PSCHvsXLVETF Comparison
VS
Invesco S&P SmallCap Health Care ETF (PSCH) and State Street Health Care Select Sector SPDR ETF (XLV) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. PSCH is more expensive with a Total Expense Ratio (TER) of 0.29%, versus 0.08% for XLV. PSCH is up 8.5% year-to-date (YTD) with -$17M in YTD flows. XLV performs worse with -0.21% YTD performance, and -$14M in YTD flows. Run a side-by-side ETF comparison of PSCH and XLV 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 XLV performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/12/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | PSCH XLV | +6.00%+5.52% | +19.98%+2.83% | +8.50%-0.21% | +16.31%+14.42% | +8.09%+23.56% | -24.67%+33.70% |
| Flows | PSCH XLV | +$492K-$27M | -$3M-$937M | -$17M-$14M | -$27M+$63M | -$150M-$7.15B | -$235M+$4.72B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | PSCH XLV | +21.44%+15.97% | +20.54%+15.00% | +21.72%+13.96% | +22.89%+14.72% |
| Max drawdown | PSCH XLV | -4.51%-5.04% | -15.36%-10.51% | -22.80%-17.05% | -47.23%-17.05% |
| Max drawdown duration | PSCH XLV | 13d72d | 168d103d | 478d444d | 1811d444d |
Trading data
PSCH | XLV | |
Last sale 6/12/2026 at 1:30 PM | $47.79 | $153.81 |
| Previous close 06/11/2026 | $47.74 | $154.09 |
| Consolidated volume 06/11/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 2026
1-year trailing difference
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PSCH | XLV | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 6/12/2026 at 1:30 PM
Live
Closed
PSCH | XLV | |
|---|---|---|
| Last price | $47.79 | $153.81 |
| 1D performance | +0.10% | -0.18% |
| AuM | $140.15 M | $39.35 B |
| E/R | 0.29% | 0.08% |
Characteristics
PSCH | XLV | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Invesco | State Street Investment Management |
| Benchmark | S&P SmallCap 600 Capped Health Care Index | S&P Health Care Select Sector Index |
| N° of holdings | 71 | 55 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | April 7, 2010 | December 16, 1998 |
| ESG | No | No |
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Exposure
Countries
PSCH
USA
96.15%
Other
3.85%
XLV
USA
97.39%
Other
2.61%
Sectors
PSCH
Health Care
90.67%
Other
9.33%
XLV
Health Care
98.41%
Other
1.59%
Diversification
PSCH
Total weight of top 15 holdings out of 15
44.63%
XLV
Total weight of top 15 holdings out of 15
70.92%
Top 15 holdings
Data as of April 30, 2026
PSCH
MOLINA HLTHCRE
4.96%
KRYSTAL BIOTECH INC
3.79%
GLAUKOS
3.77%
US10950A1060
3.46%
TELEFLEX
3.21%
PROTAGONIST THERAPEUTICS INC
3.11%
ALKERMES
3.00%
PTC THERAPEUTI/D
2.99%
TG THERAPEUTICS
2.59%
LIGAND PHARMACEUTICALS
2.56%
CORCEPT THERAPEUTICS
2.33%
US45579U1097
2.30%
APELLIS PHARMACEUTICALS
2.26%
RADNET
2.16%
MERIT MEDICAL SYSTEMS
2.15%
XLV
LILLY
14.09%
JOHNSON&JOHNSON
10.54%
ABBVIE
7.10%
UNITEDHEALTH GRP
6.38%
MERCK & CO INC
5.15%
AMGEN-T
3.55%
THERMO FISHER SCIENTIFIC
3.42%
INTUITIVE SURGICAL
3.09%
GILEAD SCIENCES
3.09%
ABBOTT LABS
3.00%
PFIZER
2.89%
BRISTOL-MYERS SQUIBB
2.35%
DANAHER
2.14%
VERTEX PHARMACEUTICALS
2.06%
STRYKER
2.06%
Frequently asked questions about PSCH and XLV
How have the PSCH and XLV ETFs performed in 2026?
As of June 12, 2026, PSCH is up 8.5% year-to-date (YTD), while XLV has lost -0.21%. That puts PSCH better performer ahead so far this year.
Which ETF is attracting more investor money: PSCH or XLV?
Year-to-date, the PSCH ETF saw -$17M in flows, compared to -$14M for XLV.
Which ETF is more volatile: PSCH or XLV?
Over the past year, PSCH had a volatility of 20.54%, while XLV experienced 15%.
Which ETF is bigger: PSCH or XLV?
As of June 12, 2026, PSCH holds $140.15 M in assets under management (AUM), while XLV manages $39.35 B.
What sectors do the PSCH and XLV ETFs invest in?
PSCH leans toward sectors like Health Care. Meanwhile, XLV focuses on Health Care.
What are the top holdings of the PSCH ETF and XLV ETF?
PSCH top holdings include MOLINA HLTHCRE, KRYSTAL BIOTECH INC and GLAUKOS. XLV holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: PSCH or XLV?
PSCH holds 75 securities with 44.63% of its assets in the top 15. XLV has 58 securities and a top 15 weight of 70.92%.
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