VS
BMO Equal Weight U.S. Health Care Index ETF (ZUH) and First Trust AlphaDEX U.S. Health Care Sector Index ETF (FHH) offer distinct profiles for Canadian ETF investors. A direct comparison shows that ZUH focuses its top 3 sector exposures on Health Care, while FHH leans towards Health Care. When evaluating costs, ZUH features a management fee (MER) of 0.35%, compared to 0.7% for FHH. Performance-wise, ZUH has returned 5.68% year-to-date with -$10 M in net flows, whereas FHH is at 1.76% 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
ZUH
FHH
| AuM | $161.64 M | $6.19 M |
| Management Fees | 0.35% | 0.70% |
| Exp. ratio | 0.39% | 0.76% |
| Tracking Difference | -0.20% | -0.98% |
Historical performance and flows
As of April 30, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | ZUH | -1.27% | -6.47% | -5.68% | +6.98% | -7.38% |
FHH | +4.43% | -1.57% | -1.76% | +10.89% | +3.67% | |
| Flows | ZUH | -$3 M | -$10 M | -$10 M | -$42 M | -$205 M |
FHH | +$0 M | +$0 M | -$0 M | -$4 M | -$6 M |
ZUH vs FHH exposure
Countries
ZUH
USA
96.03%
FHH
USA
95.47%
Sectors
ZUH
Health Care
93.49%
FHH
Health Care
93.76%
As of April 30, 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%
FHH
ACADIA HEALTHCARE COMPANY
3.83%
APELLIS PHARMACEUTICALS
2.95%
PFIZER
2.63%
BIOGEN INC
2.40%
CARDINAL HEALTH
2.37%
HCA HEALTHCARE
2.33%
INCYTE
2.19%
IONIS PHARMACEUTICALS INC
2.18%
INSMED
2.17%
UTD THERAPEUT
2.15%
Diversification
ZUH
Total weight of top 10 holdings out of 80 total
14.29%
FHH
Total weight of top 10 holdings out of 75 total
25.20%
Characteristics
Compare
ZUH
FHH
| 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 CAD Total Return Index - CAD |
| Replication Method | Direct (Physical) | Direct (Physical) |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.58% | 0.34% |
| Meets ESG criteria | No | No |
| Inception Date | May 19, 2010 | October 30, 2014 |
Frequently asked questions about ZUH and FHH
Which ETF has performed better year to date: ZUH or FHH?
As of April 30, 2026, ZUH has returned -5.68% year to date, while FHH has returned -1.76%. FHH is ahead on YTD performance.
Which ETF is larger by assets under management: ZUH or FHH?
As of April 30, 2026, ZUH manages $161.64 M in assets, while FHH manages $6.19 M. ZUH is the larger fund by AUM.
How are ZUH and FHH managed?
ZUH is passively managed by BMO. It tracks the Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD benchmark. FHH is passively managed by First Trust. It tracks the StrataQuant Health Care CAD Total Return Index - CAD benchmark.
What sectors do ZUH and FHH emphasize?
ZUH is most exposed to Health Care. FHH is most exposed to Health Care.
Which ETF is attracting more investor flows: ZUH or FHH?
Year to date, ZUH has seen -$10.10 M in net flows, compared with -$0.00 M for FHH. FHH has attracted more net investor money so far.
How do the fees of ZUH and FHH compare?
ZUH has an expense ratio of 0.39%, while FHH has an expense ratio of 0.76%.
What are the top holdings of ZUH and FHH?
ZUH's largest holdings include UTD THERAPEUT and INSMED. FHH's top holdings include ACADIA HEALTHCARE COMPANY and APELLIS PHARMACEUTICALS.
Which ETF is more diversified: ZUH or FHH?
ZUH holds 74 securities, while FHH holds 71. On holdings count, ZUH is the more diversified portfolio.
Recent articles about ZUH and FHH
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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.