VHT vs. TRUH

Last updated Aug 2, 2026

VHT (Vanguard Health Care ETF) and TRUH (VanEck Healthcare TruSector ETF) are both Health & Biotech Equities funds. VHT is passively managed, while TRUH is actively managed. Their 0.98 correlation means they have historically moved very closely together. VHT charges 0.09%/yr vs 0.10%/yr for TRUH.

Performance

VHT vs. TRUH - Performance Comparison

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

Returns By Period

VHT

• 1D: -0.76%
• 1M: -1.17%
• 6M: 6.86%
• YTD: 6.65%
• 1Y: 27.92%
• 3Y*: 9.09%
• 5Y*: 5.06%
• 10Y*: 9.89%
• ALL TIME*: 9.92%

TRUH

• 1D: -0.52%
• 1M: -0.28%
• 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)
TRUH VanEck Healthcare TruSector ETF	$23.58K	$32.63K	$24.16K
VHT Vanguard Health Care ETF	$66.49M	$76.90M	$73.37M

VHT vs. TRUH - Yearly Performance Comparison

	2026 (YTD)
VHT Vanguard Health Care ETF	11.43%
TRUH VanEck Healthcare TruSector ETF	10.96%

Correlation

The correlation between VHT 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

Return for Risk

VHT vs. TRUH — Risk / Return Rank

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

VHT

VHT Risk / Return Rank: 77
VHT Sharpe Ratio Rank: 82
VHT Sortino Ratio Rank: 87
VHT Omega Ratio Rank: 78
VHT Calmar Ratio Rank: 78
VHT Martin Ratio Rank: 58

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.

VHT vs. TRUH - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Vanguard Health Care ETF (VHT) 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.

	VHT	TRUH	Difference
Sharpe ratio: Return per unit of total volatility	1.89	—	—
Sortino ratio: Return per unit of downside risk	2.91	—	—
Omega ratio: Gain probability vs. loss probability	1.33	—	—
Calmar ratio: Return relative to maximum drawdown	2.74	—	—
Martin ratio: Return relative to average drawdown	6.79	—	—

Drawdowns

VHT vs. TRUH - Drawdown Comparison

The maximum VHT drawdown since its inception was -39.12%, which is greater than TRUH's maximum drawdown of -4.51%. Use the drawdown chart below to compare losses from any high point for VHT and TRUH.

Drawdown Indicators

	VHT	TRUH	Difference
Max Drawdown Largest peak-to-trough decline	-39.12%	-4.51%	-34.61%
Max Drawdown (1Y) Largest decline over 1 year	-10.40%	—	—
Max Drawdown (3Y) Largest decline over 3 years	-16.91%	—	—
Max Drawdown (5Y) Largest decline over 5 years	-17.71%	—	—
Max Drawdown (10Y) Largest decline over 10 years	-28.85%	—	—
Current Drawdown Current decline from peak	-2.69%	-2.75%	+0.06%
Average Drawdown Average peak-to-trough decline	-5.96%	-1.64%	-4.32%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.19%	—	—

Volatility

Volatility by Period

	VHT	TRUH	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.54%	—	—
Volatility (6M) Calculated over the trailing 6-month period	11.64%	—	—
Volatility (1Y) Calculated over the trailing 1-year period	15.35%	17.62%	-2.27%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	15.25%	17.62%	-2.37%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	17.02%	17.62%	-0.60%

VHT vs. TRUH - Expense Ratio Comparison

VHT has a 0.09% expense ratio, which is lower than TRUH's 0.10% expense ratio. Despite the difference, both funds are considered low-cost compared to the broader market, where average expense ratios usually range from 0.3% to 0.9%.

Dividends

VHT vs. TRUH - Dividend Comparison

VHT's dividend yield for the trailing twelve months is around 1.55%, more than TRUH's 0.30% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
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%
VHT Vanguard Health Care ETF	1.55%	1.61%	1.53%	1.36%	1.33%	1.14%	1.21%	1.89%	1.38%	1.31%	1.45%	1.22%

Frequently Asked Questions

Can I hold both VHT and TRUH in my portfolio?

With a correlation of 0.98, VHT 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.

Which ETF is better, VHT or TRUH?

On fees, VHT is cheaper at 0.09% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, VHT or TRUH?

VHT is cheaper with a 0.09% expense ratio, compared with 0.10% for TRUH.

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

VHT has the higher dividend yield at 1.55%, compared with 0.30% for TRUH.

What is the main difference between VHT and TRUH?

They also come from different issuers: Vanguard and VanEck. Their fees differ too: 0.09% for VHT and 0.10% for TRUH.