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        <valUSD>2000580.68000000</valUSD>
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        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>3</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      </invstOrSec>
      <invstOrSec>
        <name>EUROFINS SCIENTIFIC SE</name>
        <lei>529900JEHFM47DYY3S57</lei>
        <title>EUROFINS SCIENTIFIC SE</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="FR0014000MR3"/>
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        <balance>500000.00000000</balance>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>LU</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      </invstOrSec>
      <invstOrSec>
        <name>LONZA GROUP AG</name>
        <lei>549300EFW4H2TCZ71055</lei>
        <title>LONZA GROUP AG</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="CH0013841017"/>
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        <balance>75000.00000000</balance>
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        <currencyConditional curCd="CHF" exchangeRt="0.88335000"/>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>CH</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>PACIFIC BIOSCIENCES OF CALIFORNIA INC</name>
        <lei>529900F1BWRE1M0KZN89</lei>
        <title>PACIFIC BIOSCIENES OF CALI INC</title>
        <cusip>69404D108</cusip>
        <identifiers>
          <isin value="US69404D1081"/>
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        <balance>1900000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>21432000.00000000</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>
      <invstOrSec>
        <name>PRIVIA HEALTH GROUP INC</name>
        <lei>N/A</lei>
        <title>PRIVIA HEALTH GROUP INC</title>
        <cusip>74276R102</cusip>
        <identifiers>
          <isin value="US74276R1023"/>
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        <balance>2180000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>57225000.00000000</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>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>PROGNOMIQ INC</name>
        <lei>N/A</lei>
        <title>PROGNOMIQ INC SER B PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="GFH280000"/>
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        <balance>2735093.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6372766.69000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <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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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>STRYKER CORP</name>
        <lei>5493002F0SC4JTBU5137</lei>
        <title>STRYKER CORP</title>
        <cusip>863667101</cusip>
        <identifiers>
          <isin value="US8636671013"/>
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        <balance>1280000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>362944000.00000000</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>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>RESMED INC</name>
        <lei>529900T3QE5253CCXF22</lei>
        <title>RESMED INC</title>
        <cusip>761152107</cusip>
        <identifiers>
          <isin value="US7611521078"/>
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        <balance>900000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>143631000.00000000</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>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>SALUDA MEDICAL INC</name>
        <lei>N/A</lei>
        <title>SALUDA MEDICAL INC WT PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="JSH377000"/>
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        <balance>235185.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>623240.25000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>PHREESIA INC</name>
        <lei>5493000HHF8NU4QOCG53</lei>
        <title>PHREESIA INC</title>
        <cusip>71944F106</cusip>
        <identifiers>
          <isin value="US71944F1066"/>
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        <balance>1760000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>50107200.00000000</valUSD>
        <pctVal>0.773040467722</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>DNA SCRIPT SAS</name>
        <lei>N/A</lei>
        <title>DNA SCRIPT SAS(SEED) PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="IFA919000"/>
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        <balance>4668.00000000</balance>
        <units>NS</units>
        <currencyConditional curCd="EUR" exchangeRt="0.92221146"/>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>FR</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>BRUKER CORP</name>
        <lei>LEBZ6VLQ6I8XB1NHVY15</lei>
        <title>BRUKER CORP</title>
        <cusip>116794108</cusip>
        <identifiers>
          <isin value="US1167941087"/>
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        <balance>1600000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>104960000.00000000</valUSD>
        <pctVal>1.619294781830</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>KARDIUM INC/CA</name>
        <lei>549300YO4UGSBRMWPN13</lei>
        <title>KARDIUM INC CONV 0% PERP PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="HAA940000"/>
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        <balance>19551861.00000000</balance>
        <units>PA</units>
        <curCd>USD</curCd>
        <valUSD>19063064.48000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>CA</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>ASIMOV INC</name>
        <lei>N/A</lei>
        <title>ASIMOV INC SER B PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="IAD374000"/>
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        <balance>97985.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>4491632.40000000</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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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>INSCRIPTA INC</name>
