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        <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>INTUITIVE SURGICAL INC</name>
        <lei>54930052SRG011710797</lei>
        <title>INTUITIVE SURGICAL INC</title>
        <cusip>46120E602</cusip>
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          <isin value="US46120E6023"/>
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        <balance>660000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>382819800.00000000</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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      </invstOrSec>
      <invstOrSec>
        <name>STERIS PL</name>
        <lei>N/A</lei>
        <title>STERIS PLC</title>
        <cusip>N/A</cusip>
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          <isin value="IE00BFY8C754"/>
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        <balance>128000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>21233920.00000000</valUSD>
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        <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>INSULET CORP</name>
        <lei>549300TZTYD2PYN92D43</lei>
        <title>INSULET CORP</title>
        <cusip>45784P101</cusip>
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          <isin value="US45784P1012"/>
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        <balance>1195000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>225341150.00000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <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>UNITEDHEALTH GROUP INC</name>
        <lei>549300GHBMY8T5GXDE41</lei>
        <title>UNITEDHEALTH GROUP INC</title>
        <cusip>91324P102</cusip>
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          <isin value="US91324P1021"/>
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        <balance>600000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
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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>
        <name>NEVRO CORP</name>
        <lei>254900SH91I4BOYKUE38</lei>
        <title>NEVRO CORPORATION</title>
        <cusip>64157F103</cusip>
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          <isin value="US64157F1030"/>
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        <balance>642000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>80635200.00000000</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>BECTON DICKINSON and CO</name>
        <lei>ICE2EP6D98PQUILVRZ91</lei>
        <title>BECTON DICKINSON and CO</title>
        <cusip>075887109</cusip>
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          <isin value="US0758871091"/>
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        <balance>2505000.00000000</balance>
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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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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>CLARIVATE PLC</name>
        <lei>549300WDHIIODXFO0R55</lei>
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        <cusip>N/A</cusip>
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          <isin value="JE00BJJN4441"/>
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        <balance>1280000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>JE</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>DEXCOM INC</name>
        <lei>549300YSK3QDSFR5EU59</lei>
        <title>DEXCOM INC</title>
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          <isin value="US2521311074"/>
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        <balance>500000.00000000</balance>
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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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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>THERMO FISHER SCIENTIFIC INC</name>
        <lei>HCHV7422L5HDJZCRFL38</lei>
        <title>THERMO FISHER SCIENTIFIC INC</title>
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          <isin value="US8835561023"/>
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        <balance>1920000.00000000</balance>
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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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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>SEER INC</name>
        <lei>N/A</lei>
        <title>SEER INC SER D-1 0% PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="GAC589000"/>
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        <balance>3333333.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>12499998.75000000</valUSD>
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        <assetCat>EP</assetCat>
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        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <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>330000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>25730100.00000000</valUSD>
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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>
        <name>TWIST BIOSCIENCE CORP</name>
        <lei>549300T23BL59LCOH584</lei>
        <title>TWIST BIOSCIENCE CORP</title>
        <cusip>90184D100</cusip>
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          <isin value="US90184D1000"/>
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        <balance>850000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>32257500.00000000</valUSD>
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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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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>OUTSET MEDICAL INC</name>
        <lei>N/A</lei>
        <title>OUTSET MEDICAL INC SER E PC PP</title>
        <cusip>N/A</cusip>
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          <other otherDesc="Internal" value="FFI728000"/>
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        <balance>1363636.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3449999.08000000</valUSD>
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        <invCountry>US</invCountry>
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        <fairValLevel>3</fairValLevel>
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      <invstOrSec>
        <name>STRYKER CORP</name>
        <lei>5493002F0SC4JTBU5137</lei>
        <title>STRYKER CORP</title>
        <cusip>863667101</cusip>
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        <balance>500000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>97865000.00000000</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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      <invstOrSec>
        <name>FLIR SYSTEMS INC</name>
        <lei>VOBD35NEPH6WISIRTJ85</lei>
        <title>FLIR SYSTEMS INC</title>
        <cusip>302445101</cusip>
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          <isin value="US3024451011"/>
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        <balance>700000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>32340000.00000000</valUSD>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>VIEWRAY INC</name>
        <lei>5493006XTUBSKFU3W106</lei>
        <title>VIEWRAY INC</title>
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        <balance>8000000.00000000</balance>
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        <curCd>USD</curCd>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>OUTSET MEDICAL INC</name>
