MDRX vs. SPY

Last updated Apr 1, 2026

Compare and contrast key facts about Allscripts Healthcare Solutions, Inc. (MDRX) and State Street SPDR S&P 500 ETF (SPY).

SPY is a passively managed fund by State Street that tracks the performance of the S&P 500 Index. It was launched on Jan 22, 1993.

Performance

MDRX vs. SPY - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Allscripts Healthcare Solutions, Inc. (MDRX) and State Street SPDR S&P 500 ETF (SPY). The values are adjusted to include any dividend payments, if applicable.

MDRX vs. SPY - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
MDRX Allscripts Healthcare Solutions, Inc.	-3.13%	-50.77%	-7.05%	-40.53%	-4.39%	27.77%	47.12%	1.82%	-33.75%	42.51%
SPY State Street SPDR S&P 500 ETF	-3.65%	17.72%	24.89%	26.18%	-18.18%	28.73%	18.33%	31.22%	-4.57%	21.71%

Returns By Period

In the year-to-date period, MDRX achieves a -3.12% return, which is significantly higher than SPY's -3.65% return. Over the past 10 years, MDRX has underperformed SPY with an annualized return of -10.15%, while SPY has yielded a comparatively higher 14.06% annualized return.

MDRX

• 1D: 2.20%
• 1M: -5.10%
• YTD: -3.12%
• 6M: -3.13%
• 1Y: 6.65%
• 3Y*: -29.11%
• 5Y*: -21.24%
• 10Y*: -10.15%

SPY

• 1D: 0.75%
• 1M: -4.28%
• YTD: -3.65%
• 6M: -1.42%
• 1Y: 18.14%
• 3Y*: 18.48%
• 5Y*: 11.86%
• 10Y*: 14.06%

*Multi-year figures are annualized to reflect compound growth (CAGR)

Return for Risk

MDRX vs. SPY — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

MDRX

MDRX Risk / Return Rank: 48
MDRX Sharpe Ratio Rank: 46
MDRX Sortino Ratio Rank: 44
MDRX Omega Ratio Rank: 45
MDRX Calmar Ratio Rank: 54
MDRX Martin Ratio Rank: 53

SPY

SPY Risk / Return Rank: 59
SPY Sharpe Ratio Rank: 51
SPY Sortino Ratio Rank: 56
SPY Omega Ratio Rank: 60
SPY Calmar Ratio Rank: 58
SPY Martin Ratio Rank: 69

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

MDRX vs. SPY - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Allscripts Healthcare Solutions, Inc. (MDRX) and State Street SPDR S&P 500 ETF (SPY). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

	MDRX	SPY	Difference
Sharpe ratio Return per unit of total volatility	0.13	0.96	-0.83
Sortino ratio Return per unit of downside risk	0.56	1.49	-0.93
Omega ratio Gain probability vs. loss probability	1.08	1.23	-0.15
Calmar ratio Return relative to maximum drawdown	0.49	1.53	-1.04
Martin ratio Return relative to average drawdown	1.05	7.27	-6.22
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

MDRX vs. SPY - Sharpe Ratio Comparison

The current MDRX Sharpe Ratio is 0.13, which is lower than the SPY Sharpe Ratio of 0.96. The chart below compares the historical Sharpe Ratios of MDRX and SPY, offering insights into how both investments have performed under varying market conditions. These values are calculated using daily returns over the previous 12 months.

Sharpe Ratios by Period

	MDRX	SPY	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	0.13	0.96	-0.83
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	-0.46	0.70	-1.16
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	-0.23	0.79	-1.01
Sharpe Ratio (All Time) Calculated using the full available price history	-0.08	0.56	-0.64

Correlation

The correlation between MDRX and SPY is 0.38, which is considered to be low. This implies their price changes are not closely related. A low correlation is generally favorable for portfolio diversification, as it helps to reduce overall risk by spreading it across multiple assets with different performance patterns.

Dividends

MDRX vs. SPY - Dividend Comparison

MDRX has not paid dividends to shareholders, while SPY's dividend yield for the trailing twelve months is around 1.13%.

	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
MDRX Allscripts Healthcare Solutions, Inc.	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
SPY State Street SPDR S&P 500 ETF	1.13%	1.07%	1.21%	1.40%	1.65%	1.20%	1.52%	1.75%	2.04%	1.80%	2.03%	2.06%

Drawdowns

MDRX vs. SPY - Drawdown Comparison

The maximum MDRX drawdown since its inception was -97.79%, which is greater than SPY's maximum drawdown of -55.19%. Use the drawdown chart below to compare losses from any high point for MDRX and SPY.

Drawdown Indicators

	MDRX	SPY	Difference
Max Drawdown Largest peak-to-trough decline	-97.79%	-55.19%	-42.60%
Max Drawdown (1Y) Largest decline over 1 year	-19.05%	-12.05%	-7.00%
Max Drawdown (5Y) Largest decline over 5 years	-83.11%	-24.50%	-58.61%
Max Drawdown (10Y) Largest decline over 10 years	-83.11%	-33.72%	-49.39%
Current Drawdown Current decline from peak	-94.59%	-5.53%	-89.06%
Average Drawdown Average peak-to-trough decline	-83.01%	-9.09%	-73.92%
Ulcer Index Depth and duration of drawdowns from previous peaks	8.96%	2.54%	+6.42%

Volatility

MDRX vs. SPY - Volatility Comparison

Allscripts Healthcare Solutions, Inc. (MDRX) has a higher volatility of 18.12% compared to State Street SPDR S&P 500 ETF (SPY) at 5.35%. This indicates that MDRX's price experiences larger fluctuations and is considered to be riskier than SPY based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	MDRX	SPY	Difference
Volatility (1M) Calculated over the trailing 1-month period	18.12%	5.35%	+12.77%
Volatility (6M) Calculated over the trailing 6-month period	35.54%	9.50%	+26.04%
Volatility (1Y) Calculated over the trailing 1-year period	52.44%	19.06%	+33.38%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	46.20%	17.06%	+29.14%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	44.89%	17.92%	+26.97%