XHS
State Street SPDR S&P Health Care Services ETF
SPDR S&P Health Care Services ETF is an exchange-traded fund incorporated in the USA. The Fund's objective is to replicate as closely as possible the performance of the S&P Health Care Services Select Industry Index.
US
EQUITY
Rules-Based
MANAGEMENT STYLE
80.3 M
ASSETS UNDER MGMT
35 bp
EXPENSES
Fund Basics
| Fund sponsor | SSGA Funds Management Inc |
| Category | US |
| Asset class | Equity |
| Website | link... |
| Inception date | Sep 28, 2011 |
| Assets (mns) | $80 |
| Expense ratio | 35 bp |
| Currency | USD |
Sector Breakdown
Fund Structure
| Regulation | Open-Ended Fund |
| Distributions | Quarterly |
| Taxation | 1099 |
| Stock selection | Market Cap |
| Weighting | Equal |
| Holdings Transparency | Full |
| Derivatives-based | No |
| Options available | Yes |
| Currency hedged | No |
| Fund of funds | No |
Top 10 Holdings
Complete list +
| GUARDANT HEALTH, INC. | 3.2 % |
| CARDINAL HEALTH INC | 2.7 % |
| BROOKDALE SENIOR LIVING INC | 2.6 % |
| NEOGENOMICS INC | 2.4 % |
| CENCORA INC | 2.4 % |
| UNIVERSAL HEALTH SERVICES-B | 2.3 % |
| HCA HOLDINGS INC | 2.3 % |
| MCKESSON CORP | 2.3 % |
| CENTENE CORP | 2.3 % |
| BRIGHTSPRING HEALTH SERVICES, INC. | 2.2 % |
Constituent Breakdown
| Number of holdings | 59 |
| Herfindahl-Hirschman Index | 187 |
| Wgt avg mkt cap (mns) | $22,899 |
| Large cap (>$10bn) | 34.6% |
| Mid cap ($2-10bn) | 32.9% |
| Small cap (<$2bn) | 28.4% |
| Developed mkts. | 95.8% |
| Emerging mkts. | 0.0% |
Country Exposure
 |
UNITED STATES | 96.2 % |
Historical Performance
Standardized Performance (as of 10/31/2025)
| YTD | 1 YR | 2 YR | 3 YR | 5 YR | 10 YR | 20 YR | Incep. | |
|---|---|---|---|---|---|---|---|---|
| Price Returns | 13.9% | 11.0% | 13.8% | 3.8% | 5.6% | 6.0% | -- | 10.6% |
| Dividend Yield | 0.1% | 0.2% | 0.3% | 0.3% | 0.3% | 0.6% | -- | 0.9% |
| Total Returns | 14.0% | 11.3% | 14.1% | 4.1% | 5.8% | 6.6% | -- | 11.5% | Ann. Volatility | 19.7% | 19.9% | 18.6% | 18.6% | 21.3% | 22.6% | -- | 21.1% |
Market Correlations
| versus... | Beta | R-squared |
| S&P 500 | 0.96 | 38% |
| MSCI EAFE | 0.61 | 20% |
| MSCI Emg Mkts | 0.32 | 7% |
Liquidity Measures
| Avg. volume (000) | 10 |
| ADV traded (mns) | $1 |
| Turnover | 1.3% |
| Avg. Bid/Ask (% of price) | 0.24% |
Technical Indicators
| Recent close | $101.61 |
| 30d moving avg. | $103.11 |
| Annualized volatility | 19.9% |
| Relative strength (RSI) | 50 |
| Short interest | 13.9% |
Distributions
Assets Under Management (mns)
Money Flows (mns)
Short Interest (as % of shares outstanding)
Long Money Flows (mns)
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Comparable ETFs Based on Overlap
| Ticker | Fund Name | Overlap vs. |
Expenses vs. |
ALTAR Score™ vs. |
|---|---|---|---|---|
| IHF | iShares U.S. Healthcare Providers ETF | 41.4% | +5 bp | +8.1% |
| RSPH | Invesco S&P 500 Equal Weight Health Care ETF | 26.6% | +5 bp | +8.0% |
| FXH | First Trust Health Care AlphaDEX Fund | 21.8% | +27 bp | +8.1% |
| PSCH | Invesco S&P SmallCap Health Care ETF | 16.6% | -6 bp | +4.0% |
| VHT | Vanguard Health Care ETF | 14.6% | -26 bp | +5.6% |
| RWL | Invesco S&P 500 Revenue ETF | 14.5% | +4 bp | +6.9% |
| PTH | Invesco Dorsey Wright Healthcare Momentum ETF | 14.4% | +25 bp | -1.0% |
| VFLO | VictoryShares Free Cash Flow ETF | 14.4% | +4 bp | +10.4% |
| RPV | Invesco S&P 500 Pure Value ETF | 14.2% | 0 bp | +10.5% |
| FHLC | Fidelity MSCI Health Care Index ETF | 13.9% | -27 bp | +5.9% |
Risk and Returns: XHS vs. Comps (1 YR)
Notes: Top 10 overlapping ETFs. Funds with insufficient history not shown. Some funds may overlap. Hover over data point for ticker symbol.
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Results & Estimates
| 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | 2026 | ||
|---|---|---|---|---|---|---|---|---|
| Sales per share | -- | -- | -- | -- | -- | -- | -- | |
| change (%) | -- | -- | -- | -- | -- | -- | -- | |
| Earnings per share | -- | -- | -- | -- | -- | -- | -- | |
| change (%) | -- | -- | -- | -- | -- | -- | -- | |
| Dividends per share | -- | -- | -- | -- | -- | -- | -- | |
| change (%) | -- | -- | -- | -- | -- | -- | -- | |
| Book value per share | -- | -- | -- | -- | -- | -- | -- | |
| change (%) | -- | -- | -- | -- | -- | -- | -- |
Return on Equity
Net Margins
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Valuation Metrics
| Fwd Est | 2024 | 2025 | 2026 | |
| Price-to-sales | --x | --x | --x | --x |
| Price-to-earnings | --x | --x | --x | --x |
| Price-to-cash flow | --x | --x | --x | --x |
| Price-to-growth | --x | --x | --x | --x |
| Price-to-book value | --x | --x | --x | --x |
| Yield | --% | --% | --x | --% |
Based on closing prices from 11/18/2025
Peer Group Comparison Sample data. Subscribe for access.
Price-to-Earnings
Price-to-Sales
Price-to-Book Value
Price-to-Cash Flow
Price-to-Growth
Dividend Yield
Historical Valuation Trends Sample data. Subscribe for access.
SHOWING:
Price-to-Earnings
Price-to-Earnings
Notes: Based on adjusted historical results for current fund constituents. May differ from results achieved by past fund constituents. Max P/E of 100x.
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ETF Research Center Rating
UNDERWEIGHT
Below average appreciation potential. A rating of UNDERWEIGHT is assigned to ETFs with ALTAR Scores in the 2nd quintile (ranking higher than only 20%-40%) of their category. Typically, funds in this category consist of stocks trading at relatively expensive valuations and/or having below-average fundamentals.
ALTAR Score™
XHS
4.3%
Cat. Avg
5.8%
ALTAR Score™ Calculation
Category Overview
There are 1003 funds in the US Equity category, with an average ALTAR Score™
of 5.8% and a standard deviation of
2.4%. XHS's ALTAR Score™ is approximately
0.6 standard deviations
below
the category average. This places XHS in the 27th percentile among funds in the category.
Sell Side Consensus Rating
Sell-side recommendations on the ETF's individual constituents
XHSSELL
U/W
HOLD
O/W
BUY