TRUH vs. SBIO

Last updated Jun 30, 2026

TRUH (VanEck Healthcare TruSector ETF) and SBIO (ALPS Medical Breakthroughs ETF) are both Health & Biotech Equities funds. At a 0.46 correlation, their price movements are largely independent.

Performance

TRUH vs. SBIO - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in VanEck Healthcare TruSector ETF (TRUH) and ALPS Medical Breakthroughs ETF (SBIO). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

TRUH

• 1D: 0.09%
• 1M: 7.85%
• YTD: —
• 6M: —
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —

SBIO

• 1D: 2.12%
• 1M: 18.64%
• YTD: 26.10%
• 6M: 25.86%
• 1Y: 112.82%
• 3Y*: 28.55%
• 5Y*: 6.50%
• 10Y*: 11.62%

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

TRUH vs. SBIO - Yearly Performance Comparison

	2026 (YTD)
TRUH VanEck Healthcare TruSector ETF	9.58%
SBIO ALPS Medical Breakthroughs ETF	22.19%

Correlation

The correlation between TRUH and SBIO is 0.46, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (All Time) Calculated using the full available price history since Apr 2, 2026	0.46

Return for Risk

TRUH vs. SBIO — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

TRUH

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

SBIO

SBIO Risk / Return Rank: 95
SBIO Sharpe Ratio Rank: 97
SBIO Sortino Ratio Rank: 95
SBIO Omega Ratio Rank: 93
SBIO Calmar Ratio Rank: 97
SBIO Martin Ratio Rank: 95

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

TRUH vs. SBIO - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for VanEck Healthcare TruSector ETF (TRUH) and ALPS Medical Breakthroughs ETF (SBIO). 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.

	TRUH	SBIO	Difference
Sharpe ratio: Return per unit of total volatility	—	3.71	—
Sortino ratio: Return per unit of downside risk	—	4.52	—
Omega ratio: Gain probability vs. loss probability	—	1.54	—
Calmar ratio: Return relative to maximum drawdown	—	8.96	—
Martin ratio: Return relative to average drawdown	—	25.03	—

Drawdowns

TRUH vs. SBIO - Drawdown Comparison

The maximum TRUH drawdown since its inception was -4.51%, smaller than the maximum SBIO drawdown of -63.06%. Use the drawdown chart below to compare losses from any high point for TRUH and SBIO.

Drawdown Indicators

	TRUH	SBIO	Difference
Max Drawdown Largest peak-to-trough decline	-4.51%	-63.06%	+58.55%
Max Drawdown (1Y) Largest decline over 1 year	—	-12.66%	—
Max Drawdown (3Y) Largest decline over 3 years	—	-42.44%	—
Max Drawdown (5Y) Largest decline over 5 years	—	-52.92%	—
Max Drawdown (10Y) Largest decline over 10 years	—	-63.06%	—
Current Drawdown Current decline from peak	0.00%	0.00%	0.00%
Average Drawdown Average peak-to-trough decline	-1.61%	-28.33%	+26.72%
Ulcer Index Depth and duration of drawdowns from previous peaks	—	4.53%	—

Volatility

Volatility by Period

	TRUH	SBIO	Difference
Volatility (1M) Calculated over the trailing 1-month period	—	11.53%	—
Volatility (6M) Calculated over the trailing 6-month period	—	23.86%	—
Volatility (1Y) Calculated over the trailing 1-year period	16.87%	30.64%	-13.77%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	16.87%	33.80%	-16.93%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.87%	33.13%	-16.26%

Dividends

TRUH vs. SBIO - Dividend Comparison

Neither TRUH nor SBIO has paid dividends to shareholders.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017
SBIO ALPS Medical Breakthroughs ETF	0.00%	0.00%	3.55%	0.22%	0.00%	0.00%	0.00%	0.04%	2.79%	1.77%
TRUH VanEck Healthcare TruSector ETF	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%

Frequently Asked Questions

Can I hold both TRUH and SBIO in my portfolio?

TRUH and SBIO have a correlation of 0.46, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

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

TRUH and SBIO have nearly identical dividend yields, around 0.00%.

What is the main difference between TRUH and SBIO?

They also come from different issuers: VanEck and SS&C.