Available in 10 markets
State Street® SPDR® S&P® Health Care Services ETF
State Street® SPDR® S&P® Health Care Services ETF is an exchange-traded fund (ETF) from SPDR, traded under the ticker XHS (ISIN US78464A5737). One trade buys a whole basket of holdings, so your money is spread out instead of riding on a single company. At its core it is a focused, thematic fund: it concentrates on the health care part of…
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About this fund
What you own
The S&P Health Care Services Select Industry Index index is the benchmark this fund aims to copy. By holding it, this fund gives you a stake in around 62 companies across Other in a single purchase.
How it works
The fund actually buys every share in the index it tracks (full replication).
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Owning every holding keeps things transparent — what is in the index is what the fund actually owns. It can be a touch costlier to run for indexes with thousands of tiny positions, since the fund has to buy and maintain them all. There is no swap bank involved, so there is no extra “what if the partner fails” question to weigh.
Cost
The yearly running cost of the fund, shown as a % of your money. Lower is cheaper.
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For example, a 0.20% fee works out at €0.20 a year for every €100 invested — that’s a generic illustration of the mechanic, not this fund’s own fee. It is skimmed quietly from inside the fund a little each day, so you never get a bill — but it drags on your return every year you hold. On a broad index ETF it is usually a small fraction of a percent; the gap between a cheap and a pricey fund looks tiny on day one but compounds over decades, which is why it is worth a glance.
Fund facts
Performance
Growth of $100 invested — the line starts at $100.
End-of-day prices, rebased to a common start so the shapes are comparable. Past performance does not predict future results.
Return, year by year
How bumpy has it been?
The bigger picture
What's inside
By sector ?
The 10 biggest holdings make up 22.6% of the fund — the rest is spread across roughly 52 more companies.
Top 10 holdings
| # | Company | Weight |
|---|---|---|
| 1 | TENET HEALTHCARE CORP | 2.6% |
| 2 | LIFESTANCE HEALTH GROUP INC | 2.5% |
| 3 | GENEDX HOLDINGS CORP | 2.3% |
| 4 | NEOGENOMICS INC | 2.3% |
| 5 | HINGE HEALTH INC A | 2.3% |
| 6 | RADNET INC | 2.1% |
| 7 | CONCENTRA GROUP HOLDINGS PAR | 2.1% |
| 8 | U.S. PHYSICAL THERAPY INC | 2.1% |
| 9 | PACS GROUP INC | 2.1% |
| 10 | ACADIA HEALTHCARE CO INC | 2.0% |
Where to buy this fund
Set from your language & location — change it if it's wrong.
Where it trades
| Exchange | Ticker | Currency | |
|---|---|---|---|
| NYSE | XHS | USD | ★ Primary |
| EUR listings | |||
| Frankfurt | VJZW | EUR | |
| USD listings | |||
| E1 | XHSGBP | USD | |
| E1 | XHSUSD | USD | |
| EU | XHSGBP | USD | |
| EU | XHSUSD | USD | |
| MF | XHS* | USD | |
| MM | XHS* | USD | |
| MU | XHS* | USD | |
| NYSE Arca | XHS | USD | |
| OC | XHS | USD | |
| OD | XHS | USD | |
| UA | XHS | USD | |
| UB | XHS | USD | |
| UC | XHS | USD | |
| UD | XHS | USD | |
| UF | XHS | USD | |
| UM | XHS | USD | |
| US | XHS | USD | |
| UT | XHS | USD | |
| UX | XHS | USD | |
| VF | XHS | USD | |
| VG | XHS | USD | |
| VJ | XHS | USD | |
| VK | XHS | USD | |
| VP | XHS | USD | |
| VY | XHS | USD | |
| XA | XHSUSD | USD | |
| XA | XHSGBP | USD | |
| XE | XHSGBP | USD | |
| XE | XHSUSD | USD | |
| XF | XHSGBP | USD | |
| XF | XHSUSD | USD | |
| XG | XHSGBP | USD | |
| XG | XHSUSD | USD | |
| XH | XHSUSD | USD | |
| XH | XHSGBP | USD | |
| XJ | XHSGBP | USD | |
| XJ | XHSUSD | USD | |
| XL | XHSGBP | USD | |
| XL | XHSUSD | USD | |
| XO | XHSUSD | USD | |
| XO | XHSGBP | USD | |
| XQ | XHSGBP | USD | |
| XQ | XHSUSD | USD | |
| XS | XHSGBP | USD | |
| XS | XHSUSD | USD | |
| XU | XHSGBP | USD | |
| XU | XHSUSD | USD | |
| XV | XHSUSD | USD | |
| XV | XHSGBP | USD | |
| XW | XHSGBP | USD | |
| XW | XHSUSD | USD | |
| XX | XHSGBP | USD | |
| XX | XHSUSD | USD | |
| XZ | XHSGBP | USD | |
| XZ | XHSUSD | USD | |
For serious comparison — full data holdings, percentiles, advanced risk, tilt, flows
Full holdings
As of 2026-08-14 · the fund's own published holdings.
