Skip to content

RSPH vs VHT

Invesco S&P 500 Equal Weight Health Care ETF

RSPHBNYSE Arca

Vanguard Health Care ETF

VHTANYSE Arca

Overlap

Expense ratio

VHT −0.31pt a year

RSPH0.40%VHT0.09%

Avg volume · 30D

VHT 1.4×the volume

RSPH168KVHT237K

10Y return · a year

VHT +1.0pt

RSPH+11.5%VHT+12.5%

RSPH vs VHT Performance

Nov 2, 2021 – Nov 2, 2026

+33.8%RSPH+40.9%VHT

Nov 2, 2021 to Nov 2, 2026. RSPH +33.8%. VHT +40.9%. Use the arrow keys to read each point.−20%−10%0%10%20%Nov 2021May 2024Nov 2026
Expense ratio
RSPH 0.40%
VHT 0.09%, better
Fund size
RSPH $980M
VHT $21.8B
1Y total return
RSPH +32.8%, better
VHT +28.3%
Yield (12M)
RSPH 0.56%
VHT 1.35%, better
Holdings
RSPH 62
VHT 416
Avg volume (30D)
RSPH 168K sh
VHT 237K sh, better
NAV per share
RSPH $39.69
VHT $342.46
52W range

ETF.net Grade

RSPH: Cost 58, Risk 77, Mission 78, Tradability 65, Holdings 91, Durability 68. VHT: Cost 92, Risk 79, Mission 82, Tradability 57, Holdings 58, Durability 92.
Pillar letters and Scores for RSPH, VHT, with each pillar’s weight
PillarRSPHVHT
Cost30% weightB58A92Higher
Mission25% weightA78A82Higher
Risk15% weightA77A79Higher
Tradability15% weightB65HigherB57
Holdings10% weightA91HigherB58
Durability5% weightB68A92Higher

Rank among Health Care (Broad) funds

Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

Same Category. RSPH and VHT are both graded against the same 25 Health Care (Broad) funds, so their Grades compare head to head.

Health Care (Broad)⁠

Category · 25 funds
See all 25 ›

VHT ranks 3rd and RSPH 7th of 25 funds in the Health Care (Broad) Category.

  1. Rank 1AXLVState Street Health Care Select Sector SPDR ETFScore 85
  2. Rank 2AFHLCFidelity MSCI Health Care Index ETFScore 83
  3. Rank 3AVHTVanguard Health Care ETFScore 77
  4. Rank 4AXHSState Street SPDR S&P Health Care Services ETFScore 74
  5. Rank 6BIXJiShares Global Healthcare ETFScore 69
  6. Rank 7BRSPHInvesco S&P 500 Equal Weight Health Care ETFScore 68
  7. Rank 8BPSCHInvesco S&P SmallCap Health Care ETFScore 67

Our read on each fund

ETF.net Research

RSPHBInvesco S&P 500 Equal Weight Health Care ETF

VHTAVanguard Health Care ETF

In short

RSPH Health 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.

VHT The whole US health care sector in one ticket: roughly 400 stocks, an index that reaches well past the megacaps, and a nine-basis-point fee. Trading since 2004, it is one of the category's originals.

Stated mandate

RSPH The Fund seeks to track the investment results of the S&P 500 Equal Weight Health Care Index.

VHT The fund seeks to track a benchmark index measuring the investment return of health care stocks.

Why people hold it

  • RSPH 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.
  • VHT Costs 0.09% a year while the typical fund in its health care peer group charges 0.50%. Same sector, a fraction of the toll.
  • Roughly 400 holdings drawn from an investable-market index, so mid and small health care companies count too, not just the sector's giants.vanguard.com
  • Two decades old, now a multi-billion-dollar fund, moderately traded, and it has hugged its benchmark closely. Pays out quarterly.
  • On cost, tracking and tradability together, it stands among the strongest builds in a 24-fund health care cohort.

Worth knowing

  • RSPH 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.
  • VHT FHLC and XLV each shave a basis point off the fee. If the fee line is your only tiebreaker, VHT is not the final word.
  • One sector, one news cycle. Drug pricing rules, patent expirations and regulatory decisions can move the entire basket at once.vanguard.com
  • Cap-weighted with a 25/50 diversification rule, so no single name can dominate outright, but the largest pharma and insurer positions still steer most of the ride.vanguard.com

Full RSPH profile⁠

Full VHT profile⁠

RSPH vs VHT Holdings

How we measure overlap

Each holding counts at its smaller weight in the two funds, summed over the full Holdings. Sector, country and asset class use the same rule on each fund’s split. Cash, FX and derivative lines stay out of the counts. Two bond funds get no overlap figure.

RSPH vs VHT Cost

Overpaying RSPH vs VHT

$6,192

On $10,000 over 30 years. 7% growth a year before fees, expense ratio only.

