SPDR S&P Health Care Services ETF (XHS) Holdings
XHS holdings summary
as of Oct 23, 2026- Holdings
- 61 positions listed
- Top 10 weight
- 19.9% of net assets
- Effective holdings
- 59 equal-weight equivalent
- Largest holding
- OPCH 2.34% Option Care Health, Inc.
- Annual turnover
- 50.9% of the portfolio traded
All XHS holdings
| # | Name | ||||||
|---|---|---|---|---|---|---|---|
| 1 | OPCH | Option Care Health, Inc. | Healthcare | 2.34% | $5.2M | $4.67B | 23.6 |
| 2 | AMN | AMN Healthcare Services, Inc. | Healthcare | 2.12% | $4.7M | $1.57B | 15.1 |
| 3 | HNGE | Hinge Health, Inc. | Healthcare | 2.06% | $4.6M | $8.00B | 32.7 |
| 4 | MCK | McKesson Corporation | Healthcare | 2.02% | $4.5M | $117.15B | 26.9 |
| 5 | CON | Concentra Group Holdings Parent, Inc. | Healthcare | 1.94% | $4.3M | $4.91B | 24.9 |
| 6 | ELV | Elevance Health Inc. | Healthcare | 1.90% | $4.2M | $92.88B | 19.0 |
| 7 | PRVA | Privia Health Group, Inc. | Healthcare | 1.89% | $4.2M | $2.88B | 107.2 |
| 8 | USPH | U.S. Physical Therapy, Inc. | Healthcare | 1.88% | $4.2M | $1.28B | 476.2 |
| 9 | CRVL | CorVel Corporation | Financial Services | 1.87% | $4.1M | $4.03B | 35.6 |
| 10 | CAH | Cardinal Health, Inc. | Healthcare | 1.87% | $4.1M | $58.83B | 35.1 |
| 11 | ACHC | Acadia Healthcare Company, Inc. | Healthcare | 1.87% | $4.1M | $2.79B | — |
| 12 | CNC | Centene Corporation | Healthcare | 1.84% | $4.1M | $34.16B | — |
| 13 | MOH | Molina Healthcare, Inc. | Healthcare | 1.84% | $4.1M | $10.82B | — |
| 14 | UNH | UnitedHealth Group Incorporated | Healthcare | 1.84% | $4.1M | $360.32B | 25.8 |
| 15 | CLOV | Clover Health Investments, Corp. | Healthcare | 1.83% | $4.1M | $2.38B | — |
| 16 | CI | Cigna Corporation | Healthcare | 1.81% | $4.0M | $79.88B | 12.5 |
| 17 | HCA | HCA Healthcare, Inc. | Healthcare | 1.81% | $4.0M | $99.34B | 15.4 |
| 18 | SGRY | Surgery Partners, Inc. | Healthcare | 1.79% | $4.0M | $1.91B | — |
| 19 | HUM | Humana Inc. | Healthcare | 1.78% | $3.9M | $49.61B | 39.1 |
| 20 | HIMS | Hims & Hers Health, Inc. | Healthcare | 1.78% | $3.9M | $6.55B | — |
| 21 | MD | Pediatrix Medical Group, Inc. | Healthcare | 1.78% | $3.9M | $2.22B | 13.1 |
| 22 | THC | Tenet Healthcare Corporation | Healthcare | 1.78% | $3.9M | $21.52B | 10.5 |
| 23 | ASTH | Astrana Health, Inc. | Healthcare | 1.77% | $3.9M | $1.83B | 44.3 |
| 24 | PGNY | Progyny, Inc. | Healthcare | 1.76% | $3.9M | $2.06B | 29.2 |
| 25 | COR | Cencora | Healthcare | 1.76% | $3.9M | $65.06B | 25.3 |
| 26 | NHC | National HealthCare Corporation | Healthcare | 1.76% | $3.9M | $3.80B | 27.0 |
| 27 | ENSG | The Ensign Group, Inc. | Healthcare | 1.76% | $3.9M | $10.29B | 27.7 |
| 28 | CVS | CVS Health Corporation | Healthcare | 1.74% | $3.8M | $118.13B | 24.3 |
| 29 | LH | Laboratory Corporation of America Holdings | Healthcare | 1.73% | $3.8M | $25.79B | 26.3 |
