State Street SPDR S&P Health Care Services ETF(XHS · ETF)

ETF quote, holdings, sector allocation, technicals, and options analytics.

Market data may be delayed, incomplete, or inaccurate. Not a recommendation to buy, sell, or hold any security. Verify quotes with your broker before trading. See Terms §17.

Snapshot
$121.96
52-Week Range
$87.64 – $122.62
YTD
+13.64%
IV Rank (30D)
10.0
Straddle Price
$6.05
P/C Vol Ratio
0.00
Info

State Street SPDR S&P Health Care Services ETF (XHS) ETF

Exchange
ARCX
Inception
2011-09-28
Has Options
Yes
ETF Profile
holdings as of 2026-06-11
Holdings
58
AUM
Provider
SPDR (State Street)
Inception
2011-09-28
Exchange
ARCX
Data As Of
2026-06-11
Expense Ratio
0.35%
Dividend Yield
0.23%
Distribution
Quarterly
Recent distributions
Ex-Date Pay Date Amount Type
2026-03-23 2026-03-25 $0.0420 CD
2025-12-22 2025-12-24 $0.1179 CD
2025-09-22 2025-09-24 $0.0670 CD
2025-06-23 2025-06-25 $0.0598 CD
2025-03-24 2025-03-26 $0.0446 CD
2024-12-23 2024-12-26 $0.0848 CD
Asset Allocation
Top Holdings
top 50 of 58 holdings
Symbol Name Weight % Asset Class Country
CLOV CLOVER HEALTH INVESTMENTS CO 3.70% Equity (US)
HUM HUMANA INC 3.61% Equity (US)
CNC CENTENE CORP 2.97% Equity (US)
BTSG BRIGHTSPRING HEALTH SERVICES 2.56% Equity (US)
GH GUARDANT HEALTH INC 2.49% Equity (US)
PGNY PROGYNY INC 2.46% Equity (US)
ASTH ASTRANA HEALTH INC 2.39% Equity (US)
UNH UNITEDHEALTH GROUP INC 2.38% Equity (US)
ELV ELEVANCE HEALTH INC 2.31% Equity (US)
NEO NEOGENOMICS INC 2.25% Equity (US)
CVS CVS HEALTH CORP 2.22% Equity (US)
DVA DAVITA INC 2.21% Equity (US)
AMN AMN HEALTHCARE SERVICES INC 2.21% Equity (US)
MOH MOLINA HEALTHCARE INC 2.21% Equity (US)
MD PEDIATRIX MEDICAL GROUP INC 2.05% Equity (US)
CON CONCENTRA GROUP HOLDINGS PAR 2.03% Equity (US)
LFST LIFESTANCE HEALTH GROUP INC 1.99% Equity (US)
CRVL CORVEL CORP 1.92% Equity (US)
HQY HEALTHEQUITY INC 1.90% Equity (US)
CI THE CIGNA GROUP 1.89% Equity (US)
ALHC ALIGNMENT HEALTHCARE INC 1.88% Equity (US)
HIMS HIMS + HERS HEALTH INC 1.87% Equity (US)
SGRY SURGERY PARTNERS INC 1.86% Equity (US)
NUTX NUTEX HEALTH INC 1.81% Equity (US)
PRVA PRIVIA HEALTH GROUP INC 1.77% Equity (US)
HNGE HINGE HEALTH INC A 1.76% Equity (US)
HSIC HENRY SCHEIN INC 1.76% Equity (US)
CHE CHEMED CORP 1.75% Equity (US)
ACHC ACADIA HEALTHCARE CO INC 1.75% Equity (US)
CAH CARDINAL HEALTH INC 1.72% Equity (US)
EHC ENCOMPASS HEALTH CORP 1.71% Equity (US)
DGX QUEST DIAGNOSTICS INC 1.70% Equity (US)
PACS PACS GROUP INC 1.69% Equity (US)
LH LABCORP HOLDINGS INC 1.64% Equity (US)
NHC NATIONAL HEALTHCARE CORP 1.63% Equity (US)
RDNT RADNET INC 1.59% Equity (US)
ADUS ADDUS HOMECARE CORP 1.51% Equity (US)
