| 1 | 1Frazier Life Sciences Management, L.P. | 24,675,18824.7M | $399M | 7.93% | ADD 9% |
| 2 | 2T. Rowe Price Investment Management, Inc. | 21,259,64621.3M | $344M | 6.84% | — |
| 3 | 3BlackRock, Inc. | 20,151,40620.2M | $326M | 6.48% | ADD 29% |
| 4 | 4Venrock Adviser, LLC | 16,382,81216.4M | $265M | 5.27% | TRIM -8% |
| 5 | 5RTW INVESTMENTS, LP | 16,157,17516.2M | $261M | 5.20% | ADD 10917% |
| 6 | 6Vivo Capital, LLC | 12,151,48012.2M | $197M | 3.91% | ADD 31% |
| 7 | 7VANGUARD CAPITAL MANAGEMENT LLC | 11,249,73811.2M | $182M | 3.62% | NEW† |
| 8 | 8Siren, L.L.C. | 11,244,24611.2M | $182M | 3.62% | ADD 28% |
| 9 | 9Logos Global Management LP | 11,150,00011.2M | $180M | 3.59% | TRIM -14% |
| 10 | 10Paradigm Biocapital Advisors LP | 10,392,70210.4M | $168M | 3.34% | TRIM -27% |
| 11 | 11STATE STREET CORP | 9,300,0849.3M | $150M | 2.99% | ADD 51% |
| 12 | 12ARCH Venture Management, LLC | 7,091,5577.1M | $115M | 2.28% | TRIM -36% |
| 13 | 13GEODE CAPITAL MANAGEMENT, LLC | 5,996,1496.0M | $97M | 1.93% | ADD 22% |
| 14 | 14Cormorant Asset Management, LP | 5,800,0005.8M | $94M | 1.87% | NEW |
| 15 | 15Affinity Asset Advisors, LLC | 5,350,0005.3M | $87M | 1.72% | ADD 37% |
| 16 | 16Balyasny Asset Management L.P. | 5,143,9855.1M | $83M | 1.65% | ADD 5145% |
| 17 | 17GOLDMAN SACHS GROUP INC | 4,875,1864.9M | $79M | 1.57% | ADD 46% |
| 18 | 18JANUS HENDERSON GROUP PLC | 3,710,9663.7M | $60M | 1.19% | NEW |
| 19 | 195AM Venture Management, LLC | 3,485,9713.5M | $56M | 1.12% | TRIM -36% |
| 20 | 20SUVRETTA CAPITAL MANAGEMENT, LLC | 3,434,9673.4M | $56M | 1.10% | TRIM -76% |
| 21 | 21Commodore Capital LP | 3,175,0003.2M | $51M | 1.02% | NEW |
| 22 | 22BANK OF AMERICA CORP /DE/ | 3,055,8973.1M | $49M | 0.98% | ADD 90% |
| 23 | 23a16z Capital Management, L.L.C. | 2,862,5002.9M | $46M | 0.92% | — |
| 24 | 24Woodline Partners LP | 2,831,5382.8M | $46M | 0.91% | ADD 47% |
| 25 | 25ADAGE CAPITAL PARTNERS GP, L.L.C. | 2,100,0002.1M | $34M | 0.68% | NEW |
| 26 | 26CHARLES SCHWAB INVESTMENT MANAGEMENT INC | 1,898,2241.9M | $31M | 0.61% | ADD 13% |
| 27 | 27SILVERARC CAPITAL MANAGEMENT, LLC | 1,851,8121.9M | $30M | 0.60% | ADD 41% |
| 28 | 28UBS Group AG | 1,848,5801.8M | $30M | 0.59% | ADD 984% |
| 29 | 29PRICE T ROWE ASSOCIATES INC /MD/ | 1,815,3401.8M | $29M | 0.58% | ADD 1654% |
| 30 | 30DIMENSIONAL FUND ADVISORS LP | 1,786,3891.8M | $29M | 0.57% | — |
| 31 | 31VANGUARD PORTFOLIO MANAGEMENT LLC | 1,773,7571.8M | $29M | 0.57% | NEW |
| 32 | 32NORTHERN TRUST CORP | 1,701,6231.7M | $28M | 0.55% | ADD 28% |
| 33 | 33VICTORY CAPITAL MANAGEMENT INC | 1,654,4971.7M | $27M | 0.53% | ADD 8896% |
