XHS vs. PSCH

Last updated Jun 4, 2026

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

Performance

XHS vs. PSCH - Performance Comparison

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

Returns By Period

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

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%

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%

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

XHS vs. PSCH - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
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%
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%

Correlation

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

XHS vs. PSCH - Sectors Allocation Comparison

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

Return for Risk

XHS vs. PSCH — Risk / Return Rank

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

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

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

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.

XHS vs. PSCH - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for SPDR S&P Health Care Services ETF (XHS) and Invesco S&P SmallCap Health Care ETF (PSCH). 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.

	XHS	PSCH	Difference
Sharpe ratio: Return per unit of total volatility	0.95	0.51	+0.44
Sortino ratio: Return per unit of downside risk	1.39	0.87	+0.52
Omega ratio: Gain probability vs. loss probability	1.18	1.10	+0.07
Calmar ratio: Return relative to maximum drawdown	1.39	0.67	+0.72
Martin ratio: Return relative to average drawdown	3.83	1.84	+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.

XHS vs. PSCH - Sharpe Ratio Comparison

The current XHS Sharpe Ratio is 0.95, which is higher than the PSCH Sharpe Ratio of 0.51. The chart below compares the historical Sharpe Ratios of XHS and PSCH, 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

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

Drawdowns

XHS vs. PSCH - Drawdown Comparison

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

Drawdown Indicators

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

Volatility

XHS vs. PSCH - Volatility Comparison

SPDR S&P Health Care Services ETF (XHS) has a higher volatility of 4.80% compared to Invesco S&P SmallCap Health Care ETF (PSCH) at 4.19%. This indicates that XHS's price experiences larger fluctuations and is considered to be riskier than PSCH based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

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

XHS vs. PSCH - Expense Ratio Comparison

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

Dividends

XHS vs. PSCH - Dividend Comparison

XHS's dividend yield for the trailing twelve months is around 0.25%, more than PSCH's 0.01% 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 XHS and PSCH in my portfolio?

XHS and PSCH 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, XHS or PSCH?

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

Which ETF is better, XHS or PSCH?

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, XHS or PSCH?

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, XHS or PSCH?

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

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

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

What is the main difference between XHS and PSCH?

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

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.