| LLYELI LILLY & Co | 420,635 | $386.9M |
| JNJJOHNSON & JOHNSON | 1,341,281 | $327.9M |
| ABBVAbbVie Inc. | 1,103,490 | $240.0M |
| MRKMerck & Co., Inc. | 1,308,297 | $157.4M |
| ABTABBOTT LABORATORIES | 1,151,073 | $118.2M |
| PMPhilip Morris International Inc | 570,697 | $94.4M |
| AMGNAMGEN INC | 246,914 | $86.9M |
| UNHUnitedHealth Group Incorporated Common Stock (DE) | 306,650 | $83.0M |
| NVSNovartis AG | 528,814 | $80.8M |
| MCKMcKesson Corporation | 79,052 | $68.4M |
| PFEPFIZER INC | 2,122,972 | $59.6M |
| GILDGILEAD SCIENCES, INC. | 409,391 | $57.1M |
| BMYBRISTOL MYERS SQUIBB CO | 928,033 | $56.3M |
| VRTXVERTEX PHARMACEUTICALS INC / MA | 109,524 | $48.9M |
| AZNASTRAZENECA PLC | 233,193 | $46.0M |
| REGNREGENERON PHARMACEUTICALS, INC. | 40,152 | $31.0M |
| CORCencora Inc. | 75,944 | $23.9M |
| GSKGSK plc American Depositary Shares (Each representing two Ordinary Shares) | 427,414 | $23.6M |
| GMOptec International, Inc. | 306,949 | $22.9M |
| BIIBBIOGEN INC. | 117,236 | $21.5M |
| SNYSanofi | 434,104 | $20.9M |
| WSTWest Pharmaceutical Services Inc. | 83,372 | $20.9M |
| IDXXIDEXX LABORATORIES INC /DE | 37,170 | $20.9M |
| CAHCardinal Health Inc. | 93,874 | $19.8M |
| NVONovo Nordisk A/S | 451,021 | $16.6M |
| RDYDR REDDYS LABORATORIES LTD | 1,167,182 | $16.2M |
| UTHRUNITED THERAPEUTICS Corp | 22,075 | $13.1M |
| INSMINSMED Inc | 72,200 | $11.8M |
| VTRSViatris Inc | 770,971 | $10.4M |
| TAKTakeda Pharmaceutical Company Limited American Depositary Shares (each representing 1/2 of a share of Common Stock) | 542,996 | $10.1M |
| ZTSZoetis Inc. | 77,690 | $9.2M |
| NBIXNEUROCRINE BIOSCIENCES INC | 68,387 | $9.0M |
| BBIOBridgeBio Pharma, Inc. | 119,661 | $8.9M |
| IQVIQVIA Holdings Inc. | 51,674 | $8.8M |
| GEHCGE HealthCare Technologies Inc. | 119,668 | $8.5M |
| PCVXVaxcyte, Inc. | 140,177 | $8.1M |
| ALNYALNYLAM PHARMACEUTICALS, INC. | 24,122 | $8.0M |
| ELVElevance Health Inc. | 26,847 | $7.9M |
| MEDPMedpace Holdings Inc. | 16,032 | $7.7M |
| INCYIncyte Corp. | 80,874 | $7.6M |
| ZBHZimmer Biomet Holdings Inc. | 81,090 | $7.3M |
| GHGuardant Health Inc. | 78,375 | $7.2M |
| CYTKCYTOKINETICS INC | 107,760 | $7.1M |
| GMEDGlobus Medical Inc. | 82,130 | $7.1M |
| ERASErasca, Inc. | 418,834 | $6.8M |
| BMRNBIOMARIN PHARMACEUTICAL INC | 113,100 | $6.4M |
| MDGLMADRIGAL PHARMACEUTICALS, INC. | 12,005 | $6.3M |
| FOLDAMICUS THERAPEUTICS, INC. | 428,977 | $6.2M |
| LNTHLantheus Holdings, Inc. | 80,292 | $6.1M |
| ARGXARGENX SE | 8,239 | $6.0M |
| ARWRARROWHEAD PHARMACEUTICALS, INC. | 88,256 | $5.5M |
| PRAXPraxis Precision Medicines, Inc. | 16,286 | $5.2M |
