VS
When evaluating costs, MEDX features a management fee (MER) of 0.4%, compared to 0.08% for ZSP. Performance-wise, MEDX has returned 7.18% year-to-date with -$0 M in net flows, whereas ZSP is at 14.37% with +$458 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
MEDX
ZSP
| AuM | $2.36 M | $24,506.28 M |
| Management Fees | 0.40% | 0.08% |
| Exp. ratio | 0.40% | 0.09% |
| Tracking Difference | -0.58% | -0.25% |
Historical performance and flows
As of September 3, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | MEDX | +4.60% | +15.33% | +7.18% | +17.55% | - |
ZSP | -1.76% | +1.99% | +14.37% | +21.17% | +79.58% | |
| Flows | MEDX | -$1 M | -$0 M | -$0 M | -$0 M | - |
ZSP | +$63 M | +$125 M | +$458 M | +$892 M | +$5,270 M |
MEDX vs ZSP exposure
Countries
MEDX
Exposure data will be available soon
ZSP
USA
96.51%
Sectors
MEDX
Exposure data will be available soon
ZSP
Technology
44.85%
Finance
14.06%
Healthcare
8.98%
Consumer Non-Cyclicals
8.97%
Industrials
7.63%
Other
15.53%
As of September 3, 2026
Top 10 Holdings
MEDX
Exposure data will be available soon
ZSP
Apple, Inc.
7.66%
NVIDIA Corp.
7.39%
Microsoft Corp.
5.24%
Amazon.com, Inc.
3.61%
Alphabet, Inc.
3.07%
Broadcom Inc.
2.88%
Alphabet, Inc.
2.47%
Meta Platforms, Inc.
1.85%
Micron Technology, Inc.
1.55%
JPMorgan Chase & Co.
1.47%
Diversification
MEDX
Exposure data will be available soon
ZSP
Total weight of top 10 holdings out of 502 total
37.19%
Characteristics
Compare
MEDX
ZSP
| Provider | Global X | BMO |
| Management | Passively managed | Passively managed |
| Benchmark | VettaFi Equal Weight Global Healthcare NTR Index - CAD | S&P 500 CAD Total Return Index - CAD |
| Replication Method | Direct (Physical) | Direct (Physical) |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 1.41% | 0.76% |
| Meets ESG criteria | No | No |
| Inception Date | April 30, 2025 | November 14, 2012 |
Frequently asked questions about MEDX and ZSP
Which ETF has performed better year to date: MEDX or ZSP?
As of September 3, 2026, MEDX has returned 7.18% year to date, while ZSP has returned 14.37%. ZSP is ahead on YTD performance.
Which ETF is larger by assets under management: MEDX or ZSP?
As of September 3, 2026, MEDX manages $2.36 M in assets, while ZSP manages $24.51 B. ZSP is the larger fund by AUM.
How are MEDX and ZSP managed?
MEDX is passively managed by Global X. It tracks the VettaFi Equal Weight Global Healthcare NTR Index - CAD benchmark. ZSP is passively managed by BMO. It tracks the S&P 500 CAD Total Return Index - CAD benchmark.
Which ETF is attracting more investor flows: MEDX or ZSP?
Year to date, MEDX has seen -$0.08 M in net flows, compared with +$457.96 M for ZSP. ZSP has attracted more net investor money so far.
How do the fees of MEDX and ZSP compare?
MEDX has an expense ratio of 0.40%, while ZSP has an expense ratio of 0.09%.
Recent articles about MEDX and ZSP

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