FXH vs. TRUH

Last updated Aug 4, 2026

FXH (First Trust Health Care AlphaDEX Fund) and TRUH (VanEck Healthcare TruSector ETF) are both Health & Biotech Equities funds. FXH is passively managed, while TRUH is actively managed. Their correlation of 0.82 means they have usually moved in the same direction. FXH charges 0.61%/yr vs 0.10%/yr for TRUH.

Performance

FXH vs. TRUH - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in First Trust Health Care AlphaDEX Fund (FXH) and VanEck Healthcare TruSector ETF (TRUH). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

FXH

• 1D: 0.72%
• 1M: 1.42%
• 6M: 11.87%
• YTD: 12.75%
• 1Y: 30.98%
• 3Y*: 7.54%
• 5Y*: 1.03%
• 10Y*: 7.76%
• ALL TIME*: 10.27%

TRUH

• 1D: -0.25%
• 1M: -0.53%
• 6M: —
• YTD: —
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —
• ALL TIME*: —

*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)
FXH First Trust Health Care AlphaDEX Fund	$8.23M	$7.53M	$5.49M
TRUH VanEck Healthcare TruSector ETF	$24.34K	$32.62K	$24.57K

FXH vs. TRUH - Yearly Performance Comparison

	2026 (YTD)
FXH First Trust Health Care AlphaDEX Fund	15.81%
TRUH VanEck Healthcare TruSector ETF	10.68%

Correlation

The correlation between FXH and TRUH is 0.82, meaning they have usually moved in the same direction, including during past declines.

	Correlation
Correlation (All Time) Calculated using the full available price history since Apr 2, 2026	0.82

Return for Risk

FXH vs. TRUH — Risk / Return Rank

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

FXH

FXH Risk / Return Rank: 74
FXH Sharpe Ratio Rank: 79
FXH Sortino Ratio Rank: 83
FXH Omega Ratio Rank: 75
FXH Calmar Ratio Rank: 69
FXH Martin Ratio Rank: 63

TRUH

Risk / return metrics aren't available yet — we need at least 12 months of trading data to calculate them.

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.

FXH vs. TRUH - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for First Trust Health Care AlphaDEX Fund (FXH) and VanEck Healthcare TruSector ETF (TRUH). 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.

	FXH	TRUH	Difference
Sharpe ratio: Return per unit of total volatility	1.92	—	—
Sortino ratio: Return per unit of downside risk	2.87	—	—
Omega ratio: Gain probability vs. loss probability	1.33	—	—
Calmar ratio: Return relative to maximum drawdown	2.55	—	—
Martin ratio: Return relative to average drawdown	7.98	—	—

Drawdowns

FXH vs. TRUH - Drawdown Comparison

The maximum FXH drawdown since its inception was -43.70%, which is greater than TRUH's maximum drawdown of -4.51%. Use the drawdown chart below to compare losses from any high point for FXH and TRUH.

Drawdown Indicators

	FXH	TRUH	Difference
Max Drawdown Largest peak-to-trough decline	-43.70%	-4.51%	-39.19%
Max Drawdown (1Y) Largest decline over 1 year	-12.20%	—	—
Max Drawdown (3Y) Largest decline over 3 years	-17.53%	—	—
Max Drawdown (5Y) Largest decline over 5 years	-29.49%	—	—
Max Drawdown (10Y) Largest decline over 10 years	-30.61%	—	—
Current Drawdown Current decline from peak	-0.24%	-2.99%	+2.75%
Average Drawdown Average peak-to-trough decline	-9.41%	-1.66%	-7.75%
Ulcer Index Depth and duration of drawdowns from previous peaks	3.89%	—	—

Volatility

Volatility by Period

	FXH	TRUH	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.86%	—	—
Volatility (6M) Calculated over the trailing 6-month period	12.08%	—	—
Volatility (1Y) Calculated over the trailing 1-year period	16.25%	17.52%	-1.27%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	16.72%	17.52%	-0.80%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.51%	17.52%	+0.99%

FXH vs. TRUH - Expense Ratio Comparison

FXH has a 0.61% expense ratio, which is higher than TRUH's 0.10% expense ratio.

Dividends

FXH vs. TRUH - Dividend Comparison

FXH's dividend yield for the trailing twelve months is around 0.80%, more than TRUH's 0.30% yield.

Position	TTM	2025	2024	2023	2022
FXH First Trust Health Care AlphaDEX Fund	0.80%	0.75%	0.41%	0.24%	0.20%
TRUH VanEck Healthcare TruSector ETF	0.30%	0.00%	0.00%	0.00%	0.00%

Frequently Asked Questions

Can I hold both FXH and TRUH in my portfolio?

FXH and TRUH have a correlation of 0.82, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which ETF is better, FXH or TRUH?

On fees, TRUH is cheaper at 0.10% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, FXH or TRUH?

TRUH is cheaper with a 0.10% expense ratio, compared with 0.61% for FXH.

Which ETF pays a higher dividend yield, FXH or TRUH?

FXH has the higher dividend yield at 0.80%, compared with 0.30% for TRUH.

What is the main difference between FXH and TRUH?

They also come from different issuers: First Trust and VanEck. Their fees differ too: 0.61% for FXH and 0.10% for TRUH.