XHS: STATE STREET(R) SPDR(R) S&P(R) HEALTH CARE SERVICES ETF
Share-split context: A forward split was recorded on Sep 11, 2015 with coefficient 2. A forward split turns each old share into multiple new shares and lowers the quoted price per share proportionally. Proportional ownership is unchanged at the split moment, so the split itself creates neither a gain nor a loss. The price-return figures in this report are already split-adjusted.
What this ETF is trying to do
The STATE STREET(R) SPDR(R) S&P(R) HEALTH CARE SERVICES ETF (XHS) focuses on the health care services sector. It holds a variety of companies that provide medical services. As of October 8, 2026, the fund holds 60 different assets.
Top Holdings
The portfolio is spread across many companies. Some of the largest holdings include:
• Lifestance Health Group Inc (2.65%)
• GeneDx Holdings Corp (2.58%)
• Tenet Healthcare Corp (2.54%)
• NeoGenomics Inc (2.49%)
• Hinge Health Inc (2.39%)
What the numbers show
As of October 7, 2026, the share price was $134.42. This ETF has a history of forward splits. In a forward split, each old share becomes multiple new shares, and the price per share drops proportionally. This does not create a gain or loss; it just changes how many shares an investor owns.
Because of this split history, we look at split-adjusted returns to see how the fund performed:
• Year-to-Date (YTD): The price return was 25.79%, and the total return was 25.90%.
• One Year: The price return was 31.35%, and the total return was 31.60%.
• Three Year: The price return was 63.57%, and the total return was 64.87%.
Price return only measures the change in the share price. Total return is a broader measure that includes distributions.
Income and distribution explanation
This ETF usually pays distributions quarterly. Over the last 12 months, it made 4 payments. The distribution yield is 0.16%.
It is important for beginners to know that a distribution yield is not the same as a total return. While distributions provide cash income, they do not guarantee that the original investment value will stay the same.
NAV erosion explanation
"NAV erosion" happens when the underlying value of an ETF's assets drops over time. StockValueFinder uses an erosion-risk score to measure this.
XHS has an erosion score of 100, and the label is "No price erosion detected." The erosion severity is listed as "good," and the severe erosion-risk flag is false.
Pros
• The fund has shown strong split-adjusted price and total returns over the last one and three years.
• There is currently no detected price erosion.
Cons
• The distribution yield is very low (0.16%), which may not be ideal for investors seeking high current income.
Beginner takeaway
XHS provides exposure to health care services. While it offers a small amount of cash income through distributions, its recent growth has come primarily from the increase in its share price. Always remember that high yields can be misleading, but in this case, the yield is low and the price trend has been positive.
Top Holdings
Structured portfolio holdings supplied by the ETF data provider. These figures are not generated by the AI article.
| # | Holding | Ticker | Weight |
|---|---|---|---|
| 1 | LIFESTANCE HEALTH GROUP INC ORDINARY SHARES | LFST | 2.65% |
| 2 | GENEDX HOLDINGS CORP ORDINARY SHARES CLASS A | WGS | 2.58% |
| 3 | TENET HEALTHCARE CORP | THC | 2.54% |
| 4 | NEOGENOMICS INC | NEO | 2.49% |
| 5 | HINGE HEALTH INC ORDINARY SHARES CLASS A | HNGE | 2.39% |
| 6 | RADNET INC | RDNT | 2.10% |
| 7 | CONCENTRA GROUP HOLDINGS PARENT INC | CON | 2.07% |
| 8 | ADDUS HOMECARE CORP | ADUS | 2.05% |
| 9 | PACS GROUP INC | PACS | 2.03% |
| 10 | GUARDANT HEALTH INC | GH | 2.02% |