<SEC-DOCUMENT>0001752724-21-112401.txt : 20210526
<SEC-HEADER>0001752724-21-112401.hdr.sgml : 20210526
<ACCEPTANCE-DATETIME>20210526132426
ACCESSION NUMBER:		0001752724-21-112401
CONFORMED SUBMISSION TYPE:	NPORT-P
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20210331
FILED AS OF DATE:		20210526
PERIOD START:           	20210930

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			Tekla World Healthcare Fund
		CENTRAL INDEX KEY:			0001635977
		IRS NUMBER:				000000000
		STATE OF INCORPORATION:			MA

	FILING VALUES:
		FORM TYPE:		NPORT-P
		SEC ACT:		1940 Act
		SEC FILE NUMBER:	811-23037
		FILM NUMBER:		21964476

	BUSINESS ADDRESS:	
		STREET 1:		100 FEDERAL STREET
		STREET 2:		19TH FLOOR
		CITY:			BOSTON
		STATE:			MA
		ZIP:			02110
		BUSINESS PHONE:		(617) 772-8515

	MAIL ADDRESS:	
		STREET 1:		100 FEDERAL STREET
		STREET 2:		19TH FLOOR
		CITY:			BOSTON
		STATE:			MA
		ZIP:			02110
</SEC-HEADER>
<DOCUMENT>
<TYPE>NPORT-P
<SEQUENCE>1
<FILENAME>primary_doc.xml
<TEXT>
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      <repPdDate>2021-03-31</repPdDate>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <name>PerkinElmer Inc</name>
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        <name>Goldman Sachs Bank USA</name>
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        <fairValLevel>2</fairValLevel>
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              <counterpartyName>Goldman Sachs Bank USA</counterpartyName>
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      <invstOrSec>
        <name>AbbVie Inc</name>
        <lei>FR5LCKFTG8054YNNRU85</lei>
        <title>AbbVie Inc</title>
        <cusip>00287Y109</cusip>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Universal Health Services Inc</name>
        <lei>549300YGMGQDO0NMJD09</lei>
        <title>Universal Health Services Inc</title>
        <cusip>913903100</cusip>
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          <isin value="US9139031002"/>
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        <balance>22357.00000000</balance>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Takeda Pharmaceutical Co Ltd</name>
        <lei>549300ZLMVP4X0OGR454</lei>
        <title>Takeda Pharmaceutical Co Ltd</title>
        <cusip>874060205</cusip>
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          <isin value="US8740602052"/>
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        <balance>210146.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3837265.96000000</valUSD>
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        <assetCat>EC</assetCat>
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        <invCountry>JP</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>BRISTOL-MYERS SQUIBB CO APR21 62.5 CALL</title>
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          <other otherDesc="Internal Identifier" value="ADI1W1847"/>
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      <invstOrSec>
        <name>Ventas Inc</name>
        <lei>ORQTRC074CWLT3DKHT41</lei>
        <title>Ventas Inc</title>
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          <isin value="US92276F1003"/>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>AstraZeneca PLC</name>
        <lei>PY6ZZQWO2IZFZC3IOL08</lei>
        <title>AstraZeneca PLC</title>
        <cusip>046353AL2</cusip>
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          <isin value="US046353AL27"/>
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        <balance>5000000.00000000</balance>
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        <curCd>USD</curCd>
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        <assetCat>DBT</assetCat>
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        <invCountry>GB</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
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          <couponKind>Fixed</couponKind>
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          <areIntrstPmntsInArrs>N</areIntrstPmntsInArrs>
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        <securityLending>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>ILLUMINA INC APR21 430 CALL</title>
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          <other otherDesc="Internal Identifier" value="ADI1WH974"/>
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        <balance>-3.00000000</balance>
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        <assetCat>DE</assetCat>
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      <invstOrSec>
        <name>Olympus Corp</name>
        <lei>5299000Y52IFDI1I2A21</lei>
        <title>Olympus Corp</title>
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          <isin value="JP3201200007"/>
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      <invstOrSec>
        <name>Nektar Therapeutics</name>
        <lei>5299005I24806IOIYE03</lei>
        <title>Nektar Therapeutics</title>
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      <invstOrSec>
        <name>Thermo Fisher Scientific Inc</name>
        <lei>HCHV7422L5HDJZCRFL38</lei>
        <title>Thermo Fisher Scientific Inc</title>
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      <invstOrSec>
        <name>Goldman Sachs Bank USA</name>
        <lei>KD3XUN7C6T14HNAYLU02</lei>
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      <invstOrSec>
        <name>Teladoc Health Inc</name>
        <lei>549300I2PVFBC9MFAC61</lei>
        <title>Teladoc Health Inc</title>
        <cusip>87918A105</cusip>
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          <isin value="US87918A1051"/>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>DEXCOM INC APR21 360 CALL</title>
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                <issuerName>Dexcom Inc</issuerName>
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            <shareNo>100.00000000</shareNo>
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            <expDt>2021-04-16</expDt>
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            <unrealizedAppr>-6146.06000000</unrealizedAppr>
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      <invstOrSec>
        <name>Agilent Technologies Inc</name>
        <lei>QUIX8Y7A2WP0XRMW7G29</lei>
        <title>Agilent Technologies Inc</title>
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        <name>Options Clearing Corp.</name>
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        <name>Grifols SA</name>
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        <name>Options Clearing Corp.</name>
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        <name>Verona Pharma PLC</name>
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        <name>Options Clearing Corp.</name>
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        <name>Allergan Sales LLC</name>
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        <name>Universal Health Realty Income Trust</name>
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        <name>Amgen Inc</name>
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        <title>Amgen Inc</title>
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        <name>Horizon Therapeutics Plc</name>
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        <isRestrictedSec>N</isRestrictedSec>

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        <name>Medtronic PLC</name>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <fairValLevel>1</fairValLevel>
