PSCHvsXHSETF Comparison
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Invesco S&P SmallCap Health Care ETF (PSCH) and State Street SPDR S&P Health Care Services ETF (XHS) belong to the same industry segment: US Health Care. PSCH's top 1 sector exposures are Healthcare. In contrast, XHS's top sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. PSCH is less expensive with a Total Expense Ratio (TER) of 0.29%, versus 0.35% for XHS. PSCH is up 22.45% year-to-date (YTD) with -$1M in YTD flows. XHS performs better with 32.24% YTD performance, and +$103M in YTD flows. Run a side-by-side ETF comparison of PSCH and XHS 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 XHS 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 XHS | +2.58%+5.46% | +1.83%+7.08% | +22.45%+32.24% | +26.77%+35.98% | +52.89%+78.28% | -9.76%+36.44% |
| Flows | PSCH XHS | -$13M-$13M | +$10M+$3M | -$1M+$103M | -$1M+$107M | -$102M+$74M | -$210M+$37M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | PSCH XHS | +16.86%+17.05% | +19.43%+17.59% | +21.81%+18.30% | +22.92%+21.37% |
| Max drawdown | PSCH XHS | -8.61%-5.21% | -15.36%-11.97% | -22.80%-14.46% | -45.76%-29.93% |
| Max drawdown duration | PSCH XHS | 65d30d | 168d121d | 488d250d | 1810d1477d |
Trading data
PSCH | XHS | |
Last sale 10/23/2026 at 1:30 PM | $54.00 | $141.40 |
| Previous close 10/22/2026 | $54.29 | $142.69 |
| 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 | XHS | |
|---|---|---|
| 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 | XHS | |
|---|---|---|
| Last price | $54.00 | $141.40 |
| 1D performance | -0.53% | -0.90% |
| AuM | $173.83 M | $221.73 M |
| E/R | 0.29% | 0.35% |
Characteristics
PSCH | XHS | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Invesco | State Street Investment Management |
| Benchmark | S&P SmallCap 600 Capped Health Care Index | S&P Health Care Services Select Industry Index |
| N° of holdings | 69 | 59 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | April 7, 2010 | September 28, 2011 |
| ESG | No | No |
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Exposure
Countries
PSCH
USA
94.93%
Other
5.07%
XHS
USA
99.94%
Other
0.06%
Sectors
PSCH
Healthcare
100%
Other
0%
XHS
Healthcare
95.16%
Other
4.84%
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Diversification
PSCH
Total weight of top 15 holdings out of 15
48.62%
XHS
Total weight of top 15 holdings out of 15
33.1%
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%
XHS
Tenet Healthcare Corp.
2.65%
NeoGenomics, Inc.
2.60%
Lifestance Health Group, Inc.
2.58%
GeneDx Holdings Corp.
2.56%
Hinge Health, Inc.
2.45%
RadNet, Inc.
2.14%
Concentra Group Holdings Parent, Inc.
2.08%
Aveanna Healthcare Holdings, Inc.
2.07%
Labcorp Holdings, Inc.
2.03%
U.S. Physical Therapy, Inc.
2.03%
PACS Group, Inc.
2.02%
Addus HomeCare Corp.
2.02%
Guardant Health, Inc.
1.99%
Chemed Corp.
1.96%
Quest Diagnostics, Inc.
1.93%
Frequently asked questions about PSCH and XHS
How have the PSCH and XHS ETFs performed in 2026?
As of October 23, 2026, PSCH is up 22.45% year-to-date (YTD), while XHS has returned 32.24%. That puts XHS better performer ahead so far this year.
Which ETF is attracting more investor money: PSCH or XHS?
Year-to-date, the PSCH ETF saw -$1M in flows, compared to +$103M for XHS.
Which ETF is more volatile: PSCH or XHS?
Over the past year, PSCH had a volatility of 19.43%, while XHS experienced 17.59%.
Which ETF is bigger: PSCH or XHS?
As of October 23, 2026, PSCH holds $173.83 M in assets under management (AUM), while XHS manages $221.73 M.
What sectors do the PSCH and XHS ETFs invest in?
PSCH leans toward sectors like Healthcare. Meanwhile, XHS focuses on Healthcare.
What are the top holdings of the PSCH ETF and XHS ETF?
PSCH top holdings include Corcept Therapeutics, Inc., Glaukos Corp. and Protagonist Therapeutics, Inc.. XHS holds in its top three: Tenet Healthcare Corp., NeoGenomics, Inc. and Lifestance Health Group, Inc..
Which ETF is more diversified: PSCH or XHS?
PSCH holds 69 securities with 48.62% of its assets in the top 15. XHS has 59 securities and a top 15 weight of 33.1%.
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