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.
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)
Top Buyers
| Rank | Fund | Capital Flow |
|---|---|---|
| 1 |
IAA
Ironsides Asset Advisors
Rocky Mount,
North Carolina
|
+$2.18M |
| 2 |
Raymond James Financial
St Petersburg,
Florida
|
+$2.09M |
| 3 |
HF
HRT Financial
New York
|
+$1.52M |
| 4 |
Citadel Advisors
Miami,
Florida
|
+$1.13M |
| 5 |
Envestnet Asset Management
Chicago,
Illinois
|
+$828K |
Top Sellers
| Rank | Fund | Capital Flow |
|---|---|---|
| 1 |
FCM
Fourpath Capital Management
Oklahoma City,
Oklahoma
|
-$17.6M |
| 2 |
LPL Financial
San Diego,
California
|
-$15.8M |
| 3 |
Wealth Enhancement Advisory Services
Plymouth,
Minnesota
|
-$10.6M |
| 4 |
PWA
Primoris Wealth Advisors
North Palm Beach,
Florida
|
-$3.15M |
| 5 |
FIA
Foundations Investment Advisors
Phoenix,
Arizona
|
-$2.35M |
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.