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        <name>DIVERSIFIED HEALTHCARE T</name>
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        <name>UnitedHealth Group Inc</name>
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      <invstOrSec>
        <name>Tenet Healthcare Corp</name>
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        <name>Zoetis Inc</name>
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        <name>LABORATORY CORP OF AMER</name>
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        <fairValLevel>2</fairValLevel>
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        <name>Boston Scientific Corp</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Zimmer Biomet Holdings Inc</name>
        <lei>2P2YLDVPES3BXQ1FRB91</lei>
        <title>Zimmer Biomet Holdings Inc</title>
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        <name>Otsuka Holdings Co Ltd</name>
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        <name>ResMed Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Anthem Inc</name>
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        <title>Anthem Inc</title>
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        <name>Biogen Inc</name>
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        <name>Daiichi Sankyo Co Ltd</name>
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        <name>ZIMMER BIOMET HOLDINGS</name>
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        <title>Zimmer Biomet Holdings Inc</title>
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        <name>Physicians Realty Trust</name>
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        <name>Options Clearing Corp.</name>
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        <name>Align Technology Inc</name>
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        <name>Becton Dickinson and Co</name>
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        <title>Becton Dickinson and Co</title>
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      </invstOrSec>
      <invstOrSec>
        <name>Options Clearing Corp.</name>
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          <other otherDesc="Internal Identifier" value="ADI1VY8M6"/>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <optionSwaptionWarrantDeriv derivCat="OPT">
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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            <putOrCall>Call</putOrCall>
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                <issuerName>Medtronic PLC</issuerName>
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      </invstOrSec>
      <invstOrSec>
        <name>GLAXOSMITHKLINE CAPITAL</name>
        <lei>549300U0LV41VX7LEP38</lei>
        <title>GlaxoSmithKline Capital PLC</title>
        <cusip>377373AG0</cusip>
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          <isin value="US377373AG03"/>
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        <invCountry>GB</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>IQVIA Holdings Inc</name>
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        <title>IQVIA Holdings Inc</title>
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          <isin value="US46266C1053"/>
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        <balance>16579.00000000</balance>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Endo International PLC</name>
        <lei>5493007TBMWZWGZIB256</lei>
        <title>Endo International PLC</title>
        <cusip>000000000</cusip>
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          <isin value="IE00BJ3V9050"/>
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        <balance>36963.00000000</balance>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>IE</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>MEDTRONIC PLC APR21 125 CALL</title>
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          <other otherDesc="Internal Identifier" value="ADI1WH8J9"/>
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        <valUSD>-2862.00000000</valUSD>
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        <assetCat>DE</assetCat>
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        <invCountry>IE</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <optionSwaptionWarrantDeriv derivCat="OPT">
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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            <putOrCall>Call</putOrCall>
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                <issuerName>Medtronic PLC</issuerName>
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                  <isin value="IE00BTN1Y115"/>
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            <shareNo>100.00000000</shareNo>
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            <delta>XXXX</delta>
            <unrealizedAppr>8801.11000000</unrealizedAppr>
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      <invstOrSec>
        <name>OCULIS SA</name>
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        <cusip>000000000</cusip>
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          <other otherDesc="Internal Identifier" value="963MZB906"/>
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        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>CH</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Stryker Corp</name>
        <lei>5493002F0SC4JTBU5137</lei>
        <title>Stryker Corp</title>
        <cusip>863667101</cusip>
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          <isin value="US8636671013"/>
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        <balance>30895.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>7525404.10000000</valUSD>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Iovance Biotherapeutics Inc</name>
        <lei>549300220Z2GHH33XL82</lei>
        <title>Iovance Biotherapeutics Inc</title>
        <cusip>462260100</cusip>
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          <isin value="US4622601007"/>
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        <balance>42629.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>1349634.14000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>HCA Inc</name>
        <lei>L3CJ6J7LJ2DX62FTXD46</lei>
        <title>HCA Inc</title>
        <cusip>404119BR9</cusip>
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          <isin value="US404119BR91"/>
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        <balance>1250000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>1394393.75000000</valUSD>
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        <assetCat>DBT</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>2</fairValLevel>
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          <maturityDt>2025-02-01</maturityDt>
          <couponKind>Fixed</couponKind>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>M3 Inc</name>
        <lei>N/A</lei>
        <title>M3 Inc</title>
        <cusip>000000000</cusip>
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          <isin value="JP3435750009"/>
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        <balance>14872.00000000</balance>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>JP</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Merck &amp; Co Inc</name>
        <lei>4YV9Y5M8S0BRK1RP0397</lei>
