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        <name>FAHEAL THRIVE HOLDINGS LLC</name>
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        <name>BLUEPRINT MEDICINES CORP</name>
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        <name>ORUKA THERAPEUTICS INC</name>
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        <name>IMMUNOCORE HOLDINGS PLC</name>
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        <name>ENDEAVOR BIOMEDICINES INC</name>
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        <name>GALVANIZE THERAPEUTICS</name>
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        <name>WUGEN INC</name>
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        <name>CIGNA GROUP (THE)</name>
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        <name>CARIS LIFE SCIENCES INC</name>
        <lei>549300LX5LO78M5VPY43</lei>
        <title>CARIS LIFE SCIENCES INC SER D PC PP</title>
        <cusip>N/A</cusip>
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          <other otherDesc="Internal" value="HFF594000"/>
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        <balance>2082481.00000000</balance>
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        <curCd>USD</curCd>
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        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      </invstOrSec>
      <invstOrSec>
        <name>LIFESTANCE HEALTH GROUP INC</name>
        <lei>N/A</lei>
        <title>LIFESTANCE HEALTH GROUP INC</title>
        <cusip>53228F101</cusip>
        <identifiers>
          <isin value="US53228F1012"/>
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        <balance>5600000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>34608000.00000000</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>
      <invstOrSec>
        <name>10X GENOMICS INC</name>
        <lei>5493003Z6741WNLG7H43</lei>
        <title>10X GENOMICS INC</title>
        <cusip>88025U109</cusip>
        <identifiers>
          <isin value="US88025U1097"/>
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        <balance>1611400.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>47181792.00000000</valUSD>
        <pctVal>1.008008738420</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>
          <loanByFundCondition isLoanByFund="Y" loanVal="3440400.00000000"/>
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      </invstOrSec>
      <invstOrSec>
        <name>DMED BIOPHARMACEUTICAL CO LTD</name>
        <lei>N/A</lei>
        <title>DMED BIOPHARMACEUTICAL CO LTD SER C PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="GIB636000"/>
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        <balance>236142.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1164180.06000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>CN</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>KEROS THERAPEUTICS INC</name>
        <lei>N/A</lei>
        <title>KEROS THERAPEUTICS</title>
        <cusip>492327101</cusip>
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          <isin value="US4923271013"/>
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        <balance>400000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>22556000.00000000</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>
      <invstOrSec>
        <name>ARGENX SE</name>
        <lei>7245009C5FZE6G9ODQ71</lei>
        <title>ARGENX SE SPONSORED ADR</title>
        <cusip>04016X101</cusip>
        <identifiers>
          <isin value="US04016X1019"/>
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        <balance>175000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>65712500.00000000</valUSD>
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        <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>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>ROYALTY PHARMA PLC</name>
        <lei>549300FGFN7VOK8BZR03</lei>
        <title>ROYALTY PHARMA PLC</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="GB00BMVP7Y09"/>
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        <balance>1670000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>46259000.00000000</valUSD>
        <pctVal>0.988293878930</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>GB</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>ALEDADE INC</name>
        <lei>N/A</lei>
        <title>ALEDADE INC SER B1 PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="HFE440000"/>
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        <balance>130618.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>5146349.20000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>EDGEWISE THERAPEUTICS INC</name>
        <lei>N/A</lei>
        <title>EDGEWISE THERAPEUTICS INC</title>
        <cusip>28036F105</cusip>
        <identifiers>
          <isin value="US28036F1057"/>
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        <balance>340000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6099600.00000000</valUSD>
        <pctVal>0.130314043622</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
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        <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>GALVANIZE THERAPEUTICS</name>
        <lei>N/A</lei>
        <title>GALVANIZE THERAPEUTICS SER B PC PERP PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="IIF751000"/>
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        <balance>2552870.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2629456.10000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>POSEIDA THERAPEUTICS INC</name>
        <lei>549300USKSDMNGMN8V04</lei>
        <title>POSEIDA THERAPEUTICS INC</title>
        <cusip>73730P108</cusip>
        <identifiers>
          <isin value="US73730P1084"/>
