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

$134.91 -$0.41 (-0.30%) |CouncilSplit View · 47 · C
State Street SPDR S&P Health Care Services ETF (XHS) bottom line: Split View — our Council read (47/100) and AI Score (46/100) broadly agree. Strongest signal: Izzy Englander bullish · Biggest watch-out: Moon AI bearish.
MCap: $100M| Vol: 9.1K|
Data from FMP · Methodology

For informational purposes only. Not financial advice. Analysis by Sedat ANAK, Founder & Editor-in-Chief | AI-powered analysis. Data sourced from SEC filings and institutional-grade financial providers. Editorially reviewed. Not financial advice.

State Street SPDR S&P Health Care Services ETF (XHS) trades at $134.91 with AI Score 46/100 (Grade C). The State Street SPDR S&P Health Care Services ETF (XHS) aims to replicate the performance of… Market cap: $100M, Sector: Financial services.

Price as of Aug 21, 2026 · Last analyzed: Jun 14, 2026
The State Street SPDR S&P Health Care Services ETF (XHS) aims to replicate the performance of the S&P Health Care Services Select Industry Index, providing focused exposure to U.S. healthcare service companies. It utilizes a modified equal-weighted approach to diversify across market capitalizations within sub-industries like Health Care Distributors, Facilities, Services, and Managed Health Care.

Analyst Coverage for XHS: XHS does not currently have published analyst price targets in our coverage universe. This is common for smaller-cap names with limited Wall Street coverage. In the absence of analyst consensus, our AI model evaluates XHS against Financial Services peers across nine fundamental dimensions and assigns an underweight signal based on the underlying data.

Watch the XHS film Every key number, told as a short cinematic story — just press play. ~2 min
Council Score · Weighted Average of 3 Disciplines
Split View 47/100 · C

XHS: the 3 scored disciplines are evenly split. Dominant signal: Izzy Englander bullish.

How is this calculated? →
Legends Council · 5 Legends + Moon AI
Ray Dalio
Bullish
Ken Griffin
Bullish
Izzy Englander
Bullish
Seth Klarman
Neutral
Moon AI
Bearish
Munger's Mindset · Balance Sheet & Valuation
Financial Health
Neutral
Margin of Safety
Fairly Valued
Council Score · Weighted Average of 3 Disciplines · See tabs for details →

Why this analysis is different

  • A 9-signal quantitative MoonshotScore built from filings, insider activity, and market data — computed from the numbers, not from opinion.
  • An AI Council read across up to eight perspectives — value, macro, quantitative, and momentum lenses — that shows where they disagree instead of averaging the tension away.
  • Figures come straight from FMP and Yahoo Finance filings data. The AI writes the narrative around the numbers — it never edits the numbers.

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

HeadquartersBoston, US
IPO Year2011

The State Street SPDR S&P Health Care Services ETF (XHS) provides focused investment exposure to the U.S. healthcare services segment, tracking a modified equal-weighted index. It diversifies across Health Care Distributors, Facilities, Services, and Managed Health Care sub-industries, aiming to match the S&P Health Care Services Select Industry Index performance before fees.

Data Provenance | Financial Data Quantitative Analysis Analysis: Jun 14, 2026

What Is the Investment Thesis for XHS?

As of Jun 14, 2026 — figures reflect the data available on that date.

The investment thesis for the State Street SPDR S&P Health Care Services ETF (XHS) centers on its ability to provide targeted, diversified exposure to a critical and often defensive segment of the U.S. economy. XHS aims to replicate the performance of the S&P Health Care Services Select Industry Index, offering investors a specific avenue into sub-industries such as Health Care Distributors, Facilities, Services, and Managed Health Care. A key value driver is the inherent demand for healthcare services, which is bolstered by ongoing demographic trends like an aging population and increasing healthcare expenditure, often exhibiting resilience even during broader economic downturns. The ETF's modified equal-weighted index strategy further diversifies risk by preventing over-concentration in a few large-cap companies, potentially capturing growth across the entire market capitalization spectrum within the sector. With a market capitalization of $100M, XHS serves as a specialized tool for investors seeking precise tactical or strategic allocations within their portfolios. However, investors must acknowledge the inherent risks, particularly the sector's susceptibility to regulatory changes and shifts in reimbursement policies, which can significantly impact the profitability and operational landscape of its underlying holdings. The thesis is predicated on the strategic utility of focused healthcare services exposure for long-term portfolio construction, balancing growth potential with specific industry-related sensitivities.

