XHS additions & removals
Changes are observation-bounded: an addition is the first retained official snapshot containing a security after an earlier absence; a removal is its first retained absence. Baseline holdings receive no invented addition date.
Additions
| Ticker | Issuer | Observed date | Change |
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| Guardian Pharmacy Services Inc | Guardian Pharmacy Services Inc | 2025-12-31 | Added / first present |
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| Hinge Health Inc | Hinge Health Inc | 2025-12-31 | Added / first present |
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| Aveanna Healthcare Holdings Inc | Aveanna Healthcare Holdings Inc | 2025-09-30 | Added / first present |
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| Kindly MD Inc | Kindly MD Inc | 2025-09-30 | Added / first present |
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| Nutex Health Inc | Nutex Health Inc | 2025-06-30 | Added / first present |
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| Talkspace Inc | Talkspace Inc | 2024-12-31 | Added / first present |
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| Concentra Group Holdings Parent Inc | Concentra Group Holdings Parent Inc | 2024-12-31 | Added / first present |
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| Clover Health Investments Corp | Clover Health Investments Corp | 2024-09-30 | Added / first present |
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| GeneDx Holdings Corp | GeneDx Holdings Corp | 2024-09-30 | Added / first present |
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| PACS Group Inc | PACS Group Inc | 2024-09-30 | Added / first present |
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| BrightSpring Health Services Inc | BrightSpring Health Services Inc | 2024-06-30 | Added / first present |
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| Labcorp Holdings Inc | Labcorp Holdings Inc | 2024-06-30 | Added / first present |
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| Pennant Group Inc/The | Pennant Group Inc/The | 2024-03-31 | Added / first present |
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| PetIQ Inc | PetIQ Inc | 2023-09-30 | Added / first present |
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| Clover Health Investments Corp | Clover Health Investments Corp | 2023-09-30 | Added / first present |
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| NeoGenomics Inc | NeoGenomics Inc | 2023-03-31 | Added / first present |
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| Alignment Healthcare Inc | Alignment Healthcare Inc | 2022-09-30 | Added / first present |
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| LifeStance Health Group Inc | LifeStance Health Group Inc | 2022-09-30 | Added / first present |
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| Enhabit Inc | Enhabit Inc | 2022-09-30 | Added / first present |
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| OPKO Health Inc | OPKO Health Inc | 2022-06-30 | Added / first present |
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| R1 RCM Inc | R1 RCM Inc | 2022-06-30 | Added / first present |
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| Invitae Corp | Invitae Corp | 2022-03-31 | Added / first present |
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| Sema4 Holdings Corp | Sema4 Holdings Corp | 2022-03-31 | Added / first present |
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| 23andMe Holding Co | 23andMe Holding Co | 2022-03-31 | Added / first present |
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| DocGo Inc | DocGo Inc | 2022-03-31 | Added / first present |
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| National Research Corp | National Research Corp | 2021-12-31 | Added / first present |
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| Oak Street Health Inc | Oak Street Health Inc | 2021-12-31 | Added / first present |
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| CareMax Inc | CareMax Inc | 2021-12-31 | Added / first present |
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| Cano Health Inc | Cano Health Inc | 2021-12-31 | Added / first present |
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| Apollo Medical Holdings Inc | Apollo Medical Holdings Inc | 2021-09-30 | Added / first present |
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| Alignment Healthcare Inc | Alignment Healthcare Inc | 2021-09-30 | Added / first present |
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| agilon health Inc | agilon health Inc | 2021-09-30 | Added / first present |
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| Agiliti Inc | Agiliti Inc | 2021-09-30 | Added / first present |
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| Privia Health Group Inc | Privia Health Group Inc | 2021-09-30 | Added / first present |
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| Cross Country Healthcare Inc | Cross Country Healthcare Inc | 2021-06-30 | Added / first present |
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| Hims & Hers Health Inc | Hims & Hers Health Inc | 2021-06-30 | Added / first present |
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| Signify Health Inc | Signify Health Inc | 2021-06-30 | Added / first present |
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| Clover Health Investments Corp | Clover Health Investments Corp | 2021-06-30 | Added / first present |
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| Joint Corp/The | Joint Corp/The | 2021-03-31 | Added / first present |
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| Ontrak Inc | Ontrak Inc | 2021-03-31 | Added / first present |
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| Accolade Inc | Accolade Inc | 2021-03-31 | Added / first present |
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| ModivCare Inc | ModivCare Inc | 2021-03-31 | Added / first present |
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| Surgery Partners Inc | Surgery Partners Inc | 2020-12-31 | Added / first present |
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| Castle Biosciences Inc | Castle Biosciences Inc | 2020-12-31 | Added / first present |
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| Fulgent Genetics Inc | Fulgent Genetics Inc | 2020-12-31 | Added / first present |
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| Progyny Inc | Progyny Inc | 2020-12-31 | Added / first present |
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| AdaptHealth Corp | AdaptHealth Corp | 2020-12-31 | Added / first present |
