# EDGAR Filing Document

**Accession Number:** 0000720318
**File Stem:** 0001752724-23-034957
**Filing Date:** 2023-2
**Character Count:** 40549
**Document Hash:** c9e033a1d5dbdc742d5f52d36c5be23f
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001752724-23-034957.hdr.sgml**: 20230223

**ACCESSION NUMBER**: 0001752724-23-034957

**CONFORMED SUBMISSION TYPE**: NPORT-P

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20221231

**FILED AS OF DATE**: 20230223

**DATE AS OF CHANGE**: 20230223

**PERIOD START**: 20221231

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** VARIABLE INSURANCE PRODUCTS FUND IV
- **CENTRAL INDEX KEY:** 0000720318
- **IRS NUMBER:** 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:** 23657024

**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:** 2022-12-31

- **b. Date as of which information is reported:** 2022-12-31

**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:** $1246879000.37

**Total Liabilities:** $53871249.99

**Net Assets:** $1193007750.38

**Cash Not Reported:** $33326.10

**Monthly Return Information**

| Class               | Month 1 Return (%)   | Month 2 Return (%)   | Month 3 Return (%)   |
|:---|:---|:---|:---|
| Class ID C000021062 | 5.01%                | 3.85%                | -2.52%               |
| Class ID C000021063 | 5.00%                | 3.83%                | -2.55%               |
| Class ID C000211329 | 5.01%                | 3.81%                | -2.54%               |

**Monthly Gains & Losses**

| Period   | Net Realized Gain/Loss   | Net Unrealized Appreciation/Depreciation   |
|:---|:---|:---|
| Month 1  | $-4149424.72             | $61098972.74                               |
| Month 2  | $-2664842.07             | $47863513.96                               |
| Month 3  | $-531720.98              | $-30562288.34                              |

