| 1 | 1ORBIMED ADVISORS LLC | 15,518,49215.5M | $489M | 14.42% | — |
| 2 | 2RA CAPITAL MANAGEMENT, L.P. | 10,428,43710.4M | $328M | 9.69% | — |
| 3 | 3Paradigm Biocapital Advisors LP | 7,365,0387.4M | $232M | 6.85% | ADD 13% |
| 4 | 4BAKER BROS. ADVISORS LP | 6,575,9406.6M | $207M | 6.11% | — |
| 5 | 5BlackRock, Inc. | 6,472,9916.5M | $204M | 6.02% | TRIM -2% |
| 6 | 6JANUS HENDERSON GROUP PLC | 5,915,5565.9M | $186M | 5.50% | ADD 30% |
| 7 | 7NOVO HOLDINGS A/S | 5,350,0005.3M | $169M | 4.97% | — |
| 8 | 8Driehaus Capital Management LLC | 4,477,9424.5M | $141M | 4.16% | ADD 7% |
| 9 | 9Siren, L.L.C. | 4,430,2634.4M | $140M | 4.12% | TRIM -2% |
| 10 | 10PERCEPTIVE ADVISORS LLC | 4,423,9744.4M | $139M | 4.11% | — |
| 11 | 11VANGUARD CAPITAL MANAGEMENT LLC | 3,788,1613.8M | $119M | 3.52% | NEW† |
| 12 | 12Cormorant Asset Management, LP | 3,260,0003.3M | $103M | 3.03% | — |
| 13 | 13BRAIDWELL LP | 2,347,5832.3M | $74M | 2.18% | TRIM -55% |
| 14 | 14MORGAN STANLEY | 2,246,0282.2M | $71M | 2.09% | TRIM -23% |
| 15 | 15GEODE CAPITAL MANAGEMENT, LLC | 1,789,8191.8M | $56M | 1.66% | ADD 2% |
| 16 | 16STATE STREET CORP | 1,716,8231.7M | $54M | 1.60% | — |
| 17 | 17MPM BIOIMPACT LLC | 1,660,6961.7M | $52M | 1.54% | — |
| 18 | 18Integral Health Asset Management, LLC | 1,600,0001.6M | $50M | 1.49% | ADD 7% |
| 19 | 19Bellevue Group AG | 1,528,5181.5M | $48M | 1.42% | — |
| 20 | 20Soleus Capital Management, L.P. | 1,449,9151.4M | $46M | 1.35% | ADD 59% |
| 21 | 21ALLIANCEBERNSTEIN L.P. | 1,722,1691.7M | $43M | 1.60% | ADD 66% |
| 22 | 22BANK OF AMERICA CORP /DE/ | 1,327,3601.3M | $42M | 1.23% | TRIM -10% |
| 23 | 23UBS Group AG | 1,311,1251.3M | $41M | 1.22% | TRIM -38% |
| 24 | 24DIMENSIONAL FUND ADVISORS LP | 1,219,7171.2M | $38M | 1.13% | — |
| 25 | 25AMERICAN CENTURY COMPANIES INC | 1,147,1761.1M | $36M | 1.07% | TRIM -3% |
| 26 | 26FMR LLC | 1,017,0521.0M | $32M | 0.95% | ADD 47% |
| 27 | 27First Light Asset Management, LLC | 1,001,8461.0M | $32M | 0.93% | TRIM -36% |
| 28 | 28Aberdeen Group plc | 826,059826,059 | $26M | 0.77% | — |
| 29 | 29Qube Research & Technologies Ltd | 825,910825,910 | $26M | 0.77% | ADD 179% |
| 30 | 30VICTORY CAPITAL MANAGEMENT INC | 789,043789,043 | $25M | 0.73% | ADD 6% |
| 31 | 31Artisan Partners Limited Partnership | 659,067659,067 | $21M | 0.61% | TRIM -6% |
| 32 | 32MARSHALL WACE, LLP | 648,393648,393 | $20M | 0.60% | TRIM -5% |
| 33 | 33GOLDMAN SACHS GROUP INC | 629,820629,820 | $20M | 0.59% | TRIM -12% |
| 34 | 34CHARLES SCHWAB INVESTMENT MANAGEMENT INC | 596,310596,310 | $19M | 0.55% | TRIM -2% |
