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Compare BMO Equal Weight U.S. Health Care Index ETF (ZUH) vs BMO SPDR Health Care Select Sector Index ETF (ZXLV) to find the best fit for your portfolio. ZUH and ZXLV provide the same top sector exposures: Health Care. When evaluating costs, ZUH features a management fee (MER) of 0.35%, compared to 0.21% for ZXLV. Performance-wise, ZUH has returned 5.68% year-to-date with -$10 M in net flows, whereas ZXLV is at 6.84% with +$3 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
ZXLV
| AuM | $161.64 M | $16.03 M |
| Management Fees | 0.35% | 0.21% |
| Exp. ratio | 0.39% | 0.21% |
| Tracking Difference | -0.20% | - |
Historical performance and flows
As of May 1, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | ZUH | -1.27% | -6.47% | -5.68% | +6.98% | -7.38% |
ZXLV | -3.81% | -7.00% | -6.84% | +5.74% | - | |
| Flows | ZUH | -$3 M | -$10 M | -$10 M | -$42 M | -$205 M |
ZXLV | -$0 M | -$1 M | +$3 M | +$16 M | - |
ZUH vs ZXLV exposure
Countries
ZUH
USA
96.03%
ZXLV
USA
97.26%
Sectors
ZUH
Health Care
93.49%
ZXLV
Health Care
98.29%
As of May 1, 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%
ZXLV
LILLY
13.74%
JOHNSON&JOHNSON
11.10%
ABBVIE
7.25%
MERCK & CO INC
5.63%
UNITEDHEALTH GRP
4.62%
AMGEN-T
3.57%
THERMO FISHER SCIENTIFIC
3.48%
ABBOTT LABS
3.37%
GILEAD SCIENCES
3.26%
INTUITIVE SURGICAL
3.09%
Diversification
ZUH
Total weight of top 10 holdings out of 80 total
14.29%
ZXLV
Total weight of top 10 holdings out of 59 total
59.10%
Characteristics
Compare
ZUH
ZXLV
| Provider | BMO | BMO |
| Management | Passively managed | Passively managed |
| Benchmark | Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD | S&P Health Care Select Sector Total Return Index - USD |
| Replication Method | Direct (Physical) | |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.58% | 0.54% |
| Meets ESG criteria | No | No |
| Inception Date | May 19, 2010 | February 2, 2025 |
Frequently asked questions about ZUH and ZXLV
Which ETF has performed better year to date: ZUH or ZXLV?
As of May 1, 2026, ZUH has returned -5.68% year to date, while ZXLV has returned -6.84%. ZUH is ahead on YTD performance.
Which ETF is larger by assets under management: ZUH or ZXLV?
As of May 1, 2026, ZUH manages $161.64 M in assets, while ZXLV manages $16.03 M. ZUH is the larger fund by AUM.
How are ZUH and ZXLV managed?
ZUH is passively managed by BMO. It tracks the Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD benchmark. ZXLV is passively managed by BMO. It tracks the S&P Health Care Select Sector Total Return Index - USD benchmark.
What sectors do ZUH and ZXLV emphasize?
ZUH is most exposed to Health Care. ZXLV is most exposed to Health Care.
Which ETF is attracting more investor flows: ZUH or ZXLV?
Year to date, ZUH has seen -$10.10 M in net flows, compared with +$3.13 M for ZXLV. ZXLV has attracted more net investor money so far.
How do the fees of ZUH and ZXLV compare?
ZUH has an expense ratio of 0.39%, while ZXLV has an expense ratio of 0.21%.
What are the top holdings of ZUH and ZXLV?
ZUH's largest holdings include UTD THERAPEUT and INSMED. ZXLV's top holdings include LILLY, JOHNSON&JOHNSON, and ABBVIE.
Which ETF is more diversified: ZUH or ZXLV?
ZUH holds 74 securities, while ZXLV holds 56. On holdings count, ZUH is the more diversified portfolio.
Recent articles about ZUH and ZXLV
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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.