# EDGAR Filing Document

**Accession Number:** 0000720318
**File Stem:** 0001752724-25-198634
**Filing Date:** 2025-8
**Character Count:** 43861
**Document Hash:** 1ca656e1861a3e437ffcddbf8b5de52d
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001752724-25-198634.hdr.sgml**: 20250822

**ACCESSION NUMBER**: 0001752724-25-198634

**CONFORMED SUBMISSION TYPE**: NPORT-P

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20250630

**FILED AS OF DATE**: 20250822

**DATE AS OF CHANGE**: 20250822

**PERIOD START**: 20251231

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** VARIABLE INSURANCE PRODUCTS FUND IV
- **CENTRAL INDEX KEY:** 0000720318

**ORGANIZATION NAME:**
- **EIN:** 000000000
- **STATE OF INCORPORATION:** MA
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** NPORT-P
- **SEC ACT:** 1940 Act
- **SEC FILE NUMBER:** 811-03759
- **FILM NUMBER:** 251243467

**BUSINESS ADDRESS:**
- **STREET 1:** 245 SUMMER STREET
- **CITY:** BOSTON
- **STATE:** MA
- **ZIP:** 02210
- **BUSINESS PHONE:** 617-563-7000

**MAIL ADDRESS:**
- **STREET 1:** 245 SUMMER STREET
- **CITY:** BOSTON
- **STATE:** MA
- **ZIP:** 02210

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** FIDELITY ADVISOR SERIES VI
- **DATE OF NAME CHANGE:** 19930630

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** FIDELITY OLIVER STREET TRUST
- **DATE OF NAME CHANGE:** 19920703

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** TAX EXEMPT PORTFOLIOS
- **DATE OF NAME CHANGE:** 19911113

## Series and Classes Contracts Data

### Health Care Portfolio (Series ID: S000007742)

| Class ID   | Class Name      | Ticker Symbol   |
|:---|:---|:---|
| C000021062 | Initial Class   |  |
| C000021063 | Investor Class  |  |
| C000211329 | Service Class 2 |  |

## Form NPORT-P: Monthly Portfolio Investments Report

### NPORT-P: Part A: General Information

**Item A.1. Information about the Registrant.**

- **a. Name of Registrant:** Variable Insurance Products Fund IV

- **b. Investment Company Act file number:** 811-03759

- **c. CIK number of Registrant:** 0000720318

- **d. LEI of Registrant:** Q4ATLOQB94VR31F8C557

- **e. Address and telephone number of Registrant.**

  - **Street Address 1:** 245 Summer Street

  - **City:** Boston

  - **State:** MA

  - **Foreign country:** US

  - **Zip / Postal Code:** 02210

  - **Telephone number:** 1-800-FIDELITY

**Item A.2. Information about the Series.**

- **a. Name of Series:** VIP Health Care Portfolio

- **b. EDGAR series identifier (if any):** S000007742

- **c. LEI of Series:** D8C0WVZDJ1FKWJKVRR18

**Item A.3. Reporting period.**

- **a. Date of fiscal year-end:** 2025-12-31

- **b. Date as of which information is reported:** 2025-06-30

**Item A.4. Final filing**

Does the Fund anticipate that this will be its final filing on Form N-PORT? **No**

### Fund Information

**Total Assets:** $1008333208.33

**Total Liabilities:** $43941250.11

**Net Assets:** $964391958.22

**Cash Not Reported:** $50237.51

**Monthly Return Information**

| Class               | Month 1 Return (%)   | Month 2 Return (%)   | Month 3 Return (%)   |
|:---|:---|:---|:---|
| Class ID C000021062 | -1.26%               | -3.99%               | 2.63%                |
| Class ID C000021063 | -1.25%               | -4.01%               | 2.64%                |
| Class ID C000211329 | -1.28%               | -4.01%               | 2.60%                |

**Monthly Gains & Losses**

| Period   | Net Realized Gain/Loss   | Net Unrealized Appreciation/Depreciation   |
|:---|:---|:---|
| Month 1  | $16256724.23             | $-29485938.15                              |
| Month 2  | $-2095021.27             | $-37508899.42                              |
| Month 3  | $-228022.39              | $24731057.05                               |

