EKG vs. XLVI

Last updated Jun 4, 2026

EKG (First Trust Nasdaq Lux Digital Health Solutions ETF) and XLVI (State Street Health Care Select Sector SPDR Premium Income ETF) are both exchange-traded funds - EKG is a Health & Biotech Equities fund tracking the NASDAQ Lux Health Tech Index, while XLVI is a Derivative Income fund actively managed by State Street. EKG is passively managed, while XLVI is actively managed. A 0.51 correlation means they provide meaningful diversification when combined. EKG charges 0.65%/yr vs 0.35%/yr for XLVI.

Performance

EKG vs. XLVI - Performance Comparison

The chart below illustrates the hypothetical performance of a $10,000 investment in First Trust Nasdaq Lux Digital Health Solutions ETF (EKG) and State Street Health Care Select Sector SPDR Premium Income ETF (XLVI). The values are adjusted to include any dividend payments, if applicable.

Returns By Period

In the year-to-date period, EKG achieves a -10.11% return, which is significantly lower than XLVI's -0.67% return.

EKG

• 1D: -0.20%
• 1M: 2.98%
• YTD: -10.11%
• 6M: -12.99%
• 1Y: -0.93%
• 3Y*: -0.66%
• 5Y*: —
• 10Y*: —

XLVI

• 1D: 0.67%
• 1M: 2.30%
• YTD: -0.67%
• 6M: 0.76%
• 1Y: —
• 3Y*: —
• 5Y*: —
• 10Y*: —

*Multi-year figures are annualized to reflect compound growth (CAGR)

EKG vs. XLVI - Yearly Performance Comparison

	2026 (YTD)	2025
EKG First Trust Nasdaq Lux Digital Health Solutions ETF	-10.11%	6.88%
XLVI State Street Health Care Select Sector SPDR Premium Income ETF	-0.67%	12.79%

Correlation

The correlation between EKG and XLVI is 0.51, which is moderate. They share some common price drivers but move independently often enough to provide real diversification benefit when combined.

	Correlation
Correlation (All Time) Calculated using the full available price history since Jul 31, 2025	0.51

EKG vs. XLVI - Sectors Allocation Comparison

Sectors	EKG	XLVI
Healthcare	94.9%	-
Technology	2.6%	-
Basic Materials	-	-
Communication Services	-	-
Consumer Cyclical	-	-
Consumer Defensive	-	-
Energy	-	-
Financial Services	-	100.6%
Industrials	-	-
Real Estate	-	-
Utilities	-	-

Return for Risk

EKG vs. XLVI — Risk / Return Rank

Compare risk-adjusted metric ranks to identify better-performing investments over the past 12 months.

EKG

EKG Risk / Return Rank: 8
EKG Sharpe Ratio Rank: 8
EKG Sortino Ratio Rank: 8
EKG Omega Ratio Rank: 8
EKG Calmar Ratio Rank: 8
EKG Martin Ratio Rank: 8

The rank (0–100) shows how this investment's returns compare to the risk taken. Higher = better. Based on the past 12 months of data, combining Sharpe, Sortino, and other metrics used by quantitative funds and institutional investors.

EKG vs. XLVI - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for First Trust Nasdaq Lux Digital Health Solutions ETF (EKG) and State Street Health Care Select Sector SPDR Premium Income ETF (XLVI). Risk-adjusted metrics are performance indicators that assess an investment's returns in relation to its risk, enabling a more accurate comparison of different investment options.

	EKG	XLVI	Difference
Sharpe ratio: Return per unit of total volatility	-0.04	—	—
Sortino ratio: Return per unit of downside risk	0.09	—	—
Omega ratio: Gain probability vs. loss probability	1.01	—	—
Calmar ratio: Return relative to maximum drawdown	-0.04	—	—
Martin ratio: Return relative to average drawdown	-0.10	—	—
Data is calculated on a 1-year rolling basis and updated daily. The trend shows the change in the indicator over the past month.

Sharpe Ratios by Period

	EKG	XLVI	Difference
Sharpe Ratio (1Y) Calculated over the trailing 1-year period	-0.04	—	—
Sharpe Ratio (All Time) Calculated using the full available price history	-0.13	1.33	-1.46

Drawdowns

EKG vs. XLVI - Drawdown Comparison

The maximum EKG drawdown since its inception was -43.82%, which is greater than XLVI's maximum drawdown of -8.14%. Use the drawdown chart below to compare losses from any high point for EKG and XLVI.

Drawdown Indicators

	EKG	XLVI	Difference
Max Drawdown Largest peak-to-trough decline	-43.82%	-8.14%	-35.68%
Max Drawdown (1Y) Largest decline over 1 year	-22.09%	—	—
Max Drawdown (3Y) Largest decline over 3 years	-34.49%	—	—
Current Drawdown Current decline from peak	-20.78%	-4.02%	-16.76%
Average Drawdown Average peak-to-trough decline	-22.66%	-1.95%	-20.71%
Ulcer Index Depth and duration of drawdowns from previous peaks	9.73%	—	—

Volatility

Volatility by Period

	EKG	XLVI	Difference
Volatility (1M) Calculated over the trailing 1-month period	7.09%	—	—
Volatility (6M) Calculated over the trailing 6-month period	16.42%	—	—
Volatility (1Y) Calculated over the trailing 1-year period	21.57%	10.94%	+10.63%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	27.07%	10.94%	+16.13%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	27.07%	10.94%	+16.13%

EKG vs. XLVI - Expense Ratio Comparison

EKG has a 0.65% expense ratio, which is higher than XLVI's 0.35% expense ratio.

Dividends

EKG vs. XLVI - Dividend Comparison

EKG has not paid dividends to shareholders, while XLVI's dividend yield for the trailing twelve months is around 11.53%.

Position	TTM	2025
EKG First Trust Nasdaq Lux Digital Health Solutions ETF	0.00%	0.00%
XLVI State Street Health Care Select Sector SPDR Premium Income ETF	11.53%	5.73%

Frequently Asked Questions

Can I hold both EKG and XLVI in my portfolio?

EKG and XLVI have a correlation of 0.51, meaning they provide meaningful diversification benefit when combined. Depending on your allocation goals, holding both could reduce overall portfolio risk.

Which ETF is better, EKG or XLVI?

On fees, XLVI is cheaper at 0.35% per year. The better choice depends on whether you care most about return, fees, risk, or income.

Which ETF is cheaper, EKG or XLVI?

XLVI is cheaper with a 0.35% expense ratio, compared with 0.65% for EKG.

Which ETF pays a higher dividend yield, EKG or XLVI?

XLVI has the higher dividend yield at 11.53%, compared with 0.00% for EKG.

What is the main difference between EKG and XLVI?

EKG is categorized as Health & Biotech Equities, while XLVI is Derivative Income. They also come from different issuers: First Trust and State Street. Their fees differ too: 0.65% for EKG and 0.35% for XLVI.