| LLYELI LILLY & Co | 433,880 | $399.1M |
| JNJJOHNSON & JOHNSON | 1,608,028 | $393.1M |
| ABBVAbbVie Inc. | 952,090 | $207.1M |
| MRKMerck & Co., Inc. | 1,333,289 | $160.4M |
| AMGNAMGEN INC | 364,725 | $128.3M |
| PMPhilip Morris International Inc | 753,976 | $124.7M |
| UNHUnitedHealth Group Incorporated Common Stock (DE) | 400,361 | $108.3M |
| GILDGILEAD SCIENCES, INC. | 661,397 | $92.2M |
| ABTABBOTT LABORATORIES | 696,614 | $71.5M |
| CAHCardinal Health Inc. | 333,029 | $70.4M |
| MCKMcKesson Corporation | 71,575 | $61.9M |
| ELVElevance Health Inc. | 196,369 | $57.5M |
| VRTXVERTEX PHARMACEUTICALS INC / MA | 126,604 | $56.5M |
| IDXXIDEXX LABORATORIES INC /DE | 99,794 | $56.1M |
| BMYBRISTOL MYERS SQUIBB CO | 875,068 | $53.1M |
| PFEPFIZER INC | 1,855,826 | $52.1M |
| NVSNovartis AG | 340,728 | $52.0M |
| GMOptec International, Inc. | 668,841 | $49.8M |
| AZNASTRAZENECA PLC | 244,094 | $48.0M |
| GMEDGlobus Medical Inc. | 547,095 | $47.1M |
| DGXQuest Diagnostics Incorporated | 231,025 | $45.3M |
| TECHBIO-TECHNE Corp | 814,322 | $42.6M |
| WSTWest Pharmaceutical Services Inc. | 161,478 | $40.5M |
| ELANElanco Animal Health Inc | 1,680,427 | $40.2M |
| IQVIQVIA Holdings Inc. | 233,974 | $39.9M |
| CRLCHARLES RIVER LABORATORIES INTERNATIONAL, INC. | 227,069 | $39.2M |
| ZTSZoetis Inc. | 330,839 | $39.1M |
| REGNREGENERON PHARMACEUTICALS, INC. | 48,251 | $37.3M |
| JAZZJazz Pharmaceuticals plc | 191,286 | $36.2M |
| ZBHZimmer Biomet Holdings Inc. | 396,076 | $35.8M |
| DVADaVita Inc. | 232,666 | $35.8M |
| CORCencora Inc. | 102,827 | $32.3M |
| ICUIICU Medical Inc. | 215,490 | $27.8M |
| TAKTakeda Pharmaceutical Company Limited American Depositary Shares (each representing 1/2 of a share of Common Stock) | 1,289,326 | $23.9M |
| BIIBBIOGEN INC. | 116,374 | $21.3M |
| GSKGSK plc American Depositary Shares (Each representing two Ordinary Shares) | 370,518 | $20.4M |
| RPRXRoyalty Pharma plc | 382,571 | $18.4M |
| VTRSViatris Inc | 1,161,696 | $15.7M |
| INCYIncyte Corp. | 158,226 | $14.9M |
| GEHCGE HealthCare Technologies Inc. | 203,775 | $14.5M |
| SNYSanofi | 271,089 | $13.1M |
| NVONovo Nordisk A/S | 351,692 | $12.9M |
| UTHRUNITED THERAPEUTICS Corp | 21,135 | $12.5M |
| ALNYALNYLAM PHARMACEUTICALS, INC. | 33,850 | $11.2M |
| NBIXNEUROCRINE BIOSCIENCES INC | 69,499 | $9.2M |
| HALOHALOZYME THERAPEUTICS, INC. | 138,547 | $9.0M |
| RDYDR REDDYS LABORATORIES LTD | 637,094 | $8.8M |
| MRNAModerna, Inc. | 168,077 | $8.5M |
| MOHMolina Healthcare Inc | 61,495 | $8.2M |
| ARGXARGENX SE | 11,148 | $8.1M |