        <title>Merck &amp; Co Inc</title>
        <cusip>58933YAR6</cusip>
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          <isin value="US58933YAR62"/>
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        <balance>1463000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>1557082.41000000</valUSD>
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        <assetCat>DBT</assetCat>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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          <maturityDt>2025-02-10</maturityDt>
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      <invstOrSec>
        <name>Smith &amp; Nephew PLC</name>
        <lei>213800ZTMDN8S67S1H61</lei>
        <title>Smith &amp; Nephew PLC</title>
        <cusip>83175M205</cusip>
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        <balance>99560.00000000</balance>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
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        <invCountry>GB</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Johnson &amp; Johnson</name>
        <lei>549300G0CFPGEF6X2043</lei>
        <title>Johnson &amp; Johnson</title>
        <cusip>478160BY9</cusip>
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        <balance>4300000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>4573587.80000000</valUSD>
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        <invCountry>US</invCountry>
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        <fairValLevel>2</fairValLevel>
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          <maturityDt>2026-03-01</maturityDt>
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          <annualizedRt>2.45000000</annualizedRt>
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      <invstOrSec>
        <name>Verona Pharma PLC</name>
        <lei>213800EVI6O6J3TIAL06</lei>
        <title>Verona Pharma PLC</title>
        <cusip>925050106</cusip>
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        <assetCat>EC</assetCat>
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        <invCountry>GB</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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        <name>Atreca Inc</name>
        <lei>549300B5CQV1OOXFLU71</lei>
        <title>Atreca Inc</title>
        <cusip>04965G109</cusip>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Diversified Healthcare Trust</name>
        <lei>N/A</lei>
        <title>Diversified Healthcare Trust</title>
        <cusip>25525P107</cusip>
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        <balance>63841.00000000</balance>
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      <invstOrSec>
        <name>Celldex Therapeutics Inc</name>
        <lei>529900F018DMYWH38923</lei>
        <title>Celldex Therapeutics Inc</title>
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        <fairValLevel>1</fairValLevel>
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        <name>Novo Nordisk A/S</name>
        <lei>549300DAQ1CVT6CXN342</lei>
        <title>Novo Nordisk A/S</title>
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        <invCountry>DK</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>AstraZeneca PLC</name>
        <lei>PY6ZZQWO2IZFZC3IOL08</lei>
        <title>AstraZeneca PLC</title>
        <cusip>046353108</cusip>
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        <balance>344333.00000000</balance>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
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        <invCountry>GB</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Cigna Corp</name>
        <lei>549300VIWYMSIGT1U456</lei>
        <title>Cigna Corp</title>
        <cusip>125523100</cusip>
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          <isin value="US1255231003"/>
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        <balance>45900.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>11095866.00000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>CVS Health Corp</name>
        <lei>549300EJG376EN5NQE29</lei>
        <title>CVS Health Corp</title>
        <cusip>126650100</cusip>
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          <isin value="US1266501006"/>
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        <balance>48874.00000000</balance>
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      <invstOrSec>
        <name>Illumina Inc</name>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <fairValLevel>1</fairValLevel>
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        <name>LTC Properties Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Astellas Pharma Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <name>Eisai Co Ltd</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Rainier Therapeutics Series A PREFERRED STOCK</name>
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        <invCountry>US</invCountry>
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        <fairValLevel>3</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <title>DEXCOM INC APR21 380 CALL</title>
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        <name>R1 RCM Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Merck &amp; Co Inc</name>
        <lei>4YV9Y5M8S0BRK1RP0397</lei>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>CVS Health Corp</name>
        <lei>549300EJG376EN5NQE29</lei>
        <title>CVS Health Corp</title>
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        <fairValLevel>2</fairValLevel>
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          <couponKind>Fixed</couponKind>
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        <name>Perrigo Co PLC</name>
        <lei>549300IFOQS6R1QLY196</lei>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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        <name>Incyte Corp</name>
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        <title>Incyte Corp</title>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <title>DENTSPLY SIRONA INC APR21 65 CALL</title>
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        <name>Sabra Health Care REIT Inc</name>
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        <title>Sabra Health Care REIT Inc</title>
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        <name>Options Clearing Corp.</name>
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        <name>Roche Holding AG</name>
        <lei>549300U41AUUVOAAOB37</lei>
        <title>Roche Holding AG</title>
        <cusip>771195104</cusip>
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        <fairValLevel>1</fairValLevel>
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        <name>Community Healthcare Trust Inc</name>
        <lei>549300FATSRCMKOV9536</lei>
        <title>Community Healthcare Trust Inc</title>
        <cusip>20369C106</cusip>
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          <isin value="US20369C1062"/>
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        <balance>14900.00000000</balance>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      </invstOrSec>
      <invstOrSec>
        <name>Intuitive Surgical Inc</name>
        <lei>54930052SRG011710797</lei>
        <title>Intuitive Surgical Inc</title>
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          <isin value="US46120E6023"/>
