Common Stocks - 95.9%
|
|||
Shares
|
Value ($)
|
||
BELGIUM - 1.8%
|
|||
Health Care - 1.8%
|
|||
Pharmaceuticals - 1.8%
|
|||
UCB SA
|
580,000
|
105,303,904
|
|
CANADA - 0.6%
|
|||
Health Care - 0.6%
|
|||
Biotechnology - 0.6%
|
|||
Xenon Pharmaceuticals Inc (b)
|
1,280,000
|
36,928,000
|
|
CHINA - 0.4%
|
|||
Health Care - 0.4%
|
|||
Biotechnology - 0.4%
|
|||
BeOne Medicines Ltd ADR (b)
|
100,000
|
24,558,000
|
|
DENMARK - 2.1%
|
|||
Health Care - 2.1%
|
|||
Biotechnology - 2.1%
|
|||
Ascendis Pharma A/S ADR (b)
|
740,000
|
120,501,600
|
|
Zealand Pharma A/S (b)
|
14,600
|
1,014,864
|
|
TOTAL DENMARK
|
121,516,464
|
||
GERMANY - 0.7%
|
|||
Health Care - 0.7%
|
|||
Biotechnology - 0.7%
|
|||
BioNTech SE ADR (b)
|
400,000
|
38,324,000
|
|
NETHERLANDS - 4.1%
|
|||
Health Care - 4.1%
|
|||
Biotechnology - 3.9%
|
|||
Argenx SE ADR (b)(c)
|
280,000
|
160,512,800
|
|
Merus NV (b)
|
1,200,000
|
67,284,000
|
|
227,796,800
|
|||
Pharmaceuticals - 0.2%
|
|||
Pharvaris NV (b)
|
746,755
|
12,396,133
|
|
TOTAL NETHERLANDS
|
240,192,933
|
||
UNITED KINGDOM - 0.3%
|
|||
Health Care - 0.3%
|
|||
Biotechnology - 0.3%
|
|||
Immunocore Holdings PLC ADR (b)
|
520,000
|
19,031,999
|
|
UNITED STATES - 85.9%
|
|||
Health Care - 85.9%
|
|||
Biotechnology - 21.9%
|
|||
AbbVie Inc
|
475,000
|
88,402,250
|
|
Acumen Pharmaceuticals Inc (b)
|
1,140,000
|
1,162,799
|
|
Akero Therapeutics Inc (b)
|
280,000
|
13,902,000
|
|
Alnylam Pharmaceuticals Inc (b)
|
640,000
|
194,918,400
|
|
Annexon Inc (b)
|
1,200,000
|
2,448,000
|
|
Apogee Therapeutics Inc (b)
|
52,600
|
1,927,264
|
|
Arcellx Inc (b)
|
549,578
|
34,106,811
|
|
Avidity Biosciences Inc (b)
|
500,000
|
15,490,000
|
|
Bicara Therapeutics Inc (c)
|
815,000
|
7,538,750
|
|
Cargo Therapeutics Inc (b)
|
1,280,000
|
5,440,000
|
|
Caris Life Sciences Inc (b)(e)(f)
|
1,420,479
|
2,556,862
|
|
Cartesian Therapeutics Inc (b)
|
368,992
|
3,527,564
|
|
CG oncology Inc (b)(c)
|
670,000
|
17,165,400
|
|
Cogent Biosciences Inc (b)
|
2,359,572
|
12,836,072
|
|
Crinetics Pharmaceuticals Inc (b)
|
1,280,000
|
39,052,800
|
|
Cytokinetics Inc (b)
|
800,000
|
24,816,000
|
|
Day One Biopharmaceuticals Inc (b)(c)
|
1,000,000
|
6,380,000
|
|
Disc Medicine Inc (b)
|
336,096
|
15,688,961
|
|
Exact Sciences Corp (b)
|
3,150,000
|
177,282,000
|
|
Gilead Sciences Inc
|
1,200,000
|
132,096,000
|
|
Jade Biosciences Inc (f)
|
330,967
|
2,399,511
|
|
Janux Therapeutics Inc (b)
|
699,390
|
16,645,482
|
|
Legend Biotech Corp ADR (b)
|
3,462,424
|
100,237,175
|
|
Metsera Inc (c)
|
305,342
|
8,158,738
|
|
MoonLake Immunotherapeutics Class A (b)
|
753,795
|
29,405,543
|
|
Nurix Therapeutics Inc (b)
|
1,600,000
|
17,008,000
|
|
Nuvalent Inc Class A (b)
|
700,000
|
52,227,000
|
|
Oruka Therapeutics Inc
|
999,710
|
