VanEck Biotech vs. Invesco Healthcare: Which ETF Offers More Potential for Long-Term Growth?

Source The Motley Fool

Key Points

  • VanEck Biotech ETF concentrates its investments in 25 biotechnology companies.

  • Invesco S&P 500 Equal Weight Health Care ETF spreads its investments, providing broader industry exposure.

  • Costs and dividends are relatively similar, but the funds' differing concentration levels and sector exposure could have a greater impact on long-term performance.

  • 10 stocks we like better than Invesco Exchange-Traded Fund Trust - Invesco S&P 500 Equal Weight Health Care ETF ›

VanEck Biotech ETF (NASDAQ:BBH) offers concentrated exposure to the high-growth biotechnology industry, while Invesco S&P 500 Equal Weight Health Care ETF (NYSEMKT:RSPH) provides equal-weighted access across the broader healthcare sector.

Investors seeking healthcare exposure must choose between deep specialization and broad diversification. The VanEck fund targets a narrow slice of genetic research and drug manufacturing, whereas the Invesco fund levels the playing field across 61 major healthcare companies within the S&P 500, balancing exposure between industry giants and mid-sized firms.

Snapshot (cost & size)

MetricBBHRSPH
IssuerVanEckInvesco
Share price$240.47 (as of 2026-10-09)$37.59 (as of 2026-10-09)
Expense ratio0.35%0.4%
1-yr return (as of 2026-10-09)38.3%25.7%
Dividend yield0.4%0.6%
Beta0.700.78
AUM$484.8 million$889.9 million

Beta measures price volatility relative to the S&P 500; beta is calculated from monthly returns over the available fund history (up to five years). The 1-yr return represents total return over the trailing 12 months. Dividend yield is the trailing-12-month distribution yield.

The VanEck fund is slightly more affordable with an expense ratio of 0.35%, compared to 0.4% for the Invesco fund. The Invesco fund provides a higher payout, offering a 0.6% distribution yield versus 0.4% for the biotech-focused alternative.

Performance & risk comparison

MetricBBHRSPH
Max drawdown (5 yr)(34.6%)(21.9%)
Growth of $1,000 over 5 years (total return)$1,284$1,315

What's inside

Invesco S&P 500 Equal Weight Health Care ETF focuses on providing equal exposure to healthcare components of the S&P 500, holding 61 positions. Its sector allocation includes 98% devoted to Healthcare and 2% exposure to Technology. Its largest positions include Moderna, Inc. (NASDAQ:MRNA) at 2.27%, Illumina, Inc. (NASDAQ:ILMN) at 2.18%, and Mettler-Toledo International, Inc. (NYSE:MTD) at 2.00%. The fund was launched in 2006 and has paid $0.22 per share over the trailing 12 months, which on its recent ~$37.59 share price works out to a 0.6% yield.

The VanEck Biotech ETF takes a different approach in that it is more concentrated, holding only 25 positions with a 100% allocation to the Healthcare sector. Its largest holdings include Amgen, Inc. (NASDAQ:AMGN) at 16.47%, Gilead Sciences, Inc. (NASDAQ:GILD) at 13.67%, and Vertex Pharmaceuticals (NASDAQ:VRTX) at 8.28%. It was established in 2011 and has paid $0.96 per share over the trailing 12 months, which on its recent ~$240.47 share price equates to a 0.4% yield.

For more guidance on ETF investing, check out the full guide at this link.

Which looks like the better buy

For long-term investors, the Invesco S&P 500 Equal Weight Health Care ETF looks like the better buy, particularly given the opportunities developing across the broader healthcare industry.

The VanEck Biotech ETF certainly has its appeal. Advances in genetic medicine, cancer treatments, and drug development could create substantial growth opportunities in the coming years. However, with just 25 holdings and nearly 30% of its portfolio concentrated in Amgen and Gilead Sciences, investors are relying heavily on a relatively small group of companies.

The Invesco fund takes a broader approach, spreading its investments across more than 60 healthcare companies, including pharmaceutical manufacturers, medical device makers, and biotechnology firms. That diversification is particularly attractive as an aging population, advances in artificial intelligence, and growing demand for medical treatments create opportunities across the industry.

While VanEck's expense ratio is slightly lower at 0.35% versus 0.40%, Invesco offers a higher dividend yield and considerably less concentration risk. That modest difference in fees is unlikely to outweigh the benefits of broader exposure.

For investors looking to participate in healthcare's long-term growth without relying too heavily on the success of a handful of biotech companies, the Invesco S&P 500 Equal Weight Health Care ETF looks like the way to go.

Should you buy stock in Invesco Exchange-Traded Fund Trust - Invesco S&P 500 Equal Weight Health Care ETF right now?

Before you buy stock in Invesco Exchange-Traded Fund Trust - Invesco S&P 500 Equal Weight Health Care ETF, consider this:

The Motley Fool Stock Advisor analyst team just identified what they believe are the 10 best stocks for investors to buy now… and Invesco Exchange-Traded Fund Trust - Invesco S&P 500 Equal Weight Health Care ETF wasn’t one of them. The 10 stocks that made the cut could produce monster returns in the coming years.

