Shares | Market Value ($000) | ||
Common Stocks (97.0%) | |||
Biotechnology (19.6%) | |||
AbbVie Inc. | 4,681,828 | 871,335 | |
Amgen Inc. | 1,681,312 | 484,520 | |
Gilead Sciences Inc. | 3,898,404 | 429,136 | |
* | Vertex Pharmaceuticals Inc. | 803,924 | 355,375 |
Regeneron Pharmaceuticals Inc. | 334,450 | 163,974 | |
* | Alnylam Pharmaceuticals Inc. | 406,798 | 123,894 |
* | Natera Inc. | 401,614 | 63,347 |
* | Biogen Inc. | 457,748 | 59,411 |
* | United Therapeutics Corp. | 133,428 | 42,544 |
* | Insmed Inc. | 568,603 | 39,649 |
* | Neurocrine Biosciences Inc. | 309,389 | 38,061 |
* | BioMarin Pharmaceutical Inc. | 599,630 | 34,821 |
* | Exelixis Inc. | 787,178 | 33,880 |
* | Incyte Corp. | 514,405 | 33,467 |
* | Exact Sciences Corp. | 580,891 | 32,693 |
* | Moderna Inc. | 1,088,180 | 28,902 |
* | Halozyme Therapeutics Inc. | 386,315 | 21,661 |
* | Blueprint Medicines Corp. | 199,846 | 20,254 |
* | Revolution Medicines Inc. | 436,022 | 17,179 |
* | TG Therapeutics Inc. | 466,650 | 16,384 |
* | Ionis Pharmaceuticals Inc. | 472,276 | 15,826 |
* | Alkermes plc | 489,694 | 14,990 |
* | ADMA Biologics Inc. | 743,079 | 14,743 |
* | Bridgebio Pharma Inc. | 416,369 | 14,261 |
* | Madrigal Pharmaceuticals Inc. | 44,886 | 12,355 |
* | Roivant Sciences Ltd. | 1,115,657 | 12,261 |
* | Vaxcyte Inc. | 362,398 | 11,774 |
* | Cytokinetics Inc. | 354,089 | 10,984 |
* | PTC Therapeutics Inc. | 221,984 | 10,771 |
*,1 | CRISPR Therapeutics AG | 256,064 | 9,293 |
* | Nuvalent Inc. Class A | 124,140 | 9,262 |
* | Rhythm Pharmaceuticals Inc. | 148,287 | 9,094 |
* | Catalyst Pharmaceuticals Inc. | 362,308 | 9,043 |
* | Ultragenyx Pharmaceutical Inc. | 264,262 | 8,993 |
* | Viking Therapeutics Inc. | 333,601 | 8,941 |
* | SpringWorks Therapeutics Inc. | 187,595 | 8,763 |
* | Avidity Biosciences Inc. | 281,936 | 8,734 |
* | Akero Therapeutics Inc. | 174,305 | 8,654 |
* | Krystal Biotech Inc. | 67,901 | 8,553 |
* | Merus NV | 151,229 | 8,479 |
* | Crinetics Pharmaceuticals Inc. | 276,414 | 8,433 |
*,1 | Summit Therapeutics Inc. (XNMS) | 461,849 | 8,413 |
* | Sarepta Therapeutics Inc. | 208,097 | 7,824 |
* | Soleno Therapeutics Inc. | 102,069 | 7,487 |
* | ACADIA Pharmaceuticals Inc. | 338,949 | 7,311 |
* | Protagonist Therapeutics Inc. | 153,573 | 7,290 |
* | BioCryst Pharmaceuticals Inc. | 623,218 | 6,700 |
* | Vericel Corp. | 156,765 | 6,474 |
* | Veracyte Inc. | 243,172 | 6,471 |
* | Arcellx Inc. | 103,093 | 6,398 |
* | Scholar Rock Holding Corp. | 207,685 | 6,025 |
* | Xenon Pharmaceuticals Inc. | 203,977 | 5,885 |
* | Agios Pharmaceuticals Inc. | 179,178 | 5,750 |
* | Arrowhead Pharmaceuticals Inc. | 343,521 | 5,520 |
* | Twist Bioscience Corp. | 186,095 | 5,453 |
* | Denali Therapeutics Inc. | 408,691 | 5,411 |
* | Mirum Pharmaceuticals Inc. | 114,935 | 5,110 |
* | Ideaya Biosciences Inc. | 247,285 | 4,919 |
* | Amicus Therapeutics Inc. | 750,812 | 4,557 |
* | Beam Therapeutics Inc. | 279,733 | 4,428 |
Shares | Market Value ($000) | ||
* | Arcutis Biotherapeutics Inc. | 333,916 | 4,354 |
* | Biohaven Ltd. | 271,785 | 4,025 |
* | Apellis Pharmaceuticals Inc. | 235,498 | 3,987 |
* | Travere Therapeutics Inc. | 263,745 | 3,961 |
