VS
BMO Equal Weight U.S. Health Care Index ETF (ZUH) and iShares Global Healthcare Index ETF (XHC) offer distinct profiles for Canadian ETF investors. A direct comparison shows that ZUH focuses its top 3 sector exposures on Health Care, while XHC leans towards Health Care, Consumer Discretionary, and Consumer Staples. When evaluating costs, ZUH features a management fee (MER) of 0.35%, compared to 0.63% for XHC. Performance-wise, ZUH has returned 1.11% year-to-date with -$10 M in net flows, whereas XHC is at 1.14% with -$63 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
XHC
| AuM | $169.48 M | $491.71 M |
| Management Fees | 0.35% | 0.63% |
| Exp. ratio | 0.39% | 0.66% |
| Tracking Difference | -0.21% | -0.63% |
Historical performance and flows
As of June 11, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | ZUH | +4.99% | +1.36% | -1.11% | +9.42% | +1.09% |
XHC | +6.47% | +0.19% | -1.14% | +10.26% | +13.40% | |
| Flows | ZUH | +$0 M | -$7 M | -$10 M | -$36 M | -$191 M |
XHC | -$20 M | -$45 M | -$63 M | -$27 M | -$110 M |
ZUH vs XHC exposure
Countries
ZUH
USA
92.07%
Other
7.93%
XHC
USA
68.08%
Switzerland
10.40%
Other
21.52%
Sectors
ZUH
Health Care
89.62%
Other
10.38%
XHC
Health Care
89.82%
Other
8.80%
As of June 11, 2026
Top 10 Holdings
ZUH
REVOLUTION MEDICINES INC
1.84%
US86627T1088
1.78%
HUMANA
1.75%
ELEVANCE HEALTH INC
1.68%
UNITEDHEALTH GRP
1.67%
CENTENE
1.59%
WEST PHARM SVCS
1.55%
UTD THERAPEUT
1.54%
JAZZ PHARMACEUTICALS
1.42%
ROYALTY PHARMA
1.41%
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%
Diversification
ZUH
Total weight of top 10 holdings out of 79 total
16.21%
XHC
Total weight of top 10 holdings out of 113 total
46.33%
Characteristics
Compare
ZUH
XHC
| Provider | BMO | iShares |
| Management | Passively managed | Passively managed |
| Benchmark | Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD | S&P Global 1200 Health Care CAD Hedged Net Total Return Index - CAD |
| Replication Method | Direct (Physical) | |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.55% | 1.90% |
| Meets ESG criteria | No | No |
| Inception Date | May 19, 2010 | April 12, 2011 |
Frequently asked questions about ZUH and XHC
Which ETF has performed better year to date: ZUH or XHC?
As of June 11, 2026, ZUH has returned -1.11% year to date, while XHC has returned -1.14%. ZUH is ahead on YTD performance.
Which ETF is larger by assets under management: ZUH or XHC?
As of June 11, 2026, ZUH manages $169.48 M in assets, while XHC manages $491.71 M. XHC is the larger fund by AUM.
How are ZUH and XHC managed?
ZUH is passively managed by BMO. It tracks the Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD benchmark. XHC is passively managed by iShares. It tracks the S&P Global 1200 Health Care CAD Hedged Net Total Return Index - CAD benchmark.
What sectors do ZUH and XHC emphasize?
ZUH is most exposed to Health Care. XHC is most exposed to Health Care, Consumer Discretionary, and Consumer Staples.
Which ETF is attracting more investor flows: ZUH or XHC?
Year to date, ZUH has seen -$10.10 M in net flows, compared with -$63.06 M for XHC. ZUH has attracted more net investor money so far.
How do the fees of ZUH and XHC compare?
ZUH has an expense ratio of 0.39%, while XHC has an expense ratio of 0.66%.
What are the top holdings of ZUH and XHC?
ZUH's largest holdings include REVOLUTION MEDICINES INC and HUMANA. XHC's top holdings include LILLY and JOHNSON&JOHNSON.
Which ETF is more diversified: ZUH or XHC?
ZUH holds 73 securities, while XHC holds 102. On holdings count, XHC is the more diversified portfolio.
Recent articles about ZUH and XHC
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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.