SBIO vs. HEAL

Last updated Jul 18, 2026

SBIO (ALPS Medical Breakthroughs ETF) and HEAL (Global X HealthTech ETF) are both Health & Biotech Equities funds - SBIO tracks the S-Network Medical Breakthroughs Index while HEAL tracks the Global X HealthTech Index. Both are passively managed. Over the past 5 years, SBIO returned 8.21%/yr vs -12.81%/yr for HEAL. A 0.62 correlation means they provide meaningful diversification when combined. Both charge a 0.50% expense ratio.

Performance

SBIO vs. HEAL - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in ALPS Medical Breakthroughs ETF (SBIO) and Global X HealthTech ETF (HEAL). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, SBIO achieves a 27.29% return, which is significantly higher than HEAL's -6.08% return.

SBIO

• 1D: 2.77%
• 1M: 20.18%
• 6M: 27.67%
• YTD: 27.29%
• 1Y: 94.61%
• 3Y*: 27.70%
• 5Y*: 8.21%
• 10Y*: 11.75%

HEAL

• 1D: -2.49%
• 1M: 7.18%
• 6M: -10.28%
• YTD: -6.08%
• 1Y: -12.18%
• 3Y*: -8.38%
• 5Y*: -12.81%
• 10Y*: —

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

SBIO vs. HEAL - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020
SBIO ALPS Medical Breakthroughs ETF	27.29%	55.07%	3.81%	8.68%	-28.08%	-17.55%	27.85%
HEAL Global X HealthTech ETF	-6.08%	-0.62%	-2.87%	-12.61%	-29.99%	-14.21%	16.89%

Correlation

The correlation between SBIO and HEAL is 0.45, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.45
Correlation (3Y) Calculated over the trailing 3-year period	0.53
Correlation (5Y) Calculated over the trailing 5-year period	0.62
Correlation (All Time) Calculated using the full available price history since Jul 30, 2020	0.62

The correlation between SBIO and HEAL shifts across timeframes, from 0.45 (1 year) to 0.62 (all time), reflecting how their relationship changes across market environments.

SBIO vs. HEAL - Sectors Allocation Comparison

Sectors	SBIO	HEAL
Healthcare	100.0%	95.2%
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Industrials	-	-
Real Estate	-	-
Technology	-	4.2%
Utilities	-	-
Financial Services	-0.0%	-

Return for Risk

SBIO vs. HEAL — Risk / Return Rank

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

SBIO

SBIO Risk / Return Rank: 94
SBIO Sharpe Ratio Rank: 96
SBIO Sortino Ratio Rank: 94
SBIO Omega Ratio Rank: 91
SBIO Calmar Ratio Rank: 97
SBIO Martin Ratio Rank: 94

HEAL

HEAL Risk / Return Rank: 5
HEAL Sharpe Ratio Rank: 5
HEAL Sortino Ratio Rank: 5
HEAL Omega Ratio Rank: 5
HEAL Calmar Ratio Rank: 6
HEAL Martin Ratio Rank: 6

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.

SBIO vs. HEAL - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for ALPS Medical Breakthroughs ETF (SBIO) and Global X HealthTech ETF (HEAL). 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.

	SBIO	HEAL	Difference
Sharpe ratio: Return per unit of total volatility	3.11	-0.54	+3.64
Sortino ratio: Return per unit of downside risk	3.91	-0.65	+4.56
Omega ratio: Gain probability vs. loss probability	1.47	0.93	+0.54
Calmar ratio: Return relative to maximum drawdown	7.52	-0.40	+7.91
Martin ratio: Return relative to average drawdown	20.69	-0.74	+21.43

SBIO vs. HEAL - Sharpe Ratio Comparison

The current SBIO Sharpe Ratio is 3.11, which is higher than the HEAL Sharpe Ratio of -0.54. The chart below compares the historical Sharpe Ratios of SBIO and HEAL, 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

SBIO vs. HEAL - Drawdown Comparison

The maximum SBIO drawdown since its inception was -63.06%, roughly equal to the maximum HEAL drawdown of -65.76%. Use the drawdown chart below to compare losses from any high point for SBIO and HEAL.

Drawdown Indicators

	SBIO	HEAL	Difference
Max Drawdown Largest peak-to-trough decline	-63.06%	-65.76%	+2.70%
Max Drawdown (1Y) Largest decline over 1 year	-12.66%	-30.71%	+18.05%
Max Drawdown (3Y) Largest decline over 3 years	-42.44%	-35.54%	-6.90%
Max Drawdown (5Y) Largest decline over 5 years	-52.49%	-59.14%	+6.65%
Max Drawdown (10Y) Largest decline over 10 years	-63.06%	—	—
Current Drawdown Current decline from peak	-5.43%	-59.45%	+54.02%
Average Drawdown Average peak-to-trough decline	-28.21%	-43.37%	+15.16%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.60%	16.44%	-11.84%

Volatility

SBIO vs. HEAL - Volatility Comparison

ALPS Medical Breakthroughs ETF (SBIO) has a higher volatility of 10.88% compared to Global X HealthTech ETF (HEAL) at 7.89%. This indicates that SBIO's price experiences larger fluctuations and is considered to be riskier than HEAL based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	SBIO	HEAL	Difference
Volatility (1M) Calculated over the trailing 1-month period	10.88%	7.89%	+2.99%
Volatility (6M) Calculated over the trailing 6-month period	24.08%	17.23%	+6.85%
Volatility (1Y) Calculated over the trailing 1-year period	30.65%	22.69%	+7.96%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	33.89%	26.61%	+7.28%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	33.17%	26.28%	+6.89%

SBIO vs. HEAL - Expense Ratio Comparison

Both SBIO and HEAL have an expense ratio of 0.50%.

Dividends

SBIO vs. HEAL - Dividend Comparison

SBIO has not paid dividends to shareholders, while HEAL's dividend yield for the trailing twelve months is around 0.26%.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017
HEAL Global X HealthTech ETF	0.26%	0.33%	0.00%	0.00%	0.00%	0.00%	0.03%	0.00%	0.00%	0.00%
SBIO ALPS Medical Breakthroughs ETF	0.00%	0.00%	3.55%	0.22%	0.00%	0.00%	0.00%	0.04%	2.79%	1.77%

Frequently Asked Questions

Can I hold both SBIO and HEAL in my portfolio?

SBIO and HEAL have a correlation of 0.45, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, SBIO or HEAL?

SBIO has higher volatility (10.88%) compared to HEAL (7.89%). In terms of maximum drawdown, SBIO dropped -63.06% vs HEAL's -65.76%.

Which ETF is better, SBIO or HEAL?

On 5-year performance, SBIO leads with 8.21% vs -12.81% for HEAL. Both ETFs have the same 0.50% expense ratio. On volatility, HEAL has been the lower-risk option at 7.89%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, SBIO or HEAL?

Over the 5-year period, SBIO has performed better with a 8.21% return vs -12.81%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, SBIO or HEAL?

SBIO and HEAL have the same expense ratio: 0.50% per year.

Which ETF pays a higher dividend yield, SBIO or HEAL?

HEAL has the higher dividend yield at 0.26%, compared with 0.00% for SBIO.

What is the main difference between SBIO and HEAL?

SBIO tracks S-Network Medical Breakthroughs Index, while HEAL tracks Global X HealthTech Index. They also come from different issuers: SS&C and Global X.

Which has better risk-adjusted returns?

SBIO currently has the higher Sharpe Ratio (3.11 vs -0.54), 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.