TRUH vs VOO
VanEck Healthcare TruSector ETF vs Vanguard S&P 500 ETF
Which is better, TRUH or VOO?
Large Cap Value against Large Cap Blend.
VOO has a lower expense ratio. VOO is less concentrated, with 36.4% 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 | TRUH | VOO |
|---|---|---|
| Expense Ratio | 0.10% | 0.03%Best |
| AUM | $869,424 | $997.4B |
| Dividend Yield | 0.28% | 1.04% |
| Holdings | 61 | 509 |
| YTD Return | +13.15%Best | +12.50% |
| 1Y Return | - | +17.58% |
| 3Y Return (annualized) | - | +21.27% |
| 5Y Return (annualized) | - | +12.95% |
| Top 10 Weight | 60.9% | 36.4%Best |
| Fund Family | VanEck | Vanguard (US) |
| Category | Equity | Equity |
| Style | Large Cap Value | Large Cap Blend |
| Inception | Apr 1, 2026 | Sep 7, 2010 |
Not shown on this pair: Volatility (annualized), Max Drawdown, $10,000 over the window.
TRUH vs VOO 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.
TRUH vs VOO Performance
VanEck Healthcare TruSector ETF (TRUH) is an ETF from VanEck and Vanguard S&P 500 ETF (VOO) is an ETF from Vanguard (US). Year to date, TRUH is up 13.15% versus a gain of 12.50% for VOO.
Past performance does not guarantee future results.
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 0.28% against 1.04% for VOO.
Holdings Overlap
100.0% of TRUH's money is in holdings VOO also owns. 8.9% of VOO's money is in holdings TRUH also owns.
Most of TRUH is already inside VOO. Owning both mostly buys the same companies twice.
59 positions in common, counted across the 60 positions we hold weights for in TRUH and 505 in VOO, against full books of 61 and 509.
What only one of them owns
Measured across the 60 and 505 positions we hold weights for.
VOO holds 437 positions TRUH does not, 90.5% of the fund.
Largest: NVDA 7.51%, AAPL 6.59%, MSFT 4.30%, AMZN 3.62%, GOOGL 3.25%
Top Shared Holdings
| Stock | Weight in TRUH | Weight in VOO | Difference |
|---|---|---|---|
| LLYEli Lilly & Co. | 15.66% | 1.47% | 14.19% |
| JNJJohnson & Johnson | 10.49% | 0.95% | 9.54% |
| ABBVAbbvie Inc. | 7.36% | 0.69% | 6.67% |
| UNHUnitedhealth Group Inc. | 6.34% | 0.59% | 5.75% |
| MRKMerck & Co. Inc. | 5.36% | 0.49% | 4.87% |
| AMGNAmgen Inc. | 3.70% | 0.30% | 3.40% |
| TMOThermo Fisher Scientific Inc | 3.63% | 0.29% | 3.34% |
| ABTAbbott Laboratories | 3.11% | 0.25% | 2.86% |
| GILDGilead Sciences Inc | 2.78% | 0.24% | 2.54% |
| PFEPfizer, Inc. | 2.49% | 0.21% | 2.28% |
100.0% of TRUH is already inside VOO.
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, TRUH or VOO?
TRUH has an expense ratio of 0.10% while VOO charges 0.03%. VOO is the cheaper option, by $7 a year on a $10,000 investment.
What is the holdings overlap between TRUH and VOO?
100.0% of TRUH's money is in holdings VOO also owns. 8.9% of VOO's is in holdings TRUH also owns. They hold 59 positions in common, counted across the 60 positions we hold weights for in TRUH and 505 in VOO.
Which pays a higher dividend, TRUH or VOO?
TRUH yields 0.28% while VOO yields 1.04%, so VOO currently pays the higher dividend yield.
Is VOO better than TRUH?
VOO has a lower expense ratio. VOO is less concentrated, with 36.4% 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.