SPDR S&P Health Care Services ETF
Price through Oct 7, 2026 · Flows through Oct 6, 2026. Figures use the latest available records, not a live quote. Fund details retrieved Oct 7, 2026. Holdings snapshot retrieved Oct 7, 2026.
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").
SOURCE: MARKET TAPE & DAILY CREATION/REDEMPTION RECORDS · 6M SHOWN · NET +$94M OVER THIS RANGE
Money is leaving — −$13M in net outflows over the past month, about 6.3% of the fund's asset base, while the price has returned +25.8% so far this year. At 0.35% a year it is not the cheapest way in — IWM has a reported fee of 0.19%.
COMPOSED FROM THE FUND’S OWN DAILY RECORDS · UPDATED WITH EACH REFRESH
CELL SIZE IS PORTFOLIO WEIGHT · COLOR IS THE CHANGE IN THE LATEST AVAILABLE SNAPSHOT · TOP 40 POSITIONS
| # | Holding | Weight | Price | Day | 52-wk | |
|---|---|---|---|---|---|---|
| 1 | THCTENET HEALTHCARE | 2.06% | $259.83 | +0.5% | ||
| 2 | HNGEHinge Health, Inc. | 2.42% | $97.86 | -0.5% | ||
| 3 | LFSTLIFESTANCE HEALTH GROUP | 2.47% | $12.11 | -0.1% | ||
| 4 | OPCHOPTION CARE HEALTH | 1.78% | $31.01 | +0.0% | ||
| 5 | NEONEOGENOMICS | 2.34% | $15.97 | -3.2% | ||
| 6 | CONCONCENTRA GROUP HOLDINGS PARENT INC | 2.03% | $36.40 | +0.0% | ||
| 7 | USPHU S PHYSICAL THERAPY | 1.98% | $82.96 | -0.8% | ||
| 8 | NUTXNUTEX HEALTH | 1.89% | $213.02 | -2.5% | ||
| 9 | GHGUARDANT HEALTH | 2.08% | $168.33 | -1.4% | ||
| 10 | WGSGENEDX HOLDINGS | 2.29% | $68.53 | -4.2% | ||
| 11 | PACSPACS GROUP INC | 2.25% | $43.19 | +0.9% | ||
| 12 | CRVLCORVEL | 1.85% | $76.49 | +0.9% | ||
| 13 | AMNAMN HEALTHCARE SERVICES | 2.00% | $36.53 | -0.5% | ||
| 14 | ACHCACADIA HEALTHCARE COMPANY | 2.24% | $29.23 | +0.7% | ||
| 15 | ADUSADDUS HOMECARE | 1.95% | $113.27 | +0.1% |
The full book, free with one sign-in.
Top 15 positions are open to everyone. Sign in once and every fund’s complete holdings — plus CSV export, watchlists, and flow alerts — unlock across the network.
Sign in to see all 60| 1 week | +2.2% |
| 1 month | -0.9% |
| 3 months | -1.8% |
| 6 months | +32.9% |
| YTD | +25.8% |
| 1 year | +31.3% |
| 3 years | — |
PRICE RETURN, DISTRIBUTIONS NOT REINVESTED
| 1 week | −$16M |
| 1 month | −$13M |
| 3 months | +$31M |
| YTD | +$98M |
| 1 year | +$102M |
CREATION/REDEMPTION DOLLARS, DAILY RECORDS
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
| Most-traded holdings, options premium | Bullish | Bearish |
|---|---|---|
| UNH UNITEDHEALTH GROUP | $30M | $25M |
| CNC CENTENE | $17M | $4M |
| HUM HUMANA | $12M | $9M |
| CI CIGNA GROUP | $3M | $2M |
| CVS CVS | $3M | $2M |
TODAY’S OPTIONS PREMIUM IN THE FUND’S UNDERLYING NAMES
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.
| Fund | Fee | Assets | Flow, 1M | The case | |
|---|---|---|---|---|---|
| SPDW State Street SPDR Portfolio Developed World ex-US ETF | 0.03% | $41B | +$286M | -32bp on fee · 199× the assets · +$286M in over the month | Head-to-head |
| SPMD State Street SPDR Portfolio S&P 400 Mid Cap ETF | 0.03% | $18.4B | +$199M | -32bp on fee · 89× the assets · +$199M in over the month | Head-to-head |
| IDEV iShares Core MSCI International Developed Markets ETF | 0.04% | $32.4B | +$497M | -31bp on fee · 157× the assets · +$497M in over the month | Head-to-head |
| IGSB iShares 1-5 Year Investment Grade Corporate Bond ETF | 0.04% | $23.3B | +$575M | -31bp on fee · 113× the assets · +$575M in over the month | Head-to-head |
| IGIB iShares 5-10 Year Investment Grade Corporate Bond ETF | 0.04% | $18.6B | +$412M | -31bp on fee · 90× the assets · +$412M in over the month | Head-to-head |