Verdicts genuinely change. Free email alert the moment XHS's does — no target price to set, unlike "Alert" above.
Whether this fund clears the published standards, and the filings behind that answer. The screen runs first and nothing on the trading side can override it.
Structure, momentum, positioning and levels. Separate from the Sharia verdict above, which this side never overrides.
State Street(R) SPDR(R) S&P(R) Health Care Services ETF ETF · SPDR SERIES TRUST
65 holdings · as of 2026-06-30 (3.6 months ago) The fund may have traded since. SEC Form N-PORT is filed quarterly and lags the period it covers, so these are the most recent holdings on file, not the fund’s holdings today.
NON-COMPLIANT 40.29% of portfolio weight is in non-compliant holdings, over the 5% threshold.
65 holdings, 51 matched (83% of weight). Portfolio as of 2026-06-30, filed 2026-08-28. Source: SEC Form N-PORT.
0.63% of this portfolio’s income is non-permissible — weighted across holdings, computed over 78% of portfolio weight (48 of 65 holdings). The common approach purifies that proportion of income received — dividends — not of the position’s value. We report the ratio; what to do with it is a question for your own scholar.
42.9% compliant 0.0% questionable 40.2% non-compliant 16.9% unscreened
| Holding | Status | Weight | Every methodology, and the debt ratio behind it |
|---|---|---|---|
| LFST LifeStance Health Group Inc | COMPLIANT | 2.20% | AAOIFI9.7% Usmani21.7% Dow Jones Islamic17.3% S&P Shariah18.0% MSCI Islamic21.7% MSCI Islamic M-Series18.0% FTSE Shariah12.5% |
| HNGE Hinge Health Inc | COMPLIANT | 2.16% | AAOIFI0.1% Usmani0.7% Dow Jones Islamicpass S&P Shariahpass MSCI Islamic0.7% MSCI Islamic M-Seriespass FTSE Shariah0.0% |
| NEO NeoGenomics Inc | COMPLIANT | 2.09% | AAOIFI20.0% Usmani33.2% Dow Jones Islamic30.1% S&P Shariah27.0% MSCI Islamic32.7% MSCI Islamic M-Series27.0% FTSE Shariah27.7% |
| WGS GeneDx Holdings Corp | COMPLIANT | 2.04% | AAOIFI4.7% Usmani20.1% Dow Jones Islamic3.9% S&P Shariah5.5% MSCI Islamic20.1% MSCI Islamic M-Series5.5% FTSE Shariah20.1% |
| HIMS Hims & Hers Health Inc | COMPLIANT | 2.02% | AAOIFI2.8% Usmani5.0% Dow Jones Islamic2.2% S&P Shariah2.9% MSCI Islamic5.0% MSCI Islamic M-Series2.9% FTSE Shariah0.0% |
| PACS PACS Group Inc | NON_COMPLIANT | 2.01% | AAOIFI47.0% Usmani60.2% Dow Jones Islamic83.6% S&P Shariahfail MSCI Islamic57.5% MSCI Islamic M-Seriesfail FTSE Shariah4.4% |
| ACHC Acadia Healthcare Co Inc | NON_COMPLIANT | 2.00% | AAOIFIfail Usmanifail Dow Jones Islamicfail S&P Shariahfail MSCI Islamicfail MSCI Islamic M-Seriesfail FTSE Shariahfail |
| Brookdale Senior Living Inc | UNSCREENED | 1.98% | no in-house ratios for this holding |
| Astrana Health Inc | UNSCREENED | 1.94% | no in-house ratios for this holding |