10,956,822
|
|
Perspective Therapeutics Inc (b)
|
600,000
|
1,542,000
|
|
Revolution Medicines Inc (b)(c)
|
400,000
|
15,760,000
|
|
Rezolute Inc/old (b)
|
2,800,000
|
11,536,000
|
|
Rhythm Pharmaceuticals Inc (b)
|
100,000
|
6,133,000
|
|
Scholar Rock Holding Corp (b)
|
92,628
|
2,687,138
|
|
Soleno Therapeutics Inc (b)
|
520,000
|
38,142,000
|
|
Spyre Therapeutics Inc (b)(c)
|
570,660
|
8,719,685
|
|
Stoke Therapeutics Inc (b)(c)
|
1,000,000
|
9,540,000
|
|
Summit Therapeutics Inc (b)(c)
|
570,000
|
10,382,550
|
|
Upstream Bio Inc
|
853,667
|
7,879,346
|
|
Vaxcyte Inc (b)
|
1,080,000
|
35,089,200
|
|
Veracyte Inc (b)
|
1,520,000
|
40,447,200
|
|
Viking Therapeutics Inc (b)(c)
|
1,000,000
|
26,800,000
|
|
Viridian Therapeutics Inc (b)
|
2,627,285
|
36,571,807
|
|
1,285,006,130
|
|||
Health Care Equipment & Supplies - 29.6%
|
|||
Boston Scientific Corp (b)
|
4,900,000
|
515,774,000
|
|
Glaukos Corp (b)
|
860,000
|
81,089,400
|
|
Inspire Medical Systems Inc (b)
|
528,000
|
72,969,600
|
|
Insulet Corp (b)
|
690,000
|
224,270,700
|
|
Intuitive Surgical Inc (b)
|
95,000
|
52,472,300
|
|
Kestra Medical Technologies Ltd
|
428,000
|
9,638,560
|
|
Masimo Corp (b)
|
1,400,000
|
227,500,000
|
|
Medical Microinstruments Inc/Italy warrants 2/16/2031 (b)(e)(f)
|
15,815
|
192,943
|
|
Outset Medical Inc (b)(d)
|
1,335,000
|
23,455,950
|
|
Penumbra Inc (b)
|
1,080,000
|
288,327,600
|
|
PROCEPT BioRobotics Corp (b)
|
750,000
|
43,500,000
|
|
Stryker Corp
|
500,000
|
191,320,000
|
|
1,730,511,053
|
|||
Health Care Providers & Services - 19.2%
|
|||
agilon health Inc (b)
|
9,742,248
|
21,627,791
|
|
Alignment Healthcare Inc (b)
|
1,750,000
|
26,897,500
|
|
Astrana Health Inc (b)
|
600,000
|
14,874,000
|
|
BrightSpring Health Services Inc (b)
|
3,280,000
|
78,096,800
|
|
Centene Corp (b)
|
1,120,000
|
63,212,800
|
|
Cigna Group/The
|
350,000
|
110,824,000
|
|
CVS Health Corp
|
2,800,000
|
179,312,000
|
|
LifeStance Health Group Inc (b)
|
5,400,000
|
32,076,000
|
|
Molina Healthcare Inc (b)
|
435,000
|
132,692,400
|
|
Privia Health Group Inc (b)
|
3,280,000
|
74,652,800
|
|
Surgery Partners Inc (b)
|
1,690,000
|
39,900,900
|
|
UnitedHealth Group Inc
|
1,150,000
|
347,196,500
|
|
1,121,363,491
|
|||
Health Care Technology - 2.6%
|
|||
Phreesia Inc (b)
|
1,280,000
|
31,347,200
|
|
Veeva Systems Inc Class A (b)
|
415,000
|
116,075,500
|
|
Waystar Holding Corp (b)
|
160,000
|
6,396,800
|
|
153,819,500
|
|||
Life Sciences Tools & Services - 5.7%
|
|||
10X Genomics Inc Class A (b)
|
280,000
|
2,668,400
|
|
10X Genomics Inc Class B (b)(g)
|
500,000
|
4,765,000
|
|
Danaher Corp
|
1,730,000
|
328,527,000
|
|
335,960,400
|
|||
Pharmaceuticals - 6.9%
|
|||
Contineum Therapeutics Inc Class A (b)
|
450,000
|
1,647,000
|
|
Eli Lilly & Co
|
380,000
