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      </invstOrSec>
      <invstOrSec>
        <name>INCYTE CORP</name>
        <lei>549300Z4WN6JVZ3T4680</lei>
        <title>INCYTE CORP COM</title>
        <cusip>45337C102</cusip>
        <identifiers>
          <isin value="US45337C1027"/>
          <ticker value="INCY"/>
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        <balance>156306.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>18681693.12000000</valUSD>
        <pctVal>1.782883068638</pctVal>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      </invstOrSec>
      <invstOrSec>
        <name>QIAGEN NV</name>
        <lei>54930036WK3GMCN17Z57</lei>
        <title>QIAGEN NV ORD SHARES</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="NL0015002SN0"/>
          <ticker value="QGEN"/>
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        <balance>453170.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>18761238.00000000</valUSD>
        <pctVal>1.790474415891</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>NL</invCountry>

        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
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      </invstOrSec>
      <invstOrSec>
        <name>NEUROCRINE BIOSCIENCES INC</name>
        <lei>549300FECER0XBN49756</lei>
        <title>NEUROCRINE BIOSCIENCES INC COM</title>
        <cusip>64125C109</cusip>
        <identifiers>
          <isin value="US64125C1099"/>
          <ticker value="NBIX"/>
        </identifiers>
        <balance>105135.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>17536518.00000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>NATERA INC</name>
        <lei>529900CQ3OZ0A0VYVU59</lei>
        <title>NATERA INC COM</title>
        <cusip>632307104</cusip>
        <identifiers>
          <isin value="US6323071042"/>
          <ticker value="NTRA"/>
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        <balance>87424.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>23408650.24000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>IQVIA HOLDINGS INC</name>
        <lei>549300W3R20NM4KQPH86</lei>
        <title>IQVIA HOLDINGS INC COM</title>
        <cusip>46266C105</cusip>
        <identifiers>
          <isin value="US46266C1053"/>
          <ticker value="IQV"/>
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        <balance>45853.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>10776372.06000000</valUSD>
        <pctVal>1.028440578897</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>ENSIGN GROUP INC (THE)</name>
        <lei>5493003K4HEEA8Q0BC72</lei>
        <title>ENSIGN GROUP INC (THE) COM</title>
        <cusip>29358P101</cusip>
        <identifiers>
          <isin value="US29358P1012"/>
          <ticker value="ENSG"/>
        </identifiers>
        <balance>27632.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4922917.12000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>MEDTRONIC PLC</name>
        <lei>549300GX3ZBSQWUXY261</lei>
        <title>MEDTRONIC PLC SHS</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="IE00BTN1Y115"/>
          <ticker value="MDT"/>
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        <balance>226501.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>19340920.39000000</valUSD>
        <pctVal>1.845796270911</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>IE</invCountry>

        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>THERMO FISHER SCIENTIFIC INC</name>
        <lei>HCHV7422L5HDJZCRFL38</lei>
        <title>THERMO FISHER SCIENTIFIC INC COM</title>
        <cusip>883556102</cusip>
        <identifiers>
          <isin value="US8835561023"/>
          <ticker value="TMO"/>
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        <balance>17671.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>10148455.30000000</valUSD>
        <pctVal>0.968515487915</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>MADRIGAL PHARMACEUTICALS INC</name>
        <lei>549300CHIMT2EUSNJB60</lei>
        <title>MADRIGAL PHARMACEUTICALS INC COM</title>
        <cusip>558868105</cusip>
        <identifiers>
          <isin value="US5588681057"/>
          <ticker value="MDGL"/>
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        <balance>16500.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>7710780.00000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>BOSTON SCIENTIFIC CORP</name>
        <lei>Y6ZDD9FP4P8JSSJMW954</lei>
        <title>BOSTON SCIENTIFIC CORP COM</title>
        <cusip>101137107</cusip>
        <identifiers>
          <isin value="US1011371077"/>
          <ticker value="BSX"/>
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        <balance>556019.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>25982767.87000000</valUSD>
        <pctVal>2.479659451325</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>MEDPACE HOLDINGS INC</name>
        <lei>549300H8TYEUVTW14A54</lei>
        <title>MEDPACE HOLDINGS INC COM</title>
        <cusip>58506Q109</cusip>
        <identifiers>
          <isin value="US58506Q1094"/>
          <ticker value="MEDP"/>
