PTHvsXHSETF Comparison
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Invesco DWA Healthcare Momentum ETF (PTH) and State Street SPDR S&P Health Care Services ETF (XHS) 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 XHS. PTH is up 1.75% year-to-date (YTD) with -$6M in YTD flows. XHS performs better with 3.18% YTD performance, and +$12M in YTD flows. Run a side-by-side ETF comparison of PTH and XHS 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 XHS 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 XHS | +8.86%+12.12% | +4.25%+4.03% | +1.75%+3.18% | +32.72%+15.77% | +30.38%+24.19% | -2.01%+0.99% |
| Flows | PTH XHS | -$498K+$9M | -$5M-$2M | -$6M+$12M | -$10M-$1M | -$80M-$27M | -$357M-$31M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | PTH XHS | +27.25%+16.78% | +23.02%+17.89% | +24.62%+18.08% | +25.29%+21.15% |
| Max drawdown | PTH XHS | -7.51%-9.92% | -11.91%-12.54% | -29.24%-17.78% | -50.10%-32.53% |
| Max drawdown duration | PTH XHS | 40d53d | 140d128d | 271d362d | 1699d1765d |
Trading data
PTH | XHS | |
Last sale 4/28/2026 at 1:30 PM | $50.57 | $110.18 |
| Previous close 04/28/2026 | $52.10 | $110.03 |
| 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 | XHS | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/28/2026 at 1:30 PM
Live
Closed
PTH | XHS | |
|---|---|---|
| Last price | $50.57 | $110.18 |
| 1D performance | -2.93% | +0.14% |
| AuM | $121.40 M | $98.11 M |
| E/R | 0.72% | 0.35% |
Characteristics
PTH | XHS | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Invesco | State Street Investment Management |
| Benchmark | Dorsey Wright Healthcare Technical Leaders Index | S&P Health Care Services Select Industry Index |
| N° of holdings | 46 | 51 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | October 12, 2006 | September 28, 2011 |
| ESG | No | No |
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Exposure
Countries
PTH
USA
94.53%
Other
5.47%
XHS
USA
99.89%
Other
0.11%
Sectors
PTH
Health Care
85.2%
Other
14.8%
XHS
Health Care
86.56%
Other
13.44%
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Diversification
PTH
Total weight of top 15 holdings out of 15
52.67%
XHS
Total weight of top 15 holdings out of 15
30.62%
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%
XHS
MEDNAX
2.18%
HEALTHEQUITY I/D
2.15%
GUARDANT HEALTH INC
2.12%
CORVEL
2.08%
US10950A1060
2.08%
CIGNA
2.06%
HUMANA
2.05%
ELEVANCE HEALTH INC
2.04%
DAVITA INC
2.00%
US5049221055
1.99%
ACADIA HEALTHCARE COMPANY
1.98%
CARDINAL HEALTH
1.98%
ALIGNMENT HEALTHCARE
1.98%
QUEST DIAGNOSTICS
1.97%
PROGYNY INC
1.96%
Frequently asked questions about PTH and XHS
How have the PTH and XHS ETFs performed in 2026?
As of April 28, 2026, PTH is up 1.75% year-to-date (YTD), while XHS has returned 3.18%. That puts XHS better performer ahead so far this year.
Which ETF is attracting more investor money: PTH or XHS?
Year-to-date, the PTH ETF saw -$6M in flows, compared to +$12M for XHS.
Which ETF is more volatile: PTH or XHS?
Over the past year, PTH had a volatility of 23.02%, while XHS experienced 17.89%.
Which ETF is bigger: PTH or XHS?
As of April 28, 2026, PTH holds $121.40 M in assets under management (AUM), while XHS manages $98.11 M.
What sectors do the PTH and XHS ETFs invest in?
PTH leans toward sectors like Health Care. Meanwhile, XHS focuses on Health Care.
What are the top holdings of the PTH ETF and XHS ETF?
PTH top holdings include TERNS PHARMACEUTICALS, ROIVANT SCIENCES LTD and US74006W2070. XHS holds in its top three: MEDNAX, HEALTHEQUITY I/D and GUARDANT HEALTH INC.
Which ETF is more diversified: PTH or XHS?
PTH holds 57 securities with 52.67% of its assets in the top 15. XHS has 58 securities and a top 15 weight of 30.62%.
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