At a glance
RXL charges 0.95% a year. It has $95.6M in assets; it paid 0.96% of its price in distributions over the past 12 months, quarterly. Over the past year it returned +42.7% with distributions reinvested (S&P 500: +11.5%); over three years it returned +22.3% a year. At its worst it fell 50.5% in the 2020 crash (S&P 500: 33.7%) and 31.4% in the 2022 bear market (S&P 500: 24.5%), and was back at its earlier high 4 months and 26 months after the lows. Its ten largest positions make up 45.3% of the fund, out of 64 in all.
The short version
ProShares Ultra Health Care (RXL) aims to deliver two times (2x) the daily return of the S&P Health Care Select Sector Index. That index holds the health care companies in the S&P 500, such as Eli Lilly and Johnson & Johnson. The fund's leverage resets every day, so over longer periods its results can drift well away from 2x the index. It charges 0.95% a year, according to its prospectus filed September 25, 2026.
Price history
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RXL +42.7% over the year to Oct 27, 2026, total return with distributions reinvested.
How it has behaved
| YTD | 1 yr | 3 yr | 5 yr | 10 yr | Since start | |
|---|---|---|---|---|---|---|
| RXL official prospectus, to Dec 31, 2025 | — | +19.68% | — | +7.19% | +12.63% | — |
| RXL price data to Oct 27, 2026 | +28.4% | +42.7% | +22.3% | +6.6% | +16.6% | +15.5% |
- Over the year to Oct 27, 2026, RXL returned +42.7%.
- Its 5-year annualized return was +6.6% and its 10-year +16.6%.
- In the 2020 COVID crash it fell 50.5% and regained its old high 4 months after the low.
- Its worst full calendar year was 2008 (-47.8%); its best was 2013 (+94.0%).
- The deepest fall in its price history was 67.7% (May 7, 2007 to Mar 5, 2009), recovered by Apr 2, 2012.
Show as a table
| Year | Price data | Prospectus (official) |
|---|---|---|
| 2026 (to date) | +28.4% | — |
| 2025 | +19.7% | +19.68% |
| 2024 | -2.7% | -2.66% |
| 2023 | -3.1% | -3.19% |
| 2022 | -15.3% | -15.13% |
| 2021 | +48.1% | +47.83% |
| 2020 | +19.2% | +19.23% |
| 2019 | +40.4% | +38.91% |
| 2018 | +3.4% | +5.39% |
| 2017 | +46.9% | +46.01% |
| 2016 | -8.7% | -8.94% |
| 2015 | +7.5% | — |
| 2014 | +53.2% | — |
| 2013 | +94.0% | — |
| 2012 | +38.6% | — |
| 2011 | +17.8% | — |
| 2010 | +5.0% | — |
| 2009 | +39.5% | — |
| 2008 | -47.8% | — |
| 2008 financial crisis stocks fell Oct 9, 2007 – Mar 9, 2009 | Lost 66.7% over that stretch · deepest drop along the way 67.6%, back to its old high 36.8 months after the low |
|---|---|
| 2020 COVID crash stocks fell Feb 19, 2020 – Mar 23, 2020 | Lost 50.5% over that stretch · deepest drop along the way 50.5%, back to its old high 4 months after the low |
| 2022 bear market stocks fell Jan 3, 2022 – Oct 12, 2022 | Lost 29.2% over that stretch · deepest drop along the way 31.4%, back to its old high 26 months after the low |
Dividends and income
Show as a table
| Year | Per share | Change |
|---|---|---|
| 2026 (to date) | $0.4500 | |
| 2025 | $0.7300 | +35.2% |
| 2024 | $0.5400 | +535.3% |
| 2023 | $0.0850 | -43.6% |
| 2022 | $0.1507 | +174.0% |
| 2021 | $0.0550 | 0.0% |
| 2020 | $0.0550 | -35.3% |
| 2019 | $0.0850 | +13.3% |
| 2018 | $0.0750 | +200.0% |
| 2017 | $0.0250 | +25.0% |
| 2016 | $0.0200 | -87.2% |
| 2015 | $0.1563 | +346.6% |
| 2014 | $0.0350 | +69.9% |
| 2013 | $0.0206 | -35.4% |
| 2012 | $0.0319 | +38.1% |
| 2011 | $0.0231 | -9.8% |
| 2010 | $0.0256 | -43.1% |
| 2009 | $0.0450 | +50.0% |
| 2008 | $0.0300 |
What's inside
As of Aug 31, 2026, most of the fund sat in cash, Treasury bills and money-market holdings (9.22% of net assets), with its exposure coming from 6 swap and futures positions rather than from owning the stocks outright.
| Holding | Weight | |
|---|---|---|
| Eli Lilly & Co. | 10.11% | |
| Johnson & Johnson | 7.07% | |
| AbbVie, Inc. | 5.01% | |
| Repurchase Agreement RA | 4.75% | |
| Merck & Co., Inc. | 4.03% | |
| UnitedHealth Group, Inc. | 3.91% | |
| Repurchase Agreement RA | 3.16% | |
| Amgen, Inc. | 2.56% | |
| Thermo Fisher Scientific, Inc. | 2.53% | |
| Abbott Laboratories | 2.12% | |
| Gilead Sciences, Inc. | 2.01% | |
| Repurchase Agreement RA | 1.90% | |
| Pfizer, Inc. | 1.79% | |
| Vertex Pharmaceuticals, Inc. | 1.53% | |
| Bristol-Myers Squibb Co. | 1.51% |
By country
United States 77.75%Ireland 1.54%By asset type
Stocks 67.83%RA 11.46%What changed recently
- Over the three months to Aug 31, 2026, investors added a net $3.9M (creations minus redemptions, per the N-PORT report).
