XHS: SPDR® S&P® Health Care Services ETF

Benchmark	Inception Date	Options Available	Gross Expense Ratio Gross Expense Ratio The fund's total annual operating expense ratio. It is gross of any fee waivers or expense reimbursements. It can be found in the fund's most recent prospectus.	Base Currency	Investment Manager	Management Team
S&P Health Care Services Select Industry Index	Sep 28 2011	No	0.35%	USD	SSGA Funds Management, Inc.	Global Equity Beta Solutions

Exchange	Listing Date	Trading Currency	Ticker	CUSIP	ISIN
NYSE ARCA EXCHANGE	Sep 29 2011	USD	XHS	78464A573	US78464A5737

Est. 3-5 Year EPS Growth Estimated 3-5 Year EPS Growth Based on the underlying holdings of the fund. The actual earnings estimates for the underlying holdings are provided by FactSet, First Call, I/B/E/S Consensus, and Reuters and are used to calculate a mean 3-5 year EPS growth rate estimate.	Number of Holdings	Price/Book Ratio Price/Book Ratio The weighted harmonic average of closing market price divided by the most recent reported book value for each security in the fund's portfolio as calculated for the last twelve months.	Price/Earnings Ratio FY1 Price/Earnings Ratio FY1 The weighted harmonic average of current share price divided by the forecasted one year earnings per share for each security in the fund. Negative and positive outliers are included in the calculation.	Weighted Average Market Cap
13.06%	49	2.69	17.36	$20,900.97 M

Est. 3-5 Year EPS Growth	Number of Holdings	Price/Cash Flow	Price/Earnings	Price/Earnings Ratio FY1
13.06%	49	10.63	17.17	17.36

	Average Size	Size Range
$20,901.31 M	$18,415.57 M	$3,287.21 M	$283,588.63 M	$420.55 M

Bid/Ask Bid/Ask Mid Point (Also known as Mid Price) The price between the best price of the sellers for a trading unit of a given security and the best price of the buyer of a trading unit of a given a given security.	Closing Price Closing Price Market Price of last reported trade on the exchange.	Day High	Day Low	Exchange Volume (Shares) Exchange Volume (shares) Represents the volume of shares traded on the ETF's primary exchange throughout the previous business day.	Premium/Discount Premium/Discount to NAV Shows the comparison of the daily net asset value (NAV) and the Midpoint of the closing bid/ask for each of the funds calculated as ((4PM Bid/Ask - Closing NAV) / Closing NAV * 100)
$76.50	$76.53	$76.53	$76.37	270	-0.05%

Net Cash Amount
$43,569.94

	As Of	1 Month	QTD	YTD	1 Year	3 Year	5 Year	10 Year	Since Inception Sep 28 2011
Fund Before Tax
NAV	Dec 31 2019	2.80%	19.23%	18.74%	18.74%	12.58%	6.22%	-	15.16%
Market Value	Dec 31 2019	2.73%	19.24%	18.91%	18.91%	12.57%	6.20%	-	15.15%
S&P Health Care Services Select Industry Index	Dec 31 2019	2.84%	19.36%	19.18%	19.18%	12.99%	6.58%	-	15.58%
Fund After Tax
Return after Taxes on Distributions	Dec 31 2019	1.90%	18.19%	17.60%	17.60%	12.18%	5.90%	-	14.71%
Return after Taxes on Distributions and Sale of Fund Shares	Dec 31 2019	1.65%	11.38%	11.08%	11.08%	9.68%	4.73%	-	12.45%
S&P Health Care Services Select Industry Index	Dec 31 2019	2.84%	19.36%	19.18%	19.18%	12.99%	6.58%	-	15.58%

	As Of	1 Month	QTD	YTD	1 Year	3 Year	5 Year	10 Year	Since Inception Sep 28 2011
Fund Before Tax
NAV	Dec 31 2019	2.80%	19.23%	18.74%	18.74%	12.58%	6.22%	-	15.16%
Market Value	Dec 31 2019	2.73%	19.24%	18.91%	18.91%	12.57%	6.20%	-	15.15%
S&P Health Care Services Select Industry Index	Dec 31 2019	2.84%	19.36%	19.18%	19.18%	12.99%	6.58%	-	15.58%
Fund After Tax
Return after Taxes on Distributions	Dec 31 2019	1.90%	18.19%	17.60%	17.60%	12.18%	5.90%	-	14.71%
Return after Taxes on Distributions and Sale of Fund Shares	Dec 31 2019	1.65%	11.38%	11.08%	11.08%	9.68%	4.73%	-	12.45%
S&P Health Care Services Select Industry Index	Dec 31 2019	2.84%	19.36%	19.18%	19.18%	12.99%	6.58%	-	15.58%

