XHE vs. TRUH
XHE (SPDR S&P Health Care Equipment ETF) and TRUH (VanEck Healthcare TruSector ETF) are both Health & Biotech Equities funds. XHE is passively managed, while TRUH is actively managed. Their 0.55 correlation means they have sometimes moved together and sometimes differently. XHE charges 0.35%/yr vs 0.10%/yr for TRUH.
Performance
XHE vs. TRUH - Performance Comparison
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Returns By Period
XHE
- 1D
- 4.05%
- 1M
- 6.04%
- 6M
- 7.88%
- YTD
- 5.60%
- 1Y
- 21.90%
- 3Y*
- -0.09%
- 5Y*
- -6.21%
- 10Y*
- 6.33%
- ALL TIME*
- 9.68%
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) |
|---|---|---|---|
| $24.34K | $32.62K | $24.57K | |
| $2.26M | $2.20M | $2.39M |
XHE vs. TRUH - Yearly Performance Comparison
| 2026 (YTD) | |
|---|---|
XHE SPDR S&P Health Care Equipment ETF | 18.54% |
TRUH VanEck Healthcare TruSector ETF | 10.68% |
Correlation
The correlation between XHE and TRUH is 0.55, which is moderate. They have sometimes moved together and sometimes differently, sharing some price drivers without tracking each other closely.
| Correlation | |
|---|---|
Correlation (All Time) Calculated using the full available price history since Apr 2, 2026 | 0.55 |
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Return for Risk
XHE vs. TRUH — Risk / Return Rank
XHE
TRUH
Risk / return metrics aren't available yet — we need at least 12 months of trading data to calculate them.
XHE vs. TRUH - Risk-Adjusted Trends Comparison
This table presents a comparison of risk-adjusted performance metrics for SPDR S&P Health Care Equipment ETF (XHE) 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.
| XHE | TRUH | Difference | |
|---|---|---|---|
| Sharpe ratioReturn per unit of total volatility | — | — | |
| Sortino ratioReturn per unit of downside risk | — | — | |
| Omega ratioGain probability vs. loss probability | 1.17 | — | — |
| Calmar ratioReturn relative to maximum drawdown | 1.20 | — | — |
| Martin ratioReturn relative to average drawdown | 2.55 | — | — |
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Drawdowns
XHE vs. TRUH - Drawdown Comparison
The maximum XHE drawdown since its inception was -49.92%, which is greater than TRUH's maximum drawdown of -4.51%. Use the drawdown chart below to compare losses from any high point for XHE and TRUH.
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Drawdown Indicators
| XHE | TRUH | Difference | |
|---|---|---|---|
Max DrawdownLargest peak-to-trough decline | -49.92% | -4.51% | -45.41% |
Max Drawdown (1Y)Largest decline over 1 year | -18.29% | — | — |
Max Drawdown (3Y)Largest decline over 3 years | -28.66% | — | — |
Max Drawdown (5Y)Largest decline over 5 years | -49.92% | — | — |
Max Drawdown (10Y)Largest decline over 10 years | -49.92% | — | — |
Current DrawdownCurrent decline from peak | -29.99% | -2.99% | -27.00% |
Average DrawdownAverage peak-to-trough decline | -13.50% | -1.66% | -11.84% |
Ulcer IndexDepth and duration of drawdowns from previous peaks | 8.61% | — | — |
Volatility
XHE vs. TRUH - Volatility Comparison
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Volatility by Period
| XHE | TRUH | Difference | |
|---|---|---|---|
Volatility (1M)Calculated over the trailing 1-month period | 8.23% | — | — |
Volatility (6M)Calculated over the trailing 6-month period | 18.07% | — | — |
Volatility (1Y)Calculated over the trailing 1-year period | 23.01% | 17.52% | +5.49% |
Volatility (5Y)Calculated over the trailing 5-year period, annualized | 24.83% | 17.52% | +7.31% |
Volatility (10Y)Calculated over the trailing 10-year period, annualized | 23.14% | 17.52% | +5.62% |
XHE vs. TRUH - Expense Ratio Comparison
XHE has a 0.35% expense ratio, which is higher than TRUH's 0.10% expense ratio.
Dividends
XHE vs. TRUH - Dividend Comparison
XHE's dividend yield for the trailing twelve months is around 0.06%, less 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% |
XHE SPDR S&P Health Care Equipment ETF | 0.06% | 0.08% | 0.04% | 0.03% | 0.04% | 0.00% | 0.00% | 0.05% | 0.09% | 0.78% | 0.17% | 7.22% |
Frequently Asked Questions
XHE and TRUH have a correlation of 0.55, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.
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 0.35% for XHE.
TRUH has the higher dividend yield at 0.30%, compared with 0.06% for XHE.
They also come from different issuers: State Street and VanEck. Their fees differ too: 0.35% for XHE and 0.10% for TRUH.
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