---
ticker: "TRUH"
name: "VanEck Healthcare TruSector ETF"
url: "https://etf.net/etf/TRUH"
grade: "C"
score: 40
graded_at: "2026-10-12"
category: "US Active Sector"
category_rank: "25 of 35"
methodology: "https://etf.net/methodology"
---

# TRUH: VanEck Healthcare TruSector ETF

Grade **C**, Score 40 of 100. Rank 25 of 35 in US Active Sector.

Graded Oct 12, 2026.

## Grade pillars

| Pillar | Score | Category rank |
| --- | --- | --- |
| Cost | 99 | 1 of 35 |
| Mission | Not scored | — |
| Risk | 89 | 4 of 35 |
| Tradability | 34 | 28 of 35 |
| Holdings | 48 | 23 of 35 |
| Durability | 17 | 33 of 35 |

## Top holdings

The fund holds 63 positions. These are the largest 30, by weight.

| # | Ticker | Name | Weight |
| --- | --- | --- | --- |
| 1 | LLY | Eli Lilly & Co | 15.25% |
| 2 | JNJ | Johnson & Johnson | 10.18% |
| 3 | ABBV | Abbvie Inc | 7.89% |
| 4 | MRK | Merck & Co Inc | 5.79% |
| 5 | UNH | Unitedhealth Group Inc | 5.48% |
| 6 | TMO | Thermo Fisher Scientific Inc | 3.98% |
| 7 | AMGN | Amgen Inc | 3.62% |
| 8 | GILD | Gilead Sciences Inc | 3.02% |
| 9 | ABT | Abbott Laboratories | 2.78% |
| 10 | PFE | Pfizer Inc | 2.60% |
| 11 | ISRG | Intuitive Surgical Inc | 2.42% |
| 12 | DHR | Danaher Corp | 2.21% |
| 13 | VRTX | Vertex Pharmaceuticals Inc | 2.06% |
| 14 | BMY | Bristol-Myers Squibb Co | 1.95% |
| 15 | MDT | Medtronic Plc | 1.83% |
| 16 | CVS | Cvs Health Corp | 1.78% |
| 17 | MCK | Mckesson Corp | 1.73% |
| 18 | SYK | Stryker Corp | 1.58% |
| 19 | ELV | Elevance Health Inc | 1.46% |
| 20 | MRNA | Moderna Inc | 1.36% |
| 21 | CI | Cigna Group/The | 1.19% |
| 22 | REGN | Regeneron Pharmaceuticals Inc | 1.13% |
| 23 | HCA | Hca Healthcare Inc | 1.06% |
| 24 | BSX | Boston Scientific Corp | 1.00% |
| 25 | COR | Cencora Inc | 0.98% |
| 26 | CAH | Cardinal Health Inc | 0.88% |
| 27 | HUM | Humana Inc | 0.87% |
| 28 | BDX | Becton Dickinson & Co | 0.80% |
| 29 | EW | Edwards Lifesciences Corp | 0.79% |
| 30 | A | Agilent Technologies Inc | 0.77% |

Source: etf.net, https://etf.net/etf/TRUH. Please cite the page URL.