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XHS holdings and overlap
What does XHS hold, as of its issuer file of 2026-09-03?
XHS holds 59 positions as of the issuer file dated 2026-09-03. The three largest are Lifestance Health Group Inc at 2.63%, Genedx Holdings Corp at 2.59% and Tenet Healthcare Corp at 2.57%.
| Rank | Company | Weight | Weight bar |
|---|---|---|---|
| 1 | LFST Lifestance Health Group Inc | 2.63% | |
| 2 | WGS Genedx Holdings Corp | 2.59% | |
| 3 | THC Tenet Healthcare Corp | 2.57% | |
| 4 | NEO Neogenomics Inc | 2.49% | |
| 5 | HNGE Hinge Health Inc | 2.35% | |
| 6 | CON Concentra Group Holdings Par | 2.09% | |
| 7 | RDNT Radnet Inc | 2.06% | |
| 8 | AVAH Aveanna Healthcare Holdings | 2.06% | |
| 9 | ADUS Addus Homecare Corp | 2.05% | |
| 10 | PACS Pacs Group Inc | 2.02% | |
| 11 | USPH U.S. Physical Therapy Inc | 2.01% | |
| 12 | LH Labcorp Holdings Inc | 1.99% | |
| 13 | GH Guardant Health Inc | 1.98% | |
| 14 | NUTX Nutex Health Inc | 1.95% | |
| 15 | CHE Chemed Corp | 1.94% | |
| 16 | COR Cencora Inc | 1.93% | |
| 17 | ACHC Acadia Healthcare Co Inc | 1.91% | |
| 18 | EHC Encompass Health Corp | 1.91% | |
| 19 | DGX Quest Diagnostics Inc | 1.89% | |
| 20 | UHS Universal Health Services B | 1.88% | |
| 21 | MCK Mckesson Corp | 1.88% | |
| 22 | NHC National Healthcare Corp | 1.86% | |
| 23 | HSIC Henry Schein Inc | 1.85% | |
| 24 | CAH Cardinal Health Inc | 1.85% | |
| 25 | OPCH Option Care Health Inc | 1.84% | |
| 26 | MD Pediatrix Medical Group Inc | 1.84% | |
| 27 | AMN Amn Healthcare Services Inc | 1.83% | |
| 28 | ENSG Ensign Group Inc | 1.83% | |
| 29 | CRVL Corvel Corp | 1.81% | |
| 30 | HUM Humana Inc | 1.79% | |
| 31 | HQY Healthequity Inc | 1.77% | |
| 32 | HCA Hca Healthcare Inc | 1.76% | |
| 33 | SNDA Sonida Senior Living Inc | 1.7% | |
| 34 | CNC Centene Corp | 1.68% | |
| 35 | PGNY Progyny Inc | 1.65% | |
| 36 | MOH Molina Healthcare Inc | 1.65% | |
| 37 | ELV Elevance Health Inc | 1.65% | |
| 38 | BTSG Brightspring Health Services | 1.63% | |
| 39 | HIMS Hims + Hers Health Inc | 1.61% | |
| 40 | SGRY Surgery Partners Inc | 1.61% | |
| 41 | CSTL Castle Biosciences Inc | 1.6% | |
| 42 | CVS CVS Health Corp | 1.6% | |
| 43 | UNH Unitedhealth Group Inc | 1.58% | |
| 44 | ASTH Astrana Health Inc | 1.57% | |
| 45 | CI The Cigna Group | 1.56% | |
| 46 | GRDN Guardian Phrmcy Services A | 1.54% | |
| 47 | DVA Davita Inc | 1.47% | |
| 48 | BKD Brookdale Senior Living Inc | 1.47% | |
| 49 | PRVA Privia Health Group Inc | 1.45% | |
| 50 | CLOV Clover Health Investments Co | 1.4% | |
| 51 | PNTG Pennant Group Inc | 1.16% | |
| 52 | ALHC Alignment Healthcare Inc | 1.06% | |
| 53 | AHCO Adapthealth Corp | 1.04% | |
| 54 | AGL Agilon Health Inc | 0.99% | |
| 55 | BLLN Billiontoone Inc | 0.92% | |
| 56 | FLGT Fulgent Genetics Inc | 0.72% | |
| 57 | CYH Community Health Systems Inc | 0.53% | |
| 58 | SRTA Strata Critical Medical Inc | 0.48% | |
| 59 | OPK Opko Health Inc | 0.42% |
Issuer file 1 day old on 2026-09-04, against a median of 1 across the funds with a page. Every one of the 59 positions with its weight is in the fund's JSON file. See which other ETFs hold LFST, and at what weight.
