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        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2228227.4</valUSD>
        <pctVal>0.0663213175</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>Penumbra, Inc.</name>
        <lei>549300RGE06P3ECANU72</lei>
        <title>Penumbra, Inc.</title>
        <cusip>70975L107</cusip>
        <identifiers>
          <isin value="US70975L1070"/>
          <ticker value="PEN"/>
          <other otherDesc="INTERNAL" value="70975L107"/>
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        <balance>24890</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4719144</valUSD>
        <pctVal>0.1404613586</pctVal>
        <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>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Premier Healthcare Solutions, Inc.</name>
        <lei>N/A</lei>
        <title>Premier Healthcare Solutions, Inc.</title>
        <cusip>74051N102</cusip>
        <identifiers>
          <isin value="US74051N1028"/>
          <ticker value="PINC"/>
          <other otherDesc="INTERNAL" value="74051N102"/>
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        <balance>78463</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2663034.22</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>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Prestige Consumer Healthcare Inc.</name>
        <lei>N/A</lei>
        <title>Prestige Consumer Healthcare Inc.</title>
        <cusip>74112D101</cusip>
        <identifiers>
          <isin value="US74112D1019"/>
          <ticker value="PBH"/>
          <other otherDesc="INTERNAL" value="74112D101"/>
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        <balance>32387</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1613844.21</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>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Privia Health Group Inc.</name>
        <lei>N/A</lei>
        <title>Privia Health Group Inc.</title>
        <cusip>74276R102</cusip>
        <identifiers>
          <isin value="US74276R1023"/>
          <ticker value="PRVA"/>
          <other otherDesc="INTERNAL" value="74276R102"/>
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        <balance>32403</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1103646.18</valUSD>
        <pctVal>0.0328491018</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>
        <name>Quest Diagnostics Incorporated</name>
        <lei>8MCWUBXQ0WE04KMXBX50</lei>
        <title>Quest Diagnostics Incorporated</title>
        <cusip>74834L100</cusip>
        <identifiers>
          <isin value="US74834L1008"/>
          <ticker value="DGX"/>
          <other otherDesc="INTERNAL" value="74834L100"/>
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        <balance>76198</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>9348732.62</valUSD>
        <pctVal>0.2782571764</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>
        <name>Regeneron Pharmaceuticals, Inc.</name>
        <lei>549300RCBFWIRX3HYQ56</lei>
        <title>Regeneron Pharmaceuticals, Inc.</title>
        <cusip>75886F107</cusip>
        <identifiers>
          <isin value="US75886F1075"/>
          <ticker value="REGN"/>
          <other otherDesc="INTERNAL" value="75886F107"/>
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        <balance>69678</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>47999083.86</valUSD>
        <pctVal>1.4286524269</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>
        <name>Relay Therapeutics, Inc.</name>
        <lei>N/A</lei>
        <title>Relay Therapeutics, Inc.</title>
        <cusip>75943R102</cusip>
        <identifiers>
          <isin value="US75943R1023"/>
          <ticker value="RLAY"/>
          <other otherDesc="INTERNAL" value="75943R102"/>
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        <balance>51837</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1159593.69</valUSD>
        <pctVal>0.0345143325</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>
        <name>R1 RCM Inc.</name>
        <lei>549300VKOMJ3EM506212</lei>
        <title>R1 RCM Inc.</title>
        <cusip>77634L105</cusip>
        <identifiers>
          <isin value="US77634L1052"/>
          <ticker value="RCM"/>
          <other otherDesc="INTERNAL" value="77634L105"/>
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        <balance>89861</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1665124.33</valUSD>
        <pctVal>0.0495610275</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>
        <name>Sage Therapeutics Inc.</name>
        <lei>5493000JX4BJS9W6CN35</lei>
        <title>Sage Therapeutics Inc.</title>
        <cusip>78667J108</cusip>
        <identifiers>
          <isin value="US78667J1088"/>
          <ticker value="SAGE"/>
          <other otherDesc="INTERNAL" value="78667J108"/>
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        <balance>33344</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1305751.04</valUSD>
        <pctVal>0.0388645833</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>Seagen Inc.</name>
        <lei>N/A</lei>
        <title>Seagen Inc.</title>
        <cusip>81181C104</cusip>
        <identifiers>
          <isin value="US81181C1045"/>
          <ticker value="SGEN"/>
          <other otherDesc="INTERNAL" value="81181C104"/>
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        <balance>88209</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>12069637.47</valUSD>
        <pctVal>0.3592426246</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>
        <name>Select Medical Holdings Corporation</name>
        <lei>N/A</lei>
        <title>Select Medical Holdings Corporation</title>
        <cusip>81619Q105</cusip>
        <identifiers>
          <isin value="US81619Q1058"/>
          <ticker value="SEM"/>
          <other otherDesc="INTERNAL" value="81619Q105"/>
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        <balance>67550</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1492855</valUSD>
        <pctVal>0.0444335755</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>
        <name>Shockwave Medical, Inc.</name>
        <lei>549300LDXO56IC5Y1538</lei>
        <title>Shockwave Medical, Inc.</title>
        <cusip>82489T104</cusip>
        <identifiers>
          <isin value="US82489T1043"/>
          <ticker value="SWAV"/>
          <other otherDesc="INTERNAL" value="82489T104"/>
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        <balance>23545</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6547158.15</valUSD>
        <pctVal>0.1948706648</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>
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      <invstOrSec>
        <name>Signify Health, Inc.</name>
        <lei>N/A</lei>
        <title>Signify Health, Inc.</title>
        <cusip>82671G100</cusip>
        <identifiers>
          <isin value="US82671G1004"/>
          <ticker value="SGFY"/>
          <other otherDesc="INTERNAL" value="82671G100"/>
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        <balance>45391</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1323147.65</valUSD>
        <pctVal>0.0393823788</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>
        <name>Sotera Health LLC</name>
        <lei>N/A</lei>
        <title>Sotera Health LLC</title>
        <cusip>83601L102</cusip>
        <identifiers>
          <isin value="US83601L1026"/>
          <ticker value="SHC"/>
          <other otherDesc="INTERNAL" value="83601L102"/>
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        <balance>62324</balance>
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        <curCd>USD</curCd>
        <valUSD>425049.68</valUSD>
        <pctVal>0.0126512468</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>
        <name>Springworks Therapeutics, Inc.</name>
        <lei>N/A</lei>
        <title>Springworks Therapeutics, Inc.</title>
        <cusip>85205L107</cusip>
        <identifiers>
          <isin value="US85205L1070"/>
          <ticker value="SWTX"/>
          <other otherDesc="INTERNAL" value="85205L107"/>
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        <balance>18163</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>518190.39</valUSD>
        <pctVal>0.0154235018</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>
        <name>Symbion, Inc.</name>
        <lei>549300LC82HG33S19I03</lei>
        <title>Symbion, Inc.</title>
        <cusip>86881A100</cusip>
        <identifiers>
          <isin value="US86881A1007"/>
          <ticker value="SGRY"/>
          <other otherDesc="INTERNAL" value="86881A100"/>
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        <balance>24530</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>574002</valUSD>
        <pctVal>0.0170846875</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>
        <name>Syneos Health, Inc.</name>
        <lei>549300F1ZGKDS8P6GU13</lei>
        <title>Syneos Health, Inc.</title>
        <cusip>87166B102</cusip>
        <identifiers>
          <isin value="US87166B1026"/>
          <ticker value="SYNH"/>
          <other otherDesc="INTERNAL" value="87166B102"/>
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        <balance>68119</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3211810.85</valUSD>
        <pctVal>0.0955968530</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>
        <name>Teladoc Health, Inc.</name>
        <lei>549300I2PVFBC9MFAC61</lei>
        <title>Teladoc Health, Inc.</title>
        <cusip>87918A105</cusip>
        <identifiers>
          <isin value="US87918A1051"/>
          <ticker value="TDOC"/>
          <other otherDesc="INTERNAL" value="87918A105"/>
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        <balance>105977.024</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2686517.56</valUSD>
        <pctVal>0.0799619393</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>
        <name>10X Genomics, Inc.</name>
        <lei>5493003Z6741WNLG7H43</lei>
        <title>10X Genomics, Inc.</title>
        <cusip>88025U109</cusip>
        <identifiers>
          <isin value="US88025U1097"/>
          <ticker value="TXG"/>
          <other otherDesc="INTERNAL" value="88025U109"/>
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        <balance>61472</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1750722.56</valUSD>
        <pctVal>0.0521087869</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>Tenet Healthcare Corporation</name>
        <lei>0W9AIBT6U6ADJ2I8HK17</lei>
        <title>Tenet Healthcare Corporation</title>
        <cusip>88033G407</cusip>
        <identifiers>
          <isin value="US88033G4073"/>
          <ticker value="THC"/>
          <other otherDesc="INTERNAL" value="88033G407"/>
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        <balance>69227</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3570728.66</valUSD>
        <pctVal>0.1062797403</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>Tilray Brands, Inc.</name>
        <lei>549300Y4V60733TO1478</lei>
        <title>Tilray Brands, Inc.</title>
        <cusip>88688T100</cusip>
        <identifiers>
          <isin value="US88688T1007"/>
          <ticker value="TLRY"/>
          <other otherDesc="INTERNAL" value="88688T100"/>
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        <balance>387739</balance>
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        <curCd>USD</curCd>
        <valUSD>1066282.25</valUSD>
        <pctVal>0.0317369958</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>Ultragenyx Pharmaceutical Inc.</name>
        <lei>529900EV44GVDN1DCX77</lei>
        <title>Ultragenyx Pharmaceutical Inc.</title>
        <cusip>90400D108</cusip>
        <identifiers>
          <isin value="US90400D1081"/>
          <ticker value="RARE"/>
          <other otherDesc="INTERNAL" value="90400D108"/>
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        <balance>45529</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1885355.89</valUSD>
        <pctVal>0.0561160350</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>United Therapeutics Corporation</name>
        <lei>5299005C4HZL4UWROC14</lei>
        <title>United Therapeutics Corporation</title>
        <cusip>91307C102</cusip>
        <identifiers>
          <isin value="US91307C1027"/>
          <ticker value="UTHR"/>
