IHFvsRSPHETF Comparison
VS
iShares U.S. Healthcare Providers ETF (IHF) 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. IHF is less expensive with a Total Expense Ratio (TER) of 0.38%, versus 0.4% for RSPH. IHF is down -1.48% year-to-date (YTD) with +$37M in YTD flows. RSPH performs worse with -4.43% YTD performance, and -$27M in YTD flows. Run a side-by-side ETF comparison of IHF 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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IHF vs RSPH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 04/27/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | IHF RSPH | +14.73%+2.47% | +4.57%-5.75% | -1.48%-4.43% | -4.15%+8.08% | -5.45%+3.58% | -6.59%+10.89% |
| Flows | IHF RSPH | +$22M-$13M | +$14M-$27M | +$37M-$27M | +$156M-$110M | -$342M-$338M | -$285M-$185M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | IHF RSPH | +17.58%+15.62% | +22.49%+16.26% | +19.08%+14.78% | +18.98%+16.23% |
| Max drawdown | IHF RSPH | -11.13%-10.87% | -19.68%-10.87% | -29.86%-17.06% | -29.86%-21.91% |
| Max drawdown duration | IHF RSPH | 63d58d | 182d58d | 601d192d | 601d817d |
Trading data
IHF | RSPH | |
Last sale 4/29/2026 at 5:06 PM | $48.06 | $30.10 |
| Previous close 04/28/2026 | $47.67 | $30.35 |
| Consolidated volume 04/28/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of March 31, 2026
1-year trailing difference
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IHF | 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 4/29/2026 at 5:06 PM
Live
Closed
IHF | RSPH | |
|---|---|---|
| Last price | $48.06 | $30.10 |
| 1D performance | +0.82% | -0.82% |
| AuM | $762.88 M | $691.47 M |
| E/R | 0.38% | 0.4% |
Characteristics
IHF | RSPH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | iShares | Invesco |
| Benchmark | Dow Jones U.S. Select Health Care Providers Index | S&P 500 Equal Weight Health Care Index |
| N° of holdings | 53 | 56 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | May 1, 2006 | November 1, 2006 |
| ESG | No | No |
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Exposure
Countries
IHF
USA
99.96%
Other
0.04%
RSPH
USA
96.48%
Other
3.52%
Sectors
IHF
Health Care
93.22%
Other
6.78%
RSPH
Health Care
93.2%
Other
6.8%
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Diversification
IHF
Total weight of top 15 holdings out of 15
83.65%
RSPH
Total weight of top 15 holdings out of 15
26.72%
Top 15 holdings
Data as of March 31, 2026
IHF
UNITEDHEALTH GRP
22.47%
CVS HEALTH CORP
12.80%
HCA HEALTHCARE
8.98%
CIGNA
4.85%
ELEVANCE HEALTH INC
4.79%
VEEVA SYSTEMS IN
4.45%
US5049221055
4.01%
QUEST DIAGNOSTICS
3.91%
HUMANA
3.79%
TENET HEALTHCARE
3.01%
CENTENE
2.77%
GUARDANT HEALTH INC
2.16%
ENSIGN GROUP
2.11%
UNIVERSAL HEALTH SERVICES
1.79%
ENCOMPASS HEALTH CORP
1.76%
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 IHF and RSPH
How have the IHF and RSPH ETFs performed in 2026?
As of April 27, 2026, IHF is down -1.48% year-to-date (YTD), while RSPH has lost -4.43%. That puts IHF better performer ahead so far this year.
Which ETF is attracting more investor money: IHF or RSPH?
Year-to-date, the IHF ETF saw +$37M in flows, compared to -$27M for RSPH.
Which ETF is more volatile: IHF or RSPH?
Over the past year, IHF had a volatility of 22.49%, while RSPH experienced 16.26%.
Which ETF is bigger: IHF or RSPH?
As of April 27, 2026, IHF holds $762.88 M in assets under management (AUM), while RSPH manages $691.47 M.
What sectors do the IHF and RSPH ETFs invest in?
IHF leans toward sectors like Health Care. Meanwhile, RSPH focuses on Health Care.
What are the top holdings of the IHF ETF and RSPH ETF?
IHF top holdings include UNITEDHEALTH GRP, CVS HEALTH CORP and HCA HEALTHCARE. RSPH holds in its top three: MERCK & CO INC, WEST PHARM SVCS and CIGNA.
Which ETF is more diversified: IHF or RSPH?
IHF holds 61 securities with 83.65% 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 IHF & RSPH
Tony's ETF Buyers Guide: Equal-Weight ETFs
May 14, 2024
RSPH
Healthcare Stocks Drop on Medicare Payment Rate Surprise
April 8, 2024
IHF
Investing in the Aging Demographics Megatrend
February 28, 2023
IHF
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