- ISIN
- US78464A5737
- CUSIP
- 78464A573
- Issuer
- State Street
- Inception Date
- Sep 28, 2011
- Region
- North America (U.S.)
- Category
- Health & Biotech Equities
- Leveraged
- 1x (No leverage)
- Index Tracked
- S&P Health Care Services Select Industry Index
- Distribution Policy
- Distributing
- Asset Class
- Equity
- Asset Class Size
- Multi-Cap
- Asset Class Style
- Blend
- Assets Under Management
- $115M
Share Price Chart
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Performance
XHS Performance Chart
SPDR S&P Health Care Services ETF (XHS) is up 14.4% since the beginning of the year. XHS is currently trading at $122 per share. Investors who bought $1,000 worth of XHS shares 5 years ago would now be looking at an investment worth $1,079.
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Returns By Period
SPDR S&P Health Care Services ETF (XHS) has returned 14.39% so far this year and 26.97% over the past 12 months. Over the last ten years, XHS has returned 8.52% per year, falling short of the S&P 500 Index benchmark, which averaged 13.88% annually.
SPDR S&P Health Care Services ETF
- 1D
- 0.11%
- 1M
- 7.47%
- YTD
- 14.39%
- 6M
- 12.34%
- 1Y
- 26.97%
- 3Y*
- 10.97%
- 5Y*
- 1.53%
- 10Y*
- 8.52%
Benchmark (S&P 500 Index)
- 1D
- -0.37%
- 1M
- -0.01%
- YTD
- 9.16%
- 6M
- 8.64%
- 1Y
- 25.22%
- 3Y*
- 19.78%
- 5Y*
- 11.99%
- 10Y*
- 13.88%
XHS Monthly Returns History
Based on dividend-adjusted daily data since Sep 29, 2011, XHS's average daily return is +0.05%, while the average monthly return is +1.10%. At this rate, an investment would double in approximately 5.3 years.
Historically, 59% of months were positive and 41% were negative. The best month was Jul 2022 with a return of +15.5%, while the worst month was Dec 2018 at -16.7%. The longest winning streak lasted 9 consecutive months, and the longest losing streak was 4 months.
On a daily basis, XHS closed higher 54% of trading days. The best single day was Mar 24, 2020 with a return of +8.5%, while the worst single day was Mar 16, 2020 at -14.0%.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | Total | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026 | -0.00% | 1.36% | -7.51% | 9.76% | 4.22% | 6.67% | 14.39% | ||||||
| 2025 | 13.22% | -4.35% | 0.51% | -2.28% | 1.58% | 2.27% | -9.77% | 10.62% | 2.29% | 1.09% | 8.03% | -3.56% | 18.83% |
| 2024 | -2.20% | 3.95% | 4.95% | -6.74% | 4.04% | -2.22% | 10.03% | -0.03% | -1.90% | -4.56% | 5.86% | -7.80% | 1.76% |
| 2023 | 9.07% | -1.55% | -5.01% | 3.55% | -3.63% | 8.75% | 0.15% | -5.09% | -6.56% | -4.70% | 6.87% | 5.01% | 5.15% |
| 2022 | -13.48% | 3.36% | 6.90% | -13.91% | -0.91% | -4.80% | 15.53% | -2.32% | -5.37% | 4.57% | -2.41% | -5.28% | -19.87% |
| 2021 | 6.79% | -1.42% | 4.44% | 3.41% | 2.46% | 1.47% | -2.05% | -0.63% | -6.32% | 1.81% | -7.45% | 8.07% | 9.76% |
Benchmark Metrics
SPDR S&P Health Care Services ETF has an annualized alpha of 1.01%, beta of 0.89, and R2 of 0.52 versus S&P 500 Index. Calculated based on daily prices since September 29, 2011.
- This ETF participated in 104.67% of S&P 500 Index downside but only 97.73% of its upside - more exposed to losses than it benefited from rallies.
- With beta of 0.89 and R2 of 0.52, this ETF moves broadly in line with S&P 500 Index - much of its variation is explained by market exposure rather than independent behavior.
- Alpha
- 1.01%
- Beta
- 0.89
- R²
- 0.52
- Upside Capture
- 97.73%
- Downside Capture
- 104.67%
Expense Ratio
XHS has an expense ratio of 0.35%, placing it in the medium range.
Return for Risk
Risk / Return Rank
XHS ranks 43 for risk / return — on par with similar ETFs. You're getting a typical balance of risk and reward. Not a standout, but not a red flag either — a reasonable choice if other factors align with your goals.
Return / Risk — by metrics
The table below present risk-adjusted performance metrics for SPDR S&P Health Care Services ETF (XHS) and compare them to S&P 500 Index.
Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.
| XHS | Benchmark | Difference | |
|---|---|---|---|
| Sharpe ratioReturn per unit of total volatility | -0.52 | ||
| Sortino ratioReturn per unit of downside risk | -0.65 | ||
| Omega ratioGain probability vs. loss probability | 1.27 | 1.37 | -0.10 |
| Calmar ratioReturn relative to maximum drawdown | 2.26 | 2.78 | -0.53 |
| Martin ratioReturn relative to average drawdown | 6.26 | 12.44 | -6.18 |
Dividends
Dividend History
SPDR S&P Health Care Services ETF provided a 0.27% dividend yield over the last twelve months, with an annual payout of $0.33 per share.
| Period | TTM | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dividend | $0.33 | $0.29 | $0.34 | $0.20 | $0.16 | $0.21 | $0.22 | $1.72 | $0.21 | $0.14 | $0.15 | $0.54 |
Dividend yield | 0.27% | 0.27% | 0.38% | 0.23% | 0.19% | 0.20% | 0.23% | 2.37% | 0.34% | 0.22% | 0.28% | 0.93% |
Monthly Dividends
The table displays the monthly dividend distributions for SPDR S&P Health Care Services ETF. The dividends shown in the table have been adjusted to account for any splits that may have occurred.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | Total | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026 | $0.00 | $0.00 | $0.04 | $0.00 | $0.00 | $0.04 | $0.08 | ||||||
| 2025 | $0.00 | $0.00 | $0.04 | $0.00 | $0.00 | $0.06 | $0.00 | $0.00 | $0.07 | $0.00 | $0.00 | $0.12 | $0.29 |
| 2024 | $0.00 | $0.00 | $0.06 | $0.00 | $0.00 | $0.10 | $0.00 | $0.00 | $0.09 | $0.00 | $0.00 | $0.08 | $0.34 |
| 2023 | $0.00 | $0.00 | $0.03 | $0.00 | $0.00 | $0.05 | $0.00 | $0.00 | $0.07 | $0.00 | $0.00 | $0.05 | $0.20 |
| 2022 | $0.00 | $0.00 | $0.02 | $0.00 | $0.00 | $0.04 | $0.00 | $0.00 | $0.03 | $0.00 | $0.00 | $0.07 | $0.16 |
| 2021 | $0.00 | $0.00 | $0.03 | $0.00 | $0.00 | $0.04 | $0.00 | $0.00 | $0.07 | $0.00 | $0.00 | $0.07 | $0.21 |
Drawdowns
Drawdowns Chart
The Drawdowns chart displays portfolio losses from any high point along the way. Drawdowns are calculated considering price movements and all distributions paid, if any.
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Worst Drawdowns
The table below displays the maximum drawdowns of the SPDR S&P Health Care Services ETF. A maximum drawdown is a measure of risk, indicating the largest reduction in portfolio value due to a series of losing trades.
The maximum drawdown for the SPDR S&P Health Care Services ETF was 39.32%, occurring on Mar 23, 2020. Recovery took 114 trading sessions.
The current SPDR S&P Health Care Services ETF drawdown is 0.16%.
Related event | Drawdown | Fall | Recovery | Underwater |
|---|---|---|---|---|
COVID crash2020 | -39.32%Mar 2020 | 1mo 2d | 5mo 13d | 6mo 15dFeb 2020 - Sep 2020 |
Bear market2022 | -32.62%Jun 2022 | 11mo 22d | 3y 11mo | 4y 11moJun 2021 - May 2026 |
2016 bear market2016 | -27.39%Feb 2016 | 6mo 6d | 1y 11mo | 2y 5moAug 2015 - Jan 2018 |
Rate-hike selloffLate 2018 | -22.07%Dec 2018 | 2mo 24d | 1y 22d | 1y 3moOct 2018 - Jan 2020 |
2012 correction2012 | -12.83%May 2012 | 1mo 14d | 2mo 1d | 3mo 15dApr 2012 - Jul 2012 |
Drawdown Indicators
| XHS | Benchmark | Difference | |
|---|---|---|---|
Max DrawdownLargest peak-to-trough decline | -39.32% | -56.78% | +17.46% |
Max Drawdown (1Y)Largest decline over 1 year | -11.99% | -9.10% | -2.89% |
Max Drawdown (3Y)Largest decline over 3 years | -17.81% | -18.90% | +1.09% |
Max Drawdown (5Y)Largest decline over 5 years | -32.62% | -25.43% | -7.19% |
Max Drawdown (10Y)Largest decline over 10 years | -39.32% | -33.92% | -5.40% |
Current DrawdownCurrent decline from peak | -0.16% | -1.80% | +1.64% |
Average DrawdownAverage peak-to-trough decline | -10.17% | -10.71% | +0.54% |
Ulcer IndexDepth and duration of drawdowns from previous peaks | 4.32% | 2.03% | +2.29% |
Volatility
Volatility Chart
The chart below shows the rolling one-month volatility.
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