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XHEvsIBBQETF Comparison

ETF 1

XHE

State Street SPDR S&P Health Care Equipment ETF

This fund is part of

US Health Care

+0.32%

Full XHE fund page

VS

ETF 2

IBBQ

Invesco Nasdaq Biotechnology ETF

This fund is part of

US Health Care

+0.32%

Full IBBQ fund page

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. XHE's top 3 sector exposures are Healthcare and Finance. In contrast, IBBQ's top sector exposures are Healthcare and Non-Energy Materials. XHE is more expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.19% for IBBQ. XHE is down -3.04% year-to-date (YTD) with +$2M in YTD flows. IBBQ performs better with 14.04% YTD performance, and +$3M 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

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Data Services

Historic performance and flows

Data as of 07/24/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	XHE IBBQ	+3.29%+3.41%	+3.26%+10.20%	-3.04%+14.04%	+8.72%+43.52%	-12.17%+61.16%	-31.68%+32.17%
Flows	XHE IBBQ	+$2M+$4M	+$26M+$3M	+$2M+$3M	-$18M+$23M	-$379M+$39M	-$397M+$3M

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	XHE IBBQ	+26.19%+22.68%	+22.63%+20.28%	+22.18%+20.24%	+24.70%+21.99%
Max drawdown	XHE IBBQ	-6.40%-5.97%	-18.20%-8.38%	-32.21%-23.78%	-49.90%-38.09%
Max drawdown duration	XHE IBBQ	43d17d	197d48d	1094d375d	1786d1543d

Trading data

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	XHE	IBBQ
Last sale 7/27/2026 at 1:30 PM	$87.54	$32.42
Previous close 07/24/2026	$85.18	$32.28
Consolidated volume 07/24/2026
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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	XHE	IBBQ
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 7/27/2026 at 1:30 PM

Live

Closed

	XHE	IBBQ
Last price	$87.54	$32.42
1D performance	+2.77%	+0.43%
AuM	$151.67 M	$75.55 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	67	251
Asset class	Equities	Equities
Trailing 12m distribution yield	Join	Join
Inception date	January 26, 2011	June 9, 2021
ESG	No	No

More XHE data on Trackinsight

More IBBQ data on Trackinsight

Exposure

Countries

XHE

USA

89.54%

Other

10.46%

IBBQ

USA

88.1%

Other

11.9%

Sectors

XHE

Healthcare

94.54%

Other

5.46%

IBBQ

Healthcare

99.98%

Other

0.02%

Diversification

XHE

Total weight of top 15 holdings out of 15

26.73%

IBBQ

Total weight of top 15 holdings out of 15

49.38%

Top 15 holdings

Data as of June 30, 2026

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%

IBBQ

Vertex Pharmaceuticals, Inc.

8.16%

Amgen, Inc.

7.91%

Gilead Sciences, Inc.

7.07%

Regeneron Pharmaceuticals, Inc.

4.62%

Alnylam Pharmaceuticals, Inc.

2.76%

Revolution Medicines, Inc.

2.74%

Biogen, Inc.

2.26%

Illumina, Inc.

1.89%

Moderna, Inc.

1.89%

Royalty Pharma Plc

1.77%

Roivant Sciences Ltd.

1.74%

argenx SE

1.73%

United Therapeutics Corp.

1.63%

Incyte Corp.

1.61%

Insmed, Inc.

1.59%

Frequently asked questions about XHE and IBBQ

How have the XHE and IBBQ ETFs performed in 2026?

As of July 24, 2026, XHE is down -3.04% year-to-date (YTD), while IBBQ has returned 14.04%. 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 +$2M in flows, compared to +$3M for IBBQ.

Which ETF is more volatile: XHE or IBBQ?

Over the past year, XHE had a volatility of 22.63%, while IBBQ experienced 20.28%.

Which ETF is bigger: XHE or IBBQ?

As of July 24, 2026, XHE holds $151.67 M in assets under management (AUM), while IBBQ manages $75.55 M.

What sectors do the XHE and IBBQ ETFs invest in?

XHE leans toward sectors like Healthcare. Meanwhile, IBBQ focuses on Healthcare.

What are the top holdings of the XHE ETF and IBBQ ETF?

XHE top holdings include Butterfly Network, Inc., QuidelOrtho Corp. and Glaukos Corp.. IBBQ holds in its top three: Vertex Pharmaceuticals, Inc., Amgen, Inc. and Gilead Sciences, Inc..

XHEvsIBBQETF Comparison

State Street SPDR S&P Health Care Equipment ETF

Invesco Nasdaq Biotechnology ETF

XHE vs IBBQ performance and flow charts

Performance

Cumulative Flows

Get all the metrics on this page, and more, through a reliable ETF data feed

Countries

Sectors

Diversification

Top 15 holdings

How have the XHE and IBBQ ETFs performed in 2026?

As of July 24, 2026, XHE is down -3.04% year-to-date (YTD), while IBBQ has returned 14.04%. 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 +$2M in flows, compared to +$3M for IBBQ.

Which ETF is more volatile: XHE or IBBQ?

Over the past year, XHE had a volatility of 22.63%, while IBBQ experienced 20.28%.

Which ETF is bigger: XHE or IBBQ?

As of July 24, 2026, XHE holds $151.67 M in assets under management (AUM), while IBBQ manages $75.55 M.

What sectors do the XHE and IBBQ ETFs invest in?

XHE leans toward sectors like Healthcare. Meanwhile, IBBQ focuses on Healthcare.

What are the top holdings of the XHE ETF and IBBQ ETF?

XHE top holdings include Butterfly Network, Inc., QuidelOrtho Corp. and Glaukos Corp.. IBBQ holds in its top three: Vertex Pharmaceuticals, Inc., Amgen, Inc. and Gilead Sciences, Inc..

Which ETF is more diversified: XHE or IBBQ?

XHE holds 67 securities with 26.73% of its assets in the top 15. IBBQ has 251 securities and a top 15 weight of 49.38%.

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