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        <balance>26886.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>15516179.46000000</valUSD>
        <pctVal>1.480783003526</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>CORCEPT THERAPEUTICS INC</name>
        <lei>529900EO9LUTFMZ7FF90</lei>
        <title>CORCEPT THERAPEUTICS INC COM</title>
        <cusip>218352102</cusip>
        <identifiers>
          <isin value="US2183521028"/>
          <ticker value="CORT"/>
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        <balance>203784.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>23331230.16000000</valUSD>
        <pctVal>2.226610562306</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>ALIGN TECHNOLOGY INC</name>
        <lei>549300N5YSE0U3LCP840</lei>
        <title>ALIGN TECHNOLOGY INC COM</title>
        <cusip>016255101</cusip>
        <identifiers>
          <isin value="US0162551016"/>
          <ticker value="ALGN"/>
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        <balance>52527.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>8885467.32000000</valUSD>
        <pctVal>0.847982521712</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>REVOLUTION MEDICINES INC</name>
        <lei>549300JU3X0LBCQ65892</lei>
        <title>REVOLUTION MEDICINES INC COM</title>
        <cusip>76155X100</cusip>
        <identifiers>
          <isin value="US76155X1000"/>
          <ticker value="RVMD"/>
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        <balance>76029.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>14257718.37000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>IONIS PHARMACEUTICALS INC</name>
        <lei>549300SI4ZGLG0BLUZ92</lei>
        <title>IONIS PHARMACEUTICALS INC COM</title>
        <cusip>462222100</cusip>
        <identifiers>
          <isin value="US4622221004"/>
          <ticker value="IONS"/>
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        <balance>179574.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>9296545.98000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>CIGNA GROUP (THE)</name>
        <lei>549300VIWYMSIGT1U456</lei>
        <title>CIGNA GROUP (THE) COM</title>
        <cusip>125523100</cusip>
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          <isin value="US1255231003"/>
          <ticker value="CI"/>
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        <balance>86083.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>24021461.15000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>ORGANON &amp; COMPANY</name>
        <lei>549300AMCKY57OK2CO56</lei>
        <title>ORGANON &amp; COMPANY COMMON STOCK</title>
        <cusip>68622V106</cusip>
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          <isin value="US68622V1061"/>
          <ticker value="OGN"/>
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        <balance>654324.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>8866090.20000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>CHEMED CORP</name>
        <lei>54930020031IDJT2IM79</lei>
        <title>CHEMED CORP COM</title>
        <cusip>16359R103</cusip>
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          <isin value="US16359R1032"/>
          <ticker value="CHE"/>
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        <balance>19021.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>10123927.25000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>VEEVA SYSTEMS INC</name>
        <lei>549300YZEXPDB92M2F02</lei>
        <title>VEEVA SYSTEMS INC CL A COM</title>
        <cusip>922475108</cusip>
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          <isin value="US9224751084"/>
          <ticker value="VEEV"/>
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        <balance>49923.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>10173308.94000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>HENRY SCHEIN INC</name>
        <lei>VGO3WGL8H45T73F4RR92</lei>
        <title>HENRY SCHEIN INC COM</title>
        <cusip>806407102</cusip>
        <identifiers>
          <isin value="US8064071025"/>
          <ticker value="HSIC"/>
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        <balance>106077.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>9096102.75000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>ELEVANCE HEALTH INC</name>
        <lei>8MYN82XMYQH89CTMTH67</lei>
        <title>ELEVANCE HEALTH INC COM</title>
        <cusip>036752103</cusip>
        <identifiers>
          <isin value="US0367521038"/>
          <ticker value="ELV"/>
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        <balance>45819.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>17220612.96000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>DEXCOM INC</name>
        <lei>549300YSK3QDSFR5EU59</lei>
        <title>DEXCOM INC COM</title>
        <cusip>252131107</cusip>
        <identifiers>
          <isin value="US2521311074"/>
          <ticker value="DXCM"/>
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        <balance>65774.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>5488840.30000000</valUSD>
        <pctVal>0.523826206461</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>IDEXX LABORATORIES INC</name>
