VHTvsTRUHETF Comparison
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Vanguard Health Care ETF (VHT) belongs to the US Health Care segment. VanEck Healthcare TruSector ETF (TRUH) is part of the Uncategorized Equities segment. VHT's top 3 sector exposures are Healthcare, Consumer Non-Cyclicals and Business Services. In contrast, TRUH's top sector exposures are Healthcare and Consumer Non-Cyclicals. VHT is less expensive with a Total Expense Ratio (TER) of 0.09%, versus 0.1% for TRUH. Run a side-by-side ETF comparison of VHT and TRUH 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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VHT vs TRUH performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 09/10/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | VHT TRUH | -1.78%-1.68% | +9.90%+8.80% | +8.91%n/a | +23.87%n/a | +33.75%n/a | +29.38%n/a |
| Flows | VHT TRUH | +$73M- | +$372M-$21K | +$89M- | +$324M- | -$2.17B- | -$965M- |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | VHT TRUH | +18.20%+19.45% | +15.74%n/a | +14.66%n/a | +15.57%n/a |
| Max drawdown | VHT TRUH | -5.54%-5.69% | -10.39%n/a | -16.88%n/a | -17.77%n/a |
| Max drawdown duration | VHT TRUH | 22d22d | 169dn/a | 435dn/a | 767dn/a |
Trading data
VHT | TRUH | |
Last sale 9/11/2026 at 1:30 PM | $310.83 | $28.91 |
| Previous close 09/10/2026 | $311.27 | $29.05 |
| 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 indexVHT | TRUH | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
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Main metrics
Last update 9/11/2026 at 1:30 PM
Live
Closed
VHT | TRUH | |
|---|---|---|
| Last price | $310.83 | $28.91 |
| 1D performance | -0.14% | -0.49% |
| AuM | $18.81 B | $0.58 M |
| E/R | 0.09% | 0.1% |
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Exposure
Countries
VHT
USA
96.91%
Other
3.09%
TRUH
USA
97.81%
Other
2.19%
Sectors
VHT
Healthcare
97.52%
Other
2.48%
TRUH
Healthcare
97.78%
Other
2.22%
Diversification
VHT
Total weight of top 15 holdings out of 15
61.16%
TRUH
Total weight of top 15 holdings out of 15
72.03%
Top 15 holdings
Data as of July 31, 2026
VHT
Eli Lilly & Co.
13.37%
Johnson & Johnson
8.83%
AbbVie, Inc.
6.43%
UnitedHealth Group, Inc.
5.45%
Merck & Co., Inc.
4.67%
Thermo Fisher Scientific, Inc.
3.09%
Amgen, Inc.
3.01%
Abbott Laboratories
2.67%
Gilead Sciences, Inc.
2.34%
Pfizer Inc.
2.06%
Bristol Myers Squibb Co.
1.93%
CVS Health Corp.
1.93%
Intuitive Surgical, Inc.
1.82%
Danaher Corp.
1.80%
Vertex Pharmaceuticals, Inc.
1.76%
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%
Frequently asked questions about VHT and TRUH
Which ETF is bigger: VHT or TRUH?
As of September 10, 2026, VHT holds $18.81 B in assets under management (AUM), while TRUH manages $0.58 M.
What sectors do the VHT and TRUH ETFs invest in?
VHT leans toward sectors like Healthcare. Meanwhile, TRUH focuses on Healthcare.
What are the top holdings of the VHT ETF and TRUH ETF?
VHT top holdings include Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc.. TRUH holds in its top three: Eli Lilly & Co., Johnson & Johnson and AbbVie, Inc..
Which ETF is more diversified: VHT or TRUH?
VHT holds 413 securities with 61.16% of its assets in the top 15. TRUH has 59 securities and a top 15 weight of 72.03%.
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Latest news about VHT & TRUH
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