| LLYELI LILLY & Co | 767,347 | $705.8M |
| JNJJOHNSON & JOHNSON | 1,961,422 | $479.5M |
| PMPhilip Morris International Inc | 1,661,815 | $274.8M |
| MRKMerck & Co., Inc. | 2,102,456 | $252.9M |
| MCKMcKesson Corporation | 283,014 | $244.9M |
| INSMINSMED Inc | 1,395,794 | $228.2M |
| ARGXARGENX SE | 286,966 | $209.6M |
| UNHUnitedHealth Group Incorporated Common Stock (DE) | 728,275 | $197.1M |
| ABBVAbbVie Inc. | 884,601 | $192.4M |
| GILDGILEAD SCIENCES, INC. | 1,158,099 | $161.4M |
| CORCencora Inc. | 504,571 | $158.5M |
| CAHCardinal Health Inc. | 746,712 | $157.8M |
| GMOptec International, Inc. | 2,086,776 | $155.5M |
| ELANElanco Animal Health Inc | 5,650,393 | $135.2M |
| AZNASTRAZENECA PLC | 683,752 | $134.8M |
| BMYBRISTOL MYERS SQUIBB CO | 2,199,004 | $133.4M |
| WSTWest Pharmaceutical Services Inc. | 529,261 | $132.7M |
| CRLCHARLES RIVER LABORATORIES INTERNATIONAL, INC. | 757,129 | $130.6M |
| GSKGSK plc American Depositary Shares (Each representing two Ordinary Shares) | 2,286,880 | $126.2M |
| AMGNAMGEN INC | 356,625 | $125.5M |
| NVSNovartis AG | 619,274 | $94.6M |
| PFEPFIZER INC | 3,276,842 | $92.0M |
| ICLRICON plc | 757,489 | $83.8M |
| ZTSZoetis Inc. | 667,165 | $78.9M |
| QGENQIAGEN N.V. | 1,766,782 | $70.7M |
| INCYIncyte Corp. | 714,558 | $67.3M |
| ELVElevance Health Inc. | 204,457 | $59.9M |
| VRTXVERTEX PHARMACEUTICALS INC / MA | 133,226 | $59.5M |
| REGNREGENERON PHARMACEUTICALS, INC. | 75,000 | $57.9M |
| ABTABBOTT LABORATORIES | 529,317 | $54.3M |
| IDXXIDEXX LABORATORIES INC /DE | 94,486 | $53.1M |
| VTRSViatris Inc | 3,720,915 | $50.3M |
| ZBHZimmer Biomet Holdings Inc. | 411,962 | $37.2M |
| TEVATeva Pharmaceutical Industries Limited | 1,182,751 | $35.6M |
| ALNYALNYLAM PHARMACEUTICALS, INC. | 100,315 | $33.2M |
| RGENREPLIGEN CORP | 272,103 | $32.1M |
| GHGuardant Health Inc. | 341,013 | $31.5M |
| NBIXNEUROCRINE BIOSCIENCES INC | 235,251 | $31.0M |
| GEHCGE HealthCare Technologies Inc. | 435,043 | $31.0M |
| HALOHALOZYME THERAPEUTICS, INC. | 457,783 | $29.6M |
| SNYSanofi | 588,729 | $28.4M |
| JAZZJazz Pharmaceuticals plc | 147,270 | $27.8M |
| MEDPMedpace Holdings Inc. | 55,421 | $26.6M |
| TECHBIO-TECHNE Corp | 447,211 | $23.4M |
| IQVIQVIA Holdings Inc. | 130,461 | $22.2M |
| BBIOBridgeBio Pharma, Inc. | 288,075 | $21.4M |
| GMEDGlobus Medical Inc. | 228,141 | $19.7M |
| RPRXRoyalty Pharma plc | 379,726 | $18.2M |
| NVONovo Nordisk A/S | 486,550 | $17.9M |
| UTHRUNITED THERAPEUTICS Corp | 28,421 | $16.9M |
| TWSTTwist Bioscience Corp | 354,420 | $16.8M |
