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HRTS

GradeDNASDAQ Global Market

Tema Heart & Health ETF

Sectors · Tema · Inception 2023-11-20 · SEC filings

$35.94−0.61 (−1.67%)

As of Sep 23, 2026, 2:07 PM EDT

History starts Nov 21, 2023.
Intraday session: down, 14 prints from 36.54 to 35.94. Range 35.94 to 36.54. Use the arrow keys to read each point.$36.20$36.40$36.6010 AM12 PM2 PM4 PM
Expense ratio
0.99%
Fund size
$54M
1Y return
+21.3%
Yield · Last 12 months
1.29%
Holdings
46
Volume · 30D
0M sh
NAV per share
$36.28
52W range
low $29.54high $38.87

The ETF.net HRTS Grade

D

28/ 100

Rank 22 of 25 in Health Care (Broad)

Confidence High

Six-pillar profile for HRTS. Scores out of 100: Cost 0, Risk 51, Mission 73, Tradability 36, Holdings 62, Durability 36. Strongest: Mission (73). Weakest: Cost (0). Leans toward Mission.
F< 25
D≥ 25
C≥ 40
B≥ 55
A≥ 70

Score 28 of 100 sits in the D band. Bands: A ≥ 70, B ≥ 55, C ≥ 40, D ≥ 25, F < 25; the scale skips E.

  • Cost

    What you pay to own it — the expense ratio plus trading frictions, ranked within its category.
    FScore 0
    Category rank25/25 · bottom quartile
  • Mission

    How faithfully it does the job it claims — tracking its mandate or index with minimal slippage.
    AScore 73
    Category rank6/11 · mid-pack
  • Risk

    How violently it can move — volatility, drawdown depth, and downside capture versus its category.
    CScore 51
    Category rank12/24 · top 50%
  • Tradability

    How cheaply and easily you can get in and out — liquidity, spread, and premium/discount stability.
    DScore 36
    Category rank15/25 · mid-pack
  • Holdings

    What it actually owns — the quality, breadth, and concentration of the underlying portfolio.
    BScore 62
    Category rank12/25 · top 48%
  • Durability

    Whether it will still be here — the fund’s assets, age, flows, and issuer staying power.
    DScore 36
    Category rank20/25 · bottom quartile

Graded as of Sep 22, 2026

Our read on HRTS

ETF.net Research

DMost health care ETFs buy the whole hospital. HRTS buys the cardiology and metabolic wing: roughly 40 companies that must earn at least half their revenue from treating heart or metabolic disease.

Stated mandate

The Fund seeks long-term growth of capital and invests at least 80% of its assets in publicly listed companies deriving at least half of their revenue from cardiovascular- or metabolic-disease treatments.

Why people hold it

  1. 01Real purity screen: at least 80% of assets sit in companies drawing half or more of revenue from cardiovascular or metabolic disease treatments. No insurers or dental chains riding along.
  2. 02Roughly 40 stocks, so every name carries weight. This is a targeted position on heart and metabolic medicine, not a sector index with a theme sticker on it.
  3. 03The portfolio matches what the prospectus promises closely, which is not a given among thematic funds. What you read in the mandate is what shows up in the holdings.
  4. 04Launched in 2023 as one of the earlier US funds built purely around the heart and metabolic disease complex, an area usually buried inside broad health care baskets.

Worth knowing

  1. 01Specialist pricing: 0.99% a year, against single-digit basis points at broad sector funds like VHT and XLV. That gap is the toll for the curated 40-stock screen.
  2. 02Narrow by design. One disease cluster, about 40 names, so it can swing on trial results and pipeline news rather than drifting with the health care sector.
  3. 03A small, thinly traded fund. Spreads tend to be wider than at the sector giants, which matters most on large or hurried orders.

HRTS Holdings

As of Sep 20, 2026, 6:07 AM
Asset class
Stocks
Holdings
46
Top-10 weight
49%
Largest holding
LLY11.4%

Sectors

  • Health Care100.0%

Geography

  • United States78.78%
  • Switzerland6.59%
  • Denmark5.15%
  • United Kingdom3.11%
  • Japan2.32%
  • Ireland2.23%
  • Israel1.21%
  • Canada0.61%

