SBIO vs. SLV

Last updated Jun 9, 2026

SBIO (ALPS Medical Breakthroughs ETF) and SLV (iShares Silver Trust) are both exchange-traded funds - SBIO is a Health & Biotech Equities fund tracking the S-Network Medical Breakthroughs Index, while SLV is a Silver fund tracking the LBMA Silver Price. Both are passively managed. Over the past 10 years, SBIO returned 8.36%/yr vs 14.08%/yr for SLV. At a 0.12 correlation, their price movements are largely independent. Both charge a 0.50% expense ratio.

Performance

SBIO vs. SLV - Performance Comparison

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

Returns By Period

In the year-to-date period, SBIO achieves a -1.72% return, which is significantly higher than SLV's -4.41% return. Over the past 10 years, SBIO has underperformed SLV with an annualized return of 8.36%, while SLV has yielded a comparatively higher 14.08% annualized return.

SBIO

• 1D: -0.36%
• 1M: -9.33%
• YTD: -1.72%
• 6M: -2.48%
• 1Y: 59.38%
• 3Y*: 16.69%
• 5Y*: 1.33%
• 10Y*: 8.36%

SLV

• 1D: 0.02%
• 1M: -15.66%
• YTD: -4.41%
• 6M: 16.83%
• 1Y: 88.38%
• 3Y*: 40.36%
• 5Y*: 19.02%
• 10Y*: 14.08%

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

SBIO vs. SLV - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023	2022	2021	2020	2019	2018	2017
SBIO ALPS Medical Breakthroughs ETF	-1.72%	55.07%	3.81%	8.68%	-28.08%	-17.55%	21.17%	50.30%	-11.81%	45.67%
SLV iShares Silver Trust	-4.41%	144.66%	20.89%	-1.09%	2.37%	-12.45%	47.30%	14.88%	-9.19%	5.82%

Correlation

The correlation between SBIO and SLV is 0.17, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.17
Correlation (3Y) Calculated over the trailing 3-year period	0.21
Correlation (5Y) Calculated over the trailing 5-year period	0.19
Correlation (10Y) Calculated over the trailing 10-year period	0.15
Correlation (All Time) Calculated using the full available price history since Jan 2, 2015	0.12

SBIO vs. SLV - Sectors Allocation Comparison

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

Return for Risk

SBIO vs. SLV — Risk / Return Rank

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

SBIO

SBIO Risk / Return Rank: 73
SBIO Sharpe Ratio Rank: 69
SBIO Sortino Ratio Rank: 70
SBIO Omega Ratio Rank: 60
SBIO Calmar Ratio Rank: 88
SBIO Martin Ratio Rank: 78

SLV

SLV Risk / Return Rank: 43
SLV Sharpe Ratio Rank: 47
SLV Sortino Ratio Rank: 38
SLV Omega Ratio Rank: 54
SLV Calmar Ratio Rank: 47
SLV Martin Ratio Rank: 32

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. SLV - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for ALPS Medical Breakthroughs ETF (SBIO) and iShares Silver Trust (SLV). 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.

	SBIO	SLV	Difference
Sharpe ratio: Return per unit of total volatility	2.02	1.50	+0.52
Sortino ratio: Return per unit of downside risk	2.85	1.80	+1.05
Omega ratio: Gain probability vs. loss probability	1.33	1.30	+0.03
Calmar ratio: Return relative to maximum drawdown	4.72	2.09	+2.62
Martin ratio: Return relative to average drawdown	13.54	4.40	+9.14
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

SBIO vs. SLV - Sharpe Ratio Comparison

The current SBIO Sharpe Ratio is 2.02, which is higher than the SLV Sharpe Ratio of 1.50. The chart below compares the historical Sharpe Ratios of SBIO and SLV, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Sharpe Ratios by Period

	SBIO	SLV	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	2.02	1.50	+0.52
Sharpe Ratio (5Y) Calculated over the trailing 5-year period	0.04	0.53	-0.49
Sharpe Ratio (10Y) Calculated over the trailing 10-year period	0.25	0.44	-0.19
Sharpe Ratio (All Time) Calculated using the full available price history	0.21	0.23	-0.02

Drawdowns

SBIO vs. SLV - Drawdown Comparison

The maximum SBIO drawdown since its inception was -63.06%, smaller than the maximum SLV drawdown of -76.28%. Use the drawdown chart below to compare losses from any high point for SBIO and SLV.

Drawdown Indicators

	SBIO	SLV	Difference
Max Drawdown Largest peak-to-trough decline	-63.06%	-76.28%	+13.22%
Max Drawdown (1Y) Largest decline over 1 year	-12.66%	-42.45%	+29.79%
Max Drawdown (3Y) Largest decline over 3 years	-42.44%	-42.45%	+0.01%
Max Drawdown (5Y) Largest decline over 5 years	-53.10%	-42.45%	-10.65%
Max Drawdown (10Y) Largest decline over 10 years	-63.06%	-42.81%	-20.25%
Current Drawdown Current decline from peak	-17.90%	-41.69%	+23.79%
Average Drawdown Average peak-to-trough decline	-28.43%	-44.67%	+16.24%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.40%	20.15%	-15.75%

Volatility

SBIO vs. SLV - Volatility Comparison

The current volatility for ALPS Medical Breakthroughs ETF (SBIO) is 9.87%, while iShares Silver Trust (SLV) has a volatility of 16.89%. This indicates that SBIO experiences smaller price fluctuations and is considered to be less risky than SLV based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	SBIO	SLV	Difference
Volatility (1M) Calculated over the trailing 1-month period	9.87%	16.89%	-7.02%
Volatility (6M) Calculated over the trailing 6-month period	22.68%	58.88%	-36.20%
Volatility (1Y) Calculated over the trailing 1-year period	29.62%	59.53%	-29.91%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	33.56%	36.33%	-2.77%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	33.18%	31.92%	+1.26%

SBIO vs. SLV - Expense Ratio Comparison

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

Dividends

SBIO vs. SLV - Dividend Comparison

Neither SBIO nor SLV has paid dividends to shareholders.

Position	TTM	2025	2024	2023	2022	2021	2020	2019	2018	2017
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%
SLV iShares Silver Trust	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%	0.00%

Frequently Asked Questions

Can I hold both SBIO and SLV in my portfolio?

SBIO and SLV have a correlation of 0.17, 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 SLV?

SLV has higher volatility (16.89%) compared to SBIO (9.87%). In terms of maximum drawdown, SBIO dropped -63.06% vs SLV's -76.28%.

Which ETF is better, SBIO or SLV?

On 10-year performance, SLV leads with 14.08% vs 8.36% for SBIO. Both ETFs have the same 0.50% expense ratio. On volatility, SBIO has been the lower-risk option at 9.87%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, SBIO or SLV?

Over the 10-year period, SLV has performed better with a 14.08% return vs 8.36%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, SBIO or SLV?

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

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

SBIO and SLV have nearly identical dividend yields, around 0.00%.

What is the main difference between SBIO and SLV?

SBIO is categorized as Health & Biotech Equities, while SLV is Silver. SBIO tracks S-Network Medical Breakthroughs Index, while SLV tracks LBMA Silver Price. They also come from different issuers: SS&C and iShares.

Which has better risk-adjusted returns?

SBIO currently has the higher Sharpe Ratio (2.02 vs 1.50), 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.