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EKGvsHELXETF Comparison

ETF 1
EKG

First Trust Nasdaq Lux Digital Health Solutions ETF

This fund is part of
Healthcare Technology
-0.08%
VS
ETF 2
HELX

Franklin Genomic Advancements ETF

This fund is part of
BioTech & Genomics
-0.14%

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 3 sector exposures are Health Care and Financials. In contrast, HELX's top sector exposures are Health Care and Materials.Information Technology,  EKG is more expensive with a Total Expense Ratio (TER) of 0.65%, versus 0.5% for HELX. EKG is down -11.45% year-to-date (YTD) with - in YTD flows. HELX performs better with -8.75% YTD performance, and +$2M 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

024681012%Mar 27Apr 6Apr 13Apr 20Apr 27

Cumulative Flows

Mar 27Apr 6Apr 13Apr 20Apr 27

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Historic performance and flows
Data as of 04/27/2026
1M3MYTD1Y3Y5Y
Perf.
EKG
HELX
+6.88%+4.76%
-13.72%-10.15%
-11.45%-8.75%
+6.75%+22.50%
-2.00%+10.89%
n/a-29.92%
Flows
EKG
HELX
--
--
-+$2M
-$25K+$8M
+$1M+$9M
-+$14M
Volatility and drawdown
3M1Y3Y5Y
Volatility
EKG
HELX
+25.78%+24.81%
+21.18%+20.87%
+22.93%+20.23%
n/a+23.69%
Max drawdown
EKG
HELX
-19.27%-15.26%
-21.99%-17.89%
-34.97%-29.16%
n/a-58.50%
Max drawdown duration
EKG
HELX
90d89d
110d149d
563d458d
n/a1694d
Trading data

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EKG
HELX
Last sale
4/28/2026 at 1:30 PM
$16.39
$33.13
Previous close
04/28/2026
$16.81
$33.63
Consolidated volume
04/28/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of March 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 4/28/2026 at 1:30 PM
Live
Closed
EKG
HELX
Last price
$16.39
$33.13
1D performance
-2.53%
-1.49%
AuM$2.52 M$21.52 M
E/R0.65%0.5%
Characteristics
EKG
HELX
Management strategyPassiveActive
ProviderFirst TrustFranklin Templeton
BenchmarkNasdaq Lux Health Tech Index-
N° of holdings3351
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
94.35%
Other
5.65%
HELX
USA
87.6%
Other
12.4%

Sectors

EKG
Health Care
86.01%
Other
13.99%
HELX
Health Care
89.74%
Other
10.26%
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Diversification

EKG

Total weight of top 15 holdings out of 15

74.16%
HELX

Total weight of top 15 holdings out of 15

60.42%

Top 15 holdings

Data as of March 31, 2026
EKG
IQVIA HOLDINGS INC
8.48%
VEEVA SYSTEMS IN
8.34%
INTUITIVE SURGICAL
8.11%
RESMED
7.65%
DEXCOM
7.47%
NATERA
4.30%
GUARDANT HEALTH INC
4.27%
ILLUMINA
4.14%
GLOBUS MEDICAL
4.04%
ALIGN TECHNOLOGY
4.00%
INSULET
3.69%
US88023B1035
3.45%
IRHYTHM TECHNOLOGIES
2.14%
HIMS & HERS HEALTH INC
2.13%
OSCAR HEALTH
1.95%
HELX
NATERA
6.89%
GUARDANT HEALTH INC
6.82%
KRYSTAL BIOTECH INC
5.46%
UTD THERAPEUT
4.40%
BRIDGEBIO PHARMA
4.36%
INSMED
4.31%
LIGAND PHARMACEUTICALS
3.80%
SAMSUNG BIOLOGICS CO LTD
3.37%
ADAPTIVE BIOTECHNOLOGIES
3.32%
ASTRAZENECA
3.24%
VERTEX PHARMACEUTICALS
3.20%
MEDPACE HOLDINGS INC
3.05%
CORTEVA INC
2.81%
ALNYLAM PHARMACEUTICALS
2.71%
REGENERON PHARMACEUTICALS
2.67%
Frequently asked questions about EKG and HELX

How have the EKG and HELX ETFs performed in 2026?

As of April 27, 2026, EKG is down -11.45% year-to-date (YTD), while HELX has lost -8.75%. 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 - in flows, compared to +$2M for HELX.

Which ETF is more volatile: EKG or HELX?

Over the past year, EKG had a volatility of 21.18%, while HELX experienced 20.87%.

Which ETF is bigger: EKG or HELX?

As of April 27, 2026, EKG holds $2.52 M in assets under management (AUM), while HELX manages $21.52 M.

What sectors do the EKG and HELX ETFs invest in?

EKG leans toward sectors like Health Care. Meanwhile, HELX focuses on Health Care.

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

EKG top holdings include IQVIA HOLDINGS INC, VEEVA SYSTEMS IN and INTUITIVE SURGICAL. HELX holds in its top three: NATERA, GUARDANT HEALTH INC and KRYSTAL BIOTECH INC.

Which ETF is more diversified: EKG or HELX?

EKG holds 36 securities with 74.16% of its assets in the top 15. HELX has 60 securities and a top 15 weight of 60.42%.

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