# Health care sector ETF outflows to May 2026

> 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.

Data as of Oct 8, 2026. Rebuilt every trading night.

Flows as of Oct 8, 2026 , the trading day.

Flows ranking · health care sector ETFs · money out

## The health care sector ETFs that lost the most

IXJ lost the most over twelve months to May 2026: $478m .

Measure Net flow: money in less money out, in dollars, over the window, leaving any round trip aside

Coverage Twelve-month list: 22 funds with SEC filings for every month to May 2026, 76.9% of the group’s net assets. 1 funds’ filings report flows for the whole fund, all share classes, so they are not ranked here: VHT

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

The inflows list

### 12 months · Jun 2025 to May 2026

From SEC filings · 12 funds · the last month every filer has reported

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’s edition.

| # | Fund | Name | Net flow | Share of assets | Rank change |
| --- | --- | --- | --- | --- | --- |
| 1 | IXJ | iShares Global Healthcare ETF | −$478m | · | same |
| 2 | XLV | State Street Health Care Select Sector SPDR ETF | −$301m | · | new |
| 3 | RSPH | Invesco S&P 500 Equal Weight Health Care ETF | −$168m | · | ▲ 1 |
| 4 | FXH | First Trust Health Care AlphaDEX Fund | −$140m | · | ▼ 1 |
| 5 | XHE | State Street SPDR S&P Health Care Equipment ETF | −$37.5m | · | same |
| 6 | PSCH | Invesco S&P SmallCap Health Care ETF | −$29.7m | · | same |
| 7 | PTH | Invesco Dorsey Wright Healthcare Momentum ETF | −$14.0m | · | ▲ 1 |
| 8 | IYH | iShares U.S. Healthcare ETF | −$12.7m | · | ▼ 6 |
| 9 | HRTS | Tema Heart & Health ETF | −$10.5m | · | ▼ 2 |
| 10 | XHS | State Street SPDR S&P Health Care Services ETF | −$3.2m | · | same |
| 11 | MEDX | Horizon Kinetics Medical ETF | −$1.6m | · | ▼ 2 |
| 12 | JDOC | JPMorgan Healthcare Leaders ETF | −$22k | · | new |

SEC Form N-PORT, item B.6, monthly, every fund with a filing for every month of the window.

### Other flow rankings

### Where these figures came from

ETFIQ links to the documents behind every figure. It is not affiliated with any issuer, and a link is not an endorsement.

ETFIQ is an independent publisher and makes no recommendations; a rank is a sort of one published figure, not an opinion.

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Source: ETFIQ, independent ETF data. Recomputed nightly from public filings and prices.
Cite: ETFIQ, The health care sector ETFs that lost the most, data as of Oct 8, 2026. https://etfiq.com/flows/rankings/segment/health/outflows/
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