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EKGvsXHEETF Comparison

ETF 1
EKG

First Trust Nasdaq Lux Digital Health Solutions ETF

This fund is part of
Healthcare Technology
-0.41%
Full EKG fund page
VS
ETF 2
XHE

SPDR S&P Health Care Equipment ETF

This fund is part of
US Health Care
-2%
Full XHE fund page

First Trust Nasdaq Lux Digital Health Solutions ETF (EKG) belongs to the Healthcare Technology segment. SPDR S&P Health Care Equipment ETF (XHE) is part of the US Health Care segment. EKG's top 3 sector exposures are Health Care and Financials. In contrast, XHE's top sector exposures are Health Care  EKG is more expensive with a Total Expense Ratio (TER) of 0.65%, versus 0.35% for XHE. EKG is down -13.25% year-to-date (YTD) with - in YTD flows. XHE performs better with -9.43% YTD performance, and -$6M 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

-4.0-2.00.02.04.06.0%Feb 12Feb 20Feb 27Mar 6

Cumulative Flows

-2 M-1.5 M-1 M-0.5 M0 MFeb 12Feb 20Feb 27Mar 6

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Daily, global ETF data for advanced analysis or integration into apps (API), from our partner Trackinsight.

Historic performance and flows
Data as of 03/12/2026
1M3MYTD1Y3Y5Y
Perf.
EKG
XHE
-4.00%-4.50%
-14.51%-10.55%
-13.25%-9.43%
+2.95%-3.01%
+0.49%-9.90%
n/a-33.44%
Flows
EKG
XHE
--$2M
--$9M
--$6M
-$25K-$46M
+$1M-$297M
--$432M
Volatility and drawdown
3M1Y3Y5Y
Volatility
EKG
XHE
+20.20%+19.72%
+24.28%+23.64%
+22.65%+21.12%
n/a+24.20%
Max drawdown
EKG
XHE
-18.32%-14.50%
-18.32%-14.50%
-34.97%-32.63%
n/a-49.90%
Max drawdown duration
EKG
XHE
64d63d
64d63d
563d1054d
n/a1652d
Trading data

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EKG
XHE
Last sale
3/12/2026 at 7:53 PM
$16.53
$80.04
Previous close
03/12/2026
$17.07
$79.80
Consolidated volume
03/12/2026
Average volume
30 days
Average discount or premium
30 days
Average Bid/Ask spread
30 days
Replication quality
Data as of February 27, 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
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Main metrics
Last update 3/12/2026 at 7:53 PM
Live
Closed
EKG
XHE
Last price
$16.53
$80.04
1D performance
-3.18%
+0.30%
AuM$2.47 M$133.70 M
E/R0.65%0.35%
Characteristics
EKG
XHE
Management strategyPassivePassive
ProviderFirst TrustSPDR
BenchmarkNasdaq Lux Health Tech IndexS&P Health Care Equipment Select Industry Index
N° of holdings3661
Asset classEquitiesEquities
Trailing 12m distribution yield
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Inception dateMarch 22, 2022January 26, 2011
ESGNoNo
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Exposure

Countries

EKG
USA
94.55%
Other
5.45%
XHE
USA
92.71%
Other
7.29%

Sectors

EKG
Health Care
93.91%
Other
6.09%
XHE
Health Care
93.87%
Other
6.13%
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Diversification

EKG

Total weight of top 15 holdings out of 15

78.3%
XHE

Total weight of top 15 holdings out of 15

30.47%

Top 15 holdings

Data as of January 31, 2026
EKG
IQVIA HOLDINGS INC
8.83%
INTUITIVE SURGICAL
7.80%
DEXCOM
7.10%
RESMED
6.89%
EXACT SCIENCES
6.47%
GUARDANT HEALTH INC
5.78%
VEEVA SYSTEMS IN
5.55%
ILLUMINA
5.31%
NATERA
5.03%
ALIGN TECHNOLOGY
4.21%
HOLOGIC
4.09%
GLOBUS MEDICAL
4.05%
INSULET
2.76%
MASIMO
2.35%
HIMS & HERS HEALTH INC
2.08%
XHE
NEOGEN
2.63%
INTEGER HOLDINGS
2.17%
PENUMBRA
2.12%
UFP TECHNOLOGY
2.11%
AXOGEN
2.09%
OMNICELL
1.98%
LANTHEUS HOLDINGS
1.98%
BAXTER INTL
1.98%
GLAUKOS
1.97%
DEXCOM
1.94%
DENTSPLY SIRONA
1.92%
BUTTERFLY NETWORK INC
1.92%
ENVISTA HOLDINGS CORP
1.91%
STRYKER
1.88%
GLOBUS MEDICAL
1.86%
Frequently asked questions about EKG and XHE

How have the EKG and XHE ETFs performed in 2026?

As of March 12, 2026, EKG is down -13.25% year-to-date (YTD), while XHE has lost -9.43%. That puts XHE better performer ahead so far this year.

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

Year-to-date, the EKG ETF saw - in flows, compared to -$6M for XHE.

Which ETF is more volatile: EKG or XHE?

Over the past year, EKG had a volatility of 24.28%, while XHE experienced 23.64%.

Which ETF is bigger: EKG or XHE?

As of March 12, 2026, EKG holds $2.47 M in assets under management (AUM), while XHE manages $133.70 M.

What sectors do the EKG and XHE ETFs invest in?

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

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

EKG top holdings include IQVIA HOLDINGS INC, INTUITIVE SURGICAL and DEXCOM. XHE holds in its top three: NEOGEN, INTEGER HOLDINGS and PENUMBRA.

Which ETF is more diversified: EKG or XHE?

EKG holds 36 securities with 78.3% of its assets in the top 15. XHE has 64 securities and a top 15 weight of 30.47%.

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