SPXV vs. VHT

Last updated Apr 1, 2026

Compare and contrast key facts about ProShares S&P 500 Ex-Health Care ETF (SPXV) and Vanguard Health Care ETF (VHT).

SPXV and VHT are both exchange-traded funds (ETFs), meaning they are traded on stock exchanges and can be bought and sold throughout the day. SPXV is a passively managed fund by ProShares that tracks the performance of the S&P 500 Ex-Health Care Index. It was launched on Sep 22, 2015. VHT is a passively managed fund by Vanguard that tracks the performance of the MSCI US Investable Market Health Care 25/50 Index. It was launched on Jan 26, 2004. Both SPXV and VHT are passive ETFs, meaning that they are not actively managed but aim to replicate the performance of the underlying index as closely as possible.

Performance

SPXV vs. VHT - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in ProShares S&P 500 Ex-Health Care ETF (SPXV) and Vanguard Health Care ETF (VHT). The values are adjusted to include any dividend payments, if applicable.

SPXV vs. VHT - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
SPXV ProShares S&P 500 Ex-Health Care ETF	-4.54%	18.40%	28.02%	30.71%	-20.47%	28.37%	18.99%	33.58%	-3.81%	17.01%
VHT Vanguard Health Care ETF	-5.04%	15.46%	2.66%	2.52%	-5.60%	20.57%	18.29%	21.87%	5.58%	23.26%

Returns By Period

In the year-to-date period, SPXV achieves a -4.54% return, which is significantly higher than VHT's -5.04% return. Over the past 10 years, SPXV has outperformed VHT with an annualized return of 15.34%, while VHT has yielded a comparatively lower 9.72% annualized return.

SPXV

• 1D: 2.89%
• 1M: -4.62%
• YTD: -4.54%
• 6M: -2.70%
• 1Y: 19.49%
• 3Y*: 19.91%
• 5Y*: 12.34%
• 10Y*: 15.34%

VHT

• 1D: 2.24%
• 1M: -7.50%
• YTD: -5.04%
• 6M: 5.91%
• 1Y: 4.70%
• 3Y*: 6.16%
• 5Y*: 5.09%
• 10Y*: 9.72%

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

SPXV vs. VHT - Expense Ratio Comparison

SPXV has a 0.27% expense ratio, which is higher than VHT's 0.10% expense ratio. However, both funds are considered low-cost compared to the broader market, where average expense ratios usually range from 0.3% to 0.9%.

SPXV

ProShares S&P 500 Ex-Health Care ETF

VHT

Vanguard Health Care ETF

Return for Risk

SPXV vs. VHT — Risk / Return Rank

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

SPXV

SPXV Risk / Return Rank: 64
SPXV Sharpe Ratio Rank: 58
SPXV Sortino Ratio Rank: 61
SPXV Omega Ratio Rank: 65
SPXV Calmar Ratio Rank: 63
SPXV Martin Ratio Rank: 73

VHT

VHT Risk / Return Rank: 21
VHT Sharpe Ratio Rank: 20
VHT Sortino Ratio Rank: 20
VHT Omega Ratio Rank: 19
VHT Calmar Ratio Rank: 25
VHT Martin Ratio Rank: 21

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.

SPXV vs. VHT - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for ProShares S&P 500 Ex-Health Care ETF (SPXV) and Vanguard Health Care ETF (VHT). 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.

	SPXV	VHT	Difference
Sharpe ratio Return per unit of total volatility	1.01	0.27	+0.74
Sortino ratio Return per unit of downside risk	1.55	0.49	+1.06
Omega ratio Gain probability vs. loss probability	1.23	1.06	+0.17
Calmar ratio Return relative to maximum drawdown	1.58	0.51	+1.07
Martin ratio Return relative to average drawdown	7.50	1.09	+6.41
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

SPXV vs. VHT - Sharpe Ratio Comparison

The current SPXV Sharpe Ratio is 1.01, which is higher than the VHT Sharpe Ratio of 0.27. The chart below compares the historical Sharpe Ratios of SPXV and VHT, 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

	SPXV	VHT	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	1.01	0.27	+0.74
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.70	0.34	+0.35
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.85	0.58	+0.27
Sharpe Ratio (All Time) Calculated using the full available price history	0.82	0.56	+0.26

Correlation

The correlation between SPXV and VHT is 0.50, which is considered to be moderate. This suggests that the two assets have some degree of positive relationship in their price movements. Moderate correlation can be acceptable for portfolio diversification, offering a balance between risk and potential returns.

Dividends

SPXV vs. VHT - Dividend Comparison

SPXV's dividend yield for the trailing twelve months is around 1.05%, less than VHT's 1.73% yield.

	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
SPXV ProShares S&P 500 Ex-Health Care ETF	1.05%	0.97%	1.12%	1.27%	1.67%	1.11%	1.45%	1.58%	1.89%	1.57%	2.66%	0.56%
VHT Vanguard Health Care ETF	1.73%	1.61%	1.53%	1.36%	1.33%	1.14%	1.21%	1.89%	1.38%	1.31%	1.45%	1.22%

Drawdowns

SPXV vs. VHT - Drawdown Comparison

The maximum SPXV drawdown since its inception was -34.34%, smaller than the maximum VHT drawdown of -39.12%. Use the drawdown chart below to compare losses from any high point for SPXV and VHT.

Drawdown Indicators

	SPXV	VHT	Difference
Max Drawdown Largest peak-to-trough decline	-34.34%	-39.12%	+4.78%
Max Drawdown (1Y) Largest decline over 1 year	-12.74%	-10.40%	-2.34%
Max Drawdown (5Y) Largest decline over 5 years	-26.58%	-17.71%	-8.87%
Max Drawdown (10Y) Largest decline over 10 years	-34.34%	-28.85%	-5.49%
Current Drawdown Current decline from peak	-6.53%	-8.05%	+1.52%
Average Drawdown Average peak-to-trough decline	-4.58%	-5.98%	+1.40%
Ulcer Index Depth and duration of drawdowns from previous peaks	2.68%	4.96%	-2.28%

Volatility

SPXV vs. VHT - Volatility Comparison

ProShares S&P 500 Ex-Health Care ETF (SPXV) has a higher volatility of 5.49% compared to Vanguard Health Care ETF (VHT) at 5.10%. This indicates that SPXV's price experiences larger fluctuations and is considered to be riskier than VHT based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	SPXV	VHT	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.49%	5.10%	+0.39%
Volatility (6M) Calculated over the trailing 6-month period	10.19%	10.28%	-0.09%
Volatility (1Y) Calculated over the trailing 1-year period	19.37%	17.61%	+1.76%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	17.79%	14.85%	+2.94%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.16%	16.94%	+1.22%