QQQ vs TRUH
Invesco QQQ Trust, Series 1 vs VanEck Healthcare TruSector ETF
Which is better, QQQ or TRUH?
Large Cap Growth against Large Cap Value.
TRUH has a lower expense ratio. QQQ is less concentrated, with 46.7% of the fund in its ten largest positions against 60.5%.
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 | QQQ | TRUH |
|---|---|---|
| Expense Ratio | 0.18% | 0.10%Best |
| AUM | $506.1B | $599,625 |
| Dividend Yield | 0.42% | 0.29% |
| Holdings | 321 | 122 |
| YTD Return | +19.30% | +19.42%Best |
| 1Y Return | +22.47% | - |
| 3Y Return (annualized) | +26.18% | - |
| 5Y Return (annualized) | +15.42% | - |
| Top 10 Weight | 46.7%Best | 60.5% |
| Fund Family | Invesco (US) | VanEck |
| Category | Equity | Equity |
| Style | Large Cap Growth | Large Cap Value |
| Inception | Mar 10, 1999 | Apr 1, 2026 |
Not shown on this pair: Volatility (annualized), Max Drawdown, $10,000 over the window.
QQQ 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.
QQQ vs TRUH Performance
Invesco QQQ Trust, Series 1 (QQQ) is an ETF from Invesco (US) and VanEck Healthcare TruSector ETF (TRUH) is an ETF from VanEck. Year to date, QQQ is up 19.30% versus a gain of 19.42% for TRUH.
Past performance does not guarantee future results.
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 0.42% against 0.29% for TRUH.
Holdings Overlap
3.6% of QQQ's money is in holdings TRUH also owns. 13.8% of TRUH's money is in holdings QQQ also owns.
TRUH and QQQ share little of their money.
8 positions in common, counted across the 101 positions we hold weights for in QQQ and 61 in TRUH, against full books of 321 and 122.
What only one of them owns
Our book lists 52 positions for TRUH that do not appear in our book for QQQ (85.8% of the fund), and 85 for QQQ that do not appear in TRUH (92.7%).
Some of those will be the same company recorded under a different code in one of the two books, so the real difference in what you would own is no larger than this and may be smaller. We do not name the individual positions here for that reason.
Top Shared Holdings
| Stock | Weight in QQQ | Weight in TRUH | Difference |
|---|---|---|---|
| AMGNAmgen Inc. | 0.95% | 3.61% | 2.66% |
| GILDGilead Sciences | 0.77% | 2.96% | 2.19% |
| ISRGIntuitive Surgical Inc. | 0.60% | 2.29% | 1.69% |
| VRTXNvaesrtex Pharmaceuticals Inc | 0.55% | 2.08% | 1.53% |
| REGNRegeneron Pharmaceuticals, Inc. | 0.32% | 1.14% | 0.82% |
| IDXXIdexx Laboratories Inc Common Stock Usd 0.1 | 0.17% | 0.71% | 0.54% |
| DXCMDexcom Inc. | 0.14% | 0.53% | 0.39% |
| GEHCGe Healthcare Technologies Inc | 0.12% | 0.48% | 0.36% |
You are not choosing between two funds in isolation.
Whichever of QQQ and TRUH you pick has to sit alongside everything else you own. Add the rest and see what the combination actually holds.
Free for up to 10 holdings. No account needed.
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, by $8 a year on a $10,000 investment.
What is the holdings overlap between QQQ and TRUH?
13.8% of TRUH's money is in holdings QQQ also owns. 13.8% of TRUH's is in holdings QQQ also owns. They hold 8 positions in common, counted across the 101 positions we hold weights for in QQQ and 61 in TRUH.
Which pays a higher dividend, QQQ or TRUH?
QQQ yields 0.42% while TRUH yields 0.29%, so QQQ currently pays the higher dividend yield.
Is TRUH better than QQQ?
TRUH has a lower expense ratio. QQQ is less concentrated, with 46.7% of the fund in its ten largest positions against 60.5%. Which one suits a particular account depends on what it is for. This is information, not a recommendation.