          <other otherDesc="INTERNAL" value="91307C102"/>
        </identifiers>
        <balance>29566</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6190529.08</valUSD>
        <pctVal>0.1842559000</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>UnitedHealth Group Incorporated</name>
        <lei>549300GHBMY8T5GXDE41</lei>
        <title>UnitedHealth Group Incorporated</title>
        <cusip>91324P102</cusip>
        <identifiers>
          <isin value="US91324P1021"/>
          <ticker value="UNH"/>
          <other otherDesc="INTERNAL" value="91324P102"/>
        </identifiers>
        <balance>608245</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>307188054.8</valUSD>
        <pctVal>9.1431945096</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>Vertex Pharmaceuticals Incorporated</name>
        <lei>54930015RAQRRZ5ZGJ91</lei>
        <title>Vertex Pharmaceuticals Incorporated</title>
        <cusip>92532F100</cusip>
        <identifiers>
          <isin value="US92532F1003"/>
          <ticker value="VRTX"/>
          <other otherDesc="INTERNAL" value="92532F100"/>
        </identifiers>
        <balance>167062</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>48371131.48</valUSD>
        <pctVal>1.4397261119</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>Viatris Inc.</name>
        <lei>254900ZZTSW7NL773X71</lei>
        <title>Viatris Inc.</title>
        <cusip>92556V106</cusip>
        <identifiers>
          <isin value="US92556V1061"/>
          <ticker value="VTRS"/>
          <other otherDesc="INTERNAL" value="92556V106"/>
        </identifiers>
        <balance>792465</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6751801.8</valUSD>
        <pctVal>0.2009617112</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"/>
          <other otherDesc="INTERNAL" value="92764N102"/>
        </identifiers>
        <balance>47675</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>919174</valUSD>
        <pctVal>0.0273584423</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>Warby Parker Inc.</name>
        <lei>N/A</lei>
        <title>Warby Parker Inc.</title>
        <cusip>93403J106</cusip>
        <identifiers>
          <isin value="US93403J1060"/>
          <ticker value="WRBY"/>
          <other otherDesc="INTERNAL" value="93403J106"/>
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        <balance>41136</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>548754.24</valUSD>
        <pctVal>0.0163332092</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <loanByFundCondition isLoanByFund="Y" loanVal="493873.480000000000"/>
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      </invstOrSec>
      <invstOrSec>
        <name>Zimmer Biomet Holdings, Inc.</name>
        <lei>2P2YLDVPES3BXQ1FRB91</lei>
        <title>Zimmer Biomet Holdings, Inc.</title>
        <cusip>98956P102</cusip>
        <identifiers>
          <isin value="US98956P1021"/>
          <ticker value="ZBH"/>
          <other otherDesc="INTERNAL" value="98956P102"/>
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        <balance>136266</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>14246610.3</valUSD>
        <pctVal>0.4240383929</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>
        <name>Zoetis Inc.</name>
        <lei>549300HD9Q1LOC9KLJ48</lei>
        <title>Zoetis Inc.</title>
        <cusip>98978V103</cusip>
        <identifiers>
          <isin value="US98978V1035"/>
          <ticker value="ZTS"/>
          <other otherDesc="INTERNAL" value="98978V103"/>
        </identifiers>
        <balance>304414</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>45141552.06</valUSD>
        <pctVal>1.3436003923</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>Alkermes Public Limited Company</name>
        <lei>N/A</lei>
        <title>Alkermes Public Limited Company</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="IE00B56GVS15"/>
          <ticker value="ALKS"/>
          <other otherDesc="INTERNAL" value="G01767105"/>
        </identifiers>
        <balance>106016</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2367337.28</valUSD>
        <pctVal>0.0704618063</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>Biohaven Pharmaceutical Holding Company Ltd.</name>
        <lei>5299007STZTNN32O9920</lei>
        <title>Biohaven Pharmaceutical Holding Company Ltd.</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="VGG111961055"/>
          <ticker value="BHVN"/>
          <other otherDesc="INTERNAL" value="G11196105"/>
        </identifiers>
        <balance>41387</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6256472.79</valUSD>
        <pctVal>0.1862186591</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>VG</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Horizon Therapeutics Public Limited Company</name>
        <lei>529900P0GSQ79OOZEV53</lei>
        <title>Horizon Therapeutics Public Limited Company</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="IE00BQPVQZ61"/>
          <ticker value="HZNP"/>
          <other otherDesc="INTERNAL" value="G46188101"/>
        </identifiers>
        <balance>150072</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>9287956.08</valUSD>
        <pctVal>0.2764482138</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>Jazz Pharmaceuticals Public Limited Company</name>
        <lei>635400GAUMJCLEZRRV50</lei>
        <title>Jazz Pharmaceuticals Public Limited Company</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="IE00B4Q5ZN47"/>
          <ticker value="JAZZ"/>
          <other otherDesc="INTERNAL" value="G50871105"/>
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        <balance>40723</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>5427968.67</valUSD>
        <pctVal>0.1615589297</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>LivaNova PLC</name>
        <lei>2138001K2FX6SHK2B339</lei>
        <title>LivaNova PLC</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="GB00BYMT0J19"/>
          <ticker value="LIVN"/>
          <other otherDesc="INTERNAL" value="G5509L101"/>
        </identifiers>
        <balance>34315</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1742172.55</valUSD>
        <pctVal>0.0518543031</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>GB</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Medtronic, Inc.</name>
        <lei>D56MRZY2INAN94ZONZ37</lei>
        <title>Medtronic, Inc.</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="IE00BTN1Y115"/>
          <ticker value="MDT"/>
          <other otherDesc="INTERNAL" value="G5960L103"/>
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        <balance>863923</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>69761782.25</valUSD>
        <pctVal>2.0764008707</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>
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      </invstOrSec>
      <invstOrSec>
        <name>Novocure Limited</name>
        <lei>213800YPP55UMHWA4826</lei>
        <title>Novocure Limited</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="JE00BYSS4X48"/>
          <ticker value="NVCR"/>
          <other otherDesc="INTERNAL" value="G6674U108"/>
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        <balance>59155</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4494596.9</valUSD>
        <pctVal>0.1337779027</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>JE</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Roivant Sciences Ltd.</name>
        <lei>549300DL466NY5J6U724</lei>
        <title>Roivant Sciences Ltd.</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="BMG762791017"/>
          <ticker value="ROIV"/>
          <other otherDesc="INTERNAL" value="G76279101"/>
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        <balance>62824</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>202293.28</valUSD>
        <pctVal>0.0060210896</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>BM</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <loanByFundCondition isLoanByFund="Y" loanVal="86463.440000000000"/>
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      </invstOrSec>
      <invstOrSec>
        <name>Royalty Pharma PLC</name>
        <lei>549300FGFN7VOK8BZR03</lei>
        <title>Royalty Pharma PLC</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="GB00BMVP7Y09"/>
          <ticker value="RPRX"/>
          <other otherDesc="INTERNAL" value="G7709Q104"/>
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        <balance>236255</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>9492725.9</valUSD>
        <pctVal>0.2825430155</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>GB</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Steris Limited</name>
        <lei>549300F1857N5E6G6T48</lei>
        <title>Steris Limited</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="IE00BFY8C754"/>
          <ticker value="STE"/>
          <other otherDesc="INTERNAL" value="G8473T100"/>
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        <balance>65500.0011</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>10891340.18</valUSD>
        <pctVal>0.3241715951</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>
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      </invstOrSec>
      <invstOrSec>
        <name>Perrigo Company Public Limited Company</name>
        <lei>549300IFOQS6R1QLY196</lei>
        <title>Perrigo Company Public Limited Company</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="IE00BGH1M568"/>
          <ticker value="PRGO"/>
          <other otherDesc="INTERNAL" value="G97822103"/>
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        <balance>88033</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3139256.78</valUSD>
        <pctVal>0.0934373421</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>
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      </invstOrSec>
      <invstOrSec>
        <name>CRISPR Therapeutics AG</name>
        <lei>506700O6IRRIQLT3W370</lei>
        <title>CRISPR Therapeutics AG</title>
        <cusip>N/A</cusip>
        <identifiers>
          <isin value="CH0334081137"/>
          <ticker value="CRSP"/>
          <other otherDesc="INTERNAL" value="H17182108"/>
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        <balance>51525</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3367158.75</valUSD>
        <pctVal>0.1002206528</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>CH</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <loanByFundCondition isLoanByFund="Y" loanVal="865626.100000000000"/>
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      </invstOrSec>
      <invstOrSec>
        <name>AMN Healthcare Services, Inc.</name>
        <lei>529900W3ARRTCNFH2I39</lei>
        <title>AMN Healthcare Services, Inc.</title>
        <cusip>001744101</cusip>
        <identifiers>
          <isin value="US0017441017"/>
          <ticker value="AMN"/>
          <other otherDesc="INTERNAL" value="001744101"/>
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        <balance>29337</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3108548.52</valUSD>
        <pctVal>0.0925233365</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>Abbott Laboratories</name>
        <lei>HQD377W2YR662HK5JX27</lei>
        <title>Abbott Laboratories</title>
        <cusip>002824100</cusip>
        <identifiers>
          <isin value="US0028241000"/>
          <ticker value="ABT"/>
          <other otherDesc="INTERNAL" value="002824100"/>
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        <balance>1138754</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>110185837</valUSD>
        <pctVal>3.2795889168</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>ABIOMED, Inc.</name>
        <lei>5493001EZN4ZTB4Z5887</lei>
        <title>ABIOMED, Inc.</title>
        <cusip>003654100</cusip>
        <identifiers>
          <isin value="US0036541003"/>
          <ticker value="ABMD"/>
          <other otherDesc="INTERNAL" value="003654100"/>
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        <balance>29237</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>7182361.42</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      </invstOrSec>
      <invstOrSec>
        <name>ACADIA Pharmaceuticals Inc.</name>
        <lei>529900O3044NO0PEA039</lei>
        <title>ACADIA Pharmaceuticals Inc.</title>
        <cusip>004225108</cusip>
