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BMO SPDR Health Care Select Sector Index ETF (ZXLV) and BMO Covered Call Health Care ETF (ZWHC) 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 ZWHC leans towards Healthcare. When evaluating costs, ZXLV features a management fee (MER) of 0.21%, compared to 0.73% for ZWHC. Performance-wise, ZXLV has returned 8.67% year-to-date with +$24 M in net flows, whereas ZWHC is at 1.3% 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
ZWHC
| AuM | $39.83 M | $40.92 M |
| Management Fees | 0.21% | 0.73% |
| Exp. ratio | 0.21% | 0.73% |
| Tracking Difference | - | - |
Historical performance and flows
As of September 11, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | ZXLV | -2.01% | +6.99% | +8.67% | +20.31% | - |
ZWHC | -3.13% | +5.47% | +1.30% | +8.76% | +16.80% | |
| Flows | ZXLV | -$5 M | +$17 M | +$24 M | +$34 M | - |
ZWHC | -$3 M | +$3 M | +$13 M | +$17 M | +$32 M |
ZXLV vs ZWHC exposure
Countries
ZXLV
USA
97.53%
ZWHC
USA
95.73%
Sectors
ZXLV
Healthcare
97.51%
ZWHC
Healthcare
100.46%
As of September 11, 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%
ZWHC
UnitedHealth Group, Inc.
6.31%
Eli Lilly & Co.
5.72%
Thermo Fisher Scientific, Inc.
5.72%
Elevance Health, Inc.
5.60%
Amgen, Inc.
5.33%
Vertex Pharmaceuticals, Inc.
5.31%
Merck & Co., Inc.
5.30%
Cardinal Health, Inc.
5.21%
The Cigna Group
5.18%
Johnson & Johnson
5.17%
Diversification
ZXLV
Total weight of top 10 holdings out of 59 total
60.94%
ZWHC
Total weight of top 10 holdings out of 20 total
54.86%
Characteristics
Compare
ZXLV
ZWHC
| Provider | BMO | BMO |
| Management | Passively managed | Actively managed |
| Benchmark | S&P Health Care Select Sector Total Return Index - USD | - |
| Replication Method | ||
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.46% | 7.04% |
| Meets ESG criteria | No | No |
| Inception Date | February 2, 2025 | January 23, 2023 |
Frequently asked questions about ZXLV and ZWHC
Which ETF has performed better year to date: ZXLV or ZWHC?
As of September 11, 2026, ZXLV has returned 8.67% year to date, while ZWHC has returned 1.30%. ZXLV is ahead on YTD performance.
Which ETF is larger by assets under management: ZXLV or ZWHC?
As of September 11, 2026, ZXLV manages $39.83 M in assets, while ZWHC manages $40.92 M. ZWHC is the larger fund by AUM.
How are ZXLV and ZWHC managed?
ZXLV is passively managed by BMO. It tracks the S&P Health Care Select Sector Total Return Index - USD benchmark. ZWHC is actively managed by BMO. It does not track an index.
What sectors do ZXLV and ZWHC emphasize?
ZXLV is most exposed to Healthcare and Consumer Non-Cyclicals. ZWHC is most exposed to Healthcare.
Which ETF is attracting more investor flows: ZXLV or ZWHC?
Year to date, ZXLV has seen +$23.63 M in net flows, compared with +$13.30 M for ZWHC. ZXLV has attracted more net investor money so far.
How do the fees of ZXLV and ZWHC compare?
ZXLV has an expense ratio of 0.21%, while ZWHC has an expense ratio of 0.73%.
What are the top holdings of ZXLV and ZWHC?
ZXLV's largest holdings include Eli Lilly & Co., Johnson & Johnson, and AbbVie, Inc.. ZWHC's top holdings include UnitedHealth Group, Inc., Eli Lilly & Co., and Thermo Fisher Scientific, Inc..
Which ETF is more diversified: ZXLV or ZWHC?
ZXLV holds 59 securities, while ZWHC holds 20. On holdings count, ZXLV is the more diversified portfolio.
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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.