EKG vs FHLC: Grades, Fees and Holdings Compared

First Trust Nasdaq Lux Digital Health Solutions ETF

EKGDNasdaq

Fidelity MSCI Health Care Index ETF

FHLCANYSE Arca

Overlap

7.1%by weight

Expense ratio

FHLC −0.57pt a year

EKG0.65%FHLC0.08%

Avg volume · 30D

FHLC 56.6×the volume

EKG4.35KFHLC246K

3Y return · a year

EKG +6.9pt

EKG+22.7%FHLC+15.8%

EKG vs FHLC Performance

Oct 31, 2025 – Nov 2, 2026

+27.4%EKG+28.5%FHLC

Expense ratio: EKG 0.65%; FHLC 0.08%, better
Fund size: EKG $10M; FHLC $3.54B
1Y total return: EKG +27.4%; FHLC +28.5%, better
Yield (12M): EKG No data; FHLC 1.15%
Holdings: EKG 52; FHLC 344
Avg volume (30D): EKG 4.35K sh; FHLC 246K sh, better
NAV per share: EKG $23.95; FHLC $88.53
52W range

ETF.net Grade

Pillar letters and Scores for EKG, FHLC, with each pillar’s weight
Pillar	EKG	FHLC
Cost30% weight	D27	A98Higher
Mission25% weight	A71	A81Higher
Risk15% weight	D34	A79Higher
Tradability15% weight	D38	A79Higher
Holdings10% weight	C46	C54Higher
Durability5% weight	F22	A77Higher

Rank among Health Care (Broad) funds

How we build Categories ›

Same Category. EKG and FHLC are both graded against the same 25 Health Care (Broad) funds, so their Grades compare head to head.

Health Care (Broad)⁠

Category · 25 funds

See all 25 ›

FHLC ranks 2nd and EKG 19th of 25 funds in the Health Care (Broad) Category.

Rank 1AXLVState Street Health Care Select Sector SPDR ETFScore 85
Rank 2AFHLCFidelity MSCI Health Care Index ETFScore 83
Rank 3AVHTVanguard Health Care ETFScore 77
Rank 18CHEALGlobal X HealthTech ETFScore 39
Rank 19DEKGFirst Trust Nasdaq Lux Digital Health Solutions ETFScore 32
Rank 20DHRTSTema Heart & Health ETFScore 31

Our read on each fund

ETF.net Research

EKGDFirst Trust Nasdaq Lux Digital Health Solutions ETF

FHLCAFidelity MSCI Health Care Index ETF

In short

EKG A 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.

FHLC Health care, whole market. FHLC tracks an MSCI index that runs from mega-cap pharma down to small-cap biotech and device makers, roughly 400 names, for 0.08% a year.

Stated mandate

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

FHLC The fund seeks to track the performance of the MSCI USA IMI Health Care Index before fees and expenses.

Why people hold it

EKG 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.

FHLC Charges 0.08% a year against a 0.50% median for broad health care ETFs. Only XLV matches that sticker; VHT sits a hair above.
The IMI index it follows reaches for about 99% of US free-float market value, so smaller biotech and device names ride along with the pharma giants.msci.com
Mirrors its benchmark closely, one of the tighter tracking jobs among broad health care funds. Distributions come quarterly.
Fidelity has run it since 2013, and it has grown into a multi-billion-dollar fund with a plain vanilla index mandate.fidelity.com

Worth knowing

EKG 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.

FHLC One sector, one country. Drug-pricing politics, patent cliffs and FDA rulings move the whole portfolio at once.
Free-float cap weighting means a handful of mega-cap insurers and drugmakers carry most of the weight; that long tail of small names counts for less than it looks.msci.com
Moderately traded rather than the category's volume leader, so spreads matter more on large or hurried orders.

Full EKG profile⁠

Full FHLC profile⁠

EKG vs FHLC Holdings

How EKG and FHLC differ

Overlap by weight

7.1%

Shared holdings make up 92.0% of EKG and 7.1% of FHLC.

Level by level

Holdings44 in both7.1%
Sector2 Sectors91.3%
Asset classEquity100%
Countryby domicile99.6%

Sector

Sector weights in EKG and FHLC, widest gap first
Sector	More in EKGMore in FHLC	EKG	FHLC
Health Care	FHLC +8.7 points	91.3%	100.0%
Technology	EKG +8.7 points	8.7%	0.0%

Country, concentration and asset class

Country by domicile

Country weights in EKG and FHLC, widest gap first
Country	More in EKGMore in FHLC	EKG	FHLC
United States	EKG +0.4 points	100.0%	99.6%
United Kingdom	FHLC +0.3 points	0.0%	0.3%
Switzerland	FHLC +0.1 points	0.0%	0.1%
Canada	Same weight	0.0%	0.0%
Netherlands	Same weight	0.0%	0.0%

