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. Both ETFs have the same top 3 sector exposures: and Health Care. FXH is more expensive with a Total Expense Ratio (TER) of 0.61%, versus 0.4% for RSPH. FXH is down -1.02% year-to-date (YTD) with -$56M in YTD flows. RSPH performs worse with -5.34% YTD performance, and -$27M 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 04/28/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | FXH RSPH | +6.72%+1.50% | -2.22%-6.41% | -1.02%-5.34% | +14.25%+6.53% | +4.49%+2.27% | -1.02%+10.37% |
| Flows | FXH RSPH | +$354K-$14M | -$62M-$27M | -$56M-$27M | -$118M-$110M | -$713M-$338M | -$500M-$186M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | FXH RSPH | +17.09%+15.71% | +16.22%+16.28% | +15.23%+14.79% | +16.68%+16.23% |
| Max drawdown | FXH RSPH | -9.86%-10.87% | -12.07%-10.87% | -17.89%-17.06% | -29.40%-21.91% |
| Max drawdown duration | FXH RSPH | 58d59d | 111d59d | 331d192d | 1695d817d |
Trading data
FXH | RSPH | |
Last sale 4/30/2026 at 1:30 PM | $112.93 | $30.44 |
| Previous close 04/29/2026 | $111.91 | $30.06 |
| Consolidated volume 04/29/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of April 29, 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 4/30/2026 at 1:30 PM
Live
Closed
FXH | RSPH | |
|---|---|---|
| Last price | $112.93 | $30.44 |
| 1D performance | +0.91% | +1.26% |
| AuM | $870.97 M | $684.31 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 | 71 | 56 |
| 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
95.47%
Other
4.53%
RSPH
USA
96.48%
Other
3.52%
Sectors
FXH
Health Care
93.76%
Other
6.24%
RSPH
Health Care
93.2%
Other
6.8%
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Diversification
FXH
Total weight of top 15 holdings out of 15
35.37%
RSPH
Total weight of top 15 holdings out of 15
26.72%
Top 15 holdings
Data as of March 31, 2026
FXH
ACADIA HEALTHCARE COMPANY
3.83%
APELLIS PHARMACEUTICALS
2.95%
PFIZER
2.63%
BIOGEN INC
2.40%
CARDINAL HEALTH
2.37%
HCA HEALTHCARE
2.33%
INCYTE
2.19%
IONIS PHARMACEUTICALS INC
2.18%
INSMED
2.17%
UTD THERAPEUT
2.15%
MERCK & CO INC
2.11%
NATERA
2.04%
LILLY
2.04%
MEDPACE HOLDINGS INC
2.00%
AMGEN-T
1.98%
RSPH
MERCK & CO INC
1.84%
WEST PHARM SVCS
1.83%
CIGNA
1.80%
HOLOGIC
1.79%
METTLER TOLEDO
1.79%
DAVITA INC
1.78%
BOSTON SCIENTIFIC
1.78%
PFIZER
1.77%
STERIS
1.77%
JOHNSON&JOHNSON
1.77%
HUMANA
1.77%
ELEVANCE HEALTH INC
1.77%
UNIVERSAL HEALTH SERVICES
1.77%
MEDTRONIC PLC
1.75%
US5049221055
1.75%
Frequently asked questions about FXH and RSPH
How have the FXH and RSPH ETFs performed in 2026?
As of April 28, 2026, FXH is down -1.02% year-to-date (YTD), while RSPH has lost -5.34%. That puts FXH better performer ahead so far this year.
Which ETF is attracting more investor money: FXH or RSPH?
Year-to-date, the FXH ETF saw -$56M in flows, compared to -$27M for RSPH.
Which ETF is more volatile: FXH or RSPH?
Over the past year, FXH had a volatility of 16.22%, while RSPH experienced 16.28%.
Which ETF is bigger: FXH or RSPH?
As of April 28, 2026, FXH holds $870.97 M in assets under management (AUM), while RSPH manages $684.31 M.
What sectors do the FXH and RSPH ETFs invest in?
FXH leans toward sectors like Health Care. Meanwhile, RSPH focuses on Health Care.
What are the top holdings of the FXH ETF and RSPH ETF?
FXH top holdings include ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER. RSPH holds in its top three: MERCK & CO INC, WEST PHARM SVCS and CIGNA.
Which ETF is more diversified: FXH or RSPH?
FXH holds 75 securities with 35.37% of its assets in the top 15. RSPH has 59 securities and a top 15 weight of 26.72%.
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Latest news about FXH & RSPH
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