SPY vs TRUH
State Street SPDR S&P 500 ETF Trust vs VanEck Healthcare TruSector ETF
Which is better, SPY or TRUH?
Large Cap Blend against Large Cap Value.
SPY has a lower expense ratio. SPY is less concentrated, with 38.0% 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 | SPY | TRUH |
|---|---|---|
| Expense Ratio | 0.09%Best | 0.10% |
| AUM | $804.7B | $869,424 |
| Dividend Yield | 0.98% | 0.28% |
| Holdings | 505 | 61 |
| YTD Return | +12.47% | +13.15%Best |
| 1Y Return | +17.51% | - |
| 3Y Return (annualized) | +21.18% | - |
| 5Y Return (annualized) | +12.88% | - |
| Top 10 Weight | 38.0%Best | 60.9% |
| Fund Family | State Street Investment Management | VanEck |
| Category | Equity | Equity |
| Style | Large Cap Blend | Large Cap Value |
| Inception | Jan 22, 1993 | Apr 1, 2026 |
Not shown on this pair: Volatility (annualized), Max Drawdown, $10,000 over the window.
SPY 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.
SPY vs TRUH Performance
State Street SPDR S&P 500 ETF Trust (SPY) is an ETF from State Street Investment Management and VanEck Healthcare TruSector ETF (TRUH) is an ETF from VanEck. Year to date, SPY is up 12.47% versus a gain of 13.15% for TRUH.
Past performance does not guarantee future results.
Fees and Cost Over Time
SPY charges 0.09% per year while TRUH charges 0.10%. On a $10,000 position that is $9 vs $10 annually, a gap of $1 per year that compounds over a long holding period. On income, SPY currently yields 0.98% against 0.28% for TRUH.
Holdings Overlap
8.8% of SPY's money is in holdings TRUH also owns. 100.0% of TRUH's money is in holdings SPY also owns.
Most of TRUH is already inside SPY. Owning both mostly buys the same companies twice.
60 positions in common, counted across the 504 positions we hold weights for in SPY and 60 in TRUH, against full books of 505 and 61.
What only one of them owns
Measured across the 504 and 60 positions we hold weights for.
SPY holds 435 positions TRUH does not, 90.7% of the fund.
Largest: NVDA 7.71%, AAPL 6.83%, MSFT 5.50%, AMZN 4.08%, GOOGL 3.33%
Top Shared Holdings
| Stock | Weight in SPY | Weight in TRUH | Difference |
|---|---|---|---|
| LLYEli Lilly & Co. | 1.33% | 15.66% | 14.33% |
| JNJJohnson & Johnson | 0.92% | 10.49% | 9.57% |
| ABBVAbbvie Inc. | 0.65% | 7.36% | 6.71% |
| UNHUnitedhealth Group Inc. | 0.56% | 6.34% | 5.78% |
| MRKMerck & Co. Inc. | 0.47% | 5.36% | 4.89% |
| AMGNAmgen Inc. | 0.32% | 3.70% | 3.38% |
| 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 SPY.
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, SPY or TRUH?
SPY has an expense ratio of 0.09% while TRUH charges 0.10%. SPY is the cheaper option, by $1 a year on a $10,000 investment.
What is the holdings overlap between SPY and TRUH?
100.0% of TRUH's money is in holdings SPY also owns. 100.0% of TRUH's is in holdings SPY also owns. They hold 60 positions in common, counted across the 504 positions we hold weights for in SPY and 60 in TRUH.
Which pays a higher dividend, SPY or TRUH?
SPY yields 0.98% while TRUH yields 0.28%, so SPY currently pays the higher dividend yield.
Is TRUH better than SPY?
SPY has a lower expense ratio. SPY is less concentrated, with 38.0% 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.