| MMSIMerit Medical Systems Inc. | 75,121 | $5.2M |
| RPRXRoyalty Pharma plc | 105,446 | $5.1M |
| PTGXProtagonist Therapeutics, Inc | 47,971 | $5.1M |
| MOHMolina Healthcare Inc | 37,482 | $5.0M |
| IDYAIDEAYA Biosciences, Inc. | 145,028 | $4.8M |
| RVMDREVOLUTION MEDICINES, INC. | 49,392 | $4.8M |
| AXSMAxsome Therapeutics, Inc. | 27,735 | $4.7M |
| TECHBIO-TECHNE Corp | 87,773 | $4.6M |
| MRNAModerna, Inc. | 96,909 | $4.5M |
| COGTCogent Biosciences, Inc. | 110,758 | $4.3M |
| DGXQuest Diagnostics Incorporated | 21,638 | $4.2M |
| FMSFresenius Medical Care AG American Depositary Shares (Each representing 1/2 of an Ordinary Share) | 183,818 | $4.1M |
| KRYSKrystal Biotech, Inc. | 15,937 | $4.1M |
| NUVLNuvalent, Inc. | 38,420 | $3.9M |
| IONSIONIS PHARMACEUTICALS INC | 52,228 | $3.9M |
| HALOHALOZYME THERAPEUTICS, INC. | 54,236 | $3.5M |
| USNAUSANA HEALTH SCIENCES INC | 193,148 | $3.4M |
| ROIVRoivant Sciences Ltd. | 121,560 | $3.4M |
| CPRXCATALYST PHARMACEUTICALS, INC. | 134,203 | $3.3M |
| GMABGenmab A/S | 118,596 | $3.2M |
| ONCBeOne Medicines Ltd. | 10,158 | $3.0M |
| ACHCAcadia Healthcare Company Inc. | 128,898 | $3.0M |
| DVADaVita Inc. | 19,212 | $3.0M |
| CRLCHARLES RIVER LABORATORIES INTERNATIONAL, INC. | 17,028 | $2.9M |
| PTCTPTC THERAPEUTICS, INC. | 42,196 | $2.9M |
| ELANElanco Animal Health Inc | 119,482 | $2.9M |
| MIRMMirum Pharmaceuticals, Inc. | 30,655 | $2.8M |
| TERNTerns Pharmaceuticals, Inc. | 51,763 | $2.7M |
| ALKSAlkermes plc. | 75,023 | $2.7M |
| SUNSUNSET ISLAND GROUP | 36,334 | $2.4M |
| KYMRKymera Therapeutics, Inc. | 28,246 | $2.4M |
| QGENQIAGEN N.V. | 53,141 | $2.1M |
| TGTXTG THERAPEUTICS, INC. | 63,896 | $2.1M |
| VMDViemed Healthcare Inc. | 220,402 | $2.0M |
| TEVATeva Pharmaceutical Industries Limited | 64,908 | $2.0M |
| CRNXCrinetics Pharmaceuticals, Inc. | 53,637 | $1.9M |
| RIOTRiot Platforms, Inc. | 157,349 | $1.9M |
| ALHCAlignment Healthcare Inc. | 109,501 | $1.9M |
| INVAInnoviva, Inc. | 79,770 | $1.9M |
| RYTMRHYTHM PHARMACEUTICALS, INC. | 21,085 | $1.8M |
| SRPTSarepta Therapeutics, Inc. | 84,188 | $1.8M |
| ACLXArcellx, Inc. | 15,653 | $1.8M |
| CRSPCRISPR Therapeutics AG | 37,608 | $1.8M |
| JAZZJazz Pharmaceuticals plc | 9,199 | $1.7M |
| XENEXenon Pharmaceuticals Inc. | 29,818 | $1.7M |
| LGNDLigand Pharmaceuticals Incorporated | 8,505 | $1.7M |
| KURAKura Oncology, Inc. | 201,696 | $1.6M |
| STOKStoke Therapeutics, Inc. | 48,108 | $1.6M |
| LQDALiquidia Corp | 40,031 | $1.5M |
| BAXBaxter International Inc. | 89,224 | $1.5M |
| CORTCORCEPT THERAPEUTICS INC | 36,789 | $1.5M |
| ICUIICU Medical Inc. | 11,357 | $1.5M |
