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Actionable insights — Portfolio Update: DGX + Mid-Caps

The repeatable analysis behind two position reviews: not that Quest Diagnostics and the mid-cap ETF are held, but how to time an entry on a breakout retest sitting on the 200-day, how to separate a view on the business from a view on your position size, how to decompose an underperformance into its parts before deciding whether to quit, how to detect an index whose earnings are being flattered and reprice it on normalized margins, and how to turn index-inclusion mechanics into a structural preference — written so each step can be rerun on the next name.
2026-AUG-17 · Haymaker (Substack newsletter, paid) · The Haymaker Team / David Hay · Portfolio Update · ↗ Read · full analysis · article text
How to read this page: each insight is a method — the reasoning that took Haymaker from "we missed the breakout" to a profitable entry ten weeks ago, and from "our mid-cap call has lagged the S&P by 17 points" to "over the next 10 years we are adamant." The boxed line shows how it played out in this Update. (Written newsletter — the "read" link opens the source post, and there are no timestamps.) Note the shape shared by both position reviews, which is the single most transferable thing here: the thesis and the position size are separate decisions, and only the second one changes when the price runs.

1. Buy the retest of a breakout that coincides with the 200-day — and be willing to miss the breakout itself

The repeatable method
  1. On the long chart (five years is the working span here), mark the prior overhead resistance — the ceiling the stock repeatedly failed at before it finally cleared.
  2. Accept that you will often miss the range expansion itself. Chasing the initial breakout is a different, worse trade; the tactic here is explicitly a second-chance one.
  3. Wait for the retracement back toward that former ceiling. A level that capped the stock for years becomes the natural floor once it is above it, because the marginal seller who was trapped there is now gone.
  4. Require a second, independent support at the same price before committing — the 200-day moving average is the one used here. One support is a level; two coinciding supports are a setup, because they bring different buyers (technical traders and trend followers) to the same price.
  5. Buy "relatively close to" the confluence rather than exactly at it. The rule is stated as a tendency — "typically a profitable tactic" — not a precision entry, which is what makes it usable without perfect fills.
  6. Pair the technical entry with a fundamental thesis you would hold anyway. The chart chooses the when; it does not choose the what.
Here: on DGX, "obviously, we missed the key upside range expansion early last year, but we did catch a retracement to near the breakout point not that far above $180. It was also smack dab on the 200-day moving average. Buying relatively close to the resistance penetration spot and at the 200-day is typically a profitable tactic. Fortunately, this was no exception." Entry June 5, 2026 at $200.29; ~$236 ten weeks later, +18% against the S&P's ~6%.
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2. Separate the view on the business from the view on the position size — and give each its own rule

The repeatable method
  1. When a winner gets extended, resist framing the decision as "do I still like it?" That question conflates two independent judgements and usually resolves into an unnecessary sale.
  2. Ask the business question first, and answer it against the original thesis: is it still executing as the write-up described? If yes, the thesis is not the reason to act.
  3. Ask the portfolio question separately: has the position's weight grown into something you would not choose to hold today from scratch? Is your overall market exposure where you want it?
  4. If the answer to the business question is yes and the portfolio question is the problem, the correct action is a partial trim, not an exit. State a specific fraction — one-third — so it is executable rather than aspirational.
  5. Anchor the hold to the next scheduled catalyst rather than to a price level. That converts "hold" from an open-ended posture into a decision with a date on it, and it is testable.
  6. Publish both instructions at once. Different readers have different weights and different cash needs; a single instruction would be wrong for most of them.
Here: DGX — "the valuation, along with the price chart, is undeniably extended… For those looking to book profits, and/or reduce market exposure, booking at least partial profits, like by selling one-third, might be advisable." And separately: "we lean toward holding the core position through October 27. Trim only if the position has grown to an uncomfortable share of your portfolio's weight. In our view, the business is still executing precisely as the June thesis described." The identical shape appears on IJH — cautious near term, "we wouldn't quibble with booking some gains," yet "adamant" over ten years.
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3. Before abandoning a lagging call, decompose the gap — and check whether the causes favour you going forward

The repeatable method
  1. Mark the position honestly and in full: price return, total return with dividends, and the annualised rate, against the benchmark over the same window. No selective start dates.
  2. State the shortfall in the benchmark's favour without softening it. A call that has lagged has lagged; the credibility of everything that follows depends on saying so.
  3. Now decompose the benchmark's win into its sources: how much came from multiple expansion (investors paying more per dollar of earnings) versus earnings growth, and how much came from construction (weighting, concentration) rather than from breadth.
  4. For each source, ask the forward question: is it repeatable, and is it exhaustible? Multiple expansion from an already-high starting point is exhaustible. Earnings growth of non-operating origin is exhaustible. Concentration cuts both ways.
  5. Only then decide. Keep the position if the causes of the lag are the kind that reverse; abandon it if the causes are durable advantages you simply do not have.
  6. Re-underwrite the starting valuation of your own holding too, honestly, since a lagging asset is not automatically a cheap one.
Here: IJH since March 18, 2024 — "risen about 30%… total return has been 33%… a CAGR of around 12 ½%. Clearly a pleasant outcome, but the S&P 500 has significantly bested this with a 50% total return." Decomposition: construction ("capitalization-weighted construct… the top 10 S&P constituents represent 38%"), and earnings not multiple — "in March of 2024, the S&P was trading at 21 times forward… its P/E has actually decreased slightly to 20." Own-side honesty: mid-caps at 17× forward, "not outrageous… but close to the peak this decade."
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4. Reprice an index on normalized profit margins before comparing its multiple to anything