|
280,314,600
|
|
Enliven Therapeutics Inc (b)(c)
|
700,000
|
12,439,000
|
|
Merck & Co Inc
|
400,000
|
30,736,000
|
|
Rapport Therapeutics Inc (b)(c)
|
278,632
|
2,304,287
|
|
Royalty Pharma PLC Class A
|
1,750,000
|
57,540,000
|
|
Structure Therapeutics Inc ADR (b)
|
780,000
|
16,972,800
|
|
401,953,687
|
|||
TOTAL UNITED STATES
|
5,028,614,261
|
||
TOTAL COMMON STOCKS
(Cost $3,799,146,773)
|
5,614,469,561
|
||
Convertible Corporate Bonds - 0.1%
|
|||
Principal
Amount (a)
|
Value ($)
|
||
UNITED STATES - 0.1%
|
|||
Financials - 0.0%
|
|||
Financial Services - 0.0%
|
|||
Saluda Medical Inc 0% (e)(f)(h)
|
3,194,800
|
3,491,597
|
|
Health Care - 0.1%
|
|||
Health Care Technology - 0.0%
|
|||
Wugen Inc 10% 6/14/2025 (e)(f)
|
2,299,153
|
2,641,727
|
|
Pharmaceuticals - 0.1%
|
|||
Galvanize Therapeutics 6% 2/28/2027 (e)(f)
|
3,306,100
|
3,971,287
|
|
TOTAL HEALTH CARE
|
6,613,014
|
||
TOTAL UNITED STATES
|
10,104,611
|
||
TOTAL CONVERTIBLE CORPORATE BONDS
(Cost $8,800,053)
|
10,104,611
|
||
Convertible Preferred Stocks - 2.1%
|
|||
Shares
|
Value ($)
|
||
CHINA - 0.0%
|
|||
Health Care - 0.0%
|
|||
Health Care Providers & Services - 0.0%
|
|||
dMed Biopharmaceutical Co Ltd Series C (b)(e)(f)
|
330,316
|
2,645,831
|
|
ISRAEL - 0.2%
|
|||
Health Care - 0.2%
|
|||
Health Care Equipment & Supplies - 0.2%
|
|||
InSightec Ltd Series G (e)(f)
|
11,853,768
|
9,127,401
|
|
UNITED STATES - 1.9%
|
|||
Financials - 0.1%
|
|||
Financial Services - 0.1%
|
|||
Saluda Medical Inc Series E (b)(e)(f)
|
759,659
|
4,641,516
|
|
Saluda Medical Inc Series E-1 (e)(f)
|
395,700
|
3,375,321
|
|
8,016,837
|
|||
Health Care - 1.7%
|
|||
Biotechnology - 1.0%
|
|||
Asimov Inc Series B (b)(e)(f)
|
101,438
|
2,616,086
|
|
Caris Life Sciences Inc Series D (b)(e)(f)
|
3,206,021
|
25,584,048
|
|
Cleerly Inc Series C (b)(e)(f)
|
1,285,367
|
14,408,964
|
|
Element Biosciences Inc Series C (b)(e)(f)
|
572,265
|
4,663,960
|
|
Element Biosciences Inc Series D (e)(f)
|
413,355
|
2,405,726
|
|
Element Biosciences Inc Series D1 (e)(f)
|
413,355
|
2,405,726
|
|
ElevateBio LLC Series C (b)(e)(f)
|
254,900
|
502,153
|
|
Endeavor BioMedicines Inc Series C (b)(e)(f)
|
1,366,212
|
6,680,777
|
|
59,267,440
|
|||
Health Care Equipment & Supplies - 0.2%
|
|||
Medical Microinstruments Inc/Italy Series C (b)(e)(f)
|
316,310
|
10,552,102
|
|
Health Care Providers & Services - 0.0%
|
|||
Thriveworks Topco LLC Class B (b)(e)(f)(i)
|
473,270
|
1,940,407
|
|
Health Care Technology - 0.5%
|
|||
Aledade Inc Series B1 (b)(e)(f)
|
201,220
|
7,125,200
|
|
Aledade Inc Series E1 (b)(e)(f)
|
56,664
|
2,006,472
|
|
Candid Therapeutics Series B (e)(f)
|
3,162,302
|
3,130,679
|
|
Omada Health Inc Series E (b)(f)
|
717,691
|
13,636,130
|
|
Wugen Inc Series B (b)(e)(f)
|
454,342
