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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%
VS
ETF 2
HELX

Franklin Genomic Advancements ETF

This fund is part of
BioTech & Genomics
+0.23%

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. EKG's top 1 sector exposures are Healthcare. In contrast, HELX's top sector exposures are Healthcare, Non-Energy Materials and Technology. EKG is more expensive with a Total Expense Ratio (TER) of 0.65%, versus 0.5% for HELX. EKG is up 17.24% year-to-date (YTD) with +$963K in YTD flows. HELX performs worse with 15.56% 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

0.02.04.06.0%Aug 17Aug 24Aug 31Sep 8Sep 15

Cumulative Flows

Aug 17Aug 24Aug 31Sep 8Sep 15

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Historic performance and flows
Data as of 09/15/2026
1M3MYTD1Y3Y5Y
Perf.
EKG
HELX
+6.16%+1.95%
+25.66%+17.69%
+17.24%+15.56%
+28.39%+37.72%
+49.43%+43.21%
n/a-26.12%
Flows
EKG
HELX
--
+$963K+$4M
+$963K+$6M
+$963K+$8M
+$2M+$15M
-+$980K
Volatility and drawdown
3M1Y3Y5Y
Volatility
EKG
HELX
+26.58%+24.44%
+23.58%+22.81%
+23.88%+21.43%
n/a+23.55%
Max drawdown
EKG
HELX
-7.45%-6.59%
-22.11%-17.89%
-24.32%-29.16%
n/a-58.16%
Max drawdown duration
EKG
HELX
28d28d
208d206d
264d458d
n/a1819d
Trading data

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EKG
HELX
Last sale
9/17/2026 at 1:30 PM
$22.88
$43.15
Previous close
09/16/2026
$22.32
$41.87
Consolidated volume
09/16/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of August 31, 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 9/17/2026 at 1:30 PM
Live
Closed
EKG
HELX
Last price
$22.88
$43.15
1D performance
+2.52%
+3.06%
AuM$4.46 M$31.45 M
E/R0.65%0.5%
Characteristics
EKG
HELX
Management strategyPassiveActive
ProviderFirst TrustFranklin Templeton
BenchmarkNasdaq Lux Health Tech Index-
N° of holdings3766
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
95.72%
Other
4.28%
HELX
USA
86.99%
Other
13.01%

Sectors

EKG
Healthcare
98.67%
Other
1.33%
HELX
Healthcare
96.35%
Other
3.65%

Diversification

EKG

Total weight of top 15 holdings out of 15

74.55%
HELX

Total weight of top 15 holdings out of 15

60.19%

Top 15 holdings

Data as of July 31, 2026
EKG
IQVIA Holdings, Inc.
9.37%
Veeva Systems, Inc.
9.01%
DexCom, Inc.
8.04%
Guardant Health, Inc.
5.85%
ResMed, Inc.
5.83%
Illumina, Inc.
5.19%
Natera, Inc.
5.11%
Intuitive Surgical, Inc.
4.87%
Oscar Health, Inc.
3.90%
Tempus AI, Inc.
3.64%
QIAGEN NV
2.95%
Globus Medical, Inc.
2.94%
Align Technology, Inc.
2.74%
10X Genomics, Inc.
2.57%
Hims & Hers Health, Inc.
2.54%
HELX
Guardant Health, Inc.
9.10%
Natera, Inc.
7.31%
Krystal Biotech, Inc.
6.17%
Ligand Pharmaceuticals, Inc.
4.48%
Adaptive Biotechnologies Corp.
4.33%
BridgeBio Pharma, Inc.
4.08%
United Therapeutics Corp.
3.52%
Eli Lilly & Co.
3.04%
Vertex Pharmaceuticals, Inc.
2.73%
SAMSUNG BIOLOGICS Co., Ltd.
2.72%
Travere Therapeutics, Inc.
2.67%
Corteva, Inc.
2.65%
AstraZeneca PLC
2.49%
Twist Bioscience Corp.
2.47%
Medpace Holdings, Inc.
2.44%
Frequently asked questions about EKG and HELX

How have the EKG and HELX ETFs performed in 2026?

As of September 15, 2026, EKG is up 17.24% year-to-date (YTD), while HELX has returned 15.56%. That puts EKG 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 23.58%, while HELX experienced 22.81%.

Which ETF is bigger: EKG or HELX?

As of September 15, 2026, EKG holds $4.46 M in assets under management (AUM), while HELX manages $31.45 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 74.55% of its assets in the top 15. HELX has 66 securities and a top 15 weight of 60.19%.

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