| 1 | 1FMR LLC | 17,243,15217.2M | $848M | 14.39% | ADD 12% |
| 2 | 2Siren, L.L.C. | 10,825,01310.8M | $532M | 9.03% | — |
| 3 | 3Redmile Group, LLC | 9,066,6219.1M | $446M | 7.57% | ADD 74% |
| 4 | 4BlackRock, Inc. | 7,469,2937.5M | $367M | 6.23% | ADD 3% |
| 5 | 5SAMSARA BIOCAPITAL, LLC | 6,897,6526.9M | $339M | 5.76% | — |
| 6 | 6WELLINGTON MANAGEMENT GROUP LLP | 6,717,6556.7M | $330M | 5.61% | ADD 17% |
| 7 | 7PRICE T ROWE ASSOCIATES INC /MD/ | 6,206,6186.2M | $305M | 5.18% | TRIM -3% |
| 8 | 8Orbis Allan Gray Ltd | 4,179,9834.2M | $205M | 3.49% | ADD 22% |
| 9 | 9STATE STREET CORP | 4,031,3174.0M | $198M | 3.36% | — |
| 10 | 10VANGUARD CAPITAL MANAGEMENT LLC | 3,891,3473.9M | $191M | 3.25% | NEW† |
| 11 | 11Bellevue Group AG | 3,584,5733.6M | $176M | 2.99% | TRIM -12% |
| 12 | 12JENNISON ASSOCIATES LLC | 3,340,4923.3M | $164M | 2.79% | ADD 20% |
| 13 | 13JANUS HENDERSON GROUP PLC | 2,236,8372.2M | $110M | 1.87% | ADD 26% |
| 14 | 14EVENTIDE ASSET MANAGEMENT, LLC | 2,197,3852.2M | $108M | 1.83% | TRIM -10% |
| 15 | 15GEODE CAPITAL MANAGEMENT, LLC | 2,149,0362.1M | $106M | 1.79% | ADD 6% |
| 16 | 16STEMPOINT CAPITAL LP | 2,070,9922.1M | $102M | 1.73% | ADD 134% |
| 17 | 17Hood River Capital Management LLC | 2,049,6792.0M | $101M | 1.71% | — |
| 18 | 18Polar Capital Holdings Plc | 1,983,6282.0M | $98M | 1.66% | ADD 50% |
| 19 | 19Driehaus Capital Management LLC | 1,920,2331.9M | $94M | 1.60% | — |
| 20 | 20Holocene Advisors, LP | 1,890,9271.9M | $93M | 1.58% | ADD 36% |
| 21 | 21Woodline Partners LP | 1,500,4701.5M | $74M | 1.25% | ADD 24% |
| 22 | 22GOLDMAN SACHS GROUP INC | 1,398,9831.4M | $69M | 1.17% | ADD 6% |
| 23 | 23BANK OF AMERICA CORP /DE/ | 1,336,6321.3M | $66M | 1.12% | ADD 27% |
| 24 | 24Vestal Point Capital, LP | 1,324,4221.3M | $65M | 1.11% | ADD 89% |
| 25 | 25Paradigm Biocapital Advisors LP | 1,226,0801.2M | $60M | 1.02% | TRIM -60% |
| 26 | 26Capital World Investors | 1,128,7521.1M | $55M | 0.94% | — |
| 27 | 27MARSHALL WACE, LLP | 1,060,2751.1M | $52M | 0.88% | ADD 188% |
| 28 | 28BNP PARIBAS ASSET MANAGEMENT Holding S.A. | 981,915981,915 | $48M | 0.82% | ADD 18% |
| 29 | 29CITADEL ADVISORS LLC | 900,799900,799 | $44M | 0.75% | ADD 82% |
| 30 | 30Pictet Asset Management Holding SA | 875,084875,084 | $43M | 0.73% | TRIM -27% |
| 31 | 31FEDERATED HERMES, INC. | 797,913797,913 | $39M | 0.67% | — |
| 32 | 32NORTHERN TRUST CORP | 763,803763,803 | $38M | 0.64% | ADD 6% |
| 33 | 33Rock Springs Capital Management LP | 739,816739,816 | $36M | 0.62% | — |
| 34 | 34VOYA INVESTMENT MANAGEMENT LLC | 725,409725,409 | $36M | 0.61% | ADD 41% |
