XHS holdings and overlap
State Street SPDR S&P Health Care Services ETF (XHS) holds 61 positions in its SPDR file of 2026-10-27. Its three largest are Surgery Partners (SGRY) at 2.79%, AMN Healthcare Services (AMN) at 2.29% and Option Care Health (OPCH) at 2.23%, and its ten largest make up 20.9% of the fund.
In its SPDR file of 2026-10-27, XHS is 99.9% health care by sector, with none of it in mega-cap tech or in the ten largest US companies by market value.
What does XHS hold, as of its issuer file of 2026-10-27?
Surgery Partners is 2.79% of XHS on its own, against a median largest position of 8.6% across the 28 Health Care funds with a page here. No fund with a page here holds more SGRY than XHS does, out of the 29 that hold it at all.
| Rank | Company | Weight | Weight bar |
|---|---|---|---|
| 1 | SGRY Surgery Partners | 2.79% | |
| 2 | AMN AMN Healthcare Services | 2.29% | |
| 3 | OPCH Option Care Health | 2.23% | |
| 4 | HNGE Hinge Health Inc | 2.1% | |
| 5 | CRVL CorVel | 1.98% | |
| 6 | CON Concentra Group Holdings Parent | 1.97% | |
| 7 | BLLN Billiontoone Inc | 1.94% | |
| 8 | USPH U.S. Physical Therapy | 1.89% | |
| 9 | GH Guardant Health | 1.84% | |
| 10 | HQY HealthEquity | 1.83% | |
| 11 | MCK McKesson | 1.83% | |
| 12 | PACS PACS Group | 1.81% | |
| 13 | CNC Centene | 1.8% | |
| 14 | CI Cigna | 1.8% | |
| 15 | PRVA Privia Health Group | 1.8% | |
| 16 | HCA HCA Healthcare | 1.8% | |
| 17 | CLOV Clover Health Investments | 1.79% | |
| 18 | MD Pediatrix Medical Group | 1.79% | |
| 19 | ELV Elevance Health | 1.79% | |
| 20 | ACHC Acadia Healthcare | 1.78% | |
| 21 | NUTX Nutex Health | 1.77% | |
| 22 | UNH UnitedHealth Group | 1.76% | |
| 23 | LFST LifeStance Health Group | 1.75% | |
| 24 | RDNT RadNet | 1.75% | |
| 25 | HUM Humana | 1.75% | |
| 26 | LH Labcorp | 1.74% | |
| 27 | DGX Quest Diagnostics | 1.73% | |
| 28 | CAH Cardinal Health | 1.73% | |
| 29 | MOH Molina Healthcare | 1.73% | |
| 30 | PGNY Progyny | 1.72% | |
| 31 | ADUS Addus HomeCare | 1.71% | |
| 32 | UHS Universal Health Services | 1.7% | |
| 33 | COR Cencora | 1.7% | |
| 34 | HIMS Hims & Hers Health | 1.68% | |
| 35 | EHC Encompass Health | 1.68% | |
| 36 | DVA DaVita | 1.67% | |
| 37 | ENSG The Ensign Group | 1.66% | |
| 38 | CHE Chemed | 1.65% | |
| 39 | NEO NeoGenomics | 1.65% | |
| 40 | THC Tenet Healthcare | 1.64% | |
| 41 | ASTH Astrana Health | 1.64% | |
| 42 | AGL agilon health, inc. | 1.63% | |
| 43 | HSIC Henry Schein | 1.61% | |
| 44 | CVS CVS Health | 1.61% | |
| 45 | BTSG Brightspring Health Services | 1.59% | |
| 46 | NHC National HealthCare | 1.57% | |
| 47 | GRDN Guardian Phrmcy Services A | 1.53% | |
| 48 | AVAH Aveanna Healthcare | 1.52% | |
| 49 | OMDA Omada Health Inc | 1.49% | |
| 50 | PNTG The Pennant Group | 1.4% | |
| 51 | SNDA Sonida Senior Living | 1.39% | |
| 52 | AHCO AdaptHealth | 1.33% | |
| 53 | BKD Brookdale Senior Living | 1.32% | |
| 54 | CSTL Castle Biosciences | 1.31% | |
| 55 | WGS GeneDx | 1.22% | |
| 56 | STLN Starling Oncology | 1.19% | |
| 57 | ALHC Alignment Healthcare | 1.04% | |
| 58 | FLGT Fulgent Genetics | 0.74% | |
| 59 | SRTA Strata Critical Medical | 0.73% | |
| 60 | OPK Opko Health | 0.54% | |
| 61 | CYH Community Health Systems Inc | 0.52% |
The most recent file State Street SPDR has published for XHS is dated 2026-10-27, 1 day before these prices, which is the median for the State Street SPDR ETFs covered here. Every one of the 61 positions XHS holds, with its weight, is in the fund's JSON file. See the other 28 ETFs with a page here that hold SGRY, and how their weights compare with the 2.79% XHS gives it.
