Dividend-adjusted total return · S&P 500 uses VOO · Apr 2, 2026 – Nov 4, 2026TRUHS&P 500 · VOO
| Returns | 1D | 1M | 3M | YTD | 1Y | 3Y | 5Y | MAX |
|---|---|---|---|---|---|---|---|---|
| Total return | +3.1% | +13.4% | +15.9% | — | — | — | — | +30.2% |
| Peer average | +2.7% | +8.5% | +8.9% | +24.4% | +33.4% | +84.3% | +34.0% | — |
| S&P 500 · VOO | +1.6% | −1.6% | 0.0% | +13.4% | +13.5% | +91.7% | +81.2% | — |
Key Statistics
Open all fund facts →- AUM
- $661K
- Expense ratio
- 0.10%
- Distribution yield
- 0.7%
- NAV
- $33.06
- Volume
- 1K
- Avg. volume 30D
- 676
- High today
- $33.07
- Low today
- $32.56
- Previous close
- $32.09
- 52-week high
- $33.07
- 52-week low
- $24.78
- Our risk indicator
- 4/5
TRUH in One Breath
TRUH Among Health Care ETFs
YTDEnd-of-day Nov 5, 2026 · 33 Health care ETFs by YTD
$10,000 in TRUH
5Y$10,000 in TRUH became
$13,020
In the S&P 500 (VOO)
$11,752
Total return, dividends in · Apr 2, 2026 – Nov 4, 2026 · S&P 500 uses VOO
TRUH’s Top Holdings
TodayLLYEli Lilly &16.9%JNJ9.6%ABBV7.6%UNH5.4%MRK5.3%TMO3.9%AMGN3.7%GILD3.1%ABT2.8%PFE2.6%ISRG2.3%DHR2.2%VRTX2.0%MDT1.9%BMY1.9%CVS1.8%MCK1.7%SYK1.6%REGN1.4%ELVMRNACI38 more
Drug Manufacturers - GeneralMedical - DiagnosticsMedical - Healthcare PlansMedical - DevicesBiotechnologyMedical - InstrumentsOther
VanEck TRUH · 60 holdings · tile size = share of the fund · as of Nov 4, 2026
What TRUH Holds
TodayDrug Manufacturers - General51.3%
LLY 16.9 · JNJ 9.6 · ABBV 7.6 · MRK 5.3 · AMGN 3.7 · GILD 3.1 · PFE 2.6
Medical - Diagnostics & Research11.5%
TMO 3.9 · DHR 2.2 · IDXX · A · IQV · WAT · ILMN
Medical - Healthcare Plans11.0%
UNH 5.4 · CVS 1.8 · ELV 1.4 · CI 1.2 · HUM · CNC
Medical - Devices9.7%
ABT 2.8 · MDT 1.9 · SYK 1.6 · BSX · EW · GEHC · DXCM
Biotechnology5.1%
VRTX 2.0 · REGN 1.4 · MRNA 1.3 · INCY · TECH
Medical - Instruments & Supplies4.6%
ISRG 2.3 · BDX · RMD · WST · BAX · SOLV · COO
Medical - Distribution3.7%
MCK 1.7 · COR · CAH · HSIC
VanEck TRUH · share of the fund by industry · as of Nov 4, 2026
Eli’s Share of TRUH
Today16.9%
$169 of every $1,000 in TRUH is Eli
Eli held by TRUH
$112K
VanEck TRUH · each square = $10 of $1,000 · as of Nov 4, 2026
TRUH’s Share of Health Care ETFs
Today0.0%
of the $110B in 39 Health care ETFs
$661K0.0%
$49.1B44.7%
$19.1B17.4%
$41.6B37.9%
Health care ETF AUM · Nov 5, 2026
TRUH Fee per $100 vs Peers
TodayExpense ratio · Health care peers · Nov 5, 2026
Inside TRUH
60 holdings · as of Nov 4, 2026TRUH
VanEck Healthcare TruSector ETF
TodayDrug Manufacturers - General51.3%LLYEli Lilly &16.9%JNJ9.6%ABBV7.6%MRK5.3%AMGN3.7%GILD3.1%PFEBMYBIIBMedical - Diagnostics11.5%TMO3.9%DHRIDXXAIQVWATILMNMTDMedical - Healthcare Plans11.0%UNH5.4%CVSELVCIHUMCNCMedical - Devices9.7%ABTMDTSYKBSXEWGEHCDXCMBiotechnology5.1%VRTX2.0%REGNMRNAMedical - Instruments4.6%ISRGBDXRMDWSTMedical - Distribution3.7%MCKCORCAHHCAZTSVEEVSTE
Drug Manufacturers - General51.3%LLY16.9%JNJ9.6%ABBV7.6%MRK5.3%AMGN3.7%GILD3 moreMedical - Diagnostics11.5%TMODHRIDXXAIQV6 moreMedical - Healthcare Plans11.0%UNH5.4%CVSELVCIHUMMedical - Devices9.7%ABTMDTSYKBiotechnology5.1%VRTXREGNMRNAMedical - Instruments4.6%ISRGBDXMedical - Distribution3.7%MCKCORCAHHCAZTSVTRS
| # | Ticker | Company | Weight ▼ |
|---|---|---|---|
| 1 | LLY | Eli Lilly & | 16.91% |
| 2 | JNJ | Johnson & Johnson | 9.62% |
| 3 | ABBV | Abbvie | 7.58% |
| 4 | UNH | Unitedhealth Group | 5.42% |
| 5 | MRK | Merck & | 5.34% |
| 6 | TMO | Thermo Fisher Scientific | 3.92% |
| 7 | AMGN | Amgen | 3.74% |
| 8 | GILD | Gilead Sciences | 3.11% |
| 9 | ABT | Abbott Laboratories | 2.83% |
| 10 | PFE | Pfizer | 2.56% |
Drug Manufacturers - GeneralMedical - DiagnosticsMedical - Healthcare PlansMedical - DevicesBiotechnologyMedical - InstrumentsMedical - DistributionMedical - Care FacilitiesDrug Manufacturers - SpecialtySoftware - ApplicationMedical - Specialties
VanEck TRUH · current holdings by weight · as of Nov 4, 2026 · each tile is one holding · top 20 = 79.1%
How It Compares
TRUH
VanEck Healthcare TruSector ETF’s Peers
TodayHealth care peers · Today’s and past-year returns · as of Nov 5, 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
XLV74316.1× more
2–0XLV wins
SPDR XLV and VanEck TRUH · year-to-date · as of Nov 5, 2026 · AUM not scored
TRUH vs Its Peer Average
YTDTRUHAvsBPeer average
1D+3.1%+2.7%
1M+13.4%+8.5%
3M+15.9%+8.9%
YTD[…]+24.4%
1Y[…]+33.4%
3Y[…]+84.3%
5Y[…]+34.0%
3–0TRUH 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−2.2%
52-week range
$33.07
$24.78at the high$33.07
VanEck TRUH · past-year price moves · as of Nov 5, 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 5, 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$33.06
Premium / discount[…]
Median spread · 30D[…]
Volume today1K
Average volume · 30D676
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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