Dividend-adjusted total return · S&P 500 uses VOO · Aug 5, 2026 – Nov 3, 2026TRUHS&P 500 · VOO
| Returns | 1D | 1M | 3M | YTD | 1Y | 3Y | 5Y | MAX |
|---|---|---|---|---|---|---|---|---|
| Total return | −0.4% | +9.9% | +12.6% | — | — | — | — | +26.3% |
| Peer average | +0.6% | +4.0% | +6.1% | +21.0% | +29.0% | +81.2% | +28.9% | — |
| S&P 500 · VOO | +0.3% | −2.6% | −1.7% | +11.5% | +11.9% | +90.9% | +77.5% | — |
Key Statistics
Open all fund facts →- AUM
- $642K
- Expense ratio
- 0.10%
- Distribution yield
- 0.7%
- NAV
- $32.08
- Volume
- 532
- Avg. volume 30D
- 645
- High today
- $32.32
- Low today
- $32.09
- Previous close
- $32.21
- 52-week high
- $32.41
- 52-week low
- $24.78
- Our risk indicator
- 4/5
TRUH in One Breath
TRUH Among Health Care ETFs
YTDEnd-of-day Nov 4, 2026 · 33 Health care ETFs by YTD
$10,000 in TRUH
5Y$10,000 in TRUH became
$12,634
In the S&P 500 (VOO)
$11,565
Total return, dividends in · Apr 2, 2026 – Nov 3, 2026 · S&P 500 uses VOO
TRUH’s Top Holdings
TodayLLYEli Lilly &16.9%JNJ9.8%ABBV7.6%MRK5.5%UNH5.4%TMO3.8%AMGN3.8%GILD3.1%ABT2.8%PFE2.6%ISRG2.3%DHR2.1%VRTX2.1%BMY1.9%MDT1.9%MCK1.7%CVS1.7%SYK1.6%ELV1.3%REGNMRNACI38 more
Drug Manufacturers - GeneralMedical - DiagnosticsMedical - Healthcare PlansMedical - DevicesBiotechnologyMedical - InstrumentsOther
VanEck TRUH · 60 holdings · tile size = share of the fund · as of Nov 3, 2026
What TRUH Holds
TodayDrug Manufacturers - General51.7%
LLY 16.9 · JNJ 9.8 · ABBV 7.6 · MRK 5.5 · AMGN 3.8 · GILD 3.1 · PFE 2.6
Medical - Diagnostics & Research11.2%
TMO 3.8 · DHR 2.1 · IDXX · A · IQV · WAT · ILMN
Medical - Healthcare Plans10.8%
UNH 5.4 · CVS 1.7 · ELV 1.3 · CI 1.1 · HUM · CNC
Medical - Devices9.7%
ABT 2.8 · MDT 1.9 · SYK 1.6 · BSX · EW · GEHC · DXCM
Biotechnology5.1%
VRTX 2.1 · REGN 1.3 · MRNA 1.2 · INCY · TECH
Medical - Instruments & Supplies4.6%
ISRG 2.3 · BDX · RMD · WST · BAX · SOLV · COO
Medical - Distribution3.6%
MCK 1.7 · COR · CAH · HSIC
VanEck TRUH · share of the fund by industry · as of Nov 3, 2026
Eli’s Share of TRUH
Today16.9%
$169 of every $1,000 in TRUH is Eli
Eli held by TRUH
$108K
VanEck TRUH · each square = $10 of $1,000 · as of Nov 3, 2026
TRUH’s Share of Health Care ETFs
Today0.0%
of the $109B in 39 Health care ETFs
$642K0.0%
$49.1B45.0%
$19.1B17.5%
$40.8B37.5%
Health care ETF AUM · Nov 4, 2026
TRUH Fee per $100 vs Peers
TodayExpense ratio · Health care peers · Nov 4, 2026
Inside TRUH
60 holdings · as of Nov 3, 2026TRUH
VanEck Healthcare TruSector ETF
TodayDrug Manufacturers - General51.7%LLYEli Lilly &16.9%JNJ9.8%ABBV7.6%MRK5.5%AMGN3.8%GILD3.1%PFEBMYBIIBMedical - Diagnostics11.2%TMO3.8%DHRIDXXAIQVWATILMNMTDMedical - Healthcare Plans10.8%UNH5.4%CVSELVCIHUMCNCMedical - Devices9.7%ABTMDTSYKBSXEWGEHCDXCMBiotechnology5.1%VRTX2.1%REGNMRNAMedical - Instruments4.6%ISRGBDXRMDWSTMedical - Distribution3.6%MCKCORCAHHCAZTSVEEVSTE