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        <balance>1442091.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3489860.22000000</valUSD>
        <pctVal>0.074558626294</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>
          <loanByFundCondition isLoanByFund="Y" loanVal="148588.00000000"/>
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      </invstOrSec>
      <invstOrSec>
        <name>SALUDA MEDICAL INC</name>
        <lei>N/A</lei>
        <title>SALUDA MEDICAL INC SER E PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="JSM023000"/>
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        <balance>781583.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6408980.60000000</valUSD>
        <pctVal>0.136923761801</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>AVIDITY BIOSCIENCES INC</name>
        <lei>N/A</lei>
        <title>AVIDITY BIOSCIENCES</title>
        <cusip>05370A108</cusip>
        <identifiers>
          <isin value="US05370A1088"/>
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        <balance>650000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>15684500.00000000</valUSD>
        <pctVal>0.335089287362</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>
          <loanByFundCondition isLoanByFund="Y" loanVal="6063869.00000000"/>
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      <invstOrSec>
        <name>PROCEPT BIOROBOTICS CORP</name>
        <lei>N/A</lei>
        <title>PROCEPT BIOROBOTICS CORP</title>
        <cusip>74276L105</cusip>
        <identifiers>
          <isin value="US74276L1052"/>
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        <balance>400000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>21192000.00000000</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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      <invstOrSec>
        <name>ELEVANCE HEALTH INC</name>
        <lei>8MYN82XMYQH89CTMTH67</lei>
        <title>ELEVANCE HEALTH INC</title>
        <cusip>036752103</cusip>
        <identifiers>
          <isin value="US0367521038"/>
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        <balance>45000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>23786100.00000000</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>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>MEDICAL MICROINSTRUMENTS INC</name>
        <lei>N/A</lei>
        <title>MEDICAL MICROINSTRUMENTS INC SER C PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="KEQ954000"/>
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        <balance>199633.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>6512028.46000000</valUSD>
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        <assetCat>EP</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>3</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>JANUX THERAPEUTICS INC</name>
        <lei>N/A</lei>
        <title>JANUX THERAPEUTICS INC</title>
        <cusip>47103J105</cusip>
        <identifiers>
          <isin value="US47103J1051"/>
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        <balance>428000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>24396000.00000000</valUSD>
        <pctVal>0.521204900028</pctVal>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>ALLOGENE THERAPEUTICS INC</name>
        <lei>N/A</lei>
        <title>ALLOGENE THERAPEUTICS INC</title>
        <cusip>019770106</cusip>
        <identifiers>
          <isin value="US0197701065"/>
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        <balance>2850000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>7866000.00000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>EVOLENT HEALTH INC</name>
        <lei>549300CZOCFHQ2BBTR11</lei>
        <title>EVOLENT HEALTH INC A</title>
        <cusip>30050B101</cusip>
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          <isin value="US30050B1017"/>
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        <balance>950000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>26353000.00000000</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>ENLIVEN THERAPEUTICS INC</name>
        <lei>N/A</lei>
        <title>ENLIVEN THERAPEUTICS INC</title>
        <cusip>29337E102</cusip>
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          <isin value="US29337E1029"/>
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        <balance>280000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4869200.00000000</valUSD>
        <pctVal>0.104027336416</pctVal>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      </invstOrSec>
      <invstOrSec>
        <name>ELEMENT BIOSCIENCES INC</name>
        <lei>N/A</lei>
        <title>ELEMENT BIOSCIENCES INC SER C PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="HHB001000"/>
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        <balance>376690.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3412811.40000000</valUSD>
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        <assetCat>EP</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>3</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>VAXCYTE INC</name>
        <lei>254900M7NMHTGASX8D95</lei>
        <title>VAXCYTE INC</title>
        <cusip>92243G108</cusip>
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          <isin value="US92243G1085"/>
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        <balance>900000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>54495000.00000000</valUSD>
        <pctVal>1.164250738933</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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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>VIRIDIAN THERAPEUTICS INC</name>
        <lei>549300C775BNYF550E70</lei>
        <title>VIRIDIAN THERAPEUTICS INC</title>
        <cusip>92790C104</cusip>
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          <isin value="US92790C1045"/>
