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MEDXvsFHLCETF Comparison
Horizon Kinetics Medical ETF (MEDX) belongs to the Tomorrow's Treatments segment. Fidelity MSCI Health Care Index ETF (FHLC) is part of the US Health Care segment. Both ETFs have the same top 3 sector exposures: and Health Care. MEDX is more expensive with a Total Expense Ratio (TER) of 0.85%, versus 0.08% for FHLC. MEDX is up 2.53% year-to-date (YTD) with - in YTD flows. FHLC performs worse with -0.8% YTD performance, and +$111M in YTD flows. Run a side-by-side ETF comparison of MEDX and FHLC below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.
MEDX vs FHLC performance and flow charts
Performance
Cumulative Flows
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | MEDX FHLC | -0.52%-1.23% | +4.39%+2.15% | +2.53%-0.80% | +20.47%+8.16% | +31.16%+29.48% | n/a+37.11% |
| Flows | MEDX FHLC | -+$34M | -+$130M | -+$111M | -$787K-$10M | -$2M-$619M | --$233M |
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | MEDX FHLC | +18.47%+13.36% | +20.51%+17.33% | +16.50%+13.69% | n/a+14.80% |
| Max drawdown | MEDX FHLC | -4.54%-5.00% | -15.78%-11.86% | -23.05%-16.88% | n/a-17.78% |
| Max drawdown duration | MEDX FHLC | 9d61d | 163d190d | 393d435d | n/a762d |
MEDX | FHLC | |
Last sale 3/11/2026 at 1:30 PM | $33.83 | $73.01 |
| Previous close 03/10/2026 | $34.07 | $73.17 |
| Consolidated volume 03/10/2026 | ||
| Average volume 30 days | ||
| Average discount or premium 30 days | ||
| Average Bid/Ask spread 30 days |
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MEDX | FHLC | |
|---|---|---|
| Tracking error | ||
| Tracking difference | ||
| 1 year cumulative return difference | ||
| Best | ||
| Worst | ||
| Daily return difference | ||
| Average | ||
| Worst | ||
MEDX | FHLC | |
|---|---|---|
| Last price | $33.83 | $73.01 |
| 1D performance | -0.70% | -0.22% |
| AuM | $19.42 M | $2.93 B |
| E/R | 0.85% | 0.08% |
MEDX | FHLC | |
|---|---|---|
| Management strategy | Active | Passive |
| Provider | Horizon Kinetics LLC | Fidelity |
| Benchmark | - | MSCI USA IMI Health Care Index |
| N° of holdings | 24 | 277 |
| Asset class | - | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | January 27, 2023 | October 21, 2013 |
| ESG | No | No |
Countries
Sectors
Diversification
Total weight of top 15 holdings out of 15
Total weight of top 15 holdings out of 15
Top 15 holdings
How have the MEDX and FHLC ETFs performed in 2026?
As of March 10, 2026, MEDX is up 2.53% year-to-date (YTD), while FHLC has lost -0.8%. That puts MEDX better performer ahead so far this year.
Which ETF is attracting more investor money: MEDX or FHLC?
Year-to-date, the MEDX ETF saw - in flows, compared to +$111M for FHLC.
Which ETF is more volatile: MEDX or FHLC?
Over the past year, MEDX had a volatility of 20.51%, while FHLC experienced 17.33%.
Which ETF is bigger: MEDX or FHLC?
As of March 10, 2026, MEDX holds $19.42 M in assets under management (AUM), while FHLC manages $2.93 B.
What sectors do the MEDX and FHLC ETFs invest in?
MEDX leans toward sectors like Health Care. Meanwhile, FHLC focuses on Health Care.
What are the top holdings of the MEDX ETF and FHLC ETF?
MEDX top holdings include LILLY, ABBVIE and US66987V1098. FHLC holds in its top three: LILLY, JOHNSON&JOHNSON and ABBVIE.
Which ETF is more diversified: MEDX or FHLC?
MEDX holds 29 securities with 81.25% of its assets in the top 15. FHLC has 328 securities and a top 15 weight of 59.98%.
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