NPORT-P false 0000720318 XXXXXXXX S000007742 C000021062 C000021063 C000211329 Variable Insurance Products Fund IV 811-03759 0000720318 Q4ATLOQB94VR31F8C557 245 Summer Street Boston 02210 1-800-FIDELITY VIP Health Care Portfolio S000007742 D8C0WVZDJ1FKWJKVRR18 2025-12-31 2025-06-30 N 1008333208.33 43941250.11 964391958.22 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 50237.51000000 UST SURGERY PARTNERS INC 549300LC82HG33S19I03 86881A100 285000.00000000 NS USD 6335550.00000000 0.656947618237 Long EC CORP US N 1 N N N INSIGHTEC LTD N/A N/A 1824838.00000000 NS USD 1405125.26000000 0.145700640494 Long EP CORP IL Y 3 N N N UPSTREAM BIO INC N/A 91678A107 169000.00000000 NS USD 1855620.00000000 0.192413466763 Long EC CORP US N 1 N N N PENUMBRA INC 549300RGE06P3ECANU72 70975L107 176000.00000000 NS USD 45166880.00000000 4.683456722655 Long EC CORP US N 1 N N N IQVIA HOLDINGS INC 549300W3R20NM4KQPH86 46266C105 45000.00000000 NS USD 7091550.00000000 0.735338981163 Long EC CORP US N 1 N N N ABBVIE INC FR5LCKFTG8054YNNRU85 00287Y109 100000.00000000 NS USD 18562000.00000000 1.924736082853 Long EC CORP US N 1 N N N PRIVIA HEALTH GROUP INC N/A 74276R102 500000.00000000 NS USD 11500000.00000000 1.192461208534 Long EC CORP US N 1 N N N STRYKER CORP 5493002F0SC4JTBU5137 863667101 78500.00000000 NS USD 31056955.00000000 3.220366442843 Long EC CORP US N 1 N N N CRINETICS PHARMACEUTICALS INC 549300Q1CNFXK5P31D28 22663K107 208000.00000000 NS USD 5982080.00000000 0.620295508378 Long EC CORP US N 1 N N N PHREESIA INC 5493000HHF8NU4QOCG53 71944F106 208000.00000000 NS USD 5919680.00000000 0.613825110168 Long EC CORP US N 1 N N N IMMUNOCORE HOLDINGS PLC 213800IUE3DFS84BVN18 45258D105 86000.00000000 NS USD 2698680.00000000 0.279832279499 Long EC CORP GB N 1 N N KESTRA MEDICAL TECHNOLOGIES INC N/A N/A 69000.00000000 NS USD 1144020.00000000 0.118626041025 Long EC CORP US N 1 N N N ENDEAVOR BIOMEDICINES INC N/A N/A 208016.00000000 NS USD 1017198.24000000 0.105475603703 Long EP CORP US Y 3 N N N BRUKER CORP LEBZ6VLQ6I8XB1NHVY15 116794108 90000.00000000 NS USD 3708000.00000000 0.384490970543 Long EC CORP US N 1 N N N CARGO THERAPEUTICS INC N/A 14179K101 225000.00000000 NS USD 927000.00000000 0.096122742635 Long EC CORP US N 1 N N DISC MEDICINE INC N/A 254604101 54200.00000000 NS USD 2870432.00000000 0.297641635803 Long EC CORP US N 1 N N N ALIGNMENT HEALTHCARE INC N/A 01625V104 280000.00000000 NS USD 3920000.00000000 0.406473733691 Long EC CORP US N 1 N N N ASIMOV INC N/A N/A 13047.00000000 NS USD 337004.01000000 0.034944713830 Long EP CORP US Y 3 N N N GALVANIZE THERAPEUTICS N/A N/A 494400.00000000 PA USD 596988.00000000 0.061903046257 Long DBT CORP US Y 3 2027-02-28 Fixed 0.06000000 N N N N Y GALVANIZE THERAPEUTICS USD XXXX N N N MERCK and CO INC 4YV9Y5M8S0BRK1RP0397 58933Y105 92000.00000000 NS USD 7282720.00000000 0.755161834140 Long EC CORP US N 1 N N N WUGEN INC N/A N/A 57585.00000000 NS USD 46643.85000000 0.004836607107 Long EP CORP US Y 3 N N N MOONLAKE IMMUNOTHERAPEUTICS N/A 61559X104 110000.00000000 NS USD 5192000.00000000 0.538370312583 