Category: Health Care, set by TickerInside from the ETF's own latest file. In its file of 2026-10-27, 100% of its stocks whose sector is known are health care companies, each in the sector the site gives that company. How categories are set.
https://tickerinside.com/api/v1/fund/xhs.jsonhttps://tickerinside.com/api/v1/fund/xhs.csv=IMPORTDATA("https://tickerinside.com/api/v1/fund/xhs.csv")If your sheet uses a decimal comma: =IMPORTDATA("https://tickerinside.com/api/v1/fund/xhs.csv"; ","; "en_US")curl -s https://tickerinside.com/api/v1/fund/xhs.jsonHow much money went into or out of XHS?
On the close of Friday, October 23, 2026, XHS neither created nor redeemed shares. Over its last 5 closes, a net inflow of $2.7 million.
From XHS's own holdings files. Every ETF's latest flows.
How is XHS split by sector?
| Sector | Weight | Weight bar |
|---|---|---|
| Health care | 99.9% |
From its SPDR file of 2026-10-27. How these are measured.
What did XHS hold in its SEC reports since 2019?
In XHS's SEC filings, its largest position went from AMN Healthcare Services Inc (AMN) at 2.70% on 2019-09-30 to LifeStance Health Group, Inc. (LFST) at 2.20% on 2026-06-30, across 28 quarterly reports.
| Report | Positions | Largest | Top 10 |
|---|---|---|---|
| 2019-09-30 | 44 | AMN 2.70% | 25.9% |
| 2019-12-31 | 46 | CNC 2.52% | 24.5% |
| 2020-12-31 | 53 | ONEM 2.29% | 21.9% |
| 2021-12-31 | 68 | FLGT 1.83% | 17.0% |
| 2022-12-31 | 65 | THC 1.91% | 18.3% |
| 2023-12-31 | 59 | CI 2.32% | 21.9% |
| 2024-12-31 | 60 | PGNY 2.29% | 21.2% |
| 2025-12-31 | 59 | MOH 2.17% | 21.0% |
| 2026-06-30 | 61 | LFST 2.20% | 20.4% |
The first report, then the last of each year, of the 28 reports XHS filed on SEC Form N-PORT from 2019-09-30 to 2026-06-30, each company under its ticker today. Every position of every report is in its quarterly file, and at any date at /api/v1/history/xhs/{date}.json. How these are read.
What does XHS share with other ETFs?
The ETF nearest to XHS is IHF: the two hold 37.7% of their weight in common, in the 51 companies both own, and 85.2% of XHS itself is also held there. No covered ETF holds more than that in common with XHS; it duplicates nothing here closely.
