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Launched

VanEck Healthcare TruSector ETF

TRUHNasdaqC

$29.60+0.07 (+0.25%)

At close: Oct 13, 2026, 4:00 PM

C40/ 100

Rank 25 of 35 in US Active Sector

C40/100Rank 25 of 35inUS Active Sector
Intraday session: up, 8 prints from 29.53 to 29.60. Range 29.60 to 30.18. Use the arrow keys to read each point.29.8030.0030.2010 AM12 PM2 PM4 PM
Expense ratio
0.10%
Fund size
$1M
1Y total return
—
Yield · Last 12 months
Data unavailable
Holdings
63
Avg volume · 30D
0M sh
NAV per share
$29.98
52W range
low $24.78high $30.62
Launched

The ETF.net TRUH Grade

Based on 5 of 6 pillars

C

Score 40 out of 100

Category
US Active Sector⁠
Rank
25 of 35
Six-pillar profile for TRUH. Scores out of 100: Cost 99, Risk 89, Mission not scored, Tradability 34, 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.
    D34 out of 100
    Rank 28 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

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 Oct 13, 2026
Asset class
Stocks
Holdings
63
Top-10 weight
61%
Largest holding
LLY15.2%

Geography

  • United States98.17%
  • Ireland1.83%
The fund’s holdings, weight-ordered — page 1 of 5.
#TickerCompanyWeight %SharesMarket valueIn ETFs
001LLYEli Lilly & Co15.25%77$91K583
002JNJJohnson & Johnson10.18%232$61K528
003ABBVAbbvie Inc7.89%170$47K522
004MRKMerck & Co Inc5.79%237$35K515
005UNHUnitedhealth Group Inc5.48%86$33K481
006TMOThermo Fisher Scientific Inc3.98%36$24K375
007AMGNAmgen Inc3.62%52$22K491
008GILDGilead Sciences Inc3.02%119$18K492
009ABTAbbott Laboratories2.78%166$17K376
010PFEPfizer Inc2.60%548$15K378
011ISRGIntuitive Surgical Inc2.42%34$14K410
012DHRDanaher Corp2.21%60$13K331
013VRTXVertex Pharmaceuticals Inc2.06%24$12K422
014BMYBristol-Myers Squibb Co1.95%196$12K463
015MDTMedtronic Plc1.83%123$11K320

Showing 1–15 of 63 holdings

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$10,736
SPY tracks large US stocks. It provides market context, rather than representing this fund’s strategy, asset class or investment benchmark.$10,332
Jul 10, 2026 to Oct 12, 2026. TRUH $10,736. SPY $10,332. Use the arrow keys to read each point.$9,562$10,287$11,012Jul 2026Aug 2026Oct 2026

Jul 10, 2026 – Oct 12, 2026

Returns run to the Oct 12, 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+4.4%
3 months+7.4%
1 yearFund is under 1 year old—
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 TRUH
YearReturn barTRUH
2026 YTD+18.1%

History from Apr 2, 2026

TRUH in the news

Filtered to TRUH · US Active Sector

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

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.

Other funds in US Active Sector

See others