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TRUHvsIYHETF Comparison

ETF 1
TRUH

VanEck Healthcare TruSector ETF

This fund is part of
Uncategorized Equities
+0.96%
VS
ETF 2
IYH

iShares U.S. Healthcare ETF

This fund is part of
US Health Care
+0.44%

VanEck Healthcare TruSector ETF (TRUH) belongs to the Uncategorized Equities segment. iShares U.S. Healthcare ETF (IYH) is part of the US Health Care segment. TRUH's top 2 sector exposures are Healthcare and Consumer Non-Cyclicals. In contrast, IYH's top sector exposures are Healthcare, Non-Corporate and Finance. TRUH is less expensive with a Total Expense Ratio (TER) of 0.1%, versus 0.37% for IYH. Run a side-by-side ETF comparison of TRUH and IYH below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.

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TRUH vs IYH performance and flow charts

Performance

-4.0-2.00.02.04.06.0%Sep 28Oct 5Oct 12Oct 19Oct 26

Cumulative Flows

0 M100 M200 M300 M400 MSep 28Oct 5Oct 12Oct 19Oct 26

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Historic performance and flows
Data as of 10/27/2026
1M3MYTD1Y3Y5Y
Perf.
TRUH
IYH
+4.65%+3.86%
+10.09%+10.08%
n/a+16.93%
n/a+23.81%
n/a+52.04%
n/a+41.04%
Flows
TRUH
IYH
-+$359M
-$289K+$756M
-+$394M
-+$849M
-+$422M
-+$596M
Volatility and drawdown
3M1Y3Y5Y
Volatility
TRUH
IYH
+17.56%+17.61%
n/a+16.47%
n/a+15.15%
n/a+15.51%
Max drawdown
TRUH
IYH
-5.82%-5.88%
n/a-10.72%
n/a-17.89%
n/a-17.89%
Max drawdown duration
TRUH
IYH
56d56d
n/a169d
n/a445d
n/a445d
Trading data

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TRUH
IYH
Last sale
10/28/2026 at 1:30 PM
$31.34
$75.84
Previous close
10/27/2026
$31.27
$75.48
Consolidated volume
10/27/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of September 30, 2026
1-year trailing difference

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TRUH
is actively managed and doesn’t replicate an index

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TRUH
IYH
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 10/28/2026 at 1:30 PM
Live
Closed
TRUH
IYH
Last price
$31.34
$75.84
1D performance
+0.22%
+0.48%
AuM$0.62 M$4.52 B
E/R0.1%0.37%
Characteristics
TRUH
IYH
Management strategyActivePassive
ProviderVanEckiShares
Benchmark-Russell 1000 Health Care RIC 22.5/45 Capped Gross Index
N° of holdings59101
Asset class-Equities
Trailing 12m distribution yield
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Inception dateApril 1, 2026June 12, 2000
ESGNoNo
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Exposure

Countries

TRUH
USA
97.67%
Other
2.33%
IYH
USA
96.86%
Other
3.14%

Sectors

TRUH
Healthcare
97.97%
Other
2.03%
IYH
Healthcare
99.79%
Other
0.21%
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Diversification

TRUH

Total weight of top 15 holdings out of 15

71.6%
IYH

Total weight of top 15 holdings out of 15

68.68%

Top 15 holdings

Data as of August 31, 2026
TRUH
Eli Lilly & Co.
14.98%
Johnson & Johnson
10.42%
AbbVie, Inc.
7.37%
Merck & Co., Inc.
5.94%
UnitedHealth Group, Inc.
5.76%
Amgen, Inc.
3.76%
Thermo Fisher Scientific, Inc.
3.74%
Abbott Laboratories
3.14%
Gilead Sciences, Inc.
2.98%
Pfizer Inc.
2.65%
Vertex Pharmaceuticals, Inc.
2.29%
Bristol Myers Squibb Co.
2.22%
Intuitive Surgical, Inc.
2.22%
Danaher Corp.
2.19%
CVS Health Corp.
1.96%
IYH
Eli Lilly & Co.
14.45%
Johnson & Johnson
10.02%
AbbVie, Inc.
7.10%
Merck & Co., Inc.
5.72%
UnitedHealth Group, Inc.
5.50%
Amgen, Inc.
3.63%
Thermo Fisher Scientific, Inc.
3.59%
Abbott Laboratories
2.99%
Gilead Sciences, Inc.
2.84%
Pfizer Inc.
2.53%
Vertex Pharmaceuticals, Inc.
2.17%
Bristol Myers Squibb Co.
2.13%
Danaher Corp.
2.11%
Intuitive Surgical, Inc.
2.08%
Medtronic Plc
1.82%
Frequently asked questions about TRUH and IYH

Which ETF is bigger: TRUH or IYH?

As of October 27, 2026, TRUH holds $0.62 M in assets under management (AUM), while IYH manages $4.52 B.

What sectors do the TRUH and IYH ETFs invest in?

TRUH leans toward sectors like Healthcare. Meanwhile, IYH focuses on Healthcare.

What are the top holdings of the TRUH ETF and IYH ETF?

TRUH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. IYH holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..

Which ETF is more diversified: TRUH or IYH?

TRUH holds 59 securities with 71.6% of its assets in the top 15. IYH has 101 securities and a top 15 weight of 68.68%.

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