NPORT-EX 2 QTLY_6998_20230831.htm 010 - Quarterly Front Cover
Quarterly Holdings Report
for
Fidelity® Disruptive Medicine ETF
August 31, 2023
DRM-NPRT1-1023
1.9907232.100
Common Stocks - 99.1%
 
 
Shares
Value ($)
 
HEALTH CARE - 99.1%
 
 
 
Biotechnology - 29.6%
 
 
 
Akero Therapeutics, Inc. (a)
 
4,581
227,355
Alnylam Pharmaceuticals, Inc. (a)
 
6,450
1,275,939
ALX Oncology Holdings, Inc. (a)
 
13,700
58,362
Arcellx, Inc. (a)
 
7,333
262,815
Argenx SE ADR (a)
 
2,817
1,415,514
Arrowhead Pharmaceuticals, Inc. (a)
 
5,000
138,200
Ascendis Pharma A/S sponsored ADR (a)
 
3,865
378,847
Beam Therapeutics, Inc. (a)
 
3,014
69,865
Blueprint Medicines Corp. (a)
 
7,423
370,111
Cerevel Therapeutics Holdings (a)
 
14,922
353,651
Cytokinetics, Inc. (a)
 
9,950
347,653
Exact Sciences Corp. (a)
 
7,465
624,597
Icosavax, Inc. (a)
 
19,573
151,495
Intellia Therapeutics, Inc. (a)
 
1,990
74,585
Janux Therapeutics, Inc. (a)
 
11,058
121,638
Keros Therapeutics, Inc. (a)
 
4,185
146,935
Legend Biotech Corp. ADR (a)
 
9,157
635,130
Moonlake Immunotherapeutics (a)(b)
 
3,100
178,467
Natera, Inc. (a)
 
3,853
226,287
Oxford BioMedica PLC (a)
 
84,600
345,627
PTC Therapeutics, Inc. (a)
 
3,536
139,672
Regeneron Pharmaceuticals, Inc. (a)
 
1,076
889,303
Repligen Corp. (a)
 
4,501
782,769
Sarepta Therapeutics, Inc. (a)
 
1,704
206,201
Tyra Biosciences, Inc. (a)
 
6,842
104,204
Vaxcyte, Inc. (a)
 
6,238
323,877
Vertex Pharmaceuticals, Inc. (a)
 
4,674
1,628,141
Verve Therapeutics, Inc. (a)(b)
 
5,934
76,371
Xenon Pharmaceuticals, Inc. (a)
 
2,725
106,221
Zai Lab Ltd. ADR (a)
 
14,654
373,237
Zentalis Pharmaceuticals, Inc. (a)
 
5,954
158,138
 
 
 
12,191,207
Health Care Equipment & Supplies - 25.4%
 
 
 
Align Technology, Inc. (a)
 
838
310,177
Boston Scientific Corp. (a)
 
36,230
1,954,244
DexCom, Inc. (a)
 
5,847
590,430
ICU Medical, Inc. (a)
 
3,425
496,728
Inspire Medical Systems, Inc. (a)
 
1,941
440,374
Insulet Corp. (a)
 
5,150
987,307
Intuitive Surgical, Inc. (a)
 
3,083
963,992
iRhythm Technologies, Inc. (a)
 
3,524
364,276
Masimo Corp. (a)
 
10,234
1,169,542
Nevro Corp. (a)
 
9,269
185,751
Penumbra, Inc. (a)
 
4,950
1,309,275
ResMed, Inc.
 
3,478
555,054
Stryker Corp.
 
3,111
882,124
Tandem Diabetes Care, Inc. (a)
 
8,929
244,297
 
 
 
10,453,571
Health Care Providers & Services - 14.4%
 
 
 
agilon health, Inc. (a)
 
36,694
650,218
Centene Corp. (a)
 
19,411
1,196,688
Guardant Health, Inc. (a)
 
9,862
385,407
Humana, Inc.
 
1,823
841,551
LifeStance Health Group, Inc. (a)
 
89,821
737,430
Privia Health Group, Inc. (a)
 
17,400
456,750
UnitedHealth Group, Inc.
 
3,431
1,635,146
 
 
 
5,903,190
Health Care Technology - 4.5%
 
 
 
Doximity, Inc. (a)
 
6,553
156,224
Evolent Health, Inc. (a)
 
15,428
393,568
Phreesia, Inc. (a)
 
14,429
410,794
Veeva Systems, Inc. Class A (a)
 
4,147
865,479
 
 
 
1,826,065
Life Sciences Tools & Services - 17.9%
 
 
 
10X Genomics, Inc. (a)
 
18,248
946,159
Bio-Techne Corp.
 
10,073
789,723
Bruker Corp.
 
16,855
1,105,688
Danaher Corp.
 
6,010
1,592,650
Lonza Group AG
 
602
333,184
Olink Holding AB ADR (a)(b)
 
11,274
186,359
Sartorius Stedim Biotech
 
2,397
681,247
Thermo Fisher Scientific, Inc.
 
1,528
851,249
West Pharmaceutical Services, Inc.
 
