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. RSPH's top 2 sector exposures are Healthcare and Consumer Non-Cyclicals. In contrast, FXH's top sector exposures are Healthcare. RSPH is less expensive with a Total Expense Ratio (TER) of 0.4%, versus 0.61% for FXH. RSPH is up 26.32% year-to-date (YTD) with +$66M in YTD flows. FXH performs worse with 21.67% YTD performance, and +$33M 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 11/03/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | RSPH FXH | +7.38%+6.30% | +14.07%+7.90% | +26.32%+21.67% | +33.11%+24.45% | +54.19%+52.31% | +33.18%+15.44% |
| Flows | RSPH FXH | +$38M-$39M | +$109M+$20M | +$66M+$33M | +$64M+$39M | -$215M-$445M | -$191M-$464M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | RSPH FXH | +18.14%+14.89% | +16.85%+15.68% | +15.88%+15.66% | +16.81%+16.95% |
| Max drawdown | RSPH FXH | -5.57%-4.82% | -10.87%-12.07% | -16.96%-17.66% | -21.91%-27.47% |
| Max drawdown duration | RSPH FXH | 55d55d | 116d168d | 434d395d | 817d1638d |
Trading data
RSPH | FXH | |
Last sale 11/4/2026 at 7:05 PM | $41.49 | $143.04 |
| Previous close 11/03/2026 | $39.98 | $137.97 |
| Consolidated volume 11/03/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of October 30, 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 11/4/2026 at 7:05 PM
Live
Closed
RSPH | FXH | |
|---|---|---|
| Last price | $41.49 | $143.04 |
| 1D performance | +3.78% | +3.67% |
| AuM | $996.11 M | $1.16 B |
| 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 | 60 | 72 |
| 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
96.84%
Other
3.16%
FXH
USA
93.54%
Other
6.46%
Sectors
RSPH
Healthcare
98.51%
Other
1.49%
FXH
Healthcare
98.5%
Other
1.5%
Diversification
RSPH
Total weight of top 15 holdings out of 15
28.14%
FXH
Total weight of top 15 holdings out of 15
35.85%
Top 15 holdings
Data as of September 30, 2026
RSPH
Moderna, Inc.
2.35%
Illumina, Inc.
2.14%
Revvity, Inc.
1.97%
Agilent Technologies, Inc.
1.96%
Mettler-Toledo International, Inc.
1.94%
Intuitive Surgical, Inc.
1.90%
Thermo Fisher Scientific, Inc.
1.81%
West Pharmaceutical Services, Inc.
1.80%
Danaher Corp.
1.79%
Viatris, Inc.
1.79%
Waters Corp.
1.77%
Biogen, Inc.
1.75%
Veeva Systems, Inc.
1.74%
Amgen, Inc.
1.73%
AbbVie, Inc.
1.71%
FXH
Natera, Inc.
3.34%
Universal Health Services, Inc.
2.62%
Regeneron Pharmaceuticals, Inc.
2.62%
Pfizer Inc.
2.60%
Guardant Health, Inc.
2.59%
Solventum Corp.
2.53%
Zimmer Biomet Holdings, Inc.
2.27%
Halozyme Therapeutics, Inc.
2.27%
Tenet Healthcare Corp.
2.25%
Boston Scientific Corp.
2.25%
Corcept Therapeutics, Inc.
2.18%
The Cigna Group
2.16%
Centene Corp.
2.11%
Globus Medical, Inc.
2.09%
Medline, Inc.
1.97%
Frequently asked questions about RSPH and FXH
How have the RSPH and FXH ETFs performed in 2026?
As of November 3, 2026, RSPH is up 26.32% year-to-date (YTD), while FXH has returned 21.67%. That puts RSPH better performer ahead so far this year.
Which ETF is attracting more investor money: RSPH or FXH?
Year-to-date, the RSPH ETF saw +$66M in flows, compared to +$33M for FXH.
Which ETF is more volatile: RSPH or FXH?
Over the past year, RSPH had a volatility of 16.85%, while FXH experienced 15.68%.
Which ETF is bigger: RSPH or FXH?
As of November 3, 2026, RSPH holds $996.11 M in assets under management (AUM), while FXH manages $1.16 B.
What sectors do the RSPH and FXH ETFs invest in?
RSPH leans toward sectors like Healthcare. Meanwhile, FXH focuses on Healthcare.
What are the top holdings of the RSPH ETF and FXH ETF?
RSPH top holdings include Moderna, Inc., Illumina, Inc. and Revvity, Inc.. FXH holds in its top three: Natera, Inc., Universal Health Services, Inc. and Regeneron Pharmaceuticals, Inc..
Which ETF is more diversified: RSPH or FXH?
RSPH holds 60 securities with 28.14% of its assets in the top 15. FXH has 72 securities and a top 15 weight of 35.85%.
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Latest news about RSPH & FXH
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