O’Neil Health Care Weekly

XLV declined 1.6% last week reversing from 200-DMA ($131.54) resistance. The next level of support is ~$126. Its RS line did rise last
week, but remains rangebound and unable to make a higher high still warranting an equal- to underweight sector positioning.
Managed Care (IHF), Medical Distribution (CAH, COR, MCK), and Pharma (PPH) continue to prop the sector up, while the majority of
other groups including Equipment (XHE), Biotech (XBI), Devices (IHI), and Small Caps (PSCH) are trading around year-to-date
lows.

O’Neil Health Care Weekly

XLV gained 14bps last week, trading just below its first level of resistance at its 200-DMA followed by its 50-DMA (~1.5% above).
There is support around current levels as shorter-term moving averages have curled up in recent days. Its RS line has been
rangebound for the last few months, still unable to make a higher high, warranting an equal-weight sector positioning. Medical
Distribution, Managed Care (supported by beat and raise Q3 results of UNH), and Pharma are holding the sector up, while other
groups are trading around year-to-date lows. Medical Devices (IHI) took another huge hit last week on the back for more NVO/LLY, as
well as poor results from SILK.

Market View

The U.S. market remains in a Rally Attempt. The S&P 500 and Nasdaq faded off 50-DMA (4,404/13,591) resistance after bouncing into this level earlier in the week. Both indices remain open for a follow through day as long as the consolidation remains above the recent lows (S&P 500: 4,216; Nasdaq: 12,963).

O’Neil Health Care Weekly

LV rose 99 bps last week and regained its 10-DMA on above average volume last Friday. It is testing its first level of resistance at its 21-DMA followed by the 50-and 200-DMA (~1.5% above). The next level of support is around current levels followed by $126.05. Its RS line has come off lows, but has yet to make a higher high, warranting an under- to equal-weight sector positioning. Medical Distribution (COR, MCK), Managed Care (IHF), and Pharma (PPH) are holding the sector up, while other groups are still trading around year-to-date lows.

Market View

The U.S. market remains in a Rally Attempt. The Nasdaq rose 1.6% for the week, slightly retaking its 21-DMA (13,399) after having
held onto lows for the past eight days. It is about 1.6% below next resistance at the 50-DMA (13,655). The S&P 500 rose 1.2% and
bounced off support near the 200-DMA (4,208) but remains slightly below the 21-DMA (4,341) and 2.6% below the 50-DMA (4,425).
Both indices could see a follow-through day (FTD) on any day going forward if the recent lows are not undercut (S&P 500: 4,216;
Nasdaq: 12,963)

O’Neil Health Care Weekly

XLV declined 1.08% last week and is trending downward along its rolling 10-DMA ($130.24) with multiple levels of resistance between
$130 to $137. The next level of support is around current levels followed by $126.05. Its RS line has come off lows, but has yet to
make a higher high, warranting an under- to equal-weight sector positioning. Medical Distribution (COR, MCK), Managed Care (IHF),
and Pharma (PPH) are holding the sector up, while other groups are trading around year-to-date lows.

Market View

The U.S. market remains in a Downtrend. The S&P 500 declined 0.7% while the Nasdaq gained 0.1% this week. There are multiple levels of resistance along the downward trending short-term moving averages for both indices between the current level and the 50-DMA (4,453/13,738), with the first at their respective 10-DMA (4,342/13,314). Next major support below is at their respective 200-DMA (4,200/12,525). The earliest a follow-through day can occur is Monday if the indices hold above Wednesday’s low (4,239/12,963).

O’Neil Health Care Weekly

XLV declined more than 150bps last week and failed to regain its 200-DMA ($132.27). There remains multiple levels of resistance just
above current prices. The next level of support is $128.93, followed by $126.05. Its RS line has come off lows, but has yet to make a
higher high, warranting an under- to equal-weight sector positioning. Medical Distribution (COR, MCK), Managed Care (IHF),
and Pharma (PPH) are holding the sector up. Despite this, multiple groups remain under severe distribution including Med Devices
(IHI), Equipment (XHE), Biotech (XBI), and Small caps (PSCH), which are all hitting new lows. Remain patient, looking for ideas
that are trading at logical levels of price or moving average support.

Market View

The U.S. market has been downgraded to a Downtrend. The S&P 500 and Nasdaq declined ~3% this week and closed below
their respective 100-DMA. Both indices are testing price support along August lows (4,335/13,161). Allow distribution to subside and
indices to settle before monitoring for a new follow through day.