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MEDI vs PSR

Harbor Health Care ETF (MEDI)

MEDIDNYSE Arca

Invesco Active U.S. Real Estate ETF

PSRANYSE Arca

Overlap

Expense ratio

PSR −0.45pt a year

MEDI0.80%PSR0.35%

Avg volume · 30D

MEDI 3.1×the volume

MEDI4.43KPSR1.45K

3Y return · a year

MEDI +6.6pt

MEDI+19.3%PSR+12.7%

MEDI vs PSR Performance

Oct 31, 2025 – Oct 30, 2026

+17.6%MEDI+13.9%PSR

Oct 31, 2025 to Oct 30, 2026. MEDI +17.6%. PSR +13.9%. Use the arrow keys to read each point.−5%0%5%10%Oct 2025Apr 2026Oct 2026
Expense ratio
MEDI 0.80%
PSR 0.35%, better
Fund size
MEDI $46M
PSR $57M
1Y total return
MEDI +17.6%, better
PSR +13.9%
Yield (12M)
MEDI 0.21%
PSR 2.70%, better
Holdings
MEDI 45
PSR 37
Avg volume (30D)
MEDI 4.43K sh, better
PSR 1.45K sh
NAV per share
MEDI $35.22
PSR $100.85
52W range

ETF.net Grade

MEDI: Cost 24, Risk 40, Mission 60, Tradability 51, Holdings 43, Durability 56. PSR: Cost 85, Risk 56, Mission not scored, Tradability 58, Holdings 66, Durability 75.
Pillar letters and Scores for MEDI, PSR, with each pillar’s weight
PillarMEDIPSR
Cost30% weightF24A85Higher
Mission25% weightB60Not scored
Risk15% weightC40B56Higher
Tradability15% weightC51B58Higher
Holdings10% weightC43B66Higher
Durability5% weightB56A75Higher

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. MEDI and PSR 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 ›

PSR ranks 2nd 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 2BTMEDT. Rowe Price Health Care ETFScore 70
  4. Rank 28DBCTKBaron Technology ETFScore 39
  5. Rank 29DMEDIHarbor Health Care ETF (MEDI)Score 37
  6. Rank 30DLPRELong Pond Real Estate Select ETFScore 36

Our read on each fund

ETF.net Research

MEDIDHarbor Health Care ETF (MEDI)

PSRAInvesco Active U.S. Real Estate ETF

In short

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.

PSR Active REIT stock-picking without the active price tag: since 2008, PSR has run a tight book of about 30 US property names for 0.35% a year, roughly half the median fee among active US equity ETFs.

Stated mandate

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.

PSR The Fund seeks high total return through capital appreciation and current income, investing principally in equity real estate investment trusts.

Why people hold it

  • 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.
  • PSR 0.35% a year against a 0.65% median for active US equity ETFs. Active management without the usual active-management markup.
  • Running since 2008, across multiple rate regimes and property cycles, and it sits in the upper half of its active US equity peer group.
  • Concentrated by design: about 30 equity REITs, so each holding carries real weight instead of being diluted across the entire property market.invesco.com
  • The mandate targets capital appreciation plus current income from equity REITs, and the fund distributes quarterly.invesco.com

Worth knowing

  • 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.
  • PSR Thinly traded. Spreads can widen and larger orders can move the price more than they would in a heavily traded index fund.
  • One sector, one economy: US property. When rates jolt REITs, the portfolio has no other sector to lean on.
  • Assets stay modest next to the giant index REIT funds, and smaller ETFs generally face a higher bar to stay open over the long haul.

Full MEDI profile⁠

Full PSR profile⁠

MEDI vs PSR 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.

MEDI vs PSR Cost

Overpaying MEDI vs PSR

$8,220

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

  • MEDI 0.80%

    $15,346

  • PSR 0.35%

    $7,126

$10,000
30 years

Cost over time

  • MEDI 0.80%
  • PSR 0.35%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$5K$10K$15K$20K051015202530MEDI $15,346PSR $7,126

Year by year

YearMEDIPSROverpaying
10$1,422$634$788
20$5,393$2,454$2,939
30$15,346$7,126$8,220

Expense ratio

  • 0.80%MEDI
  • 0.35%PSR, cheaper
  • Middle half of US Active Sector funds
  • Median 0.61%

PSR 6th cheapest of 35 funds

MEDI 27th cheapest of 35 funds

MEDI vs PSR Dividends

Last 12 months to Oct 30, 2026
Yield (12M)
MEDI 0.21%
PSR 2.70%, better
Payout (12M)
MEDI $0.08
PSR $2.72
Last payment
MEDI $0.08
PSR $0.67
Ex-dividend
MEDI Dec 19, 2025
PSR Sep 21, 2026
Paid on
MEDI Dec 24, 2025
PSR Sep 25, 2026
Frequency
MEDI Annual
PSR Quarterly

Distribution history

Per share, 2017 to 2026, same scale for both

MEDIAnnual · 3 paymentsAll MEDI payments⁠
One bar per payment. 3 payments from 2017 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$0.502017202020232026YTD
PSRQuarterly · 36 paymentsAll PSR payments⁠
One bar per payment. 36 payments from 2017 to 2026 YTD. Dec 18, 2017 $0.11; Mar 19, 2018 $0.30; Jun 18, 2018 $0.44; Sep 24, 2018 $0.57; Dec 24, 2018 $0.70; Mar 18, 2019 $0.16; Jun 24, 2019 $0.75; Sep 23, 2019 $0.76; Dec 23, 2019 $0.76; Mar 23, 2020 $0.70; Jun 22, 2020 $0.64; Sep 21, 2020 $0.64; Dec 21, 2020 $0.70; Mar 22, 2021 $0.60; Jun 21, 2021 $0.69; Sep 20, 2021 $0.61; Dec 20, 2021 $0.65; Mar 21, 2022 $0.63; Jun 21, 2022 $0.68; Sep 19, 2022 $0.63; Dec 19, 2022 $0.63; Mar 20, 2023 $0.65; Jun 20, 2023 $0.65; Sep 18, 2023 $0.69; Dec 18, 2023 $0.69; Mar 18, 2024 $0.69; Jun 24, 2024 $0.70; Sep 23, 2024 $0.69; Dec 23, 2024 $0.69; Mar 24, 2025 $0.56; Jun 23, 2025 $0.58; Sep 22, 2025 $0.59; Dec 22, 2025 $0.59; Mar 23, 2026 $0.67; Jun 22, 2026 $0.78; Sep 21, 2026 $0.67. Use the arrow keys to read each point.$0$0.502017202020232026YTD

MEDI vs PSR Risk

Fall from peak · 5 years

This chart needs five years of history for both funds.

Risk facts

VolatilityStd dev, 3 years
MEDI 18.0%PSR 16.5%, better
Return per unit of riskSharpe ratio, 3 years
MEDI 0.83, betterPSR 0.54
Worst fallMax drawdown, 5 years
MEDI −19.3%since Nov 2022PSR −34.8%
Market sensitivityBeta, 5 years
MEDI 0.73PSR 0.95

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