### Schedule of Portfolio Investments

| Name                             | Title                                         | Identifiers                                   | Payoff Profile   | Asset Category   | Issuer Category   | Country   |   Balance | Units   | Value (USD)   | % of Net Assets   | Maturity Date   | Coupon Type   | Annualized Rate (%)   | Restricted?   |   Fair Value Level | Lending Status   |
|:---|:---|:---|:---|:---|:---|:---|---:|:---|:---|:---|:---|:---|:---|:---|---:|:---|
| SURGERY PARTNERS INC             | SURGERY PARTNERS INC                          | CUSIP: 86881A100<br>LEI: 549300LC82HG33S19I03 | Long             | EC               | CORP              | US        |    285000 | NS      | $6335550.00   | 0.66%             |  |  |  | No            |                  1 | On Loan: No      |
| INSIGHTEC LTD                    | INSIGHTEC LTD SER G PC PP                     | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | IL        |   1824838 | NS      | $1405125.26   | 0.15%             |  |  |  | Yes           |                  3 | On Loan: No      |
| UPSTREAM BIO INC                 | UPSTREAM BIO INC                              | CUSIP: 91678A107<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    169000 | NS      | $1855620.00   | 0.19%             |  |  |  | No            |                  1 | On Loan: No      |
| PENUMBRA INC                     | PENUMBRA INC                                  | CUSIP: 70975L107<br>LEI: 549300RGE06P3ECANU72 | Long             | EC               | CORP              | US        |    176000 | NS      | $45166880.00  | 4.68%             |  |  |  | No            |                  1 | On Loan: No      |
| IQVIA HOLDINGS INC               | IQVIA HOLDINGS INC                            | CUSIP: 46266C105<br>LEI: 549300W3R20NM4KQPH86 | Long             | EC               | CORP              | US        |     45000 | NS      | $7091550.00   | 0.74%             |  |  |  | No            |                  1 | On Loan: No      |
| ABBVIE INC                       | ABBVIE INC                                    | CUSIP: 00287Y109<br>LEI: FR5LCKFTG8054YNNRU85 | Long             | EC               | CORP              | US        |    100000 | NS      | $18562000.00  | 1.92%             |  |  |  | No            |                  1 | On Loan: No      |
| PRIVIA HEALTH GROUP INC          | PRIVIA HEALTH GROUP INC                       | CUSIP: 74276R102<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    500000 | NS      | $11500000.00  | 1.19%             |  |  |  | No            |                  1 | On Loan: No      |
| STRYKER CORP                     | STRYKER CORP                                  | CUSIP: 863667101<br>LEI: 5493002F0SC4JTBU5137 | Long             | EC               | CORP              | US        |     78500 | NS      | $31056955.00  | 3.22%             |  |  |  | No            |                  1 | On Loan: No      |
| CRINETICS PHARMACEUTICALS INC    | CRINETICS PHARMACEUTICALS INC                 | CUSIP: 22663K107<br>LEI: 549300Q1CNFXK5P31D28 | Long             | EC               | CORP              | US        |    208000 | NS      | $5982080.00   | 0.62%             |  |  |  | No            |                  1 | On Loan: No      |
| PHREESIA INC                     | PHREESIA INC                                  | CUSIP: 71944F106<br>LEI: 5493000HHF8NU4QOCG53 | Long             | EC               | CORP              | US        |    208000 | NS      | $5919680.00   | 0.61%             |  |  |  | No            |                  1 | On Loan: No      |
| IMMUNOCORE HOLDINGS PLC          | IMMUNOCORE HOLDINGS LTD ADR                   | CUSIP: 45258D105<br>LEI: 213800IUE3DFS84BVN18 | Long             | EC               | CORP              | GB        |     86000 | NS      | $2698680.00   | 0.28%             |  |  |  | No            |                  1 | On Loan: —       |
| KESTRA MEDICAL TECHNOLOGIES INC  | KESTRA MEDICAL TECHNOLOGIES INC               | CUSIP: N/A<br>LEI: N/A                        | Long             | EC               | CORP              | US        |     69000 | NS      | $1144020.00   | 0.12%             |  |  |  | No            |                  1 | On Loan: No      |
| ENDEAVOR BIOMEDICINES INC        | ENDEAVOR BIOMEDICINES INC SERIES C PC PP      | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |    208016 | NS      | $1017198.24   | 0.11%             |  |  |  | Yes           |                  3 | On Loan: No      |
| BRUKER CORP                      | BRUKER CORP                                   | CUSIP: 116794108<br>LEI: LEBZ6VLQ6I8XB1NHVY15 | Long             | EC               | CORP              | US        |     90000 | NS      | $3708000.00   | 0.38%             |  |  |  | No            |                  1 | On Loan: No      |
| CARGO THERAPEUTICS INC           | CARGO THERAPEUTICS INC                        | CUSIP: 14179K101<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    225000 | NS      | $927000.00    | 0.10%             |  |  |  | No            |                  1 | On Loan: —       |
| DISC MEDICINE INC                | DISC MEDICINE INC                             | CUSIP: 254604101<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     54200 | NS      | $2870432.00   | 0.30%             |  |  |  | No            |                  1 | On Loan: No      |