Concentration

Weight in the 10 largest Holdings

EKG58.6%
FHLC53.3%

Securities held

EKG51
FHLC343

Asset class

EKG: Equity
FHLC: Equity

Holdings

Only in EKG7
In both44
Only in FHLC299

Only in EKG

7 securities, 7.9% of EKG by weight

Qiagen N.v.3.46%
Oscar Health, Inc. (Class A)2.62%
BillionToOne, Inc. (Class A)1.06%
Cytek Biosciences, Inc.0.25%
Ceribell, Inc.0.20%
Beta Bionics, Inc.0.18%
Minimed Group, Inc.0.16%

Only in FHLC

299 securities, 94.3% of FHLC by weight

Eli Lilly & Co14.62%
Johnson & Johnson8.48%
AbbVie Inc6.71%
UnitedHealth Group Inc4.76%
Merck & Co Inc New4.76%
Thermo Fisher Scientific Inc3.34%
Amgen Inc3.24%
Gilead Sciences Inc2.73%
Abbott Laboratories2.38%
Pfizer Inc2.24%
Danaher Corp1.91%
Vertex Pharmaceuticals Inc1.83%
Bristol-Myers Squibb Co1.64%
Medtronic PLC1.59%
Mckesson Corp1.50%
Cvs Health Corp1.48%
Stryker Corp1.30%
Securities Lending Cf1.28%
Regeneron Pharmaceuticals Inc1.23%
Elevance Health Inc1.17%
Cigna Group (The)1.02%
Moderna Inc0.96%
Hca Healthcare Inc0.95%
Boston Scientific Corp0.80%
Cencora Inc0.79%
Cardinal Health Inc0.76%
Becton Dickinson & Co0.70%
Edwards Lifesciences Corp0.68%
Humana Inc0.64%
Agilent Technologies Inc0.64%
Waters Corp0.59%
Idexx Labs Inc0.56%
Biogen Inc0.48%
Ge Healthcare Technologies Inc0.45%
Mettler-Toledo Intl Inc0.44%
Centene Corp0.44%
Zoetis Inc Class A0.43%
Revolution Medicines Inc0.42%
Labcorp Holdings Inc0.38%
West Pharmaceutical Svcs Inc0.38%
Quest Diagnostics Inc0.36%
Royalty Pharma PLC0.36%
Insmed Inc0.31%
Tenet Healthcare Corp0.30%
United Therapeutics Corp Del0.29%
Viatris Inc0.29%
Steris PLC0.28%
Alnylam Pharmaceuticals Inc0.28%
Incyte Corp0.26%
Roivant Sciences Ltd0.25%

Weight gaps

All 44 Holdings in both funds, largest gap first.

Holding weights in EKG and FHLC, widest gap first
Holding	More in EKGMore in FHLC	EKG	FHLC
Natera, Inc.NTRA	EKG +8.74 points	9.47%	0.73%
Veeva Systems Inc. (Class A)VEEV	EKG +7.46 points	8.05%	0.59%
IQVIA Holdings Inc.IQV	EKG +6.95 points	7.53%	0.58%
Intuitive Surgical, Inc.ISRG	EKG +6.47 points	8.44%	1.97%
DexCom, Inc.DXCM	EKG +6.24 points	6.65%	0.41%
Guardant Health, Inc.GH	EKG +3.86 points	4.14%	0.28%
Illumina, Inc.ILMN	EKG +3.61 points	4.06%	0.45%
Globus Medical, Inc. (Class A)GMED	EKG +3.16 points	3.27%	0.11%
ResMed Inc.RMD	EKG +3.09 points	3.52%	0.43%
Insulet CorporationPODD	EKG +2.91 points	3.04%	0.13%
Tempus AI, Inc. (Class A)TEM	EKG +2.70 points	2.80%	0.10%
Align Technology, Inc.ALGN	EKG +2.62 points	2.75%	0.13%
Hinge Health, Inc. (Class A)HNGE	EKG +2.34 points	2.40%	0.06%
Twist Bioscience CorporationTWST	EKG +2.14 points	2.25%	0.11%
GRAIL, Inc.GRAL	EKG +1.93 points	2.00%	0.07%
Hims & Hers Health, Inc.HIMS	EKG +1.79 points	1.86%	0.07%
10X Genomics, Inc. (Class A)TXG	EKG +1.78 points	1.87%	0.09%
CareDx, Inc.CDNA	EKG +1.35 points	1.40%	0.05%
Heartflow, Inc.HTFL	EKG +1.33 points	1.38%	0.05%
Adaptive Biotechnologies CorporationADPT	EKG +1.28 points	1.32%	0.04%
Caris Life Sciences, Inc.CAI	EKG +1.26 points	1.30%	0.04%
Doximity, Inc. (Class A)DOCS	EKG +1.16 points	1.21%	0.05%
iRhythm Holdings, Inc.IRTC	EKG +1.07 points	1.12%	0.05%
Waystar Holding Corp.WAY	EKG +0.85 points	0.89%	0.04%
LifeStance Health Group, Inc.LFST	EKG +0.84 points	0.88%	0.04%
Veracyte, Inc.VCYT	EKG +0.81 points	0.86%	0.05%
Privia Health Group, Inc.PRVA	EKG +0.63 points	0.66%	0.03%
GeneDx Holdings Corp.WGS	EKG +0.60 points	0.62%	0.02%
Establishment Labs Holdings Inc.ESTA	EKG +0.53 points	0.54%	0.01%
NeoGenomics, Inc.NEO	EKG +0.50 points	0.53%	0.03%
Inspire Medical Systems, Inc.INSP	EKG +0.50 points	0.52%	0.02%
TransMedics Group, Inc.TMDX	EKG +0.48 points	0.51%	0.03%
Progyny, Inc.PGNY	EKG +0.47 points	0.50%	0.03%
Butterfly Network, Inc.BFLY	EKG +0.44 points	0.46%	0.02%
Teladoc Health, Inc.TDOC	EKG +0.42 points	0.44%	0.02%
Schrodinger, Inc.SDGR	EKG +0.40 points	0.42%	0.02%
Certara, Inc.CERT	EKG +0.35 points	0.37%	0.02%
Tandem Diabetes Care, Inc.TNDM	EKG +0.33 points	0.35%	0.02%
PROCEPT BioRobotics CorporationPRCT	EKG +0.31 points	0.32%	0.01%
Alphatec Holdings, Inc.ATEC	EKG +0.31 points	0.32%	0.01%
Omada Health, Inc.OMDA	EKG +0.30 points	0.31%	<0.01%
Kestra Medical Technologies, Ltd.KMTS	EKG +0.23 points	0.24%	<0.01%
QuidelOrtho CorporationQDEL	EKG +0.20 points	0.21%	0.01%
Phreesia Inc.PHR	EKG +0.19 points	0.20%	<0.01%

