State Street(R) SPDR(R) S&P(R) Health Care Services ETF

$122.24

Key Metrics

TER 35.00% per year
Distribution policy Distributing
Fund size USD 82 M
Inception date September 28, 2011
Holdings 61
Fund currency USD
Fund domicile US
Provider SPDR
For full official fund details, factsheets, and holdings, visit ssga.com (opens in new tab).

Compare similar ETFs

Fund Size
Dividend
Fees
Current
State Street(R) SPDR(R) S&P(R) Health Care Services ETF XHS
Fund Size
$84M
Dividend
0.2%
Fees
35.00%

Historical Return

Last updated: Jun 15, 2026
1 Year +25.8% +0.2% Div
3 Years (avg.) +10.2% +0.2% Div
5 Years (avg.) +1.2% +0.2% Div

Risk & Analysis Metrics

Last updated: Jun 15, 2026

Volatility

16.91% 1 Year
17.36% 3 Years
20.80% 5 Years
22.23% 10 Years

Max Drawdown

-12.07% 1 Year
-17.88% 3 Years
-32.72% 5 Years
-39.37% 10 Years

Sharpe Ratio

1.05 1 Year
0.37 3 Years
-0.05 5 Years
0.25 10 Years

Return Triangle (Heatmap)

Last updated: Jun 15, 2026
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
2011 14.2% 15.1% 21.3% 22.0% 2.6% 0.9% 2.9% 2.6% 4.1% 6.7% 7.0% 4.3% 4.5% 4.1% 5.0%
2012 16.0% 25.0% 24.7% -0.1% -1.6% 1.2% 1.1% 2.9% 5.9% 6.3% 3.5% 3.7% 3.4% 4.4%
2013 34.7% 29.4% -4.9% -5.5% -1.6% -1.2% 1.1% 4.7% 5.2% 2.3% 2.6% 2.4% 3.5%
2014 24.3% -20.1% -16.0% -9.0% -7.2% -3.6% 1.0% 2.1% -0.8% -0.1% -0.1% 1.3%
2015 -48.6% -31.0% -17.9% -13.7% -8.4% -2.4% -0.8% -3.5% -2.5% -2.3% -0.6%
2016 -7.3% 3.7% 2.6% 5.9% 11.0% 10.7% 5.6% 5.6% 5.0% 6.2%
2017 16.0% 7.9% 10.7% 16.1% 14.7% 7.9% 7.6% 6.6% 7.8%
2018 0.4% 8.1% 16.1% 14.4% 6.3% 6.3% 5.4% 6.8%
2019 16.4% 24.8% 19.5% 7.9% 7.5% 6.2% 7.8%
2020 33.9% 21.1% 5.2% 5.4% 4.3% 6.4%
2021 9.5% -6.8% -2.7% -2.0% 1.7%
2022 -20.6% -8.3% -5.6% -0.2%
2023 5.9% 3.0% 7.7%
2024 0.1% 8.6%
2025 17.8%

Distributions

*by ETF Portfolio Weight Last updated: Jun 15, 2026

Profit Margin Distribution

< 0%
25%
1y 3y N/A N/A
0 - 5%
43%
1y 3y N/A N/A
5 - 10%
19%
1y 3y N/A N/A
10 - 15%
9%
1y 3y N/A N/A
15 - 20%
2%
1y 3y N/A N/A
20 - 30%
0%
1y 3y N/A N/A
30 - 40%
0%
1y 3y N/A N/A
> 40%
2%
1y 3y N/A N/A

P/E Ratio Distribution

< 0
24%
1y 3y N/A N/A
0 - 10
5%
1y 3y N/A N/A
10 - 15
8%
1y 3y N/A N/A
15 - 20
13%
1y 3y N/A N/A
20 - 25
19%
1y 3y N/A N/A
25 - 35
9%
1y 3y N/A N/A
35 - 50
6%
1y 3y N/A N/A
> 50
16%
1y 3y N/A N/A