| FMSFresenius Medical Care AG American Depositary Shares (Each representing 1/2 of an Ordinary Share) | 341,343 | $7.7M |
| GMABGenmab A/S | 282,498 | $7.6M |
| TEVATeva Pharmaceutical Industries Limited | 216,461 | $6.5M |
| RVMDREVOLUTION MEDICINES, INC. | 63,360 | $6.2M |
| INSMINSMED Inc | 35,552 | $5.8M |
| PRGOPERRIGO Co plc | 493,866 | $5.3M |
| QGENQIAGEN N.V. | 132,392 | $5.3M |
| APLSApellis Pharmaceuticals, Inc. | 121,270 | $4.9M |
| MEDPMedpace Holdings Inc. | 9,882 | $4.7M |
| IONSIONIS PHARMACEUTICALS INC | 55,502 | $4.2M |
| RAREUltragenyx Pharmaceutical Inc. | 187,508 | $3.9M |
| CYTKCYTOKINETICS INC | 52,598 | $3.5M |
| XENEXenon Pharmaceuticals Inc. | 55,444 | $3.2M |
| NEOGNEOGEN CORP | 337,091 | $3.1M |
| BMRNBIOMARIN PHARMACEUTICAL INC | 52,147 | $2.9M |
| SHCSotera Health Company | 197,372 | $2.8M |
| GRFSGrifols S.A. | 352,798 | $2.8M |
| ALMSALUMIS INC. | 127,095 | $2.8M |
| ACHCAcadia Healthcare Company Inc. | 117,676 | $2.8M |
| BAXBaxter International Inc. | 150,572 | $2.5M |
| CAICaris Life Sciences Inc. | 140,909 | $2.5M |
| QDELQuidelOrtho Corp | 150,646 | $2.5M |
| ONCBeOne Medicines Ltd. | 8,312 | $2.5M |
| PGNYProgyny Inc. | 144,251 | $2.4M |
| BBIOBridgeBio Pharma, Inc. | 32,240 | $2.4M |
| TGTXTG THERAPEUTICS, INC. | 71,994 | $2.4M |
| CRSPCRISPR Therapeutics AG | 47,989 | $2.3M |
| PBHPrestige Consumer Healthcare Inc. | 36,990 | $2.2M |
| FLGTFulgent Genetics Inc. | 137,479 | $2.2M |
| ROIVRoivant Sciences Ltd. | 76,575 | $2.1M |
| AVNSAvanos Medical Inc. | 149,866 | $2.1M |
| CLDXCelldex Therapeutics, Inc. | 65,744 | $2.1M |
| TVTXTravere Therapeutics, Inc. | 68,317 | $2.0M |
| SRPTSarepta Therapeutics, Inc. | 91,208 | $2.0M |
| SDGRSchrodinger, Inc. | 174,095 | $2.0M |
| AXSMAxsome Therapeutics, Inc. | 11,497 | $1.9M |
| COLLCOLLEGIUM PHARMACEUTICAL, INC | 56,242 | $1.9M |
| UTMDUtah Medical Products Inc. | 29,841 | $1.8M |
| ANIKAnika Therapeutics Inc. | 125,826 | $1.8M |
| PRCTPROCEPT BioRobotics Corporation | 67,700 | $1.7M |
| ALKSAlkermes plc. | 44,932 | $1.6M |
| OGNOrganon & Co. | 265,024 | $1.6M |
| ALHCAlignment Healthcare Inc. | 89,387 | $1.6M |
| OSCROscar Health Inc. | 135,717 | $1.6M |
| GHGuardant Health Inc. | 16,831 | $1.6M |
| NUVLNuvalent, Inc. | 15,162 | $1.6M |
| OLMAOlema Pharmaceuticals, Inc. | 95,336 | $1.4M |
| PRTAPROTHENA CORP PUBLIC LTD CO | 144,299 | $1.4M |
| RGENREPLIGEN CORP | 11,888 | $1.4M |
| SMMTSummit Therapeutics Inc. | 73,835 | $1.4M |
| INSPInspire Medical Systems Inc. | 26,555 | $1.4M |
| SUPNSUPERNUS PHARMACEUTICALS, INC. | 26,209 | $1.4M |
