SPDR S&P Health Care Services ETF (XHS)

NYSE Arca: XHSExchange-traded fund from State Street Investment Management.

  • Expense ratio0.34%
  • Net assets$221.4M
  • Dividend yield0.17%
  • 1-year return+36.03%
  • Holdings61

XHS ETF price chart

XHS quote & trading statistics

XHS performance

Annual returns & drawdowns →
  • YTD+30.64%
  • 1 year+36.03%
  • 3 years+21.24%/yr
  • 5 years+6.49%/yr
  • 10 years+10.94%/yr
1Y volatility
20.78%
3Y volatility
20.20%
3Y Sharpe ratio
0.63

Returns include reinvested distributions; 3-, 5- and 10-year figures are annualized.

XHS top 10 holdings

All holdings →
#SymbolNameWeight
1OPCHOption Care Health Inc2.34%
2AMNAMN Healthcare Services Inc2.12%
3HNGEHinge Health, Inc.2.06%
4MCKMcKesson Corporation2.02%
5CONConcentra Group Holdings Parent, Inc.1.94%
6PRVAPrivia Health Group Inc1.89%
7USPHU.S. Physical Therapy, Inc.1.88%
8CRVLCorVel Corp1.87%
9ACHCAcadia Healthcare Company Inc1.87%
10MOHMolina Healthcare Inc1.84%

The top 10 holdings make up 19.8% of the fund (61 holdings in total). As of October 23, 2026.

XHS sector weights

Healthcare
100.7%
Financial Services
1.9%

XHS region weights

North America
100.0%

XHS asset allocation

U.S. stocks
98.3%
Cash
0.1%

XHS market-cap breakdown

Micro cap
49.2%
Small cap
28.1%
Mid cap
19.6%
Large cap
5.4%

About SPDR S&P Health Care Services ETF

In seeking to track the performance of the S&P Health Care Services Select Industry Index (the index), the fund employs a sampling strategy. It generally invests substantially all, but at least 80%, of its total assets in the securities comprising the index. The index represents the health care services segment of the S&P Total Market Index (S&P TMI).

XHS ETF FAQ

What is the XHS expense ratio?

SPDR S&P Health Care Services ETF has a net expense ratio of 0.34%, or $34.00 a year for every $10,000 invested.

How much money is in XHS?

SPDR S&P Health Care Services ETF has about $221.4M in net assets.

What are the top holdings of XHS?

The largest positions in XHS are Option Care Health Inc (2.34%), AMN Healthcare Services Inc (2.12%), Hinge Health, Inc. (2.06%). The fund holds 61 securities in total.

How has XHS performed?

XHS returned +36.03% over the past year and +6.49% a year over the past five years, including reinvested distributions.

Does XHS pay dividends?

XHS has a dividend yield of 0.17% and pays distributions quarterly.

When was XHS launched?

SPDR S&P Health Care Services ETF began trading on September 28, 2011.