MEDX vs. BBH
Compare and contrast key facts about Horizon Kinetics Medical ETF (MEDX) and VanEck Vectors Biotech ETF (BBH).
MEDX and BBH are both exchange-traded funds (ETFs), meaning they are traded on stock exchanges and can be bought and sold throughout the day. MEDX is an actively managed fund by Horizon. It was launched on Sep 30, 1999. BBH is a passively managed fund by VanEck that tracks the performance of the MVIS US Listed Biotech 25 Index. It was launched on Dec 20, 2011.
Performance
MEDX vs. BBH - Performance Comparison
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MEDX vs. BBH - Yearly Performance Comparison
| 2026 (YTD) | 2025 | 2024 | 2023 | |
|---|---|---|---|---|
MEDX Horizon Kinetics Medical ETF | 1.52% | 28.62% | -4.68% | -6.22% |
BBH VanEck Vectors Biotech ETF | 0.04% | 21.18% | -4.29% | -1.01% |
Returns By Period
In the year-to-date period, MEDX achieves a 1.52% return, which is significantly higher than BBH's 0.04% return.
MEDX
- 1D
- 1.19%
- 1M
- -3.98%
- YTD
- 1.52%
- 6M
- 8.07%
- 1Y
- 27.44%
- 3Y*
- 6.83%
- 5Y*
- —
- 10Y*
- —
BBH
- 1D
- 0.70%
- 1M
- -3.58%
- YTD
- 0.04%
- 6M
- 10.55%
- 1Y
- 23.57%
- 3Y*
- 5.92%
- 5Y*
- 1.84%
- 10Y*
- 6.42%
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MEDX vs. BBH - Expense Ratio Comparison
MEDX has a 0.85% expense ratio, which is higher than BBH's 0.35% expense ratio.
Return for Risk
MEDX vs. BBH — Risk / Return Rank
MEDX
BBH
MEDX vs. BBH - Risk-Adjusted Trends Comparison
This table presents a comparison of risk-adjusted performance metrics for Horizon Kinetics Medical ETF (MEDX) and VanEck Vectors Biotech ETF (BBH). 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.
| MEDX | BBH | Difference | |
|---|---|---|---|
Sharpe ratioReturn per unit of total volatility | 1.30 | 1.05 | +0.25 |
Sortino ratioReturn per unit of downside risk | 1.87 | 1.53 | +0.34 |
Omega ratioGain probability vs. loss probability | 1.24 | 1.20 | +0.04 |
Calmar ratioReturn relative to maximum drawdown | 2.15 | 2.00 | +0.15 |
Martin ratioReturn relative to average drawdown | 6.85 | 5.56 | +1.29 |
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month. | |||
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Sharpe Ratios by Period
| MEDX | BBH | Difference | |
|---|---|---|---|
Sharpe Ratio (1Y)Calculated over the trailing 1-year period | 1.30 | 1.05 | +0.25 |
Sharpe Ratio (5Y)Calculated over the trailing 5-year period | — | 0.09 | — |
Sharpe Ratio (10Y)Calculated over the trailing 10-year period | — | 0.29 | — |
Sharpe Ratio (All Time)Calculated using the full available price history | 0.30 | 0.27 | +0.02 |
Correlation
The correlation between MEDX and BBH is 0.78, which is considered to be high. That indicates a strong positive relationship between their price movements. Having highly-correlated positions in a portfolio may signal a lack of diversification, potentially leading to increased risk during market downturns.
Dividends
MEDX vs. BBH - Dividend Comparison
MEDX's dividend yield for the trailing twelve months is around 1.21%, more than BBH's 0.51% yield.
| TTM | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | 2015 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
MEDX Horizon Kinetics Medical ETF | 1.21% | 1.23% | 1.92% | 4.94% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
BBH VanEck Vectors Biotech ETF | 0.51% | 0.51% | 0.80% | 0.43% | 0.47% | 0.21% | 0.36% | 0.34% | 0.50% | 0.55% | 0.30% | 0.27% |
Drawdowns
MEDX vs. BBH - Drawdown Comparison
The maximum MEDX drawdown since its inception was -23.10%, smaller than the maximum BBH drawdown of -72.70%. Use the drawdown chart below to compare losses from any high point for MEDX and BBH.
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Drawdown Indicators
| MEDX | BBH | Difference | |
|---|---|---|---|
Max DrawdownLargest peak-to-trough decline | -23.10% | -72.70% | +49.60% |
Max Drawdown (1Y)Largest decline over 1 year | -10.86% | -10.47% | -0.39% |
Max Drawdown (5Y)Largest decline over 5 years | — | -39.86% | — |
Max Drawdown (10Y)Largest decline over 10 years | — | -39.86% | — |
Current DrawdownCurrent decline from peak | -4.91% | -12.15% | +7.24% |
Average DrawdownAverage peak-to-trough decline | -6.72% | -26.05% | +19.33% |
Ulcer IndexDepth and duration of drawdowns from previous peaks | 3.40% | 3.76% | -0.36% |
Volatility
MEDX vs. BBH - Volatility Comparison
The current volatility for Horizon Kinetics Medical ETF (MEDX) is 6.14%, while VanEck Vectors Biotech ETF (BBH) has a volatility of 7.01%. This indicates that MEDX experiences smaller price fluctuations and is considered to be less risky than BBH based on this measure. The chart below showcases a comparison of their rolling one-month volatility.
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Volatility by Period
| MEDX | BBH | Difference | |
|---|---|---|---|
Volatility (1M)Calculated over the trailing 1-month period | 6.14% | 7.01% | -0.87% |
Volatility (6M)Calculated over the trailing 6-month period | 13.42% | 13.69% | -0.27% |
Volatility (1Y)Calculated over the trailing 1-year period | 21.48% | 22.72% | -1.24% |
Volatility (5Y)Calculated over the trailing 5-year period, annualized | 16.92% | 21.47% | -4.55% |
Volatility (10Y)Calculated over the trailing 10-year period, annualized | 16.92% | 22.27% | -5.35% |