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TRUH vs XLV

Vaneck Healthcare TruSector ETF vs State Street Health Care Select Sector SPDR ETF

TRUH

Vaneck Healthcare TruSector ETF

VanEck

Annual cost

0.10%

Fund size

$0.5M

XLV

State Street Health Care Select Sector SPDR ETF

State Street Investment Management

Annual cost

0.08%

Fund size

$37.9B

Key differences

  • XLV is significantly larger than TRUH — larger funds tend to be more liquid and less likely to close.
  • TRUH follows a active selection strategy; XLV uses index tracking.
  • XLV has a longer track record, which may reduce uncertainty around long-term behavior.

Side-by-side comparison

TRUHXLV
Annual cost (TER)0.10%0.08%
Fund size (AUM)$0.5M$37.9B
Since20261998
Dividend yield1.72%
Asset classequityequity
Regionnorth americanorth america
Strategyactive selectionindex tracking
CAGR 1YN/A+16.2%
CAGR 3YN/A+6.0%
CAGR 5YN/A+5.6%
Sharpe 3YN/A0.24
Volatility 1Y14.56%
Max drawdown-4.52%-28.40%

Green dot indicates the better value for that metric. Performance data is historical and does not predict future results.

Similar to TRUH and XLV