EKG · First Trust Nasdaq Lux Digital Health Solutions ETF
EKG holds 39 stocks. 100% of it is not in the S&P 500, and its top ten are 62% of the fund.
Its ten largest positions
| Holding | Ticker | Weight | |
|---|---|---|---|
| Veeva Systems Inc. (Class A) | VEEV | 10.10% | |
| IQVIA Holdings Inc. | IQV | 9.82% | |
| DexCom, Inc. | DXCM | 7.90% | |
| ResMed Inc. | RMD | 5.78% | |
| Guardant Health, Inc. | GH | 5.55% | |
| Illumina, Inc. | ILMN | 5.33% | |
| Natera, Inc. | NTRA | 5.09% | |
| Intuitive Surgical, Inc. | ISRG | 4.75% | |
| Oscar Health, Inc. (Class A) | OSCR | 3.94% | |
| Tempus AI, Inc. (Class A) | TEM | 3.49% |
Period by period
| Window | Total return | S&P 500 | Gap to S&P 500 | Gap to Nasdaq-100 |
|---|---|---|---|---|
| 3 months | +26.6% | +4.7% | +21.9 pts | +24.5 pts |
| 6 months | +26.9% | +15.2% | +11.8 pts | +6.8 pts |
| 1 year | +25.7% | +20.0% | +5.8 pts | +0.1 pts |
| 3 years | +37.3% | +78.0% | −40.6 pts | −56.2 pts |
| Since launch | +10.5% | +83.9% | −73.4 pts | −99.3 pts |
In plain words
The top ten holdings are 62% of the fund across 39 positions, as filed for Sep 3, 2026. Over the year to Sep 4, 2026 the fund returned +25.7% with distributions reinvested against +20.0% for the S&P 500, so a holder was ahead by 5.8 pts.
| Theme (ETFIQ, editorial) | Healthcare innovation and GLP-1 |
|---|---|
| Launched | Mar 23, 2022 |
| Already in the S&P 500, by weight (ETFIQ) | 43.1% |
| Active share vs the S&P 500 (ETFIQ) | 99.6% |
| Already in the Nasdaq-100, by weight (ETFIQ) | 12.7% |
| Active share vs the Nasdaq-100 (ETFIQ) | 99.2% |
| Top ten holdings weight | 61.8% |
| Holdings | 39 |
| Holdings as of (SEC N-PORT) | Sep 3, 2026 |
| Top holdings | Veeva Systems Inc. (Class A) 10.1%, IQVIA Holdings Inc. 9.8%, DexCom, Inc. 7.9%, ResMed Inc. 5.8%, Guardant Health, Inc. 5.5%, Illumina, Inc. 5.3%, Natera, Inc. 5.1%, Intuitive Surgical, Inc. 4.8%, Oscar Health, Inc. (Class A) 3.9%, Tempus AI, Inc. (Class A) 3.5% |
| Net assets (SEC filing, whole fund, as filed for Sep 3, 2026) | $3m |
| Below its all-time high (ETFIQ) | −2.3% |
| Expense ratio (prospectus XBRL) | 0.65% |
| Fee for the part that differs from the S&P 500, active expense ratio (ETFIQ) | 0.65% |
| Closest funds by holdings overlap | HEAL 46%, GNOM 25%, HTEC 24%, ARKG 24%, FMED 22% |
Holdings from the fund’s latest public SEC N-PORT filing; overlap and active share computed by ETFIQ against the IVV and QQQM books; returns from Tiingo end-of-day prices with distributions reinvested. How this desk computes every figure
Questions people ask
- How much of EKG is already in the S&P 500?
- By its holdings filed for Sep 3, 2026, 43% of EKG by weight is stocks the S&P 500 already holds. Its active share against the index is 100%, so that share is the part doing something different.
- What does EKG hold?
- 39 positions as filed for Sep 3, 2026, with the top ten at 62% of the fund. The largest are Veeva Systems Inc. (Class A) at 10.1%, IQVIA Holdings Inc. at 9.8%, DexCom, Inc. at 7.9%.
- Has EKG beaten the S&P 500?
- Over the year to Sep 4, 2026 EKG returned +25.7% with distributions reinvested, against +20.0% for the S&P 500, so it finished ahead of the index by 5.8 points.
- What does EKG cost?
- The prospectus expense ratio is 0.65% a year. Because 100% of the fund differs from the S&P 500, the fee on that differing part works out at 0.65%.
The words on this page
- Active share
- The part of the fund doing something the index is not, as a percentage. It is the part a fee is actually buying.
- Weight overlap
- The share of money two portfolios hold in the same securities at the same weight. Above 50%, holding both is close to holding one of them twice.
- Already in the index
- The fund’s weight in securities the S&P 500 holds at all. A fund can be made entirely of index names and still have high active share, because it holds them at very different weights.
- Top ten
- What the ten largest positions add up to. The higher it is, the more the fund is a bet on a few companies rather than a theme.
Every term this desk uses, defined in full on the themes desk vocabulary page.
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.
Funds near this one
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Cite this page. ETFIQ, EKG on the themes desk, data as of Sep 4, 2026. https://etfiq.com/funds/EKG.html Free to use with attribution; the underlying files are at Open data.