VS
BMO Equal Weight US Health Care Index ETF (ZHU) and First Trust AlphaDEX U.S. Health Care Sector Index ETF (FHH.F) offer distinct profiles for Canadian ETF investors. A direct comparison shows that ZHU focuses its top 3 sector exposures on Healthcare, while FHH.F leans towards Healthcare. When evaluating costs, ZHU features a management fee (MER) of 0.35%, compared to 0.7% for FHH.F. Performance-wise, ZHU has returned 19.66% year-to-date with +$0 M in net flows, whereas FHH.F is at 14.88% with +$0 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
ZHU
FHH.F
| AuM | $11.67 M | $3.42 M |
| Management Fees | 0.35% | 0.70% |
| Exp. ratio | 0.40% | 0.76% |
| Tracking Difference | 4.48% | - |
Historical performance and flows
As of October 19, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | ZHU | +2.69% | +11.02% | +19.66% | +21.71% | +40.03% |
FHH.F | +1.13% | +8.10% | +14.88% | +14.93% | +34.83% | |
| Flows | ZHU | +$0 M | +$0 M | +$0 M | +$0 M | -$6 M |
FHH.F | +$0 M | +$0 M | +$0 M | +$0 M | +$0 M |
ZHU vs FHH.F exposure
Countries
ZHU
USA
95.31%
FHH.F
USA
93.13%
Sectors
ZHU
Healthcare
100.00%
FHH.F
Healthcare
98.23%
As of October 19, 2026
Top 10 Holdings
ZHU
Moderna, Inc.
2.85%
Humana, Inc.
2.32%
Revolution Medicines, Inc.
2.29%
Guardant Health, Inc.
1.92%
Illumina, Inc.
1.87%
Natera, Inc.
1.79%
IQVIA Holdings, Inc.
1.62%
Centene Corp.
1.61%
Baxter International, Inc.
1.60%
Veeva Systems, Inc.
1.53%
FHH.F
Regeneron Pharmaceuticals, Inc.
2.86%
Pfizer Inc.
2.56%
Solventum Corp.
2.55%
Natera, Inc.
2.55%
Zimmer Biomet Holdings, Inc.
2.49%
Universal Health Services, Inc.
2.48%
Boston Scientific Corp.
2.43%
Guardant Health, Inc.
2.37%
Tenet Healthcare Corp.
2.29%
Halozyme Therapeutics, Inc.
2.22%
Diversification
ZHU
Total weight of top 10 holdings out of 79 total
19.39%
FHH.F
Total weight of top 10 holdings out of 72 total
24.80%
Characteristics
Compare
ZHU
FHH.F
| Provider | BMO | First Trust |
| Management | Passively managed | Passively managed |
| Benchmark | Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD | StrataQuant Health Care Index - USD |
| Replication Method | Direct (Physical) | Direct (Physical) |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.45% | 0.47% |
| Meets ESG criteria | No | No |
| Inception Date | February 15, 2019 | December 7, 2017 |
Frequently asked questions about ZHU and FHH.F
Which ETF has performed better year to date: ZHU or FHH.F?
As of October 19, 2026, ZHU has returned 19.66% year to date, while FHH.F has returned 14.88%. ZHU is ahead on YTD performance.
Which ETF is larger by assets under management: ZHU or FHH.F?
As of October 19, 2026, ZHU manages $11.67 M in assets, while FHH.F manages $3.42 M. ZHU is the larger fund by AUM.
How are ZHU and FHH.F managed?
ZHU is passively managed by BMO. It tracks the Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD benchmark. FHH.F is passively managed by First Trust. It tracks the StrataQuant Health Care Index - USD benchmark.
What sectors do ZHU and FHH.F emphasize?
ZHU is most exposed to Healthcare. FHH.F is most exposed to Healthcare.
Which ETF is attracting more investor flows: ZHU or FHH.F?
Year to date, ZHU has seen +$0.00 M in net flows, compared with +$0.00 M for FHH.F. ZHU has attracted more net investor money so far.
How do the fees of ZHU and FHH.F compare?
ZHU has an expense ratio of 0.40%, while FHH.F has an expense ratio of 0.76%.
What are the top holdings of ZHU and FHH.F?
ZHU's largest holdings include Moderna, Inc., Humana, Inc., and Revolution Medicines, Inc.. FHH.F's top holdings include Regeneron Pharmaceuticals, Inc., Pfizer Inc., and Solventum Corp..
Which ETF is more diversified: ZHU or FHH.F?
ZHU holds 79 securities, while FHH.F holds 72. On holdings count, ZHU is the more diversified portfolio.
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