MEDX

ETFActive

Horizon Kinetics Medical ETF

Category: Other (5,046 funds)

Expense Ratio

0.85%

Annual Cost per $10K

$85.00

30-Year Fee Drag per $10K

$16,199

at 7% annual return

Fund Type

ETF

Active

Trailing 12-Month

+4.41%

Asset Allocation

US Equity

66%

Intl Equity

24%

Cash

10%

Fee Comparison

MEDX

0.85%

Other average

0.99%

Other cheapest

FCDSX

0.00%

Index benchmark

0.03%

14% cheaper than category average

Historical Returns

Monthly total returns (dividends reinvested) from SEC N-PORT filings · As of December 2025 · Updated quarterly

+2.38%34 months

Compare to

Fee Impact Calculator

Investment

Years

Annual Return

MEDX at 0.85%$299,619

At index rates (0.03%)$377,424

Zero fees (theoretical)$380,613

Total fee drag$80,993

Cost vs index fund−$77,805

Similar Funds (100)

Ranked by allocation similarity weighted by fund size · Returns (dividends reinvested) from SEC N-PORT filings · As of December 2025

Ticker	Name	ER	1yr	3yr	5yr
MEDX	Horizon Kinetics Medical ETF	0.85%	+4.41%	—	—
FNNEX	New Economy Fund	0.47%	+19.36%	+21.34%	+11.35%
VGHAX	VANGUARD HEALTH CARE FUND	0.32%	+0.60%	+5.36%	+6.99%
QCSTFX	College Retirement Equities Fund - Stock Account	—	+18.92%	+20.20%	—
FEEFX	American Funds Fundamental Investors	0.34%	+22.26%	+24.11%	+17.45%
NMAVX	Nuance Mid Cap Value Fund	0.81%	-0.29%	+5.15%	+5.86%
DOXGX	Dodge & Cox Stock Fund	0.41%	+11.62%	+15.65%	—
OWLSX	Old Westbury Large Cap Strategies Fund	1.09%	+19.20%	+19.95%	+11.94%
YACKX	AMG Yacktman Fund$1M min	0.62%	+15.37%	+13.06%	+13.89%
VHGEX	VANGUARD GLOBAL EQUITY FUND	0.39%	+20.18%	+20.78%	+11.89%
DGEIX	GLOBAL EQUITY PORTFOLIO$1M min	0.26%	+18.43%	+19.10%	+15.44%
TTMIX	T. Rowe Price Communications & Technology Fund	0.67%	+19.17%	+27.37%	+9.42%
QCGLFX	College Retirement Equities Fund - Global Equities Account	—	+19.54%	+21.44%	—
AAHTX	American Funds 2045 Target Date Retirement Fund	0.69%	+19.32%	+18.79%	+12.39%
SVAAX	Federated Hermes Strategic Value Dividend Fund	1.06%	+8.08%	+9.35%	+13.06%
VT	VANGUARD TOTAL WORLD STOCK INDEX FUND	0.06%	+22.33%	+21.23%	+14.51%
AALTX	American Funds 2050 Target Date Retirement Fund	0.69%	+19.54%	+19.11%	+12.43%
JAFVX	Strategic Equity Allocation Trust	0.92%	+19.27%	+19.74%	+14.58%
AAMTX	American Funds 2055 Target Date Retirement Fund	0.70%	+19.98%	+19.47%	+12.48%
GSKPX	Goldman Sachs Tax-Advantaged Global Equity Portfolio	1.22%	+14.09%	+16.67%	+12.41%
CGLGX	American Funds Growth and Income Portfolio	0.92%	+18.14%	+18.35%	+12.44%
PSGFX	SAM Strategic Growth Portfolio	1.07%	+16.51%	+18.65%	+13.00%
VGELX	VANGUARD ENERGY FUND	0.45%	+16.11%	+13.87%	+22.09%
AQGRX	AQR Global Equity Fund	0.72%	+34.41%	+26.54%	+18.80%