Long EC CORP KY N 1 N N ORUKA THERAPEUTICS INC 529900TG7O4ESUDMGI54 687604108 159859.00000000 NS USD 1792019.39000000 0.185818574566 Long EC CORP US N 1 N N N MANUS BIO INC N/A N/A 132642.00000000 NS USD 403231.68000000 0.041812011865 Long EP CORP US Y 3 N N N CIGNA GROUP (THE) 549300VIWYMSIGT1U456 125523100 35000.00000000 NS USD 11570300.00000000 1.199750775748 Long EC CORP US N 1 N N N SCHOLAR ROCK HOLDING CORP 549300Z1FLPGL4OWJ459 80706P103 21000.00000000 NS USD 743820.00000000 0.077128390968 Long EC CORP US N 1 N N N LIFESTANCE HEALTH GROUP INC N/A 53228F101 800000.00000000 NS USD 4136000.00000000 0.428871265956 Long EC CORP US N 1 N N N 10X GENOMICS INC 5493003Z6741WNLG7H43 88025U109 228000.00000000 NS USD 2640240.00000000 0.273772502714 Long EC CORP US N 1 N N N NURIX THERAPEUTICS INC N/A 67080M103 250000.00000000 NS USD 2847500.00000000 0.295263764461 Long EC CORP US N 1 N N N DMED BIOPHARMACEUTICAL CO LTD N/A N/A 39228.00000000 NS USD 314216.28000000 0.032581802173 Long EP CORP CN Y 3 N N N ARGENX SE 7245009C5FZE6G9ODQ71 04016X101 45000.00000000 NS USD 24804900.00000000 2.572076611441 Long EC CORP NL N 1 N N N ROYALTY PHARMA PLC 549300FGFN7VOK8BZR03 N/A 280000.00000000 NS USD 10088400.00000000 1.046089187493 Long EC CORP GB N 1 N N N ALEDADE INC N/A N/A 24966.00000000 NS USD 894282.12000000 0.092730151094 Long EP CORP US Y 3 N N N CARTESIAN THERAPEUTICS INC 529900NMN0LACZOL7C43 816212302 56954.00000000 NS USD 591752.06000000 0.061360119706 Long EC CORP US N 1 N N N GALVANIZE THERAPEUTICS N/A N/A 505495.00000000 NS USD 161758.40000000 0.016773097143 Long EP CORP US Y 3 N N N PERSPECTIVE THERAPEUTICS INC 5493005LRKM6BCABC605 46489V302 100000.00000000 NS USD 344000.00000000 0.035670143977 Long EC CORP US N 1 N N N SALUDA MEDICAL INC N/A N/A 102160.00000000 NS USD 521016.00000000 0.054025336437 Long EP CORP US Y 3 N N N AVIDITY BIOSCIENCES INC N/A 05370A108 100000.00000000 NS USD 2840000.00000000 0.294486072368 Long EC CORP US N 1 N N N PROCEPT BIOROBOTICS CORP N/A 74276L105 112000.00000000 NS USD 6451200.00000000 0.668939630304 Long EC CORP US N 1 N N BIONTECH SE 894500UZJ5LG1F8J1U58 09075V102 67000.00000000 NS USD 7133490.00000000 0.739687835345 Long EC CORP DE N 1 N N MEDICAL MICROINSTRUMENTS INC N/A N/A 47257.00000000 NS USD 1581691.79000000 0.164009226385 Long EP CORP US Y 3 N N N JANUX THERAPEUTICS INC N/A 47103J105 111800.00000000 NS USD 2582580.00000000 0.267793605907 Long EC CORP US N 1 N N N EVOLENT HEALTH INC 549300CZOCFHQ2BBTR11 30050B101 149932.00000000 NS USD 1688234.32000000 0.175056864131 Long EC CORP US N 1 N N N ENLIVEN THERAPEUTICS INC N/A 29337E102 190000.00000000 NS USD 3811400.00000000 0.395212752192 Long EC CORP US N 1 N N WAYSTAR HOLDING CORP N/A 946784105 42000.00000000 NS USD 1716540.00000000 0.177991944599 Long EC CORP US N 1 N N N VERACYTE INC 529900ESWZRHXOW27Z37 92337F107 250000.00000000 NS USD 6757500.00000000 0.700700575362 Long EC CORP US N 1 N N N REVOLUTION MEDICINES INC 549300JU3X0LBCQ65892 76155X100 60000.00000000 NS USD 2207400.00000000 0.228890336671 Long EC CORP US N 