Horizon Kinetics Medical ETFMEDX

Horizon KineticsSectorsHealth Care#102 of 264 by YTD

$37.83

−0.6% last session

+13.9% YTD

Data as of 11/3/20264:00 PM ET · End-of-day

Dividend-adjusted total return · S&P 500 uses VOO · Dec 31, 2025 – Nov 3, 2026MEDXS&P 500 · VOO

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	−0.6%	+9.4%	+7.2%	+13.9%	+22.6%	+52.9%	—	+32.8%
Peer average	+0.6%	+4.0%	+6.1%	+21.0%	+29.0%	+81.2%	+28.9%	—
S&P 500 · VOO	+0.3%	−2.6%	−1.7%	+11.5%	+11.9%	+90.9%	+77.5%	—

Key Statistics

Open all fund facts →

AUM: $18M
Expense ratio: 0.85%
Distribution yield: 1.1%
NAV: $37.83
Volume: 4K
Avg. volume 30D: 561
High today: $38.19
Low today: $37.83
Previous close: $38.07
52-week high: $38.46
52-week low: $31.03
Our risk indicator: 4/5

MEDX in One Breath

MEDX Among Health Care ETFs

YTD

#1ARKGARK+70.9%$2.2B

#2IDNAiShares+62.8%$340M

#3BBHVanEck+35.0%$525M

#4FTXHFirst Trust+33.8%$1.2B

#5XHSSPDR+32.9%$229M

#6BBPVirtus+29.5%$132M

#7XBISPDR+27.2%$10.5B

#8IHEiShares+26.9%$1.6B

#24MEDXHorizon Kinetics+13.9%$17.8M

End-of-day Nov 4, 2026 · 33 Health care ETFs by YTD

$10,000 in MEDX

$10,000 in MEDX became

$13,278

In the S&P 500 (VOO)

$19,310

Total return, dividends in · Feb 1, 2023 – Nov 3, 2026 · S&P 500 uses VOO

MEDX’s Top Holdings

Today

LLYEli Lilly &21.0%ABBV9.8%NVS6.9%JNJ5.8%AMGN4.9%AZN4.7%ALKS4.6%MRK4.4%BMY4.2%PFE3.5%BIIB3.4%REGN3.1%GSK2.4%CRSP2.3%IONS2.3%ALNY1.7%REPL1.2%BEAM1.1%SDZNYGALTNTLA10 more

LLYEli Lilly &21.0%ABBV9.8%NVS6.9%JNJ5.8%AMGN4.9%AZN4.7%ALKS4.6%MRK4.4%BMY4.2%PFE3.5%BIIB3.4%REGN20 more

Drug Manufacturers - GeneralBiotechnologyDrug Manufacturers - Specialty

Horizon Kinetics MEDX · 32 holdings · tile size = share of the fund · as of Nov 3, 2026

What MEDX Holds

Today

Drug Manufacturers - General71.0%

LLY 21.0 · ABBV 9.8 · NVS 6.9 · JNJ 5.8 · AMGN 4.9 · AZN 4.7 · MRK 4.4

Biotechnology14.4%

REGN 3.1 · CRSP 2.3 · IONS 2.3 · ALNY 1.7 · REPL 1.2 · BEAM 1.1 · GALT

Drug Manufacturers - Specialty & Generic6.3%

ALKS 4.6 · SDZNY · HLN · VTRS

Medical - Devices0.5%

GEHC · PACB

Other holdings7.9%

LTRN · DCOY

Horizon Kinetics MEDX · share of the fund by industry · as of Nov 3, 2026

Eli’s Share of MEDX

Today

21.0%

$210 of every $1,000 in MEDX is Eli

Eli held by MEDX

$3.7M

Most Eli per dollar

IHE26.9%

PPH23.2%

MEDI22.2%

MEDX21.0%

Horizon Kinetics MEDX · each square = $10 of $1,000 · as of Nov 3, 2026

MEDX’s Share of Health Care ETFs

Today

0.0%

of the $109B in 39 Health care ETFs

MEDX$17.8M0.0%

XLV$49.1B45.0%

VHT$19.1B17.5%

36 others$40.8B37.4%

Health care ETF AUM · Nov 4, 2026

MEDX Fee per $100 vs Peers

Today

$0.85a year
per $100

$85 a year on $10,000

XLV$0.08

VHT$0.09

XBI$0.35

IYH$0.37

IXJ$0.38

MEDX$0.85

Expense ratio · Health care peers · Nov 4, 2026

Inside MEDX

32 holdings · as of Nov 3, 2026

MEDX

Horizon Kinetics Medical ETF

Today

Drug Manufacturers - General71.0%LLYEli Lilly &21.0%ABBV9.8%NVS6.9%JNJ5.8%AMGN4.9%AZN4.7%MRK4.4%BMY4.2%PFE3.5%BIIB3.4%GSK2.4%Biotechnology14.4%REGN3.1%CRSP2.3%IONS2.3%ALNYREPLBEAMGALTNTLAVNDADrug Manufacturers - Specialty6.3%ALKS4.6%SDZNYHLNOther7.9%2 more