| 34 | 34VANGUARD FIDUCIARY TRUST CO | 1,537,9151.5M | $25M | 0.49% | NEW |
| 35 | 35FMR LLC | 1,490,0801.5M | $24M | 0.48% | ADD 186% |
| 36 | 36RENAISSANCE TECHNOLOGIES LLC | 1,398,8691.4M | $23M | 0.45% | ADD 65% |
| 37 | 37D. E. Shaw & Co., Inc. | 1,219,5341.2M | $20M | 0.39% | ADD 504% |
| 38 | 38Rock Springs Capital Management LP | 1,103,4691.1M | $18M | 0.35% | ADD 16% |
| 39 | 39BNP PARIBAS FINANCIAL MARKETS | 1,087,3011.1M | $18M | 0.35% | ADD 3247% |
| 40 | 40MORGAN STANLEY | 989,210989,210 | $16M | 0.32% | ADD 22% |
| 41 | 41EcoR1 Capital, LLC | 900,000900,000 | $15M | 0.29% | NEW |
| 42 | 42First Turn Management, LLC | 867,639867,639 | $14M | 0.28% | NEW |
| 43 | 43JPMORGAN CHASE & CO | 924,405924,405 | $14M | 0.30% | TRIM -20% |
| 44 | 44Holocene Advisors, LP | 760,722760,722 | $12M | 0.24% | NEW |
| 45 | 45Invesco Ltd. | 759,932759,932 | $12M | 0.24% | ADD 130% |
| 46 | 46Integral Health Asset Management, LLC | 700,000700,000 | $11M | 0.23% | NEW |
| 47 | 47Point72 Asset Management, L.P. | 693,309693,309 | $11M | 0.22% | NEW |
| 48 | 48AQR CAPITAL MANAGEMENT LLC | 691,205691,205 | $11M | 0.22% | ADD 3% |
| 49 | 49AMERIPRISE FINANCIAL INC | 670,597670,597 | $11M | 0.22% | NEW |
| 50 | 50ALLIANCEBERNSTEIN L.P. | 2,644,9202.6M | $10M | 0.85% | ADD 1167% |
| 51 | 51WELLINGTON MANAGEMENT GROUP LLP | 595,379595,379 | $10M | 0.19% | ADD 10% |
| 52 | 52MILLENNIUM MANAGEMENT LLC | 575,996575,996 | $9M | 0.19% | TRIM -74% |
| 53 | 53ExodusPoint Capital Management, LP | 575,715575,715 | $9M | 0.19% | TRIM -61% |
| 54 | 54Bank of New York Mellon Corp | 559,629559,629 | $9M | 0.18% | ADD 2% |
| 55 | 55Nuveen, LLC | 543,021543,021 | $9M | 0.17% | ADD 28% |
| 56 | 56Ensign Peak Advisors, Inc | 500,723500,723 | $8M | 0.16% | NEW |
| 57 | 57CITADEL ADVISORS LLC | 498,381498,381 | $8M | 0.16% | TRIM -52% |
| 58 | 58STEMPOINT CAPITAL LP | 479,722479,722 | $8M | 0.15% | NEW |
| 59 | 59JANE STREET GROUP, LLC | 455,019455,019 | $7M | 0.15% | TRIM -50% |
| 60 | 60MARSHALL WACE, LLP | 426,526426,526 | $7M | 0.14% | ADD 588% |
| 61 | 61Spruce Street Capital LP | 422,543422,543 | $7M | 0.14% | TRIM -89% |
| 62 | 62Creative Planning | 418,834418,834 | $7M | 0.13% | ADD 10% |
| 63 | 63PRUDENTIAL FINANCIAL INC | 416,715416,715 | $7M | 0.13% | ADD 3167% |
| 64 | 64Parkman Healthcare Partners LLC | 406,702406,702 | $7M | 0.13% | NEW |
| 65 | 65TD Asset Management Inc | 394,260394,260 | $6M | 0.13% | ADD 72% |
| 66 | 66AMERICAN CENTURY COMPANIES INC | 380,977380,977 | $6M | 0.12% | ADD 130% |
| 67 | 67Polymer Capital Management (HK) LTD | 357,670357,670 | $6M | 0.12% | NEW |