Consider when Netflix made this list on December 17, 2004... if you invested $1,000 at the time of our recommendation, you’d have $355,124!* Or when Nvidia made this list on April 15, 2005... if you invested $1,000 at the time of our recommendation, you’d have $1,296,254!*

Now, it’s worth noting Stock Advisor’s total average return is 901% — a market-crushing outperformance compared to 210% for the S&P 500. Don't miss the latest top 10 list, available with Stock Advisor, and join an investing community built by individual investors for individual investors.

See the 10 stocks »

*Stock Advisor returns as of October 25, 2026.

RJ Fulton has no position in any of the stocks mentioned. The Motley Fool has positions in and recommends Amgen, Gilead Sciences, Illumina, Moderna, and Vertex Pharmaceuticals. The Motley Fool has a disclosure policy.

Disclaimer: For information purposes only. Past performance is not indicative of future results.
placeholder
The Fed will sit still on October 28 — but 100 of 100 economists now expect a December hikeA Reuters poll run October 16-20 found 94 of 100 economists expecting the Fed to hold at 3.75-4.00% on October 28 — and all 100 expecting a hike in December, against less than half a month earlier. The market is close to the same price, with CME FedWatch at roughly 17% for October and 82.8% for December. With the Fed in blackout since October 17, here are the five dates that decide the rest of the year, what each one is priced for, and the two directions each can take.
Author  Irene Q.
Oct 22, Thu
A Reuters poll run October 16-20 found 94 of 100 economists expecting the Fed to hold at 3.75-4.00% on October 28 — and all 100 expecting a hike in December, against less than half a month earlier. The market is close to the same price, with CME FedWatch at roughly 17% for October and 82.8% for December. With the Fed in blackout since October 17, here are the five dates that decide the rest of the year, what each one is priced for, and the two directions each can take.
placeholder
Gold falls to two‑month low below $4,050 as oil spikesGold price (XAU/USD) falls to the lowest in more than two months near $4,025 during the early Asian session on Friday. The precious metal faces some selling pressure as escalating tensions in the Middle East send oil surging ahead of a Federal Reserve (Fed) policy meeting.
Author  FXStreet
Oct 23, Fri
Gold price (XAU/USD) falls to the lowest in more than two months near $4,025 during the early Asian session on Friday. The precious metal faces some selling pressure as escalating tensions in the Middle East send oil surging ahead of a Federal Reserve (Fed) policy meeting.
placeholder
Gold Price Analysis Today | Forex Gold Analysis | XAU/USD Analysis - October 23, 2026Get the latest gold price analysis, forex gold insights, and XAU/USD analysis for October 23, 2026. Read on for the details.
Author  Mitrade
Oct 23, Fri
Get the latest gold price analysis, forex gold insights, and XAU/USD analysis for October 23, 2026. Read on for the details.
placeholder
Nasdaq closes at 26,008.86 — 8.9 points above 26,000, and the credit market never blinkedThe Nasdaq Composite fell 2.60% to 26,008.86 on October 22, its worst session since June, as Meta sank 6.98% on 2026 capex guidance of $135–145 billion. But the equal-weight S&P 500 rose 0.73%, high-yield credit was flat and 10-year yields fell 20 basis points. This was an AI de-rating, not a risk-off event — here is the transmission chain, the 29,000 / 28,200 levels and what would prove it wrong.
Author  Irene Q.
Oct 23, Fri
The Nasdaq Composite fell 2.60% to 26,008.86 on October 22, its worst session since June, as Meta sank 6.98% on 2026 capex guidance of $135–145 billion. But the equal-weight S&P 500 rose 0.73%, high-yield credit was flat and 10-year yields fell 20 basis points. This was an AI de-rating, not a risk-off event — here is the transmission chain, the 29,000 / 28,200 levels and what would prove it wrong.
placeholder
Brent tops $113 on Saudi supply risk — but the diesel line in the EIA report is the tellBrent's December contract settled at $113.17 on October 22, up 4.00% and the highest close since May 4, after Saudi Arabia restricted refined-product shipments. The same session's EIA report showed crude stocks down 3.06 million barrels and gasoline down 2.95 million — but distillates built 1.68 million. That single line decides whether $113 holds: here are the data, the 108.8 / 114.0 / 119.3 levels and the two scenarios.
Author  Irene Q.
Oct 23, Fri
Brent's December contract settled at $113.17 on October 22, up 4.00% and the highest close since May 4, after Saudi Arabia restricted refined-product shipments. The same session's EIA report showed crude stocks down 3.06 million barrels and gasoline down 2.95 million — but distillates built 1.68 million. That single line decides whether $113 holds: here are the data, the 108.8 / 114.0 / 119.3 levels and the two scenarios.
goTop
quote