Category Review
Health care funds trail the S&P 500 this year
Invesco S&P 500 Equal Weight Health Care ETF
$37.76−0.14 (−0.37%)
- 0.40%
- $890M
- +29.1%
- 0.59%
- 0.2M sh
- $37.60
- low $29.46high $38.19
The ETF.net RSPH Grade
B
Score 68 out of 100
- 6 of 25
Score 68 of 100 falls in the B band. A is 70 or higher, B 55 to under 70, C 40 to under 55, D 25 to under 40, F under 25.
Cost
The fund’s net expense ratio, ranked against its category.B58 out of 100Rank 11 of 25Mission
Whether the fund did what it promised, tested against its stated mandate.A77 out of 100Rank 4 of 11Risk
How the fund held up when markets fell: downside volatility, drawdowns and tail loss.A78 out of 100Rank 4 of 24Tradability
How easy the fund is to trade: daily volume, and how far its price strays from net asset value.B66 out of 100Rank 7 of 25Holdings
How concentrated the fund is, and how complete and current its disclosed holdings are.A88 out of 100Rank 2 of 25Durability
Whether the fund is likely to stay open, judged by its age, its assets and its issuer’s assets.B68 out of 100Rank 10 of 25
Our read on RSPH
BHealth care without the mega-cap gravity: RSPH gives every health care name in the S&P 500 the same slice, so no single drug giant steers the fund. It has been running that way since 2006.
The Fund seeks to track the investment results of the S&P 500 Equal Weight Health Care Index.
Why people hold it
- Equal weighting by design: about 60 S&P 500 health care names, each with the same slice, so one blockbuster drugmaker doesn't set the tone for the basket.
- Charges 0.40% a year, below the 0.50% typical of broad health care ETFs.
- Live since 2006, through drug-pricing fights, patent cliffs and a pandemic, and rated one of the stronger builds in its health care peer group.
- Spread is the point: the portfolio is one of the best-diversified in the cohort, with weight split across the sector rather than parked in a few giants.
Worth knowing
- The big cap-weighted rivals cost far less: XLV and FHLC charge 0.08%, VHT 0.09%. You're paying up for the equal-weight tilt.
- Equal weight leans toward the sector's smaller members, so results can drift from cap-weighted health care funds in either direction.
- One sector, one set of risks: policy shifts, pricing rules and patent cycles move the whole basket at once.
RSPH Holdings
- Stocks
- 62
- 20%
- MRNA
Sectors
- Health Care98.2%
- Technology1.8%
- Financials0.0%
Geography
- United States96.88%
- Ireland3.12%
RSPH Performance
Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.
RSPH$12,906
Returns run to the Oct 12, 2026 close, with cash distributions reinvested. Each period starts on the same date that many months or years earlier. Periods over one year show the average yearly return.
| Period | RSPH |
|---|---|
| Year to date | +19.6% |
| 1 month | +5.2% |
| 3 months | +11.7% |
| 1 year | +29.1% |
| 3 years | +13.1% |
| 5 years | +6.1% |
| 10 years | +10.4% |
Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.
| Year | Return bar | RSPH |
|---|---|---|
| 2026 YTD | +19.6% | |
| 2025 | +9.5% | |
| 2024 | −0.9% | |
| 2023 | +3.9% | |
| 2022 | −9.4% | |
| 2021 | +23.2% | |
| 2020 | +18.8% |
RSPH in the news
RSPH Dividends
- 0.59%
- $0.22
- $0.05 per share
- Quarterly
Distribution history
RSPH Risk
- 15.7%
How it’s calculated: standard deviation
The sample standard deviation of monthly total returns, multiplied by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Total returns include reinvested distributions.
- 0.48
How it’s calculated: Sharpe ratio
Subtract each month’s Treasury-bill return from the fund’s monthly total return.
Divide the average of those excess returns by their sample standard deviation, then multiply by the square root of 12.
Uses up to 36 complete months, with at least 12 required. Each month uses the Treasury yield quoted at the end of the previous month.
- −21.9%
How it’s calculated: maximum drawdown
The largest percentage decline from an earlier peak, using total returns with reinvested distributions.
Uses up to five years through the last close, with at least 12 months required.
- 0.78
How it’s calculated: beta
The beta figure is supplied by FMP. The comparison index depends on the fund’s broad asset class.
RSPH Cost
0.40%
RSPH0.40%
- The middle half of Health Care (Broad) funds
- Median 0.50%
10 of the 25 Health Care (Broad) funds charge less.
Other funds in Health Care (Broad)
- BIXJiShares Global Healthcare ETFExpense ratio 0.38%1 year return +15.9%
- BPSCHInvesco S&P SmallCap Health Care ETFExpense ratio 0.29%1 year return +28.5%
- BXHEState Street SPDR S&P Health Care Equipment ETFExpense ratio 0.35%1 year return +17.8%
- BFXHFirst Trust Health Care AlphaDEX FundExpense ratio 0.61%1 year return +20.2%
- BIHIiShares U.S. Medical Devices ETFExpense ratio 0.37%1 year return −9.8%