### 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        |    501384 | NS      | $13968558.24  | 1.17%             |  |  |  | No            |                  1 | On Loan: No      |
| THERMO FISHER SCIENTIFIC INC      | THERMO FISHER SCIENTIFIC INC                  | CUSIP: 883556102<br>LEI: HCHV7422L5HDJZCRFL38 | Long             | EC               | CORP              | US        |    118000 | NS      | $64981420.00  | 5.45%             |  |  |  | No            |                  1 | On Loan: No      |
| PENUMBRA INC                      | PENUMBRA INC                                  | CUSIP: 70975L107<br>LEI: 549300RGE06P3ECANU72 | Long             | EC               | CORP              | US        |    200000 | NS      | $44492000.00  | 3.73%             |  |  |  | No            |                  1 | On Loan: No      |
| MORPHIC HOLDING INC               | MORPHIC HOLDING INC                           | CUSIP: 61775R105<br>LEI: 549300RWWOUFLHTY1224 | Long             | EC               | CORP              | US        |     47500 | NS      | $1270625.00   | 0.11%             |  |  |  | No            |                  1 | On Loan: No      |
| IQVIA HOLDINGS INC                | IQVIA HOLDINGS INC                            | CUSIP: 46266C105<br>LEI: 549300W3R20NM4KQPH86 | Long             | EC               | CORP              | US        |     76500 | NS      | $15674085.00  | 1.31%             |  |  |  | No            |                  1 | On Loan: No      |
| OAK STREET HEALTH INC             | OAK STREET HEALTH INC                         | CUSIP: 67181A107<br>LEI: 2549007CJE6GSEURLA30 | Long             | EC               | CORP              | US        |    925400 | NS      | $19905354.00  | 1.67%             |  |  |  | No            |                  1 | On Loan: —       |
| LONZA GROUP AG                    | LONZA GROUP AG                                | CUSIP: N/A<br>LEI: 549300EFW4H2TCZ71055       | Long             | EC               | CORP              | CH        |     14000 | NS      | $6872256.32   | 0.58%             |  |  |  | No            |                  2 | On Loan: No      |
| BLUEPRINT MEDICINES CORP          | BLUEPRINT MEDICINES CORP                      | CUSIP: 09627Y109<br>LEI: 5299004CC60O9T5HVM83 | Long             | EC               | CORP              | US        |    140000 | NS      | $6133400.00   | 0.51%             |  |  |  | No            |                  1 | On Loan: No      |
| ZAI LAB LTD                       | ZAI LAB LTD                                   | CUSIP: N/A<br>LEI: 549300P2UYQ9U5LY1T58       | Long             | EC               | CORP              | KY        |    800000 | NS      | $2476204.87   | 0.21%             |  |  |  | No            |                  2 | On Loan: No      |
| ADC THERAPEUTICS SA               | ADC THERAPEUTICS SA                           | CUSIP: N/A<br>LEI: N/A                        | Long             | EC               | CORP              | CH        |    150000 | NS      | $576000.00    | 0.05%             |  |  |  | No            |                  1 | On Loan: —       |
| STRYKER CORP                      | STRYKER CORP                                  | CUSIP: 863667101<br>LEI: 5493002F0SC4JTBU5137 | Long             | EC               | CORP              | US        |     57000 | NS      | $13935930.00  | 1.17%             |  |  |  | No            |                  1 | On Loan: No      |
| XENCOR INC                        | XENCOR INC                                    | CUSIP: 98401F105<br>LEI: 549300V5IF65437JKG30 | Long             | EC               | CORP              | US        |    210000 | NS      | $5468400.00   | 0.46%             |  |  |  | No            |                  1 | On Loan: No      |
| RESMED INC                        | RESMED INC                                    | CUSIP: 761152107<br>LEI: 529900T3QE5253CCXF22 | Long             | EC               | CORP              | US        |     82500 | NS      | $17170725.00  | 1.44%             |  |  |  | No            |                  1 | On Loan: No      |
| SAREPTA THERAPEUTICS INC          | SAREPTA THERAPEUTICS INC                      | CUSIP: 803607100<br>LEI: 549300IKDPIED8J8IG21 | Long             | EC               | CORP              | US        |    100000 | NS      | $12958000.00  | 1.09%             |  |  |  | No            |                  1 | On Loan: —       |
| THESEUS PHARMACEUTICALS INC       | THESEUS PHARMACEUTICALS INC                   | CUSIP: 88369M101<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     37400 | NS      | $186252.00    | 0.02%             |  |  |  | No            |                  1 | On Loan: No      |
