VS
First Trust AlphaDEX U.S. Health Care Sector Index ETF (FHH) and BMO Equal Weight U.S. Health Care Index ETF (ZUH) offer distinct profiles for Canadian ETF investors. A direct comparison shows that FHH focuses its top 3 sector exposures on Healthcare, while ZUH leans towards Healthcare. When evaluating costs, FHH features a management fee (MER) of 0.7%, compared to 0.35% for ZUH. Performance-wise, FHH has returned 11.9% year-to-date with -$2 M in net flows, whereas ZUH is at 5.57% with -$13 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
ZUH
| AuM | $4.69 M | $177.26 M |
| Management Fees | 0.70% | 0.35% |
| Exp. ratio | 0.76% | 0.39% |
| Tracking Difference | -0.99% | -0.23% |
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% |
ZUH | +8.38% | +6.72% | +5.57% | +18.16% | +6.38% | |
| Flows | FHH | -$0 M | -$2 M | -$2 M | -$6 M | -$8 M |
ZUH | -$3 M | -$7 M | -$13 M | -$33 M | -$191 M |
FHH vs ZUH exposure
Countries
FHH
USA
95.99%
ZUH
USA
96.38%
Sectors
FHH
Healthcare
99.84%
ZUH
Healthcare
101.32%
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%
ZUH
Humana, Inc.
2.20%
Revolution Medicines, Inc.
2.00%
Guardant Health, Inc.
1.86%
Elevance Health, Inc.
1.72%
Centene Corp.
1.72%
UnitedHealth Group, Inc.
1.71%
West Pharmaceutical Services, Inc.
1.67%
DaVita, Inc.
1.67%
Jazz Pharmaceuticals Plc
1.65%
Illumina, Inc.
1.63%
Diversification
FHH
Total weight of top 10 holdings out of 76 total
27.45%
ZUH
Total weight of top 10 holdings out of 79 total
17.83%
Characteristics
Compare
FHH
ZUH
| 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% | 0.52% |
| Meets ESG criteria | No | No |
| Inception Date | October 30, 2014 | May 19, 2010 |
Frequently asked questions about FHH and ZUH
Which ETF has performed better year to date: FHH or ZUH?
As of July 16, 2026, FHH has returned 11.90% year to date, while ZUH has returned 5.57%. FHH is ahead on YTD performance.
Which ETF is larger by assets under management: FHH or ZUH?
As of July 16, 2026, FHH manages $4.69 M in assets, while ZUH manages $177.26 M. ZUH is the larger fund by AUM.
How are FHH and ZUH managed?
FHH is passively managed by First Trust. It tracks the StrataQuant Health Care CAD Total Return Index - CAD benchmark. ZUH 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 ZUH emphasize?
FHH is most exposed to Healthcare. ZUH is most exposed to Healthcare.
Which ETF is attracting more investor flows: FHH or ZUH?
Year to date, FHH has seen -$2.10 M in net flows, compared with -$13.48 M for ZUH. FHH has attracted more net investor money so far.
How do the fees of FHH and ZUH compare?
FHH has an expense ratio of 0.76%, while ZUH has an expense ratio of 0.39%.
What are the top holdings of FHH and ZUH?
FHH's largest holdings include Humana, Inc., Organon & Co., and Elevance Health, Inc.. ZUH's top holdings include Humana, Inc., Revolution Medicines, Inc., and Guardant Health, Inc..
Which ETF is more diversified: FHH or ZUH?
FHH holds 76 securities, while ZUH holds 79. On holdings count, ZUH is the more diversified portfolio.
Recent articles about FHH and ZUH
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.