SPYH.DE vs. VOO

Last updated Apr 2, 2026

Compare and contrast key facts about SPDR MSCI Europe Health Care UCITS ETF (SPYH.DE) and Vanguard S&P 500 ETF (VOO).

SPYH.DE and VOO are both exchange-traded funds (ETFs), meaning they are traded on stock exchanges and can be bought and sold throughout the day. SPYH.DE is a passively managed fund by State Street that tracks the performance of the MSCI Europe Health Care 20/35 Capped. It was launched on Dec 5, 2014. 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 SPYH.DE 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

SPYH.DE vs. VOO - Performance Comparison

The chart below illustrates the hypothetical performance of a €10,000 investment in SPDR MSCI Europe Health Care UCITS ETF (SPYH.DE) and Vanguard S&P 500 ETF (VOO). The values are adjusted to include any dividend payments, if applicable.

SPYH.DE vs. VOO - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
SPYH.DE SPDR MSCI Europe Health Care UCITS ETF	-0.00%	7.82%	3.98%	7.88%	-4.55%	25.71%	-2.51%	33.07%	-1.21%	2.94%
VOO Vanguard S&P 500 ETF	-2.17%	3.84%	33.23%	22.54%	-13.10%	38.43%	8.57%	34.33%	-0.02%	6.81%

Different Trading Currencies

SPYH.DE is traded in EUR, while VOO is traded in USD. To make them comparable, the VOO values have been converted to EUR using the latest available exchange rates.

Returns By Period

Over the past 10 years, SPYH.DE has underperformed VOO with an annualized return of 7.08%, while VOO has yielded a comparatively higher 13.88% annualized return.

SPYH.DE

• 1D: 1.62%
• 1M: -4.67%
• YTD: -0.00%
• 6M: 5.62%
• 1Y: 5.52%
• 3Y*: 5.09%
• 5Y*: 7.36%
• 10Y*: 7.08%

VOO

• 1D: 0.00%
• 1M: -4.00%
• YTD: -2.90%
• 6M: -0.75%
• 1Y: 9.44%
• 3Y*: 15.76%
• 5Y*: 12.16%
• 10Y*: 13.88%

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

SPYH.DE vs. VOO - Expense Ratio Comparison

SPYH.DE has a 0.18% 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%.

SPYH.DE

SPDR MSCI Europe Health Care UCITS ETF

VOO

Vanguard S&P 500 ETF

Return for Risk

SPYH.DE vs. VOO — Risk / Return Rank

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

SPYH.DE

SPYH.DE Risk / Return Rank: 20
SPYH.DE Sharpe Ratio Rank: 18
SPYH.DE Sortino Ratio Rank: 18
SPYH.DE Omega Ratio Rank: 18
SPYH.DE Calmar Ratio Rank: 25
SPYH.DE Martin Ratio Rank: 22

VOO

VOO Risk / Return Rank: 60
VOO Sharpe Ratio Rank: 54
VOO Sortino Ratio Rank: 57
VOO Omega Ratio Rank: 61
VOO Calmar Ratio Rank: 59
VOO 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.

SPYH.DE vs. VOO - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for SPDR MSCI Europe Health Care UCITS ETF (SPYH.DE) 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.

	SPYH.DE	VOO	Difference
Sharpe ratio Return per unit of total volatility	0.29	0.46	-0.18
Sortino ratio Return per unit of downside risk	0.52	0.77	-0.25
Omega ratio Gain probability vs. loss probability	1.07	1.12	-0.05
Calmar ratio Return relative to maximum drawdown	0.59	0.70	-0.11
Martin ratio Return relative to average drawdown	1.62	2.97	-1.35
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

SPYH.DE vs. VOO - Sharpe Ratio Comparison

The current SPYH.DE Sharpe Ratio is 0.29, which is lower than the VOO Sharpe Ratio of 0.46. The chart below compares the historical Sharpe Ratios of SPYH.DE 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

	SPYH.DE	VOO	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	0.29	0.46	-0.18
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.47	0.73	-0.26
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.45	0.75	-0.30
Sharpe Ratio (All Time) Calculated using the full available price history	0.44	0.84	-0.40

Correlation

The correlation between SPYH.DE and VOO 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

SPYH.DE vs. VOO - Dividend Comparison

SPYH.DE has not paid dividends to shareholders, while VOO's dividend yield for the trailing twelve months is around 1.18%.

	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
SPYH.DE SPDR MSCI Europe Health Care UCITS ETF	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%
VOO Vanguard S&P 500 ETF	1.18%	1.13%	1.24%	1.46%	1.69%	1.25%	1.54%	1.88%	2.06%	1.78%	2.02%	2.10%

Drawdowns

SPYH.DE vs. VOO - Drawdown Comparison

The maximum SPYH.DE drawdown since its inception was -26.62%, smaller than the maximum VOO drawdown of -33.49%. Use the drawdown chart below to compare losses from any high point for SPYH.DE and VOO.

Drawdown Indicators

	SPYH.DE	VOO	Difference
Max Drawdown Largest peak-to-trough decline	-26.62%	-33.99%	+7.37%
Max Drawdown (1Y) Largest decline over 1 year	-13.47%	-11.98%	-1.49%
Max Drawdown (5Y) Largest decline over 5 years	-26.62%	-24.52%	-2.10%
Max Drawdown (10Y) Largest decline over 10 years	-26.62%	-33.99%	+7.37%
Current Drawdown Current decline from peak	-8.92%	-5.55%	-3.37%
Average Drawdown Average peak-to-trough decline	-8.58%	-3.72%	-4.86%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.58%	2.55%	+2.03%

Volatility

SPYH.DE vs. VOO - Volatility Comparison

SPDR MSCI Europe Health Care UCITS ETF (SPYH.DE) has a higher volatility of 5.07% compared to Vanguard S&P 500 ETF (VOO) at 4.29%. This indicates that SPYH.DE's price experiences larger fluctuations and is considered to be riskier than VOO based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	SPYH.DE	VOO	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.07%	4.29%	+0.78%
Volatility (6M) Calculated over the trailing 6-month period	11.66%	9.82%	+1.84%
Volatility (1Y) Calculated over the trailing 1-year period	19.30%	20.47%	-1.17%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	15.48%	16.71%	-1.23%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	15.77%	18.57%	-2.80%