| 35 | 35STEMPOINT CAPITAL LP | 581,728581,728 | $18M | 0.54% | ADD 61% |
| 36 | 36NORTHERN TRUST CORP | 576,556576,556 | $18M | 0.54% | ADD 3% |
| 37 | 37VANGUARD PORTFOLIO MANAGEMENT LLC | 557,260557,260 | $18M | 0.52% | NEW |
| 38 | 38VANGUARD FIDUCIARY TRUST CO | 521,726521,726 | $16M | 0.48% | NEW |
| 39 | 39Opaleye Management Inc. | 500,000500,000 | $16M | 0.46% | — |
| 40 | 40Candriam S.C.A. | 447,416447,416 | $14M | 0.42% | TRIM -11% |
| 41 | 41CITADEL ADVISORS LLC | 429,032429,032 | $14M | 0.40% | ADD 249% |
| 42 | 42HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND | 404,200404,200 | $13M | 0.38% | TRIM -37% |
| 43 | 43Sofinnova Investments, Inc. | 386,498386,498 | $12M | 0.36% | TRIM -12% |
| 44 | 44Squadron Capital Management LLC | 350,000350,000 | $11M | 0.33% | — |
| 45 | 45MILLENNIUM MANAGEMENT LLC | 342,867342,867 | $11M | 0.32% | ADD 171% |
| 46 | 46Nuveen, LLC | 335,783335,783 | $11M | 0.31% | ADD 98% |
| 47 | 47Parkman Healthcare Partners LLC | 322,828322,828 | $10M | 0.30% | TRIM -25% |
| 48 | 48Universal- Beteiligungs- und Servicegesellschaft mbH | 283,312283,312 | $9M | 0.26% | ADD 4% |
| 49 | 49Sio Capital Management, LLC | 268,986268,986 | $8M | 0.25% | ADD 13% |
| 50 | 50KENNEDY CAPITAL MANAGEMENT LLC | 264,204264,204 | $8M | 0.25% | ADD 9% |
| 51 | 51Woodline Partners LP | 224,290224,290 | $7M | 0.21% | — |
| 52 | 52DEUTSCHE BANK AG\ | 221,868221,868 | $7M | 0.21% | ADD 3% |
| 53 | 53PEREGRINE CAPITAL MANAGEMENT LLC | 208,672208,672 | $7M | 0.19% | NEW |
| 54 | 54SEB Asset Management AB | 206,512206,512 | $7M | 0.19% | NEW |
| 55 | 55Granahan Investment Management, LLC | 200,843200,843 | $6M | 0.19% | TRIM -14% |
| 56 | 56AMERIPRISE FINANCIAL INC | 200,661200,661 | $6M | 0.19% | — |
| 57 | 57Bank of New York Mellon Corp | 192,434192,434 | $6M | 0.18% | TRIM -3% |
| 58 | 58BARCLAYS PLC | 177,244177,244 | $6M | 0.16% | TRIM -52% |
| 59 | 59NEUBERGER BERMAN GROUP LLC | 168,678168,678 | $5M | 0.16% | ADD 33% |
| 60 | 60Ally Bridge Group (NY) LLC | 161,000161,000 | $5M | 0.15% | TRIM -17% |
| 61 | 61EVENTIDE ASSET MANAGEMENT, LLC | 149,863149,863 | $5M | 0.14% | TRIM -74% |
| 62 | 62Freestone Grove Partners LP | 148,426148,426 | $5M | 0.14% | NEW |
| 63 | 63JPMORGAN CHASE & CO | 147,573147,573 | $4M | 0.14% | — |
| 64 | 64SCHRODER INVESTMENT MANAGEMENT GROUP | 145,286145,286 | $4M | 0.14% | — |
| 65 | 65Invesco Ltd. | 138,399138,399 | $4M | 0.13% | ADD 83% |
| 66 | 66KVP Capital Advisors, LP | 133,000133,000 | $4M | 0.12% | — |
| 67 | 67Quantum Private Wealth, LLC | 116,624116,624 | $4M | 0.11% | ADD 10% |