| # | Company | Weight |
|---|---|---|
| 1 | TENET HEALTHCARE CORP | 2.6% |
| 2 | LIFESTANCE HEALTH GROUP INC | 2.5% |
| 3 | GENEDX HOLDINGS CORP | 2.3% |
| 4 | NEOGENOMICS INC | 2.3% |
| 5 | HINGE HEALTH INC A | 2.3% |
| 6 | RADNET INC | 2.1% |
| 7 | CONCENTRA GROUP HOLDINGS PAR | 2.1% |
| 8 | U.S. PHYSICAL THERAPY INC | 2.1% |
| 9 | PACS GROUP INC | 2.1% |
| 10 | ACADIA HEALTHCARE CO INC | 2.0% |
| 11 | ADDUS HOMECARE CORP | 2.0% |
| 12 | CHEMED CORP | 2.0% |
| 13 | GUARDANT HEALTH INC | 2.0% |
| 14 | LABCORP HOLDINGS INC | 1.9% |
| 15 | ENSIGN GROUP INC/THE | 1.9% |
| 16 | ENCOMPASS HEALTH CORP | 1.9% |
| 17 | UNIVERSAL HEALTH SERVICES B | 1.9% |
| 18 | HEALTHEQUITY INC | 1.9% |
| 19 | AMN HEALTHCARE SERVICES INC | 1.9% |
| 20 | QUEST DIAGNOSTICS INC | 1.9% |
| 21 | NATIONAL HEALTHCARE CORP | 1.8% |
| 22 | HENRY SCHEIN INC | 1.8% |
| 23 | NUTEX HEALTH INC | 1.8% |
| 24 | OPTION CARE HEALTH INC | 1.8% |
| 25 | PEDIATRIX MEDICAL GROUP INC | 1.8% |
| 26 | HCA HEALTHCARE INC | 1.8% |
| 27 | CENCORA INC | 1.8% |
| 28 | SONIDA SENIOR LIVING INC | 1.8% |
| 29 | MCKESSON CORP | 1.7% |
| 30 | SURGERY PARTNERS INC | 1.7% |
| 31 | CARDINAL HEALTH INC | 1.7% |
| 32 | AVEANNA HEALTHCARE HOLDINGS | 1.7% |
| 33 | HUMANA INC | 1.7% |
| 34 | CORVEL CORP | 1.7% |
| 35 | MOLINA HEALTHCARE INC | 1.7% |
| 36 | HIMS + HERS HEALTH INC | 1.7% |
| 37 | CENTENE CORP | 1.6% |
| 38 | PROGYNY INC | 1.6% |
| 39 | BRIGHTSPRING HEALTH SERVICES | 1.6% |
| 40 | ELEVANCE HEALTH INC | 1.6% |
| 41 | UNITEDHEALTH GROUP INC | 1.6% |
| 42 | ASTRANA HEALTH INC | 1.6% |
| 43 | CVS HEALTH CORP | 1.6% |
| 44 | BROOKDALE SENIOR LIVING INC | 1.5% |
| 45 | PRIVIA HEALTH GROUP INC | 1.5% |
| 46 | THE CIGNA GROUP | 1.5% |
| 47 | CASTLE BIOSCIENCES INC | 1.5% |
| 48 | CLOVER HEALTH INVESTMENTS CO | 1.5% |
| 49 | GUARDIAN PHRMCY SERVICES A | 1.5% |
| 50 | DAVITA INC | 1.5% |
| 51 | TALKSPACE INC | 1.2% |
| 52 | PENNANT GROUP INC/THE | 1.2% |
| 53 | ALIGNMENT HEALTHCARE INC | 1.1% |
| 54 | AGILON HEALTH INC | 1.0% |
| 55 | ADAPTHEALTH CORP | 0.9% |
| 56 | BILLIONTOONE INC CL A | 0.9% |
| 57 | FULGENT GENETICS INC | 0.7% |
| 58 | COMMUNITY HEALTH SYSTEMS INC | 0.5% |
| 59 | STRATA CRITICAL MEDICAL INC | 0.5% |
| 60 | OPKO HEALTH INC | 0.4% |
| 61 | SSI US GOV MONEY MARKET CLASS | 0.1% |
| 62 | US DOLLAR | 0.0% |
How it ranks vs peers
Versus the Equity (stocks) · Other · USD ETFs we track.
