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Compare BMO SPDR Health Care Select Sector Index ETF (ZXLV) vs BMO Equal Weight U.S. Health Care Index ETF (ZUH) to find the best fit for your portfolio. ZXLV provides Healthcare and Consumer Non-Cyclicals exposures, while ZUH is primarily weighted in Healthcare. When evaluating costs, ZXLV features a management fee (MER) of 0.21%, compared to 0.35% for ZUH. Performance-wise, ZXLV has returned 11.88% year-to-date with +$23 M in net flows, whereas ZUH is at 8.55% with -$13 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
ZUH
| AuM | $40.17 M | $182.27 M |
| Management Fees | 0.21% | 0.35% |
| Exp. ratio | 0.21% | 0.39% |
| Tracking Difference | - | -0.23% |
Historical performance and flows
As of July 28, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | ZXLV | +3.36% | +20.34% | +11.88% | +28.76% | - |
ZUH | +3.89% | +14.62% | +8.55% | +20.15% | +8.01% | |
| Flows | ZXLV | +$16 M | +$20 M | +$23 M | +$36 M | - |
ZUH | +$0 M | -$7 M | -$13 M | -$33 M | -$184 M |
ZXLV vs ZUH exposure
Countries
ZXLV
USA
97.92%
ZUH
USA
98.17%
Sectors
ZXLV
Healthcare
97.73%
ZUH
Healthcare
103.05%
As of July 28, 2026
Top 10 Holdings
ZXLV
Eli Lilly & Co.
16.57%
Johnson & Johnson
10.68%
AbbVie, Inc.
7.76%
UnitedHealth Group, Inc.
6.59%
Merck & Co., Inc.
5.54%
Amgen, Inc.
3.41%
Thermo Fisher Scientific, Inc.
3.25%
Abbott Laboratories
2.76%
Gilead Sciences, Inc.
2.74%
Intuitive Surgical, Inc.
2.46%
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%
Diversification
ZXLV
Total weight of top 10 holdings out of 59 total
61.77%
ZUH
Total weight of top 10 holdings out of 79 total
19.22%
Characteristics
Compare
ZXLV
ZUH
| Provider | BMO | BMO |
| Management | Passively managed | Passively managed |
| Benchmark | S&P Health Care Select Sector Total Return Index - USD | Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD |
| Replication Method | Direct (Physical) | |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.45% | 0.50% |
| Meets ESG criteria | No | No |
| Inception Date | February 2, 2025 | May 19, 2010 |
Frequently asked questions about ZXLV and ZUH
Which ETF has performed better year to date: ZXLV or ZUH?
As of July 28, 2026, ZXLV has returned 11.88% year to date, while ZUH has returned 8.55%. ZXLV is ahead on YTD performance.
Which ETF is larger by assets under management: ZXLV or ZUH?
As of July 28, 2026, ZXLV manages $40.17 M in assets, while ZUH manages $182.27 M. ZUH is the larger fund by AUM.
How are ZXLV and ZUH managed?
ZXLV is passively managed by BMO. It tracks the S&P Health Care Select Sector Total Return Index - USD benchmark. ZUH is passively managed by BMO. It tracks the Solactive Equal Weight US Health Care Canadian Dollar Hedged Total Return Index - CAD benchmark.
What sectors do ZXLV and ZUH emphasize?
ZXLV is most exposed to Healthcare and Consumer Non-Cyclicals. ZUH is most exposed to Healthcare.
Which ETF is attracting more investor flows: ZXLV or ZUH?
Year to date, ZXLV has seen +$23.14 M in net flows, compared with -$13.48 M for ZUH. ZXLV has attracted more net investor money so far.
How do the fees of ZXLV and ZUH compare?
ZXLV has an expense ratio of 0.21%, while ZUH has an expense ratio of 0.39%.
What are the top holdings of ZXLV and ZUH?
ZXLV's largest holdings include Eli Lilly & Co., Johnson & Johnson, and AbbVie, Inc.. ZUH's top holdings include Humana, Inc., Revolution Medicines, Inc., and Guardant Health, Inc..
Which ETF is more diversified: ZXLV or ZUH?
ZXLV holds 59 securities, while ZUH holds 79. On holdings count, ZUH is the more diversified portfolio.
Recent articles about ZXLV and ZUH
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