SPDR S&P Health Care Services ETF (XHS) Performance
XHS total return
Distributions reinvested · as of Oct 23, 2026- YTD
- +32.4% since Dec 31, 2025
- 1 year
- +36.2% total return
- 5 years
- +6.3% a year
- 10 years
- +10.7% a year
- Since first price
- +13.1% a year since 2011
XHS trailing returns vs SPY, QQQ, AGG
| Period | XHS total return | Price only | S&P 500 (SPY) | Nasdaq-100 (QQQ) | U.S. bonds (AGG) |
|---|---|---|---|---|---|
| 1 month | +5.7% | +5.7% | −1.0% | −5.0% | +0.9% |
| 3 months | +7.2% | +7.2% | +3.2% | +1.9% | −0.4% |
| 6 months | +31.2% | +31.2% | +7.8% | +8.4% | −1.5% |
| YTD | +32.4% | +32.3% | +12.3% | +15.1% | −1.0% |
| 1 year | +36.2% | +35.9% | +14.4% | +15.9% | −1.1% |
| 3 years | +78.5%+21.3%/yr | +77.1% | +87.4%+23.3%/yr | +101.4%+26.3%/yr | +16.6%+5.2%/yr |
| 5 years | +35.6%+6.3%/yr | +33.9% | +79.3%+12.4%/yr | +94.0%+14.2%/yr | −0.8%−0.2%/yr |
| 10 years | +175.2%+10.7%/yr | +162.7% | +315.9%+15.3%/yr | +538.9%+20.4%/yr | +14.0%+1.3%/yr |
| 15 years | +506.0%+12.8%/yr | +440.4% | +696.0%+14.8%/yr | +1,299.3%+19.2%/yr | +32.2%+1.9%/yr |
| Since inceptionSep 29, 2011 | +540.7%+13.1%/yr | +471.3% | — | — | — |
Total return from adjusted closes (distributions reinvested, before tax). Periods of 3 years or more are also shown annualized. Price only excludes distributions.
Growth of $10,000: XHS vs SPY
From Sep 29, 2011: XHS grew to $64,069, SPY to $85,036.
Year-end values with distributions reinvested, no taxes or trading costs. Start: first common trading day of both funds.
XHS returns by calendar year
12 of 14 full years positive. Best 2013 (+37.4%), worst 2022 (−19.9%). 2026 is year to date.
XHS annual returns table
| Year | XHS | Largest drop | SPY | QQQ | AGG |
|---|---|---|---|---|---|
| 2026YTD | +32.4% | −12.0% | +12.3% | +15.1% | −1.0% |
| 2025 | +18.8% | −14.5% | +17.7% | +20.8% | +7.2% |
| 2024 | +1.8% | −10.3% | +24.9% | +25.6% | +1.3% |
| 2023 | +5.1% | −17.8% | +26.2% | +54.9% | +5.7% |
| 2022 | −19.9% | −27.2% | −18.2% | −32.6% | −13.0% |
| 2021 | +9.8% | −16.8% | +28.7% | +27.4% | −1.8% |
| 2020 | +33.7% | −39.3% | +18.3% | +48.6% | +7.5% |
| 2019 | +18.8% | −15.9% | +31.2% | +39.0% | +8.5% |
| 2018 | +2.0% | −22.1% | −4.6% | −0.1% | +0.1% |
| 2017 | +17.7% | −12.7% | +21.7% | +32.7% | +3.6% |
| 2016 | −8.3% | −19.7% | +12.0% | +7.1% | +2.4% |
| 2015 | +3.2% | −19.4% | +1.2% | +9.4% | +0.5% |
| 2014 | +25.3% | −6.0% | +13.5% | +19.2% | +6.0% |
| 2013 | +37.4% | −4.3% | +32.3% | +36.6% | −2.0% |
| 2012 | +22.0% | −12.8% | +16.0% | +18.1% | +3.8% |
Largest drop = deepest fall from a high within that calendar year.
Calendar-year return vs largest drop within the year
Most years include a sizable fall at some point even when the year ends higher.
