Top performing · Industry · ranked by 1-year total return

Top-performing Healthcare Services ETFs

There are 6 US-listed healthcare services ETFs, with $1.40B in combined net assets.

Over the year to Oct 27, 2026, the best performer among funds with at least $25 million in assets was XHS (+33.7%); the median fund returned +8.1%.

Expense ratios run from 0.35% to 0.85% a year (median 0.5%).

The 4 top performers

Top-performing Healthcare Services ETFs
# Fund 30 daysNet assetsCostYield1 moYTD1 yr3 yr5 yr
1 XHS SPDR S&P Health Care Services ETF $139.9M0.35%0.15%+4.6%+32.0%+33.7%+22.1%+6.8%
2 HRTS Tema GLP-1 Obesity & Cardiometabolic ETF $51.9M0.75%1.25%+3.6%+6.6%+16.6%——
3 IHF iShares U.S. Healthcare Providers ETF $1.18B0.37%0.91%+6.1%+24.5%+16.5%+7.7%+2.4%
4 HEAL Global X HealthTech ETF $25.0M0.5%0.23%+5.8%+6.2%-6.4%——

Funds with less than $25 million in net assets and leveraged or inverse funds are left out of the ranking. Returns are total returns with distributions reinvested (3 and 5 years annualized), as of Oct 27, 2026.

How the top 4 compare

    Growth of each fund’s value from the start of the range, distributions reinvested. The dashed gray line is the S&P 500 (SPY).

    All 6 Healthcare Services ETFs

    Largest first. Click a heading to sort.

    All Healthcare Services ETFs
    Fund IssuerNet assetsCostYieldYTD1 yr5 yr
    IHF iShares U.S. Healthcare Providers ETF iShares$1.18B0.37%0.91%+24.5%+16.5%+2.4%
    XHS SPDR S&P Health Care Services ETF SPDR (State Street)$139.9M0.35%0.15%+32.0%+33.7%+6.8%
    HRTS Tema GLP-1 Obesity & Cardiometabolic ETF Dawn Global Topco Ltd.$51.9M0.75%1.25%+6.6%+16.6%—
    HEAL Global X HealthTech ETF Global X$25.0M0.5%0.23%+6.2%-6.4%—
    THNR Amplify Weight Loss Drug & Treatment ETF Amplify$4.4M0.59%1.67%-2.4%+8.1%—
    LGHT Langar Global HealthTech ETF Langar Holdings, Inc.$2.5M0.85%—+11.3%+4.3%—

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