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iShares Global Healthcare Index ETF (XHC) and BMO SPDR Health Care Select Sector Index ETF (ZXLV) offer distinct profiles for Canadian ETF investors. A direct comparison shows that XHC focuses its top 3 sector exposures on Healthcare, Consumer Non-Cyclicals, and Consumer Cyclicals, while ZXLV leans towards Healthcare and Consumer Non-Cyclicals. When evaluating costs, XHC features a management fee (MER) of 0.63%, compared to 0.21% for ZXLV. Performance-wise, XHC has returned 6.07% year-to-date with -$47 M in net flows, whereas ZXLV is at 10.76% with +$23 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
XHC
ZXLV
| AuM | $541.04 M | $39.77 M |
| Management Fees | 0.63% | 0.21% |
| Exp. ratio | 0.66% | 0.21% |
| Tracking Difference | -0.81% | - |
Historical performance and flows
As of July 29, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | XHC | +2.96% | +14.36% | +6.07% | +20.22% | +20.11% |
ZXLV | +2.33% | +20.01% | +10.76% | +27.91% | - | |
| Flows | XHC | +$11 M | -$6 M | -$47 M | -$10 M | -$91 M |
ZXLV | +$16 M | +$20 M | +$23 M | +$36 M | - |
XHC vs ZXLV exposure
Countries
XHC
USA
69.39%
Switzerland
10.35%
Other
20.26%
ZXLV
USA
97.92%
Sectors
XHC
Healthcare
96.86%
ZXLV
Healthcare
97.73%
As of July 29, 2026
Top 10 Holdings
XHC
Eli Lilly & Co.
10.91%
Johnson & Johnson
7.03%
AbbVie, Inc.
5.11%
UnitedHealth Group, Inc.
4.39%
Merck & Co., Inc.
4.11%
AstraZeneca PLC
3.76%
Roche Holding AG
3.75%
Novartis AG
3.72%
Amgen, Inc.
2.53%
Thermo Fisher Scientific, Inc.
2.41%
ZXLV
Eli Lilly & Co.
16.57%
Johnson & Johnson
10.68%
AbbVie, Inc.
7.76%
UnitedHealth Group, Inc.
6.59%
Merck & Co., Inc.
5.54%
Amgen, Inc.
3.41%
Thermo Fisher Scientific, Inc.
3.25%
Abbott Laboratories
2.76%
Gilead Sciences, Inc.
2.74%
Intuitive Surgical, Inc.
2.46%
Diversification
XHC
Total weight of top 10 holdings out of 111 total
47.72%
ZXLV
Total weight of top 10 holdings out of 59 total
61.77%
Characteristics
Compare
XHC
ZXLV
| Provider | iShares | BMO |
| Management | Passively managed | Passively managed |
| Benchmark | S&P Global 1200 Health Care CAD Hedged Net Total Return Index - CAD | S&P Health Care Select Sector Total Return Index - USD |
| Replication Method | ||
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 1.82% | 0.45% |
| Meets ESG criteria | No | No |
| Inception Date | April 12, 2011 | February 2, 2025 |
Frequently asked questions about XHC and ZXLV
Which ETF has performed better year to date: XHC or ZXLV?
As of July 29, 2026, XHC has returned 6.07% year to date, while ZXLV has returned 10.76%. ZXLV is ahead on YTD performance.
Which ETF is larger by assets under management: XHC or ZXLV?
As of July 29, 2026, XHC manages $541.04 M in assets, while ZXLV manages $39.77 M. XHC is the larger fund by AUM.
How are XHC and ZXLV managed?
XHC is passively managed by iShares. It tracks the S&P Global 1200 Health Care CAD Hedged Net Total Return Index - CAD benchmark. ZXLV is passively managed by BMO. It tracks the S&P Health Care Select Sector Total Return Index - USD benchmark.
What sectors do XHC and ZXLV emphasize?
XHC is most exposed to Healthcare, Consumer Non-Cyclicals, and Consumer Cyclicals. ZXLV is most exposed to Healthcare and Consumer Non-Cyclicals.
Which ETF is attracting more investor flows: XHC or ZXLV?
Year to date, XHC has seen -$47.21 M in net flows, compared with +$23.14 M for ZXLV. ZXLV has attracted more net investor money so far.
How do the fees of XHC and ZXLV compare?
XHC has an expense ratio of 0.66%, while ZXLV has an expense ratio of 0.21%.
What are the top holdings of XHC and ZXLV?
XHC's largest holdings include Eli Lilly & Co., Johnson & Johnson, and AbbVie, Inc.. ZXLV's top holdings include Eli Lilly & Co., Johnson & Johnson, and AbbVie, Inc..
Which ETF is more diversified: XHC or ZXLV?
XHC holds 110 securities, while ZXLV holds 59. On holdings count, XHC is the more diversified portfolio.
Recent articles about XHC and ZXLV
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