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. PSCH's top 1 sector exposures are Healthcare. In contrast, XHE's top sector exposures are Healthcare and Finance. PSCH is less expensive with a Total Expense Ratio (TER) of 0.29%, versus 0.35% for XHE. PSCH is up 22.45% year-to-date (YTD) with -$1M in YTD flows. XHE performs worse with 5.54% YTD performance, and -$11M 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 10/23/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | PSCH XHE | +2.58%+1.87% | +1.83%+9.46% | +22.45%+5.54% | +26.77%+14.34% | +52.89%+33.01% | -9.76%-25.86% |
| Flows | PSCH XHE | -$13M-$45M | +$10M-$15M | -$1M-$11M | -$1M-$21M | -$102M-$225M | -$210M-$401M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | PSCH XHE | +16.86%+20.85% | +19.43%+22.71% | +21.81%+21.97% | +22.92%+24.86% |
| Max drawdown | PSCH XHE | -8.61%-9.09% | -15.36%-18.20% | -22.80%-24.35% | -45.76%-49.37% |
| Max drawdown duration | PSCH XHE | 65d65d | 168d207d | 488d565d | 1810d1815d |
Trading data
PSCH | XHE | |
Last sale 10/23/2026 at 1:30 PM | $54.00 | $93.08 |
| Previous close 10/22/2026 | $54.29 | $93.34 |
| 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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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 10/23/2026 at 1:30 PM
Live
Closed
PSCH | XHE | |
|---|---|---|
| Last price | $54.00 | $93.08 |
| 1D performance | -0.53% | -0.28% |
| AuM | $173.83 M | $151.14 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 | 69 | 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
94.93%
Other
5.07%
XHE
USA
93.57%
Other
6.43%
Sectors
PSCH
Healthcare
100%
Other
0%
XHE
Healthcare
97.47%
Other
2.53%
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Diversification
PSCH
Total weight of top 15 holdings out of 15
48.62%
XHE
Total weight of top 15 holdings out of 15
30.96%
Top 15 holdings
Data as of August 31, 2026
PSCH
Corcept Therapeutics, Inc.
5.61%
Glaukos Corp.
5.37%
Protagonist Therapeutics, Inc.
4.54%
Alkermes Plc
4.09%
TG Therapeutics, Inc.
3.69%
Teleflex, Inc.
3.06%
PTC Therapeutics, Inc.
2.99%
Ligand Pharmaceuticals, Inc.
2.87%
Merit Medical Systems, Inc.
2.68%
RadNet, Inc.
2.68%
Liquidia Corp.
2.47%
ICU Medical, Inc.
2.20%
Indivior Pharmaceuticals, Inc.
2.16%
Integer Holdings Corp.
2.14%
Concentra Group Holdings Parent, Inc.
2.07%
XHE
AtriCure, Inc.
2.59%
Strive, Inc. (United States)
2.47%
Inspire Medical Systems, Inc.
2.19%
Glaukos Corp.
2.16%
Butterfly Network, Inc.
2.15%
CONMED Corp.
2.02%
Integer Holdings Corp.
2.02%
Tandem Diabetes Care, Inc.
2.00%
Merit Medical Systems, Inc.
1.99%
Artivion, Inc.
1.94%
Haemonetics Corp.
1.93%
UFP Technologies, Inc.
1.89%
Baxter International, Inc.
1.88%
Becton, Dickinson & Co.
1.87%
Neogen Corp.
1.86%
Frequently asked questions about PSCH and XHE
How have the PSCH and XHE ETFs performed in 2026?
As of October 23, 2026, PSCH is up 22.45% year-to-date (YTD), while XHE has returned 5.54%. 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 -$1M in flows, compared to -$11M for XHE.
Which ETF is more volatile: PSCH or XHE?
Over the past year, PSCH had a volatility of 19.43%, while XHE experienced 22.71%.
Which ETF is bigger: PSCH or XHE?
As of October 23, 2026, PSCH holds $173.83 M in assets under management (AUM), while XHE manages $151.14 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 Corcept Therapeutics, Inc., Glaukos Corp. and Protagonist Therapeutics, Inc.. XHE holds in its top three: AtriCure, Inc., Strive, Inc. (United States) and Inspire Medical Systems, Inc..
Which ETF is more diversified: PSCH or XHE?
PSCH holds 69 securities with 48.62% of its assets in the top 15. XHE has 67 securities and a top 15 weight of 30.96%.
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