RSPHvsFTXHETF Comparison
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Invesco S&P 500® Equal Weight Health Care ETF (RSPH) and First Trust Nasdaq Pharmaceuticals ETF (FTXH) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. RSPH is less expensive with a Total Expense Ratio (TER) of 0.4%, versus 0.6% for FTXH. RSPH is down -0.89% year-to-date (YTD) with -$98M in YTD flows. FTXH performs better with 8.44% YTD performance, and +$10M in YTD flows. Run a side-by-side ETF comparison of RSPH and FTXH 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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RSPH vs FTXH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/18/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | RSPH FTXH | +3.38%+5.79% | +3.62%+5.19% | -0.89%+8.44% | +10.93%+41.27% | +9.35%+40.46% | +13.34%+46.23% |
| Flows | RSPH FTXH | -$7M-$2M | -$86M+$3M | -$98M+$10M | -$144M+$7M | -$411M-$3M | -$294M+$5M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | RSPH FTXH | +15.88%+17.82% | +15.79%+16.90% | +14.98%+16.28% | +16.34%+15.91% |
| Max drawdown | RSPH FTXH | -4.09%-4.47% | -10.87%-7.50% | -17.06%-19.32% | -21.91%-19.32% |
| Max drawdown duration | RSPH FTXH | 45d32d | 109d99d | 192d393d | 817d393d |
Trading data
RSPH | FTXH | |
Last sale 6/18/2026 at 1:30 PM | $31.51 | $35.38 |
| Previous close 06/18/2026 | $31.43 | $35.64 |
| Consolidated volume 06/18/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 2026
1-year trailing difference
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RSPH | FTXH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 6/18/2026 at 1:30 PM
Live
Closed
RSPH | FTXH | |
|---|---|---|
| Last price | $31.51 | $35.38 |
| 1D performance | +0.25% | -0.73% |
| AuM | $642.47 M | $33.87 M |
| E/R | 0.4% | 0.6% |
Characteristics
RSPH | FTXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Invesco | First Trust |
| Benchmark | S&P 500 Equal Weight Health Care Index | NASDAQ US Smart Pharmaceuticals Index |
| N° of holdings | 55 | 50 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | November 1, 2006 | September 20, 2016 |
| ESG | No | No |
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Exposure
Countries
RSPH
USA
96.59%
Other
3.41%
FTXH
USA
96.01%
Other
3.99%
Sectors
RSPH
Health Care
93.21%
Other
6.79%
FTXH
Health Care
99.01%
Other
0.99%
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Diversification
RSPH
Total weight of top 15 holdings out of 15
29.34%
FTXH
Total weight of top 15 holdings out of 15
69.8%
Top 15 holdings
Data as of April 30, 2026
RSPH
HUMANA
2.31%
WEST PHARM SVCS
2.24%
UNITEDHEALTH GRP
2.19%
ELEVANCE HEALTH INC
2.17%
CENTENE
2.14%
CIGNA
1.91%
VIATRIS INC
1.87%
ALIGN TECHNOLOGY
1.86%
METTLER TOLEDO
1.83%
CVS HEALTH CORP
1.82%
US83444M1018
1.82%
BIO-TECHNE CORP
1.81%
BAXTER INTL
1.81%
CHRLS RIVER LABS
1.79%
INCYTE
1.78%
FTXH
BRISTOL-MYERS SQUIBB
7.20%
LILLY
7.06%
JOHNSON&JOHNSON
7.05%
MERCK & CO INC
6.99%
ABBVIE
6.87%
VIATRIS INC
3.88%
BIOGEN INC
3.76%
PFIZER
3.67%
REGENERON PHARMACEUTICALS
3.46%
GILEAD SCIENCES
3.41%
ZOETIS INC
3.36%
VERTEX PHARMACEUTICALS
3.29%
CARDINAL HEALTH
3.28%
AMGEN-T
3.28%
UTD THERAPEUT
3.24%
Frequently asked questions about RSPH and FTXH
How have the RSPH and FTXH ETFs performed in 2026?
As of June 18, 2026, RSPH is down -0.89% year-to-date (YTD), while FTXH has returned 8.44%. That puts FTXH better performer ahead so far this year.
Which ETF is attracting more investor money: RSPH or FTXH?
Year-to-date, the RSPH ETF saw -$98M in flows, compared to +$10M for FTXH.
Which ETF is more volatile: RSPH or FTXH?
Over the past year, RSPH had a volatility of 15.79%, while FTXH experienced 16.9%.
Which ETF is bigger: RSPH or FTXH?
As of June 18, 2026, RSPH holds $642.47 M in assets under management (AUM), while FTXH manages $33.87 M.
What sectors do the RSPH and FTXH ETFs invest in?
RSPH leans toward sectors like Health Care. Meanwhile, FTXH focuses on Health Care.
What are the top holdings of the RSPH ETF and FTXH ETF?
RSPH top holdings include HUMANA, WEST PHARM SVCS and UNITEDHEALTH GRP. FTXH holds in its top three: BRISTOL-MYERS SQUIBB, LILLY and JOHNSON&JOHNSON.
Which ETF is more diversified: RSPH or FTXH?
RSPH holds 58 securities with 29.34% of its assets in the top 15. FTXH has 50 securities and a top 15 weight of 69.8%.
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