        <lei>OGMTXK0LUU1HKV2P0J84</lei>
        <title>IDEXX LABORATORIES INC COM</title>
        <cusip>45168D104</cusip>
        <identifiers>
          <isin value="US45168D1046"/>
          <ticker value="IDXX"/>
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        <balance>8415.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4704574.05000000</valUSD>
        <pctVal>0.448979938007</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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        <name>COOPER COMPANIES INC (THE)</name>
        <lei>QJKMVPIGLH7530PCUE20</lei>
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      <invstOrSec>
        <name>RESMED INC</name>
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        <name>ENCOMPASS HEALTH CORP</name>
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        <name>BIO-RAD LABORATORIES INC</name>
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        <name>DANAHER CORP</name>
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        <name>ABBOTT LABORATORIES</name>
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          <isCashCollateral>N</isCashCollateral>
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        <name>CENTENE CORP</name>
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        <name>TEMPUS AI INC</name>
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        <name>HCA HEALTHCARE INC</name>
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        <name>MORGAN STANLEY INSTITUTIONAL LIQUIDITY FUNDS</name>
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        <name>VERTEX PHARMACEUTICALS INC</name>
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        <name>VIATRIS INC</name>
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        <name>ENVISTA HOLDINGS CORP</name>
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        <name>GILEAD SCIENCES INC</name>
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        <name>PFIZER INC</name>
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        <name>REGENERON PHARMACEUTICALS INC</name>
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        <name>ELI LILLY &amp; COMPANY</name>
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        <name>REVVITY INC</name>
        <lei>549300IKL1SDPFI7N655</lei>
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        <name>GE HEALTHCARE TECHNOLOGIES INC</name>
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        <name>EXELIXIS INC</name>
        <lei>254900PJQB59O2O95R37</lei>
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        <name>STRYKER CORP</name>
        <lei>5493002F0SC4JTBU5137</lei>
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        <name>AMGEN INC</name>
        <lei>62QBXGPJ34PQ72Z12S66</lei>
        <title>AMGEN INC COM</title>
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        <name>DAVITA INC</name>
        <lei>M2XHYMU3TZNEZURC6H66</lei>
        <title>DAVITA INC COM</title>
        <cusip>23918K108</cusip>
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      <invstOrSec>
        <name>ZOETIS INC</name>
        <lei>549300HD9Q1LOC9KLJ48</lei>
        <title>ZOETIS INC CL A</title>
        <cusip>98978V103</cusip>
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          <isin value="US98978V1035"/>
          <ticker value="ZTS"/>
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        <balance>246575.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>19057781.75000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
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          <isCashCollateral>N</isCashCollateral>
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      </invstOrSec>
      <invstOrSec>
        <name>BRIDGEBIO PHARMA INC</name>
        <lei>54930028YG89VTY2J114</lei>
        <title>BRIDGEBIO PHARMA INC COM</title>
        <cusip>10806X102</cusip>
        <identifiers>
          <isin value="US10806X1028"/>
          <ticker value="BBIO"/>
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        <balance>118952.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>9526865.68000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>UNIVERSAL HEALTH SERVICES INC</name>
        <lei>549300YGMGQDO0NMJD09</lei>
        <title>UNIVERSAL HEALTH SERVICES INC CL B</title>
        <cusip>913903100</cusip>
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          <isin value="US9139031002"/>
          <ticker value="UHS"/>
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        <balance>159598.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>26882687.12000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>BRISTOL-MYERS SQUIBB COMPANY</name>
        <lei>HLYYNH7UQUORYSJQCN42</lei>
        <title>BRISTOL-MYERS SQUIBB COMPANY COM</title>
        <cusip>110122108</cusip>
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          <isin value="US1101221083"/>
          <ticker value="BMY"/>
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        <balance>247112.00000000</balance>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>SOLVENTUM CORP</name>
