Data as of Oct 28, 2026.

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RSP vs XLV: Differences, Returns & Fees

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Over the year to Oct 28, 2026, RSP returned +16.0% to XLV's +25.6%; 12% of their weight is in the same names.

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Net assets on Oct 27, 2026: $99.8bn for Invesco S&P 500 Equal Weight ETF and $47.0bn for State Street Health Care Select Sector SPDR ETF.

At a glance
+16.0%
RSP total return, 1 year
+25.6%
XLV total return, 1 year
0.20%
RSP expense ratio
0.08%
XLV expense ratio

Pair scorecard

XLV costs 0.12 points a year less; their one-year returns differ by 9.6 points; RSP is 2.1 times larger.

RSP vs XLV: Differences, Returns & Fees
MeasureRSPXLV
Return
Total return, 1 year+16.0%+25.6%
Benchmark
What it tracksS&P 500 Equal Weight IndexHealth Care Select Sector Index
Cost and size
Expense ratio0.20%0.08%
Net assets, as of Oct 27, 2026$99.8bn$47.0bn
Holdings
Holdings in common12%
Top ten holdings, share of the fund2.7%60.6%

Holdings in common uses holdings dated Oct 27, 2026. Method

Risk and return

May 9, 2003 to Oct 23, 2026 · 1,224 weekly returns
RSP XLV
Return
Total return edge RSP +1,085.5% +839.1%
Annualized edge RSP (slight) +11.1% +10.0%
Price return edge RSP +726.1% +536.6%
Risk
Volatility edge XLV 18.8% 16.0%
Max drawdown edge XLV −59.6% −37.9%
Risk-adjusted
Sharpe edge Tie 0.56 0.56
Sortino edge Tie 0.80 0.80
Calmar edge XLV 0.19 0.26
Reading

RSP returned more: +1,085.5% to +839.1%. XLV swung less: 16.0% to 18.8%. XLV fell less at its worst: −37.9% to −59.6%.

Full scorecard

9 measures, with how each is measured
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Risk and return: RSP vs XLV: Differences, Returns & Fees
MeasureRSPXLVEdgeHow it is measured
Return
Total return+1,085.5%+839.1%RSPPrice change plus distributions, reinvested.
Annualized+11.1%+10.0%RSP (slight)Total return as a yearly rate.
Price return+726.1%+536.6%RSPPrice change alone, distributions left out.
Risk
Volatility18.8%16.0%XLVSpread of weekly returns, annualized. Lower is steadier.
Downside deviation13.2%11.3%XLVLike volatility, counting only weeks below the Treasury bill rate.
Max drawdown−59.6%−37.9%XLVDeepest fall from a high to the low after it.
Risk-adjusted
Sharpe0.560.56TieReturn above Treasury bills per unit of volatility.
Sortino0.800.80TieReturn above Treasury bills per unit of downside deviation.
Calmar0.190.26XLVAnnualized return divided by the max drawdown.

Computed by ETFIQ from Tiingo daily prices and ETFIQ's distribution records, 1,224 weekly returns. Cash rate: the 13-week Treasury bill.

What they share

12%

By the books each fund has filed, RSP and XLV hold 12% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.

0 half 100%

half

12% in common

Positions both hold · largest shared weight first RSP XLV
Moderna Inc 0.30% 1.19%
Illumina Inc 0.27% 0.65%
Mettler-Toledo International Inc 0.26% 0.52%
Revvity Inc 0.26% 0.28%
Charles River Laboratories International Inc 0.25% 0.26%
Intuitive Surgical Inc 0.25% 2.42%
Agilent Technologies Inc 0.24% 0.77%
Veeva Systems Inc 0.24% 0.72%
Biogen Inc 0.24% 0.57%
West Pharmaceutical Services Inc 0.23% 0.43%
Waters Corp 0.23% 0.71%
AbbVie Inc 0.23% 7.78%
Only in one fund ↓
Only in RSP
PTC Inc 0.30%
Everpure Inc 0.28%
Accenture PLC 0.27%
Hasbro Inc 0.26%
Gartner Inc 0.26%
Crowdstrike Holdings Inc 0.25%
Datadog Inc 0.24%
NetApp Inc 0.24%
Only in XLV
XAV HEALTH CARE DEC26 0.01%
Check overlap with more funds →

Side by side

RSP Invesco S&P 500 Equal Weight ETF XLV State Street Health Care Select Sector SPDR ETF
Where it sits Stock ETF Stock ETF
What it is Tracks the S&P 500 equal weight Tracks an index of Health care
Total return, 1 year +16.0% +25.6%
Its benchmark over the same days +13.7% (IVV) not measured
Gap to its benchmark +2.3 pts vs IVV not measured
Expense ratio 0.20% 0.08%
Already in the S&P 500 99.8% 99.7%
Holdings 508 62
Net assets, as of Oct 27, 2026 $99.8bn $47.0bn

RSP and XLV on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.

Client brief · page 1 of 2 Report BR-39BDB161F9

RSP and XLV do different jobs. What does each one do in a portfolio?

  1. What each follows. RSP follows S&P 500 Equal Weight Index and XLV follows Health Care Select Sector Index.
  2. Holdings in common. 12% of the weight is in the same securities (holdings dated Oct 27, 2026).
  3. One-year total return. Over 1 year to Oct 28, 2026 RSP returned +16.0% and XLV +25.6% with distributions reinvested, a gap of 9.6 points.

Data as of Oct 28, 2026.

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About each fund
RSP

RSP tracks the S&P 500 equal weight. Over the year to Oct 28, 2026 it returned +16.0% with distributions reinvested, against +13.7% for its benchmark, the S&P 500 Index. The prospectus expense ratio is 0.20% a year. By its holdings published by its issuer for Oct 27, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 508 positions, with the top ten at 2.7%.

XLV

XLV tracks an index of Health care. Over the year to Oct 28, 2026 it returned +25.6% with distributions reinvested. The prospectus expense ratio is 0.08% a year. By its holdings published by its issuer for Oct 27, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 62 positions, with the top ten at 60.6%.

Questions people ask

Which returned more over the last year, RSP or XLV?
In the year to Oct 28, 2026, with distributions reinvested, RSP returned +16.0% and XLV +25.6%.
Which is cheaper, RSP or XLV?
XLV is cheaper, by 0.12 percentage points a year. That is about $12 on $10,000 held for a year. Fees come from each fund's prospectus.
How much do RSP and XLV overlap with the S&P 500?
By their latest filed holdings, 100% of RSP and 100% of XLV by weight is stocks the S&P 500 already holds.
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ETFIQ, RSP against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/rsp-vs-xlv

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