        <lei>N/A</lei>
        <title>INSCRIPTA INC SER D PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="GID471000"/>
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        <balance>3938731.00000000</balance>
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        <curCd>USD</curCd>
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        <payoffProfile>Long</payoffProfile>
        <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>OLINK HOLDING AB</name>
        <lei>8945004Z7ZHV3LML4J27</lei>
        <title>OLINK HOLDING AB ADR</title>
        <cusip>680710100</cusip>
        <identifiers>
          <isin value="US6807101000"/>
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        <balance>1233000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>20381490.00000000</valUSD>
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        <assetCat>EC</assetCat>
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        <invCountry>SE</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>CARIS LIFE SCIENCES INC</name>
        <lei>549300LX5LO78M5VPY43</lei>
        <title>CARIS LIFE SCIENCES INC SER D PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="HFF594000"/>
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        <balance>2803935.00000000</balance>
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        <curCd>USD</curCd>
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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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      <invstOrSec>
        <name>LIFESTANCE HEALTH GROUP INC</name>
        <lei>N/A</lei>
        <title>LIFESTANCE HEALTH GROUP INC</title>
        <cusip>53228F101</cusip>
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          <isin value="US53228F1012"/>
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        <balance>6400000.00000000</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>10X GENOMICS INC</name>
        <lei>5493003Z6741WNLG7H43</lei>
        <title>10X GENOMICS INC</title>
        <cusip>88025U109</cusip>
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          <isin value="US88025U1097"/>
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        <balance>1826466.00000000</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>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>309255.00000000</balance>
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        <curCd>USD</curCd>
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        <assetCat>EP</assetCat>
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        <invCountry>CN</invCountry>
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        <fairValLevel>3</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>SALUDA MEDICAL INC</name>
        <lei>N/A</lei>
        <title>SALUDA MEDICAL INC SER D PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="JSH374000"/>
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        <balance>1567904.00000000</balance>
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        <curCd>USD</curCd>
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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>ALEDADE INC</name>
        <lei>N/A</lei>
        <title>ALEDADE INC SER B1 PC PP</title>
        <cusip>N/A</cusip>
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          <other otherDesc="Internal" value="HFE440000"/>
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        <balance>175232.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>8782627.84000000</valUSD>
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        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>3</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>FREENOME INC</name>
        <lei>254900QDTSQ6S0QOCS43</lei>
        <title>FREENOME HOLDINGS INC SER C PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="GEF058000"/>
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        <balance>2268156.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>17646253.68000000</valUSD>
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        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>3</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>DNA SCRIPT SAS</name>
        <lei>N/A</lei>
        <title>DNA SCRIPT SAS PP</title>
        <cusip>N/A</cusip>
        <identifiers>
          <other otherDesc="Internal" value="IFA918000"/>
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        <balance>1220.00000000</balance>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>FR</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>
      <invstOrSec>
        <name>DNA SCRIPT SAS</name>
        <lei>N/A</lei>
        <title>DNA SCRIPT SAS SER B PC PP</title>
        <cusip>N/A</cusip>
        <identifiers>
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      <invstOrSec>
        <name>PROGNOMIQ INC</name>
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      <invstOrSec>
        <name>GUARDANT HEALTH INC</name>
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      <invstOrSec>
        <name>GALVANIZE THERAPEUTICS</name>
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      <invstOrSec>
        <name>KARDIUM INC/CA</name>
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        <fairValLevel>3</fairValLevel>
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        <name>NOVOCURE LTD</name>
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        <name>PROCEPT BIOROBOTICS CORP</name>
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      <invstOrSec>
        <name>EVOLENT HEALTH INC</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>LANTHEUS HOLDINGS INC</name>
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      <invstOrSec>
        <name>OUTSET MEDICAL INC</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>GE HEALTHCARE TECHNOLOGIES INC</name>