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          <isin value="US0042251084"/>
          <ticker value="ACAD"/>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Align Technology, Inc.</name>
        <lei>549300N5YSE0U3LCP840</lei>
        <title>Align Technology, Inc.</title>
        <cusip>016255101</cusip>
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          <isin value="US0162551016"/>
          <ticker value="ALGN"/>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Amedisys, Inc.</name>
        <lei>5299001RBS9GK9STN379</lei>
        <title>Amedisys, Inc.</title>
        <cusip>023436108</cusip>
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          <isin value="US0234361089"/>
          <ticker value="AMED"/>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Amgen Inc.</name>
        <lei>62QBXGPJ34PQ72Z12S66</lei>
        <title>Amgen Inc.</title>
        <cusip>031162100</cusip>
        <identifiers>
          <isin value="US0311621009"/>
          <ticker value="AMGN"/>
          <other otherDesc="INTERNAL" value="031162100"/>
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        <balance>347846</balance>
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        <curCd>USD</curCd>
        <valUSD>78404488.4</valUSD>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Elevance Health, Inc.</name>
        <lei>8MYN82XMYQH89CTMTH67</lei>
        <title>Elevance Health, Inc.</title>
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          <isin value="US0367521038"/>
          <ticker value="ELV"/>
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        <balance>156064</balance>
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        <curCd>USD</curCd>
        <valUSD>70890511.36</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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        <name>AptarGroup, Inc.</name>
        <lei>VNPEQDQFAA7IY1T2PX43</lei>
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          <isin value="US0383361039"/>
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        <curCd>USD</curCd>
        <valUSD>3976625.38</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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      <invstOrSec>
        <name>Baxter International Inc.</name>
        <lei>J5OIVXX3P24RJRW5CK77</lei>
        <title>Baxter International Inc.</title>
        <cusip>071813109</cusip>
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          <isin value="US0718131099"/>
          <ticker value="BAX"/>
          <other otherDesc="INTERNAL" value="071813109"/>
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        <balance>327709</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>17650406.74</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>
          <isNonCashCollateral>N</isNonCashCollateral>
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      <invstOrSec>
        <name>Becton, Dickinson and Company</name>
        <lei>ICE2EP6D98PQUILVRZ91</lei>
        <title>Becton, Dickinson and Company</title>
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          <isin value="US0758871091"/>
          <ticker value="BDX"/>
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        <curCd>USD</curCd>
        <valUSD>41284159.76</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Bio-Rad Laboratories, Inc.</name>
        <lei>549300ZC1GPV35XYDK53</lei>
        <title>Bio-Rad Laboratories, Inc.</title>
        <cusip>090572207</cusip>
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          <isin value="US0905722072"/>
          <ticker value="BIO"/>
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        <valUSD>5756532</valUSD>
        <pctVal>0.1713383413</pctVal>
        <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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      <invstOrSec>
        <name>Boston Scientific Corporation</name>
        <lei>Y6ZDD9FP4P8JSSJMW954</lei>
        <title>Boston Scientific Corporation</title>
        <cusip>101137107</cusip>
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          <isin value="US1011371077"/>
          <ticker value="BSX"/>
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        <curCd>USD</curCd>
        <valUSD>35966382.12</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Bristol-Myers Squibb Company</name>
        <lei>HLYYNH7UQUORYSJQCN42</lei>
        <title>Bristol-Myers Squibb Company</title>
        <cusip>110122108</cusip>
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          <isin value="US1101221083"/>
          <ticker value="BMY"/>
          <other otherDesc="INTERNAL" value="110122108"/>
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        <curCd>USD</curCd>
        <valUSD>98706901.02</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Azenta, Inc.</name>
        <lei>35ZN6X1ANPH25YN32Y17</lei>
        <title>Azenta, Inc.</title>
        <cusip>114340102</cusip>
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          <ticker value="AZTA"/>
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        <curCd>USD</curCd>
        <valUSD>2114840.98</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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        <name>Bruker Corporation</name>
        <lei>LEBZ6VLQ6I8XB1NHVY15</lei>
        <title>Bruker Corporation</title>
        <cusip>116794108</cusip>
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        <curCd>USD</curCd>
        <valUSD>3483813.48</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Cigna Corporation</name>
        <lei>549300VIWYMSIGT1U456</lei>
        <title>Cigna Corporation</title>
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          <ticker value="CI"/>
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        <curCd>USD</curCd>
        <valUSD>55014809.31</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>CVS Health Corporation</name>
        <lei>549300EJG376EN5NQE29</lei>
        <title>CVS Health Corporation</title>
        <cusip>126650100</cusip>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Catalent, Inc.</name>
        <lei>N/A</lei>
        <title>Catalent, Inc.</title>
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        <curCd>USD</curCd>
        <valUSD>8400489.48</valUSD>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Charles River Laboratories International, Inc.</name>
        <lei>549300BSQ0R4UZ5KX287</lei>
        <title>Charles River Laboratories International, Inc.</title>
        <cusip>159864107</cusip>
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          <ticker value="CRL"/>
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        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

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        <name>CONMED Corporation</name>
        <lei>Z6C0YCECH9DCU5ZIQW84</lei>
        <title>CONMED Corporation</title>
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        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

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      <invstOrSec>
        <name>The Cooper Companies, Inc.</name>
        <lei>QJKMVPIGLH7530PCUE20</lei>
        <title>The Cooper Companies, Inc.</title>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Corcept Therapeutics Incorporated</name>
        <lei>529900EO9LUTFMZ7FF90</lei>
        <title>Corcept Therapeutics Incorporated</title>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Coronado Topco, Inc.</name>
        <lei>549300YU8CMO9HF53113</lei>
        <title>Coronado Topco, Inc.</title>
        <cusip>219798105</cusip>
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          <ticker value="QDEL"/>
          <other otherDesc="INTERNAL" value="219798105"/>
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        <curCd>USD</curCd>
        <valUSD>2514880.84</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
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          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Danaher Corporation</name>
        <lei>S4BKK9OTCEWQ3YHPFM11</lei>
        <title>Danaher Corporation</title>
        <cusip>235851102</cusip>
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          <ticker value="DHR"/>
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        <balance>425728</balance>
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        <curCd>USD</curCd>
        <valUSD>109961285.1</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>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>DexCom, Inc.</name>
        <lei>549300YSK3QDSFR5EU59</lei>
        <title>DexCom, Inc.</title>
        <cusip>252131107</cusip>
        <identifiers>
          <isin value="US2521311074"/>
          <ticker value="DXCM"/>
          <other otherDesc="INTERNAL" value="252131107"/>
        </identifiers>
        <balance>255587</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>20584976.98</valUSD>
        <pctVal>0.6126945549</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>Gilead Sciences, Inc.</name>
        <lei>549300WTZWR07K8MNV44</lei>
        <title>Gilead Sciences, Inc.</title>
        <cusip>375558103</cusip>
        <identifiers>
          <isin value="US3755581036"/>
          <ticker value="GILD"/>
          <other otherDesc="INTERNAL" value="375558103"/>
        </identifiers>
        <balance>815019</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>50278522.11</valUSD>
        <pctVal>1.4964979924</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>Glaukos Corporation</name>
        <lei>5299004JA1LHE21M6T14</lei>
        <title>Glaukos Corporation</title>
        <cusip>377322102</cusip>
        <identifiers>
          <isin value="US3773221029"/>
          <ticker value="GKOS"/>
          <other otherDesc="INTERNAL" value="377322102"/>
        </identifiers>
        <balance>30779</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1638673.96</valUSD>
        <pctVal>0.0487737544</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>Globus Medical, Inc.</name>
        <lei>5299003M2P4CIK0RF205</lei>
        <title>Globus Medical, Inc.</title>
        <cusip>379577208</cusip>
        <identifiers>
          <isin value="US3795772082"/>
          <ticker value="GMED"/>
          <other otherDesc="INTERNAL" value="379577208"/>
        </identifiers>
        <balance>52072</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3101929.04</valUSD>
        <pctVal>0.0923263132</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>Haemonetics Corporation</name>
        <lei>549300ZEL6TXZS6F5F95</lei>
        <title>Haemonetics Corporation</title>
        <cusip>405024100</cusip>
        <identifiers>
          <isin value="US4050241003"/>
          <ticker value="HAE"/>
          <other otherDesc="INTERNAL" value="405024100"/>
        </identifiers>
        <balance>32993</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2442471.79</valUSD>
        <pctVal>0.0726981219</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>Harmony Biosciences Holdings Inc.</name>
        <lei>N/A</lei>
        <title>Harmony Biosciences Holdings Inc.</title>
        <cusip>413197104</cusip>
        <identifiers>
          <isin value="US4131971040"/>
          <ticker value="HRMY"/>
          <other otherDesc="INTERNAL" value="413197104"/>
        </identifiers>
        <balance>15445</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>684059.05</valUSD>
        <pctVal>0.0203604432</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>Hologic, Inc.</name>
        <lei>549300DYP6F5ZJL0LB74</lei>
        <title>Hologic, Inc.</title>
        <cusip>436440101</cusip>
        <identifiers>
          <isin value="US4364401012"/>
          <ticker value="HOLX"/>
          <other otherDesc="INTERNAL" value="436440101"/>
        </identifiers>
        <balance>161766</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>10437142.32</valUSD>
        <pctVal>0.3106527772</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>Amicus Therapeutics, Inc.</name>
        <lei>549300MRD1SMUTNBPQ53</lei>
        <title>Amicus Therapeutics, Inc.</title>
        <cusip>03152W109</cusip>
        <identifiers>
          <isin value="US03152W1099"/>
          <ticker value="FOLD"/>
          <other otherDesc="INTERNAL" value="03152W109"/>
        </identifiers>
        <balance>167622</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1749973.68</valUSD>
