EKGvsIBBETF Comparison
ETF 1
EKG
First Trust Nasdaq Lux Digital Health Solutions ETF
This fund is part of
Healthcare Technology
-0%
VS
First Trust Nasdaq Lux Digital Health Solutions ETF (EKG) belongs to the Healthcare Technology segment. iShares Biotechnology ETF (IBB) is part of the US Health Care segment. EKG's top 1 sector exposures are Healthcare. In contrast, IBB's top sector exposures are Healthcare, Non-Corporate and Non-Energy Materials. EKG is more expensive with a Total Expense Ratio (TER) of 0.65%, versus 0.44% for IBB. EKG is up 17.24% year-to-date (YTD) with +$963K in YTD flows. IBB performs better with 20.05% YTD performance, and +$444M in YTD flows. Run a side-by-side ETF comparison of EKG and IBB 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 IBB performance and flow charts
Performance
Cumulative Flows
Historic performance and flows
Data as of 09/15/2026
| 1M | 3M | YTD | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|---|---|
| Perf. | EKG IBB | +6.16%+0.30% | +25.66%+18.09% | +17.24%+20.05% | +28.39%+43.89% | +49.43%+63.04% | n/a+18.88% |
| Flows | EKG IBB | -+$270M | +$963K+$777M | +$963K+$444M | +$963K+$1.91B | +$2M-$503M | --$1.18B |
Volatility and drawdown
| 3M | 1Y | 3Y | 5Y | ||
|---|---|---|---|---|---|
| Volatility | EKG IBB | +26.58%+24.16% | +23.58%+21.71% | +23.88%+21.08% | n/a+22.47% |
| Max drawdown | EKG IBB | -7.45%-6.84% | -22.11%-9.61% | -24.32%-24.82% | n/a-38.96% |
| Max drawdown duration | EKG IBB | 28d28d | 208d151d | 264d377d | n/a1523d |
Trading data
EKG | IBB | |
Last sale 9/17/2026 at 1:30 PM | $22.88 | $207.07 |
| Previous close 09/16/2026 | $22.32 | $202.40 |
| 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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EKG | IBB | |
|---|---|---|
| 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 | IBB | |
|---|---|---|
| Last price | $22.88 | $207.07 |
| 1D performance | +2.52% | +2.31% |
| AuM | $4.46 M | $10.40 B |
| E/R | 0.65% | 0.44% |
Characteristics
EKG | IBB | |
|---|---|---|
| Management strategy | Passive | Passive |
| Provider | First Trust | iShares |
| Benchmark | Nasdaq Lux Health Tech Index | ICE Biotechnology Index |
| N° of holdings | 37 | 240 |
| Asset class | Equities | Equities |
| Trailing 12m distribution yield | Join | Join |
| Inception date | March 22, 2022 | February 5, 2001 |
| ESG | No | No |
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Exposure
Countries
EKG
USA
95.72%
Other
4.28%
IBB
USA
86.04%
Other
13.96%
Sectors
EKG
Healthcare
98.67%
Other
1.33%
IBB
Healthcare
99.83%
Other
0.17%
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Diversification
EKG
Total weight of top 15 holdings out of 15
74.55%
IBB
Total weight of top 15 holdings out of 15
54.48%
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%
IBB
Amgen, Inc.
8.42%
Vertex Pharmaceuticals, Inc.
7.87%
Gilead Sciences, Inc.
7.14%
Regeneron Pharmaceuticals, Inc.
5.84%
argenx SE
3.55%
Natera, Inc.
2.88%
Revolution Medicines, Inc.
2.87%
Illumina, Inc.
2.42%
Biogen, Inc.
2.38%
Alnylam Pharmaceuticals, Inc.
2.14%
BeOne Medicines Ltd.
2.01%
Incyte Corp.
1.91%
Insmed, Inc.
1.71%
United Therapeutics Corp.
1.69%
Moderna, Inc.
1.65%
Frequently asked questions about EKG and IBB
How have the EKG and IBB ETFs performed in 2026?
As of September 15, 2026, EKG is up 17.24% year-to-date (YTD), while IBB has returned 20.05%. That puts IBB better performer ahead so far this year.
Which ETF is attracting more investor money: EKG or IBB?
Year-to-date, the EKG ETF saw +$963K in flows, compared to +$444M for IBB.
Which ETF is more volatile: EKG or IBB?
Over the past year, EKG had a volatility of 23.58%, while IBB experienced 21.71%.
Which ETF is bigger: EKG or IBB?
As of September 15, 2026, EKG holds $4.46 M in assets under management (AUM), while IBB manages $10.40 B.
What sectors do the EKG and IBB ETFs invest in?
EKG leans toward sectors like Healthcare. Meanwhile, IBB focuses on Healthcare.
What are the top holdings of the EKG ETF and IBB ETF?
EKG top holdings include IQVIA Holdings, Inc., Veeva Systems, Inc. and DexCom, Inc.. IBB holds in its top three: Amgen, Inc., Vertex Pharmaceuticals, Inc. and Gilead Sciences, Inc..
Which ETF is more diversified: EKG or IBB?
EKG holds 37 securities with 74.55% of its assets in the top 15. IBB has 241 securities and a top 15 weight of 54.48%.
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