XLV vs. SSO

Last updated Jun 9, 2026

XLV (State Street Health Care Select Sector SPDR ETF) and SSO (ProShares Ultra S&P500) are both exchange-traded funds - XLV is a Health & Biotech Equities fund tracking the Health Care Select Sector Index, while SSO is a Leveraged Equities fund tracking the S&P 500. Both are passively managed. Over the past 10 years, XLV returned 9.65%/yr vs 23.71%/yr for SSO. A 0.73 correlation means they provide meaningful diversification when combined. XLV charges 0.08%/yr vs 0.87%/yr for SSO.

Performance

XLV vs. SSO - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in State Street Health Care Select Sector SPDR ETF (XLV) and ProShares Ultra S&P500 (SSO). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, XLV achieves a -0.98% return, which is significantly lower than SSO's 14.49% return. Over the past 10 years, XLV has underperformed SSO with an annualized return of 9.65%, while SSO has yielded a comparatively higher 23.71% annualized return.

XLV

• 1D: -0.24%
• 1M: 6.38%
• YTD: -0.98%
• 6M: 1.65%
• 1Y: 15.62%
• 3Y*: 7.16%
• 5Y*: 6.05%
• 10Y*: 9.65%

SSO

• 1D: 0.47%
• 1M: -0.08%
• YTD: 14.49%
• 6M: 14.11%
• 1Y: 45.16%
• 3Y*: 35.32%
• 5Y*: 18.74%
• 10Y*: 23.71%

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

XLV vs. SSO - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
XLV State Street Health Care Select Sector SPDR ETF	-0.98%	14.50%	2.47%	2.07%	-2.08%	26.04%	13.30%	20.45%	6.28%	21.77%
SSO ProShares Ultra S&P500	14.49%	26.19%	43.48%	46.65%	-38.98%	60.57%	21.54%	63.45%	-14.60%	44.35%

Correlation

The correlation between XLV and SSO is 0.34, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.34
Correlation (3Y) Calculated over the trailing 3-year period	0.47
Correlation (5Y) Calculated over the trailing 5-year period	0.59
Correlation (10Y) Calculated over the trailing 10-year period	0.66
Correlation (All Time) Calculated using the full available price history since Jun 22, 2006	0.73

Over the past year, the correlation between XLV and SSO has dropped to 0.34 - well below their long-term average of 0.73, suggesting their price drivers have been diverging.

XLV vs. SSO - Sectors Allocation Comparison

Sectors	XLV	SSO
Healthcare	100.0%	8.5%
Basic Materials	-	1.8%
Communication Services	-	11.2%
Consumer Cyclical	-	10.1%
Consumer Defensive	-	4.9%
Energy	-	3.5%
Financial Services	-	11.8%
Industrials	-	8.3%
Real Estate	-	1.9%
Technology	-	35.6%
Utilities	-	2.4%

Return for Risk

XLV vs. SSO — Risk / Return Rank

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

XLV

XLV Risk / Return Rank: 32
XLV Sharpe Ratio Rank: 32
XLV Sortino Ratio Rank: 34
XLV Omega Ratio Rank: 31
XLV Calmar Ratio Rank: 33
XLV Martin Ratio Rank: 28

SSO

SSO Risk / Return Rank: 60
SSO Sharpe Ratio Rank: 63
SSO Sortino Ratio Rank: 56
SSO Omega Ratio Rank: 58
SSO Calmar Ratio Rank: 56
SSO Martin Ratio Rank: 65

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.

XLV vs. SSO - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for State Street Health Care Select Sector SPDR ETF (XLV) and ProShares Ultra S&P500 (SSO). 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.