| SHCSotera Health Company | 101,581 | $1.5M |
| SRRKScholar Rock Holding Corp | 29,192 | $1.4M |
| DNLIDenali Therapeutics Inc. | 74,069 | $1.4M |
| CAICaris Life Sciences Inc. | 77,998 | $1.4M |
| TWSTTwist Bioscience Corp | 29,248 | $1.4M |
| NEOGNEOGEN CORP | 138,559 | $1.3M |
| SUPNSUPERNUS PHARMACEUTICALS, INC. | 24,263 | $1.3M |
| NUSNu Skin Enterprises Inc. | 169,235 | $1.2M |
| TVTXTravere Therapeutics, Inc. | 40,812 | $1.2M |
| KALVKalVista Pharmaceuticals, Inc. | 59,986 | $1.2M |
| ADPTAdaptive Biotechnologies Corp | 83,443 | $1.2M |
| APGEApogee Therapeutics, Inc. | 13,631 | $1.1M |
| CGONCG Oncology, Inc. | 16,834 | $1.1M |
| IMVTImmunovant, Inc. | 45,729 | $1.1M |
| TNGXTango Therapeutics, Inc. | 52,907 | $1.1M |
| OLMAOlema Pharmaceuticals, Inc. | 72,234 | $1.1M |
| MBXMBX Biosciences, Inc. | 35,970 | $1.1M |
| VKTXViking Therapeutics, Inc. | 32,677 | $1.1M |
| CLDXCelldex Therapeutics, Inc. | 33,436 | $1.1M |
| ACADACADIA PHARMACEUTICALS INC | 47,485 | $1.1M |
| OFIXOrthofix Medical Inc. Common Stock (DE) | 89,734 | $1.0M |
| PBHPrestige Consumer Healthcare Inc. | 17,354 | $1.0M |
| TARSTarsus Pharmaceuticals, Inc. | 14,392 | $1.0M |
| RLAYRelay Therapeutics, Inc. | 101,349 | $1.0M |
| LEGNLegend Biotech Corp | 55,017 | $995K |
| PRCTPROCEPT BioRobotics Corporation | 39,438 | $986K |
| EWTXEdgewise Therapeutics, Inc. | 31,268 | $985K |
| COLLCOLLEGIUM PHARMACEUTICAL, INC | 29,638 | $980K |
| AVNSAvanos Medical Inc. | 69,733 | $977K |
| ANABANAPTYSBIO, INC | 16,836 | $934K |
| IBRXImmunityBio, Inc. | 120,691 | $926K |
| TYRATyra Biosciences, Inc. | 23,948 | $917K |
| ALMSALUMIS INC. | 41,083 | $905K |
| SIGASIGA TECHNOLOGIES INC | 168,555 | $902K |
| VIRVir Biotechnology, Inc. | 100,511 | $901K |
| ALLOAllogene Therapeutics, Inc. | 364,809 | $890K |
| CGEMCullinan Therapeutics, Inc. | 59,974 | $852K |
| ZYMEZymeworks Inc. | 32,394 | $811K |
| MRVIMARAVAI LIFESCIENCES HOLDINGS, INC. | 285,869 | $809K |
| RGENREPLIGEN CORP | 6,785 | $799K |
| SYRESpyre Therapeutics, Inc. | 15,486 | $781K |
| RCKTRocket Pharmaceuticals Inc. | 217,851 | $780K |
| PHATPhathom Pharmaceuticals, Inc. | 70,193 | $780K |
| XERSXeris Biopharma Holdings, Inc. | 133,285 | $773K |
| HRMYHarmony Biosciences Holdings, Inc. | 27,305 | $765K |
| PRGOPERRIGO Co plc | 71,054 | $763K |
| AQSTAquestive Therapeutics, Inc. | 183,188 | $760K |
| PGNYProgyny Inc. | 44,747 | $760K |
| SNDXSyndax Pharmaceuticals Inc | 31,902 | $745K |
| HLFHerbalife Ltd. | 49,446 | $728K |
| RCUSArcus Biosciences, Inc. | 33,445 | $722K |
| IOVAIOVANCE BIOTHERAPEUTICS, INC. | 205,551 | $721K |