What does XHS share with other funds?
The fund nearest to XHS is IHF: the two hold 39.7% of their weight in common, in the 49 companies both own, and 84.9% of XHS itself is also held there. No covered fund holds more than that in common with XHS; it duplicates nothing here closely.
| Fund | Overlap by weight | Of XHS held there | Of that fund in XHS | Companies in both | Overlap bar |
|---|---|---|---|---|---|
| IHF | 39.7% | 84.9% | 92.1% | 49 | |
| RSPH | 23.3% | 26.4% | 23.3% | 15 | |
| PSCH | 18.6% | 29.4% | 19.3% | 16 | |
| PTH | 15.9% | 22.4% | 22.0% | 13 | |
| VHT | 14.0% | 95.0% | 18.2% | 55 | |
| XLV | 13.1% | 26.4% | 17.8% | 15 | |
| RWL | 13.1% | 26.4% | 14.4% | 15 | |
| RPV | 12.8% | 19.3% | 14.6% | 11 | |
| IXJ | 10.6% | 26.4% | 13.0% | 15 | |
| IYH | 8.8% | 31.0% | 12.8% | 17 | |
| PWV | 7.4% | 8.3% | 9.2% | 5 | |
| IYK | 7.3% | 7.3% | 13.9% | 4 |
From each issuer's latest file. Check XHS against any fund in the ETF overlap calculator · how overlap is measured.
What adds something different to XHS?
VDE shares 0% of weight with XHS and its weekly returns correlate with it at 0.12 over three years. The table lists the covered funds with the least in common with XHS, least shared weight first and, among equals, lowest correlation.
| Fund | Name | Overlap by weight | Correlation, 3y | Companies in both |
|---|---|---|---|---|
| VDE | Vanguard Energy ETF | 0.0% | 0.12 | 0 |
| VPU | Vanguard Utilities ETF | 0.0% | 0.31 | 0 |
| MGK | Vanguard Morningstar Mega Cap Growth ETF | 0.0% | 0.34 | 0 |
| VSS | Vanguard FTSE All-World ex-US Small-Cap ETF | 0.0% | 0.46 | 4 |
| VDC | Vanguard Consumer Staples ETF | 0.0% | 0.46 | 0 |
| SPHQ | Invesco S&P 500 Quality ETF | 0.0% | 0.48 | 0 |
| XMMO | Invesco S&P MidCap Momentum ETF | 0.0% | 0.50 | 0 |
| VOT | Vanguard Morningstar Mid-Cap Growth ETF | 0.0% | 0.51 | 0 |
Cost, returns and risk
| Expense ratio | 0.35% |
|---|---|
| Dividend yield | 0.20% |
| Total return, 1 year | 36.6% |
| Total return, 3 years cumulative | 59.3% |
| Total return, 5 years cumulative | 25.4% |
| Volatility, annualised | 17.2% |
| Worst fall, 3 years | -13.7% |
| Beta against SPY, 3 years of weekly returns | 0.58 |
| Weight in the ten largest positions | 22.9% |
| Largest single position | 2.6% |
| Assets under management | $0.2B |
Expense ratio, yield and assets are reference data; 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 | 0.49loosely linked | 121 |
| QQQ | 0.36barely linked | 121 |
Weekly total returns. What the bands mean · why the covariance is printed.
Year by year
| Year | Total return |
|---|---|
| 2026 | 27.0% |
| 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
- BMED, iShares Health Innovation Active ETF
- IBB, iShares Biotechnology ETF
- Run a portfolio x-ray to see what XHS carries once you look through it
- Compare XHS against any other fund in the builder
Holdings from the issuer file published 2026-09-03. Prices through 2026-09-04. How every figure here is produced. Measurements, not investment advice.
