EKG vs LGHT: which is really different?

EKG and LGHT hold 39% of their weight in the same names, and EKG returned +36.5% over the year. First Trust Nasdaq Lux Digital Health Solutions ETF and Langar Global HealthTech ETF.

39.0%
EKG in the S&P 500
69.6%
LGHT in the S&P 500
+36.5%
EKG total return, 1 year
+4.0%
LGHT total return, 1 year
EKG · 1 year to Sep 30, 202661% of its weight is outside the S&P 500
61% of its weight is outside the S&P 50039% of EKG's weight is in S&P 500 companies and 61% is outside the index39%61%of its weight in S&P 500 companiesof its weight outside the S&P 500active share 100% · top ten 58% of the fund · 52 holdings filed Sep 30, 2026 · Nasdaq-100: 15% in61% of its weight is outside the S&P 50039% of EKG's weight is in S&P 500 companies and 61% is outside the index39%61%in the S&P 500outside the S&P 500active share 100% · top ten 58% of the fund

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

LGHT · 1 year to Sep 30, 202630% of its weight is outside the S&P 500
30% of its weight is outside the S&P 50070% of LGHT's weight is in S&P 500 companies and 30% is outside the index70%30%of its weight in S&P 500 companiesof its weight outside the S&P 500active share 100% · top ten 72% of the fund · 28 holdings filed Jun 30, 2026 · Nasdaq-100: 23% in30% of its weight is outside the S&P 50070% of LGHT's weight is in S&P 500 companies and 30% is outside the index70%30%in the S&P 500outsideactive share 100% · top ten 72% of the fund

70% of LGHT's weight is in S&P 500 companies and 30% 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?
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 LGHT hold 39% 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 Jun 30, 2026 and Sep 30, 2026.

half

39% in common

Positions both hold, largest shared weight first
Holding EKG LGHT
IQVIA Holdings Inc. 7.65% 5.99%
ResMed Inc. 3.42% 10.95%
Align Technology, Inc. 2.70% 3.27%
Progyny, Inc. 0.44% 0.77%
Schrodinger, Inc. 0.49% 0.30%
Phreesia Inc. 0.17% 0.18%
Only in EKG
Natera, Inc. 9.54%
Intuitive Surgical, Inc. 8.03%
Veeva Systems Inc. (Class A) 7.43%
DexCom, Inc. 7.05%
Illumina, Inc. 4.76%
Guardant Health, Inc. 4.17%
Tempus AI, Inc. (Class A) 3.22%
Globus Medical, Inc. (Class A) 3.17%
Only in LGHT
Intuitive Surgical I 11.93%
Moderna Inc 9.59%
Veeva Systems Inc 6.73%
GE HealthCare 6.50%
Koninklijke Philips 5.55%
Insulet Corp 5.34%
DEXCOM INC COM 4.82%
Zimmer Biomet Holdin 4.51%

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

39% of the two portfolios are the same securities at the same weight.

Performance, window by window

Total returnvs the S&P 500vs the Nasdaq-100
WindowEKGLGHTEKGLGHTEKGLGHT
3 months+21.3%+20.1%+18.8 pts+17.6 pts+19.1 pts+18.0 pts
6 months+45.4%+20.3%+28.5 pts+3.4 pts+18.6 pts−6.5 pts
1 year+36.5%+4.0%+20.8 pts−11.8 pts+12.7 pts−19.8 pts
3 years+68.7%not published−16.3 ptsnot published−41.3 ptsnot published
Since launch
EKG Mar 2022 · LGHT Jan 2024
+19.7%+2.8%−62.9 pts−62.5 pts−96.4 pts−80.9 pts

EKG and LGHT 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
LGHT
Langar Global HealthTech ETF · Holds 28 stocks in healthcare innovation and GLP-1, 70% of its weight in S&P 500 companies
Issuer First Trust Langar
Theme Healthcare innovation and GLP-1 Healthcare innovation and GLP-1
In the S&P 500 39.0% 69.6%
Active share vs the S&P 500 99.6% 99.5%
In the Nasdaq-100 15.1% 23.2%
Holdings 52 28
Top ten, share of the fund 58.4% 71.9%
Expense ratio 0.65% 0.85%
Fee for the differing part 0.65% 0.85%
Total return, 1 year +36.5% +4.0%
vs the S&P 500 +20.8 pts −11.8 pts
vs the Nasdaq-100 +12.7 pts −19.8 pts
Below its high 0.0% −5.9%
Net assets $5m $2m

EKG and LGHT 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.

LGHT in plain words

By weight, 70% of LGHT'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 72% of the fund across 28 positions, as filed for Jun 30, 2026. Over the year to Sep 30, 2026 the fund returned +4.0% with distributions reinvested against +15.7% for the S&P 500, so a holder was behind by 11.8 pts. It sits 5.9% below its all-time high of Jan 30, 2025.

Questions people ask

Do EKG and LGHT hold the same stocks?
By their latest filings, 39% 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 LGHT?
EKG has 39% of its weight in S&P 500 names and LGHT has 70%, so EKG differs more from the index.
Which is cheaper, EKG or LGHT?
EKG charges 0.65% a year and LGHT charges 0.85%, so EKG is cheaper. Fees come from each fund's prospectus.
Cite this page

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

Open data

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