Horizon Kinetics Medical ETF (MEDX) Valuation

NASDAQ: MEDXP/E, earnings yield and other ratios of the holdings combined.

MEDX valuation today

Holdings combined · company data as of Oct 26, 2026
P/E (TTM)
122.9
trailing earnings
Forward P/E
17.4
analyst estimates
Price / sales
5.59
Price / book
6.00
EV / EBITDA
16.0
Earnings yield
0.81%
inverse of P/E
Dividend yield
1.69%
of the holdings
Return on equity
4.9%
combined
Net margin
4.6%
combined
Beta
0.41
weighted, vs S&P 500

MEDX valuation vs other stock ETFs

P/E (TTM)Forward P/E
MEDX valuation compared with other stock ETFs
ETFP/EFwd P/EP/SP/BDiv. yieldROENet marginLoss-makers
MEDX122.917.45.596.001.69%4.9%4.6%9.9%
SPY25.919.93.675.471.08%21.1%14.2%1.9%
QQQ34.223.45.939.270.58%27.1%17.4%6.9%
DIA20.918.43.165.521.55%26.4%15.1%0.0%
VTI28.219.43.315.001.07%17.7%11.8%4.6%
IWMn/m13.91.252.031.38%−1.7%−1.0%28.1%

Same method for every fund. n/m = not meaningful (combined trailing earnings below zero or close to it). Loss-makers = weight of holdings with negative trailing earnings.

MEDX valuation by sector

MEDX valuation by sector
SectorWeightP/EFwd P/EP/SP/BDiv. yieldROE
Healthcare91.3%122.917.45.596.001.69%4.9%

MEDX earnings yield vs bond yields

MEDX earnings yield (forward)
5.73%
MEDX earnings yield (trailing)
0.81%
MEDX dividend yield
1.69%
Bond market yield (AGG)
5.33%
T-bill yield (BIL)
3.91%

Earnings yield = earnings ÷ price (1 ÷ P/E). The gap to bond yields is a rough gauge of the extra return stocks are priced to deliver.

How MEDX weight splits by P/E

Share of the covered weight in companies with a trailing P/E in each range.

MEDX largest holdings: valuation

MEDX largest holdings valuation
SymbolCompanyWeightP/EFwd P/EP/SDiv. yieldShare of earnings
LLYEli Lilly and Company19.66%42.224.414.10.55%68.06%
ABBVAbbVie Inc.10.26%80.616.47.82.42%18.58%
NVSNovartis AG6.59%22.814.75.03.15%42.27%
JNJJohnson & Johnson5.69%38.821.06.22.10%21.41%
AMGNAmgen Inc.4.86%26.916.76.12.33%26.44%
AZNAstraZeneca PLC4.60%—————
BMYBristol-Myers Squibb Company4.53%13.29.42.54.22%50.28%
ALKSAlkermes plc4.48%108.5133.34.1—6.03%
MRKMerck & Co., Inc.4.37%115.815.35.42.33%5.51%
PFEPfizer Inc.3.72%38.99.72.65.81%13.94%
BIIBBiogen Inc.3.53%41.313.93.4—12.47%
REGNRegeneron Pharmaceuticals, Inc.2.70%19.614.55.20.48%20.19%
GSKGSK plc2.67%15.69.83.03.67%24.96%
IONSIonis Pharmaceuticals, Inc.2.57%—90.98.2—−30.47%
ALNYAlnylam Pharmaceuticals, Inc.2.43%39.119.76.5—9.09%
CRSPCRISPR Therapeutics AG2.42%—23.4355.6—−33.99%
BEAMBeam Therapeutics Inc.1.08%——15.5—−4.57%
SDZNYSandoz Group AG0.88%—————
GALTGalectin Therapeutics Inc.0.81%—4.5———
REPLReplimune Group, Inc.0.80%—————
NTLAIntellia Therapeutics, Inc.0.69%——26.9—−29.70%
H6DHaleon PLC0.68%—————
VNDAVanda Pharmaceuticals Inc.0.46%—103.11.1—−77.04%
EDITEditas Medicine, Inc.0.35%——7.7—−14.73%
GEHCGE HealthCare Technologies Inc.0.31%16.012.11.50.23%2.84%

Share of earnings = the holding's part of the fund's combined trailing profit. Green: earns more than its weight; orange: less. Symbol links go to each company's key metrics.

About MEDX valuation

Adding up its 24 holdings with company data, MEDX trades at 122.9 times trailing earnings and 17.4 times analysts' forward estimates, with a price-to-book ratio of 6.00 and a dividend yield of 1.69%. Its earnings yield of 0.81% is 4.51 percentage points below the 5.33% yield to maturity of the U.S. bond market (AGG).

The ten largest holdings are 68.8% of the fund and earn 265.0% of its combined profit. Companies that lost money over the past year are 9.9% of the covered weight.

How these figures are calculated. Each ratio treats the fund as one company: the earnings, sales and book value of every holding are added up in proportion to its weight and divided into the fund's price. In practice that is a weighted harmonic mean, so a single stock with a very high P/E cannot distort the result, and loss-making companies reduce the fund's earnings instead of being dropped. Covers 91.5% of the fund's weight (U.S.-listed stocks with company data); company figures as of October 26, 2026.

Related: MEDX chart, MEDX performance, MEDX holdings, MEDX dividends.

MEDX valuation FAQ

What is the P/E ratio of MEDX?

Based on its holdings, MEDX has a trailing P/E of 122.9 and a forward P/E of 17.4 (earnings of all covered holdings combined in proportion to their weights, as of October 26, 2026).

What is the earnings yield of MEDX?

The trailing earnings yield is 0.81% (1 ÷ P/E) and the forward earnings yield 5.73%. For comparison the U.S. bond market (AGG) yields 5.33% to maturity and T-bills about 3.91%.

Is MEDX more expensive than the S&P 500?

MEDX trades at 122.9 times trailing earnings versus 25.9 for the S&P 500 (SPY); on forward estimates the figures are 17.4 and 19.9.

What is the price-to-book ratio of MEDX?

The holdings of MEDX trade at 6.00 times book value, with a combined return on equity of 4.9%.