First Trust Nasdaq Lux Digital Health Solutions ETFEKG
| Returns | 1D | 1M | 3M | YTD | 1Y | 3Y | 5Y | MAX |
|---|---|---|---|---|---|---|---|---|
| Total return | −5.3% | +1.4% | +12.6% | +22.4% | +25.9% | +89.2% | — | +15.4% |
| Peer average | +0.2% | −3.8% | −4.4% | +8.6% | +10.0% | +68.2% | +53.7% | — |
| S&P 500 · VOO | +0.3% | −5.0% | −4.6% | +8.7% | +9.8% | +80.8% | +71.8% | — |
EKG in One Breath
EKG Among Large Cap ETFs
YTDEnd-of-day Nov 8, 2026 · 263 Large cap ETFs by YTD
$10,000 in EKG
5Y$10,000 in EKG became
$11,538
In the S&P 500 (VOO)
$17,340
Total return, dividends in · Mar 24, 2022 – Nov 5, 2026 · S&P 500 uses VOO
EKG’s Top Holdings
TodayISRGIntuitive Surgical9.4%NTRA8.6%VEEV8.2%IQV7.7%DXCM7.0%RMD3.8%ILMN3.7%GH3.7%QGEN3.6%GMED3.5%PODD3.3%ALGN3.0%OSCR2.9%TEM2.8%HNGE2.5%TWST1.8%GRAL1.7%HIMS1.7%TXG1.6%ADPT1.4%CDNA1.3%DOCS1.3%29 more
ISRGIntuitive Surgical9.4%NTRA8.6%VEEV8.2%IQV7.7%DXCM7.0%RMD3.8%ILMN3.7%GH3.7%QGEN3.6%GMED3.5%PODDALGN39 more
Medical - DiagnosticsMedical - DevicesMedical - InstrumentsMedical - Healthcare Information ServicesSoftware - ApplicationBiotechnologyOther
First Trust EKG · 51 holdings · tile size = share of the fund · as of Nov 6, 2026
What EKG Holds
TodayMedical - Diagnostics & Research32.8%
NTRA 8.6 · IQV 7.7 · ILMN 3.7 · GH 3.7 · QGEN 3.6 · GRAL 1.7 · CDNA 1.3
Medical - Devices21.6%
DXCM 7.0 · GMED 3.5 · PODD 3.3 · ALGN 3.0 · IRTC 1.2 · ESTA · TMDX
Medical - Instruments & Supplies13.4%
ISRG 9.4 · RMD 3.8 · KMTS
Medical - Healthcare Information Services11.0%
TEM 2.8 · HNGE 2.5 · DOCS 1.3 · HTFL 1.3 · WAY · PRVA · TDOC
Software - Application8.7%
VEEV 8.2 · SDGR
Biotechnology5.8%
TWST 1.8 · TXG 1.6 · ADPT 1.4 · CAI 1.0
Medical - Healthcare Plans3.6%
OSCR 2.9 · PGNY
First Trust EKG · share of the fund by industry · as of Nov 6, 2026
Intuitive’s Share of EKG
Today9.4%
$94 of every $1,000 in EKG is Intuitive
Intuitive held by EKG
$854K
First Trust EKG · each square = $10 of $1,000 · as of Nov 6, 2026
EKG’s Share of Large Cap ETFs
Today0.0%
of the $833B in 308 Large cap ETFs
$9.1M0.0%
$85.6B10.3%
$46.6B5.6%
$701B84.1%
Large cap ETF AUM · Nov 8, 2026
EKG Fee per $100 vs Peers
TodayExpense ratio · Large cap peers · Nov 8, 2026
Inside EKG
51 holdings · as of Nov 6, 2026EKG
First Trust Nasdaq Lux Digital Health Solutions ETF
TodayMedical - Diagnostics32.8%NTRA8.6%IQV7.7%ILMN3.7%GH3.7%QGEN3.6%GRALCDNABLLNWGSVCYTMedical - Devices21.6%DXCM7.0%GMED3.5%PODD3.3%ALGN3.0%IRTCESTATMDXINSPBFLYATECMedical - Instruments13.4%ISRG9.4%RMDMedical - Healthcare Information Services11.0%TEM2.8%HNGE2.5%DOCSHTFLWAYPRVATDOCSoftware - Application8.7%VEEV8.2%Biotechnology5.8%TWSTTXGADPTCAIMedical - Healthcare Plans3.6%OSCR2.9%Medical - Care Facilities2.6%HIMSLFSTCTKB
| # | Ticker | Company | Weight ▼ |
|---|---|---|---|
| 1 | ISRG | Intuitive Surgical | 9.42% |