|
608,818
|
|
26,507,299
|
|||
Pharmaceuticals - 0.0%
|
|||
Galvanize Therapeutics Series B (b)(e)(f)
|
3,696,429
|
1,182,857
|
|
TOTAL HEALTH CARE
|
99,450,105
|
||
Materials - 0.1%
|
|||
Chemicals - 0.1%
|
|||
Manus Bio Inc Series One-6 (e)(f)
|
1,079,396
|
3,281,364
|
|
TOTAL UNITED STATES
|
110,748,306
|
||
TOTAL CONVERTIBLE PREFERRED STOCKS
(Cost $176,078,347)
|
122,521,538
|
||
Preferred Securities - 0.4%
|
|||
Principal
Amount (a)
|
Value ($)
|
||
CANADA - 0.3%
|
|||
Health Care - 0.3%
|
|||
Health Care Equipment & Supplies - 0.3%
|
|||
Kardium Inc/CA 10% 12/31/2026 (e)(f)
|
13,197,451
|
15,986,659
|
|
UNITED STATES - 0.1%
|
|||
Health Care - 0.1%
|
|||
Health Care Technology - 0.1%
|
|||
HeartFlow Inc 0% (e)(f)(h)
|
9,667,400
|
10,033,794
|
|
TOTAL PREFERRED SECURITIES
(Cost $22,864,851)
|
26,020,453
|
||
Money Market Funds - 2.5%
|
||||
Yield (%)
|
Shares
|
Value ($)
|
||
Fidelity Cash Central Fund (j)
|
4.32
|
85,580,865
|
85,597,981
|
|
Fidelity Securities Lending Cash Central Fund (j)(k)
|
4.32
|
59,033,916
|
59,039,820
|
|
TOTAL MONEY MARKET FUNDS
(Cost $144,636,051)
|
144,637,801
|
|||
TOTAL INVESTMENT IN SECURITIES - 101.0%
(Cost $4,151,526,075)
|
5,917,753,964
|
NET OTHER ASSETS (LIABILITIES) - (1.0)%
|
(58,202,697)
|
NET ASSETS - 100.0%
|
5,859,551,267
|
(a)
|
Amount is stated in United States dollars unless otherwise noted.
|
(b)
|
Non-income producing
|
(c)
|
Security or a portion of the security is on loan at period end.
|
(d)
|
Affiliated company
|
(e)
|
Level 3 security
|
(f)
|
Restricted securities (including private placements) - Investment in securities not registered under the Securities Act of 1933 (excluding 144A issues). At the end of the period, the value of restricted securities (excluding 144A issues) amounted to $163,795,918 or 2.8% of net assets.
|
(g)
|
Security exempt from registration under Rule 144A of the Securities Act of 1933. These securities may be resold in transactions exempt from registration, normally to qualified institutional buyers. At the end of the period, the value of these securities amounted to $4,765,000 or 0.1% of net assets.
|
(h)
|
Security is perpetual in nature with no stated maturity date.
|
(i)
|
Investment is owned by a wholly-owned subsidiary (Subsidiary) that is treated as a corporation for U.S. tax purposes.
|
(j)
|
Affiliated fund that is generally available only to investment companies and other accounts managed by Fidelity Investments. The rate quoted is the annualized seven-day yield of the fund at period end. A complete unaudited listing of the fund's holdings as of its most recent quarter end is available upon request. In addition, each Fidelity Central Fund's financial statements are available on the SEC's website or upon request.