| ALIGNMENT HEALTHCARE INC         | ALIGNMENT HEALTHCARE INC                      | CUSIP: 01625V104<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    280000 | NS      | $3920000.00   | 0.41%             |  |  |  | No            |                  1 | On Loan: No      |
| ASIMOV INC                       | ASIMOV INC SER B PC PP                        | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |     13047 | NS      | $337004.01    | 0.03%             |  |  |  | Yes           |                  3 | On Loan: No      |
| GALVANIZE THERAPEUTICS           | GALVANIZE THERAPEUTICS CONV 6% 02/28/2027 P/P | CUSIP: N/A<br>LEI: N/A                        | Long             | DBT              | CORP              | US        |    494400 | PA      | $596988.00    | 0.06%             | 2027-02-28      | Fixed         | 0.06%                 | Yes           |                  3 | On Loan: No      |
| MERCK and CO INC                 | MERCK and CO INC NEW                          | CUSIP: 58933Y105<br>LEI: 4YV9Y5M8S0BRK1RP0397 | Long             | EC               | CORP              | US        |     92000 | NS      | $7282720.00   | 0.76%             |  |  |  | No            |                  1 | On Loan: No      |
| WUGEN INC                        | WUGEN INC SER B PC PP                         | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |     57585 | NS      | $46643.85     | 0.00%             |  |  |  | Yes           |                  3 | On Loan: No      |
| MOONLAKE IMMUNOTHERAPEUTICS      | MOONLAKE IMMUNOTHERAPEUTICS                   | CUSIP: 61559X104<br>LEI: N/A                  | Long             | EC               | CORP              | KY        |    110000 | NS      | $5192000.00   | 0.54%             |  |  |  | No            |                  1 | On Loan: —       |
| ORUKA THERAPEUTICS INC           | ORUKA THERAPEUTICS INC                        | CUSIP: 687604108<br>LEI: 529900TG7O4ESUDMGI54 | Long             | EC               | CORP              | US        |    159859 | NS      | $1792019.39   | 0.19%             |  |  |  | No            |                  1 | On Loan: No      |
| MANUS BIO INC                    | MANUS BIO INC SER ONE-6 PC PP                 | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |    132642 | NS      | $403231.68    | 0.04%             |  |  |  | Yes           |                  3 | On Loan: No      |
| CIGNA GROUP (THE)                | CIGNA GROUP (THE)                             | CUSIP: 125523100<br>LEI: 549300VIWYMSIGT1U456 | Long             | EC               | CORP              | US        |     35000 | NS      | $11570300.00  | 1.20%             |  |  |  | No            |                  1 | On Loan: No      |
| SCHOLAR ROCK HOLDING CORP        | SCHOLAR ROCK HOLDING CORP                     | CUSIP: 80706P103<br>LEI: 549300Z1FLPGL4OWJ459 | Long             | EC               | CORP              | US        |     21000 | NS      | $743820.00    | 0.08%             |  |  |  | No            |                  1 | On Loan: No      |
| LIFESTANCE HEALTH GROUP INC      | LIFESTANCE HEALTH GROUP INC                   | CUSIP: 53228F101<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    800000 | NS      | $4136000.00   | 0.43%             |  |  |  | No            |                  1 | On Loan: No      |
| 10X GENOMICS INC                 | 10X GENOMICS INC                              | CUSIP: 88025U109<br>LEI: 5493003Z6741WNLG7H43 | Long             | EC               | CORP              | US        |    228000 | NS      | $2640240.00   | 0.27%             |  |  |  | No            |                  1 | On Loan: No      |
| NURIX THERAPEUTICS INC           | NURIX THERAPEUTICS INC                        | CUSIP: 67080M103<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    250000 | NS      | $2847500.00   | 0.30%             |  |  |  | No            |                  1 | On Loan: No      |
| DMED BIOPHARMACEUTICAL CO LTD    | DMED BIOPHARMACEUTICAL CO LTD SER C PC PP     | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | CN        |     39228 | NS      | $314216.28    | 0.03%             |  |  |  | Yes           |                  3 | On Loan: No      |
| ARGENX SE                        | ARGENX SE SPONSORED ADR                       | CUSIP: 04016X101<br>LEI: 7245009C5FZE6G9ODQ71 | Long             | EC               | CORP              | NL        |     45000 | NS      | $24804900.00  | 2.57%             |  |  |  | No            |                  1 | On Loan: No      |
| ROYALTY PHARMA PLC               | ROYALTY PHARMA PLC                            | CUSIP: N/A<br>LEI: 549300FGFN7VOK8BZR03       | Long             | EC               | CORP              | GB        |    280000 | NS      | $10088400.00  | 1.05%             |  |  |  | No            |                  1 | On Loan: No      |
| ALEDADE INC                      | ALEDADE INC SER B1 PC PP                      | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |     24966 | NS      | $894282.12    | 0.09%             |  |  |  | Yes           |                  3 | On Loan: No      |
| CARTESIAN THERAPEUTICS INC       | CARTESIAN THERAPEUTICS INC                    | CUSIP: 816212302<br>LEI: 529900NMN0LACZOL7C43 | Long             | EC               | CORP              | US        |     56954 | NS      | $591752.06    | 0.06%             |  |  |  | No            |                  1 | On Loan: No      |
