Horizon Kinetics Medical ETFMEDX

Horizon KineticsSectorsHealth Care#101 of 264 by YTD

$37.55

−2.6% last session

+13.1% YTD

Data as of 11/5/20264:00 PM ET · End-of-day

Dividend-adjusted total return · S&P 500 uses VOO · Oct 7, 2026 – Nov 5, 2026MEDXS&P 500 · VOO

Returns	1D	1M	3M	YTD	1Y	3Y	5Y	MAX
Total return	−2.6%	+7.3%	+5.4%	+13.1%	+22.5%	+49.9%	—	+31.8%
Peer average	−3.4%	+4.6%	+3.5%	+19.7%	+29.0%	+75.3%	+27.3%	—
S&P 500 · VOO	−4.4%	−5.7%	−4.9%	+8.4%	+9.8%	+82.2%	+71.6%	—

Key Statistics

Open all fund facts →

AUM: $18M
Expense ratio: 0.85%
Distribution yield: 1.1%
NAV: $37.51
Volume: 910
Avg. volume 30D: 582
High today: $38.06
Low today: $37.44
Previous close: $38.55
52-week high: $38.61
52-week low: $31.03
Our risk indicator: 4/5

MEDX in One Breath

MEDX Among Health Care ETFs

YTD

#1IDNAiShares+58.8%$335M

#2ARKGARK+54.0%$2.2B

#3XHSSPDR+37.9%$243M

#4BBHVanEck+32.6%$519M

#5FTXHFirst Trust+31.5%$1.2B

#6BBPVirtus+26.9%$134M

#7PSCHInvesco+26.6%$187M

#8IHEiShares+25.6%$1.6B

#24MEDXHorizon Kinetics+13.1%$17.6M

End-of-day Nov 6, 2026 · 33 Health care ETFs by YTD

$10,000 in MEDX

$10,000 in MEDX became

$13,180

In the S&P 500 (VOO)

$18,765

Total return, dividends in · Feb 1, 2023 – Nov 5, 2026 · S&P 500 uses VOO

MEDX’s Top Holdings

Today

LLYEli Lilly &20.7%ABBV9.9%NVS6.9%JNJ5.8%AMGN4.9%AZN4.7%ALKS4.6%MRK4.4%BMY4.2%PFE3.5%BIIB3.5%REGN2.9%GSK2.5%CRSP2.4%IONS2.2%ALNY1.7%REPL1.3%BEAM1.2%SDZNYGALTNTLA10 more

LLYEli Lilly &20.7%ABBV9.9%NVS6.9%JNJ5.8%AMGN4.9%AZN4.7%ALKS4.6%MRK4.4%BMY4.2%PFE3.5%BIIB3.5%REGN20 more

Drug Manufacturers - GeneralBiotechnologyDrug Manufacturers - Specialty

Horizon Kinetics MEDX · 32 holdings · tile size = share of the fund · as of Nov 5, 2026

What MEDX Holds

Today

Drug Manufacturers - General71.0%

LLY 20.7 · ABBV 9.9 · NVS 6.9 · JNJ 5.8 · AMGN 4.9 · AZN 4.7 · MRK 4.4

Biotechnology14.4%

REGN 2.9 · CRSP 2.4 · IONS 2.2 · ALNY 1.7 · REPL 1.3 · BEAM 1.2 · GALT

Drug Manufacturers - Specialty & Generic6.3%

ALKS 4.6 · SDZNY · HLN · VTRS

Medical - Devices0.5%

GEHC · PACB

Other holdings7.8%

LTRN · DCOY

Horizon Kinetics MEDX · share of the fund by industry · as of Nov 5, 2026

Eli’s Share of MEDX

Today

20.7%

$207 of every $1,000 in MEDX is Eli

Eli held by MEDX

$3.7M

Most Eli per dollar

IHE26.5%

PPH22.7%

MEDI21.4%

MEDX20.7%

Horizon Kinetics MEDX · each square = $10 of $1,000 · as of Nov 5, 2026

MEDX’s Share of Health Care ETFs

Today

0.0%

of the $112B in 39 Health care ETFs

MEDX$17.6M0.0%

XLV$50.9B45.4%

VHT$19.1B17.0%

36 others$42.1B37.5%

Health care ETF AUM · Nov 6, 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 6, 2026

Inside MEDX

32 holdings · as of Nov 5, 2026

MEDX

Horizon Kinetics Medical ETF

Today

Drug Manufacturers - General71.0%LLYEli Lilly &20.7%ABBV9.9%NVS6.9%JNJ5.8%AMGN4.9%AZN4.7%MRK4.4%BMY4.2%PFE3.5%BIIB3.5%GSK2.5%Biotechnology14.4%REGN2.9%CRSP2.4%IONS2.2%ALNYREPLBEAMGALTNTLAVNDADrug Manufacturers - Specialty6.3%ALKS4.6%SDZNYHLNOther7.8%2 more

