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SPDR® S&P Health Care Services ETF (XHS)



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Upturn Advisory Summary
08/14/2025: XHS (1-star) is currently NOT-A-BUY. Pass it for now.
Analysis of Past Performance
Type ETF | Historic Profit -13.93% | Avg. Invested days 45 | Today’s Advisory PASS |
Upturn Star Rating ![]() ![]() | Upturn Advisory Performance ![]() | ETF Returns Performance ![]() |
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Key Highlights
Volume (30-day avg) - | Beta 0.92 | 52 Weeks Range 87.84 - 103.39 | Updated Date 06/29/2025 |
52 Weeks Range 87.84 - 103.39 | Updated Date 06/29/2025 |
Upturn AI SWOT
SPDR® S&P Health Care Services ETF
ETF Overview
Overview
The SPDRu00ae S&P Health Care Services ETF (XHS) seeks to provide investment results that, before fees and expenses, correspond generally to the total return performance of the S&P Health Care Services Select Industry Index. The fund invests in a select group of publicly traded companies in the U.S. health care services industry.
Reputation and Reliability
State Street Global Advisors (SSGA) is a well-established and reputable ETF issuer with a long track record.
Management Expertise
SSGA has extensive experience in managing ETFs across various sectors and asset classes.
Investment Objective
Goal
To replicate the performance of the S&P Health Care Services Select Industry Index.
Investment Approach and Strategy
Strategy: Index tracking. The ETF employs a replication strategy, holding all or substantially all of the component securities of the underlying index in approximately the same proportions as their weightings in the index.
Composition Primarily consists of stocks within the health care services sector.
Market Position
Market Share: XHS's market share is moderate compared to broader healthcare ETFs, focusing specifically on the health care services sub-sector.
Total Net Assets (AUM): 403130000
Competitors
Key Competitors
- Invesco Dynamic Healthcare ETF (PTH)
- iShares U.S. Healthcare Providers ETF (IHF)
- First Trust Health Care AlphaDEX Fund (FXH)
Competitive Landscape
The competitive landscape is characterized by both broad and niche healthcare ETFs. XHS offers a focused approach within health care services, which may be preferred by investors seeking concentrated exposure, but it faces competition from broader healthcare ETFs that offer greater diversification. XHS's narrow focus can lead to higher volatility compared to more diversified healthcare ETFs. PTH is actively managed while IHF tracks a slightly broader healthcare providers index and FXH uses an AlphaDEX methodology.
Financial Performance
Historical Performance: Historical performance varies depending on the time period, generally tracking the performance of the underlying health care services sector.
Benchmark Comparison: The ETF's performance closely mirrors the S&P Health Care Services Select Industry Index, with minor deviations due to fees and expenses.
Expense Ratio: 0.35
Liquidity
Average Trading Volume
The ETF exhibits moderate liquidity, generally allowing for efficient trading.
Bid-Ask Spread
The bid-ask spread is typically tight, indicating reasonable trading costs.
Market Dynamics
Market Environment Factors
Economic indicators such as GDP growth, healthcare spending trends, and regulatory changes significantly impact the ETF's performance. Demographic shifts and technological advancements in healthcare also play a crucial role.
Growth Trajectory
The ETF's growth is tied to the growth of the health care services sector. The ETF changes its holdings in line with adjustments made to the S&P Health Care Services Select Industry Index.
Moat and Competitive Advantages
Competitive Edge
XHS's competitive advantage lies in its focused exposure to the health care services sub-sector, offering a targeted investment for those bullish on this specific area. Its index-tracking strategy provides transparency and predictability. Its association with a well-known issuer like State Street adds credibility. The low expense ratio relative to some actively managed healthcare ETFs is another advantage, making it a cost-effective option. The ETF can also provide diversification amongst the health care service sector stocks.
Risk Analysis
Volatility
The ETF exhibits moderate to high volatility, typical of sector-specific ETFs. Volatility can be affected by legislative and regulatory changes related to the health care industry.
Market Risk
The ETF is subject to market risk, particularly related to the health care sector. Risks include regulatory changes, reimbursement pressures, and technological disruptions.
Investor Profile
Ideal Investor Profile
Investors seeking targeted exposure to the health care services sector would find this ETF suitable. Those believing that managed care, hospitals, and other health services companies will outperform the broader market are a good fit.
Market Risk
Suitable for long-term investors with a specific view on the health care services sector, as well as active traders looking to capitalize on short-term trends within the industry.
Summary
The SPDRu00ae S&P Health Care Services ETF (XHS) offers targeted exposure to the U.S. health care services sector, tracking the S&P Health Care Services Select Industry Index. It's managed by State Street Global Advisors and has a moderate expense ratio. It's suitable for investors with a specific view on health care services, although its sector focus leads to increased volatility. It may be appropriate for long-term investors and active traders alike depending on their overall investment goals and risk tolerance.
Peer Comparison
Sources and Disclaimers
Data Sources:
- State Street Global Advisors (SSGA), ETF.com, Bloomberg, Yahoo Finance
Disclaimers:
The data and analysis provided are for informational purposes only and should not be considered investment advice. Market conditions can change rapidly, and past performance is not indicative of future results. Consult with a qualified financial advisor before making any investment decisions.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About SPDR® S&P Health Care Services ETF
Exchange NYSE ARCA | Headquaters - | ||
IPO Launch date - | CEO - | ||
Sector - | Industry - | Full time employees - | Website |
Full time employees - | Website |
In seeking to track the performance of the S&P Health Care Services Select Industry Index (the index), the fund employs a sampling strategy. It generally invests substantially all, but at least 80%, of its total assets in the securities comprising the index. The index represents the health care services segment of the S&P Total Market Index (S&P TMI).

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