PSCHvsXHEETF Comparison
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Invesco S&P SmallCap Health Care ETF (PSCH) and State Street SPDR S&P Health Care Equipment ETF (XHE) belong to the same industry segment: US Health Care. 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 0.35% for XHE. PSCH is up 20.24% year-to-date (YTD) with -$10M in YTD flows. XHE performs worse with -3.04% YTD performance, and +$2M in YTD flows. Run a side-by-side ETF comparison of PSCH and XHE 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 XHE 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 XHE | +5.27%+3.29% | +19.02%+3.26% | +20.24%-3.04% | +36.79%+8.72% | +19.78%-12.17% | -15.14%-31.68% |
| Flows | PSCH XHE | +$6M+$2M | +$9M+$26M | -$10M+$2M | -$13M-$18M | -$133M-$379M | -$230M-$397M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | PSCH XHE | +17.29%+26.19% | +20.07%+22.63% | +21.86%+22.18% | +22.90%+24.70% |
| Max drawdown | PSCH XHE | -2.96%-6.40% | -15.36%-18.20% | -22.80%-32.21% | -46.32%-49.90% |
| Max drawdown duration | PSCH XHE | 17d43d | 168d197d | 488d1094d | 1786d1786d |
Trading data
PSCH | XHE | |
Last sale 7/27/2026 at 5:11 PM | $53.16 | $87.86 |
| Previous close 07/24/2026 | $52.95 | $85.18 |
| Consolidated volume 07/24/2026 | ||
| 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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PSCH | XHE | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 7/27/2026 at 5:11 PM
Live
Closed
PSCH | XHE | |
|---|---|---|
| Last price | $53.16 | $87.86 |
| 1D performance | +0.40% | +3.15% |
| AuM | $162.74 M | $151.67 M |
| E/R | 0.29% | 0.35% |
Characteristics
PSCH | XHE | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Invesco | State Street Investment Management |
| Benchmark | S&P SmallCap 600 Capped Health Care Index | S&P Health Care Equipment Select Industry Index |
| N° of holdings | 75 | 67 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | April 7, 2010 | January 26, 2011 |
| ESG | No | No |
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Exposure
Countries
PSCH
USA
95.33%
Other
4.67%
XHE
USA
89.54%
Other
10.46%
Sectors
PSCH
Healthcare
100%
Other
0%
XHE
Healthcare
94.54%
Other
5.46%
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Diversification
PSCH
Total weight of top 15 holdings out of 15
49.48%
XHE
Total weight of top 15 holdings out of 15
26.73%
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%
XHE
Butterfly Network, Inc.
2.45%
QuidelOrtho Corp.
2.04%
Glaukos Corp.
1.79%
UFP Technologies, Inc.
1.79%
Axogen, Inc.
1.76%
Lantheus Holdings, Inc.
1.74%
Artivion, Inc.
1.73%
Envista Holdings Corp.
1.72%
Omnicell, Inc.
1.71%
Medline, Inc.
1.69%
Alphatec Holdings, Inc.
1.67%
Dentsply Sirona, Inc.
1.66%
Inspire Medical Systems, Inc.
1.66%
The Cooper Cos., Inc.
1.66%
Edwards Lifesciences Corp.
1.65%
Frequently asked questions about PSCH and XHE
How have the PSCH and XHE ETFs performed in 2026?
As of July 24, 2026, PSCH is up 20.24% year-to-date (YTD), while XHE has lost -3.04%. That puts PSCH better performer ahead so far this year.
Which ETF is attracting more investor money: PSCH or XHE?
Year-to-date, the PSCH ETF saw -$10M in flows, compared to +$2M for XHE.
Which ETF is more volatile: PSCH or XHE?
Over the past year, PSCH had a volatility of 20.07%, while XHE experienced 22.63%.
Which ETF is bigger: PSCH or XHE?
As of July 24, 2026, PSCH holds $162.74 M in assets under management (AUM), while XHE manages $151.67 M.
What sectors do the PSCH and XHE ETFs invest in?
PSCH leans toward sectors like Healthcare. Meanwhile, XHE focuses on Healthcare.
What are the top holdings of the PSCH ETF and XHE ETF?
PSCH top holdings include Molina Healthcare, Inc., BrightSpring Health Services, Inc. and Krystal Biotech, Inc.. XHE holds in its top three: Butterfly Network, Inc., QuidelOrtho Corp. and Glaukos Corp..
Which ETF is more diversified: PSCH or XHE?
PSCH holds 75 securities with 49.48% of its assets in the top 15. XHE has 67 securities and a top 15 weight of 26.73%.
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