XHS State Street SPDR S&P Health Care Services ETF
The State Street SPDR S&P Health Care Services ETF aims to deliver investment outcomes that closely match the total return performance of the S&P Health Care Services Select Industry Index, before accounting for fees and expenses. It provides focused exposure to the healthcare services segment of the S&P Total Market Index, encompassing sub-industries such as Health Care Distributors, Health Care Facilities, Health Care Services, and Managed Health Care. The ETF tracks a modified equal-weighted index, which is designed to offer diversified industry exposure across large, mid, and small-capitalization companies, avoiding over-concentration. This structure allows investors to adopt more precise strategic or tactical positions within the health care sector than is possible with traditional, broader sector investments.
Performance
| 1M | 3M | YTD | 1Y | 3Y ann. | 5Y ann. | |
|---|---|---|---|---|---|---|
| XHS | +6.8% | +8.5% | +36.7% | +43.5% | +22.1% | +5.8% |
| Equity average (4725 funds) | -2.2% | -4.7% | +3008.3% | +1886.0% | +15.1% | +2.6% |
Insider activity in the holdings
Open-market insider buying across this fund’s holdings over 90 days, weighted by holding weight: −$66K net.
| Holding | Weight | Insiders bought | Insiders sold |
|---|---|---|---|
| CVS CVS HEALTH CORP | 1.51% | $2.0M | $0 |
| BKD BROOKDALE SENIOR LIVING INC | 1.22% | $358K | $0 |
| SGRY SURGERY PARTNERS INC | 3.03% | $305K | $0 |
| STLN STARLING ONCOLOGY INC | 0.73% | $176K | $13.3M |
| SRTA STRATA CRITICAL MEDICAL INC | 0.88% | $10K | $0 |
| HQY HEALTHEQUITY INC | 1.78% | $10K | $810K |
| USPH U.S. PHYSICAL THERAPY INC | 2.06% | $416 | $0 |
Holdings · as of Nov 12, 2026
| # | Holding | Weight |
|---|---|---|
| 1 | SGRY SURGERY PARTNERS INC | 3.03% |
| 2 | ACHC ACADIA HEALTHCARE CO INC | 2.21% |
| 3 | PGNY PROGYNY INC | 2.16% |
| 4 | OPCH OPTION CARE HEALTH INC | 2.15% |
| 5 | HNGE HINGE HEALTH INC A | 2.14% |
| 6 | USPH U.S. PHYSICAL THERAPY INC | 2.06% |
| 7 | CON CONCENTRA GROUP HOLDINGS PAR | 2.04% |
| 8 | AGL AGILON HEALTH INC | 1.97% |
| 9 | MCK MCKESSON CORP | 1.95% |
| 10 | HCA HCA HEALTHCARE INC | 1.92% |
| 11 | CRVL CORVEL CORP | 1.92% |
| 12 | PRVA PRIVIA HEALTH GROUP INC | 1.89% |
| 13 | BTSG BRIGHTSPRING HEALTH SERVICES | 1.88% |
| 14 | EHC ENCOMPASS HEALTH CORP | 1.88% |
| 15 | MD PEDIATRIX MEDICAL GROUP INC | 1.86% |
| 16 | LH LABCORP HOLDINGS INC | 1.86% |
| 17 | CAH CARDINAL HEALTH INC | 1.86% |
| 18 | GRDN GUARDIAN PHRMCY SERVICES A | 1.85% |
| 19 | CLOV CLOVER HEALTH INVESTMENTS CO | 1.84% |
| 20 | LFST LIFESTANCE HEALTH GROUP INC | 1.83% |
| 21 | PACS PACS GROUP INC | 1.80% |
| 22 | UHS UNIVERSAL HEALTH SERVICES B | 1.80% |
| 23 | HUM HUMANA INC | 1.79% |
| 24 | HQY HEALTHEQUITY INC | 1.78% |
| 25 | BLLN BILLIONTOONE INC CL A | 1.78% |
| 26 | AMN AMN HEALTHCARE SERVICES INC | 1.77% |
| 27 | RDNT RADNET INC | 1.77% |
| 28 | CNC CENTENE CORP | 1.77% |
