Skip to content

AVRE vs MEDI

Avantis Real Estate ETF

AVREANYSE Arca

Harbor Health Care ETF (MEDI)

MEDIDNYSE Arca

Overlap

Expense ratio

AVRE −0.63pt a year

AVRE0.17%MEDI0.80%

Avg volume · 30D

AVRE 17.6×the volume

AVRE77.8KMEDI4.43K

3Y return · a year

MEDI +7.1pt

AVRE+12.2%MEDI+19.3%

AVRE vs MEDI Performance

Oct 31, 2025 – Oct 30, 2026

+8.1%AVRE+17.6%MEDI

Oct 31, 2025 to Oct 30, 2026. AVRE +8.1%. MEDI +17.6%. Use the arrow keys to read each point.−5%0%5%Oct 2025Apr 2026Oct 2026
Expense ratio
AVRE 0.17%, better
MEDI 0.80%
Fund size
AVRE $883M
MEDI $46M
1Y total return
AVRE +8.1%
MEDI +17.6%, better
Yield (12M)
AVRE 2.99%, better
MEDI 0.21%
Holdings
AVRE 329
MEDI 45
Avg volume (30D)
AVRE 77.8K sh, better
MEDI 4.43K sh
NAV per share
AVRE $45.98
MEDI $35.22
52W range

ETF.net Grade

AVRE: Cost 88, Risk 57, Mission not scored, Tradability 71, Holdings 87, Durability 78. MEDI: Cost 24, Risk 40, Mission 60, Tradability 51, Holdings 43, Durability 56.
Pillar letters and Scores for AVRE, MEDI, with each pillar’s weight
PillarAVREMEDI
Cost30% weightA88HigherF24
Mission25% weightNot scoredB60
Risk15% weightB57HigherC40
Tradability15% weightA71HigherC51
Holdings10% weightA87HigherC43
Durability5% weightA78HigherB56

Rank among US Active Sector funds

Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

Same Category. AVRE and MEDI are both graded against the same 35 US Active Sector funds, so their Grades compare head to head.

US Active Sector⁠

Category · 35 funds
See all 35 ›

AVRE ranks 1st and MEDI 29th of 35 funds in the US Active Sector Category.

  1. Rank 1AAVREAvantis Real Estate ETFScore 77
  2. Rank 2APSRInvesco Active U.S. Real Estate ETFScore 70
  3. Rank 28DBCTKBaron Technology ETFScore 39
  4. Rank 29DMEDIHarbor Health Care ETF (MEDI)Score 37
  5. Rank 30DLPRELong Pond Real Estate Select ETFScore 36

Our read on each fund

ETF.net Research

AVREAAvantis Real Estate ETF

MEDIDHarbor Health Care ETF (MEDI)

In short

AVRE Landlord exposure at index-fund pricing. AVRE holds roughly 300 REITs and property companies worldwide, measured against the S&P Global REIT Index, for 0.17% a year while the typical fund in its active-equity peer group charges far more.

MEDI Roughly 40 health care stocks, hand-picked across any size, from big pharma to small biotech. It's a concentrated stock-picker's book benchmarked to a growth health care index, not a hold-everything sector basket.

Stated mandate

AVRE The fund seeks long-term capital appreciation.

MEDI Seeks long-term growth of capital by primarily investing in common and preferred equity securities of companies of any market capitalization. Normally, at least 80% of net assets plus investment borrowings are invested in companies principally engaged in health care-related products and services.

Why people hold it

  • AVRE 0.17% a year, a fraction of the median expense ratio in its active-equity peer group. Fees are the one part of a real estate return you know in advance.avantisinvestors.com
  • Global by design: US and developed-market property owners across roughly 300 names, so no single office tower or mall operator sets the tone.avantisinvestors.com
  • Rent shows up on a schedule. The fund distributes quarterly, and its stated objective is long-term capital appreciation rather than a yield target.avantisinvestors.com
  • On cost and structure it sits among the strongest implementations in its peer group, with a clean record: no structural flags, no scoring caps.
  • MEDI About 40 names, not hundreds. Each pick has room to matter, which is the whole point of hiring an active manager instead of buying the entire sector.
  • The mandate is explicit: at least 80% of assets in health care companies, any market cap, common or preferred shares. Big pharma and small biotech are both fair game.
  • The yardstick is named up front, the Russell 3000 Growth Health Care Index, so the growth lean is disclosed rather than discovered later.

Worth knowing

  • AVRE One sector, one story. Real estate reacts hard to interest rates and credit conditions, so this moves on its own schedule versus a broad stock fund.
  • Global reach means foreign-currency property markets ride along, adding exchange-rate movement on top of the underlying real estate returns.avantisinvestors.com
  • Launched in 2021, so its live history is short next to REIT funds that have been through multiple property cycles.
  • MEDI The 0.80% expense ratio sits above the median for actively managed US equity ETFs, so the stock picking carries a higher bar to clear.
  • This is a small fund that doesn't trade heavily, which can mean wider bid-ask spreads than the giant sector index products.
  • Payouts land once or twice a year, and a 40-stock growth portfolio reacts to single-name drug and trial news far more than a broad sector basket.