| GALVANIZE THERAPEUTICS           | GALVANIZE THERAPEUTICS SER B PC PERP PP       | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |    505495 | NS      | $161758.40    | 0.02%             |  |  |  | Yes           |                  3 | On Loan: No      |
| PERSPECTIVE THERAPEUTICS INC     | PERSPECTIVE THERAPEUTICS INC                  | CUSIP: 46489V302<br>LEI: 5493005LRKM6BCABC605 | Long             | EC               | CORP              | US        |    100000 | NS      | $344000.00    | 0.04%             |  |  |  | No            |                  1 | On Loan: No      |
| SALUDA MEDICAL INC               | SALUDA MEDICAL INC SER E PC PP                | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |    102160 | NS      | $521016.00    | 0.05%             |  |  |  | Yes           |                  3 | On Loan: No      |
| AVIDITY BIOSCIENCES INC          | AVIDITY BIOSCIENCES                           | CUSIP: 05370A108<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    100000 | NS      | $2840000.00   | 0.29%             |  |  |  | No            |                  1 | On Loan: No      |
| PROCEPT BIOROBOTICS CORP         | PROCEPT BIOROBOTICS CORP                      | CUSIP: 74276L105<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    112000 | NS      | $6451200.00   | 0.67%             |  |  |  | No            |                  1 | On Loan: —       |
| BIONTECH SE                      | BIONTECH SE ADR                               | CUSIP: 09075V102<br>LEI: 894500UZJ5LG1F8J1U58 | Long             | EC               | CORP              | DE        |     67000 | NS      | $7133490.00   | 0.74%             |  |  |  | No            |                  1 | On Loan: —       |
| MEDICAL MICROINSTRUMENTS INC     | MEDICAL MICROINSTRUMENTS INC SER C PC PP      | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |     47257 | NS      | $1581691.79   | 0.16%             |  |  |  | Yes           |                  3 | On Loan: No      |
| JANUX THERAPEUTICS INC           | JANUX THERAPEUTICS INC                        | CUSIP: 47103J105<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    111800 | NS      | $2582580.00   | 0.27%             |  |  |  | No            |                  1 | On Loan: No      |
| EVOLENT HEALTH INC               | EVOLENT HEALTH INC A                          | CUSIP: 30050B101<br>LEI: 549300CZOCFHQ2BBTR11 | Long             | EC               | CORP              | US        |    149932 | NS      | $1688234.32   | 0.18%             |  |  |  | No            |                  1 | On Loan: No      |
| ENLIVEN THERAPEUTICS INC         | ENLIVEN THERAPEUTICS INC                      | CUSIP: 29337E102<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    190000 | NS      | $3811400.00   | 0.40%             |  |  |  | No            |                  1 | On Loan: —       |
| WAYSTAR HOLDING CORP             | WAYSTAR HOLDING CORP                          | CUSIP: 946784105<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     42000 | NS      | $1716540.00   | 0.18%             |  |  |  | No            |                  1 | On Loan: No      |
| VERACYTE INC                     | VERACYTE INC                                  | CUSIP: 92337F107<br>LEI: 529900ESWZRHXOW27Z37 | Long             | EC               | CORP              | US        |    250000 | NS      | $6757500.00   | 0.70%             |  |  |  | No            |                  1 | On Loan: No      |
| REVOLUTION MEDICINES INC         | REVOLUTION MEDICINES INC                      | CUSIP: 76155X100<br>LEI: 549300JU3X0LBCQ65892 | Long             | EC               | CORP              | US        |     60000 | NS      | $2207400.00   | 0.23%             |  |  |  | No            |                  1 | On Loan: No      |
| HEARTFLOW INC                    | HEARTFLOW INC CONV 0% PERP P/P                | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |   1536300 | PA      | $1605740.76   | 0.17%             |  |  |  | Yes           |                  3 | On Loan: No      |
| OMADA HEALTH INC                 | OMADA HEALTH INC (180 DAY LOCK-UP)            | CUSIP: N/A<br>LEI: N/A                        | Long             | EC               | CORP              | US        |     93830 | NS      | $1717089.00   | 0.18%             |  |  |  | Yes           |                  1 | On Loan: No      |
| ELEMENT BIOSCIENCES INC          | ELEMENT BIOSCIENCES INC SER C PC PP           | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |     72178 | NS      | $588250.70    | 0.06%             |  |  |  | Yes           |                  3 | On Loan: No      |
| ELEMENT BIOSCIENCES INC          | ELEMENT BIOSCIENCES INC SER D1 PC PP          | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |     73131 | NS      | $426353.73    | 0.04%             |  |  |  | Yes           |                  3 | On Loan: No      |
| VAXCYTE INC                      | VAXCYTE INC                                   | CUSIP: 92243G108<br>LEI: 254900M7NMHTGASX8D95 | Long             | EC               | CORP              | US        |    185000 | NS      | $6014350.00   | 0.62%             |  |  |  | No            |                  1 | On Loan: No      |
