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Performance
Performance Chart
The chart shows the growth of an initial investment of $10,000 in Horizon Kinetics Medical ETF, comparing it to the performance of the S&P 500 index or another benchmark. All prices have been adjusted for splits and dividends.
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Returns By Period
Horizon Kinetics Medical ETF (MEDX) has returned 0.32% so far this year and 21.85% over the past 12 months.
Horizon Kinetics Medical ETF
- 1D
- 2.94%
- 1M
- -5.94%
- YTD
- 0.32%
- 6M
- 12.78%
- 1Y
- 21.85%
- 3Y*
- 6.41%
- 5Y*
- —
- 10Y*
- —
Benchmark (S&P 500 Index)
- 1D
- 2.91%
- 1M
- -5.09%
- YTD
- -4.63%
- 6M
- -2.39%
- 1Y
- 16.33%
- 3Y*
- 16.69%
- 5Y*
- 10.18%
- 10Y*
- 12.16%
Monthly Returns
Based on dividend-adjusted daily data since Jan 31, 2023, MEDX's average daily return is +0.02%, while the average monthly return is +0.46%. At this rate, your investment would double in approximately 12.6 years.
Historically, 58% of months were positive and 42% were negative. The best month was Nov 2025 with a return of +8.6%, while the worst month was Oct 2023 at -6.5%. The longest winning streak lasted 6 consecutive months, and the longest losing streak was 4 months.
On a daily basis, MEDX closed higher 52% of trading days. The best single day was Oct 1, 2025 with a return of +5.6%, while the worst single day was Apr 4, 2025 at -6.3%.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | Total | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026 | 0.92% | 5.69% | -5.94% | 0.32% | |||||||||
| 2025 | 4.59% | 5.02% | -3.60% | -1.86% | -3.97% | 2.20% | 2.74% | 4.41% | 4.57% | 4.48% | 8.64% | -0.96% | 28.62% |
| 2024 | 0.94% | 6.16% | -0.59% | -6.36% | 2.36% | 4.58% | 2.57% | 4.35% | -4.27% | -4.33% | -2.70% | -6.42% | -4.68% |
| 2023 | -5.69% | 1.53% | 1.95% | -1.22% | 1.36% | -1.34% | 0.85% | -3.74% | -6.45% | 4.78% | 2.22% | -6.22% |
Benchmark Metrics
Horizon Kinetics Medical ETF has an annualized alpha of -2.90%, beta of 0.55, and R² of 0.24 versus S&P 500 Index. Calculated based on daily prices since February 01, 2023.
- This ETF participated in 104.08% of S&P 500 Index downside but only 56.76% of its upside — more exposed to losses than it benefited from rallies.
- Beta of 0.55 may look defensive, but with R² of 0.24 this ETF is largely uncorrelated with S&P 500 Index — low beta reflects independence, not downside protection. See the Volatility section for a true picture of this ETF's risk.
- R² of 0.24 means this ETF moves largely independently of S&P 500 Index — capture ratios reflect limited market correlation rather than active downside protection. Consider using a more representative benchmark.
- Alpha
- -2.90%
- Beta
- 0.55
- R²
- 0.24
- Upside Capture
- 56.76%
- Downside Capture
- 104.08%
Expense Ratio
MEDX has an expense ratio of 0.85%, placing it in the medium range.
Return for Risk
Risk / Return Rank
MEDX ranks 56 for risk / return — on par with similar ETFs. You're getting a typical balance of risk and reward. Not a standout, but not a red flag either — a reasonable choice if other factors align with your goals.
Return / Risk — by metrics
The table below present risk-adjusted performance metrics for Horizon Kinetics Medical ETF (MEDX) and compare them to a chosen benchmark (S&P 500 Index).
| MEDX | Benchmark | Difference | |
|---|---|---|---|
Sharpe ratioReturn per unit of total volatility | 1.02 | 0.90 | +0.13 |
Sortino ratioReturn per unit of downside risk | 1.52 | 1.39 | +0.13 |
Omega ratioGain probability vs. loss probability | 1.19 | 1.21 | -0.02 |
Calmar ratioReturn relative to maximum drawdown | 1.70 | 1.40 | +0.30 |
Martin ratioReturn relative to average drawdown | 5.47 | 6.61 | -1.14 |
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month. | |||
Explore MEDX risk-adjusted metrics in detail
Dive deeper into individual metrics with historical trends, benchmark comparisons, and performance across different time periods.
Dividends
Dividend History
Horizon Kinetics Medical ETF provided a 1.23% dividend yield over the last twelve months, with an annual payout of $0.41 per share.
| Period | TTM | 2025 | 2024 | 2023 |
|---|---|---|---|---|
| Dividend | $0.41 | $0.41 | $0.50 | $1.38 |
Dividend yield | 1.23% | 1.23% | 1.92% | 4.94% |
Monthly Dividends
The table displays the monthly dividend distributions for Horizon Kinetics Medical ETF. The dividends shown in the table have been adjusted to account for any splits that may have occurred.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | Total | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026 | $0.00 | $0.00 | $0.00 | $0.00 | |||||||||
| 2025 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.41 | $0.41 |
| 2024 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.50 | $0.50 |
| 2023 | $1.38 | $1.38 |
Drawdowns
Drawdowns Chart
The Drawdowns chart displays portfolio losses from any high point along the way. Drawdowns are calculated considering price movements and all distributions paid, if any.
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Worst Drawdowns
The table below displays the maximum drawdowns of the Horizon Kinetics Medical ETF. A maximum drawdown is a measure of risk, indicating the largest reduction in portfolio value due to a series of losing trades.
The maximum drawdown for the Horizon Kinetics Medical ETF was 23.10%, occurring on Apr 10, 2025. Recovery took 119 trading sessions.
The current Horizon Kinetics Medical ETF drawdown is 6.03%.
Depth | Start | To Bottom | Bottom | To Recover | End | Total |
|---|---|---|---|---|---|---|
| -23.1% | Sep 3, 2024 | 152 | Apr 10, 2025 | 119 | Oct 1, 2025 | 271 |
| -15.48% | May 11, 2023 | 118 | Oct 27, 2023 | 83 | Feb 28, 2024 | 201 |
| -10.25% | Feb 29, 2024 | 36 | Apr 19, 2024 | 56 | Jul 11, 2024 | 92 |
| -9.98% | Feb 25, 2026 | 18 | Mar 20, 2026 | — | — | — |
| -9.31% | Feb 14, 2023 | 18 | Mar 10, 2023 | 39 | May 5, 2023 | 57 |
Volatility
Volatility Chart
The chart below shows the rolling one-month volatility.
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