SPXV vs. VOO

Last updated Apr 1, 2026

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

SPXV and VOO 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. VOO is a passively managed fund by Vanguard that tracks the performance of the S&P 500 Index. It was launched on Sep 7, 2010. Both SPXV and VOO 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. VOO - 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 S&P 500 ETF (VOO). The values are adjusted to include any dividend payments, if applicable.

SPXV vs. VOO - 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%
VOO Vanguard S&P 500 ETF	-4.42%	17.82%	24.98%	26.32%	-18.17%	28.79%	18.32%	31.37%	-4.50%	21.77%

Returns By Period

The year-to-date returns for both investments are quite close, with SPXV having a -4.54% return and VOO slightly higher at -4.42%. Over the past 10 years, SPXV has outperformed VOO with an annualized return of 15.34%, while VOO has yielded a comparatively lower 14.05% 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%

VOO

• 1D: 2.86%
• 1M: -5.01%
• YTD: -4.42%
• 6M: -1.84%
• 1Y: 17.67%
• 3Y*: 18.27%
• 5Y*: 11.75%
• 10Y*: 14.05%

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

SPXV vs. VOO - Expense Ratio Comparison

SPXV has a 0.27% expense ratio, which is higher than VOO's 0.03% 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

VOO

Vanguard S&P 500 ETF

Return for Risk

SPXV vs. VOO — 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

VOO

VOO Risk / Return Rank: 65
VOO Sharpe Ratio Rank: 59
VOO Sortino Ratio Rank: 62
VOO Omega Ratio Rank: 66
VOO Calmar Ratio Rank: 65
VOO Martin Ratio Rank: 75

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. VOO - 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 S&P 500 ETF (VOO). 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	VOO	Difference
Sharpe ratio Return per unit of total volatility	1.01	0.98	+0.03
Sortino ratio Return per unit of downside risk	1.55	1.50	+0.05
Omega ratio Gain probability vs. loss probability	1.23	1.23	+0.01
Calmar ratio Return relative to maximum drawdown	1.58	1.53	+0.05
Martin ratio Return relative to average drawdown	7.50	7.29	+0.21
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. VOO - Sharpe Ratio Comparison

The current SPXV Sharpe Ratio is 1.01, which is comparable to the VOO Sharpe Ratio of 0.98. The chart below compares the historical Sharpe Ratios of SPXV and VOO, 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	VOO	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	1.01	0.98	+0.03
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.70	0.70	-0.01
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.85	0.78	+0.06
Sharpe Ratio (All Time) Calculated using the full available price history	0.82	0.83	-0.01

Correlation

The correlation between SPXV and VOO is 0.82, which is considered to be high. That indicates a strong positive relationship between their price movements. Having highly-correlated positions in a portfolio may signal a lack of diversification, potentially leading to increased risk during market downturns.

Dividends

SPXV vs. VOO - Dividend Comparison

SPXV's dividend yield for the trailing twelve months is around 1.05%, less than VOO's 1.19% 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%
VOO Vanguard S&P 500 ETF	1.19%	1.13%	1.24%	1.46%	1.69%	1.25%	1.54%	1.88%	2.06%	1.78%	2.02%	2.10%

Drawdowns

SPXV vs. VOO - Drawdown Comparison

The maximum SPXV drawdown since its inception was -34.34%, roughly equal to the maximum VOO drawdown of -33.99%. Use the drawdown chart below to compare losses from any high point for SPXV and VOO.

Drawdown Indicators

	SPXV	VOO	Difference
Max Drawdown Largest peak-to-trough decline	-34.34%	-33.99%	-0.35%
Max Drawdown (1Y) Largest decline over 1 year	-12.74%	-11.98%	-0.76%
Max Drawdown (5Y) Largest decline over 5 years	-26.58%	-24.52%	-2.06%
Max Drawdown (10Y) Largest decline over 10 years	-34.34%	-33.99%	-0.35%
Current Drawdown Current decline from peak	-6.53%	-6.29%	-0.24%
Average Drawdown Average peak-to-trough decline	-4.58%	-3.72%	-0.86%
Ulcer Index Depth and duration of drawdowns from previous peaks	2.68%	2.52%	+0.16%

Volatility

SPXV vs. VOO - Volatility Comparison

ProShares S&P 500 Ex-Health Care ETF (SPXV) and Vanguard S&P 500 ETF (VOO) have volatilities of 5.49% and 5.29%, respectively, indicating that both stocks experience similar levels of price fluctuations. This suggests that the risk associated with both stocks, as measured by volatility, is nearly the same. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	SPXV	VOO	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.49%	5.29%	+0.20%
Volatility (6M) Calculated over the trailing 6-month period	10.19%	9.44%	+0.75%
Volatility (1Y) Calculated over the trailing 1-year period	19.37%	18.10%	+1.27%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	17.79%	16.82%	+0.97%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.16%	17.99%	+0.17%