        <pctVal>0.0520864972</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>Apellis Pharmaceuticals, Inc.</name>
        <lei>254900HS0ZFRXXSB9D42</lei>
        <title>Apellis Pharmaceuticals, Inc.</title>
        <cusip>03753U106</cusip>
        <identifiers>
          <isin value="US03753U1060"/>
          <ticker value="APLS"/>
          <other otherDesc="INTERNAL" value="03753U106"/>
        </identifiers>
        <balance>59559</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4067879.7</valUSD>
        <pctVal>0.1210770235</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>Apollo Medical Holdings, Inc.</name>
        <lei>5493008O4R82Q4STJ936</lei>
        <title>Apollo Medical Holdings, Inc.</title>
        <cusip>03763A207</cusip>
        <identifiers>
          <isin value="US03763A2078"/>
          <ticker value="AMEH"/>
          <other otherDesc="INTERNAL" value="03763A207"/>
        </identifiers>
        <balance>22555</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>879645</valUSD>
        <pctVal>0.0261818948</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <loanByFundCondition isLoanByFund="Y" loanVal="692523.000000000000"/>
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      </invstOrSec>
      <invstOrSec>
        <name>Arrowhead Pharmaceuticals Inc</name>
        <lei>549300O3CSB8T7OZ3D66</lei>
        <title>Arrowhead Pharmaceuticals Inc</title>
        <cusip>04280A100</cusip>
        <identifiers>
          <isin value="US04280A1007"/>
          <ticker value="ARWR"/>
          <other otherDesc="INTERNAL" value="04280A100"/>
        </identifiers>
        <balance>68696</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2270402.8</valUSD>
        <pctVal>0.0675766329</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>Arvinas Operations, Inc.</name>
        <lei>N/A</lei>
        <title>Arvinas Operations, Inc.</title>
        <cusip>04335A105</cusip>
        <identifiers>
          <isin value="US04335A1051"/>
          <ticker value="ARVN"/>
          <other otherDesc="INTERNAL" value="04335A105"/>
        </identifiers>
        <balance>29691</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1320952.59</valUSD>
        <pctVal>0.0393170447</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>AtriCure, Inc.</name>
        <lei>N/A</lei>
        <title>AtriCure, Inc.</title>
        <cusip>04963C209</cusip>
        <identifiers>
          <isin value="US04963C2098"/>
          <ticker value="ATRC"/>
          <other otherDesc="INTERNAL" value="04963C209"/>
        </identifiers>
        <balance>30851</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1206274.1</valUSD>
        <pctVal>0.0359037357</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>Axonics, Inc.</name>
        <lei>549300LJY4X7N57VJL05</lei>
        <title>Axonics, Inc.</title>
        <cusip>05465P101</cusip>
        <identifiers>
          <isin value="US05465P1012"/>
          <ticker value="AXNX"/>
          <other otherDesc="INTERNAL" value="05465P101"/>
        </identifiers>
        <balance>30872</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2174623.68</valUSD>
        <pctVal>0.0647258478</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>Beam Therapeutics Inc.</name>
        <lei>N/A</lei>
        <title>Beam Therapeutics Inc.</title>
        <cusip>07373V105</cusip>
        <identifiers>
          <isin value="US07373V1052"/>
          <ticker value="BEAM"/>
          <other otherDesc="INTERNAL" value="07373V105"/>
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        <balance>39384</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1876253.76</valUSD>
        <pctVal>0.0558451177</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>BioMarin Pharmaceutical Inc.</name>
        <lei>NSLL8ITTRR0J5HEMR848</lei>
        <title>BioMarin Pharmaceutical Inc.</title>
        <cusip>09061G101</cusip>
        <identifiers>
          <isin value="US09061G1013"/>
          <ticker value="BMRN"/>
          <other otherDesc="INTERNAL" value="09061G101"/>
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        <balance>121512</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>10300572.24</valUSD>
        <pctVal>0.3065878835</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>Biogen Inc.</name>
        <lei>W8J5WZB5IY3K0NDQT671</lei>
        <title>Biogen Inc.</title>
        <cusip>09062X103</cusip>
        <identifiers>
          <isin value="US09062X1037"/>
          <ticker value="BIIB"/>
          <other otherDesc="INTERNAL" value="09062X103"/>
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        <balance>94362</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>25194654</valUSD>
        <pctVal>0.7498977207</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>Bio-Techne Corporation</name>
        <lei>54930073RLKQ51TILZ35</lei>
        <title>Bio-Techne Corporation</title>
        <cusip>09073M104</cusip>
        <identifiers>
          <isin value="US09073M1045"/>
          <ticker value="TECH"/>
          <other otherDesc="INTERNAL" value="09073M104"/>
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        <balance>25618</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>7275512</valUSD>
        <pctVal>0.2165495055</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>Blueprint Medicines Corporation</name>
        <lei>5299004CC60O9T5HVM83</lei>
        <title>Blueprint Medicines Corporation</title>
        <cusip>09627Y109</cusip>
        <identifiers>
          <isin value="US09627Y1091"/>
          <ticker value="BPMC"/>
          <other otherDesc="INTERNAL" value="09627Y109"/>
        </identifiers>
        <balance>38584</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2542299.76</valUSD>
        <pctVal>0.0756694176</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>Cardinal Health, Inc.</name>
        <lei>CCU46N3GJMF4OK4N7U60</lei>
        <title>Cardinal Health, Inc.</title>
        <cusip>14149Y108</cusip>
        <identifiers>
          <isin value="US14149Y1082"/>
          <ticker value="CAH"/>
          <other otherDesc="INTERNAL" value="14149Y108"/>
        </identifiers>
        <balance>176019</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>11736946.92</valUSD>
        <pctVal>0.3493403697</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Centene Corporation</name>
        <lei>549300Z7JJ4TQSQGT333</lei>
        <title>Centene Corporation</title>
        <cusip>15135B101</cusip>
        <identifiers>
          <isin value="US15135B1017"/>
          <ticker value="CNC"/>
          <other otherDesc="INTERNAL" value="15135B101"/>
        </identifiers>
        <balance>371442.36</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>28901930.03</valUSD>
        <pctVal>0.8602416788</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>Cerevel Therapeutics Holdings, Inc.</name>
        <lei>N/A</lei>
        <title>Cerevel Therapeutics Holdings, Inc.</title>
        <cusip>15678U128</cusip>
        <identifiers>
          <isin value="US15678U1280"/>
          <ticker value="CERE"/>
          <other otherDesc="INTERNAL" value="15678U128"/>
        </identifiers>
        <balance>37131</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1049322.06</valUSD>
        <pctVal>0.0312321900</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>Certara, Inc.</name>
        <lei>549300LI8UBB8QGWZ814</lei>
        <title>Certara, Inc.</title>
        <cusip>15687V109</cusip>
        <identifiers>
          <isin value="US15687V1098"/>
          <ticker value="CERT"/>
          <other otherDesc="INTERNAL" value="15687V109"/>
        </identifiers>
        <balance>66978</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>889467.84</valUSD>
        <pctVal>0.0264742634</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>Change Healthcare Inc.</name>
        <lei>549300GS1BPJEDOZHM07</lei>
        <title>Change Healthcare Inc.</title>
        <cusip>15912K100</cusip>
        <identifiers>
          <isin value="US15912K1007"/>
          <ticker value="CHNGV"/>
          <other otherDesc="INTERNAL" value="15912K100"/>
        </identifiers>
        <balance>164676.6782</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4526961.88</valUSD>
        <pctVal>0.1347412191</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>Chemed Corporation</name>
        <lei>54930020031IDJT2IM79</lei>
        <title>Chemed Corporation</title>
        <cusip>16359R103</cusip>
        <identifiers>
          <isin value="US16359R1032"/>
          <ticker value="CHE"/>
          <other otherDesc="INTERNAL" value="16359R103"/>
        </identifiers>
        <balance>9764</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4262571.84</valUSD>
        <pctVal>0.1268718716</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>Covetrus, Inc.</name>
        <lei>5493009S30DUFCF75V87</lei>
        <title>Covetrus, Inc.</title>
        <cusip>22304C100</cusip>
        <identifiers>
          <isin value="US22304C1009"/>
          <ticker value="CVET"/>
          <other otherDesc="INTERNAL" value="22304C100"/>
        </identifiers>
        <balance>67925.8</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1418290.7</valUSD>
        <pctVal>0.0422142318</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>Cytokinetics, Incorporated</name>
        <lei>549300BE5DY1HW7IHA64</lei>
        <title>Cytokinetics, Incorporated</title>
        <cusip>23282W605</cusip>
        <identifiers>
          <isin value="US23282W6057"/>
          <ticker value="CYTK"/>
          <other otherDesc="INTERNAL" value="23282W605"/>
        </identifiers>
        <balance>62247</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3015867.15</valUSD>
        <pctVal>0.0897647533</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>DaVita Inc.</name>
        <lei>M2XHYMU3TZNEZURC6H66</lei>
        <title>DaVita Inc.</title>
        <cusip>23918K108</cusip>
        <identifiers>
          <isin value="US23918K1088"/>
          <ticker value="DVA"/>
          <other otherDesc="INTERNAL" value="23918K108"/>
        </identifiers>
        <balance>36215</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2997515.55</valUSD>
        <pctVal>0.0892185334</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>Denali Therapeutics Inc.</name>
        <lei>549300ZTQ2HO18L3Q830</lei>
        <title>Denali Therapeutics Inc.</title>
        <cusip>24823R105</cusip>
        <identifiers>
          <isin value="US24823R1059"/>
          <ticker value="DNLI"/>
          <other otherDesc="INTERNAL" value="24823R105"/>
        </identifiers>
        <balance>60217</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1848059.73</valUSD>
        <pctVal>0.0550059461</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>Dentsply Sirona Inc.</name>
        <lei>9NHEHR1SOZCYXDO8HO28</lei>
        <title>Dentsply Sirona Inc.</title>
        <cusip>24906P109</cusip>
        <identifiers>
          <isin value="US24906P1093"/>
          <ticker value="XRAY"/>
          <other otherDesc="INTERNAL" value="24906P109"/>
        </identifiers>
        <balance>139253</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3947822.55</valUSD>
        <pctVal>0.1175036233</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Doximity, Inc.</name>
        <lei>N/A</lei>
        <title>Doximity, Inc.</title>
        <cusip>26622P107</cusip>
        <identifiers>
          <isin value="US26622P1075"/>
          <ticker value="DOCS"/>
          <other otherDesc="INTERNAL" value="26622P107"/>
        </identifiers>
        <balance>72513</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2191342.86</valUSD>
        <pctVal>0.0652234802</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <loanByFundCondition isLoanByFund="Y" loanVal="2191342.860000000000"/>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>EQRX, Inc.</name>
        <lei>N/A</lei>
        <title>EQRX, Inc.</title>
        <cusip>26886C107</cusip>
        <identifiers>
          <isin value="US26886C1071"/>
          <ticker value="EQRX"/>
          <other otherDesc="INTERNAL" value="26886C107"/>
        </identifiers>
        <balance>150081</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>742900.95</valUSD>
        <pctVal>0.0221118230</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <loanByFundCondition isLoanByFund="Y" loanVal="653543.550000000000"/>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Elanco Animal Health Incorporated</name>
        <lei>549300SHPNDCE059M934</lei>
