IVV vs TRUH
iShares Core S&P 500 ETF vs VanEck Healthcare TruSector ETF
Which is better, IVV or TRUH?
Large Cap Blend against Large Cap Value.
IVV has a lower expense ratio. IVV is less concentrated, with 37.9% of the fund in its ten largest positions against 60.9%.
MarketXLS is not an investment adviser. This comparison is generated automatically from market data and is for information only. A Best mark means the better reading on that one measure, not a recommendation to buy.
Side-by-Side Comparison
| Metric | IVV | TRUH |
|---|---|---|
| Expense Ratio | 0.03%Best | 0.10% |
| AUM | $876.4B | $869,424 |
| Dividend Yield | 1.06% | 0.28% |
| Holdings | 508 | 61 |
| YTD Return | +12.51% | +13.15%Best |
| 1Y Return | +17.57% | - |
| 3Y Return (annualized) | +21.27% | - |
| 5Y Return (annualized) | +12.95% | - |
| Top 10 Weight | 37.9%Best | 60.9% |
| Fund Family | iShares by BlackRock (US) | VanEck |
| Category | Equity | Equity |
| Style | Large Cap Blend | Large Cap Value |
| Inception | May 15, 2000 | Apr 1, 2026 |
Not shown on this pair: Volatility (annualized), Max Drawdown, $10,000 over the window.
IVV vs TRUH growth
Month-end closes. Both lines start at 0% in the first month shown, so the gap between them is the difference in growth across that window. The full view is available from the range buttons; it is not the opening view here because over the whole period one of these two funds moves so much further than the other that its line would sit flat on the axis.
IVV vs TRUH Performance
iShares Core S&P 500 ETF (IVV) is an ETF from iShares by BlackRock (US) and VanEck Healthcare TruSector ETF (TRUH) is an ETF from VanEck. Year to date, IVV is up 12.51% versus a gain of 13.15% for TRUH.
Past performance does not guarantee future results.
Fees and Cost Over Time
IVV charges 0.03% per year while TRUH charges 0.10%. On a $10,000 position that is $3 vs $10 annually, a gap of $7 per year that compounds over a long holding period. On income, IVV currently yields 1.06% against 0.28% for TRUH.
Holdings Overlap
8.9% of IVV's money is in holdings TRUH also owns. 100.0% of TRUH's money is in holdings IVV also owns.
Most of TRUH is already inside IVV. Owning both mostly buys the same companies twice.
60 positions in common, counted across the 505 positions we hold weights for in IVV and 60 in TRUH, against full books of 508 and 61.
What only one of them owns
Measured across the 505 and 60 positions we hold weights for.
IVV holds 436 positions TRUH does not, 90.4% of the fund.
Largest: NVDA 7.98%, AAPL 6.86%, MSFT 5.44%, AMZN 4.01%, GOOGL 3.19%
Top Shared Holdings
| Stock | Weight in IVV | Weight in TRUH | Difference |
|---|---|---|---|
| LLYEli Lilly & Co. | 1.39% | 15.66% | 14.27% |
| JNJJohnson & Johnson | 0.93% | 10.49% | 9.56% |
| ABBVAbbvie Inc. | 0.65% | 7.36% | 6.71% |
| UNHUnitedhealth Group Inc. | 0.56% | 6.34% | 5.78% |
| MRKMerck & Co. Inc. | 0.48% | 5.36% | 4.88% |
| AMGNAmgen Inc. | 0.33% | 3.70% | 3.37% |
| TMOThermo Fisher Scientific Inc | 0.32% | 3.63% | 3.31% |
| ABTAbbott Laboratories | 0.28% | 3.11% | 2.83% |
| GILDGilead Sciences Inc | 0.25% | 2.78% | 2.53% |
| PFEPfizer, Inc. | 0.22% | 2.49% | 2.27% |
100.0% of TRUH is already inside IVV.
You probably hold more than these two. Add the rest and see how much of the whole book is the same companies twice.
Free for up to 10 holdings. No account needed.
Frequently Asked Questions
Which is cheaper, IVV or TRUH?
IVV has an expense ratio of 0.03% while TRUH charges 0.10%. IVV is the cheaper option, by $7 a year on a $10,000 investment.
What is the holdings overlap between IVV and TRUH?
100.0% of TRUH's money is in holdings IVV also owns. 100.0% of TRUH's is in holdings IVV also owns. They hold 60 positions in common, counted across the 505 positions we hold weights for in IVV and 60 in TRUH.
Which pays a higher dividend, IVV or TRUH?
IVV yields 1.06% while TRUH yields 0.28%, so IVV currently pays the higher dividend yield.
Is TRUH better than IVV?
IVV has a lower expense ratio. IVV is less concentrated, with 37.9% of the fund in its ten largest positions against 60.9%. Which one suits a particular account depends on what it is for. This is information, not a recommendation.