TRUH vs VOO

TRUH vs VOO
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Quick Verdict

VOO has a lower expense ratio. VOO offers more diversification with 509 holdings.

Lower Fees: VOOHigher Returns: TiedMore Diversified: VOO

Side-by-Side Comparison

MetricTRUHVOOWinner
Expense Ratio0.10%0.03%
AUM$869,424$997.4B
Dividend Yield0.29%1.08%
Holdings61509
YTD Return+19.41%+12.68%
1Y Return-+21.87%
3Y Return (annualized)-+22.06%
5Y Return (annualized)-+12.95%
Volatility (annualized)-14.1%
Max Drawdown-4.5%-34.3%
Fund FamilyVanEckVanguard (US)
CategoryEquityEquity
InceptionApr 1, 2026Sep 7, 2010

TRUH vs VOO Performance

VanEck Healthcare TruSector ETF (TRUH) is a ETF from VanEck and Vanguard S&P 500 ETF (VOO) is a ETF from Vanguard (US). Year to date, TRUH is up 19.41% versus a gain of 12.68% for VOO.

Risk: Volatility and Drawdowns

The deepest peak-to-trough decline in our data was -4.5% for TRUH and -34.3% for VOO. Drawdown depth is worth weighing if you expect to sell during market stress rather than ride it out.

Fees and Cost Over Time

TRUH charges 0.10% per year while VOO charges 0.03%. On a $10,000 position that is $10 vs $3 annually, a gap of $7 per year that compounds over a long holding period. On income, TRUH currently yields 0.29% against 1.08% for VOO.

Holdings Overlap

8.9%overlap

TRUH and VOO share 59 holdings out of 506 unique holdings combined, representing a 8.9% weight overlap.

Moderate overlap means holding both could provide meaningful diversification benefits.

Top Shared Holdings

StockWeight in TRUHWeight in VOODifference
LLY15.66%1.47%14.19%
JNJ10.49%0.95%9.54%
ABBV7.36%0.69%6.67%
UNHProProPro
MRKProProPro
AMGNProProPro
TMOProProPro
ABTProProPro
GILDProProPro
PFEProProPro
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Frequently Asked Questions

Which is cheaper, TRUH or VOO?

TRUH has an expense ratio of 0.10% while VOO charges 0.03%. VOO is the cheaper option. On a $10,000 investment, that is $7 per year of difference.

What is the holdings overlap between TRUH and VOO?

TRUH and VOO share 59 common holdings with a 8.9% weight overlap. Combined, they hold 506 unique securities.

Which pays a higher dividend, TRUH or VOO?

TRUH yields 0.29% while VOO yields 1.08%, so VOO currently pays the higher dividend yield.

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