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        <balance>750000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>9945000.00000000</valUSD>
        <pctVal>0.212468549384</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>ASTRAZENECA PLC</name>
        <lei>PY6ZZQWO2IZFZC3IOL08</lei>
        <title>ASTRAZENECA PLC</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="GB0009895292"/>
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        <balance>520000.00000000</balance>
        <units>NS</units>
        <currencyConditional curCd="GBP" exchangeRt="0.80028810"/>
        <valUSD>78649455.35000000</valUSD>
        <pctVal>1.680295192365</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>GB</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
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        <name>BOSTON SCIENTIFIC CORP</name>
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      <invstOrSec>
        <name>ELI LILLY and CO</name>
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        <name>ALEDADE INC</name>
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        <name>INSCRIPTA INC</name>
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        <name>Fidelity Revere Street Trust</name>
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        <name>ASCENDIS PHARMA A/S</name>
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        <name>LEGEND BIOTECH CORP</name>
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        <name>CLEERLY INC</name>
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        <name>DANAHER CORP</name>
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        <name>ACUMEN PHARMACEUTICALS INC</name>
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        <name>EXACT SCIENCES CORP</name>
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        <name>ACADIA HEALTHCARE CO INC</name>
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        <name>ARCELLX INC</name>
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        <name>UCB SA</name>
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      <invstOrSec>
        <name>ALNYLAM PHARMACEUTICALS INC</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>AVIDITY BIOSCIENCES INC</name>
        <lei>N/A</lei>
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          <other otherDesc="Internal" value="KFF427000"/>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>CVS HEALTH CORP</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Fidelity Revere Street Trust</name>
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        <fairValLevel>1</fairValLevel>
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        <name>VEEVA SYS INC</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>XENON PHARMACEUTICALS INC</name>
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        <fairValLevel>1</fairValLevel>
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        <name>CENTENE CORP DEL</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>BRIGHTSPRING HEALTH SERVICES INC</name>
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        <fairValLevel>1</fairValLevel>
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        <name>INSMED INC</name>
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        <name>HUMANA INC</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>MEDICAL MICROINSTRUMENTS INC</name>
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        <title>MEDICAL MICROINSTRUMENTS INC WT 02/16/2031 PP</title>
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        <name>INSPIRE MEDICAL SYSTEMS INC</name>
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        <name>UNITEDHEALTH GROUP INC</name>
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        <name>VIKING THERAPEUTICS INC</name>
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        <name>APOGEE THERAPEUTICS INC</name>
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        <name>REPLIGEN CORP</name>
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        <name>MERUS NV</name>
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        <name>INSULET CORP</name>
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        <name>OMADA HEALTH INC</name>
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        <title>OMADA HEALTH INC SER E PC PP</title>
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        <name>CELLDEX THERAPEUTICS INC</name>
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        <name>ELEVATEBIO, LLC</name>
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        <title>ELEVATEBIO LLC SER C PC PP</title>
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        <name>MASIMO CORP</name>
        <lei>549300Q4A8JK0PIYCU29</lei>
        <title>MASIMO CORP</title>
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        <name>NUVALENT INC</name>
        <lei>N/A</lei>
        <title>NUVALENT INC-A</title>
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      <invstOrSec>
        <name>ARCUS BIOSCIENCES INC</name>
        <lei>N/A</lei>
        <title>ARCUS BIOSCIENCES INC</title>
        <cusip>03969F109</cusip>
        <identifiers>
          <isin value="US03969F1093"/>
        </identifiers>
        <balance>450000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6853500.00000000</valUSD>
        <pctVal>0.146420633806</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>
    <signature>
      <ncom:dateSigned>2024-05-30</ncom:dateSigned>
      <ncom:nameOfApplicant>Stacie M. Smith</ncom:nameOfApplicant>
      <ncom:signature>Stacie M. Smith</ncom:signature>
      <ncom:signerName>Stacie M. Smith</ncom:signerName>
      <ncom:title>President and Treasurer</ncom:title>
    </signature>
  </formData>
  <documents>XXXX</documents>
</edgarSubmission>
