State Street® SPDR® S&P® Health Care Services ETF
State Street® SPDR® S&P® Health Care Services ETF
About
State Street® SPDR® S&P® Health Care Services ETF (US78464A5737) is a US-listed physically replicated equity ETF tracking the S&P Health Care Services Select Industry Index. With a expense ratio of 0.35%, it is moderately priced, paying distributions. The fund holds 62 positions across 1 region with 198M in assets, with heavy concentration — 94% in United States, 94% in Health Care, launched in 2011. Over the past year, the fund returned 18.1%. We rate this fund 5.4/10.
5.4
5.4
- 21%Tracking Difference10.0
- TD Consistency—
- 9%Expense Ratio3.3
- 11.25%Holding Count3.4
- 22.5%Country Concentration4.8
- 11.25%Sector Concentration1.0
- 25%Assets Under Management5.9
Scores are scaled 1–10 on a logarithmic curve relative to all ETFs in the database. Data sources: provider factsheets, exchange data, and NAV history. Information for educational purposes only — not investment advice. Last updated: Jul 14, 2026
Ticker XHS
ISIN
Fund Size $198.3M
Issuer SPDR
Distribution Pays Distributions
Replication Physical
Inception Sep 2011
Base Currency USD
Index S&P Health Care Services Select Industry Index
Asset Class Equities
Category Equity Sector
Costs
8.0 This fund has low total costs, with competitive tracking and expense ratios.
Expense Ratio0.35%
Expense Ratio0.35%
| Metric | Value |
|---|---|
| Expense Ratio | 0.35% |
Cumulative Returns
Performance across different time periods.
1 Month+4.22%
3 Months+0.30%
Year to Date+7.26%
1 Year+18.10%
3 Years+10.21%
5 Years+0.61%
Inception+11.79%
1 Month+4.22%
3 Months+0.30%
Year to Date+7.26%
1 Year+18.10%
3 Years+10.21%
5 Years+0.61%
Inception+11.79%
| Period | Cumulative Return |
|---|---|
| 1 Month | +4.22% |
| 3 Months | +0.30% |
| 6 Months | +0.23% |
| 1 Year | +18.10% |
| 3 Years | +10.21% |
| 5 Years | +0.61% |
| 10 Years | +7.67% |
| YTD | +7.26% |
| Since Inception | +11.79% |
Holdings
3.4 With only 62 individual holdings, this fund is relatively concentrated compared to other ETFs.
| Holding | Weight |
|---|---|
| New Issuer: BB Company ID:54419104 | 2.25% |
| LifeStance Health Group Inc | 2.21% |
| Hims & Hers Health Inc | 2.18% |
| NeoGenomics Inc | 2.12% |
| PACS Group Inc | 2.07% |
| Acadia Healthcare Co Inc | 2.05% |
| Guardant Health Inc | 2.04% |
| GeneDx Holdings Corp | 2.00% |
| Tenet Healthcare Corp | 1.98% |
| AMN Healthcare Services Inc | 1.92% |
| Astrana Health Inc | 1.91% |
| Surgery Partners Inc | 1.89% |
| Concentra Group Holdings Parent Inc | 1.89% |
Sectors
1.0 This fund is concentrated in just a few of its 2 sectors, reducing diversification.
| Sector | Weight |
|---|---|
| Health Care | 93.55% |
| Unknown | 6.45% |
Regions
4.8 This fund is concentrated in just 2 countries, with significant geographic concentration.
| Country | Weight |
|---|---|
| United States | 93.55% |
| UNKNOWN | 6.45% |
Nerd Stuff
Advanced risk and return metrics (17 July 2023 — 7 July 2026).
18.1%
Volatility
-17.8%
Max Drawdown
0.62
Sharpe Ratio
0.90
Sortino Ratio
0.63
Calmar Ratio
0.27
Beta
6.00%
Alpha (Jensen's)
0.055
R²
Benchmark-relative metrics (Beta, Alpha, R²) are calculated against the iShares Core S&P 500 ETF (IE00B5BMR087).
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