Based on FMP financials and quantitative analysis

XHS Key Highlights

Market Capitalization: $0.10 billion, indicating a specialized, smaller-cap ETF within the asset management industry.

  • Beta: 1.08, suggesting that the ETF's price tends to be slightly more volatile than the overall market.
  • Dividend Yield: None, as the ETF does not distribute dividends to its shareholders.
  • Targeted Exposure: Replicates the S&P Health Care Services Select Industry Index, offering focused access to a specific healthcare sub-sector.
  • Diversified Strategy: Utilizes a modified equal-weighted index to avoid over-concentration across large, mid, and small-cap companies within its portfolio.

Who Are XHS's Competitors?

XHS is benchmarked below against 8 industry peers on price, market cap, and our AI MoonshotScore.

Company Price Change Market Cap AI Score
ASEA Global X - FTSE Southeast Asia ETF $21.55 +0.01% $93.6M 47
AGNG Global X - Aging Population ETF $38.75 -1.11% $88.2M 47
GGZ The Gabelli Global Small and Mid Cap Value Trust $16.38 -3.02% $125M 52
GESIX Lazard Global Equity Select Portfolio Institutional Shares $19.17 -0.14% $79.9M 52
GESOX Lazard Global Equity Select Portfolio Open Shares $19.13 -0.10% $79.9M 52
GGIAX Goldman Sachs Global Infrastructure Fund Class A $14.16 +0.28% $133M 50
GLQ Clough Global Equity Fund $8.07 -2.42% $151M 48
BOAT SonicShares Global Shipping ETF $48.40 -0.68% $56.6M 50

AI Score by Stock Expert AI · Price data: FMP / Yahoo Finance

What Are XHS's Key Strengths?

Provides focused exposure to the healthcare services segment, allowing for precise investment.

  • Tracks a modified equal-weighted index, offering diversified industry exposure across market caps.
  • Potential defensive characteristics of healthcare during economic downturns, offering stability.
  • Offers precise strategic or tactical positioning within the health care sector for portfolio managers.

What Are XHS's Weaknesses?

Concentrated sector focus could amplify volatility compared to more diversified healthcare funds.

  • No dividend yield, which may be less attractive for income-focused investors.
  • Relatively small market capitalization ($0.10B) compared to broader, more established ETFs.
  • Performance is entirely dependent on the underlying index's performance, with no active management alpha.

What Could Drive XHS Stock Higher?

XHS catalyst: Continued growth in the healthcare services sector driven by demographic shifts, particularly an aging global population.

  • Innovation and adoption of new technologies within healthcare service delivery, enhancing efficiency and expanding access.
  • Evolution of healthcare policy and reimbursement structures that could favorably impact service providers and managed care organizations.
  • Increased investor demand for targeted, sector-specific ETF products that offer precise exposure to sub-industries like healthcare services.

What Are the Key Risks for XHS?

Regulatory changes and evolving reimbursement policies impacting healthcare services companies, potentially affecting profitability.

  • Increased volatility due to the ETF's concentrated sector focus compared to broader market or diversified healthcare funds.
  • Economic downturns leading to reduced consumer spending on certain healthcare services or increased pressure on healthcare budgets.
  • Underperformance of the S&P Health Care Services Select Industry Index relative to the broader market or other healthcare segments.
  • Operational risks associated with accurately tracking the underlying index and managing the ETF's expenses, which could lead to tracking error.

What Are the Growth Opportunities for XHS?