        <title>Elanco Animal Health Incorporated</title>
        <cusip>28414H103</cusip>
        <identifiers>
          <isin value="US28414H1032"/>
          <ticker value="ELAN"/>
          <other otherDesc="INTERNAL" value="28414H103"/>
        </identifiers>
        <balance>293773</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3645722.93</valUSD>
        <pctVal>0.1085118817</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>Encompass Health Corporation</name>
        <lei>549300FVRPM9DRQZRG64</lei>
        <title>Encompass Health Corporation</title>
        <cusip>29261A100</cusip>
        <identifiers>
          <isin value="US29261A1007"/>
          <ticker value="EHC"/>
          <other otherDesc="INTERNAL" value="29261A100"/>
        </identifiers>
        <balance>65555</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2965052.65</valUSD>
        <pctVal>0.0882523024</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>The Ensign Group, Inc.</name>
        <lei>5493003K4HEEA8Q0BC72</lei>
        <title>The Ensign Group, Inc.</title>
        <cusip>29358P101</cusip>
        <identifiers>
          <isin value="US29358P1012"/>
          <ticker value="ENSG"/>
          <other otherDesc="INTERNAL" value="29358P101"/>
        </identifiers>
        <balance>34210</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2719695</valUSD>
        <pctVal>0.0809494380</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>Envista Holdings Corporation</name>
        <lei>549300BX623VURJZ5269</lei>
        <title>Envista Holdings Corporation</title>
        <cusip>29415F104</cusip>
        <identifiers>
          <isin value="US29415F1049"/>
          <ticker value="NVST"/>
          <other otherDesc="INTERNAL" value="29415F104"/>
        </identifiers>
        <balance>104172</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3417883.32</valUSD>
        <pctVal>0.1017304271</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>Evolent Health, Inc.</name>
        <lei>549300CZOCFHQ2BBTR11</lei>
        <title>Evolent Health, Inc.</title>
        <cusip>30050B101</cusip>
        <identifiers>
          <isin value="US30050B1017"/>
          <ticker value="EVH"/>
          <other otherDesc="INTERNAL" value="30050B101"/>
        </identifiers>
        <balance>53234</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1912697.62</valUSD>
        <pctVal>0.0569298386</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>Exact Sciences Corporation</name>
        <lei>549300VM3X1FYD4N9Z14</lei>
        <title>Exact Sciences Corporation</title>
        <cusip>30063P105</cusip>
        <identifiers>
          <isin value="US30063P1057"/>
          <ticker value="EXAS"/>
          <other otherDesc="INTERNAL" value="30063P105"/>
        </identifiers>
        <balance>114412</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3717245.88</valUSD>
        <pctVal>0.1106407023</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>Exelixis, Inc.</name>
        <lei>254900PJQB59O2O95R37</lei>
        <title>Exelixis, Inc.</title>
        <cusip>30161Q104</cusip>
        <identifiers>
          <isin value="US30161Q1040"/>
          <ticker value="EXEL"/>
          <other otherDesc="INTERNAL" value="30161Q104"/>
        </identifiers>
        <balance>209390</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3283235.2</valUSD>
        <pctVal>0.0977227388</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>Fate Therapeutics, Inc.</name>
        <lei>549300L14Q4UHOODLA90</lei>
        <title>Fate Therapeutics, Inc.</title>
        <cusip>31189P102</cusip>
        <identifiers>
          <isin value="US31189P1021"/>
          <ticker value="FATE"/>
          <other otherDesc="INTERNAL" value="31189P102"/>
        </identifiers>
        <balance>54174</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1214039.34</valUSD>
        <pctVal>0.0361348615</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>Ginkgo Bioworks Holdings, Inc.</name>
        <lei>N/A</lei>
        <title>Ginkgo Bioworks Holdings, Inc.</title>
        <cusip>37611X100</cusip>
        <identifiers>
          <isin value="US37611X1000"/>
          <ticker value="DNA"/>
          <other otherDesc="INTERNAL" value="37611X100"/>
        </identifiers>
        <balance>519612</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1621189.44</valUSD>
        <pctVal>0.0482533424</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <loanByFundCondition isLoanByFund="Y" loanVal="1621189.440000000000"/>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Global Blood Therapeutics, Inc.</name>
        <lei>549300U4G0QKK99GRT15</lei>
        <title>Global Blood Therapeutics, Inc.</title>
        <cusip>37890U108</cusip>
        <identifiers>
          <isin value="US37890U1088"/>
          <ticker value="GBT"/>
          <other otherDesc="INTERNAL" value="37890U108"/>
        </identifiers>
        <balance>41095</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2798569.5</valUSD>
        <pctVal>0.0832970712</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>Guardant Health, Inc.</name>
        <lei>254900M8C3E5VC8BR186</lei>
        <title>Guardant Health, Inc.</title>
        <cusip>40131M109</cusip>
        <identifiers>
          <isin value="US40131M1099"/>
          <ticker value="GH"/>
          <other otherDesc="INTERNAL" value="40131M109"/>
        </identifiers>
        <balance>67187</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3616676.21</valUSD>
        <pctVal>0.1076473305</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>HCA Healthcare, Inc.</name>
        <lei>529900PH4ZGUH2MNEU89</lei>
        <title>HCA Healthcare, Inc.</title>
        <cusip>40412C101</cusip>
        <identifiers>
          <isin value="US40412C1018"/>
          <ticker value="HCA"/>
          <other otherDesc="INTERNAL" value="40412C101"/>
        </identifiers>
        <balance>140373</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>25799153.67</valUSD>
        <pctVal>0.7678901458</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>Halozyme Therapeutics, Inc.</name>
        <lei>529900242I3SV9AGM753</lei>
        <title>Halozyme Therapeutics, Inc.</title>
        <cusip>40637H109</cusip>
        <identifiers>
          <isin value="US40637H1095"/>
          <ticker value="HALO"/>
          <other otherDesc="INTERNAL" value="40637H109"/>
        </identifiers>
        <balance>87641</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3465325.14</valUSD>
        <pctVal>0.1031424930</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>HealthEquity, Inc.</name>
        <lei>529900LRJU1RAFQHM467</lei>
        <title>HealthEquity, Inc.</title>
        <cusip>42226A107</cusip>
        <identifiers>
          <isin value="US42226A1079"/>
          <ticker value="HQY"/>
          <other otherDesc="INTERNAL" value="42226A107"/>
        </identifiers>
        <balance>55100</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3701067</valUSD>
        <pctVal>0.1101591515</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>ICU Medical, Inc.</name>
        <lei>5493003NRW7LS2QZRH60</lei>
        <title>ICU Medical, Inc.</title>
        <cusip>44930G107</cusip>
        <identifiers>
          <isin value="US44930G1076"/>
          <ticker value="ICUI"/>
          <other otherDesc="INTERNAL" value="44930G107"/>
        </identifiers>
        <balance>13150</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1980390</valUSD>
        <pctVal>0.0589446454</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>IDEXX Laboratories, Inc.</name>
        <lei>OGMTXK0LUU1HKV2P0J84</lei>
        <title>IDEXX Laboratories, Inc.</title>
        <cusip>45168D104</cusip>
        <identifiers>
          <isin value="US45168D1046"/>
          <ticker value="IDXX"/>
          <other otherDesc="INTERNAL" value="45168D104"/>
        </identifiers>
        <balance>54137</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>17637834.6</valUSD>
        <pctVal>0.5249753366</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>Inari Medical, Inc.</name>
        <lei>N/A</lei>
        <title>Inari Medical, Inc.</title>
        <cusip>45332Y109</cusip>
        <identifiers>
          <isin value="US45332Y1091"/>
          <ticker value="NARI"/>
          <other otherDesc="INTERNAL" value="45332Y109"/>
        </identifiers>
        <balance>32111</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2332543.04</valUSD>
        <pctVal>0.0694261850</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>Incyte Corporation</name>
        <lei>549300Z4WN6JVZ3T4680</lei>
        <title>Incyte Corporation</title>
        <cusip>45337C102</cusip>
        <identifiers>
          <isin value="US45337C1027"/>
          <ticker value="INCY"/>
          <other otherDesc="INTERNAL" value="45337C102"/>
        </identifiers>
        <balance>121362</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>8087563.68</valUSD>
        <pctVal>0.2407195419</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Insulet Corporation</name>
        <lei>549300TZTYD2PYN92D43</lei>
        <title>Insulet Corporation</title>
        <cusip>45784P101</cusip>
        <identifiers>
          <isin value="US45784P1012"/>
          <ticker value="PODD"/>
          <other otherDesc="INTERNAL" value="45784P101"/>
        </identifiers>
        <balance>45334</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>10399619.6</valUSD>
        <pctVal>0.3095359450</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>Integer Holdings Corporation</name>
        <lei>549300SUD2ED5XG6X569</lei>
        <title>Integer Holdings Corporation</title>
        <cusip>45826H109</cusip>
        <identifiers>
          <isin value="US45826H1095"/>
          <ticker value="ITGR"/>
          <other otherDesc="INTERNAL" value="45826H109"/>
        </identifiers>
        <balance>20682</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1287040.86</valUSD>
        <pctVal>0.0383076905</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>Intellia Therapeutics, Inc.</name>
        <lei>5493002T5BCPE5DZC723</lei>
        <title>Intellia Therapeutics, Inc.</title>
        <cusip>45826J105</cusip>
        <identifiers>
          <isin value="US45826J1051"/>
          <ticker value="NTLA"/>
          <other otherDesc="INTERNAL" value="45826J105"/>
        </identifiers>
        <balance>50112</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2804267.52</valUSD>
        <pctVal>0.0834666680</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>Intra-Cellular Therapies, Inc.</name>
        <lei>5299002U2KGF193IJA20</lei>
        <title>Intra-Cellular Therapies, Inc.</title>
        <cusip>46116X101</cusip>
        <identifiers>
          <isin value="US46116X1019"/>
          <ticker value="ITCI"/>
          <other otherDesc="INTERNAL" value="46116X101"/>
        </identifiers>
        <balance>57060</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2655001.8</valUSD>
        <pctVal>0.0790238992</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>Intuitive Surgical, Inc.</name>
        <lei>54930052SRG011710797</lei>
        <title>Intuitive Surgical, Inc.</title>
        <cusip>46120E602</cusip>
        <identifiers>
          <isin value="US46120E6023"/>
          <ticker value="ISRG"/>
          <other otherDesc="INTERNAL" value="46120E602"/>
        </identifiers>
        <balance>232216</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>43526567.04</valUSD>
        <pctVal>1.2955317193</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>IQVIA Holdings Inc</name>
        <lei>549300W3R20NM4KQPH86</lei>
        <title>IQVIA Holdings Inc</title>
        <cusip>46266C105</cusip>
        <identifiers>
          <isin value="US46266C1053"/>
          <ticker value="IQV"/>
          <other otherDesc="INTERNAL" value="46266C105"/>
        </identifiers>
        <balance>121113</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>21938408.82</valUSD>
        <pctVal>0.6529783171</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>JNL Government Money Market Fund</name>
        <lei>N/A</lei>
        <title>JNL Government Money Market Fund</title>
        <cusip>46628D437</cusip>
        <identifiers>
          <other otherDesc="INTERNAL" value="46628D437"/>
        </identifiers>
        <balance>6553811.92</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6553811.92</valUSD>
        <pctVal>0.1950687087</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>STIV</assetCat>
