TRUHvsXLVETF Comparison
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VanEck Healthcare TruSector ETF (TRUH) belongs to the Uncategorized Equities segment. State Street Health Care Select Sector SPDR ETF (XLV) is part of the US Health Care segment. Both ETFs have the same top 2 sector exposures: Healthcare and Consumer Non-Cyclicals. TRUH is more expensive with a Total Expense Ratio (TER) of 0.1%, versus 0.08% for XLV. Run a side-by-side ETF comparison of TRUH and XLV 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 XLV performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 09/11/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | TRUH XLV | -1.56%-1.56% | +7.78%+7.84% | n/a+7.78% | n/a+20.47% | n/a+30.79% | n/a+35.50% |
| Flows | TRUH XLV | --$197M | -$21K+$909M | -+$740M | -+$1.68B | --$5.40B | -+$1.77B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | TRUH XLV | +19.41%+19.44% | n/a+16.18% | n/a+14.73% | n/a+15.18% |
| Max drawdown | TRUH XLV | -5.82%-5.81% | n/a-10.51% | n/a-17.05% | n/a-17.05% |
| Max drawdown duration | TRUH XLV | 23d23d | n/a116d | n/a444d | n/a444d |
Trading data
TRUH | XLV | |
Last sale 9/11/2026 at 1:30 PM | $28.87 | $165.36 |
| Previous close 09/10/2026 | $28.91 | $165.66 |
| Consolidated volume 09/10/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Replication quality
Data as of August 31, 2026
1-year trailing difference
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TRUH
is actively managed and doesn’t replicate an indexTRUH | XLV | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
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Main metrics
Last update 9/11/2026 at 1:30 PM
Live
Closed
TRUH | XLV | |
|---|---|---|
| Last price | $28.87 | $165.36 |
| 1D performance | -0.14% | -0.18% |
| AuM | $0.58 M | $43.09 B |
| E/R | 0.1% | 0.08% |
Characteristics
TRUH | XLV | |
|---|---|---|
| Management strategy | Active | Passive |
| Provider | VanEck | State Street Investment Management |
| Benchmark | - | S&P Health Care Select Sector Index |
| N° of holdings | 59 | 59 |
| Asset class | - | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | April 1, 2026 | December 16, 1998 |
| ESG | No | No |
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Exposure
Countries
TRUH
USA
97.81%
Other
2.19%
XLV
USA
97.53%
Other
2.47%
Sectors
TRUH
Healthcare
97.78%
Other
2.22%
XLV
Healthcare
97.51%
Other
2.49%
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Diversification
TRUH
Total weight of top 15 holdings out of 15
72.03%
XLV
Total weight of top 15 holdings out of 15
71.77%
Top 15 holdings
Data as of July 31, 2026
TRUH
Eli Lilly & Co.
15.53%
Johnson & Johnson
10.55%
AbbVie, Inc.
7.58%
UnitedHealth Group, Inc.
6.43%
Merck & Co., Inc.
5.50%
Thermo Fisher Scientific, Inc.
3.65%
Amgen, Inc.
3.53%
Abbott Laboratories
3.14%
Gilead Sciences, Inc.
2.77%
Pfizer Inc.
2.44%
CVS Health Corp.
2.28%
Bristol Myers Squibb Co.
2.28%
Intuitive Surgical, Inc.
2.16%
Danaher Corp.
2.11%
Vertex Pharmaceuticals, Inc.
2.08%
XLV
Eli Lilly & Co.
15.48%
Johnson & Johnson
10.51%
AbbVie, Inc.
7.55%
UnitedHealth Group, Inc.
6.41%
Merck & Co., Inc.
5.48%
Thermo Fisher Scientific, Inc.
3.64%
Amgen, Inc.
3.54%
Abbott Laboratories
3.14%
Gilead Sciences, Inc.
2.75%
Pfizer Inc.
2.43%
Bristol Myers Squibb Co.
2.27%
CVS Health Corp.
2.27%
Intuitive Surgical, Inc.
2.13%
Danaher Corp.
2.09%
Vertex Pharmaceuticals, Inc.
2.06%
Frequently asked questions about TRUH and XLV
Which ETF is bigger: TRUH or XLV?
As of September 11, 2026, TRUH holds $0.58 M in assets under management (AUM), while XLV manages $43.09 B.
What sectors do the TRUH and XLV ETFs invest in?
TRUH leans toward sectors like Healthcare. Meanwhile, XLV focuses on Healthcare.
What are the top holdings of the TRUH ETF and XLV ETF?
TRUH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. XLV holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: TRUH or XLV?
TRUH holds 59 securities with 72.03% of its assets in the top 15. XLV has 59 securities and a top 15 weight of 71.77%.
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