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ALPS Medical Breakthroughs ETF

SBIONYSE ArcaC

$51.64−2.21 (−4.10%)

At close: Oct 13, 2026, 4:00 PM

Intraday session: down, 79 prints from 53.85 to 51.64. Range 51.63 to 53.67. Use the arrow keys to read each point.52.0052.5053.0053.5010 AM12 PM2 PM4 PM
Expense ratio
0.50%
Fund size
$187M
1Y total return
+31.0%
Yield · Last 12 months
0.00%
Holdings
104
Avg volume · 30D
0M sh
NAV per share
$53.79
52W range
low $40.57high $70.85
Launched
Filings
SEC EDGAR

The ETF.net SBIO Grade

Based on 5 of 6 pillars

C

Score 46 out of 100

Rank
9 of 17
Six-pillar profile for SBIO. Scores out of 100: Cost 38, Risk 29, Mission not scored, Tradability 55, Holdings 82, Durability 55. Strongest: Holdings (82). Weakest: Risk (29). Based on 5 of 6 pillars.

Score 46 of 100 falls in the C band. A is 70 or higher, B 55 to under 70, C 40 to under 55, D 25 to under 40, F under 25.

  • Cost

    The fund’s net expense ratio, ranked against its category.
    D38 out of 100
    Rank 10 of 17
  • Mission

    Whether the fund did what it promised, tested against its stated mandate.
    Not scored
  • Risk

    How the fund held up when markets fell: downside volatility, drawdowns and tail loss.
    D29 out of 100
    Rank 14 of 17
  • Tradability

    How easy the fund is to trade: daily volume, and how far its price strays from net asset value.
    B55 out of 100
    Rank 7 of 17
  • Holdings

    How concentrated the fund is, and how complete and current its disclosed holdings are.
    A82 out of 100
    Rank 4 of 17
  • Durability

    Whether the fund is likely to stay open, judged by its age, its assets and its issuer’s assets.
    B55 out of 100
    Rank 9 of 17

Our read on SBIO

ETF.net Research

CSBIO goes at biotech through a purpose-built medical breakthroughs index instead of the household benchmarks, spreading roughly 100 drug developers across one basket. A specialist route, priced at the category's middle.

Stated mandate

The fund seeks investment results that generally track, before fees and expenses, the performance of the S-Network Medical Breakthroughs Index (PMBI).

Why people hold it

  1. 01Tracks the S-Network Medical Breakthroughs Index, a dedicated rules-based basket rather than the standard biotech benchmarks most funds in the group follow.
  2. 02Roughly 100 holdings, so no single drug readout carries the whole fund.
  3. 03The 0.50% expense ratio sits right at the median for biotech and genomics funds. No premium charged for the narrower mandate.
  4. 04Trading since 2014, giving it a decade-plus of live operating history through several biotech cycles.

Worth knowing

  1. 01Thinly traded next to the giants of the category, so spreads and limit orders matter more here than with the household names.
  2. 02Several funds in the same biotech cohort screen stronger overall, and some cost less: IBBQ at 0.19% and XBI at 0.35% versus SBIO's 0.50%.
  3. 03Not an income vehicle. Whatever this fund does, it does through the share prices of the drug developers it holds.

SBIO Holdings

As of Oct 13, 2026
Asset class
Stocks
Holdings
104
Top-10 weight
31%
Largest holding
CGON3.8%

Sectors

  • Health Care100.0%

Geography

  • United States88.94%
  • Canada2.38%
  • United Kingdom2.24%
  • China1.92%
  • Netherlands1.78%
  • Belgium1.64%
  • Germany0.75%
  • Switzerland0.35%
The fund’s holdings, weight-ordered — page 1 of 7.
#TickerCompanyWeight %SharesMarket valueIn ETFs
001CGONCG oncology Inc.3.80%112,596$7M98
002ORKAOruka Therapeutics Inc.3.62%84,115$7M87
003MANEVeraDermics Inc.3.47%53,064$6M58
004TVTXTravere Therapeutics Inc.3.33%119,727$6M109
005DFTXDefinium Therapeutics Inc.3.21%170,644$6M68
006DNTHDianthus Therapeutics Inc.3.10%71,016$6M84
007EWTXEdgewise Therapeutics Inc.2.84%137,912$5M68
008RLAYRelay Therapeutics Inc.2.68%278,309$5M95
009IDYAIdeaya Biosciences Inc.2.36%122,543$4M92
010XENEXenon Pharmaceuticals Inc.2.36%122,979$4M67
011AMLXAmylyx Pharmaceuticals Inc.2.34%159,427$4M71
012ACADACADIA Pharmaceuticals Inc.2.27%218,864$4M127
013TARSTarsus Pharmaceuticals Inc.2.22%55,724$4M72
014DNLIDenali Therapeutics Inc.2.06%203,012$4M87
015DYNDyne Therapeutics Inc.2.02%237,167$4M85