| 68 | 68UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC | 114,720114,720 | $4M | 0.11% | ADD 17% |
| 69 | 69Moody Aldrich Partners LLC | 114,141114,141 | $4M | 0.11% | ADD 165% |
| 70 | 70DAFNA Capital Management LLC | 112,236112,236 | $4M | 0.10% | TRIM -30% |
| 71 | 71D. E. Shaw & Co., Inc. | 104,863104,863 | $3M | 0.10% | TRIM -73% |
| 72 | 72Swiss National Bank | 103,900103,900 | $3M | 0.10% | — |
| 73 | 73Schonfeld Strategic Advisors LLC | 99,07599,075 | $3M | 0.09% | ADD 67% |
| 74 | 74HighVista Strategies LLC | 91,93191,931 | $3M | 0.09% | TRIM -46% |
| 75 | 75ADAR1 Capital Management, LLC | 90,59990,599 | $3M | 0.08% | — |
| 76 | 76NEW YORK STATE COMMON RETIREMENT FUND | 88,93788,937 | $3M | 0.08% | — |
| 77 | 77ALPS ADVISORS INC | 87,32687,326 | $3M | 0.08% | — |
| 78 | 78RHUMBLINE ADVISERS | 83,54083,540 | $3M | 0.08% | — |
| 79 | 79DekaBank Deutsche Girozentrale | 80,00080,000 | $3M | 0.07% | — |
| 80 | 80CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM | 73,41973,419 | $2M | 0.07% | ADD 46% |
| 81 | 81PRICE T ROWE ASSOCIATES INC /MD/ | 69,42769,427 | $2M | 0.06% | ADD 21% |
| 82 | 82NOMURA ASSET MANAGEMENT INTERNATIONAL INC. | 67,40867,408 | $2M | 0.06% | NEW |
| 83 | 83Artia Global Partners LP | 65,50065,500 | $2M | 0.06% | NEW |
| 84 | 84J. Goldman & Co LP | 61,42161,421 | $2M | 0.06% | NEW |
| 85 | 85FEDERATED HERMES, INC. | 56,77856,778 | $2M | 0.05% | TRIM -31% |
| 86 | 86HighMark Wealth Management LLC | 53,17953,179 | $2M | 0.05% | — |
| 87 | 87TWO SIGMA INVESTMENTS, LP | 50,84850,848 | $2M | 0.05% | — |
| 88 | 88Ishara Investments LP | 49,20049,200 | $2M | 0.05% | TRIM -15% |
| 89 | 89SEI INVESTMENTS CO | 49,08249,082 | $2M | 0.05% | ADD 57% |
| 90 | 90Jain Global LLC | 46,40146,401 | $1M | 0.04% | TRIM -59% |
| 91 | 91SILVERARC CAPITAL MANAGEMENT, LLC | 42,61542,615 | $1M | 0.04% | — |
| 92 | 92Legal & General Group Plc | 42,53742,537 | $1M | 0.04% | TRIM -19% |
| 93 | 93FRANKLIN RESOURCES INC | 41,72641,726 | $1M | 0.04% | TRIM -3% |
| 94 | 94VOYA INVESTMENT MANAGEMENT LLC | 39,15339,153 | $1M | 0.04% | — |
| 95 | 95Caption Management, LLC | 38,67538,675 | $1M | 0.04% | NEW |
| 96 | 96Knights of Columbus Asset Advisors LLC | 38,41438,414 | $1M | 0.04% | — |
| 97 | 97MetLife Investment Management, LLC | 38,08438,084 | $1M | 0.04% | — |
| 98 | 98Longaeva Partners L.P. | 36,93136,931 | $1M | 0.03% | NEW |
| 99 | 99VANGUARD ASSET MANAGEMENT, Ltd | 35,74435,744 | $1M | 0.03% | NEW |
| 100 | 100JANE STREET GROUP, LLC | 35,57835,578 | $1M | 0.03% | NEW |