BBC vs. XHS

Last updated Jul 17, 2026

BBC (Virtus LifeSci Biotech Clinical Trials ETF) and XHS (SPDR S&P Health Care Services ETF) are both Health & Biotech Equities funds - BBC tracks the LifeSci Biotechnology Clinical Trials Index while XHS tracks the S&P Health Care Services Select Industry Index. Both are passively managed. Over the past 10 years, BBC returned 10.71%/yr vs 9.10%/yr for XHS. A 0.56 correlation means they provide meaningful diversification when combined. BBC charges 0.79%/yr vs 0.35%/yr for XHS.

Performance

BBC vs. XHS - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Virtus LifeSci Biotech Clinical Trials ETF (BBC) and SPDR S&P Health Care Services ETF (XHS). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, BBC achieves a 29.44% return, which is significantly higher than XHS's 26.76% return. Over the past 10 years, BBC has outperformed XHS with an annualized return of 10.71%, while XHS has yielded a comparatively lower 9.10% annualized return.

BBC

• 1D: -3.75%
• 1M: 16.02%
• 6M: 23.66%
• YTD: 29.44%
• 1Y: 135.03%
• 3Y*: 27.83%
• 5Y*: 2.21%
• 10Y*: 10.71%

XHS

• 1D: 0.45%
• 1M: 10.64%
• 6M: 21.53%
• YTD: 26.76%
• 1Y: 45.58%
• 3Y*: 13.33%
• 5Y*: 4.53%
• 10Y*: 9.10%

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

BBC vs. XHS - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
BBC Virtus LifeSci Biotech Clinical Trials ETF	29.44%	63.77%	-1.11%	-1.80%	-35.13%	-22.31%	30.32%	63.81%	-18.29%	57.85%
XHS SPDR S&P Health Care Services ETF	26.76%	18.83%	1.76%	5.15%	-19.87%	9.76%	33.66%	18.81%	1.96%	17.65%

Correlation

The correlation between BBC and XHS is 0.32, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.32
Correlation (3Y) Calculated over the trailing 3-year period	0.46
Correlation (5Y) Calculated over the trailing 5-year period	0.57
Correlation (10Y) Calculated over the trailing 10-year period	0.55
Correlation (All Time) Calculated using the full available price history since Dec 17, 2014	0.56

Over the past year, the correlation between BBC and XHS has dropped to 0.32 - well below their long-term average of 0.56, suggesting their price drivers have been diverging.

BBC vs. XHS - Sectors Allocation Comparison

Sectors	BBC	XHS
Healthcare	99.0%	95.7%
Financial Services	0.8%	3.7%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Industrials	-	0.5%
Real Estate	-	-
Technology	-	-
Utilities	-	-

Return for Risk

BBC vs. XHS — Risk / Return Rank

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

BBC

BBC Risk / Return Rank: 96
BBC Sharpe Ratio Rank: 97
BBC Sortino Ratio Rank: 95
BBC Omega Ratio Rank: 92
BBC Calmar Ratio Rank: 97
BBC Martin Ratio Rank: 96

XHS

XHS Risk / Return Rank: 88
XHS Sharpe Ratio Rank: 92
XHS Sortino Ratio Rank: 90
XHS Omega Ratio Rank: 89
XHS Calmar Ratio Rank: 86
XHS Martin Ratio Rank: 84

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.

BBC vs. XHS - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Virtus LifeSci Biotech Clinical Trials ETF (BBC) and SPDR S&P Health Care Services ETF (XHS). 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.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	BBC	XHS	Difference
Sharpe ratio: Return per unit of total volatility	3.77	2.56	+1.21
Sortino ratio: Return per unit of downside risk	4.17	3.42	+0.75
Omega ratio: Gain probability vs. loss probability	1.50	1.45	+0.05
Calmar ratio: Return relative to maximum drawdown	9.00	3.82	+5.18
Martin ratio: Return relative to average drawdown	26.02	13.16	+12.87

BBC vs. XHS - Sharpe Ratio Comparison

The current BBC Sharpe Ratio is 3.77, which is higher than the XHS Sharpe Ratio of 2.56. The chart below compares the historical Sharpe Ratios of BBC and XHS, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

BBC vs. XHS - Drawdown Comparison

The maximum BBC drawdown since its inception was -76.85%, which is greater than XHS's maximum drawdown of -39.32%. Use the drawdown chart below to compare losses from any high point for BBC and XHS.

