MEDX vs XLV

Horizon Kinetics Medical ETF against State Street Health Care Select Sector SPDR ETF: cost, size, returns, what they hold and how much of it is the same.

Overlap by weight

43%

11 shared positions

Fee gap

77 bp

XLV is cheaper

1-year return gap

6.6 pts

XLV is ahead

Larger fund

XLV

$43.5B

Side by side

	MEDX	XLV
Fund	Horizon Kinetics Medical ETF	State Street Health Care Select Sector SPDR ETF
Issuer	Horizon Kinetics	State Street SPDR
Category	Health Care	Health Care
Expense ratio	0.85%	0.08%
Assets	$17M	$43.5B
Average daily dollar volume	$39K	$1.3B
Listed	Sep 30, 1999	Dec 16, 1998
FrenzyCap score	9	87
1-month return	+0.7%	+3.1%
3-month return	−0.6%	+5.8%
Year to date	+6.3%	+10.3%
1-year return	+11.6%	+18.2%
30-day volatility	16.6%	13.5%
Worst drawdown, 1 year	−10.5%	−10.8%
Trailing 12-month yield	1.16%	1.49%
Holdings	33	63
Top 10 weight	67.1%	60.4%
Look-through P/E	—	34.5
Holdings vs fair value	+3.8%	+3.6%
Holdings above 200-day average	67%	86%
Net flow, latest 3 reported months	−$862K thru Jun 2026	−$1.1B thru Jun 2026
30-day implied volatility	—	17.7%
Holdings as of	as of Jun 30, 2026SEC filing	as of Oct 8, 2026issuer data

Returns are price returns and exclude distributions. Flows are each fund's own latest reported months and may not cover the same period.

Largest shared holdings

54% of MEDX · 50% of XLV

Holding	MEDX	XLV
LLY	18.46%	15.31%
ABBV	8.85%	7.88%
JNJ	5.59%	10.11%
MRK	3.96%	5.75%
AMGN	3.91%	3.60%
PFE	2.86%	2.59%
BMY	4.42%	1.99%
REGN	2.06%	1.19%
BIIB	3.09%	0.53%
GEHC	0.28%	0.47%
VTRS	0.26%	0.33%

Sector mix of the stock holdings

Sector	MEDX	XLV	Gap
Health Care	78.0%	88.0%	−10.0%
Technology	0.1%	9.8%	−9.7%
Consumer Staples	0.6%	1.8%	−1.2%
Industrials	0.0%	0.1%	−0.1%

More: full overlap table · MEDX holdings · XLV holdings

Fund data comes from each fund's SEC filings and issuer disclosures and is shown with the date it is as of. SEC portfolio and flow filings become public about 60 days after the period they cover. Nothing here is investment advice; see Terms.