VS
First Trust AlphaDEX U.S. Health Care Sector Index ETF (FHH) and BMO Equal Weight US Health Care Index ETF (ZHU) offer distinct profiles for Canadian ETF investors. A direct comparison shows that FHH focuses its top 3 sector exposures on Health Care, while ZHU leans towards Health Care. When evaluating costs, FHH features a management fee (MER) of 0.7%, compared to 0.35% for ZHU. Performance-wise, FHH has returned 0.58% year-to-date with +$0 M in net flows, whereas ZHU is at 4.45% with +$0 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
FHH
ZHU
| AuM | $6.26 M | $9.32 M |
| Management Fees | 0.70% | 0.35% |
| Exp. ratio | 0.76% | 0.40% |
| Tracking Difference | -0.98% | 0.29% |
Historical performance and flows
As of May 7, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | FHH | +0.75% | +0.19% | -0.58% | +12.49% | +8.31% |
ZHU | -3.09% | -3.96% | -4.45% | +8.19% | +1.94% | |
| Flows | FHH | +$0 M | +$0 M | +$0 M | -$4 M | -$6 M |
ZHU | +$0 M | +$0 M | +$0 M | +$0 M | -$18 M |
FHH vs ZHU exposure
Countries
FHH
USA
95.47%
ZHU
USA
93.71%
Sectors
FHH
Health Care
93.76%
ZHU
Health Care
91.22%
Other
8.78%
As of May 7, 2026
Top 10 Holdings
FHH
ACADIA HEALTHCARE COMPANY
3.83%
APELLIS PHARMACEUTICALS
2.95%
PFIZER
2.63%
BIOGEN INC
2.40%
CARDINAL HEALTH
2.37%
HCA HEALTHCARE
2.33%
INCYTE
2.19%
IONIS PHARMACEUTICALS INC
2.18%
INSMED
2.17%
UTD THERAPEUT
2.15%
ZHU
UTD THERAPEUT
1.61%
US86627T1088
1.47%
INSMED
1.43%
BRIDGEBIO PHARMA
1.39%
PFIZER
1.34%
ROYALTY PHARMA
1.34%
MERCK & CO INC
1.34%
METTLER TOLEDO
1.33%
DAVITA INC
1.33%
JOHNSON&JOHNSON
1.32%
Diversification
FHH
Total weight of top 10 holdings out of 75 total
25.20%
ZHU
Total weight of top 10 holdings out of 80 total
13.90%
Characteristics
Compare
FHH
ZHU
| Provider | First Trust | BMO |
| Management | Passively managed | Passively managed |
| Benchmark | StrataQuant Health Care CAD Total Return Index - CAD | Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD |
| Replication Method | Direct (Physical) | Direct (Physical) |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.34% | 0.57% |
| Meets ESG criteria | No | No |
| Inception Date | October 30, 2014 | February 15, 2019 |
Frequently asked questions about FHH and ZHU
Which ETF has performed better year to date: FHH or ZHU?
As of May 7, 2026, FHH has returned -0.58% year to date, while ZHU has returned -4.45%. FHH is ahead on YTD performance.
Which ETF is larger by assets under management: FHH or ZHU?
As of May 7, 2026, FHH manages $6.26 M in assets, while ZHU manages $9.32 M. ZHU is the larger fund by AUM.
How are FHH and ZHU managed?
FHH is passively managed by First Trust. It tracks the StrataQuant Health Care CAD Total Return Index - CAD benchmark. ZHU is passively managed by BMO. It tracks the Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD benchmark.
What sectors do FHH and ZHU emphasize?
FHH is most exposed to Health Care. ZHU is most exposed to Health Care.
Which ETF is attracting more investor flows: FHH or ZHU?
Year to date, FHH has seen +$0.00 M in net flows, compared with +$0.00 M for ZHU. FHH has attracted more net investor money so far.
How do the fees of FHH and ZHU compare?
FHH has an expense ratio of 0.76%, while ZHU has an expense ratio of 0.40%.
What are the top holdings of FHH and ZHU?
FHH's largest holdings include ACADIA HEALTHCARE COMPANY and APELLIS PHARMACEUTICALS. ZHU's top holdings include UTD THERAPEUT and INSMED.
Which ETF is more diversified: FHH or ZHU?
FHH holds 71 securities, while ZHU holds 74. On holdings count, ZHU is the more diversified portfolio.
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