| PRTAPROTHENA CORP PUBLIC LTD CO | 72,986 | $709K |
| ARQTArcutis Biotherapeutics, Inc. | 29,651 | $699K |
| DAWNDay One Biopharmaceuticals, Inc. | 31,931 | $685K |
| PGENPRECIGEN, INC. | 175,749 | $680K |
| RAREUltragenyx Pharmaceutical Inc. | 32,435 | $680K |
| NTLAIntellia Therapeutics, Inc. | 52,410 | $672K |
| ZNTLZentalis Pharmaceuticals, Inc. | 285,000 | $667K |
| MLYSMineralys Therapeutics, Inc. | 24,301 | $658K |
| NATRNATURES SUNSHINE PRODUCTS INC | 27,382 | $657K |
| CRVSCorvus Pharmaceuticals, Inc. | 43,032 | $630K |
| ORKAOruka Therapeutics, Inc. | 12,736 | $625K |
| IRWDIRONWOOD PHARMACEUTICALS INC | 177,520 | $623K |
| OSCROscar Health Inc. | 54,016 | $620K |
| ARVNARVINAS, INC. | 58,120 | $616K |
| PCRXPacira BioSciences, Inc. | 27,153 | $614K |
| ADMAADMA BIOLOGICS, INC. | 67,933 | $612K |
| KNSAKiniksa Pharmaceuticals International, plc | 12,687 | $611K |
| QDELQuidelOrtho Corp | 36,491 | $600K |
| BCRXBIOCRYST PHARMACEUTICALS INC | 61,676 | $587K |
| IRDOpus Genetics, Inc. | 128,366 | $584K |
| INSPInspire Medical Systems Inc. | 11,304 | $583K |
| AUPHAurinia Pharmaceuticals Inc. | 38,644 | $573K |
| ACRSAclaris Therapeutics, Inc. | 152,088 | $570K |
| CMPXCompass Therapeutics, Inc. | 106,191 | $562K |
| IMNMImmunome Inc. | 25,518 | $558K |
| PVLAPALVELLA THERAPEUTICS, INC. | 4,393 | $548K |
| TRVITrevi Therapeutics, Inc. | 45,865 | $547K |
| NVAXNOVAVAX INC | 67,202 | $547K |
| DYNDyne Therapeutics, Inc. | 29,945 | $543K |
| ELVNEnliven Therapeutics, Inc. | 13,672 | $536K |
| MDXGMiMedx Group Inc | 135,348 | $535K |
| CAPRCAPRICOR THERAPEUTICS, INC. | 16,780 | $510K |
| SDGRSchrodinger, Inc. | 44,510 | $506K |
| FULCFulcrum Therapeutics, Inc. | 64,089 | $492K |
| JANXJanux Therapeutics, Inc. | 35,208 | $489K |
| RAPPRapport Therapeutics, Inc. | 15,519 | $486K |
| BHVNBiohaven Ltd. | 56,113 | $475K |
| OGNOrganon & Co. | 79,042 | $473K |
| AGIOAGIOS PHARMACEUTICALS, INC. | 13,333 | $451K |
| NEONeoGenomics Inc. | 60,598 | $450K |
| INBXInhibrx Biosciences, Inc. | 6,618 | $445K |
| BIOABioAge Labs, Inc. | 25,321 | $443K |
| NUVBNuvation Bio Inc. | 101,424 | $435K |
| BCAXBicara Therapeutics Inc. | 21,816 | $434K |
| NRCNational Research Corporation Common Stock (Delaware) | 24,408 | $414K |
| BEAMBeam Therapeutics Inc. | 16,824 | $401K |
| DNTHDianthus Therapeutics, Inc. /DE/ | 4,771 | $400K |
| VERAVera Therapeutics, Inc. | 9,848 | $396K |
| GLUEMonte Rosa Therapeutics, Inc. | 23,865 | $393K |
| OCULOCULAR THERAPEUTIX, INC | 46,056 | $390K |
| ICLRICON plc | 3,498 | $387K |
| TECXTectonic Therapeutic, Inc. | 12,446 | $385K |
| APLSApellis Pharmaceuticals, Inc. | 9,521 | $383K |
