A Look At The Upcoming Russell Rebalance's Impact On Healthcare Services & IT

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A Look At The Upcoming Russell Rebalance's Impact On Healthcare Services & IT

USA | Healthcare Services EquityJuneResearch11, 2026

A Look At The Upcoming Russell Rebalance's

Impact On Healthcare Services & IT

This week was the start of the "lock-down" period for the FTSE Russell US

reconstitution portfolio. We expect adjustments to funds' positions in names

under our coverage ahead of the June 26th official change date. The Jefferies

Index team is projecting that as a % of avg daily vol (shares traded), ACHC, ODD,

ASTH, & PRVA stand to see the greatest adds, while GRDN, LMRI, HCA & DOCS

stand to see the greatest selling pressure.

Annual Russell Indices Rebalancing: Market Impact & Timeline. Each year, the Russell indices

undergo a rebalancing to adapt to evolving market conditions. The official ranking day for US

companies was April 30th, but the preliminary list of changes was published on May 22nd, and

the constitution membership was locked in as of June 8th. This has the potential to trigger a

noticeable surge in short-term trading for stocks added or repositioned within the indices. The

official rebalancing will take place on June 26 after the market closes, and passive/index funds

must finalize trades to align with the new index compositions by market open on June 29th. We

highlight the notable changes in Exhibit 1 within our coverage universe.

Ticker Name Net $ Flow Shs to Trade %ADV

ACHC Acadia Healthcare $300,853,003 12,289,747 499%

ODD ODDITY Tech Ltd $66,635,796 6,792,640 344%

ASTH Astrana Health Inc $55,493,298 1,460,734 313%

PRVA Privia Health Group $56,799,053 2,625,939 295%

GRDN Guardian Pharmacy Services Inc ($15,563,427) (384,472) 95%

LMRI Lumexa Imaging Holdings ($5,882,970) (692,114) 61%

HCA HCA Healthcare ($268,330,519) (721,067) 41%

.