MEDX vs. NVIR

Last updated Jun 5, 2026

MEDX (Horizon Kinetics Medical ETF) and NVIR (Horizon Kinetics Energy Remediation ETF) are both exchange-traded funds - MEDX is a Health & Biotech Equities fund actively managed by Horizon, while NVIR is a Energy Equities fund actively managed by Horizon. Both are actively managed. Over the past 3 years, MEDX returned 6.55%/yr vs 20.11%/yr for NVIR. At a 0.24 correlation, their price movements are largely independent. Both charge a 0.85% expense ratio.

Performance

MEDX vs. NVIR - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in Horizon Kinetics Medical ETF (MEDX) and Horizon Kinetics Energy Remediation ETF (NVIR). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, MEDX achieves a 3.90% return, which is significantly lower than NVIR's 22.82% return.

MEDX

• 1D: 3.04%
• 1M: 5.53%
• YTD: 3.90%
• 6M: 3.58%
• 1Y: 32.14%
• 3Y*: 6.55%
• 5Y*: —
• 10Y*: —

NVIR

• 1D: 0.53%
• 1M: -1.37%
• YTD: 22.82%
• 6M: 19.20%
• 1Y: 37.51%
• 3Y*: 20.11%
• 5Y*: —
• 10Y*: —

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

MEDX vs. NVIR - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023
MEDX Horizon Kinetics Medical ETF	3.90%	28.62%	-4.68%	-3.21%
NVIR Horizon Kinetics Energy Remediation ETF	22.82%	9.84%	17.53%	6.90%

Correlation

The correlation between MEDX and NVIR is 0.09, meaning there is essentially no relationship between their price movements. Each responds to its own set of market drivers, making them strong candidates for combining in a diversified portfolio.

	Correlation
Correlation (1Y) Calculated over the trailing 1-year period	0.09
Correlation (3Y) Calculated over the trailing 3-year period	0.22
Correlation (All Time) Calculated using the full available price history since Feb 23, 2023	0.24

The correlation between MEDX and NVIR shifts across timeframes, from 0.09 (1 year) to 0.24 (all time), reflecting how their relationship changes across market environments.

MEDX vs. NVIR - Sectors Allocation Comparison

Sectors	MEDX	NVIR
Healthcare	100.0%	1.1%
Basic Materials	-	1.6%
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	78.9%
Financial Services	-	-
Industrials	-	11.1%
Real Estate	-	-
Technology	-	2.6%
Utilities	-	3.1%

Return for Risk

MEDX vs. NVIR — Risk / Return Rank

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

MEDX

MEDX Risk / Return Rank: 55
MEDX Sharpe Ratio Rank: 53
MEDX Sortino Ratio Rank: 59
MEDX Omega Ratio Rank: 50
MEDX Calmar Ratio Rank: 63
MEDX Martin Ratio Rank: 51

NVIR

NVIR Risk / Return Rank: 76
NVIR Sharpe Ratio Rank: 74
NVIR Sortino Ratio Rank: 69
NVIR Omega Ratio Rank: 69
NVIR Calmar Ratio Rank: 89
NVIR Martin Ratio Rank: 80

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.

MEDX vs. NVIR - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Horizon Kinetics Medical ETF (MEDX) and Horizon Kinetics Energy Remediation ETF (NVIR). 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	NVIR	Difference
Sharpe ratio: Return per unit of total volatility	1.78	2.37	-0.59
Sortino ratio: Return per unit of downside risk	2.77	3.11	-0.34
Omega ratio: Gain probability vs. loss probability	1.31	1.41	-0.10
Calmar ratio: Return relative to maximum drawdown	3.06	5.36	-2.29
Martin ratio: Return relative to average drawdown	8.51	15.46	-6.95
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

MEDX vs. NVIR - Sharpe Ratio Comparison

The current MEDX Sharpe Ratio is 1.78, which is comparable to the NVIR Sharpe Ratio of 2.37. The chart below compares the historical Sharpe Ratios of MEDX and NVIR, calculated using daily returns over the previous 12 months. A higher Sharpe Ratio indicates better risk-adjusted performance relative to the risk-free rate.