All 51 EKG holdings⁠All 365 FHLC holdings⁠

How we measure overlap

Each holding counts at its smaller weight in the two funds, summed over the full Holdings. Sector, country and asset class use the same rule on each fund’s split. Cash, FX and derivative lines stay out of the counts. Two bond funds get no overlap figure.

EKG vs FHLC Cost

Overpaying EKG vs FHLC

$10,944

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

EKG 0.65%
$12,717
FHLC 0.084%
$1,773

Amount$10,000

Years30 years

Cost over time

EKG 0.65%
FHLC 0.084%
Overpaying

Year by year

Year	EKG	FHLC	Overpaying
10	$1,163	$154	$1,009
20	$4,440	$603	$3,837
30	$12,717	$1,773	$10,944

Expense ratio

0.65%EKG
0.08%FHLC, cheaper

FHLC0.08%EKG0.65%

0.08%0.85%

Middle half of Health Care (Broad) funds
Median 0.50%

FHLC 2nd cheapest of 25 funds

EKG 18th cheapest of 25 funds

EKG vs FHLC Dividends

Last 12 months to Nov 2, 2026

Yield (12M): EKG No data; FHLC 1.15%
Payout (12M): EKG None; FHLC $1.02
Last payment: EKG No data; FHLC $0.25
Ex-dividend: EKG No data; FHLC Sep 18, 2026
Paid on: EKG No data; FHLC Sep 22, 2026
Frequency: EKG No data; FHLC Quarterly

Distribution history

Per share, 2017 to 2026, same scale for both

EKGAll EKG payments⁠

No distribution history available.

FHLCQuarterly · 40 paymentsAll FHLC payments⁠

EKG vs FHLC Risk

Fall from peak · 5 years

This chart needs five years of history for both funds.

Risk facts

VolatilityStd dev, 3 years: EKG 22.1%FHLC 14.5%, better
Return per unit of riskSharpe ratio, 3 years: EKG 0.92, betterFHLC 0.83
Worst fallMax drawdown, 5 years: EKG −43.8%since Mar 2022FHLC −17.7%
Market sensitivityBeta, 5 years: EKG 1.43FHLC 0.59; Market = 1

EKG and FHLC in the news

All news⁠

Category Review
Health care funds trail the S&P 500 this year
Updated Oct 7, 2026FHLC
Deep Dive
Health care's 1.8% week was four large caps, not a biotech rally
Sep 19, 2026FHLC

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EKG vs FHLC

In short

Stated mandate

Why people hold it

Worth knowing

How EKG and FHLC differ

Level by level

Sector

Country, concentration and asset class

Country by domicile

Concentration

Asset class

Holdings

Only in EKG

Only in FHLC

Weight gaps

Cost over time

Year by year

Distribution history

Fall from peak · 5 years

Risk facts

Health care funds trail the S&P 500 this year

Health care's 1.8% week was four large caps, not a biotech rally

How EKG and FHLC differ

Level by level

Sector

Country, concentration and asset class

Country by domicile

Concentration

Asset class

Holdings

Only in EKG

Only in FHLC

Weight gaps