Drug Manufacturers - General71.0%LLYEli Lilly &20.7%ABBV9.9%NVS6.9%JNJ5.8%AMGN4.9%AZN4.7%5 moreBiotechnology14.4%REGNCRSPIONSALNYREPLBEAM6 moreDrug Manufacturers - Specialty6.3%ALKS4.6%SDZNYOther7.8%2 more

#	Ticker	Company	Weight ▼
1	LLY	Eli Lilly &	20.75%
2	ABBV	AbbVie	9.86%
3	NVS	Novartis AG	6.90%
4	JNJ	Johnson & Johnson	5.79%
5	AMGN	Amgen	4.92%
6	AZN	AstraZeneca	4.72%
7	ALKS	Alkermes	4.60%
8	MRK	Merck &	4.40%
9	BMY	Bristol-Myers Squibb	4.22%
10	PFE	Pfizer	3.48%

See all 34 holdings ↓

Drug Manufacturers - GeneralBiotechnologyDrug Manufacturers - SpecialtyMedical - DevicesOther

Horizon Kinetics MEDX · current holdings by weight · as of Nov 5, 2026 · each tile is one holding · top 20 = 89.0%

All MEDX Holdings

34 holdings · as of Nov 5, 2026

MEDX

MEDX’s Holdings

Today

#
1	LLYEli Lilly	Healthcare	20.75%	$2,074.90	2,654	$3.8M
2	ABBVAbbVie	Healthcare	9.86%	$986.37	6,068	$1.8M
3	—US Bank Mmda - Usbgfs 7 06/01/2031	—	7.61%	$761.21	1.4M	$1.4M
4	NVSNovartis AG	Healthcare	6.90%	$689.66	7,582	$1.3M
5	JNJJohnson & Johnson	Healthcare	5.79%	$578.61	3,798	$1.0M
6	AMGNAmgen	Healthcare	4.92%	$491.74	1,864	$892K
7	AZNAstraZeneca	Healthcare	4.72%	$472.38	4,533	$857K
8	ALKSAlkermes	Healthcare	4.60%	$460.43	18K	$835K
9	MRKMerck	Healthcare	4.40%	$440.03	5,308	$798K
10	BMYBristol-Myers Squibb	Healthcare	4.22%	$422.42	12K	$766K
11	PFEPfizer	Healthcare	3.48%	$347.53	20K	$630K
12	BIIBBiogen	Healthcare	3.46%	$345.69	2,464	$627K
13	REGNRegeneron Pharmaceuticals	Healthcare	2.92%	$292.48	570	$530K
14	GSKGSK	Healthcare	2.51%	$250.99	8,900	$455K
15	CRSPCRISPR Therapeutics AG	Healthcare	2.38%	$238.13	8,342	$432K

Horizon Kinetics MEDX · every reported holding · per $10,000 = dollars of each holding in a $10,000 stake · as of Nov 5, 2026

How It Compares

MEDX

Horizon Kinetics Medical ETF’s Peers

YTD


XLV	SPDRRead Desk	0.08%	+20.9%	+29.6%	$50.9B
VHT	VanguardRead Desk	0.09%	+19.7%	+28.0%	$19.1B
XBI	SPDRRead Desk	0.35%	+21.8%	+37.9%	$10.9B
IYH	iSharesRead Desk	0.37%	+20.3%	+28.8%	$4.7B
IXJ	iSharesRead Desk	0.38%	+19.7%	+28.6%	$4.6B
MEDX	Horizon KineticsThis fundRead Desk	0.85%	+13.1%	+22.5%	$18M

Health care peers · YTD and past-year returns · as of Nov 6, 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

+20.9%

+13.1%

XLV wins+7.8 pts

Past year

+29.6%

+22.5%

XLV wins+7.1 pts

Fee

0.08%

0.85%

XLV winslower fee

Yield

1.4%

1.1%

XLV wins+0.3 pts

AUM

$50.9B

$17.6M

XLV2889.4× more

4–0XLV wins

SPDR XLV and Horizon Kinetics MEDX · year-to-date · as of Nov 6, 2026 · AUM not scored

MEDX vs VOO

YTD

MEDX · Horizon Kinetics Medical

+13.1%

VOO · S&P 500

+8.4%

Gap

4.7 pts

Horizon Kinetics MEDX and Vanguard VOO · YTD total return · as of Nov 6, 2026

MEDX vs Its Peer Average

YTD

MEDXAvsBPeer average

1D−2.6%−3.4%

1M+7.3%+4.6%

3M+5.4%+3.5%

YTD+13.1%+19.7%

1Y+22.5%+29.0%

3Y+49.9%+75.3%

5Y[…]+27.3%

3–3level

38 Health care peers · each row scaled to its leader

The Details

MEDX

Risk

4/5our risk indicator

CalmerBumpier

Volatility · 1Y19.33%

Deepest drop · 1Y−10.6%

Lowest point · 5Y−16.1%

52-week range

$37.55

$31.03−2.7% from the high$38.61

Horizon Kinetics MEDX · past-year price moves · as of Nov 6, 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 6, 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$37.51

Premium / discount[…]

Median spread · 30D[…]

Volume today910

Average volume · 30D582

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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