TRUH vs. XBI

Last updated Jun 30, 2026

TRUH (VanEck Healthcare TruSector ETF) and XBI (SPDR S&P Biotech ETF) are both Health & Biotech Equities funds. At a 0.46 correlation, their price movements are largely independent.

Performance

TRUH vs. XBI - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in VanEck Healthcare TruSector ETF (TRUH) and SPDR S&P Biotech ETF (XBI). 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*: —

XBI

• 1D: 1.89%
• 1M: 15.93%
• YTD: 29.96%
• 6M: 28.43%
• 1Y: 91.58%
• 3Y*: 24.18%
• 5Y*: 3.31%
• 10Y*: 11.15%

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

TRUH vs. XBI - Yearly Performance Comparison

	2026 (YTD)
TRUH VanEck Healthcare TruSector ETF	9.58%
XBI SPDR S&P Biotech ETF	23.27%

Correlation

The correlation between TRUH and XBI 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. XBI — 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.

XBI

XBI Risk / Return Rank: 95
XBI Sharpe Ratio Rank: 96
XBI Sortino Ratio Rank: 95
XBI Omega Ratio Rank: 92
XBI Calmar Ratio Rank: 97
XBI Martin Ratio Rank: 96

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. XBI - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for VanEck Healthcare TruSector ETF (TRUH) and SPDR S&P Biotech ETF (XBI). 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	XBI	Difference
Sharpe ratio: Return per unit of total volatility	—	3.46	—
Sortino ratio: Return per unit of downside risk	—	4.31	—
Omega ratio: Gain probability vs. loss probability	—	1.52	—
Calmar ratio: Return relative to maximum drawdown	—	9.47	—
Martin ratio: Return relative to average drawdown	—	28.00	—

Drawdowns

TRUH vs. XBI - Drawdown Comparison

The maximum TRUH drawdown since its inception was -4.51%, smaller than the maximum XBI drawdown of -63.89%. Use the drawdown chart below to compare losses from any high point for TRUH and XBI.

Drawdown Indicators

	TRUH	XBI	Difference
Max Drawdown Largest peak-to-trough decline	-4.51%	-63.89%	+59.38%
Max Drawdown (1Y) Largest decline over 1 year	—	-9.72%	—
Max Drawdown (3Y) Largest decline over 3 years	—	-32.99%	—
Max Drawdown (5Y) Largest decline over 5 years	—	-54.65%	—
Max Drawdown (10Y) Largest decline over 10 years	—	-63.89%	—
Current Drawdown Current decline from peak	0.00%	-8.41%	+8.41%
Average Drawdown Average peak-to-trough decline	-1.61%	-20.92%	+19.31%
Ulcer Index Depth and duration of drawdowns from previous peaks	—	3.28%	—

Volatility

Volatility by Period

	TRUH	XBI	Difference
Volatility (1M) Calculated over the trailing 1-month period	—	10.17%	—
Volatility (6M) Calculated over the trailing 6-month period	—	21.28%	—
Volatility (1Y) Calculated over the trailing 1-year period	16.87%	26.64%	-9.77%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	16.87%	32.32%	-15.45%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.87%	31.94%	-15.07%

Dividends

TRUH vs. XBI - Dividend Comparison

TRUH has not paid dividends to shareholders, while XBI's dividend yield for the trailing twelve months is around 0.36%.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
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%	0.00%	0.00%
XBI SPDR S&P Biotech ETF	0.36%	0.37%	0.15%	0.02%	0.00%	0.04%	0.20%	0.00%	0.28%	0.24%	0.26%	0.61%

Frequently Asked Questions

Can I hold both TRUH and XBI in my portfolio?

TRUH and XBI 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 XBI?

XBI has the higher dividend yield at 0.36%, compared with 0.00% for TRUH.

What is the main difference between TRUH and XBI?

They also come from different issuers: VanEck and State Street.