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PTH vs XLV

Invesco Dorsey Wright Healthcare Momentum ETF

PTHCNasdaq

State Street Health Care Select Sector SPDR ETF

XLVANYSE Arca

Overlap

Expense ratio

XLV −0.52pt a year

PTH0.60%XLV0.08%

Avg volume · 30D

XLV 169.8×the volume

PTH53.6KXLV9.1M

10Y return · a year

PTH +2.7pt

PTH+15.2%XLV+12.5%

PTH vs XLV Performance

Oct 29, 2021 – Oct 30, 2026

+13.1%PTH+49.8%XLV

Oct 29, 2021 to Oct 30, 2026. PTH +13.1%. XLV +49.8%. Use the arrow keys to read each point.−40%−20%0%Oct 2021Apr 2024Oct 2026
Expense ratio
PTH 0.60%
XLV 0.08%, better
Fund size
PTH $295M
XLV $48.5B
1Y total return
PTH +26.6%
XLV +30.3%, better
Yield (12M)
PTH 2.55%, better
XLV 1.38%
Holdings
PTH 54
XLV 64
Avg volume (30D)
PTH 53.6K sh
XLV 9.1M sh, better
NAV per share
PTH $59.73
XLV $184.09
52W range

ETF.net Grade

PTH: Cost 38, Risk 37, Mission not scored, Tradability 67, Holdings 73, Durability 71. XLV: Cost 98, Risk 78, Mission 84, Tradability 100, Holdings 39, Durability 87.
Pillar letters and Scores for PTH, XLV, with each pillar’s weight
PillarPTHXLV
Cost30% weightD38A98Higher
Mission25% weightNot scoredA84
Risk15% weightD37A78Higher
Tradability15% weightB67A100Higher
Holdings10% weightA73HigherD39
Durability5% weightA71A87Higher

Rank among Health Care (Broad) funds

How we build Categories ›
Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

Same Category. PTH and XLV are both graded against the same 25 Health Care (Broad) funds, so their Grades compare head to head.

Health Care (Broad)⁠

Category · 25 funds
See all 25 ›

XLV ranks 1st and PTH 13th of 25 funds in the Health Care (Broad) Category.

  1. Rank 1AXLVState Street Health Care Select Sector SPDR ETFScore 85
  2. Rank 2AFHLCFidelity MSCI Health Care Index ETFScore 83
  3. Rank 12BIHIiShares U.S. Medical Devices ETFScore 55
  4. Rank 13CPTHInvesco Dorsey Wright Healthcare Momentum ETFScore 50
  5. Rank 14CFMEDFidelity Disruptive Medicine ETFScore 48

Our read on each fund

ETF.net Research

PTHCInvesco Dorsey Wright Healthcare Momentum ETF

XLVAState Street Health Care Select Sector SPDR ETF

In short

PTH Health care ranked by price strength instead of market cap. PTH's index has been running since 2006, holds about 50 relative-strength names, and reshuffles them every quarter, so the lineup can look nothing like the sector's megacap giants.

XLV Live since 1998, XLV is the original way to own health care: about 60 S&P 500 names, a 0.08% fee, and one of the busiest tickers in the sector. Big pharma and device makers, not small-cap biotech.

Stated mandate

PTH The Fund seeks to track the performance of its underlying index before fees and expenses. The index selects healthcare companies exhibiting relative strength or momentum.

XLV The fund seeks to track, before expenses, the price and yield performance of the Health Care Select Sector Index, which represents the health care sector of the S&P 500 Index.

Why people hold it

  • PTH The momentum screen draws from a broad US healthcare universe, so the names that qualify can be anything from megacaps to small caps. A genuinely different portfolio than cap-weighted sector funds like XLV and VHT.invesco.comnasdaq.com
  • Live since October 2006, through multiple biotech booms and busts, well before momentum became a standard ETF label.
  • Discipline is built into the calendar: the index is reconstituted and rebalanced quarterly, and the fund normally keeps at least 90% of total assets in index securities.nasdaq.comnasdaq.com 2
  • XLV 0.08% a year against a cohort median of 0.50%. That ties it with FHLC as the cheapest in the group and edges VHT at 0.09%.
  • One of the most actively traded funds in its category, which generally keeps bid-ask spreads thin whether you trade 10 shares or 10,000.
  • Launched December 1998 as one of the first US sector funds, and it has tracked its S&P 500 health care index closely ever since.
  • Covers the whole sector in one line: pharma, devices, providers, biotech, life-science tools and health tech. Pays quarterly.ssga.com

Worth knowing

  • PTH 0.60% net of a waiver through August 31, 2028 (0.74% gross), above the category median and far above cap-weighted peers like XLV at 0.08% and VHT at 0.09%.
  • With about 50 holdings and momentum setting the lineup, single-name moves land harder here than in a several-hundred-stock cap-weighted health care fund.
  • Momentum, by design, buys what has already run and trims what has lagged, so sharp reversals can catch the index between quarterly rebalances.nasdaq.comnasdaq.com 2
  • XLV Cap-weighted and about 60 names deep, so the largest drug and device makers carry most of the weight.ssga.com
  • S&P 500 members only. Mid- and small-cap health care names sit outside the mandate.
  • One sector, one set of headlines: drug pricing rules, patent expirations and policy shifts move the whole basket together.