| 30 | GH | Guardant Health, Inc. | Healthcare | 1.73% | $3.8M | $21.28B | — |
| 31 | PACS | PACS Group, Inc. | Healthcare | 1.72% | $3.8M | $7.43B | 27.4 |
| 32 | BLLN | BillionToOne, Inc. | Healthcare | 1.70% | $3.8M | $4.63B | 155.7 |
| 33 | UHS | Universal Health Services, Inc. | Healthcare | 1.70% | $3.8M | $10.91B | 7.6 |
| 34 | ADUS | Addus HomeCare Corporation | Healthcare | 1.69% | $3.7M | $2.17B | 20.3 |
| 35 | LFST | LifeStance Health Group, Inc. | Healthcare | 1.69% | $3.7M | $4.46B | 90.3 |
| 36 | CHE | Chemed Corporation | Healthcare | 1.68% | $3.7M | $6.70B | 25.8 |
| 37 | HQY | HealthEquity, Inc. | Healthcare | 1.67% | $3.7M | $7.61B | 33.2 |
| 38 | GRDN | Guardian Pharmacy Services, Inc. | Healthcare | 1.66% | $3.7M | $2.50B | 38.3 |
| 39 | DGX | Quest Diagnostics Incorporated | Healthcare | 1.64% | $3.6M | $25.94B | 24.6 |
| 40 | NUTX | Nutex Health, Inc. | Healthcare | 1.64% | $3.6M | $1.27B | 7.4 |
| 41 | HSIC | Henry Schein, Inc. | Healthcare | 1.64% | $3.6M | $9.63B | 25.2 |
| 42 | BTSG | BrightSpring Health Services, Inc. | Healthcare | 1.63% | $3.6M | $12.04B | 53.9 |
| 43 | EHC | Encompass Health Corporation | Healthcare | 1.63% | $3.6M | $12.61B | 21.4 |
| 44 | RDNT | RadNet, Inc. | Healthcare | 1.61% | $3.6M | $5.41B | — |
| 45 | NEO | NeoGenomics, Inc. | Healthcare | 1.58% | $3.5M | $2.14B | — |
| 46 | AGL | agilon health, inc. | Healthcare | 1.57% | $3.5M | $1.43B | — |
| 47 | AVAH | Aveanna Healthcare Holdings Inc. | Healthcare | 1.57% | $3.5M | $2.69B | 9.8 |
| 48 | DVA | DaVita Inc. | Healthcare | 1.54% | $3.4M | $11.95B | 15.8 |
| 49 | OMDA | Omada Health, Inc. | Healthcare | 1.51% | $3.4M | $1.08B | 73.5 |
| 50 | CSU | Capital Senior Living Corporation | Healthcare | 1.44% | $3.2M | — | — |
| 51 | BKD | Brookdale Senior Living Inc. | Healthcare | 1.44% | $3.2M | $2.41B | — |
| 52 | WGS | GeneDx Holdings Corp. | Healthcare | 1.38% | $3.1M | $1.90B | — |
| 53 | AHCO | AdaptHealth Corp. | Healthcare | 1.37% | $3.0M | $803.1M | — |
| 54 | PNTG | The Pennant Group, Inc. | Healthcare | 1.35% | $3.0M | $1.46B | 46.0 |
| 55 | CSTL | Castle Biosciences, Inc. | Healthcare | 1.22% | $2.7M | $976.4M | — |
| 56 | DFPH | DFP Healthcare Acquisitions Corp | Consumer Defensive | 1.20% | $2.7M | — | — |
| 57 | ALHC | Alignment Healthcare, Inc. | Healthcare | 1.14% | $2.5M | $1.72B | 43.6 |
| 58 | BLDE | Blade Air Mobility Inc | Industrials | 0.75% | $1.7M | — | — |
| 59 | FLGT | Fulgent Genetics, Inc. | Healthcare | 0.70% | $1.6M | $545.1M | — |
| 60 | OPK | OPKO Health, Inc. | Healthcare | 0.56% | $1.2M | $1.14B | — |
| 61 | CYH | Community Health Systems, Inc. | Healthcare | 0.52% | $1.2M | $406.1M | 1.6 |
Weights as a percentage of net assets. Value held = weight × net assets ($221.4M). Market cap and P/E from each company's latest fundamentals (U.S.-listed stocks).
