State Street SPDR S&P Health Care Services ETFXHS

SPDRSectorsHealth Care#19 of 264 by YTD

$149.54

+5.4% last session

+40.0% YTD

Data as of 11/4/20264:00 PM ET · End-of-day

Dividend-adjusted total return · S&P 500 uses VOO · Oct 6, 2026 – Nov 4, 2026XHSS&P 500 · VOO

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	+5.4%	+10.6%	+13.5%	+40.0%	+44.5%	+92.3%	+47.2%	+577.9%
Peer average	+2.7%	+8.5%	+8.9%	+24.4%	+33.4%	+84.3%	+34.0%	—
S&P 500 · VOO	+1.6%	−1.6%	0.0%	+13.4%	+13.5%	+91.7%	+81.2%	—

Key Statistics

Open all fund facts →

AUM: $229M
Expense ratio: 0.35%
Distribution yield: 0.1%
NAV: $141.23
Volume: 64K
Avg. volume 30D: 36K
High today: $150.23
Low today: $144.99
Previous close: $141.87
52-week high: $150.23
52-week low: $98.15
Our risk indicator: 4/5

XHS in One Breath

XHS Among Health Care ETFs

YTD

#1ARKGARK+71.5%$2.2B

#2IDNAiShares+69.3%$340M

#3XHSSPDR+40.0%$229M

#4BBHVanEck+38.2%$525M

#5FTXHFirst Trust+36.8%$1.2B

#6PSCHInvesco+31.7%$178M

#7XBISPDR+30.6%$10.5B

#8IHEiShares+29.8%$1.6B

#9BBPVirtus+28.5%$132M

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

$10,000 in XHS

$10,000 in XHS became

$14,719

In the S&P 500 (VOO)

$18,115

Total return, dividends in · Oct 27, 2021 – Nov 4, 2026 · S&P 500 uses VOO

XHS’s Top Holdings

Today

SGRYSurgery Partners2.7%OPCH2.2%AMN2.2%HNGE2.1%CRVL2.0%CON2.0%MD1.9%BTSG1.9%MCK1.9%BLLN1.9%EHC1.9%LH1.8%HQY1.8%HCA1.8%USPH1.8%GH1.8%PGNY1.8%MOH1.8%CI1.8%ADUS1.8%ENSG1.8%LFST1.8%

SGRYSurgery Partners2.7%OPCH2.2%AMN2.2%HNGE2.1%CRVL2.0%CON2.0%MD1.9%BTSG1.9%MCK1.9%BLLN1.9%EHC1.9%LH1.8%

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 4, 2026

What XHS Holds

Today

Medical - Care Facilities49.5%

SGRY 2.7 · OPCH 2.2 · AMN 2.2 · CON 2.0 · MD 1.9 · EHC 1.9 · HCA 1.8

Medical - Healthcare Plans16.5%

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

Medical - Diagnostics & Research14.5%

BLLN 1.9 · LH 1.8 · GH 1.8 · DGX 1.8 · RDNT 1.7 · NEO 1.6 · WGS 1.3

Medical - Healthcare Information Services9.1%

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

Medical - Distribution7.0%

MCK 1.9 · CAH 1.8 · COR 1.8 · HSIC 1.6

Insurance - Brokers2.0%

CRVL 2.0

Medical - Devices1.4%

AHCO 1.4

SPDR XHS · share of the fund by industry · as of Nov 4, 2026

Surgery’s Share of XHS

Today

2.7%

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

Surgery held by XHS

$6.3M

Most Surgery per dollar

XHS2.7%

ISMD0.3%

SPDR XHS · each square = $10 of $1,000 · as of Nov 4, 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 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 4, 2026

XHS

State Street SPDR S&P Health Care Services ETF

Today

Medical - Care Facilities49.5%SGRY2.7%OPCH2.2%AMN2.2%CON2.0%MD1.9%EHCHCAUSPHADUSENSG1.8%LFST1.8%ACHC1.8%PACS1.8%CHE16 more holdings22.4% of the fundMedical - Healthcare Plans16.5%PGNYMOHCI CNCHUMELVUNHCLOVCVSALHCMedical - Diagnostics14.5%BLLNLH GH DGXRDNTNEOWGSCSTLFLGTOPKMedical - Healthcare Information Services9.1%HNGE2.1%BTSG1.9%HQYPRVAOMDAMedical - Distribution7.0%MCKCAHCORHSICInsurance - Brokers2.0%CRVLMedical - Devices1.4%AHCO

Medical - Care Facilities49.5%SGRYOPCHAMNCONMD EHC24 more holdings36.6% of the fundMedical - Healthcare Plans16.5%PGNYMOHCI CNCHUMELV4 moreMedical - Diagnostics14.5%BLLNLH GH DGXRDNTNEO4 moreMedical - Healthcare Information Services9.1%HNGEBTSGHQYPRVAMedical - Distribution7.0%MCKCAHCORHSICCRVLAHCO

#	Ticker	Company	Weight ▼
1	SGRY	Surgery Partners	2.74%
2	OPCH	Option Care Health	2.25%
3	AMN	AMN Healthcare Services	2.20%
4	HNGE	Hinge Health A	2.14%
5	CRVL	Corvel	1.97%
6	CON	Concentra Group PAR	1.96%
7	MD	Pediatrix Medical Group	1.89%
8	BTSG	Brightspring Health Services	1.89%
9	MCK	Mckesson	1.88%
10	BLLN	Billiontoone	1.86%

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

SPDR XHS · current holdings by weight · as of Nov 4, 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%	+24.0%	+33.5%	$49.1B
VHT	VanguardRead Desk	0.09%	+23.3%	+32.1%	$19.1B
XBI	SPDRRead Desk	0.35%	+30.6%	+45.4%	$10.5B
IYH	iSharesRead Desk	0.37%	+23.7%	+32.8%	$4.7B
IXJ	iSharesRead Desk	0.38%	+19.7%	+28.6%	$4.6B
XHS	SPDRThis fundRead Desk	0.35%	+40.0%	+44.5%	$229M

Health care peers · YTD and past-year returns · as of Nov 5, 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

+24.0%

+40.0%

XHS wins+16.0 pts

Past year

+33.5%

+44.5%

XHS wins+11.0 pts

Fee

0.08%

0.35%

XLV winslower fee

Yield

1.3%

0.1%

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 5, 2026 · AUM not scored

XHS vs VOO

YTD

XHS · SPDR S&P Health Care Services

+40.0%

VOO · S&P 500

+13.4%

Gap

26.7 pts

SPDR XHS and Vanguard VOO · YTD total return · as of Nov 5, 2026

XHS vs Its Peer Average

YTD

XHSAvsBPeer average

1D+5.4%+2.7%

1M+10.6%+8.5%

3M+13.5%+8.9%

YTD+40.0%+24.4%

1Y+44.5%+33.4%

3Y+92.3%+84.3%

5Y+47.2%+34.0%

7–0XHS wins

38 Health care peers · each row scaled to its leader

The Details

XHS

Risk

4/5our risk indicator

CalmerBumpier

Volatility · 1Y18.27%

Deepest drop · 1Y−12.0%

Lowest point · 5Y−23.5%

52-week range

$149.54

$98.15−0.5% from the high$150.23

SPDR XHS · past-year price moves · as of Nov 5, 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 5, 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$141.23

Premium / discount[…]

Median spread · 30D[…]

Volume today64K

Average volume · 30D36K

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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