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        <balance>6885.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>5087601.90000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>National Health Investors Inc</name>
        <lei>549300ZPKZIG6DKDEC02</lei>
        <title>National Health Investors Inc</title>
        <cusip>63633D104</cusip>
        <identifiers>
          <isin value="US63633D1046"/>
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        <balance>4442.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>321067.76000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerConditional desc="REIT" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>ICON PLC</name>
        <lei>6354008SRQGEMC4XFI67</lei>
        <title>ICON PLC</title>
        <cusip>000000000</cusip>
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          <isin value="IE0005711209"/>
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        <balance>23592.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4632761.04000000</valUSD>
        <pctVal>1.020894246301</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>IE</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>New Senior Investment Group Inc</name>
        <lei>549300H8A719CGNNEW69</lei>
        <title>New Senior Investment Group Inc</title>
        <cusip>648691103</cusip>
        <identifiers>
          <isin value="US6486911034"/>
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        <balance>96025.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>598235.75000000</valUSD>
        <pctVal>0.131829686408</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerConditional desc="REIT" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Amgen Inc</name>
        <lei>62QBXGPJ34PQ72Z12S66</lei>
        <title>Amgen Inc</title>
        <cusip>031162100</cusip>
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          <isin value="US0311621009"/>
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        <balance>28276.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>7035351.56000000</valUSD>
        <pctVal>1.550338959056</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Sanofi</name>
        <lei>549300E9PC51EN656011</lei>
        <title>Sanofi</title>
        <cusip>80105N105</cusip>
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          <isin value="US80105N1054"/>
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        <balance>81554.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4033660.84000000</valUSD>
        <pctVal>0.888874066141</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>FR</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>CIGNA CORP</name>
        <lei>549300VIWYMSIGT1U456</lei>
        <title>Cigna Corp</title>
        <cusip>125523BX7</cusip>
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          <isin value="US125523BX78"/>
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        <balance>2785000.00000000</balance>
        <units>PA</units>
        <curCd>USD</curCd>
        <valUSD>3000800.04000000</valUSD>
        <pctVal>0.661268619012</pctVal>
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        <assetCat>DBT</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
          <maturityDt>2024-06-15</maturityDt>
          <couponKind>Fixed</couponKind>
          <annualizedRt>3.50000000</annualizedRt>
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          <areIntrstPmntsInArrs>N</areIntrstPmntsInArrs>
          <isPaidKind>N</isPaidKind>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>ABBVIE INC APR21 110 CALL</title>
        <cusip>000000000</cusip>
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          <other otherDesc="Internal Identifier" value="ADI1W0WH3"/>
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        <balance>-191.00000000</balance>
        <units>NC</units>
        <curCd>USD</curCd>
        <valUSD>-18718.00000000</valUSD>
        <pctVal>-0.00412477534</pctVal>
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        <assetCat>DE</assetCat>
        <issuerConditional desc="derivative" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <optionSwaptionWarrantDeriv derivCat="OPT">
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
              <counterpartyLei>549300CII6SLYGKNHA04</counterpartyLei>
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            <putOrCall>Call</putOrCall>
            <writtenOrPur>Written</writtenOrPur>
            <descRefInstrmnt>
              <otherRefInst>
                <issuerName>AbbVie Inc</issuerName>
                <issueTitle>AbbVie Inc</issueTitle>
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                  <cusip value="00287Y109"/>
                  <isin value="US00287Y1091"/>
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            <shareNo>100.00000000</shareNo>
            <exercisePrice>110.00000000</exercisePrice>
            <exercisePriceCurCd>USD</exercisePriceCurCd>
            <expDt>2021-04-16</expDt>
            <delta>XXXX</delta>
            <unrealizedAppr>22556.88000000</unrealizedAppr>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Pfizer Inc</name>
        <lei>765LHXWGK1KXCLTFYQ30</lei>
        <title>Pfizer Inc</title>
        <cusip>717081ET6</cusip>
        <identifiers>
          <isin value="US717081ET61"/>
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        <balance>5300000.00000000</balance>
        <units>PA</units>
        <curCd>USD</curCd>
        <valUSD>5813343.32000000</valUSD>
        <pctVal>1.281052205352</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>DBT</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
          <maturityDt>2029-03-15</maturityDt>
          <couponKind>Fixed</couponKind>
          <annualizedRt>3.45000000</annualizedRt>
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          <areIntrstPmntsInArrs>N</areIntrstPmntsInArrs>
          <isPaidKind>N</isPaidKind>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>ENDO DAC/FIN LLC/FINCO</name>
        <lei>N/A</lei>
        <title>Endo Dac / Endo Finance LLC / Endo Finco Inc</title>
        <cusip>29273DAB6</cusip>
        <identifiers>
          <isin value="US29273DAB64"/>
        </identifiers>
        <balance>516000.00000000</balance>
        <units>PA</units>
        <curCd>USD</curCd>
        <valUSD>560505.00000000</valUSD>
        <pctVal>0.123515183404</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>DBT</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>XX</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
          <maturityDt>2027-07-31</maturityDt>
          <couponKind>Fixed</couponKind>
          <annualizedRt>9.50000000</annualizedRt>
          <isDefault>N</isDefault>
          <areIntrstPmntsInArrs>N</areIntrstPmntsInArrs>
          <isPaidKind>N</isPaidKind>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Novartis Capital Corp</name>
        <lei>5493002KF87V5RSRQS84</lei>
        <title>Novartis Capital Corp</title>
        <cusip>66989HAG3</cusip>
        <identifiers>
          <isin value="US66989HAG39"/>
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        <balance>2115000.00000000</balance>
        <units>PA</units>
        <curCd>USD</curCd>
        <valUSD>2291526.25000000</valUSD>
        <pctVal>0.504970134154</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>DBT</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
          <maturityDt>2024-05-06</maturityDt>
          <couponKind>Fixed</couponKind>