| PAHCPHIBRO ANIMAL HEALTH CORP | 6,876 | $380K |
| REPLReplimune Group, Inc. | 49,081 | $375K |
| RIGLRIGEL PHARMACEUTICALS INC | 13,730 | $371K |
| ARRYARRAY BIOPHARMA INC | 51,301 | $371K |
| NAGENiagen Bioscience, Inc. | 82,537 | $364K |
| CYRXCryoport, Inc. | 43,911 | $364K |
| PLSEPulse Biosciences Inc Common Stock (DE) | 16,413 | $354K |
| AVXLANAVEX LIFE SCIENCES CORP. | 108,349 | $333K |
| GERNGERON CORP | 220,604 | $329K |
| MNPRMonopar Therapeutics | 5,987 | $328K |
| SVRASavara Inc | 59,829 | $327K |
| BNTXBioNTech SE | 3,632 | $323K |
| AMPHAmphastar Pharmaceuticals, Inc. | 16,403 | $321K |
| KODKodiak Sciences Inc. | 8,415 | $321K |
| BBNXBeta Bionics Inc. | 31,988 | $321K |
| MYGNMYRIAD GENETICS INC | 70,241 | $316K |
| CSTLCastle Biosciences Inc. | 12,479 | $306K |
| CATXPerspective Therapeutics, Inc. | 71,464 | $298K |
| ADCTADC Therapeutics SA | 79,034 | $296K |
| NRIXNurix Therapeutics, Inc. | 19,121 | $296K |
| LRMRLarimar Therapeutics, Inc. | 65,037 | $293K |
| ABSIAbsci Corporation | 97,284 | $292K |
| RXRXRECURSION PHARMACEUTICALS, INC. | 94,208 | $289K |
| TRDAEntrada Therapeutics, Inc. | 22,230 | $281K |
| AVIRAtea Pharmaceuticals, Inc. | 51,795 | $279K |
| EBSEmergent BioSolutions Inc. | 33,544 | $278K |
| FDMT4D Molecular Therapeutics, Inc. | 29,160 | $271K |
| ABUSArbutus Biopharma Corp | 60,117 | $271K |
| ARDXARDELYX, INC. | 45,043 | $270K |
| NAMSNEWAMSTERDAM PHARMA CO N.V. | 8,357 | $268K |
| TSHATaysha Gene Therapies, Inc. | 59,801 | $267K |
| TBPHTheravance Biopharma, Inc. | 16,467 | $267K |
| MNKDMANNKIND CORP | 108,832 | $267K |
| SMMTSummit Therapeutics Inc. | 13,597 | $258K |
| VRDNViridian Therapeutics, Inc.\DE | 13,101 | $256K |
| ESPREsperion Therapeutics, Inc. | 93,492 | $256K |
| ANNXAnnexon, Inc. | 45,923 | $254K |
| RGNXREGENXBIO Inc. | 30,001 | $251K |
| VCELVericel Corp | 7,778 | $250K |
| SLDBSolid Biosciences Inc. | 34,566 | $249K |
| AMLXAmylyx Pharmaceuticals, Inc. | 17,883 | $249K |
| ZBIOZenas BioPharma, Inc. | 12,658 | $247K |
| AKBAAkebia Therapeutics, Inc. | 176,566 | $245K |
| IRONDisc Medicine, Inc. | 3,769 | $241K |
| DMACDiaMedica Therapeutics Inc. | 33,599 | $227K |
| FLGTFulgent Genetics Inc. | 14,192 | $226K |
| OMEROMEROS CORP | 21,047 | $222K |
| ORICOric Pharmaceuticals, Inc. | 16,466 | $209K |
| OPKOPKO HEALTH, INC. | 176,985 | $202K |
| WVEWave Life Sciences Ltd. | 27,574 | $200K |
| PBIPROVENTION BIO, INC. | 17,850 | $197K |
| XNCRXencor Inc | 16,322 | $197K |
| KROSKeros Therapeutics, Inc. | 17,807 | $197K |
| SPRYARS Pharmaceuticals, Inc. | 24,273 | $195K |
