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State Street SPDR S&P Health Care Services ETF
XHS performance and flow charts
Performance
Flows
Historic performance and flows
Data as of September 4, 2026| 1M | 3M | YTD | 1Y | 3Y | 5Y | |
|---|---|---|---|---|---|---|
| Perf. | +2.17% | +16.83% | +26.99% | +36.80% | +57.62% | +22.53% |
| Flows | +$12M | +$99M | +$111M | +$112M | +$72M | +$10M |
Characteristics
The State Street SPDR S&P Health Care Services ETF is built to track the S&P Health Care Services Select Industry Total Return Index - USD. This ETF provides physical exposure - by owning its shares you earn the return of the securities composing the index (as the ETF holds them directly). This share class generates a stream of income by distributing dividends.
| Management strategy | Passive |
| Strategy | Long Only |
| Provider | State Street Investment Management |
| N° of holdings | 60 |
| Replication method | Direct (Physical) |
| Asset class | Equity |
| Dividend policy | Distributing |
Trailing 12m distribution yield | Join for free |
| Inception date | September 28, 2011 |
| ESG | No |
More data and info about XHS on Trackinsight
Exposure
Data as of July 31, 2026Diversification
Total weight of top 15 holdings out of 60
Top 15 Holdings
Sectors
Countries
Similar ETFs
Trading data
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | |
|---|---|---|---|---|
| Volatility | +18.47% | +17.57% | +18.27% | +21.35% |
Max drawdown | -4.21% | -11.97% | -14.46% | -30.47% |
Max drawdown duration | 61d | 121d | 250d | 1539d |
Time to recover | N/A | 39d | 68d | 1258d |
Replication quality
Data as of August 31, 2026Create an account to view replication metrics
1 year cumulative return difference | |
|---|---|
| Best | Join for free |
| Worst | Join for free |
| daily return difference | |
|---|---|
| Average | Join for free |
| Worst | Join for free |
What type of ETF is XHS?
XHS is a Passive ETF that provides exposure to Equity assets. It is managed by State Street Investment Management.
What index does XHS track?
XHS tracks the S&P Health Care Services Select Industry Total Return Index - USD, aiming to replicate its performance through full replication.
What does XHS invest in?
This ETF provides exposure to Equally Weighted US Health Care Services Equities. It is part of the segment: US Health Care.
What is the expense ratio of XHS?
The total expense ratio (TER) of XHS is 0.35%, representing the annual fee charged by the fund manager.
When was XHS launched?
XHS was launched on September 28, 2011, marking its entry into the ETF market.
Who is the issuer of XHS?
XHS is issued by State Street Investment Management.
What is the AUM of XHS?
As of September 4, 2026, XHS manages $221.10 M, reflecting the total assets held in the fund.
How has XHS performed recently?
As of September 4, 2026, XHS delivered a return of 2.17% over the past month (1M performance), 16.83% over the past three months (3M), and 26.99% year-to-date (YTD).
What are the recent fund flows for XHS?
As of September 4, 2026, XHS has seen net flows of +$12M in the past month (1M flow) and +$111M year-to-date (YTD).
Does XHS pay dividends?
As of September 4, 2026, XHS has a trailing 12-month distribution yield of 0.2%.
How many holdings are in XHS
As of July 31, 2026, XHS holds 60 securities in its portfolio. This level of diversification can influence the fund’s risk profile and exposure to individual assets.
How diversified is XHS?
As of July 31, 2026, XHS holds 60 securities, with 31.01% of its assets concentrated in its top 15 holdings.
What are the top holdings of XHS?
As of July 31, 2026, XHS holds a portfolio of 60 underlyings, with its largest positions including Tenet Healthcare Corp., NeoGenomics, Inc. and PACS Group, Inc.. These top holdings play a significant role in shaping the fund’s performance and exposure.
What countries or regions does XHS invest in?
As of July 31, 2026, XHS has its largest geographic exposures in USA.
What sectors or themes does XHS focus on?
As of July 31, 2026, XHS is primarily exposed to Healthcare.
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