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        <name>ALIGN TECHNOLOGY INC</name>
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      <invstOrSec>
        <name>KARDIUM INC/US</name>
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        <name>STRYKER CORP</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>MANUS BIO INC</name>
        <lei>N/A</lei>
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          <other otherDesc="Internal" value="LEH442000"/>
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      <invstOrSec>
        <name>GALVANIZE THERAPEUTICS</name>
        <lei>N/A</lei>
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          <other otherDesc="Internal" value="LIK052000"/>
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      <invstOrSec>
        <name>SALUDA MEDICAL INC</name>
        <lei>N/A</lei>
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          <other otherDesc="Internal" value="JSH377000"/>
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      <invstOrSec>
        <name>PHREESIA INC</name>
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        <title>PHREESIA INC</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>DNA SCRIPT SAS</name>
        <lei>N/A</lei>
        <title>DNA SCRIPT SAS(SEED) PP</title>
        <cusip>N/A</cusip>
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          <other otherDesc="Internal" value="IFA919000"/>
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        <fairValLevel>3</fairValLevel>
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      <invstOrSec>
        <name>KESTRA MEDICAL TECHNOLOGIES INC</name>
        <lei>N/A</lei>
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          <isin value="BMG524411052"/>
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        <fairValLevel>1</fairValLevel>
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        <name>BRUKER CORP</name>
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      <invstOrSec>
        <name>ASIMOV INC</name>
        <lei>N/A</lei>
        <title>ASIMOV INC SER B PC PP</title>
        <cusip>N/A</cusip>
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        <name>10X GENOMICS INC</name>
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        <name>DMED BIOPHARMACEUTICAL CO LTD</name>
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        <name>SALUDA MEDICAL INC</name>
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        <name>ALEDADE INC</name>
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        <name>FREENOME INC</name>
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        <name>DNA SCRIPT SAS</name>
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        <name>DNA SCRIPT SAS</name>
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        <name>GALVANIZE THERAPEUTICS</name>
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      <invstOrSec>
        <name>PROCEPT BIOROBOTICS CORP</name>
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        <name>EVOLENT HEALTH INC</name>
        <lei>549300CZOCFHQ2BBTR11</lei>
        <title>EVOLENT HEALTH INC A</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>WAYSTAR HOLDING CORP</name>
        <lei>N/A</lei>
        <title>WAYSTAR HOLDING CORP</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>VERACYTE INC</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>OMADA HEALTH INC</name>
        <lei>N/A</lei>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>SHOULDER INNOVATIONS INC</name>
        <lei>N/A</lei>
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          <other otherDesc="Internal" value="LJU303000"/>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>PROGNOMIQ INC</name>
        <lei>N/A</lei>
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          <other otherDesc="Internal" value="GFH279000"/>
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        <assetCat>EC</assetCat>
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        <fairValLevel>3</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>HEARTFLOW INC</name>
        <lei>N/A</lei>
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          <ticker value="HTFL"/>
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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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      <invstOrSec>
        <name>OUTSET MEDICAL INC</name>
        <lei>N/A</lei>
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        <curCd>USD</curCd>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>BOSTON SCIENTIFIC CORP</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>ALEDADE INC</name>
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        <fairValLevel>3</fairValLevel>
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        <name>ABBOTT LABORATORIES</name>
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      <invstOrSec>
        <name>FREENOME INC</name>
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        <name>10X GENOMICS INC</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>ELEMENT BIOSCIENCES INC</name>
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          <other otherDesc="Internal" value="FEE216000"/>
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        <fairValLevel>3</fairValLevel>
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      <invstOrSec>
        <name>INTUITIVE SURGICAL INC</name>
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      <invstOrSec>
        <name>CONFORMAL MEDICAL INC</name>
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      <invstOrSec>
        <name>AGILON HEALTH INC</name>
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        <name>CARIS LIFE SCIENCES INC</name>
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      <invstOrSec>
        <name>AGILENT TECHNOLOGIES INC</name>
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        <name>Fidelity Revere Street Trust</name>
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        <name>EDWARDS LIFESCIENCES CORP</name>
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        <title>EDWARDS LIFESCIENCES CORP</title>
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        <name>SARTORIUS STEDIM BIOTECH</name>
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      <invstOrSec>
        <name>DANAHER CORP</name>
        <lei>S4BKK9OTCEWQ3YHPFM11</lei>
        <title>DANAHER CORP</title>
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        <name>GLAUKOS CORP</name>
        <lei>5299004JA1LHE21M6T14</lei>
        <title>GLAUKOS CORP</title>
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        <name>NATERA INC</name>
        <lei>N/A</lei>
        <title>NATERA INC</title>
        <cusip>632307104</cusip>
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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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        <name>EXACT SCIENCES CORP</name>
