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        <fairValLevel>1</fairValLevel>
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        <name>Beam Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>BioMarin Pharmaceutical Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Biogen Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Bio-Techne Corp</name>
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        <fairValLevel>1</fairValLevel>
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        <name>BioNTech SE</name>
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        <fairValLevel>1</fairValLevel>
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        <name>CONTRA BLUEPRINT MEDIC</name>
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        <fairValLevel>3</fairValLevel>
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        <name>AstraZeneca PLC</name>
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        <fairValLevel>2</fairValLevel>
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        <name>Boston Scientific Corp</name>
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        <fairValLevel>1</fairValLevel>
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        <name>BridgeBio Oncology Therapeutics Inc</name>
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        <isRestrictedSec>N</isRestrictedSec>
        
        <fairValLevel>1</fairValLevel>
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        <name>Bridgebio Pharma Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Bright Minds Biosciences Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Bristol-Myers Squibb Co</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Bruker Corp</name>
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        <fairValLevel>1</fairValLevel>
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        <name>CVS Health Corp</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Charles River Laboratories International Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Cogent Biosciences Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Corvus Pharmaceuticals Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Cytokinetics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Danaher Corp</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Definium Therapeutics Inc</name>
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        <isRestrictedSec>N</isRestrictedSec>
        
        <fairValLevel>1</fairValLevel>
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        <name>Denali Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Dexcom Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Dianthus Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Dyne Therapeutics Inc</name>
        <lei>N/A</lei>
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        <name>Edwards Lifesciences Corp</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Eikon Therapeutics Inc</name>
        <lei>N/A</lei>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Elanco Animal Health Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Enanta Pharmaceuticals Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Erasca Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Exelixis Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>EyePoint Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>4D Molecular Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>CONTRA FREQUENCY THERA</name>
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        <fairValLevel>3</fairValLevel>
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        <name>Gilead Sciences Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Glaukos Corp</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Gossamer Bio Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>HCA Healthcare Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>CONTRA HOLOGIC INCORPO</name>
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        <fairValLevel>2</fairValLevel>
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        <name>Humana Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>IDEXX Laboratories Inc</name>
        <lei>OGMTXK0LUU1HKV2P0J84</lei>
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        <fairValLevel>1</fairValLevel>
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        <name>Illumina Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Immunome Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Immunocore Holdings PLC</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Incyte Corp</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Insmed Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Intellia Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Intuitive Surgical Inc</name>
        <lei>54930052SRG011710797</lei>
        <title>Intuitive Surgical Inc</title>
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        <fairValLevel>1</fairValLevel>
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        <name>Ionis Pharmaceuticals Inc</name>
        <lei>549300SI4ZGLG0BLUZ92</lei>
        <title>Ionis Pharmaceuticals Inc</title>
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        <fairValLevel>1</fairValLevel>
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        <fairValLevel>1</fairValLevel>
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        <fairValLevel>1</fairValLevel>
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        <fairValLevel>1</fairValLevel>
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        <fairValLevel>1</fairValLevel>
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        <name>MBX Biosciences Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Madrigal Pharmaceuticals Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>UCB SA</name>
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        <fairValLevel>2</fairValLevel>
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        <name>MapLight Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Maze Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <fairValLevel>1</fairValLevel>
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        <name>Mettler-Toledo International Inc</name>
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        <name>CONTRA MIRATI THERAPEU</name>
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        <fairValLevel>1</fairValLevel>
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        <fairValLevel>1</fairValLevel>
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        <name>Nuvalent Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Ocular Therapeutix Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Orchestra BioMed Holdings Inc</name>
        <lei>N/A</lei>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Oruka Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>PTC Therapeutics Inc</name>
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        <assetCat>EC</assetCat>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Palvella Therapeutics Inc</name>
        <lei>254900AJDH8PAOOI5T33</lei>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Penumbra Inc</name>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Pfizer Inc</name>
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        <title>Pfizer Inc</title>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Protagonist Therapeutics Inc</name>
        <lei>N/A</lei>
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        <assetCat>EC</assetCat>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Quest Diagnostics Inc</name>
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        <assetCat>EC</assetCat>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>RadNet Inc</name>
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        <title>RadNet Inc</title>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Regeneron Pharmaceuticals Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>REGENXBIO Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Relay Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Revolution Medicines Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Rhythm Pharmaceuticals Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Sagimet Biosciences Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Scholar Rock Holding Corp</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Stoke Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Stryker Corp</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Summit Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Syndax Pharmaceuticals Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Tango Therapeutics Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Teva Pharmaceutical Industries Ltd</name>
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        <invCountry>IL</invCountry>
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        <fairValLevel>1</fairValLevel>
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        <name>Thermo Fisher Scientific Inc</name>
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        <title>Thermo Fisher Scientific Inc</title>
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        <fairValLevel>1</fairValLevel>
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        <fairValLevel>1</fairValLevel>
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        <isRestrictedSec>Y</isRestrictedSec>
        