  • Aging Demographics and Increased Healthcare Demand: The ongoing global demographic shift towards an older population inherently drives increased demand for healthcare services. As individuals age, their need for medical care, specialized facilities, and managed health programs typically rises, creating a sustained growth trajectory for the sub-industries XHS tracks, such as Health Care Facilities and Health Care Services. This long-term trend provides a fundamental tailwind for the ETF's underlying holdings, supporting revenue growth and operational expansion across the sector.
  • Technological Advancements in Healthcare Delivery: The continuous integration of technology, including telehealth, AI-driven diagnostics, and digital health platforms, is transforming healthcare service delivery. These innovations enhance efficiency, improve patient outcomes, and expand access to care, potentially leading to new revenue streams and market expansion for companies within the Health Care Services and Managed Health Care sub-industries. The adoption of these technologies can drive significant growth within the ETF's portfolio over the coming years, as companies adapt and innovate.
  • Expansion of Managed Health Care Models: The shift towards value-based care and managed health care models continues to gain traction, driven by efforts to control costs and improve care coordination. Companies in the Managed Health Care sub-industry, a key component of XHS, are well-positioned to benefit from this trend. As more patients enroll in managed care plans and providers adopt integrated care approaches, the demand for services offered by these entities is expected to grow, providing a structural growth opportunity for the ETF's holdings.
  • Consolidation and Strategic Partnerships in Healthcare Services: The healthcare services sector frequently experiences consolidation, with larger entities acquiring smaller players to achieve economies of scale, expand geographic reach, and enhance service offerings. This trend can lead to increased market power and efficiency for the consolidated entities, potentially boosting their financial performance. For an ETF like XHS, which holds a diversified basket of companies, such industry consolidation can translate into stronger underlying asset performance and potential revaluation opportunities for its portfolio components.
  • Increased Healthcare Spending and Policy Support: Global healthcare spending continues to rise, influenced by factors like economic growth, evolving disease patterns, and government initiatives to improve public health access. While regulatory changes pose risks, supportive government policies aimed at expanding healthcare coverage or funding specific health programs can also act as significant growth catalysts for the healthcare services sector. This sustained investment and policy focus provide a robust environment for the companies within XHS's tracking index, underpinning their long-term growth prospects.

What Are XHS's Competitive Advantages?

  • Index Replication Expertise: State Street's established reputation and expertise in managing index-tracking ETFs, ensuring efficient and accurate replication of the S&P Health Care Services Select Industry Index.
  • Targeted Exposure: Offers a unique, granular focus on the healthcare services sub-sector, which differentiates it from broader healthcare ETFs and provides a specific tool for investors.
  • Modified Equal-Weighting Strategy: The index's modified equal-weighted methodology provides diversified exposure across market capitalizations, potentially reducing the impact of single large-cap companies and offering a distinct risk-return profile.
  • Liquidity and Transparency: As an ETF, XHS benefits from daily liquidity on exchanges and transparent holdings, which are attractive features for institutional and retail investors.

What Does XHS Do?

The State Street SPDR S&P Health Care Services ETF (XHS) is meticulously designed to offer investors a precise and targeted investment vehicle within the dynamic U.S. healthcare sector. Its primary objective is to deliver investment outcomes that closely mirror the total return performance of the S&P Health Care Services Select Industry Index, before the deduction of any associated fees and expenses. This strategic focus distinguishes XHS from broader healthcare funds by providing concentrated exposure specifically to the healthcare services segment of the S&P Total Market Index. The ETF's portfolio is constructed to encompass a diverse array of critical sub-industries essential to the healthcare ecosystem. These include Health Care Distributors, which play a vital role in the supply chain of medical products and pharmaceuticals; Health Care Facilities, comprising hospitals, clinics, and other care centers; general Health Care Services, covering a wide spectrum of non-facility-based medical and administrative support; and Managed Health Care, which involves health maintenance organizations and other integrated care providers. A cornerstone of XHS's methodology is its tracking of a modified equal-weighted index. This sophisticated indexing approach is deliberately structured to provide diversified industry exposure across companies of varying market capitalizations—specifically large, mid, and small-cap entities. By employing this modified equal-weighting, the ETF actively mitigates the risk of over-concentration in any single company, a common characteristic of traditional market-capitalization-weighted indices. This unique structure empowers institutional and individual investors alike to adopt more precise strategic or tactical positions within the complex and evolving health care sector. Rather than investing in a broad, undifferentiated healthcare fund, XHS offers a granular tool for those seeking specific exposure to the service-oriented components of healthcare, allowing for refined portfolio construction and alignment with specific investment theses related to healthcare delivery and management. With a market capitalization of $100M, XHS represents a specialized offering within the asset management landscape, catering to investors seeking focused access to this vital economic segment.

What Products and Services Does XHS Offer?

