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MEDI ETF: What Kind of Product Is It? A Complete Guide to Returns, Expense Ratio, Holdings, and Alternative ETFs

Updated August 16, 2026 · First published August 16, 2026

The Harbor Health Care ETF (MEDI) actively selects companies involved in the research, development, production, and distribution of healthcare products and services. The outlook for the MEDI ETF depends on weighing innovation themes, regulatory changes, new drug development, and the business results of its major holdings.

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What Is the Harbor Health Care ETF?

The MEDI ETF is an actively managed ETF that uses the Russell 3000 Growth Healthcare Index as its benchmark and selects companies in the healthcare industry that can be expected to benefit from long-term growth and innovation.

It suits long-term investors who want to focus on healthcare growth themes and rely on the management team's company selection rather than index tracking.

It is an ETF run by Harbor Capital using an active (actively managed) approach.

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How Does the Harbor Health Care ETF Invest?

ItemDetails
Benchmark IndexRussell 3000 Growth Healthcare Index
Management StyleActive company selection
Rebalancing FrequencyAdjusted at management's discretion
Distribution FrequencyDistributed once a year
Expense Ratio0.80%

The fund mainly holds common and preferred shares of companies involved in the research, development, production, and distribution of healthcare products and services, and it builds its portfolio by considering quality, business differentiation, and valuation discipline together.

  • Focus on healthcare growth and innovation themes
  • Reflects both quality and valuation criteria
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Harbor Health Care ETF Size and Costs (AUM and Management Fee)

Assets under management (AUM) stand at $45.9M, and the expense ratio is 0.80% per year.

The MEDI ETF is a micro-cap-sized active healthcare ETF, so investors should check its trading conditions and fee burden alongside those of similar products.

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Harbor Health Care ETF Performance and Trends

1-Year Price Performance
Dividend & Yield
Dividend Yield 0.03%
Annual Dividend (TTM) $0.01
1Y Return +17.3%
Next Ex-Dividend Date 12/19/2025
52-Week Price Range
$35
Low $28 High $36
vs. low +28.01% vs. high -1.13%

The performance of the MEDI ETF can be affected by overall investor sentiment toward healthcare growth stocks, expectations for new drug development, the regulatory environment, and the earnings and clinical trial results of its major holdings. Even when following a long-term growth theme, price swings driven by individual stock news can be large.

Fund flows into the healthcare sector can be sensitive to interest rates, policy direction, discussions on drug pricing and insurance reimbursement, and clinical and approval news. Given its micro-cap size and concentrated composition, shifts in investor trading demand can affect trading conditions for the MEDI ETF.

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Harbor Health Care ETF Pros and Cons

Its approach of selecting innovative healthcare companies is a strength, but investors should also consider its non-diversified structure and the regulatory and development risks inherent to the industry.

💪 Key Strengths

Active Selection
Rather than relying solely on index inclusion, it examines quality and differentiation to select healthcare companies.
Growth Theme Exposure
It provides access to long-term growth drivers such as innovation in medical technology and services and new drug development.
Valuation Discipline
It makes investment decisions by weighing valuation criteria as well as growth potential.

⚠️ Points to Watch

Concentration Risk
Because of its non-diversified structure, weakness in a few holdings can weigh heavily on net asset value.
Regulatory and Patent Variables
Changes in health policy, patents, and medical cost reimbursement systems can affect the business environment of related companies.
Development Uncertainty
Clinical results, the approval process, R&D costs, and the competitive landscape can all drive performance volatility.
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Harbor Health Care ETF Alternative ETFs and Related Products

The BBH ETF leans toward biotechnology, while the IDNA ETF emphasizes genomics and immunology-related themes. The GDOC ETF aims to select future healthcare companies, the MEDX ETF aims to provide access to the medical field, and the JDOC ETF takes an approach centered on healthcare leaders. The products in this comparison table differ in fee burden, asset size, and specific themes, so when comparing them with the concentrated active approach of the MEDI ETF, investors should check their target exposure and trading conditions.

Peer Comparison ETFs
TickerNamePriceChangeAUMTotal Expense RatioDividend Yield1Y
BBHBBHVanEck Biotech ETF$257.98+0.4%$522.7M0.35%0.37%+44.9%
IDNAIDNAiShares Genomics Immunology and Healthcare ETF$42.76-0.5%$337.9M0.47%0.65%+69.6%
GDOCGDOCGoldman Sachs Future Health Care Equity ETF$39.02+0.1%$20.5M0.75%0.29%+13.7%
MEDXMEDXHorizon Kinetics Medical ETF$38.25+1.2%$17.8M0.85%1.07%+22.7%
JDOCJDOCJPMorgan Healthcare Leaders ETF$65.66+0.5%$9.8M0.65%0.78%+19.4%
Top Holdings
TickerNameWeightPriceChangeMarket CapP/EDividend Yield
LLYLilly(Eli) & Co0.41%$1417.54+3.2%$1.33T46.60.48%
ASNDASNDAscendis Pharma A/S0.29%$251.27-0.7%$16.5B19.1-
LEGNLEGNLegend Biotech Corp ADR0.05%$21.63-3.0%$4.2B--
GILDGilead Sciences Inc0.05%$170.68+3.1%$211.6B-1.93%
ABBVAbbvie Inc0.05%$294.89+1.4%$521.1B83.42.32%
PCVXPCVXVaxcyte Inc0.05%$62.03-0.9%$9.8B--
ISRGIntuitive Surgical Inc0.05%$432.01-3.7%$149.8B52.3-
RYTMRYTMRhythm Pharmaceuticals Inc0.04%$92.57-0.5%$6.4B--
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Harbor Health Care ETF Investor Checkpoints

When considering the MEDI ETF, investors should look beyond expectations for the healthcare growth theme and also check whether its active selection criteria, non-diversified structure, trading conditions, and distribution policy fit their own investment horizon and goals.

CheckpointWhat to CheckCurrent Status
Management FeeCompare the cost structure with similar healthcare ETFsNeeds checking
Trading ConditionsReview trading volume and bid-ask spreadsCheck regularly
ConcentrationExamine non-diversified management and the impact of top holdingsConcentrated
Distribution PolicyConfirm that the once-a-year distribution suits your cash flow needsAnnual distribution

The healthcare industry can be affected by approvals, drug pricing, patents, R&D, changes in reimbursement systems, and competition. Because the MEDI ETF has a non-diversified structure, weakness in a few companies or a specific policy change can cause larger swings in net asset value and market price, and when it holds overseas securities, currency and country risks can be added.

The MEDI ETF is a product that explores long-term growth opportunities arising from healthcare innovation and the shift toward value-based care. However, because individual company selection and industry policy variables have a large influence, it is advisable to check costs, trading conditions, and concentration risk before approaching it in line with your own healthcare exposure goals.

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Disclaimer: This content is for informational purposes only and does not constitute investment advice. All investment responsibility lies with the investor.

This article reflects information as of August 16, 2026.

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