| MMSIMerit Medical Systems Inc. | 228,544 | $15.8M |
| DGXQuest Diagnostics Incorporated | 79,588 | $15.6M |
| BAXBaxter International Inc. | 906,916 | $15.2M |
| LGNDLigand Pharmaceuticals Incorporated | 75,188 | $15.0M |
| BMRNBIOMARIN PHARMACEUTICAL INC | 251,480 | $14.2M |
| KNSAKiniksa Pharmaceuticals International, plc | 284,005 | $13.7M |
| BIIBBIOGEN INC. | 71,513 | $13.1M |
| ALHCAlignment Healthcare Inc. | 739,063 | $13.0M |
| ARWRARROWHEAD PHARMACEUTICALS, INC. | 203,220 | $12.7M |
| MDGLMADRIGAL PHARMACEUTICALS, INC. | 24,198 | $12.7M |
| KRYSKrystal Biotech, Inc. | 46,570 | $12.0M |
| AXSMAxsome Therapeutics, Inc. | 70,064 | $11.8M |
| IONSIONIS PHARMACEUTICALS INC | 157,222 | $11.8M |
| VCELVericel Corp | 360,712 | $11.6M |
| PBHPrestige Consumer Healthcare Inc. | 192,678 | $11.4M |
| CAICaris Life Sciences Inc. | 598,712 | $10.7M |
| DVADaVita Inc. | 68,340 | $10.5M |
| ABVXAbivax SA | 94,220 | $10.5M |
| GRFSGrifols S.A. | 1,251,579 | $10.0M |
| PRAXPraxis Precision Medicines, Inc. | 29,525 | $9.5M |
| MOHMolina Healthcare Inc | 67,024 | $8.9M |
| PTCTPTC THERAPEUTICS, INC. | 130,204 | $8.9M |
| PTGXProtagonist Therapeutics, Inc | 83,197 | $8.8M |
| PAHCPHIBRO ANIMAL HEALTH CORP | 156,948 | $8.7M |
| SUPNSUPERNUS PHARMACEUTICALS, INC. | 162,406 | $8.4M |
| ADPTAdaptive Biotechnologies Corp | 560,554 | $7.8M |
| DNTHDianthus Therapeutics, Inc. /DE/ | 92,229 | $7.7M |
| COGTCogent Biosciences, Inc. | 197,510 | $7.6M |
| MIRMMirum Pharmaceuticals, Inc. | 81,109 | $7.5M |
| ACHCAcadia Healthcare Company Inc. | 316,398 | $7.4M |
| SRRKScholar Rock Holding Corp | 143,359 | $7.0M |
| XENEXenon Pharmaceuticals Inc. | 114,381 | $6.7M |
| MRNAModerna, Inc. | 129,395 | $6.6M |
| LNTHLantheus Holdings, Inc. | 85,350 | $6.5M |
| ICUIICU Medical Inc. | 48,632 | $6.3M |
| RDYDR REDDYS LABORATORIES LTD | 436,731 | $6.0M |
| LEGNLegend Biotech Corp | 324,921 | $5.9M |
| TGTXTG THERAPEUTICS, INC. | 176,702 | $5.9M |
| HRMYHarmony Biosciences Holdings, Inc. | 194,188 | $5.4M |
| ALKSAlkermes plc. | 153,817 | $5.4M |
| SNDXSyndax Pharmaceuticals Inc | 217,600 | $5.1M |
| INDVIndivior Pharmaceuticals, Inc. | 164,214 | $5.0M |
| TVTXTravere Therapeutics, Inc. | 166,477 | $4.9M |
| HLFHerbalife Ltd. | 334,367 | $4.9M |
| ARQTArcutis Biotherapeutics, Inc. | 206,141 | $4.9M |
| KMTSKestra Medical Technologies Ltd. | 237,116 | $4.7M |
| CYTKCYTOKINETICS INC | 69,812 | $4.6M |
| OSCROscar Health Inc. | 400,149 | $4.6M |
| QDELQuidelOrtho Corp | 269,178 | $4.4M |