| PHREESIA INC                      | PHREESIA INC                                  | CUSIP: 71944F106<br>LEI: 5493000HHF8NU4QOCG53 | Long             | EC               | CORP              | US        |    169000 | NS      | $5468840.00   | 0.46%             |  |  |  | No            |                  1 | On Loan: No      |
| CARIS LIFE SCIENCES INC           | CARIS LIFE SCIENCES INC PP                    | CUSIP: N/A<br>LEI: N/A                        | Long             | EC               | CORP              | US        |    254430 | NS      | $1424808.00   | 0.12%             |  |  |  | Yes           |                  3 | On Loan: No      |
| REGENERON PHARMACEUTICALS INC     | REGENERON PHARMACEUTICALS INC                 | CUSIP: 75886F107<br>LEI: 549300RCBFWIRX3HYQ56 | Long             | EC               | CORP              | US        |     46000 | NS      | $33188540.00  | 2.78%             |  |  |  | No            |                  1 | On Loan: No      |
| HCA HEALTHCARE INC                | HCA HEALTHCARE INC                            | CUSIP: 40412C101<br>LEI: 529900PH4ZGUH2MNEU89 | Long             | EC               | CORP              | US        |     25000 | NS      | $5999000.00   | 0.50%             |  |  |  | No            |                  1 | On Loan: No      |
| BRUKER CORP                       | BRUKER CORP                                   | CUSIP: 116794108<br>LEI: LEBZ6VLQ6I8XB1NHVY15 | Long             | EC               | CORP              | US        |    185000 | NS      | $12644750.00  | 1.06%             |  |  |  | No            |                  1 | On Loan: No      |
| ZENTALIS PHARMACEUTICALS INC      | ZENTALIS PHARMACEUTICALS LLC                  | CUSIP: 98943L107<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    175000 | NS      | $3524500.00   | 0.30%             |  |  |  | No            |                  1 | On Loan: —       |
| ALIGNMENT HEALTHCARE INC          | ALIGNMENT HEALTHCARE INC                      | CUSIP: 01625V104<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    462911 | NS      | $5443833.36   | 0.46%             |  |  |  | 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      | $698014.50    | 0.06%             |  |  |  | Yes           |                  3 | On Loan: No      |
| VERVE THERAPEUTICS INC            | VERVE THERAPEUTICS INC                        | CUSIP: 92539P101<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     34000 | NS      | $657900.00    | 0.06%             |  |  |  | No            |                  1 | On Loan: —       |
| ROCHE HOLDING AG                  | ROCHE HOLDINGS AG (GENUSSCHEINE)              | CUSIP: N/A<br>LEI: 549300U41AUUVOAAOB37       | Long             | EC               | CORP              | CH        |     38000 | NS      | $11941027.11  | 1.00%             |  |  |  | No            |                  2 | On Loan: No      |
| BIOGEN INC                        | BIOGEN INC                                    | CUSIP: 09062X103<br>LEI: W8J5WZB5IY3K0NDQT671 | Long             | EC               | CORP              | US        |      7000 | NS      | $1938440.00   | 0.16%             |  |  |  | No            |                  1 | On Loan: No      |
| ARVINAS INC                       | ARVINAS INC                                   | CUSIP: 04335A105<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     70000 | NS      | $2394700.00   | 0.20%             |  |  |  | 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      | $300593.70    | 0.03%             |  |  |  | Yes           |                  3 | On Loan: No      |
| OLINK HOLDING AB                  | OLINK HOLDING AB ADR                          | CUSIP: 680710100<br>LEI: 8945004Z7ZHV3LML4J27 | Long             | EC               | CORP              | SE        |    150600 | NS      | $3822228.00   | 0.32%             |  |  |  | No            |                  1 | On Loan: No      |
| CIGNA CORP                        | CIGNA CORP                                    | CUSIP: 125523100<br>LEI: 549300VIWYMSIGT1U456 | Long             | EC               | CORP              | US        |    152500 | NS      | $50529350.00  | 4.24%             |  |  |  | No            |                  1 | On Loan: No      |
| SCHOLAR ROCK HOLDING CORP         | SCHOLAR ROCK HOLDING CORP                     | CUSIP: 80706P103<br>LEI: 549300Z1FLPGL4OWJ459 | Long             | EC               | CORP              | US        |     24795 | NS      | $224394.75    | 0.02%             |  |  |  | No            |                  1 | On Loan: No      |
| CARIS LIFE SCIENCES INC           | CARIS LIFE SCIENCES INC SER D PC PP           | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |    398133 | NS      | $2229544.80   | 0.19%             |  |  |  | Yes           |                  3 | On Loan: No      |
