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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 Healthcare, while XHC leans towards Healthcare, Consumer Non-Cyclicals, and Consumer Cyclicals. When evaluating costs, ZUH features a management fee (MER) of 0.35%, compared to 0.63% for XHC. Performance-wise, ZUH has returned 8.32% year-to-date with -$13 M in net flows, whereas XHC is at 6.07% with -$47 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 | $181.89 M | $541.04 M |
| Management Fees | 0.35% | 0.63% |
| Exp. ratio | 0.39% | 0.66% |
| Tracking Difference | -0.23% | -0.81% |
Historical performance and flows
As of July 29, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | ZUH | +3.67% | +15.35% | +8.32% | +20.01% | +8.59% |
XHC | +2.96% | +14.36% | +6.07% | +20.22% | +20.11% | |
| Flows | ZUH | +$0 M | -$7 M | -$13 M | -$33 M | -$184 M |
XHC | +$11 M | -$6 M | -$47 M | -$10 M | -$91 M |
ZUH vs XHC exposure
Countries
ZUH
USA
98.17%
XHC
USA
69.39%
Switzerland
10.35%
Other
20.26%
Sectors
ZUH
Healthcare
103.05%
XHC
Healthcare
96.86%
As of July 29, 2026
Top 10 Holdings
ZUH
Humana, Inc.
2.64%
Revolution Medicines, Inc.
2.38%
Guardant Health, Inc.
2.05%
Centene Corp.
1.80%
UnitedHealth Group, Inc.
1.78%
DaVita, Inc.
1.77%
Illumina, Inc.
1.77%
West Pharmaceutical Services, Inc.
1.75%
Natera, Inc.
1.67%
Elevance Health, Inc.
1.63%
XHC
Eli Lilly & Co.
10.91%
Johnson & Johnson
7.03%
AbbVie, Inc.
5.11%
UnitedHealth Group, Inc.
4.39%
Merck & Co., Inc.
4.11%
AstraZeneca PLC
3.76%
Roche Holding AG
3.75%
Novartis AG
3.72%
Amgen, Inc.
2.53%
Thermo Fisher Scientific, Inc.
2.41%
Diversification
ZUH
Total weight of top 10 holdings out of 79 total
19.22%
XHC
Total weight of top 10 holdings out of 111 total
47.72%
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 | 0.51% | 1.82% |
| 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 July 29, 2026, ZUH has returned 8.32% year to date, while XHC has returned 6.07%. ZUH is ahead on YTD performance.
Which ETF is larger by assets under management: ZUH or XHC?
As of July 29, 2026, ZUH manages $181.89 M in assets, while XHC manages $541.04 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 Healthcare. XHC is most exposed to Healthcare, Consumer Non-Cyclicals, and Consumer Cyclicals.
Which ETF is attracting more investor flows: ZUH or XHC?
Year to date, ZUH has seen -$13.48 M in net flows, compared with -$47.21 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 Humana, Inc., Revolution Medicines, Inc., and Guardant Health, Inc.. XHC's top holdings include Eli Lilly & Co., Johnson & Johnson, and AbbVie, Inc..
Which ETF is more diversified: ZUH or XHC?
ZUH holds 79 securities, while XHC holds 110. On holdings count, XHC is the more diversified portfolio.
Recent articles about ZUH and XHC
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