1 N N N HEARTFLOW INC N/A N/A 1536300.00000000 PA USD 1605740.76000000 0.166502918892 Long EP CORP US Y 3 N N N OMADA HEALTH INC N/A N/A 93830.00000000 NS USD 1717089.00000000 0.178048871660 Long EC CORP US Y 1 N N N ELEMENT BIOSCIENCES INC N/A N/A 72178.00000000 NS USD 588250.70000000 0.060997055708 Long EP CORP US Y 3 N N N ELEMENT BIOSCIENCES INC N/A N/A 73131.00000000 NS USD 426353.73000000 0.044209589925 Long EP CORP US Y 3 N N N VAXCYTE INC 254900M7NMHTGASX8D95 92243G108 185000.00000000 NS USD 6014350.00000000 0.623641658221 Long EC CORP US N 1 N N N VIRIDIAN THERAPEUTICS INC 549300C775BNYF550E70 92790C104 401465.00000000 NS USD 5612480.70000000 0.581970914643 Long EC CORP US N 1 N N N SOLENO THERAPEUTICS INC 5493003LCY77N7FXK844 834203309 81500.00000000 NS USD 6828070.00000000 0.708018139492 Long EC CORP US N 1 N N N SPYRE THERAPEUTICS INC 52990017AIJPRH3HQH40 00773J202 93300.00000000 NS USD 1396701.00000000 0.144827109775 Long EC CORP US N 1 N N OUTSET MEDICAL INC N/A 690145206 210000.00000000 NS USD 4034100.00000000 0.418305022726 Long EC CORP US N 1 N N N REZOLUTE INC 549300T05L48T72P2G08 76200L309 450000.00000000 NS USD 2007000.00000000 0.208110403959 Long EC CORP US N 1 N N N BOSTON SCIENTIFIC CORP Y6ZDD9FP4P8JSSJMW954 101137107 785000.00000000 NS USD 84316850.00000000 8.743006334854 Long EC CORP US N 1 N N N ELI LILLY and CO FRDRIPF3EKNDJ2CQJL29 532457108 61000.00000000 NS USD 47551330.00000000 4.930705777323 Long EC CORP US N 1 N N N ALEDADE INC N/A N/A 10776.00000000 NS USD 385996.32000000 0.040024838107 Long EP CORP US Y 3 N N N STRUCTURE THERAPEUTICS INC N/A 86366E106 140000.00000000 NS USD 2903600.00000000 0.301080901313 Long EC CORP KY N 1 N N SUMMIT THERAPEUTICS INC N/A 86627T108 90000.00000000 NS USD 1915200.00000000 0.198591452746 Long EC CORP US N 1 N N OMADA HEALTH INC N/A 68170A108 40000.00000000 NS USD 732000.00000000 0.075902748230 Long EC CORP US N 1 N N ANNEXON INC N/A 03589W102 200000.00000000 NS USD 480000.00000000 0.049772293921 Long EC CORP US N 1 N N JADE BIOSCIENCES INC N/A 008064206 60000.00000000 NS USD 599400.00000000 0.062153152034 Long EC CORP US N 1 N N N INTUITIVE SURGICAL INC 54930052SRG011710797 46120E602 15000.00000000 NS USD 8151150.00000000 0.845211319995 Long EC CORP US N 1 N N N SALUDA MEDICAL INC N/A N/A 61557.00000000 NS USD 512154.24000000 0.053106440346 Long EP CORP US Y 3 N N N AGILON HEALTH INC N/A 00857U107 2100000.00000000 NS USD 4830000.00000000 0.500833707584 Long EC CORP US N 1 N N N CYTOKINETICS INC 549300BE5DY1HW7IHA64 23282W605 128000.00000000 NS USD 4229120.00000000 0.438527090977 Long EC CORP US N 1 N N CARIS LIFE SCIENCES INC 549300LX5LO78M5VPY43 N/A 234235.00000000 NS USD 6258759.20000000 0.648985005179 Long EC CORP US Y 1 N N N TENET HEALTHCARE CORP 0W9AIBT6U6ADJ2I8HK17 88033G407 8000.00000000 NS USD 1408000.00000000 0.145998728836 Long EC CORP US N 1 N N N Fidelity Revere Street Trust 549300BDV45LJNXBZC55 31635A105 6574617.86500000 NS USD 6575932.79000000 0.681873457565 Long STIV RF US N 1 N N N AKERO THERAPEUTICS INC 549300SI3KG74LBE2955 00973Y108 