Full PTH profile⁠

Full XLV profile⁠

PTH vs XLV Holdings

How we measure overlap

Each holding counts at its smaller weight in the two funds, summed over the full Holdings. Sector, country and asset class use the same rule on each fund’s split. Cash, FX and derivative lines stay out of the counts. Two bond funds get no overlap figure.

PTH vs XLV Cost

Overpaying PTH vs XLV

$10,128

On $10,000 over 30 years. 7% growth a year before fees, expense ratio only.

  • PTH 0.60%

    $11,817

  • XLV 0.08%

    $1,689

$10,000
30 years

Cost over time

  • PTH 0.60%
  • XLV 0.08%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$2.5K$5K$7.5K$10K$12.5K051015202530PTH $11,817XLV $1,689

Year by year

YearPTHXLVOverpaying
10$1,076$147$929
20$4,116$575$3,541
30$11,817$1,689$10,128

Expense ratio

  • 0.60%PTH
  • 0.08%XLV, cheaper
  • Middle half of Health Care (Broad) funds
  • Median 0.50%

XLV cheapest of 25 funds

PTH 16th cheapest of 25 funds

PTH vs XLV Dividends

Last 12 months to Oct 30, 2026
Yield (12M)
PTH 2.55%, better
XLV 1.38%
Payout (12M)
PTH $1.53
XLV $2.55
Last payment
PTH $1.53
XLV $0.64
Ex-dividend
PTH Dec 22, 2025
XLV Sep 21, 2026
Paid on
PTH Dec 26, 2025
XLV Sep 23, 2026
Frequency
PTH Irregular
XLV Quarterly

Distribution history

Per share, 2017 to 2026, same scale for both

PTHIrregular · 2 paymentsAll PTH payments⁠
One bar per payment. 2 payments from 2017 to 2026 YTD. Jun 24, 2024 $0.03; Dec 22, 2025 $1.53. Use the arrow keys to read each point.$0$12017202020232026YTD
XLVQuarterly · 40 paymentsAll XLV payments⁠
One bar per payment. 40 payments from 2017 to 2026 YTD. Mar 17, 2017 $0.27; Jun 16, 2017 $0.31; Sep 15, 2017 $0.30; Dec 15, 2017 $0.33; Mar 16, 2018 $0.30; Jun 15, 2018 $0.32; Sep 21, 2018 $0.37; Dec 21, 2018 $0.38; Mar 15, 2019 $0.34; Jun 21, 2019 $0.40; Sep 20, 2019 $0.38; Dec 20, 2019 $0.42; Dec 30, 2019 $0.67; Mar 23, 2020 $0.38; Jun 22, 2020 $0.42; Sep 21, 2020 $0.42; Dec 21, 2020 $0.46; Mar 22, 2021 $0.40; Jun 21, 2021 $0.48; Sep 20, 2021 $0.47; Dec 20, 2021 $0.53; Mar 21, 2022 $0.43; Jun 21, 2022 $0.50; Sep 19, 2022 $0.51; Dec 19, 2022 $0.56; Mar 20, 2023 $0.49; Jun 20, 2023 $0.54; Sep 18, 2023 $0.54; Dec 18, 2023 $0.60; Mar 18, 2024 $0.52; Jun 24, 2024 $0.57; Sep 23, 2024 $0.58; Dec 23, 2024 $0.62; Mar 24, 2025 $0.56; Jun 23, 2025 $0.63; Sep 22, 2025 $0.62; Dec 22, 2025 $0.66; Mar 23, 2026 $0.59; Jun 22, 2026 $0.66; Sep 21, 2026 $0.64. Use the arrow keys to read each point.$0$12017202020232026YTD

PTH vs XLV Risk

Fall from peak · 5 years

  • PTH
  • XLV
Oct 29, 2021 to Oct 30, 2026. Worst fall: PTH −47.1% · Oct 2023. Use the arrow keys to read each point.−50%−40%−30%−20%−10%0%Oct 2021Apr 2024Oct 2026

Risk facts

VolatilityStd dev, 3 years
PTH 23.9%XLV 14.8%, better
Return per unit of riskSharpe ratio, 3 years
PTH 0.93, betterXLV 0.78
Worst fallMax drawdown, 5 years
PTH −47.1%XLV −17.1%, better
Market sensitivityBeta, 5 years
PTH 0.97XLV 0.56

PTH and XLV in the news

All news⁠

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