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 -3.91% year-to-date (YTD) with -$24M in YTD flows. FTXH performs better with 2.18% YTD performance, and +$9M 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 04/24/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | RSPH FTXH | +1.26%+1.62% | -7.61%-0.72% | -3.91%+2.18% | +8.85%+36.04% | +3.16%+30.54% | +10.64%+36.84% |
| Flows | RSPH FTXH | -$11M+$2M | -$24M+$7M | -$24M+$9M | -$107M+$11M | -$335M-$7M | -$180M+$3M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | RSPH FTXH | +15.94%+17.61% | +16.25%+18.13% | +14.83%+16.09% | +16.23%+15.80% |
| Max drawdown | RSPH FTXH | -10.87%-7.50% | -10.87%-7.50% | -17.06%-19.32% | -21.91%-19.32% |
| Max drawdown duration | RSPH FTXH | 54d54d | 54d54d | 192d393d | 817d393d |
Trading data
RSPH | FTXH | |
Last sale 4/27/2026 at 5:16 PM | $30.57 | $33.68 |
| Previous close 04/24/2026 | $30.54 | $34.01 |
| Consolidated volume 04/24/2026 | ||
| 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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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 4/27/2026 at 5:16 PM
Live
Closed
RSPH | FTXH | |
|---|---|---|
| Last price | $30.57 | $33.68 |
| 1D performance | +0.10% | -0.99% |
| AuM | $697.68 M | $30.23 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 | 56 | 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
96.48%
Other
3.52%
FTXH
USA
96.17%
Other
3.83%
Sectors
RSPH
Health Care
93.2%
Other
6.8%
FTXH
Health Care
99.23%
Other
0.77%
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Diversification
RSPH
Total weight of top 15 holdings out of 15
26.72%
FTXH
Total weight of top 15 holdings out of 15
71%
Top 15 holdings
Data as of March 31, 2026
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%
FTXH
BRISTOL-MYERS SQUIBB
7.45%
JOHNSON&JOHNSON
7.39%
MERCK & CO INC
7.34%
ABBVIE
6.97%
LILLY
6.83%
PFIZER
3.88%
REGENERON PHARMACEUTICALS
3.74%
BIOGEN INC
3.60%
GILEAD SCIENCES
3.54%
CARDINAL HEALTH
3.48%
VIATRIS INC
3.43%
AMGEN-T
3.42%
VERTEX PHARMACEUTICALS
3.39%
ZOETIS INC
3.37%
UTD THERAPEUT
3.17%
Frequently asked questions about RSPH and FTXH
How have the RSPH and FTXH ETFs performed in 2026?
As of April 24, 2026, RSPH is down -3.91% year-to-date (YTD), while FTXH has returned 2.18%. 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 -$24M in flows, compared to +$9M for FTXH.
Which ETF is more volatile: RSPH or FTXH?
Over the past year, RSPH had a volatility of 16.25%, while FTXH experienced 18.13%.
Which ETF is bigger: RSPH or FTXH?
As of April 24, 2026, RSPH holds $697.68 M in assets under management (AUM), while FTXH manages $30.23 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 MERCK & CO INC, WEST PHARM SVCS and CIGNA. FTXH holds in its top three: BRISTOL-MYERS SQUIBB, JOHNSON&JOHNSON and MERCK & CO INC.
Which ETF is more diversified: RSPH or FTXH?
RSPH holds 59 securities with 26.72% of its assets in the top 15. FTXH has 50 securities and a top 15 weight of 71%.
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