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XHS
US78464A5737
Passive ETFEquity

XHS ETF · State Street SPDR S&P Health Care Services ETF

The XHS Exchange Traded Fund (ETF) is provided by State Street Investment Management. It is built to track an index: S&P Health Care Services Select Industry Index. The XHS ETF provides physical exposure, so by buying it you actually own parts of all the 58 underlying holdings. This share class generates a stream of income by distributing dividends.
Last update 5/1/2026, 4:11 PM UTC
LIVE
CLOSED
This fund is part ofUS Health Care1M perf.-0.31%
Last price
$110.59
+0.62%
1M perf.
+10.01%
1M flows
+€6.3M
AuM
€84M
E/R
0.35%
Rating
ESG Consensus®
esg grade icon
XHS
$110.59
+0.62%

Performance & flows

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February 2, 2026 → May 1, 2026
0-8-6-4-202%MARAPRMAYMARAPRMAY
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XHS
$110.60
+2.65%
US Health Care
-5.09%

Historic performance and flows

1M3M1Y3Y5YMTDQTDYTD
Perf.
+10.01%
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+2.65%
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+16.22%
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+24.01%
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+0.86%
icon
+0.58%
+10.26%
+3.51%
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Flows

Key fund info

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This ETF's jurisdiction country is not in your region (Europe and Middle East) Â· 
Main characteristics
CUSIP
78464A573
ISIN
US78464A5737
AuM
€84M
icon
E/R
0.35%
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Replication rating
icon
ESG Consensus®
esg grade icon
icon
More details
NAV
5/1/2026
$110.60
1D NAV change
+0.58%
Dividend policy
Replication method
Direct (Physical)
Replication model
Full replication
No. of holdings
58
Inception date
9/28/2011
Jurisdiction
United States
Distribution
United States
Legal structure
Open-end Fund
Base currency
USD
Dividend distribution
Trailing 12-month distr. yield
Distribution frequency
Last distribution
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Classification
Product type
Asset class
Factors
N/A
Investment strategy
The SPDR® S&P® Health Care Services ETF seeks to provide investment results that, before fees and expenses, correspond generally to the total return performance of S&P® Health Care Services Select Industry® Index S&P Health Care Services Select Industry® Index represents the health care sub-industry portion of the S&P Total Stock Market IndexTM. The S&P TMI tracks all the U.S. common stocks listed on the NYSE, AMEX, NASDAQ® National Market and NASDAQ Global Select Market. The Health Care Index is a modified equal weight index.
Tax optimisation
PEA
France
UK Reporting Status
United Kingdom
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Risk profile

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Historical risk/return profile

3M1Y3Y5Y
Returns
+2.65%
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+16.22%
icon
+24.01%
icon
+0.86%
icon
Volatility
Perf./Volatility
Max drawdown
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Synthetic Risk and Reward Indicator (SRRI)
UCITS
N/A
PRIIPS
N/A
More exposure metrics are available, exclusively in Trackinsight Enterprise

Exposure

Countries
USA
99.89%
Unavailable
0.11%
Sectors
Health Care
86.56%
Unavailable
13.44%
Diversification
Total weight of top 15 holdings out of 58
Top 15 holdings
Data as of March 31, 2026
MEDNAX
HEALTHEQUITY I/D
GUARDANT HEALTH INC
CORVEL
US10950A1060
CIGNA
HUMANA
ELEVANCE HEALTH INC
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DAVITA INC
US5049221055
ACADIA HEALTHCARE COMPANY
CARDINAL HEALTH
ALIGNMENT HEALTHCARE
QUEST DIAGNOSTICS
PROGYNY INC
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More risk metrics are available, exclusively in Trackinsight Enterprise

Sustainability

Integrates ESG criteria
No
SDG

ESG Consensus® by Conser

Data as of February 27, 2026
Methodology

Our partner Conser gathers the industry's consensus on the business practices of the underlying holdings. We have computed the following metrics about XHS ETF's sustainability, based on their methodology.

Learn more about Conser

ESG Consensus®
esg grade icon

ESG Consensus® is based on the Final Sustainability Grade, which itself consists of 10 grades. Our partner Conser calculates the exact grade, based on market intelligence, using their proprietary ESG Consensus® methodology.


XHS’s has a Final Sustainability Grade of either B+, B, or B-.

This fund’s exact Final Sustainability Grade is available in Trackinsight Enterprise.
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Holdings review
84.82% of holdings have positive scoring
15.29% of holdings have negative scoring
19.58%
45.99%
19.25%
12.05%
Consensus levels
Strong
Medium
Weak
More sustainability metrics are available, exclusively in Trackinsight Enterprise

Replication

Trackinsight replication rating:
1-year trailing difference
As of April 30, 2026
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XHS
N/A
Replication quality
Calculated over 12m, as of April 30, 2026
Tracking error
Tracking difference
1-year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
Replication information
Index
Index ticker
Index dividend policy
Replication method
Replication model

Issuer

State Street Investment Management
State Street Investment Management ID Card
Number of funds
378
Total AuM
€1.85T
Expense ratio range
0.02% - 0.9%
Average expense ratio
0.2566%
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Frequently asked questions about XHS

What does State Street SPDR S&P Health Care Services ETF, XHS, invest in?

XHS is a Passive ETF. This ETF provides exposure to Equally Weighted US Health Care Services Equities.

Which benchmark or index does XHS replicate?

XHS tracks the S&P Health Care Services Select Industry Total Return Index - USD, through a full replication replication method.

What is the Total Expense ratio (TER) of XHS?

XHS carries a total expense ratio (TER) of 0.35%, indicating the annual cost for holding the fund.

When was XHS launched?

XHS was introduced to the market on September 28, 2011. It trades on United States

Who is the ETF issuer of XHS?

State Street SPDR S&P Health Care Services ETF, XHS, is provided by State Street Investment Management. Learn more about State Street Investment Management here.

What is the current assets under management (AUM) of XHS?

XHS oversees €84M in assets as of May 1, 2026.

How has XHS performed lately?

Based on data from May 1, 2026, XHS returned 10.01% over the past month, 2.65% over the last three months and 3.51% year-to-date.

What are the latest inflows or outflows for XHS?

As of May 1, 2026, XHS recorded net flows of +€6.3M over the last month and +€10M year-to-date.

Does XHS distribute dividends?

XHS follows a distributing dividend policy, meaning it pays out income to investors. As of May 1, 2026, its 12-month trailing yield was 0.26%.

What are the main country or region exposures of XHS?

As of March 31, 2026, XHS has significant geographic allocations in USA.

In which sector or theme does XHS invest in?

As of March 31, 2026, XHS focuses largely on Health Care.

How many securities does XHS hold and how diversified is it?

As of March 31, 2026, XHS holds 58 positions in its portfolio, with 30.62% of assets concentrated in its top 15 holdings.

What are the main positions in XHS?

As of March 31, 2026, XHS top three holdings include MEDNAX, HEALTHEQUITY I/D and GUARDANT HEALTH INC.

What is the base currency of XHS?

The base currency of XHS is USD.

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