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IBBQvsXHEETF Comparison

ETF 1
IBBQ

Invesco Nasdaq Biotechnology ETF

This fund is part of
US Health Care
+0%
VS
ETF 2
XHE

State Street SPDR S&P Health Care Equipment ETF

This fund is part of
US Health Care
+0%

Invesco Nasdaq Biotechnology ETF (IBBQ) and State Street SPDR S&P Health Care Equipment ETF (XHE) belong to the same industry segment: US Health Care. IBBQ's top 3 sector exposures are Health Care and Consumer Staples. In contrast, XHE's top sector exposures are Health Care  IBBQ is less expensive with a Total Expense Ratio (TER) of 0.19%, versus 0.35% for XHE. IBBQ is up 5.76% year-to-date (YTD) with +$276K in YTD flows. XHE performs worse with -6.45% YTD performance, and -$3M in YTD flows. Run a side-by-side ETF comparison of IBBQ and XHE below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.

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IBBQ vs XHE performance and flow charts

Performance

-1.00.01.02.03.04.05.06.0%May 18May 26Jun 2Jun 9Jun 16

Cumulative Flows

0 M5 M10 M15 MMay 18May 26Jun 2Jun 9Jun 16

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Historic performance and flows
Data as of 06/18/2026
1M3MYTD1Y3Y5Y
Perf.
IBBQ
XHE
+5.34%+4.79%
+6.50%+3.32%
+5.76%-6.45%
+43.73%+4.11%
+46.06%-15.81%
+25.12%-34.26%
Flows
IBBQ
XHE
-$13K+$10M
-$8M+$4M
+$276K-$3M
+$15M-$35M
+$33M-$325M
-$3M-$446M
Volatility and drawdown
3M1Y3Y5Y
Volatility
IBBQ
XHE
+23.84%+25.62%
+20.19%+22.00%
+20.02%+21.81%
+21.88%+24.52%
Max drawdown
IBBQ
XHE
-6.92%-8.81%
-8.38%-18.20%
-23.78%-32.46%
-38.09%-49.90%
Max drawdown duration
IBBQ
XHE
60d60d
48d161d
375d1067d
1543d1750d
Trading data

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IBBQ
XHE
Last sale
6/18/2026 at 1:30 PM
$29.98
$82.34
Previous close
06/18/2026
$29.94
$80.14
Consolidated volume
06/18/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of May 29, 2026
1-year trailing difference

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IBBQ
XHE
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 6/18/2026 at 1:30 PM
Live
Closed
IBBQ
XHE
Last price
$29.98
$82.34
1D performance
+0.14%
+2.75%
AuM$67.74 M$142.21 M
E/R0.19%0.35%
Characteristics
IBBQ
XHE
Management strategyPassivePassive
ProviderInvescoState Street Investment Management
BenchmarkNASDAQ Biotechnology IndexS&P Health Care Equipment Select Industry Index
N° of holdings19060
Asset classEquitiesEquities
Trailing 12m distribution yield
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Inception dateJune 9, 2021January 26, 2011
ESGNoNo
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Exposure

Countries

IBBQ
USA
91.42%
Other
8.58%
XHE
USA
92.03%
Other
7.97%

Sectors

IBBQ
Health Care
84.62%
Other
15.38%
XHE
Health Care
89.92%
Other
10.08%
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Diversification

IBBQ

Total weight of top 15 holdings out of 15

49.38%
XHE

Total weight of top 15 holdings out of 15

29.69%

Top 15 holdings

Data as of April 30, 2026
IBBQ
AMGEN-T
7.26%
GILEAD SCIENCES
7.11%
VERTEX PHARMACEUTICALS
7.11%
REGENERON PHARMACEUTICALS
6.23%
ALNYLAM PHARMACEUTICALS
3.30%
INSMED
2.36%
BIOGEN INC
2.14%
REVOLUTION MEDICINES INC
2.10%
UTD THERAPEUT
2.00%
US04016X1019
1.79%
ROYALTY PHARMA
1.71%
ROIVANT SCIENCES LTD
1.60%
ILLUMINA
1.58%
MODERNA INC
1.55%
INCYTE
1.53%
XHE
STAAR SURGICAL
2.55%
GLAUKOS
2.39%
AXOGEN
2.29%
BUTTERFLY NETWORK INC
2.14%
NOVOCURE LTD
2.07%
AVANOS MEDICAL INC
2.05%
TELEFLEX
1.89%
OMNICELL
1.89%
IRHYTHM TECHNOLOGIES
1.84%
US58507V1070
1.79%
INTEGER HOLDINGS
1.78%
GLOBUS MEDICAL
1.77%
LANTHEUS HOLDINGS
1.76%
MASIMO
1.74%
LEMAITRE VASCULAR
1.73%
Frequently asked questions about IBBQ and XHE

How have the IBBQ and XHE ETFs performed in 2026?

As of June 18, 2026, IBBQ is up 5.76% year-to-date (YTD), while XHE has lost -6.45%. That puts IBBQ better performer ahead so far this year.

Which ETF is attracting more investor money: IBBQ or XHE?

Year-to-date, the IBBQ ETF saw +$276K in flows, compared to -$3M for XHE.

Which ETF is more volatile: IBBQ or XHE?

Over the past year, IBBQ had a volatility of 20.19%, while XHE experienced 22%.

Which ETF is bigger: IBBQ or XHE?

As of June 18, 2026, IBBQ holds $67.74 M in assets under management (AUM), while XHE manages $142.21 M.

What sectors do the IBBQ and XHE ETFs invest in?

IBBQ leans toward sectors like Health Care. Meanwhile, XHE focuses on Health Care.

What are the top holdings of the IBBQ ETF and XHE ETF?

IBBQ top holdings include AMGEN-T, GILEAD SCIENCES and VERTEX PHARMACEUTICALS. XHE holds in its top three: STAAR SURGICAL, GLAUKOS and AXOGEN.

Which ETF is more diversified: IBBQ or XHE?

IBBQ holds 255 securities with 49.38% of its assets in the top 15. XHE has 66 securities and a top 15 weight of 29.69%.

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