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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>MoonLake Immunotherapeutics</name>
        <lei>N/A</lei>
        <title>MoonLake Immunotherapeutics</title>
        <cusip>61559X104</cusip>
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          <isin value="KY61559X1045"/>
          <ticker value="MLTX"/>
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        <balance>80000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>3776000.00000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>CH</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      </invstOrSec>
      <invstOrSec>
        <name>Stryker Corp</name>
        <lei>5493002F0SC4JTBU5137</lei>
        <title>Stryker Corp</title>
        <cusip>863667101</cusip>
        <identifiers>
          <isin value="US8636671013"/>
          <ticker value="SYK"/>
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        <balance>15000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>5934450.00000000</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>WaVe Life Sciences Ltd</name>
        <lei>54930070006GPKFYZ813</lei>
        <title>WaVe Life Sciences Ltd</title>
        <cusip>000000000</cusip>
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          <isin value="SG9999014716"/>
          <ticker value="WVE"/>
          <other otherDesc="SEDOL" value="BYZG9R0"/>
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        <balance>81955.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>532707.50000000</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>Mustang Bio Inc</name>
        <lei>5493004W0VC1DPECQ779</lei>
        <title>Mustang Bio Inc</title>
        <cusip>62818Q302</cusip>
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          <isin value="US62818Q3020"/>
          <ticker value="MBIO"/>
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        <balance>160.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>152.82000000</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>Alkermes PLC</name>
        <lei>N/A</lei>
        <title>Alkermes PLC</title>
        <cusip>000000000</cusip>
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          <isin value="IE00B56GVS15"/>
          <ticker value="ALKS"/>
          <other otherDesc="SEDOL" value="B3P6D26"/>
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        <balance>300000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>8583000.00000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>IE</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>AbbVie Inc</name>
        <lei>FR5LCKFTG8054YNNRU85</lei>
        <title>AbbVie Inc</title>
        <cusip>00287Y109</cusip>
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          <isin value="US00287Y1091"/>
          <ticker value="ABBV"/>
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        <balance>125000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>23202500.00000000</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>Alnylam Pharmaceuticals Inc</name>
        <lei>529900S3ZI14OWRJII50</lei>
        <title>Alnylam Pharmaceuticals Inc</title>
        <cusip>02043Q107</cusip>
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          <isin value="US02043Q1076"/>
          <ticker value="ALNY"/>
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        <balance>30000.00000000</balance>
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        <curCd>USD</curCd>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Amarin Corp PLC</name>
        <lei>5493009JFIGUFEVPK217</lei>
        <title>Amarin Corp PLC</title>
        <cusip>023111404</cusip>
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          <isin value="US0231114044"/>
          <ticker value="AMRN"/>
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        <balance>9500.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>154090.00000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>IE</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>Galmed Pharmaceuticals Ltd</name>
        <lei>549300FL07PJ8ICSMD04</lei>
        <title>Galmed Pharmaceuticals Ltd</title>
        <cusip>000000000</cusip>
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          <isin value="IL0011313900"/>
          <ticker value="GLMD"/>
          <other otherDesc="SEDOL" value="BKMDKS4"/>
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        <balance>1701.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>3129.84000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>IL</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Cia de Minas Buenaventura SAA</name>
        <lei>529900WQB1ZU9KB6EL71</lei>
        <title>Cia de Minas Buenaventura SAA</title>
        <cusip>204448104</cusip>
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          <isin value="US2044481040"/>
          <ticker value="BVN"/>
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        <balance>66353.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>1089516.26000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>PE</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>Incyte Corp</name>
        <lei>549300Z4WN6JVZ3T4680</lei>
        <title>Incyte Corp</title>
        <cusip>45337C102</cusip>
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          <isin value="US45337C1027"/>
          <ticker value="INCY"/>
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        <balance>80000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>5448000.00000000</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>Cytokinetics Inc</name>
        <lei>549300BE5DY1HW7IHA64</lei>
        <title>Cytokinetics Inc</title>
        <cusip>23282W605</cusip>
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          <isin value="US23282W6057"/>
          <ticker value="CYTK"/>
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        <balance>40000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>1321600.00000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>MIRATI THERAPEUTICS INC</name>
        <lei>N/A</lei>
        <title>MIRATI THERAPEUTICS INC</title>
        <cusip>000000000</cusip>
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          <ticker value="MRTX"/>
          <other otherDesc="INTERNAL" value="604CVR027"/>
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        <balance>60000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>42000.00000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>2</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Theravance Biopharma Inc</name>
        <lei>5493007VTSXP4Z6MIW52</lei>
        <title>Theravance Biopharma Inc</title>
        <cusip>000000000</cusip>
