RSPHvsIYHETF Comparison
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Invesco S&P 500® Equal Weight Health Care ETF (RSPH) and iShares U.S. Healthcare ETF (IYH) belong to the same industry segment: US Health Care. RSPH's top 2 sector exposures are Healthcare and Consumer Non-Cyclicals. In contrast, IYH's top sector exposures are Healthcare, Non-Corporate and Finance. RSPH is more expensive with a Total Expense Ratio (TER) of 0.4%, versus 0.37% for IYH. RSPH is up 26.01% year-to-date (YTD) with +$65M in YTD flows. IYH performs worse with 20.17% YTD performance, and +$437M in YTD flows. Run a side-by-side ETF comparison of RSPH and IYH 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 IYH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 11/02/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | RSPH IYH | +8.93%+10.17% | +13.79%+13.98% | +26.01%+20.17% | +32.78%+29.05% | +56.80%+51.86% | +33.66%+41.58% |
| Flows | RSPH IYH | +$39M+$370M | +$108M+$600M | +$65M+$437M | +$63M+$799M | -$217M+$465M | -$202M+$639M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | RSPH IYH | +18.29%+17.37% | +16.88%+16.61% | +15.92%+15.19% | +16.81%+15.53% |
| Max drawdown | RSPH IYH | -5.57%-5.88% | -10.87%-10.72% | -16.96%-17.89% | -21.91%-17.89% |
| Max drawdown duration | RSPH IYH | 55d56d | 116d169d | 434d445d | 817d445d |
Trading data
RSPH | IYH | |
Last sale 11/3/2026 at 5:20 PM | $40.14 | $77.70 |
| Previous close 11/02/2026 | $39.90 | $77.60 |
| Consolidated volume 11/02/2026 | ||
| 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 | IYH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 11/3/2026 at 5:20 PM
Live
Closed
RSPH | IYH | |
|---|---|---|
| Last price | $40.14 | $77.70 |
| 1D performance | +0.60% | +0.13% |
| AuM | $992.08 M | $4.69 B |
| E/R | 0.4% | 0.37% |
Characteristics
RSPH | IYH | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | Invesco | iShares |
| Benchmark | S&P 500 Equal Weight Health Care Index | Russell 1000 Health Care RIC 22.5/45 Capped Gross Index |
| N° of holdings | 60 | 101 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | November 1, 2006 | June 12, 2000 |
| ESG | No | No |
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Exposure
Countries
RSPH
USA
96.84%
Other
3.16%
IYH
USA
97.04%
Other
2.96%
Sectors
RSPH
Healthcare
98.51%
Other
1.49%
IYH
Healthcare
99.84%
Other
0.16%
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Diversification
RSPH
Total weight of top 15 holdings out of 15
28.14%
IYH
Total weight of top 15 holdings out of 15
68.8%
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%
IYH
Eli Lilly & Co.
14.55%
Johnson & Johnson
10.05%
AbbVie, Inc.
7.30%
Merck & Co., Inc.
5.66%
UnitedHealth Group, Inc.
5.22%
Thermo Fisher Scientific, Inc.
3.95%
Amgen, Inc.
3.58%
Gilead Sciences, Inc.
2.92%
Abbott Laboratories
2.70%
Pfizer Inc.
2.56%
Intuitive Surgical, Inc.
2.26%
Danaher Corp.
2.21%
Vertex Pharmaceuticals, Inc.
2.09%
Bristol Myers Squibb Co.
2.01%
Medtronic Plc
1.74%
Frequently asked questions about RSPH and IYH
How have the RSPH and IYH ETFs performed in 2026?
As of November 2, 2026, RSPH is up 26.01% year-to-date (YTD), while IYH has returned 20.17%. That puts RSPH better performer ahead so far this year.
Which ETF is attracting more investor money: RSPH or IYH?
Year-to-date, the RSPH ETF saw +$65M in flows, compared to +$437M for IYH.
Which ETF is more volatile: RSPH or IYH?
Over the past year, RSPH had a volatility of 16.88%, while IYH experienced 16.61%.
Which ETF is bigger: RSPH or IYH?
As of November 2, 2026, RSPH holds $992.08 M in assets under management (AUM), while IYH manages $4.69 B.
What sectors do the RSPH and IYH ETFs invest in?
RSPH leans toward sectors like Healthcare. Meanwhile, IYH focuses on Healthcare.
What are the top holdings of the RSPH ETF and IYH ETF?
RSPH top holdings include Moderna, Inc., Illumina, Inc. and Revvity, Inc.. IYH holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: RSPH or IYH?
RSPH holds 60 securities with 28.14% of its assets in the top 15. IYH has 101 securities and a top 15 weight of 68.8%.
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Latest news about RSPH & IYH
Tony's ETF Buyers Guide: Equal-Weight ETFs
May 14, 2024
RSPH
Health Care Sector Down After a Cyberattack on UnitedHealth
March 4, 2024
IYH
Healthcare Stocks Rebound
August 14, 2023
IYH
Continued tightening of the U.S. labor market
September 23, 2022
IYH
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U.S. labor market facing tight conditions
July 5, 2022
IYH
U.S. labor market facing tight conditions
July 5, 2022
IYH
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