FXHvsRSPHETF Comparison
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First Trust Health Care AlphaDEX Fund ETF (FXH) and Invesco S&P 500® Equal Weight Health Care ETF (RSPH) belong to the same industry segment: US Health Care. FXH's top 1 sector exposures are Healthcare. In contrast, RSPH's top sector exposures are Healthcare and Consumer Non-Cyclicals. FXH is more expensive with a Total Expense Ratio (TER) of 0.61%, versus 0.4% for RSPH. FXH is up 21.67% year-to-date (YTD) with +$33M in YTD flows. RSPH performs better with 26.32% YTD performance, and +$66M in YTD flows. Run a side-by-side ETF comparison of FXH and RSPH below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
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FXH vs RSPH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 11/02/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH RSPH | +6.30%+7.38% | +7.90%+14.07% | +21.67%+26.32% | +24.45%+33.11% | +52.31%+54.19% | +15.44%+33.18% |
| Flows | FXH RSPH | -$39M+$38M | +$20M+$109M | +$33M+$66M | +$39M+$64M | -$445M-$215M | -$464M-$191M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH RSPH | +14.89%+18.14% | +15.68%+16.85% | +15.66%+15.88% | +16.95%+16.81% |
| Max drawdown | FXH RSPH | -4.82%-5.57% | -12.07%-10.87% | -17.66%-16.96% | -27.47%-21.91% |
| Max drawdown duration | FXH RSPH | 55d55d | 168d116d | 395d434d | 1638d817d |
Trading data
FXH | RSPH | |
Last sale 11/4/2026 at 2:30 PM | $143.71 | $41.56 |
| Previous close 11/03/2026 | $137.97 | $39.98 |
| Consolidated volume 11/03/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of October 30, 2026
1-year trailing difference
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FXH | RSPH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 11/4/2026 at 2:30 PM
Live
Closed
FXH | RSPH | |
|---|---|---|
| Last price | $143.71 | $41.56 |
| 1D performance | +4.16% | +3.95% |
| AuM | $1.16 B | $996.11 M |
| E/R | 0.61% | 0.4% |
Characteristics
FXH | RSPH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | Invesco |
| Benchmark | StrataQuant Health Care Index | S&P 500 Equal Weight Health Care Index |
| N° of holdings | 72 | 60 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 8, 2007 | November 1, 2006 |
| ESG | No | No |
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Exposure
Countries
FXH
USA
93.54%
Other
6.46%
RSPH
USA
96.84%
Other
3.16%
Sectors
FXH
Healthcare
98.5%
Other
1.5%
RSPH
Healthcare
98.51%
Other
1.49%
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Diversification
FXH
Total weight of top 15 holdings out of 15
35.85%
RSPH
Total weight of top 15 holdings out of 15
28.14%
Top 15 holdings
Data as of September 30, 2026
FXH
Natera, Inc.
3.34%
Universal Health Services, Inc.
2.62%
Regeneron Pharmaceuticals, Inc.
2.62%
Pfizer Inc.
2.60%
Guardant Health, Inc.
2.59%
Solventum Corp.
2.53%
Zimmer Biomet Holdings, Inc.
2.27%
Halozyme Therapeutics, Inc.
2.27%
Tenet Healthcare Corp.
2.25%
Boston Scientific Corp.
2.25%
Corcept Therapeutics, Inc.
2.18%
The Cigna Group
2.16%
Centene Corp.
2.11%
Globus Medical, Inc.
2.09%
Medline, Inc.
1.97%
RSPH
Moderna, Inc.
2.35%
Illumina, Inc.
2.14%
Revvity, Inc.
1.97%
Agilent Technologies, Inc.
1.96%
Mettler-Toledo International, Inc.
1.94%
Intuitive Surgical, Inc.
1.90%
Thermo Fisher Scientific, Inc.
1.81%
West Pharmaceutical Services, Inc.
1.80%
Danaher Corp.
1.79%
Viatris, Inc.
1.79%
Waters Corp.
1.77%
Biogen, Inc.
1.75%
Veeva Systems, Inc.
1.74%
Amgen, Inc.
1.73%
AbbVie, Inc.
1.71%
Frequently asked questions about FXH and RSPH
How have the FXH and RSPH ETFs performed in 2026?
As of November 2, 2026, FXH is up 21.67% year-to-date (YTD), while RSPH has returned 26.32%. That puts RSPH better performer ahead so far this year.
Which ETF is attracting more investor money: FXH or RSPH?
Year-to-date, the FXH ETF saw +$33M in flows, compared to +$66M for RSPH.
Which ETF is more volatile: FXH or RSPH?
Over the past year, FXH had a volatility of 15.68%, while RSPH experienced 16.85%.
Which ETF is bigger: FXH or RSPH?
As of November 2, 2026, FXH holds $1.16 B in assets under management (AUM), while RSPH manages $996.11 M.
What sectors do the FXH and RSPH ETFs invest in?
FXH leans toward sectors like Healthcare. Meanwhile, RSPH focuses on Healthcare.
What are the top holdings of the FXH ETF and RSPH ETF?
FXH top holdings include Natera, Inc., Universal Health Services, Inc. and Regeneron Pharmaceuticals, Inc.. RSPH holds in its top three: Moderna, Inc., Illumina, Inc. and Revvity, Inc..
Which ETF is more diversified: FXH or RSPH?
FXH holds 72 securities with 35.85% of its assets in the top 15. RSPH has 60 securities and a top 15 weight of 28.14%.
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Latest news about FXH & RSPH
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