| LIFESTANCE HEALTH GROUP INC       | LIFESTANCE HEALTH GROUP INC                   | CUSIP: 53228F101<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    580360 | NS      | $2866978.40   | 0.24%             |  |  |  | No            |                  1 | On Loan: No      |
| 10X GENOMICS INC                  | 10X GENOMICS INC                              | CUSIP: 88025U109<br>LEI: 5493003Z6741WNLG7H43 | Long             | EC               | CORP              | US        |     60000 | NS      | $2186400.00   | 0.18%             |  |  |  | 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        |     45182 | NS      | $405282.54    | 0.03%             |  |  |  | Yes           |                  3 | On Loan: No      |
| KEROS THERAPEUTICS INC            | KEROS THERAPEUTICS                            | CUSIP: 492327101<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     60000 | NS      | $2881200.00   | 0.24%             |  |  |  | No            |                  1 | On Loan: No      |
| ARGENX SE                         | ARGENX SE SPONSORED ADR                       | CUSIP: 04016X101<br>LEI: 7245009C5FZE6G9ODQ71 | Long             | EC               | CORP              | NL        |     69000 | NS      | $26139270.00  | 2.19%             |  |  |  | No            |                  1 | On Loan: No      |
| ROYALTY PHARMA PLC                | ROYALTY PHARMA PLC                            | CUSIP: N/A<br>LEI: 549300FGFN7VOK8BZR03       | Long             | EC               | CORP              | GB        |    750200 | NS      | $29647904.00  | 2.49%             |  |  |  | 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      | $1199116.98   | 0.10%             |  |  |  | Yes           |                  3 | On Loan: No      |
| GENERATION BIO CO                 | GENERATION BIO                                | CUSIP: 37148K100<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     63300 | NS      | $248769.00    | 0.02%             |  |  |  | No            |                  1 | On Loan: No      |
| CEREVEL THERAPEUTICS HOLDINGS INC | CEREVEL THERAPEUTICS HOLDINGS INC             | CUSIP: 15678U128<br>LEI: 254900RJNIRS9COSQR41 | Long             | EC               | CORP              | US        |    191433 | NS      | $6037796.82   | 0.51%             |  |  |  | No            |                  1 | On Loan: No      |
| INSTIL BIO INC                    | INSTIL BIO INC                                | CUSIP: 45783C101<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     46400 | NS      | $29232.00     | 0.00%             |  |  |  | No            |                  1 | On Loan: No      |
| CENTURY THERAPEUTICS INC          | CENTURY THERAPEUTICS INC                      | CUSIP: 15673T100<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    118000 | NS      | $605340.00    | 0.05%             |  |  |  | No            |                  1 | On Loan: No      |
| SEAGEN INC                        | SEAGEN INC                                    | CUSIP: 81181C104<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     56000 | NS      | $7196560.00   | 0.60%             |  |  |  | No            |                  1 | On Loan: —       |
| ONCOLOGY INSTITUTE INC/THE        | ONCOLOGY INSTITUTE CA A PROF PIPE             | CUSIP: N/A<br>LEI: N/A                        | Long             | EC               | CORP              | US        |    282701 | NS      | $466456.65    | 0.04%             |  |  |  | Yes           |                  1 | On Loan: No      |
| GUARDANT HEALTH INC               | GUARDANT HEALTH INC                           | CUSIP: 40131M109<br>LEI: 254900M8C3E5VC8BR186 | Long             | EC               | CORP              | US        |    123886 | NS      | $3369699.20   | 0.28%             |  |  |  | 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      | $859341.50    | 0.07%             |  |  |  | Yes           |                  3 | On Loan: No      |
| POSEIDA THERAPEUTICS INC          | POSEIDA THERAPEUTICS INC                      | CUSIP: 73730P108<br>LEI: 549300USKSDMNGMN8V04 | Long             | EC               | CORP              | US        |    245687 | NS      | $1302141.10   | 0.11%             |  |  |  | No            |                  1 | On Loan: No      |
| NOVOCURE LTD                      | NOVOCURE LTD                                  | CUSIP: N/A<br>LEI: 213800YPP55UMHWA4826       | Long             | EC               | CORP              | JE        |     69000 | NS      | $5061150.00   | 0.42%             |  |  |  | No            |                  1 | On Loan: No      |