| SGRY Surgery Partners Inc | NON_COMPLIANT | 1.91% | AAOIFI216.2% Usmani61.8% Dow Jones Islamic156.6% S&P Shariah137.6% MSCI Islamic50.4% MSCI Islamic M-Series137.6% FTSE Shariah46.6% |
| ALHC Alignment Healthcare Inc | COMPLIANT | 1.87% | AAOIFI11.6% Usmani25.3% Dow Jones Islamic10.0% S&P Shariah12.5% MSCI Islamic25.3% MSCI Islamic M-Series12.5% FTSE Shariah25.3% |
| MOH Molina Healthcare Inc | NON_COMPLIANT | 1.87% | AAOIFI36.0% Usmani24.7% Dow Jones Islamic29.7% S&P Shariah24.7% MSCI Islamic23.6% MSCI Islamic M-Series24.7% FTSE Shariah23.6% |
| BTSG BrightSpring Health Services Inc | COMPLIANT | 1.86% | AAOIFI19.9% Usmani39.9% Dow Jones Islamic37.1% S&P Shariah45.1% MSCI Islamic39.6% MSCI Islamic M-Series45.1% FTSE Shariah36.6% |
| GH Guardant Health Inc | COMPLIANT | 1.85% | AAOIFI7.8% Usmani88.7% Dow Jones Islamic17.9% S&P Shariah23.1% MSCI Islamic88.7% MSCI Islamic M-Series23.1% FTSE Shariah78.6% |
| SNDA Sonida Senior Living Inc | NON_COMPLIANT | 1.84% | AAOIFI86.3% Usmani61.7% Dow Jones Islamic200.1% S&P Shariah263.2% MSCI Islamic61.7% MSCI Islamic M-Series263.2% FTSE Shariah61.7% |
| THC Tenet Healthcare Corp | NON_COMPLIANT | 1.84% | AAOIFI63.5% Usmani43.2% Dow Jones Islamic83.2% S&P Shariah95.3% MSCI Islamic43.2% MSCI Islamic M-Series95.3% FTSE Shariah43.2% |
| PRVA Privia Health Group Inc | NON_COMPLIANT | 1.82% | AAOIFI0.3% Usmani0.6% Dow Jones Islamic0.3% S&P Shariah0.3% MSCI Islamic0.6% MSCI Islamic M-Series0.3% FTSE Shariah0.0% |
| DVA DaVita Inc | NON_COMPLIANT | 1.81% | AAOIFI119.4% Usmani75.7% Dow Jones Islamic119.5% S&P Shariah122.0% MSCI Islamic75.7% MSCI Islamic M-Series122.0% FTSE Shariah60.9% |
| Concentra Group Holdings Parent Inc | UNSCREENED | 1.81% | no in-house ratios for this holding |
| PGNY Progyny Inc | COMPLIANT | 1.80% | AAOIFI1.4% Usmani3.8% Dow Jones Islamic1.5% S&P Shariah1.2% MSCI Islamic3.8% MSCI Islamic M-Series1.2% FTSE Shariah0.0% |
| NHC National HealthCare Corp | COMPLIANT | 1.78% | AAOIFI0.9% Usmani2.0% Dow Jones Islamic1.5% S&P Shariah1.7% MSCI Islamic2.0% MSCI Islamic M-Series1.7% FTSE Shariah0.0% |
| AMN Healthcare Services Inc | UNSCREENED | 1.78% | no in-house ratios for this holding |
| CAH Cardinal Health Inc | COMPLIANT | 1.78% | AAOIFI17.8% Usmani17.7% Dow Jones Islamic24.8% S&P Shariah28.7% MSCI Islamic17.4% MSCI Islamic M-Series28.7% FTSE Shariah15.5% |
| US Physical Therapy Inc | UNSCREENED | 1.77% | no in-house ratios for this holding |
| HUM Humana Inc | NON_COMPLIANT | 1.76% | AAOIFI30.1% Usmani26.3% Dow Jones Islamic44.9% S&P Shariah38.8% MSCI Islamic26.3% MSCI Islamic M-Series38.8% FTSE Shariah25.3% |
| ADUS Addus HomeCare Corp | COMPLIANT | 1.74% | AAOIFI4.9% Usmani7.5% Dow Jones Islamic5.3% S&P Shariah5.7% MSCI Islamic7.5% MSCI Islamic M-Series5.7% FTSE Shariah4.2% |
| MD Pediatrix Medical Group Inc | NON_COMPLIANT | 1.74% | AAOIFI28.7% Usmani29.1% Dow Jones Islamic39.4% S&P Shariah47.3% MSCI Islamic29.1% MSCI Islamic M-Series47.3% FTSE Shariah27.4% |
