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Launched

VanEck Healthcare TruSector ETF

TRUHNasdaqVanEckC

$32.21−0.03 (−0.09%)

At close: Nov 2, 2026, 4:00 PM ET

C40/ 100

Rank 23 of 35 in US Active Sector

C40/100Rank 23 of 35inUS Active Sector
Intraday session: down, 79 prints from 32.23 to 32.21. Range 32.00 to 32.33. Use the arrow keys to read each point.32.0032.0532.1032.1532.3010 AM12 PM2 PM4 PM
Expense ratio
0.10%
Fund size
$1M
1Y total return
No data
Yield · Last 12 months
No data
Holdings
63
Avg volume · 30D
826 sh
52W range
low $24.78high $32.70
Launched

The ETF.net TRUH Grade

Based on 5 of 6 pillars

C

Score 40 out of 100

Category
US Active Sector⁠
Rank
23 of 35
Six-pillar profile for TRUH. Scores out of 100: Cost 99, Risk 89, Mission not scored, Tradability 30, Holdings 48, Durability 17. Strongest: Cost (99). Weakest: Durability (17). Based on 5 of 6 pillars.

Score 40 of 100 falls in the C band. A is 70 or higher, B 55 to under 70, C 40 to under 55, D 25 to under 40, F under 25.

Very small fund, grade capped at C.

The cap holds the Score at 40 or below, so B and A are out of reach.

The pillars earned
71
This cap took
−31
Published Score
40 Grade C

  • Cost

    The fund’s net expense ratio, ranked against its category.
    A99 out of 100
    Rank 1 of 35

  • Mission

    Whether the fund did what it promised, tested against its stated mandate.
    Not scored

  • Risk

    How the fund held up when markets fell: downside volatility, drawdowns and tail loss.
    A89 out of 100
    Rank 4 of 35

  • Tradability

    How easy the fund is to trade: daily volume, and how far its price strays from net asset value.
    D30 out of 100
    Rank 30 of 35

  • Holdings

    How concentrated the fund is, and how complete and current its disclosed holdings are.
    C48 out of 100
    Rank 23 of 35

  • Durability

    Whether the fund is likely to stay open, judged by its age, its assets and its issuer’s assets.
    F17 out of 100
    Rank 33 of 35

Our read on TRUH

ETF.net Research

In short

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

  • 0.10% 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.
  • Roughly 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.
  • The 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
  • Distributions come once or twice a year, keeping the fund focused on capital appreciation rather than an income schedule.

Worth knowing

  • A 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.
  • Active means a manager's judgment, not a published rulebook, sets the holdings. There is no long record of that process to examine.
  • One sector, one set of forces. Policy on drug pricing, patent expirations and regulatory decisions tend to move healthcare names together.vaneck.com

TRUH Performance

Launched Apr 1, 2026

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

Not enough history yet.Not enough history yet.Not enough history yet.Not enough history yet.Not enough history yet.
TRUH$11,412
SPY tracks large US stocks. It provides market context, rather than representing this fund’s strategy, asset class or investment benchmark.$10,141
Jul 31, 2026 to Oct 30, 2026. TRUH $11,412. SPY $10,141. Use the arrow keys to read each point.$10,000$10,500$11,000$11,500Jul 2026Sep 2026Oct 2026

Jul 31, 2026 – Oct 30, 2026

Returns run to the Oct 30, 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 yearNo data
1 month+9.5%
3 months+14.1%
1 yearFund is under 1 year oldNo data
3 yearsFund is under 3 years oldper yearNo data
5 yearsFund is under 5 years oldper yearNo data
10 yearsFund is under 10 years oldper yearNo data

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+26.9%

History from Apr 2, 2026

TRUH in the news

TRUH Dividends

Last payment
$0.13 per share
Paid on
Shares bought on or after this date do not qualify for this distribution.
Frequency
Quarterly

Distribution data unavailable.

Distribution history

2026

One bar per payment. 2 payments in 2026 YTD. Jul 1, 2026 $0.09; Oct 1, 2026 $0.13. Use the arrow keys to read each point.2026YTD
Ex-datePay dateAmount per share
Oct 1, 2026Oct 6, 2026$0.13
Jul 1, 2026Jul 7, 2026$0.09

TRUH Risk

Risk pillarA89 out of 100Rank 4 of 35 in US Active Sector
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.

FMP measures it over up to five years of monthly returns.

TRUH Cost

Tied cheapest in US Active Sector

$2,106

On $10,000 over 30 years. 7% growth a year before fees, expense ratio only.

  • TRUH 0.10%

    $2,106

$10,000
30 years

Cost over time

  • TRUH 0.10%
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$500$1K$1.5K$2K$2.5K051015202530TRUH $2,106

Year by year

YearTRUH
10$183
20$717
30$2,106

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