XHSvsPTHETF Comparison

ETF 1

XHS

State Street SPDR S&P Health Care Services ETF

This fund is part of

US Health Care

-1.03%

Full XHS fund page

ETF 2

PTH

Invesco DWA Healthcare Momentum ETF

This fund is part of

US Health Care

-1.03%

Full PTH fund page

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. XHS's top 3 sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. In contrast, PTH's top sector exposures are Healthcare and Consumer Non-Cyclicals. XHS is less expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.72% for PTH. XHS is up 32.24% year-to-date (YTD) with +$103M in YTD flows. PTH performs worse with 17.67% YTD performance, and +$145M 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.

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XHS vs PTH performance and flow charts

Performance

Cumulative Flows

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Data Services

Historic performance and flows

Data as of 10/23/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	XHS PTH	+5.46%-3.42%	+7.08%-1.48%	+32.24%+17.67%	+35.98%+28.89%	+78.28%+104.86%	+36.44%+12.93%
Flows	XHS PTH	-$13M+$9M	+$3M+$57M	+$103M+$145M	+$107M+$155M	+$74M+$98M	+$37M-$114M

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	XHS PTH	+17.05%+28.93%	+17.59%+26.81%	+18.30%+26.12%	+21.37%+25.90%
Max drawdown	XHS PTH	-5.21%-12.72%	-11.97%-12.72%	-14.46%-27.71%	-29.93%-47.24%
Max drawdown duration	XHS PTH	30d65d	121d65d	250d353d	1477d1688d

Trading data

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	XHS	PTH
Last sale 10/23/2026 at 1:30 PM	$141.40	$58.52
Previous close 10/22/2026	$142.69	$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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	XHS	PTH
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 10/23/2026 at 1:30 PM

Live

Closed

	XHS	PTH
Last price	$141.40	$58.52
1D performance	-0.90%	-0.66%
AuM	$221.73 M	$285.48 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	59	54
Asset class	Equities	Equities
Trailing 12m distribution yield	Join	Join
Inception date	September 28, 2011	October 12, 2006
ESG	No	No

More XHS data on Trackinsight

More PTH data on Trackinsight

Exposure

Countries

XHS

USA

99.94%

Other

0.06%

PTH

USA

90%

Other

10%

Sectors

XHS

Healthcare

95.16%

Other

4.84%

PTH

Healthcare

99.31%

Other

0.69%

Diversification

XHS

Total weight of top 15 holdings out of 15

33.1%

PTH

Total weight of top 15 holdings out of 15

49.11%

Top 15 holdings

Data as of August 31, 2026

XHS

Tenet Healthcare Corp.

2.65%

NeoGenomics, Inc.

2.60%

Lifestance Health Group, Inc.

2.58%

GeneDx Holdings Corp.

2.56%

Hinge Health, Inc.

2.45%

RadNet, Inc.

2.14%

Concentra Group Holdings Parent, Inc.

2.08%

Aveanna Healthcare Holdings, Inc.

2.07%

Labcorp Holdings, Inc.

2.03%

U.S. Physical Therapy, Inc.

2.03%

PACS Group, Inc.

2.02%

Addus HomeCare Corp.

2.02%

Guardant Health, Inc.

1.99%

Chemed Corp.

1.96%

Quest Diagnostics, Inc.

1.93%

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 XHS and PTH

How have the XHS and PTH ETFs performed in 2026?

As of October 23, 2026, XHS is up 32.24% year-to-date (YTD), while PTH has returned 17.67%. That puts XHS better performer ahead so far this year.

Which ETF is attracting more investor money: XHS or PTH?

Year-to-date, the XHS ETF saw +$103M in flows, compared to +$145M for PTH.

Which ETF is more volatile: XHS or PTH?

Over the past year, XHS had a volatility of 17.59%, while PTH experienced 26.81%.

Which ETF is bigger: XHS or PTH?

As of October 23, 2026, XHS holds $221.73 M in assets under management (AUM), while PTH manages $285.48 M.

What sectors do the XHS and PTH ETFs invest in?

XHS leans toward sectors like Healthcare. Meanwhile, PTH focuses on Healthcare.

What are the top holdings of the XHS ETF and PTH ETF?

XHS top holdings include Tenet Healthcare Corp., NeoGenomics, Inc. and Lifestance Health Group, Inc.. PTH holds in its top three: Revolution Medicines, Inc., Roivant Sciences Ltd. and Guardant Health, Inc..

Which ETF is more diversified: XHS or PTH?

XHS holds 59 securities with 33.1% of its assets in the top 15. PTH has 54 securities and a top 15 weight of 49.11%.

Continued tightening of the U.S. labor market

September 23, 2022

PTH

XHSvsPTHETF Comparison

State Street SPDR S&P Health Care Services ETF

Invesco DWA Healthcare Momentum ETF

XHS vs PTH 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 XHS and PTH ETFs performed in 2026?

As of October 23, 2026, XHS is up 32.24% year-to-date (YTD), while PTH has returned 17.67%. That puts XHS better performer ahead so far this year.

Which ETF is attracting more investor money: XHS or PTH?

Year-to-date, the XHS ETF saw +$103M in flows, compared to +$145M for PTH.

Which ETF is more volatile: XHS or PTH?

Over the past year, XHS had a volatility of 17.59%, while PTH experienced 26.81%.

Which ETF is bigger: XHS or PTH?

As of October 23, 2026, XHS holds $221.73 M in assets under management (AUM), while PTH manages $285.48 M.

What sectors do the XHS and PTH ETFs invest in?

XHS leans toward sectors like Healthcare. Meanwhile, PTH focuses on Healthcare.

What are the top holdings of the XHS ETF and PTH ETF?

XHS top holdings include Tenet Healthcare Corp., NeoGenomics, Inc. and Lifestance Health Group, Inc.. PTH holds in its top three: Revolution Medicines, Inc., Roivant Sciences Ltd. and Guardant Health, Inc..

Which ETF is more diversified: XHS or PTH?

XHS holds 59 securities with 33.1% of its assets in the top 15. PTH has 54 securities and a top 15 weight of 49.11%.

Continued tightening of the U.S. labor market

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