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MEDX vs TMED

Horizon Kinetics Medical ETF

MEDXDNasdaq

T. Rowe Price Health Care ETF

TMEDANasdaq

Overlap

Expense ratio

TMED −0.41pt a year

MEDX0.85%TMED0.44%

Avg volume · 30D

TMED 4.0×the volume

MEDX1.88KTMED7.43K

MEDX vs TMED Performance

Oct 31, 2025 – Nov 2, 2026

+23.4%MEDX+19.9%TMED

Oct 31, 2025 to Nov 2, 2026. MEDX +23.4%. TMED +19.9%. Use the arrow keys to read each point.0%5%10%15%30%Oct 2025May 2026Nov 2026
Expense ratio
MEDX 0.85%
TMED 0.44%, better
Fund size
MEDX $18M
TMED $34M
1Y total return
MEDX +23.4%, better
TMED +19.9%
Yield (12M)
MEDX 1.07%
TMED No data
Holdings
MEDX 33
TMED 112
Avg volume (30D)
MEDX 1.88K sh
TMED 7.43K sh, better
NAV per share
MEDX $38.03
TMED $34.31
52W range

ETF.net Grade

MEDX: Cost 19, Risk 54, Mission not scored, Tradability 21, Holdings 27, Durability 45. TMED: Cost 82, Risk 55, Mission not scored, Tradability 59, Holdings 91, Durability 35.
Pillar letters and Scores for MEDX, TMED, with each pillar’s weight
PillarMEDXTMED
Cost30% weightF19A82Higher
Mission25% weightNot scoredNot scored
Risk15% weightC54B55Higher
Tradability15% weightF21B59Higher
Holdings10% weightD27A91Higher
Durability5% weightC45HigherD35

Rank among US Active Sector funds

How we build Categories ›
Same Category. Both funds are graded against the same funds, so their Grades compare head to head.

Same Category. MEDX and TMED 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 ›

TMED ranks 2nd and MEDX 32nd 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 2ATMEDT. Rowe Price Health Care ETFScore 70
  4. Rank 4BTRUTVanEck Technology TruSector ETFScore 69
  5. Rank 32DKQQQKurv Technology Titans Select ETFScore 29
  6. Rank 32DMEDXHorizon Kinetics Medical ETFScore 29
  7. Rank 34FGABFGabelli Financial Services Opportunities ETFScore 24

Our read on each fund

ETF.net Research

MEDXDHorizon Kinetics Medical ETF

TMEDAT. Rowe Price Health Care ETF

In short

MEDX Most healthcare funds chase drugmakers' profits. MEDX aims at the bill itself: pre-expense returns that generally track the U.S. healthcare cost inflation rate, held in a concentrated, actively run book.

TMED No data

Stated mandate

MEDX The Fund seeks to provide long-term growth of capital.

TMED No data

Why people hold it

  • MEDX Unusual mandate: the fund seeks pre-expense returns that generally track the U.S. healthcare cost inflation rate, not the price of the healthcare sector.
  • Concentrated by design, roughly 30 positions. You can read the whole portfolio in a sitting instead of owning a sector index tail.
  • Actively managed by Horizon Kinetics since its 2023 launch, so the book is picked against the inflation goal rather than assembled by market cap.

TMED No data

Worth knowing

  • MEDX At 0.85% a year, it costs more than the median active US equity fund (0.65%), and multiples of broad core rivals like DFAU (0.12%) and FELC (0.18%).
  • Small asset base and light trading volume. Spreads can widen, so limit orders do real work here.
  • Distributions arrive once or twice a year, and against hundreds of active US equity peers it sits in the bottom quartile on our overall review.

TMED No data

Full MEDX profile⁠

Full TMED profile⁠

MEDX vs TMED 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.

MEDX vs TMED Cost

Overpaying MEDX vs TMED

$7,347

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

  • MEDX 0.85%

    $16,199

  • TMED 0.44%

    $8,852

$10,000
30 years

Cost over time

  • MEDX 0.85%
  • TMED 0.44%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$5K$10K$15K$20K051015202530MEDX $16,199TMED $8,852

Year by year

YearMEDXTMEDOverpaying
10$1,508$794$714
20$5,706$3,061$2,645
30$16,199$8,852$7,347

Expense ratio

  • 0.85%MEDX
  • 0.44%TMED, cheaper
  • Middle half of US Active Sector funds
  • Median 0.61%

TMED 7th cheapest of 35 funds

MEDX 28th cheapest of 35 funds

MEDX vs TMED Dividends

Last 12 months to Nov 2, 2026
Yield (12M)
MEDX 1.07%
TMED No data
Payout (12M)
MEDX $0.41
TMED No data
Last payment
MEDX $0.41
TMED $0.16
Ex-dividend
MEDX Dec 23, 2025
TMED Dec 23, 2025
Paid on
MEDX Dec 24, 2025
TMED Dec 26, 2025
Frequency
MEDX Annual
TMED Irregular

Distribution history

Per share, 2023 to 2026, same scale for both

MEDXAnnual · 3 paymentsAll MEDX payments⁠
One bar per payment. 3 payments from 2023 to 2026 YTD. Dec 27, 2023 $1.64; Dec 24, 2024 $0.51; Dec 23, 2025 $0.41. Use the arrow keys to read each point.$0$120232026YTD
TMEDIrregular · 1 paymentAll TMED payments⁠
One bar per payment. 1 payment from 2023 to 2026 YTD. Dec 23, 2025 $0.16. Use the arrow keys to read each point.$0$120232026YTD

MEDX vs TMED Risk

Fall from peak · 5 years

This chart needs five years of history for both funds.

Risk facts

VolatilityStd dev, 3 years
MEDX 15.3%TMED 14.7%since Jul 2025
Return per unit of riskSharpe ratio, 3 years
MEDX 0.71TMED 1.50since Jul 2025
Worst fallMax drawdown, 5 years
MEDX −23.1%since Feb 2023TMED −11.1%since Jun 2025
Market sensitivityBeta, 5 years
MEDX 0.52TMED 0.46

Popular comparisons

  • MEDXDvsAVREA

    Horizon Kinetics Medical ETF · Avantis Real Estate ETF

    Expense ratio
    0.85% · 0.17%
    Category
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    Expense ratio
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    Expense ratio
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    Expense ratio
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    Category
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