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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 and ZUH provide the same top sector exposures: Health Care. When evaluating costs, ZXLV features a management fee (MER) of 0.21%, compared to 0.35% for ZUH. Performance-wise, ZXLV has returned 6.95% year-to-date with +$2 M in net flows, whereas ZUH is at 4.55% with -$7 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 | $15.31 M | $166.90 M |
| Management Fees | 0.21% | 0.35% |
| Exp. ratio | 0.21% | 0.39% |
| Tracking Difference | - | -0.17% |
Historical performance and flows
As of April 24, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | ZXLV | -1.11% | -8.79% | -6.95% | +4.88% | - |
ZUH | +1.55% | -7.61% | -4.55% | +7.21% | -7.29% | |
| Flows | ZXLV | +$0 M | -$1 M | +$2 M | +$15 M | - |
ZUH | +$0 M | -$7 M | -$7 M | -$42 M | -$205 M |
ZXLV vs ZUH exposure
Countries
ZXLV
USA
97.26%
ZUH
USA
96.03%
Sectors
ZXLV
Health Care
98.29%
ZUH
Health Care
93.49%
As of April 24, 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%
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%
Diversification
ZXLV
Total weight of top 10 holdings out of 59 total
59.10%
ZUH
Total weight of top 10 holdings out of 80 total
14.29%
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 | 0.54% | 0.57% |
| 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 April 24, 2026, ZXLV has returned -6.95% year to date, while ZUH has returned -4.55%. ZUH is ahead on YTD performance.
Which ETF is larger by assets under management: ZXLV or ZUH?
As of April 24, 2026, ZXLV manages $15.31 M in assets, while ZUH manages $166.90 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 Health Care. ZUH is most exposed to Health Care.
Which ETF is attracting more investor flows: ZXLV or ZUH?
Year to date, ZXLV has seen +$2.44 M in net flows, compared with -$6.83 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 LILLY, JOHNSON&JOHNSON, and ABBVIE. ZUH's top holdings include UTD THERAPEUT and INSMED.
Which ETF is more diversified: ZXLV or ZUH?
ZXLV holds 56 securities, while ZUH holds 74. On holdings count, ZUH is the more diversified portfolio.
Recent articles about ZXLV and ZUH
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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.