TRUHvsVHTETF Comparison
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VanEck Healthcare TruSector ETF (TRUH) belongs to the Uncategorized Equities segment. Vanguard Health Care ETF (VHT) is part of the US Health Care segment. TRUH's top 2 sector exposures are Healthcare and Consumer Non-Cyclicals. In contrast, VHT's top sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. TRUH is more expensive with a Total Expense Ratio (TER) of 0.1%, versus 0.09% for VHT. Run a side-by-side ETF comparison of TRUH and VHT 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 VHT performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 10/27/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | TRUH VHT | +4.65%+3.84% | +10.09%+8.95% | n/a+16.92% | n/a+23.61% | n/a+56.26% | n/a+41.27% |
| Flows | TRUH VHT | --$25M | -$289K+$149M | -+$65M | -+$206M | --$2.06B | --$1.01B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | TRUH VHT | +17.56%+16.78% | n/a+15.85% | n/a+14.83% | n/a+15.63% |
| Max drawdown | TRUH VHT | -5.82%-5.63% | n/a-10.39% | n/a-16.88% | n/a-17.77% |
| Max drawdown duration | TRUH VHT | 56d56d | n/a169d | n/a435d | n/a767d |
Trading data
TRUH | VHT | |
Last sale 10/28/2026 at 1:30 PM | $31.34 | $334.46 |
| Previous close 10/27/2026 | $31.27 | $333.16 |
| 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 indexTRUH | VHT | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
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Main metrics
Last update 10/28/2026 at 1:30 PM
Live
Closed
TRUH | VHT | |
|---|---|---|
| Last price | $31.34 | $334.46 |
| 1D performance | +0.22% | +0.39% |
| AuM | $0.62 M | $20.10 B |
| E/R | 0.1% | 0.09% |
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Exposure
Countries
TRUH
USA
97.67%
Other
2.33%
VHT
USA
96.81%
Other
3.19%
Sectors
TRUH
Healthcare
97.97%
Other
2.03%
VHT
Healthcare
97.74%
Other
2.26%
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Diversification
TRUH
Total weight of top 15 holdings out of 15
71.6%
VHT
Total weight of top 15 holdings out of 15
60.65%
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%
VHT
Eli Lilly & Co.
12.79%
Johnson & Johnson
8.72%
AbbVie, Inc.
6.26%
Merck & Co., Inc.
5.04%
UnitedHealth Group, Inc.
4.89%
Amgen, Inc.
3.21%
Thermo Fisher Scientific, Inc.
3.17%
Abbott Laboratories
2.66%
Gilead Sciences, Inc.
2.51%
Pfizer Inc.
2.24%
Vertex Pharmaceuticals, Inc.
1.91%
Bristol Myers Squibb Co.
1.88%
Danaher Corp.
1.88%
Intuitive Surgical, Inc.
1.84%
CVS Health Corp.
1.66%
Frequently asked questions about TRUH and VHT
Which ETF is bigger: TRUH or VHT?
As of October 27, 2026, TRUH holds $0.62 M in assets under management (AUM), while VHT manages $20.10 B.
What sectors do the TRUH and VHT ETFs invest in?
TRUH leans toward sectors like Healthcare. Meanwhile, VHT focuses on Healthcare.
What are the top holdings of the TRUH ETF and VHT ETF?
TRUH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. VHT holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: TRUH or VHT?
TRUH holds 59 securities with 71.6% of its assets in the top 15. VHT has 412 securities and a top 15 weight of 60.65%.
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Latest news about TRUH & VHT
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November 13, 2025
VHT
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March 4, 2024
VHT
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VHT
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VHT
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