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TRUH

GradeCNASDAQ Global Market

VanEck Healthcare TruSector ETF

Active Equity · VanEck · Inception 2026-04-01

$29.50−0.25 (−0.83%)

As of Sep 23, 2026, 1:38 PM EDT

History starts Apr 2, 2026.History starts Apr 2, 2026.History starts Apr 2, 2026.
Intraday session: down, 11 prints from 29.75 to 29.50. Range 29.48 to 29.89. Use the arrow keys to read each point.$29.60$29.70$29.80$29.9010 AM12 PM2 PM4 PM
Expense ratio
0.10%
Fund size
$1M
1Y return
—
Yield · Last 12 months
Data unavailable
Holdings
60
Volume · 30D
0M sh
NAV per share
$29.59
52W range
low $24.78high $30.62

The ETF.net TRUH Grade

C

40/ 100

Rank 28 of 35 in US Active Sector⁠

Confidence Medium

Six-pillar profile for TRUH. Scores out of 100: Cost 99, Risk 86, Mission not scored, Tradability 28, Holdings 45, Durability 17. Strongest: Cost (99). Weakest: Durability (17). Based on 5 of 6 pillars.
F< 25
D≥ 25
C≥ 40
B≥ 55
A≥ 70

Score 40 of 100 sits in the C band. Bands: A ≥ 70, B ≥ 55, C ≥ 40, D ≥ 25, F < 25; the scale skips E. A structural cap ceilings this fund at 40, so B and A are out of reach.

Ceiling 40 · B and A out of reach

The pillars earned69This cap took−29Published score40 Grade C

  • Cost

    What you pay to own it — the expense ratio plus trading frictions, ranked within its category.
    AScore 99
    Category rank2/35 · top 6%

  • Mission

    How faithfully it does the job it claims — tracking its mandate or index with minimal slippage.
    Not scored
    —

  • Risk

    How violently it can move — volatility, drawdown depth, and downside capture versus its category.
    AScore 86
    Category rank4/35 · top 11%

  • Tradability

    How cheaply and easily you can get in and out — liquidity, spread, and premium/discount stability.
    DScore 28
    Category rank29/35 · bottom quartile

  • Holdings

    What it actually owns — the quality, breadth, and concentration of the underlying portfolio.
    CScore 45
    Category rank25/35 · mid-pack

  • Durability

    Whether it will still be here — the fund’s assets, age, flows, and issuer staying power.
    FScore 17
    Category rank34/35 · bottom quartile

Graded as of Sep 22, 2026 · Based on 5 of 6 pillars

Our read on TRUH

ETF.net Research

CActive healthcare stock-picking at index-fund pricing. VanEck's 2026 TruSector launch runs roughly 60 healthcare names for 0.10% a year, a rare pairing in a corner of the market where active managers usually charge far more.

Stated mandate

The Fund is actively managed and seeks long-term capital appreciation by investing in securities of healthcare-related companies or instruments providing exposure to them.

Why people hold it

  1. 010.10% a year for an actively managed fund. The typical active equity ETF charges several times that, so the manager starts with a very small fee hurdle to clear.
  2. 02Roughly 60 names, chosen rather than inherited from an index. That is a portfolio with a point of view, not a broad sector benchmark stretched across hundreds of tickers.
  3. 03The mandate is plainly written: long-term capital appreciation from healthcare companies and instruments giving exposure to them. No style drift buried in the fine print.vaneck.com
  4. 04Distributions come once or twice a year, keeping the fund focused on capital appreciation rather than an income schedule.

Worth knowing

  1. 01A 2026 launch starting from a small asset base and light trading. Spreads matter more here than in a mega-cap sector ETF, and limit orders earn their keep.
  2. 02Active means a manager's judgment, not a published rulebook, sets the holdings. There is no long record of that process to examine.
  3. 03One sector, one set of forces. Policy on drug pricing, patent expirations and regulatory decisions tend to move healthcare names together.vaneck.com

TRUH Holdings

As of Sep 20, 2026, 6:07 AM
Asset class
Stocks
Holdings
60
Top-10 weight
61%
Largest holding
LLY15.1%

Geography

  • United States98.03%
  • Ireland1.97%
The fund’s holdings, weight-ordered — page 1 of 5.
#TickerCompanyWeight %SharesMarket valueIn ETFs
001LLYEli Lilly & Co15.07%77$89K569
002JNJJohnson & Johnson10.69%233$63K521
003ABBVAbbvie Inc7.67%171$45K511
004MRKMerck & Co Inc5.97%239$35K506
005UNHUnitedhealth Group Inc5.61%88$33K474
006TMOThermo Fisher Scientific Inc4.02%36$24K369
007AMGNAmgen Inc3.35%52$20K470
008GILDGilead Sciences Inc3.10%121$18K482
009ABTAbbott Laboratories2.93%169$17K374
010PFEPfizer Inc2.60%553$15K374
011ISRGIntuitive Surgical Inc2.28%35$13K406
012DHRDanaher Corp2.20%61$13K327
013VRTXVertex Pharmaceuticals Inc2.19%25$13K417
014BMYBristol-Myers Squibb Co2.11%198$12K460
015MDTMedtronic Plc1.97%125$12K262

Showing 1–15 of 62 holdings

TRUH Performance

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

TRUH$11,352
SPY tracks large US stocks. It provides market context, rather than representing this fund’s strategy, asset class or investment benchmark.$10,415
Jun 22, 2026 to Sep 22, 2026. TRUH $11,352. SPY $10,415. Use the arrow keys to read each point.$9,642$10,738$11,834Jun 2026Aug 2026Sep 2026

Jun 22, 2026 – 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 TRUH. Periods over one year show the average yearly return.
PeriodTRUH
Year to dateFund launched this year—
1 month−2.3%
3 months+13.5%
1 yearFund is under 1 year old—
3 yearsFund is under 3 years old—per year
5 yearsFund is under 5 years old—per year
10 yearsFund is under 10 years old—per 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 TRUH
YearReturn barTRUH
2026 YTD+16.6%

History from Apr 2, 2026

TRUH in the news

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

TRUH 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.
Data unavailableLast 12 months
Payout per share
Data unavailableLast 12 months
Last payment
$0.09 per share
Paid on
Shares bought on or after this date do not qualify for this distribution.
Frequency
Irregular

Distribution data unavailable.

Distribution history

2026

One bar per payment. 1 payment in 2026 YTD. Jul 1, 2026 $0.09. Use the arrow keys to read each point.2026YTD
Ex-datePay dateAmount per share
Jul 1, 2026Jul 7, 2026$0.09

TRUH Risk

How much the fund’s monthly returns vary, scaled to a year.
—
Launched Apr 2026; fills in after 12 months
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.
—
Launched Apr 2026; fills in after 12 months
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.
—
Launched Apr 2026; fills in after 12 months
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.
−0.43
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.

TRUH Cost

Expense ratio0.10%
  • The middle half of US Active Sector funds
  • Median 0.65%

No US Active Sector fund charges less.

TRUH costs $10.00 a year on $10,000. The median US Active Sector fund costs $65.00.