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TRUHvsRSPHETF Comparison

ETF 1

TRUH

VanEck Healthcare TruSector ETF

This fund is part of

Uncategorized Equities

+0.4%

Full TRUH fund page

VS

ETF 2

RSPH

Invesco S&P 500® Equal Weight Health Care ETF

This fund is part of

US Health Care

+0.14%

Full RSPH fund page

VanEck Healthcare TruSector ETF (TRUH) belongs to the Uncategorized Equities segment. Invesco S&P 500® Equal Weight Health Care ETF (RSPH) is part of the US Health Care segment. Both ETFs have the same top 2 sector exposures: Healthcare and Consumer Non-Cyclicals. TRUH is less expensive with a Total Expense Ratio (TER) of 0.1%, versus 0.4% for RSPH. Run a side-by-side ETF comparison of TRUH and RSPH 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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TRUH vs RSPH 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 10/26/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	TRUH RSPH	+4.69%+5.02%	+10.13%+15.48%	n/a+24.19%	n/a+28.27%	n/a+58.36%	n/a+34.33%
Flows	TRUH RSPH	-+$46M	-$289K+$99M	-+$56M	-+$52M	--$229M	--$214M

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	TRUH RSPH	+17.70%+18.83%	n/a+16.79%	n/a+15.91%	n/a+16.80%
Max drawdown	TRUH RSPH	-5.82%-5.57%	n/a-10.87%	n/a-16.96%	n/a-21.91%
Max drawdown duration	TRUH RSPH	56d55d	n/a116d	n/a434d	n/a817d

Trading data

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	TRUH	RSPH
Last sale 10/27/2026 at 1:30 PM	$31.27	$39.35
Previous close 10/26/2026	$31.26	$39.46
Consolidated volume 10/26/2026
Average volume 30 days
Average discount or premium 30 days
Average Bid/Ask spread 30 days

Replication quality

Data as of September 30, 2026

1-year trailing difference

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TRUH

is actively managed and doesn’t replicate an index

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

Main metrics

Last update 10/27/2026 at 1:30 PM

Live

Closed

	TRUH	RSPH
Last price	$31.27	$39.35
1D performance	+0.03%	-0.28%
AuM	$0.62 M	$969.05 M
E/R	0.1%	0.4%

Characteristics

	TRUH	RSPH
Management strategy	Active	Passive
Provider	VanEck	Invesco
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	April 1, 2026	November 1, 2006
ESG	No	No

More TRUH data on Trackinsight

More RSPH data on Trackinsight

Exposure

Countries

TRUH

USA

97.67%

Other

2.33%

RSPH

USA

96.79%

Other

3.21%

Sectors

TRUH

Healthcare

97.97%

Other

2.03%

RSPH

Healthcare

98.64%

Other

1.36%

Diversification

TRUH

Total weight of top 15 holdings out of 15

71.6%

RSPH

Total weight of top 15 holdings out of 15

31.58%

Top 15 holdings

Data as of August 31, 2026

TRUH

Eli Lilly & Co.

14.98%

Johnson & Johnson

10.42%

AbbVie, Inc.

7.37%

Merck & Co., Inc.

5.94%

UnitedHealth Group, Inc.

5.76%

Amgen, Inc.

3.76%

Thermo Fisher Scientific, Inc.

3.74%

Abbott Laboratories

3.14%

Gilead Sciences, Inc.

2.98%

Pfizer Inc.

2.65%

Vertex Pharmaceuticals, Inc.

2.29%

Bristol Myers Squibb Co.

2.22%

Intuitive Surgical, Inc.

2.22%

Danaher Corp.

2.19%

CVS Health Corp.

1.96%

RSPH

Moderna, Inc.

4.45%

Veeva Systems, Inc.

2.47%

Charles River Laboratories International, Inc.

2.28%

IQVIA Holdings, Inc.

2.07%

Bio-Techne Corp.

1.98%

Regeneron Pharmaceuticals, Inc.

1.92%

Thermo Fisher Scientific, Inc.

1.88%

Amgen, Inc.

1.85%

Revvity, Inc.

1.83%

Baxter International, Inc.

1.83%

Becton, Dickinson & Co.

1.82%

Vertex Pharmaceuticals, Inc.

1.80%

Merck & Co., Inc.

1.80%

Abbott Laboratories

1.79%

Labcorp Holdings, Inc.

1.79%

Frequently asked questions about TRUH and RSPH

Which ETF is bigger: TRUH or RSPH?

As of October 26, 2026, TRUH holds $0.62 M in assets under management (AUM), while RSPH manages $969.05 M.

What sectors do the TRUH and RSPH ETFs invest in?

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

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

TRUH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. RSPH holds in its top three: Moderna, Inc., Veeva Systems, Inc. and Charles River Laboratories International, Inc..

Which ETF is more diversified: TRUH or RSPH?

TRUH holds 59 securities with 71.6% of its assets in the top 15. RSPH has 59 securities and a top 15 weight of 31.58%.

Tony's ETF Buyers Guide: Equal-Weight ETFs

May 14, 2024

RSPH

TRUHvsRSPHETF Comparison

VanEck Healthcare TruSector ETF

Invesco S&P 500® Equal Weight Health Care ETF

TRUH vs RSPH 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: TRUH or RSPH?

As of October 26, 2026, TRUH holds $0.62 M in assets under management (AUM), while RSPH manages $969.05 M.

What sectors do the TRUH and RSPH ETFs invest in?

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

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

TRUH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. RSPH holds in its top three: Moderna, Inc., Veeva Systems, Inc. and Charles River Laboratories International, Inc..

Which ETF is more diversified: TRUH or RSPH?

TRUH holds 59 securities with 71.6% of its assets in the top 15. RSPH has 59 securities and a top 15 weight of 31.58%.

Tony's ETF Buyers Guide: Equal-Weight ETFs

ETFs’ Next Act: From Access to Selection