| 35 | 35BNP PARIBAS FINANCIAL MARKETS | 723,875723,875 | $36M | 0.60% | ADD 31% |
| 36 | 36VANGUARD PORTFOLIO MANAGEMENT LLC | 721,744721,744 | $35M | 0.60% | NEW |
| 37 | 37Ensign Peak Advisors, Inc | 717,253717,253 | $35M | 0.60% | TRIM -14% |
| 38 | 38AMERICAN CENTURY COMPANIES INC | 707,101707,101 | $35M | 0.59% | — |
| 39 | 39CHARLES SCHWAB INVESTMENT MANAGEMENT INC | 701,011701,011 | $34M | 0.59% | — |
| 40 | 40ADAGE CAPITAL PARTNERS GP, L.L.C. | 700,000700,000 | $34M | 0.58% | NEW |
| 41 | 41Clearbridge Investments, LLC | 691,418691,418 | $34M | 0.58% | ADD 134% |
| 42 | 42UBS Group AG | 679,784679,784 | $33M | 0.57% | TRIM -25% |
| 43 | 43LOOMIS SAYLES & CO L P | 638,629638,629 | $31M | 0.53% | TRIM -8% |
| 44 | 44VANGUARD FIDUCIARY TRUST CO | 589,048589,048 | $29M | 0.49% | NEW |
| 45 | 45Nuveen, LLC | 581,654581,654 | $29M | 0.49% | TRIM -4% |
| 46 | 46JANE STREET GROUP, LLC | 560,084560,084 | $28M | 0.47% | ADD 533% |
| 47 | 47Integral Health Asset Management, LLC | 500,000500,000 | $25M | 0.42% | ADD 67% |
| 48 | 48Eagle Health Investments LP | 494,019494,019 | $24M | 0.41% | ADD 36% |
| 49 | 49Fisher Asset Management, LLC | 458,017458,017 | $23M | 0.38% | TRIM -14% |
| 50 | 50First Turn Management, LLC | 446,390446,390 | $22M | 0.37% | TRIM -3% |
| 51 | 51ADAR1 Capital Management, LLC | 407,273407,273 | $20M | 0.34% | ADD 485% |
| 52 | 52Casdin Capital, LLC | 350,000350,000 | $17M | 0.29% | ADD 35% |
| 53 | 53SILVERARC CAPITAL MANAGEMENT, LLC | 339,613339,613 | $17M | 0.28% | NEW |
| 54 | 54ARMISTICE CAPITAL, LLC | 336,959336,959 | $17M | 0.28% | ADD 68% |
| 55 | 55NAN FUNG TRINITY (HK) LTD | 285,495285,495 | $14M | 0.24% | ADD 8% |
| 56 | 56RAYMOND JAMES FINANCIAL INC | 253,599253,599 | $12M | 0.21% | ADD 3% |
| 57 | 57DEUTSCHE BANK AG\ | 241,794241,794 | $12M | 0.20% | ADD 7% |
| 58 | 58Bank of New York Mellon Corp | 232,672232,672 | $11M | 0.19% | — |
| 59 | 59Candriam S.C.A. | 225,998225,998 | $11M | 0.19% | ADD 55% |
| 60 | 60TD Asset Management Inc | 223,064223,064 | $11M | 0.19% | TRIM -21% |
| 61 | 61MORGAN STANLEY | 219,027219,027 | $11M | 0.18% | TRIM -41% |
| 62 | 62AQR CAPITAL MANAGEMENT LLC | 211,960211,960 | $10M | 0.18% | TRIM -24% |
| 63 | 63TWO SIGMA INVESTMENTS, LP | 178,672178,672 | $9M | 0.15% | TRIM -56% |
| 64 | 64Universal- Beteiligungs- und Servicegesellschaft mbH | 177,377177,377 | $9M | 0.15% | ADD 5% |
| 65 | 65MANUFACTURERS LIFE INSURANCE COMPANY, THE | 173,765173,765 | $9M | 0.15% | TRIM -7% |
| 66 | 66Cinctive Capital Management LP | 172,535172,535 | $8M | 0.14% | NEW |
| 67 | 67Granahan Investment Management, LLC | 156,314156,314 | $8M | 0.13% | — |
