XHSvsPTHETF Comparison
VS
State Street SPDR S&P Health Care Services ETF (XHS) 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. XHS is less expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.72% for PTH. XHS is up 1.76% year-to-date (YTD) with +$9M in YTD flows. PTH performs better with 4.86% YTD performance, and -$6M in YTD flows. Run a side-by-side ETF comparison of XHS 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.
Find out how industry players manage ETF portfolios. Discover our library of Model portfolios
XHS vs PTH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHS PTH | +7.11%+12.30% | -2.43%+6.29% | +1.76%+4.86% | +14.80%+38.78% | +21.34%+31.58% | -0.83%+0.54% |
| Flows | XHS PTH | +$1M-$2M | -$5M-$5M | +$9M-$6M | -$3M-$10M | -$30M-$81M | -$34M-$357M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHS PTH | +18.84%+26.84% | +17.87%+22.82% | +18.09%+24.56% | +21.14%+25.26% |
| Max drawdown | XHS PTH | -11.77%-7.51% | -12.54%-11.91% | -17.78%-29.24% | -32.53%-50.10% |
| Max drawdown duration | XHS PTH | 88d40d | 128d140d | 362d271d | 1761d1695d |
Trading data
XHS | PTH | |
Last sale 4/24/2026 at 1:30 PM | $108.83 | $52.13 |
| Previous close 04/23/2026 | $107.79 | $52.31 |
| Consolidated volume 04/23/2026 | ||
| 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
Create an account to view replication metrics
Join for free
XHS | PTH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
Advertisement
Main metrics
Last update 4/24/2026 at 1:30 PM
Live
Closed
XHS | PTH | |
|---|---|---|
| Last price | $108.83 | $52.13 |
| 1D performance | +0.96% | -0.34% |
| AuM | $93.51 M | $125.11 M |
| E/R | 0.35% | 0.72% |
Characteristics
XHS | PTH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | Invesco |
| Benchmark | S&P Health Care Services Select Industry Index | Dorsey Wright Healthcare Technical Leaders Index |
| N° of holdings | 51 | 46 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | September 28, 2011 | October 12, 2006 |
| ESG | No | No |
Advertisement
Exposure
Countries
XHS
USA
99.89%
Other
0.11%
PTH
USA
94.53%
Other
5.47%
Sectors
XHS
Health Care
86.56%
Other
13.44%
PTH
Health Care
85.2%
Other
14.8%
Advertisement
Diversification
XHS
Total weight of top 15 holdings out of 15
30.62%
PTH
Total weight of top 15 holdings out of 15
52.67%
Top 15 holdings
Data as of March 31, 2026
XHS
MEDNAX
2.18%
HEALTHEQUITY I/D
2.15%
GUARDANT HEALTH INC
2.12%
CORVEL
2.08%
US10950A1060
2.08%
CIGNA
2.06%
HUMANA
2.05%
ELEVANCE HEALTH INC
2.04%
DAVITA INC
2.00%
US5049221055
1.99%
ACADIA HEALTHCARE COMPANY
1.98%
CARDINAL HEALTH
1.98%
ALIGNMENT HEALTHCARE
1.98%
QUEST DIAGNOSTICS
1.97%
PROGYNY INC
1.96%
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 XHS and PTH
How have the XHS and PTH ETFs performed in 2026?
As of April 24, 2026, XHS is up 1.76% year-to-date (YTD), while PTH has returned 4.86%. That puts PTH better performer ahead so far this year.
Which ETF is attracting more investor money: XHS or PTH?
Year-to-date, the XHS ETF saw +$9M in flows, compared to -$6M for PTH.
Which ETF is more volatile: XHS or PTH?
Over the past year, XHS had a volatility of 17.87%, while PTH experienced 22.82%.
Which ETF is bigger: XHS or PTH?
As of April 24, 2026, XHS holds $93.51 M in assets under management (AUM), while PTH manages $125.11 M.
What sectors do the XHS and PTH ETFs invest in?
XHS leans toward sectors like Health Care. Meanwhile, PTH focuses on Health Care.
What are the top holdings of the XHS ETF and PTH ETF?
XHS top holdings include MEDNAX, HEALTHEQUITY I/D and GUARDANT HEALTH INC. PTH holds in its top three: TERNS PHARMACEUTICALS, ROIVANT SCIENCES LTD and US74006W2070.
Which ETF is more diversified: XHS or PTH?
XHS holds 58 securities with 30.62% of its assets in the top 15. PTH has 57 securities and a top 15 weight of 52.67%.
Advertisement
Latest news about XHS & PTH
Advertisement