*,1 | Recursion Pharmaceuticals Inc. Class A | 926,967 | 3,875 |
*,1 | GRAIL Inc. | 99,345 | 3,816 |
* | MannKind Corp. | 902,578 | 3,746 |
* | Celldex Therapeutics Inc. | 187,696 | 3,713 |
* | Kymera Therapeutics Inc. | 121,907 | 3,613 |
* | CG oncology Inc. | 131,571 | 3,371 |
*,1 | Novavax Inc. | 452,837 | 3,324 |
* | Disc Medicine Inc. | 70,251 | 3,279 |
* | Immunovant Inc. | 212,348 | 3,153 |
* | 89bio Inc. | 319,508 | 3,144 |
* | Janux Therapeutics Inc. | 128,963 | 3,069 |
* | Dynavax Technologies Corp. | 306,171 | 2,997 |
* | Kiniksa Pharmaceuticals International plc | 105,839 | 2,896 |
* | Aurinia Pharmaceuticals Inc. | 365,041 | 2,862 |
* | Syndax Pharmaceuticals Inc. | 269,069 | 2,836 |
* | CareDx Inc. | 164,679 | 2,798 |
* | Dyne Therapeutics Inc. | 229,905 | 2,750 |
* | MoonLake Immunotherapeutics | 69,854 | 2,725 |
* | Ardelyx Inc. | 740,170 | 2,716 |
* | Vera Therapeutics Inc. | 139,306 | 2,640 |
* | Apogee Therapeutics Inc. | 69,419 | 2,544 |
* | Newamsterdam Pharma Co. NV | 137,416 | 2,489 |
* | Viridian Therapeutics Inc. | 178,328 | 2,482 |
* | Geron Corp. (XNGS) | 1,576,187 | 2,396 |
* | MiMedx Group Inc. | 369,304 | 2,375 |
* | Nurix Therapeutics Inc. | 214,485 | 2,280 |
* | Akebia Therapeutics Inc. | 739,261 | 2,240 |
* | Intellia Therapeutics Inc. | 308,544 | 2,120 |
* | ARS Pharmaceuticals Inc. | 138,111 | 1,993 |
*,1 | Anavex Life Sciences Corp. | 263,713 | 1,986 |
* | Praxis Precision Medicines Inc. | 50,432 | 1,944 |
* | Immunome Inc. | 217,463 | 1,905 |
* | uniQure NV | 126,825 | 1,835 |
*,1 | ImmunityBio Inc. | 689,971 | 1,835 |
* | Arcus Biosciences Inc. | 198,474 | 1,772 |
* | Spyre Therapeutics Inc. | 113,264 | 1,731 |
* | Mineralys Therapeutics Inc. | 101,435 | 1,580 |
* | Xencor Inc. | 187,044 | 1,496 |
* | Arbutus Biopharma Corp. | 445,275 | 1,496 |
* | Iovance Biotherapeutics Inc. | 820,392 | 1,436 |
* | Vir Biotechnology Inc. | 278,941 | 1,378 |
* | Zymeworks Inc. | 119,548 | 1,366 |
* | Day One Biopharmaceuticals Inc. | 205,929 | 1,314 |
*,1 | Altimmune Inc. | 240,783 | 1,307 |
* | Cogent Biosciences Inc. | 236,059 | 1,284 |
* | Myriad Genetics Inc. | 285,580 | 1,197 |
* | KalVista Pharmaceuticals Inc. | 101,067 | 1,193 |
* | REGENXBIO Inc. | 131,744 | 1,166 |
* | Relay Therapeutics Inc. | 369,808 | 1,109 |
* | Replimune Group Inc. | 120,322 | 1,080 |
* | Kura Oncology Inc. | 189,235 | 1,077 |
* | Keros Therapeutics Inc. | 76,077 | 1,076 |
* | Emergent BioSolutions Inc. | 170,019 | 1,075 |
*,1 | Humacyte Inc. | 385,077 | 1,028 |
* | Stoke Therapeutics Inc. | 101,434 | 968 |
* | AnaptysBio Inc. | 43,144 | 959 |
* | Taysha Gene Therapies Inc. | 352,835 | 956 |
* | Sage Therapeutics Inc. | 142,890 | 923 |
*,1 | Sana Biotechnology Inc. | 422,185 | 916 |
* | Arcturus Therapeutics Holdings Inc. | 72,040 | 903 |
* | ArriVent Biopharma Inc. | 42,199 | 897 |
* | iTeos Therapeutics Inc. | 83,567 | 837 |
* | ORIC Pharmaceuticals Inc. | 99,882 | 816 |
* | Verve Therapeutics Inc. | 180,491 | 803 |
* | Vanda Pharmaceuticals Inc. | 184,365 | 800 |
*,1 | Ocugen Inc. | 904,585 | 756 |
Shares | Market Value ($000) | ||
* | Erasca Inc. | 534,095 | 748 |
* | Heron Therapeutics Inc. | 382,856 | 720 |
