HEAL vs. BTEC

Last updated Apr 2, 2026

Compare and contrast key facts about Global X HealthTech ETF (HEAL) and Principal Healthcare Innovators Index ETF (BTEC).

HEAL and BTEC are both exchange-traded funds (ETFs), meaning they are traded on stock exchanges and can be bought and sold throughout the day. HEAL is a passively managed fund by Global X that tracks the performance of the Global X HealthTech Index. It was launched on Jul 29, 2020. BTEC is a passively managed fund by Principal that tracks the performance of the NASDAQ U.S. Health Care Innovators Index. It was launched on Aug 19, 2016. Both HEAL and BTEC 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

HEAL vs. BTEC - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Global X HealthTech ETF (HEAL) and Principal Healthcare Innovators Index ETF (BTEC). The values are adjusted to include any dividend payments, if applicable.

HEAL vs. BTEC - Yearly Performance Comparison

	2026 (YTD)
HEAL Global X HealthTech ETF	-9.97%
BTEC Principal Healthcare Innovators Index ETF	0.00%

Returns By Period

HEAL

• 1D: 0.38%
• 1M: -10.18%
• YTD: -18.14%
• 6M: -25.10%
• 1Y: -14.22%
• 3Y*: -11.96%
• 5Y*: -16.39%
• 10Y*: —

BTEC

• 1D: 0.00%
• 1M: 0.00%
• YTD: —
• 6M: —
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —

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

HEAL vs. BTEC - Expense Ratio Comparison

HEAL has a 0.50% expense ratio, which is higher than BTEC's 0.42% expense ratio.

HEAL

Global X HealthTech ETF

BTEC

Principal Healthcare Innovators Index ETF

Return for Risk

HEAL vs. BTEC — Risk / Return Rank

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

HEAL

HEAL Risk / Return Rank: 3
HEAL Sharpe Ratio Rank: 3
HEAL Sortino Ratio Rank: 3
HEAL Omega Ratio Rank: 3
HEAL Calmar Ratio Rank: 4
HEAL Martin Ratio Rank: 2

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.

HEAL vs. BTEC - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Global X HealthTech ETF (HEAL) and Principal Healthcare Innovators Index ETF (BTEC). 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.

	HEAL	BTEC	Difference
Sharpe ratio Return per unit of total volatility	-0.58	—	—
Sortino ratio Return per unit of downside risk	-0.71	—	—
Omega ratio Gain probability vs. loss probability	0.92	—	—
Calmar ratio Return relative to maximum drawdown	-0.50	—	—
Martin ratio Return relative to average drawdown	-1.39	—	—
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

Sharpe Ratios by Period

	HEAL	BTEC	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	-0.58	—	—
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	-0.63	—	—
Sharpe Ratio (All Time) Calculated using the full available price history	-0.42	—	—

Dividends

HEAL vs. BTEC - Dividend Comparison

HEAL's dividend yield for the trailing twelve months is around 0.40%, while BTEC has not paid dividends to shareholders.

	TTM	2025	2024	2023	2022	2021	2020
HEAL Global X HealthTech ETF	0.40%	0.33%	0.00%	0.00%	0.00%	0.00%	0.03%
BTEC Principal Healthcare Innovators Index ETF	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%

Drawdowns

HEAL vs. BTEC - Drawdown Comparison

The maximum HEAL drawdown since its inception was -65.76%, which is greater than BTEC's maximum drawdown of 0.00%. Use the drawdown chart below to compare losses from any high point for HEAL and BTEC.

Drawdown Indicators

	HEAL	BTEC	Difference
Max Drawdown Largest peak-to-trough decline	-65.76%	0.00%	-65.76%
Max Drawdown (1Y) Largest decline over 1 year	-30.71%	—	—
Max Drawdown (5Y) Largest decline over 5 years	-61.76%	—	—
Current Drawdown Current decline from peak	-64.66%	0.00%	-64.66%
Average Drawdown Average peak-to-trough decline	-42.42%	0.00%	-42.42%
Ulcer Index Depth and duration of drawdowns from previous peaks	11.04%	—	—

Volatility

Volatility by Period

	HEAL	BTEC	Difference
Volatility (1M) Calculated over the trailing 1-month period	7.53%	—	—
Volatility (6M) Calculated over the trailing 6-month period	16.50%	—	—
Volatility (1Y) Calculated over the trailing 1-year period	24.64%	0.00%	+24.64%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	26.33%	0.00%	+26.33%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	26.32%	0.00%	+26.32%