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RSPHvsXLVIETF Comparison

ETF 1

RSPH

Invesco S&P 500® Equal Weight Health Care ETF

This fund is part of

US Health Care

-1.08%

Full RSPH fund page

VS

ETF 2

XLVI

State Street Health Care Select Sector SPDR Premium Income Fund

This fund is part of

Options Strategies

+0.26%

Full XLVI fund page

Invesco S&P 500® Equal Weight Health Care ETF (RSPH) belongs to the US Health Care segment. State Street Health Care Select Sector SPDR Premium Income Fund (XLVI) is part of the Options Strategies segment. 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 0.35% for XLVI. RSPH is down -3.91% year-to-date (YTD) with -$24M in YTD flows. XLVI performs better with -3.62% YTD performance, and +$2M in YTD flows. Run a side-by-side ETF comparison of RSPH and XLVI 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 XLVI 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 04/24/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	RSPH XLVI	+1.26%+0.50%	-7.61%-5.57%	-3.91%-3.62%	+8.85%n/a	+3.16%n/a	+10.64%n/a
Flows	RSPH XLVI	-$11M+$501K	-$24M+$2M	-$24M+$2M	-$107M-	-$335M-	-$180M-

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	RSPH XLVI	+15.94%+13.09%	+16.25%n/a	+14.83%n/a	+16.23%n/a
Max drawdown	RSPH XLVI	-10.87%-8.21%	-10.87%n/a	-17.06%n/a	-21.91%n/a
Max drawdown duration	RSPH XLVI	54d54d	54dn/a	192dn/a	817dn/a

Trading data

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	RSPH	XLVI
Last sale 4/27/2026 at 1:30 PM	$30.57	$24.56
Previous close 04/24/2026	$30.54	$24.65
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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XLVI

is actively managed and doesn’t replicate an index

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

Main metrics

Last update 4/27/2026 at 1:30 PM

Live

Closed

	RSPH	XLVI
Last price	$30.57	$24.56
1D performance	+0.10%	-0.34%
AuM	$697.68 M	$13.04 M
E/R	0.4%	0.35%

Characteristics

	RSPH	XLVI
Management strategy	Passive	Active
Provider	Invesco	State Street Investment Management
Benchmark	S&P 500 Equal Weight Health Care Index	-
N° of holdings	56	56
Asset class	Equities	-
Trailing 12m distribution yield	Join	Join
Inception date	November 1, 2006	July 30, 2025
ESG	No	No

More RSPH data on Trackinsight

More XLVI data on Trackinsight

Exposure

Countries

RSPH

USA

96.48%

Other

3.52%

XLVI

USA

96.44%

Other

3.56%

Sectors

RSPH

Health Care

93.2%

Other

6.8%

XLVI

Health Care

97.46%

Other

2.54%

Diversification

RSPH

Total weight of top 15 holdings out of 15

26.72%

XLVI

Total weight of top 15 holdings out of 15

70.36%

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%

XLVI

LILLY

13.62%

JOHNSON&JOHNSON

11.01%

ABBVIE

7.19%

MERCK & CO INC

5.58%

UNITEDHEALTH GRP

4.58%

AMGEN-T

3.54%

THERMO FISHER SCIENTIFIC

3.45%

ABBOTT LABS

3.34%

GILEAD SCIENCES

3.23%

INTUITIVE SURGICAL

3.06%

PFIZER

2.98%

BRISTOL-MYERS SQUIBB

2.31%

DANAHER

2.23%

VERTEX PHARMACEUTICALS

2.12%

STRYKER

2.12%

Frequently asked questions about RSPH and XLVI

How have the RSPH and XLVI ETFs performed in 2026?

As of April 24, 2026, RSPH is down -3.91% year-to-date (YTD), while XLVI has lost -3.62%. That puts XLVI better performer ahead so far this year.

Which ETF is attracting more investor money: RSPH or XLVI?

Year-to-date, the RSPH ETF saw -$24M in flows, compared to +$2M for XLVI.

Which ETF is bigger: RSPH or XLVI?

As of April 24, 2026, RSPH holds $697.68 M in assets under management (AUM), while XLVI manages $13.04 M.

What sectors do the RSPH and XLVI ETFs invest in?

RSPH leans toward sectors like Health Care. Meanwhile, XLVI focuses on Health Care.

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

RSPH top holdings include MERCK & CO INC, WEST PHARM SVCS and CIGNA. XLVI holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.

Which ETF is more diversified: RSPH or XLVI?

RSPH holds 59 securities with 26.72% of its assets in the top 15. XLVI has 59 securities and a top 15 weight of 70.36%.

Tony's ETF Buyers Guide: Equal-Weight ETFs

May 14, 2024

RSPH

RSPHvsXLVIETF Comparison

Invesco S&P 500® Equal Weight Health Care ETF

State Street Health Care Select Sector SPDR Premium Income Fund

RSPH vs XLVI 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

How have the RSPH and XLVI ETFs performed in 2026?

As of April 24, 2026, RSPH is down -3.91% year-to-date (YTD), while XLVI has lost -3.62%. That puts XLVI better performer ahead so far this year.

Which ETF is attracting more investor money: RSPH or XLVI?

Year-to-date, the RSPH ETF saw -$24M in flows, compared to +$2M for XLVI.

Which ETF is bigger: RSPH or XLVI?

As of April 24, 2026, RSPH holds $697.68 M in assets under management (AUM), while XLVI manages $13.04 M.

What sectors do the RSPH and XLVI ETFs invest in?

RSPH leans toward sectors like Health Care. Meanwhile, XLVI focuses on Health Care.

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

RSPH top holdings include MERCK & CO INC, WEST PHARM SVCS and CIGNA. XLVI holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.

Which ETF is more diversified: RSPH or XLVI?

RSPH holds 59 securities with 26.72% of its assets in the top 15. XLVI has 59 securities and a top 15 weight of 70.36%.

Tony's ETF Buyers Guide: Equal-Weight ETFs

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