  • RSPH 0.40%

    $8,090

  • VHT 0.09%

    $1,898

$10,000
30 years

Cost over time

  • RSPH 0.40%
  • VHT 0.09%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$2K$4K$6K$8K$10K051015202530RSPH $8,090VHT $1,898

Year by year

YearRSPHVHTOverpaying
10$723$165$558
20$2,793$646$2,147
30$8,090$1,898$6,192

Expense ratio

  • 0.40%RSPH
  • 0.09%VHT, cheaper
  • Middle half of Health Care (Broad) funds
  • Median 0.50%

VHT 3rd cheapest of 25 funds

RSPH 11th cheapest of 25 funds

RSPH vs VHT Dividends

Last 12 months to Nov 2, 2026
Yield (12M)
RSPH 0.56%
VHT 1.35%, better
Payout (12M)
RSPH $0.22
VHT $4.61
Last payment
RSPH $0.05
VHT $0.97
Ex-dividend
RSPH Sep 21, 2026
VHT Sep 23, 2026
Paid on
RSPH Sep 25, 2026
VHT Sep 25, 2026
Frequency
RSPH Quarterly
VHT Quarterly

Distribution history

Per share, 2017 to 2026, same scale for both

RSPHQuarterly · 39 paymentsAll RSPH payments⁠
One bar per payment. 39 payments from 2017 to 2026 YTD. Mar 17, 2017 $0.02; Jun 16, 2017 $0.02; Sep 15, 2017 $0.03; Dec 15, 2017 $0.03; Mar 16, 2018 $0.02; Jun 15, 2018 $0.02; Sep 24, 2018 $0.03; Dec 24, 2018 $0.03; Mar 18, 2019 $0.03; Jun 24, 2019 $0.03; Sep 23, 2019 $0.03; Dec 23, 2019 $0.03; Mar 23, 2020 $0.03; Jun 22, 2020 $0.04; Sep 21, 2020 $0.03; Dec 21, 2020 $0.03; Mar 22, 2021 $0.03; Jun 21, 2021 $0.03; Sep 20, 2021 $0.04; Dec 20, 2021 $0.06; Mar 21, 2022 $0.05; Jun 21, 2022 $0.05; Sep 19, 2022 $0.04; Dec 19, 2022 $0.05; Mar 20, 2023 $0.05; Jun 20, 2023 $0.05; Sep 18, 2023 $0.05; Dec 18, 2023 $0.05; Mar 18, 2024 $0.05; Jun 24, 2024 $0.05; Sep 23, 2024 $0.05; Dec 23, 2024 $0.06; Mar 24, 2025 $0.06; Jun 23, 2025 $0.06; Sep 22, 2025 $0.06; Dec 22, 2025 $0.05; Mar 23, 2026 $0.06; Jun 22, 2026 $0.06; Sep 21, 2026 $0.05. Use the arrow keys to read each point.$0$12017202020232026YTD
VHTQuarterly · 39 paymentsAll VHT payments⁠
One bar per payment. 39 payments from 2017 to 2026 YTD. Mar 24, 2017 $0.44; Jun 28, 2017 $0.50; Sep 27, 2017 $0.52; Dec 14, 2017 $0.57; Mar 16, 2018 $0.39; Jun 28, 2018 $0.63; Sep 24, 2018 $0.58; Dec 13, 2018 $0.63; Mar 21, 2019 $1.11; Jun 21, 2019 $1.16; Sep 26, 2019 $0.63; Dec 16, 2019 $0.72; Mar 10, 2020 $0.45; Jun 22, 2020 $0.76; Sep 11, 2020 $0.63; Dec 17, 2020 $0.88; Mar 26, 2021 $0.64; Jun 24, 2021 $0.70; Sep 29, 2021 $0.89; Dec 16, 2021 $0.82; Mar 24, 2022 $0.72; Jun 23, 2022 $0.77; Sep 28, 2022 $0.82; Dec 15, 2022 $0.98; Mar 24, 2023 $0.76; Jun 29, 2023 $0.88; Sep 28, 2023 $0.88; Dec 19, 2023 $0.89; Mar 22, 2024 $0.82; Jun 28, 2024 $0.97; Sep 27, 2024 $1.17; Dec 18, 2024 $0.92; Mar 25, 2025 $0.94; Jun 26, 2025 $0.96; Sep 24, 2025 $1.08; Dec 17, 2025 $1.67; Mar 24, 2026 $0.99; Jun 24, 2026 $0.99; Sep 23, 2026 $0.97. Use the arrow keys to read each point.$0$12017202020232026YTD

RSPH vs VHT Risk

Fall from peak · 5 years

  • RSPH
  • VHT
Nov 2, 2021 to Nov 2, 2026. Worst fall: RSPH −21.9% · Sep 2022. Use the arrow keys to read each point.−20%−15%−10%−5%0%Nov 2021May 2024Nov 2026

Risk facts

VolatilityStd dev, 3 years
RSPH 15.4%VHT 14.5%, better
Return per unit of riskSharpe ratio, 3 years
RSPH 0.79VHT 0.83, better
Worst fallMax drawdown, 5 years
RSPH −21.9%VHT −17.7%, better
Market sensitivityBeta, 5 years
RSPH 0.78VHT 0.58

RSPH and VHT in the news

Popular comparisons

  • RSPHBvsXLVA

    Invesco S&P 500 Equal Weight Health Care ETF · State Street Health Care Select Sector SPDR ETF

    Expense ratio
    0.40% · 0.08%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.
  • VHTAvsXLVA

    Vanguard Health Care ETF · State Street Health Care Select Sector SPDR ETF

    Expense ratio
    0.09% · 0.08%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.
  • RSPHBvsFHLCA

    Invesco S&P 500 Equal Weight Health Care ETF · Fidelity MSCI Health Care Index ETF

    Expense ratio
    0.40% · 0.08%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.
  • VHTAvsFHLCA

    Vanguard Health Care ETF · Fidelity MSCI Health Care Index ETF

    Expense ratio
    0.09% · 0.08%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.
  • RSPHBvsXHSA

    Invesco S&P 500 Equal Weight Health Care ETF · State Street SPDR S&P Health Care Services ETF

    Expense ratio
    0.40% · 0.35%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.
  • VHTAvsXHSA

    Vanguard Health Care ETF · State Street SPDR S&P Health Care Services ETF

    Expense ratio
    0.09% · 0.35%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.