ATLASState Street SPDR S&P Health Care Services ETF (XHS): outlook, holdings and fees
State Street SPDR S&P Health Care Services ETF (XHS) is an exchange-traded fund and is managed by State Street Investment Management. The expense ratio is 0.34% and the yield is 0.17%. The ten largest holdings are 20% of the fund.
Fund data as of Oct 14, 2026 · Price Nov 2, 2026
ATLAS view on XHS
| Last price | $141.79 (-1.0%) |
|---|---|
| ATLAS chance of a higher price in 1 month | 54% |
| Likely 1-month range (50%) | $137.90 – $147.07 |
| Normal 1-day range (±1σ) | ±1.1% |
| Distribution yield | 0.17% |
ATLAS probabilities use the same calibrated model as every stock page. A fair value is shown for companies, not funds; the holdings below link to the fair value of each company.
XHS fund facts
| Issuer | State Street Investment Management |
|---|---|
| Theme | Healthcare |
| Assets under management | $207M |
| Expense ratio | 0.34% |
| Number of holdings | 50 |
| Portfolio turnover | 51% |
| Inception | Sep 28, 2011 |
| Exchange | NYSE |
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 top holdings
| Holding | Sector | Weight |
|---|---|---|
| Option Care Health Inc OPCH | Healthcare | 2.31% |
| Hinge Health, Inc. HNGE | Healthcare | 2.02% |
| Hims Hers Health Inc HIMS | Healthcare | 1.86% |
| Clover Health Investments Corp CLOV | Healthcare | 1.89% |
| CorVel Corp CRVL | Financial Services | 1.95% |
| Concentra Group Holdings Parent, Inc. CON | Healthcare | 1.92% |
| U.S. Physical Therapy, Inc. USPH | Healthcare | 1.88% |
| Humana Inc HUM | Healthcare | 1.89% |
| HCA Healthcare, Inc. HCA | Healthcare | 1.93% |
| AMN Healthcare Services Inc AMN | Healthcare | 1.89% |
Holdings with an ATLAS page link to their probability range, fair value and earnings calendar.
XHS sector breakdown
| Sector | Weight |
|---|---|
| Healthcare | 98.0% |
| Financial Services | 2.0% |
By region: North America 100.0%.
XHS returns and risk
| Year to date | +27.5% |
|---|---|
| 1 year | +33.0% |
| 3 years (annualised) | +19.3% |
| 5 years (annualised) | +5.7% |
| 10 years (annualised) | +9.8% |
| Volatility (3 years) | 20.2% |
| Sharpe ratio (3 years) | 0.63 |
Past returns do not guarantee future results.
XHS: frequently asked questions
What does XHS invest in?
State Street SPDR S&P Health Care Services ETF invests in a portfolio of securities. Its largest holdings are Option Care Health Inc (2.3%), Hinge Health, Inc. (2.0%), Hims Hers Health Inc (1.9%), Clover Health Investments Corp (1.9%), CorVel Corp (1.9%).
What is the XHS expense ratio?
0.34% a year: about $34.00 for every $10,000 invested.
What is the XHS dividend yield?
0.17%. ATLAS does not hold the exact distribution dates for ETFs.
Will XHS go up?
Nobody can know. The ATLAS model puts the chance of a higher price in one month at 54%, with a likely range (50%) of $137.90 to $147.07 from $141.79 today. It is a probability, not a prediction.
How has XHS performed?
Year to date +27.5%, one year +33.0%, three years +19.3% a year, five years +5.7% a year. Past returns do not guarantee future results.
Similar ETFs: Healthcare
- State Street Health Care Select Sector SPDR ETF (XLV)
- Vanguard Health Care ETF (VHT)
- iShares Global Healthcare ETF (IXJ)
- iShares U.S. Healthcare ETF (IYH)
- iShares U.S. Medical Devices ETF (IHI)
- Fidelity MSCI Health Care Index ETF (FHLC)
- iShares U.S. Pharmaceuticals ETF (IHE)
- First Trust Health Care AlphaDEX Fund (FXH)
Educational information, not investment advice. Disclaimer