| CHE Chemed Corp | COMPLIANT | 1.73% | AAOIFI4.3% Usmani18.7% Dow Jones Islamic4.2% S&P Shariah3.9% MSCI Islamic18.7% MSCI Islamic M-Series3.9% FTSE Shariah8.9% |
| Clover Health Investments Corp | UNSCREENED | 1.73% | no in-house ratios for this holding |
| RadNet Inc | UNSCREENED | 1.72% | no in-house ratios for this holding |
| HSIC Henry Schein Inc | NON_COMPLIANT | 1.71% | AAOIFI36.7% Usmani32.3% Dow Jones Islamic41.6% S&P Shariah41.0% MSCI Islamic32.3% MSCI Islamic M-Series41.0% FTSE Shariah29.2% |
| ENSG Ensign Group Inc/The | COMPLIANT | 1.71% | AAOIFI22.6% Usmani39.1% Dow Jones Islamic24.0% S&P Shariah26.7% MSCI Islamic39.1% MSCI Islamic M-Series26.7% FTSE Shariah2.4% |
| CVS CVS Health Corp | NON_COMPLIANT | 1.71% | AAOIFI61.7% Usmani30.1% Dow Jones Islamic84.9% S&P Shariah88.7% MSCI Islamic30.1% MSCI Islamic M-Series88.7% FTSE Shariah24.2% |
| AHCO AdaptHealth Corp | NON_COMPLIANT | 1.70% | AAOIFIfail Usmanifail Dow Jones Islamicfail S&P Shariahfail MSCI Islamicfail MSCI Islamic M-Seriesfail FTSE Shariahfail |
| NUTX Nutex Health Inc | COMPLIANT | 1.69% | AAOIFI5.2% Usmani36.0% Dow Jones Islamic9.7% S&P Shariah13.7% MSCI Islamic7.4% MSCI Islamic M-Series13.7% FTSE Shariah4.1% |
| HCA HCA Healthcare Inc | NON_COMPLIANT | 1.69% | AAOIFI57.2% Usmani82.9% Dow Jones Islamic53.5% S&P Shariah56.7% MSCI Islamic81.7% MSCI Islamic M-Series56.7% FTSE Shariah78.1% |
| LH Labcorp Holdings Inc | COMPLIANT | 1.69% | AAOIFI25.4% Usmani36.5% Dow Jones Islamic31.6% S&P Shariah33.5% MSCI Islamic36.2% MSCI Islamic M-Series33.5% FTSE Shariah31.6% |
| DGX Quest Diagnostics Inc | COMPLIANT | 1.68% | AAOIFI24.4% Usmani37.7% Dow Jones Islamic32.1% S&P Shariah35.4% MSCI Islamic37.7% MSCI Islamic M-Series35.4% FTSE Shariah33.3% |
| UHS Universal Health Services Inc | NON_COMPLIANT | 1.66% | AAOIFI52.8% Usmani33.0% Dow Jones Islamic45.9% S&P Shariah48.2% MSCI Islamic33.0% MSCI Islamic M-Series48.2% FTSE Shariah30.4% |
| CRVL CorVel Corp | COMPLIANT | 1.65% | AAOIFI— Usmani— Dow Jones Islamic— S&P Shariah— MSCI Islamic— MSCI Islamic M-Series— FTSE Shariah— |
| UNH UnitedHealth Group Inc | NON_COMPLIANT | 1.65% | AAOIFI20.4% Usmani23.7% Dow Jones Islamic20.4% S&P Shariah18.8% MSCI Islamic23.7% MSCI Islamic M-Series18.8% FTSE Shariah23.7% |
| HQY HealthEquity Inc | COMPLIANT | 1.63% | AAOIFI12.2% Usmani29.7% Dow Jones Islamic12.2% S&P Shariah13.0% MSCI Islamic29.7% MSCI Islamic M-Series13.0% FTSE Shariah28.5% |
| COR Cencora Inc | COMPLIANT | 1.63% | AAOIFI18.9% Usmani14.0% Dow Jones Islamic20.8% S&P Shariah22.7% MSCI Islamic14.0% MSCI Islamic M-Series22.7% FTSE Shariah14.0% |
| GRDN Guardian Pharmacy Services Inc | COMPLIANT | 1.61% | AAOIFI2.5% Usmani14.4% Dow Jones Islamic3.6% S&P Shariahpass MSCI Islamic14.4% MSCI Islamic M-Seriespass FTSE Shariah6.5% |