| VIRIDIAN THERAPEUTICS INC        | VIRIDIAN THERAPEUTICS INC                     | CUSIP: 92790C104<br>LEI: 549300C775BNYF550E70 | Long             | EC               | CORP              | US        |    401465 | NS      | $5612480.70   | 0.58%             |  |  |  | No            |                  1 | On Loan: No      |
| SOLENO THERAPEUTICS INC          | SOLENO THERAPEUTICS INC                       | CUSIP: 834203309<br>LEI: 5493003LCY77N7FXK844 | Long             | EC               | CORP              | US        |     81500 | NS      | $6828070.00   | 0.71%             |  |  |  | No            |                  1 | On Loan: No      |
| SPYRE THERAPEUTICS INC           | SPYRE THERAPEUTICS INC                        | CUSIP: 00773J202<br>LEI: 52990017AIJPRH3HQH40 | Long             | EC               | CORP              | US        |     93300 | NS      | $1396701.00   | 0.14%             |  |  |  | No            |                  1 | On Loan: —       |
| OUTSET MEDICAL INC               | OUTSET MEDICAL INC                            | CUSIP: 690145206<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    210000 | NS      | $4034100.00   | 0.42%             |  |  |  | No            |                  1 | On Loan: No      |
| REZOLUTE INC                     | REZOLUTE INC                                  | CUSIP: 76200L309<br>LEI: 549300T05L48T72P2G08 | Long             | EC               | CORP              | US        |    450000 | NS      | $2007000.00   | 0.21%             |  |  |  | No            |                  1 | On Loan: No      |
| BOSTON SCIENTIFIC CORP           | BOSTON SCIENTIFIC CORP                        | CUSIP: 101137107<br>LEI: Y6ZDD9FP4P8JSSJMW954 | Long             | EC               | CORP              | US        |    785000 | NS      | $84316850.00  | 8.74%             |  |  |  | No            |                  1 | On Loan: No      |
| ELI LILLY and CO                 | ELI LILLY and CO                              | CUSIP: 532457108<br>LEI: FRDRIPF3EKNDJ2CQJL29 | Long             | EC               | CORP              | US        |     61000 | NS      | $47551330.00  | 4.93%             |  |  |  | No            |                  1 | On Loan: No      |
| ALEDADE INC                      | ALEDADE INC SER E1 PC PP                      | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |     10776 | NS      | $385996.32    | 0.04%             |  |  |  | Yes           |                  3 | On Loan: No      |
| STRUCTURE THERAPEUTICS INC       | STRUCTURE THERAPEUTICS INC ADR                | CUSIP: 86366E106<br>LEI: N/A                  | Long             | EC               | CORP              | KY        |    140000 | NS      | $2903600.00   | 0.30%             |  |  |  | No            |                  1 | On Loan: —       |
| SUMMIT THERAPEUTICS INC          | SUMMIT THERAPEUTICS INC                       | CUSIP: 86627T108<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     90000 | NS      | $1915200.00   | 0.20%             |  |  |  | No            |                  1 | On Loan: —       |
| OMADA HEALTH INC                 | OMADA HEALTH INC                              | CUSIP: 68170A108<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     40000 | NS      | $732000.00    | 0.08%             |  |  |  | No            |                  1 | On Loan: —       |
| ANNEXON INC                      | ANNEXON INC                                   | CUSIP: 03589W102<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    200000 | NS      | $480000.00    | 0.05%             |  |  |  | No            |                  1 | On Loan: —       |
| JADE BIOSCIENCES INC             | JADE BIOSCIENCES INC                          | CUSIP: 008064206<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     60000 | NS      | $599400.00    | 0.06%             |  |  |  | No            |                  1 | On Loan: No      |
| INTUITIVE SURGICAL INC           | INTUITIVE SURGICAL INC                        | CUSIP: 46120E602<br>LEI: 54930052SRG011710797 | Long             | EC               | CORP              | US        |     15000 | NS      | $8151150.00   | 0.85%             |  |  |  | No            |                  1 | On Loan: No      |
| SALUDA MEDICAL INC               | SALUDA MEDICAL INC SER E-1 PC PP              | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |     61557 | NS      | $512154.24    | 0.05%             |  |  |  | Yes           |                  3 | On Loan: No      |
| AGILON HEALTH INC                | AGILON HEALTH INC                             | CUSIP: 00857U107<br>LEI: N/A                  | Long             | EC               | CORP              | US        |   2100000 | NS      | $4830000.00   | 0.50%             |  |  |  | No            |                  1 | On Loan: No      |
| CYTOKINETICS INC                 | CYTOKINETICS INC                              | CUSIP: 23282W605<br>LEI: 549300BE5DY1HW7IHA64 | Long             | EC               | CORP              | US        |    128000 | NS      | $4229120.00   | 0.44%             |  |  |  | No            |                  1 | On Loan: —       |
| CARIS LIFE SCIENCES INC          | CARIS LIFE SCIENCES INC (180 DAY LOCK-UP)     | CUSIP: N/A<br>LEI: 549300LX5LO78M5VPY43       | Long             | EC               | CORP              | US        |    234235 | NS      | $6258759.20   | 0.65%             |  |  |  | Yes           |                  1 | On Loan: No      |