          <annualizedRt>3.40000000</annualizedRt>
          <isDefault>N</isDefault>
          <areIntrstPmntsInArrs>N</areIntrstPmntsInArrs>
          <isPaidKind>N</isPaidKind>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Ono Pharmaceutical Co Ltd</name>
        <lei>N/A</lei>
        <title>Ono Pharmaceutical Co Ltd</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="JP3197600004"/>
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        <balance>22660.00000000</balance>
        <units>NS</units>
        <currencyConditional curCd="JPY" exchangeRt="110.72500000"/>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>JP</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Goldman Sachs Bank USA</name>
        <lei>KD3XUN7C6T14HNAYLU02</lei>
        <title>PURCHASED USD / SOLD AUD</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Trade Identifier" value="21CTKBB590J"/>
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        <balance>1.00000000</balance>
        <units>NC</units>
        <currencyConditional curCd="AUD" exchangeRt="1.31638439"/>
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        <pctVal>0.002871044609</pctVal>
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        <assetCat>DFE</assetCat>
        <issuerConditional desc="derivative" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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              <counterpartyName>Goldman Sachs Bank USA</counterpartyName>
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            <settlementDt>2021-04-30</settlementDt>
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        <securityLending>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Fixed Income Clearing Corp</name>
        <lei>549300H47WTHXPU08X20</lei>
        <title>FIXED INC CLEARING CORP.REPO</title>
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          <other otherDesc="Internal Identifier" value="85748R009"/>
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        <balance>15382000.00000000</balance>
        <units>PA</units>
        <curCd>USD</curCd>
        <valUSD>15382000.00000000</valUSD>
        <pctVal>3.389640683173</pctVal>
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        <assetCat>RA</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <repurchaseAgrmt>
          <transCat>Repurchase</transCat>
          <clearedCentCparty centralCounterparty="Fixed Income Clearing Corp" isCleared="Y"/>
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              <invstCat>UST</invstCat>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>MCKESSON CORP APR21 190 CALL</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Internal Identifier" value="ADI1WGV14"/>
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        <balance>-14.00000000</balance>
        <units>NC</units>
        <curCd>USD</curCd>
        <valUSD>-11725.00000000</valUSD>
        <pctVal>-0.00258376914</pctVal>
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        <assetCat>DE</assetCat>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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            <putOrCall>Call</putOrCall>
            <writtenOrPur>Written</writtenOrPur>
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              <otherRefInst>
                <issuerName>McKesson Corp</issuerName>
                <issueTitle>McKesson Corp</issueTitle>
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                  <isin value="US58155Q1031"/>
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            <shareNo>100.00000000</shareNo>
            <exercisePrice>190.00000000</exercisePrice>
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            <delta>XXXX</delta>
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      <invstOrSec>
        <name>Abbott Laboratories</name>
        <lei>HQD377W2YR662HK5JX27</lei>
        <title>Abbott Laboratories</title>
        <cusip>002824100</cusip>
        <identifiers>
          <isin value="US0028241000"/>
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        <balance>160793.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>19269433.12000000</valUSD>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Goldman Sachs Bank USA</name>
        <lei>KD3XUN7C6T14HNAYLU02</lei>
        <title>PURCHASED USD / SOLD DKK</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Trade Identifier" value="21CTKBB566D"/>
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        <balance>1.00000000</balance>
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        <currencyConditional curCd="DKK" exchangeRt="6.34094391"/>
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        <pctVal>0.002148182028</pctVal>
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        <assetCat>DFE</assetCat>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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              <counterpartyName>Goldman Sachs Bank USA</counterpartyName>
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            <settlementDt>2021-04-29</settlementDt>
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        <securityLending>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Lonza Group AG</name>
        <lei>549300EFW4H2TCZ71055</lei>
        <title>Lonza Group AG</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="CH0013841017"/>
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        <balance>5773.00000000</balance>
        <units>NS</units>
        <currencyConditional curCd="CHF" exchangeRt="0.94515000"/>
        <valUSD>3227480.51000000</valUSD>
        <pctVal>0.711220858200</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>CH</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>CSL Ltd</name>
        <lei>529900ECSECK5ZDQTE14</lei>
        <title>CSL Ltd</title>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Dexcom Inc</name>
        <lei>549300YSK3QDSFR5EU59</lei>
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        <assetCat>EC</assetCat>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      </invstOrSec>
      <invstOrSec>
        <name>ENDO DAC/FIN LLC/FINCO</name>
        <lei>N/A</lei>
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          <isin value="US29273DAC48"/>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Johnson &amp; Johnson</name>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Everest Medicines Ltd</name>
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        <invCountry>KY</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Goldman Sachs Bank USA</name>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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          <fwdDeriv derivCat="FWD">
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              <counterpartyName>Goldman Sachs Bank USA</counterpartyName>
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      <invstOrSec>
        <name>Pfizer Inc</name>
        <lei>765LHXWGK1KXCLTFYQ30</lei>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Hoya Corp</name>
        <lei>353800X4VR3BHEUCJB42</lei>
        <title>Hoya Corp</title>
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        <invCountry>JP</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Ardelyx Inc</name>
        <lei>549300F542QR4SXHCY32</lei>
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          <isin value="US0396971071"/>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Baxalta Inc</name>