| UNIQURE N.V.                      | UNIQURE N.V.                                  | CUSIP: N/A<br>LEI: 724500RPCTZLFYJZ3S98       | Long             | EC               | CORP              | NL        |     90000 | NS      | $2040300.00   | 0.17%             |  |  |  | No            |                  1 | On Loan: No      |
| SHATTUCK LABS INC                 | SHATTUCK LABS INC                             | CUSIP: 82024L103<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     36553 | NS      | $84071.90     | 0.01%             |  |  |  | No            |                  1 | On Loan: No      |
| PROCEPT BIOROBOTICS CORP          | PROCEPT BIOROBOTICS CORP                      | CUSIP: 74276L105<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     85000 | NS      | $3530900.00   | 0.30%             |  |  |  | No            |                  1 | On Loan: No      |
| ARCUTIS BIOTHERAPEUTICS INC       | ARCUTIS BIOTHERAPEUTICS INC                   | CUSIP: 03969K108<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    115100 | NS      | $1703480.00   | 0.14%             |  |  |  | No            |                  1 | On Loan: No      |
| JANUX THERAPEUTICS INC            | JANUX THERAPEUTICS INC                        | CUSIP: 47103J105<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     80000 | NS      | $1053600.00   | 0.09%             |  |  |  | No            |                  1 | On Loan: No      |
| RELAY THERAPEUTICS INC            | RELAY THERAPEUTICS INC                        | CUSIP: 75943R102<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    170000 | NS      | $2539800.00   | 0.21%             |  |  |  | No            |                  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      | $1112984.76   | 0.09%             |  |  |  | Yes           |                  3 | On Loan: No      |
| VAXCYTE INC                       | VAXCYTE INC                                   | CUSIP: 92243G108<br>LEI: 254900M7NMHTGASX8D95 | Long             | EC               | CORP              | US        |    100000 | NS      | $4795000.00   | 0.40%             |  |  |  | No            |                  1 | On Loan: No      |
| ASTRAZENECA PLC                   | ASTRAZENECA PLC                               | CUSIP: N/A<br>LEI: PY6ZZQWO2IZFZC3IOL08       | Long             | EC               | CORP              | GB        |    200000 | NS      | $27063876.36  | 2.27%             |  |  |  | No            |                  2 | On Loan: No      |
| OUTSET MEDICAL INC                | OUTSET MEDICAL INC                            | CUSIP: 690145107<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    140000 | NS      | $3614800.00   | 0.30%             |  |  |  | No            |                  1 | On Loan: No      |
| BOSTON SCIENTIFIC CORP            | BOSTON SCIENTIFIC CORP                        | CUSIP: 101137107<br>LEI: Y6ZDD9FP4P8JSSJMW954 | Long             | EC               | CORP              | US        |   1500000 | NS      | $69405000.00  | 5.82%             |  |  |  | No            |                  1 | On Loan: No      |
| LILLY (ELI) and CO                | LILLY (ELI) and CO                            | CUSIP: 532457108<br>LEI: FRDRIPF3EKNDJ2CQJL29 | Long             | EC               | CORP              | US        |    198000 | NS      | $72436320.00  | 6.07%             |  |  |  | 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      | $517571.28    | 0.04%             |  |  |  | Yes           |                  3 | On Loan: No      |
| INSCRIPTA INC                     | INSCRIPTA INC SER E PC PP                     | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |    157568 | NS      | $929651.20    | 0.08%             |  |  |  | Yes           |                  3 | On Loan: No      |
| VERONA PHARMA PLC                 | VERONA PHARMA PLC ADR                         | CUSIP: 925050106<br>LEI: 213800EVI6O6J3TIAL06 | Long             | EC               | CORP              | GB        |     60000 | NS      | $1567800.00   | 0.13%             |  |  |  | No            |                  1 | On Loan: No      |
| KARUNA THERAPEUTICS INC           | KARUNA THERAPEUTICS INC                       | CUSIP: 48576A100<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     34000 | NS      | $6681000.00   | 0.56%             |  |  |  | No            |                  1 | On Loan: No      |
| BEAUTY HEALTH CO/THE              | BEAUTY HEALTH CO/THE PIPE                     | CUSIP: N/A<br>LEI: 5493001Z2JZQT4C63C50       | Long             | EC               | CORP              | US        |    200000 | NS      | $1820000.00   | 0.15%             |  |  |  | Yes           |                  1 | On Loan: No      |
| INTUITIVE SURGICAL INC            | INTUITIVE SURGICAL INC                        | CUSIP: 46120E602<br>LEI: 54930052SRG011710797 | Long             | EC               | CORP              | US        |     23500 | NS      | $6235725.00   | 0.52%             |  |  |  | No            |                  1 | On Loan: No      |