| VKTXViking Therapeutics, Inc. | 41,082 | $1.3M |
| AUPHAurinia Pharmaceuticals Inc. | 87,614 | $1.3M |
| PCVXVaxcyte, Inc. | 21,563 | $1.3M |
| LGNDLigand Pharmaceuticals Incorporated | 6,227 | $1.2M |
| CRNXCrinetics Pharmaceuticals, Inc. | 33,734 | $1.2M |
| MMSIMerit Medical Systems Inc. | 17,612 | $1.2M |
| INBXInhibrx Biosciences, Inc. | 17,704 | $1.2M |
| ANIPANI PHARMACEUTICALS INC | 15,167 | $1.2M |
| CORTCORCEPT THERAPEUTICS INC | 28,854 | $1.2M |
| CSTLCastle Biosciences Inc. | 45,476 | $1.1M |
| MDGLMADRIGAL PHARMACEUTICALS, INC. | 2,090 | $1.1M |
| PRAXPraxis Precision Medicines, Inc. | 3,320 | $1.1M |
| NRCNational Research Corporation Common Stock (Delaware) | 62,329 | $1.1M |
| HLFHerbalife Ltd. | 71,281 | $1.0M |
| VERAVera Therapeutics, Inc. | 25,639 | $1.0M |
| BHVNBiohaven Ltd. | 121,554 | $1.0M |
| CGEMCullinan Therapeutics, Inc. | 72,282 | $1.0M |
| PAHCPHIBRO ANIMAL HEALTH CORP | 18,220 | $1.0M |
| IMVTImmunovant, Inc. | 40,030 | $994K |
| ZYMEZymeworks Inc. | 39,640 | $993K |
| TWSTTwist Bioscience Corp | 20,217 | $961K |
| AGIOAGIOS PHARMACEUTICALS, INC. | 27,591 | $933K |
| TRDAEntrada Therapeutics, Inc. | 71,018 | $896K |
| GLUEMonte Rosa Therapeutics, Inc. | 54,003 | $888K |
| VIRVir Biotechnology, Inc. | 95,927 | $860K |
| CRMDCorMedix Inc. | 124,909 | $848K |
| CPRXCATALYST PHARMACEUTICALS, INC. | 33,885 | $839K |
| REPLReplimune Group, Inc. | 108,477 | $830K |
| KRYSKrystal Biotech, Inc. | 3,171 | $819K |
| SPRYARS Pharmaceuticals, Inc. | 101,412 | $814K |
| ANROAlto Neuroscience, Inc. | 36,069 | $811K |
| ARWRARROWHEAD PHARMACEUTICALS, INC. | 12,790 | $802K |
| ARVNARVINAS, INC. | 74,540 | $790K |
| MIRMMirum Pharmaceuticals, Inc. | 8,497 | $785K |
| IDYAIDEAYA Biosciences, Inc. | 23,162 | $772K |
| BCRXBIOCRYST PHARMACEUTICALS INC | 80,061 | $762K |
| DFTXDefinium Therapeutics Inc. | 39,958 | $755K |
| LNTHLantheus Holdings, Inc. | 9,772 | $741K |
| KURAKura Oncology, Inc. | 89,303 | $726K |
| INVAInnoviva, Inc. | 31,013 | $723K |
| AVBPArriVent BioPharma, Inc. | 30,996 | $715K |
| RIOTRiot Platforms, Inc. | 57,195 | $707K |
| XNCRXencor Inc | 57,077 | $688K |
| LEGNLegend Biotech Corp | 37,787 | $684K |
| BBNXBeta Bionics Inc. | 67,879 | $680K |
| PTGXProtagonist Therapeutics, Inc | 6,437 | $678K |
| BVSBioventus Inc. | 72,023 | $658K |
| KALVKalVista Pharmaceuticals, Inc. | 32,453 | $653K |
| OMEROMEROS CORP | 61,541 | $650K |
| LQDALiquidia Corp | 17,165 | $648K |
| ARRYARRAY BIOPHARMA INC | 88,679 | $641K |
| SUNSUNSET ISLAND GROUP | 9,491 | $617K |
