{"url":"https://etfiq.com/flows/rankings/segment/health/outflows/","section":"flows","title":"Health care sector ETF outflows to May 2026 | ETFIQ","description":"IXJ lost the most over twelve months to May 2026: $478m. The health care sector ETFs that lost the most, ranked over 12 months to May 2026.","as_of":"Oct 8, 2026","structured_data":[{"@type":"ItemList","name":"The health care sector ETFs that lost the most, 12 months to May 2026","numberOfItems":12,"itemListOrder":"https://schema.org/ItemListOrderDescending","itemListElement":[{"@type":"ListItem","position":1,"name":"IXJ","url":"https://etfiq.com/funds/ixj"},{"@type":"ListItem","position":2,"name":"XLV","url":"https://etfiq.com/funds/xlv"},{"@type":"ListItem","position":3,"name":"RSPH","url":"https://etfiq.com/funds/rsph"},{"@type":"ListItem","position":4,"name":"FXH","url":"https://etfiq.com/funds/fxh"},{"@type":"ListItem","position":5,"name":"XHE","url":"https://etfiq.com/funds/xhe"},{"@type":"ListItem","position":6,"name":"PSCH","url":"https://etfiq.com/funds/psch"},{"@type":"ListItem","position":7,"name":"PTH","url":"https://etfiq.com/funds/pth"},{"@type":"ListItem","position":8,"name":"IYH","url":"https://etfiq.com/funds/iyh"},{"@type":"ListItem","position":9,"name":"HRTS","url":"https://etfiq.com/funds/hrts"},{"@type":"ListItem","position":10,"name":"XHS","url":"https://etfiq.com/funds/xhs"},{"@type":"ListItem","position":11,"name":"MEDX","url":"https://etfiq.com/funds/medx"},{"@type":"ListItem","position":12,"name":"JDOC","url":"https://etfiq.com/funds/jdoc"}]},{"@type":"Dataset","name":"The health care sector ETFs that lost the most","description":"IXJ lost the most over twelve months to May 2026: $478m. The health care sector ETFs that lost the most, ranked over 12 months to May 2026.","url":"https://etfiq.com/flows/rankings/segment/health/outflows/","dateModified":"2026-10-09","variableMeasured":["Net fund flow"],"isAccessibleForFree":true,"creditText":"ETFIQ (etfiq.com)","distribution":[{"@type":"DataDownload","encodingFormat":"text/csv","contentUrl":"https://etfiq.com/data/flows/rankings/segment/health/outflows-12m-2026-05.csv"}],"license":"https://etfiq.com/license/","creator":{"@id":"https://etfiq.com/#org"},"publisher":{"@id":"https://etfiq.com/#org"},"inLanguage":"en","creativeWorkStatus":"Published"},{"@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"ETFIQ","item":"https://etfiq.com/"},{"@type":"ListItem","position":2,"name":"Fund flows","item":"https://etfiq.com/flows/"},{"@type":"ListItem","position":3,"name":"Rankings","item":"https://etfiq.com/flows/rankings/"},{"@type":"ListItem","position":4,"name":"Health care \u00b7 outflows","item":"https://etfiq.com/flows/rankings/segment/health/outflows/"}]},{"@type":"WebPage","name":"Health care sector ETF outflows to May 2026","description":"IXJ lost the most over twelve months to May 2026: $478m. The health care sector ETFs that lost the most, ranked over 12 months to May 2026.","url":"https://etfiq.com/flows/rankings/segment/health/outflows/","dateModified":"2026-10-09","isPartOf":{"@type":"WebSite","name":"ETFIQ","url":"https://etfiq.com"},"speakable":{"@type":"SpeakableSpecification","cssSelector":[".lede"]},"publisher":{"@id":"https://etfiq.com/#org"}}],"characters":3365,"truncated":false,"content":"ETFIQ / Fund flows / Rankings / Health care \u00b7 outflows \n \n Flows as of Oct 8, 2026 , the trading day.\n Flows ranking \u00b7 health care sector ETFs \u00b7 money out\n The health care sector ETFs that lost the most\n IXJ lost the most over twelve months to May 2026: $478m .