O’Neil Health Care Weekly

XLV fell 3.5% last week and back to its 200-DMA ($133). After initially responding favorably to JNJ and ABT earnings, the sector reversed following ISRG and HCA prints Friday. There remains a high amount of uncertainty within the sector
regarding margin pressure due to elevated costs from inflation, labor costs and supply chain constraints.

Market View

The U.S. market remains in an Uptrend Under Pressure. The S&P 500 reversed sharply from 200-DMA resistance
this week, closing down 2.7% and back below all key moving averages. It is now trading slightly below support at 4,278
before February lows of 4,114. The Nasdaq failed at its 50-DMA (13,654), declining 3.8% for the week and now just 3%
above support at March lows (12,555). The distribution day count remains elevated at seven and six, respectively.

O’Neil Health Care Weekly

XLV pulled back 2.9% last week, retracing the majority of the breakout to new highs. Overall action, however, remains
constructive, as the index is still trading above its 21-DMA ($137.56) with an RS line hovering near highs.
Leading industry groups (Distribution, Pharma, Managed Care) continue to act well, however, all have become near-term
extended and are due to consolidate. We recommend offensively locking in partial gains, while looking to add risk back on
constructive pullbacks towards 50-DMA support.

IPO Rewind

Attached is our monthly IPO Rewind report. This report identifies a select group of IPOs or spin-offs that have priced in the last two years, giving them time to digest any initial volatility. Our selected ideas display positive fundamental trends with strong top- and bottom-line consensus estimates, and IPO Rewind provides an efficient way to review these ideas that we believe warrant attention.

Market View

The U.S. market is in an Uptrend Under Pressure. The S&P 500 and Nasdaq declined for a second straight week,
closing below all major moving averages while adding distribution. The next level of support on the S&P 500 is ~4,278
while support for the Nasdaq is ~13,094 before year-to-date lows. The distribution day count has increased to five and
four, respectively.

O’Neil Health Care Weekly

XLV jumped 3.4% last week, breaking out to a new all-time high led by strength across Pharmaceuticals, Managed Care
and Medical Distribution. These three groups have led the sector for the entirety of the year, extended gains into all-time
highs.

Market View

The U.S. market remains in a Confirmed Uptrend. The S&P 500 pulled back towards its 50-DMA (4,427) before finding support to close off weekly lows. The index is now trading 7% off highs with three distribution days in the last seven sessions. The Nasdaq reversed from 200-DMA resistance, closing down over 3% and narrowly below its 50-DMA. This index is trading 15% off highs with two distribution days in the last four sessions. We will shift the market status to Uptrend Under Pressure should the S&P 500 also close below its 50-DMA.

Market View

The U.S. market remains in a Confirmed Uptrend. Indices pulled back over the last few sessions after accelerating higher earlier in the week. The S&P 500 is testing its 10-DMA (4,519) followed by the next level of support at its 200-DMA (4,485). The Nasdaq is also slightly above 10-DMA (14,137) support but remains below 200-DMA resistance despite the advance over the last few weeks. The distribution day count stands at one on the S&P 500 and none on the Nasdaq.

Defensive sectors – Utility, Consumer Staples and Health Care – along with Consumer Cyclical, led by Autos Manufacturers, outperformed this week after rising 1-3% respectively. Conversely, three sectors declined more than 1% led lower by Transportation (-4%), and Energy (-2%). Multiple sectors continue to trade below 200-DMA resistance including Financial, Technology, Retail , Consumer Cyclical and Health Care. The best performing industry groups over the past week include Consumer Electronics, Autos, Airlines, Travel Booking, Utilities, Outpatient Care, Medical Products, Medical Software, Desktop Software, Pollution Control, and REITs. The worst performing groups include Wholesale Autos, Drug Stores, Trucks, Mobile Homes, Home Builders, Building Products, Household Appliances, Toys, Commercial Loans, and Banks. 62% of S&P 500 stocks are trading above their 50-DMA and 51% are trading above their 200-DMA, compared with 60% and 51%, respectively, a week ago. 55% of Nasdaq 100 stocks are trading above their respective 50- DMA, compared with 59% one week ago.