Simplify Health Care ETF (PINK) Performance

NYSE Arca: PINKTotal returns, calendar years, drawdowns and risk since 2021.

PINK total return

Distributions reinvested · as of Oct 23, 2026
YTD
+8.9%
since Dec 31, 2025
1 year
+21.0%
total return
5 years
+9.5%
a year
Since first price
+10.3%
a year since 2021

PINK trailing returns vs SPY, QQQ, AGG

PINK trailing returns
PeriodPINK total returnPrice onlyS&P 500 (SPY)Nasdaq-100 (QQQ)U.S. bonds (AGG)
1 month+3.8%+3.8%−1.0%−5.0%+0.9%
3 months+2.7%+2.5%+3.2%+1.9%−0.4%
6 months+13.1%+12.6%+7.8%+8.4%−1.5%
YTD+8.9%+8.3%+12.3%+15.1%−1.0%
1 year+21.0%+20.0%+14.4%+15.9%−1.1%
3 years+66.0%+18.4%/yr+62.9%+87.4%+23.3%/yr+101.4%+26.3%/yr+16.6%+5.2%/yr
5 years+57.5%+9.5%/yr+52.8%+79.3%+12.4%/yr+94.0%+14.2%/yr−0.8%−0.2%/yr
Since inceptionOct 8, 2021+64.0%+10.3%/yr+59.1%———

Total return from adjusted closes (distributions reinvested, before tax). Periods of 3 years or more are also shown annualized. Price only excludes distributions.

Growth of $10,000: PINK vs SPY

PINKS&P 500 (SPY)

From Oct 8, 2021: PINK grew to $16,403, SPY to $18,557.

Year-end values with distributions reinvested, no taxes or trading costs. Start: first common trading day of both funds.

PINK returns by calendar year

PINKSPY

3 of 4 full years positive. Best 2025 (+24.3%), worst 2022 (−4.4%). 2026 is year to date.

PINK annual returns table

PINK calendar-year returns
YearPINKLargest dropSPYQQQAGG
2026YTD+8.9%−16.8%+12.3%+15.1%−1.0%
2025+24.3%−13.3%+17.7%+20.8%+7.2%
2024+8.8%−11.3%+24.9%+25.6%+1.3%
2023+3.8%−13.3%+26.2%+54.9%+5.7%
2022−4.4%−18.4%−18.2%−32.6%−13.0%

Largest drop = deepest fall from a high within that calendar year.

Calendar-year return vs largest drop within the year

Calendar-year returnLargest drop within the year

Most years include a sizable fall at some point even when the year ends higher.

PINK largest drawdowns

Now 1.7% below the high
PINK largest drawdowns
PeakDeclineBottomRecoveredFallUnderwater
Sep 19, 2024−18.8%Apr 8, 2025Oct 15, 20257 months1.1 years
Apr 20, 2022−18.4%Jun 16, 2022Jan 8, 202457 days1.7 years
Jan 22, 2026−16.8%Mar 27, 2026Jun 26, 20262 months5 months
Dec 30, 2021−13.0%Jan 27, 2022Apr 8, 202228 days3 months

Declines from a closing high (distributions reinvested) of 10% or more. Underwater = time from the peak until the old high was regained.

PINK risk statistics

PINK risk statistics
Statistic3 yearsSince 2021
Annualized return+16.1%+8.7%
Volatility (annualized)16.4%16.9%
Sharpe ratio0.730.36
Sortino ratio1.260.58
Best month+13.4%+13.4%
Worst month−7.4%−9.6%
Best 12 months+35.6%+35.6%
Worst 12 months−9.4%−9.4%
Positive months61%56%
Beta vs S&P 5000.73—
Correlation with S&P 5000.55—

From monthly total returns. Sharpe and Sortino use 1–3 month T-bills (BIL) as the risk-free rate, so they need history from 2007 on.

PINK rolling returns

PINK rolling returns
Holding periodPeriodsWorstMedianBestPositive
1-year49−9.4%+8.7%+35.6%73%
3-year (a year)25+2.6%+10.8%+19.1%100%
5-year (a year)1+9.2%+9.2%+9.2%100%

Every holding period starting at a month-end since 2021. Returns for 3 years and longer are annualized.

PINK performance overview

Simplify Health Care ETF (PINK) returned +21.0% over the past year and +9.5% a year over five years, with distributions reinvested. Since its first recorded price in 2021 it has returned +10.3% a year, turning $10,000 into about $16,403. Over the same year S&P 500 (SPY) returned +14.4%.

The deepest decline was −18.8%, from Sep 19, 2024 to Apr 8, 2025, and it took 6 months to get back to the old high. PINK finished 3 of its 4 full calendar years with a gain; the best year was 2025 (+24.3%) and the worst 2022 (−4.4%). Volatility has been 16.9% a year.

Related: PINK chart, PINK holdings, PINK dividends. See the PINK overview for the latest quote and fund facts.

PINK performance FAQ

What is the PINK return over the past year?

PINK returned +21.0% over the 12 months to October 23, 2026, including reinvested distributions. On price alone it rose 20.0%.

What is the average annual return of PINK?

PINK has returned +9.5% a year over 5 years, +10.3% a year since October 8, 2021 (total return, distributions reinvested).

How much would $10,000 invested in PINK be worth?

$10,000 invested in PINK at its first recorded close on October 8, 2021 would be worth about $16,403 on October 23, 2026 with distributions reinvested.

What was the worst year for PINK?

The worst calendar year was 2022, with a total return of −4.4%. The best was 2025 at +24.3%.

What is the biggest drawdown of PINK?

The largest peak-to-trough decline was −18.8% between September 19, 2024 and April 8, 2025. It recovered to the old high on October 15, 2025, 6 months after the bottom.

How volatile is PINK?

Over the past 3 years PINK had an annualized volatility of 16.4% and a Sharpe ratio of 0.73 (excess return over 1–3 month T-bills per unit of risk).