PTHvsXLVETF Comparison
VS
Invesco DWA Healthcare Momentum ETF (PTH) and State Street Health Care Select Sector SPDR ETF (XLV) 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 0.08% for XLV. PTH is up 1.76% year-to-date (YTD) with -$6M in YTD flows. XLV performs worse with -5.33% YTD performance, and +$532M in YTD flows. Run a side-by-side ETF comparison of PTH and XLV below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
Find out how industry players manage ETF portfolios. Discover our library of Model portfolios
PTH vs XLV performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/30/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | PTH XLV | +8.88%+1.48% | +4.70%-5.31% | +1.76%-5.33% | +29.87%+5.70% | +28.99%+14.25% | +0.04%+30.40% |
| Flows | PTH XLV | -$1M-$581M | -$6M-$735M | -$6M+$532M | -$11M+$358M | -$80M-$4.87B | -$358M+$6.71B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | PTH XLV | +27.60%+15.56% | +23.11%+15.94% | +24.63%+13.74% | +25.31%+14.61% |
| Max drawdown | PTH XLV | -7.51%-10.51% | -11.91%-10.51% | -29.24%-17.05% | -50.10%-17.05% |
| Max drawdown duration | PTH XLV | 40d60d | 140d60d | 271d444d | 1701d444d |
Trading data
PTH | XLV | |
Last sale 5/1/2026 at 2:04 PM | $50.48 | $145.69 |
| Previous close 04/29/2026 | $50.60 | $145.99 |
| Consolidated volume 04/29/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of April 30, 2026
1-year trailing difference
Create an account to view replication metrics
Join for free
PTH | XLV | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
Advertisement
Main metrics
Last update 5/1/2026 at 2:04 PM
Live
Closed
PTH | XLV | |
|---|---|---|
| Last price | $50.48 | $145.69 |
| 1D performance | -0.23% | -0.21% |
| AuM | $120.91 M | $37.88 B |
| E/R | 0.72% | 0.08% |
Characteristics
PTH | XLV | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Invesco | State Street Investment Management |
| Benchmark | Dorsey Wright Healthcare Technical Leaders Index | S&P Health Care Select Sector Index |
| N° of holdings | 46 | 56 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | October 12, 2006 | December 16, 1998 |
| ESG | No | No |
Advertisement
Exposure
Countries
PTH
USA
94.53%
Other
5.47%
XLV
USA
97.26%
Other
2.74%
Sectors
PTH
Health Care
85.2%
Other
14.8%
XLV
Health Care
98.29%
Other
1.71%
Advertisement
Diversification
PTH
Total weight of top 15 holdings out of 15
52.67%
XLV
Total weight of top 15 holdings out of 15
70.96%
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%
XLV
LILLY
13.74%
JOHNSON&JOHNSON
11.10%
ABBVIE
7.25%
MERCK & CO INC
5.63%
UNITEDHEALTH GRP
4.62%
AMGEN-T
3.57%
THERMO FISHER SCIENTIFIC
3.48%
ABBOTT LABS
3.37%
GILEAD SCIENCES
3.26%
INTUITIVE SURGICAL
3.09%
PFIZER
3.01%
BRISTOL-MYERS SQUIBB
2.33%
DANAHER
2.25%
VERTEX PHARMACEUTICALS
2.14%
STRYKER
2.13%
Frequently asked questions about PTH and XLV
How have the PTH and XLV ETFs performed in 2026?
As of April 30, 2026, PTH is up 1.76% year-to-date (YTD), while XLV has lost -5.33%. That puts PTH better performer ahead so far this year.
Which ETF is attracting more investor money: PTH or XLV?
Year-to-date, the PTH ETF saw -$6M in flows, compared to +$532M for XLV.
Which ETF is more volatile: PTH or XLV?
Over the past year, PTH had a volatility of 23.11%, while XLV experienced 15.94%.
Which ETF is bigger: PTH or XLV?
As of April 30, 2026, PTH holds $120.91 M in assets under management (AUM), while XLV manages $37.88 B.
What sectors do the PTH and XLV ETFs invest in?
PTH leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.
What are the top holdings of the PTH ETF and XLV ETF?
PTH top holdings include TERNS PHARMACEUTICALS, ROIVANT SCIENCES LTD and US74006W2070. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: PTH or XLV?
PTH holds 57 securities with 52.67% of its assets in the top 15. XLV has 59 securities and a top 15 weight of 70.96%.
Advertisement
Latest news about PTH & XLV
ETF Model Portfolios: The Cockroach Portfolio
March 20, 2026
XLV
ETF Central's Guide to Defensive Sector Investing
March 13, 2026
XLV
Chinese Artificial Intelligence (AI) DeepSeek: ETF Winners & Losers
January 27, 2025
XLV
Investing in Sector ETFs: Consumer Staples, Healthcare, & Utilities
August 21, 2024
XLV
Advertisement
Healthcare Stocks Drop on Medicare Payment Rate Surprise
April 8, 2024
XLV
Healthcare Stocks Drop on Medicare Payment Rate Surprise
April 8, 2024
XLV
Advertisement
