PTHvsXHEETF Comparison
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Invesco DWA Healthcare Momentum ETF (PTH) and State Street SPDR S&P Health Care Equipment ETF (XHE) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Healthcare. PTH is more expensive with a Total Expense Ratio (TER) of 0.72%, versus 0.35% for XHE. PTH is up 17.82% year-to-date (YTD) with +$88M in YTD flows. XHE performs worse with -3.33% YTD performance, and +$4M in YTD flows. Run a side-by-side ETF comparison of PTH 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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PTH vs XHE performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 07/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | PTH XHE | +5.19%+5.83% | +12.36%+2.12% | +17.82%-3.33% | +58.30%+9.18% | +56.89%-12.44% | +7.61%-32.06% |
| Flows | PTH XHE | +$102M+$6M | +$94M+$4M | +$88M+$4M | +$92M-$15M | +$25M-$377M | -$192M-$395M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | PTH XHE | +29.53%+26.32% | +24.63%+22.80% | +25.60%+22.21% | +25.58%+24.71% |
| Max drawdown | PTH XHE | -8.31%-7.15% | -11.91%-18.20% | -27.71%-32.21% | -50.10%-49.90% |
| Max drawdown duration | PTH XHE | 41d63d | 140d195d | 353d1092d | 1756d1784d |
Trading data
PTH | XHE | |
Last sale 7/24/2026 at 1:30 PM | $58.57 | $85.18 |
| Previous close 07/23/2026 | $59.39 | $85.02 |
| Consolidated volume 07/23/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of June 30, 2026
1-year trailing difference
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PTH | 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 7/24/2026 at 1:30 PM
Live
Closed
PTH | XHE | |
|---|---|---|
| Last price | $58.57 | $85.18 |
| 1D performance | -1.38% | +0.19% |
| AuM | $231.95 M | $153.34 M |
| E/R | 0.72% | 0.35% |
Characteristics
PTH | XHE | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Invesco | State Street Investment Management |
| Benchmark | Dorsey Wright Healthcare Technical Leaders Index | S&P Health Care Equipment Select Industry Index |
| N° of holdings | 57 | 67 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | October 12, 2006 | January 26, 2011 |
| ESG | No | No |
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Exposure
Countries
PTH
USA
92.25%
Other
7.75%
XHE
USA
89.54%
Other
10.46%
Sectors
PTH
Healthcare
100%
Other
0%
XHE
Healthcare
94.54%
Other
5.46%
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Diversification
PTH
Total weight of top 15 holdings out of 15
43.88%
XHE
Total weight of top 15 holdings out of 15
26.73%
Top 15 holdings
Data as of June 30, 2026
PTH
Roivant Sciences Ltd.
4.95%
Praxis Precision Medicines, Inc.
4.66%
Tango Therapeutics, Inc.
3.70%
SELLAS Life Sciences Group, Inc.
3.36%
United Therapeutics Corp.
2.91%
Tenet Healthcare Corp.
2.89%
Axsome Therapeutics, Inc.
2.74%
BrightSpring Health Services, Inc.
2.54%
Liquidia Corp.
2.52%
Moderna, Inc.
2.49%
Ionis Pharmaceuticals, Inc.
2.30%
Erasca, Inc.
2.29%
HCA Healthcare, Inc.
2.23%
Twist Bioscience Corp.
2.21%
Protagonist Therapeutics, Inc.
2.08%
XHE
Butterfly Network, Inc.
2.45%
QuidelOrtho Corp.
2.04%
Glaukos Corp.
1.79%
UFP Technologies, Inc.
1.79%
Axogen, Inc.
1.76%
Lantheus Holdings, Inc.
1.74%
Artivion, Inc.
1.73%
Envista Holdings Corp.
1.72%
Omnicell, Inc.
1.71%
Medline, Inc.
1.69%
Alphatec Holdings, Inc.
1.67%
Dentsply Sirona, Inc.
1.66%
Inspire Medical Systems, Inc.
1.66%
The Cooper Cos., Inc.
1.66%
Edwards Lifesciences Corp.
1.65%
Frequently asked questions about PTH and XHE
How have the PTH and XHE ETFs performed in 2026?
As of July 24, 2026, PTH is up 17.82% year-to-date (YTD), while XHE has lost -3.33%. That puts PTH better performer ahead so far this year.
Which ETF is attracting more investor money: PTH or XHE?
Year-to-date, the PTH ETF saw +$88M in flows, compared to +$4M for XHE.
Which ETF is more volatile: PTH or XHE?
Over the past year, PTH had a volatility of 24.63%, while XHE experienced 22.8%.
Which ETF is bigger: PTH or XHE?
As of July 24, 2026, PTH holds $231.95 M in assets under management (AUM), while XHE manages $153.34 M.
What sectors do the PTH and XHE ETFs invest in?
PTH leans toward sectors like Healthcare. Meanwhile, XHE focuses on Healthcare.
What are the top holdings of the PTH ETF and XHE ETF?
PTH top holdings include Roivant Sciences Ltd., Praxis Precision Medicines, Inc. and Tango Therapeutics, Inc.. XHE holds in its top three: Butterfly Network, Inc., QuidelOrtho Corp. and Glaukos Corp..
Which ETF is more diversified: PTH or XHE?
PTH holds 57 securities with 43.88% of its assets in the top 15. XHE has 67 securities and a top 15 weight of 26.73%.
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