* | Cullinan Therapeutics Inc. | 82,134 | 710 |
* | MeiraGTx Holdings plc | 135,459 | 694 |
* | Aura Biosciences Inc. | 117,640 | 689 |
* | Rocket Pharmaceuticals Inc. | 251,604 | 632 |
* | Olema Pharmaceuticals Inc. | 117,436 | 620 |
* | Savara Inc. | 242,622 | 553 |
* | Allogene Therapeutics Inc. | 459,502 | 538 |
* | Monte Rosa Therapeutics Inc. | 125,627 | 525 |
* | Annexon Inc. | 240,685 | 491 |
* | Organogenesis Holdings Inc. | 173,043 | 474 |
* | Editas Medicine Inc. | 274,633 | 472 |
* | Entrada Therapeutics Inc. | 59,341 | 451 |
* | Dianthus Therapeutics Inc. | 25,954 | 451 |
* | Perspective Therapeutics Inc. | 173,613 | 446 |
* | Astria Therapeutics Inc. | 91,769 | 437 |
* | Tyra Biosciences Inc. | 47,743 | 434 |
* | Prothena Corp. plc | 92,519 | 425 |
* | Y-mAbs Therapeutics Inc. | 84,645 | 389 |
*,1 | Lexicon Pharmaceuticals Inc. | 569,490 | 357 |
* | 4D Molecular Therapeutics Inc. | 96,342 | 349 |
* | Fate Therapeutics Inc. | 268,865 | 325 |
* | Bicara Therapeutics Inc. | 34,125 | 316 |
* | Aldeyra Therapeutics Inc. | 139,257 | 299 |
* | Coherus Biosciences Inc. | 363,854 | 283 |
* | Cabaletta Bio Inc. | 150,740 | 282 |
* | Alector Inc. | 210,784 | 280 |
* | Ironwood Pharmaceuticals Inc. | 452,844 | 271 |
* | Tango Therapeutics Inc. | 118,574 | 263 |
* | Agenus Inc. | 74,035 | 254 |
* | Cargo Therapeutics Inc. | 43,108 | 183 |
* | MacroGenics Inc. | 129,034 | 175 |
* | Korro Bio Inc. | 14,213 | 162 |
* | HilleVax Inc. | 85,655 | 160 |
* | Lyell Immunopharma Inc. | 344,760 | 151 |
*,1 | Prime Medicine Inc. | 127,060 | 150 |
* | Zentalis Pharmaceuticals Inc. | 114,950 | 139 |
* | Mural Oncology plc | 47,262 | 124 |
*,1 | Biomea Fusion Inc. | 79,574 | 115 |
* | Applied Therapeutics Inc. | 235,036 | 83 |
* | IGM Biosciences Inc. | 36,745 | 47 |
* | ALX Oncology Holdings Inc. | 79,353 | 39 |
*,1 | Seres Therapeutics Inc. | 5,093 | 36 |
* | FibroGen Inc. | 91,195 | 26 |
*,2 | Prevail Therapeutics CVR | 78 | — |
3,414,657 | |||
Health Care Equipment & Supplies (23.3%) | |||
Abbott Laboratories | 5,423,412 | 724,459 | |
* | Intuitive Surgical Inc. | 1,120,367 | 618,823 |
* | Boston Scientific Corp. | 4,625,170 | 486,845 |
Stryker Corp. | 1,074,207 | 411,035 | |
Medtronic plc | 4,010,636 | 332,803 | |
Becton Dickinson & Co. | 897,876 | 154,964 | |
* | Edwards Lifesciences Corp. | 1,831,683 | 143,274 |
* | IDEXX Laboratories Inc. | 253,413 | 130,092 |
ResMed Inc. | 459,263 | 112,423 | |
* | Dexcom Inc. | 1,226,164 | 105,205 |
GE HealthCare Technologies Inc. | 1,431,713 | 100,993 | |
STERIS plc | 307,221 | 75,334 | |
* | Insulet Corp. | 219,630 | 71,386 |
Zimmer Biomet Holdings Inc. | 618,646 | 57,021 | |
Baxter International Inc. | 1,603,953 | 48,921 | |
* | Hologic Inc. | 701,667 | 43,623 |
* | Cooper Cos. Inc. | 625,526 | 42,711 |
* | Align Technology Inc. | 217,484 | 39,351 |
* | Solventum Corp. | 459,558 | 33,589 |
* | Penumbra Inc. | 114,918 | 30,680 |
* | Masimo Corp. | 143,619 | 23,338 |
Shares | Market Value ($000) | ||
* | Merit Medical Systems Inc. | 184,676 | 17,550 |
Teleflex Inc. | 139,716 | 17,083 | |
* | Glaukos Corp. | 176,882 | 16,678 |
* | Lantheus Holdings Inc. | 214,144 | 16,181 |
