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 2 sector exposures are Healthcare and Finance. In contrast, PTH's top sector exposures are Healthcare and Consumer Non-Cyclicals. XHE is less expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.72% for PTH. XHE is up 5.54% year-to-date (YTD) with -$11M in YTD flows. PTH performs better with 17.67% YTD performance, and +$145M 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 10/23/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHE PTH | +1.87%-3.42% | +9.46%-1.48% | +5.54%+17.67% | +14.34%+28.89% | +33.01%+104.86% | -25.86%+12.93% |
| Flows | XHE PTH | -$45M+$9M | -$15M+$57M | -$11M+$145M | -$21M+$155M | -$225M+$98M | -$401M-$114M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHE PTH | +20.85%+28.93% | +22.71%+26.81% | +21.97%+26.12% | +24.86%+25.90% |
| Max drawdown | XHE PTH | -9.09%-12.72% | -18.20%-12.72% | -24.35%-27.71% | -49.37%-47.24% |
| Max drawdown duration | XHE PTH | 65d65d | 207d65d | 565d353d | 1815d1688d |
Trading data
XHE | PTH | |
Last sale 10/23/2026 at 1:30 PM | $93.08 | $58.52 |
| Previous close 10/22/2026 | $93.34 | $58.91 |
| Consolidated volume 10/22/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of September 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 10/23/2026 at 1:30 PM
Live
Closed
XHE | PTH | |
|---|---|---|
| Last price | $93.08 | $58.52 |
| 1D performance | -0.28% | -0.66% |
| AuM | $151.14 M | $285.48 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 | 54 |
| 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
93.57%
Other
6.43%
PTH
USA
90%
Other
10%
Sectors
XHE
Healthcare
97.47%
Other
2.53%
PTH
Healthcare
99.31%
Other
0.69%
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Diversification
XHE
Total weight of top 15 holdings out of 15
30.96%
PTH
Total weight of top 15 holdings out of 15
49.11%
Top 15 holdings
Data as of August 31, 2026
XHE
AtriCure, Inc.
2.59%
Strive, Inc. (United States)
2.47%
Inspire Medical Systems, Inc.
2.19%
Glaukos Corp.
2.16%
Butterfly Network, Inc.
2.15%
CONMED Corp.
2.02%
Integer Holdings Corp.
2.02%
Tandem Diabetes Care, Inc.
2.00%
Merit Medical Systems, Inc.
1.99%
Artivion, Inc.
1.94%
Haemonetics Corp.
1.93%
UFP Technologies, Inc.
1.89%
Baxter International, Inc.
1.88%
Becton, Dickinson & Co.
1.87%
Neogen Corp.
1.86%
PTH
Revolution Medicines, Inc.
5.32%
Roivant Sciences Ltd.
5.01%
Guardant Health, Inc.
4.73%
Moderna, Inc.
4.51%
BrightSpring Health Services, Inc.
3.76%
Axsome Therapeutics, Inc.
3.57%
Erasca, Inc.
2.89%
10X Genomics, Inc.
2.85%
Oruka Therapeutics, Inc.
2.50%
Replimune Group, Inc.
2.46%
Twist Bioscience Corp.
2.43%
Travere Therapeutics, Inc.
2.38%
Axogen, Inc.
2.31%
Liquidia Corp.
2.29%
Relay Therapeutics, Inc.
2.12%
Frequently asked questions about XHE and PTH
How have the XHE and PTH ETFs performed in 2026?
As of October 23, 2026, XHE is up 5.54% year-to-date (YTD), while PTH has returned 17.67%. 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 -$11M in flows, compared to +$145M for PTH.
Which ETF is more volatile: XHE or PTH?
Over the past year, XHE had a volatility of 22.71%, while PTH experienced 26.81%.
Which ETF is bigger: XHE or PTH?
As of October 23, 2026, XHE holds $151.14 M in assets under management (AUM), while PTH manages $285.48 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 AtriCure, Inc., Strive, Inc. (United States) and Inspire Medical Systems, Inc.. PTH holds in its top three: Revolution Medicines, Inc., Roivant Sciences Ltd. and Guardant Health, Inc..
Which ETF is more diversified: XHE or PTH?
XHE holds 67 securities with 30.96% of its assets in the top 15. PTH has 54 securities and a top 15 weight of 49.11%.
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