| AGILON HEALTH INC                 | AGILON HEALTH INC                             | CUSIP: 00857U107<br>LEI: N/A                  | Long             | EC               | CORP              | US        |   1280000 | NS      | $20659200.00  | 1.73%             |  |  |  | No            |                  1 | On Loan: —       |
| CYTOKINETICS INC                  | CYTOKINETICS INC                              | CUSIP: 23282W605<br>LEI: 549300BE5DY1HW7IHA64 | Long             | EC               | CORP              | US        |    218000 | NS      | $9988760.00   | 0.84%             |  |  |  | No            |                  1 | On Loan: No      |
| ARISTEA THERAPEUTICS INC          | ARISTEA THERAPEUTICS INC SER B PC PP          | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |    123100 | NS      | $954025.00    | 0.08%             |  |  |  | Yes           |                  3 | On Loan: No      |
| AMBRX BIOPHARMA INC               | AMBRX BIOPHARMA INC ADR                       | CUSIP: 02290A102<br>LEI: N/A                  | Long             | EC               | CORP              | KY        |     60000 | NS      | $136200.00    | 0.01%             |  |  |  | No            |                  1 | On Loan: No      |
| AGILENT TECHNOLOGIES INC          | AGILENT TECHNOLOGIES INC                      | CUSIP: 00846U101<br>LEI: QUIX8Y7A2WP0XRMW7G29 | Long             | EC               | CORP              | US        |     18000 | NS      | $2693700.00   | 0.23%             |  |  |  | No            |                  1 | On Loan: No      |
| WEST PHARMACEUTICAL SVCS INC      | WEST PHARMACEUTICAL SVCS INC                  | CUSIP: 955306105<br>LEI: 5493007NKRGM1RJQ1P16 | Long             | EC               | CORP              | US        |     48000 | NS      | $11296800.00  | 0.95%             |  |  |  | No            |                  1 | On Loan: No      |
| Fidelity Revere Street Trust      | Fidelity Cash Central Fund                    | CUSIP: 31635A105<br>LEI: 549300BDV45LJNXBZC55 | Long             | STIV             | RF                | US        |   8268689 | NS      | $8270342.73   | 0.69%             |  |  |  | No            |                  1 | On Loan: No      |
| ASCENDIS PHARMA A/S               | ASCENDIS PHARMA AS SPON ADR                   | CUSIP: 04351P101<br>LEI: 549300B66JN3W3J8GH73 | Long             | EC               | CORP              | DK        |    110000 | NS      | $13434300.00  | 1.13%             |  |  |  | No            |                  1 | On Loan: No      |
| LEGEND BIOTECH CORP               | LEGEND BIOTECH CORP SPON ADR                  | CUSIP: 52490G102<br>LEI: 254900EIUFZTW136H859 | Long             | EC               | CORP              | KY        |    235000 | NS      | $11731200.00  | 0.98%             |  |  |  | No            |                  1 | On Loan: No      |
| CLEERLY INC                       | CLEERLY INC SER C PC PP                       | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |    179891 | NS      | $2101126.88   | 0.18%             |  |  |  | Yes           |                  3 | On Loan: No      |
| BEAUTY HEALTH CO/THE              | BEAUTY HEALTH CO/THE                          | CUSIP: 88331L108<br>LEI: 5493001Z2JZQT4C63C50 | Long             | EC               | CORP              | US        |    142300 | NS      | $1294930.00   | 0.11%             |  |  |  | No            |                  1 | On Loan: —       |
| MOLINA HEALTHCARE INC             | MOLINA HEALTHCARE INC                         | CUSIP: 60855R100<br>LEI: 549300NQQCEQ46YHZ591 | Long             | EC               | CORP              | US        |     46500 | NS      | $15355230.00  | 1.29%             |  |  |  | No            |                  1 | On Loan: No      |
| SARTORIUS STEDIM BIOTECH          | SARTORIUS STEDIM BIOTECH                      | CUSIP: N/A<br>LEI: 52990006IVXY7GCSSR39       | Long             | EC               | CORP              | FR        |     14000 | NS      | $4533355.74   | 0.38%             |  |  |  | No            |                  1 | On Loan: No      |
| VERTEX PHARMACEUTICALS INC        | VERTEX PHARMACEUTICALS INC                    | CUSIP: 92532F100<br>LEI: 54930015RAQRRZ5ZGJ91 | Long             | EC               | CORP              | US        |     48000 | NS      | $13861440.00  | 1.16%             |  |  |  | No            |                  1 | On Loan: No      |
| MEDLIVE TECHNOLOGY CO LTD         | MEDLIVE TECHNOLOGY CO LTD                     | CUSIP: N/A<br>LEI: N/A                        | Long             | EC               | CORP              | KY        |    500000 | NS      | $542371.05    | 0.05%             |  |  |  | No            |                  2 | On Loan: No      |