- Monthly total returns reported for that quarter: +12.79%, +3.95%, +9.24%.
How it works
RXL follows the S&P Health Care Select Sector Index, built by S&P Dow Jones Indices. The index holds S&P 500 companies in six health care industries: pharmaceuticals, biotechnology, equipment and supplies, providers and services, health care technology, and life sciences tools. It weights companies by market capitalization (their total stock market value), so the biggest companies count the most. S&P reviews the index every September and adjusts weights in March, June and December. As of August 31, 2026, the largest positions were Eli Lilly (10.1%), Johnson & Johnson (7.1%) and AbbVie (5.0%).
ProShare Advisors uses a mathematical approach to reach 2x exposure. As of August 31, 2026, stocks made up about 68% of assets. The rest of the exposure came from total return swaps. These are contracts with large financial institutions that pay the fund the index's return in exchange for a financing cost. Cash goes into repurchase agreements and Treasury bills. If a swap partner fails to pay, the fund could lose money.
The fund rebalances every day. After an up day it adds exposure, and after a down day it cuts back. This daily reset compounds over time. In the prospectus example, if the index fell 20% over a year with 50% volatility, the fund's estimated loss would be 50.2%, not 40%. If the index falls close to 50% within a single day, holders could lose their entire investment.
What it really costs
- RXL charges 0.95% a year.
- Of that, 0.75% is the management fee; the rest covers other fund expenses.
- The fee includes a 0.13% waiver from the adviser, which may end.
- Using the prospectus's standard example, $10,000 invested would cost about $97 in the first year and $1,305 over 10 years (assuming a 5% annual return).
| Cost of $10,000 (SEC example) | 1 yr | 3 yrs | 5 yrs | 10 yrs |
|---|---|---|---|---|
| RXL | $97 | $331 | $583 | $1,305 |
Structure and tax notes
- Resets its exposure every day. Over periods longer than a day, compounding means returns can differ sharply from 2× the index — usually worse in choppy markets. Built for short-term trading, not buy-and-hold.
In a retirement portfolio
RXL resets its 2x leverage daily, so it is built to target one-day returns, not to be held for years.
RXL's history shows how hard leverage hits in downturns. In the 2008 financial crisis it fell 67.6%, then took about 37 months from the low to recover. It lost 47.8% in calendar 2008. In early 2020 it dropped 50.5% in about a month, though it recovered within four months. In 2022 it fell 31.4% and needed 26 months to get back. Anyone forced to sell shares or draw income in a year like those would lock in losses far deeper than the health care sector's. Income is small: the trailing yield was 0.96% as of October 27, 2026, paid quarterly. Costs add up too. In the SEC's standard example, the 0.95% expense ratio comes to $1,305 over 10 years on $10,000. Past results don't predict future ones, and any plan should look at the whole portfolio, not one fund.
Who it may suit — and who should look elsewhere
May suit
- Active traders who want magnified one-day exposure to large US health care stocks such as Eli Lilly, Johnson & Johnson and AbbVie.
- Investors who watch positions daily and understand that the daily reset makes multi-day returns differ from 2x the index.
- Experienced investors who accept swap counterparty risk and drops like the 50.5% fall in about a month in early 2020.
Look elsewhere if
- Retirees or savers who want a buy-and-hold health care fund. RXL's daily reset is designed for short-term trading.
- Income seekers: the trailing yield was just 0.96% as of October 27, 2026, paid quarterly.
- Cost-conscious investors: the SEC example puts the 0.95% expense ratio at $1,305 over 10 years on $10,000.
Close alternatives
Matched by leveraged/inverse funds on the same index (the index could not be identified from the name).
No close alternatives found.
Questions investors ask
Is RXL a good long-term investment?
RXL is designed for daily results, not long holding periods. ProShares says returns over periods longer than a day will likely differ from 2x the index, possibly by a lot. Its long-term record is mixed. It returned an average of 12.63% a year over 10 years and 7.19% a year over five years through December 31, 2025. It also fell 67.7% from 2007 to 2009 and did not recover until April 2012.
Does RXL pay a dividend?
Yes, RXL pays distributions quarterly, but they are small. Its trailing 12-month yield was 0.96% as of October 27, 2026, or about $0.63 per share. Only part of the fund's assets are in dividend-paying stocks. Much of its exposure comes from swaps, with cash held in repurchase agreements and Treasury bills. For the amount of risk it carries, the fund offers little income from health care companies.
What's the difference between RXL and a regular health care index fund?
The main difference is leverage. An unleveraged fund on the S&P Health Care Select Sector Index aims to match the index. RXL aims for twice its daily move, up or down. That doubles daily swings. It also adds swap financing costs, counterparty risk, and compounding effects from the daily reset that can pull long-term results well away from 2x. RXL's expense ratio is 0.95%.
Can you lose all your money in RXL?
Yes. ProShares warns that leverage raises the risk of a total loss. If the index approaches a 50% loss at any point in a day, an investor could lose the entire investment. Losses can also build over time. In the prospectus example, if the index fell 20% over a year with 50% volatility, the fund's estimated loss would be 50.2%, not 40%. Its deepest drop was 67.7%, from May 2007 to March 2009.
What are RXL's top holdings?
As of August 31, 2026, RXL's largest stock positions were Eli Lilly (10.1% of net assets), Johnson & Johnson (7.1%), AbbVie (5.0%), Merck (4.0%) and UnitedHealth Group (3.9%). The top 10 positions, including repurchase agreements, made up 45.3% of assets. Stocks were about 68% of assets and repurchase agreements about 11%. Total return swaps supplied the rest of the 2x exposure. Net assets were about $95.6 million.