| TENET HEALTHCARE CORP            | TENET HEALTHCARE CORP                         | CUSIP: 88033G407<br>LEI: 0W9AIBT6U6ADJ2I8HK17 | Long             | EC               | CORP              | US        |      8000 | NS      | $1408000.00   | 0.15%             |  |  |  | No            |                  1 | On Loan: No      |
| Fidelity Revere Street Trust     | Fidelity Cash Central Fund                    | CUSIP: 31635A105<br>LEI: 549300BDV45LJNXBZC55 | Long             | STIV             | RF                | US        |   6574618 | NS      | $6575932.79   | 0.68%             |  |  |  | No            |                  1 | On Loan: No      |
| AKERO THERAPEUTICS INC           | AKERO THERAPEUTICS INC                        | CUSIP: 00973Y108<br>LEI: 549300SI3KG74LBE2955 | Long             | EC               | CORP              | US        |     42500 | NS      | $2267800.00   | 0.24%             |  |  |  | No            |                  1 | On Loan: —       |
| ASCENDIS PHARMA A/S              | ASCENDIS PHARMA AS SPON ADR                   | CUSIP: 04351P101<br>LEI: 549300B66JN3W3J8GH73 | Long             | EC               | CORP              | DK        |    110000 | NS      | $18986000.00  | 1.97%             |  |  |  | No            |                  1 | On Loan: No      |
| LEGEND BIOTECH CORP              | LEGEND BIOTECH CORP SPON ADR                  | CUSIP: 52490G102<br>LEI: 254900EIUFZTW136H859 | Long             | EC               | CORP              | KY        |    600000 | NS      | $21294000.00  | 2.21%             |  |  |  | No            |                  1 | On Loan: —       |
| ASTRANA HEALTH INC               | ASTRANA HEALTH INC                            | CUSIP: 03763A207<br>LEI: 5493008O4R82Q4STJ936 | Long             | EC               | CORP              | US        |     90000 | NS      | $2239200.00   | 0.23%             |  |  |  | No            |                  1 | On Loan: —       |
| CLEERLY INC                      | CLEERLY INC SER C PC PP                       | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |    179891 | NS      | $2020175.93   | 0.21%             |  |  |  | Yes           |                  3 | On Loan: No      |
| ELEMENT BIOSCIENCES INC          | ELEMENT BIOSCIENCES INC SER D PC PP           | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |     73131 | NS      | $426353.73    | 0.04%             |  |  |  | Yes           |                  3 | On Loan: No      |
| METSERA INC                      | METSERA INC                                   | CUSIP: 59267L107<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     75000 | NS      | $2133750.00   | 0.22%             |  |  |  | No            |                  1 | On Loan: —       |
| MOLINA HEALTHCARE INC            | MOLINA HEALTHCARE INC                         | CUSIP: 60855R100<br>LEI: 549300NQQCEQ46YHZ591 | Long             | EC               | CORP              | US        |     57400 | NS      | $17099460.00  | 1.77%             |  |  |  | No            |                  1 | On Loan: No      |
| SALUDA MEDICAL INC               | SALUDA MEDICAL INC CONV 0% PERP P/P           | CUSIP: N/A<br>LEI: N/A                        | Long             | DBT              | CORP              | US        |    497000 | PA      | $553260.40    | 0.06%             | 2199-12-31      | Fixed         | 0.00%                 | Yes           |                  3 | On Loan: No      |
| DANAHER CORP                     | DANAHER CORP                                  | CUSIP: 235851102<br>LEI: S4BKK9OTCEWQ3YHPFM11 | Long             | EC               | CORP              | US        |    280000 | NS      | $55311200.00  | 5.74%             |  |  |  | No            |                  1 | On Loan: No      |
| GLAUKOS CORP                     | GLAUKOS CORP                                  | CUSIP: 377322102<br>LEI: 5299004JA1LHE21M6T14 | Long             | EC               | CORP              | US        |     86000 | NS      | $8882940.00   | 0.92%             |  |  |  | No            |                  1 | On Loan: —       |
| ACUMEN PHARMACEUTICALS INC       | ACUMEN PHARMACEUTICALS INC                    | CUSIP: 00509G209<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    180000 | NS      | $208800.00    | 0.02%             |  |  |  | No            |                  1 | On Loan: No      |
| PHARVARIS BV                     | PHARVARIS BV                                  | CUSIP: N/A<br>LEI: 9845003BE146D3B75D32       | Long             | EC               | CORP              | NL        |    109600 | NS      | $1928960.00   | 0.20%             |  |  |  | No            |                  1 | On Loan: No      |
| CANDID THERAPEUTICS              | CANDID THERAPEUTICS INC SER B PC PP           | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |    491360 | NS      | $486446.40    | 0.05%             |  |  |  | Yes           |                  3 | On Loan: No      |
| EXACT SCIENCES CORP              | EXACT SCIENCES CORP                           | CUSIP: 30063P105<br>LEI: 549300VM3X1FYD4N9Z14 | Long             | EC               | CORP              | US        |    500000 | NS      | $26570000.00  | 2.76%             |  |  |  | No            |                  1 | On Loan: No      |
