RSPHvsIHFETF Comparison
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Invesco S&P 500® Equal Weight Health Care ETF (RSPH) and iShares U.S. Healthcare Providers ETF (IHF) belong to the same industry segment: US Health Care. Both ETFs have the same top 3 sector exposures: and Health Care. RSPH is more expensive with a Total Expense Ratio (TER) of 0.4%, versus 0.38% for IHF. RSPH is down -3.91% year-to-date (YTD) with -$24M in YTD flows. IHF performs better with -2.48% YTD performance, and +$20M in YTD flows. Run a side-by-side ETF comparison of RSPH and IHF 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 IHF 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 IHF | +1.26%+10.18% | -7.61%-6.60% | -3.91%-2.48% | +8.85%-5.83% | +3.16%-6.59% | +10.64%-8.09% |
| Flows | RSPH IHF | -$11M+$1M | -$24M-$3M | -$24M+$20M | -$107M+$140M | -$335M-$371M | -$180M-$301M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | RSPH IHF | +15.94%+26.53% | +16.25%+22.44% | +14.83%+19.09% | +16.23%+18.97% |
| Max drawdown | RSPH IHF | -10.87%-17.80% | -10.87%-19.68% | -17.06%-29.86% | -21.91%-29.86% |
| Max drawdown duration | RSPH IHF | 54d88d | 54d179d | 192d598d | 817d598d |
Trading data
RSPH | IHF | |
Last sale 4/27/2026 at 6:58 PM | $30.59 | $47.01 |
| Previous close 04/24/2026 | $30.54 | $46.64 |
| 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 | IHF | |
|---|---|---|
| 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 6:58 PM
Live
Closed
RSPH | IHF | |
|---|---|---|
| Last price | $30.59 | $47.01 |
| 1D performance | +0.16% | +0.79% |
| AuM | $697.68 M | $738.82 M |
| E/R | 0.4% | 0.38% |
Characteristics
RSPH | IHF | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Invesco | iShares |
| Benchmark | S&P 500 Equal Weight Health Care Index | Dow Jones U.S. Select Health Care Providers Index |
| N° of holdings | 56 | 53 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | November 1, 2006 | May 1, 2006 |
| ESG | No | No |
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Exposure
Countries
RSPH
USA
96.48%
Other
3.52%
IHF
USA
99.96%
Other
0.04%
Sectors
RSPH
Health Care
93.2%
Other
6.8%
IHF
Health Care
93.22%
Other
6.78%
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Diversification
RSPH
Total weight of top 15 holdings out of 15
26.72%
IHF
Total weight of top 15 holdings out of 15
83.65%
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%
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%
Frequently asked questions about RSPH and IHF
How have the RSPH and IHF ETFs performed in 2026?
As of April 24, 2026, RSPH is down -3.91% year-to-date (YTD), while IHF has lost -2.48%. That puts IHF better performer ahead so far this year.
Which ETF is attracting more investor money: RSPH or IHF?
Year-to-date, the RSPH ETF saw -$24M in flows, compared to +$20M for IHF.
Which ETF is more volatile: RSPH or IHF?
Over the past year, RSPH had a volatility of 16.25%, while IHF experienced 22.44%.
Which ETF is bigger: RSPH or IHF?
As of April 24, 2026, RSPH holds $697.68 M in assets under management (AUM), while IHF manages $738.82 M.
What sectors do the RSPH and IHF ETFs invest in?
RSPH leans toward sectors like Health Care. Meanwhile, IHF focuses on Health Care.
What are the top holdings of the RSPH ETF and IHF ETF?
RSPH top holdings include MERCK & CO INC, WEST PHARM SVCS and CIGNA. IHF holds in its top three: UNITEDHEALTH GRP, CVS HEALTH CORP and HCA HEALTHCARE.
Which ETF is more diversified: RSPH or IHF?
RSPH holds 59 securities with 26.72% of its assets in the top 15. IHF has 61 securities and a top 15 weight of 83.65%.
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Latest news about RSPH & IHF
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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