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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 Health Care, while XHC leans towards Health Care, Consumer Discretionary, and Consumer Staples. When evaluating costs, ZXLV features a management fee (MER) of 0.21%, compared to 0.63% for XHC. Performance-wise, ZXLV has returned 6.84% year-to-date with +$3 M in net flows, whereas XHC is at 5.92% with -$43 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 | $16.03 M | $487.77 M |
| Management Fees | 0.21% | 0.63% |
| Exp. ratio | 0.21% | 0.66% |
| Tracking Difference | - | -0.38% |
Historical performance and flows
As of May 1, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | ZXLV | -3.81% | -7.00% | -6.84% | +5.74% | - |
XHC | -2.84% | -7.36% | -5.92% | +4.99% | +5.75% | |
| Flows | ZXLV | -$0 M | -$1 M | +$3 M | +$16 M | - |
XHC | -$2 M | -$65 M | -$43 M | -$32 M | -$100 M |
ZXLV vs XHC exposure
Countries
ZXLV
USA
97.26%
XHC
USA
68.45%
Switzerland
10.21%
Other
21.34%
Sectors
ZXLV
Health Care
98.29%
XHC
Health Care
90.44%
Other
8.08%
As of May 1, 2026
Top 10 Holdings
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%
XHC
LILLY
9.49%
JOHNSON&JOHNSON
7.67%
ABBVIE
5.01%
ASTRAZENECA
4.00%
MERCK & CO INC
3.98%
NOVARTIS
3.81%
CH1499059983
3.67%
UNITEDHEALTH GRP
3.27%
AMGEN-T
2.53%
THERMO FISHER SCIENTIFIC
2.46%
Diversification
ZXLV
Total weight of top 10 holdings out of 59 total
59.10%
XHC
Total weight of top 10 holdings out of 114 total
45.88%
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 | 0.54% | 1.99% |
| 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 May 1, 2026, ZXLV has returned -6.84% year to date, while XHC has returned -5.92%. XHC is ahead on YTD performance.
Which ETF is larger by assets under management: ZXLV or XHC?
As of May 1, 2026, ZXLV manages $16.03 M in assets, while XHC manages $487.77 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 Health Care. XHC is most exposed to Health Care, Consumer Discretionary, and Consumer Staples.
Which ETF is attracting more investor flows: ZXLV or XHC?
Year to date, ZXLV has seen +$3.13 M in net flows, compared with -$43.19 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 LILLY, JOHNSON&JOHNSON, and ABBVIE. XHC's top holdings include LILLY and JOHNSON&JOHNSON.
Which ETF is more diversified: ZXLV or XHC?
ZXLV holds 56 securities, while XHC holds 104. 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.