  • Provides focused investment exposure to the U.S. healthcare services sector.
  • Aims to replicate the performance of the S&P Health Care Services Select Industry Index.
  • Invests in companies across sub-industries like Health Care Distributors.
  • Includes companies involved in Health Care Facilities.
  • Covers businesses offering general Health Care Services.
  • Encompasses firms operating in Managed Health Care.
  • Utilizes a modified equal-weighted index strategy to diversify holdings.
  • Offers a targeted alternative to broader healthcare sector investments.

How Does XHS Make Money?

  • Generates revenue primarily through management fees charged to investors for managing the ETF.
  • Aims to track an index, minimizing active management costs and aiming for efficient replication.
  • Profits from the difference between the gross return of its underlying assets and its operational expenses.
  • Facilitates investment in a specific market segment, attracting capital from investors seeking targeted exposure.

What Industry Does XHS Operate In?

The State Street SPDR S&P Health Care Services ETF (XHS) operates within the global asset management industry, specifically providing a specialized exchange-traded fund focused on the U.S. healthcare services sector. This sector is a cornerstone of the broader healthcare economy, characterized by its essential nature and often considered defensive due to consistent demand irrespective of economic cycles. Key market trends influencing this segment include an aging demographic, which drives increased utilization of healthcare facilities and services, and continuous advancements in medical technology and care delivery models. The competitive landscape for healthcare services is dynamic, featuring large integrated health systems, specialized service providers, and managed care organizations. XHS positions itself by offering a granular, diversified approach to this specific sub-sector, distinct from more generalized healthcare ETFs that might include pharmaceutical or biotechnology companies. By tracking the S&P Health Care Services Select Industry Index, XHS provides investors with a tool to access the performance of companies directly involved in the delivery, management, and distribution of healthcare services, allowing for a more refined investment strategy within the expansive U.S. healthcare market.

Who Are XHS's Key Customers?

  • Institutional investors seeking targeted exposure to the healthcare services sector.
  • Financial advisors and wealth managers building diversified client portfolios.
  • Individual investors looking for specific healthcare sub-sector access.
  • Portfolio managers aiming for tactical or strategic positions within healthcare.
AI Confidence: 68% Updated: Jun 14, 2026
ROE 0%

Key Financial Metrics

Return on equity for State Street SPDR S&P Health Care Services ETF stands at 0.0%, a gauge of how efficiently it converts shareholder capital into profit. Return on assets is 0.0%, showing how much profit it generates from its asset base. XHS trades at a trailing price-to-earnings ratio of 0.00, below the Financial Services sector average of ~18x. Its free cash flow yield is 0.0%, a gauge of the cash the business throws off relative to its market value. A current ratio of 0.00 means current liabilities exceed short-term assets, a liquidity point worth watching. Its earnings yield is 0.0%, the inverse of the P/E and a quick read on earnings relative to price.

How State Street SPDR S&P Health Care Services ETF Is Valued

State Street SPDR S&P Health Care Services ETF carries a market capitalization of $100M, placing it in the micro-cap category. Relative to its peer group, XHS's quantitative score of 46/100 is roughly in line with the peer average of 50/100.

XHS Financials

Bull Case vs Bear Case

Bull Case

  • Provides focused exposure to the healthcare services segment, allowing for precise investment.
  • Tracks a modified equal-weighted index, offering diversified industry exposure across market caps.
  • Potential defensive characteristics of healthcare during economic downturns, offering stability.
  • Offers precise strategic or tactical positioning within the health care sector for portfolio managers.

Bear Case

  • Concentrated sector focus could amplify volatility compared to more diversified healthcare funds.
  • No dividend yield, which may be less attractive for income-focused investors.
  • Relatively small market capitalization ($0.10B) compared to broader, more established ETFs.
  • Performance is entirely dependent on the underlying index's performance, with no active management alpha.

AI-generated arguments based on insider flow, news sentiment and technicals — not financial advice · August 2026

XHS Latest News

XHS Analyst Consensus

Consensus Rating

Aggregated Buy/Hold/Sell recommendations from Benzinga, Yahoo Finance, and Finnhub for XHS.

Price Targets

Wall Street price target analysis for XHS.

XHS MoonshotScore

46/100

What does this score mean?