Drug Manufacturers - General51.7%LLY16.9%JNJ9.8%ABBV7.6%MRK5.5%AMGN3.8%GILD3 moreMedical - Diagnostics11.2%TMODHRIDXXAIQV6 moreMedical - Healthcare Plans10.8%UNH5.4%CVSELVCIHUMMedical - Devices9.7%ABTMDTSYKBiotechnology5.1%VRTXREGNMRNAMedical - Instruments4.6%ISRGBDXMedical - Distribution3.6%MCKCORCAHHCAVEEV
| # | Ticker | Company | Weight ▼ |
|---|---|---|---|
| 1 | LLY | Eli Lilly & | 16.88% |
| 2 | JNJ | Johnson & Johnson | 9.75% |
| 3 | ABBV | Abbvie | 7.63% |
| 4 | MRK | Merck & | 5.46% |
| 5 | UNH | Unitedhealth Group | 5.35% |
| 6 | TMO | Thermo Fisher Scientific | 3.82% |
| 7 | AMGN | Amgen | 3.76% |
| 8 | GILD | Gilead Sciences | 3.15% |
| 9 | ABT | Abbott Laboratories | 2.84% |
| 10 | PFE | Pfizer | 2.61% |
Drug Manufacturers - GeneralMedical - DiagnosticsMedical - Healthcare PlansMedical - DevicesBiotechnologyMedical - InstrumentsMedical - DistributionMedical - Care FacilitiesDrug Manufacturers - SpecialtySoftware - ApplicationMedical - Specialties
VanEck TRUH · current holdings by weight · as of Nov 3, 2026 · each tile is one holding · top 20 = 79.3%
How It Compares
TRUH
VanEck Healthcare TruSector ETF’s Peers
YTDHealth care peers · YTD and past-year returns · as of Nov 4, 2026 · sorted by AUM
Head to Head
Put TRUH head to head with XLV →XLV vs TRUH
YTDYear to date
Level
Past year
Level
Fee
XLV winslower fee
Yield
XLV wins+0.7 pts
AUM
XLV76529.9× more
2–0XLV wins
SPDR XLV and VanEck TRUH · year-to-date · as of Nov 4, 2026 · AUM not scored
TRUH vs Its Peer Average
YTDTRUHAvsBPeer average
1D−0.4%+0.6%
1M+9.9%+4.0%
3M+12.6%+6.1%
YTD[…]+21.0%
1Y[…]+29.0%
3Y[…]+81.2%
5Y[…]+28.9%
2–1TRUH wins
38 Health care peers · each row scaled to its leader
The Details
TRUH
Risk
1Y4/5our risk indicator
CalmerBumpier
Volatility · 1Y[…]
Deepest drop · 1Y[…]
Lowest point · 5Y−2.6%
52-week range
$32.09
$24.78−1.0% from the high$32.41
VanEck TRUH · past-year price moves · as of Nov 4, 2026
TRUH
Fund Facts
Today2026launched Apr 1
Tracks[…]
Exchange · CUSIPNASDAQ · 92189Y709
StructureETF
Leverage1x
Cost on $10,000$10 a year
Go deeper
VanEck TRUH · fund facts · as of Nov 4, 2026
TRUH
Payouts by Year
1Y$0.13per share, Oct 2026
Distribution yield0.7%
Paid[…]
Latest ex-date · paidOct 1 · Oct 6, 2026
2 payouts added up$0.22 a share
VanEck TRUH · distributions by ex-date · 2026–2026
All Fund FactsDocuments · trading · fees · every payout
Prospectus & Documents
Trading & Liquidity
Net asset value$32.08
Premium / discount[…]
Median spread · 30D[…]
Volume today532
Average volume · 30D645
Shares outstanding[…]
Options[…]
Fees & Costs
Net expense ratio0.10%
Gross expense ratio[…]
Management fee[…]
Cost on $10,000 a year$10.00
Our risk indicator4/5
Estimated yearly cost excludes trading costs and assumes constant assets.
Distributions
| Ex-date | Paid | Per share |
|---|---|---|
| Oct 1, 2026 | Oct 6, 2026 | $0.13 |
| Jul 1, 2026 | Jul 7, 2026 | $0.0850 |
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