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Trailing the marketUnderperformers#28 of 115 by 1M spread

Healthcare Services Stocks

Top 10 of 61 XHS holdings, updated

As of 12 October 2026, healthcare services stocks are trailing the S&P 500, over the past month and over the longer run. XHS trails the S&P 500 by 1.1 points over one month and ranks #28 of 115 groups Zensei tracks. 30 of the 61 healthcare services stocks Zensei prices in XHS beat the fund this month.

Prices as of Last update : First tracked: trailing the market
Beat the fund (1M)
30 of 61
Beat the S&P 500 (1M)
23 of 61
Strongest (1M)
OPCH +32.5%
Weakest (1M)
ALHC −35.8%

Where healthcare services stocks stand now

As of 12 October 2026, Health Care Services (XHS) ranks #28 of the 115 groups Zensei tracks by one-month return against the S&P 500. It is out of favor: it trails the S&P 500 on both rotation windows — 1.1 points behind over the past month and 1.3 points behind over the longer, time-shifted window. That is the Underperformers quadrant.

On the shorter tape, XHS's momentum reads strong: the recent hourly trend is positive across every lookback Zensei measures. XHS's relative-strength line has broken below its long-term average — the long-term outperformance trend is no longer intact. That tension — a firm short-term tape against a damaged longer trend — is usually resolved within a few weeks, one way or the other.

The exposure comes via SPDR S&P Health Care Services ETF, whose 61 tracked holdings are led by Option Care Health Inc, Corvel Corp and Nutex Health Inc. Weighted by portfolio, the fund's holdings trade at roughly 20.5× earnings. The thing to watch from here is the one-month spread: underperformers only become interesting when the recent window turns positive first — until then, the market is voting elsewhere.

1M spread vs SPY
−1.1 pts
Quadrant
Underperformers
Momentum
Strong
RS health
Broken

Top healthcare services stocks right now

The largest healthcare services stocks by weight in XHS, and the strongest over the past month. Size and recent return are measurements, not recommendations.

Largest by fund weight

Share of XHS

  1. 1Option Care Health IncOPCH2.3%
  2. 2Corvel CorpCRVL1.9%
  3. 3Nutex Health IncNUTX1.9%
  4. 4n/aHNGE1.9%
  5. 5US Physical Therapy IncUSPH1.9%

Strongest this month

1-month return, holdings Zensei prices

  1. 1Option Care Health IncOPCH+32.5%
  2. 2n/aHNGE+18.3%
  3. 3Corvel CorpCRVL+12.5%
  4. 4Starling Oncology IncSTLN+12.2%
  5. 5n/aHIMS+11.4%

Healthcare Services Stocks vs the S&P 500

Over the week to 12 October 2026, XHS rose 1.3% while the S&P 500 rose 0.4%. XHS and SPY (the S&P 500) over every window Zensei tracks. The spread is the difference: positive means XHS won that window.

Window
XHS
SPY
Spread
1 week+1.3%+0.4%+0.9 pts
2 weeks+1.8%+0.9%+0.9 pts
1 month+0.9%+2.1%−1.1 pts
3 months+1.6%+4.1%−2.5 pts
6 months+30.6%+12.6%+18.0 pts
1 year+37.7%+20.4%+17.3 pts

Prices as of · computed from daily adjusted closes · how we measure

Health Care Services on the rotation map, against the 11 broad S&P 500 sectors. Vertical: 1-month spread vs the S&P 500. Horizontal: the longer, time-shifted window.

Are healthcare services stocks expensive?

Fund P/E
20.5×

The price-to-earnings ratio of XHS as a whole: the total price of its holdings over their total earnings, weighted by share of the fund. Holdings that lose money are left out.

XHS holdings: the healthcare services stocks inside

As of 12 October 2026, 30 of the 61 healthcare services stocks Zensei prices in XHS beat the fund over the past month. 23 of them beat the S&P 500. The strongest is Option Care Health Inc (OPCH); the weakest is Alignment Healthcare Inc (ALHC). Inside the fund, one or two outliers drive most of the move.

#HoldingWeight1M3Mvs fund 1MMomentumRS health
1
OPCHOption Care Health Inc
2.3%+32.5%+43.3%+31.5 ptsAcceleratingStrong
2
CRVLCorvel Corp
1.9%+12.5%+23.2%+11.5 ptsCruisingStrong
3
NUTXNutex Health Inc
1.9%+3.0%+15.1%+2.0 ptsFadingBroken
4
HNGEn/a
1.9%+18.3%+16.5%
5
USPHUS Physical Therapy Inc
1.9%+9.2%+20.8%
6
CONConcentra Group Holdings Parent Inc
1.9%+7.4%+19.8%
7
HIMSn/a
1.9%+11.4%−10.8%
8
AMNAmn Healthcare Services Inc
1.9%+8.7%+6.6%
9
CLOVn/a
1.8%−0.8%+4.6%
10
HCAHca Healthcare Inc
1.8%+7.6%+17.6%
See all 61 holdings, each compared with the fund, with momentum and relative strengthUnlock with Premium