MGISX	GLOBAL FRANCHISE PORTFOLIO	0.83%	+3.71%	+11.65%	+8.17%
AAGTX	American Funds 2040 Target Date Retirement Fund	0.68%	+18.44%	+18.13%	+12.03%
FBDIX	Franklin Biotechnology Discovery Fund	0.77%	+27.62%	+20.92%	+7.42%
EAGL	Eagle Capital Select Equity ETF	0.80%	+16.87%	—	—
FMSHX	Franklin Mutual Shares Fund	0.70%	+9.29%	+12.67%	+13.32%
GQEFX	GMO Quality Fund	0.42%	+8.51%	+19.43%	+14.77%
JETS	U.S. Global Jets ETF	0.60%	+16.84%	+14.54%	+9.66%
TGIPX	T. Rowe Price Spectrum Moderate Growth Allocation Fund	0.64%	+10.57%	+13.30%	+8.45%
SNSR	Global X Internet of Things ETF	0.68%	+9.70%	+12.70%	+8.09%
AANTX	American Funds 2060 Target Date Retirement Fund	0.72%	+20.06%	+19.55%	+12.48%
FKALX	Federated Hermes Kaufmann Small Cap Fund	1.36%	+12.24%	+11.20%	+4.49%
FSELX	Select Semiconductors Portfolio	0.62%	+22.66%	+41.82%	+31.05%
PRJAX	PGIM Jennison Global Opportunities Fund	1.08%	+11.79%	+23.36%	+8.56%
ACWI	iShares MSCI ACWI ETF	0.32%	+22.76%	+21.69%	+14.63%
PGTIX	T. Rowe Price Global Technology Fund, Inc.	0.78%	+32.78%	+34.70%	+9.42%
FDVLX	Fidelity Value Fund	0.68%	+5.77%	+11.81%	+16.66%
llscx	Longleaf Partners Small Cap Fund	0.95%	+5.79%	+10.92%	+8.26%
TCLPX	Nuveen Lifecycle 2050 Fund	0.69%	+10.95%	+14.86%	+10.00%
ERBAX	Eaton Vance Equity Strategy Fund	1.12%	+9.53%	+13.12%	+8.97%
URTH	iShares MSCI World ETF	0.24%	+15.69%	+18.71%	+13.04%
DVIPX	DAVENPORT VALUE & INCOME FUND	0.86%	+10.34%	+10.91%	+11.42%
CGGEX	American Funds Global Growth Portfolio	1.07%	+22.40%	+21.16%	+11.42%
MIGNX	MFS Massachusetts Investors Growth Stock Fund	0.37%	+8.71%	+15.11%	+11.78%
ZGFAX	American Beacon Ninety One Global Franchise Fund	0.86%	+11.67%	—	—
GQRPX	GQG PARTNERS GLOBAL QUALITY EQUITY FUND	0.70%	-0.50%	+17.51%	+11.85%
ACSHX	Invesco Comstock Fund	0.51%	+12.71%	+14.13%	+19.36%
GARUX	Goldman Sachs Absolute Return Tracker Fund	0.73%	+9.45%	+9.32%	+6.69%
IBB	iShares Biotechnology ETF	0.44%	+0.30%	+3.23%	+1.75%
RYTRX	Royce Small-Cap Total Return Fund	1.21%	+7.60%	+12.33%	+13.30%
REET	iShares Global REIT ETF	0.14%	+2.58%	+7.78%	+7.55%
PHLQX	PGIM Jennison Health Sciences Fund	0.77%	-11.75%	+9.44%	+6.55%
VGSTX	VANGUARD STAR FUND	0.30%	+14.24%	+14.63%	+8.34%
FEIKX	Fidelity Equity-Income Fund	0.46%	+13.05%	+14.27%	+15.42%
IHAK	iShares Cybersecurity and Tech ETF	0.47%	+6.50%	+13.08%	+11.28%
IXJ	iShares Global Healthcare ETF	0.40%	-4.07%	+3.93%	+6.67%
FETKX	Fidelity Equity Dividend Income Fund	0.46%	+5.72%	+12.25%	+13.37%
DIEZX	Destinations International Equity Fund	1.07%	+13.39%	+13.96%	+5.65%
NBFAX	Neuberger Berman Focus Fund	1.12%	+18.61%	+18.42%	+8.89%
VMNVX	VANGUARD GLOBAL MINIMUM VOLATILITY FUND	0.14%	+11.20%	+12.02%	+9.81%
TTFIX	Nuveen Lifecycle 2045 Fund	0.68%	+10.73%	+14.58%	+9.87%
