Common Stocks - 98.1%
|
|||
Shares
|
Value ($)
|
||
Health Care Providers & Services - 97.5%
|
|||
Health Care Distributors & Services - 5.7%
|
|||
AmerisourceBergen Corp.
|
475,800
|
55,073,850
|
|
McKesson Corp.
|
43,200
|
9,364,032
|
|
64,437,882
|
|||
Health Care Facilities - 14.4%
|
|||
Brookdale Senior Living, Inc. (a)
|
1,626,000
|
9,528,360
|
|
Cano Health, Inc. (a)(b)
|
1,197,800
|
11,187,452
|
|
Encompass Health Corp.
|
312,800
|
18,023,536
|
|
HCA Holdings, Inc.
|
249,600
|
56,307,264
|
|
Rede D'Oregon Sao Luiz SA (c)
|
470,900
|
4,202,363
|
|
Surgery Partners, Inc. (a)
|
643,700
|
28,554,532
|
|
Tenet Healthcare Corp. (a)
|
313,700
|
22,859,319
|
|
U.S. Physical Therapy, Inc.
|
159,600
|
13,722,408
|
|
164,385,234
|
|||
Health Care Services - 27.3%
|
|||
agilon health, Inc.
|
479,200
|
10,542,400
|
|
Amedisys, Inc. (a)
|
8,000
|
1,117,200
|
|
Andlauer Healthcare Group, Inc.
|
184,939
|
6,982,354
|
|
CareMax, Inc. (d)
|
379,900
|
2,545,330
|
|
CareMax, Inc. Class A (a)(b)
|
1,186,500
|
7,949,550
|
|
Chemed Corp.
|
67,500
|
31,420,575
|
|
Cigna Corp.
|
520,133
|
99,813,523
|
|
CVS Health Corp.
|
573,870
|
51,108,862
|
|
DaVita HealthCare Partners, Inc. (a)
|
175,200
|
16,556,400
|
|
Guardant Health, Inc. (a)
|
112,100
|
11,783,952
|
|
LHC Group, Inc. (a)
|
125,196
|
14,362,485
|
|
LifeStance Health Group, Inc. (b)
|
860,553
|
6,832,791
|
|
Oak Street Health, Inc. (a)(b)
|
399,627
|
12,368,456
|
|
Option Care Health, Inc. (a)
|
1,054,432
|
26,687,674
|
|
Quest Diagnostics, Inc.
|
77,000
|
11,448,360
|
|
311,519,912
|
|||
Managed Health Care - 50.1%
|
|||
Alignment Healthcare, Inc. (b)
|
738,796
|
11,975,883
|
|
Anthem, Inc.
|
138,302
|
56,182,421
|
|
Centene Corp. (a)
|
876,784
|
62,611,145
|
|
Humana, Inc.
|
234,800
|
98,547,908
|
|
Molina Healthcare, Inc. (a)
|
193,000
|
55,039,740
|
|
UnitedHealth Group, Inc.
|
647,050
|
287,432,551
|
|
571,789,648
|
|||
TOTAL HEALTH CARE PROVIDERS & SERVICES
|
1,112,132,676
|
||
Health Care Technology - 0.6%
|
|||
Health Care Technology - 0.6%
|
|||
Phreesia, Inc. (a)
|
121,535
|
7,010,139
|
|
TOTAL COMMON STOCKS
(Cost $565,008,037)
|
1,119,142,815
|
||
Preferred Stocks - 0.3%
|
|||
Shares
|
Value ($)
|
||
Convertible Preferred Stocks - 0.2%
|
|||
Health Care Technology - 0.2%
|
|||
Health Care Technology - 0.2%
|
|||
Aledade, Inc. Series B1 (d)(e)
|
52,232
|
2,000,000
|
|
Nonconvertible Preferred Stocks - 0.1%
|
|||
Diversified Financial Services - 0.1%
|
|||
Other Diversified Financial Services - 0.1%
|
|||
Thriveworks TopCo LLC Series B (d)(e)(f)
|
34,800
|
998,872
|
|
TOTAL PREFERRED STOCKS
(Cost $2,998,872)
|
2,998,872
|
||
Money Market Funds - 5.7%
|
|||
Shares
|
Value ($)
|
||
Fidelity Cash Central Fund 0.06% (g)
|
35,538,037
|
35,545,144
|
|
Fidelity Securities Lending Cash Central Fund 0.07% (g)(h)
|
30,168,237
|
30,171,254
|
|
TOTAL MONEY MARKET FUNDS
(Cost $65,716,398)
|
65,716,398
|
||
TOTAL INVESTMENT IN SECURITIES - 104.1%
(Cost $633,723,307)
|
1,187,858,085
|
NET OTHER ASSETS (LIABILITIES) - (4.1)%
|
(46,745,823)
|
NET ASSETS - 100.0%
|
1,141,112,262
|
(a)
|
Non-income producing
|
(b)
|
Security or a portion of the security is on loan at period end.
|
(c)
|
Security exempt from registration under Rule 144A of the Securities Act of 1933. These securities may be resold in transactions exempt from registration, normally to qualified institutional buyers. At the end of the period, the value of these securities amounted to $4,202,363 or 0.4% of net assets.
|
(d)
|
Restricted securities (including private placements) - Investment in securities not registered under the Securities Act of 1933 (excluding 144A issues). At the end of the period, the value of restricted securities (excluding 144A issues) amounted to $5,544,202 or 0.5% of net assets.
|
(e)
|
Level 3 security
|
(f)
|
Investment is owned by a wholly-owned subsidiary (Subsidiary) that is treated as a corporation for U.S. tax purposes.
|
(g)
|
Affiliated fund that is generally available only to investment companies and other accounts managed by Fidelity Investments. The rate quoted is the annualized seven-day yield of the fund at period end. A complete unaudited listing of the fund's holdings as of its most recent quarter end is available upon request. In addition, each Fidelity Central Fund's financial statements are available on the SEC's website or upon request.
|
(h)
|
Investment made with cash collateral received from securities on loan.
|
Additional information on each restricted holding is as follows:
|
||
Security
|
Acquisition Date
|
Acquisition Cost ($)
|
Aledade, Inc. Series B1
|
5/07/21
|
2,000,000
|
CareMax, Inc.
|
12/18/20
|
3,799,000
|
Thriveworks TopCo LLC Series B
|
7/23/21
|
998,872
|
Affiliate
|
Value,
beginning
of period ($)
|
Purchases ($)
|
Sales
Proceeds ($)
|
Dividend
Income ($)
|
Realized
Gain (loss) ($)
|
Change in
Unrealized
appreciation
(depreciation) ($)
|
Value,
end
of period ($)
|
%ownership,
end
of period
|
Fidelity Cash Central Fund 0.06%
|
2,538,347
|
197,470,265
|
164,463,468
|
3,871
|
-
|
-
|
35,545,144
|
0.1%
|
Fidelity Securities Lending Cash Central Fund 0.07%
|
45,664,629
|
255,611,655
|
271,105,030
|
88,494
|
-
|
-
|
30,171,254
|
0.1%
|
Total
|
48,202,976
|
453,081,920
|
435,568,498
|
92,365
|
-
|
-
|
65,716,398
|