# EKG (First Trust Nasdaq Lux Digital Health Solutions ETF)

First Trust · Thematic ETFs · data as of Sep 11, 2026

EKG holds 39 stocks, and 58% of its weight is outside the S&P 500.

## Key facts

- EKG, already in the S&P 500: 42.4%, as of Sep 11, 2026.
- EKG, active share vs the S&P 500: 99.6%, as of Sep 11, 2026.
- EKG, top ten holdings: 61.5%, as of Sep 11, 2026.
- EKG, total return, 1 year: +21.3%, as of Sep 11, 2026.
- EKG, net assets: $4m (issuer page, as of Sep 11, 2026).
- EKG, expense ratio: 0.65% (485BPOS XBRL, Jan 28, 2026).

## EKG over each window to Sep 11, 2026

| Window | Total return | S&P 500 | Gap to S&P 500 | Gap to Nasdaq-100 |
| --- | --- | --- | --- | --- |
| 3 months | +22.0% | +3.3% | +18.7 pts | +22.8 pts |
| 6 months | +29.9% | +16.0% | +13.9 pts | +9.3 pts |
| 1 year | +21.3% | +17.5% | +3.8 pts | −1.6 pts |
| 3 years | +39.2% | +77.9% | −38.7 pts | −55.9 pts |
| Since launch | +7.6% | +82.5% | −74.9 pts | −101.0 pts |

## Every published field

| Field | Value | Source |
| --- | --- | --- |
| Theme | Healthcare innovation and GLP-1 | ETFIQ, editorial |
| Launched | Mar 23, 2022 | ETFIQ |
| Already in the S&P 500, by weight | 42.4% | ETFIQ |
| Active share vs the S&P 500 | 99.6% | ETFIQ |
| Already in the Nasdaq-100, by weight | 12.6% | ETFIQ |
| Active share vs the Nasdaq-100 | 99.2% | ETFIQ |
| Top ten holdings weight | 61.5% | ETFIQ |
| Holdings | 39 | ETFIQ |
| Holdings as of | Sep 10, 2026 | the issuer’s daily file |
| Top holdings | IQVIA Holdings Inc. 9.7%, Veeva Systems Inc. (Class A) 9.7%, DexCom, Inc. 7.8%, ResMed Inc. 5.8%, Guardant Health, Inc. 5.7%, Natera, Inc. 5.3%, Illumina, Inc. 5.1%, Intuitive Surgical, Inc. 4.8%, Oscar Health, Inc. (Class A) 4.2%, Tempus AI, Inc. (Class A) 3.3% | ETFIQ |
| Net assets | $4m | issuer page, as of Sep 11, 2026 |
| Below its all-time high | −4.8% | ETFIQ |
| Expense ratio | 0.65% | 485BPOS XBRL, Jan 28, 2026 |
| Fee for the part that differs from the S&P 500, active expense ratio | 0.65% | ETFIQ |
| Closest funds by holdings overlap | HEAL 49%, LGHT 39%, GNOM 26%, HTEC 24%, ARKG 24% | ETFIQ |

## Questions

### How much of EKG is in S&P 500 companies?

By its holdings published by its issuer for Sep 10, 2026, 42% 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 published by its issuer for Sep 10, 2026, with the top ten at 62% of the fund. The largest are IQVIA Holdings Inc. at 9.7%, Veeva Systems Inc. (Class A) at 9.7%, DexCom, Inc. at 7.8%.

### Has EKG beaten the S&P 500?

Over the year to Sep 11, 2026 EKG returned +21.3% with distributions reinvested, against +17.5% for the S&P 500, so it finished ahead of the index by 3.8 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%.


## Cite this page

ETFIQ, EKG, data as of Sep 11, 2026. https://etfiq.com/funds/ekg
Free to use with attribution; the underlying files are at https://etfiq.com/data/.

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