JGLO	JPMorgan Global Select Equity ETF	0.47%	+13.38%	—	—
PVPAX	PIMCO REALPATH Blend 2040 Fund	0.54%	+15.76%	+16.21%	+10.47%
GMHZX	MyDestination 2035 Fund	0.75%	+14.11%	+14.74%	+9.33%
PFLJX	Principal LifeTime 2050 Fund	0.88%	+16.21%	+17.21%	+11.63%
XLB	The Materials Select Sector SPDR Fund	0.08%	-0.18%	+9.42%	+9.83%
GMFZX	MyDestination 2045 Fund	0.72%	+16.76%	+17.42%	+11.64%
WEACX	Allspring Spectrum Aggressive Growth Fund	0.92%	+21.33%	+18.62%	+10.46%
AMANX	Amana Income Fund	1.01%	+5.82%	+14.09%	+11.16%
TAAKX	Transamerica Asset Allocation - Growth Portfolio	1.06%	+21.75%	+20.27%	—
MSTSX	Morningstar Global Opportunistic Equity Fund$1M min	0.81%	+15.69%	+17.74%	+12.56%
SOXX	iShares Semiconductor ETF	0.34%	+27.12%	+37.39%	+23.11%
VVOAX	Invesco Value Opportunities Fund	1.27%	+18.64%	+20.63%	+24.43%
TTRIX	Nuveen Lifecycle 2055 Fund	0.45%	+11.24%	+15.20%	+10.30%
IGE	iShares North American Natural Resources ETF	0.39%	+14.09%	+9.19%	+24.22%
MXXIX	Marsico Midcap Growth Focus Fund	1.46%	+37.51%	+28.51%	+14.69%
FGIDX	Fidelity Growth and Income Portfolio	0.46%	—	—	—
MAGEX	MFS Growth Allocation Fund	1.19%	+9.74%	+11.71%	+8.24%
TLLIX	Nuveen Lifecycle Index 2050 Fund	0.18%	+13.36%	+15.81%	+10.82%
PVQAX	PIMCO REALPATH Blend 2045 Fund	0.29%	+17.34%	+17.47%	+11.54%
PXWEX	Impax Ellevate Global Women's Leadership Fund	0.77%	+17.16%	+20.64%	+9.07%
FBIOX	Select Biotechnology Portfolio	0.63%	-2.61%	+9.74%	+2.99%
KAUAX	Federated Hermes Kaufmann Fund	1.96%	+15.32%	+14.20%	+4.26%
RWO	SPDR(R) Dow Jones Global Real Estate ETF	0.50%	+3.03%	+7.85%	+7.04%
FBSIX	Franklin Mutual U.S. Mid Cap Value Fund	0.56%	+3.35%	+8.89%	+12.56%
NSRKX	World Selection Index Fund	0.29%	+19.24%	+21.51%	+15.32%
FFNOX	Fidelity Multi-Asset Index Fund	0.11%	+13.40%	+14.96%	+10.03%
GCOZX	Moderately Aggressive Allocation Fund	1.05%	+14.97%	+15.67%	+9.28%
HFCSX	Hennessy Focus Fund	1.49%	+32.83%	+23.79%	+16.64%
IOO	iShares Global 100 ETF	0.40%	+24.84%	+25.26%	+18.96%
PGROX	BNY Mellon Worldwide Growth Fund, Inc.	1.13%	+15.92%	+16.23%	+11.99%
BRBCX	BlackRock Tactical Opportunities Fund	1.04%	+8.01%	+7.17%	+5.00%
PRPQX	PGIM Jennison Energy Infrastructure Fund	1.10%	+16.31%	+16.89%	+23.86%
FVD	First Trust Value Line Dividend Index Fund	0.61%	+5.42%	+8.35%	+10.29%
AAOTX	American Funds 2065 Target Date Retirement Fund	0.73%	+20.03%	+19.52%	+12.44%
RPFGX	Davis Financial Fund	0.94%	+30.82%	+25.02%	+23.33%
FVSKX	Fidelity Advisor Value Strategies Fund	0.72%	+3.53%	+11.41%	+16.35%
TTIIX	Nuveen Lifecycle Index 2055 Fund	0.25%	+13.51%	+16.01%	+10.99%

Analyze Your Full Portfolio

See your blended expense ratio, aggregate asset allocation, and total fee drag across all your holdings.

Get Started Free