| VMDViemed Healthcare Inc. | 66,743 | $615K |
| AURAAura Biosciences, Inc. | 91,075 | $609K |
| ACLXArcellx, Inc. | 5,277 | $606K |
| PBIPROVENTION BIO, INC. | 54,581 | $603K |
| NUVBNuvation Bio Inc. | 139,257 | $597K |
| DNLIDenali Therapeutics Inc. | 30,170 | $579K |
| ADPTAdaptive Biotechnologies Corp | 41,538 | $577K |
| FOLDAMICUS THERAPEUTICS, INC. | 39,781 | $575K |
| VCELVericel Corp | 17,634 | $567K |
| MLYSMineralys Therapeutics, Inc. | 20,541 | $556K |
| SRRKScholar Rock Holding Corp | 11,272 | $554K |
| ARCTArcturus Therapeutics Holdings Inc. | 71,353 | $551K |
| SNDXSyndax Pharmaceuticals Inc | 22,576 | $527K |
| EOLSEvolus, Inc. | 124,761 | $513K |
| NTLAIntellia Therapeutics, Inc. | 39,709 | $509K |
| MGTXMeiraGTx Holdings plc | 56,402 | $488K |
| CLPTClearPoint Neuro Inc. | 51,947 | $473K |
| PCRXPacira BioSciences, Inc. | 20,453 | $462K |
| IRWDIRONWOOD PHARMACEUTICALS INC | 129,703 | $455K |
| ARQTArcutis Biotherapeutics, Inc. | 19,113 | $450K |
| PTCTPTC THERAPEUTICS, INC. | 6,606 | $450K |
| UPBUpstream Bio, Inc. | 49,389 | $445K |
| ENTAENANTA PHARMACEUTICALS INC | 35,122 | $444K |
| CAPRCAPRICOR THERAPEUTICS, INC. | 14,472 | $440K |
| LENZLENZ Therapeutics, Inc. | 47,648 | $436K |
| KODKodiak Sciences Inc. | 11,396 | $434K |
| KMTSKestra Medical Technologies Ltd. | 21,633 | $431K |
| OFIXOrthofix Medical Inc. Common Stock (DE) | 37,494 | $430K |
| JBIOJade Biosciences, Inc. | 30,551 | $429K |
| ZBIOZenas BioPharma, Inc. | 21,126 | $413K |
| MYGNMYRIAD GENETICS INC | 90,622 | $408K |
| KRROKorro Bio, Inc. | 35,978 | $407K |
| FDMT4D Molecular Therapeutics, Inc. | 43,525 | $405K |
| BIOABioAge Labs, Inc. | 23,087 | $404K |
| VSTMVerastem, Inc. | 74,285 | $394K |
| TNGXTango Therapeutics, Inc. | 18,444 | $386K |
| ADMAADMA BIOLOGICS, INC. | 42,541 | $383K |
| BEAMBeam Therapeutics Inc. | 16,076 | $383K |
| HRMYHarmony Biosciences Holdings, Inc. | 13,634 | $382K |
| DAWNDay One Biopharmaceuticals, Inc. | 17,556 | $376K |
| RCUSArcus Biosciences, Inc. | 17,295 | $374K |
| RGNXREGENXBIO Inc. | 43,951 | $368K |
| NEONeoGenomics Inc. | 49,291 | $366K |
| CYRXCryoport, Inc. | 43,966 | $364K |
| URGNUroGen Pharma Ltd. | 20,176 | $363K |
| JANXJanux Therapeutics, Inc. | 26,064 | $362K |
| RIGLRIGEL PHARMACEUTICALS INC | 12,967 | $351K |
| BCAXBicara Therapeutics Inc. | 17,612 | $350K |
| DYNDyne Therapeutics, Inc. | 19,297 | $350K |
| WVEWave Life Sciences Ltd. | 47,885 | $347K |
| NRIXNurix Therapeutics, Inc. | 22,133 | $343K |
| ACADACADIA PHARMACEUTICALS INC | 15,332 | $341K |