42500.00000000 NS USD 2267800.00000000 0.235153350323 Long EC CORP US N 1 N N ASCENDIS PHARMA A/S 549300B66JN3W3J8GH73 04351P101 110000.00000000 NS USD 18986000.00000000 1.968701609151 Long EC CORP DK N 1 N N N LEGEND BIOTECH CORP 254900EIUFZTW136H859 52490G102 600000.00000000 NS USD 21294000.00000000 2.208023389089 Long EC CORP KY N 1 N N ASTRANA HEALTH INC 5493008O4R82Q4STJ936 03763A207 90000.00000000 NS USD 2239200.00000000 0.232187751143 Long EC CORP US N 1 N N CLEERLY INC N/A N/A 179891.00000000 NS USD 2020175.93000000 0.209476646168 Long EP CORP US Y 3 N N N ELEMENT BIOSCIENCES INC N/A N/A 73131.00000000 NS USD 426353.73000000 0.044209589925 Long EP CORP US Y 3 N N N METSERA INC N/A 59267L107 75000.00000000 NS USD 2133750.00000000 0.221253400322 Long EC CORP US N 1 N N MOLINA HEALTHCARE INC 549300NQQCEQ46YHZ591 60855R100 57400.00000000 NS USD 17099460.00000000 1.773081977120 Long EC CORP US N 1 N N N SALUDA MEDICAL INC N/A N/A 497000.00000000 PA USD 553260.40000000 0.057368831758 Long DBT CORP US Y 3 2199-12-31 Fixed 0.00000000 N N N Y Y SALUDA MEDICAL INC USD XXXX N N N DANAHER CORP S4BKK9OTCEWQ3YHPFM11 235851102 280000.00000000 NS USD 55311200.00000000 5.735344382390 Long EC CORP US N 1 N N N GLAUKOS CORP 5299004JA1LHE21M6T14 377322102 86000.00000000 NS USD 8882940.00000000 0.921092292846 Long EC CORP US N 1 N N ACUMEN PHARMACEUTICALS INC N/A 00509G209 180000.00000000 NS USD 208800.00000000 0.021650947855 Long EC CORP US N 1 N N N PHARVARIS BV 9845003BE146D3B75D32 N/A 109600.00000000 NS USD 1928960.00000000 0.200018258505 Long EC CORP NL N 1 N N N CANDID THERAPEUTICS N/A N/A 491360.00000000 NS USD 486446.40000000 0.050440735828 Long EP CORP US Y 3 N N N EXACT SCIENCES CORP 549300VM3X1FYD4N9Z14 30063P105 500000.00000000 NS USD 26570000.00000000 2.755103853109 Long EC CORP US N 1 N N N ARCELLX INC N/A 03940C100 75000.00000000 NS USD 4938750.00000000 0.512110242926 Long EC CORP US N 1 N N STOKE THERAPEUTICS INC 549300RD25SS2DIJHJ67 86150R107 160000.00000000 NS USD 1816000.00000000 0.188305178669 Long EC CORP US N 1 N N N DAY ONE BIOPHARMACEUTICALS INC N/A 23954D109 150000.00000000 NS USD 975000.00000000 0.101099972027 Long EC CORP US N 1 N N N UCB SA 2138008J191VLSGY5A09 N/A 85000.00000000 NS 16715993.91000000 1.733319504328 Long EC CORP BE N 1 N N N BEONE MEDICINES LTD 549300JFUK6FRD5MH739 07725L102 16000.00000000 NS USD 3873120.00000000 0.401612639652 Long EC CORP CH N 1 N N N RHYTHM PHARMACEUTICALS INC 529900JPNWXQ8DPLA551 76243J105 15000.00000000 NS USD 947850.00000000 0.098284726652 Long EC CORP US N 1 N N N RAPPORT THERAPEUTICS INC N/A 75383L102 39900.00000000 NS USD 453663.00000000 0.047041350369 Long EC CORP US N 1 N N ALNYLAM PHARMACEUTICALS INC 529900S3ZI14OWRJII50 02043Q107 100000.00000000 NS USD 32609000.00000000 3.381301526008 Long EC CORP US N 1 N N N CVS HEALTH CORP 549300EJG376EN5NQE29 126650100 510000.00000000 NS USD 35179800.00000000 3.647873636869 Long EC CORP US N 1 N N N Fidelity Revere Street Trust 549300BDV45LJNXBZC55 31635A303 43343221.01200000 NS USD 43347555.33000000 4.494806801376 