| DANAHER CORP                      | DANAHER CORP                                  | CUSIP: 235851102<br>LEI: S4BKK9OTCEWQ3YHPFM11 | Long             | EC               | CORP              | US        |    230000 | NS      | $61046600.00  | 5.12%             |  |  |  | No            |                  1 | On Loan: No      |
| NEVRO CORP                        | NEVRO CORPORATION                             | CUSIP: 64157F103<br>LEI: 254900SH91I4BOYKUE38 | Long             | EC               | CORP              | US        |    128000 | NS      | $5068800.00   | 0.42%             |  |  |  | No            |                  1 | On Loan: No      |
| WARBY PARKER INC                  | WARBY PARKER INC                              | CUSIP: 93403J106<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    180000 | NS      | $2428200.00   | 0.20%             |  |  |  | No            |                  1 | On Loan: No      |
| PHARVARIS BV                      | PHARVARIS BV                                  | CUSIP: N/A<br>LEI: 9845003BE146D3B75D32       | Long             | EC               | CORP              | NL        |     80000 | NS      | $900000.00    | 0.08%             |  |  |  | No            |                  1 | On Loan: No      |
| PTC THERAPEUTICS INC              | PTC THERAPEUTICS INC                          | CUSIP: 69366J200<br>LEI: 549300UJLWOIWFDGB318 | Long             | EC               | CORP              | US        |    150000 | NS      | $5725500.00   | 0.48%             |  |  |  | No            |                  1 | On Loan: No      |
| DOXIMITY INC                      | DOXIMITY INC                                  | CUSIP: 26622P107<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    194000 | NS      | $6510640.00   | 0.55%             |  |  |  | No            |                  1 | On Loan: —       |
| STOKE THERAPEUTICS INC            | STOKE THERAPEUTICS INC                        | CUSIP: 86150R107<br>LEI: 549300RD25SS2DIJHJ67 | Long             | EC               | CORP              | US        |     60000 | NS      | $553800.00    | 0.05%             |  |  |  | No            |                  1 | On Loan: —       |
| UCB SA                            | UCB SA                                        | CUSIP: N/A<br>LEI: 2138008J191VLSGY5A09       | Long             | EC               | CORP              | BE        |     87500 | NS      | $6889951.40   | 0.58%             |  |  |  | No            |                  1 | On Loan: No      |
| AGIOS PHARMACEUTICALS INC         | AGIOS PHARMACEUTICALS INC                     | CUSIP: 00847X104<br>LEI: 529900ONJHY8EOGYT555 | Long             | EC               | CORP              | US        |     60000 | NS      | $1684800.00   | 0.14%             |  |  |  | No            |                  1 | On Loan: —       |
| TANDEM DIABETES CARE INC          | TANDEM DIABETES CARE INC                      | CUSIP: 875372203<br>LEI: 549300JEPFOD0K4D3I05 | Long             | EC               | CORP              | US        |    245000 | NS      | $11012750.00  | 0.92%             |  |  |  | No            |                  1 | On Loan: No      |
| ALNYLAM PHARMACEUTICALS INC       | ALNYLAM PHARMACEUTICALS INC                   | CUSIP: 02043Q107<br>LEI: 529900S3ZI14OWRJII50 | Long             | EC               | CORP              | US        |     52000 | NS      | $12357800.00  | 1.04%             |  |  |  | No            |                  1 | On Loan: No      |
| Fidelity Revere Street Trust      | Fidelity Securities Lending Cash Central Fund | CUSIP: 31635A303<br>LEI: 549300BDV45LJNXBZC55 | Long             | STIV             | RF                | US        |  52696940 | NS      | $52702209.33  | 4.42%             |  |  |  | No            |                  1 | On Loan: No      |
| VEEVA SYS INC                     | VEEVA SYS INC CL A                            | CUSIP: 922475108<br>LEI: 549300YZEXPDB92M2F02 | Long             | EC               | CORP              | US        |     58500 | NS      | $9440730.00   | 0.79%             |  |  |  | No            |                  1 | On Loan: No      |
| BEAM THERAPEUTICS INC             | BEAM THERAPEUTICS INC                         | CUSIP: 07373V105<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     56000 | NS      | $2190160.00   | 0.18%             |  |  |  | No            |                  1 | On Loan: —       |
| XENON PHARMACEUTICALS INC         | XENON PHARMACEUTICALS INC                     | CUSIP: 98420N105<br>LEI: 549300XV44Q9Z1MIPQ03 | Long             | EC               | CORP              | CA        |     75000 | NS      | $2957250.00   | 0.25%             |  |  |  | No            |                  1 | On Loan: No      |