        <issuerCat>RF</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Karuna Therapeutics, Inc.</name>
        <lei>N/A</lei>
        <title>Karuna Therapeutics, Inc.</title>
        <cusip>48576A100</cusip>
        <identifiers>
          <isin value="US48576A1007"/>
          <ticker value="KRTX"/>
          <other otherDesc="INTERNAL" value="48576A100"/>
        </identifiers>
        <balance>17599</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3958543.07</valUSD>
        <pctVal>0.1178227105</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>Laboratory Corporation of America Holdings</name>
        <lei>OZ7UA8IXAIFILY2VZH07</lei>
        <title>Laboratory Corporation of America Holdings</title>
        <cusip>50540R409</cusip>
        <identifiers>
          <isin value="US50540R4092"/>
          <ticker value="LH"/>
          <other otherDesc="INTERNAL" value="50540R409"/>
        </identifiers>
        <balance>58591</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>12000022.71</valUSD>
        <pctVal>0.3571705997</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>Lifestance Health Group, Inc.</name>
        <lei>N/A</lei>
        <title>Lifestance Health Group, Inc.</title>
        <cusip>53228F101</cusip>
        <identifiers>
          <isin value="US53228F1012"/>
          <ticker value="LFST"/>
          <other otherDesc="INTERNAL" value="53228F101"/>
        </identifiers>
        <balance>59582</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>394432.84</valUSD>
        <pctVal>0.0117399623</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <loanByFundCondition isLoanByFund="Y" loanVal="392162.180000000000"/>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Maravai LifeSciences Holdings, Inc.</name>
        <lei>N/A</lei>
        <title>Maravai LifeSciences Holdings, Inc.</title>
        <cusip>56600D107</cusip>
        <identifiers>
          <isin value="US56600D1072"/>
          <ticker value="MRVI"/>
          <other otherDesc="INTERNAL" value="56600D107"/>
        </identifiers>
        <balance>70843</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1808621.79</valUSD>
        <pctVal>0.0538321089</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>McKesson Corporation</name>
        <lei>549300WZWOM80UCFSF54</lei>
        <title>McKesson Corporation</title>
        <cusip>58155Q103</cusip>
        <identifiers>
          <isin value="US58155Q1031"/>
          <ticker value="MCK"/>
          <other otherDesc="INTERNAL" value="58155Q103"/>
        </identifiers>
        <balance>93867</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>31902577.29</valUSD>
        <pctVal>0.9495534249</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>Medpace Holdings, Inc.</name>
        <lei>549300H8TYEUVTW14A54</lei>
        <title>Medpace Holdings, Inc.</title>
        <cusip>58506Q109</cusip>
        <identifiers>
          <isin value="US58506Q1094"/>
          <ticker value="MEDP"/>
          <other otherDesc="INTERNAL" value="58506Q109"/>
        </identifiers>
        <balance>17685</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2779551.45</valUSD>
        <pctVal>0.0827310150</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>Merck &amp; Co., Inc.</name>
        <lei>4YV9Y5M8S0BRK1RP0397</lei>
        <title>Merck &amp; Co., Inc.</title>
        <cusip>58933Y105</cusip>
        <identifiers>
          <isin value="US58933Y1055"/>
          <ticker value="MRK"/>
          <other otherDesc="INTERNAL" value="58933Y105"/>
        </identifiers>
        <balance>1647299</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>141865389.9</valUSD>
        <pctVal>4.2225042080</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>Mirati Therapeutics, Inc.</name>
        <lei>529900GYRW59IDQV6N54</lei>
        <title>Mirati Therapeutics, Inc.</title>
        <cusip>60468T105</cusip>
        <identifiers>
          <isin value="US60468T1051"/>
          <ticker value="MRTX"/>
          <other otherDesc="INTERNAL" value="60468T105"/>
        </identifiers>
        <balance>32817</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2291939.28</valUSD>
        <pctVal>0.0682176482</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>Moderna, Inc.</name>
        <lei>549300EI6OKH5K5Q2G38</lei>
        <title>Moderna, Inc.</title>
        <cusip>60770K107</cusip>
        <identifiers>
          <isin value="US60770K1079"/>
          <ticker value="MRNA"/>
          <other otherDesc="INTERNAL" value="60770K107"/>
        </identifiers>
        <balance>218189</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>25800849.25</valUSD>
        <pctVal>0.7679406133</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>Molina Healthcare, Inc.</name>
        <lei>549300NQQCEQ46YHZ591</lei>
        <title>Molina Healthcare, Inc.</title>
        <cusip>60855R100</cusip>
        <identifiers>
          <isin value="US60855R1005"/>
          <ticker value="MOH"/>
          <other otherDesc="INTERNAL" value="60855R100"/>
        </identifiers>
        <balance>37780</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>12461355.2</valUSD>
        <pctVal>0.3709017739</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>Multiplan Corporation</name>
        <lei>N/A</lei>
        <title>Multiplan Corporation</title>
        <cusip>62548M100</cusip>
        <identifiers>
          <isin value="US62548M1009"/>
          <ticker value="MPLN"/>
          <other otherDesc="INTERNAL" value="62548M100"/>
        </identifiers>
        <balance>155934</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>445971.24</valUSD>
        <pctVal>0.0132739595</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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      </invstOrSec>
      <invstOrSec>
        <name>Neurocrine Biosciences, Inc.</name>
        <lei>549300FECER0XBN49756</lei>
        <title>Neurocrine Biosciences, Inc.</title>
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          <isin value="US64125C1099"/>
          <ticker value="NBIX"/>
          <other otherDesc="INTERNAL" value="64125C109"/>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Nevro Corp.</name>
        <lei>254900SH91I4BOYKUE38</lei>
        <title>Nevro Corp.</title>
        <cusip>64157F103</cusip>
        <identifiers>
          <isin value="US64157F1030"/>
          <ticker value="NVRO"/>
          <other otherDesc="INTERNAL" value="64157F103"/>
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        <balance>23136</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1078137.6</valUSD>
        <pctVal>0.0320898604</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>
        <name>Nutex Health Inc.</name>
        <lei>N/A</lei>
        <title>Nutex Health Inc.</title>
        <cusip>67079U108</cusip>
        <identifiers>
          <isin value="US67079U1088"/>
          <ticker value="NUTX"/>
          <other otherDesc="INTERNAL" value="67079U108"/>
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        <balance>17054</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>25581</valUSD>
        <pctVal>0.0007613970</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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      <invstOrSec>
        <name>Oak Street Health, Inc.</name>
        <lei>2549007CJE6GSEURLA30</lei>
        <title>Oak Street Health, Inc.</title>
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          <isin value="US67181A1079"/>
          <ticker value="OSH"/>
          <other otherDesc="INTERNAL" value="67181A107"/>
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        <balance>77297</balance>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Omnicell, Inc.</name>
        <lei>5493008RH0GTKHHPZI77</lei>
        <title>Omnicell, Inc.</title>
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        <identifiers>
          <isin value="US68213N1090"/>
          <ticker value="OMCL"/>
          <other otherDesc="INTERNAL" value="68213N109"/>
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        <balance>28937</balance>
        <units>NS</units>
        <curCd>USD</curCd>
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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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      <invstOrSec>
        <name>AbbVie Inc.</name>
        <lei>FR5LCKFTG8054YNNRU85</lei>
        <title>AbbVie Inc.</title>
        <cusip>00287Y109</cusip>
        <identifiers>
          <isin value="US00287Y1091"/>
          <ticker value="ABBV"/>
          <other otherDesc="INTERNAL" value="00287Y109"/>
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        <balance>1149728</balance>
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        <curCd>USD</curCd>
        <valUSD>154304994.9</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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      <invstOrSec>
        <name>Abcellera Biologics Inc.</name>
        <lei>9845000861BC95FF9F73</lei>
        <title>Abcellera Biologics Inc.</title>
        <cusip>00288U106</cusip>
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          <isin value="CA00288U1066"/>
          <ticker value="ABCL"/>
          <other otherDesc="INTERNAL" value="00288U106"/>
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        <balance>122551</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1212029.39</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>CA</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
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      <invstOrSec>
        <name>Acadia Healthcare Company, Inc.</name>
        <lei>5493005CW985Y9D0NC11</lei>
        <title>Acadia Healthcare Company, Inc.</title>
        <cusip>00404A109</cusip>
        <identifiers>
          <isin value="US00404A1097"/>
          <ticker value="ACHC"/>
          <other otherDesc="INTERNAL" value="00404A109"/>
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        <balance>59387</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4642875.66</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>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Agilent Technologies, Inc.</name>
        <lei>QUIX8Y7A2WP0XRMW7G29</lei>
        <title>Agilent Technologies, Inc.</title>
        <cusip>00846U101</cusip>
        <identifiers>
          <isin value="US00846U1016"/>
          <ticker value="A"/>
          <other otherDesc="INTERNAL" value="00846U101"/>
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        <balance>194994</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>23701520.7</valUSD>
        <pctVal>0.7054558618</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>
        <name>Agiliti, Inc.</name>
        <lei>N/A</lei>
        <title>Agiliti, Inc.</title>
        <cusip>00848J104</cusip>
        <identifiers>
          <isin value="US00848J1043"/>
          <ticker value="AGTI"/>
          <other otherDesc="INTERNAL" value="00848J104"/>
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        <balance>19279</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>275882.49</valUSD>
        <pctVal>0.0082114107</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <loanByFundCondition isLoanByFund="Y" loanVal="7899.120000000000"/>
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      <invstOrSec>
        <name>Agilon Health Management, Inc.</name>
        <lei>N/A</lei>
        <title>Agilon Health Management, Inc.</title>
        <cusip>00857U107</cusip>
        <identifiers>
          <isin value="US00857U1079"/>
          <ticker value="AGL"/>
          <other otherDesc="INTERNAL" value="00857U107"/>
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        <balance>128781</balance>
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        <curCd>USD</curCd>
        <valUSD>3016051.02</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>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Allscripts Healthcare Solutions, Inc.</name>
        <lei>Y68YJHVB1GU4TAU3C223</lei>
        <title>Allscripts Healthcare Solutions, Inc.</title>
        <cusip>01988P108</cusip>
        <identifiers>
          <isin value="US01988P1084"/>
          <ticker value="MDRX"/>
          <other otherDesc="INTERNAL" value="01988P108"/>
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        <balance>76442</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1164211.66</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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      <invstOrSec>