The repeatable method
  1. Never compare two P/E multiples until you have asked whether the two E's are of the same quality. A headline multiple computed on peak-margin earnings understates the true price being paid.
  2. Look for the tell that margins are doing the work: a period where the index's price rose sharply while its forward P/E fell. That combination proves the return came entirely from earnings, which relocates the entire risk into the earnings line.
  3. Interrogate the composition of those earnings. Separate operating profit from non-operating items — mark-ups on stakes in private companies, investment gains, one-time revaluations — which are real in the accounting sense and absent from cash flow.
  4. Quantify the dependence where you can. A single company contributing a majority of its own profit from revaluation gains, inside an index where the top ten are ~38% of the weight, is a concentrated exposure to one accounting convention.
  5. Ask whether the comparison asset had the same booster. If it did not, its duller reported earnings were cleaner, and the multiple gap between the two is narrower than it looks — possibly inverted.
  6. Conclude in relative terms rather than as a market call: mean reversion in margins is a statement about which asset wins, and its timing is unknowable.
Here: "in March of 2024, the S&P was trading at 21 times forwarddespite the 50% total return, its P/E has actually decreased slightly to 20… this speaks to how strong profits have been." Then the composition: "this is a function of companies such as GOOG reporting massive gains on their holdings in AI entities like Anthropic… those have represented more than 50% of its profits in the first two quarters of this year. Mid-Caps have lacked this immense, though unsustainable, earnings booster rocket." The conclusion: "there is a looming mean reversion in the S&P 500's profit margins… on a normalized profit-margin basis, the S&P 500 is far more overpriced than it superficially appears."
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5. Treat index inclusion as a mechanical transfer — and prefer the index that is doing the selling

The repeatable method
  1. Recognise that index membership is decided by market capitalisation, i.e. by price. A company is promoted after its shares have already exploded, not before.
  2. Follow the flow: the receiving index's funds are forced buyers at the peak; the donating index's funds are forced sellers of the same shares at the same moment.
  3. Ask which side of that transfer you want to be on structurally. The mid-cap index systematically sells its parabolic winners into the promotion and keeps the steadier compounders; the large-cap index systematically buys them at their most expensive.
  4. Size the effect honestly per event — a new entrant is a small weight, so any single case is negligible — then aggregate: "multiplied by dozens, if not hundreds," it becomes a measurable long-run drag.
  5. Use it as a structural preference, not a trade. It explains a decade-scale return differential; it will not tell you anything about the next quarter.
  6. Apply the same mechanic in reverse when hunting individual names: an index removal is forced selling into weakness and can be an opportunity, the mirror image of the graduation problem.
Here: SMCI — cited in 2024 as the mid-cap catching accelerating growth, "our suspicion was that it would soon be pulled up to the S&P 500 out of the Mid-Cap index because of its explosive market cap increase. That happened almost as soon as we hit 'Send'… from the time of its 'graduation' to the Large-Cap index, SMCI has experienced a bit of a derating… like by nearly 70%." Generalised: "it was a small part of the S&P so the cost… was negligible. But when multiplied by dozens, if not hundreds, of these events, that can add up to a material performance drag over time." TSLA is named as "a much more impactful — and controversial — example of messy index inclusion." The removal mirror-image is the archive's Jul-27 AESI buy, made because of an index deletion.
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6. Put the conviction on the horizon where the argument actually operates — and say what you are cautious about in between

The repeatable method
  1. Identify the time scale of your evidence. Structural arguments — margin normalisation, index-mechanics drag, starting valuations — operate over years, not quarters. Saying so is not hedging; it is matching the claim to the data.
  2. Give the near term its own, separate assessment, and make it about risk conditions rather than about the thesis: leverage, breadth, positioning, the count of live threats.
  3. Name the specific near-term risk instead of gesturing at "uncertainty." Margin debt going vertical is a checkable series, and it is the channel by which a valuation problem becomes a forced-selling problem.
  4. Translate the near-term caution into a sizing instruction, and the long-term conviction into a holding instruction. Those are compatible; a single blended instruction would be neither.
  5. Address the audience segment explicitly — "for risk wary types" — because the correct action genuinely differs by risk tolerance, and pretending otherwise produces advice that is wrong for most readers.
  6. State the long-horizon claim with a number attached (a decade), so it can be judged later rather than quietly abandoned.
Here: "we continue to perceive an unusually large number of threats hovering over the market. Margin debt having gone vertical is merely one of them, though among the most serious… Accordingly, we'd be cautious even with Mid-Caps and, for risk wary types, we wouldn't quibble with booking some gains on IJH. However, over the next 10 years, we are adamant that Mid-Caps will dramatically outperform the world's most beloved equity index." Note the same construction on DGX: extended chart, intact business, trim only for weight.
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Methods distilled from the paid Haymaker Portfolio Update (text in transcript.txt) for personal study. Not investment advice. © Haymaker / David Hay for source material.