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

Equity fundTracks an index0.35% fee$219mSince Sep 29, 2011SEC filings ↗
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XHS tracks an index and returned +31.7% over the past year.

+31.7%
Total return, 1 year
0.35%
Expense ratio
63
Holdings
−3.9%
Below its high
WindowTotal returnS&P 500Gap to S&P 500Gap to Nasdaq-100
3M Jul 2 – Oct 2, 2026−3.2%+3.6%−6.8 pts−8.5 pts
6M Apr 2 – Oct 2, 2026+31.9%+17.9%+14.0 pts+3.5 pts
1Y Oct 2, 2025 – Oct 2, 2026+31.7%+16.2%+15.4 pts+7.3 pts
3Y Oct 3, 2023 – Oct 2, 2026+65.4%+89.3%−23.9 pts−49.4 pts
Since listing Sep 29, 2011 – Oct 2, 2026+504.4%+761.9%−257.5 pts−979.3 pts

XHS over each window to Oct 2, 2026. Every figure is an ETFIQ calculation. Source: ETFIQ.

XHS top ten by weight, 19.0% of its 63 equity positions, from the holdings published by its issuer for Oct 1, 2026. An index fund holds what the index holds, so this is the index. Source: the issuer’s own daily file.

NUTEX HEALTH INC NUTX 1.94%
GUARDANT HEALTH INC GH 1.93%
HINGE HEALTH INC A HNGE 1.93%
BILLIONTOONE INC CL A BLLN 1.92%
CORVEL CORP CRVL 1.92%
U.S. PHYSICAL THERAPY INC USPH 1.91%
HIMS + HERS HEALTH INC HIMS 1.89%
AMN HEALTHCARE SERVICES INC AMN 1.88%
CONCENTRA GROUP HOLDINGS PAR CON 1.84%
MCKESSON CORP MCK 1.82%
Holdings, the issuer’s own daily file ↗
Head to head
Funds near this one
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In plain words

XHS tracks an index. Over the year to Oct 2, 2026 it returned +31.7% with distributions reinvested, against +16.2% for the S&P 500 and +24.3% for the Nasdaq-100. The prospectus expense ratio is 0.35% a year. By its holdings published by its issuer for Oct 1, 2026, 25% of the fund by weight is stocks the S&P 500 also holds, across 63 positions, with the top ten at 19.0%. It sat 3.9% below its high of Sep 14, 2026 on Oct 2, 2026.
What it tracksnot read by ETFIQ
Fund typeEquity fund
Category (ETFIQ)Stocks · Health care
Expense ratio (485BPOS XBRL, Oct 24, 2025)0.35%
Price$133.36
Listed sinceSep 29, 2011
Net assets (the issuer’s own daily fund list, as of Oct 1, 2026)$219m
Below its high (ETFIQ)−3.9%
Holdings63
Top ten weight19.0%
Holdings published for (the issuer’s daily file)Oct 1, 2026
Already in the S&P 500, by weight (ETFIQ)25.0%
Active share vs the S&P 500 (ETFIQ)98.3%
Already in the Nasdaq-100, by weight (ETFIQ)0.0%
ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.

Questions people ask about XHS

How has XHS performed?
Over the year to Oct 2, 2026, XHS returned +31.7% with distributions reinvested, against +16.2% for the S&P 500. Over three years the figure is +65.4%.
What does XHS cost?
The prospectus expense ratio is 0.35% a year.
What does XHS hold?
63 positions as published by its issuer for Oct 1, 2026, with the top ten at 19.0% of the fund. 25% of its weight is in stocks the S&P 500 also holds.
How far is XHS below its high?
3.9% below its high of Sep 14, 2026, measured on the reinvested series to Oct 2, 2026.
Sources and dates
Prices, XHS and S&P 500Tiingo end-of-day · Oct 2, 2026
Fee, 0.35%Prospectus filing with the expense ratio (SEC) ↗
Net assets, $219mThe issuer’s own daily fund list · Oct 1, 2026
HoldingsHoldings, the issuer’s own daily file · Oct 1, 2026 ↗
IssuerState Street website ↗
All fund filingsFund filings on SEC EDGAR ↗
SourceState Street’s own site ↗

ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.

ETFIQ covers core, leveraged and inverse, buffer, thematic, option-income, alternatives and spot crypto ETFs. This fund is here because the other funds here are measured against it and portfolios hold it. ETFIQ is an independent publisher and makes no recommendations. Standards and sources

How these figures are computed →Standards and sources →Open data →
Cite this page

ETFIQ, XHS, core fund, data as of Oct 2, 2026. https://etfiq.com/funds/xhs

Free to use with attribution; the underlying files are at Open data.

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