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EKGvsHELXETF Comparison

ETF 1
EKG

First Trust Nasdaq Lux Digital Health Solutions ETF

This fund is part of
Healthcare Technology
-0.09%
VS
ETF 2
HELX

Franklin Genomic Advancements ETF

This fund is part of
BioTech & Genomics
-0.45%

First Trust Nasdaq Lux Digital Health Solutions ETF (EKG) belongs to the Healthcare Technology segment. Franklin Genomic Advancements ETF (HELX) is part of the BioTech & Genomics segment. Both ETFs have the same top 3 sector exposures: and Healthcare. EKG is more expensive with a Total Expense Ratio (TER) of 0.65%, versus 0.5% for HELX. EKG is up 2.83% year-to-date (YTD) with +$963K in YTD flows. HELX performs better with 6.93% YTD performance, and +$6M in YTD flows. Run a side-by-side ETF comparison of EKG and HELX below, and assess how they stack up in performance, liquidity, risk, exposure, holdings, and more, helping you select the best ETF for your investments.

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EKG vs HELX performance and flow charts

Performance

-4.0-2.00.02.04.06.0%Jun 30Jul 7Jul 14Jul 21Jul 28

Cumulative Flows

0 M0.5 M1 M1.5 M2 MJun 30Jul 7Jul 14Jul 21Jul 28

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Historic performance and flows
Data as of 07/30/2026
1M3MYTD1Y3Y5Y
Perf.
EKG
HELX
+4.09%-4.26%
+19.10%+16.27%
+2.83%+6.93%
+9.90%+39.77%
+6.98%+24.12%
n/a-26.83%
Flows
EKG
HELX
+$963K+$2M
+$963K+$4M
+$963K+$6M
+$93K+$10M
+$2M+$13M
-+$18M
Volatility and drawdown
3M1Y3Y5Y
Volatility
EKG
HELX
+26.19%+24.71%
+23.28%+21.91%
+23.74%+21.02%
n/a+23.60%
Max drawdown
EKG
HELX
-7.45%-6.59%
-22.11%-17.89%
-33.93%-29.16%
n/a-58.50%
Max drawdown duration
EKG
HELX
24d22d
204d206d
491d458d
n/a1788d
Trading data

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EKG
HELX
Last sale
7/31/2026 at 1:30 PM
$19.63
$38.68
Previous close
07/31/2026
$19.55
$38.83
Consolidated volume
07/31/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of July 30, 2026
1-year trailing difference

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HELX
is actively managed and doesn’t replicate an index

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EKG
HELX
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst
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Main metrics
Last update 7/31/2026 at 1:30 PM
Live
Closed
EKG
HELX
Last price
$19.63
$38.68
1D performance
+0.41%
-0.39%
AuM$3.91 M$29.10 M
E/R0.65%0.5%
Characteristics
EKG
HELX
Management strategyPassiveActive
ProviderFirst TrustFranklin Templeton
BenchmarkNasdaq Lux Health Tech Index-
N° of holdings3761
Asset classEquities-
Trailing 12m distribution yield
Join
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Inception dateMarch 22, 2022February 25, 2020
ESGNoNo
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Exposure

Countries

EKG
USA
95.64%
Other
4.36%
HELX
USA
87.84%
Other
12.16%

Sectors

EKG
Healthcare
98.52%
Other
1.48%
HELX
Healthcare
96.75%
Other
3.25%

Diversification

EKG

Total weight of top 15 holdings out of 15

73.91%
HELX

Total weight of top 15 holdings out of 15

59.93%

Top 15 holdings

Data as of June 30, 2026
EKG
IQVIA Holdings, Inc.
8.32%
Veeva Systems, Inc.
7.41%
DexCom, Inc.
6.87%
Guardant Health, Inc.
6.66%
Intuitive Surgical, Inc.
5.85%
ResMed, Inc.
5.74%
Illumina, Inc.
5.01%
Natera, Inc.
4.87%
Oscar Health, Inc.
4.41%
Tempus AI, Inc.
3.77%
Align Technology, Inc.
3.49%
Hims & Hers Health, Inc.
3.35%
Globus Medical, Inc.
2.91%
QIAGEN NV
2.88%
Insulet Corp.
2.37%
HELX
Guardant Health, Inc.
9.30%
Natera, Inc.
7.40%
Krystal Biotech, Inc.
6.51%
Ligand Pharmaceuticals, Inc.
4.56%
Adaptive Biotechnologies Corp.
4.01%
United Therapeutics Corp.
3.61%
BridgeBio Pharma, Inc.
3.39%
Eli Lilly & Co.
3.05%
Twist Bioscience Corp.
2.84%
Vertex Pharmaceuticals, Inc.
2.79%
Travere Therapeutics, Inc.
2.76%
AstraZeneca PLC
2.76%
Insmed, Inc.
2.43%
Corteva, Inc.
2.26%
SAMSUNG BIOLOGICS Co., Ltd.
2.26%
Frequently asked questions about EKG and HELX

How have the EKG and HELX ETFs performed in 2026?

As of July 30, 2026, EKG is up 2.83% year-to-date (YTD), while HELX has returned 6.93%. That puts HELX better performer ahead so far this year.

Which ETF is attracting more investor money: EKG or HELX?

Year-to-date, the EKG ETF saw +$963K in flows, compared to +$6M for HELX.

Which ETF is more volatile: EKG or HELX?

Over the past year, EKG had a volatility of 23.28%, while HELX experienced 21.91%.

Which ETF is bigger: EKG or HELX?

As of July 30, 2026, EKG holds $3.91 M in assets under management (AUM), while HELX manages $29.10 M.

What sectors do the EKG and HELX ETFs invest in?

EKG leans toward sectors like Healthcare. Meanwhile, HELX focuses on Healthcare.

What are the top holdings of the EKG ETF and HELX ETF?

EKG top holdings include IQVIA Holdings, Inc., Veeva Systems, Inc. and DexCom, Inc.. HELX holds in its top three: Guardant Health, Inc., Natera, Inc. and Krystal Biotech, Inc..

Which ETF is more diversified: EKG or HELX?

EKG holds 37 securities with 73.91% of its assets in the top 15. HELX has 61 securities and a top 15 weight of 59.93%.

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