TRUH vs. XLVI

Last updated Jul 21, 2026

TRUH (VanEck Healthcare TruSector ETF) and XLVI (State Street Health Care Select Sector SPDR Premium Income ETF) are both exchange-traded funds - TRUH is a Health & Biotech Equities fund managed by VanEck, while XLVI is a Derivative Income fund actively managed by State Street. Their correlation of 0.94 suggests significant overlap in exposure.

Performance

TRUH vs. XLVI - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in VanEck Healthcare TruSector ETF (TRUH) and State Street Health Care Select Sector SPDR Premium Income ETF (XLVI). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

TRUH

• 1D: -1.18%
• 1M: 6.79%
• 6M: —
• YTD: —
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —
• ALL TIME*: —

XLVI

• 1D: -0.64%
• 1M: 4.73%
• 6M: 4.51%
• YTD: 5.19%
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —
• ALL TIME*: —

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

TRUH vs. XLVI - Yearly Performance Comparison

	2026 (YTD)
TRUH VanEck Healthcare TruSector ETF	8.59%
XLVI State Street Health Care Select Sector SPDR Premium Income ETF	7.53%

Correlation

The correlation between TRUH and XLVI is 0.94, indicating a strong positive relationship between their price movements. Combining them offers limited diversification - they tend to fall together during downturns.

	Correlation
Correlation (All Time) Calculated using the full available price history since Apr 2, 2026	0.94

Return for Risk

TRUH vs. XLVI - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for VanEck Healthcare TruSector ETF (TRUH) and State Street Health Care Select Sector SPDR Premium Income ETF (XLVI). 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.

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

Drawdowns

TRUH vs. XLVI - Drawdown Comparison

The maximum TRUH drawdown since its inception was -4.51%, smaller than the maximum XLVI drawdown of -8.14%. Use the drawdown chart below to compare losses from any high point for TRUH and XLVI.

Drawdown Indicators

	TRUH	XLVI	Difference
Max Drawdown Largest peak-to-trough decline	-4.51%	-8.14%	+3.63%
Current Drawdown Current decline from peak	-3.25%	-1.04%	-2.21%
Average Drawdown Average peak-to-trough decline	-1.63%	-1.82%	+0.19%

Volatility

Volatility by Period

	TRUH	XLVI	Difference
Volatility (1Y) Calculated over the trailing 1-year period	17.58%	11.05%	+6.53%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	17.58%	11.05%	+6.53%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	17.58%	11.05%	+6.53%

Dividends

TRUH vs. XLVI - Dividend Comparison

TRUH's dividend yield for the trailing twelve months is around 0.31%, less than XLVI's 12.01% yield.

Position	TTM	2025
TRUH VanEck Healthcare TruSector ETF	0.31%	0.00%
XLVI State Street Health Care Select Sector SPDR Premium Income ETF	12.01%	5.73%

Frequently Asked Questions

Can I hold both TRUH and XLVI in my portfolio?

With a correlation of 0.94, TRUH and XLVI 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.

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

XLVI has the higher dividend yield at 12.01%, compared with 0.31% for TRUH.

What is the main difference between TRUH and XLVI?

TRUH is categorized as Health & Biotech Equities, while XLVI is Derivative Income. They also come from different issuers: VanEck and State Street.