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 21.86% year-to-date (YTD) with +$7M in YTD flows. XHE performs worse with 3.73% YTD performance, and +$13M 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 09/09/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | PSCH XHE | -2.89%-3.04% | +13.44%+10.11% | +21.86%+3.73% | +30.10%+10.83% | +36.07%+9.19% | -13.90%-30.39% |
| Flows | PSCH XHE | +$14M+$5M | +$25M+$14M | +$7M+$13M | +$2M+$2M | -$109M-$264M | -$207M-$380M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | PSCH XHE | +15.73%+24.07% | +19.67%+22.81% | +21.83%+22.21% | +22.87%+24.83% |
| Max drawdown | PSCH XHE | -4.27%-5.67% | -15.36%-18.20% | -22.80%-24.35% | -45.76%-49.37% |
| Max drawdown duration | PSCH XHE | 21d21d | 168d207d | 488d565d | 1766d1771d |
Trading data
PSCH | XHE | |
Last sale 9/10/2026 at 1:30 PM | $53.11 | $89.53 |
| Previous close 09/09/2026 | $53.71 | $91.41 |
| Consolidated volume 09/09/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of August 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 9/10/2026 at 1:30 PM
Live
Closed
PSCH | XHE | |
|---|---|---|
| Last price | $53.11 | $89.53 |
| 1D performance | -1.12% | -2.06% |
| AuM | $181.59 M | $173.68 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 | 66 |
| 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
95.04%
Other
4.96%
XHE
USA
93.56%
Other
6.44%
Sectors
PSCH
Healthcare
100%
Other
0%
XHE
Healthcare
98.72%
Other
1.28%
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Diversification
PSCH
Total weight of top 15 holdings out of 15
48.1%
XHE
Total weight of top 15 holdings out of 15
30.19%
Top 15 holdings
Data as of July 31, 2026
PSCH
Glaukos Corp.
4.96%
Corcept Therapeutics, Inc.
4.64%
Alkermes Plc
4.21%
Protagonist Therapeutics, Inc.
4.20%
TG Therapeutics, Inc.
3.68%
PTC Therapeutics, Inc.
3.23%
Liquidia Corp.
3.19%
Teleflex, Inc.
3.11%
Ligand Pharmaceuticals, Inc.
3.01%
Indivior Pharmaceuticals, Inc.
2.55%
Merit Medical Systems, Inc.
2.52%
RadNet, Inc.
2.34%
Veracyte, Inc.
2.32%
ICU Medical, Inc.
2.17%
Concentra Group Holdings Parent, Inc.
1.96%
XHE
AtriCure, Inc.
2.14%
Glaukos Corp.
2.13%
Dentsply Sirona, Inc.
2.08%
Enovis Corp.
2.07%
Integer Holdings Corp.
2.07%
Butterfly Network, Inc.
2.06%
Neogen Corp.
2.05%
Artivion, Inc.
2.05%
Baxter International, Inc.
2.01%
CONMED Corp.
1.99%
Merit Medical Systems, Inc.
1.98%
QuidelOrtho Corp.
1.94%
ICU Medical, Inc.
1.88%
Tandem Diabetes Care, Inc.
1.88%
Inspire Medical Systems, Inc.
1.85%
Frequently asked questions about PSCH and XHE
How have the PSCH and XHE ETFs performed in 2026?
As of September 9, 2026, PSCH is up 21.86% year-to-date (YTD), while XHE has returned 3.73%. 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 +$7M in flows, compared to +$13M for XHE.
Which ETF is more volatile: PSCH or XHE?
Over the past year, PSCH had a volatility of 19.67%, while XHE experienced 22.81%.
Which ETF is bigger: PSCH or XHE?
As of September 9, 2026, PSCH holds $181.59 M in assets under management (AUM), while XHE manages $173.68 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 Glaukos Corp., Corcept Therapeutics, Inc. and Alkermes Plc. XHE holds in its top three: AtriCure, Inc., Glaukos Corp. and Dentsply Sirona, Inc..
Which ETF is more diversified: PSCH or XHE?
PSCH holds 69 securities with 48.1% of its assets in the top 15. XHE has 66 securities and a top 15 weight of 30.19%.
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