Update -1 3/31 2P EDT.    With momentum easing in Chip and IT trades this can be a good entry point for large cap biopharma stocks ahead of ASCO June 2: GILD, MRK so stay tuned. Also for value “bottom fishers” Pfizer offers a good yield of 4.4% with a FWD PE about 10 and a strong balance sheet. A good spot to look at your UNH weighting as well as buyers come in.

XLV firming up at $127.

A bearish sentiment has gripped the market from the debt ceiling narrative and little help from FEDspeak as jobs are still strong. So we can get more tightening into a soft patch in the economy? Ergo look for defensive posture in healthcare.

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A steady rotation out biotech and healthcare stocks into the Nasdaq-100 (QQQ) large cap tech stocks can be unnerving for portfolio managers. Even the S&P 500 diversified mix was up over 9% YTD while the QQQ soared 30.84% YTD. If you don’t own InfoTech, Semiconductor and Communication Services stocks your performance is trailing the market. The VanEck Semiconductor (SMH) broke through its rising channel to $147.36 close to its 12/21 highs at the $159 level. Similarly the QQQ rose 30% +off its 12/22 lows to the $348 level but shy of 11/21 levels above $400. So looking over a 2 year period we have a complete trend reversal of trends. We have to go back to the 1999/2000 time frame to track such disruptive market trends with generative AI and chatGPT exacerbating calls. It is difficult  to outperform the market if you don’t own AAPL, AMD, GOOGL,MSFT, NVDA.. But over 3 years the divergence between the NAZ and S&P is less severe.

The good news is that CASH yields 5%+

SMH 2 year.                                                          QQQ 2 Year

Clearly healthcare and biopharma stocks are lagging the general market and are not providing sufficient growth to overcome MACRO, higher interest rates and political concerns. But some Life Science Funds are holding up and our Portfolio of SMID Life Science stocks is doing well. Clearly stock picking is important in this wobbly market. But until Small Cap growth stocks regain momentum we can’t expect much from biotech.

  • The primary performance  indicator of SMID biotech is the XBI down 1.58% YTD but up 6.25% for the month and 23% over one year.
  • The large cap weighted iBB is down 3.32% YTD but still up 9.75% over one year.
  • Selected life science we own are holding up better than sector ETFs: FBIOX,PRHSX.
  • MedTech has been hit with a downtrend lately due to weakness in large cap stocks like ABT and MDT. The IHI is flattish YTD up one 0.91% but down 4.81% over 30 days and flat for one year.

Some large caps are doing well over one year : AZN up 8.73%,  BIIB up 46.4%, LLY up 35.84%, MRK up 20.32%, REGN up 6%, VRTX up 22.38%. Here is our last review of Large Cap Biopharma.

The XLV exhibits a seesaw pattern throughout 2022-2 despite a few spurts like at year end 2022 so maybe revenues are not growing enough in a mileu of rising rates and still persistent inflation.We can point to a few disappointing earnings reports like United health, Medtronic, Pfizer and Abbott for the weakness.

XLV 2 Year.

But our SMID Life Science Portfolio has some good winners YTD: CRSP, GERN, PACB, VCYT. We will focus more on this SMID sector in the days ahead particularly if the XBI regains momentum.With the ASCO Meeting coming up next week we expect to see important clinical oncology data and a better tone to biopharma stocks.

 

Model
PORTFOLIO
2020 2020 2020 2021 2022 2023 2023
Stock/ETF Ticker Price Wgt Price Price P 1Y Price YTD
10/25 % 12/31 % Perf 12/31/21 12/31/22 %Perf 5/27 % Perf Trend
iShares NAZ Bio IBB* 136 15 151.5 25.7 152.62 130.55 9.7 127.09 -3.2 d
iShares Russell 2k IWM 163 10 196.4 18.3 222.45 174.36 -3.6 176.15 1.03 d
Merck* MRK 80 10 81.77 -10 76.64 110.81 20.32 111.07 0.11 u
United Health UNH 330 15 350.7 27.19 502 530.27 -4.12 481.52 -9.18 d
SPDR S&P Bio XBI 117 15 140.8 48 111.96 83 23.13 84.31 -1.58 u/n
Healthcare SPDR XLV 108 20 113.4 14.71 140.89 135.88 -3.26 127.53 -6.12 d/n
T.Rowe Hlth Sci PRHSX n/a 5 99.65 n/a 104 89 3.3 88.54 -1.43 n/u
iShares U.S MedT IHI 50 5 54.83 65.85 52.57 -0.66 53.05 0.91 d
MedTech* ABT new 5 123.5 127.46 109.83 -10.45 102.87 -6.3 d
Tracking Comp
ARK Genomic ARKG 93.26 61.24 28.23 -0.69 31.69 12.26 n
Direx3X Bull LABU 7.66 8.67 6.27 -11.32 d
FIDO Biotech FBIOX 25.18 19.35 16.04 23.68 16.61 2.03 u
FiIDO MEDtech FSMEX 76.15 83.18 61.58 5.74 62.64 1.72 d/n
DOW DIA 310 363.32 331.34 1.34 330.84 -0.15 n
S&P 500 SPY 379 475 382.41 3.63 420.02 9.83 n/u
NASDAQ-100 QQQ 315 397.85 266.33 16.39 348.4 30.84 u
Top Biopharmas
Abbvie ABBV 161.64 -8.64 137.56 -14.88 d
Bristol Myers Sq BMY 71.58 -17.75 63.82 -11.3 d
Gilead Sci GILD 85.39 19.57 77.09 -10.02 n
Eli Lilly LLY 362.94 35.84 425.79 16.39 u
Merck MRK 110.94 20.32 111.07 0.11 u
Pfizer PFE 51.24 -30.36 37.6 -26.62 d
Regeneron REGN 721.7 6.09 725.05 0.49 n
Vertex VRTX 288.78 22.38 329.99 14.27 u

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