XHEvsIBBQETF Comparison
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State Street SPDR S&P Health Care Equipment ETF (XHE) and Invesco Nasdaq Biotechnology ETF (IBBQ) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. XHE is more expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.19% for IBBQ. XHE is down -6.1% year-to-date (YTD) with -$6M in YTD flows. IBBQ performs better with 3.49% YTD performance, and +$290K in YTD flows. Run a side-by-side ETF comparison of XHE and IBBQ 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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XHE vs IBBQ performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHE IBBQ | +4.44%+5.67% | -6.33%-0.91% | -6.10%+3.49% | +4.10%+41.67% | -16.38%+41.72% | -34.81%n/a |
| Flows | XHE IBBQ | +$345K-$8M | -$4M-$9M | -$6M+$290K | -$35M+$14M | -$282M+$34M | -$404M- |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHE IBBQ | +23.06%+22.23% | +21.27%+21.05% | +21.32%+19.62% | +24.31%n/a |
| Max drawdown | XHE IBBQ | -14.31%-8.38% | -18.20%-8.39% | -32.60%-23.78% | -49.90%n/a |
| Max drawdown duration | XHE IBBQ | 57d48d | 106d33d | 1096d375d | 1695dn/a |
Trading data
XHE | IBBQ | |
Last sale 4/27/2026 at 1:30 PM | $82.67 | $29.23 |
| Previous close 04/24/2026 | $82.71 | $29.34 |
| Consolidated volume 04/24/2026 | ||
| 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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XHE | IBBQ | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 4/27/2026 at 1:30 PM
Live
Closed
XHE | IBBQ | |
|---|---|---|
| Last price | $82.67 | $29.23 |
| 1D performance | -0.05% | -0.36% |
| AuM | $138.61 M | $66.29 M |
| E/R | 0.35% | 0.19% |
Characteristics
XHE | IBBQ | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | Invesco |
| Benchmark | S&P Health Care Equipment Select Industry Index | NASDAQ Biotechnology Index |
| N° of holdings | 61 | 192 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | January 26, 2011 | June 9, 2021 |
| ESG | No | No |
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Exposure
Countries
XHE
USA
92.19%
Other
7.81%
IBBQ
USA
92.77%
Other
7.23%
Sectors
XHE
Health Care
89.87%
Other
10.13%
IBBQ
Health Care
85.9%
Other
14.1%
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Diversification
XHE
Total weight of top 15 holdings out of 15
26.74%
IBBQ
Total weight of top 15 holdings out of 15
51.37%
Top 15 holdings
Data as of March 31, 2026
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%
IBBQ
GILEAD SCIENCES
7.85%
AMGEN-T
7.82%
VERTEX PHARMACEUTICALS
7.59%
REGENERON PHARMACEUTICALS
6.48%
ALNYLAM PHARMACEUTICALS
3.56%
INSMED
2.65%
BIOGEN INC
2.28%
UTD THERAPEUT
1.94%
ROYALTY PHARMA
1.68%
US04016X1019
1.66%
MODERNA INC
1.66%
ROIVANT SCIENCES LTD
1.61%
REVOLUTION MEDICINES INC
1.55%
ILLUMINA
1.52%
INCYTE
1.52%
Frequently asked questions about XHE and IBBQ
How have the XHE and IBBQ ETFs performed in 2026?
As of April 24, 2026, XHE is down -6.1% year-to-date (YTD), while IBBQ has returned 3.49%. That puts IBBQ better performer ahead so far this year.
Which ETF is attracting more investor money: XHE or IBBQ?
Year-to-date, the XHE ETF saw -$6M in flows, compared to +$290K for IBBQ.
Which ETF is more volatile: XHE or IBBQ?
Over the past year, XHE had a volatility of 21.27%, while IBBQ experienced 21.05%.
Which ETF is bigger: XHE or IBBQ?
As of April 24, 2026, XHE holds $138.61 M in assets under management (AUM), while IBBQ manages $66.29 M.
What sectors do the XHE and IBBQ ETFs invest in?
XHE leans toward sectors like Health Care. Meanwhile, IBBQ focuses on Health Care.
What are the top holdings of the XHE ETF and IBBQ ETF?
XHE top holdings include TELEFLEX, STAAR SURGICAL and BUTTERFLY NETWORK INC. IBBQ holds in its top three: GILEAD SCIENCES, AMGEN-T and VERTEX PHARMACEUTICALS.
Which ETF is more diversified: XHE or IBBQ?
XHE holds 67 securities with 26.74% of its assets in the top 15. IBBQ has 256 securities and a top 15 weight of 51.37%.
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