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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 Health Care, Consumer Discretionary, and Consumer Staples, while ZXLV leans towards Health Care. When evaluating costs, XHC features a management fee (MER) of 0.63%, compared to 0.21% for ZXLV. Performance-wise, XHC has returned 1.14% year-to-date with -$63 M in net flows, whereas ZXLV is at 1.57% with +$7 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 | $491.71 M | $21.27 M |
| Management Fees | 0.63% | 0.21% |
| Exp. ratio | 0.66% | 0.21% |
| Tracking Difference | -0.63% | - |
Historical performance and flows
As of June 11, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | XHC | +6.47% | +0.19% | -1.14% | +10.26% | +13.40% |
ZXLV | +9.94% | +3.95% | +1.57% | +17.59% | - | |
| Flows | XHC | -$20 M | -$45 M | -$63 M | -$27 M | -$110 M |
ZXLV | +$4 M | +$4 M | +$7 M | +$19 M | - |
XHC vs ZXLV exposure
Countries
XHC
USA
68.08%
Switzerland
10.40%
Other
21.52%
ZXLV
USA
97.39%
Sectors
XHC
Health Care
89.82%
Other
8.80%
ZXLV
Health Care
98.41%
As of June 11, 2026
Top 10 Holdings
XHC
LILLY
9.68%
JOHNSON&JOHNSON
7.24%
ABBVIE
4.88%
UNITEDHEALTH GRP
4.49%
ASTRAZENECA
3.93%
CH1499059983
3.82%
NOVARTIS
3.77%
MERCK & CO INC
3.62%
AMGEN-T
2.49%
THERMO FISHER SCIENTIFIC
2.41%
ZXLV
LILLY
14.09%
JOHNSON&JOHNSON
10.54%
ABBVIE
7.10%
UNITEDHEALTH GRP
6.38%
MERCK & CO INC
5.15%
AMGEN-T
3.55%
THERMO FISHER SCIENTIFIC
3.42%
INTUITIVE SURGICAL
3.09%
GILEAD SCIENCES
3.09%
ABBOTT LABS
3.00%
Diversification
XHC
Total weight of top 10 holdings out of 113 total
46.33%
ZXLV
Total weight of top 10 holdings out of 58 total
59.41%
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 | 1.90% | 0.49% |
| 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 June 11, 2026, XHC has returned -1.14% year to date, while ZXLV has returned 1.57%. ZXLV is ahead on YTD performance.
Which ETF is larger by assets under management: XHC or ZXLV?
As of June 11, 2026, XHC manages $491.71 M in assets, while ZXLV manages $21.27 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 Health Care, Consumer Discretionary, and Consumer Staples. ZXLV is most exposed to Health Care.
Which ETF is attracting more investor flows: XHC or ZXLV?
Year to date, XHC has seen -$63.06 M in net flows, compared with +$6.68 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 LILLY and JOHNSON&JOHNSON. ZXLV's top holdings include LILLY, JOHNSON&JOHNSON, and ABBVIE.
Which ETF is more diversified: XHC or ZXLV?
XHC holds 102 securities, while ZXLV holds 55. On holdings count, XHC is the more diversified portfolio.
Recent articles about XHC and ZXLV
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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.