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Compare BMO Equal Weight U.S. Health Care Index ETF (ZUH) vs First Trust NYSE Arca Biotechnology ETF (FBT) to find the best fit for your portfolio. ZUH and FBT provide the same top sector exposures: Health Care. When evaluating costs, ZUH features a management fee (MER) of 0.35%, compared to 0.15% for FBT. Performance-wise, ZUH has returned 5.46% year-to-date with -$10 M in net flows, whereas FBT is at 0.03% with +$2 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
ZUH
FBT
| AuM | $162.03 M | $3.93 M |
| Management Fees | 0.35% | 0.15% |
| Exp. ratio | 0.39% | 0.71% |
| Tracking Difference | -0.20% | - |
Historical performance and flows
As of May 4, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | ZUH | -0.73% | -6.37% | -5.46% | +5.67% | -5.61% |
FBT | +1.36% | -2.64% | -0.03% | +24.69% | +37.16% | |
| Flows | ZUH | -$3 M | -$10 M | -$10 M | -$42 M | -$201 M |
FBT | +$0 M | +$2 M | +$2 M | +$2 M | +$1 M |
ZUH vs FBT exposure
Countries
ZUH
USA
96.03%
FBT
USA
95.76%
Sectors
ZUH
Health Care
93.49%
FBT
Health Care
90.59%
Other
9.41%
As of May 4, 2026
Top 10 Holdings
ZUH
UTD THERAPEUT
1.65%
US86627T1088
1.51%
INSMED
1.46%
BRIDGEBIO PHARMA
1.42%
METTLER TOLEDO
1.40%
PFIZER
1.38%
ROYALTY PHARMA
1.37%
MERCK & CO INC
1.37%
BIOGEN INC
1.36%
DAVITA INC
1.36%
FBT
MODERNA INC
5.14%
ALKERMES
4.16%
UTD THERAPEUT
4.15%
GILEAD SCIENCES
4.08%
CORCEPT THERAPEUTICS
3.94%
AXSOME THERA CMN STK
3.91%
AMGEN-T
3.81%
EXELIXIS
3.52%
KRYSTAL BIOTECH INC
3.49%
BIOGEN INC
3.45%
Diversification
ZUH
Total weight of top 10 holdings out of 80 total
14.29%
FBT
Total weight of top 10 holdings out of 30 total
39.65%
Characteristics
Compare
ZUH
FBT
| Provider | BMO | First Trust |
| Management | Passively managed | Passively managed |
| Benchmark | Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD | NYSE Arca Biotechnology Total Return Index - USD |
| Replication Method | Direct (Physical) | |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.58% | 0.00% |
| Meets ESG criteria | No | No |
| Inception Date | May 19, 2010 | October 30, 2014 |
Frequently asked questions about ZUH and FBT
Which ETF has performed better year to date: ZUH or FBT?
As of May 4, 2026, ZUH has returned -5.46% year to date, while FBT has returned -0.03%. FBT is ahead on YTD performance.
Which ETF is larger by assets under management: ZUH or FBT?
As of May 4, 2026, ZUH manages $162.03 M in assets, while FBT manages $3.93 M. ZUH is the larger fund by AUM.
How are ZUH and FBT managed?
ZUH is passively managed by BMO. It tracks the Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD benchmark. FBT is passively managed by First Trust. It tracks the NYSE Arca Biotechnology Total Return Index - USD benchmark.
What sectors do ZUH and FBT emphasize?
ZUH is most exposed to Health Care. FBT is most exposed to Health Care.
Which ETF is attracting more investor flows: ZUH or FBT?
Year to date, ZUH has seen -$10.10 M in net flows, compared with +$2.12 M for FBT. FBT has attracted more net investor money so far.
How do the fees of ZUH and FBT compare?
ZUH has an expense ratio of 0.39%, while FBT has an expense ratio of 0.71%.
What are the top holdings of ZUH and FBT?
ZUH's largest holdings include UTD THERAPEUT and INSMED. FBT's top holdings include MODERNA INC and ALKERMES.
Which ETF is more diversified: ZUH or FBT?
ZUH holds 74 securities, while FBT holds 28. On holdings count, ZUH is the more diversified portfolio.
Recent articles about ZUH and FBT
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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.