| Select Medical Holdings Corp | UNSCREENED | 1.61% | no in-house ratios for this holding |
| CNC Centene Corp | NON_COMPLIANT | 1.59% | AAOIFI50.5% Usmani19.4% Dow Jones Islamic62.6% S&P Shariah53.4% MSCI Islamic19.4% MSCI Islamic M-Series53.4% FTSE Shariah19.4% |
| OPCH Option Care Health Inc | NON_COMPLIANT | 1.58% | AAOIFI35.7% Usmani37.6% Dow Jones Islamic27.4% S&P Shariah25.9% MSCI Islamic37.6% MSCI Islamic M-Series25.9% FTSE Shariah34.3% |
| EHC Encompass Health Corp | COMPLIANT | 1.58% | AAOIFI23.9% Usmani38.1% Dow Jones Islamic26.5% S&P Shariah29.4% MSCI Islamic38.1% MSCI Islamic M-Series29.4% FTSE Shariah35.3% |
| ELV Elevance Health Inc | NON_COMPLIANT | 1.55% | AAOIFI35.1% Usmani24.6% Dow Jones Islamic37.4% S&P Shariah33.5% MSCI Islamic24.6% MSCI Islamic M-Series33.5% FTSE Shariah24.6% |
| MCK McKesson Corp | COMPLIANT | 1.54% | AAOIFI12.5% Usmani14.9% Dow Jones Islamic14.5% S&P Shariah15.8% MSCI Islamic14.7% MSCI Islamic M-Series15.8% FTSE Shariah12.5% |
| CI Cigna Group/The | NON_COMPLIANT | 1.51% | AAOIFI42.7% Usmani20.3% Dow Jones Islamic40.5% S&P Shariah38.8% MSCI Islamic20.3% MSCI Islamic M-Series38.8% FTSE Shariah20.3% |
| AVAH Aveanna Healthcare Holdings Inc | NON_COMPLIANT | 1.30% | AAOIFI42.9% Usmani63.6% Dow Jones Islamic93.6% S&P Shariah119.5% MSCI Islamic63.6% MSCI Islamic M-Series119.5% FTSE Shariah61.6% |
| agilon health Inc | UNSCREENED | 1.23% | no in-house ratios for this holding |
| CSTL Castle Biosciences Inc | NON_COMPLIANT | 1.18% | AAOIFI3.3% Usmani6.5% Dow Jones Islamic4.7% S&P Shariah5.1% MSCI Islamic6.5% MSCI Islamic M-Series5.1% FTSE Shariah1.8% |
| Talkspace Inc | UNSCREENED | 1.15% | no in-house ratios for this holding |
| PNTG Pennant Group Inc/The | NON_COMPLIANT | 1.11% | AAOIFI36.7% Usmani47.8% Dow Jones Islamic48.1% S&P Shariah56.4% MSCI Islamic47.0% MSCI Islamic M-Series56.4% FTSE Shariah19.0% |
| BLLN Billiontoone Inc | COMPLIANT | 1.11% | AAOIFI3.1% Usmani19.7% Dow Jones Islamicpass S&P Shariahpass MSCI Islamic19.6% MSCI Islamic M-Seriespass FTSE Shariah12.5% |
| FLGT Fulgent Genetics Inc | NON_COMPLIANT | 0.75% | AAOIFI1.4% Usmani0.7% Dow Jones Islamic1.2% S&P Shariah1.1% MSCI Islamic0.7% MSCI Islamic M-Series1.1% FTSE Shariah0.0% |
| CYH Community Health Systems Inc | NON_COMPLIANT | 0.62% | AAOIFI2504.2% Usmani85.4% Dow Jones Islamic2166.3% S&P Shariah2175.5% MSCI Islamic83.8% MSCI Islamic M-Series2175.5% FTSE Shariah78.7% |
| SRTA Strata Critical Medical Inc | COMPLIANT | 0.47% | AAOIFI0.9% Usmani1.3% Dow Jones Islamic1.2% S&P Shariah1.3% MSCI Islamic1.3% MSCI Islamic M-Series1.3% FTSE Shariah0.0% |
| OPK OPKO Health Inc | NON_COMPLIANT | 0.40% | AAOIFI4.2% Usmani2.8% Dow Jones Islamic4.6% S&P Shariah4.7% MSCI Islamic2.6% MSCI Islamic M-Series4.7% FTSE Shariah0.1% |
| State Street Global Advisors | UNSCREENED | 0.15% | no in-house ratios for this holding |