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          <isin value="KYG8807B1068"/>
          <ticker value="TBPH"/>
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        <balance>208783.00000000</balance>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>KY</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Arcus Biosciences Inc</name>
        <lei>N/A</lei>
        <title>Arcus Biosciences Inc</title>
        <cusip>03969F109</cusip>
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          <isin value="US03969F1093"/>
          <ticker value="RCUS"/>
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        <balance>379100.00000000</balance>
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        <valUSD>3085874.00000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Tarsus Pharmaceuticals Inc</name>
        <lei>N/A</lei>
        <title>Tarsus Pharmaceuticals Inc</title>
        <cusip>87650L103</cusip>
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          <isin value="US87650L1035"/>
          <ticker value="TARS"/>
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        <balance>150000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>6076500.00000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Perrigo Co PLC</name>
        <lei>549300IFOQS6R1QLY196</lei>
        <title>Perrigo Co PLC</title>
        <cusip>000000000</cusip>
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          <isin value="IE00BGH1M568"/>
          <ticker value="PRGO"/>
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        <balance>230000.00000000</balance>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
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        <invCountry>IE</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Viridian Therapeutics Inc</name>
        <lei>549300C775BNYF550E70</lei>
        <title>Viridian Therapeutics Inc</title>
        <cusip>92790C104</cusip>
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          <isin value="US92790C1045"/>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>GRAIL Inc</name>
        <lei>2549009XSNESW3VE8024</lei>
        <title>GRAIL Inc</title>
        <cusip>384747101</cusip>
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          <isin value="US3847471014"/>
          <ticker value="GRAL"/>
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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>Mersana Therapeutics Inc</name>
        <lei>529900VWD5VDZ7PVOS22</lei>
        <title>Mersana Therapeutics Inc</title>
        <cusip>59045L106</cusip>
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          <isin value="US59045L1061"/>
          <ticker value="MRSN"/>
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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>Zimmer Biomet Holdings Inc</name>
        <lei>2P2YLDVPES3BXQ1FRB91</lei>
        <title>Zimmer Biomet Holdings Inc</title>
        <cusip>98956P102</cusip>
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          <ticker value="ZBH"/>
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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>Compugen Ltd</name>
        <lei>N/A</lei>
        <title>Compugen Ltd</title>
        <cusip>000000000</cusip>
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          <ticker value="CGEN"/>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>IL</invCountry>
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        <fairValLevel>1</fairValLevel>
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        <name>Fidelity Government Portfolio</name>
        <lei>549300FQDFZGLUOCWN51</lei>
        <title>Fidelity Government Portfolio</title>
        <cusip>316175108</cusip>
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          <isin value="US3161751082"/>
          <ticker value="FIGXX"/>
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        <balance>410394.92000000</balance>
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        <curCd>USD</curCd>
        <valUSD>410394.92000000</valUSD>
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        <assetCat>STIV</assetCat>
        <issuerCat>RF</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
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      <invstOrSec>
        <name>AMBIT BIOSCIENCES CORP CVR</name>
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      <invstOrSec>
        <name>Boston Scientific Corp</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Topcon Corp</name>
        <lei>N/A</lei>
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        <invCountry>JP</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Myriad Genetics Inc</name>
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      <invstOrSec>
        <name>ProQR Therapeutics NV</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Zimvie Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Atea Pharmaceuticals Inc</name>
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      <invstOrSec>
        <name>BioMarin Pharmaceutical Inc</name>
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      <invstOrSec>
        <name>Eli Lilly &amp; Co</name>
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        <name>uniQure NV</name>
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        <name>REGENXBIO Inc</name>
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        <name>Neurocrine Biosciences Inc</name>
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        <name>UCB SA</name>
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        <name>Puma Biotechnology Inc</name>
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        <name>Akero Therapeutics Inc</name>
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        <name>Regeneron Pharmaceuticals Inc</name>
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        <name>Halozyme Therapeutics Inc</name>
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        <name>Biogen Inc</name>
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        <name>Pfizer Inc</name>
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        <name>Instil Bio Inc</name>
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        <name>Immunovant Inc</name>
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        <name>Voyager Therapeutics Inc</name>
        <lei>54930082S4XVR0ZWCC74</lei>
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        <name>Exact Sciences Corp</name>
        <lei>549300VM3X1FYD4N9Z14</lei>
        <title>Exact Sciences Corp</title>
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        <assetCat>EC</assetCat>
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        <fairValLevel>1</fairValLevel>
