PSCH vs. XHS

Last updated Jun 4, 2026

PSCH (Invesco S&P SmallCap Health Care ETF) and XHS (SPDR S&P Health Care Services ETF) are both Health & Biotech Equities funds - PSCH tracks the S&P SmallCap 600 Health Care Index while XHS tracks the S&P Health Care Services Select Industry Index. Both are passively managed. Over the past 10 years, PSCH returned 6.81%/yr vs 7.46%/yr for XHS. A 0.79 correlation means they provide meaningful diversification when combined. PSCH charges 0.29%/yr vs 0.35%/yr for XHS.

Performance

PSCH vs. XHS - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Invesco S&P SmallCap Health Care ETF (PSCH) and SPDR S&P Health Care Services ETF (XHS). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, PSCH achieves a 1.80% return, which is significantly lower than XHS's 6.32% return. Over the past 10 years, PSCH has underperformed XHS with an annualized return of 6.81%, while XHS has yielded a comparatively higher 7.46% annualized return.

PSCH

• 1D: 1.28%
• 1M: -0.71%
• YTD: 1.80%
• 6M: -1.68%
• 1Y: 10.18%
• 3Y*: 0.45%
• 5Y*: -5.72%
• 10Y*: 6.81%

XHS

• 1D: 0.28%
• 1M: 2.77%
• YTD: 6.32%
• 6M: 5.39%
• 1Y: 16.58%
• 3Y*: 8.47%
• 5Y*: 0.44%
• 10Y*: 7.46%

*Multi-year figures are annualized to reflect compound growth (CAGR)

PSCH vs. XHS - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
PSCH Invesco S&P SmallCap Health Care ETF	1.80%	-0.49%	3.77%	-2.71%	-25.15%	5.75%	31.47%	20.17%	9.15%	34.87%
XHS SPDR S&P Health Care Services ETF	6.32%	18.83%	1.76%	5.15%	-19.87%	9.76%	33.66%	18.81%	1.96%	17.65%

Correlation

The correlation between PSCH and XHS is 0.71, which is moderate. They share some common price drivers but move independently often enough to provide real diversification benefit when combined.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.71
Correlation (3Y) Calculated over the trailing 3-year period	0.78
Correlation (5Y) Calculated over the trailing 5-year period	0.83
Correlation (10Y) Calculated over the trailing 10-year period	0.81
Correlation (All Time) Calculated using the full available price history since Sep 30, 2011	0.79

The correlation between PSCH and XHS shifts across timeframes, from 0.71 (1 year) to 0.83 (5 years), reflecting how their relationship changes across market environments.

PSCH vs. XHS - Sectors Allocation Comparison

Sectors	PSCH	XHS
Healthcare	97.3%	98.0%
Technology	1.7%	-
Financial Services	1.1%	2.0%
Industrials	0.7%	-
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Real Estate	-	-
Utilities	-	-

Return for Risk

PSCH vs. XHS — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

PSCH

PSCH Risk / Return Rank: 17
PSCH Sharpe Ratio Rank: 17
PSCH Sortino Ratio Rank: 17
PSCH Omega Ratio Rank: 17
PSCH Calmar Ratio Rank: 17
PSCH Martin Ratio Rank: 18

XHS

XHS Risk / Return Rank: 26
XHS Sharpe Ratio Rank: 26
XHS Sortino Ratio Rank: 25
XHS Omega Ratio Rank: 26
XHS Calmar Ratio Rank: 28
XHS Martin Ratio Rank: 27

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

PSCH vs. XHS - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Invesco S&P SmallCap Health Care ETF (PSCH) and SPDR S&P Health Care Services ETF (XHS). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

	PSCH	XHS	Difference
Sharpe ratio: Return per unit of total volatility	0.51	0.95	-0.44
Sortino ratio: Return per unit of downside risk	0.87	1.39	-0.52
Omega ratio: Gain probability vs. loss probability	1.10	1.18	-0.07
Calmar ratio: Return relative to maximum drawdown	0.67	1.39	-0.72
Martin ratio: Return relative to average drawdown	1.84	3.83	-1.99
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

PSCH vs. XHS - Sharpe Ratio Comparison

The current PSCH Sharpe Ratio is 0.51, which is lower than the XHS Sharpe Ratio of 0.95. The chart below compares the historical Sharpe Ratios of PSCH and XHS, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Sharpe Ratios by Period

	PSCH	XHS	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	0.51	0.95	-0.44
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	-0.25	0.02	-0.27
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.29	0.33	-0.05
Sharpe Ratio (All Time) Calculated using the full available price history	0.51	0.57	-0.05

Drawdowns

PSCH vs. XHS - Drawdown Comparison

The maximum PSCH drawdown since its inception was -46.32%, which is greater than XHS's maximum drawdown of -39.32%. Use the drawdown chart below to compare losses from any high point for PSCH and XHS.