Developed 94% · Emerging 6% of the foreign sleeve

The fund’s holdings, weight-ordered — page 1 of 4.
#TickerCompanyWeight %SharesMarket valueIn ETFs
001LLYELI LILLY & CO11.42%5,308$6M569
002TMOTHERMO FISHER SCIENTIFIC INC5.57%4,586$3M369
003UNHUNITEDHEALTH GROUP INC5.03%7,147$3M474
004NOVO-B.CONOVO NORDISK A/S4.70%58,231$3M132
005MRKMERCK & CO INC4.42%16,125$2M506
006JNJJOHNSON & JOHNSON3.99%7,913$2M521
007RHHBYROCHE HOLDING AG3.91%38,717$2M18
008CYTKCYTOKINETICS INC3.52%27,464$2M139
009RVMDREVOLUTION MEDICINES INC3.52%9,885$2M169
010GILDGILEAD SCIENCES INC3.31%11,805$2M482
011AZN.LASTRAZENECA PLC3.09%9,903$2M164
012BBIOBRIDGEBIO PHARMA INC3.09%24,840$2M119
013DHRDANAHER CORP3.04%7,704$2M327
014ABTABBOTT LABORATORIES2.97%15,497$2M374
015VRTXVERTEX PHARMACEUTICALS INC2.90%3,059$2M417

Showing 1–15 of 46 holdings

HRTS Performance

Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.

HRTS$12,129
SPY tracks large US stocks. It provides market context, rather than representing this fund’s strategy, asset class or investment benchmark.$11,723
Sep 22, 2025 to Sep 22, 2026. HRTS $12,129. SPY $11,723. Use the arrow keys to read each point.$9,262$11,216$13,171Sep 2025Mar 2026Sep 2026

Sep 22, 2025 – Sep 22, 2026

Returns run to the Sep 22, 2026 close, with cash distributions reinvested. Each period starts on the same date that many months or years earlier. Periods over one year show the average yearly return.

Trailing total return for HRTS. Periods over one year show the average yearly return.
PeriodHRTS
Year to date+3.6%
1 month−5.2%
3 months+6.7%
1 year+21.3%
3 yearsFund is under 3 years oldper year
5 yearsFund is under 5 years oldper year
10 yearsFund is under 10 years oldper year

As of the close, with distributions reinvested.

Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.

Annual total returns for HRTS
YearReturn barHRTS
2026 YTD+3.6%
2025+23.9%
2024−4.3%
2023+14.9%

History from Nov 21, 2023

HRTS in the news

ETF.net Research hasn’t filed on HRTS yet — coverage lands here as it’s written.

HRTS Dividends

Adds up every distribution paid per share over the last 12 months, divided by the last completed close. Distributions are counted by ex-date. Data through Sep 22, 2026.
1.29%Last 12 months
Payout per share
$0.47Last 12 months
Last payment
$0.47 per share
Paid on
Shares bought on or after this date do not qualify for this distribution.
Frequency
Annual

Distribution history

2024–2026

One bar per payment. 2 payments from 2024 to 2026 YTD. Dec 11, 2024 $0.47; Dec 10, 2025 $0.47. Use the arrow keys to read each point.202420252026YTD
Ex-datePay dateAmount per share
Dec 10, 2025Dec 11, 2025$0.47
Dec 11, 2024Dec 12, 2024$0.47

HRTS Risk

How much the fund’s monthly returns vary, scaled to a year.
17.8%
Annualised · 33 months to Aug 2026
How it’s calculated: standard deviation

The sample standard deviation of monthly total returns, multiplied by the square root of 12.

Uses up to 36 complete months, with at least 12 required. Total returns include reinvested distributions.

Return above 3-month US Treasury bills per unit of volatility.
0.58
vs 3-month T-bills · 33 months to Aug 2026
How it’s calculated: Sharpe ratio

Subtract each month’s Treasury-bill return from the fund’s monthly total return.

Divide the average of those excess returns by their sample standard deviation, then multiply by the square root of 12.

Uses up to 36 complete months, with at least 12 required. Each month uses the Treasury yield quoted at the end of the previous month.

The largest fall from a peak to the low that followed.
−25.8%
34 months · trough Apr 2025
How it’s calculated: maximum drawdown

The largest percentage decline from an earlier peak, using total returns with reinvested distributions.

Uses up to five years through the last close, with at least 12 months required.

How strongly the fund’s returns move with its asset-class index.
0.65
vs its asset-class index
How it’s calculated: beta

The beta figure is supplied by FMP. The comparison index depends on the fund’s broad asset class.

HRTS Cost

Expense ratio0.99%
  • The middle half of Health Care (Broad) funds
  • Median 0.50%

Every other Health Care (Broad) fund charges less.

HRTS costs $99.00 a year on $10,000. The median Health Care (Broad) fund costs $50.00.