Tax-loss harvesting alternatives for USPH

Among the 8 Health Care Facilities peers screened, ENSG (Ensign Group) has tracked USPH most closely over the past year, with a return correlation of 0.31. The strongest fund stand-in is XHS (SPDR S&P Health Care Services) at 0.43 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
ENSG	Ensign Group	Health Care Facilities	0.31	0.27	0.33	0.44
THC	Tenet Health	Health Care Facilities	0.30	0.30	0.32	0.41
UHS	Universal Health Services	Health Care Facilities	0.27	0.31	0.33	0.48
NHC	National Healthcare, Corp.	Health Care Facilities	0.25	0.36	0.35	0.39
ASTH	Astrana Health, Inc.	Health Care Facilities	0.18	0.27	0.26	0.16
ACHC	Acadia Healthcare	Health Care Facilities	0.18	0.23	0.25	0.38
EHC	Encompass Health	Health Care Facilities	0.17	0.28	0.33	0.44
OPCH	Option Care Health	Health Care Facilities	0.15	0.25	0.28	0.32

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	0.43	0.52	0.50	0.58
IHF	iShares Health Care Providers	Health Care Providers	INDUSTRY	0.31	0.37	0.38	0.48
FHLC	Fidelity MSCI Health Care ETF	Health Care Sector	SECTOR	0.30	0.35	0.35	0.43
IYH	iShares US Healthcare ETF	Health Care Sector	SECTOR	0.30	0.34	0.34	0.42
VHT	Vanguard Health Care ETF	Health Care Sector	SECTOR	0.29	0.35	0.35	0.44
XLV	Health Care Select Sector SPDR	Health Care Sector	SECTOR	0.28	0.32	0.32	0.41
PPH	VanEck Pharma ETF	Pharmaceuticals	INDUSTRY	0.25	0.22	0.26	0.38
IHI	iShares Medical Devices ETF	Medical Devices	SUB-IND	0.24	0.35	0.35	0.42
IHE	iShares US Pharmaceuticals ETF	Pharmaceuticals	INDUSTRY	0.22	0.25	0.26	0.38
IBB	iShares Biotechnology ETF	Biotechnology	INDUSTRY	0.21	0.32	0.30	0.35
XPH	SPDR S&P Pharmaceuticals	Pharmaceuticals (Equal Wt)	INDUSTRY	0.16	0.32	0.33	0.42
XBI	SPDR S&P Biotech ETF	Biotechnology (Equal Wt)	INDUSTRY	0.15	0.27	0.27	0.34

NEXT STEPS

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Replacement research for USPH's peers

ENSG THC UHS NHC ASTH ACHC EHC OPCH

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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.