Drug Manufacturers - General71.0%LLYEli Lilly &21.0%ABBV9.8%NVS6.9%JNJ5.8%AMGN4.9%AZN4.7%5 moreBiotechnology14.4%REGN3.1%CRSPIONSALNYREPLBEAM6 moreDrug Manufacturers - Specialty6.3%ALKS4.6%SDZNYOther7.9%2 more

#	Ticker	Company	Weight ▼
1	LLY	Eli Lilly &	20.96%
2	ABBV	AbbVie	9.81%
3	NVS	Novartis AG	6.85%
4	JNJ	Johnson & Johnson	5.75%
5	AMGN	Amgen	4.86%
6	AZN	AstraZeneca	4.73%
7	ALKS	Alkermes	4.57%
8	MRK	Merck &	4.41%
9	BMY	Bristol-Myers Squibb	4.21%
10	PFE	Pfizer	3.51%

Drug Manufacturers - GeneralBiotechnologyDrug Manufacturers - SpecialtyMedical - DevicesOther

Horizon Kinetics MEDX · current holdings by weight · as of Nov 3, 2026 · each tile is one holding · top 20 = 88.9%

How It Compares

MEDX

Horizon Kinetics Medical ETF’s Peers

YTD


XLV	SPDRRead Desk	0.08%	+20.4%	+29.7%	$49.1B
VHT	VanguardRead Desk	0.09%	+19.6%	+28.1%	$19.1B
XBI	SPDRRead Desk	0.35%	+27.2%	+38.1%	$10.5B
IYH	iSharesRead Desk	0.37%	+19.8%	+28.6%	$4.7B
IXJ	iSharesRead Desk	0.38%	+16.0%	+24.7%	$4.6B
MEDX	Horizon KineticsThis fundRead Desk	0.85%	+13.9%	+22.6%	$18M

Health care peers · YTD and past-year returns · as of Nov 4, 2026 · sorted by AUM

Head to Head

Put MEDX head to head with XLV →

XLV vs MEDX

YTD

XLVSPDR · Health careMEDXHorizon Kinetics · Health care

Year to date

+20.4%

+13.9%

XLV wins+6.4 pts

Past year

+29.7%

+22.6%

XLV wins+7.1 pts

Fee

0.08%

0.85%

XLV winslower fee

Yield

1.4%

1.1%

XLV wins+0.3 pts

AUM

$49.1B

$17.8M

XLV2761.9× more

4–0XLV wins

SPDR XLV and Horizon Kinetics MEDX · year-to-date · as of Nov 4, 2026 · AUM not scored

MEDX vs VOO

YTD

MEDX · Horizon Kinetics Medical

+13.9%

VOO · S&P 500

+11.5%

Gap

2.4 pts

Horizon Kinetics MEDX and Vanguard VOO · YTD total return · as of Nov 4, 2026

MEDX vs Its Peer Average

YTD

MEDXAvsBPeer average

1D−0.6%+0.6%

1M+9.4%+4.0%

3M+7.2%+6.1%

YTD+13.9%+21.0%

1Y+22.6%+29.0%

3Y+52.9%+81.2%

5Y[…]+28.9%

2–4Peer average wins

38 Health care peers · each row scaled to its leader

The Details

MEDX

Risk

4/5our risk indicator

CalmerBumpier

Volatility · 1Y19.06%

Deepest drop · 1Y−10.6%

Lowest point · 5Y−13.0%

52-week range

$37.83

$31.03−1.6% from the high$38.46

Horizon Kinetics MEDX · past-year price moves · as of Nov 4, 2026

MEDX

Fund Facts

Today

2023launched Jan 27

Tracks[…]

Exchange · CUSIPNASDAQ · 53656G563

StructureETF

Leverage1x

Cost on $10,000$85 a year

Go deeper

Prospectus & documents Trading & liquidity Fees & costs Distributions

Horizon Kinetics MEDX · fund facts · as of Nov 4, 2026

MEDX

Payouts by Year

$0.41per share, Dec 2025

Distribution yield1.1%

PaidOnce a year, in December

Latest ex-date · paidDec 23 · Dec 24, 2025

3 payouts added up$2.56 a share

Horizon Kinetics MEDX · distributions by ex-date · 2023–2025

All Fund FactsDocuments · trading · fees · every payout

Prospectus & Documents

SEC reported portfolio · 2026-06-30 ↗SEC reported portfolio · 2026-03-31 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2025-12-31 ↗SEC reported portfolio · 2025-09-30 ↗prospectus · SEC 497 ↗SEC reported portfolio · 2025-06-30 ↗SEC reported portfolio · 2025-03-31 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2024-12-31 ↗

Trading & Liquidity

Net asset value$37.83

Premium / discount[…]

Median spread · 30D[…]

Volume today4K

Average volume · 30D561

Shares outstanding[…]

Options[…]

Fees & Costs

Net expense ratio0.85%

Gross expense ratio[…]

Management fee[…]

Cost on $10,000 a year$85.00

Our risk indicator4/5

Estimated yearly cost excludes trading costs and assumes constant assets.

Distributions

Ex-date	Paid	Per share
Dec 23, 2025	Dec 24, 2025	$0.41
Dec 24, 2024	Dec 26, 2024	$0.51
Dec 27, 2023	Dec 29, 2023	$1.64

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