VS
First Trust AlphaDEX U.S. Health Care Sector Index ETF (FHH) and BMO Covered Call Health Care ETF (ZWHC) offer distinct profiles for Canadian ETF investors. A direct comparison shows that FHH focuses its top 3 sector exposures on Healthcare, while ZWHC leans towards Healthcare. When evaluating costs, FHH features a management fee (MER) of 0.7%, compared to 0.73% for ZWHC. Performance-wise, FHH has returned 11.9% year-to-date with -$2 M in net flows, whereas ZWHC is at 0% 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
ZWHC
| AuM | $4.69 M | $40.86 M |
| Management Fees | 0.70% | 0.73% |
| Exp. ratio | 0.76% | 0.73% |
| Tracking Difference | -0.99% | - |
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% |
ZWHC | +4.48% | +3.23% | +0.00% | +11.53% | +18.87% | |
| Flows | FHH | -$0 M | -$2 M | -$2 M | -$6 M | -$8 M |
ZWHC | +$3 M | +$10 M | +$13 M | +$17 M | +$35 M |
FHH vs ZWHC exposure
Countries
FHH
USA
95.99%
ZWHC
USA
95.83%
Sectors
FHH
Healthcare
99.84%
ZWHC
Healthcare
100.25%
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%
ZWHC
UnitedHealth Group, Inc.
6.60%
Elevance Health, Inc.
6.48%
Eli Lilly & Co.
6.28%
The Cigna Group
5.42%
Vertex Pharmaceuticals, Inc.
5.23%
Merck & Co., Inc.
5.19%
Thermo Fisher Scientific, Inc.
5.12%
Gilead Sciences, Inc.
5.07%
Danaher Corp.
4.98%
Johnson & Johnson
4.95%
Diversification
FHH
Total weight of top 10 holdings out of 76 total
27.45%
ZWHC
Total weight of top 10 holdings out of 20 total
55.32%
Characteristics
Compare
FHH
ZWHC
| Provider | First Trust | BMO |
| Management | Passively managed | Actively managed |
| Benchmark | StrataQuant Health Care CAD Total Return Index - CAD | - |
| Replication Method | Direct (Physical) | |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.53% | 7.05% |
| Meets ESG criteria | No | No |
| Inception Date | October 30, 2014 | January 23, 2023 |
Frequently asked questions about FHH and ZWHC
Which ETF has performed better year to date: FHH or ZWHC?
As of July 16, 2026, FHH has returned 11.90% year to date, while ZWHC has returned 0.00%. FHH is ahead on YTD performance.
Which ETF is larger by assets under management: FHH or ZWHC?
As of July 16, 2026, FHH manages $4.69 M in assets, while ZWHC manages $40.86 M. ZWHC is the larger fund by AUM.
How are FHH and ZWHC managed?
FHH is passively managed by First Trust. It tracks the StrataQuant Health Care CAD Total Return Index - CAD benchmark. ZWHC is actively managed by BMO. It does not track an index.
What sectors do FHH and ZWHC emphasize?
FHH is most exposed to Healthcare. ZWHC is most exposed to Healthcare.
Which ETF is attracting more investor flows: FHH or ZWHC?
Year to date, FHH has seen -$2.10 M in net flows, compared with +$13.25 M for ZWHC. ZWHC has attracted more net investor money so far.
How do the fees of FHH and ZWHC compare?
FHH has an expense ratio of 0.76%, while ZWHC has an expense ratio of 0.73%.
What are the top holdings of FHH and ZWHC?
FHH's largest holdings include Humana, Inc., Organon & Co., and Elevance Health, Inc.. ZWHC's top holdings include UnitedHealth Group, Inc., Elevance Health, Inc., and Eli Lilly & Co..
Which ETF is more diversified: FHH or ZWHC?
FHH holds 76 securities, while ZWHC holds 20. On holdings count, FHH 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.