RXD vs. XLV
RXD (ProShares UltraShort Health Care) and XLV (State Street Health Care Select Sector SPDR ETF) are both exchange-traded funds - RXD is a Leveraged Equities fund tracking the DJ Global United States (All) / Health Care -IND (-200%), while XLV is a Health & Biotech Equities fund tracking the Health Care Select Sector Index. Both are passively managed. Over the past 10 years, RXD returned -19.74%/yr vs 10.01%/yr for XLV. At a correlation of -0.85, they often move in opposite directions. RXD charges 0.95%/yr vs 0.08%/yr for XLV.
Performance
RXD vs. XLV - Performance Comparison
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Returns By Period
In the year-to-date period, RXD achieves a 3.27% return, which is significantly higher than XLV's -0.85% return. Over the past 10 years, RXD has underperformed XLV with an annualized return of -19.74%, while XLV has yielded a comparatively higher 10.01% annualized return.
RXD
- 1D
- -2.74%
- 1M
- -3.78%
- YTD
- 3.27%
- 6M
- 3.62%
- 1Y
- -24.38%
- 3Y*
- -6.35%
- 5Y*
- -6.92%
- 10Y*
- -19.74%
XLV
- 1D
- 1.41%
- 1M
- 1.98%
- YTD
- -0.85%
- 6M
- -0.97%
- 1Y
- 17.16%
- 3Y*
- 6.63%
- 5Y*
- 5.69%
- 10Y*
- 10.01%
RXD vs. XLV - Yearly Performance Comparison
| 2026 (YTD) | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | |
|---|---|---|---|---|---|---|---|---|---|---|
RXD ProShares UltraShort Health Care | 3.27% | -21.66% | 4.83% | 3.25% | 1.20% | -37.97% | -44.25% | -32.44% | -14.33% | -35.24% |
XLV State Street Health Care Select Sector SPDR ETF | -0.85% | 14.50% | 2.47% | 2.07% | -2.08% | 26.04% | 13.30% | 20.45% | 6.28% | 21.77% |
Correlation
The correlation between RXD and XLV is -0.99, meaning they tend to move in opposite directions. This is especially valuable for risk management - when one declines, the other has historically tended to hold steady or rise.
| Correlation | |
|---|---|
Correlation (1Y) Calculated over the trailing 1-year period | -0.99 |
Correlation (3Y) Calculated over the trailing 3-year period | -0.99 |
Correlation (5Y) Calculated over the trailing 5-year period | -0.99 |
Correlation (10Y) Calculated over the trailing 10-year period | -0.91 |
Correlation (All Time) Calculated using the full available price history since Feb 1, 2007 | -0.85 |
The correlation between RXD and XLV shifts across timeframes, from -0.99 (1 year) to -0.85 (all time), reflecting how their relationship changes across market environments.
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Return for Risk
RXD vs. XLV — Risk / Return Rank
RXD
XLV
RXD vs. XLV - Risk-Adjusted Trends Comparison
This table presents a comparison of risk-adjusted performance metrics for ProShares UltraShort Health Care (RXD) and State Street Health Care Select Sector SPDR ETF (XLV). 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.
Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.
| RXD | XLV | Difference | |
|---|---|---|---|
| Sharpe ratioReturn per unit of total volatility | -1.95 | ||
| Sortino ratioReturn per unit of downside risk | -2.80 | ||
| Omega ratioGain probability vs. loss probability | 0.88 | 1.20 | -0.32 |
| Calmar ratioReturn relative to maximum drawdown | -0.71 | 1.65 | -2.35 |
| Martin ratioReturn relative to average drawdown | -1.06 | 3.89 | -4.95 |
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Drawdowns
RXD vs. XLV - Drawdown Comparison
The maximum RXD drawdown since its inception was -99.65%, which is greater than XLV's maximum drawdown of -39.17%. Use the drawdown chart below to compare losses from any high point for RXD and XLV.
