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BMO Global Health Care Fund Active ETF Series (BGHC) and BMO SPDR Health Care Select Sector Index ETF (ZXLV) offer distinct profiles for Canadian ETF investors. A direct comparison shows that BGHC focuses its top 3 sector exposures on Health Care, Consumer Discretionary, and Consumer Staples, while ZXLV leans towards Health Care. When evaluating costs, BGHC features a management fee (MER) of 1.02%, compared to 0.21% for ZXLV. Performance-wise, BGHC has returned 0.8% year-to-date with +$7 M in net flows, whereas ZXLV is at 1.57% with +$7 M. Use the comparison tool below to benchmark these funds across top 10 holdings, yield, sector weights and historical returns.
NAV Performance and Flows
Key Data
Compare
BGHC
ZXLV
| AuM | $9.43 M | $21.27 M |
| Management Fees | 1.02% | 0.21% |
| Exp. ratio | 0.82% | 0.21% |
| Tracking Difference | - | - |
Historical performance and flows
As of June 11, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | BGHC | +9.21% | +4.30% | +0.80% | +14.50% | - |
ZXLV | +9.94% | +3.95% | +1.57% | +17.59% | - | |
| Flows | BGHC | +$1 M | +$1 M | +$7 M | -$112 M | - |
ZXLV | +$4 M | +$4 M | +$7 M | +$19 M | - |
BGHC vs ZXLV exposure
Countries
BGHC
USA
77.24%
Switzerland
9.55%
United Kingdom
7.13%
ZXLV
USA
97.39%
Sectors
BGHC
Health Care
87.36%
Other
12.63%
ZXLV
Health Care
98.41%
As of June 11, 2026
Top 10 Holdings
BGHC
LILLY
9.10%
JOHNSON&JOHNSON
7.43%
UNITEDHEALTH GRP
7.29%
ASTRAZENECA
6.43%
ABBVIE
4.82%
MERCK & CO INC
4.69%
US04016X1019
4.48%
UCB
4.40%
MCKESSON
4.23%
NOVARTIS
3.94%
ZXLV
LILLY
14.09%
JOHNSON&JOHNSON
10.54%
ABBVIE
7.10%
UNITEDHEALTH GRP
6.38%
MERCK & CO INC
5.15%
AMGEN-T
3.55%
THERMO FISHER SCIENTIFIC
3.42%
INTUITIVE SURGICAL
3.09%
GILEAD SCIENCES
3.09%
ABBOTT LABS
3.00%
Diversification
BGHC
Total weight of top 10 holdings out of 120 total
56.80%
ZXLV
Total weight of top 10 holdings out of 58 total
59.41%
Characteristics
Compare
BGHC
ZXLV
| Provider | BMO | BMO |
| Management | Actively managed | Passively managed |
| Benchmark | - | S&P Health Care Select Sector Total Return Index - USD |
| Replication Method | ||
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.00% | 0.49% |
| Meets ESG criteria | No | No |
| Inception Date | June 26, 2023 | February 2, 2025 |
Frequently asked questions about BGHC and ZXLV
Which ETF has performed better year to date: BGHC or ZXLV?
As of June 11, 2026, BGHC has returned 0.80% year to date, while ZXLV has returned 1.57%. ZXLV is ahead on YTD performance.
Which ETF is larger by assets under management: BGHC or ZXLV?
As of June 11, 2026, BGHC manages $9.43 M in assets, while ZXLV manages $21.27 M. ZXLV is the larger fund by AUM.
How are BGHC and ZXLV managed?
BGHC is actively managed by BMO. It does not track an index. ZXLV is passively managed by BMO. It tracks the S&P Health Care Select Sector Total Return Index - USD benchmark.
What sectors do BGHC and ZXLV emphasize?
BGHC is most exposed to Health Care, Consumer Discretionary, and Consumer Staples. ZXLV is most exposed to Health Care.
Which ETF is attracting more investor flows: BGHC or ZXLV?
Year to date, BGHC has seen +$6.51 M in net flows, compared with +$6.68 M for ZXLV. ZXLV has attracted more net investor money so far.
How do the fees of BGHC and ZXLV compare?
BGHC has an expense ratio of 0.82%, while ZXLV has an expense ratio of 0.21%.
What are the top holdings of BGHC and ZXLV?
BGHC's largest holdings include LILLY and JOHNSON&JOHNSON. ZXLV's top holdings include LILLY, JOHNSON&JOHNSON, and ABBVIE.
Which ETF is more diversified: BGHC or ZXLV?
BGHC holds 107 securities, while ZXLV holds 55. On holdings count, BGHC is the more diversified portfolio.
Recent articles about BGHC and ZXLV
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All content on the ETF Market Canada is for your general information use only, Cboe is not responsible for any use of content by you outside this scope. In particular, the content does not constitute any form of advice, recommendation, representation, endorsement or arrangement by Cboe and is not intended to be relied upon by users in making (or refraining from making) any specific investment or other decisions.