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XHS

SPDR S&P Health Care Services ETF (XHS)

Rating:65Neutral
Price Target:$148.00â–²(4.67% Upside)

XHS, the SPDR S&P Health Care Services ETF, has a solid overall rating that reflects a mix of strong performers and some more challenged holdings in the health care services space. Leaders like CorVel, Cigna, and Hinge Health support the fund’s quality through strong financial performance, growth momentum, and positive earnings calls, while names such as AMN Healthcare and Concentra face operational and technical headwinds that likely weigh on the rating. The main risk factor is that many holdings share similar sector-specific issues like leverage, margin pressure, and occasional overvaluation, which can affect the ETF if conditions worsen across health care services companies.

Positive Factors
Strong Recent PerformanceThe ETF has delivered strong gains so far this year and over the past few months, showing solid recent momentum.
Broad Health Care Services ExposureMost of the fund is invested in health care services companies, giving focused exposure to a key part of the health care sector while still holding a small mix of other industries.
Multiple Strong-Performing Top HoldingsSeveral of the largest positions, such as Acadia Healthcare, Hinge Health, and Lifestance Health Group, have posted strong year-to-date gains that support the fund’s overall performance.
Negative Factors
Single-Country ConcentrationAlmost all assets are invested in U.S. companies, which limits international diversification and ties the fund closely to the U.S. market.
Sector Concentration RiskWith the vast majority of assets in health care, the ETF is vulnerable to sector-specific risks such as regulatory changes or reimbursement pressures.
Mixed Performance Among Top HoldingsA few key holdings, including US Physical Therapy and Tenet Healthcare, have shown weaker year-to-date performance, which could drag on overall returns if the trend continues.

XHS vs. SPDR S&P 500 ETF (SPY)

AUM
223.72M
Region
North America
Expense Ratio
0.35%
Beta
0.58
Issuer
SPDR
Inception Date
Sep 28, 2011
Dividend Yield
0.15%
Asset Class
Equity
Index Tracked
S&P Health Care Services Select Industry

XHS Summary

XHS is the SPDR S&P Health Care Services ETF, which follows the S&P Health Care Services Select Industry Index. It focuses on U.S. companies that provide medical care, such as hospitals, home health services, and specialty clinics. Holdings include well-known names like Tenet Healthcare and NeoGenomics. Someone might invest in XHS to gain diversified exposure to the health care services theme, which can benefit from an aging population and steady demand for medical care. A key risk is that health care stocks can still go up and down with the overall stock market and changes in health care regulations.

How much will it cost me?

This ETF has an expense ratio of 0.35%, which means you’ll pay about $3.50 per year for every $1,000 invested. That’s a bit higher than the cost of a typical broad, passively managed index ETF because this fund is more specialized, focusing on a specific slice of the health care sector.

What would affect this ETF?

Future performance of XHS could benefit from steady demand for U.S. health care services, an aging population, and ongoing medical innovation that supports providers like Option Care Health, McKesson, and Molina Healthcare. On the other hand, changes in government health care policy, reimbursement rates, and broader economic or interest rate shifts that pressure hospital and outpatient budgets could weigh on this ETF.

XHS Top 10 Holdings

XHS is firmly anchored in U.S. health care providers and services, with fast-growing names like Hinge Health, NeoGenomics, and Guardant Health doing much of the heavy lifting as their shares keep rising on strong growth stories despite profitability concerns. BillionToOne and Nutex Health add to the momentum, reflecting a bet on innovative, smaller players. On the flip side, Hims & Hers has been losing steam, and Clover Health’s mixed trajectory has introduced some drag. Overall, the fund is a concentrated play on U.S. health care services innovation rather than broad, defensive health care.

XHS top ten holdings
NameCompany NameWeight %Market ValueMarket CapYearly GainOverall Rating
OPCHOPCHOption Care Health2.20%$4.93M$4.68B11.34%73Outperform
AMNAMNAMN Healthcare Services2.27%$5.08M$1.86B140.53%50Neutral
HNGEHNGEHinge Health, Inc. Class A2.00%$4.48M$9.00B125.07%70Outperform
CRVLCRVLCorVel1.99%$4.45M$4.24B11.74%75Outperform
MCKMCKMcKesson1.89%$4.23M$116.68B26.21%62Neutral
CONCONConcentra Group Holdings Parent, Inc.1.95%$4.36M$5.01B91.00%66Neutral
MOHMOHMolina Healthcare1.86%$4.16M$10.92B29.91%71Outperform
PRVAPRVAPrivia Health Group1.87%$4.17M$2.86B-13.41%71Outperform
USPHUSPHUS Physical Therapy1.90%$4.24M$1.32B-3.08%63Neutral
ACHCACHCAcadia Healthcare1.88%$4.21M$2.93B34.09%61Neutral

XHS Technical Analysis

Technical Analysis SentimentPositive
Last Price141.40

Price Trends

50DMA136.13Positive
100DMA133.07Positive
200DMA120.40Positive

Market Momentum

MACD1.66Negative
RSI61.59Neutral
STOCH90.02Negative

Evaluating momentum and price trends is crucial in ETF analysis to make informed investment decisions. For XHS, the sentiment is Positive. The current price of 141.40 is above the 20-day moving average (MA) of 136.71, above the 50-day MA of 136.13, and above the 200-day MA of 120.40, indicating a bullish trend. The MACD of 1.66 indicates Negative momentum. The RSI at 61.59 is Neutral, neither overbought nor oversold. The STOCH value of 90.02 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for XHS.

XHS Peer Comparison

Comparison Results

XHS against its peer funds
NamePricePrice TargetAUMExpense RatioOverall Rating
XHSXHS$141.40$148.00(4.67% Upside)$223.72M0.35%65Neutral
RSPHRSPH$39.44$42.00(6.48% Upside)$972.11M0.40%71Outperform
PJPPJP$125.03$156.08(24.83% Upside)$565.40M0.58%70Neutral
XPHXPH$62.70$108.48(73.01% Upside)$450.42M0.35%57Neutral
PBEPBE$98.72$124.15(25.76% Upside)$432.18M0.59%70Outperform
PINKPINK$39.64$49.65(25.25% Upside)$328.02M0.51%65Neutral

Performance Comparison

0%20%40%XHSRSPHPJPXPHPBEPINKNov '25Dec '25Jan '26Feb '26Mar '26Apr '26May '26Jun '26Jul '26Aug '26Sep '26Oct '26
XHS and its peers over the selected period
Show on chartTickerCompany NamePriceChange% Change
XHSSPDR S&P Health Care Services ETF141.4035.9834.14%
RSPHInvesco S&P 500 Equal Weight Health Care ETF39.448.7928.69%
PJPInvesco Dynamic Pharmaceuticals ETF125.0330.7132.56%
XPHSPDR S&P Pharmaceuticals ETF62.7013.8228.28%
PBEInvesco Dynamic Biotechnology & Genome ETF98.7226.0635.86%
PINKSimplify Health Care ETF39.646.6520.15%
Glossary
BuyAn ETF rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the ETF is likely to deliver higher returns compared to other ETFs in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldAn ETF rated as a "Hold" s expected to perform in line with the overall market or a specific benchmark. This rating indicates that the ETF is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellAn ETF rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the ETF may deliver lower returns compared to other ETFs in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
Disclaimer

This AI Analyst ETF Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in ETFs carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.