QQQ vs TRUH

QQQ vs TRUH
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Quick Verdict

TRUH has a lower expense ratio. QQQ offers more diversification with 108 holdings.

Lower Fees: TRUHHigher Returns: TiedMore Diversified: QQQ

Side-by-Side Comparison

MetricQQQTRUHWinner
Expense Ratio0.18%0.10%
AUM$496.3B$869,424
Dividend Yield0.44%0.29%
Holdings10861
YTD Return+15.47%+19.47%
1Y Return+24.44%-
3Y Return (annualized)+25.47%-
5Y Return (annualized)+14.22%-
Volatility (annualized)30.6%-
Max Drawdown-83.0%-4.5%
Fund FamilyInvesco (US)VanEck
CategoryEquityEquity
InceptionMar 10, 1999Apr 1, 2026

QQQ vs TRUH Performance

Invesco QQQ Trust, Series 1 (QQQ) is a ETF from Invesco (US) and VanEck Healthcare TruSector ETF (TRUH) is a ETF from VanEck. Year to date, QQQ is up 15.47% versus a gain of 19.47% for TRUH.

Risk: Volatility and Drawdowns

The deepest peak-to-trough decline in our data was -83.0% for QQQ and -4.5% for TRUH. Drawdown depth is worth weighing if you expect to sell during market stress rather than ride it out.

Fees and Cost Over Time

QQQ charges 0.18% per year while TRUH charges 0.10%. On a $10,000 position that is $18 vs $10 annually, a gap of $8 per year that compounds over a long holding period. On income, QQQ currently yields 0.44% against 0.29% for TRUH.

Holdings Overlap

3.6%overlap

QQQ and TRUH share 8 holdings out of 154 unique holdings combined, representing a 3.6% weight overlap.

Moderate overlap means holding both could provide meaningful diversification benefits.

Top Shared Holdings

StockWeight in QQQWeight in TRUHDifference
AMGN0.97%3.70%2.73%
GILD0.72%2.78%2.06%
ISRG0.58%2.27%1.69%
VRTXProProPro
REGNProProPro
IDXXProProPro
DXCMProProPro
GEHCProProPro
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Frequently Asked Questions

Which is cheaper, QQQ or TRUH?

QQQ has an expense ratio of 0.18% while TRUH charges 0.10%. TRUH is the cheaper option. On a $10,000 investment, that is $8 per year of difference.

What is the holdings overlap between QQQ and TRUH?

QQQ and TRUH share 8 common holdings with a 3.6% weight overlap. Combined, they hold 154 unique securities.

Which pays a higher dividend, QQQ or TRUH?

QQQ yields 0.44% while TRUH yields 0.29%, so QQQ currently pays the higher dividend yield.

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