RSPHvsFXHETF Comparison
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Invesco S&P 500® Equal Weight Health Care ETF (RSPH) and First Trust Health Care AlphaDEX Fund ETF (FXH) 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 0.61% for FXH. RSPH is down -3.91% year-to-date (YTD) with -$24M in YTD flows. FXH performs better with -0.82% YTD performance, and -$61M in YTD flows. Run a side-by-side ETF comparison of RSPH and FXH 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 FXH 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 FXH | +1.26%+6.43% | -7.61%-4.04% | -3.91%-0.82% | +8.85%+14.86% | +3.16%+3.56% | +10.64%-1.76% |
| Flows | RSPH FXH | -$11M-$11M | -$24M-$67M | -$24M-$61M | -$107M-$123M | -$335M-$719M | -$180M-$505M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | RSPH FXH | +15.94%+17.12% | +16.25%+16.17% | +14.83%+15.26% | +16.23%+16.67% |
| Max drawdown | RSPH FXH | -10.87%-10.81% | -10.87%-12.07% | -17.06%-18.39% | -21.91%-29.40% |
| Max drawdown duration | RSPH FXH | 54d88d | 54d107d | 192d464d | 817d1691d |
Trading data
RSPH | FXH | |
Last sale 4/27/2026 at 1:30 PM | $30.57 | $113.62 |
| Previous close 04/24/2026 | $30.54 | $112.52 |
| 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 | FXH | |
|---|---|---|
| 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 1:30 PM
Live
Closed
RSPH | FXH | |
|---|---|---|
| Last price | $30.57 | $113.62 |
| 1D performance | +0.10% | +0.97% |
| AuM | $697.68 M | $867.10 M |
| E/R | 0.4% | 0.61% |
Characteristics
RSPH | FXH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Invesco | First Trust |
| Benchmark | S&P 500 Equal Weight Health Care Index | StrataQuant Health Care Index |
| N° of holdings | 56 | 71 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | November 1, 2006 | May 8, 2007 |
| ESG | No | No |
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Exposure
Countries
RSPH
USA
96.48%
Other
3.52%
FXH
USA
95.47%
Other
4.53%
Sectors
RSPH
Health Care
93.2%
Other
6.8%
FXH
Health Care
93.76%
Other
6.24%
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Diversification
RSPH
Total weight of top 15 holdings out of 15
26.72%
FXH
Total weight of top 15 holdings out of 15
35.37%
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%
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%
LILLY
2.04%
NATERA
2.04%
MEDPACE HOLDINGS INC
2.00%
AMGEN-T
1.98%
Frequently asked questions about RSPH and FXH
How have the RSPH and FXH ETFs performed in 2026?
As of April 24, 2026, RSPH is down -3.91% year-to-date (YTD), while FXH has lost -0.82%. That puts FXH better performer ahead so far this year.
Which ETF is attracting more investor money: RSPH or FXH?
Year-to-date, the RSPH ETF saw -$24M in flows, compared to -$61M for FXH.
Which ETF is more volatile: RSPH or FXH?
Over the past year, RSPH had a volatility of 16.25%, while FXH experienced 16.17%.
Which ETF is bigger: RSPH or FXH?
As of April 24, 2026, RSPH holds $697.68 M in assets under management (AUM), while FXH manages $867.10 M.
What sectors do the RSPH and FXH ETFs invest in?
RSPH leans toward sectors like Health Care. Meanwhile, FXH focuses on Health Care.
What are the top holdings of the RSPH ETF and FXH ETF?
RSPH top holdings include MERCK & CO INC, WEST PHARM SVCS and CIGNA. FXH holds in its top three: ACADIA HEALTHCARE COMPANY, APELLIS PHARMACEUTICALS and PFIZER.
Which ETF is more diversified: RSPH or FXH?
RSPH holds 59 securities with 26.72% of its assets in the top 15. FXH has 75 securities and a top 15 weight of 35.37%.
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