MEDX vs TLTI
Comparison between HORIZON KINETICS MEDICAL ETF (MEDX, ETF) and NEOS ENHANCED INCOME 20+ YEAR TREASURY BOND ETF (TLTI, ETF).
MEDX vs TLTI - Performance Comparison
Key Characteristics
Financial metrics and valuation ratios
Net Assets
MEDX
$17M
Winner
TLTI
$17M
Expense Ratio
MEDX
0.85%
Winner
TLTI
0.58%
Max Drawdown
MEDX
24.64%
Winner
TLTI
13.11%
Sharpe Ratio
Winner
MEDX
1.38
TLTI
-0.15
5Y Beta
MEDX
0.48
Winner
TLTI
0.15
P/E Ratio
MEDX
237.36
TLTI
N/A
Forward P/E
MEDX
21.58
TLTI
N/A
5Y EPS CAGR
MEDX
6.55%
TLTI
N/A
Debt to Equity
MEDX
105.18%
TLTI
N/A
P/S Ratio
MEDX
5.57
TLTI
N/A
P/B Ratio
MEDX
6.03
TLTI
N/A
MEDX vs TLTI - Historical Returns
Returns include dividend reinvestment.
1M
Winner
MEDX
+6.53%
TLTI
+0.63%
3M
Winner
MEDX
+12.47%
TLTI
-0.45%
6M
Winner
MEDX
+7.71%
TLTI
-3.87%
1Y
Winner
MEDX
+34.93%
TLTI
+2.28%
Max(CAGR)
Winner
MEDX
+7.85%
TLTI
-0.47%
MEDX vs TLTI - Annual Returns (2023 - 2026)
Returns include dividend reinvestment.
| Year | MEDX | TLTI |
|---|---|---|
| 2026 | +13.92% | -0.24% |
| 2025 | +27.78% | +4.43% |
| 2024 | -6.65% | -4.61% |
| 2023 | -6.24% | N/A |
MEDX vs TLTI Drawdown Comparison
The maximum drawdown for MEDX was -23.10%, occurring on Apr 10, 2025. Recovery took 271 trading sessions.
The maximum drawdown for TLTI was -8.69%, occurring on May 21, 2025. Recovery took 130 trading sessions.
The current MEDX drawdown is -0.12%. The current TLTI drawdown is -4.79%.
| Rank | MEDX | TLTI |
|---|---|---|
| #1 | -23.10% Aug 30, 2024 - Oct 1, 2025 | -8.69% Apr 4, 2025 - Oct 10, 2025 |
| #2 | -15.48% May 10, 2023 - Feb 28, 2024 | -7.06% Feb 27, 2026 - Aug 17, 2026 |
| #3 | -10.54% Feb 24, 2026 - Jun 25, 2026 | -7.02% Dec 11, 2024 - Feb 26, 2025 |
| #4 | -10.25% Feb 28, 2024 - Jul 11, 2024 | -4.53% Oct 22, 2025 - Feb 26, 2026 |
| #5 | -9.31% Feb 13, 2023 - May 5, 2023 | -4.07% Mar 3, 2025 - Apr 4, 2025 |
| #6 | -8.13% Jul 7, 2026 - Aug 19, 2026 | -0.96% Feb 26, 2025 - Feb 28, 2025 |
| #7 | -5.24% Jul 16, 2024 - Aug 19, 2024 | -0.14% Oct 14, 2025 - Oct 16, 2025 |
| #8 | -3.98% Jan 7, 2026 - Feb 4, 2026 | -0.07% Oct 16, 2025 - Oct 20, 2025 |
| #9 | -3.88% Nov 26, 2025 - Jan 7, 2026 | N/A |
| #10 | -3.27% Oct 20, 2025 - Nov 11, 2025 | N/A |
| #11 | -2.22% Aug 19, 2026 - Aug 20, 2026 | N/A |
| #12 | -2.11% Feb 4, 2026 - Feb 6, 2026 | N/A |
| #13 | -1.83% Jun 29, 2026 - Jul 2, 2026 | N/A |
| #14 | -1.62% Oct 9, 2025 - Oct 20, 2025 | N/A |
| #15 | -1.61% Nov 18, 2025 - Nov 24, 2025 | N/A |
Correlation
Correlation between MEDX and TLTI is 0.66 which considered as a moderate positive correlation - the stocks show some tendency to move together.
0.66
-101
Dividend Comparison (2023 - 2026)
MEDX vs TLTI dividend yield comparison.
| Year | MEDX | TLTI |
|---|---|---|
| 2026 | 0.00% | 4.15% |
| 2025 | 1.23% | 6.33% |
| 2024 | 1.92% | 0.57% |
| 2023 | 4.94% | 0.00% |
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