PSCHvsFMEDETF Comparison
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Invesco S&P SmallCap Health Care ETF (PSCH) belongs to the US Health Care segment. Fidelity Disruptive Medicine ETF (FMED) is part of the Multiple Trends segment. Both ETFs have the same top 3 sector exposures: and Healthcare. PSCH is less expensive with a Total Expense Ratio (TER) of 0.29%, versus 0.5% for FMED. PSCH is up 20.24% year-to-date (YTD) with -$10M in YTD flows. FMED performs worse with 4.92% YTD performance, and -$17M in YTD flows. Run a side-by-side ETF comparison of PSCH and FMED 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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PSCH vs FMED performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 07/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | PSCH FMED | +5.27%+5.01% | +19.02%+13.03% | +20.24%+4.92% | +36.79%+18.01% | +19.78%+13.15% | -15.14%n/a |
| Flows | PSCH FMED | +$6M- | +$9M-$17M | -$10M-$17M | -$13M-$14M | -$133M-$3M | -$230M- |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | PSCH FMED | +17.29%+22.48% | +20.07%+19.50% | +21.86%+18.58% | +22.90%n/a |
| Max drawdown | PSCH FMED | -2.96%-5.92% | -15.36%-17.78% | -22.80%-21.42% | -46.32%n/a |
| Max drawdown duration | PSCH FMED | 17d15d | 168d212d | 488d211d | 1786dn/a |
Trading data
PSCH | FMED | |
Last sale 7/24/2026 at 1:30 PM | $52.95 | |
| Previous close 07/23/2026 | $52.96 | |
| Consolidated volume 07/23/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of June 30, 2026
1-year trailing difference
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FMED
is actively managed and doesn’t replicate an indexPSCH | FMED | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 7/24/2026 at 1:30 PM
Live
Closed
PSCH | FMED | |
|---|---|---|
| Last price | $52.95 | – |
| 1D performance | -0.02% | – |
| AuM | $162.74 M | $46.16 M |
| E/R | 0.29% | 0.5% |
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Exposure
Countries
PSCH
USA
95.33%
Other
4.67%
FMED
USA
83.89%
Other
16.11%
Sectors
PSCH
Healthcare
100%
Other
0%
FMED
Healthcare
100%
Other
-0%
Diversification
PSCH
Total weight of top 15 holdings out of 15
49.48%
FMED
Total weight of top 15 holdings out of 15
41.87%
Top 15 holdings
Data as of June 30, 2026
PSCH
Molina Healthcare, Inc.
5.29%
BrightSpring Health Services, Inc.
4.82%
Krystal Biotech, Inc.
4.32%
Alkermes Plc
4.06%
Glaukos Corp.
3.75%
Corcept Therapeutics, Inc.
3.69%
Protagonist Therapeutics, Inc.
3.26%
TG Therapeutics, Inc.
3.25%
PTC Therapeutics, Inc.
3.10%
Ligand Pharmaceuticals, Inc.
2.69%
Teleflex, Inc.
2.54%
Liquidia Corp.
2.43%
Indivior Pharmaceuticals, Inc.
2.25%
Veracyte, Inc.
2.13%
RadNet, Inc.
1.90%
FMED
Lifestance Health Group, Inc.
5.11%
10X Genomics, Inc.
3.56%
Danaher Corp.
3.29%
UCB SA
3.09%
Cogent Biosciences, Inc.
2.79%
Bio-Techne Corp.
2.76%
Moderna, Inc.
2.69%
Intuitive Surgical, Inc.
2.49%
argenx SE
2.43%
Alnylam Pharmaceuticals, Inc.
2.41%
Kymera Therapeutics, Inc.
2.36%
UnitedHealth Group, Inc.
2.27%
Thermo Fisher Scientific, Inc.
2.24%
Ascendis Pharma A/S
2.21%
Legend Biotech Corp.
2.17%
Frequently asked questions about PSCH and FMED
How have the PSCH and FMED ETFs performed in 2026?
As of July 24, 2026, PSCH is up 20.24% year-to-date (YTD), while FMED has returned 4.92%. That puts PSCH better performer ahead so far this year.
Which ETF is attracting more investor money: PSCH or FMED?
Year-to-date, the PSCH ETF saw -$10M in flows, compared to -$17M for FMED.
Which ETF is more volatile: PSCH or FMED?
Over the past year, PSCH had a volatility of 20.07%, while FMED experienced 19.5%.
Which ETF is bigger: PSCH or FMED?
As of July 24, 2026, PSCH holds $162.74 M in assets under management (AUM), while FMED manages $46.16 M.
What sectors do the PSCH and FMED ETFs invest in?
PSCH leans toward sectors like Healthcare. Meanwhile, FMED focuses on Healthcare.
What are the top holdings of the PSCH ETF and FMED ETF?
PSCH top holdings include Molina Healthcare, Inc., BrightSpring Health Services, Inc. and Krystal Biotech, Inc.. FMED holds in its top three: Lifestance Health Group, Inc., 10X Genomics, Inc. and Danaher Corp..
Which ETF is more diversified: PSCH or FMED?
PSCH holds 75 securities with 49.48% of its assets in the top 15. FMED has 69 securities and a top 15 weight of 41.87%.
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