        <lei>549300VM3X1FYD4N9Z14</lei>
        <title>EXACT SCIENCES CORP</title>
        <cusip>30063P105</cusip>
        <identifiers>
          <isin value="US30063P1057"/>
        </identifiers>
        <balance>1760000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>83459200.00000000</valUSD>
        <pctVal>1.961401535913</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>
      <invstOrSec>
        <name>DOXIMITY INC</name>
        <lei>N/A</lei>
        <title>DOXIMITY INC</title>
        <cusip>26622P107</cusip>
        <identifiers>
          <isin value="US26622P1075"/>
        </identifiers>
        <balance>548558.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>37269030.52000000</valUSD>
        <pctVal>0.875871488151</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>
      <invstOrSec>
        <name>KARDIUM INC/US</name>
        <lei>N/A</lei>
        <title>KARDIUM INC US SRE D-6 PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="LKD792000"/>
        </identifiers>
        <balance>13783189.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>15712835.46000000</valUSD>
        <pctVal>0.369272406215</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>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Fidelity Revere Street Trust</name>
        <lei>549300BDV45LJNXBZC55</lei>
        <title>Fidelity Securities Lending Cash Central Fund</title>
        <cusip>31635A303</cusip>
        <identifiers>
          <isin value="US31635A3032"/>
        </identifiers>
        <balance>54971379.43100000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>54976876.57000000</valUSD>
        <pctVal>1.292029280703</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>STIV</assetCat>
        <issuerCat>RF</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <cashCollateralCondition cashCollateralVal="54976876.57000000" isCashCollateral="Y"/>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>ASAHI INTECC CO LTD</name>
        <lei>353800J3AV2SCNIO8L39</lei>
        <title>ASAHI INTECC CO LTD</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="JP3110650003"/>
        </identifiers>
        <balance>1000000.00000000</balance>
        <units>NS</units>
        <currencyConditional curCd="JPY" exchangeRt="146.95500000"/>
        <valUSD>17119393.50000000</valUSD>
        <pctVal>0.402328379673</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>JP</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>VEEVA SYS INC</name>
        <lei>549300YZEXPDB92M2F02</lei>
        <title>VEEVA SYS INC CL A</title>
        <cusip>922475108</cusip>
        <identifiers>
          <isin value="US9224751084"/>
        </identifiers>
        <balance>700000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>188440000.00000000</valUSD>
        <pctVal>4.428589124117</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>
      <invstOrSec>
        <name>HEARTFLOW INC</name>
        <lei>N/A</lei>
        <title>HEARTFLOW INC</title>
        <cusip>42238D107</cusip>
        <identifiers>
          <isin value="US42238D1072"/>
        </identifiers>
        <balance>8200.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>258300.00000000</valUSD>
        <pctVal>0.006070391481</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>
      <invstOrSec>
        <name>INSPIRE MEDICAL SYSTEMS INC</name>
        <lei>549300XQQCQ7HCJKTW25</lei>
        <title>INSPIRE MEDICAL SYSTEMS INC</title>
        <cusip>457730109</cusip>
        <identifiers>
          <isin value="US4577301090"/>
        </identifiers>
        <balance>283000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>26514270.00000000</valUSD>
        <pctVal>0.623120397770</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>
      <invstOrSec>
        <name>CONFORMAL MEDICAL INC</name>
        <lei>N/A</lei>
        <title>CONFORMAL MEDICAL INC SER D PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="JUB732000"/>
        </identifiers>
        <balance>932032.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4744042.88000000</valUSD>
        <pctVal>0.111491279466</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>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>ICU MEDICAL INC</name>
        <lei>5493003NRW7LS2QZRH60</lei>
        <title>ICU MEDICAL INC</title>
        <cusip>44930G107</cusip>
        <identifiers>
          <isin value="US44930G1076"/>
        </identifiers>
        <balance>50000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6383000.00000000</valUSD>
        <pctVal>0.150008938544</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="3523416.00000000"/>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>REPLIGEN CORP</name>
        <lei>54930006QJ0T5AUO1E71</lei>
        <title>REPLIGEN</title>
        <cusip>759916109</cusip>
        <identifiers>
          <isin value="US7599161095"/>
        </identifiers>
        <balance>510000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>62383200.00000000</valUSD>
        <pctVal>1.466087672721</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>
      <invstOrSec>
        <name>INSULET CORP</name>
        <lei>549300TZTYD2PYN92D43</lei>
        <title>INSULET CORP</title>
        <cusip>45784P101</cusip>
        <identifiers>
          <isin value="US45784P1012"/>
        </identifiers>
        <balance>560000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>190332800.00000000</valUSD>
        <pctVal>4.473072426463</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>
      <invstOrSec>
        <name>ELEVATEBIO, LLC</name>
        <lei>N/A</lei>
        <title>ELEVATEBIO LLC SER C PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="HCJ459000"/>
        </identifiers>
        <balance>214700.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>448723.00000000</valUSD>
        <pctVal>0.010545583727</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>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>DNA SCRIPT SAS</name>
        <lei>N/A</lei>
        <title>DNA SCRIPT SAS SER C PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="IBH108000"/>
        </identifiers>
        <balance>28249.00000000</balance>
        <units>NS</units>
        <currencyConditional curCd="EUR" exchangeRt="0.85477391"/>
        <valUSD>6509894.55000000</valUSD>
        <pctVal>0.152991128227</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>FR</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>MASIMO CORP</name>
        <lei>549300Q4A8JK0PIYCU29</lei>
        <title>MASIMO CORP</title>
        <cusip>574795100</cusip>
        <identifiers>
          <isin value="US5747951003"/>
        </identifiers>
        <balance>1380188.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>192826065.48000000</valUSD>
        <pctVal>4.531667461425</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="As of March 2025, 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>2025-09-30</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>
</edgarSubmission>