| ARCELLX INC                      | ARCELLX INC                                   | CUSIP: 03940C100<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     75000 | NS      | $4938750.00   | 0.51%             |  |  |  | No            |                  1 | On Loan: —       |
| STOKE THERAPEUTICS INC           | STOKE THERAPEUTICS INC                        | CUSIP: 86150R107<br>LEI: 549300RD25SS2DIJHJ67 | Long             | EC               | CORP              | US        |    160000 | NS      | $1816000.00   | 0.19%             |  |  |  | No            |                  1 | On Loan: No      |
| DAY ONE BIOPHARMACEUTICALS INC   | DAY ONE BIOPHARMACEUTICALS INC                | CUSIP: 23954D109<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    150000 | NS      | $975000.00    | 0.10%             |  |  |  | No            |                  1 | On Loan: No      |
| UCB SA                           | UCB SA                                        | CUSIP: N/A<br>LEI: 2138008J191VLSGY5A09       | Long             | EC               | CORP              | BE        |     85000 | NS      | $16715993.91  | 1.73%             |  |  |  | No            |                  1 | On Loan: No      |
| BEONE MEDICINES LTD              | BEONE MEDICINES LTD ADR                       | CUSIP: 07725L102<br>LEI: 549300JFUK6FRD5MH739 | Long             | EC               | CORP              | CH        |     16000 | NS      | $3873120.00   | 0.40%             |  |  |  | No            |                  1 | On Loan: No      |
| RHYTHM PHARMACEUTICALS INC       | RHYTHM PHARMACEUTICALS INC                    | CUSIP: 76243J105<br>LEI: 529900JPNWXQ8DPLA551 | Long             | EC               | CORP              | US        |     15000 | NS      | $947850.00    | 0.10%             |  |  |  | No            |                  1 | On Loan: No      |
| RAPPORT THERAPEUTICS INC         | RAPPORT THERAPEUTICS INC                      | CUSIP: 75383L102<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     39900 | NS      | $453663.00    | 0.05%             |  |  |  | No            |                  1 | On Loan: —       |
| ALNYLAM PHARMACEUTICALS INC      | ALNYLAM PHARMACEUTICALS INC                   | CUSIP: 02043Q107<br>LEI: 529900S3ZI14OWRJII50 | Long             | EC               | CORP              | US        |    100000 | NS      | $32609000.00  | 3.38%             |  |  |  | No            |                  1 | On Loan: No      |
| CVS HEALTH CORP                  | CVS HEALTH CORP                               | CUSIP: 126650100<br>LEI: 549300EJG376EN5NQE29 | Long             | EC               | CORP              | US        |    510000 | NS      | $35179800.00  | 3.65%             |  |  |  | No            |                  1 | On Loan: No      |
| Fidelity Revere Street Trust     | Fidelity Securities Lending Cash Central Fund | CUSIP: 31635A303<br>LEI: 549300BDV45LJNXBZC55 | Long             | STIV             | RF                | US        |  43343221 | NS      | $43347555.33  | 4.49%             |  |  |  | No            |                  1 | On Loan: No      |
| IMMUNOVANT INC                   | IMMUNOVANT INC                                | CUSIP: 45258J102<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    129095 | NS      | $2065520.00   | 0.21%             |  |  |  | No            |                  1 | On Loan: No      |
| KARDIUM INC/CA                   | KARDIUM INC CONV 10% 12/31/2026 PP            | CUSIP: N/A<br>LEI: 549300YO4UGSBRMWPN13       | Long             | EP               | CORP              | CA        |   2009524 | PA      | $2587664.39   | 0.27%             |  |  |  | Yes           |                  3 | On Loan: No      |
| VEEVA SYS INC                    | VEEVA SYS INC CL A                            | CUSIP: 922475108<br>LEI: 549300YZEXPDB92M2F02 | Long             | EC               | CORP              | US        |     78500 | NS      | $22606430.00  | 2.34%             |  |  |  | No            |                  1 | On Loan: No      |
| XENON PHARMACEUTICALS INC        | XENON PHARMACEUTICALS INC                     | CUSIP: 98420N105<br>LEI: 549300XV44Q9Z1MIPQ03 | Long             | EC               | CORP              | CA        |    208000 | NS      | $6510400.00   | 0.68%             |  |  |  | No            |                  1 | On Loan: No      |
| CENTENE CORP DEL                 | CENTENE CORP                                  | CUSIP: 15135B101<br>LEI: 549300Z7JJ4TQSQGT333 | Long             | EC               | CORP              | US        |     28000 | NS      | $1519840.00   | 0.16%             |  |  |  | No            |                  1 | On Loan: No      |
| WUGEN INC                        | WUGEN INC CONV 10% 12/31/2199 P/P             | CUSIP: N/A<br>LEI: N/A                        | Long             | DBT              | CORP              | US        |    353945 | PA      | $389658.05    | 0.04%             | 2199-12-31      | Fixed         | 0.10%                 | Yes           |                  3 | On Loan: No      |
| COGENT BIOSCIENCES INC           | COGENT BIOSCIENCES INC                        | CUSIP: 19240Q201<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    520000 | NS      | $3733600.00   | 0.39%             |  |  |  | No            |                  1 | On Loan: —       |
