TRUHvsXLVIETF Comparison
VS
ETF 2
XLVI
State Street Health Care Select Sector SPDR Premium Income Fund
This fund is part of
Options Strategies
+0.52%
VanEck Healthcare TruSector ETF (TRUH) belongs to the Uncategorized Equities segment. State Street Health Care Select Sector SPDR Premium Income Fund (XLVI) is part of the Options Strategies segment. Both ETFs have the same top 2 sector exposures: Healthcare and Consumer Non-Cyclicals. TRUH is less expensive with a Total Expense Ratio (TER) of 0.1%, versus 0.35% for XLVI. Run a side-by-side ETF comparison of TRUH and XLVI below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
Find out how industry players manage ETF portfolios. Discover our library of Model portfolios
TRUH vs XLVI 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 XLVI | -1.56%-3.84% | +7.78%+3.50% | n/a+5.51% | n/a+15.67% | n/an/a | n/an/a |
| Flows | TRUH XLVI | -+$5M | -$21K+$12M | -+$15M | -+$25M | -- | -- |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | TRUH XLVI | +19.41%+11.87% | n/a+11.08% | n/an/a | n/an/a |
| Max drawdown | TRUH XLVI | -5.82%-4.94% | n/a-8.21% | n/an/a | n/an/a |
| Max drawdown duration | TRUH XLVI | 23d17d | n/a115d | n/an/a | n/an/a |
Trading data
TRUH | XLVI | |
Last sale 9/11/2026 at 1:30 PM | $28.87 | $25.71 |
| Previous close 09/10/2026 | $28.91 | $25.73 |
| Consolidated volume 09/10/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
Advertisement
Main metrics
Last update 9/11/2026 at 1:30 PM
Live
Closed
TRUH | XLVI | |
|---|---|---|
| Last price | $28.87 | $25.71 |
| 1D performance | -0.14% | -0.07% |
| AuM | $0.58 M | $26.19 M |
| E/R | 0.1% | 0.35% |
Characteristics
TRUH | XLVI | |
|---|---|---|
| Management strategy | Active | Active |
| Provider | VanEck | State Street Investment Management |
| Benchmark | - | - |
| N° of holdings | 59 | 59 |
| Asset class | - | - |
| Trailing 12m distribution yield | Join | Join |
| Inception date | April 1, 2026 | July 30, 2025 |
| ESG | No | No |
Advertisement
Exposure
Countries
TRUH
USA
97.81%
Other
2.19%
XLVI
USA
97.34%
Other
2.66%
Sectors
TRUH
Healthcare
97.78%
Other
2.22%
XLVI
Healthcare
97.32%
Other
2.68%
Advertisement
Diversification
TRUH
Total weight of top 15 holdings out of 15
72.03%
XLVI
Total weight of top 15 holdings out of 15
71.63%
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%
XLVI
Eli Lilly & Co.
15.45%
Johnson & Johnson
10.49%
AbbVie, Inc.
7.54%
UnitedHealth Group, Inc.
6.40%
Merck & Co., Inc.
5.47%
Thermo Fisher Scientific, Inc.
3.63%
Amgen, Inc.
3.53%
Abbott Laboratories
3.13%
Gilead Sciences, Inc.
2.75%
Pfizer Inc.
2.42%
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 XLVI
Which ETF is bigger: TRUH or XLVI?
As of September 11, 2026, TRUH holds $0.58 M in assets under management (AUM), while XLVI manages $26.19 M.
What sectors do the TRUH and XLVI ETFs invest in?
TRUH leans toward sectors like Healthcare. Meanwhile, XLVI focuses on Healthcare.
What are the top holdings of the TRUH ETF and XLVI ETF?
TRUH top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. XLVI holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: TRUH or XLVI?
TRUH holds 59 securities with 72.03% of its assets in the top 15. XLVI has 59 securities and a top 15 weight of 71.63%.
Advertisement
Advertisement