* | Globus Medical Inc. Class A | 259,919 | 15,382 |
* | iRhythm Technologies Inc. | 98,193 | 13,796 |
* | Inspire Medical Systems Inc. | 93,059 | 12,861 |
* | TransMedics Group Inc. | 100,000 | 12,712 |
* | Integer Holdings Corp. | 105,336 | 12,510 |
* | Haemonetics Corp. | 157,009 | 10,631 |
DENTSPLY SIRONA Inc. | 624,283 | 9,976 | |
* | ICU Medical Inc. | 73,114 | 9,860 |
* | Envista Holdings Corp. | 537,875 | 9,827 |
* | PROCEPT BioRobotics Corp. | 162,842 | 9,445 |
* | LivaNova plc | 169,728 | 7,341 |
* | QuidelOrtho Corp. | 211,646 | 6,491 |
* | Novocure Ltd. | 326,503 | 6,239 |
* | UFP Technologies Inc. | 23,956 | 5,610 |
* | Enovis Corp. | 178,475 | 5,586 |
CONMED Corp. | 96,539 | 5,479 | |
* | AtriCure Inc. | 154,744 | 5,349 |
LeMaitre Vascular Inc. | 63,744 | 5,240 | |
* | Alphatec Holdings Inc. | 360,553 | 4,482 |
* | Omnicell Inc. | 146,458 | 4,448 |
* | Tandem Diabetes Care Inc. | 208,200 | 4,126 |
* | Neogen Corp. | 647,375 | 3,794 |
* | Artivion Inc. | 113,354 | 3,353 |
* | Integra LifeSciences Holdings Corp. | 218,164 | 2,762 |
* | SI-BONE Inc. | 120,168 | 2,271 |
*,1 | Establishment Labs Holdings Inc. | 63,279 | 2,178 |
* | STAAR Surgical Co. | 107,920 | 1,922 |
* | Avanos Medical Inc. | 145,052 | 1,823 |
Embecta Corp. | 172,615 | 1,818 | |
* | RxSight Inc. | 107,791 | 1,648 |
iRadimed Corp. | 25,727 | 1,489 | |
* | Axogen Inc. | 124,816 | 1,359 |
* | Butterfly Network Inc. | 541,558 | 1,300 |
* | AngioDynamics Inc. | 126,649 | 1,292 |
* | Surmodics Inc. | 42,649 | 1,238 |
* | Orthofix Medical Inc. | 102,035 | 1,148 |
* | OrthoPediatrics Corp. | 49,459 | 987 |
* | Varex Imaging Corp. | 128,302 | 984 |
*,1 | Pulse Biosciences Inc. | 52,564 | 910 |
* | Treace Medical Concepts Inc. | 156,403 | 898 |
* | Zimvie Inc. | 87,641 | 801 |
* | Cerus Corp. | 589,905 | 749 |
* | Bioventus Inc. Class A | 112,843 | 731 |
* | OraSure Technologies Inc. | 250,465 | 721 |
* | Ceribell Inc. | 39,208 | 659 |
* | Pulmonx Corp. | 114,050 | 388 |
4,068,976 | |||
Health Care Providers & Services (18.7%) | |||
UnitedHealth Group Inc. | 2,860,409 | 863,586 | |
McKesson Corp. | 391,904 | 281,979 | |
Elevance Health Inc. | 707,926 | 271,730 | |
Cigna Group | 847,770 | 268,438 | |
CVS Health Corp. | 3,947,644 | 252,807 | |
HCA Healthcare Inc. | 577,422 | 220,223 | |
Cencora Inc. | 576,105 | 167,785 | |
Cardinal Health Inc. | 755,402 | 116,664 | |
Humana Inc. | 377,421 | 87,988 | |
* | Centene Corp. | 1,551,210 | 87,550 |
Labcorp Holdings Inc. | 261,637 | 65,140 | |
Quest Diagnostics Inc. | 349,026 | 60,500 | |
* | Molina Healthcare Inc. | 171,047 | 52,176 |
* | Tenet Healthcare Corp. | 295,118 | 49,807 |
Encompass Health Corp. | 315,777 | 38,178 | |
Universal Health Services Inc. Class B | 181,224 | 34,496 | |
* | Hims & Hers Health Inc. | 568,272 | 32,142 |
Shares | Market Value ($000) | ||
* | HealthEquity Inc. | 270,463 | 27,211 |
Ensign Group Inc. | 179,557 | 26,442 | |
Chemed Corp. | 45,698 | 26,269 | |
* | Henry Schein Inc. | 344,760 | 24,130 |
* | DaVita Inc. | 137,598 | 18,749 |
* | Option Care Health Inc. | 513,586 | 16,784 |
* | Guardant Health Inc. | 347,340 | 14,109 |
* | RadNet Inc. | 196,774 | 11,313 |
