|  Sample N dot V   Health Care  |  S&P 500  |  SAMPLE  |  | -13%2021 - 640,744  2022 - 599,088  2023 - 560,573  | Fluctuating2021 - 2,787,633  2022 - 2,844,093  2023 - 2,822,734  | -13%2021 - 139,510  2022 - 137,582  2023 - 122,045  | Fluctuating2021 - 19,400,000  2022 - 20,100,000  2023 - 19,000,000  | No data2021 - No data  2022 - No data  2023 - No data  | -22%2021 - 0.45  2022 - 0.43  2023 - 0.35  |