        <lei>N/A</lei>
        <title>OUTSET MEDICAL INC SER B PC PP</title>
        <cusip>N/A</cusip>
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          <other otherDesc="Internal" value="75M99T239"/>
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        <fairValLevel>3</fairValLevel>
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      <invstOrSec>
        <name>HUMANA INC</name>
        <lei>529900YLDW34GJAO4J06</lei>
        <title>HUMANA INC</title>
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      <invstOrSec>
        <name>10X GENOMICS INC</name>
        <lei>5493003Z6741WNLG7H43</lei>
        <title>10X GENOMICS INC CL B 144A</title>
        <cusip>N/A</cusip>
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          <other otherDesc="Internal" value="FHG694000"/>
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      <invstOrSec>
        <name>HOLOGIC INC</name>
        <lei>549300DYP6F5ZJL0LB74</lei>
        <title>HOLOGIC INC</title>
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          <isin value="US4364401012"/>
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        <balance>2200000.00000000</balance>
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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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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>ALIGN TECHNOLOGY INC</name>
        <lei>549300N5YSE0U3LCP840</lei>
        <title>ALIGN TECHNOLOGY INC</title>
        <cusip>016255101</cusip>
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          <isin value="US0162551016"/>
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        <balance>200000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>49124000.00000000</valUSD>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>BOSTON SCIENTIFIC CORP</name>
        <lei>Y6ZDD9FP4P8JSSJMW954</lei>
        <title>BOSTON SCIENTIFIC CORP</title>
        <cusip>101137107</cusip>
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        <balance>14000000.00000000</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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        <name>ATRICURE INC</name>
        <lei>N/A</lei>
        <title>ATRICURE INC</title>
        <cusip>04963C209</cusip>
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          <isin value="US04963C2098"/>
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        <balance>1200000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>57372000.00000000</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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      <invstOrSec>
        <name>AXONICS MODULATION TECHNOLOGIES INC</name>
        <lei>549300LJY4X7N57VJL05</lei>
        <title>AXONICS MODULATION TECHNOLOGIES INC</title>
        <cusip>05465P101</cusip>
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          <isin value="US05465P1012"/>
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        <balance>690000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>25302300.00000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>GENMARK DIAGNOSTICS INC</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>SHOCKWAVE MEDICAL INC</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>IDEXX LABORATORIES INC</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>CIGNA CORP</name>
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      <invstOrSec>
        <name>CASTLIGHT HEALTH INC</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>OUTSET MEDICAL INC</name>
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        <name>CALYXT INC</name>
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        <name>EHEALTH INC</name>
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      <invstOrSec>
        <name>ELEMENT BIOSCIENCES INC</name>
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        <name>Fidelity Revere Street Trust</name>
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        <assetCat>STIV</assetCat>
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        <fairValLevel>1</fairValLevel>
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        <name>INSPIRE MEDICAL SYSTEMS INC</name>
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        <fairValLevel>1</fairValLevel>
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        <name>DANAHER CORP</name>
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        <name>NATERA INC</name>
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        <name>LONZA GROUP AG</name>
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        <name>INTERSECT ENT INC</name>
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        <name>QUIDEL CORP</name>
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        <name>NANOSONICS LTD</name>
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        <name>BRUKER CORP</name>
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        <name>PENUMBRA INC</name>
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        <name>FISHER and PAYKEL HEALTHCARE CORP</name>
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        <name>VEEVA SYS INC</name>
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        <title>VEEVA SYS INC CL A</title>
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        <name>RESMED INC</name>
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        <title>RESMED INC</title>
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        <name>VARIAN MEDICAL SYSTEMS INC</name>
        <lei>TK3LAKL7I0QNTCVWSY07</lei>
        <title>VARIAN MEDICAL SYSTEMS INC</title>
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        <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>CASTLIGHT HEALTH INC</name>
        <lei>549300K52FAO83JL0L06</lei>
        <title>CASTLIGHT HEALTH INC A (UNLISTED)</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Bloomberg" value="EQ0000000034547942"/>
        </identifiers>
        <balance>983300.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>774545.41000000</valUSD>
        <pctVal>0.011933873787</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>CENTENE CORP DEL</name>
        <lei>549300Z7JJ4TQSQGT333</lei>
        <title>CENTENE CORP</title>
        <cusip>15135B101</cusip>
        <identifiers>
          <isin value="US15135B1017"/>
        </identifiers>
        <balance>1800000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>119250000.00000000</valUSD>
        <pctVal>1.837354441514</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>ABBOTT LABORATORIES</name>
        <lei>HQD377W2YR662HK5JX27</lei>
        <title>ABBOTT LABORATORIES</title>
        <cusip>002824100</cusip>
        <identifiers>
          <isin value="US0028241000"/>
        </identifiers>
        <balance>1500000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>142380000.00000000</valUSD>
        <pctVal>2.193731869037</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>OUTSET MEDICAL INC</name>
        <lei>N/A</lei>
        <title>OUTSET MEDICAL INC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="75M99T221"/>
        </identifiers>
        <balance>1486367.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3760508.51000000</valUSD>
        <pctVal>0.057940352311</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</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>
    </invstOrSecs>
    <signature>
      <ncom:dateSigned>2020-06-30</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>
