MEDI vs. RSPH

Last updated Aug 2, 2026

MEDI (Harbor Health Care ETF) and RSPH (Invesco S&P 500 Equal Weight Health Care ETF) are both Health & Biotech Equities funds. MEDI is actively managed, while RSPH is passively managed. Over the past 3 years, MEDI returned 14.21%/yr vs 6.05%/yr for RSPH. Their 0.67 correlation means they have sometimes moved together and sometimes differently. MEDI charges 0.80%/yr vs 0.40%/yr for RSPH.

Performance

MEDI vs. RSPH - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Harbor Health Care ETF (MEDI) and Invesco S&P 500 Equal Weight Health Care ETF (RSPH). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, MEDI achieves a 2.78% return, which is significantly lower than RSPH's 9.56% return.

MEDI

• 1D: -1.40%
• 1M: -7.14%
• 6M: 3.32%
• YTD: 2.78%
• 1Y: 21.60%
• 3Y*: 14.21%
• 5Y*: —
• 10Y*: —
• ALL TIME*: 15.10%

RSPH

• 1D: -0.43%
• 1M: 0.70%
• 6M: 8.20%
• YTD: 9.56%
• 1Y: 25.63%
• 3Y*: 6.05%
• 5Y*: 3.14%
• 10Y*: 8.73%
• ALL TIME*: 10.98%

*Multi-year figures are annualized to reflect compound growth (CAGR)

Liquidity Comparison

Position	Avg. Volume Value (2W)	Avg. Volume Value (1M)	Avg. Volume Value (3M)
MEDI Harbor Health Care ETF	$122.30K	$134.20K	$281.73K
RSPH Invesco S&P 500 Equal Weight Health Care ETF	$2.33M	$3.63M	$4.82M

MEDI vs. RSPH - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022
MEDI Harbor Health Care ETF	2.78%	27.11%	0.58%	24.87%	2.57%
RSPH Invesco S&P 500 Equal Weight Health Care ETF	9.56%	9.52%	-0.94%	3.95%	1.94%

Correlation

The correlation between MEDI and RSPH is 0.64, which is moderate. They have sometimes moved together and sometimes differently, sharing some price drivers without tracking each other closely.

	Correlation
Correlation (1Y) Focuses on recent behavior, but can change the most.	0.64
Correlation (3Y) Balances recent behavior with more history.	0.65
Correlation (All Time) Calculated using the full available price history since Nov 17, 2022	0.67

The correlation between MEDI and RSPH has been stable across timeframes, ranging from 0.64 to 0.67 - a consistent structural relationship.

MEDI vs. RSPH - Sectors Allocation Comparison

Sectors	MEDI	RSPH
Healthcare	100.0%	96.6%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Financial Services	-	0.1%
Industrials	-	-
Real Estate	-	-
Technology	-	1.8%
Utilities	-	-

Return for Risk

MEDI vs. RSPH — Risk / Return Rank

Compare historical risk-adjusted metric ranks over the past 12 months.

MEDI

MEDI Risk / Return Rank: 42
MEDI Sharpe Ratio Rank: 43
MEDI Sortino Ratio Rank: 46
MEDI Omega Ratio Rank: 40
MEDI Calmar Ratio Rank: 40
MEDI Martin Ratio Rank: 39

RSPH

RSPH Risk / Return Rank: 66
RSPH Sharpe Ratio Rank: 70
RSPH Sortino Ratio Rank: 75
RSPH Omega Ratio Rank: 67
RSPH Calmar Ratio Rank: 67
RSPH Martin Ratio Rank: 51

The rank (0–100) uses a weighted average of the Sharpe, Sortino, Omega, Calmar, and Martin percentile ranks for the trailing 12 months. Higher means stronger historical risk-adjusted performance within the peer group.