| URGNUroGen Pharma Ltd. | 10,676 | $192K |
| CRMDCorMedix Inc. | 27,276 | $185K |
| MESOMesoblast Limited | 11,800 | $181K |
| SANASana Biotechnology, Inc. | 61,736 | $178K |
| SLSSELLAS Life Sciences Group, Inc. | 40,571 | $172K |
| TLRYTilray Brands, Inc. | 26,511 | $172K |
| GRFSGrifols S.A. | 20,554 | $165K |
| ENTAENANTA PHARMACEUTICALS INC | 12,245 | $155K |
| CADLCandel Therapeutics, Inc. | 31,398 | $154K |
| ABCLAbCellera Biologics Inc. | 44,051 | $154K |
| PBYIPUMA BIOTECHNOLOGY, INC. | 23,113 | $148K |
| MGTXMeiraGTx Holdings plc | 15,459 | $134K |
| BNTCBenitec Biopharma Inc. | 11,586 | $123K |
| ALTAltimmune, Inc. | 39,229 | $121K |
| RZLTRezolute, Inc. | 39,463 | $120K |
| EOLSEvolus, Inc. | 28,737 | $118K |
| BVSBioventus Inc. | 12,429 | $113K |
| GNLXGENELUX Corp | 45,572 | $110K |
| CLOVClover Health Investments Corp. | 62,659 | $110K |
| ZVRAZEVRA THERAPEUTICS, INC. | 11,681 | $109K |
| PRMEPrime Medicine, Inc. | 28,246 | $98K |
| UPBUpstream Bio, Inc. | 10,850 | $98K |
| BHCBausch Health Companies Inc. | 17,893 | $97K |
| ATAIAtai Beckley N.V. | 27,191 | $96K |
| AURAAura Biosciences, Inc. | 14,073 | $94K |
| AGLagilon health inc. | 10,156 | $80K |
| CRDFCardiff Oncology, Inc. | 43,610 | $71K |
| VSTMVerastem, Inc. | 13,324 | $71K |
| HUMAHumacyte Inc. | 105,119 | $64K |
| FATEFATE THERAPEUTICS INC | 49,425 | $59K |
| XFORX4 Pharmaceuticals, Inc | 13,819 | $57K |
| EDITEditas Medicine, Inc. | 23,084 | $57K |
| HURATuHURA Biosciences, Inc./NV | 30,894 | $55K |
| ORGOOrganogenesis Holdings Inc. | 22,355 | $53K |
| CTMXCytomX Therapeutics, Inc. | 10,505 | $49K |
| ALDXAldeyra Therapeutics, Inc. | 28,871 | $49K |
| NGENNERVGEN PHARMA CORP. | 12,937 | $49K |
| OCGNOcugen, Inc. | 26,087 | $47K |
| ACBAURORA CANNABIS INC | 12,953 | $42K |
| GOSSGossamer Bio, Inc. | 125,627 | $41K |
| MAIAMAIA Biotechnology, Inc. | 28,602 | $40K |
| CRBUCaribou Biosciences, Inc. | 16,500 | $31K |
| GALTGALECTIN THERAPEUTICS INC | 10,485 | $29K |
| CHRSCoherus Oncology, Inc. | 14,744 | $25K |
| CGTXCOGNITION THERAPEUTICS INC | 30,204 | $23K |
| MRKRMarker Therapeutics, Inc. | 17,312 | $23K |
| LCTXLineage Cell Therapeutics, Inc. | 13,685 | $22K |
| BMEABiomea Fusion, Inc. | 12,000 | $18K |
| LUCDLucid Diagnostics Inc. | 14,420 | $17K |
| MISTMilestone Pharmaceuticals Inc. | 13,410 | $16K |
| SKINThe Beauty Health Company | 14,885 | $13K |
| SCYXSCYNEXIS INC | 10,669 | $10K |
| NRSNNeuroSense Therapeutics Ltd. | 11,911 | $9K |
| ATYRaTYR PHARMA INC | 10,508 | $8K |
| MXCTMaxCyte Inc. | 10,971 | $8K |
| GUTSFractyl Health Inc. | 16,528 | $8K |
| SGMOSANGAMO THERAPEUTICS, INC | 14,840 | $4K |