Drawdown Indicators

	PSCH	XHS	Difference
Max Drawdown Largest peak-to-trough decline	-46.32%	-39.32%	-7.00%
Max Drawdown (1Y) Largest decline over 1 year	-15.36%	-11.99%	-3.37%
Max Drawdown (3Y) Largest decline over 3 years	-22.98%	-17.81%	-5.17%
Max Drawdown (5Y) Largest decline over 5 years	-46.32%	-32.62%	-13.70%
Max Drawdown (10Y) Largest decline over 10 years	-46.32%	-39.32%	-7.00%
Current Drawdown Current decline from peak	-30.59%	-1.78%	-28.81%
Average Drawdown Average peak-to-trough decline	-13.46%	-10.20%	-3.26%
Ulcer Index Depth and duration of drawdowns from previous peaks	5.54%	4.33%	+1.21%

Volatility

PSCH vs. XHS - Volatility Comparison

The current volatility for Invesco S&P SmallCap Health Care ETF (PSCH) is 4.19%, while SPDR S&P Health Care Services ETF (XHS) has a volatility of 4.80%. This indicates that PSCH experiences smaller price fluctuations and is considered to be less risky than XHS based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	PSCH	XHS	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.19%	4.80%	-0.61%
Volatility (6M) Calculated over the trailing 6-month period	14.06%	11.86%	+2.20%
Volatility (1Y) Calculated over the trailing 1-year period	20.26%	17.56%	+2.70%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	22.89%	21.10%	+1.79%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	23.63%	22.40%	+1.23%

PSCH vs. XHS - Expense Ratio Comparison

PSCH has a 0.29% expense ratio, which is lower than XHS's 0.35% expense ratio.

Dividends

PSCH vs. XHS - Dividend Comparison

PSCH's dividend yield for the trailing twelve months is around 0.01%, less than XHS's 0.25% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
PSCH Invesco S&P SmallCap Health Care ETF	0.01%	0.04%	0.27%	0.01%	2.27%	0.00%	0.00%	0.00%	0.00%	0.00%	0.03%	0.00%
XHS SPDR S&P Health Care Services ETF	0.25%	0.27%	0.38%	0.23%	0.19%	0.20%	0.23%	2.37%	0.34%	0.22%	0.28%	0.93%

Frequently Asked Questions

Can I hold both PSCH and XHS in my portfolio?

PSCH and XHS have a correlation of 0.71, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, PSCH or XHS?

XHS has higher volatility (4.80%) compared to PSCH (4.19%). In terms of maximum drawdown, PSCH dropped -46.32% vs XHS's -39.32%.

Which ETF is better, PSCH or XHS?

On 10-year performance, XHS leads with 7.46% vs 6.81% for PSCH. On fees, PSCH is cheaper at 0.29% per year. On volatility, PSCH has been the lower-risk option at 4.19%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, PSCH or XHS?

Over the 10-year period, XHS has performed better with a 7.46% return vs 6.81%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, PSCH or XHS?

PSCH is cheaper with a 0.29% expense ratio, compared with 0.35% for XHS.

Which ETF pays a higher dividend yield, PSCH or XHS?

XHS has the higher dividend yield at 0.25%, compared with 0.01% for PSCH.

What is the main difference between PSCH and XHS?

PSCH tracks S&P SmallCap 600 Health Care Index, while XHS tracks S&P Health Care Services Select Industry Index. They also come from different issuers: Invesco and State Street. Their fees differ too: 0.29% for PSCH and 0.35% for XHS.

Which has better risk-adjusted returns?

XHS currently has the higher Sharpe Ratio (0.95 vs 0.51), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.