XHEvsPTHETF Comparison
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State Street SPDR S&P Health Care Equipment ETF (XHE) and Invesco DWA Healthcare Momentum ETF (PTH) belong to the same industry segment: US Health Care. XHE's top 3 sector exposures are Healthcare and Finance. In contrast, PTH's top sector exposures are Healthcare XHE is less expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.72% for PTH. XHE is down -0.75% year-to-date (YTD) with +$2M in YTD flows. PTH performs better with 17.25% YTD performance, and +$88M in YTD flows. Run a side-by-side ETF comparison of XHE and PTH 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 PTH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 07/27/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHE PTH | +1.78%-2.13% | +5.94%+11.82% | -0.75%+17.25% | +10.33%+57.90% | -9.83%+57.85% | -30.38%+8.30% |
| Flows | XHE PTH | +$2M+$102M | +$8M+$94M | +$2M+$88M | -$18M+$93M | -$382M+$25M | -$391M-$192M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHE PTH | +26.58%+29.56% | +22.76%+24.66% | +22.23%+25.63% | +24.72%+25.57% |
| Max drawdown | XHE PTH | -6.19%-8.31% | -18.20%-11.91% | -32.14%-27.71% | -49.90%-50.10% |
| Max drawdown duration | XHE PTH | 42d41d | 200d140d | 1093d353d | 1789d1756d |
Trading data
XHE | PTH | |
Last sale 7/28/2026 at 1:30 PM | $89.59 | $57.98 |
| Previous close 07/27/2026 | $87.54 | $58.32 |
| Consolidated volume 07/27/2026 | ||
| 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 | PTH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 7/28/2026 at 1:30 PM
Live
Closed
XHE | PTH | |
|---|---|---|
| Last price | $89.59 | $57.98 |
| 1D performance | +2.34% | -0.58% |
| AuM | $155.25 M | $230.83 M |
| E/R | 0.35% | 0.72% |
Characteristics
XHE | PTH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | Invesco |
| Benchmark | S&P Health Care Equipment Select Industry Index | Dorsey Wright Healthcare Technical Leaders Index |
| N° of holdings | 67 | 57 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | January 26, 2011 | October 12, 2006 |
| ESG | No | No |
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Exposure
Countries
XHE
USA
89.54%
Other
10.46%
PTH
USA
92.25%
Other
7.75%
Sectors
XHE
Healthcare
94.54%
Other
5.46%
PTH
Healthcare
100%
Other
0%
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Diversification
XHE
Total weight of top 15 holdings out of 15
26.73%
PTH
Total weight of top 15 holdings out of 15
43.88%
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%
PTH
Roivant Sciences Ltd.
4.95%
Praxis Precision Medicines, Inc.
4.66%
Tango Therapeutics, Inc.
3.70%
SELLAS Life Sciences Group, Inc.
3.36%
United Therapeutics Corp.
2.91%
Tenet Healthcare Corp.
2.89%
Axsome Therapeutics, Inc.
2.74%
BrightSpring Health Services, Inc.
2.54%
Liquidia Corp.
2.52%
Moderna, Inc.
2.49%
Ionis Pharmaceuticals, Inc.
2.30%
Erasca, Inc.
2.29%
HCA Healthcare, Inc.
2.23%
Twist Bioscience Corp.
2.21%
Protagonist Therapeutics, Inc.
2.08%
Frequently asked questions about XHE and PTH
How have the XHE and PTH ETFs performed in 2026?
As of July 27, 2026, XHE is down -0.75% year-to-date (YTD), while PTH has returned 17.25%. That puts PTH better performer ahead so far this year.
Which ETF is attracting more investor money: XHE or PTH?
Year-to-date, the XHE ETF saw +$2M in flows, compared to +$88M for PTH.
Which ETF is more volatile: XHE or PTH?
Over the past year, XHE had a volatility of 22.76%, while PTH experienced 24.66%.
Which ETF is bigger: XHE or PTH?
As of July 27, 2026, XHE holds $155.25 M in assets under management (AUM), while PTH manages $230.83 M.
What sectors do the XHE and PTH ETFs invest in?
XHE leans toward sectors like Healthcare. Meanwhile, PTH focuses on Healthcare.
What are the top holdings of the XHE ETF and PTH ETF?
XHE top holdings include Butterfly Network, Inc., QuidelOrtho Corp. and Glaukos Corp.. PTH holds in its top three: Roivant Sciences Ltd., Praxis Precision Medicines, Inc. and Tango Therapeutics, Inc..
Which ETF is more diversified: XHE or PTH?
XHE holds 67 securities with 26.73% of its assets in the top 15. PTH has 57 securities and a top 15 weight of 43.88%.
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