| ANIPANI PHARMACEUTICALS INC | 57,168 | $4.4M |
| COLLCOLLEGIUM PHARMACEUTICAL, INC | 130,620 | $4.3M |
| NAGENiagen Bioscience, Inc. | 971,574 | $4.3M |
| NATRNATURES SUNSHINE PRODUCTS INC | 178,241 | $4.3M |
| TAKTakeda Pharmaceutical Company Limited American Depositary Shares (each representing 1/2 of a share of Common Stock) | 229,943 | $4.3M |
| APGEApogee Therapeutics, Inc. | 42,203 | $3.6M |
| RYTMRHYTHM PHARMACEUTICALS, INC. | 40,685 | $3.5M |
| NEONeoGenomics Inc. | 466,199 | $3.5M |
| XERSXeris Biopharma Holdings, Inc. | 579,210 | $3.4M |
| ROIVRoivant Sciences Ltd. | 120,326 | $3.3M |
| PBYIPUMA BIOTECHNOLOGY, INC. | 508,182 | $3.2M |
| INVAInnoviva, Inc. | 131,205 | $3.1M |
| NUVLNuvalent, Inc. | 29,540 | $3.0M |
| RVMDREVOLUTION MEDICINES, INC. | 30,786 | $3.0M |
| TERNTerns Pharmaceuticals, Inc. | 56,061 | $3.0M |
| IDYAIDEAYA Biosciences, Inc. | 84,760 | $2.8M |
| FMSFresenius Medical Care AG American Depositary Shares (Each representing 1/2 of an Ordinary Share) | 120,704 | $2.7M |
| CRNXCrinetics Pharmaceuticals, Inc. | 73,961 | $2.7M |
| BVSBioventus Inc. | 289,648 | $2.6M |
| ADMAADMA BIOLOGICS, INC. | 290,360 | $2.6M |
| IRWDIRONWOOD PHARMACEUTICALS INC | 742,548 | $2.6M |
| KURAKura Oncology, Inc. | 319,266 | $2.6M |
| GMABGenmab A/S | 93,012 | $2.5M |
| ACADACADIA PHARMACEUTICALS INC | 106,390 | $2.4M |
| AVNSAvanos Medical Inc. | 167,936 | $2.4M |
| DAWNDay One Biopharmaceuticals, Inc. | 104,598 | $2.2M |
| OCULOCULAR THERAPEUTIX, INC | 258,164 | $2.2M |
| TARSTarsus Pharmaceuticals, Inc. | 31,075 | $2.2M |
| INSPInspire Medical Systems Inc. | 42,100 | $2.2M |
| AGIOAGIOS PHARMACEUTICALS, INC. | 63,550 | $2.1M |
| NEOGNEOGEN CORP | 230,403 | $2.1M |
| SLNOSOLENO THERAPEUTICS INC | 62,946 | $2.1M |
| PVLAPALVELLA THERAPEUTICS, INC. | 16,663 | $2.1M |
| PBIPROVENTION BIO, INC. | 186,144 | $2.1M |
| PCVXVaxcyte, Inc. | 33,545 | $1.9M |
| PRCTPROCEPT BioRobotics Corporation | 77,887 | $1.9M |
| RAREUltragenyx Pharmaceutical Inc. | 92,094 | $1.9M |
| IMCRImmunocore Holdings plc | 61,260 | $1.8M |
| NAMSNEWAMSTERDAM PHARMA CO N.V. | 55,637 | $1.8M |
| MNKDMANNKIND CORP | 726,396 | $1.8M |
| SOPHSOPHiA GENETICS SA | 357,888 | $1.8M |
| PRGOPERRIGO Co plc | 159,010 | $1.7M |
| NPCENeuropace Inc. | 121,476 | $1.6M |
| CPRXCATALYST PHARMACEUTICALS, INC. | 63,571 | $1.6M |
| EWTXEdgewise Therapeutics, Inc. | 49,082 | $1.5M |
| ETONEton Pharmaceuticals, Inc. | 58,034 | $1.4M |
| BCRXBIOCRYST PHARMACEUTICALS INC | 150,264 | $1.4M |
| DSGNDesign Therapeutics, Inc. | 133,203 | $1.4M |
