Do EKG and HEAL hold the same stocks?

By their latest filings, 46% of their books are the same securities at the same weight, which is a meaningful overlap. Overlap is the sum of the smaller weight of every security they share.

Which is more different from the S&P 500, EKG or HEAL?

EKG has 39% of its weight in S&P 500 names and HEAL has 27%, so EKG differs more from the index.

Which is cheaper, EKG or HEAL?

EKG charges 0.65% a year and HEAL charges 0.50%, so HEAL is cheaper. Fees come from each fund's prospectus.

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EKG vs HEAL: which is really different?

EKG and HEAL hold 46% of their weight in the same names, and EKG returned +36.5% over the year. First Trust Nasdaq Lux Digital Health Solutions ETF and Global X HealthTech ETF.

39.0%

EKG in the S&P 500

27.0%

HEAL in the S&P 500

+36.5%

EKG total return, 1 year

−7.4%

HEAL total return, 1 year

EKG · 1 year to Sep 30, 202661% of its weight is outside the S&P 500

39% of EKG's weight is in S&P 500 companies and 61% is outside the index

HEAL · 1 year to Sep 30, 202673% of its weight is outside the S&P 500

27% of HEAL's weight is in S&P 500 companies and 73% is outside the index

ETFIQ Off-Index Score · EKG scores higherHow much of it is not the index it is sold as an alternative to?

EKG 71.7

HEAL 71.7

0.1, the lowest in this set92.0, the highest

A percentile among the 375 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 →

What they hold in common

By the books each fund has filed, EKG and HEAL hold 46% of their money in the same securities at the same weight. Above 50%, holding both is close to holding one of them twice. Holdings dated Sep 30, 2026.

50%

half

46% in common

Positions both hold, largest shared weight first

Holding EKG HEAL

IQVIA Holdings Inc. 7.65% 6.14%

Veeva Systems Inc. (Class A) 7.43% 6.00%

DexCom, Inc. 7.05% 5.07%

ResMed Inc. 3.42% 3.89%

Tempus AI, Inc. (Class A) 3.22% 5.37%

Intuitive Surgical, Inc. 8.03% 3.21%

Oscar Health, Inc. (Class A) 2.69% 5.65%

Insulet Corporation 2.68% 2.69%

Hinge Health, Inc. (Class A) 2.07% 2.71%

Hims & Hers Health, Inc. 2.03% 3.92%

Heartflow, Inc. 1.18% 2.83%

Doximity, Inc. (Class A) 1.05% 3.00%

Only in EKG

Natera, Inc. 9.54%

Illumina, Inc. 4.76%

Guardant Health, Inc. 4.17%

Globus Medical, Inc. (Class A) 3.17%

QIAGEN N.V. 3.05%

Twist Bioscience Corporation 2.87%

Align Technology, Inc. 2.70%

10X Genomics, Inc. (Class A) 2.44%

Only in HEAL

PRO MEDICUS LTD 4.18%

GE HEALTHCARE TECHNOLOGY 3.86%

KONINKLIJKE PHILIPS NV 3.36%

DEMANT A/S 3.33%

NURIX THERAPEUTICS INC 1.92%

ALIBABA HEALTH INFORMATION T 1.90%

RECURSION PHARMACEUTICALS-A 1.78%

4DMEDICAL LTD 1.53%

Weight overlap is an ETFIQ calculation: for every security both funds hold, the smaller of the two weights, summed.

46% of the two portfolios are the same securities at the same weight.