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| Community Health Systems Inc | Community Health Systems Inc | 2020-09-30 | Added / first present |
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| 1Life Healthcare Inc | 1Life Healthcare Inc | 2020-09-30 | Added / first present |
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| Option Care Health Inc | Option Care Health Inc | 2020-03-31 | Added / first present |
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| Triple-S Management Corp | Triple-S Management Corp | 2019-12-31 | Added / first present |
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| Owens & Minor Inc | Owens & Minor Inc | 2019-12-31 | Added / first present |
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| PENNANT GROUP INC/THE | PENNANT GROUP INC/THE | 2019-12-31 | Added / first present |
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Removals
| Ticker | Issuer | Observed date | Change |
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| Kindly MD Inc | Kindly MD Inc | 2025-12-31 | Removed / first absent |
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| PetIQ Inc | PetIQ Inc | 2024-12-31 | Removed / first absent |
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| Clover Health Investments Corp | Clover Health Investments Corp | 2024-03-31 | Removed / first absent |
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| R1 RCM Inc | R1 RCM Inc | 2024-12-31 | Removed / first absent |
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| Invitae Corp | Invitae Corp | 2023-06-30 | Removed / first absent |
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| Sema4 Holdings Corp | Sema4 Holdings Corp | 2022-09-30 | Removed / first absent |
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| 23andMe Holding Co | 23andMe Holding Co | 2023-12-31 | Removed / first absent |
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| DocGo Inc | DocGo Inc | 2024-06-30 | Removed / first absent |
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| National Research Corp | National Research Corp | 2024-12-31 | Removed / first absent |
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| Oak Street Health Inc | Oak Street Health Inc | 2023-06-30 | Removed / first absent |
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| CareMax Inc | CareMax Inc | 2022-12-31 | Removed / first absent |
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| Cano Health Inc | Cano Health Inc | 2023-06-30 | Removed / first absent |
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| Alignment Healthcare Inc | Alignment Healthcare Inc | 2022-03-31 | Removed / first absent |
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| agilon health Inc | agilon health Inc | 2025-12-31 | Removed / first absent |
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| Agiliti Inc | Agiliti Inc | 2023-12-31 | Removed / first absent |
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| Cross Country Healthcare Inc | Cross Country Healthcare Inc | 2026-03-31 | Removed / first absent |
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| Signify Health Inc | Signify Health Inc | 2023-03-31 | Removed / first absent |
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| Clover Health Investments Corp | Clover Health Investments Corp | 2023-06-30 | Removed / first absent |
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| Joint Corp/The | Joint Corp/The | 2022-06-30 | Removed / first absent |
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| Ontrak Inc | Ontrak Inc | 2021-06-30 | Removed / first absent |
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| Accolade Inc | Accolade Inc | 2024-12-31 | Removed / first absent |
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| ModivCare Inc | ModivCare Inc | 2024-12-31 | Removed / first absent |
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| 1Life Healthcare Inc | 1Life Healthcare Inc | 2023-03-31 | Removed / first absent |
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| Triple-S Management Corp | Triple-S Management Corp | 2022-03-31 | Removed / first absent |
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| Owens & Minor Inc | Owens & Minor Inc | 2025-12-31 | Removed / first absent |
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| PENNANT GROUP INC/THE | PENNANT GROUP INC/THE | 2022-12-31 | Removed / first absent |
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| Laboratory Corp of America Holdings | Laboratory Corp of America Holdings | 2024-06-30 | Removed / first absent |
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| WellCare Health Plans Inc | WellCare Health Plans Inc | 2020-03-31 | Removed / first absent |
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| Premier Inc | Premier Inc | 2025-12-31 | Removed / first absent |
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| PetIQ Inc | PetIQ Inc | 2022-09-30 | Removed / first absent |
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| Amedisys Inc | Amedisys Inc | 2025-09-30 | Removed / first absent |
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| LHC Group Inc | LHC Group Inc | 2023-03-31 | Removed / first absent |
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| Magellan Health Inc | Magellan Health Inc | 2022-03-31 | Removed / first absent |
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| R1 RCM Inc | R1 RCM Inc | 2022-06-30 | Removed / first absent |
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| Triple-S Management Corp | Triple-S Management Corp | 2019-12-31 | Removed / first absent |
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| State Street Global Advisors | State Street Global Advisors | 2024-09-30 | Removed / first absent |
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| Patterson Cos Inc | Patterson Cos Inc | 2025-06-30 | Removed / first absent |
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| Tivity Health Inc | Tivity Health Inc | 2022-06-30 | Removed / first absent |
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| BioTelemetry Inc | BioTelemetry Inc | 2021-03-31 | Removed / first absent |
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| Covetrus Inc | Covetrus Inc | 2022-12-31 | Removed / first absent |
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| Providence Service Corp/The | Providence Service Corp/The | 2021-03-31 | Removed / first absent |
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| Hanger Inc | Hanger Inc | 2022-12-31 | Removed / first absent |
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| Option Care Health Inc | Option Care Health Inc | 2020-03-31 | Removed / first absent |
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