Invesco S&P SmallCap Health Care ETF (PSCH) belongs to the Health & Biotech Equities category. Below you'll find alternative ETFs from the same category, ranked by key criteria, plus funds that investors commonly compare with PSCH. Use the tables to find lower-cost options, better risk-adjusted returns, or a closer substitute for your current allocation.
Cheapest Alternatives to PSCH
PSCH charges 0.29% annually. There are 7 ETFs in the Health & Biotech Equities category with lower expense ratios, going as low as 0.08%.
| Symbol | Name | Expense Ratio | AUM | Inception | |
|---|---|---|---|---|---|
| Fidelity MSCI Health Care Index ETF | 0.08% | 3.22B | Oct 2013 | PSCH vs FHLC | |
| State Street Health Care Select Sector SPDR ETF | 0.08% | 42.10B | Dec 1998 | PSCH vs XLV | |
| Vanguard Health Care ETF | 0.09% | 20.40B | Jan 2004 | PSCH vs VHT | |
| VanEck Healthcare TruSector ETF | 0.10% | 850.50K | Apr 2026 | PSCH vs TRUH | |
| Portfolio Building Block World Pharma and Biotech ... | 0.13% | 933.15M | Nov 2025 | PSCH vs PBPH |
Best Risk-Adjusted Alternatives to PSCH
PSCH has a PortfoliosLab risk / return rank of 78. There are 21 ETFs in the Health & Biotech Equities category with higher risk-adjusted ranks, going as high as 96.
| Symbol | Name | Risk / Return Rank | AUM | Inception | |
|---|---|---|---|---|---|
| Virtus LifeSci Biotech Clinical Trials ETF | 96 | 47.80M | Dec 2014 | PSCH vs BBC | |
| iShares U.S. Pharmaceuticals ETF | 95 | 1.65B | May 2006 | PSCH vs IHE | |
| First Trust Nasdaq Pharmaceuticals ETF | 95 | 911.09M | Sep 2016 | PSCH vs FTXH | |
| ALPS Medical Breakthroughs ETF | 95 | 201.57M | Dec 2014 | PSCH vs SBIO | |
| Invesco Dynamic Pharmaceuticals ETF | 94 | 472.10M | Jun 2005 | PSCH vs PJP |
Top Performing PSCH Alternatives (YTD)
PSCH is at 21.97% YTD. There are 9 ETFs in the Health & Biotech Equities category with higher YTD returns, going as high as 36.76%.
| Symbol | Name | YTD Return | AUM | Inception | |
|---|---|---|---|---|---|
| ARK Genomic Revolution Multi-Sector ETF | 36.76% | 1.73B | Oct 2014 | PSCH vs ARKG | |
| AdvisorShares Psychedelics ETF | 36.69% | 48.53M | Sep 2021 | PSCH vs PSIL | |
| Roundhill UNH WeeklyPay ETF | 28.89% | 7.27M | Dec 2025 | PSCH vs UNHW | |
| Virtus LifeSci Biotech Clinical Trials ETF | 27.03% | 47.80M | Dec 2014 | PSCH vs BBC | |
| SPDR S&P Health Care Services ETF | 25.67% | 206.72M | Sep 2011 | PSCH vs XHS |
Lowest Volatility Alternatives to PSCH
PSCH has 20.13% 1-year volatility. There are 34 ETFs in the Health & Biotech Equities category with lower 1-year volatility, going as low as 0.00%.
| Symbol | Name | Volatility 1Y | AUM | Inception | |
|---|---|---|---|---|---|
| Loncar Cancer Immunotherapy ETF | 0.00% | 12.73M | Oct 2015 | PSCH vs CNCR | |
| Amplify Treatments, Testing and Advancements ETF | 0.00% | 9.68M | Jun 2020 | PSCH vs GERM | |
| Horizon Kinetics SPAC Active ETF | 8.66% | 10.09M | Jun 2007 | PSCH vs SPAQ | |
| State Street Health Care Select Sector SPDR Premiu... | 10.75% | 21.55M | Jul 2025 | PSCH vs XLVI | |
| Milliman Healthcare Inflation Plus ETF | 10.92% | 982.35K | Apr 2026 | PSCH vs MHIP |
Lowest Drawdown Alternatives to PSCH
PSCH has a 1-year max drawdown of -15.36%. There are 39 ETFs in the Health & Biotech Equities category with shallower 1-year drawdowns, going as shallow as 0.00%.