XHS largest drawdowns
Now 0.9% below the high| Peak | Decline | Bottom | Recovered | Fall | Underwater |
|---|---|---|---|---|---|
| Feb 19, 2020 | −39.3% | Mar 23, 2020 | Sep 2, 2020 | 33 days | 6 months |
| Jun 28, 2021 | −32.6% | Jun 16, 2022 | May 27, 2026 | 12 months | 4.9 years |
| Aug 5, 2015 | −27.4% | Feb 8, 2016 | Jan 22, 2018 | 6 months | 2.5 years |
| Sep 28, 2018 | −22.1% | Dec 24, 2018 | Jan 15, 2020 | 3 months | 1.3 years |
| Apr 3, 2012 | −12.8% | May 18, 2012 | Jul 18, 2012 | 45 days | 3 months |
| Feb 9, 2021 | −11.0% | Mar 4, 2021 | Apr 23, 2021 | 23 days | 2 months |
Declines from a closing high (distributions reinvested) of 10% or more. Underwater = time from the peak until the old high was regained.
XHS risk statistics
| Statistic | 3 years | 5 years | 10 years | Since 2011 |
|---|---|---|---|---|
| Annualized return | +17.0% | +5.2% | +9.7% | +12.5% |
| Volatility (annualized) | 20.7% | 22.6% | 21.6% | 19.4% |
| Sharpe ratio | 0.65 | 0.17 | 0.43 | 0.63 |
| Sortino ratio | 1.17 | 0.27 | 0.67 | 1.01 |
| Best month | +15.4% | +15.5% | +15.5% | +15.5% |
| Worst month | −9.8% | −13.9% | −16.7% | −16.7% |
| Best 12 months | +48.1% | +48.1% | +85.0% | +85.0% |
| Worst 12 months | −8.9% | −19.9% | −27.9% | −27.9% |
| Positive months | 58% | 52% | 56% | 59% |
| Beta vs S&P 500 | 0.80 | 0.92 | 1.00 | — |
| Correlation with S&P 500 | 0.48 | 0.64 | 0.71 | — |
From monthly total returns. Sharpe and Sortino use 1–3 month T-bills (BIL) as the risk-free rate, so they need history from 2007 on.
XHS rolling returns
| Holding period | Periods | Worst | Median | Best | Positive |
|---|---|---|---|---|---|
| 1-year | 170 | −27.9% | +11.2% | +85.0% | 74% |
| 3-year (a year) | 146 | −7.5% | +8.5% | +32.7% | 90% |
| 5-year (a year) | 122 | −0.9% | +8.1% | +18.5% | 98% |
| 10-year (a year) | 62 | +3.8% | +7.8% | +16.4% | 100% |
Every holding period starting at a month-end since 2011. Returns for 3 years and longer are annualized.
XHS performance overview
SPDR S&P Health Care Services ETF (XHS) returned +36.2% over the past year and +10.7% a year over ten years, with distributions reinvested. Since its first recorded price in 2011 it has returned +13.1% a year, turning $10,000 into about $64,069. Over the same year S&P 500 (SPY) returned +14.4%.
The deepest decline was −39.3%, from Feb 19, 2020 to Mar 23, 2020, and it took 5 months to get back to the old high. XHS finished 12 of its 14 full calendar years with a gain; the best year was 2013 (+37.4%) and the worst 2022 (−19.9%). Volatility has been 19.4% a year.
Related: XHS chart, XHS holdings, XHS dividends, XHS valuation. See the XHS overview for the latest quote and fund facts.
XHS performance FAQ
What is the XHS return over the past year?
XHS returned +36.2% over the 12 months to October 23, 2026, including reinvested distributions. On price alone it rose 35.9%.
What is the average annual return of XHS?
XHS has returned +6.3% a year over 5 years, +10.7% a year over 10 years, +13.1% a year since September 29, 2011 (total return, distributions reinvested).
How much would $10,000 invested in XHS be worth?
$10,000 invested in XHS at its first recorded close on September 29, 2011 would be worth about $64,069 on October 23, 2026 with distributions reinvested.
What was the worst year for XHS?
The worst calendar year was 2022, with a total return of −19.9%. The best was 2013 at +37.4%.
What is the biggest drawdown of XHS?
The largest peak-to-trough decline was −39.3% between February 19, 2020 and March 23, 2020. It recovered to the old high on September 2, 2020, 5 months after the bottom.
How volatile is XHS?
Over the past 3 years XHS had an annualized volatility of 20.7% and a Sharpe ratio of 0.65 (excess return over 1–3 month T-bills per unit of risk).