* | CorVel Corp. | 96,337 | 10,719 |
* | Amedisys Inc. | 102,785 | 9,669 |
Concentra Group Holdings Parent Inc. | 360,660 | 7,801 | |
* | Privia Health Group Inc. | 303,418 | 6,906 |
Premier Inc. Class A | 285,471 | 6,560 | |
* | Acadia Healthcare Co. Inc. | 288,077 | 6,522 |
* | Addus HomeCare Corp. | 56,932 | 6,314 |
* | Surgery Partners Inc. | 239,423 | 5,653 |
Select Medical Holdings Corp. | 362,844 | 5,548 | |
* | BrightSpring Health Services Inc. | 218,866 | 5,211 |
* | Alignment Healthcare Inc. | 329,952 | 5,071 |
* | Progyny Inc. | 227,407 | 4,889 |
* | GeneDx Holdings Corp. | 61,452 | 4,377 |
National HealthCare Corp. | 41,290 | 4,300 | |
* | Clover Health Investments Corp. | 1,245,775 | 3,912 |
* | Pediatrix Medical Group Inc. | 266,492 | 3,771 |
* | Brookdale Senior Living Inc. | 563,326 | 3,667 |
US Physical Therapy Inc. | 47,390 | 3,554 | |
* | Astrana Health Inc. | 141,336 | 3,504 |
* | Pennant Group Inc. | 107,963 | 3,100 |
* | NeoGenomics Inc. | 401,360 | 2,922 |
* | AMN Healthcare Services Inc. | 119,721 | 2,527 |
* | LifeStance Health Group Inc. | 421,712 | 2,505 |
* | AdaptHealth Corp. | 274,318 | 2,463 |
* | agilon health Inc. | 971,716 | 2,157 |
* | Community Health Systems Inc. | 394,328 | 1,530 |
* | Owens & Minor Inc. | 230,355 | 1,520 |
* | Castle Biosciences Inc. | 91,087 | 1,455 |
* | PACS Group Inc. | 146,594 | 1,454 |
* | Talkspace Inc. | 447,702 | 1,428 |
* | Enhabit Inc. | 135,247 | 1,420 |
* | OPKO Health Inc. | 943,761 | 1,284 |
* | Fulgent Genetics Inc. | 61,617 | 1,277 |
* | Cross Country Healthcare Inc. | 91,365 | 1,204 |
* | DocGo Inc. | 269,710 | 383 |
*,1 | ModivCare Inc. | 22,677 | 25 |
3,252,798 | |||
Health Care Technology (1.1%) | |||
* | Veeva Systems Inc. Class A | 483,279 | 135,173 |
* | Doximity Inc. Class A | 375,570 | 19,563 |
* | Waystar Holding Corp. | 215,464 | 8,614 |
* | Certara Inc. | 405,083 | 4,602 |
* | Schrodinger Inc. | 200,671 | 4,339 |
* | Phreesia Inc. | 175,019 | 4,286 |
* | Teladoc Health Inc. | 547,153 | 3,786 |
* | Evolent Health Inc. Class A | 311,111 | 2,318 |
HealthStream Inc. | 76,629 | 2,147 | |
Simulations Plus Inc. | 53,832 | 1,714 | |
* | GoodRx Holdings Inc. Class A | 278,991 | 1,094 |
* | Health Catalyst Inc. | 200,825 | 763 |
* | Claritev Corp. | 15,635 | 601 |
* | Definitive Healthcare Corp. | 146,457 | 485 |
* | American Well Corp. Class A | 39,101 | 264 |
189,749 | |||
Life Sciences Tools & Services (8.5%) | |||
Thermo Fisher Scientific Inc. | 1,180,450 | 475,509 | |
Danaher Corp. | 2,013,548 | 382,373 | |
Agilent Technologies Inc. | 891,526 | 99,780 | |
* | IQVIA Holdings Inc. | 551,340 | 77,370 |
* | Mettler-Toledo International Inc. | 65,171 | 75,306 |
* | Waters Corp. | 186,049 | 64,976 |
Shares | Market Value ($000) | ||
West Pharmaceutical Services Inc. | 226,064 | 47,666 | |
* | Illumina Inc. | 494,896 | 40,700 |
Revvity Inc. | 375,713 | 33,972 | |
* | Avantor Inc. | 1,967,347 | 25,398 |
Bio-Techne Corp. | 494,357 | 23,927 | |
* | Medpace Holdings Inc. | 80,344 | 23,693 |
* | Charles River Laboratories International Inc. | 153,586 | 20,831 |
* | Repligen Corp. | 166,829 | 19,698 |
* | Bio-Rad Laboratories Inc. Class A | 60,969 | 13,836 |