BKD BROOKDALE SENIOR LIVING INC 1.50% Equity (US)
SEM SELECT MEDICAL HOLDINGS CORP 1.49% Equity (US)
MCK MCKESSON CORP 1.41% Equity (US)
USPH U.S. PHYSICAL THERAPY INC 1.38% Equity (US)
CSTL CASTLE BIOSCIENCES INC 1.35% Equity (US)
COR CENCORA INC 1.35% Equity (US)
UHS UNIVERSAL HEALTH SERVICES B 1.31% Equity (US)
THC TENET HEALTHCARE CORP 1.24% Equity (US)
AHCO ADAPTHEALTH CORP 1.23% Equity (US)
WGS GENEDX HOLDINGS CORP 1.20% Equity (US)
GRDN GUARDIAN PHRMCY SERVICES A 1.19% Equity (US)
HCA HCA HEALTHCARE INC 1.18% Equity (US)
ENSG ENSIGN GROUP INC/THE 1.17% Equity (US)
Geographic Breakdown
Fund Holdings
State Street(R) SPDR(R) S&P(R) Health Care Services ETF · NPORT-P period 2026-06-30 (filed 2026-02-26)
Net assets: $83M · 61 total positions · equity 99.96% · non-equity 3.41%
# Symbol Issuer Weight Value
1 Molina Healthcare Inc Molina Healthcare Inc 2.17% $1.8M
2 Centene Corp Centene Corp 2.13% $1.8M
3 BrightSpring Health Services Inc BrightSpring Health Services Inc 2.13% $1.8M
4 Cigna Group/The Cigna Group/The 2.10% $1.8M
5 Alignment Healthcare Inc Alignment Healthcare Inc 2.09% $1.7M
6 Cardinal Health Inc Cardinal Health Inc 2.08% $1.7M
7 Acadia Healthcare Co Inc Acadia Healthcare Co Inc 2.07% $1.7M
8 Brookdale Senior Living Inc Brookdale Senior Living Inc 2.07% $1.7M
9 Elevance Health Inc Elevance Health Inc 2.06% $1.7M
10 Progyny Inc Progyny Inc 2.05% $1.7M
11 McKesson Corp McKesson Corp 2.02% $1.7M
12 Tenet Healthcare Corp Tenet Healthcare Corp 2.02% $1.7M
13 Chemed Corp Chemed Corp 2.02% $1.7M
14 UnitedHealth Group Inc UnitedHealth Group Inc 2.02% $1.7M
15 CVS Health Corp CVS Health Corp 2.02% $1.7M
16 Ensign Group Inc/The Ensign Group Inc/The 2.01% $1.7M
17 Concentra Group Holdings Parent Inc Concentra Group Holdings Parent Inc 2.01% $1.7M
18 Pediatrix Medical Group Inc Pediatrix Medical Group Inc 2.01% $1.7M
19 Humana Inc Humana Inc 2.00% $1.7M
20 Encompass Health Corp Encompass Health Corp 2.00% $1.7M
21 HCA Healthcare Inc HCA Healthcare Inc 2.00% $1.7M
22 Henry Schein Inc Henry Schein Inc 2.00% $1.7M
23 Guardant Health Inc Guardant Health Inc 2.00% $1.7M
24 Cencora Inc Cencora Inc 1.99% $1.7M
25 Privia Health Group Inc Privia Health Group Inc 1.97% $1.6M
Showing top 25 of 59 equity holdings.
Non-equity holdings — 2 positions, 3.41% of NAV
Category Weight Value Positions
Short-term investment 3.41% $2.8M 2
Daily issuer data also available (2026-06-13) via ETF Constituents
Price History
Seasonality
MonthAvg ReturnYears of Data
Jan +0.53% 6
Feb +0.09% 6
Mar -0.32% 6
Apr -2.15% 6
May +1.10% 6
Jun +1.16% 6
Jul +2.94% 5
Aug -1.95% 5
Sep -2.70% 5
Oct +0.96% 5
Nov +2.60% 5
Dec -0.68% 5
Technical Indicators

