State Street SPDR S&P Health Care Services ETF (XHS) is a healthcare and biotech ETF. As of October 9, 2026, ETF Copilot scores XHS 2.6 out of 10 — highest on Return (4.6), lowest on Quality (0.3). It trades at 22.0 times earnings, against its own median of 19.3. Its ten largest holdings are 19% of the fund.
What stands out in XHS's data
U.S. health-care services companies, selected by a focused strategy.
Its holdings carry a much thinner profit margin than peers.
EBITDA margin is 9.6%, exceptionally low versus the category median of 20.5%.
A niche sleeve for portfolios that want a targeted health-care-services bet.
Why did XHS move this week? It rose 2.2% in the week to October 9, 2026 — Option Care Health and Progyny drove it
XHS rose 2.2% in the week to October 9, 2026. The holdings that moved it most were Option Care Health (+37.2%), Progyny (+10.7%) and Humana (+11.2%); Neogenomics (−11.5%) pushed the other way.
How is XHS rated? ETF Copilot scores State Street SPDR S&P Health Care Services ETF (XHS) 2.6 out of 10
As of October 9, 2026, ETF Copilot scores State Street SPDR S&P Health Care Services ETF (XHS) 2.6 out of 10 overall.
ETF Copilot scores (0–10 scale, higher is better):
- Overall: 2.6 / 10
- Growth: 0.6 / 10
- Value: 3.4 / 10
- Risk: 4.0 / 10
- Quality: 0.3 / 10
- Return: 4.6 / 10
Is XHS expensive right now? It trades at 22.0 times earnings, against its own median of 19.3
As of October 9, 2026, XHS is more expensive than 92% of its own last 9 years.
Trailing 12 months, built from XHS's holdings. How we calculate this →
What's inside XHS?
What's inside XHS: Size (Large 18%, Mid 31%, Small 51%); Geography (International 0%, US 100%).
What are XHS's top holdings? The ten largest are 19% of the fund
Option Care Health, Corvel, Hinge Health, U.S. Physical Therapy, Concentra, HCA Healthcare, Clover Health Investments, McKesson, Nutex Health and AMN Healthcare Services are XHS's largest holdings, in that order.
Less concentrated than 88% of Health & Biotech ETFs.
Half of XHS's weight sits in its 28 largest positions, and once those weights are taken into account it behaves like 59 equally weighted holdings.
What is XHS's expense ratio? 0.35% a year
As of October 9, 2026, XHS charges 0.35% a year, yields 0.16% and holds $204M in assets across 61 positions.
| Measure | XHS |
|---|---|
| Expense ratio | 0.35% |
| Dividend yield | 0.16% |
| Assets under management | $204M |
| Holdings | 61 |
Expense ratio, dividend yield and assets under management are reported by the fund and refreshed daily. Every other figure on this page is computed by ETF Copilot.
Cite this
ETF Copilot, “State Street SPDR S&P Health Care Services ETF (XHS) scores and holdings analysis”, as of October 9, 2026.
https://etf-copilot.com/etf/xhs
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