Discounted Cash Flow

Weighted Average Undervaluation
N/A
Undervalued
> 60%
0%
1y 3y N/A N/A
45 - 60%
0%
1y 3y N/A N/A
30 - 45%
0%
1y 3y N/A N/A
15 - 30%
0%
1y 3y N/A N/A
Fair (&plusmn;15%)
0%
1y 3y N/A N/A
Overvalued
15 - 30%
0%
1y 3y N/A N/A
30 - 45%
0%
1y 3y N/A N/A
45 - 60%
0%
1y 3y N/A N/A
> 60%
0%
1y 3y N/A N/A

Market Cap Size Distribution

Micro Cap
0.0%
1y 3y N/A N/A
Small Cap
21.5%
1y 3y N/A N/A
Mid Cap
39.5%
1y 3y N/A N/A
Large Cap
36.9%
1y 3y N/A N/A
Mega Cap
2.1%
1y 3y N/A N/A
Micro: < $300M Small: $300M–$2B Mid: $2B–$10B Large: $10B–$200B Mega: > $200B

Portfolio Concentration

*by ETF Portfolio Weight Last updated: Jun 15, 2026
11.4% Top 5 Holdings
22.2% Top 10 Holdings
97.1% Top 50 Holdings
100.0% Top 100 Holdings
Top 5 Companies
MD MEDNAX Inc
2.3%
HQY Healthequity Inc
2.3%
GH Guardant Health Inc
2.3%
BTSG BrightSpring Health Services Inc
2.2%
CI Cigna Corp.
2.2%

Latest News

almost 2 years ago • zacks.com

Here's Why Cigna (CI) is a Strong Value Stock

The Zacks Style Scores offers investors a way to easily find top-rated stocks based on their investing style. Here's why you should take advantage.

almost 2 years ago • prnewswire.com

The Cigna Group Foundation Launches Its Health Equity Impact Fund

Commits $9M in Grants to Reduce Health Disparities  Beginning in the Hartford, CT and Houston, TX Communities BLOOMFIELD, Conn. , July 22, 2024 /PR...

almost 2 years ago • prnewswire.com

The Cigna Group Foundation Launches Its Health Equity Impact Fund

Commits $9M in Grants to Reduce Health Disparities beginning with the Houston, TX and Hartford, CT Communities BLOOMFIELD, Conn. , July 22, 2024 /P...

Average metrics of all companies in portfolio

Last updated: Jun 14, 2026
Market
Average
Market Cap The market value of the company. It's calculated by multiplying the share price by the number of outstanding shares. $24.3B -
Dividend Yield Yearly payout to shareholders per share. The percentage indicates the payout in relation to the share price. 0.51% 2.01%
Beta Indicates the relationship between the price performance of a share and the market. 0.94 -
P/E Ratio Ratio between share price and earnings per share. A low ratio could indicate that the stock is undervalued or investors aren't expecting high growth. A high ratio could indicate that the stock is overvalued or investors are expecting high growth. 32.86 25.06
Negative P/E Ratio a negative P/E ratio shows that the company is not profitable, and it shows how many years it would take the company to lose its entire market capitalisation if it did not change anything -350.77 -
Profitable Companies 72% -
PEG The ratio between the P/E ratio and the growth rate of the company's earnings per share in the last twelve months. A lower PEG could mean that a stock is undervalued. 322.51 13.48
Price to Sales Ratio Market cap divided by the revenue in the most recent year. 1.51 8.29
Price to Book Ratio Price to Book Ratio is the Market cap divided by the Book value of the company -0.31 10.42
Market
Average
Enterprise Value to EBIT Enterprise Value divided by EBIT 61.82 20.39
Enterprise Value to Revenue Enterprise value divided by revenue 2.36 8.31
Total Debt to Enterprise Value Total debt divided by enterprise value 0.26 0.04
Debt to Equity A higher ratio indicates a higher risk. However, the ratio is difficult to compare between industries where common amounts of debt vary. -0.05 0.33
Profit Margin Net income divided by revenue of the last 4 quarters. It indicates the company's profitability. 0.56% -3.53%
Quarterly Earnings Growth (YoY) The rate at which the company's net income has increased to the same quarter one year ago. - -121.8%
Return on Equity Equity divided by market cap. -28.06% 1.24%
Return on Assets Indicates a company's profitability in relation to its total assets. -8.95% 3.39%
Return on Invested Capital Return on invested capital (ROIC) is net income after dividends divided by the sum of debt and equity. It shows how effective a company is at turning capital invested by shareholders and other debtholders into profits. 31.39% 3.30%

