Data as of .
ALAI vs HLTH: which is really different?
ALAI and HLTH hold 1% of their weight in the same names.
ETFIQ Off-Index Score: HLTH scores higher
How much of it is not the index it is sold as an alternative to?
A percentile among the 379 thematic ETFs with a holdings filing. It is a position in a set, not a rating, and neither end of it is a recommendation. All thematic ETFs ranked by it · How it is computed
1% of the two portfolios are the same securities at the same weight.
What they hold in common
By the books each fund has filed, ALAI and HLTH hold 1% of their money in the same securities at the same weight.
| Holding | ALAI | HLTH |
|---|---|---|
| NATERA INC | 1.04% | 5.11% |
| Only in ALAI | Only in HLTH |
|---|---|
| NVIDIA CORP 12.01% | 10X GENOMICS INC 7.67% |
| TAIWAN SEMICONDUCTOR MANUFACTURING COMPA 5.85% | TWIST BIOSCIENCE CORP 6.52% |
| AMAZON.COM INC 5.27% | ILLUMINA INC 5.44% |
| MICROSOFT CORP 4.69% | CYTOKINETICS INC 4.61% |
| ALPHABET INC 4.64% | INTUITIVE SURGICAL INC 4.36% |
| WESTERN DIGITAL CORP 4.26% | REVOLUTION MEDICINES INC 4.28% |
| NEBIUS GROUP NV 4.04% | VERTEX PHARMACEUTICALS INC 4.08% |
| META PLATFORMS INC 3.78% | COGENT BIOSCIENCES INC 4.04% |
Weight overlap is an ETFIQ calculation: for every security both funds hold, the smaller of the two weights, summed. Above 50%, holding both is close to holding one of them twice. Holdings dated Jun 30, 2026 and Sep 18, 2026.
Performance, window by window
| Window | Total return | vs the S&P 500 | vs the Nasdaq-100 | |||
|---|---|---|---|---|---|---|
| ALAI | HLTH | ALAI | HLTH | ALAI | HLTH | |
| 3 months | −2.2% | not published | −4.4 pts | not published | +0.3 pts | not published |
| 6 months | +38.0% | not published | +19.9 pts | not published | +13.7 pts | not published |
| 1 year | +25.6% | not published | +9.1 pts | not published | +3.9 pts | not published |
| Since launch | +132.7% | +15.8% | +81.4 pts | +13.7 pts | +66.9 pts | +14.0 pts |
| ALAI Alger AI Enablers & Adopters ETF Holds 79 stocks in artificial intelligence, 60% of its weight in S&P 500 companies | HLTH Tema Healthcare AI ETF Holds 32 stocks in artificial intelligence, 19% of its weight in S&P 500 companies | |
|---|---|---|
| Issuer | Alger | Tema |
| Theme | Artificial intelligence | Artificial intelligence |
| In the S&P 500 | 60.0% | 19.2% |
| Active share vs the S&P 500 | 65.2% | 99.2% |
| In the Nasdaq-100 | 54.4% | 11.9% |
| Holdings | 79 | 32 |
| Top ten, share of the fund | 51.3% | 49.9% |
| Expense ratio | 0.58% | 0.75% |
| Fee for the differing part | 0.89% | 0.76% |
| Total return, 1 year | +25.6% | +15.8% (since launch on Jul 21, 2026) |
| vs the S&P 500 | +9.1 pts | +13.7 pts |
| vs the Nasdaq-100 | +3.9 pts | +14.0 pts |
| Below its high | −2.2% | −2.1% |
| Net assets | $451m | not published |
ALAI in plain words
By weight, 60% of ALAI's portfolio is stocks that are also in the S&P 500; its active share against the S&P 500 is 65%. The top ten holdings are 51% of the fund across 79 positions, as filed for Jun 30, 2026. Over the year to Sep 18, 2026 the fund returned +25.6% with distributions reinvested against +16.6% for the S&P 500, so a holder was ahead by 9.1 pts.
HLTH in plain words
By weight, 19% of HLTH's portfolio is stocks that are also in the S&P 500; its active share against the S&P 500 is 99%. The top ten holdings are 50% of the fund across 32 positions, as published by its issuer for Sep 18, 2026. Since it launched on Jul 21, 2026 the fund returned +15.8% with distributions reinvested against +2.0% for the S&P 500, so a holder was ahead by 13.7 pts.
Questions people ask
- Do ALAI and HLTH hold the same stocks?
- By their latest filings, 1% of their books are the same securities at the same weight, which is mostly different names. Overlap is the sum of the smaller weight of every security they share.
- Which is more different from the S&P 500, ALAI or HLTH?
- ALAI has 60% of its weight in S&P 500 names and HLTH has 19%, so HLTH differs more from the index.
- Which is cheaper, ALAI or HLTH?
- ALAI charges 0.58% a year and HLTH charges 0.75%, so ALAI is cheaper. Fees come from each fund's prospectus.
Other comparisons
Where these figures came from
ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.
Cite this page. ETFIQ, ALAI against HLTH, data as of Sep 18, 2026. https://etfiq.com/compare/themes/alai-vs-hlth Free to use with attribution; the underlying files are at Open data.