| 29 | DGX QUEST DIAGNOSTICS INC | 1.76% |
| 30 | THC TENET HEALTHCARE CORP | 1.75% |
| 31 | ENSG ENSIGN GROUP INC/THE | 1.74% |
| 32 | CI THE CIGNA GROUP | 1.74% |
| 33 | COR CENCORA INC | 1.74% |
| 34 | ELV ELEVANCE HEALTH INC | 1.74% |
| 35 | MOH MOLINA HEALTHCARE INC | 1.73% |
| 36 | CHE CHEMED CORP | 1.70% |
| 37 | AHCO ADAPTHEALTH CORP | 1.69% |
| 38 | ADUS ADDUS HOMECARE CORP | 1.69% |
| 39 | UNH UNITEDHEALTH GROUP INC | 1.64% |
| 40 | HSIC HENRY SCHEIN INC | 1.61% |
| 41 | DVA DAVITA INC | 1.61% |
| 42 | NUTX NUTEX HEALTH INC | 1.54% |
| 43 | NEO NEOGENOMICS INC | 1.53% |
| 44 | GH GUARDANT HEALTH INC | 1.53% |
| 45 | CVS CVS HEALTH CORP | 1.51% |
| 46 | AVAH AVEANNA HEALTHCARE HOLDINGS | 1.50% |
| 47 | NHC NATIONAL HEALTHCARE CORP | 1.49% |
| 48 | ASTH ASTRANA HEALTH INC | 1.39% |
| 49 | SNDA SONIDA SENIOR LIVING INC | 1.38% |
| 50 | CSTL CASTLE BIOSCIENCES INC | 1.23% |
| 51 | BKD BROOKDALE SENIOR LIVING INC | 1.22% |
| 52 | HIMS HIMS + HERS HEALTH INC | 1.20% |
| 53 | PNTG PENNANT GROUP INC/THE | 1.17% |
| 54 | OMDA OMADA HEALTH INC | 1.14% |
| 55 | WGS GENEDX HOLDINGS CORP | 1.02% |
| 56 | ALHC ALIGNMENT HEALTHCARE INC | 0.95% |
| 57 | SRTA STRATA CRITICAL MEDICAL INC | 0.88% |
| 58 | FLGT FULGENT GENETICS INC | 0.87% |
| 59 | STLN STARLING ONCOLOGY INC | 0.73% |
| 60 | OPK OPKO HEALTH INC | 0.55% |
| 61 | CYH COMMUNITY HEALTH SYSTEMS INC | 0.40% |
| 62 | XHS SSI US GOV MONEY MARKET CLASS | 0.10% |
Sector breakdown
Country breakdown
Distributions
| Date | Per unit |
|---|---|
| Sep 21, 2026 | $0.0110 |
| Jun 22, 2026 | $0.0420 |
| Mar 23, 2026 | $0.0420 |
| Dec 22, 2025 | $0.1179 |
| Sep 22, 2025 | $0.0670 |
| Jun 23, 2025 | $0.0598 |
| Mar 24, 2025 | $0.0446 |
| Dec 23, 2024 | $0.0848 |
| Sep 23, 2024 | $0.0903 |
| Jun 24, 2024 | $0.1019 |
| Mar 18, 2024 | $0.0625 |
| Dec 18, 2023 | $0.0518 |
| Sep 18, 2023 | $0.0672 |
| Jun 20, 2023 | $0.0527 |
| Mar 20, 2023 | $0.0294 |
| Dec 19, 2022 | $0.0666 |
| Sep 19, 2022 | $0.0343 |
| Jun 21, 2022 | $0.0421 |
| Mar 21, 2022 | $0.0170 |
| Dec 20, 2021 | $0.0700 |
| Sep 20, 2021 | $0.0656 |
| Jun 21, 2021 | $0.0406 |
| Mar 22, 2021 | $0.0326 |
| Dec 21, 2020 | $0.0916 |
| Sep 21, 2020 | $0.0407 |
| Jun 22, 2020 | $0.0578 |
| Mar 23, 2020 | $0.0327 |
| Dec 23, 2019 | $1.5906 |
| Sep 23, 2019 | $0.0548 |
| Jun 24, 2019 | $0.0492 |
| Mar 18, 2019 | $0.0251 |
| Dec 24, 2018 | $0.0806 |
| Sep 24, 2018 | $0.0650 |
| Jun 18, 2018 | $0.0496 |
| Mar 19, 2018 | $0.0159 |
| Dec 15, 2017 | $0.0631 |
| Sep 15, 2017 | $0.0268 |
| Jun 16, 2017 | $0.0253 |
| Mar 17, 2017 | $0.0215 |
| Dec 16, 2016 | $0.0430 |
Members of Congress who disclosed this ETF
No member of Congress has disclosed a trade in XHS in the filings we hold.
Fund facts, prices, performance and distributions: our market-data vendor. Holdings: the vendor and SEC Form N-PORT. Insider and Congress data: InsiderBuying. Last updated Nov 13, 2026. This is historical data, not investment advice. Report a data error