|
(k)
|
Investment made with cash collateral received from securities on loan.
|
Additional information on each restricted holding is as follows:
|
||
Security
|
Acquisition Date
|
Acquisition Cost ($)
|
Aledade Inc Series B1
|
5/07/21
|
7,704,855
|
Aledade Inc Series E1
|
5/20/22
|
2,822,683
|
Asimov Inc Series B
|
10/29/21
|
9,401,345
|
Candid Therapeutics Series B
|
8/27/24
|
3,794,762
|
Caris Life Sciences Inc
|
10/06/22
|
7,954,682
|
Caris Life Sciences Inc Series D
|
5/11/21
|
25,968,770
|
Cleerly Inc Series C
|
7/08/22
|
15,142,394
|
dMed Biopharmaceutical Co Ltd Series C
|
12/01/20
|
4,691,527
|
Element Biosciences Inc Series C
|
6/21/21
|
11,763,880
|
Element Biosciences Inc Series D
|
6/28/24
|
3,242,067
|
Element Biosciences Inc Series D1
|
6/28/24
|
3,242,067
|
ElevateBio LLC Series C
|
3/09/21
|
1,069,306
|
Endeavor BioMedicines Inc Series C
|
4/22/24
|
8,913,987
|
Galvanize Therapeutics 6% 2/28/2027
|
2/28/24
|
3,306,100
|
Galvanize Therapeutics Series B
|
3/29/22
|
6,399,572
|
HeartFlow Inc 0%
|
3/26/25
|
9,667,400
|
InSightec Ltd Series G
|
6/17/24
|
10,523,775
|
Jade Biosciences Inc
|
10/30/24
|
3,115,498
|
Kardium Inc/CA 10% 12/31/2026
|
5/31/24 - 3/31/25
|
13,197,451
|
Manus Bio Inc Series One-6
|
3/30/21
|
11,322,073
|
Medical Microinstruments Inc/Italy Series C
|
2/16/24
|
10,543,783
|
Medical Microinstruments Inc/Italy warrants 2/16/2031
|
2/16/24
|
0
|
Omada Health Inc Series E
|
12/22/21
|
12,908,103
|
Saluda Medical Inc 0%
|
1/03/25
|
3,194,800
|
Saluda Medical Inc Series E
|
4/06/23
|
6,133,335
|
Saluda Medical Inc Series E-1
|
4/06/23
|
3,194,803
|
Thriveworks Topco LLC Class B
|
7/23/21 - 2/25/22
|
13,771,884
|
Wugen Inc 10% 6/14/2025
|
6/14/24
|
2,299,153
|
Wugen Inc Series B
|
7/09/21
|
3,523,377
|
Affiliate
|
Value,
beginning
of period ($)
|
Purchases ($)
|
Sales
Proceeds ($)
|
Dividend
Income ($)
|
Realized
Gain (loss) ($)
|
Change in
Unrealized
appreciation
(depreciation) ($)
|
Value,
end
of period ($)
|
Shares,
end
of period
|
% ownership,
end
of period
|
Fidelity Cash Central Fund
|
13,904,113
|
424,144,503
|
352,450,635
|
455,773
|
-
|
-
|
85,597,981
|
85,580,865
|
0.2%
|
Fidelity Securities Lending Cash Central Fund
|
56,507,844
|
113,800,941
|
111,268,965
|
128,651
|
-
|
-
|
59,039,820
|
59,033,916
|
0.2%
|
Total
|
70,411,957
|
537,945,444
|
463,719,600
|
584,424
|
-
|
-
|
144,637,801
|
||
Affiliate
|
Value,
beginning
of period ($)
|
Purchases ($)
|
Sales
Proceeds ($)
|
Dividend
Income ($)
|
Realized
Gain (loss) ($)
|
Change in
Unrealized
appreciation
(depreciation) ($)
|
Value,
end
of period ($)
|
Shares,
end
of period
|
Outset Medical Inc
|
-
|
29,390
|
-
|
-
|
-
|
7,431,760
|
23,455,950
|
1,335,000
|
Total
|
-
|
29,390
|
-
|
-
|
-
|
7,431,760
|
23,455,950
|