Sharpe Ratios by Period

	MEDX	NVIR	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	1.78	2.37	-0.59
Sharpe Ratio (All Time) Calculated using the full available price history	0.32	0.91	-0.59

Drawdowns

MEDX vs. NVIR - Drawdown Comparison

The maximum MEDX drawdown since its inception was -23.10%, roughly equal to the maximum NVIR drawdown of -22.47%. Use the drawdown chart below to compare losses from any high point for MEDX and NVIR.

Drawdown Indicators

	MEDX	NVIR	Difference
Max Drawdown Largest peak-to-trough decline	-23.10%	-22.47%	-0.63%
Max Drawdown (1Y) Largest decline over 1 year	-10.54%	-7.04%	-3.50%
Max Drawdown (3Y) Largest decline over 3 years	-23.10%	-22.47%	-0.63%
Current Drawdown Current decline from peak	-2.68%	-2.57%	-0.11%
Average Drawdown Average peak-to-trough decline	-6.72%	-4.58%	-2.14%
Ulcer Index Depth and duration of drawdowns from previous peaks	3.79%	2.43%	+1.36%

Volatility

MEDX vs. NVIR - Volatility Comparison

Horizon Kinetics Medical ETF (MEDX) and Horizon Kinetics Energy Remediation ETF (NVIR) have volatilities of 5.68% and 5.80%, respectively, indicating that both stocks experience similar levels of price fluctuations. This suggests that the risk associated with both stocks, as measured by volatility, is nearly the same. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	MEDX	NVIR	Difference
Volatility (1M) Calculated over the trailing 1-month period	5.68%	5.80%	-0.12%
Volatility (6M) Calculated over the trailing 6-month period	13.41%	12.21%	+1.20%
Volatility (1Y) Calculated over the trailing 1-year period	18.12%	15.98%	+2.14%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	17.04%	19.23%	-2.19%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	17.04%	19.23%	-2.19%

MEDX vs. NVIR - Expense Ratio Comparison

Both MEDX and NVIR have an expense ratio of 0.85%.

Dividends

MEDX vs. NVIR - Dividend Comparison

MEDX's dividend yield for the trailing twelve months is around 1.19%, more than NVIR's 0.75% yield.

Position	TTM	2025	2024	2023
MEDX Horizon Kinetics Medical ETF	1.19%	1.23%	1.92%	4.94%
NVIR Horizon Kinetics Energy Remediation ETF	0.75%	0.92%	1.50%	1.34%

Frequently Asked Questions

Can I hold both MEDX and NVIR in my portfolio?

MEDX and NVIR have a correlation of 0.09, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which is riskier, MEDX or NVIR?

NVIR has higher volatility (5.80%) compared to MEDX (5.68%). In terms of maximum drawdown, MEDX dropped -23.10% vs NVIR's -22.47%.

Which ETF is better, MEDX or NVIR?

On 3-year performance, NVIR leads with 20.11% vs 6.55% for MEDX. Both ETFs have the same 0.85% expense ratio. On volatility, MEDX has been the lower-risk option at 5.68%. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF has performed better, MEDX or NVIR?

Over the 3-year period, NVIR has performed better with a 20.11% return vs 6.55%. Past performance does not guarantee future results, so compare this with risk, fees, and fund exposure.

Which ETF is cheaper, MEDX or NVIR?

MEDX and NVIR have the same expense ratio: 0.85% per year.

Which ETF pays a higher dividend yield, MEDX or NVIR?

MEDX has the higher dividend yield at 1.19%, compared with 0.75% for NVIR.

What is the main difference between MEDX and NVIR?

MEDX is categorized as Health & Biotech Equities, while NVIR is Energy Equities.

Which has better risk-adjusted returns?

NVIR currently has the higher Sharpe Ratio (2.37 vs 1.78), 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.