        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>EXO IMAGING INC</name>
        <lei>N/A</lei>
        <title>EXO IMAGING INC</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="BlackRock Identifier" value="BYDK80T56"/>
        </identifiers>
        <balance>1017.41000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>376.44000000</valUSD>
        <pctVal>0.000065872640</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>
        
        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>KARTOS THERAPEUTICS INC</name>
        <lei>N/A</lei>
        <title>KARTOS THERAPEUTICS INC</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="BlackRock Identifier" value="BYDE3H026"/>
        </identifiers>
        <balance>23610.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>133632.60000000</valUSD>
        <pctVal>0.023384157341</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>STIV</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>
        
        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>BlackRock Funds III</name>
        <lei>5493008LW2651I1QB503</lei>
        <title>BlackRock Cash Funds: Institutional, SL Agency Shares</title>
        <cusip>066922519</cusip>
        <identifiers>
          <isin value="US0669225197"/>
        </identifiers>
        <balance>653765.98000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>653962.11000000</valUSD>
        <pctVal>0.114435795422</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>STIV</assetCat>
        <issuerCat>RF</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <cashCollateralCondition cashCollateralVal="653962.11000000" isCashCollateral="Y"/>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>BRIDGEBIO ONCOLOGY THERAPEUTICS INC</name>
        <lei>N/A</lei>
        <title>BRIDGEBIO ONCOLOGY THERAPEUTICS INC</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="BlackRock Identifier" value="BYDEUCAQ3"/>
        </identifiers>
        <balance>15582.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>118734.84000000</valUSD>
        <pctVal>0.020777221878</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>
        
        <fairValLevel>2</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>KAILERA THERAPEUTICS INC</name>
        <lei>N/A</lei>
        <title>KAILERA THERAPEUTICS INC</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="BlackRock Identifier" value="BYDS5CG84"/>
        </identifiers>
        <balance>36000.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>793080.00000000</valUSD>
        <pctVal>0.138779814986</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>
        
        <fairValLevel>2</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Angitia Biopharmaceuticals Limited</name>
        <lei>N/A</lei>
        <title>Angitia Biopharmaceuticals Limited</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="BlackRock Identifier" value="BYDWQAR19"/>
        </identifiers>
        <balance>57448.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>568160.72000000</valUSD>
        <pctVal>0.099421545876</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>STIV</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>
        
        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>GOLDFINCH EQUITY WARRANTS</name>
        <lei>N/A</lei>
        <title>GOLDFINCH EQUITY WARRANTS</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="BlackRock Identifier" value="BYDUGPZJ3"/>
        </identifiers>
        <balance>21784.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>0.22000000</valUSD>
        <pctVal>0.000000038497</pctVal>
        <payoffProfile>N/A</payoffProfile>
        <assetCat>DE</assetCat>
        <issuerConditional desc="derivative" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        
        <fairValLevel>3</fairValLevel>
        <derivativeInfo>
          <optionSwaptionWarrantDeriv derivCat="WAR">
            <counterparties>
              <counterpartyName>N/A</counterpartyName>
              <counterpartyLei>N/A</counterpartyLei>
            </counterparties>
            <putOrCall>Call</putOrCall>
            <writtenOrPur>Purchased</writtenOrPur>
            <descRefInstrmnt>
              <otherRefInst>
                <issuerName>Goldfinch Biopharma, Inc.</issuerName>
                <issueTitle>Goldfinch Biopharma, Inc.</issueTitle>
                <identifiers>
                  <other otherDesc="Private Company" value="N/A"/>
                </identifiers>
              </otherRefInst>
            </descRefInstrmnt>
            <shareNo>1.00000000</shareNo>
            <exercisePrice>1.18000000</exercisePrice>
            <exercisePriceCurCd>USD</exercisePriceCurCd>
            <expDt>2035-11-20</expDt>
            <delta>XXXX</delta>
            <unrealizedAppr>-22757.74000000</unrealizedAppr>
          </optionSwaptionWarrantDeriv>
        </derivativeInfo>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>KARTOS THERAPEUTICS INC</name>
        <lei>N/A</lei>
        <title>KARTOS THERAPEUTICS INC</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="BlackRock Identifier" value="BYDYQK285"/>
        </identifiers>
        <balance>42735.61000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>44239.90000000</valUSD>
        <pctVal>0.007741470137</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>
        