* | Tempus AI Inc. | 236,567 | 13,054 |
Bruker Corp. | 331,347 | 12,160 | |
* | Sotera Health Co. | 490,180 | 6,000 |
* | Azenta Inc. | 129,253 | 3,454 |
* | Adaptive Biotechnologies Corp. | 324,629 | 3,090 |
* | 10X Genomics Inc. Class A | 307,811 | 2,933 |
* | BioLife Solutions Inc. | 119,292 | 2,610 |
* | Niagen Bioscience Inc. | 170,296 | 1,843 |
Mesa Laboratories Inc. | 17,070 | 1,718 | |
* | Fortrea Holdings Inc. | 268,225 | 1,153 |
* | Cytek Biosciences Inc. | 343,829 | 952 |
* | CryoPort Inc. | 155,653 | 935 |
* | Maravai LifeSciences Holdings Inc. Class A | 357,166 | 804 |
* | Standard BioTools Inc. | 769,706 | 777 |
* | MaxCyte Inc. | 313,574 | 746 |
*,1 | Pacific Biosciences of California Inc. | 771,703 | 744 |
* | Quanterix Corp. | 96,926 | 504 |
* | OmniAb Inc. | 273,390 | 347 |
*,2 | OmniAb Inc. 12.5 Earnout | 22,076 | — |
*,2 | OmniAb Inc. 15 Earnout | 22,076 | — |
1,478,859 | |||
Pharmaceuticals (25.8%) | |||
Eli Lilly & Co. | 2,519,803 | 1,858,783 | |
Johnson & Johnson | 5,285,882 | 820,422 | |
Merck & Co. Inc. | 7,869,026 | 604,656 | |
Pfizer Inc. | 17,735,422 | 416,605 | |
Bristol-Myers Squibb Co. | 6,362,961 | 307,204 | |
Zoetis Inc. | 1,394,868 | 235,217 | |
Royalty Pharma plc Class A | 1,152,098 | 37,881 | |
Viatris Inc. | 3,734,060 | 32,822 | |
* | Corcept Therapeutics Inc. | 296,931 | 23,030 |
* | Elanco Animal Health Inc. (XNYS) | 1,552,461 | 20,865 |
* | Jazz Pharmaceuticals plc | 180,476 | 19,504 |
* | Prestige Consumer Healthcare Inc. | 154,926 | 13,273 |
Perrigo Co. plc | 426,793 | 11,425 | |
* | Axsome Therapeutics Inc. | 106,747 | 11,226 |
Organon & Co. | 805,846 | 7,430 | |
* | Ligand Pharmaceuticals Inc. | 60,186 | 6,150 |
* | Supernus Pharmaceuticals Inc. | 175,005 | 5,548 |
* | Harmony Biosciences Holdings Inc. | 134,401 | 4,637 |
* | Tarsus Pharmaceuticals Inc. | 104,076 | 4,470 |
* | Pacira BioSciences Inc. | 144,813 | 3,742 |
* | Innoviva Inc. | 186,259 | 3,645 |
* | Amneal Pharmaceuticals Inc. | 489,727 | 3,585 |
* | ANI Pharmaceuticals Inc. | 53,955 | 3,168 |
* | Amphastar Pharmaceuticals Inc. | 118,777 | 3,054 |
* | Liquidia Corp. | 200,041 | 2,985 |
* | Collegium Pharmaceutical Inc. | 99,570 | 2,901 |
* | Harrow Inc. | 98,426 | 2,767 |
* | Ocular Therapeutix Inc. | 323,200 | 2,589 |
* | Avadel Pharmaceuticals plc | 272,373 | 2,481 |
* | Xeris Biopharma Holdings Inc. | 457,651 | 2,261 |
* | Edgewise Therapeutics Inc. | 147,567 | 2,107 |
* | WaVe Life Sciences Ltd. | 335,909 | 2,019 |
Phibro Animal Health Corp. Class A | 64,365 | 1,572 | |
* | Nuvation Bio Inc. | 682,262 | 1,446 |
* | Evolus Inc. | 148,829 | 1,368 |
*,1 | Mind Medicine MindMed Inc. | 188,488 | 1,368 |
* | Enliven Therapeutics Inc. | 76,531 | 1,360 |
*,1 | Tilray Brands Inc. | 3,154,251 | 1,343 |
Shares | Market Value ($000) | ||
* | EyePoint Pharmaceuticals Inc. | 183,058 | 1,325 |
* | Arvinas Inc. | 151,465 | 1,091 |
* | Theravance Biopharma Inc. | 118,581 | 1,086 |
* | Amylyx Pharmaceuticals Inc. | 198,018 | 1,020 |
*,1 | ATAI Life Sciences NV | 437,085 | 1,010 |
* | LENZ Therapeutics Inc. | 34,445 | 1,006 |
SIGA Technologies Inc. | 135,372 | 810 | |
*,1 | Phathom Pharmaceuticals Inc. | 130,611 | 555 |