| CG ONCOLOGY INC                  | CG ONCOLOGY INC                               | CUSIP: 156944100<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    118000 | NS      | $3068000.00   | 0.32%             |  |  |  | No            |                  1 | On Loan: —       |
| BRIGHTSPRING HEALTH SERVICES INC | BRIGHTSPRING HEALTH SERVICES INC              | CUSIP: 10950A106<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    560000 | NS      | $13210400.00  | 1.37%             |  |  |  | No            |                  1 | On Loan: No      |
| INSMED INC                       | INSMED INC                                    | CUSIP: 457669307<br>LEI: 529900Q55QAG41CCAC11 | Long             | EC               | CORP              | US        |     46000 | NS      | $4629440.00   | 0.48%             |  |  |  | No            |                  1 | On Loan: No      |
| MEDICAL MICROINSTRUMENTS INC     | MEDICAL MICROINSTRUMENTS INC WT 02/16/2031 PP | CUSIP: N/A<br>LEI: N/A                        | Long             | EC               | CORP              | US        |      2363 | NS      | $28686.82     | 0.00%             |  |  |  | Yes           |                  3 | On Loan: No      |
| INSPIRE MEDICAL SYSTEMS INC      | INSPIRE MEDICAL SYSTEMS INC                   | CUSIP: 457730109<br>LEI: 549300XQQCQ7HCJKTW25 | Long             | EC               | CORP              | US        |     85000 | NS      | $11030450.00  | 1.14%             |  |  |  | No            |                  1 | On Loan: —       |
| GILEAD SCIENCES INC              | GILEAD SCIENCES INC                           | CUSIP: 375558103<br>LEI: 549300WTZWR07K8MNV44 | Long             | EC               | CORP              | US        |    186000 | NS      | $20621820.00  | 2.14%             |  |  |  | No            |                  1 | On Loan: No      |
| UNITEDHEALTH GROUP INC           | UNITEDHEALTH GROUP INC                        | CUSIP: 91324P102<br>LEI: 549300GHBMY8T5GXDE41 | Long             | EC               | CORP              | US        |    160000 | NS      | $49915200.00  | 5.18%             |  |  |  | No            |                  1 | On Loan: No      |
| VIKING THERAPEUTICS INC          | VIKING THERAPEUTICS INC                       | CUSIP: 92686J106<br>LEI: 529900IVC72YPFA25M37 | Long             | EC               | CORP              | US        |    215000 | NS      | $5697500.00   | 0.59%             |  |  |  | No            |                  1 | On Loan: —       |
| APOGEE THERAPEUTICS INC          | APOGEE THERAPEUTICS INC                       | CUSIP: 03770N101<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     10177 | NS      | $441987.11    | 0.05%             |  |  |  | No            |                  1 | On Loan: No      |
| REPLIGEN CORP                    | REPLIGEN                                      | CUSIP: 759916109<br>LEI: 54930006QJ0T5AUO1E71 | Long             | EC               | CORP              | US        |     35000 | NS      | $4353300.00   | 0.45%             |  |  |  | No            |                  1 | On Loan: No      |
| MERUS NV                         | MERUS B.V.                                    | CUSIP: N/A<br>LEI: 549300W8GPUWU8QNU293       | Long             | EC               | CORP              | NL        |    208000 | NS      | $10940800.00  | 1.13%             |  |  |  | No            |                  1 | On Loan: —       |
| INSULET CORP                     | INSULET CORP                                  | CUSIP: 45784P101<br>LEI: 549300TZTYD2PYN92D43 | Long             | EC               | CORP              | US        |    100000 | NS      | $31418000.00  | 3.26%             |  |  |  | No            |                  1 | On Loan: No      |
| KARDIUM INC/CA                   | KARDIUM INC SRE D-7 PC PP                     | CUSIP: N/A<br>LEI: 549300YO4UGSBRMWPN13       | Long             | EP               | CORP              | CA        |    111115 | NS      | $64446.70     | 0.01%             |  |  |  | Yes           |                  3 | On Loan: No      |
| ELEVATEBIO, LLC                  | ELEVATEBIO LLC SER C PC PP                    | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |     31200 | NS      | $61464.00     | 0.01%             |  |  |  | Yes           |                  3 | On Loan: No      |
| MASIMO CORP                      | MASIMO CORP                                   | CUSIP: 574795100<br>LEI: 549300Q4A8JK0PIYCU29 | Long             | EC               | CORP              | US        |    228000 | NS      | $38354160.00  | 3.98%             |  |  |  | No            |                  1 | On Loan: No      |
| NUVALENT INC                     | NUVALENT INC-A                                | CUSIP: 670703107<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    112000 | NS      | $8545600.00   | 0.89%             |  |  |  | No            |                  1 | On Loan: No      |
| CONTINEUM THERAPEUTICS INC       | CONTINEUM THERAPEUTICS INC CL A               | CUSIP: 21217B100<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     80000 | NS      | $317600.00    | 0.03%             |  |  |  | No            |                  1 | On Loan: No      |

### Signature

**Date Signed:** 2025-07-30

**Name of Applicant:** Stacie M. Smith

**Signature:** Stacie M. Smith

**Name of Signer:** Stacie M. Smith

**Title:** President and Treasurer