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 22.07% year-to-date with -$2 M in net flows, whereas ZUH is at 16.99% with -$17 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 | $5.11 M | $192.38 M |
| Management Fees | 0.70% | 0.35% |
| Exp. ratio | 0.76% | 0.39% |
| Tracking Difference | -1.08% | -0.29% |
Historical performance and flows
As of October 20, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | FHH | +3.56% | +10.91% | +22.07% | +19.99% | +48.69% |
ZUH | +3.88% | +12.14% | +16.99% | +21.24% | +32.45% | |
| Flows | FHH | +$0 M | +$0 M | -$2 M | -$4 M | -$8 M |
ZUH | +$0 M | -$4 M | -$17 M | -$24 M | -$181 M |
FHH vs ZUH exposure
Countries
FHH
USA
93.13%
ZUH
USA
94.61%
Sectors
FHH
Healthcare
98.23%
ZUH
Healthcare
99.27%
As of October 20, 2026
Top 10 Holdings
FHH
Regeneron Pharmaceuticals, Inc.
2.86%
Pfizer Inc.
2.56%
Solventum Corp.
2.55%
Natera, Inc.
2.55%
Zimmer Biomet Holdings, Inc.
2.49%
Universal Health Services, Inc.
2.48%
Boston Scientific Corp.
2.43%
Guardant Health, Inc.
2.37%
Tenet Healthcare Corp.
2.29%
Halozyme Therapeutics, Inc.
2.22%
ZUH
Moderna, Inc.
2.82%
Humana, Inc.
2.31%
Revolution Medicines, Inc.
2.27%
Guardant Health, Inc.
1.90%
Illumina, Inc.
1.86%
Natera, Inc.
1.77%
IQVIA Holdings, Inc.
1.61%
Centene Corp.
1.59%
Baxter International, Inc.
1.59%
Veeva Systems, Inc.
1.52%
Diversification
FHH
Total weight of top 10 holdings out of 72 total
24.80%
ZUH
Total weight of top 10 holdings out of 79 total
19.25%
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 | 0.47% | 0.47% |
| 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 October 20, 2026, FHH has returned 22.07% year to date, while ZUH has returned 16.99%. FHH is ahead on YTD performance.
Which ETF is larger by assets under management: FHH or ZUH?
As of October 20, 2026, FHH manages $5.11 M in assets, while ZUH manages $192.38 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 -$17.22 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 Regeneron Pharmaceuticals, Inc., Pfizer Inc., and Solventum Corp.. ZUH's top holdings include Moderna, Inc., Humana, Inc., and Revolution Medicines, Inc..
Which ETF is more diversified: FHH or ZUH?
FHH holds 72 securities, while ZUH holds 79. On holdings count, ZUH is the more diversified portfolio.
Recent articles about FHH and ZUH
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