| ENTAENANTA PHARMACEUTICALS INC | 109,077 | $1.4M |
| PGNYProgyny Inc. | 80,493 | $1.4M |
| LQDALiquidia Corp | 35,655 | $1.3M |
| IMMXImmix Biopharma, Inc. | 147,140 | $1.3M |
| CORTCORCEPT THERAPEUTICS INC | 32,379 | $1.3M |
| VRDNViridian Therapeutics, Inc.\DE | 65,777 | $1.3M |
| ONCBeOne Medicines Ltd. | 4,321 | $1.3M |
| GLUEMonte Rosa Therapeutics, Inc. | 77,681 | $1.3M |
| NRIXNurix Therapeutics, Inc. | 82,108 | $1.3M |
| FOLDAMICUS THERAPEUTICS, INC. | 87,585 | $1.3M |
| RIOTRiot Platforms, Inc. | 102,386 | $1.3M |
| SRPTSarepta Therapeutics, Inc. | 56,539 | $1.2M |
| CGONCG Oncology, Inc. | 18,089 | $1.2M |
| CLDXCelldex Therapeutics, Inc. | 38,152 | $1.2M |
| AMLXAmylyx Pharmaceuticals, Inc. | 85,279 | $1.2M |
| FLGTFulgent Genetics Inc. | 74,232 | $1.2M |
| CTMXCytomX Therapeutics, Inc. | 248,248 | $1.2M |
| RLMDRELMADA THERAPEUTICS, INC. | 166,614 | $1.2M |
| IMNMImmunome Inc. | 52,770 | $1.2M |
| TECXTectonic Therapeutic, Inc. | 36,870 | $1.1M |
| OGNOrganon & Co. | 190,057 | $1.1M |
| NRCNational Research Corporation Common Stock (Delaware) | 66,948 | $1.1M |
| ANNXAnnexon, Inc. | 203,236 | $1.1M |
| ORKAOruka Therapeutics, Inc. | 22,840 | $1.1M |
| BIOABioAge Labs, Inc. | 62,385 | $1.1M |
| ASRTAssertio Holdings, Inc. | 54,940 | $1.0M |
| USNAUSANA HEALTH SCIENCES INC | 59,730 | $1.0M |
| DNLIDenali Therapeutics Inc. | 52,235 | $1.0M |
| IRONDisc Medicine, Inc. | 15,510 | $992K |
| RAPPRapport Therapeutics, Inc. | 30,819 | $964K |
| KYMRKymera Therapeutics, Inc. | 11,225 | $935K |
| TRVITrevi Therapeutics, Inc. | 78,222 | $933K |
| CRVSCorvus Pharmaceuticals, Inc. | 60,848 | $890K |
| MGTXMeiraGTx Holdings plc | 99,627 | $863K |
| CSTLCastle Biosciences Inc. | 35,046 | $860K |
| AVTXAvalo Therapeutics, Inc. | 56,854 | $849K |
| AVIRAtea Pharmaceuticals, Inc. | 156,384 | $841K |
| ARVNARVINAS, INC. | 78,587 | $833K |
| RIGLRIGEL PHARMACEUTICALS INC | 30,192 | $816K |
| DRUGBRIGHT MINDS BIOSCIENCES INC. | 11,188 | $816K |
| DYNDyne Therapeutics, Inc. | 44,973 | $815K |
| ACRSAclaris Therapeutics, Inc. | 217,154 | $814K |
| ARDXARDELYX, INC. | 134,413 | $805K |
| ABEOABEONA THERAPEUTICS INC. | 172,460 | $773K |
| CHRSCoherus Oncology, Inc. | 453,763 | $767K |
| ARMPArmata Pharmaceuticals, Inc. | 74,192 | $760K |
| DMACDiaMedica Therapeutics Inc. | 111,320 | $754K |
| CRSPCRISPR Therapeutics AG | 15,825 | $753K |
| OVIDOvid Therapeutics Inc. | 328,924 | $730K |
| CRMDCorMedix Inc. | 102,844 | $698K |
| GPCRStructure Therapeutics Inc. | 13,990 | $674K |
