XLVI vs. EKG

Last updated Jun 4, 2026

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

Performance

XLVI vs. EKG - Performance Comparison

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

Returns By Period

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

XLVI

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

EKG

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

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

XLVI vs. EKG - Yearly Performance Comparison

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

Correlation

The correlation between XLVI and EKG 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

XLVI vs. EKG - Sectors Allocation Comparison

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

Return for Risk

XLVI vs. EKG — 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.

XLVI vs. EKG - Risk-Adjusted Trends Comparison

This table presents a comparison of risk-adjusted performance metrics for State Street Health Care Select Sector SPDR Premium Income ETF (XLVI) and First Trust Nasdaq Lux Digital Health Solutions ETF (EKG). 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.

Risk / return metrics aren't available yet — we need at least 12 months of trading data to calculate them.

Sharpe Ratios by Period

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

Drawdowns

XLVI vs. EKG - Drawdown Comparison

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

Drawdown Indicators

	XLVI	EKG	Difference
Max Drawdown Largest peak-to-trough decline	-8.14%	-43.82%	+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	-4.02%	-20.78%	+16.76%
Average Drawdown Average peak-to-trough decline	-1.95%	-22.66%	+20.71%
Ulcer Index Depth and duration of drawdowns from previous peaks	—	9.73%	—

Volatility

Volatility by Period

	XLVI	EKG	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	10.94%	21.57%	-10.63%
Volatility (5Y) Calculated over the trailing 5-year period, annualized	10.94%	27.07%	-16.13%
Volatility (10Y) Calculated over the trailing 10-year period, annualized	10.94%	27.07%	-16.13%

XLVI vs. EKG - Expense Ratio Comparison

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

Dividends

XLVI vs. EKG - Dividend Comparison

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

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 XLVI and EKG in my portfolio?

XLVI and EKG 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, XLVI or EKG?

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, XLVI or EKG?

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

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

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

What is the main difference between XLVI and EKG?

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