        <lei>5493000JW8DCO3T45R55</lei>
        <title>Baxalta Inc</title>
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        <balance>831000.00000000</balance>
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        <curCd>USD</curCd>
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        <assetCat>DBT</assetCat>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
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      <invstOrSec>
        <name>Molina Healthcare Inc</name>
        <lei>549300NQQCEQ46YHZ591</lei>
        <title>Molina Healthcare Inc</title>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Medtronic Inc</name>
        <lei>D56MRZY2INAN94ZONZ37</lei>
        <title>Medtronic Inc</title>
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        <invCountry>US</invCountry>
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        <fairValLevel>2</fairValLevel>
        <debtSec>
          <maturityDt>2035-03-15</maturityDt>
          <couponKind>Fixed</couponKind>
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      <invstOrSec>
        <name>Edwards Lifesciences Corp</name>
        <lei>YA13X31F3V31L8TMPR58</lei>
        <title>Edwards Lifesciences Corp</title>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Biogen Inc</name>
        <lei>W8J5WZB5IY3K0NDQT671</lei>
        <title>Biogen Inc</title>
        <cusip>09062XAE3</cusip>
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        <balance>560000.00000000</balance>
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      <invstOrSec>
        <name>Argenx SE</name>
        <lei>7245009C5FZE6G9ODQ71</lei>
        <title>Argenx SE</title>
        <cusip>04016X101</cusip>
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        <assetCat>EC</assetCat>
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        <invCountry>NL</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>BRISTOL-MYERS SQUIBB CO</name>
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        <title>Bristol-Myers Squibb Co</title>
        <cusip>110122CP1</cusip>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>1Life Healthcare Inc</name>
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        <name>Five Star Senior Living Inc</name>
        <lei>N/A</lei>
        <title>Five Star Senior Living Inc</title>
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        <name>Healthcare Realty Trust Inc</name>
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        <title>Healthcare Realty Trust Inc</title>
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        <name>EMD Finance LLC</name>
        <lei>529900C8KS5G529A0B76</lei>
        <title>EMD Finance LLC</title>
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        <invCountry>US</invCountry>

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      <invstOrSec>
        <name>DYNACURE SERIES C PREFERRED STOCK</name>
        <lei>N/A</lei>
        <title>DYNACURE SERIES C PREFERRED STOCK</title>
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        <invCountry>FR</invCountry>
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        <fairValLevel>3</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <fairValLevel>1</fairValLevel>
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                <issuerName>Abbott Laboratories</issuerName>
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      <invstOrSec>
        <name>Bayer AG</name>
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        <title>Bayer AG</title>
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          <isin value="DE000BAY0017"/>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>I-Mab</name>
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        <invCountry>KY</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Goldman Sachs Bank USA</name>
        <lei>KD3XUN7C6T14HNAYLU02</lei>
        <title>PURCHASED USD / SOLD GBP</title>
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          <other otherDesc="Trade Identifier" value="21CTKBB59ZC"/>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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          <fwdDeriv derivCat="FWD">
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              <counterpartyName>Goldman Sachs Bank USA</counterpartyName>
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      <invstOrSec>
        <name>Owens &amp; Minor Inc</name>
        <lei>549300LMT5KQQXCEZ733</lei>
        <title>Owens &amp; Minor Inc</title>
        <cusip>690732102</cusip>
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          <isin value="US6907321029"/>
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        <balance>40906.00000000</balance>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>MERCK + CO INC APR21 77.5 CALL</title>
        <cusip>000000000</cusip>
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          <other otherDesc="Internal Identifier" value="ADI1W0V01"/>
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        <balance>-104.00000000</balance>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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            <putOrCall>Call</putOrCall>
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                <issuerName>Merck &amp; Co Inc</issuerName>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>TEVA PHARMACEUTICAL INDUSTRIES APR21 12 CALL</title>
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          <other otherDesc="Internal Identifier" value="ADI1WNF17"/>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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                <issuerName>Teva Pharmaceutical Industries Ltd</issuerName>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>RESMED INC APR21 195 CALL</title>
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          <other otherDesc="Internal Identifier" value="ADI1WNDB7"/>
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                <issuerName>ResMed Inc</issuerName>
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      <invstOrSec>
        <name>Laboratory Corp of America Holdings</name>
        <lei>OZ7UA8IXAIFILY2VZH07</lei>
        <title>Laboratory Corp of America Holdings</title>
        <cusip>50540R409</cusip>
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          <isin value="US50540R4092"/>
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        <fairValLevel>1</fairValLevel>
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        <name>Healthcare Trust of America Inc</name>
        <lei>549300L0I14L7I0VLX84</lei>
        <title>Healthcare Trust of America Inc</title>
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        <name>Sysmex Corp</name>
        <lei>5299001ZO4CKWACMZI55</lei>
        <title>Sysmex Corp</title>
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        <name>MorphoSys AG</name>
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        <fairValLevel>1</fairValLevel>
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        <name>GLAXOSMITHKLINE CAPITAL</name>
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        <title>GlaxoSmithKline Capital PLC</title>
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        <invCountry>GB</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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          <couponKind>Fixed</couponKind>
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        <name>HCA Healthcare Inc</name>
