XHEvsPSCHETF Comparison
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State Street SPDR S&P Health Care Equipment ETF (XHE) and Invesco S&P SmallCap Health Care ETF (PSCH) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. XHE is more expensive with a Total Expense Ratio (TER) of 0.35%, versus 0.29% for PSCH. XHE is down -6.96% year-to-date (YTD) with -$535K in YTD flows. PSCH performs better with 8.34% YTD performance, and -$17M in YTD flows. Run a side-by-side ETF comparison of XHE and PSCH 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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XHE vs PSCH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/11/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | XHE PSCH | +5.85%+6.29% | -0.19%+15.97% | -6.96%+8.34% | -0.18%+14.58% | -13.91%+7.93% | -34.26%-24.65% |
| Flows | XHE PSCH | +$14M+$492K | +$4M-$11M | -$535K-$17M | -$33M-$27M | -$319M-$150M | -$381M-$235M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | XHE PSCH | +25.90%+22.53% | +21.85%+20.59% | +21.72%+21.73% | +24.47%+22.89% |
| Max drawdown | XHE PSCH | -8.81%-4.81% | -18.20%-15.36% | -32.46%-22.80% | -49.90%-47.23% |
| Max drawdown duration | XHE PSCH | 53d19d | 154d168d | 1060d477d | 1743d1810d |
Trading data
XHE | PSCH | |
Last sale 6/12/2026 at 6:49 PM | $81.70 | $47.99 |
| Previous close 06/11/2026 | $82.05 | $47.74 |
| 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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XHE | PSCH | |
|---|---|---|
| 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 6:49 PM
Live
Closed
XHE | PSCH | |
|---|---|---|
| Last price | $81.70 | $47.99 |
| 1D performance | -0.43% | +0.53% |
| AuM | $143.48 M | $139.94 M |
| E/R | 0.35% | 0.29% |
Characteristics
XHE | PSCH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | State Street Investment Management | Invesco |
| Benchmark | S&P Health Care Equipment Select Industry Index | S&P SmallCap 600 Capped Health Care Index |
| N° of holdings | 60 | 71 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | January 26, 2011 | April 7, 2010 |
| ESG | No | No |
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Exposure
Countries
XHE
USA
92.03%
Other
7.97%
PSCH
USA
96.15%
Other
3.85%
Sectors
XHE
Health Care
89.92%
Other
10.08%
PSCH
Health Care
90.67%
Other
9.33%
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Diversification
XHE
Total weight of top 15 holdings out of 15
29.69%
PSCH
Total weight of top 15 holdings out of 15
44.63%
Top 15 holdings
Data as of April 30, 2026
XHE
STAAR SURGICAL
2.55%
GLAUKOS
2.39%
AXOGEN
2.29%
BUTTERFLY NETWORK INC
2.14%
NOVOCURE LTD
2.07%
AVANOS MEDICAL INC
2.05%
TELEFLEX
1.89%
OMNICELL
1.89%
IRHYTHM TECHNOLOGIES
1.84%
US58507V1070
1.79%
INTEGER HOLDINGS
1.78%
GLOBUS MEDICAL
1.77%
LANTHEUS HOLDINGS
1.76%
MASIMO
1.74%
LEMAITRE VASCULAR
1.73%
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%
Frequently asked questions about XHE and PSCH
How have the XHE and PSCH ETFs performed in 2026?
As of June 11, 2026, XHE is down -6.96% year-to-date (YTD), while PSCH has returned 8.34%. That puts PSCH better performer ahead so far this year.
Which ETF is attracting more investor money: XHE or PSCH?
Year-to-date, the XHE ETF saw -$535K in flows, compared to -$17M for PSCH.
Which ETF is more volatile: XHE or PSCH?
Over the past year, XHE had a volatility of 21.85%, while PSCH experienced 20.59%.
Which ETF is bigger: XHE or PSCH?
As of June 11, 2026, XHE holds $143.48 M in assets under management (AUM), while PSCH manages $139.94 M.
What sectors do the XHE and PSCH ETFs invest in?
XHE leans toward sectors like Health Care. Meanwhile, PSCH focuses on Health Care.
What are the top holdings of the XHE ETF and PSCH ETF?
XHE top holdings include STAAR SURGICAL, GLAUKOS and AXOGEN. PSCH holds in its top three: MOLINA HLTHCRE, KRYSTAL BIOTECH INC and GLAUKOS.
Which ETF is more diversified: XHE or PSCH?
XHE holds 66 securities with 29.69% of its assets in the top 15. PSCH has 75 securities and a top 15 weight of 44.63%.
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