IYH vs. TRUH
IYH (iShares U.S. Healthcare ETF) and TRUH (VanEck Healthcare TruSector ETF) are both Health & Biotech Equities funds. IYH is passively managed, while TRUH is actively managed. Their 0.98 correlation means they have historically moved very closely together. IYH charges 0.43%/yr vs 0.10%/yr for TRUH.
Performance
IYH vs. TRUH - Performance Comparison
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Returns By Period
IYH
- 1D
- -0.15%
- 1M
- -1.40%
- 6M
- 5.14%
- YTD
- 5.42%
- 1Y
- 25.28%
- 3Y*
- 8.40%
- 5Y*
- 4.62%
- 10Y*
- 9.52%
- ALL TIME*
- 7.99%
TRUH
- 1D
- -0.25%
- 1M
- -0.53%
- 6M
- —
- YTD
- —
- 1Y
- —
- 3Y*
- —
- 5Y*
- —
- 10Y*
- —
- ALL TIME*
- —
Liquidity Comparison
| Position | Avg. Volume Value (2W) | Avg. Volume Value (1M) | Avg. Volume Value (3M) |
|---|---|---|---|
| $76.84M | $57.93M | $57.32M | |
| $24.34K | $32.62K | $24.57K |
IYH vs. TRUH - Yearly Performance Comparison
| 2026 (YTD) | |
|---|---|
IYH iShares U.S. Healthcare ETF | 10.13% |
TRUH VanEck Healthcare TruSector ETF | 10.68% |
Correlation
The correlation between IYH and TRUH is 0.98 - they have historically moved very closely together. At this level, their price movements offset little of one another.
| Correlation | |
|---|---|
Correlation (All Time) Calculated using the full available price history since Apr 2, 2026 | 0.98 |
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Return for Risk
IYH vs. TRUH — Risk / Return Rank
IYH
TRUH
Risk / return metrics aren't available yet — we need at least 12 months of trading data to calculate them.
IYH vs. TRUH - Risk-Adjusted Trends Comparison
This table presents a comparison of risk-adjusted performance metrics for iShares U.S. Healthcare ETF (IYH) 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.
| IYH | TRUH | Difference | |
|---|---|---|---|
| Sharpe ratioReturn per unit of total volatility | — | — | |
| Sortino ratioReturn per unit of downside risk | — | — | |
| Omega ratioGain probability vs. loss probability | 1.28 | — | — |
| Calmar ratioReturn relative to maximum drawdown | 2.39 | — | — |
| Martin ratioReturn relative to average drawdown | 5.64 | — | — |
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Drawdowns
IYH vs. TRUH - Drawdown Comparison
The maximum IYH drawdown since its inception was -43.12%, which is greater than TRUH's maximum drawdown of -4.51%. Use the drawdown chart below to compare losses from any high point for IYH and TRUH.
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Drawdown Indicators
| IYH | TRUH | Difference | |
|---|---|---|---|
Max DrawdownLargest peak-to-trough decline | -43.12% | -4.51% | -38.61% |
Max Drawdown (1Y)Largest decline over 1 year | -10.64% | — | — |
Max Drawdown (3Y)Largest decline over 3 years | -17.91% | — | — |
Max Drawdown (5Y)Largest decline over 5 years | -17.91% | — | — |
Max Drawdown (10Y)Largest decline over 10 years | -28.40% | — | — |
Current DrawdownCurrent decline from peak | -2.92% | -2.99% | +0.07% |
Average DrawdownAverage peak-to-trough decline | -8.92% | -1.66% | -7.26% |
Ulcer IndexDepth and duration of drawdowns from previous peaks | 4.49% | — | — |
Volatility
IYH vs. TRUH - Volatility Comparison
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Volatility by Period
| IYH | TRUH | Difference | |
|---|---|---|---|
Volatility (1M)Calculated over the trailing 1-month period | 5.25% | — | — |
Volatility (6M)Calculated over the trailing 6-month period | 12.02% | — | — |
Volatility (1Y)Calculated over the trailing 1-year period | 15.64% | 17.52% | -1.88% |
Volatility (5Y)Calculated over the trailing 5-year period, annualized | 15.23% | 17.52% | -2.29% |
Volatility (10Y)Calculated over the trailing 10-year period, annualized | 16.82% | 17.52% | -0.70% |
IYH vs. TRUH - Expense Ratio Comparison
IYH has a 0.43% expense ratio, which is higher than TRUH's 0.10% expense ratio.
Dividends
IYH vs. TRUH - Dividend Comparison
IYH's dividend yield for the trailing twelve months is around 1.17%, more than TRUH's 0.30% yield.
| Position | TTM | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
IYH iShares U.S. Healthcare ETF | 1.17% | 1.19% | 1.25% | 1.18% | 1.10% | 0.94% | 1.16% | 1.14% | 1.95% | 1.10% | 1.29% | 2.02% |
TRUH VanEck Healthcare TruSector ETF | 0.30% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
Frequently Asked Questions
With a correlation of 0.98, IYH and TRUH move almost identically. Holding both adds very little diversification - you're essentially doubling your position in the same market segment. Choosing one is usually more capital-efficient.
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.
TRUH is cheaper with a 0.10% expense ratio, compared with 0.43% for IYH.
IYH has the higher dividend yield at 1.17%, compared with 0.30% for TRUH.
They also come from different issuers: iShares and VanEck. Their fees differ too: 0.43% for IYH and 0.10% for TRUH.
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