\n Measure Net flow: money in less money out, in dollars, over the window, leaving any round trip aside \n Coverage Twelve-month list: 22 funds with SEC filings for every month to May 2026, 76.9% of the group\u2019s net assets. 1 funds\u2019 filings report flows for the whole fund, all share classes, so they are not ranked here: VHT \n Rank change Against the last edition of this list: the previous trading day for 1W and 1M, the previous month for 12M. \"new\" means not in the top 25 last time \n\n The inflows list \n 12 months to May 2026, SEC filings 12 months \u00b7 Jun 2025 to May 2026\n From SEC filings \u00b7 12 funds \u00b7 the last month every filer has reported\n Filings run about 60 days behind, so this list ends at the latest month every fund in the group has filed, printed in the heading and the title. Rank change is against last month\u2019s edition.\n The 12 health care sector ETFs that lost money most over Jun 2025 to May 2026, of 12 that lost money. Computed by ETFIQ. # Fund Name Net flow Share of assets Rank change \n 1 IXJ iShares Global Healthcare ETF \u2212$478m \u00b7 same \n 2 XLV State Street Health Care Select Sector SPDR ETF \u2212$301m \u00b7 new \n 3 RSPH Invesco S&P 500 Equal Weight Health Care ETF \u2212$168m \u00b7 \u25b2 1 \n 4 FXH First Trust Health Care AlphaDEX Fund \u2212$140m \u00b7 \u25bc 1 \n 5 XHE State Street SPDR S&P Health Care Equipment ETF \u2212$37.5m \u00b7 same \n 6 PSCH Invesco S&P SmallCap Health Care ETF \u2212$29.7m \u00b7 same \n 7 PTH Invesco Dorsey Wright Healthcare Momentum ETF \u2212$14.0m \u00b7 \u25b2 1 \n 8 IYH iShares U.S. Healthcare ETF \u2212$12.7m \u00b7 \u25bc 6 \n 9 HRTS Tema Heart & Health ETF \u2212$10.5m \u00b7 \u25bc 2 \n 10 XHS State Street SPDR S&P Health Care Services ETF \u2212$3.2m \u00b7 same \n 11 MEDX Horizon Kinetics Medical ETF \u2212$1.6m \u00b7 \u25bc 2 \n 12 JDOC JPMorgan Healthcare Leaders ETF \u2212$22k \u00b7 new \n SEC Form N-PORT, item B.6, monthly, every fund with a filing for every month of the window.\n \n Other flow rankings\n Health care \u00b7 inflows All ETFs \u00b7 outflows Stocks \u00b7 outflows Every flows ranking The 12 months list in the flows tool Where these figures came from\n SEC Form N-PORT data sets: monthly sales and redemptions, item B.6 SEC Form N-CEN data sets: each fund\u2019s creation unit, item E.3.a ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.\n ETFIQ is an independent publisher and makes no recommendations; a rank is a sort of one published figure, not an opinion.\n\n Cite this page. ETFIQ, The health care sector ETFs that lost the most, data as of Oct 8, 2026. https://etfiq.com/flows/rankings/segment/health/outflows/ Free to use with attribution for figures ETFIQ computes; issuer data stays under its owner's terms. The underlying files are at Open data .\n Other forms Plain ETFIQ, The health care sector ETFs that lost the most, data as of Oct 8, 2026. https://etfiq.com/flows/rankings/segment/health/outflows/ APA ETFIQ. (Oct 8, 2026). The health care sector ETFs that lost the most. Retrieved from https://etfiq.com/flows/rankings/segment/health/outflows/ Markdown [The health care sector ETFs that lost the most (ETFIQ, Oct 8, 2026)](https://etfiq.com/flows/rankings/segment/health/outflows/)","source":"ETFIQ, independent ETF data. Recomputed nightly from public filings and prices.","publisher":{"@id":"https://etfiq.com/#org","name":"ETFIQ","url":"https://etfiq.com"},"license":"https://etfiq.com/license/","license_text":"Figures ETFIQ computes are free to use with attribution: ETFIQ (etfiq.com). Issuer data stays under its owner's terms.","citation":"ETFIQ, The health care sector ETFs that lost the most, data as of Oct 8, 2026. https://etfiq.com/flows/rankings/segment/health/outflows/"}