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 Health Care, while ZUH leans towards Health Care. When evaluating costs, FHH features a management fee (MER) of 0.7%, compared to 0.35% for ZUH. Performance-wise, FHH has returned 0.58% year-to-date with +$0 M in net flows, whereas ZUH is at 4.87% with -$10 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 | $6.26 M | $163.04 M |
| Management Fees | 0.70% | 0.35% |
| Exp. ratio | 0.76% | 0.39% |
| Tracking Difference | -0.98% | -0.20% |
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% |
ZUH | -2.14% | -5.37% | -4.87% | +7.97% | -5.16% | |
| Flows | FHH | +$0 M | +$0 M | +$0 M | -$4 M | -$6 M |
ZUH | -$3 M | -$10 M | -$10 M | -$45 M | -$201 M |
FHH vs ZUH exposure
Countries
FHH
USA
95.47%
ZUH
USA
96.03%
Sectors
FHH
Health Care
93.76%
ZUH
Health Care
93.49%
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%
ZUH
UTD THERAPEUT
1.65%
US86627T1088
1.51%
INSMED
1.46%
BRIDGEBIO PHARMA
1.42%
METTLER TOLEDO
1.40%
PFIZER
1.38%
ROYALTY PHARMA
1.37%
MERCK & CO INC
1.37%
BIOGEN INC
1.36%
DAVITA INC
1.36%
Diversification
FHH
Total weight of top 10 holdings out of 75 total
25.20%
ZUH
Total weight of top 10 holdings out of 80 total
14.29%
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 | 0.34% | 0.58% |
| 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 May 7, 2026, FHH has returned -0.58% year to date, while ZUH has returned -4.87%. FHH is ahead on YTD performance.
Which ETF is larger by assets under management: FHH or ZUH?
As of May 7, 2026, FHH manages $6.26 M in assets, while ZUH manages $163.04 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 Health Care. ZUH is most exposed to Health Care.
Which ETF is attracting more investor flows: FHH or ZUH?
Year to date, FHH has seen +$0.00 M in net flows, compared with -$10.10 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 ACADIA HEALTHCARE COMPANY and APELLIS PHARMACEUTICALS. ZUH's top holdings include UTD THERAPEUT and INSMED.
Which ETF is more diversified: FHH or ZUH?
FHH holds 71 securities, while ZUH holds 74. On holdings count, ZUH is the more diversified portfolio.
Recent articles about FHH and ZUH
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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.