Name	Shares Held	Weight
Centene Corporation	39,433	2.60%
Covetrus Inc.	174,650	2.50%
Patterson Companies Inc.	109,356	2.49%
AMN Healthcare Services Inc.	38,156	2.49%
LHC Group Inc.	17,298	2.47%
Encompass Health Corporation	32,330	2.47%
Cigna Corporation	11,986	2.47%
WellCare Health Plans Inc.	7,282	2.47%
Amedisys Inc.	14,021	2.45%
DaVita Inc.	31,297	2.44%

Name	Weight
Centene Corporation	2.60%
Covetrus Inc.	2.51%
Patterson Companies Inc.	2.50%
AMN Healthcare Services Inc.	2.49%
LHC Group Inc.	2.48%
Encompass Health Corporation	2.48%
Cigna Corporation	2.48%
WellCare Health Plans Inc.	2.47%
Amedisys Inc.	2.46%
DaVita Inc.	2.45%

Sector	Weight
Health Care Services	40.44%
Health Care Facilities	21.11%
Managed Health Care	19.55%
Health Care Distributors	18.90%

Sector	Weight
Health Care Services	40.44%
Health Care Facilities	21.11%
Managed Health Care	19.55%
Health Care Distributors	18.90%

In general, ETFs can be expected to move up or down in value with the value of the applicable index. Although ETF shares may be bought and sold on the exchange through any brokerage account, ETF shares are not individually redeemable from the Fund. Investors may acquire ETFs and tender them for redemption through the Fund in Creation Unit Aggregations only. Please see the prospectus for more details.

After-tax returns are calculated based on NAV using the historical highest individual federal marginal income tax rates and do not reflect the impact of state and local taxes. Actual after-tax returns depend on the investor's tax situation and may differ from those shown. The after-tax returns shown are not relevant to investors who hold their fund shares through tax-deferred arrangements such as 401(k) plans or individual retirement accounts.

Unless otherwise noted all information contained herein is that of the SPDR S&P Health Care Services ETF.

Performance of an index is not illustrative of any particular investment. It is not possible to invest directly in an index.

Holdings and sectors shown are as of the date indicated and are subject to change. This information should not be considered a recommendation to invest in a particular sector or to buy or sell any security shown. It is not known whether the sectors or securities shown will be profitable in the future.

As with all stocks, you may be required to deposit more money or securities into your margin account if the equity, including the amount attributable to your ETF shares, declines.

The S&P Select Industry Index series is designed to measure the performance of narrow GICS (Global Industry Classification Standard) sub-industries. The S&P Health Care Services Select Industry Index is an equal-weighted index that draws constituents from the health care services segment of the S&P TMI. Liquidity and market capitalization screens are applied to the index to ensure investability.

Distributor	State Street Global Advisors Funds Distributors, LLC
Distribution Frequency	Quarterly

30 Day SEC Yield 30 Day SEC Yield (Also known as Standardized Yield) An annualized yield that is calculated by dividing the net investment income earned by the fund over the most recent 30-day period by the current maximum offering price.	0.24%
Fund Dividend Yield Fund Dividend Yield The sum of the most recent 12 dividends within the past 365 days divided by Net Asset Value per share, expressed as a percentage.	2.25%
Index Dividend Yield Index Dividend Yield The weighted average of the underlyings' indicated annual dividend divided by price, expressed as a percentage.	0.56%

NAV NAV The market value of a mutual fund's or ETFs total assets, minus liabilities, divided by the number of shares outstanding.	$76.54
Shares Outstanding	1.35M
Assets Under Management	$103.33 M

SPDR® S&P® Health Care Services ETF XHS

Important Risk Disclosure

Key Features

About this Benchmark

Fund Information as of Jan 23 2020

Listing Information as of Jan 23 2020

Fund Characteristics as of Jan 23 2020

Index Characteristics as of Jan 23 2020

Index Statistics as of Jan 23 2020

Yields as of Jan 23 2020

Fund Market Price as of Jan 23 2020

Premium Discount to Nav

Fund Net Cash Amount as of Jan 23 2020

Fund Net Asset Value as of Jan 23 2020

Fund Performance
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Top Holdings
Subject to change.

Fund Top Holdings as of Jan 23 2020

Index Top Holdings as of Jan 23 2020

Sub-Industry Allocation

Fund Sub-Industry Allocation as of Jan 23 2020

Index Sub-Industry Allocation as of Jan 23 2020

Fund Documents

Tax Documents

Information & Schedules

Insights & Investment Ideas

Education

Purchase Information

	Average Size		Size Range
Weighted Average Market Cap	Mean	Median	Largest	Smallest
$20,901.31 M	$18,415.57 M	$3,287.21 M	$283,588.63 M	$420.55 M