| 2 | NTRA | Natera | 8.56% |
| 3 | VEEV | Veeva Systems () | 8.21% |
| 4 | IQV | Iqvia | 7.68% |
| 5 | DXCM | DexCom | 7.03% |
| 6 | RMD | ResMed | 3.77% |
| 7 | ILMN | Illumina | 3.68% |
| 8 | GH | Guardant Health | 3.65% |
| 9 | QGEN | Qiagen | 3.61% |
| 10 | GMED | Globus Medical, () | 3.51% |
Medical - DiagnosticsMedical - DevicesMedical - InstrumentsMedical - Healthcare Information ServicesSoftware - ApplicationBiotechnologyMedical - Healthcare PlansMedical - Care FacilitiesMedical - SpecialtiesMedical - EquipmentOther
First Trust EKG · current holdings by weight · as of Nov 6, 2026 · each tile is one holding · top 20 = 81.9%
All EKG Holdings
52 holdings · as of Nov 6, 2026EKG
EKG’s Holdings
Today| # | ||||||
|---|---|---|---|---|---|---|
| 1 | ISRGIntuitive Surgical | Healthcare | 9.42% | $942.17 | 1,872 | $877K |
| 2 | NTRANatera | Healthcare | 8.56% | $856.16 | 2,191 | $797K |
| 3 | VEEVVeeva Systems () | Technology | 8.21% | $821.47 | 2,466 | $765K |
| 4 | IQVIqvia | Healthcare | 7.68% | $767.69 | 2,698 | $715K |
| 5 | DXCMDexCom | Healthcare | 7.03% | $702.70 | 7,745 | $654K |
| 6 | RMDResMed | Healthcare | 3.77% | $376.87 | 1,466 | $351K |
| 7 | ILMNIllumina | Healthcare | 3.68% | $368.45 | 1,649 | $343K |
| 8 | GHGuardant Health | Healthcare | 3.65% | $365.40 | 2,217 | $340K |
| 9 | QGENQiagen | Healthcare | 3.61% | $361.08 | 6,609 | $336K |
| 10 | GMEDGlobus Medical, () | Healthcare | 3.51% | $351.43 | 4,017 | $327K |
| 11 | PODDInsulet | Healthcare | 3.26% | $326.19 | 1,945 | $304K |
| 12 | ALGNAlign Technology | Healthcare | 3.01% | $301.31 | 1,760 | $280K |
| 13 | OSCROscar Health, () | Healthcare | 2.95% | $294.80 | 8,271 | $274K |
| 14 | TEMTempus AI, () | Healthcare | 2.82% | $281.60 | 3,722 | $262K |
| 15 | HNGEHinge Health, () | Healthcare | 2.51% | $251.05 | 2,015 | $234K |
First Trust EKG · every reported holding · per $10,000 = dollars of each holding in a $10,000 stake · as of Nov 6, 2026
How It Compares
EKG
First Trust Nasdaq Lux Digital Health Solutions ETF’s Peers
YTDLarge cap peers · YTD and past-year returns · as of Nov 8, 2026 · sorted by AUM
Head to Head
Put EKG head to head with DFAC →DFAC vs EKG
YTDYear to date
EKG wins+11.0 pts
Past year
EKG wins+12.1 pts
Fee
DFAC winslower fee
Yield
DFAC wins+0.9 pts
AUM
DFAC9444.5× more
2–2level
Dimensional DFAC and First Trust EKG · year-to-date · as of Nov 8, 2026 · AUM not scored
EKG vs VOO
YTDEKG · First Trust Nasdaq Lux Digital Health Solutions
+22.4%
VOO · S&P 500
+8.7%
Gap
13.7 pts
First Trust EKG and Vanguard VOO · YTD total return · as of Nov 8, 2026
EKG vs Its Peer Average
YTDEKGAvsBPeer average
1D−5.3%+0.2%
1M+1.4%−3.8%
3M+12.6%−4.4%
YTD+22.4%+8.6%
1Y+25.9%+10.0%
3Y+89.2%+68.2%
5Y[…]+53.7%
5–1EKG wins
307 Large cap peers · each row scaled to its leader
How Bumpy Is EKG?