| ETF | Overlap by weight | Of XHS held there | Of that ETF in XHS | Companies in both | Overlap bar |
|---|---|---|---|---|---|
| IHF | 37.7% | 85.2% | 92.7% | 51 | |
| RSPH | 24.2% | 26.0% | 24.2% | 15 | |
| PSCH | 19.7% | 27.7% | 21.1% | 16 | |
| PTH | 15.8% | 19.0% | 21.0% | 11 | |
| VHT | 14.1% | 91.5% | 18.0% | 55 | |
| RPV | 13.5% | 19.1% | 15.7% | 11 | |
| RWL | 13.5% | 26.0% | 15.0% | 15 | |
| XLV | 13.0% | 26.0% | 17.2% | 15 | |
| IXJ | 10.4% | 26.0% | 13.0% | 15 | |
| IYH | 8.9% | 29.4% | 12.7% | 17 | |
| PWV | 7.9% | 8.7% | 9.8% | 5 | |
| IUS | 7.1% | 31.1% | 7.1% | 18 |
VHT's holdings are from its SEC Form N-PORT for the period ended 2026-05-31, filed 2026-07-29. The other ETFs' holdings are from their issuers' latest files. Check XHS against any ETF in the ETF overlap calculator · how overlap is measured.
What adds something different to XHS?
SOXX shares 0% of weight with XHS and its weekly returns correlate with it at 0.25 over three years. The table lists the covered ETFs with the least in common with XHS, least shared weight first and, among equals, lowest correlation.
| ETF | Name | Overlap by weight | Correlation, 3y | Companies in both |
|---|---|---|---|---|
| SOXX | iShares Semiconductor ETF | 0.0% | 0.25 | 0 |
| RING | iShares MSCI Global Gold Miners ETF | 0.0% | 0.25 | 0 |
| PICK | iShares MSCI Global Metals & Mining Producers ETF | 0.0% | 0.31 | 0 |
| PFF | iShares Preferred and Income Securities ETF | 0.0% | 0.34 | 0 |
| PABU | iShares Paris-Aligned Climate Optimized MSCI USA ETF | 0.0% | 0.43 | 0 |
| SCZ | iShares MSCI EAFE Small-Cap ETF | 0.0% | 0.47 | 0 |
| QUAL | iShares MSCI USA Quality Factor ETF | 0.0% | 0.50 | 0 |
| REET | iShares Global REIT ETF | 0.0% | 0.57 | 0 |
Cost, returns and risk
| Expense ratio | 0.35% |
|---|---|
| Dividend yield | 0.16% |
| Total return, 1 year | 39.3% |
| Total return, 3 years cumulative | 76.4% |
| Total return, 5 years cumulative | 30.6% |
| Volatility, annualised | 16.9% |
| Worst fall, 3 years | -13.7% |
| Beta against SPY, 3 years of weekly returns | 0.55 |
| Weight in the ten largest positions | 20.9% |
| Largest single position | 2.8% |
| Assets under management | $0.2B |
Expense ratio, yield and assets are reference data (the expense ratio from XHS's SEC filing of 2026-10-26); the weight in the ten largest positions and the largest single position are from the issuer file of 2026-10-27; every other figure is computed here from weekly closes.
How it moves with the market
| Against | Correlation, 3 years | Covariance, annualised, in percent squared |
|---|---|---|
| SPY | 0.46loosely linked | 107 |
| QQQ | 0.32barely linked | 103 |
Weekly total returns. What the bands mean · why the covariance is printed.
Year by year
| Year | Total return |
|---|---|
| 2026 | 33.7% |
| 2025 | 18.8% |
| 2024 | 1.8% |
| 2023 | 5.1% |
| 2022 | -19.9% |
One year
Where to go next
- XLV, Health Care Select Sector SPDR Fund
- XPH, State Street SPDR S&P Pharmaceuticals ETF
- ARKG, ARK Genomic Revolution ETF
- BBH, VanEck Biotech ETF
- Run a portfolio x-ray to see what XHS carries once you look through it
- Compare XHS against any other ETF in the builder
Holdings from the most recent file State Street SPDR has published, dated 2026-10-27. Prices through 2026-10-28. How every figure here is produced. Measurements, not investment advice.
Cite this page
TickerInside, State Street SPDR S&P Health Care Services ETF (XHS), holdings from the issuer's file of 2026-10-27, https://tickerinside.com/etf/xhs/, CC BY 4.0
<a href="https://tickerinside.com/etf/xhs/">TickerInside</a> (https://tickerinside.com/etf/xhs/)