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BMO SPDR Health Care Select Sector Index ETF (ZXLV) and iShares Global Healthcare Index ETF (XHC) offer distinct profiles for Canadian ETF investors. A direct comparison shows that ZXLV focuses its top 3 sector exposures on Healthcare and Consumer Non-Cyclicals, while XHC leans towards Healthcare, Consumer Non-Cyclicals, and Consumer Cyclicals. When evaluating costs, ZXLV features a management fee (MER) of 0.21%, compared to 0.63% for XHC. Performance-wise, ZXLV has returned 11.66% year-to-date with +$24 M in net flows, whereas XHC is at 5.67% with -$38 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
ZXLV
XHC
| AuM | $41.77 M | $548.22 M |
| Management Fees | 0.21% | 0.63% |
| Exp. ratio | 0.21% | 0.66% |
| Tracking Difference | - | -0.47% |
Historical performance and flows
As of September 18, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | ZXLV | -0.13% | +11.98% | +11.66% | +25.97% | - |
XHC | -1.27% | +10.09% | +5.67% | +17.70% | +20.73% | |
| Flows | ZXLV | -$4 M | +$17 M | +$24 M | +$35 M | - |
XHC | +$7 M | +$20 M | -$38 M | -$9 M | -$85 M |
ZXLV vs XHC exposure
Countries
ZXLV
USA
97.53%
XHC
USA
68.97%
Switzerland
10.28%
Other
20.75%
Sectors
ZXLV
Healthcare
97.51%
XHC
Healthcare
96.07%
As of September 18, 2026
Top 10 Holdings
ZXLV
Eli Lilly & Co.
15.48%
Johnson & Johnson
10.51%
AbbVie, Inc.
7.55%
UnitedHealth Group, Inc.
6.41%
Merck & Co., Inc.
5.48%
Thermo Fisher Scientific, Inc.
3.64%
Amgen, Inc.
3.54%
Abbott Laboratories
3.14%
Gilead Sciences, Inc.
2.75%
Pfizer Inc.
2.43%
XHC
Eli Lilly & Co.
10.16%
Johnson & Johnson
6.85%
AbbVie, Inc.
5.06%
UnitedHealth Group, Inc.
4.30%
Merck & Co., Inc.
4.02%
Roche Holding AG
3.85%
Novartis AG
3.60%
AstraZeneca PLC
3.32%
Thermo Fisher Scientific, Inc.
2.68%
Amgen, Inc.
2.62%
Diversification
ZXLV
Total weight of top 10 holdings out of 59 total
60.94%
XHC
Total weight of top 10 holdings out of 111 total
46.47%
Characteristics
Compare
ZXLV
XHC
| Provider | BMO | iShares |
| Management | Passively managed | Passively managed |
| Benchmark | S&P Health Care Select Sector Total Return Index - USD | S&P Global 1200 Health Care CAD Hedged Net Total Return Index - CAD |
| Replication Method | ||
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.45% | 1.83% |
| Meets ESG criteria | No | No |
| Inception Date | February 2, 2025 | April 12, 2011 |
Frequently asked questions about ZXLV and XHC
Which ETF has performed better year to date: ZXLV or XHC?
As of September 18, 2026, ZXLV has returned 11.66% year to date, while XHC has returned 5.67%. ZXLV is ahead on YTD performance.
Which ETF is larger by assets under management: ZXLV or XHC?
As of September 18, 2026, ZXLV manages $41.77 M in assets, while XHC manages $548.22 M. XHC is the larger fund by AUM.
How are ZXLV and XHC managed?
ZXLV is passively managed by BMO. It tracks the S&P Health Care Select Sector Total Return Index - USD 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 ZXLV and XHC emphasize?
ZXLV is most exposed to Healthcare and Consumer Non-Cyclicals. XHC is most exposed to Healthcare, Consumer Non-Cyclicals, and Consumer Cyclicals.
Which ETF is attracting more investor flows: ZXLV or XHC?
Year to date, ZXLV has seen +$24.47 M in net flows, compared with -$37.99 M for XHC. ZXLV has attracted more net investor money so far.
How do the fees of ZXLV and XHC compare?
ZXLV has an expense ratio of 0.21%, while XHC has an expense ratio of 0.66%.
What are the top holdings of ZXLV and XHC?
ZXLV's largest holdings include Eli Lilly & Co., Johnson & Johnson, and AbbVie, Inc.. XHC's top holdings include Eli Lilly & Co., Johnson & Johnson, and AbbVie, Inc..
Which ETF is more diversified: ZXLV or XHC?
ZXLV holds 59 securities, while XHC holds 110. On holdings count, XHC is the more diversified portfolio.
Recent articles about ZXLV 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.