Tax-loss harvesting alternatives for LFST

Among the 21 Health Care Services peers screened, SHC (Sotera Health) has tracked LFST most closely over the past year, with a return correlation of 0.26. The strongest fund stand-in is XHS (SPDR S&P Health Care Services) at 0.32 over the past year. Correlations are computed from daily closing-price returns aligned by trading day.

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STOCKS

Single-name peers

Ticker	Name	Sub-industry	1Y	3Y	5Y	10Y
SHC	Sotera Health	Health Care Services	0.26	0.21	0.19	—
RDNT	RadNet, Inc.	Health Care Services	0.25	0.25	0.34	—
CON	Concentra Group Holdings Parent, Inc.	Health Care Services	0.24	0.31	—	—
CRVL	CorVel Corporation	Health Care Services	0.22	0.24	0.24	—
MD	Pediatrix Medical Group	Health Care Services	0.22	0.21	0.24	—
NEO	NeoGenomics Laboratories, Inc.	Health Care Services	0.22	0.21	0.28	—
PRVA	Privia Health Group, Inc.	Health Care Services	0.18	0.33	0.38	—
SDGR	Schrödinger, Inc.	Health Care Services	0.18	0.25	0.33	—
ALHC	Alignment Healthcare, Inc.	Health Care Services	0.17	0.17	0.25	—
BTSG	BrightSpring Health Services	Health Care Services	0.15	0.17	—	—
LH	Labcorp	Health Care Services	0.13	0.23	0.29	—
CHE	Chemed Corp.	Health Care Services	0.12	0.19	0.20	—
ADUS	Addus HomeCare Corp.	Health Care Services	0.10	0.19	0.23	—
DGX	Quest Diagnostics	Health Care Services	0.09	0.16	0.21	—
CVS	CVS Health	Health Care Services	0.09	0.09	0.11	—
HCA	HCA Healthcare	Health Care Services	0.06	0.10	0.21	—
DVA	DaVita	Health Care Services	0.05	0.12	0.16	—
HIMS	Hims & Hers Health	Health Care Services	0.03	0.13	0.20	—
VCYT	Veracyte, Inc.	Health Care Services	0.02	0.21	0.34	—
AMN	Amn Healthcare Services, Inc.	Health Care Services	-0.03	0.13	0.14	—
PGNY	Progyny, Inc.	Health Care Services	-0.07	0.05	0.24	—

ETFS

Fund stand-ins

An ETF is generally not 'substantially identical' to a single stock, which is why funds are the standard wash-sale-aware replacement.

Ticker	Name	Focus	Match	1Y	3Y	5Y	10Y
XHS	SPDR S&P Health Care Services	Health Care Services	INDUSTRY	0.32	0.42	0.51	—
FHLC	Fidelity MSCI Health Care ETF	Health Care Sector	SECTOR	0.31	0.30	0.37	—
VHT	Vanguard Health Care ETF	Health Care Sector	SECTOR	0.31	0.30	0.37	—
XLV	Health Care Select Sector SPDR	Health Care Sector	SECTOR	0.30	0.27	0.32	—
IHI	iShares Medical Devices ETF	Medical Devices	SUB-IND	0.30	0.28	0.38	—
IYH	iShares US Healthcare ETF	Health Care Sector	SECTOR	0.29	0.28	0.34	—
IHF	iShares Health Care Providers	Health Care Providers	INDUSTRY	0.24	0.26	0.32	—
IHE	iShares US Pharmaceuticals ETF	Pharmaceuticals	INDUSTRY	0.23	0.23	0.27	—
IBB	iShares Biotechnology ETF	Biotechnology	INDUSTRY	0.23	0.28	0.39	—
PPH	VanEck Pharma ETF	Pharmaceuticals	INDUSTRY	0.23	0.20	0.24	—
XPH	SPDR S&P Pharmaceuticals	Pharmaceuticals (Equal Wt)	INDUSTRY	0.22	0.29	0.37	—
XBI	SPDR S&P Biotech ETF	Biotechnology (Equal Wt)	INDUSTRY	0.20	0.29	0.40	—

NEXT STEPS

Harvesting a loss in LFST?

Estimate what the harvest could save →Check the eight wash-sale traps →Document the trade with a Tax Memo →

Replacement research for LFST's peers

SHC RDNT CON CRVL MD NEO PRVA SDGR ALHC BTSG LH CHE ADUS DGX CVS HCA DVA HIMS VCYT AMN PGNY

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Method: Pearson correlation of daily closing-price returns, Yahoo Finance data, series aligned by trading day, refreshed weekly. A cell is blank when overlapping history covers less than 60% of its window. Correlation is descriptive, not predictive. Wash-sale treatment depends on facts and circumstances — confirm with a tax professional. Not investment advice.