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Sunday, August 23, 2026The Morning Brief →Sign in
XHSSPDR

SPDR S&P Health Care Services ETF

$136.59+1.25% today
9713852-WK

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
135.6134.2132.9136.59DAILY NET FLOWJul 24Aug 4Aug 12Aug 21

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

The desk’s read

Money keeps arriving — +$1M of net buying over the past month, about 0.6% of the fund's asset base, while the price has returned +27.3% so far this year. At 0.35% a year it is not the cheapest way in — IWM runs the same ground at 0.19%.

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

$210Massets under management
0.35%expense ratio · $35 per $10,000 a year
+$1Mnet flow, trailing month
20Kavg daily volume, 30 days
60holdings · US-domiciled
2011listed September 27, 2011 · beta 0.52
The book at a glance
THC+3.0%WGS+5.5%LFST-1.4%NEO+2.7%HNGE+3.3%RDNT-0.3%CON+0.5%GH+1.7%ADUS+0.2%PACS+1.5%LH+1.1%USPH+0.3%CHE+1.1%AVAH+1.5%UHS+2.5%NHC-1.4%HIMS+6.0%DGX+1.3%ENSG-0.2%HQY+1.1%AMN-0.9%EHC-0.5%ACHC+3.2%HCA+5.6%CRVL-0.1%NUTX-1.4%COR+1.1%MD+1.3%HSIC+0.0%OPCH+0.9%SNDA+0.7%MCK+2.4%CAH+0.5%CSTL+3.9%HUM-0.5%SGRY+4.2%ASTH+1.6%MOH+1.7%CNC+1.4%PGNY-1.2%

CELL SIZE IS PORTFOLIO WEIGHT · COLOR IS TODAY’S MOVE · TOP 40 POSITIONS

HoldingsDownload CSV
#HoldingWeightPriceDay52-wk
1THCTENET HEALTHCARE2.06%$280.77+3.0%
2WGSGENEDX HOLDINGS2.29%$87.06+5.5%
3LFSTLIFESTANCE HEALTH GROUP2.47%$12.47-1.4%
4NEONEOGENOMICS2.34%$16.98+2.7%
5HNGEHinge Health, Inc.2.42%$88.42+3.3%
6RDNTRADNET1.92%$76.82-0.3%
7CONCONCENTRA GROUP HOLDINGS PARENT INC2.03%$35.00+0.5%
8GHGUARDANT HEALTH2.08%$170.69+1.7%
9ADUSADDUS HOMECARE1.95%$120.81+0.2%
10PACSPACS GROUP INC2.25%$44.25+1.5%
11LHLABORATORY CORP OF AMERICA HOLDINGS1.89%$336.34+1.1%
12USPHU S PHYSICAL THERAPY1.98%$78.21+0.3%
13CHECHEMED1.94%$540.57+1.1%
14AVAHAVEANNA HEALTHCARE HOLDINGS1.46%$13.16+1.5%
15UHSUNIVERSAL HEALTH SERVICES1.86%$177.26+2.5%

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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+1.8%
1 month+2.8%
3 months+20.1%
6 months+26.6%
YTD+27.3%
1 year+38.2%
3 years

PRICE RETURN, DISTRIBUTIONS NOT REINVESTED

Net flows
1 week
1 month+$1M
3 months+$90M
YTD+$102M
1 year+$103M

CREATION/REDEMPTION DOLLARS, DAILY RECORDS

Monthly net flows
SepOctNovDecJanFebMarAprMayJunJulAug
DAILY CREATION/REDEMPTION RECORDS, TRAILING TWELVE MONTHS
The risk read
20%realized volatility, 30 days (annualized)
17%realized volatility, 1 year
-12.0%deepest fall from a peak, 1 year
-0.8%where it sits vs. that peak today

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
calls today
puts today
put/call ratio
7Kshares traded
Most-traded holdings, options premiumBullishBearish
UNH UNITEDHEALTH GROUP$13M$13M
HIMS HIMS & HERS HEALTH$13M$10M
HUM HUMANA$6M$4M
HCA HCA HEALTHCARE$4M$5M
CI CIGNA GROUP$5M$2M

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

InstrumentsHarvest substitutesTrade cost at $1MClient tearsheetStress this fund
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