Long STIV RF US N 1 N N IMMUNOVANT INC N/A 45258J102 129095.00000000 NS USD 2065520.00000000 0.214178476126 Long EC CORP US N 1 N N N KARDIUM INC/CA 549300YO4UGSBRMWPN13 N/A 2009524.26000000 PA USD 2587664.39000000 0.268320817894 Long EP CORP CA Y 3 N N N VEEVA SYS INC 549300YZEXPDB92M2F02 922475108 78500.00000000 NS USD 22606430.00000000 2.344112246821 Long EC CORP US N 1 N N N XENON PHARMACEUTICALS INC 549300XV44Q9Z1MIPQ03 98420N105 208000.00000000 NS USD 6510400.00000000 0.675078213221 Long EC CORP CA N 1 N N N CENTENE CORP DEL 549300Z7JJ4TQSQGT333 15135B101 28000.00000000 NS USD 1519840.00000000 0.157595673319 Long EC CORP US N 1 N N N WUGEN INC N/A N/A 353945.00000000 PA USD 389658.05000000 0.040404531236 Long DBT CORP US Y 3 2199-12-31 Fixed 0.10000000 N N N Y Y WUGEN INC USD XXXX N N N COGENT BIOSCIENCES INC N/A 19240Q201 520000.00000000 NS USD 3733600.00000000 0.387145492885 Long EC CORP US N 1 N N CG ONCOLOGY INC N/A 156944100 118000.00000000 NS USD 3068000.00000000 0.318127911981 Long EC CORP US N 1 N N BRIGHTSPRING HEALTH SERVICES INC N/A 10950A106 560000.00000000 NS USD 13210400.00000000 1.369816482541 Long EC CORP US N 1 N N N INSMED INC 529900Q55QAG41CCAC11 457669307 46000.00000000 NS USD 4629440.00000000 0.480037184107 Long EC CORP US N 1 N N N MEDICAL MICROINSTRUMENTS INC N/A N/A 2363.00000000 NS USD 28686.82000000 0.002974601743 Long EC CORP US Y 3 N N N INSPIRE MEDICAL SYSTEMS INC 549300XQQCQ7HCJKTW25 457730109 85000.00000000 NS USD 11030450.00000000 1.143772498928 Long EC CORP US N 1 N N GILEAD SCIENCES INC 549300WTZWR07K8MNV44 375558103 186000.00000000 NS USD 20621820.00000000 2.138323512989 Long EC CORP US N 1 N N N UNITEDHEALTH GROUP INC 549300GHBMY8T5GXDE41 91324P102 160000.00000000 NS USD 49915200.00000000 5.175820844890 Long EC CORP US N 1 N N N VIKING THERAPEUTICS INC 529900IVC72YPFA25M37 92686J106 215000.00000000 NS USD 5697500.00000000 0.590786759619 Long EC CORP US N 1 N N APOGEE THERAPEUTICS INC N/A 03770N101 10177.00000000 NS USD 441987.11000000 0.045830650725 Long EC CORP US N 1 N N N REPLIGEN CORP 54930006QJ0T5AUO1E71 759916109 35000.00000000 NS USD 4353300.00000000 0.451403598183 Long EC CORP US N 1 N N N MERUS NV 549300W8GPUWU8QNU293 N/A 208000.00000000 NS USD 10940800.00000000 1.134476486116 Long EC CORP NL N 1 N N INSULET CORP 549300TZTYD2PYN92D43 45784P101 100000.00000000 NS USD 31418000.00000000 3.257804021716 Long EC CORP US N 1 N N N KARDIUM INC/CA 549300YO4UGSBRMWPN13 N/A 111115.00000000 NS USD 64446.70000000 0.006682625197 Long EP CORP CA Y 3 N N N ELEVATEBIO, LLC N/A N/A 31200.00000000 NS USD 61464.00000000 0.006373342236 Long EP CORP US Y 3 N N N MASIMO CORP 549300Q4A8JK0PIYCU29 574795100 228000.00000000 NS USD 38354160.00000000 3.977030259645 Long EC CORP US N 1 N N N NUVALENT INC N/A 670703107 112000.00000000 NS USD 8545600.00000000 0.886112739448 Long EC CORP US N 1 N N N CONTINEUM THERAPEUTICS INC N/A 21217B100 80000.00000000 NS USD 317600.00000000 0.032932667811 Long EC CORP US N 1 N N N 2025-07-30 Stacie M. Smith Stacie M. Smith Stacie M. Smith President and Treasurer