| Symbol | Name | Max Drawdown 1Y | AUM | Inception | |
|---|---|---|---|---|---|
| Amplify Treatments, Testing and Advancements ETF | 0.00% | 9.68M | Jun 2020 | PSCH vs GERM | |
| Horizon Kinetics SPAC Active ETF | -4.20% | 10.09M | Jun 2007 | PSCH vs SPAQ | |
| First Trust Nasdaq Pharmaceuticals ETF | -7.47% | 911.09M | Sep 2016 | PSCH vs FTXH | |
| State Street Health Care Select Sector SPDR Premiu... | -8.14% | 21.55M | Jul 2025 | PSCH vs XLVI | |
| Invesco Nasdaq Biotechnology ETF | -8.34% | 75.06M | Jun 2021 | PSCH vs IBBQ |
Other ETFs from Invesco
The 10 most viewed Invesco ETFs shown here include QQQ, SPMO, QQQM and span 12 categories. AUM among these funds goes as high as $453B.
| Symbol | Name | Category | Risk / Return Rank | YTD Return | AUM | Inception | |
|---|---|---|---|---|---|---|---|
| Invesco QQQ ETF | Nasdaq-100 | 58 | 14.23% | 452.80B | Mar 1999 | PSCH vs QQQ | |
| Invesco S&P 500 Momentum ETF | Momentum, S&P 500 | 51 | 22.35% | 21.05B | Oct 2015 | PSCH vs SPMO | |
| Invesco NASDAQ 100 ETF | Nasdaq-100 | 59 | 14.26% | 97.11B | Oct 2020 | PSCH vs QQQM | |
| Invesco S&P 500 Equal Weight ETF | S&P 500, Equal Weight | 79 | 14.26% | 96.96B | Apr 2003 | PSCH vs RSP | |
| Invesco PHLX Semiconductor ETF | Semiconductors, Technology Equities | 88 | 61.64% | 2.58B | Jun 2021 | PSCH vs SOXQ | |
| Invesco S&P 500 Quality ETF | Quality Factor, S&P 500, Large Cap Blend Equities | 65 | 14.14% | 19.45B | Dec 2005 | PSCH vs SPHQ | |
| Invesco S&P 500 Top 50 ETF | S&P 500 | 45 | 4.68% | 10.56B | May 2005 | PSCH vs XLG | |
| Invesco S&P 500® High Dividend Low Volatility ETF | Dividend, S&P 500, Low Volatility | 55 | 12.76% | 4.04B | Oct 2012 | PSCH vs SPHD | |
| Invesco S&P MidCap Momentum ETF | Momentum, Mid Cap Growth Equities | 44 | 13.32% | 7.18B | Mar 2005 | PSCH vs XMMO | |
| Invesco S&P International Developed Momentum ETF | Momentum, Foreign Large Cap Equities | 58 | 11.63% | 4.08B | Feb 2012 | PSCH vs IDMO |
Often Compared With PSCH
Investors most often compare PSCH with XBI, XHE, IBB. These 20 comparison targets span 6 categories, based on PortfoliosLab usage data.
Compare PSCH with Any Fund or Stock
Compare PSCH with any ETF, mutual fund, or stock using PortfoliosLab's comparison tool.
Pair PSCH with funds that move differently
Invesco S&P SmallCap Health Care ETF alternatives help with substitution. Diversifiers are the next step when you want funds with lower historical correlation to PSCH.
Explore PSCH Diversifiers