* | Terns Pharmaceuticals Inc. | 177,224 | 551 |
* | Atea Pharmaceuticals Inc. | 167,431 | 497 |
* | Rapport Therapeutics Inc. | 51,780 | 428 |
* | Alumis Inc. | 90,095 | 315 |
* | Cassava Sciences Inc. | 142,926 | 287 |
* | Ventyx Biosciences Inc. | 156,531 | 266 |
* | Pliant Therapeutics Inc. | 115,910 | 156 |
* | Neumora Therapeutics Inc. | 176,184 | 126 |
*,2 | Chinook Therapeutics Inc. CVR | 784 | — |
4,497,438 | |||
Total Common Stocks (Cost $14,891,952) | 16,902,477 | ||
Temporary Cash Investments (3.1%) | |||
Money Market Fund (3.1%) | |||
3,4 | Vanguard Market Liquidity Fund, 4.342% (Cost $532,096) | 5,321,583 | 532,105 |
Total Investments (100.1%) (Cost $15,424,048) | 17,434,582 | ||
Common Stocks Sold Short (-0.0%) | |||
Biotechnology (-0.0%) | |||
* | Enanta Pharmaceuticals Inc. | (22) | (—) |
* | Repare Therapeutics Inc. | (21) | (—) |
(—) | |||
Health Care Equipment & Supplies (-0.0%) | |||
* | Outset Medical Inc. | (4) | (—) |
Total Common Stocks Sold Short (Proceeds $—) | (—) | ||
Other Assets and Liabilities—Net (-0.1%) | (15,455) | ||
Net Assets (100.0%) | 17,419,127 | ||
Cost is in $000. |
* | Non-income-producing security. |
1 | Includes partial security positions on loan to broker-dealers. The total value of securities on loan is $30,221. |
2 | Security value determined using significant unobservable inputs. |
3 | Affiliated money market fund available only to Vanguard funds and certain trusts and accounts managed by Vanguard. Rate shown is the 7-day yield. |
4 | Collateral of $43,123 was received for securities on loan. |
CVR—Contingent Value Rights. |
Over-the-Counter Total Return Swaps | ||||||
Reference Entity | Termination Date | Counterparty | Notional Amount ($000) | Floating Interest Rate Received (Paid)1 (%) | Value and Unrealized Appreciation ($000) | Value and Unrealized (Depreciation) ($000) |
AbbVie Inc. | 8/29/25 | BANA | 102,361 | (5.037) | 452 | — |
AbbVie Inc. | 8/29/25 | BANA | 55,833 | (5.037) | 246 | — |
Avantor Inc. | 8/29/25 | BANA | 2,091 | (4.337) | — | (7) |
Globus Medical Inc. | 8/29/25 | BANA | 5,918 | (4.337) | — | (26) |
Johnson & Johnson | 8/29/25 | BANA | 131,929 | (5.080) | 1,086 | — |
Johnson & Johnson | 8/29/25 | BANA | 131,929 | (5.080) | 1,086 | — |
Johnson & Johnson | 8/29/25 | BANA | 46,563 | (4.987) | 195 | — |
Johnson & Johnson | 8/29/25 | BANA | 23,282 | (5.087) | 96 | — |
Over-the-Counter Total Return Swaps (continued) | ||||||
Reference Entity | Termination Date | Counterparty | Notional Amount ($000) | Floating Interest Rate Received (Paid)1 (%) | Value and Unrealized Appreciation ($000) | Value and Unrealized (Depreciation) ($000) |
Johnson & Johnson | 1/30/26 | GSI | 14,961 | (4.333) | 663 | — |
Sarepta Therapeutics Inc. | 8/29/25 | BANA | 2,444 | (4.337) | — | (15) |
3,824 | (48) |
1 | Based on Overnight Bank Funding Rate as of the most recent reset date. Floating interest payment received/paid monthly. |
BANA—Bank of America, N.A. | |
GSI—Goldman Sachs International. |
