

Invesco S&P SmallCap Health Care ETF
$51.93−0.72 (−1.37%)
- 0.29%
- $176M
- +28.5%
- 0.00%
- 0M sh
- $52.34
- low $39.08high $56.45
The ETF.net PSCH Grade
Score 68 out of 100
- 6 of 25
Score 68 of 100 falls in the B band. A is 70 or higher, B 55 to under 70, C 40 to under 55, D 25 to under 40, F under 25.
Cost
The fund’s net expense ratio, ranked against its category.A88 out of 100Rank 4 of 25Mission
Whether the fund did what it promised, tested against its stated mandate.Risk
How the fund held up when markets fell: downside volatility, drawdowns and tail loss.C47 out of 100Rank 14 of 24Tradability
How easy the fund is to trade: daily volume, and how far its price strays from net asset value.C46 out of 100Rank 14 of 25Holdings
How concentrated the fund is, and how complete and current its disclosed holdings are.A78 out of 100Rank 6 of 25Durability
Whether the fund is likely to stay open, judged by its age, its assets and its issuer’s assets.B61 out of 100Rank 13 of 25
Our read on PSCH
BHealth care, minus the mega-cap pharma giants. PSCH tracks a capped small-cap health care index from the S&P SmallCap 600: roughly 70 companies, same sector as the household-name funds, opposite end of the size spectrum, for 0.29% a year.
The Fund is based on the S&P SmallCap 600® Capped Health Care Index and normally invests at least 90% of its assets in securities represented by that Index.
Why people hold it
- Charges 0.29% a year, well below the median fee in its broad health care peer group. Cheap access to the small-cap corner of the sector.
- Rules-based and plain: normally at least 90% of assets in the securities of the S&P SmallCap 600 Capped Health Care Index, roughly 70 names, with index caps limiting how large any one position gets.
- Running since 2010, through multiple biotech boom-and-bust cycles, and one of the stronger builds among the two dozen broad health care ETFs we track.
Worth knowing
- Trades lightly next to the mega-cap sector funds, so bid-ask spreads and market impact matter more here, particularly in size or in a fast-moving market.
- Small-cap health care is the jumpy end of the sector, and a roughly 70-stock lineup means single-company news lands harder than in a sprawling mega-cap fund.
- Distributions come once or twice a year, not monthly. This is a sector equity sleeve, not an income-first holding.
PSCH Holdings
- Stocks
- 73
- 35%
- GKOS
Sectors
- Health Care98.8%
- Financials1.2%
Geography
- United States96.32%
- Ireland3.68%
PSCH Performance
Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.
Returns run to the Oct 12, 2026 close, with cash distributions reinvested. Each period starts on the same date that many months or years earlier. Periods over one year show the average yearly return.
| Period | PSCH |
|---|---|
| Year to date | +19.5% |
| 1 month | −0.6% |
| 3 months | −1.8% |
| 1 year | +28.5% |
| 3 years | +13.8% |
| 5 years | −2.3% |
| 10 years | +8.1% |
Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.
| Year | Return bar | PSCH |
|---|---|---|
| 2026 YTD | +19.5% | |
| 2025 | −0.5% | |
| 2024 | +3.8% | |
| 2023 | −2.7% | |
| 2022 | −26.5% | |
| 2021 | +5.8% | |
| 2020 | +31.5% |
PSCH in the news
PSCH Dividends
- 0.00%
- $0.00033
- $0.00033 per share
- Twice a year
Distribution history
PSCH Risk
- 21.4%
How it’s calculated: standard deviation
The sample standard deviation of monthly total returns, multiplied by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Total returns include reinvested distributions.
- 0.41
How it’s calculated: Sharpe ratio
Subtract each month’s Treasury-bill return from the fund’s monthly total return.
Divide the average of those excess returns by their sample standard deviation, then multiply by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Each month uses the Treasury yield quoted at the end of the previous month.
- −45.8%
How it’s calculated: maximum drawdown
The largest percentage decline from an earlier peak, using total returns with reinvested distributions.
Uses up to five years through the last close, with at least 12 months required.
- 0.96
How it’s calculated: beta
The beta figure is supplied by FMP. The comparison index depends on the fund’s broad asset class.
PSCH Cost
- The middle half of Health Care (Broad) funds
- Median 0.50%
3 of the 25 Health Care (Broad) funds charge less.
Other funds in Health Care (Broad)
- AIYHiShares U.S. Healthcare ETFExpense ratio 0.37%1 year return +22.7%
- BIXJiShares Global Healthcare ETFExpense ratio 0.38%1 year return +15.9%
- BRSPHInvesco S&P 500 Equal Weight Health Care ETFExpense ratio 0.40%1 year return +29.1%
- BXHEState Street SPDR S&P Health Care Equipment ETFExpense ratio 0.35%1 year return +17.8%
- BFXHFirst Trust Health Care AlphaDEX FundExpense ratio 0.61%1 year return +20.2%



