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 Health Care. PTH is more expensive with a Total Expense Ratio (TER) of 0.72%, versus 0.35% for XHE. PTH is up 1.75% year-to-date (YTD) with -$6M in YTD flows. XHE performs worse with -7.98% YTD performance, and -$12M 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 04/28/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | PTH XHE | +8.86%+6.20% | +4.25%-6.51% | +1.75%-7.98% | +32.72%+2.12% | +30.38%-16.88% | -2.01%-36.24% |
| Flows | PTH XHE | -$498K-$12M | -$5M-$8M | -$6M-$12M | -$10M-$41M | -$80M-$308M | -$357M-$410M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | PTH XHE | +27.25%+23.19% | +23.02%+21.35% | +24.62%+21.34% | +25.29%+24.32% |
| Max drawdown | PTH XHE | -7.51%-14.31% | -11.91%-18.20% | -29.24%-32.46% | -50.10%-49.90% |
| Max drawdown duration | PTH XHE | 40d61d | 140d110d | 271d1016d | 1699d1699d |
Trading data
PTH | XHE | |
Last sale 4/29/2026 at 1:30 PM | $49.66 | $78.40 |
| Previous close 04/28/2026 | $50.57 | $81.23 |
| Consolidated volume 04/28/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 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 4/29/2026 at 1:30 PM
Live
Closed
PTH | XHE | |
|---|---|---|
| Last price | $49.66 | $78.40 |
| 1D performance | -1.80% | -3.48% |
| AuM | $121.40 M | $129.75 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 | 46 | 61 |
| 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
94.53%
Other
5.47%
XHE
USA
92.19%
Other
7.81%
Sectors
PTH
Health Care
85.2%
Other
14.8%
XHE
Health Care
89.87%
Other
10.13%
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Diversification
PTH
Total weight of top 15 holdings out of 15
52.67%
XHE
Total weight of top 15 holdings out of 15
26.74%
Top 15 holdings
Data as of March 31, 2026
PTH
TERNS PHARMACEUTICALS
6.73%
ROIVANT SCIENCES LTD
5.47%
US74006W2070
5.15%
ARROWHEAD PHARMACEUTICALS INC
3.66%
GUARDANT HEALTH INC
3.47%
REVOLUTION MEDICINES INC
3.32%
TENET HEALTHCARE
3.16%
UTD THERAPEUT
2.99%
NATERA
2.95%
HCA HEALTHCARE
2.89%
CELCUITY INC
2.88%
AXSOME THERA CMN STK
2.58%
MADRIGAL PHARMACEUTICALS INC
2.58%
PROTAGONIST THERAPEUTICS INC
2.43%
COGENT BIOSCIENCES
2.40%
XHE
TELEFLEX
1.86%
STAAR SURGICAL
1.84%
BUTTERFLY NETWORK INC
1.84%
US58507V1070
1.83%
GLAUKOS
1.82%
INTEGER HOLDINGS
1.79%
AXOGEN
1.79%
LIVANOVA
1.78%
MASIMO
1.76%
LEMAITRE VASCULAR
1.75%
ARTIVION INC
1.75%
HOLOGIC
1.74%
STERIS
1.74%
GLOBUS MEDICAL
1.72%
IRHYTHM TECHNOLOGIES
1.72%
Frequently asked questions about PTH and XHE
How have the PTH and XHE ETFs performed in 2026?
As of April 28, 2026, PTH is up 1.75% year-to-date (YTD), while XHE has lost -7.98%. 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 -$6M in flows, compared to -$12M for XHE.
Which ETF is more volatile: PTH or XHE?
Over the past year, PTH had a volatility of 23.02%, while XHE experienced 21.35%.
Which ETF is bigger: PTH or XHE?
As of April 28, 2026, PTH holds $121.40 M in assets under management (AUM), while XHE manages $129.75 M.
What sectors do the PTH and XHE ETFs invest in?
PTH leans toward sectors like Health Care. Meanwhile, XHE focuses on Health Care.
What are the top holdings of the PTH ETF and XHE ETF?
PTH top holdings include TERNS PHARMACEUTICALS, ROIVANT SCIENCES LTD and US74006W2070. XHE holds in its top three: TELEFLEX, STAAR SURGICAL and BUTTERFLY NETWORK INC.
Which ETF is more diversified: PTH or XHE?
PTH holds 57 securities with 52.67% of its assets in the top 15. XHE has 67 securities and a top 15 weight of 26.74%.
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