        <lei>254900I70403OSGY4M28</lei>
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        <cusip>83444M101</cusip>
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          <isin value="US83444M1018"/>
          <ticker value="SOLV"/>
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        <balance>307593.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>26280745.92000000</valUSD>
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        <assetCat>EC</assetCat>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>STERIS PLC</name>
        <lei>N/A</lei>
        <title>STERIS PLC SHS USD</title>
        <cusip>000000000</cusip>
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          <isin value="IE00BFY8C754"/>
          <ticker value="STE"/>
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        <balance>67620.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>15444408.00000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>IE</invCountry>

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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>BECTON DICKINSON &amp; COMPANY</name>
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        <title>BECTON DICKINSON &amp; COMPANY COM</title>
        <cusip>075887109</cusip>
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          <isin value="US0758871091"/>
          <ticker value="BDX"/>
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        <valUSD>15582854.56000000</valUSD>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>GUARDANT HEALTH INC</name>
        <lei>254900M8C3E5VC8BR186</lei>
        <title>GUARDANT HEALTH INC COM</title>
        <cusip>40131M109</cusip>
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          <isin value="US40131M1099"/>
          <ticker value="GH"/>
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        <balance>158176.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>25622930.24000000</valUSD>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>ARROWHEAD PHARMACEUTICALS INC</name>
        <lei>549300O3CSB8T7OZ3D66</lei>
        <title>ARROWHEAD PHARMACEUTICALS INC COM</title>
        <cusip>04280A100</cusip>
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          <isin value="US04280A1007"/>
          <ticker value="ARWR"/>
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        <balance>217383.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>18401470.95000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>ZIMMER BIOMET HOLDINGS INC</name>
        <lei>2P2YLDVPES3BXQ1FRB91</lei>
        <title>ZIMMER BIOMET HOLDINGS INC COM</title>
        <cusip>98956P102</cusip>
        <identifiers>
          <isin value="US98956P1021"/>
          <ticker value="ZBH"/>
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        <balance>275654.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>25892180.22000000</valUSD>
        <pctVal>2.471014239868</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>JOHNSON &amp; JOHNSON</name>
        <lei>549300G0CFPGEF6X2043</lei>
        <title>JOHNSON &amp; JOHNSON COM</title>
        <cusip>478160104</cusip>
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          <isin value="US4781601046"/>
          <ticker value="JNJ"/>
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        <balance>17444.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>4471769.40000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>BIOGEN INC</name>
        <lei>W8J5WZB5IY3K0NDQT671</lei>
        <title>BIOGEN INC COM</title>
        <cusip>09062X103</cusip>
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          <isin value="US09062X1037"/>
          <ticker value="BIIB"/>
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        <balance>65899.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>13374202.05000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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        <name>ASCENDIS PHARMA A/S</name>
        <lei>549300B66JN3W3J8GH73</lei>
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        <cusip>000000000</cusip>
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          <isin value="DK0060615755"/>
          <ticker value="ASND"/>
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        <curCd>USD</curCd>
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        <invCountry>DK</invCountry>
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      <invstOrSec>
        <name>UNITED THERAPEUTICS CORP</name>
        <lei>5299005C4HZL4UWROC14</lei>
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        <cusip>91307C102</cusip>
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          <isin value="US91307C1027"/>
          <ticker value="UTHR"/>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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      <invstOrSec>
        <name>AGILENT TECHNOLOGIES INC</name>
        <lei>QUIX8Y7A2WP0XRMW7G29</lei>
        <title>AGILENT TECHNOLOGIES INC COM</title>
        <cusip>00846U101</cusip>
        <identifiers>
          <isin value="US00846U1016"/>
          <ticker value="A"/>
