MEDI vs. EFFE

Last updated Jun 24, 2026

MEDI (Harbor Health Care ETF) and EFFE (Harbor Osmosis Emerging Markets Resource Efficient ETF) are both exchange-traded funds - MEDI is a Health & Biotech Equities fund actively managed by Harbor, while EFFE is a Emerging Markets Diversified fund actively managed by Harbor. Both are actively managed. Over the past year, MEDI returned 20.72% vs 30.19% for EFFE. At a 0.33 correlation, their price movements are largely independent. MEDI charges 0.80%/yr vs 0.69%/yr for EFFE.

Performance

MEDI vs. EFFE - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Harbor Health Care ETF (MEDI) and Harbor Osmosis Emerging Markets Resource Efficient ETF (EFFE). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, MEDI achieves a 0.41% return, which is significantly lower than EFFE's 17.73% return.

MEDI

• 1D: 1.41%
• 1M: 1.66%
• YTD: 0.41%
• 6M: -0.41%
• 1Y: 20.72%
• 3Y*: 13.92%
• 5Y*: —
• 10Y*: —

EFFE

• 1D: -5.58%
• 1M: 0.23%
• YTD: 17.73%
• 6M: 18.02%
• 1Y: 30.19%
• 3Y*: —
• 5Y*: —
• 10Y*: —

*Multi-year figures are annualized to reflect compound growth (CAGR)

MEDI vs. EFFE - Yearly Performance Comparison

	2026 (YTD)	2025	2024
MEDI Harbor Health Care ETF	0.41%	27.11%	-1.18%
EFFE Harbor Osmosis Emerging Markets Resource Efficient ETF	17.73%	22.42%	-0.84%

Correlation

The correlation between MEDI and EFFE is 0.27, which is low. Their price movements are largely independent, making them effective diversification partners.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.27
Correlation (All Time) Calculated using the full available price history since Dec 19, 2024	0.33

Return for Risk

MEDI vs. EFFE — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

MEDI

MEDI Risk / Return Rank: 30
MEDI Sharpe Ratio Rank: 30
MEDI Sortino Ratio Rank: 32
MEDI Omega Ratio Rank: 28
MEDI Calmar Ratio Rank: 29
MEDI Martin Ratio Rank: 29

EFFE

EFFE Risk / Return Rank: 45
EFFE Sharpe Ratio Rank: 42
EFFE Sortino Ratio Rank: 38
EFFE Omega Ratio Rank: 44
EFFE Calmar Ratio Rank: 49
EFFE Martin Ratio Rank: 51

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

MEDI vs. EFFE - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Harbor Health Care ETF (MEDI) and Harbor Osmosis Emerging Markets Resource Efficient ETF (EFFE). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

Values are calculated on a 1-year rolling basis and updated daily. Risk-adjusted metrics are more stable over longer periods — use the period switch above to explore them.

	MEDI	EFFE	Difference
Sharpe ratio: Return per unit of total volatility	1.03	1.34	-0.31
Sortino ratio: Return per unit of downside risk	1.61	1.83	-0.21
Omega ratio: Gain probability vs. loss probability	1.18	1.26	-0.08
Calmar ratio: Return relative to maximum drawdown	1.36	2.21	-0.85
Martin ratio: Return relative to average drawdown	3.96	7.90	-3.95

MEDI vs. EFFE - Sharpe Ratio Comparison

The current MEDI Sharpe Ratio is 1.03, which is comparable to the EFFE Sharpe Ratio of 1.34. The chart below compares the historical Sharpe Ratios of MEDI and EFFE, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Drawdowns

MEDI vs. EFFE - Drawdown Comparison

The maximum MEDI drawdown since its inception was -19.24%, which is greater than EFFE's maximum drawdown of -13.75%. Use the drawdown chart below to compare losses from any high point for MEDI and EFFE.

Drawdown Indicators

	MEDI	EFFE	Difference
Max Drawdown Largest peak-to-trough decline	-19.24%	-13.75%	-5.49%
Max Drawdown (1Y) Largest decline over 1 year	-15.34%	-13.75%	-1.59%
Max Drawdown (3Y) Largest decline over 3 years	-19.24%	—	—
Current Drawdown Current decline from peak	-3.76%	-9.05%	+5.29%
Average Drawdown Average peak-to-trough decline	-4.30%	-2.12%	-2.18%
Ulcer Index Depth and duration of drawdowns from previous peaks	5.25%	3.83%	+1.42%

Volatility

MEDI vs. EFFE - Volatility Comparison

The current volatility for Harbor Health Care ETF (MEDI) is 6.32%, while Harbor Osmosis Emerging Markets Resource Efficient ETF (EFFE) has a volatility of 12.74%. This indicates that MEDI experiences smaller price fluctuations and is considered to be less risky than EFFE based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	MEDI	EFFE	Difference
Volatility (1M) Calculated over the trailing 1-month period	6.32%	12.74%	-6.42%
Volatility (6M) Calculated over the trailing 6-month period	15.71%	20.67%	-4.96%
Volatility (1Y) Calculated over the trailing 1-year period	20.22%	22.67%	-2.45%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	18.68%	21.46%	-2.78%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	18.68%	21.46%	-2.78%

MEDI vs. EFFE - Expense Ratio Comparison

MEDI has a 0.80% expense ratio, which is higher than EFFE's 0.69% expense ratio.

Dividends

MEDI vs. EFFE - Dividend Comparison

MEDI's dividend yield for the trailing twelve months is around 0.28%, less than EFFE's 3.99% yield.

Position	TTM	2025	2024	2023
EFFE Harbor Osmosis Emerging Markets Resource Efficient ETF	3.99%	4.69%	0.00%	0.00%
MEDI Harbor Health Care ETF	0.28%	0.28%	0.54%	1.86%

Frequently Asked Questions

Can I hold both MEDI and EFFE in my portfolio?

MEDI and EFFE have a correlation of 0.27, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, MEDI or EFFE?

EFFE has higher volatility (12.74%) compared to MEDI (6.32%). In terms of maximum drawdown, MEDI dropped -19.24% vs EFFE's -13.75%.

Which ETF is better, MEDI or EFFE?

On 1-year performance, EFFE leads with 30.19% vs 20.72% for MEDI. On fees, EFFE is cheaper at 0.69% per year. On volatility, MEDI has been the lower-risk option at 6.32%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, MEDI or EFFE?

Over the 1-year period, EFFE has performed better with a 30.19% return vs 20.72%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, MEDI or EFFE?

EFFE is cheaper with a 0.69% expense ratio, compared with 0.80% for MEDI.

Which ETF pays a higher dividend yield, MEDI or EFFE?

EFFE has the higher dividend yield at 3.99%, compared with 0.28% for MEDI.

What is the main difference between MEDI and EFFE?

MEDI is categorized as Health & Biotech Equities, while EFFE is Emerging Markets Diversified. Their fees differ too: 0.80% for MEDI and 0.69% for EFFE.

Which has better risk-adjusted returns?

EFFE currently has the higher Sharpe Ratio (1.34 vs 1.03), meaning it's delivered slightly more return per unit of risk over the trailing 12 months. However, this ranking shifts over time - use the Risk/Return Score above for a more comprehensive view that combines Sharpe, Sortino, and other measures used by quantitative funds.