Quick-reference for reading the values below. Indicators combine to confirm a view — no single one is a trade signal on its own.

Trend Indicators
  • SMA 20 / 50 / 200 — price above = uptrend, below = downtrend. SMA 50 crossing SMA 200 is the golden/death cross.
  • EMA 12 / 26 — faster-reacting averages; 12 above 26 is short-term bullish.
  • MACD — bullish when MACD > signal (green badge), bearish when below. Divergence from price often precedes reversals.
  • ADX (14) — trend strength regardless of direction. <20 range, 20–25 weak trend, 25–50 trend, >50 strong trend.
  • +DI / −DI — +DI > −DI favors bulls; the reverse favors bears. Read alongside ADX.
Momentum Oscillators
  • RSI (14) — <30 oversold, >70 overbought. 40–60 is neutral; trending names can stay extreme.
  • Stochastic %K / %D — <20 oversold, >80 overbought. %K crossing %D is an early momentum signal.
  • Williams %R — inverted scale: <−80 oversold, >−20 overbought.

Oscillators work best in range-bound markets; in strong trends they give premature reversal signals.

Volume & Volatility
  • Bollinger Bands — price at upper band = overbought, lower = oversold. Narrow bands (squeeze) often precede expansion.
  • OBV — cumulative volume; rising OBV confirms uptrend, falling OBV confirms downtrend. Divergence from price is a warning.
  • Vol SMA 20 / Vol ROC — today's volume vs. 20-day average. Positive ROC with price move = conviction.
  • ATR / True Range — average daily $ move; sizing and stop-loss reference.
  • HV 20 / 30 / 60 — realized (historical) volatility. Compare to IV on the options cards: IV > HV = rich premium.

Confluence matters: trend + momentum + volume agreeing carries far more weight than any single indicator. For how these feed the spread scanner score, see the algorithm docs →

Trend Indicators
SMA 20: $115.59
SMA 50: $111.10
SMA 200: $106.41
Current: $122.08
EMA 12: $117.85
EMA 26: $115.18
MACD: 2.6694 | Signal: 0.5889
BULLISH
ADX (14): 32.46
TREND
+DI: 48.31
−DI: 13.89
Momentum Oscillators
RSI (14): 78.36
OVERBOUGHT
Stoch %K: 93.30
Stoch %D: 91.81
Williams %R: -5.41
Volume & Volatility
BB Upper: $121.47
BB Lower: $109.72
OVERBOUGHT
OBV: 233,084
Vol SMA 20: 8,200
Vol ROC: 191.28%
ATR: $1.56
True Range: $1.37
HV 20: 16.0%
HV 30: 17.1%
HV 60: 16.8%

Data Summary
Data Points: 500
Last Updated: 2026-06-12T21:15:28.750000
Date Range: 2024-06-14T00:00:00 – 2026-06-12T00:00:00
AI Analysis

Choose Frenzy-Fast™ for quick analysis or Frenzy-Pro™ for comprehensive analysis.

Analysis includes technical indicators, news sentiment, risk assessment, and specific price levels to watch.

News
Options Activity
IV Rank (30D)
10.0
IV Rank (7D)
100
Avg IV
24.3%
Straddle (30D)
$6.05
Straddle (7D)
$4.05
P/C Volume
0.00
Spread Scanner GPU

Each spread is ranked by a composite score built in three stages. Full documentation →

Stage 1 — Base Score (GPU scanner)

score = P(profit) × (credit / spread_width)
P(profit) from short leg delta (1 − |delta|), penalised above 85%. Credit uses mid-price to handle illiquid chains fairly.

Stage 2 — Skew Adjustment (±25% cap)

RR25 and BF25 from the live options chain. Put skew boosts bull puts, penalises bear calls. High butterfly boosts iron condors. Calendars are skew-neutral.

Stage 3 — Technical Overlay (±50% cap, 5 groups)
Group 1 · Directional Bias (±0.25)
  • RSI <40 bullish / >60 bearish
  • MACD crossover + histogram trend
  • Price vs SMA 50 & SMA 200
Group 2 · Momentum (±0.10)
  • Stochastic %K <20 / >80
  • Williams %R <−80 / >−20
Group 3 · Volatility (up to −0.25 / +0.15)
  • Blended ATR + straddle expected-move penalty
  • Bollinger Band signal (+ counter-trend penalty)
  • BB width — vol contraction boost for ICs
Group 4 · IV Regime (±0.15)
  • IV rank ≥ 75 → strong boost for credit spreads
  • IV rank < 25 → penalty (selling cheap vol)
Group 5 · Liquidity (penalty up to −0.10)
  • Min open interest across all legs
  • OI < 100 → −0.10 · OI < 500 → −0.05

score = base_score × skew_multiplier × tech_multiplier
Both multipliers are shown per spread. Beta is informational only — ATR already captures realized vol. Full algorithm documentation →

Enter a ticker to scan for optimal spread opportunities.

Evaluates all bull put, bear call, iron condor, and calendar spread combinations using GPU-accelerated analysis.

Volatility Surface

Enter a ticker to render the implied volatility surface.

IV Rank (7 DTE)
IV Rank (30 DTE)
Straddle Price (30 DTE)
Beta Analysis
Beta (1Y vs SPY)
0.63
Correlation (SPY)
43.5%
0.19
Ann. Volatility
17.9%
SPY Volatility
12.3%

Low volatility - stock moves less than market

Beta & Alpha Over Time
Constituent Performance

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Constituents
Symbol Price 1 Day 1 Week 1 Month