        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Galderma Group AG</name>
        <lei>89450001OK6O8ELQ4584</lei>
        <title>Galderma Group AG</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="CH1335392721"/>
        </identifiers>
        <balance>16599.00000000</balance>
        <units>NS</units>
        <currencyConditional curCd="CHF" exchangeRt="0.80800000"/>
        <valUSD>3775399.86000000</valUSD>
        <pctVal>0.660651250908</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>CH</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        
        <fairValLevel>2</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Daiichi Sankyo Co Ltd</name>
        <lei>353800XGIU2IHQGC9504</lei>
        <title>Daiichi Sankyo Co Ltd</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="JP3475350009"/>
        </identifiers>
        <balance>60800.00000000</balance>
        <units>NS</units>
        <currencyConditional curCd="JPY" exchangeRt="162.59500000"/>
        <valUSD>977679.85000000</valUSD>
        <pctVal>0.171082650803</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>JP</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        
        <fairValLevel>2</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Zealand Pharma A/S</name>
        <lei>549300ITBB1ULBL4CZ12</lei>
        <title>Zealand Pharma A/S</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="DK0060257814"/>
        </identifiers>
        <balance>7187.00000000</balance>
        <units>NS</units>
        <currencyConditional curCd="DKK" exchangeRt="6.54165000"/>
        <valUSD>319034.86000000</valUSD>
        <pctVal>0.055827405614</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>DK</invCountry>
        <isRestrictedSec>N</isRestrictedSec>
        
        <fairValLevel>2</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Biohaven Ltd</name>
        <lei>N/A</lei>
        <title>Biohaven Ltd</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="VGG1110E1079"/>
        </identifiers>
        <balance>30469.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>453378.72000000</valUSD>
        <pctVal>0.079336025218</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>VG</invCountry>
        
        <isRestrictedSec>N</isRestrictedSec>
        
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Novocure Ltd</name>
        <lei>213800YPP55UMHWA4826</lei>
        <title>Novocure Ltd</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="JE00BYSS4X48"/>
        </identifiers>
        <balance>49947.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>756697.05000000</valUSD>
        <pctVal>0.132413220103</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>JE</invCountry>
        
        <isRestrictedSec>N</isRestrictedSec>
        
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Roivant Sciences Ltd</name>
        <lei>549300DL466NY5J6U724</lei>
        <title>Roivant Sciences Ltd</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="BMG762791017"/>
        </identifiers>
        <balance>55068.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1948856.52000000</valUSD>
        <pctVal>0.341027320422</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>BM</invCountry>
        
        <isRestrictedSec>N</isRestrictedSec>
        
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Alcon AG</name>
        <lei>549300LDT5AP8S0NBM78</lei>
        <title>Alcon AG</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="CH0432492467"/>
        </identifiers>
        <balance>5751.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>385892.10000000</valUSD>
        <pctVal>0.067526648311</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>CH</invCountry>
        
        <isRestrictedSec>N</isRestrictedSec>
        
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <loanByFundCondition isLoanByFund="Y" loanVal="87230.00000000"/>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>WaVe Life Sciences Ltd</name>
        <lei>54930070006GPKFYZ813</lei>
        <title>WaVe Life Sciences Ltd</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="SG9999014716"/>
        </identifiers>
        <balance>30090.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>174822.90000000</valUSD>
        <pctVal>0.030591982797</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>SG</invCountry>
        
        <isRestrictedSec>N</isRestrictedSec>
        
        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
    </invstOrSecs>
    <explntrNotes>
      
      
      
      <explntrNote note="Monthly returns presented in Item B.5(a) have been calculated without deducting any applicable sales loads or redemption fees." noteItem="B.5.a"/>
      
    </explntrNotes>
    <signature>
      <ncom:dateSigned>2026-07-30</ncom:dateSigned>
      <ncom:nameOfApplicant>BlackRock Health Sciences Trust</ncom:nameOfApplicant>
      <ncom:signature>Chuck Pulsfort</ncom:signature>
      <ncom:signerName>Chuck Pulsfort</ncom:signerName>
      <ncom:title>Assistant Treasurer</ncom:title>
    </signature>
  </formData>
</edgarSubmission>
