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. RSPH's top 2 sector exposures are Healthcare and Consumer Non-Cyclicals. In contrast, IHF's top sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. RSPH is more expensive with a Total Expense Ratio (TER) of 0.4%, versus 0.37% for IHF. RSPH is up 16.48% year-to-date (YTD) with +$57M in YTD flows. IHF performs better with 18.89% YTD performance, and +$485M 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 09/17/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | RSPH IHF | +3.25%+0.97% | +17.65%+6.44% | +16.48%+18.89% | +28.50%+19.89% | +34.15%+18.06% | +22.20%+11.31% |
| Flows | RSPH IHF | +$104M+$183M | +$100M+$217M | +$57M+$485M | +$38M+$439M | -$257M+$308M | -$266M+$129M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | RSPH IHF | +20.51%+16.92% | +16.75%+19.81% | +15.89%+19.27% | +16.80%+19.27% |
| Max drawdown | RSPH IHF | -5.57%-3.64% | -10.87%-19.68% | -16.96%-29.86% | -21.91%-29.86% |
| Max drawdown duration | RSPH IHF | 29d50d | 116d196d | 434d671d | 817d671d |
Trading data
RSPH | IHF | |
Last sale 9/17/2026 at 1:30 PM | $36.97 | $56.55 |
| Previous close 09/16/2026 | $36.78 | $56.67 |
| Consolidated volume 09/16/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of August 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 9/17/2026 at 1:30 PM
Live
Closed
RSPH | IHF | |
|---|---|---|
| Last price | $36.97 | $56.55 |
| 1D performance | +0.52% | -0.21% |
| AuM | $913.92 M | $1.39 B |
| E/R | 0.4% | 0.37% |
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 | 59 | 60 |
| 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
96.6%
Other
3.4%
IHF
USA
99.92%
Other
0.08%
Sectors
RSPH
Healthcare
98.34%
Other
1.66%
IHF
Healthcare
83.88%
Consumer Non-Cycl.
14.72%
Other
1.4%
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Diversification
RSPH
Total weight of top 15 holdings out of 15
28.14%
IHF
Total weight of top 15 holdings out of 15
82.88%
Top 15 holdings
Data as of July 31, 2026
RSPH
Bio-Techne Corp.
2.10%
IQVIA Holdings, Inc.
2.08%
Veeva Systems, Inc.
1.95%
Charles River Laboratories International, Inc.
1.93%
Mettler-Toledo International, Inc.
1.89%
Baxter International, Inc.
1.87%
DaVita, Inc.
1.86%
Abbott Laboratories
1.86%
Incyte Corp.
1.85%
Thermo Fisher Scientific, Inc.
1.83%
Moderna, Inc.
1.82%
AbbVie, Inc.
1.79%
Universal Health Services, Inc.
1.78%
Regeneron Pharmaceuticals, Inc.
1.77%
Quest Diagnostics, Inc.
1.77%
IHF
UnitedHealth Group, Inc.
21.73%
CVS Health Corp.
14.72%
Elevance Health, Inc.
6.79%
HCA Healthcare, Inc.
4.45%
Veeva Systems, Inc.
4.42%
Humana, Inc.
4.23%
The Cigna Group
4.09%
Centene Corp.
3.92%
Quest Diagnostics, Inc.
3.80%
Labcorp Holdings, Inc.
3.78%
Tenet Healthcare Corp.
3.18%
Guardant Health, Inc.
2.95%
BrightSpring Health Services, Inc.
1.69%
Encompass Health Corp.
1.61%
The Ensign Group, Inc.
1.51%
Frequently asked questions about RSPH and IHF
How have the RSPH and IHF ETFs performed in 2026?
As of September 17, 2026, RSPH is up 16.48% year-to-date (YTD), while IHF has returned 18.89%. 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 +$57M in flows, compared to +$485M for IHF.
Which ETF is more volatile: RSPH or IHF?
Over the past year, RSPH had a volatility of 16.75%, while IHF experienced 19.81%.
Which ETF is bigger: RSPH or IHF?
As of September 17, 2026, RSPH holds $913.92 M in assets under management (AUM), while IHF manages $1.39 B.
What sectors do the RSPH and IHF ETFs invest in?
RSPH leans toward sectors like Healthcare. Meanwhile, IHF focuses on Healthcare and Consumer Non-Cyclicals.
What are the top holdings of the RSPH ETF and IHF ETF?
RSPH top holdings include Bio-Techne Corp., IQVIA Holdings, Inc. and Veeva Systems, Inc.. IHF holds in its top three: UnitedHealth Group, Inc., CVS Health Corp. and Elevance Health, Inc..
Which ETF is more diversified: RSPH or IHF?
RSPH holds 59 securities with 28.14% of its assets in the top 15. IHF has 60 securities and a top 15 weight of 82.88%.
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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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