Performance, window by window

	Total return		vs the S&P 500		vs the Nasdaq-100
Window	EKG	HEAL	EKG	HEAL	EKG	HEAL
3 months	+21.3%	+3.3%	+18.8 pts	+0.8 pts	+19.1 pts	+1.2 pts
6 months	+45.4%	+23.4%	+28.5 pts	+6.4 pts	+18.6 pts	−3.5 pts
1 year	+36.5%	−7.4%	+20.8 pts	−23.1 pts	+12.7 pts	−31.2 pts
3 years	+68.7%	+7.5%	−16.3 pts	−77.5 pts	−41.3 pts	−102.5 pts
Since launch EKG Mar 2022 · HEAL Jul 2020	+19.7%	−36.6%	−62.9 pts	−192.9 pts	−96.4 pts	−230.4 pts

EKG and HEAL over each window. Every figure is an ETFIQ calculation with distributions reinvested. Source: ETFIQ. Open the live comparison on ETFIQ →

On the same fields

EKG

First Trust Nasdaq Lux Digital Health Solutions ETF · Holds 52 stocks in healthcare innovation and GLP-1, 39% of its weight in S&P 500 companies

HEAL

Global X HealthTech ETF · Holds 43 stocks in healthcare innovation and GLP-1, 27% of its weight in S&P 500 companies

Issuer First Trust Global X

Theme Healthcare innovation and GLP-1 Healthcare innovation and GLP-1

In the S&P 500 39.0% 27.0%

Active share vs the S&P 500 99.6% 99.6%

In the Nasdaq-100 15.1% 8.3%

Holdings 52 43

Top ten, share of the fund 58.4% 47.6%

Expense ratio 0.65% 0.50%

Fee for the differing part 0.65% 0.50%

Total return, 1 year +36.5% −7.4%

vs the S&P 500 +20.8 pts −23.1 pts

vs the Nasdaq-100 +12.7 pts −31.2 pts

Below its high 0.0% −56.4%

Net assets $5m $31m

EKG and HEAL on the same fields, as of Sep 30, 2026. Source: ETFIQ.

EKG in plain words

By weight, 39% of EKG's portfolio is stocks that are also in the S&P 500; its active share against the S&P 500 is 100%. The top ten holdings are 58% of the fund across 52 positions, as published by its issuer for Sep 30, 2026. Over the year to Sep 30, 2026 the fund returned +36.5% with distributions reinvested against +15.7% for the S&P 500, so a holder was ahead by 20.8 pts.

HEAL in plain words

By weight, 27% of HEAL's portfolio is stocks that are also in the S&P 500; its active share against the S&P 500 is 100%. The top ten holdings are 48% of the fund across 43 positions, as published by its issuer for Sep 30, 2026. Over the year to Sep 30, 2026 the fund returned −7.4% with distributions reinvested against +15.7% for the S&P 500, so a holder was behind by 23.1 pts. It sits 56.4% below its all-time high of Feb 12, 2021.

Questions people ask

Do EKG and HEAL hold the same stocks?: By their latest filings, 46% of their books are the same securities at the same weight, which is a meaningful overlap. Overlap is the sum of the smaller weight of every security they share.
Which is more different from the S&P 500, EKG or HEAL?: EKG has 39% of its weight in S&P 500 names and HEAL has 27%, so EKG differs more from the index.
Which is cheaper, EKG or HEAL?: EKG charges 0.65% a year and HEAL charges 0.50%, so HEAL is cheaper. Fees come from each fund's prospectus.

Other comparisons

EKG vs HELX EKG vs LGHT EKG vs OZEM EKG vs THNR HEAL vs HELX HEAL vs LGHT HEAL vs OZEM HEAL vs THNR

EKG on its own →HEAL on its own →How every figure is computed →Standards and sources →

Where these figures came from

EKG filings on SEC EDGAR ↗EKG prospectus with the expense ratio (SEC) ↗First Trust page for EKG ↗HEAL filings on SEC EDGAR ↗HEAL prospectus with the expense ratio (SEC) ↗Global X page for HEAL ↗

ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement. A comparison is not a recommendation.

Cite this page

ETFIQ, EKG against HEAL, data as of Sep 30, 2026. https://etfiq.com/compare/themes/ekg-vs-heal

Open data

Free to use with attribution. Every figure is calculated from a named public source; the method is at etfiq.com/methodology.