RSPHvsVHTETF Comparison
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Invesco S&P 500® Equal Weight Health Care ETF (RSPH) and Vanguard Health Care ETF (VHT) 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 0.09% for VHT. RSPH is down -0.89% year-to-date (YTD) with -$98M in YTD flows. VHT performs worse with -2.2% YTD performance, and -$232M in YTD flows. Run a side-by-side ETF comparison of RSPH and VHT 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 VHT performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 06/18/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | RSPH VHT | +3.38%+3.32% | +3.62%+3.26% | -0.89%-2.20% | +10.93%+16.25% | +9.35%+20.22% | +13.34%+24.67% |
| Flows | RSPH VHT | -$7M+$31M | -$86M-$40M | -$98M-$232M | -$144M-$672M | -$411M-$2.53B | -$294M-$375M |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | RSPH VHT | +15.88%+15.90% | +15.79%+14.73% | +14.98%+13.99% | +16.34%+15.20% |
| Max drawdown | RSPH VHT | -4.09%-4.24% | -10.87%-10.39% | -17.06%-16.88% | -21.91%-17.77% |
| Max drawdown duration | RSPH VHT | 45d32d | 109d162d | 192d435d | 817d767d |
Trading data
RSPH | VHT | |
Last sale 6/18/2026 at 1:30 PM | $31.51 | $280.41 |
| Previous close 06/18/2026 | $31.43 | $281.99 |
| Consolidated volume 06/18/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of May 29, 2026
1-year trailing difference
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RSPH | VHT | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 6/18/2026 at 1:30 PM
Live
Closed
RSPH | VHT | |
|---|---|---|
| Last price | $31.51 | $280.41 |
| 1D performance | +0.25% | -0.56% |
| AuM | $642.47 M | $16.65 B |
| E/R | 0.4% | 0.09% |
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Exposure
Countries
RSPH
USA
96.59%
Other
3.41%
VHT
USA
96.73%
Other
3.27%
Sectors
RSPH
Health Care
93.21%
Other
6.79%
VHT
Health Care
96.88%
Other
3.12%
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Diversification
RSPH
Total weight of top 15 holdings out of 15
29.34%
VHT
Total weight of top 15 holdings out of 15
60.28%
Top 15 holdings
Data as of April 30, 2026
RSPH
HUMANA
2.31%
WEST PHARM SVCS
2.24%
UNITEDHEALTH GRP
2.19%
ELEVANCE HEALTH INC
2.17%
CENTENE
2.14%
CIGNA
1.91%
VIATRIS INC
1.87%
ALIGN TECHNOLOGY
1.86%
METTLER TOLEDO
1.83%
CVS HEALTH CORP
1.82%
US83444M1018
1.82%
BIO-TECHNE CORP
1.81%
BAXTER INTL
1.81%
CHRLS RIVER LABS
1.79%
INCYTE
1.78%
VHT
LILLY
12.13%
JOHNSON&JOHNSON
8.82%
ABBVIE
6.03%
UNITEDHEALTH GRP
5.42%
MERCK & CO INC
4.38%
AMGEN-T
3.01%
THERMO FISHER SCIENTIFIC
2.91%
GILEAD SCIENCES
2.62%
INTUITIVE SURGICAL
2.62%
ABBOTT LABS
2.55%
PFIZER
2.45%
BRISTOL-MYERS SQUIBB
1.99%
DANAHER
1.84%
STRYKER
1.75%
VERTEX PHARMACEUTICALS
1.75%
Frequently asked questions about RSPH and VHT
How have the RSPH and VHT ETFs performed in 2026?
As of June 18, 2026, RSPH is down -0.89% year-to-date (YTD), while VHT has lost -2.2%. That puts RSPH better performer ahead so far this year.
Which ETF is attracting more investor money: RSPH or VHT?
Year-to-date, the RSPH ETF saw -$98M in flows, compared to -$232M for VHT.
Which ETF is more volatile: RSPH or VHT?
Over the past year, RSPH had a volatility of 15.79%, while VHT experienced 14.73%.
Which ETF is bigger: RSPH or VHT?
As of June 18, 2026, RSPH holds $642.47 M in assets under management (AUM), while VHT manages $16.65 B.
What sectors do the RSPH and VHT ETFs invest in?
RSPH leans toward sectors like Health Care. Meanwhile, VHT focuses on Health Care.
What are the top holdings of the RSPH ETF and VHT ETF?
RSPH top holdings include HUMANA, WEST PHARM SVCS and UNITEDHEALTH GRP. VHT holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: RSPH or VHT?
RSPH holds 58 securities with 29.34% of its assets in the top 15. VHT has 401 securities and a top 15 weight of 60.28%.
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Latest news about RSPH & VHT
My Contrarian Equity ETF Picks For 2026
November 13, 2025
VHT
Tony's ETF Buyers Guide: Equal-Weight ETFs
May 14, 2024
RSPH
Healthcare Stocks Drop on Medicare Payment Rate Surprise
April 8, 2024
VHT
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Health Care Sector Down After a Cyberattack on UnitedHealth
March 4, 2024
VHT
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