| 68 | 68JPMORGAN CHASE & CO | 174,419174,419 | $8M | 0.15% | ADD 2% |
| 69 | 69Balyasny Asset Management L.P. | 149,714149,714 | $7M | 0.12% | ADD 799% |
| 70 | 70PEREGRINE CAPITAL MANAGEMENT LLC | 146,606146,606 | $7M | 0.12% | TRIM -4% |
| 71 | 71SEI INVESTMENTS CO | 143,359143,359 | $7M | 0.12% | ADD 19% |
| 72 | 72GordonMD Global Investments LP | 132,500132,500 | $7M | 0.11% | NEW |
| 73 | 73iA Global Asset Management Inc. | 123,212123,212 | $6M | 0.10% | — |
| 74 | 74Swiss National Bank | 123,200123,200 | $6M | 0.10% | — |
| 75 | 75Invesco Ltd. | 119,597119,597 | $6M | 0.10% | ADD 45% |
| 76 | 76EFG International AG | 112,730112,730 | $6M | 0.09% | TRIM -5% |
| 77 | 77RHUMBLINE ADVISERS | 112,501112,501 | $6M | 0.09% | ADD 3% |
| 78 | 78Rafferty Asset Management, LLC | 104,456104,456 | $5M | 0.09% | TRIM -19% |
| 79 | 79UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC | 102,912102,912 | $5M | 0.09% | TRIM -4% |
| 80 | 80XTX Topco Ltd | 100,425100,425 | $5M | 0.08% | ADD 750% |
| 81 | 81FIDEURAM - INTESA SANPAOLO PRIVATE BANKING S.P.A. | 98,70098,700 | $5M | 0.08% | TRIM -4% |
| 82 | 82Artia Global Partners LP | 96,28596,285 | $5M | 0.08% | — |
| 83 | 83SPHERA FUNDS MANAGEMENT LTD. | 94,26594,265 | $5M | 0.08% | TRIM -40% |
| 84 | 84ALLIANCEBERNSTEIN L.P. | 100,690100,690 | $4M | 0.08% | ADD 23% |
| 85 | 85Hudson Bay Capital Management LP | 83,45083,450 | $4M | 0.07% | TRIM -17% |
| 86 | 86Nicholas Investment Partners, LP | 82,51182,511 | $4M | 0.07% | NEW |
| 87 | 87Aisling Capital Management LP | 77,03177,031 | $4M | 0.06% | — |
| 88 | 88Trexquant Investment LP | 76,74876,748 | $4M | 0.06% | ADD 57% |
| 89 | 89CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM | 74,91674,916 | $4M | 0.06% | ADD 23% |
| 90 | 90StoneCrest Wealth Management, Inc. | 70,91470,914 | $3M | 0.06% | ADD 20% |
| 91 | 91ExodusPoint Capital Management, LP | 67,06867,068 | $3M | 0.06% | TRIM -37% |
| 92 | 92VANGUARD ASSET MANAGEMENT, Ltd | 64,61764,617 | $3M | 0.05% | NEW |
| 93 | 93Man Group plc | 62,11862,118 | $3M | 0.05% | TRIM -66% |
| 94 | 94MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. | 61,90661,906 | $3M | 0.05% | ADD 35% |
| 95 | 95Moody Aldrich Partners LLC | 60,20160,201 | $3M | 0.05% | TRIM -29% |
| 96 | 96Ishara Investments LP | 57,40057,400 | $3M | 0.05% | NEW |
| 97 | 97POLEN CAPITAL MANAGEMENT LLCtracked | 51,95151,951 | $3M | 0.04% | ADD 139% |
| 98 | 98Squarepoint Ops LLC | 49,95549,955 | $2M | 0.04% | NEW |
| 99 | 99Legal & General Group Plc | 49,91449,914 | $2M | 0.04% | TRIM -21% |
| 100 | 100SUSQUEHANNA INTERNATIONAL GROUP, LLP | 48,23648,236 | $2M | 0.04% | ADD 272% |