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        <balance>66697.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>9228863.89000000</valUSD>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>GLOBUS MEDICAL INC</name>
        <lei>5299003M2P4CIK0RF205</lei>
        <title>GLOBUS MEDICAL INC CL A</title>
        <cusip>379577208</cusip>
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          <isin value="US3795772082"/>
          <ticker value="GMED"/>
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        <balance>300351.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>23664655.29000000</valUSD>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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      <invstOrSec>
        <name>MEDLINE INC</name>
        <lei>984500FAN6J1P8566D43</lei>
        <title>MEDLINE INC COM CL A</title>
        <cusip>58507V107</cusip>
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          <isin value="US58507V1070"/>
          <ticker value="MDLN"/>
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        <balance>601697.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>23634658.16000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>ABBVIE INC</name>
        <lei>FR5LCKFTG8054YNNRU85</lei>
        <title>ABBVIE INC COM</title>
        <cusip>00287Y109</cusip>
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          <isin value="US00287Y1091"/>
          <ticker value="ABBV"/>
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        <balance>35205.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>8834342.70000000</valUSD>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <name>TENET HEALTHCARE CORP</name>
        <lei>0W9AIBT6U6ADJ2I8HK17</lei>
        <title>TENET HEALTHCARE CORP COM NEW</title>
        <cusip>88033G407</cusip>
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          <isin value="US88033G4073"/>
          <ticker value="THC"/>
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        <balance>94714.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>24131232.92000000</valUSD>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <name>WEST PHARMACEUTICAL SERVICES INC</name>
        <lei>5493007NKRGM1RJQ1P16</lei>
        <title>WEST PHARMACEUTICAL SERVICES INC COM</title>
        <cusip>955306105</cusip>
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          <isin value="US9553061055"/>
          <ticker value="WST"/>
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        <balance>12340.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>4207446.40000000</valUSD>
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        <assetCat>EC</assetCat>
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        <name>MERCK &amp; COMPANY INC</name>
        <lei>4YV9Y5M8S0BRK1RP0397</lei>
        <title>MERCK &amp; COMPANY INC COM</title>
        <cusip>58933Y105</cusip>
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          <isin value="US58933Y1055"/>
          <ticker value="MRK"/>
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        <balance>34473.00000000</balance>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>DOXIMITY INC</name>
        <lei>N/A</lei>
        <title>DOXIMITY INC CL A</title>
        <cusip>26622P107</cusip>
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          <isin value="US26622P1075"/>
          <ticker value="DOCS"/>
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        <balance>686526.00000000</balance>
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        <valUSD>14355258.66000000</valUSD>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>ILLUMINA INC</name>
        <lei>SQ95QG8SR5Q56LSNF682</lei>
        <title>ILLUMINA INC COM</title>
        <cusip>452327109</cusip>
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          <isin value="US4523271090"/>
          <ticker value="ILMN"/>
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        <balance>25195.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>5167494.50000000</valUSD>
        <pctVal>0.493158644248</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>AXSOME THERAPEUTICS INC</name>
        <lei>549300EXGR0XLRJEIB95</lei>
        <title>AXSOME THERAPEUTICS INC COM</title>
        <cusip>05464T104</cusip>
        <identifiers>
          <isin value="US05464T1043"/>
          <ticker value="AXSM"/>
        </identifiers>
        <balance>96954.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>21135002.46000000</valUSD>
        <pctVal>2.017014078944</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
    </invstOrSecs>
    <explntrNotes>
      <explntrNote note="Monthly returns presented in Item B.5(a) have been calculated without deducting any applicable sales loads or redemption fees." noteItem="B.5.a"/>
    </explntrNotes>
    <signature>
      <ncom:dateSigned>2026-09-22</ncom:dateSigned>
      <ncom:nameOfApplicant>First Trust Exchange-Traded AlphaDEX Fund</ncom:nameOfApplicant>
      <ncom:signature>Derek Maltbie</ncom:signature>
      <ncom:signerName>Derek Maltbie</ncom:signerName>
      <ncom:title>Treasurer, Chief Financial Officer and Chief Accounting Officer</ncom:title>
    </signature>
  </formData>
</edgarSubmission>