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        <name>AstraZeneca PLC</name>
        <lei>PY6ZZQWO2IZFZC3IOL08</lei>
        <title>AstraZeneca PLC</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Quest Diagnostics Inc</name>
        <lei>8MCWUBXQ0WE04KMXBX50</lei>
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          <ticker value="DGX"/>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Vertex Pharmaceuticals Inc</name>
        <lei>54930015RAQRRZ5ZGJ91</lei>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Elevance Health Inc</name>
        <lei>8MYN82XMYQH89CTMTH67</lei>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>InnoCare Pharma Ltd</name>
        <lei>3003001NYJPPWIEOJT79</lei>
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        <assetCat>EC</assetCat>
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        <invCountry>CN</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Viatris Inc</name>
        <lei>254900ZZTSW7NL773X71</lei>
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          <isin value="US92556V1061"/>
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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>Johnson &amp; Johnson</name>
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        <title>Johnson &amp; Johnson</title>
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          <isin value="US4781601046"/>
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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>Madrigal Pharmaceuticals Inc</name>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>LANDOS BIOPHARMA INC</name>
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        <assetCat>EC</assetCat>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Xencor Inc</name>
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        <assetCat>EC</assetCat>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>CVS Health Corp</name>
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        <title>CVS Health Corp</title>
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          <isin value="US1266501006"/>
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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>United Therapeutics Corp</name>
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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>Gilead Sciences Inc</name>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Day One Biopharmaceuticals Inc</name>
        <lei>N/A</lei>
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        <name>Kenvue Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Arvinas Inc</name>
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        <name>Organon &amp; Co</name>
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        <name>BioNTech SE</name>
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        <name>Fannie Mae</name>
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        <name>Merck &amp; Co Inc</name>
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        <name>Dynavax Technologies Corp</name>
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        <name>Ventyx Biosciences Inc</name>
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        <name>Sanofi SA</name>
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        <title>Sanofi SA</title>
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        <invCountry>FR</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

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      <invstOrSec>
        <name>Allogene Therapeutics Inc</name>
        <lei>N/A</lei>
        <title>Allogene Therapeutics Inc</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Coherus Oncology Inc</name>
        <lei>5493007IL8W5MV932D26</lei>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Illumina Inc</name>
        <lei>SQ95QG8SR5Q56LSNF682</lei>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Amgen Inc</name>
        <lei>62QBXGPJ34PQ72Z12S66</lei>
        <title>Amgen Inc</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Moderna Inc</name>
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        <title>Moderna Inc</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Viking Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>AnaptysBio Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Sohu.com Ltd</name>
        <lei>N/A</lei>
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        <invCountry>CN</invCountry>
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        <fairValLevel>1</fairValLevel>
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        <name>NextCure Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Janux Therapeutics Inc</name>
        <lei>N/A</lei>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Chugai Pharmaceutical Co Ltd</name>
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          <isin value="JP3519400000"/>
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        <fairValLevel>1</fairValLevel>
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        <name>Vaxcyte Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>MacroGenics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>MSILF Government Portfolio</name>
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          <isin value="US61747C7074"/>
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        <name>Structure Therapeutics Inc</name>
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        <name>Rigel Pharmaceuticals Inc</name>
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        <name>Altimmune Inc</name>
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        <name>BlackRock Liquidity FedFund</name>
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        <name>MEI Pharma Inc</name>
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        <name>ACADIA Pharmaceuticals Inc</name>
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        <name>Roche Holding AG</name>
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        <title>Roche Holding AG</title>
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        <name>Intellia Therapeutics Inc</name>
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        <name>Rocket Pharmaceuticals Inc</name>
        <lei>549300R7VV82YUIN4Y93</lei>
        <title>Rocket Pharmaceuticals Inc</title>
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        <name>Herc Holdings Inc</name>
        <lei>5299005I24806IOIYE03</lei>
        <title>Herc Holdings Inc</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Mural Oncology PLC</name>
        <lei>N/A</lei>
        <title>Mural Oncology PLC</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="IE000LK2BOB4"/>
          <ticker value="MURA"/>
