Invesco S&P SmallCap Health Care ETF (PSCH) Performance

NASDAQ: PSCHTotal returns, calendar years, drawdowns and risk since 2010.

PSCH total return

Distributions reinvested · as of Oct 23, 2026
YTD
+22.6%
since Dec 31, 2025
1 year
+27.0%
total return
5 years
−2.0%
a year
10 years
+8.7%
a year
Since first price
+12.1%
a year since 2010

PSCH trailing returns vs SPY, QQQ, AGG

PSCH trailing returns
PeriodPSCH total returnPrice onlyS&P 500 (SPY)Nasdaq-100 (QQQ)U.S. bonds (AGG)
1 month+2.7%+2.7%−1.0%−5.0%+0.9%
3 months+2.0%+2.0%+3.2%+1.9%−0.4%
6 months+22.5%+22.5%+7.8%+8.4%−1.5%
YTD+22.6%+22.6%+12.3%+15.1%−1.0%
1 year+27.0%+27.0%+14.4%+15.9%−1.1%
3 years+53.1%+15.3%/yr+52.6%+87.4%+23.3%/yr+101.4%+26.3%/yr+16.6%+5.2%/yr
5 years−9.8%−2.0%/yr−10.1%+79.3%+12.4%/yr+94.0%+14.2%/yr−0.8%−0.2%/yr
10 years+130.3%+8.7%/yr+129.5%+315.9%+15.3%/yr+538.9%+20.4%/yr+14.0%+1.3%/yr
15 years+461.6%+12.2%/yr+446.0%+696.0%+14.8%/yr+1,299.3%+19.2%/yr+32.2%+1.9%/yr
Since inceptionApr 7, 2010+566.5%+12.1%/yr+546.2%———

Total return from adjusted closes (distributions reinvested, before tax). Periods of 3 years or more are also shown annualized. Price only excludes distributions.

Growth of $10,000: PSCH vs SPY

PSCHS&P 500 (SPY)

From Apr 7, 2010: PSCH grew to $66,647, SPY to $85,896.

Year-end values with distributions reinvested, no taxes or trading costs. Start: first common trading day of both funds.

PSCH returns by calendar year

PSCHSPY

12 of 15 full years positive. Best 2013 (+56.0%), worst 2022 (−26.5%). 2026 is year to date.

PSCH annual returns table

PSCH calendar-year returns
YearPSCHLargest dropSPYQQQAGG
2026YTD+22.6%−14.9%+12.3%+15.1%−1.0%
2025−0.5%−23.0%+17.7%+20.8%+7.2%
2024+3.8%−9.3%+24.9%+25.6%+1.3%
2023−2.7%−28.5%+26.2%+54.9%+5.7%
2022−26.5%−30.0%−18.2%−32.6%−13.0%
2021+5.8%−15.5%+28.7%+27.4%−1.8%
2020+31.5%−35.9%+18.3%+48.6%+7.5%
2019+20.2%−12.7%+31.2%+39.0%+8.5%
2018+9.1%−30.7%−4.6%−0.1%+0.1%
2017+34.9%−6.1%+21.7%+32.7%+3.6%
2016+1.7%−17.3%+12.0%+7.1%+2.4%
2015+20.3%−15.0%+1.2%+9.4%+0.5%
2014+9.5%−10.2%+13.5%+19.2%+6.0%
2013+56.0%−4.6%+32.3%+36.6%−2.0%
2012+12.6%−12.3%+16.0%+18.1%+3.8%
2011+12.5%−24.9%+1.9%+3.4%+7.7%

Largest drop = deepest fall from a high within that calendar year.

Calendar-year return vs largest drop within the year

Calendar-year returnLargest drop within the year

Most years include a sizable fall at some point even when the year ends higher.

PSCH largest drawdowns

Now 18.0% below the high
PSCH largest drawdowns
PeakDeclineBottomRecoveredFallUnderwater
Jun 25, 2021−47.3%Oct 27, 2023not yet2.3 years5.3 years so far
Aug 31, 2018−38.9%Mar 18, 2020Nov 9, 20201.5 years2.2 years
Jul 7, 2011−24.9%Aug 8, 2011Feb 27, 201232 days8 months
Aug 5, 2015−22.5%Feb 11, 2016Sep 7, 20166 months1.1 years
Sep 22, 2016−17.3%Nov 3, 2016Feb 14, 201742 days5 months
Apr 29, 2010−14.2%Aug 24, 2010Oct 18, 20104 months6 months

Declines from a closing high (distributions reinvested) of 10% or more. Underwater = time from the peak until the old high was regained.

PSCH risk statistics

PSCH risk statistics
Statistic3 years5 years10 yearsSince 2010
Annualized return+11.6%−3.0%+7.8%+11.9%
Volatility (annualized)21.4%21.1%21.4%19.7%
Sharpe ratio0.41-0.210.350.60
Sortino ratio0.76-0.310.540.96
Best month+16.1%+16.1%+16.1%+16.1%
Worst month−7.8%−13.0%−16.6%−16.6%
Best 12 months+39.8%+39.8%+78.0%+78.0%
Worst 12 months−17.5%−27.9%−29.4%−29.4%
Positive months53%50%57%60%
Beta vs S&P 5000.840.840.98—
Correlation with S&P 5000.490.630.71—

From monthly total returns. Sharpe and Sortino use 1–3 month T-bills (BIL) as the risk-free rate, so they need history from 2007 on.

PSCH rolling returns

PSCH rolling returns
Holding periodPeriodsWorstMedianBestPositive
1-year187−29.4%+13.5%+78.0%71%
3-year (a year)163−13.0%+15.2%+29.9%81%
5-year (a year)139−7.6%+15.3%+26.6%85%
10-year (a year)79+4.6%+11.1%+21.1%100%

Every holding period starting at a month-end since 2010. Returns for 3 years and longer are annualized.

PSCH performance overview

Invesco S&P SmallCap Health Care ETF (PSCH) returned +27.0% over the past year and +8.7% a year over ten years, with distributions reinvested. Since its first recorded price in 2010 it has returned +12.1% a year, turning $10,000 into about $66,647. Over the same year S&P 500 (SPY) returned +14.4%.

The deepest decline was −47.3%, from Jun 25, 2021 to Oct 27, 2023; the fund has not yet regained that high. PSCH finished 12 of its 15 full calendar years with a gain; the best year was 2013 (+56.0%) and the worst 2022 (−26.5%). Volatility has been 19.7% a year.

Related: PSCH chart, PSCH holdings, PSCH dividends. See the PSCH overview for the latest quote and fund facts.

PSCH performance FAQ

What is the PSCH return over the past year?

PSCH returned +27.0% over the 12 months to October 23, 2026, including reinvested distributions. On price alone it rose 27.0%.

What is the average annual return of PSCH?

PSCH has returned −2.0% a year over 5 years, +8.7% a year over 10 years, +12.1% a year since April 7, 2010 (total return, distributions reinvested).

How much would $10,000 invested in PSCH be worth?

$10,000 invested in PSCH at its first recorded close on April 7, 2010 would be worth about $66,647 on October 23, 2026 with distributions reinvested.

What was the worst year for PSCH?

The worst calendar year was 2022, with a total return of −26.5%. The best was 2013 at +56.0%.

What is the biggest drawdown of PSCH?

The largest peak-to-trough decline was −47.3% between June 25, 2021 and October 27, 2023. It has not yet recovered to that high; it is 18.0% below its peak.

How volatile is PSCH?

Over the past 3 years PSCH had an annualized volatility of 21.4% and a Sharpe ratio of 0.41 (excess return over 1–3 month T-bills per unit of risk).