NVIR vs. MEDX

Last updated Apr 2, 2026

Compare and contrast key facts about Horizon Kinetics Energy Remediation ETF (NVIR) and Horizon Kinetics Medical ETF (MEDX).

NVIR and MEDX are both exchange-traded funds (ETFs), meaning they are traded on stock exchanges and can be bought and sold throughout the day. NVIR is an actively managed fund by Horizon. It was launched on Feb 21, 2023. MEDX is an actively managed fund by Horizon. It was launched on Sep 30, 1999.

Performance

NVIR vs. MEDX - Performance Comparison

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

NVIR vs. MEDX - Yearly Performance Comparison

	2026 (YTD)	2025	2024	2023
NVIR Horizon Kinetics Energy Remediation ETF	19.55%	9.84%	17.53%	6.90%
MEDX Horizon Kinetics Medical ETF	1.52%	28.62%	-4.68%	-3.21%

Returns By Period

In the year-to-date period, NVIR achieves a 19.55% return, which is significantly higher than MEDX's 1.52% return.

NVIR

• 1D: -2.96%
• 1M: -1.80%
• YTD: 19.55%
• 6M: 20.43%
• 1Y: 28.28%
• 3Y*: 18.94%
• 5Y*: —
• 10Y*: —

MEDX

• 1D: 1.19%
• 1M: -3.98%
• YTD: 1.52%
• 6M: 8.07%
• 1Y: 27.44%
• 3Y*: 6.83%
• 5Y*: —
• 10Y*: —

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

NVIR vs. MEDX - Expense Ratio Comparison

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

NVIR

Horizon Kinetics Energy Remediation ETF

MEDX

Horizon Kinetics Medical ETF

Return for Risk

NVIR vs. MEDX — Risk / Return Rank

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

NVIR

NVIR Risk / Return Rank: 65
NVIR Sharpe Ratio Rank: 69
NVIR Sortino Ratio Rank: 63
NVIR Omega Ratio Rank: 70
NVIR Calmar Ratio Rank: 58
NVIR Martin Ratio Rank: 63

MEDX

MEDX Risk / Return Rank: 68
MEDX Sharpe Ratio Rank: 70
MEDX Sortino Ratio Rank: 71
MEDX Omega Ratio Rank: 61
MEDX Calmar Ratio Rank: 74
MEDX Martin Ratio Rank: 63

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.

NVIR vs. MEDX - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for Horizon Kinetics Energy Remediation ETF (NVIR) and Horizon Kinetics Medical ETF (MEDX). 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.

	NVIR	MEDX	Difference
Sharpe ratio Return per unit of total volatility	1.28	1.30	-0.02
Sortino ratio Return per unit of downside risk	1.69	1.87	-0.18
Omega ratio Gain probability vs. loss probability	1.28	1.24	+0.04
Calmar ratio Return relative to maximum drawdown	1.67	2.15	-0.48
Martin ratio Return relative to average drawdown	7.18	6.85	+0.33
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

NVIR vs. MEDX - Sharpe Ratio Comparison

The current NVIR Sharpe Ratio is 1.28, which is comparable to the MEDX Sharpe Ratio of 1.30. The chart below compares the historical Sharpe Ratios of NVIR and MEDX, offering insights into how both investments have performed under varying market conditions. These values are calculated using daily returns over the previous 12 months.

Sharpe Ratios by Period

	NVIR	MEDX	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	1.28	1.30	-0.02
Sharpe Ratio (All Time) Calculated using the full available price history	0.91	0.30	+0.61

Correlation

The correlation between NVIR and MEDX is 0.27, which is considered to be low. This implies their price changes are not closely related. A low correlation is generally favorable for portfolio diversification, as it helps to reduce overall risk by spreading it across multiple assets with different performance patterns.

Dividends

NVIR vs. MEDX - Dividend Comparison

NVIR's dividend yield for the trailing twelve months is around 0.77%, less than MEDX's 1.21% yield.

	TTM	2025	2024	2023
NVIR Horizon Kinetics Energy Remediation ETF	0.77%	0.92%	1.50%	1.34%
MEDX Horizon Kinetics Medical ETF	1.21%	1.23%	1.92%	4.94%

Drawdowns

NVIR vs. MEDX - Drawdown Comparison

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

Drawdown Indicators

	NVIR	MEDX	Difference
Max Drawdown Largest peak-to-trough decline	-22.47%	-23.10%	+0.63%
Max Drawdown (1Y) Largest decline over 1 year	-17.59%	-10.86%	-6.73%
Current Drawdown Current decline from peak	-5.16%	-4.91%	-0.25%
Average Drawdown Average peak-to-trough decline	-4.62%	-6.72%	+2.10%
Ulcer Index Depth and duration of drawdowns from previous peaks	4.09%	3.40%	+0.69%

Volatility

NVIR vs. MEDX - Volatility Comparison

The current volatility for Horizon Kinetics Energy Remediation ETF (NVIR) is 4.94%, while Horizon Kinetics Medical ETF (MEDX) has a volatility of 6.14%. This indicates that NVIR experiences smaller price fluctuations and is considered to be less risky than MEDX based on this measure. The chart below showcases a comparison of their rolling one-month volatility.

Volatility by Period

	NVIR	MEDX	Difference
Volatility (1M) Calculated over the trailing 1-month period	4.94%	6.14%	-1.20%
Volatility (6M) Calculated over the trailing 6-month period	12.09%	13.42%	-1.33%
Volatility (1Y) Calculated over the trailing 1-year period	22.25%	21.48%	+0.77%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	19.33%	16.92%	+2.41%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	19.33%	16.92%	+2.41%