        <name>Alnylam Pharmaceuticals, Inc.</name>
        <lei>529900S3ZI14OWRJII50</lei>
        <title>Alnylam Pharmaceuticals, Inc.</title>
        <cusip>02043Q107</cusip>
        <identifiers>
          <isin value="US02043Q1076"/>
          <ticker value="ALNY"/>
          <other otherDesc="INTERNAL" value="02043Q107"/>
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        <balance>78554</balance>
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        <curCd>USD</curCd>
        <valUSD>15723368.64</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>AmerisourceBergen Corporation</name>
        <lei>AI8GXW8LG5WK7E9UD086</lei>
        <title>AmerisourceBergen Corporation</title>
        <cusip>03073E105</cusip>
        <identifiers>
          <isin value="US03073E1055"/>
          <ticker value="ABC"/>
          <other otherDesc="INTERNAL" value="03073E105"/>
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        <balance>100500</balance>
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        <curCd>USD</curCd>
        <valUSD>13600665</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>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Definitive Healthcare Corp.</name>
        <lei>N/A</lei>
        <title>Definitive Healthcare Corp.</title>
        <cusip>24477E103</cusip>
        <identifiers>
          <isin value="US24477E1038"/>
          <ticker value="DH"/>
          <other otherDesc="INTERNAL" value="24477E103"/>
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        <balance>19525</balance>
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        <curCd>USD</curCd>
        <valUSD>303418.5</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>Edwards Lifesciences Corporation</name>
        <lei>YA13X31F3V31L8TMPR58</lei>
        <title>Edwards Lifesciences Corporation</title>
        <cusip>28176E108</cusip>
        <identifiers>
          <isin value="US28176E1082"/>
          <ticker value="EW"/>
          <other otherDesc="INTERNAL" value="28176E108"/>
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        <balance>403126</balance>
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        <curCd>USD</curCd>
        <valUSD>33310301.38</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Humana Inc.</name>
        <lei>529900YLDW34GJAO4J06</lei>
        <title>Humana Inc.</title>
        <cusip>444859102</cusip>
        <identifiers>
          <isin value="US4448591028"/>
          <ticker value="HUM"/>
          <other otherDesc="INTERNAL" value="444859102"/>
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        <balance>82490</balance>
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        <curCd>USD</curCd>
        <valUSD>40023323.1</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>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Irhythm Technologies, Inc.</name>
        <lei>549300FJI72RJGDQS384</lei>
        <title>Irhythm Technologies, Inc.</title>
        <cusip>450056106</cusip>
        <identifiers>
          <isin value="US4500561067"/>
          <ticker value="IRTC"/>
          <other otherDesc="INTERNAL" value="450056106"/>
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        <balance>19622</balance>
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        <curCd>USD</curCd>
        <valUSD>2458244.16</valUSD>
        <pctVal>0.0731675733</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>Illumina, Inc.</name>
        <lei>SQ95QG8SR5Q56LSNF682</lei>
        <title>Illumina, Inc.</title>
        <cusip>452327109</cusip>
        <identifiers>
          <isin value="US4523271090"/>
          <ticker value="ILMN"/>
          <other otherDesc="INTERNAL" value="452327109"/>
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        <balance>102290</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>19515909.1</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>Insmed Incorporated</name>
        <lei>529900Q55QAG41CCAC11</lei>
        <title>Insmed Incorporated</title>
        <cusip>457669307</cusip>
        <identifiers>
          <isin value="US4576693075"/>
          <ticker value="INSM"/>
          <other otherDesc="INTERNAL" value="457669307"/>
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        <balance>79996</balance>
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        <curCd>USD</curCd>
        <valUSD>1723113.84</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>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Inspire Medical Systems, Inc.</name>
        <lei>549300XQQCQ7HCJKTW25</lei>
        <title>Inspire Medical Systems, Inc.</title>
        <cusip>457730109</cusip>
        <identifiers>
          <isin value="US4577301090"/>
          <ticker value="INSP"/>
          <other otherDesc="INTERNAL" value="457730109"/>
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        <balance>18071</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3205253.27</valUSD>
        <pctVal>0.0954016722</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>Integra LifeSciences Holdings Corporation</name>
        <lei>WB7IJCYY8YFTENS4O147</lei>
        <title>Integra LifeSciences Holdings Corporation</title>
        <cusip>457985208</cusip>
        <identifiers>
          <isin value="US4579852082"/>
          <ticker value="IART"/>
          <other otherDesc="INTERNAL" value="457985208"/>
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        <balance>46959</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1989183.24</valUSD>
        <pctVal>0.0592063688</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>Ionis Pharmaceuticals, Inc.</name>
        <lei>549300SI4ZGLG0BLUZ92</lei>
        <title>Ionis Pharmaceuticals, Inc.</title>
        <cusip>462222100</cusip>
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          <isin value="US4622221004"/>
          <ticker value="IONS"/>
          <other otherDesc="INTERNAL" value="462222100"/>
        </identifiers>
        <balance>93215</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4122899.45</valUSD>
        <pctVal>0.1227146402</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>Iovance Biotherapeutics, Inc.</name>
        <lei>549300220Z2GHH33XL82</lei>
        <title>Iovance Biotherapeutics, Inc.</title>
        <cusip>462260100</cusip>
        <identifiers>
          <isin value="US4622601007"/>
          <ticker value="IOVA"/>
          <other otherDesc="INTERNAL" value="462260100"/>
        </identifiers>
        <balance>93944</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>899983.52</valUSD>
        <pctVal>0.0267872538</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>Johnson &amp; Johnson</name>
        <lei>549300G0CFPGEF6X2043</lei>
        <title>Johnson &amp; Johnson</title>
        <cusip>478160104</cusip>
        <identifiers>
          <isin value="US4781601046"/>
          <ticker value="JNJ"/>
          <other otherDesc="INTERNAL" value="478160104"/>
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        <balance>1709659</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>279289894.2</valUSD>
        <pctVal>8.3128291850</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>Lantheus Holdings, Inc.</name>
        <lei>5299005HUB5IOJGO7S39</lei>
        <title>Lantheus Holdings, Inc.</title>
        <cusip>516544103</cusip>
        <identifiers>
          <isin value="US5165441032"/>
          <ticker value="LNTH"/>
          <other otherDesc="INTERNAL" value="516544103"/>
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        <balance>45439</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3195724.87</valUSD>
        <pctVal>0.0951180673</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>Eli Lilly and Company</name>
        <lei>FRDRIPF3EKNDJ2CQJL29</lei>
        <title>Eli Lilly and Company</title>
        <cusip>532457108</cusip>
        <identifiers>
          <isin value="US5324571083"/>
          <ticker value="LLY"/>
          <other otherDesc="INTERNAL" value="532457108"/>
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        <balance>512827</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>165822610.5</valUSD>
        <pctVal>4.9355707626</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>Masimo Corporation</name>
        <lei>549300Q4A8JK0PIYCU29</lei>
        <title>Masimo Corporation</title>
        <cusip>574795100</cusip>
        <identifiers>
          <isin value="US5747951003"/>
          <ticker value="MASI"/>
          <other otherDesc="INTERNAL" value="574795100"/>
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        <balance>31779</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4485923.64</valUSD>
        <pctVal>0.1335197504</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>Merit Medical Systems, Inc.</name>
        <lei>549300OYTY138SP2CE83</lei>
        <title>Merit Medical Systems, Inc.</title>
        <cusip>589889104</cusip>
        <identifiers>
          <isin value="US5898891040"/>
          <ticker value="MMSI"/>
          <other otherDesc="INTERNAL" value="589889104"/>
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        <balance>33254</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1879183.54</valUSD>
        <pctVal>0.0559323201</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>Mettler-Toledo International Inc.</name>
        <lei>5493000BD5GJNUDIUG10</lei>
        <title>Mettler-Toledo International Inc.</title>
        <cusip>592688105</cusip>
        <identifiers>
          <isin value="US5926881054"/>
          <ticker value="MTD"/>
          <other otherDesc="INTERNAL" value="592688105"/>
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        <balance>14605</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>15833572.6</valUSD>
        <pctVal>0.4712729932</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>Natera, Inc.</name>
        <lei>N/A</lei>
        <title>Natera, Inc.</title>
        <cusip>632307104</cusip>
        <identifiers>
          <isin value="US6323071042"/>
          <ticker value="NTRA"/>
          <other otherDesc="INTERNAL" value="632307104"/>
        </identifiers>
        <balance>64350</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2819817</valUSD>
        <pctVal>0.0839294852</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>
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      <invstOrSec>
        <name>Neogen Corporation</name>
        <lei>549300HJT9FC36N4UW43</lei>
        <title>Neogen Corporation</title>
        <cusip>640491106</cusip>
        <identifiers>
          <isin value="US6404911066"/>
          <ticker value="NEOGV"/>
          <other otherDesc="INTERNAL" value="640491106"/>
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        <balance>131902</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1842670.94</valUSD>
        <pctVal>0.0548455533</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>Novavax, Inc.</name>
        <lei>529900J4GJHPEPQ23205</lei>
        <title>Novavax, Inc.</title>
        <cusip>670002401</cusip>
        <identifiers>
          <isin value="US6700024010"/>
          <ticker value="NVAX"/>
          <other otherDesc="INTERNAL" value="670002401"/>
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        <balance>51462</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>936608.4</valUSD>
        <pctVal>0.0278773626</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <loanByFundCondition isLoanByFund="Y" loanVal="90454.000000000000"/>
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      </invstOrSec>
      <invstOrSec>
        <name>NuVasive, Inc.</name>
        <lei>549300C5ZB4NZ6TWM881</lei>
        <title>NuVasive, Inc.</title>
        <cusip>670704105</cusip>
        <identifiers>
          <isin value="US6707041058"/>
          <ticker value="NUVA"/>
          <other otherDesc="INTERNAL" value="670704105"/>
        </identifiers>
        <balance>34516</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1512145.96</valUSD>
        <pctVal>0.0450077548</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>Owens &amp; Minor, Inc.</name>
        <lei>549300LMT5KQQXCEZ733</lei>
        <title>Owens &amp; Minor, Inc.</title>
        <cusip>690732102</cusip>
        <identifiers>
          <isin value="US6907321029"/>
          <ticker value="OMI"/>
          <other otherDesc="INTERNAL" value="690732102"/>