| State Street Global Advisors | UNSCREENED | 0.04% | no in-house ratios for this holding |
| State Street Global Advisors | UNSCREENED | 0.01% | no in-house ratios for this holding |
| State Street Global Advisors | UNSCREENED | 0.00% | no in-house ratios for this holding |
The published standards disagree about this fund by 21 points of portfolio weight — 44.5% of it passes AAOIFI, 23.8% passes MSCI Islamic. Which number is yours depends on which standard you follow.
These bars are the financial-ratio result under each standard — debt, receivables and interest income. They do not screen what the business does, so a holding can pass every ratio here and still be questionable or non-compliant on activity. The blended verdict above accounts for both.
ratios pass on 44.5% ratios fail on 33.5% 22.1% not rated under AAOIFI
ratios pass on 32.1% ratios fail on 42.9% 25.1% not rated under Usmani
ratios pass on 34.7% ratios fail on 40.5% 25.0% not rated under Dow Jones Islamic
ratios pass on 35.8% ratios fail on 40.5% 23.8% not rated under S&P Shariah
ratios pass on 23.8% ratios fail on 49.5% 26.8% not rated under MSCI Islamic
ratios pass on 32.9% ratios fail on 44.0% 23.3% not rated under MSCI Islamic M-Series
ratios pass on 38.9% ratios fail on 34.5% 26.8% not rated under FTSE Shariah
51 of 65 listed holdings carry our own per-methodology verdicts (83% of weight). The rest hold a provider verdict with no methodology breakdown, and are counted as rated by none. Of those, 48 (78% of weight) also carry the underlying debt ratio; the rest show a verdict without the figure behind it.
| Non-compliant holding | Weight |
|---|---|
| PACS PACS Group Inc | 2.01% |
| ACHC Acadia Healthcare Co Inc | 2.00% |
| SGRY Surgery Partners Inc | 1.91% |
| MOH Molina Healthcare Inc | 1.87% |
| SNDA Sonida Senior Living Inc | 1.84% |
| THC Tenet Healthcare Corp | 1.84% |
| PRVA Privia Health Group Inc | 1.82% |
| DVA DaVita Inc | 1.81% |
| HUM Humana Inc | 1.76% |
| MD Pediatrix Medical Group Inc | 1.74% |
Methodology breakdown computing — it will appear here on its own.
Whether the technical picture shows an edge right now. Separate from the Sharia verdict, which this side never overrides.
The factors behind the read, each shown with the figure it rests on, including the ones pointing the other way.
State Street(R) SPDR(R) S&P(R) Health Care Services ETF (XHS) is currently considered not halal (non-compliant), per our own look-through to its filed holdings. See its filed holdings and the weight breakdown below for the reasoning.
Computing the full ratio and business-activity breakdown for XHS — this runs off the critical path so the page paints first. It will appear here on its own.
Pinch or scroll to zoom · drag to pan — both axes move · double-click to reset
Classic floor-trader pivots from the last completed daily bar. Highlighted pills are the levels bracketing the current price.