A. | Security Valuation: Securities are valued as of the close of trading on the New York Stock Exchange (generally 4 p.m., Eastern time) on the valuation date. Equity securities are valued at the latest quoted sales prices or official closing prices taken from the primary market in which each security trades; such securities not traded on the valuation date are valued at the mean of the latest quoted bid and asked prices. Securities for which market quotations are not readily available, or whose values have been affected by events occurring before the fund’s pricing time but after the close of the securities’ primary markets, are valued by methods deemed by the valuation designee to represent fair value and subject to oversight by the board of trustees. Investments in Vanguard Market Liquidity Fund are valued at that fund's net asset value. |
B. | Short Sales: Short sales are the sales of securities that the fund does not own. The fund sells a security it does not own in anticipation of a decline in the value of that security. In order to deliver the security to the purchaser, the fund borrows the security from a broker-dealer. The fund must segregate, as collateral for its obligation to return the borrowed security, an amount of cash and long security positions at least equal to the market value of the security sold short. In the absence of a default, the collateral segregated by the fund cannot be repledged, resold or rehypothecated. This results in the fund holding a significant portion of its assets in cash. The fund later closes out the position by returning the security to the lender, typically by purchasing the security in the open market. |
C. | Swap Contracts: The fund has entered into equity swap contracts to earn the total return on selected reference stocks or indexes in the fund’s target index. Under the terms of the swaps, the fund receives the total return on the referenced stock (i.e., receiving the increase or paying the decrease in value of the selected reference stock and receiving the equivalent of any dividends in respect of the selected referenced stock) over a specified period of time, applied to a notional amount that represents the value of a designated number of shares of the selected reference stock at the beginning of the equity swap contract. The fund also pays a floating rate that is based on short-term interest rates, applied to the notional amount. At the same time, the fund generally invests an amount approximating the notional amount of the swap in high-quality temporary cash investments. |
D. | Various inputs may be used to determine the value of the fund’s investments and derivatives. These inputs are summarized in three broad levels for financial statement purposes. The inputs or methodologies used to value securities are not necessarily an indication of the risk associated with investing in those securities. |
Level 1 ($000) | Level 2 ($000) | Level 3 ($000) | Total ($000) | |
Investments | ||||
Assets | ||||
Common Stocks | 16,902,477 | — | — | 16,902,477 |
Temporary Cash Investments | 532,105 | — | — | 532,105 |
Total | 17,434,582 | — | — | 17,434,582 |
Liabilities | ||||
Common Stocks | — | — | — | — |
Derivative Financial Instruments | ||||
Assets | ||||
Swap Contracts | — | 3,824 | — | 3,824 |
Liabilities | ||||
Swap Contracts | — | (48) | — | (48) |