        <lei>529900PH4ZGUH2MNEU89</lei>
        <title>HCA Healthcare Inc</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>ASTRAZENECA PLC APR21 50 CALL</title>
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        <balance>-1009.00000000</balance>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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                <issuerName>AstraZeneca PLC</issuerName>
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      <invstOrSec>
        <name>Terumo Corp</name>
        <lei>353800JX1R4582QVK932</lei>
        <title>Terumo Corp</title>
        <cusip>000000000</cusip>
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        <balance>34576.00000000</balance>
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        <name>Takeda Pharmaceutical Co Ltd</name>
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        <name>McKesson Corp</name>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <name>Humana Inc</name>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <name>Options Clearing Corp.</name>
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        <name>Danaher Corp</name>
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        <name>McKesson Corp</name>
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        <name>Regeneron Pharmaceuticals Inc</name>
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        <name>Medical Properties Trust Inc</name>
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        <name>Shionogi &amp; Co Ltd</name>
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        <name>Teleflex Inc</name>
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        <name>Options Clearing Corp.</name>
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        <name>Options Clearing Corp.</name>
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        <name>SHIRE ACQ INV IRELAND DA</name>
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        <title>Shire Acquisitions Investments Ireland DAC</title>
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        <name>Community Health Systems Inc</name>
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        <name>UnitedHealth Group Inc</name>
        <lei>549300GHBMY8T5GXDE41</lei>
        <title>UnitedHealth Group Inc</title>
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      <invstOrSec>
        <name>Mettler-Toledo International Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>MALLINCKRODT FIN/SB</name>
        <lei>N/A</lei>
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          <isin value="US561233AC14"/>
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        <invCountry>LU</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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          <couponKind>None</couponKind>
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      <invstOrSec>
        <name>Mallinckrodt PLC</name>
        <lei>549300LMDE3RUP8Z3L60</lei>
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          <isin value="IE00BBGT3753"/>
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        <balance>32980.00000000</balance>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Teva Pharmaceutical Industries Ltd</name>
        <lei>549300BAFGM4RC74ZJ94</lei>
        <title>Teva Pharmaceutical Industries Ltd</title>
        <cusip>881624209</cusip>
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        <balance>105381.00000000</balance>
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        <invCountry>IL</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Alexion Pharmaceuticals Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Novartis AG</name>
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        <invCountry>CH</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Rainier Therapeutics Series B PREFERRED STOCK</name>
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        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
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      <invstOrSec>
        <name>Merck &amp; Co Inc</name>
        <lei>4YV9Y5M8S0BRK1RP0397</lei>
        <title>Merck &amp; Co Inc</title>
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          <isin value="US58933Y1055"/>
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        <balance>147710.00000000</balance>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Healthpeak Properties Inc</name>
        <lei>PZ9HF5U52KPF0MH0QN75</lei>
        <title>Healthpeak Properties Inc</title>
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          <isin value="US42250P1030"/>
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        <balance>83601.00000000</balance>
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        <curCd>USD</curCd>
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        <assetCat>EC</assetCat>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>STERIS PLC</name>
        <lei>N/A</lei>
        <title>STERIS PLC</title>
        <cusip>000000000</cusip>
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          <isin value="IE00BFY8C754"/>
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        <balance>26505.00000000</balance>
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        <assetCat>EC</assetCat>
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        <invCountry>IE</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Waters Corp</name>
        <lei>5T547R1474YC9HOD8Q74</lei>
        <title>Waters Corp</title>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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        <name>Eli Lilly and Co</name>
        <lei>FRDRIPF3EKNDJ2CQJL29</lei>
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        <fairValLevel>1</fairValLevel>
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        <name>Galera Therapeutics Inc</name>
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        <title>Galera Therapeutics Inc</title>
        <cusip>36338D108</cusip>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <name>Becton Dickinson and Co</name>
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        <name>Options Clearing Corp.</name>
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        <name>IDEXX Laboratories Inc</name>
        <lei>OGMTXK0LUU1HKV2P0J84</lei>
        <title>IDEXX Laboratories Inc</title>
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        <name>THERMO FISHER SCIENTIFIC</name>
        <lei>HCHV7422L5HDJZCRFL38</lei>
        <title>Thermo Fisher Scientific Inc</title>
        <cusip>883556BX9</cusip>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Hologic Inc</name>
        <lei>549300DYP6F5ZJL0LB74</lei>
        <title>Hologic Inc</title>
        <cusip>436440101</cusip>
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        </identifiers>
        <balance>4217.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>313660.46000000</valUSD>
        <pctVal>0.069119506950</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Par Pharmaceutical Inc</name>
        <lei>549300KK5WR4MGN4YT97</lei>
        <title>Par Pharmaceutical Inc</title>
        <cusip>69888XAA7</cusip>
        <identifiers>
          <isin value="US69888XAA72"/>
        </identifiers>
        <balance>193000.00000000</balance>
        <units>PA</units>
        <curCd>USD</curCd>
        <valUSD>205197.60000000</valUSD>