| TNGXTango Therapeutics, Inc. | 31,962 | $669K |
| LCTXLineage Cell Therapeutics, Inc. | 422,274 | $667K |
| GLSIGreenwich LifeSciences, Inc. | 26,088 | $627K |
| BDSXBiodesix Inc. | 43,024 | $624K |
| PARKPark Dental Partners Inc. | 34,766 | $583K |
| WVEWave Life Sciences Ltd. | 80,161 | $581K |
| CAPRCAPRICOR THERAPEUTICS, INC. | 17,805 | $541K |
| DFTXDefinium Therapeutics Inc. | 28,117 | $531K |
| VERAVera Therapeutics, Inc. | 13,001 | $523K |
| ACLXArcellx, Inc. | 4,492 | $516K |
| ERASErasca, Inc. | 31,760 | $514K |
| SHCSotera Health Company | 35,743 | $513K |
| PCRXPacira BioSciences, Inc. | 21,261 | $481K |
| VKTXViking Therapeutics, Inc. | 14,749 | $480K |
| APLSApellis Pharmaceuticals, Inc. | 11,747 | $473K |
| SYRESpyre Therapeutics, Inc. | 8,975 | $453K |
| ZNTLZentalis Pharmaceuticals, Inc. | 191,551 | $448K |
| RZLTRezolute, Inc. | 146,576 | $447K |
| IMVTImmunovant, Inc. | 17,746 | $441K |
| IOVAIOVANCE BIOTHERAPEUTICS, INC. | 122,180 | $429K |
| ANABANAPTYSBIO, INC | 7,654 | $424K |
| MNPRMonopar Therapeutics | 7,582 | $415K |
| KRMDKORU Medical Systems Inc. Common Stock (DE) | 93,772 | $405K |
| KODKodiak Sciences Inc. | 10,287 | $392K |
| PLRXPLIANT THERAPEUTICS, INC. | 297,291 | $375K |
| SMMTSummit Therapeutics Inc. | 19,681 | $373K |
| RLAYRelay Therapeutics, Inc. | 36,130 | $359K |
| DBVTDBV Technologies S.A. | 16,764 | $350K |
| STOKStoke Therapeutics, Inc. | 9,994 | $325K |
| NKTRNEKTAR THERAPEUTICS | 4,471 | $322K |
| ESPREsperion Therapeutics, Inc. | 116,229 | $318K |
| MLYSMineralys Therapeutics, Inc. | 11,692 | $317K |
| VIRVir Biotechnology, Inc. | 35,202 | $315K |
| AUPHAurinia Pharmaceuticals Inc. | 20,645 | $306K |
| IBRXImmunityBio, Inc. | 39,330 | $302K |
| BHVNBiohaven Ltd. | 33,435 | $283K |
| TLSITriSalus Life Sciences Inc. | 68,870 | $275K |
| TBPHTheravance Biopharma, Inc. | 16,945 | $275K |
| BEAMBeam Therapeutics Inc. | 11,451 | $273K |
| MBXMBX Biosciences, Inc. | 8,989 | $268K |
| SIGASIGA TECHNOLOGIES INC | 48,420 | $259K |
| NTLAIntellia Therapeutics, Inc. | 20,093 | $258K |
| UTMDUtah Medical Products Inc. | 4,097 | $254K |
| BCYCBICYCLE THERAPEUTICS PLC | 52,784 | $245K |
| VORVor Biopharma Inc. | 13,716 | $245K |
| KALVKalVista Pharmaceuticals, Inc. | 12,143 | $244K |
| SVRASavara Inc | 44,569 | $243K |
| ZBIOZenas BioPharma, Inc. | 12,386 | $242K |
| TSHATaysha Gene Therapies, Inc. | 51,472 | $230K |
| RCUSArcus Biosciences, Inc. | 10,295 | $222K |
| BNTXBioNTech SE | 2,469 | $220K |
| EDITEditas Medicine, Inc. | 88,707 | $219K |