Showing 1–15 of 104 holdings

SBIO Performance

Launched Dec 30, 2014

Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.

SBIO$13,102
SPY tracks large US stocks. It provides market context, rather than representing this fund’s strategy, asset class or investment benchmark.$12,044
Oct 10, 2025 to Oct 12, 2026. SBIO $13,102. SPY $12,044. Use the arrow keys to read each point.$9,169$13,495$17,821Oct 2025Apr 2026Oct 2026

Oct 10, 2025 – Oct 12, 2026

Returns run to the Oct 12, 2026 close, with cash distributions reinvested. Each period starts on the same date that many months or years earlier. Periods over one year show the average yearly return.

Trailing total return for SBIO. Periods over one year show the average yearly return.
PeriodSBIO
Year to date+5.1%
1 month−14.9%
3 months−19.9%
1 year+31.0%
3 yearsper year+30.6%
5 yearsper year+4.0%
10 yearsper year+9.3%

As of the close, with distributions reinvested.

Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.

Annual total returns for SBIO
YearReturn barSBIO
2026 YTD+5.1%
2025+55.1%
2024+3.8%
2023+8.7%
2022−28.1%
2021−17.5%
2020+21.2%

SBIO in the news

Filtered to SBIO · Biotech & Genomics

SBIO Dividends

Adds up every distribution paid per share over the last 12 months, divided by the last completed close. Distributions are counted by ex-date. Data through Oct 12, 2026.
0.00%Last 12 months
Payout per share
NoneLast 12 months

No distributions in the last 12 months.

Distribution history

Payments through 2024

One bar per payment. 5 payments from 2017 to 2024. Dec 21, 2017 $0.58; Dec 20, 2018 $0.78; Dec 19, 2019 $0.02; Dec 21, 2023 $0.07; Dec 19, 2024 $1.17. Use the arrow keys to read each point.20172018201920202021202220232024
Ex-datePay dateAmount per share
Dec 19, 2024Dec 26, 2024$1.17
Dec 21, 2023Dec 27, 2023$0.07
Dec 19, 2019Dec 27, 2019$0.02
Dec 20, 2018Dec 27, 2018$0.78
Dec 21, 2017Dec 28, 2017$0.58

SBIO Risk

How much the fund’s monthly returns vary, scaled to a year.
28.7%
Annualised · 36 months to Sep 2026
How it’s calculated: standard deviation

The sample standard deviation of monthly total returns, multiplied by the square root of 12.

Uses up to 36 complete months, with at least 12 required. Total returns include reinvested distributions.

Return above 3-month US Treasury bills per unit of volatility.
0.92
vs 3-month T-bills · to Sep 2026
How it’s calculated: Sharpe ratio

Subtract each month’s Treasury-bill return from the fund’s monthly total return.

Divide the average of those excess returns by their sample standard deviation, then multiply by the square root of 12.

Uses up to 36 complete months, with at least 12 required. Each month uses the Treasury yield quoted at the end of the previous month.

The largest fall from a peak to the low that followed.
−52.5%
Trough Oct 2023
How it’s calculated: maximum drawdown

The largest percentage decline from an earlier peak, using total returns with reinvested distributions.

Uses up to five years through the last close, with at least 12 months required.

How strongly the fund’s returns move with its asset-class index.
0.95
vs its asset-class index
How it’s calculated: beta

The beta figure is supplied by FMP. The comparison index depends on the fund’s broad asset class.

SBIO Cost

Expense ratio0.50%
  • The middle half of Biotech & Genomics funds
  • Median 0.47%

9 of the 17 Biotech & Genomics funds charge less.

SBIO costs $50.00 a year on $10,000. The median Biotech & Genomics fund costs $47.00.

Other funds in Biotech & Genomics