Advanced risk
Concentration depth
Roughly 62 companies are held, but the largest names carry most of the weight — so it behaves like ~56 equal-sized positions.
Tilt vs a world tracker
Percentage points over / under a broad world-equity tracker (not a licensed benchmark).
Similar funds
We found 6 funds that do much the same job as this one. To pick them we matched this fund's asset class and region, then show how close each match is below.
| State Street® SPDR® S&P® Health Care Services ETFSPDRYou're viewing | State Street® Technology Select Sector SPDR® ETFSPDRBroader match | Schwab International Equity ETFSchwabBroader match | State Street® Financial Select Sector SPDR® ETFSPDRBroader match | State Street® SPDR® S&P® 500 GBP Hdg UCITS ETF (Dist)SPDRBroader match | State Street® SPDR® S&P® 500 MXN Hdg UCITS ETF (Acc)SPDRBroader match | State Street® Health Care Select Sector SPDR® ETFSPDRBroader match | |
|---|---|---|---|---|---|---|---|
| Why it's similar | This is the fund on this page. | StocksUnknownPhysicalCheaper fee Tracks a different index in the same category. | StocksUnknownPhysicalCheaper fee Tracks a different index in the same category. | StocksUnknownPhysicalCheaper fee Tracks a different index in the same category. | StocksPhysicalCheaper fee Tracks a different index in the same category. | StocksPhysicalCheaper fee Tracks a different index in the same category. | StocksUnknownPhysicalCheaper fee Tracks a different index in the same category. |
| Index tracked | S&P Health Care Services Select Industry Index | Technology Select Sector Index | FTSE Developed ex US Index | Financial Select Sector Index | ® ® S&p® 500 Hdg | ® ® S&p® 500 Mxn Hdg | Health Care Select Sector Index |
| Yearly fee (TER) | 0.35% | 0.08% | 0.03% | 0.08% | 0.05% | 0.05% | 0.08% |
| All-in cost | 0.00% | 0.00% | 0.00% | 0.00% | 0.06% | 0.06% | 0.00% |
| Fund size | €179.6M | €106.4B | €56.1B | €49.2B | €38.1B | €37.9B | €37.3B |
| Domicile | United States | United States | United States | United States | Ireland | Ireland | United States |
| Replication | Physical (full) | Physical (full) | Physical (full) | Physical (full) | Physical (full) | Physical (full) | Physical (full) |
| 3-yr return p.a. | +14.1% | +31.3% | +13.9% | +19.4% | +8.3% | ||
| 5-yr return p.a. | +4.8% | +19.6% | +6.7% | +9.1% | +4.6% | ||
| # holdings | 62 | 76 | 1,494 | 80 | 505 | 505 | 63 |
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Finance Hamster provides educational information about ETFs and investing. It is not investment, tax, or legal advice, and not a recommendation to buy or sell any security. Markets carry risk; do your own research or consult a licensed adviser.