XHS sector breakdown
| Sector | Weight | Holdings | Largest |
|---|---|---|---|
| Healthcare | 96.0% | 58 | OPCH, AMN, HNGE |
| Financial Services | 1.9% | 1 | CRVL |
| Consumer Defensive | 1.2% | 1 | DFPH |
| Industrials | 0.7% | 1 | BLDE |
Sum of the weights of the holdings in each sector.
XHS top industries
XHS overlap with other ETFs
| ETF | Fund | Overlap | Shared holdings | Expense ratio |
|---|---|---|---|---|
| IWM | iShares Russell 2000 ETF | 3.2% | 36 of 1,962 | 0.19% |
| DIA | SPDR Dow Jones Industrial Average ETF | 1.8% | 1 of 30 | 0.16% |
| SPY | SPDR S&P 500 ETF | 1.7% | 15 of 502 | 0.09% |
| VTI | Vanguard Total Stock Market ETF | 1.6% | 61 of 2,941 | 0.03% |
| VXUS | Vanguard Total International Stock ETF | 0.1% | 7 of 8,035 | 0.05% |
| QQQ | Invesco QQQ ETF | 0.0% | 0 of 101 | 0.17% |
Overlap = sum over shared holdings of the smaller of the two weights. 100% means identical portfolios.
About the XHS portfolio
SPDR S&P Health Care Services ETF holds 61 positions. The ten largest make up 19.9% of the fund and the top 50 88.2%, so it behaves like a portfolio of about 59 equally weighted stocks. The biggest positions are Option Care Health, Inc. (2.34%), AMN Healthcare Services, Inc. (2.12%), Hinge Health, Inc. (2.06%), McKesson Corporation (2.02%), Concentra Group Holdings Parent, Inc. (1.94%).
By sector, Healthcare is 96.0%, Financial Services is 1.9%, Consumer Defensive is 1.2%. Holdings data is from the fund's latest portfolio as reported by EODHD on October 23, 2026; positions change as the fund rebalances.
Related: XHS chart, XHS performance, XHS dividends, XHS valuation, XHS overview.
XHS holdings FAQ
How many holdings does XHS have?
XHS holds 61 positions as of October 23, 2026.
What are the top 10 holdings of XHS?
The ten largest holdings are Option Care Health, Inc. (2.34%), AMN Healthcare Services, Inc. (2.12%), Hinge Health, Inc. (2.06%), McKesson Corporation (2.02%), Concentra Group Holdings Parent, Inc. (1.94%), Elevance Health Inc. (1.90%), Privia Health Group, Inc. (1.89%), U.S. Physical Therapy, Inc. (1.88%), CorVel Corporation (1.87%), Cardinal Health, Inc. (1.87%). Together they are 19.9% of the fund.
What percentage of XHS is Option Care Health, Inc.?
Option Care Health, Inc. is the largest holding at 2.34% of net assets, about $5.2M of the fund's $221.4M.
Which sector is the largest in XHS?
Healthcare is the largest sector at 96.0%, followed by Financial Services (1.9%) and Consumer Defensive (1.2%), based on the sectors of the individual holdings.
How concentrated is XHS?
The top 10 holdings are 19.9% of the fund. By the effective number of holdings (1 divided by the sum of squared weights) XHS behaves like a portfolio of about 59 equally weighted stocks.