ViewEKG
How Bumpy
1Y1.9×the S&P 500’s swings
CalmerBumpierS&P 1×EKG
Bumpiest of 7 large cap fundsEKG
Other large cap funds0.9× to 1.1×
First Trust EKG · daily swings over the past year vs the S&P 500
EKG
Worst Drop
1Y−22.1%from its Jan 7 high
Still below the high−7.0%
$10,000 at the high is now$9,300
First Trust EKG · fall from the highest close, past year
EKG
On a Bad Day
1Y1.0×the S&P 500’s fall
EKG’s worst day: Thursday, Nov 5Up days51 of every 100
S&P 500 up days52 of every 100
First Trust EKG · average move on days the S&P 500 fell
EKG
Return for the Bumps
1Y#1 of 7 large cap fundsRanked by return above cash for each unit of bumpiness (Sharpe ratio) · cash = 3.7%
EKG
Cost
Today$65a year per $10,000
Expense ratio 0.65%, taken from the fund’s value
EKG
Volatility & Beta
1Y25.7%annual volatility
S&P 500 volatility13.6%
Downside volatility17.1%
Beta vs SPY1.00
Correlation vs SPY0.53
Beta rank, lowest first, of 7#5
Daily total returns × √252 · past 253 trading days
EKG
Max Drawdown
1Y−22.1%peak to trough
Peak closeJan 7, 2026
Current drawdown−7.0%
Worst day−5.26% · Nov 5
Closing prices, dividends in
EKG
Up / Down Capture
1Y95%down capture vs SPY
Up ÷ down capture1.21
Up days50.6% (S&P 51.8%)
Average daily move on SPY up days and down days
EKG
Sharpe & Sortino vs Peers
1YSharpe = (return − 3.7% cash) ÷ volatility · Sortino uses downside volatility only
EKG
Trading
Today+2.59%above its holdings’ value
Close$23.25
NAV$22.66
Fee per $10,000$65 a year
Avg. volume 30D10K shares
Close vs net asset value, Nov 5
The Details
EKG
Fund Facts
Today2022launched Mar 22
Tracks[…]
Exchange · CUSIPNASDAQ · 33719L106
StructureETF
Leverage1x
Cost on $10,000$65 a year
Go deeper
First Trust EKG · fund facts · as of Nov 8, 2026
EKG
Payouts by Year
Today$0no payouts on record
EKG does not pay a distribution.
Distribution yield0.0%
Paid[…]
Latest ex-date · paid[…]
12 payouts added up[…]
First Trust EKG · distributions by ex-date
All Fund FactsDocuments · trading · fees · every payout
Prospectus & Documents
summary prospectus · SEC 497K ↗SEC reported portfolio · 2026-06-30 ↗SEC reported portfolio · 2026-03-31 ↗SEC reported portfolio · 2025-12-31 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2025-09-30 ↗SEC reported portfolio · 2025-06-30 ↗SEC reported portfolio · 2025-03-31 ↗SEC reported portfolio · 2024-12-31 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2024-09-30 ↗SEC reported portfolio · 2024-06-30 ↗summary prospectus · SEC 497K ↗prospectus · SEC 497 ↗SEC reported portfolio · 2024-03-31 ↗SEC reported portfolio · 2023-12-31 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2023-09-29 ↗SEC reported portfolio · 2023-06-30 ↗SEC reported portfolio · 2023-06-30 ↗SEC reported portfolio · 2023-03-31 ↗SEC reported portfolio · 2022-12-30 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2022-09-30 ↗summary prospectus · SEC 497K ↗SEC reported portfolio · 2022-06-30 ↗SEC reported portfolio · 2022-03-31 ↗summary prospectus · SEC 497K ↗summary prospectus · SEC 497K ↗prospectus · SEC 497 ↗prospectus · SEC 497 ↗prospectus · SEC 485BPOS ↗prospectus · SEC 485APOS ↗
Trading & Liquidity
Net asset value$22.66
Premium / discount[…]
Median spread · 30D[…]
Volume today2K
Average volume · 30D10K
Shares outstanding[…]
Options[…]
Fees & Costs
Net expense ratio0.65%
Gross expense ratio[…]
Management fee[…]
Cost on $10,000 a year$65.00
Our risk indicator4/5
Estimated yearly cost excludes trading costs and assumes constant assets.
Distributions
No payouts on record: […]
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