| CENTENE CORP DEL                  | CENTENE CORP                                  | CUSIP: 15135B101<br>LEI: 549300Z7JJ4TQSQGT333 | Long             | EC               | CORP              | US        |    365000 | NS      | $29933650.00  | 2.51%             |  |  |  | No            |                  1 | On Loan: No      |
| DENALI THERAPEUTICS INC           | DENALI THERAPEUTICS INC                       | CUSIP: 24823R105<br>LEI: 549300ZTQ2HO18L3Q830 | Long             | EC               | CORP              | US        |     70000 | NS      | $1946700.00   | 0.16%             |  |  |  | No            |                  1 | On Loan: No      |
| HUMANA INC                        | HUMANA INC                                    | CUSIP: 444859102<br>LEI: 529900YLDW34GJAO4J06 | Long             | EC               | CORP              | US        |     75000 | NS      | $38414250.00  | 3.22%             |  |  |  | No            |                  1 | On Loan: No      |
| INSPIRE MEDICAL SYSTEMS INC       | INSPIRE MEDICAL SYSTEMS INC                   | CUSIP: 457730109<br>LEI: 549300XQQCQ7HCJKTW25 | Long             | EC               | CORP              | US        |     26000 | NS      | $6548880.00   | 0.55%             |  |  |  | No            |                  1 | On Loan: No      |
| UNITEDHEALTH GROUP INC            | UNITEDHEALTH GROUP INC                        | CUSIP: 91324P102<br>LEI: 549300GHBMY8T5GXDE41 | Long             | EC               | CORP              | US        |    241500 | NS      | $128038470.00 | 10.73%            |  |  |  | No            |                  1 | On Loan: No      |
| REPLIGEN CORP                     | REPLIGEN                                      | CUSIP: 759916109<br>LEI: 54930006QJ0T5AUO1E71 | Long             | EC               | CORP              | US        |     28000 | NS      | $4740680.00   | 0.40%             |  |  |  | No            |                  1 | On Loan: No      |
| INSULET CORP                      | INSULET CORP                                  | CUSIP: 45784P101<br>LEI: 549300TZTYD2PYN92D43 | Long             | EC               | CORP              | US        |    138000 | NS      | $40625820.00  | 3.41%             |  |  |  | No            |                  1 | On Loan: No      |
| OMADA HEALTH INC                  | OMADA HEALTH INC SER E PC PP                  | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |    281490 | NS      | $858544.50    | 0.07%             |  |  |  | Yes           |                  3 | On Loan: No      |
| ERASCA INC                        | ERASCA INC                                    | CUSIP: 29479A108<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    280000 | NS      | $1206800.00   | 0.10%             |  |  |  | No            |                  1 | On Loan: No      |
| CELLDEX THERAPEUTICS INC          | CELLDEX THERAPEUTICS INC                      | CUSIP: 15117B202<br>LEI: 529900F018DMYWH38923 | Long             | EC               | CORP              | US        |     90000 | NS      | $4011300.00   | 0.34%             |  |  |  | No            |                  1 | On Loan: No      |
| ELEVATEBIO, LLC                   | ELEVATEBIO LLC SER C PC PP                    | CUSIP: N/A<br>LEI: N/A                        | Long             | EP               | CORP              | US        |     31200 | NS      | $114192.00    | 0.01%             |  |  |  | Yes           |                  3 | On Loan: No      |
| MASIMO CORP                       | MASIMO CORP                                   | CUSIP: 574795100<br>LEI: 549300Q4A8JK0PIYCU29 | Long             | EC               | CORP              | US        |    145000 | NS      | $21452750.00  | 1.80%             |  |  |  | No            |                  1 | On Loan: No      |
| NUVALENT INC                      | NUVALENT INC-A                                | CUSIP: 670703107<br>LEI: N/A                  | Long             | EC               | CORP              | US        |     60567 | NS      | $1803685.26   | 0.15%             |  |  |  | No            |                  1 | On Loan: No      |
| SEER INC                          | SEER INC                                      | CUSIP: 81578P106<br>LEI: N/A                  | Long             | EC               | CORP              | US        |    140000 | NS      | $812000.00    | 0.07%             |  |  |  | No            |                  1 | On Loan: No      |

### Signature

**Date Signed:** 2023-01-30

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

**Signature:** Stacie M. Smith

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

**Title:** President and Treasurer