XHSvsPTHETF Comparison
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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 14.1% year-to-date (YTD) with +$13M in YTD flows. PTH performs worse with 3.89% YTD performance, and -$11M 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
Historic performance and flows
Data as of 06/12/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHS PTH | +7.30%-0.52% | +18.28%+9.21% | +14.10%+3.89% | +25.29%+36.98% | +34.73%+31.55% | +7.94%-3.91% |
| Flows | XHS PTH | +$1M-$2M | +$8M-$9M | +$13M-$11M | +$79K-$15M | -$23M-$82M | -$74M-$323M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHS PTH | +16.63%+30.13% | +17.99%+23.97% | +17.97%+25.25% | +21.22%+25.42% |
| Max drawdown | XHS PTH | -5.61%-9.80% | -11.97%-11.91% | -17.78%-28.87% | -32.53%-50.10% |
| Max drawdown duration | XHS PTH | 21d54d | 121d140d | 362d237d | 1786d1744d |
Trading data
XHS | PTH | |
Last sale 6/12/2026 at 1:30 PM | $122.08 | $51.65 |
| Previous close 06/11/2026 | $121.70 | $50.65 |
| Consolidated volume 06/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 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 | ||
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Main metrics
Last update 6/12/2026 at 1:30 PM
Live
Closed
XHS | PTH | |
|---|---|---|
| Last price | $122.08 | $51.65 |
| 1D performance | +0.31% | +1.98% |
| AuM | $109.72 M | $118.80 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 |
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Exposure
Countries
XHS
USA
99.91%
Other
0.09%
PTH
USA
93.02%
Other
6.98%
Sectors
XHS
Health Care
86.95%
Other
13.05%
PTH
Health Care
77.95%
Other
22.05%
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Diversification
XHS
Total weight of top 15 holdings out of 15
33.75%
PTH
Total weight of top 15 holdings out of 15
43.6%
Top 15 holdings
Data as of April 30, 2026
XHS
CENTENE
2.76%
HUMANA
2.55%
MOLINA HLTHCRE
2.44%
ELEVANCE HEALTH INC
2.39%
UNITEDHEALTH GRP
2.39%
ALIGNMENT HEALTHCARE
2.31%
CLOVER HEALTH INV CORP
2.28%
APOLLO MEDICAL HOLDINGS INC
2.25%
US10950A1060
2.14%
MEDNAX
2.10%
PRIVIA HEALTH GROUP
2.07%
CIGNA
2.05%
CVS HEALTH CORP
2.03%
CORVEL
2.00%
ACADIA HEALTHCARE COMPANY
2.00%
PTH
US74006W2070
5.07%
ROIVANT SCIENCES LTD
4.37%
TANGO THERAPEUTICS INC
3.34%
UTD THERAPEUT
3.28%
TENET HEALTHCARE
3.06%
ERASCA
2.95%
TERNS PHARMACEUTICALS
2.75%
HCA HEALTHCARE
2.74%
US6402683063
2.52%
CELCUITY INC
2.52%
AXSOME THERA CMN STK
2.29%
CAPRICOR THERAPEUTICS INC
2.27%
IONIS PHARMACEUTICALS INC
2.21%
AMERISOURCEBERGEN
2.18%
US0223071020
2.04%
Frequently asked questions about XHS and PTH
How have the XHS and PTH ETFs performed in 2026?
As of June 12, 2026, XHS is up 14.1% year-to-date (YTD), while PTH has returned 3.89%. 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 +$13M in flows, compared to -$11M for PTH.
Which ETF is more volatile: XHS or PTH?
Over the past year, XHS had a volatility of 17.99%, while PTH experienced 23.97%.
Which ETF is bigger: XHS or PTH?
As of June 12, 2026, XHS holds $109.72 M in assets under management (AUM), while PTH manages $118.80 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 CENTENE, HUMANA and MOLINA HLTHCRE. PTH holds in its top three: US74006W2070, ROIVANT SCIENCES LTD and TANGO THERAPEUTICS INC.
Which ETF is more diversified: XHS or PTH?
XHS holds 58 securities with 33.75% of its assets in the top 15. PTH has 59 securities and a top 15 weight of 43.6%.
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Latest news about XHS & PTH
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