Update-1 11/18…Healthcare stocks had a good week with the XLV up almost 1% to $134 despite choppiness. We are still facing MACRO headwinds and the FED so stay cautious. There was good tape action in mid-cap biopharmas. Medtech is looking better with the IHI up 4% for the week but the sector is still best with supply chain and cost issues.

Here are weekly results:

  • The IBB was flattish but the XBI took a 4% hit to the $81 level.
  • UNH recovered on Friday to go up 1.54% to the $530 level.
  • We added to Mirati (MRTX) up almost 5%. We bought Supernus (SUPN) at $34 level.
  • We added to Evolent Health (EVH) at $27 level.
  • One of our top picks Merck (MRK) hit new highs today at $104.24.
  • Large caps did well with many near new highs. We will do a metrics report this weekend.

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Healthcare Sector Update.

  • Stay with Large Cap Biopharmas for growth and dividends. 52 week leaders are BMY, GILD, LLY, VRTX ;AMGN and BIIB are come-backs.
  • Our top pick UNH is weakening on earnings and valuation.
  • We are looking for a come-back in Medtech as represent by the iShares U.S. Medical Device (IHI) ETF.

Last week saw more volatility within the healthcare sectors so this is a good week for review and maybe rebalance. You can review our sector model below and compare it to your holdings. Another option is to just stick with major ETFS: XLV, IBB and XBI. But I am hearing on CNBC and reading that many strategists are favoring healthcare because of predictable growth. and defensive nature. But if the FED pauses and the risk of recession wanes you will see big moves like over the past month when investors rotate rapidly.  For example over one month materials (XLB) up 18% , QQQ up 11%, semiconductors (SMH) up  30%!

Here is a quick review:

  1. Large Cap Biopharmaceuticals has been our primary focus and we have been overweight the majors: ABBV, BMY, MRK, REGN, VRTX. We will update these metrics at the end of the week.
  2. If you want just biotech then the iShares Biotechnology (IBB) can work if combined with the Healthcare Select SPDR (XLV). But UNH has been weak lately so the XLV is not recommended.
  3. Momentum traders may prefer the SPDR S&P Biotechnology (XBI) which is equal weight favoring smaller caps.
  4. Biotech stocks always need help from small caps strength like the IWM.
  5. For MEDtech we favor the IHI and the FSMEX.
  6. You can diversify further in “tools and diagnostics” with life science funds like the T.Rowe Price Health Sciences Fund (PRHSX).

 

Model
PORTFOLIO
2020 2020 2020 2021 2022 2022
Stock/ETF Ticker Price Wgt Price Price 1 year YTD 30d Price 5 days
10/25 % 12/31 % Perf 12/31/21 % Perf %Perf %Perf 11/12 % Perf
iShares NAZ Bio IBB* 136 15 151.5 25.7 152.62 -23.91 -12 13.61 134.25 4.6
iShares Russell 2k IWM 163 5 196.4 18.3 222.45 -24.24 -15.98 11.44 186.9 4.6
Merck* MRK 80 10 81.77 -10 76.64 \17.86 27.82 7.59 97.96 -1.25
United Health UNH 330 25 350.7 27.19 502 20.68 3.97 4.46 522 -2.99
SPDR S&P Bio XBI 117 10 140.8 48 111.96 -36.34 -24.29 8.29 84.76 6
Healthcare SPDR XLV 108 25 113.4 14.71 140.89 -3.51 -5.51 8.68 133.13 1.77
T.Rowe Hlth Sci PRHSX n/a 5 99.65 n/a 104 -23.47 -12.21 8.63 91.37 4
iShares U.S MedT IHI 50 5 54.83 65.85 -25.91 -21.21 8.83 51.89 5.81
Tracking Comp COMP
*
ARK Genomic ARKG 93.26 61.24 -60.55 -40.84 14.18 36.23 11.44
FIDO Biotech FBIOX 25.18 19.35 -33.57 -16.59 5.63 16.14 6
FiIDO MEDtech FSMEX 76.15 83.18 -33.96 -26.74 9.17 60.94 10
DOW DIA 310 363.32 \(12.6) -7.03 15.57 337.79 4.21
S&P 500 SPY 379 475 -17.48 -16.1 11.4 398.51 5.89
NASDAQ-100 QQQ 315 397.85 -27 -27.62 9.59 287.96 8..8
Top Biopharmas
Abbvie ABBV 35.22 10.9 6.11 150.16 3.36
Bristol Myers Sq BMY 24.91 21.83 9.06 75.96 -3.58
Eli Lilly LLY 41.3 27.54 7.54 352.3 -1.43
Merck MRK 17.86 27.82 7..59 97.96 -1.25
Regeneron REGN 25.39 16.3 -0.4 734.45 -0.78
Vertex VRTX 60.35 38 -2.74 303.26 -1.8

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