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EKGvsXHEETF Comparison

ETF 1

EKG

First Trust Nasdaq Lux Digital Health Solutions ETF

This fund is part of

Healthcare Technology

-0%

Full EKG fund page

VS

ETF 2

XHE

State Street SPDR S&P Health Care Equipment ETF

This fund is part of

US Health Care

+0.07%

Full XHE fund page

First Trust Nasdaq Lux Digital Health Solutions ETF (EKG) belongs to the Healthcare Technology segment. State Street SPDR S&P Health Care Equipment ETF (XHE) is part of the US Health Care segment. EKG's top 1 sector exposures are Healthcare. In contrast, XHE's top sector exposures are Healthcare and Finance. EKG is more expensive with a Total Expense Ratio (TER) of 0.65%, versus 0.35% for XHE. EKG is up 17.24% year-to-date (YTD) with +$963K in YTD flows. XHE performs worse with 3.52% YTD performance, and +$29M in YTD flows. Run a side-by-side ETF comparison of EKG and XHE 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 XHE performance and flow charts

Performance

Cumulative Flows

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Data Services

Historic performance and flows

Data as of 09/15/2026

		1M	3M	YTD	1Y	3Y	5Y
Perf.	EKG XHE	+6.16%-3.27%	+25.66%+11.55%	+17.24%+3.52%	+28.39%+13.78%	+49.43%+12.24%	n/a-30.14%
Flows	EKG XHE	-+$21M	+$963K+$30M	+$963K+$29M	+$963K+$22M	+$2M-$246M	--$367M

Volatility and drawdown

		3M	1Y	3Y	5Y
Volatility	EKG XHE	+26.58%+24.30%	+23.58%+22.63%	+23.88%+22.24%	n/a+24.85%
Max drawdown	EKG XHE	-7.45%-7.53%	-22.11%-18.20%	-24.32%-24.35%	n/a-49.37%
Max drawdown duration	EKG XHE	28d28d	208d207d	264d565d	n/a1778d

Trading data

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	EKG	XHE
Last sale 9/17/2026 at 1:30 PM	$22.88	$90.84
Previous close 09/16/2026	$22.32	$91.32
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	XHE
Tracking error
Tracking difference
1 year cumulative return difference
Best
Worst
Daily return difference
Average
Worst

Main metrics

Last update 9/17/2026 at 1:30 PM

Live

Closed

	EKG	XHE
Last price	$22.88	$90.84
1D performance	+2.52%	-0.53%
AuM	$4.46 M	$189.29 M
E/R	0.65%	0.35%

Characteristics

	EKG	XHE
Management strategy	Passive	Passive
Provider	First Trust	State Street Investment Management
Benchmark	Nasdaq Lux Health Tech Index	S&P Health Care Equipment Select Industry Index
N° of holdings	37	66
Asset class	Equities	Equities
Trailing 12m distribution yield	Join	Join
Inception date	March 22, 2022	January 26, 2011
ESG	No	No

More EKG data on Trackinsight

More XHE data on Trackinsight

Exposure

Countries

EKG

USA

95.72%

Other

4.28%

XHE

USA

93.56%

Other

6.44%

Sectors

EKG

Healthcare

98.67%

Other

1.33%

XHE

Healthcare

98.72%

Other

1.28%

Diversification

EKG

Total weight of top 15 holdings out of 15

74.55%

XHE

Total weight of top 15 holdings out of 15

30.19%

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%

XHE

AtriCure, Inc.

2.14%

Glaukos Corp.

2.13%

Dentsply Sirona, Inc.

2.08%

Enovis Corp.

2.07%

Integer Holdings Corp.

2.07%

Butterfly Network, Inc.

2.06%

Neogen Corp.

2.05%

Artivion, Inc.

2.05%

Baxter International, Inc.

2.01%

CONMED Corp.

1.99%

Merit Medical Systems, Inc.

1.98%

QuidelOrtho Corp.

1.94%

ICU Medical, Inc.

1.88%

Tandem Diabetes Care, Inc.

1.88%

Inspire Medical Systems, Inc.

1.85%

Frequently asked questions about EKG and XHE

How have the EKG and XHE ETFs performed in 2026?

As of September 15, 2026, EKG is up 17.24% year-to-date (YTD), while XHE has returned 3.52%. That puts EKG better performer ahead so far this year.

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

Year-to-date, the EKG ETF saw +$963K in flows, compared to +$29M for XHE.

Which ETF is more volatile: EKG or XHE?

Over the past year, EKG had a volatility of 23.58%, while XHE experienced 22.63%.

Which ETF is bigger: EKG or XHE?

As of September 15, 2026, EKG holds $4.46 M in assets under management (AUM), while XHE manages $189.29 M.

What sectors do the EKG and XHE ETFs invest in?

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

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

EKG top holdings include IQVIA Holdings, Inc., Veeva Systems, Inc. and DexCom, Inc.. XHE holds in its top three: AtriCure, Inc., Glaukos Corp. and Dentsply Sirona, Inc..

EKGvsXHEETF Comparison

First Trust Nasdaq Lux Digital Health Solutions ETF

State Street SPDR S&P Health Care Equipment ETF

EKG vs XHE performance and flow charts

Performance

Cumulative Flows

Get all the metrics on this page, and more, through a reliable ETF data feed

Countries

Sectors

Diversification

Top 15 holdings

How have the EKG and XHE ETFs performed in 2026?

As of September 15, 2026, EKG is up 17.24% year-to-date (YTD), while XHE has returned 3.52%. That puts EKG better performer ahead so far this year.

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

Year-to-date, the EKG ETF saw +$963K in flows, compared to +$29M for XHE.

Which ETF is more volatile: EKG or XHE?

Over the past year, EKG had a volatility of 23.58%, while XHE experienced 22.63%.

Which ETF is bigger: EKG or XHE?

As of September 15, 2026, EKG holds $4.46 M in assets under management (AUM), while XHE manages $189.29 M.

What sectors do the EKG and XHE ETFs invest in?

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

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

EKG top holdings include IQVIA Holdings, Inc., Veeva Systems, Inc. and DexCom, Inc.. XHE holds in its top three: AtriCure, Inc., Glaukos Corp. and Dentsply Sirona, Inc..

Which ETF is more diversified: EKG or XHE?

EKG holds 37 securities with 74.55% of its assets in the top 15. XHE has 66 securities and a top 15 weight of 30.19%.

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