SPY vs TRUH

SPY vs TRUH
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Quick Verdict

SPY has a lower expense ratio. SPY offers more diversification with 505 holdings.

Lower Fees: SPYHigher Returns: TiedMore Diversified: SPY

Side-by-Side Comparison

MetricSPYTRUHWinner
Expense Ratio0.09%0.10%
AUM$821.1B$869,424
Dividend Yield1.01%0.29%
Holdings50561
YTD Return+12.68%+19.41%
1Y Return+21.82%-
3Y Return (annualized)+21.98%-
5Y Return (annualized)+12.89%-
Volatility (annualized)15.3%-
Max Drawdown-56.5%-4.5%
Fund FamilyState Street Investment ManagementVanEck
CategoryEquityEquity
InceptionJan 22, 1993Apr 1, 2026

SPY vs TRUH Performance

State Street SPDR S&P 500 ETF Trust (SPY) is a ETF from State Street Investment Management and VanEck Healthcare TruSector ETF (TRUH) is a ETF from VanEck. Year to date, SPY is up 12.68% versus a gain of 19.41% for TRUH.

Risk: Volatility and Drawdowns

The deepest peak-to-trough decline in our data was -56.5% for SPY 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

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 1.01% against 0.29% for TRUH.

Holdings Overlap

8.8%overlap

SPY and TRUH share 60 holdings out of 504 unique holdings combined, representing a 8.8% weight overlap.

Moderate overlap means holding both could provide meaningful diversification benefits.

Top Shared Holdings

StockWeight in SPYWeight in TRUHDifference
LLY1.33%15.66%14.33%
JNJ0.92%10.49%9.57%
ABBV0.65%7.36%6.71%
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GILDProProPro
PFEProProPro
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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. On a $10,000 investment, that is $1 per year of difference.

What is the holdings overlap between SPY and TRUH?

SPY and TRUH share 60 common holdings with a 8.8% weight overlap. Combined, they hold 504 unique securities.

Which pays a higher dividend, SPY or TRUH?

SPY yields 1.01% while TRUH yields 0.29%, so SPY currently pays the higher dividend yield.

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