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Launched · SEC filings

First Trust Nasdaq Lux Digital Health Solutions ETF

EKGNasdaqFirst TrustD

$23.46−0.46 (−1.94%)

At close: Nov 2, 2026, 4:00 PM ET

D32/ 100

Rank 19 of 25 in Health Care (Broad)

D32/100Rank 19 of 25inHealth Care (Broad)
Intraday session: down, 79 prints from 23.93 to 23.46. Range 23.46 to 24.44. Use the arrow keys to read each point.23.6023.8024.2024.4010 AM12 PM2 PM4 PM
Expense ratio
0.65%
Fund size
$10M
1Y total return
+27.4%
Yield · Last 12 months
No data
Holdings
52
Avg volume · 30D
4.35K sh
52W range
low $15.71high $25.07
Launched
Filings
SEC EDGAR

The ETF.net EKG Grade

D

Score 32 out of 100

Category
Health Care (Broad)⁠
Rank
19 of 25
Six-pillar profile for EKG. Scores out of 100: Cost 27, Risk 34, Mission 71, Tradability 38, Holdings 46, Durability 22. Strongest: Mission (71). Weakest: Durability (22). Leans toward Mission.

Score 32 of 100 falls in the D band. A is 70 or higher, B 55 to under 70, C 40 to under 55, D 25 to under 40, F under 25.

  • Cost

    The fund’s net expense ratio, ranked against its category.
    D27 out of 100
    Rank 18 of 25

  • Mission

    Whether the fund did what it promised, tested against its stated mandate.
    A71 out of 100
    Rank 8 of 11

  • Risk

    How the fund held up when markets fell: downside volatility, drawdowns and tail loss.
    D34 out of 100
    Rank 19 of 25

  • Tradability

    How easy the fund is to trade: daily volume, and how far its price strays from net asset value.
    D38 out of 100
    Rank 15 of 25

  • Holdings

    How concentrated the fund is, and how complete and current its disclosed holdings are.
    C46 out of 100
    Rank 19 of 25

  • Durability

    Whether the fund is likely to stay open, judged by its age, its assets and its issuer’s assets.
    F22 out of 100
    Rank 23 of 25

Our read on EKG

ETF.net Research

In short

DA ticker that spells out the mandate. EKG skips the pharma giants and tracks a Nasdaq index of health technology names: roughly 40 stocks building the digital plumbing of medicine, from diagnostics and devices to health data.

Stated mandate

The Fund seeks to track, before fees and expenses, the price and yield performance of the Nasdaq Lux Health TechTM Index.

Why people hold it

  • Genuinely narrow. Roughly 40 health tech names, not a broad sector fund where a few pharma megacaps set the outcome.
  • Rules-based, not a stock picker's fund. It tracks the Nasdaq Lux Health Tech Index, so holdings follow published index rules rather than manager discretion.ftportfolios.com
  • Launched in 2022, so there is a real multi-year record to inspect instead of a back-test on a brand-new theme fund.

Worth knowing

  • 0.65% a year sits above the health care sector median, and the cohort's broad index heavyweights (VHT, XLV, FHLC) charge under a tenth of a percent.
  • A small fund that trades thinly. Wider bid-ask spreads are the usual trade-off versus the cohort's most heavily traded names.
  • One theme, about 40 stocks, no regular distribution schedule. Single names and the health tech cycle carry the weight here.

EKG Performance

Launched Mar 22, 2022

Shows how $10,000 changes over the selected period, with cash distributions reinvested at the closing price on each ex-dividend date.

Not enough history yet.Not enough history yet.
EKG$12,736
SPY tracks large US stocks. It provides market context, rather than representing this fund’s strategy, asset class or investment benchmark.$11,146
Oct 31, 2025 to Nov 2, 2026. EKG $12,736. SPY $11,146. Use the arrow keys to read each point.$10,000$12,000Oct 2025May 2026Nov 2026

Oct 31, 2025 – Nov 2, 2026

Returns run to the Nov 2, 2026 close, with cash distributions reinvested. Each period starts on the same date that many months or years earlier. Periods over one year show the average yearly return.

Trailing total return for EKG. Periods over one year show the average yearly return.
PeriodEKG
Year to date+23.5%
1 month+0.5%
3 months+19.5%
1 year+27.4%
3 yearsper year+22.7%
5 yearsFund is under 5 years oldper yearNo data
10 yearsFund is under 10 years oldper yearNo data

With distributions reinvested.

Calendar-year total return with cash distributions hypothetically reinvested at the ex-dividend date’s closing price. The current year shows year to date.

Annual total returns for EKG
YearReturn barEKG
2026 YTD+23.5%
2025+11.8%
2024+6.5%
2023−0.1%
2022−20.8%

History from Mar 24, 2022

EKG in the news

EKG Dividends

This fund pays no distributions.
No dataLast 12 months
Payout per share
No dataLast 12 months

No distributions in the last 12 months.

EKG Risk

Risk pillarD34 out of 100Rank 19 of 25 in Health Care (Broad)
How much the fund’s monthly returns vary, scaled to a year.
22.1%
Annualised · 36 months to Oct 2026
How it’s calculated: standard deviation

The sample standard deviation of monthly total returns, multiplied by the square root of 12.

Uses up to 36 complete months, with at least 12 required. Total returns include reinvested distributions.

Return above 3-month US Treasury bills per unit of volatility.
0.92
vs 3-month T-bills · to Oct 2026
How it’s calculated: Sharpe ratio

Subtract each month’s Treasury-bill return from the fund’s monthly total return.

Divide the average of those excess returns by their sample standard deviation, then multiply by the square root of 12.

Uses up to 36 complete months, with at least 12 required. Each month uses the Treasury yield quoted at the end of the previous month.

The largest fall from a peak to the low that followed.
−43.8%
55 months · trough Oct 2023
How it’s calculated: maximum drawdown

The largest percentage decline from an earlier peak, using total returns with reinvested distributions.

Uses up to five years through the last close, with at least 12 months required.

How strongly the fund’s returns move with its asset-class index.
1.43
vs its asset-class index
How it’s calculated: beta

The beta figure is supplied by FMP. The comparison index depends on the fund’s broad asset class.

FMP measures it over up to five years of monthly returns.

EKG Cost

Compare EKG and XLV

Overpaying vs XLV, cheapest in Health Care (Broad)

$11,028

On $10,000 over 30 years. 7% growth a year before fees, expense ratio only.

  • EKG 0.65%

    $12,717

  • XLV 0.08% Cheapest

    $1,689

$10,000
30 years

Cost over time

  • EKG 0.65%
  • XLV 0.08%
  • Overpaying
One line per fund, from year 0 to year 30. Use the arrow keys to read each point.$0$5K$10K$15K051015202530EKG $12,717XLV $1,689

Year by year

YearEKGXLVOverpaying
10$1,163$147$1,016
20$4,440$575$3,865
30$12,717$1,689$11,028

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