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Drawdown Indicators
| RXD | XLV | Difference | |
|---|---|---|---|
Max DrawdownLargest peak-to-trough decline | -99.65% | -39.17% | -60.48% |
Max Drawdown (1Y)Largest decline over 1 year | -34.63% | -10.47% | -24.16% |
Max Drawdown (3Y)Largest decline over 3 years | -36.60% | -17.11% | -19.49% |
Max Drawdown (5Y)Largest decline over 5 years | -40.50% | -17.11% | -23.39% |
Max Drawdown (10Y)Largest decline over 10 years | -90.64% | -28.40% | -62.24% |
Current DrawdownCurrent decline from peak | -99.62% | -4.20% | -95.42% |
Average DrawdownAverage peak-to-trough decline | -81.91% | -7.12% | -74.79% |
Ulcer IndexDepth and duration of drawdowns from previous peaks | 22.96% | 4.42% | +18.54% |
Volatility
RXD vs. XLV - Volatility Comparison
ProShares UltraShort Health Care (RXD) has a higher volatility of 10.51% compared to State Street Health Care Select Sector SPDR ETF (XLV) at 5.27%. This indicates that RXD's price experiences larger fluctuations and is considered to be riskier than XLV based on this measure. The chart below showcases a comparison of their rolling one-month volatility.
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Volatility by Period
| RXD | XLV | Difference | |
|---|---|---|---|
Volatility (1M)Calculated over the trailing 1-month period | 10.51% | 5.27% | +5.24% |
Volatility (6M)Calculated over the trailing 6-month period | 21.71% | 10.68% | +11.03% |
Volatility (1Y)Calculated over the trailing 1-year period | 30.25% | 15.09% | +15.16% |
Volatility (5Y)Calculated over the trailing 5-year period, annualized | 29.88% | 14.77% | +15.11% |
Volatility (10Y)Calculated over the trailing 10-year period, annualized | 33.01% | 16.57% | +16.44% |
RXD vs. XLV - Expense Ratio Comparison
RXD has a 0.95% expense ratio, which is higher than XLV's 0.08% expense ratio.
Dividends
RXD vs. XLV - Dividend Comparison
RXD's dividend yield for the trailing twelve months is around 2.71%, more than XLV's 1.66% yield.
| Position | TTM | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
RXD ProShares UltraShort Health Care | 2.71% | 3.29% | 4.36% | 3.17% | 0.67% | 0.00% | 0.17% | 1.73% | 0.22% | 0.00% | 0.00% | 0.00% |
XLV State Street Health Care Select Sector SPDR ETF | 1.66% | 1.60% | 1.67% | 1.59% | 1.47% | 1.33% | 1.49% | 2.17% | 1.57% | 1.47% | 1.60% | 1.43% |
Frequently Asked Questions
RXD and XLV have a correlation of -0.99, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.
RXD has higher volatility (10.51%) compared to XLV (5.27%). In terms of maximum drawdown, RXD dropped -99.65% vs XLV's -39.17%.
On 10-year performance, XLV leads with 10.01% vs -19.74% for RXD. On fees, XLV is cheaper at 0.08% per year. On volatility, XLV has been the lower-risk option at 5.27%. The better choice depends on whether you care most about return, fees, risk, or income.
Over the 10-year period, XLV has performed better with a 10.01% return vs -19.74%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.
XLV is cheaper with a 0.08% expense ratio, compared with 0.95% for RXD.
RXD has the higher dividend yield at 2.71%, compared with 1.66% for XLV.
RXD is categorized as Leveraged Equities, while XLV is Health & Biotech Equities. RXD tracks DJ Global United States (All) / Health Care -IND (-200%), while XLV tracks Health Care Select Sector Index. They also come from different issuers: ProShares and State Street. Their fees differ too: 0.95% for RXD and 0.08% for XLV.
XLV currently has the higher Sharpe Ratio (1.14 vs -0.81), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.
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