings · as of Nov 5, 2026

XHS

State Street SPDR S&P Health Care Services ETF

Today

Medical - Care Facilities50.0%SGRY2.6%AMN2.2%OPCH2.1%CON2.0%MD1.9%HCA1.9%EHCUSPHACHCPACS1.8%LFST1.8%UHS1.8%ENSG1.7%16 more holdings22.9% of the fundMedical - Healthcare Plans16.3%CNCMOHPGNYCI ELVCLOVHUMUNHCVSALHCMedical - Diagnostics14.1%BLLNLH RDNTDGXGH NEOCSTLWGSFLGTOPKMedical - Healthcare Information Services8.9%HNGE2.1%HQY1.9%BTSGPRVAOMDAMedical - Distribution7.0%MCKCORCAHHSICInsurance - Brokers2.0%CRVLMedical - Devices1.6%AHCO

Medical - Care Facilities50.0%SGRYAMNOPCHCONMD HCA24 more holdings37.2% of the fundMedical - Healthcare Plans16.3%CNCMOHPGNYCI ELVCLOV4 moreMedical - Diagnostics14.1%BLLNLH RDNTDGXGH NEO4 moreMedical - Healthcare Information Services8.9%HNGEHQYBTSGPRVAOMDAMedical - Distribution7.0%MCKCORCAHHSICCRVLAHCO

#	Ticker	Company	Weight ▼
1	SGRY	Surgery Partners	2.61%
2	AMN	AMN Healthcare Services	2.21%
3	OPCH	Option Care Health	2.13%
4	HNGE	Hinge Health A	2.10%
5	CON	Concentra Group PAR	2.02%
6	CRVL	Corvel	1.98%
7	MD	Pediatrix Medical Group	1.92%
8	HCA	HCA Healthcare	1.92%
9	MCK	Mckesson	1.91%
10	CNC	Centene	1.88%

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

SPDR XHS · current holdings by weight · as of Nov 5, 2026 · each tile is one holding · top 20 = 38.9%

How It Compares

XHS

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

YTD


XLV	SPDRRead Desk	0.08%	+20.9%	+29.6%	$49.1B
VHT	VanguardRead Desk	0.09%	+19.7%	+28.0%	$19.1B
XBI	SPDRRead Desk	0.35%	+21.8%	+37.9%	$10.6B
IYH	iSharesRead Desk	0.37%	+20.3%	+28.8%	$4.9B
IXJ	iSharesRead Desk	0.38%	+19.7%	+28.6%	$4.7B
XHS	SPDRThis fundRead Desk	0.35%	+37.9%	+41.1%	$231M

Health care peers · YTD and past-year returns · as of Nov 6, 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

+20.9%

+37.9%

XHS wins+17.0 pts

Past year

+29.6%

+41.1%

XHS wins+11.5 pts

Fee

0.08%

0.35%

XLV winslower fee

Yield

1.4%

0.1%

XLV wins+1.2 pts

AUM

$49.1B

$231M

XLV212.4× more

2–2level

SPDR XLV and SPDR XHS · year-to-date · as of Nov 6, 2026 · AUM not scored

XHS vs VOO

YTD

XHS · SPDR S&P Health Care Services

+37.9%

VOO · S&P 500

+8.4%

Gap

29.5 pts

SPDR XHS and Vanguard VOO · YTD total return · as of Nov 6, 2026

XHS vs Its Peer Average

YTD

XHSAvsBPeer average

1D−1.5%−3.4%

1M+9.6%+4.6%

3M+8.8%+3.5%

YTD+37.9%+19.7%

1Y+41.1%+29.0%

3Y+87.2%+75.3%

5Y+41.5%+27.3%

7–0XHS wins

38 Health care peers · each row scaled to its leader

The Details

XHS

Risk

4/5our risk indicator

CalmerBumpier

Volatility · 1Y18.33%

Deepest drop · 1Y−12.0%

Lowest point · 5Y−26.1%

52-week range

$147.28

$98.15−3.4% from the high$152.45

SPDR XHS · past-year price moves · as of Nov 6, 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 6, 2026

XHS

Payouts by Year

13Y

$0.0110per share, Sep 2026

Distribution yield0.1%

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$141.90

Premium / discount[…]

Median spread · 30D[…]

Volume today53K

Average volume · 30D37K

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

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