| 68 | 68ACUTA CAPITAL PARTNERS, LLC | 354,575354,575 | $6M | 0.11% | NEW |
| 69 | 69Atom Investors LP | 345,587345,587 | $6M | 0.11% | NEW |
| 70 | 70KVP Capital Advisors, LP | 340,000340,000 | $6M | 0.11% | NEW |
| 71 | 71Swiss National Bank | 336,800336,800 | $5M | 0.11% | NEW |
| 72 | 72Trexquant Investment LP | 301,066301,066 | $5M | 0.10% | NEW |
| 73 | 73UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC | 259,007259,007 | $4M | 0.08% | NEW |
| 74 | 74VOYA INVESTMENT MANAGEMENT LLC | 253,554253,554 | $4M | 0.08% | ADD 664% |
| 75 | 75SIMPLEX TRADING, LLC | 252,747252,747 | $4M | 0.08% | TRIM -27% |
| 76 | 76Rafferty Asset Management, LLC | 251,963251,963 | $4M | 0.08% | ADD 92% |
| 77 | 77RHUMBLINE ADVISERS | 242,636242,636 | $4M | 0.08% | ADD 28% |
| 78 | 78FRED ALGER MANAGEMENT, LLC | 236,824236,824 | $4M | 0.08% | NEW |
| 79 | 79Tidal Investments LLC | 226,877226,877 | $4M | 0.07% | NEW |
| 80 | 80Tema ETFs LLC | 226,877226,877 | $4M | 0.07% | NEW |
| 81 | 81Seven Fleet Capital Management LP | 222,468222,468 | $4M | 0.07% | NEW |
| 82 | 82MANUFACTURERS LIFE INSURANCE COMPANY, THE | 216,614216,614 | $4M | 0.07% | ADD 296% |
| 83 | 83CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM | 204,449204,449 | $3M | 0.07% | ADD 1813% |
| 84 | 84TANG CAPITAL MANAGEMENT LLC | 200,000200,000 | $3M | 0.06% | TRIM -78% |
| 85 | 85Pictet Asset Management Holding SA | 208,273208,273 | $3M | 0.07% | NEW |
| 86 | 86HighVista Strategies LLC | 181,069181,069 | $3M | 0.06% | NEW |
| 87 | 87Cinctive Capital Management LP | 171,920171,920 | $3M | 0.06% | NEW |
| 88 | 88Longaeva Partners L.P. | 171,233171,233 | $3M | 0.06% | NEW |
| 89 | 89DEUTSCHE BANK AG\ | 163,326163,326 | $3M | 0.05% | ADD 34% |
| 90 | 90NATIXIS | 163,192163,192 | $3M | 0.05% | NEW |
| 91 | 91SUSQUEHANNA INTERNATIONAL GROUP, LLP | 153,647153,647 | $2M | 0.05% | TRIM -23% |
| 92 | 92XTX Topco Ltd | 147,618147,618 | $2M | 0.05% | ADD 1267% |
| 93 | 93Informed Momentum Co LLC | 137,925137,925 | $2M | 0.04% | NEW |
| 94 | 94Legal & General Group Plc | 133,444133,444 | $2M | 0.04% | ADD 765% |
| 95 | 95Vanguard Global Advisers, LLC | 113,645113,645 | $2M | 0.04% | NEW |
| 96 | 96PROFUND ADVISORS LLC | 113,216113,216 | $2M | 0.04% | ADD 124% |
| 97 | 97VANGUARD ASSET MANAGEMENT, Ltd | 111,757111,757 | $2M | 0.04% | NEW |
| 98 | 98WELLS FARGO & COMPANY/MN | 107,176107,176 | $2M | 0.03% | TRIM -51% |
| 99 | 99MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. | 106,830106,830 | $2M | 0.03% | ADD 21% |
| 100 | 100MetLife Investment Management, LLC | 103,644103,644 | $2M | 0.03% | ADD 29% |