	XLV	SSO	Difference
Sharpe ratio: Return per unit of total volatility	1.05	1.88	-0.83
Sortino ratio: Return per unit of downside risk	1.68	2.42	-0.75
Omega ratio: Gain probability vs. loss probability	1.19	1.33	-0.14
Calmar ratio: Return relative to maximum drawdown	1.50	2.50	-1.00
Martin ratio: Return relative to average drawdown	3.60	10.89	-7.29
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

XLV vs. SSO - Sharpe Ratio Comparison

The current XLV Sharpe Ratio is 1.05, which is lower than the SSO Sharpe Ratio of 1.88. The chart below compares the historical Sharpe Ratios of XLV and SSO, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Sharpe Ratios by Period

	XLV	SSO	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	1.05	1.88	-0.83
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.41	0.56	-0.15
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.58	0.66	-0.08
Sharpe Ratio (All Time) Calculated using the full available price history	0.46	0.41	+0.05

Drawdowns

XLV vs. SSO - Drawdown Comparison

The maximum XLV drawdown since its inception was -39.17%, smaller than the maximum SSO drawdown of -84.67%. Use the drawdown chart below to compare losses from any high point for XLV and SSO.

Drawdown Indicators

	XLV	SSO	Difference
Max Drawdown Largest peak-to-trough decline	-39.17%	-84.67%	+45.50%
Max Drawdown (1Y) Largest decline over 1 year	-10.47%	-18.17%	+7.70%
Max Drawdown (3Y) Largest decline over 3 years	-17.11%	-35.21%	+18.10%
Max Drawdown (5Y) Largest decline over 5 years	-17.11%	-46.73%	+29.62%
Max Drawdown (10Y) Largest decline over 10 years	-28.40%	-59.34%	+30.94%
Current Drawdown Current decline from peak	-4.32%	-5.43%	+1.11%
Average Drawdown Average peak-to-trough decline	-7.12%	-19.56%	+12.44%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.35%	4.16%	+0.19%

Volatility

XLV vs. SSO - Volatility Comparison

The current volatility for State Street Health Care Select Sector SPDR ETF (XLV) is 5.02%, while ProShares Ultra S&P500 (SSO) has a volatility of 7.49%. This indicates that XLV experiences smaller price fluctuations and is considered to be less risky than SSO based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	XLV	SSO	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.02%	7.49%	-2.47%
Volatility (6M) Calculated over the trailing 6-month period	10.66%	18.61%	-7.95%
Volatility (1Y) Calculated over the trailing 1-year period	14.99%	24.14%	-9.15%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	14.76%	33.73%	-18.97%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	16.58%	35.94%	-19.36%

XLV vs. SSO - Expense Ratio Comparison

XLV has a 0.08% expense ratio, which is lower than SSO's 0.87% expense ratio.

Dividends

XLV vs. SSO - Dividend Comparison

XLV's dividend yield for the trailing twelve months is around 1.64%, more than SSO's 0.64% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
SSO ProShares Ultra S&P500	0.64%	0.68%	0.85%	0.18%	0.50%	0.18%	0.20%	0.50%	0.75%	0.39%	0.51%	0.63%
XLV State Street Health Care Select Sector SPDR ETF	1.64%	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

Can I hold both XLV and SSO in my portfolio?

XLV and SSO have a correlation of 0.34, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, XLV or SSO?

SSO has higher volatility (7.49%) compared to XLV (5.02%). In terms of maximum drawdown, XLV dropped -39.17% vs SSO's -84.67%.

Which ETF is better, XLV or SSO?

On 10-year performance, SSO leads with 23.71% vs 9.65% for XLV. On fees, XLV is cheaper at 0.08% per year. On volatility, XLV has been the lower-risk option at 5.02%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, XLV or SSO?

Over the 10-year period, SSO has performed better with a 23.71% return vs 9.65%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, XLV or SSO?

XLV is cheaper with a 0.08% expense ratio, compared with 0.87% for SSO.

Which ETF pays a higher dividend yield, XLV or SSO?

XLV has the higher dividend yield at 1.64%, compared with 0.64% for SSO.

What is the main difference between XLV and SSO?

XLV is categorized as Health & Biotech Equities, while SSO is Leveraged Equities. XLV tracks Health Care Select Sector Index, while SSO tracks S&P 500. They also come from different issuers: State Street and ProShares. Their fees differ too: 0.08% for XLV and 0.87% for SSO.

Which has better risk-adjusted returns?

SSO currently has the higher Sharpe Ratio (1.88 vs 1.05), 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.