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 4 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% | 2.85B | Oct 2013 | PSCH vs FHLC | |
| State Street Health Care Select Sector SPDR ETF | 0.08% | 38.66B | Dec 1998 | PSCH vs XLV | |
| Vanguard Health Care ETF | 0.09% | 18.50B | Jan 2004 | PSCH vs VHT | |
| Portfolio Building Block World Pharma and Biotech ... | 0.13% | 9.98M | Nov 2025 | PSCH vs PBPH | |
| VanEck Vectors Biotech ETF | 0.35% | 366.87M | Dec 2011 | PSCH vs BBH |
Best Risk-Adjusted Alternatives to PSCH
PSCH has a PortfoliosLab risk / return rank of 17. There are 43 ETFs in the Health & Biotech Equities category with higher risk-adjusted ranks, going as high as 89.
| Symbol | Name | Risk / Return Rank | AUM | Inception | |
|---|---|---|---|---|---|
| Virtus LifeSci Biotech Clinical Trials ETF | 89 | 43.63M | Dec 2014 | PSCH vs BBC | |
| SPDR S&P Biotech ETF | 74 | 8.28B | Feb 2006 | PSCH vs XBI | |
| iShares U.S. Pharmaceuticals ETF | 74 | 912.87M | May 2006 | PSCH vs IHE | |
| ALPS Medical Breakthroughs ETF | 72 | 161.79M | Dec 2014 | PSCH vs SBIO | |
| First Trust Nasdaq Pharmaceuticals ETF | 71 | 35.04M | Sep 2016 | PSCH vs FTXH |
Top Performing PSCH Alternatives (YTD)
PSCH is at 1.80% YTD. There are 23 ETFs in the Health & Biotech Equities category with higher YTD returns, going as high as 20.15%.
| Symbol | Name | YTD Return | AUM | Inception | |
|---|---|---|---|---|---|
| AdvisorShares Psychedelics ETF | 20.15% | 35.56M | Sep 2021 | PSCH vs PSIL | |
| ARK Genomic Revolution Multi-Sector ETF | 17.09% | 1.24B | Oct 2014 | PSCH vs ARKG | |
| Roundhill UNH WeeklyPay ETF | 15.08% | 4.48M | Dec 2025 | PSCH vs UNHW | |
| iShares Genomics Immunology and Healthcare ETF Gen... | 10.31% | 163.14M | Jun 2019 | PSCH vs IDNA | |
| Virtus LifeSci Biotech Clinical Trials ETF | 8.64% | 43.63M | Dec 2014 | PSCH vs BBC |
Lowest Volatility Alternatives to PSCH
PSCH has 20.26% 1-year volatility. There are 35 ETFs in the Health & Biotech Equities category with lower 1-year volatility, going as low as 0.00%.
| Symbol | Name | Volatility 1Y | AUM | Inception | |
|---|---|---|---|---|---|
| Principal Healthcare Innovators Index ETF | 0.00% | 16.16M | Aug 2016 | PSCH vs BTEC | |
| Amplify Treatments, Testing and Advancements ETF | 0.00% | 9.68M | Jun 2020 | PSCH vs GERM | |
| Loncar Cancer Immunotherapy ETF | 0.00% | 12.73M | Oct 2015 | PSCH vs CNCR | |
| Horizon Kinetics SPAC Active ETF | 8.80% | 10.01M | Jun 2007 | PSCH vs SPAQ | |
| State Street Health Care Select Sector SPDR Premiu... | 10.94% | 14.25M | Jul 2025 | PSCH vs XLVI |
Lowest Drawdown Alternatives to PSCH
PSCH has a 1-year max drawdown of -15.36%. There are 37 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 | -5.30% | 10.01M | Jun 2007 | PSCH vs SPAQ | |
| First Trust Nasdaq Pharmaceuticals ETF | -7.47% | 35.04M | Sep 2016 | PSCH vs FTXH | |
| Invesco Nasdaq Biotechnology ETF | -8.34% | 67.37M | Jun 2021 | PSCH vs IBBQ | |
| iShares U.S. Pharmaceuticals ETF | -8.47% | 912.87M | May 2006 | PSCH vs IHE |
Other ETFs from Invesco
The 10 most viewed Invesco ETFs shown here include QQQ, SPMO, QQQM and span 11 categories. AUM among these funds goes as high as $494B.
| Symbol | Name | Category | Risk / Return Rank | YTD Return | AUM | Inception | |
|---|---|---|---|---|---|---|---|
| Invesco QQQ ETF | Nasdaq-100 | 73 | 21.30% | 493.99B | Mar 1999 | PSCH vs QQQ | |
| Invesco S&P 500 Momentum ETF | Momentum, S&P 500 | 75 | 30.35% | 19.93B | Oct 2015 | PSCH vs SPMO | |
| Invesco NASDAQ 100 ETF | Nasdaq-100 | 74 | 21.39% | 96.91B | Oct 2020 | PSCH vs QQQM | |
| Invesco S&P 500 Equal Weight ETF | S&P 500 | 49 | 9.70% | 89.51B | Apr 2003 | PSCH vs RSP | |
| Invesco S&P 500 Top 50 ETF | S&P 500 | 56 | 7.57% | 11.15B | May 2005 | PSCH vs XLG | |
| Invesco PHLX Semiconductor ETF | Semiconductors, Technology Equities | 96 | 96.72% | 2.41B | Jun 2021 | PSCH vs SOXQ | |
| Invesco S&P 500 Quality ETF | S&P 500, Large Cap Blend Equities | 54 | 15.48% | 18.88B | Dec 2005 | PSCH vs SPHQ | |
| Invesco S&P 500® High Dividend Low Volatility ETF | Dividend, S&P 500, Large Cap Value Equities | 21 | 4.38% | 3.23B | Oct 2012 | PSCH vs SPHD | |
| Invesco Aerospace & Defense ETF | Aerospace & Defense, Industrials Equities | 37 | 8.54% | 8.37B | Oct 2005 | PSCH vs PPA | |
| Invesco S&P MidCap Momentum ETF | Momentum, Mid Cap Growth Equities | 67 | 23.73% | 7.49B | Mar 2005 | PSCH vs XMMO |
Often Compared With PSCH
Investors most often compare PSCH with XHE, IBB, VOO. These 20 comparison targets span 7 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