2,177
885,821
 
 
 
7,372,080
Pharmaceuticals - 7.3%
 
 
 
Arvinas Holding Co. LLC (a)
 
15,646
441,374
Edgewise Therapeutics, Inc. (a)
 
18,914
118,213
Eli Lilly & Co.
 
1,852
1,026,378
Royalty Pharma PLC
 
40,083
1,195,275
Ventyx Biosciences, Inc. (a)
 
6,569
220,062
 
 
 
3,001,302
 
TOTAL COMMON STOCKS
 (Cost $38,998,829)
 
 
 
40,747,415
 
 
 
 
Money Market Funds - 1.7%
 
 
Shares
Value ($)
 
Fidelity Cash Central Fund 5.43% (c)
 
379,488
379,564
Fidelity Securities Lending Cash Central Fund 5.44% (c)(d)
 
330,342
330,375
 
TOTAL MONEY MARKET FUNDS
 (Cost $709,939)
 
 
709,939
 
 
 
 
 
TOTAL INVESTMENT IN SECURITIES - 100.8%
 (Cost $39,708,768)
 
 
 
41,457,354
NET OTHER ASSETS (LIABILITIES) - (0.8)%  
(320,734)
NET ASSETS - 100.0%
41,136,620
 
 
Legend
 
(a)
Non-income producing
 
(b)
Security or a portion of the security is on loan at period end.
 
(c)
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.
 
(d)
Investment made with cash collateral received from securities on loan.
 
 
 
 
 
Affiliated Central Funds
 
Fiscal year to date information regarding the Fund's investments in Fidelity Central Funds, including the ownership percentage, is presented below.
 
 
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 5.43%
-
2,576,292
2,196,728
6,178
-
-
379,564
0.0%
Fidelity Securities Lending Cash Central Fund 5.44%
461,500
1,926,940
2,058,065
779
-
-
330,375
0.0%
Total
461,500
4,503,232
4,254,793
6,957
-
-
709,939
 
 
 
 
 
 
 
 
 
 
Amounts in the dividend income column in the above table include any capital gain distributions from underlying funds.
 
Amounts in the dividend income column for Fidelity Securities Lending Cash Central Fund represents the income earned on investing cash collateral, less rebates paid to borrowers and any lending agent fees associated with the loan, plus any premium payments received for lending certain types of securities.
 
Investment Valuation
Investments are valued as of 4:00 p.m. Eastern time on the last calendar day of the period. Securities transactions are accounted for as of trade date. The Board of Trustees (the Board) has designated the Fund's investment adviser as the valuation designee responsible for the fair valuation function and performing fair value determinations as needed. The investment adviser has established a Fair Value Committee (the Committee) to carry out the day-to-day fair valuation responsibilities and has adopted policies and procedures to govern the fair valuation process and the activities of the Committee. In accordance with these fair valuation policies and procedures, which have been approved by the Board, the Fund attempts to obtain prices from one or more third party pricing services or brokers to value its investments. When current market prices, quotations or currency exchange rates are not readily available or reliable, investments will be fair valued in good faith by the Committee, in accordance with the policies and procedures. Factors used in determining fair value vary by investment type and may include market or investment specific events, transaction data, estimated cash flows, and market observations of comparable investments. The frequency that the fair valuation procedures are used cannot be predicted and they may be utilized to a significant extent. The Committee manages the Fund's fair valuation practices and maintains the fair valuation policies and procedures. The Fund's investment adviser reports to the Board information regarding the fair valuation process and related material matters.   
 
The inputs to valuation techniques used to value investments are categorized into a disclosure hierarchy consisting of three levels as shown below:
 
Level 1 - Unadjusted quoted prices in active markets for identical investments
Level 2 - other significant observable inputs (including quoted prices for similar investments, interest rates, prepayment speeds, etc.)
Level 3 - unobservable inputs (including the Fund's own assumptions based on the best information available)
 
Valuation techniques used to value investments by major category are as follows:
Equity securities, including restricted securities, for which market quotations are readily available, are valued at the last reported sale price or official closing price as reported by a third party pricing service on the primary market or exchange on which they are traded and are categorized as Level 1 in the hierarchy. In the event there were no sales during the day or closing prices are not available, securities are valued at the last quoted bid price or may be valued using the last available price and are generally categorized as Level 2 in the hierarchy. For any foreign equity securities, when market or security specific events arise, comparisons to the valuation of American Depositary Receipts (ADRs), futures contracts, Exchange-Traded Funds (ETFs) and certain indexes as well as quoted prices for similar securities may be used and would be categorized as Level 2 in the hierarchy. For equity securities, including restricted securities, where observable inputs are limited, assumptions about market activity and risk are used and these securities may be categorized as Level 3 in the hierarchy.
 
Investments in any open-end mutual funds are valued at their closing net asset value (NAV) each business day and are categorized as Level 1 in the hierarchy.
 
Changes in valuation techniques may result in transfers in or out of an assigned level within the disclosure hierarchy.
 
 
The fund's schedule of investments as of the date on the cover of this report has not been audited. This report is provided for the general information of the fund's shareholders. For more information regarding the fund and its holdings, please see the fund's most recent prospectus.
 
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