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Friday, October 2, 2026The Morning Brief →Sign in
XHSSPDRINDEX

SPDR S&P Health Care Services ETF

$131.52-0.58% vs prior close
9813952-WK

Price through Oct 1 · Flows through Sep 30. Figures use the latest available records, not a live quote. Fund details retrieved Oct 1. Holdings snapshot retrieved Oct 1.

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").

Price & daily flows
130.1118.6107.0131.52DAILY NET FLOWOct 1Jan 30Jun 1Oct 1

SOURCE: MARKET TAPE & DAILY CREATION/REDEMPTION RECORDS · 1Y SHOWN · NET +$118M OVER THIS RANGE

The desk’s read

Money keeps arriving — +$8M of net inflows over the past month, about 3.9% of the fund's asset base, while the price has returned +23.1% so far this year. At 0.35% a year it is not the cheapest way in — AVIE has a reported fee of 0.25%.

COMPOSED FROM THE FUND’S OWN DAILY RECORDS · UPDATED WITH EACH REFRESH

$218Massets under management
0.35%expense ratio · $35 per $10,000 a year
+$8Mnet flow, trailing month
40Kavg daily volume, 30 days
60holdings · US-domiciled
2011listed September 28, 2011 · beta 0.49
The book at a glance
HNGE+0.7%NEO-3.2%THC-0.6%LFST-1.0%GH-2.0%USPH-3.7%CON+1.6%WGS-1.9%NUTX+0.3%CRVL+0.2%AMN-0.0%UHS+0.5%ADUS+1.0%PACS-1.3%AVAH+0.2%NHC+1.7%RDNT-1.8%CHE-0.4%EHC-2.0%MCK+5.3%DGX-0.8%HCA-0.8%LH-1.1%ACHC-2.1%ENSG-1.4%COR+3.2%MD+0.1%HSIC+1.1%CSTL-0.8%CAH+3.4%OPCH+0.4%HIMS-1.6%SNDA+0.5%HUM-0.5%HQY+1.0%GRDN+0.1%PGNY-1.3%BTSG+0.9%ELV-1.8%CNC-1.8%

CELL SIZE IS PORTFOLIO WEIGHT · COLOR IS THE CHANGE IN THE LATEST AVAILABLE SNAPSHOT · TOP 40 POSITIONS

HoldingsDownload CSV
#HoldingWeightPriceDay52-wk
1HNGEHinge Health, Inc.2.42%$97.94+0.7%
2NEONEOGENOMICS2.34%$17.78-3.2%
3THCTENET HEALTHCARE2.06%$253.97-0.6%
4LFSTLIFESTANCE HEALTH GROUP2.47%$11.91-1.0%
5GHGUARDANT HEALTH2.08%$174.75-2.0%
6USPHU S PHYSICAL THERAPY1.98%$82.60-3.7%
7CONCONCENTRA GROUP HOLDINGS PARENT INC2.03%$34.97+1.6%
8WGSGENEDX HOLDINGS2.29%$70.96-1.9%
9NUTXNUTEX HEALTH1.89%$212.31+0.3%
10CRVLCORVEL1.85%$74.72+0.2%
11AMNAMN HEALTHCARE SERVICES2.00%$35.86-0.0%
12UHSUNIVERSAL HEALTH SERVICES1.86%$175.07+0.5%
13ADUSADDUS HOMECARE1.95%$111.70+1.0%
14PACSPACS GROUP INC2.25%$41.03-1.3%
15AVAHAVEANNA HEALTHCARE HOLDINGS1.46%$12.43+0.2%

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Sector weights
Healthcare97.31%
Health Services65.98%
Distribution Services10.61%
Finance8.21%
Commercial Services7.41%
Health Technology3.9%
Retail Trade1.94%
Consumer Discretionary1.39%
Consumer Defensive1.37%
Financial Services1.33%
PORTFOLIO COMPOSITION, LATEST DISCLOSURE
Performance
1 week-2.4%
1 month-2.3%
3 months-3.4%
6 months+33.8%
YTD+23.1%
1 year+29.9%
3 years—

PRICE RETURN, DISTRIBUTIONS NOT REINVESTED

Net flows
1 week−$23M
1 month+$8M
3 months+$81M
YTD+$114M
1 year+$118M

CREATION/REDEMPTION DOLLARS, DAILY RECORDS

Monthly net flows
OctNovDecJanFebMarAprMayJunJulAugSep
DAILY CREATION/REDEMPTION RECORDS, TRAILING TWELVE MONTHS
The risk read
14%realized volatility, 30 days (annualized)
17%realized volatility, 1 year
-12.0%deepest fall from a peak, 1 year
-5.3%latest close versus that peak

The top holding is 2.5% of the book; the top ten carry 23%. Spread across 62+ names, it behaves like roughly 57 equally-weighted positions.

VOLATILITY & DRAWDOWN FROM THE DAILY TAPE · CONCENTRATION FROM THE LATEST DISCLOSED BOOK

Options tape
1calls · latest snapshot
—puts · latest snapshot
—put/call ratio
178Kshares traded
Most-traded holdings, options premiumBullishBearish
UNH UNITEDHEALTH GROUP$23M$22M
HUM HUMANA$8M$7M
HIMS HIMS & HERS HEALTH$2M$3M
CI CIGNA GROUP$2M$2M
WGS GENEDX HOLDINGS$2M$1M

TODAY’S OPTIONS PREMIUM IN THE FUND’S UNDERLYING NAMES

The case against XHS

Due diligence cuts both ways. These funds sit on the same shelf and beat XHS on at least one dimension that matters — the fee, the asset base, or where the money is going.

FundFeeAssetsFlow, 1MThe case
SPDW State Street SPDR Portfolio Developed World ex-US ETF0.03%$41.5B+$286M-32bp on fee · 190× the assets · +$286M in over the monthHead-to-head
SPMD State Street SPDR Portfolio S&P 400 Mid Cap ETF0.03%$18.2B+$199M-32bp on fee · 83× the assets · +$199M in over the monthHead-to-head
IDEV iShares Core MSCI International Developed Markets ETF0.04%$32.9B+$497M-31bp on fee · 151× the assets · +$497M in over the monthHead-to-head
IGSB iShares 1-5 Year Investment Grade Corporate Bond ETF0.04%$23.7B+$575M-31bp on fee · 108× the assets · +$575M in over the monthHead-to-head
IGIB iShares 5-10 Year Investment Grade Corporate Bond ETF0.04%$18.6B+$412M-31bp on fee · 85× the assets · +$412M in over the monthHead-to-head
Sign in to save this to The RecordA timestamped copy for the file — documentation, not advice.
InstrumentsHarvest substitutesTrade cost at $1MClient tearsheetStress this fund
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