The range is measured volatility (ATR over the horizon), not a target — a wider band means a more volatile asset, not a stronger view. The direction is the indicator tally below. Every forecast is recorded when made and scored against the real price when it comes due, including the wrong ones. Not a recommendation, and not a fatwa.
Standard indicator thresholds (RSI 30/70, Stochastic 20/80, CCI ±100, Williams %R −80/−20, MACD histogram sign, price vs. average) computed on daily bars. A summary of what common indicators say — not a recommendation, and not this site's own trading verdict.
| Indicator | Value | Signal |
|---|---|---|
| RSI (14) | 55.40 | NEUTRAL |
| Stochastic %K (14) | 64.77 | NEUTRAL |
| CCI (20) | 137.84 | SELL |
| Williams %R (14) | -35.23 | NEUTRAL |
| MACD (12,26,9) | 0.53 | BUY |
| ROC (10) | 3.19 | BUY |
| Momentum (10) | 4.25 | BUY |
| EMA (10) | 136.93 | BUY |
| SMA (10) | 136.62 | BUY |
| EMA (20) | 136.10 | BUY |
| SMA (20) | 135.21 | BUY |
| EMA (30) | 135.73 | BUY |
| SMA (30) | 135.67 | BUY |
| EMA (50) | 134.70 | BUY |
| SMA (50) | 135.55 | BUY |
| EMA (100) | 130.49 | BUY |
| SMA (100) | 131.76 | BUY |
| EMA (200) | 121.42 | BUY |
| SMA (200) | 119.61 | BUY |
In seeking to track the performance of the S&P Health Care Services Select Industry Index (the "index"), the fund employs a sampling strategy. It generally invests substantially all, but at least 80%, of its total assets in the securities comprising the index. The index represents the health care services segment of the S&P Total Market Index ("S&P TMI").
Background via Yahoo Finance — informational, not part of the verdict.
Good setup, solid confluence
Market structure by timeframe, read from real bars. A bias per timeframe rather than a forecast — timeframes disagreeing is information, not noise.
| Timeframe | Bias | Bars |
|---|---|---|
| 📅 Daily | BULLISH | 43 |
| 🕐 1H | BULLISH | 58 |
| ⏱ 15-Min | BULLISH | 130 |
| ⏲ 5-Min | BEARISH | 234 |
Rate of change and relative volume against this symbol's own recent history. Momentum describes what price has done; it is not a claim about what it will do.
How the rest of the sector moved over the same window. Context for a price move, never a cause of one.
Peer movement computing — it will appear here on its own.
The questions worth asking about any verdict on this page, answered plainly.
No. HTR reads the fund's filed holdings and screens each one, then reports the result by weight. A fund marketed as Islamic still gets the same look-through as any other.
It is the share of the fund whose holdings HTR cannot cover far enough to rate. It is reported as unrated rather than counted as compliant, because a holding nobody screened should not look like one that passed.
It matters, and it is noted, but it does not replace the look-through. The board's judgement and the holdings screen are shown separately so you can see when they agree and when they do not.
When the fund files new holdings, and on a rolling basis besides. The date on the verdict above is the last time this fund was actually recomputed.
Open research, not a fatwa. HTR applies published screening standards to filings and publishes what they say, including when they disagree. Nothing here is financial advice or a recommendation to buy or sell. Verdicts can change when new filings land.
Same screen, different answers. Comparison is where the standards disagreeing becomes useful rather than confusing.
Peer screening computing — it will appear here on its own.
Insider transactions reported in the last ninety days. Insiders sell for reasons that have nothing to do with a view, so a sale on its own is not a signal.
NO DATA 0 buys · 0 sells
The weekly CFTC Commitments of Traders report for the broad market it tracks, not for this symbol. Positioning context for the tape — it says nothing about this company.
NEUTRAL report date 2026-10-13 · Asset managers net 915835 (+9220)
Plain-language summary of the evidence already on this page — the Sharia screen, structure, momentum, and order flow above. It explains the read; it doesn't make the call. Generated on demand (a live AI call), never run automatically.