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ETF analysis

State Street SPDR S&P Health Care Services ETF (XHS) holdings & weights

Per-holding contribution · concentration · sector skew — a deep read

US-listedAs of 2026-10-19
IndexS&P Health Care Services Select Industry
Annual fee0.35%
Net assets$213M
InceptionSep 28, 2011

Fund overview

This is a US-listed ETF from State Street. It tracks the S&P Health Care Services Select Industry. Key facts — expense ratio 0.35%; net assets about $213M; inception Sep 28, 2011. Its 1-year return is +39.11%.

Index tracked
S&P Health Care Services Select Industry
Provider
State Street
Expense ratio
0.35%
Net assets (AUM)
$213M
Inception
Sep 28, 2011
1-year return
+39.11%
Holdings
63
52-week range
$98.15–$141.21
Fund details

Fund overview

This is a US-listed ETF from State Street. It tracks the S&P Health Care Services Select Industry. Key facts — expense ratio 0.35%; net assets about $213M; inception Sep 28, 2011. Its 1-year return is +39.11%.

Index tracked
S&P Health Care Services Select Industry
Provider
State Street
Expense ratio
0.35%
Net assets (AUM)
$213M
Inception
Sep 28, 2011
1-year return
+39.11%
Holdings
63
52-week range
$98.15–$141.21

60 identified stocks · net exposure / NAV 97.64%. Display weights are normalized to 100%; calculations retain original exposures without an additional leverage multiplier. Cash and unallocated contracts are excluded from stock attribution.

Weight and calculation basis

60 identified stocks · net exposure / NAV 97.64%. Display weights are normalized to 100%; calculations retain original exposures without an additional leverage multiplier. Cash and unallocated contracts are excluded from stock attribution.

—
Holdings not priced
19.7%
Top-10 weight
173
Concentration HHI (Low)
Health Care
Top sector

We have this ETF's holdings, but the prices for those particular listings are outside our quote coverage (currently Korea- and US-listed securities). So today's contribution and return are not computed — showing 0% would claim it did not move, which is a different statement. The holdings and weights below follow the calculation basis above.

Today's summary

Its top 10 holdings make up about 19.7% of the fund. The concentration index (HHI) is 173 — Low — evenly diversified, and the largest sector is Health Care (87%). The higher the concentration, the more one stock or sector drives the whole ETF's return.

Structural health

A five-axis read on how this fund is built. It is not a return forecast or a recommendation, and a low score does not mean a bad fund — leveraged products score low by design. Each axis shows the figure behind it.

65/ 100
BSound structure
DiversificationHHI 173100

Concentration is below 1,500 (173), so no single holding dominates.

Sector balanceHealth Care 87%0

Health Care alone is 87%. This is effectively a bet on that one industry — if the sector falls, diversification will not help.

Cost0.35%/yr74

0.35% a year is typical. Held ten years, roughly 3.5% goes to fees.

Fund size$213M24

Net assets of $213M — liquid enough to trade, and unlikely to be wound down.

Structural simplicityPhysical, 1x100

A plain 1x physical fund holding the shares themselves — no structural drift from how long you hold it.

Concentration and diversification

Structural health

A five-axis read on how this fund is built. It is not a return forecast or a recommendation, and a low score does not mean a bad fund — leveraged products score low by design. Each axis shows the figure behind it.

65/ 100
BSound structure
DiversificationHHI 173100

Concentration is below 1,500 (173), so no single holding dominates.

Sector balanceHealth Care 87%0

Health Care alone is 87%. This is effectively a bet on that one industry — if the sector falls, diversification will not help.

Cost0.35%/yr74

0.35% a year is typical. Held ten years, roughly 3.5% goes to fees.

Fund size$213M24

Net assets of $213M — liquid enough to trade, and unlikely to be wound down.

Structural simplicityPhysical, 1x100

A plain 1x physical fund holding the shares themselves — no structural drift from how long you hold it.

Top 20 holdings

1 derivative positions are excluded. Stock contributions do not explain the entire ETF return.

Weights are normalized to 100% of absolute exposures across analysed positions, including positions outside this top list. Cash, collateral and unverified assets are excluded. Contributions retain original signed NAV exposures; leverage is not applied twice.

Normalized to 100% of analysed positions

Weights are normalized to 100% of absolute exposures across analysed positions, including positions outside this top list. Cash, collateral and unverified assets are excluded. Contributions retain original signed NAV exposures; leverage is not applied twice.

Tile size = weight, colour = the day's return (deeper = larger). Covers the top 30 holdings, 54.9% of the fund. Labels are dropped where a tile is too small; hover any tile for its name and figures.
#HoldingWeight
1AMN HEALTHCARE SERVICESAMN2.08%
2HINGE HEALTH AHNGE2.01%
3CORVELCRVL2.01%
4MCKESSONMCK2.00%
5CONCENTRA PARCON1.97%
6PRIVIA HEALTHPRVA1.94%
7ELEVANCE HEALTHELV1.92%
8MOLINA HEALTHCAREMOH1.91%
9HCA HEALTHCAREHCA1.91%
10U.S. PHYSICAL THERAPYUSPH1.91%
11THE CIGNACI1.90%
12CENTENECNC1.89%
13ACADIA HEALTHCAREACHC1.89%
14CARDINAL HEALTHCAH1.86%
15CENCORACOR1.86%
16NATIONAL HEALTHCARENHC1.86%
17SURGERY PARTNERSSGRY1.84%
18HUMANAHUM1.83%
19UNIVERSAL HEALTH SERVICES BUHS1.83%
20UNITEDHEALTHUNH1.83%

Holdings below 0.5% or outside the top list are folded into “Others” and omitted above.

Where the weight sits — sector mix

Listed equity weights summed by sector and normalized to 100%. Each band is one sector's share.

Health Care87.1%
Consumer Discretionary7.3%
Information Technology2.0%
Financials2.0%
Consumer Staples1.6%
Industry breakdown
Medical Specialities30.6%
Medical/Nursing Services21.7%
Hospital/Nursing Management19.8%
Other Pharmaceuticals5.7%
Misc Health and Biotechnology Services5.3%
Professional Services3.8%
Business Services3.5%
Retail-Drug Stores and Proprietary Stores3.4%
EDP Services2.0%
Specialty Insurers2.0%
Precision Instruments1.6%
Biotechnology: Pharmaceutical Preparations0.6%
Concentration at a glanceHHI 173well spread
spread1,0001,8002,500concentrated

HHI sums the squared weights. The more it leans on a few names, the higher it goes — and the more the whole ETF moves with them.

How concentrated is it

Concentration (HHI) is low at 173, with the top 10 holdings at just 19.7% of equity weight. No single name can dominate the fund.

Good for damping single-stock risk — and equally, a big winner inside gets diluted.

HHI squares each weight and sums them: 10,000 means one stock is everything, and the more evenly spread the holdings, the closer it falls to zero.

Where the sector weight sits

By sector, Health Care alone is 87% — whatever the fund is called, this is a bet on that industry.

Bad news for the sector moves the whole fund. Worth checking against anything else you hold in the same space.

Weights above sum the individually listed equities and normalize that equity total to 100%.

How much it overlaps others

Even its closest peer, IHF, overlaps only 32% (24 shared names).

Funds filed under the same label can hold quite different companies, so pairing this one with another may genuinely spread risk.

What it is made of

The fund holds 63 positions in total; this page lists the largest 60 and folds the rest into "Others".

The expense ratio is 0.35% a year. Funds tracking the same index tend to perform alike, which makes the fee one of the few things that reliably separates them over time.

This page is not investment advice. Investment decisions and responsibility are your own.

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