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        <title>GE HEALTHCARE TECHNOLOGIES INC WI</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>BOSTON SCIENTIFIC CORP</name>
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        <title>BOSTON SCIENTIFIC CORP</title>
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      <invstOrSec>
        <name>ALEDADE INC</name>
        <lei>N/A</lei>
        <title>ALEDADE INC SER E1 PC PP</title>
        <cusip>N/A</cusip>
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          <other otherDesc="Internal" value="JBH316000"/>
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        <balance>58567.00000000</balance>
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        <fairValLevel>3</fairValLevel>
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        <name>ABBOTT LABORATORIES</name>
        <lei>HQD377W2YR662HK5JX27</lei>
        <title>ABBOTT LABORATORIES</title>
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      <invstOrSec>
        <name>FREENOME INC</name>
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        <title>FREENOME HOLDINGS INC SER D PC PP</title>
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        <name>10X GENOMICS INC</name>
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        <title>10X GENOMICS INC CL B 144A</title>
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        <name>ELEMENT BIOSCIENCES INC</name>
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        <title>ELEMENT BIOSCIENCES INC SER B PC PP</title>
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        <name>BEAUTY HEALTH CO/THE</name>
        <lei>5493001Z2JZQT4C63C50</lei>
        <title>BEAUTY HEALTH CO/THE PIPE</title>
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        <name>EVOLENT HEALTH INC</name>
        <lei>549300CZOCFHQ2BBTR11</lei>
        <title>EVOLENT HEALTH INC (LOCK UP) PIPE</title>
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        <name>INTUITIVE SURGICAL INC</name>
        <lei>54930052SRG011710797</lei>
        <title>INTUITIVE SURGICAL INC</title>
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        <name>DEXCOM INC</name>
        <lei>549300YSK3QDSFR5EU59</lei>
        <title>DEXCOM INC</title>
        <cusip>252131107</cusip>
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      <invstOrSec>
        <name>CONFORMAL MEDICAL INC</name>
        <lei>N/A</lei>
        <title>CONFORMAL MEDICAL INC SER C PC PP</title>
        <cusip>N/A</cusip>
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      <invstOrSec>
        <name>AGILON HEALTH INC</name>
        <lei>N/A</lei>
        <title>AGILON HEALTH INC</title>
        <cusip>00857U107</cusip>
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        <fairValLevel>1</fairValLevel>
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        <name>IRHYTHM TECHNOLOGIES INC</name>
        <lei>549300FJI72RJGDQS384</lei>
        <title>IRHYTHM TECHNOLOGIES INC</title>
        <cusip>450056106</cusip>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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        <name>WEST PHARMACEUTICAL SVCS INC</name>
        <lei>5493007NKRGM1RJQ1P16</lei>
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        <name>Fidelity Revere Street Trust</name>
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      <invstOrSec>
        <name>BEAUTY HEALTH CO/THE</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>SARTORIUS STEDIM BIOTECH</name>
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      <invstOrSec>
        <name>DANAHER CORP</name>
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        <name>NEVRO CORP</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>GLAUKOS CORP</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>NATERA INC</name>
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        <fairValLevel>1</fairValLevel>
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        <name>OXFORD BIOMEDICA PLC</name>
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        <name>DOXIMITY INC</name>
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        <name>TANDEM DIABETES CARE INC</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Fidelity Revere Street Trust</name>
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        <name>FORTREA HOLDINGS INC</name>
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        <name>VEEVA SYS INC</name>
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        <name>BIO TECHNE CORP</name>
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        <name>INSPIRE MEDICAL SYSTEMS INC</name>
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        <name>CONFORMAL MEDICAL INC</name>
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        <name>ICU MEDICAL INC</name>
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        <name>REPLIGEN CORP</name>
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        <name>INSULET CORP</name>
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        <name>OMADA HEALTH INC</name>
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        <name>ELEVATEBIO, LLC</name>
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        <name>DNA SCRIPT SAS</name>
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        <name>MASIMO CORP</name>
        <lei>549300Q4A8JK0PIYCU29</lei>
        <title>MASIMO CORP</title>
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          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>SEER INC</name>
        <lei>N/A</lei>
        <title>SEER INC</title>
        <cusip>81578P106</cusip>
        <identifiers>
          <isin value="US81578P1066"/>
        </identifiers>
        <balance>2800000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>7364000.00000000</valUSD>
        <pctVal>0.113609820630</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>2023-09-30</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>