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        <balance>50558</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1218447.8</valUSD>
        <pctVal>0.0362660757</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>Pacira Pharmaceuticals, Inc.</name>
        <lei>549300P56LERYBDHCF69</lei>
        <title>Pacira Pharmaceuticals, Inc.</title>
        <cusip>695127100</cusip>
        <identifiers>
          <isin value="US6951271005"/>
          <ticker value="PCRX"/>
          <other otherDesc="INTERNAL" value="695127100"/>
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        <balance>29617</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1575328.23</valUSD>
        <pctVal>0.0468883220</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>Patterson Companies, Inc.</name>
        <lei>YM48Q2087CUE26GWEK09</lei>
        <title>Patterson Companies, Inc.</title>
        <cusip>703395103</cusip>
        <identifiers>
          <isin value="US7033951036"/>
          <ticker value="PDCO"/>
          <other otherDesc="INTERNAL" value="703395103"/>
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        <balance>57786</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1388019.72</valUSD>
        <pctVal>0.0413132415</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>
        <name>PerkinElmer, Inc.</name>
        <lei>549300IKL1SDPFI7N655</lei>
        <title>PerkinElmer, Inc.</title>
        <cusip>714046109</cusip>
        <identifiers>
          <isin value="US7140461093"/>
          <ticker value="PKI"/>
          <other otherDesc="INTERNAL" value="714046109"/>
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        <balance>81450</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>9800878.5</valUSD>
        <pctVal>0.2917149189</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>Pfizer Inc.</name>
        <lei>765LHXWGK1KXCLTFYQ30</lei>
        <title>Pfizer Inc.</title>
        <cusip>717081103</cusip>
        <identifiers>
          <isin value="US7170811035"/>
          <ticker value="PFE"/>
          <other otherDesc="INTERNAL" value="717081103"/>
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        <balance>3649506</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>159702382.6</valUSD>
        <pctVal>4.7534073182</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>Progyny, Inc.</name>
        <lei>N/A</lei>
        <title>Progyny, Inc.</title>
        <cusip>74340E103</cusip>
        <identifiers>
          <isin value="US74340E1038"/>
          <ticker value="PGNY"/>
          <other otherDesc="INTERNAL" value="74340E103"/>
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        <balance>46731</balance>
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        <curCd>USD</curCd>
        <valUSD>1731850.86</valUSD>
        <pctVal>0.0515470866</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>Repligen Corporation</name>
        <lei>54930006QJ0T5AUO1E71</lei>
        <title>Repligen Corporation</title>
        <cusip>759916109</cusip>
        <identifiers>
          <isin value="US7599161095"/>
          <ticker value="RGEN"/>
          <other otherDesc="INTERNAL" value="759916109"/>
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        <balance>33779</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6320388.69</valUSD>
        <pctVal>0.1881210622</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>ResMed Inc.</name>
        <lei>529900T3QE5253CCXF22</lei>
        <title>ResMed Inc.</title>
        <cusip>761152107</cusip>
        <identifiers>
          <isin value="US7611521078"/>
          <ticker value="RMD"/>
          <other otherDesc="INTERNAL" value="761152107"/>
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        <balance>95473</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>20841755.9</valUSD>
        <pctVal>0.6203373638</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>Sarepta Therapeutics, Inc.</name>
        <lei>549300IKDPIED8J8IG21</lei>
        <title>Sarepta Therapeutics, Inc.</title>
        <cusip>803607100</cusip>
        <identifiers>
          <isin value="US8036071004"/>
          <ticker value="SRPT"/>
          <other otherDesc="INTERNAL" value="803607100"/>
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        <balance>57097</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6311502.38</valUSD>
        <pctVal>0.1878565687</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>Henry Schein, Inc.</name>
        <lei>VGO3WGL8H45T73F4RR92</lei>
        <title>Henry Schein, Inc.</title>
        <cusip>806407102</cusip>
        <identifiers>
          <isin value="US8064071025"/>
          <ticker value="HSIC"/>
          <other otherDesc="INTERNAL" value="806407102"/>
        </identifiers>
        <balance>88511</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>5821368.47</valUSD>
        <pctVal>0.1732681444</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>STAAR Surgical Company</name>
        <lei>5299006LRHI7OJ8BY308</lei>
        <title>STAAR Surgical Company</title>
        <cusip>852312305</cusip>
        <identifiers>
          <isin value="US8523123052"/>
          <ticker value="STAA"/>
          <other otherDesc="INTERNAL" value="852312305"/>
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        <balance>31725</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2238198.75</valUSD>
        <pctVal>0.0666181064</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>Stryker Corporation</name>
        <lei>5493002F0SC4JTBU5137</lei>
        <title>Stryker Corporation</title>
        <cusip>863667101</cusip>
        <identifiers>
          <isin value="US8636671013"/>
          <ticker value="SYK"/>
          <other otherDesc="INTERNAL" value="863667101"/>
        </identifiers>
        <balance>218947</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>44345525.38</valUSD>
        <pctVal>1.3199073266</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>Tandem Diabetes Care, Inc.</name>
        <lei>549300JEPFOD0K4D3I05</lei>
        <title>Tandem Diabetes Care, Inc.</title>
        <cusip>875372203</cusip>
        <identifiers>
          <isin value="US8753722037"/>
          <ticker value="TNDM"/>
          <other otherDesc="INTERNAL" value="875372203"/>
        </identifiers>
        <balance>41671</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1993957.35</valUSD>
        <pctVal>0.0593484662</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>Teleflex Incorporated</name>
        <lei>UUL85LWXB4NGSWWXIQ25</lei>
        <title>Teleflex Incorporated</title>
        <cusip>879369106</cusip>
        <identifiers>
          <isin value="US8793691069"/>
          <ticker value="TFX"/>
          <other otherDesc="INTERNAL" value="879369106"/>
        </identifiers>
        <balance>30792</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6203356.32</valUSD>
        <pctVal>0.1846376920</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>Thermo Fisher Scientific Inc.</name>
        <lei>HCHV7422L5HDJZCRFL38</lei>
        <title>Thermo Fisher Scientific Inc.</title>
        <cusip>883556102</cusip>
        <identifiers>
          <isin value="US8835561023"/>
          <ticker value="TMO"/>
          <other otherDesc="INTERNAL" value="883556102"/>
        </identifiers>
        <balance>254766</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>129214767.5</valUSD>
        <pctVal>3.8459690548</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>Universal Health Services, Inc.</name>
        <lei>549300YGMGQDO0NMJD09</lei>
        <title>Universal Health Services, Inc.</title>
        <cusip>913903100</cusip>
        <identifiers>
          <isin value="US9139031002"/>
          <ticker value="UHS"/>
          <other otherDesc="INTERNAL" value="913903100"/>
        </identifiers>
        <balance>43414</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3828246.52</valUSD>
        <pctVal>0.1139445431</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>Veeva Systems Inc.</name>
        <lei>549300YZEXPDB92M2F02</lei>
        <title>Veeva Systems Inc.</title>
        <cusip>922475108</cusip>
        <identifiers>
          <isin value="US9224751084"/>
          <ticker value="VEEV"/>
          <other otherDesc="INTERNAL" value="922475108"/>
        </identifiers>
        <balance>91026</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>15008366.88</valUSD>
        <pctVal>0.4467114379</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>Walgreens Boots Alliance, Inc.</name>
        <lei>549300RPTUOIXG4LIH86</lei>
        <title>Walgreens Boots Alliance, Inc.</title>
        <cusip>931427108</cusip>
        <identifiers>
          <isin value="US9314271084"/>
          <ticker value="WBA"/>
          <other otherDesc="INTERNAL" value="931427108"/>
        </identifiers>
        <balance>465870</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>14628318</valUSD>
        <pctVal>0.4353996021</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>Waters Corporation</name>
        <lei>5T547R1474YC9HOD8Q74</lei>
        <title>Waters Corporation</title>
        <cusip>941848103</cusip>
        <identifiers>
          <isin value="US9418481035"/>
          <ticker value="WAT"/>
          <other otherDesc="INTERNAL" value="941848103"/>
        </identifiers>
        <balance>39096</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>10537544.88</valUSD>
        <pctVal>0.3136411751</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>West Pharmaceutical Services, Inc.</name>
        <lei>5493007NKRGM1RJQ1P16</lei>
        <title>West Pharmaceutical Services, Inc.</title>
        <cusip>955306105</cusip>
        <identifiers>
          <isin value="US9553061055"/>
          <ticker value="WST"/>
          <other otherDesc="INTERNAL" value="955306105"/>
        </identifiers>
        <balance>48138</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>11845799.04</valUSD>
        <pctVal>0.3525802617</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>Jackson National Asset Management, LLC</name>
        <lei>N/A</lei>
        <title>JNL Securities Lending Collateral Fund</title>
        <cusip>46628D411</cusip>
        <identifiers>
          <other otherDesc="Internal" value="46628D411"/>
        </identifiers>
        <balance>6701090.15</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6701090.15</valUSD>
        <pctVal>0.1994523215</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>STIV</assetCat>
        <issuerCat>RF</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <cashCollateralCondition cashCollateralVal="6701090.150000000000" isCashCollateral="Y"/>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>CHICAGO MERCANTILE EXCHANGE</name>
        <lei>SNZ2OJLFK8MNNCLQOF39</lei>
        <title>FUTURE - CASH SETTLED</title>
        <cusip>N/A</cusip>
        <identifiers>
          <ticker value="IXCZ2"/>
          <other otherDesc="Internal" value="IXCZ2"/>
        </identifiers>
        <balance>126</balance>
        <units>NC</units>
        <curCd>USD</curCd>
        <valUSD>-380539.91</valUSD>
        <pctVal>-0.0113264509</pctVal>
        <payoffProfile>N/A</payoffProfile>
        <assetCat>DE</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <derivativeInfo>
          <futrDeriv derivCat="FUT">
            <counterparties>
              <counterpartyName>CHICAGO MERCANTILE EXCHANGE</counterpartyName>
              <counterpartyLei>SNZ2OJLFK8MNNCLQOF39</counterpartyLei>
            </counterparties>
            <payOffProf>Long</payOffProf>
            <descRefInstrmnt>
              <indexBasketInfo>
                <indexName>S&amp;P Health Care Select Sector Index</indexName>
                <indexIdentifier>IXV</indexIdentifier>
              </indexBasketInfo>
            </descRefInstrmnt>
            <expDate>2022-12-16</expDate>
            <notionalAmt>15858379.91</notionalAmt>
            <curCd>USD</curCd>
            <unrealizedAppr>-380539.91</unrealizedAppr>
          </futrDeriv>
        </derivativeInfo>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
    </invstOrSecs>
    <signature>
      <ncom:dateSigned>2022-11-23</ncom:dateSigned>
      <ncom:nameOfApplicant>JNL Series Trust</ncom:nameOfApplicant>
      <ncom:signature>Andrew Tedeschi</ncom:signature>
      <ncom:signerName>Andrew Tedeschi</ncom:signerName>
      <ncom:title>Principal Financial Officer</ncom:title>
    </signature>
  </formData>
  <documents>XXXX</documents>
</edgarSubmission>