Drawdown Indicators

	BBC	XHS	Difference
Max Drawdown Largest peak-to-trough decline	-76.85%	-39.32%	-37.53%
Max Drawdown (1Y) Largest decline over 1 year	-15.10%	-11.99%	-3.11%
Max Drawdown (3Y) Largest decline over 3 years	-54.45%	-17.81%	-36.64%
Max Drawdown (5Y) Largest decline over 5 years	-70.92%	-31.34%	-39.58%
Max Drawdown (10Y) Largest decline over 10 years	-76.85%	-39.32%	-37.53%
Current Drawdown Current decline from peak	-16.91%	-1.72%	-15.19%
Average Drawdown Average peak-to-trough decline	-36.95%	-10.12%	-26.83%
Ulcer Index Depth and duration of drawdowns from previous peaks	5.21%	3.48%	+1.73%

Volatility

BBC vs. XHS - Volatility Comparison

Virtus LifeSci Biotech Clinical Trials ETF (BBC) has a higher volatility of 11.01% compared to SPDR S&P Health Care Services ETF (XHS) at 5.41%. This indicates that BBC's price experiences larger fluctuations and is considered to be riskier than XHS based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	BBC	XHS	Difference
Volatility (1M) Calculated over the trailing 1-month period	11.01%	5.41%	+5.60%
Volatility (6M) Calculated over the trailing 6-month period	26.56%	12.81%	+13.75%
Volatility (1Y) Calculated over the trailing 1-year period	36.14%	17.91%	+18.23%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	39.59%	21.22%	+18.37%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	37.71%	22.40%	+15.31%

BBC vs. XHS - Expense Ratio Comparison

BBC has a 0.79% expense ratio, which is higher than XHS's 0.35% expense ratio.

Dividends

BBC vs. XHS - Dividend Comparison

BBC's dividend yield for the trailing twelve months is around 1.31%, more than XHS's 0.20% yield.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017	2016	2015
BBC Virtus LifeSci Biotech Clinical Trials ETF	1.31%	1.70%	1.00%	0.34%	0.00%	0.00%	0.00%	0.00%	0.00%	2.09%	0.00%	0.51%
XHS SPDR S&P Health Care Services ETF	0.20%	0.27%	0.38%	0.23%	0.19%	0.20%	0.23%	2.37%	0.34%	0.22%	0.28%	0.93%

Frequently Asked Questions

Can I hold both BBC and XHS in my portfolio?

BBC and XHS have a correlation of 0.32, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, BBC or XHS?

BBC has higher volatility (11.01%) compared to XHS (5.41%). In terms of maximum drawdown, BBC dropped -76.85% vs XHS's -39.32%.

Which ETF is better, BBC or XHS?

On 10-year performance, BBC leads with 10.71% vs 9.10% for XHS. On fees, XHS is cheaper at 0.35% per year. On volatility, XHS has been the lower-risk option at 5.41%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, BBC or XHS?

Over the 10-year period, BBC has performed better with a 10.71% return vs 9.10%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, BBC or XHS?

XHS is cheaper with a 0.35% expense ratio, compared with 0.79% for BBC.

Which ETF pays a higher dividend yield, BBC or XHS?

BBC has the higher dividend yield at 1.31%, compared with 0.20% for XHS.

What is the main difference between BBC and XHS?

BBC tracks LifeSci Biotechnology Clinical Trials Index, while XHS tracks S&P Health Care Services Select Industry Index. They also come from different issuers: Virtus Investment Partners and State Street. Their fees differ too: 0.79% for BBC and 0.35% for XHS.

Which has better risk-adjusted returns?

BBC currently has the higher Sharpe Ratio (3.77 vs 2.56), 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.