State Street SPDR S&P Health Care Services ETF (XHS) Gamma Exposure (GEX) & Greeks
Gamma exposure (GEX) analysis shows how options positioning creates dealer hedging pressure across strikes. Includes delta, vanna, charm, vomma, and vega exposure by strike price.
State Street SPDR S&P Health Care Services ETF (XHS) operates in the Financial Services sector, specifically the Asset Management industry, with a market capitalization near $84.6M, listed on AMEX, carrying a beta of 1.10 to the broader market. The State Street SPDR S&P Health Care Services ETF seeks to provide investment results that, before fees and expenses, correspond generally to the total return performance of S&P Health Care Services Select Industry Index (the "Index")Seeks to provide exposure to health care services segment of the S&P TMI, which comprises the following sub-industries: Health Care Distributors, Health Care Facilities, Health Care Services, and Managed Health CareSeeks to track a modified equal weighted index which provides the potential for unconcentrated industry exposure across large, mid and small cap stocksAllows investors to take strategic or tactical positions at a more targeted level than traditional sector based investing public since 2011-09-29.
Snapshot as of May 15, 2026.
- Spot Price
- $112.63
- Net Gamma
- $1.8K
- Net Delta
- -$23.6K
- Net Vega
- -$89
- Gamma Concentration
- 0.36
As of May 15, 2026, State Street SPDR S&P Health Care Services ETF (XHS) has positive net gamma exposure of $1.8K under the standard dealer-hedging convention. Net delta exposure is -$23.6K. Positive GEX means dealers are net long gamma: they buy into dips and sell into rallies, damping realized volatility and often causing price to pin near heavy open-interest strikes.
XHS Strategy Sizing in the Current GEX Regime
State Street SPDR S&P Health Care Services ETF is in a positive dealer-gamma regime ($1.8K). Net dealer delta of -$23.6K sets the size of the directional hedging flow that fires as spot moves. In this regime, mean-reverting strategies fit the regime: credit spreads, iron condors, covered calls near established ranges. Realized volatility tends to undershoot implied during positive-gamma stretches, supporting the short-vol structures. The gamma-flip level - the spot price at which net dealer gamma changes sign - is the most actionable anchor for sizing: through-flip moves trigger qualitatively different hedging behavior than within-regime moves, so risk-defined structures sized to the current spot may not stay sized correctly if a flip is near.
Learn how gamma exposure is reported and how to read the data →
Frequently asked XHS gamma exposure (gex) & greeks questions
- What is the current XHS gamma exposure (GEX)?
- As of May 15, 2026, State Street SPDR S&P Health Care Services ETF (XHS) net gamma exposure is positive at $1.8K under the standard dealer-hedging convention. Net dealer delta exposure is -$23.6K. GEX aggregates the gamma sitting on dealer books across all listed strikes and expirations.
- Is XHS in positive or negative dealer gamma right now?
- XHS is currently in positive dealer gamma. Dealers net long gamma buy underlying weakness and sell into rallies to maintain delta-neutrality, which dampens realized volatility and tends to pin price near heavy open-interest strikes.
- What does XHS GEX tell options traders?
- GEX is a regime indicator: positive-gamma regimes favor mean-reverting strategies (premium-selling near established ranges); negative-gamma regimes favor momentum and breakout strategies. The same options-strategy structure can be appropriate or inappropriate depending on the dealer-gamma regime, so reading the sign and magnitude of net GEX before sizing positions is standard practice.