|  Sample N dot V   Health Care  |  S&P 500  |  SAMPLE  |  | -15%2021 - 623,000  2022 - 545,000  2023 - 527,000  | 19%2021 - 1,787,733  2022 - 1,796,525  2023 - 2,121,834  | Fluctuating2021 - 118,000  2022 - 123,000  2023 - 118,000  | 24%2021 - 5,920,000  2022 - 6,520,000  2023 - 7,350,000  | No data2021 - No data  2022 - No data  2023 - No data  | 68%2021 - 0.41  2022 - 0.55  2023 - 0.69  |