Summary
State Street SPDR S&P Health Care Services ETF is an ETF - a fund traded on an exchange like a stock - run by SPDR. Positions inside: 63. The ten largest make up 19% of the fund.
- Yearly costs
- 0.35%
- Fund size
- $214.8M
- Positions
- 63
- Dividend yield
- 0.15%
- Running since
- 2011
What speaks for it
- Costs of 0.35% a year are below the middle of comparable funds (0.44%).
- Average yearly growth over the last ten years: 10%.
- It has been running since 2011.
What to watch
- 98% of the fund is in one sector (Healthcare).
- 100% of the fund is in one country (United States).
- In the last five years its price once dropped by 33% from its high.
A fund has no Bulios Score and no Fair Price of its own - both are computed from the results of a single company. This page shows what is inside the fund and what it costs instead.
Price
Performance
- 1 month
- +4.3%
- 3 months
- +4.1%
- This year
- +32%
- 1 year
- +36%
- 3 years
- +75%
- 5 years
- +33%
- 10 years
- +162%
- Avg. market cap
- $27.3B
- P/E
- 21.3x
- Forward P/E
- 18.9x
- P/S
- 0.7x
- P/B
- 0.1x
- P/FCF
- 13.5x
- EV/EBITDA
- 12.9x
- Dividend yield
- 0.40%
- ROIC
- 6.2%
- ROE
- 12.9%
- Gross margin
- 30.7%
- Operating margin
- 6.5%
- Net margin
- 2.5%
- Payout ratio
- 8.5%
- Net debt/EBITDA
- 3.0x
- Beta
- 0.93
Weighted average of the 50 largest companies, which make up 88% of the fund. Banks and insurers are left out of the gross margin, the ROIC and the EBITDA figures.
What is inside?
Widely spread- 1 OPOption Care Health OPCH 2.2%
- 2 AMAMN Healthcare Services, Inc. AMN 2.0%
- 3 HNHinge Health, Inc. HNGE 1.9%
- 4 COConcentra Group Holdings Parent, Inc. CON 1.9%
- 5 CRCorVel Corporation CRVL 1.9%
- 6 MCMcKesson MCK 1.9%
- 7 HCHCA Healthcare HCA 1.9%
- 8 PRPrivia PRVA 1.9%
- 9 USU.S. Physical Therapy, Inc. USPH 1.9%
- 10 ACAcadia Healthcare Company ACHC 1.9%
Positions in the fund: 63. The ten largest make up 19% of it.
Composition as of Oct 18, 2026.
Where is it spread?
One sector dominatesBy sector
- Healthcare 98%
- Financials 1.9%
By country
- United States 100%
By company size
- Mega cap 1.8%
- Large cap 34%
- Mid cap 40%
- Small cap 24%
By the company's market value: Mega cap from $200B, Large cap from $10B, Mid cap from $2B, Small cap from $300M, Micro cap below $300M.
Largest sector: Healthcare (98%). Largest country: United States (100%). Largest size group: Mid cap (40%).
What does it cost me?
Cheap- A year from $10,000
- $35.00
- Over 20 years
- $1,714
From every $10,000 invested the fund takes $35.00 a year. You do not pay it separately - it is taken out of the fund's value. Over 20 years at 5% yearly growth that adds up to about $1,714.
How has it done?
Growing over the long run- A year on average, 10 years
- +10%
- Deepest drop
- -33%
- Yearly volatility
- 18%
Average yearly growth over the last ten years: 10%. Deepest drop in these years: 33% below the earlier high.
Does it pay dividends?
Yes, it pays out- Yield
- 0.15%
- Payments a year
- 4
- Last payment
- $0.01
Over the last 12 months it paid $0.21 per share, which is 0.15% of today's price. The last payment was $0.01 on Sep 21, 2026.
Is it easy to buy and sell?
Yes- Traded a day
- $4.51M
- Shares a day
- 32K
On an average day about $4.51M of the fund changes hands.
How expensive are the companies inside?
Usual valuation- P/E of the companies inside
- 21.3
- Average Bulios Score
- 56 out of 100
Weight by Bulios Fair Price
- Undervalued 29%
- Fairly valued 19%
- Overvalued 52%
On average the companies inside trade for 21.3 times their yearly profit. By Fair Price, 52% of the rated weight comes out as overvalued.
Counted from its largest companies (50), which make up 88% of the fund. Each company counts by its weight. We use the metrics, the Bulios Score and the Fair Price of the companies themselves.
Similar funds
Funds that hold much of the same. The overlap says how much of their weight they share with this fund.
| Fund | Domicile | Size | 1-year change | Dividends | ||
|---|---|---|---|---|---|---|
IH IHF iShares U.S. Healthcare Providers ETF | United States | 0.37% | $966.1M | +17% | Pays out | 38% |
FS FSHCX Fidelity Select Health Care Svcs Port· mutual fund | - | - | $782.1M | +14% | Pays out | 34% |
RS RSPH Invesco S&P 500 Equal Weight Health Care ETF | United States | 0.40% | $786.1M | +28% | Pays out | 23% |
FX FXH First Trust Health Care AlphaDEX Fund | United States | 0.61% | $1.12B | +19% | Pays out | 21% |
ZH ZHU.TO BMO Equal Weight US Health Care Index ETF | Canada | 0.40% | $8.26M | +23% | Reinvests | 20% |
ZU ZUH.TO BMO Equal Weight US Health Care Hedged to CAD Index ETF | Canada | 0.39% | $133.3M | +20% | Reinvests | 20% |