| ALMSALUMIS INC. | 9,318 | $205K |
| MYGNMYRIAD GENETICS INC | 45,039 | $203K |
| QUREuniQure N.V. | 11,434 | $187K |
| NUVBNuvation Bio Inc. | 43,203 | $185K |
| ARRYARRAY BIOPHARMA INC | 23,957 | $173K |
| PRTAPROTHENA CORP PUBLIC LTD CO | 17,248 | $168K |
| FATEFATE THERAPEUTICS INC | 138,580 | $166K |
| NVAXNOVAVAX INC | 20,180 | $164K |
| NUSNu Skin Enterprises Inc. | 22,017 | $160K |
| EBSEmergent BioSolutions Inc. | 19,211 | $159K |
| CLOVClover Health Investments Corp. | 88,701 | $156K |
| RXRXRECURSION PHARMACEUTICALS, INC. | 50,448 | $155K |
| TNXPTonix Pharmaceuticals Holding Corp. | 10,971 | $151K |
| OMEROMEROS CORP | 13,171 | $139K |
| ALLOAllogene Therapeutics, Inc. | 51,952 | $127K |
| ADCTADC Therapeutics SA | 33,461 | $125K |
| RGNXREGENXBIO Inc. | 14,920 | $125K |
| ACHAccendra Health Inc. | 53,805 | $123K |
| FDMT4D Molecular Therapeutics, Inc. | 12,862 | $120K |
| ALECAlector, Inc. | 53,846 | $116K |
| SLSSELLAS Life Sciences Group, Inc. | 26,581 | $112K |
| VYGRVoyager Therapeutics, Inc. | 28,937 | $112K |
| STIMNeuronetics Inc. | 76,046 | $110K |
| EOLSEvolus, Inc. | 25,947 | $107K |
| SPRYARS Pharmaceuticals, Inc. | 12,983 | $104K |
| AQSTAquestive Therapeutics, Inc. | 24,845 | $103K |
| PRMEPrime Medicine, Inc. | 29,183 | $102K |
| RCKTRocket Pharmaceuticals Inc. | 28,093 | $101K |
| ORGOOrganogenesis Holdings Inc. | 40,244 | $95K |
| OABIOmniAb Inc. | 60,578 | $95K |
| SLDBSolid Biosciences Inc. | 13,078 | $94K |
| MGNXMACROGENICS INC | 31,318 | $91K |
| CRDFCardiff Oncology, Inc. | 54,685 | $89K |
| BDTXBlack Diamond Therapeutics, Inc. | 39,683 | $85K |
| NKTXNkarta, Inc. | 40,046 | $84K |
| IKTInhibikase Therapeutics, Inc. | 47,962 | $81K |
| TMCITreace Medical Concepts Inc. | 60,131 | $81K |
| RNACCartesian Therapeutics, Inc. | 12,764 | $78K |
| LRMRLarimar Therapeutics, Inc. | 16,336 | $74K |
| AKBAAkebia Therapeutics, Inc. | 49,934 | $69K |
| CCCCC4 Therapeutics, Inc. | 25,134 | $66K |
| GERNGERON CORP | 41,891 | $62K |
| CRBUCaribou Biosciences, Inc. | 31,008 | $59K |
| HUMAHumacyte Inc. | 93,054 | $56K |
| SANASana Biotechnology, Inc. | 17,668 | $51K |
| PGENPRECIGEN, INC. | 11,799 | $46K |
| AVXLANAVEX LIFE SCIENCES CORP. | 11,611 | $36K |
| ABOSAcumen Pharmaceuticals, Inc. | 11,564 | $27K |
| ATYRaTYR PHARMA INC | 33,829 | $26K |
| BTMDbiote Corp. | 11,126 | $15K |
| XTNTXtant Medical Holdings, Inc. | 24,760 | $14K |
| OPKOPKO HEALTH, INC. | 10,163 | $12K |
| GOSSGossamer Bio, Inc. | 31,520 | $10K |
| HRTXHERON THERAPEUTICS, INC. /DE/ | 12,685 | $10K |