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 Healthcare, while ZHU leans towards Healthcare. When evaluating costs, FHH features a management fee (MER) of 0.7%, compared to 0.35% for ZHU. Performance-wise, FHH has returned 11.9% year-to-date with -$2 M in net flows, whereas ZHU is at 8.66% 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 | $4.69 M | $10.60 M |
| Management Fees | 0.70% | 0.35% |
| Exp. ratio | 0.76% | 0.40% |
| Tracking Difference | -0.99% | 6.45% |
Historical performance and flows
As of July 16, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | FHH | +6.33% | +12.88% | +11.90% | +26.64% | +23.88% |
ZHU | +7.51% | +9.32% | +8.66% | +22.41% | +18.42% | |
| Flows | FHH | -$0 M | -$2 M | -$2 M | -$6 M | -$8 M |
ZHU | +$0 M | +$0 M | +$0 M | +$0 M | -$10 M |
FHH vs ZHU exposure
Countries
FHH
USA
95.99%
ZHU
USA
95.12%
Sectors
FHH
Healthcare
99.84%
ZHU
Healthcare
100.00%
As of July 16, 2026
Top 10 Holdings
FHH
Humana, Inc.
4.03%
Organon & Co.
3.80%
Elevance Health, Inc.
2.93%
DaVita, Inc.
2.63%
Exelixis, Inc.
2.50%
Solventum Corp.
2.47%
Molina Healthcare, Inc.
2.34%
Bio-Rad Laboratories, Inc.
2.33%
Biogen, Inc.
2.23%
The Cigna Group
2.19%
ZHU
Humana, Inc.
2.16%
Revolution Medicines, Inc.
1.97%
Guardant Health, Inc.
1.84%
Elevance Health, Inc.
1.71%
Centene Corp.
1.70%
UnitedHealth Group, Inc.
1.67%
West Pharmaceutical Services, Inc.
1.65%
DaVita, Inc.
1.64%
Jazz Pharmaceuticals Plc
1.64%
Illumina, Inc.
1.60%
Diversification
FHH
Total weight of top 10 holdings out of 76 total
27.45%
ZHU
Total weight of top 10 holdings out of 79 total
17.58%
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 | 0.53% | 0.50% |
| 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 July 16, 2026, FHH has returned 11.90% year to date, while ZHU has returned 8.66%. FHH is ahead on YTD performance.
Which ETF is larger by assets under management: FHH or ZHU?
As of July 16, 2026, FHH manages $4.69 M in assets, while ZHU manages $10.60 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 Healthcare. ZHU is most exposed to Healthcare.
Which ETF is attracting more investor flows: FHH or ZHU?
Year to date, FHH has seen -$2.10 M in net flows, compared with +$0.00 M for ZHU. ZHU 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 Humana, Inc., Organon & Co., and Elevance Health, Inc.. ZHU's top holdings include Humana, Inc., Revolution Medicines, Inc., and Guardant Health, Inc..
Which ETF is more diversified: FHH or ZHU?
FHH holds 76 securities, while ZHU holds 79. On holdings count, ZHU is the more diversified portfolio.
The ETF Market Canada is brought to you by Cboe in partnership with Trackinsight SA who is providing all the data, analysis and editorial content on this site. Unless explicitly stated as such, any information that you receive is not real-time.
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.
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.