All 61 XHS holdings by weight: Option Care Health Inc (OPCH) 2.3%, Corvel Corp (CRVL) 1.9%, Nutex Health Inc (NUTX) 1.9%, n/a (HNGE) 1.9%, US Physical Therapy Inc (USPH) 1.9%, Concentra Group Holdings Parent Inc (CON) 1.9%, n/a (HIMS) 1.9%, Amn Healthcare Services Inc (AMN) 1.9%, n/a (CLOV) 1.8%, Hca Healthcare Inc (HCA) 1.8%, Acadia Healthcare Co Inc (ACHC) 1.8%, Guardant Health Inc (GH) 1.8%, Brightspring Health Services Inc (BTSG) 1.8%, Elevance Health Inc (ELV) 1.8%, Mckesson Corp (MCK) 1.8%, Progyny Inc (PGNY) 1.8%, Centene Corp (CNC) 1.8%, Encompass Health Corp (EHC) 1.8%, Molina Healthcare Inc (MOH) 1.8%, The Cigna Group (CI) 1.8%, Privia Health Group Inc (PRVA) 1.8%, Humana Inc (HUM) 1.8%, Healthequity Inc (HQY) 1.8%, Universal Health Services Inc (UHS) 1.8%, Ensign Group Inc (ENSG) 1.7%, Cencora Inc (COR) 1.7%, Astrana Health Inc (ASTH) 1.7%, National Healthcare Corp (NHC) 1.7%, Pacs Group Inc (PACS) 1.7%, Cardinal Health Inc (CAH) 1.7%, Labcorp Holdings Inc (LH) 1.7%, Radnet Inc (RDNT) 1.7%, Surgery Partners Inc (SGRY) 1.7%, Omada Health Inc (OMDA) 1.7%, Chemed Corp (CHE) 1.7%, Tenet Healthcare Corp (THC) 1.7%, Quest Diagnostics Inc (DGX) 1.7%, Davita Inc (DVA) 1.7%, n/a (BLLN) 1.7%, Unitedhealth Group Inc (UNH) 1.7%, n/a (LFST) 1.7%, Pediatrix Medical Group Inc (MD) 1.7%, Henry Schein Inc (HSIC) 1.7%, Addus Homecare Corp (ADUS) 1.7%, n/a (GRDN) 1.7%, Cvs Health Corp (CVS) 1.6%, Sonida Senior Living Inc (SNDA) 1.6%, Agilon Health Inc (AGL) 1.6%, Neogenomics Inc (NEO) 1.6%, Brookdale Senior Living Inc (BKD) 1.6%, Aveanna Healthcare Holdings Inc (AVAH) 1.6%, n/a (WGS) 1.4%, Adapthealth Corp (AHCO) 1.4%, Pennant Group Inc (PNTG) 1.4%, Castle Biosciences Inc (CSTL) 1.3%, Starling Oncology Inc (STLN) 1.2%, Alignment Healthcare Inc (ALHC) 1.2%, Fulgent Genetics Inc (FLGT) 0.8%, Strata Critical Medical Inc (SRTA) 0.8%, Community Health Systems Inc (CYH) 0.5%, Opko Health Inc (OPK) 0.5%.

Healthcare Services Stocks: common questions

What are the top 3 healthcare services stocks?

As of 12 October 2026, the three largest healthcare services stocks in XHS by fund weight are Option Care Health Inc (OPCH) (2.3%), Corvel Corp (CRVL) (1.9%) and Nutex Health Inc (NUTX) (1.9%). Fund weight shows size inside the fund, not a recommendation.

Which healthcare services stocks are beating the sector?

As of 12 October 2026, 30 of the 61 healthcare services stocks Zensei prices in XHS beat the fund over the past month. The strongest over the past month is Option Care Health Inc (OPCH). The list above shows every holding with its weight and returns.

Are healthcare services stocks outperforming the S&P 500?

No. As of 12 October 2026, XHS trails the S&P 500 by 1.1 points over the past month.

Is it a good time to invest in healthcare services stocks?

Zensei does not give investment advice, but it measures the trend. As of 12 October 2026, healthcare services stocks are behind the S&P 500 on both the recent and the longer window. The rotation map and the read on this page show whether that trend is building or fading.

What is XHS?

XHS is SPDR S&P Health Care Services ETF. Zensei uses it to measure healthcare services stocks against the S&P 500 (SPY).

What stocks does XHS own?

As of 12 October 2026, the largest of the 61 positions Zensei tracks in XHS are Option Care Health Inc, Corvel Corp, Nutex Health Inc, n/a, US Physical Therapy Inc. Each position measured against the fund, with momentum and relative strength, is part of Zensei Premium.

What quadrant is health care services in right now?

As of 12 October 2026, health care services is in the Underperformers quadrant — trailing the S&P 500 on both windows. The Zensei methodology page explains the quadrants.

Recent changes

  1. ·First tracked: trailing the market

Related sectors

Track health care services against the whole market

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