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RSPHvsTRUHETF Comparison

ETF 1

RSPH

Invesco S&P 500® Equal Weight Health Care ETF

This fund is part of

US Health Care

+0.07%

Full RSPH fund page

VS

ETF 2

TRUH

VanEck Healthcare TruSector ETF

This fund is part of

Uncategorized Equities

-0.29%

Full TRUH fund page

Invesco S&P 500® Equal Weight Health Care ETF (RSPH) belongs to the US Health Care segment. VanEck Healthcare TruSector ETF (TRUH) is part of the Uncategorized Equities segment. Both ETFs have the same top 2 sector exposures: Healthcare and Consumer Non-Cyclicals. RSPH is more expensive with a Total Expense Ratio (TER) of 0.4%, versus 0.1% for TRUH. Run a side-by-side ETF comparison of RSPH and TRUH 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 TRUH performance and flow charts

Performance

Cumulative Flows

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Data Services

Historic performance and flows

Data as of 09/16/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	RSPH TRUH	+2.74%+0.43%	+14.94%+10.14%	+15.91%n/a	+28.02%n/a	+33.49%n/a	+21.49%n/a
Flows	RSPH TRUH	+$98M-	+$142M-$289K	+$51M-	+$32M-	-$263M-	-$272M-

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	RSPH TRUH	+20.92%+19.50%	+16.74%n/a	+15.90%n/a	+16.80%n/a
Max drawdown	RSPH TRUH	-5.57%-5.82%	-10.87%n/a	-16.96%n/a	-21.91%n/a
Max drawdown duration	RSPH TRUH	28d28d	116dn/a	434dn/a	817dn/a

Trading data

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	RSPH	TRUH
Last sale 9/17/2026 at 1:30 PM	$36.97	$29.45
Previous close 09/16/2026	$36.78	$29.26
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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TRUH

is actively managed and doesn’t replicate an index

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	RSPH	TRUH
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 9/17/2026 at 1:30 PM

Live

Closed

	RSPH	TRUH
Last price	$36.97	$29.45
1D performance	+0.52%	+0.65%
AuM	$903.50 M	$0.59 M
E/R	0.4%	0.1%

Characteristics

	RSPH	TRUH
Management strategy	Passive	Active
Provider	Invesco	VanEck
Benchmark	S&P 500 Equal Weight Health Care Index	-
N° of holdings	59	59
Asset class	Equities	-
Trailing 12m distribution yield	Join	Join
Inception date	November 1, 2006	April 1, 2026
ESG	No	No

More RSPH data on Trackinsight

More TRUH data on Trackinsight

Exposure

Countries

RSPH

USA

96.6%

Other

3.4%

TRUH

USA

97.81%

Other

2.19%

Sectors

RSPH

Healthcare

98.34%

Other

1.66%

TRUH

Healthcare

97.78%

Other

2.22%

Diversification

RSPH

Total weight of top 15 holdings out of 15

28.14%

TRUH

Total weight of top 15 holdings out of 15

72.03%

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%

TRUH

Eli Lilly & Co.

15.53%

Johnson & Johnson

10.55%

AbbVie, Inc.

7.58%

UnitedHealth Group, Inc.

6.43%

Merck & Co., Inc.

5.50%

Thermo Fisher Scientific, Inc.

3.65%

Amgen, Inc.

3.53%

Abbott Laboratories

3.14%

Gilead Sciences, Inc.

2.77%

Pfizer Inc.

2.44%

CVS Health Corp.

2.28%

Bristol Myers Squibb Co.

2.28%

Intuitive Surgical, Inc.

2.16%

Danaher Corp.

2.11%

Vertex Pharmaceuticals, Inc.

2.08%

Frequently asked questions about RSPH and TRUH

Which ETF is bigger: RSPH or TRUH?

As of September 16, 2026, RSPH holds $903.50 M in assets under management (AUM), while TRUH manages $0.59 M.

What sectors do the RSPH and TRUH ETFs invest in?

RSPH leans toward sectors like Healthcare. Meanwhile, TRUH focuses on Healthcare.

What are the top holdings of the RSPH ETF and TRUH ETF?

RSPH top holdings include Bio-Techne Corp., IQVIA Holdings, Inc. and Veeva Systems, Inc.. TRUH holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..

Which ETF is more diversified: RSPH or TRUH?

RSPH holds 59 securities with 28.14% of its assets in the top 15. TRUH has 59 securities and a top 15 weight of 72.03%.

Tony's ETF Buyers Guide: Equal-Weight ETFs

May 14, 2024

RSPH

RSPHvsTRUHETF Comparison

Invesco S&P 500® Equal Weight Health Care ETF

VanEck Healthcare TruSector ETF

RSPH vs TRUH performance and flow charts

Performance

Cumulative Flows

Get all the metrics on this page, and more, through a reliable ETF data feed

Countries

Sectors

Diversification

Top 15 holdings

Which ETF is bigger: RSPH or TRUH?

As of September 16, 2026, RSPH holds $903.50 M in assets under management (AUM), while TRUH manages $0.59 M.

What sectors do the RSPH and TRUH ETFs invest in?

RSPH leans toward sectors like Healthcare. Meanwhile, TRUH focuses on Healthcare.

What are the top holdings of the RSPH ETF and TRUH ETF?

RSPH top holdings include Bio-Techne Corp., IQVIA Holdings, Inc. and Veeva Systems, Inc.. TRUH holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..

Which ETF is more diversified: RSPH or TRUH?

RSPH holds 59 securities with 28.14% of its assets in the top 15. TRUH has 59 securities and a top 15 weight of 72.03%.

Tony's ETF Buyers Guide: Equal-Weight ETFs

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