          <other otherDesc="SEDOL" value="BRJQ8L4"/>
        </identifiers>
        <balance>30000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>74100.00000000</valUSD>
        <pctVal>0.011434764732</pctVal>
        <payoffProfile>Long</payoffProfile>
        <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>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>SIO GENE THERAPIES INC</name>
        <lei>N/A</lei>
        <title>SIO GENE THERAPIES INC</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="INTERNAL" value="829ESC011"/>
        </identifiers>
        <balance>64171.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>0.00000000</valUSD>
        <pctVal>0.000000</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Freddie Mac</name>
        <lei>S6XOOCT0IEG5ABCC6L87</lei>
        <title>Federal Home Loan Mortgage Corp</title>
        <cusip>313400301</cusip>
        <identifiers>
          <isin value="US3134003017"/>
          <ticker value="FMCC"/>
        </identifiers>
        <balance>1050000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>8652000.00000000</valUSD>
        <pctVal>1.335136092663</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>USGSE</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Ultragenyx Pharmaceutical Inc</name>
        <lei>529900EV44GVDN1DCX77</lei>
        <title>Ultragenyx Pharmaceutical Inc</title>
        <cusip>90400D108</cusip>
        <identifiers>
          <isin value="US90400D1081"/>
          <ticker value="RARE"/>
        </identifiers>
        <balance>70000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2545200.00000000</valUSD>
        <pctVal>0.392763335997</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>Cellectis SA</name>
        <lei>5493000KKX5VQ37Q2W83</lei>
        <title>Cellectis SA</title>
        <cusip>15117K103</cusip>
        <identifiers>
          <isin value="US15117K1034"/>
          <ticker value="CLLS"/>
        </identifiers>
        <balance>226875.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>342581.25000000</valUSD>
        <pctVal>0.052865533003</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>FR</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>XOMA Royalty Corp</name>
        <lei>549300U6ZVYFCWNBJ613</lei>
        <title>XOMA Royalty Corp</title>
        <cusip>98419J206</cusip>
        <identifiers>
          <isin value="US98419J2069"/>
          <ticker value="XOMA"/>
        </identifiers>
        <balance>3466.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>87343.20000000</valUSD>
        <pctVal>0.013478393292</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>Sangamo Therapeutics Inc</name>
        <lei>2549006WMRKRC4G32Z67</lei>
        <title>Sangamo Therapeutics Inc</title>
        <cusip>800677106</cusip>
        <identifiers>
          <isin value="US8006771062"/>
          <ticker value="SGMO"/>
        </identifiers>
        <balance>400000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>216520.00000000</valUSD>
        <pctVal>0.033412351685</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>Sarepta Therapeutics Inc</name>
        <lei>549300IKDPIED8J8IG21</lei>
        <title>Sarepta Therapeutics Inc</title>
        <cusip>803607100</cusip>
        <identifiers>
          <isin value="US8036071004"/>
          <ticker value="SRPT"/>
        </identifiers>
        <balance>11000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>188100.00000000</valUSD>
        <pctVal>0.029026710475</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>Roivant Sciences Ltd</name>
        <lei>549300DL466NY5J6U724</lei>
        <title>Roivant Sciences Ltd</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="BMG762791017"/>
          <ticker value="ROIV"/>
          <other otherDesc="SEDOL" value="BMW4NZ9"/>
        </identifiers>
        <balance>338181.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3811299.87000000</valUSD>
        <pctVal>0.588141934396</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>Syndax Pharmaceuticals Inc</name>
        <lei>529900OF94TRHKZVBS87</lei>
        <title>Syndax Pharmaceuticals Inc</title>
        <cusip>87164F105</cusip>
        <identifiers>
          <isin value="US87164F1057"/>
          <ticker value="SNDX"/>
        </identifiers>
        <balance>180000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1685700.00000000</valUSD>
        <pctVal>0.260129324017</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>Vir Biotechnology Inc</name>
        <lei>N/A</lei>
        <title>Vir Biotechnology Inc</title>
        <cusip>92764N102</cusip>
        <identifiers>
          <isin value="US92764N1028"/>
          <ticker value="VIR"/>
        </identifiers>
        <balance>220000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1108800.00000000</valUSD>
        <pctVal>0.171104819642</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>Euroapi SA</name>
        <lei>9695002FT7GGI3CKKJ14</lei>
        <title>Euroapi SA</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="FR0014008VX5"/>
          <ticker value="EAPI"/>
          <other otherDesc="SEDOL" value="BQ7ZVF1"/>
        </identifiers>
        <balance>8695.00000000</balance>
        <units>NS</units>
        <currencyConditional curCd="EUR" exchangeRt="0.84893246"/>
        <valUSD>29559.21000000</valUSD>
        <pctVal>0.004561438758</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>FR</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>UnitedHealth Group Inc</name>
        <lei>549300GHBMY8T5GXDE41</lei>
        <title>UnitedHealth Group Inc</title>
        <cusip>91324P102</cusip>
        <identifiers>
          <isin value="US91324P1021"/>
          <ticker value="UNH"/>
        </identifiers>
        <balance>75000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>23397750.00000000</valUSD>
        <pctVal>3.610631127152</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>Contra Surface Oncolog</name>
        <lei>N/A</lei>
        <title>Contra Surface Oncolog</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="INTERNAL" value="868CVR010"/>
        </identifiers>
        <balance>350000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>26950.00000000</valUSD>
        <pctVal>0.004158797699</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
    </invstOrSecs>
    <explntrNotes>
      <explntrNote note="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>2025-08-25</ncom:dateSigned>
      <ncom:nameOfApplicant>Delaware Group Equity Funds IV</ncom:nameOfApplicant>
      <ncom:signature>Dan Geatens</ncom:signature>
      <ncom:signerName>Dan Geatens</ncom:signerName>
      <ncom:title>Division Director - Head of US Fund Administration</ncom:title>
    </signature>
  </formData>
  <documents>XXXX</documents>
</edgarSubmission>
