FXH vs RSPH
First Trust Health Care AlphaDEX Fund against Invesco S&P 500 Equal Weight Health Care ETF: cost, size, returns, what they hold and how much of it is the same.
Overlap by weight
53%
48 shared positions
Fee gap
21 bp
RSPH is cheaper
1-year return gap
9.3 pts
RSPH is ahead
Larger fund
FXH
$1.1B
Side by side
| FXH | RSPH | |
|---|---|---|
| Fund | First Trust Health Care AlphaDEX Fund | Invesco S&P 500 Equal Weight Health Care ETF |
| Issuer | First Trust | Invesco |
| Category | Health Care | Health Care |
| Expense ratio | 0.61% | 0.40% |
| Assets | $1.1B | $887M |
| Average daily dollar volume | $8.5M | $7.4M |
| Listed | May 8, 2007 | Nov 1, 2006 |
| FrenzyCap score | 54 | 62 |
| 1-month return | +0.7% | +4.7% |
| 3-month return | +5.3% | +10.2% |
| Year to date | +14.3% | +18.0% |
| 1-year return | +15.1% | +24.3% |
| 30-day volatility | 13.1% | 14.7% |
| Worst drawdown, 1 year | −12.3% | −11.0% |
| Trailing 12-month yield | 0.56% | 0.59% |
| Holdings | 78 | 63 |
| Top 10 weight | 25.6% | 19.3% |
| Look-through P/E | 26.4 | 32.3 |
| Holdings vs fair value | +13.0% | +8.0% |
| Holdings above 200-day average | 75% | 76% |
| Net flow, latest 3 reported months | +$62M thru Jul 2026 | −$12M thru Jul 2026 |
| 30-day implied volatility | 21.0% | 30.6% |
| Holdings as of | as of Apr 30, 2026SEC filing | as of Oct 8, 2026issuer data |
Returns are price returns and exclude distributions. Flows are each fund's own latest reported months and may not cover the same period.
Largest shared holdings
61% of FXH · 79% of RSPH| Holding | FXH | RSPH |
|---|---|---|
| HCA | 1.99% | 1.72% |
| AMGN | 1.70% | 1.70% |
| BIIB | 2.23% | 1.69% |
| CI | 2.36% | 1.65% |
| ELV | 2.78% | 1.65% |
| BDX | 1.64% | 1.66% |
| PFE | 1.65% | 1.64% |
| UHS | 2.04% | 1.63% |
| CAH | 1.98% | 1.63% |
| COR | 1.74% | 1.63% |
| HUM | 2.95% | 1.58% |
| DVA | 2.19% | 1.58% |
| MRK | 1.57% | 1.58% |
| SOLV | 2.23% | 1.57% |
| ZBH | 1.97% | 1.54% |
| REGN | 1.98% | 1.50% |
| INCY | 2.19% | 1.46% |
| ILMN | 1.33% | 2.11% |
| HSIC | 1.31% | 1.57% |
| BMY | 1.30% | 1.53% |
| DGX | 1.29% | 1.61% |
| RVTY | 1.28% | 2.01% |
| LH | 1.25% | 1.60% |
| RMD | 1.24% | 1.69% |
| GILD | 1.22% | 1.65% |
Sector mix of the stock holdings
| Sector | FXH | RSPH | Gap |
|---|---|---|---|
| Health Care | 84.7% | 81.9% | +2.8% |
| Technology | 9.6% | 15.0% | −5.4% |
| Industrials | 1.3% | 1.6% | −0.3% |
| Consumer Staples | 0.0% | 1.5% | −1.5% |
More: full overlap table · FXH holdings · RSPH holdings
Fund data comes from each fund's SEC filings and issuer disclosures and is shown with the date it is as of. SEC portfolio and flow filings become public about 60 days after the period they cover. Nothing here is investment advice; see Terms.