The MoonshotScore rates XHS 0-100 on quantitative fundamentals — growth, financial health, valuation, momentum, and risk.

What Investors Ask About State Street SPDR S&P Health Care Services ETF (XHS) — Financial Services

What does the AI Score mean for XHS?

XHS holds an AI Score of 46/100 (Grade: C). This is an educational research signal, not a buy or sell recommendation. The State Street SPDR S&P Health Care Services ETF (XHS) aims to replicate the performance of the S&P Health Care Services Select Industry Index, providing focused exposure to U.S. healthcare …

What does State Street SPDR S&P Health Care Services ETF do?

The State Street SPDR S&P Health Care Services ETF (XHS) is designed to provide investors with focused exposure to the U.S. healthcare services segment. It achieves this by tracking the performance of the S&P Health Care Services Select Industry Index, before fees and expenses.

How sensitive is XHS to regulatory changes and reimbursement policies in healthcare?

XHS, by design, has significant sensitivity to regulatory changes and reimbursement policies within the healthcare sector. The companies comprising the S&P Health Care Services Select Industry Index, which XHS tracks, operate in an environment heavily influenced by government regulations, insurance mandates, and evolving payment models.

What is the benefit of XHS's modified equal-weighted index strategy?

The State Street SPDR S&P Health Care Services ETF utilizes a modified equal-weighted index strategy, which is a key differentiator. Unlike market-capitalization-weighted indexes that give larger companies a proportionally greater influence, an equal-weighted approach assigns roughly the same weight to each constituent company. The "modified" aspect often involves periodic rebalancing to maintain these weights.

What are the primary sub-industries XHS provides exposure to?

XHS provides focused exposure to several critical sub-industries within the broader healthcare services segment of the S&P Total Market Index. These include Health Care Distributors, which are involved in the distribution of medical products and pharmaceuticals; Health Care Facilities, encompassing hospitals, nursing homes, and other care centers; Health Care Services, covering a wide array of non-facility-based medical and administrative services; and Managed Health Care, which includes health maintenance organizations (HMOs) and other managed care providers.

What are the key factors to evaluate for XHS?

State Street SPDR S&P Health Care Services ETF (XHS) holds an AI score of 46/100 (low). The investment thesis for the State Street SPDR S&P Health Care Services ETF (XHS) centers on its ability to provide targeted, diversified exposure to a critical and often defensive segment of the U.S. Not financial advice.

How frequently does XHS data refresh on this page?

XHS's price was last updated on Aug 21, 2026 and refreshes on page view during U.S. market hours — it is not a real-time exchange feed. Fundamentals update after quarterly filings; the MoonshotScore recalculates nightly; news aggregates continuously.

What has driven XHS's recent stock price performance?

State Street SPDR S&P Health Care Services ETF (XHS) moves on earnings results, analyst revisions, sector rotation, and market sentiment. Notable catalyst: Provides focused exposure to the healthcare services segment, allowing for precise investment. See the News tab for the latest drivers. Past performance does not predict future results.

Should investors consider XHS overvalued or undervalued right now?

State Street SPDR S&P Health Care Services ETF (XHS) has no trailing P/E available here, so lean on price-to-sales and cash flow in the Financials tab. Compare P/E, P/S, and EV/EBITDA against sector peers for a full view.

Disclaimer: This content is for informational purposes only and does not constitute investment advice. Always do your own research and consult a financial advisor.

Official Resources

Price as of Analysis updated AI Score refreshed daily
Data Sources & Methodology
Market data powered by Financial Modeling Prep & Yahoo Finance. AI analysis by Stock Expert AI proprietary algorithms. Technical indicators via industry-standard calculations. Last updated: .
Data Provenance
Sources: Financial Modeling Prep (FMP) — Primary · Yahoo Finance — Fallback · Alpaca — Tertiary
Last fetched:
Cache TTL: Quote 5min · Profile 7d · Financials 7d · Insider 48h
How we use AI: Numbers are pulled directly from FMP & Yahoo Finance — our AI writes the analysis, it never edits the figures.
Data provided as-is for educational purposes. Not financial advice. Methodology

Data provided for informational purposes only.

Analysis Notes
  • All information based strictly on provided source data. No external research or speculation was used.
Data Sources

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