| CGONCG Oncology, Inc. | 5,001 | $338K |
| ANABANAPTYSBIO, INC | 6,084 | $337K |
| CRVSCorvus Pharmaceuticals, Inc. | 22,982 | $336K |
| INDVIndivior Pharmaceuticals, Inc. | 11,027 | $336K |
| RYTMRHYTHM PHARMACEUTICALS, INC. | 3,851 | $335K |
| ORICOric Pharmaceuticals, Inc. | 25,526 | $323K |
| TERNTerns Pharmaceuticals, Inc. | 6,123 | $323K |
| STOKStoke Therapeutics, Inc. | 9,773 | $318K |
| SLSSELLAS Life Sciences Group, Inc. | 74,378 | $315K |
| ZVRAZEVRA THERAPEUTICS, INC. | 32,022 | $298K |
| TBPHTheravance Biopharma, Inc. | 18,038 | $293K |
| COGTCogent Biosciences, Inc. | 7,542 | $290K |
| NVAXNOVAVAX INC | 35,359 | $288K |
| CATXPerspective Therapeutics, Inc. | 65,494 | $273K |
| RCKTRocket Pharmaceuticals Inc. | 76,248 | $273K |
| MDXGMiMedx Group Inc | 66,420 | $262K |
| KROSKeros Therapeutics, Inc. | 23,759 | $262K |
| APGEApogee Therapeutics, Inc. | 3,052 | $257K |
| ELVNEnliven Therapeutics, Inc. | 6,538 | $256K |
| ORKAOruka Therapeutics, Inc. | 5,176 | $254K |
| IBRXImmunityBio, Inc. | 32,209 | $247K |
| TARSTarsus Pharmaceuticals, Inc. | 3,367 | $236K |
| EWTXEdgewise Therapeutics, Inc. | 7,454 | $235K |
| SYRESpyre Therapeutics, Inc. | 4,561 | $230K |
| NAGENiagen Bioscience, Inc. | 50,946 | $225K |
| IMNMImmunome Inc. | 10,140 | $222K |
| ABUSArbutus Biopharma Corp | 48,715 | $219K |
| USNAUSANA HEALTH SCIENCES INC | 12,517 | $219K |
| RLAYRelay Therapeutics, Inc. | 21,188 | $211K |
| ATAIAtai Beckley N.V. | 58,246 | $206K |
| FULCFulcrum Therapeutics, Inc. | 25,669 | $197K |
| XERSXeris Biopharma Holdings, Inc. | 30,971 | $180K |
| SIGASIGA TECHNOLOGIES INC | 31,589 | $169K |
| AVXLANAVEX LIFE SCIENCES CORP. | 54,547 | $167K |
| RNAAtrium Therapeutics Inc. | 12,454 | $167K |
| DSGNDesign Therapeutics, Inc. | 14,128 | $150K |
| VYGRVoyager Therapeutics, Inc. | 35,703 | $138K |
| PHATPhathom Pharmaceuticals, Inc. | 11,536 | $128K |
| EBSEmergent BioSolutions Inc. | 15,297 | $127K |
| NUSNu Skin Enterprises Inc. | 16,439 | $120K |
| ARDXARDELYX, INC. | 18,774 | $112K |
| DTILPRECISION BIOSCIENCES INC | 18,975 | $104K |
| OCULOCULAR THERAPEUTIX, INC | 11,612 | $98K |
| AVIRAtea Pharmaceuticals, Inc. | 15,950 | $86K |
| RCELAvita Medical Inc. | 22,483 | $83K |
| AQSTAquestive Therapeutics, Inc. | 18,014 | $75K |
| ADCTADC Therapeutics SA | 14,719 | $55K |
| SANASana Biotechnology, Inc. | 19,033 | $55K |
| VERUVERU INC. | 20,000 | $44K |
| ALTAltimmune, Inc. | 10,636 | $33K |
| RXRXRECURSION PHARMACEUTICALS, INC. | 10,328 | $32K |
| CRBUCaribou Biosciences, Inc. | 10,436 | $20K |