Sectors

Health Care and Social Assistance 31.9%
Manufacturing 19.7%
Finance and Insurance 13.3%
Wholesale Trade 9.4%
Retail Trade 3.7%
Professional, Scientific, and Technical Services 3.4%
Information 2.1%
Healthcare 1.3%
Other 15.3%

Countries

United States 100.0%
Other 0.1%

Stock Screener

Select filters to narrow down the 54 investments below

54 companies

Limit holdings to companies in a single sector.

$0B >$1T

Ratio between share price and earnings per share. A low ratio could indicate undervaluation.

<0 >50

Ratio of dividends in the last 12 months to current share price.

0% 3%

Revenue increase compared to the same quarter one year ago.

0% 30%

Net income increase compared to the same quarter one year ago.

0% 30%

Profitability of the last quarter.

<-30% >30%

A higher ratio indicates a higher risk. The ratio is difficult to compare between industries.

<0 >3

Discounted cash flow valuation vs. current price. Positive = undervalued, negative = overvalued.

<-50% >+100%

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Market Cap $7.39B
P/E Ratio 32.3
Dividends 0.0%
Total Investment $1.77M
Weight 2.15%

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Market Cap $17.45B
P/E Ratio -39.9
Dividends 0.0%
Total Investment $1.74M
Weight 2.12%

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Market Cap $12.26B
P/E Ratio 54.9
Dividends 0.0%
Total Investment $1.71M
Weight 2.08%

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Market Cap $78.83B
P/E Ratio 12.4
Dividends 2.1%
Total Investment $1.7M
Weight 2.06%

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Market Cap $45.53B
P/E Ratio 40.4
Dividends 0.9%
Total Investment $1.68M
Weight 2.05%

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Market Cap $114.59B
P/E Ratio 17.0
Dividends 1.7%
Total Investment $1.68M
Weight 2.04%

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Market Cap $13.4B
P/E Ratio 18.0
Dividends 0.0%
Total Investment $1.65M
Weight 2.00%

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Market Cap $21.83B
P/E Ratio 23.3
Dividends 1.1%
Total Investment $1.64M
Weight 1.99%

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Market Cap $52.43B
P/E Ratio 33.7
Dividends 0.9%
Total Investment $1.63M
Weight 1.98%

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Market Cap $4.08B
P/E Ratio 204.8
Dividends 0.0%
Total Investment $1.62M
Weight 1.98%

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Market Cap $22.48B
P/E Ratio 21.8
Dividends 1.6%
Total Investment $1.62M
Weight 1.97%

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Market Cap $2.09B
P/E Ratio 31.8
Dividends 0.0%
Total Investment $1.61M
Weight 1.96%

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Market Cap $9.26B
P/E Ratio 23.6
Dividends 0.0%
Total Investment $1.6M
Weight 1.95%

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Market Cap $10.07B
P/E Ratio 16.5
Dividends 0.7%
Total Investment $1.6M
Weight 1.94%

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Market Cap $8.73B
P/E Ratio 23.7
Dividends 0.2%
Total Investment $1.59M
Weight 1.93%

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Market Cap $3.6B
P/E Ratio 20.0
Dividends 0.9%
Total Investment $1.59M
Weight 1.93%

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Market Cap $371B
P/E Ratio 30.9
Dividends 2.2%
Total Investment $1.58M
Weight 1.92%

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