Full AVRE profile⁠

Full MEDI profile⁠

AVRE vs MEDI Holdings

How we measure overlap

Each holding counts at its smaller weight in the two funds, summed over the full Holdings. Sector, country and asset class use the same rule on each fund’s split. Cash, FX and derivative lines stay out of the counts. Two bond funds get no overlap figure.

AVRE vs MEDI Cost

Overpaying MEDI vs AVRE

$11,800

On $10,000 over 30 years. 7% growth a year before fees, expense ratio only.

  • AVRE 0.17%

    $3,546

  • MEDI 0.80%

    $15,346

$10,000
30 years

Cost over time

  • AVRE 0.17%
  • MEDI 0.80%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$5K$10K$15K$20K051015202530MEDI $15,346AVRE $3,546

Year by year

YearAVREMEDIOverpaying
10$310$1,422$1,112
20$1,211$5,393$4,182
30$3,546$15,346$11,800

Expense ratio

  • 0.17%AVRE, cheaper
  • 0.80%MEDI
  • Middle half of US Active Sector funds
  • Median 0.61%

AVRE 5th cheapest of 35 funds

MEDI 27th cheapest of 35 funds

AVRE vs MEDI Dividends

Last 12 months to Oct 30, 2026
Yield (12M)
AVRE 2.99%, better
MEDI 0.21%
Payout (12M)
AVRE $1.38
MEDI $0.08
Last payment
AVRE $0.40
MEDI $0.08
Ex-dividend
AVRE Sep 8, 2026
MEDI Dec 19, 2025
Paid on
AVRE Sep 10, 2026
MEDI Dec 24, 2025
Frequency
AVRE Quarterly
MEDI Annual

Distribution history

Per share, 2021 to 2026, same scale for both

AVREQuarterly · 20 paymentsAll AVRE payments⁠
One bar per payment. 20 payments from 2021 to 2026 YTD. Dec 16, 2021 $0.34; Mar 22, 2022 $0.15; Jun 21, 2022 $0.15; Sep 20, 2022 $0.34; Dec 15, 2022 $0.41; Mar 23, 2023 $0.26; Jun 20, 2023 $0.28; Sep 21, 2023 $0.42; Dec 18, 2023 $0.49; Mar 21, 2024 $0.26; Jun 24, 2024 $0.36; Sep 23, 2024 $0.66; Dec 17, 2024 $0.40; Mar 25, 2025 $0.27; Jun 24, 2025 $0.40; Sep 23, 2025 $0.65; Dec 16, 2025 $0.55; Mar 10, 2026 $0.04; Jun 9, 2026 $0.39; Sep 8, 2026 $0.40. Use the arrow keys to read each point.$0$0.5020232026YTD
MEDIAnnual · 3 paymentsAll MEDI payments⁠
One bar per payment. 3 payments from 2021 to 2026 YTD. Dec 21, 2023 $0.46; Dec 20, 2024 $0.13; Dec 19, 2025 $0.08. Use the arrow keys to read each point.$0$0.5020232026YTD

AVRE vs MEDI Risk

Fall from peak · 5 years

This chart needs five years of history for both funds.

Risk facts

VolatilityStd dev, 3 years
AVRE 15.6%, betterMEDI 18.0%
Return per unit of riskSharpe ratio, 3 years
AVRE 0.53MEDI 0.83, better
Worst fallMax drawdown, 5 years
AVRE −33.3%MEDI −19.3%since Nov 2022
Market sensitivityBeta, 5 years
AVRE 0.90MEDI 0.73

Popular comparisons

  • AVREAvsPSRA

    Avantis Real Estate ETF · Invesco Active U.S. Real Estate ETF

    Expense ratio
    0.17% · 0.35%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.
  • MEDIDvsPSRA

    Harbor Health Care ETF (MEDI) · Invesco Active U.S. Real Estate ETF

    Expense ratio
    0.80% · 0.35%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.
  • AVREAvsTMEDB

    Avantis Real Estate ETF · T. Rowe Price Health Care ETF

    Expense ratio
    0.17% · 0.44%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.
  • MEDIDvsTMEDB

    Harbor Health Care ETF (MEDI) · T. Rowe Price Health Care ETF

    Expense ratio
    0.80% · 0.44%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.
  • AVREAvsTRUTA

    Avantis Real Estate ETF · VanEck Technology TruSector ETF

    Expense ratio
    0.17% · 0.14%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.
  • MEDIDvsTRUTA

    Harbor Health Care ETF (MEDI) · VanEck Technology TruSector ETF

    Expense ratio
    0.80% · 0.14%
    Category
    Same Category. Both funds are graded against the same funds, so their Grades compare head to head.