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Simplify Health Care ETF
PINK

61 hedge funds and large institutions have $128M invested in Simplify Health Care ETF in 2026 Q1 according to their latest regulatory filings, with 13 funds opening new positions, 21 increasing their positions, 23 reducing their positions, and 29 closing their positions.

New
Increased
Maintained
Reduced
Closed

9% less repeat investments, than reductions

Existing positions increased: 21 | Existing positions reduced: 23

2.69% less ownership

Funds ownership: 56.63% → 53.94% (-2.7%)

21% less funds holding

Funds holding: 77 → 61 (-16)

35% less capital invested

Capital invested by funds: $197M → $128M (-$69.3M)

55% less first-time investments, than exits

New positions opened: 13 | Existing positions closed: 29

100% less funds holding in top 10

Funds holding in top 10: 1 → 0 (-1)

Holders
61
Holders Change
-16
Holders Change %
-20.78%
% of All Funds
0.75%
Holding in Top 10
–
Holding in Top 10 Change
-1
Holding in Top 10 Change %
-100%
% of All Funds
–
New
13
Increased
21
Reduced
23
Closed
29
Calls
–
Puts
–
Net Calls
–
Net Calls Change
–

Top Buyers

Rank Fund Capital Flow
1
IAA
Ironsides Asset Advisors
North Carolina
+$2.18M
2
Raymond James Financial
Raymond James Financial
Florida
+$2.09M
3
HF
HRT Financial
New York
+$1.52M
4
Citadel Advisors
Citadel Advisors
Florida
+$1.13M
5
Envestnet Asset Management
Envestnet Asset Management
Illinois
+$828K

Top Sellers

Rank Fund Capital Flow
1
FCM
Fourpath Capital Management
Oklahoma
-$17.6M
2
LPL Financial
LPL Financial
California
-$15.8M
3
Wealth Enhancement Advisory Services
Wealth Enhancement Advisory Services
Minnesota
-$10.6M
4
PWA
Primoris Wealth Advisors
Florida
-$3.15M
5
FIA
Foundations Investment Advisors
Arizona
-$2.35M
Name Holding Trade Value Shares
Change 		Change in
Stake
FPW
26
Flagship Private Wealth
Massachusetts
$946K -$595K -16,667 -37%
SWA
27
Stratos Wealth Advisors
Ohio
$849K +$60.9K +1,705 +7%
AFP
28
Ausdal Financial Partners
Iowa
$845K -$1.11M -31,037 -55%
Cambridge Investment Research Advisors
29
Cambridge Investment Research Advisors
Iowa
$815K -$34.3K -961 -4%
LFAS
30
Level Four Advisory Services
Texas
$785K -$109K -3,043 -12%
Envestnet Asset Management
31
Envestnet Asset Management
Illinois
$780K +$828K +23,185 New
Jane Street
32
Jane Street
New York
$635K +$176K +4,933 +35%
GA
33
GFS Advisors
Texas
$461K -$28.6K -800 -6%
SF
34
Summit Financial
New Jersey
$392K -$2.16M -60,388 -84%
Carson Wealth (CWM LLC)
35
Carson Wealth (CWM LLC)
Nebraska
$353K -$18.3K -513 -5%
IA
36
IFP Advisors
Florida
$340K +$161K +4,500 +80%
FGA
37
Fortis Group Advisors
New Jersey
$305K -$2.96K -83 -0.9%
BWAM
38
Blue Water Asset Management
Michigan
$294K +$536 +15 +0.2%
LWP
39
LeClair Wealth Partners
Ohio
$294K +$312K +8,728 New
SPIA
40
Steward Partners Investment Advisory
New York
$269K +$52.8K +1,477 +23%
SPC
41
Sigma Planning Corp
Michigan
$249K +$12.4K +347 +5%
BCI
42
Brinker Capital Investments
Pennsylvania
$221K -$25.4K -710 -10%
MCM
43
MAI Capital Management
Ohio
$188K -$58K -1,625 -23%
HIW
44
Holos Integrated Wealth
Pennsylvania
$126K +$134K +3,757 New
National Bank of Canada
45
National Bank of Canada
Quebec, Canada
$59.8K +$20.5K +573 +47%
VCM
46
Versant Capital Management
Arizona
$55.2K – – –
FFA
47
Farther Finance Advisors
California
$52.6K – – –
PTC
48
Private Trust Company
Ohio
$49.7K -$197K -5,503 -79%
AWM
49
AE Wealth Management
Kansas
$24.6K +$26.1K +730 New
GSEP
50
Golden State Equity Partners
California
$24.2K +$25.6K +718 New
1
2
3 4

PINK Hedge Fund Activity: Q1 2026 in Review

61 of the 8,126 institutional investors tracked by Wall St. Rank reported a position in Simplify Health Care ETF (PINK) for Q1 2026, worth a combined $128M — down 35% from $197M a quarter earlier.

Sellers outnumbered buyers: 29 funds closed out of PINK and 13 opened new positions — a net loss of 16 holders — while 23 trimmed existing stakes and 21 added.

The largest buyer was Ironsides Asset Advisors, adding an estimated $2.18M. The largest seller was Fourpath Capital Management, exiting entirely with an estimated $17.6M sold.

  • 61 institutional investors held Simplify Health Care ETF (PINK) as of Q1 2026, down from 77 in Q4 2025.
  • Funds reported $128M of Simplify Health Care ETF stock for Q1 2026, down 35% quarter-over-quarter.
  • 13 funds opened new Simplify Health Care ETF positions in Q1 2026 and 29 closed out, a net change of -16 holders.
  • The largest Simplify Health Care ETF buyer in Q1 2026 was Ironsides Asset Advisors, an estimated $2.18M added.
  • The largest Simplify Health Care ETF seller in Q1 2026 was Fourpath Capital Management, an estimated $17.6M sold.

Based on aggregated 13F filings for Q1 2026.