        <pctVal>0.045218185739</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>DBT</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
          <maturityDt>2027-04-01</maturityDt>
          <couponKind>Fixed</couponKind>
          <annualizedRt>7.50000000</annualizedRt>
          <isDefault>N</isDefault>
          <areIntrstPmntsInArrs>N</areIntrstPmntsInArrs>
          <isPaidKind>N</isPaidKind>
        </debtSec>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Bristol-Myers Squibb Co</name>
        <lei>HLYYNH7UQUORYSJQCN42</lei>
        <title>Bristol-Myers Squibb Co</title>
        <cusip>110122108</cusip>
        <identifiers>
          <isin value="US1101221083"/>
        </identifiers>
        <balance>154148.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>9731363.24000000</valUSD>
        <pctVal>2.144443163505</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>GLAXOSMITHKLINE CAP INC</name>
        <lei>5493007Q8VD7Q3ZYZS59</lei>
        <title>GlaxoSmithKline Capital Inc</title>
        <cusip>377372AH0</cusip>
        <identifiers>
          <isin value="US377372AH03"/>
        </identifiers>
        <balance>2000000.00000000</balance>
        <units>PA</units>
        <curCd>USD</curCd>
        <valUSD>2092753.22000000</valUSD>
        <pctVal>0.461167693040</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>DBT</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
          <maturityDt>2023-03-18</maturityDt>
          <couponKind>Fixed</couponKind>
          <annualizedRt>2.80000000</annualizedRt>
          <isDefault>N</isDefault>
          <areIntrstPmntsInArrs>N</areIntrstPmntsInArrs>
          <isPaidKind>N</isPaidKind>
        </debtSec>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Goldman Sachs Bank USA</name>
        <lei>KD3XUN7C6T14HNAYLU02</lei>
        <title>PURCHASED USD / SOLD CHF</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Trade Identifier" value="21CTKBB566F"/>
        </identifiers>
        <balance>1.00000000</balance>
        <units>NC</units>
        <currencyConditional curCd="CHF" exchangeRt="0.94453391"/>
        <valUSD>108837.39000000</valUSD>
        <pctVal>0.023983854179</pctVal>
        <payoffProfile>N/A</payoffProfile>
        <assetCat>DFE</assetCat>
        <issuerConditional desc="derivative" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <derivativeInfo>
          <fwdDeriv derivCat="FWD">
            <counterparties>
              <counterpartyName>Goldman Sachs Bank USA</counterpartyName>
              <counterpartyLei>KD3XUN7C6T14HNAYLU02</counterpartyLei>
            </counterparties>
            <amtCurSold>16552449.94000000</amtCurSold>
            <curSold>CHF</curSold>
            <amtCurPur>17633300.74000000</amtCurPur>
            <curPur>USD</curPur>
            <settlementDt>2021-04-30</settlementDt>
            <unrealizedAppr>108837.39000000</unrealizedAppr>
          </fwdDeriv>
        </derivativeInfo>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>WATERS CORP APR21 280 CALL</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Internal Identifier" value="ADI1WH7K7"/>
        </identifiers>
        <balance>-16.00000000</balance>
        <units>NC</units>
        <curCd>USD</curCd>
        <valUSD>-13680.00000000</valUSD>
        <pctVal>-0.00301458097</pctVal>
        <payoffProfile>N/A</payoffProfile>
        <assetCat>DE</assetCat>
        <issuerConditional desc="derivative" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <derivativeInfo>
          <optionSwaptionWarrantDeriv derivCat="OPT">
            <counterparties>
              <counterpartyName>Options Clearing Corp.</counterpartyName>
              <counterpartyLei>549300CII6SLYGKNHA04</counterpartyLei>
            </counterparties>
            <putOrCall>Call</putOrCall>
            <writtenOrPur>Written</writtenOrPur>
            <descRefInstrmnt>
              <otherRefInst>
                <issuerName>Waters Corp</issuerName>
                <issueTitle>Waters Corp</issueTitle>
                <identifiers>
                  <cusip value="941848103"/>
                  <isin value="US9418481035"/>
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              </otherRefInst>
            </descRefInstrmnt>
            <shareNo>100.00000000</shareNo>
            <exercisePrice>280.00000000</exercisePrice>
            <exercisePriceCurCd>USD</exercisePriceCurCd>
            <expDt>2021-04-16</expDt>
            <delta>XXXX</delta>
            <unrealizedAppr>-7525.49000000</unrealizedAppr>
          </optionSwaptionWarrantDeriv>
        </derivativeInfo>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>IQVIA HOLDINGS INC APR21 195 CALL</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Internal Identifier" value="ADI1WGTV1"/>
        </identifiers>
        <balance>-48.00000000</balance>
        <units>NC</units>
        <curCd>USD</curCd>
        <valUSD>-19200.00000000</valUSD>
        <pctVal>-0.00423099084</pctVal>
        <payoffProfile>N/A</payoffProfile>
        <assetCat>DE</assetCat>
        <issuerConditional desc="derivative" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <derivativeInfo>
          <optionSwaptionWarrantDeriv derivCat="OPT">
            <counterparties>
              <counterpartyName>Options Clearing Corp.</counterpartyName>
              <counterpartyLei>549300CII6SLYGKNHA04</counterpartyLei>
            </counterparties>
            <putOrCall>Call</putOrCall>
            <writtenOrPur>Written</writtenOrPur>
            <descRefInstrmnt>
              <otherRefInst>
                <issuerName>IQVIA Holdings Inc</issuerName>
                <issueTitle>IQVIA Holdings Inc</issueTitle>
                <identifiers>
                  <cusip value="46266C105"/>
                  <isin value="US46266C1053"/>
                </identifiers>
              </otherRefInst>
            </descRefInstrmnt>
            <shareNo>100.00000000</shareNo>
            <exercisePrice>195.00000000</exercisePrice>
            <exercisePriceCurCd>USD</exercisePriceCurCd>
            <expDt>2021-04-16</expDt>
            <delta>XXXX</delta>
            <unrealizedAppr>-8165.83000000</unrealizedAppr>
          </optionSwaptionWarrantDeriv>
        </derivativeInfo>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Gilead Sciences Inc</name>
        <lei>549300WTZWR07K8MNV44</lei>
        <title>Gilead Sciences Inc</title>
        <cusip>375558103</cusip>
        <identifiers>
          <isin value="US3755581036"/>
        </identifiers>
        <balance>82508.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>5332492.04000000</valUSD>
        <pctVal>1.175089842769</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Koninklijke Philips NV</name>
        <lei>H1FJE8H61JGM1JSGM897</lei>
        <title>Koninklijke Philips NV</title>
        <cusip>500472303</cusip>
        <identifiers>
          <isin value="US5004723038"/>
        </identifiers>
        <balance>56927.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3246546.81000000</valUSD>
        <pctVal>0.715422386360</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>NL</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
    </invstOrSecs>
    <signature>
      <ncom:dateSigned>2021-04-20</ncom:dateSigned>
      <ncom:nameOfApplicant>Tekla World Healthcare Fund</ncom:nameOfApplicant>
      <ncom:signature>Laura Woodward</ncom:signature>
      <ncom:signerName>Laura Woodward</ncom:signerName>
      <ncom:title>CCO</ncom:title>
    </signature>
  </formData>
</edgarSubmission>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
