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 Health Care. PSCH is less expensive with a Total Expense Ratio (TER) of 0.29%, versus 0.35% for XHE. PSCH is up 1.6% year-to-date (YTD) with -$19M in YTD flows. XHE performs worse with -7.98% YTD performance, and -$12M 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 04/28/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | PSCH XHE | +14.25%+6.20% | +0.97%-6.51% | +1.60%-7.98% | +8.95%+2.12% | +1.45%-16.88% | -29.04%-36.24% |
| Flows | PSCH XHE | -$4M-$12M | -$18M-$8M | -$19M-$12M | -$33M-$41M | -$154M-$308M | -$237M-$410M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | PSCH XHE | +23.35%+23.19% | +20.91%+21.35% | +21.73%+21.34% | +22.88%+24.32% |
| Max drawdown | PSCH XHE | -12.32%-14.31% | -15.36%-18.20% | -22.80%-32.46% | -47.23%-49.90% |
| Max drawdown duration | PSCH XHE | 81d61d | 127d110d | 433d1016d | 1766d1699d |
Trading data
PSCH | XHE | |
Last sale 4/28/2026 at 7:44 PM | $44.69 | $78.64 |
| Previous close 04/28/2026 | $44.87 | $81.23 |
| Consolidated volume 04/28/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 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 4/28/2026 at 7:44 PM
Live
Closed
PSCH | XHE | |
|---|---|---|
| Last price | $44.69 | $78.64 |
| 1D performance | -0.40% | -3.19% |
| AuM | $129.45 M | $129.75 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 | 71 | 61 |
| 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
96.2%
Other
3.8%
XHE
USA
92.19%
Other
7.81%
Sectors
PSCH
Health Care
90.59%
Other
9.41%
XHE
Health Care
89.87%
Other
10.13%
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Diversification
PSCH
Total weight of top 15 holdings out of 15
44.68%
XHE
Total weight of top 15 holdings out of 15
26.74%
Top 15 holdings
Data as of March 31, 2026
PSCH
MOLINA HLTHCRE
4.25%
KRYSTAL BIOTECH INC
3.90%
GLAUKOS
3.65%
PROTAGONIST THERAPEUTICS INC
3.58%
US10950A1060
3.45%
PTC THERAPEUTI/D
3.27%
TELEFLEX
3.16%
ALKERMES
2.99%
TG THERAPEUTICS
2.66%
MERIT MEDICAL SYSTEMS
2.51%
RADNET
2.41%
LIGAND PHARMACEUTICALS
2.37%
US45579U1097
2.23%
CORCEPT THERAPEUTICS
2.17%
TRANSMEDICS GROUP
2.08%
XHE
TELEFLEX
1.86%
STAAR SURGICAL
1.84%
BUTTERFLY NETWORK INC
1.84%
US58507V1070
1.83%
GLAUKOS
1.82%
INTEGER HOLDINGS
1.79%
AXOGEN
1.79%
LIVANOVA
1.78%
MASIMO
1.76%
LEMAITRE VASCULAR
1.75%
ARTIVION INC
1.75%
HOLOGIC
1.74%
STERIS
1.74%
GLOBUS MEDICAL
1.72%
IRHYTHM TECHNOLOGIES
1.72%
Frequently asked questions about PSCH and XHE
How have the PSCH and XHE ETFs performed in 2026?
As of April 28, 2026, PSCH is up 1.6% year-to-date (YTD), while XHE has lost -7.98%. 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 -$19M in flows, compared to -$12M for XHE.
Which ETF is more volatile: PSCH or XHE?
Over the past year, PSCH had a volatility of 20.91%, while XHE experienced 21.35%.
Which ETF is bigger: PSCH or XHE?
As of April 28, 2026, PSCH holds $129.45 M in assets under management (AUM), while XHE manages $129.75 M.
What sectors do the PSCH and XHE ETFs invest in?
PSCH leans toward sectors like Health Care. Meanwhile, XHE focuses on Health Care.
What are the top holdings of the PSCH ETF and XHE ETF?
PSCH top holdings include MOLINA HLTHCRE, KRYSTAL BIOTECH INC and GLAUKOS. XHE holds in its top three: TELEFLEX, STAAR SURGICAL and BUTTERFLY NETWORK INC.
Which ETF is more diversified: PSCH or XHE?
PSCH holds 75 securities with 44.68% of its assets in the top 15. XHE has 67 securities and a top 15 weight of 26.74%.
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