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. Both ETFs have the same top 3 sector exposures: and Health Care. XHE is less expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.72% for PTH. XHE is down -7.32% year-to-date (YTD) with -$12M in YTD flows. PTH performs better with 1.44% YTD performance, and -$6M 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 05/01/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHE PTH | +3.90%+2.30% | -5.37%+2.16% | -7.32%+1.44% | +3.60%+30.60% | -16.69%+28.59% | -34.99%+0.55% |
| Flows | XHE PTH | -$10M-$1M | -$8M-$6M | -$12M-$6M | -$41M-$11M | -$308M-$80M | -$410M-$358M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHE PTH | +25.14%+27.28% | +21.83%+23.09% | +21.49%+24.62% | +24.41%+25.31% |
| Max drawdown | XHE PTH | -14.31%-7.51% | -18.20%-11.91% | -32.46%-29.24% | -49.90%-50.10% |
| Max drawdown duration | XHE PTH | 64d40d | 113d140d | 1019d271d | 1702d1702d |
Trading data
XHE | PTH | |
Last sale 5/1/2026 at 1:30 PM | $81.67 | $50.43 |
| Previous close 04/29/2026 | $80.33 | $50.60 |
| 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
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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 5/1/2026 at 1:30 PM
Live
Closed
XHE | PTH | |
|---|---|---|
| Last price | $81.67 | $50.43 |
| 1D performance | +1.67% | -0.34% |
| AuM | $130.68 M | $120.54 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 | 61 | 46 |
| 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
92.19%
Other
7.81%
PTH
USA
94.53%
Other
5.47%
Sectors
XHE
Health Care
89.87%
Other
10.13%
PTH
Health Care
85.2%
Other
14.8%
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Diversification
XHE
Total weight of top 15 holdings out of 15
26.74%
PTH
Total weight of top 15 holdings out of 15
52.67%
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%
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%
Frequently asked questions about XHE and PTH
How have the XHE and PTH ETFs performed in 2026?
As of May 1, 2026, XHE is down -7.32% year-to-date (YTD), while PTH has returned 1.44%. 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 -$12M in flows, compared to -$6M for PTH.
Which ETF is more volatile: XHE or PTH?
Over the past year, XHE had a volatility of 21.83%, while PTH experienced 23.09%.
Which ETF is bigger: XHE or PTH?
As of May 1, 2026, XHE holds $130.68 M in assets under management (AUM), while PTH manages $120.54 M.
What sectors do the XHE and PTH ETFs invest in?
XHE leans toward sectors like Health Care. Meanwhile, PTH focuses on Health Care.
What are the top holdings of the XHE ETF and PTH ETF?
XHE top holdings include TELEFLEX, STAAR SURGICAL and BUTTERFLY NETWORK INC. PTH holds in its top three: TERNS PHARMACEUTICALS, ROIVANT SCIENCES LTD and US74006W2070.
Which ETF is more diversified: XHE or PTH?
XHE holds 67 securities with 26.74% of its assets in the top 15. PTH has 57 securities and a top 15 weight of 52.67%.
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Latest news about XHE & PTH
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