MEDI vs. RSPH - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Harbor Health Care ETF (MEDI) and Invesco S&P 500 Equal Weight Health Care ETF (RSPH). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	MEDI	RSPH	Difference
Sharpe ratio: Return per unit of total volatility	1.08	1.60	-0.51
Sortino ratio: Return per unit of downside risk	1.67	2.41	-0.74
Omega ratio: Gain probability vs. loss probability	1.19	1.28	-0.09
Calmar ratio: Return relative to maximum drawdown	1.43	2.34	-0.92
Martin ratio: Return relative to average drawdown	4.09	5.96	-1.87

MEDI vs. RSPH - Sharpe Ratio Comparison

The current MEDI Sharpe Ratio is 1.08, which is lower than the RSPH Sharpe Ratio of 1.60. The chart below compares the historical Sharpe Ratios of MEDI and RSPH, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

MEDI vs. RSPH - Drawdown Comparison

The maximum MEDI drawdown since its inception was -19.24%, smaller than the maximum RSPH drawdown of -40.49%. Use the drawdown chart below to compare losses from any high point for MEDI and RSPH.

Drawdown Indicators

	MEDI	RSPH	Difference
Max Drawdown Largest peak-to-trough decline	-19.24%	-40.49%	+21.25%
Max Drawdown (1Y) Largest decline over 1 year	-15.34%	-10.87%	-4.47%
Max Drawdown (3Y) Largest decline over 3 years	-19.24%	-17.13%	-2.11%
Max Drawdown (5Y) Largest decline over 5 years	—	-21.95%	—
Max Drawdown (10Y) Largest decline over 10 years	—	-30.44%	—
Current Drawdown Current decline from peak	-7.33%	-1.22%	-6.11%
Average Drawdown Average peak-to-trough decline	-4.26%	-6.11%	+1.85%
Ulcer Index Depth and duration of drawdowns from previous peaks	5.35%	4.27%	+1.08%

Volatility

MEDI vs. RSPH - Volatility Comparison

The current volatility for Harbor Health Care ETF (MEDI) is 5.10%, while Invesco S&P 500 Equal Weight Health Care ETF (RSPH) has a volatility of 5.90%. This indicates that MEDI experiences smaller price fluctuations and is considered to be less risky than RSPH based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	MEDI	RSPH	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.10%	5.90%	-0.80%
Volatility (6M) Calculated over the trailing 6-month period	15.53%	11.99%	+3.54%
Volatility (1Y) Calculated over the trailing 1-year period	20.25%	16.35%	+3.90%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	18.70%	16.55%	+2.15%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.70%	17.79%	+0.91%

MEDI vs. RSPH - Expense Ratio Comparison

MEDI has a 0.80% expense ratio, which is higher than RSPH's 0.40% expense ratio.

Dividends

MEDI vs. RSPH - Dividend Comparison

MEDI's dividend yield for the trailing twelve months is around 0.27%, less than RSPH's 0.67% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
MEDI Harbor Health Care ETF	0.27%	0.28%	0.54%	1.86%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
RSPH Invesco S&P 500 Equal Weight Health Care ETF	0.67%	0.70%	0.71%	0.66%	0.64%	0.50%	0.51%	0.54%	0.53%	0.47%	0.48%	0.49%

Frequently Asked Questions

Can I hold both MEDI and RSPH in my portfolio?

MEDI and RSPH have a correlation of 0.64, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, MEDI or RSPH?

RSPH has higher volatility (5.90%) compared to MEDI (5.10%). In terms of maximum drawdown, MEDI dropped -19.24% vs RSPH's -40.49%.

Which ETF is better, MEDI or RSPH?

On 3-year performance, MEDI leads with 14.21% vs 6.05% for RSPH. On fees, RSPH is cheaper at 0.40% per year. On volatility, MEDI has been the lower-risk option at 5.10%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, MEDI or RSPH?

Over the 3-year period, MEDI has performed better with a 14.21% return vs 6.05%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, MEDI or RSPH?

RSPH is cheaper with a 0.40% expense ratio, compared with 0.80% for MEDI.

Which ETF pays a higher dividend yield, MEDI or RSPH?

RSPH has the higher dividend yield at 0.67%, compared with 0.27% for MEDI.

What is the main difference between MEDI and RSPH?

They also come from different issuers: Harbor and Invesco. Their fees differ too: 0.80% for MEDI and 0.40% for RSPH.

Which has better risk-adjusted returns?

RSPH currently has the higher Sharpe Ratio (1.60 vs 1.08), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.