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Total Number of Holdings (excluding cash): 76
| Acadia Healthcare Company, Inc. |
ACHC |
00404A109 |
Health Care Providers |
1,414,808 |
$34,160,539.17 |
3.99% |
| HCA Healthcare, Inc. |
HCA |
40412C101 |
Health Care Providers |
43,003 |
$22,902,537.74 |
2.68% |
| Pfizer Inc. |
PFE |
717081103 |
Pharmaceuticals and Biotechnology |
806,268 |
$21,656,358.48 |
2.53% |
| Cardinal Health, Inc. |
CAH |
14149Y108 |
Pharmaceuticals and Biotechnology |
97,696 |
$21,404,216.64 |
2.50% |
| Biogen Inc. |
BIIB |
09062X103 |
Pharmaceuticals and Biotechnology |
114,075 |
$21,092,467.50 |
2.47% |
| Incyte Corporation |
INCY |
45337C102 |
Pharmaceuticals and Biotechnology |
203,264 |
$18,706,385.92 |
2.19% |
| Ionis Pharmaceuticals, Inc. |
IONS |
462222100 |
Pharmaceuticals and Biotechnology |
253,776 |
$18,358,155.84 |
2.15% |
| Eli Lilly and Company |
LLY |
532457108 |
Pharmaceuticals and Biotechnology |
18,682 |
$18,256,984.50 |
2.14% |
| Amgen Inc. |
AMGN |
031162100 |
Pharmaceuticals and Biotechnology |
49,066 |
$18,045,984.14 |
2.11% |
| Merck & Co., Inc. |
MRK |
58933Y105 |
Pharmaceuticals and Biotechnology |
152,581 |
$17,685,663.71 |
2.07% |
| Organon & Co. |
OGN |
68622V106 |
Pharmaceuticals and Biotechnology |
2,800,009 |
$17,724,056.97 |
2.07% |
| United Therapeutics Corporation |
UTHR |
91307C102 |
Pharmaceuticals and Biotechnology |
32,960 |
$17,561,747.20 |
2.05% |
| Universal Health Services, Inc. (Class B) |
UHS |
913903100 |
Health Care Providers |
92,082 |
$17,540,700.18 |
2.05% |
| Molina Healthcare, Inc. |
MOH |
60855R100 |
Health Care Providers |
115,687 |
$17,259,343.53 |
2.02% |
| Penumbra, Inc. |
PEN |
70975L107 |
Medical Equipment and Services |
51,657 |
$17,304,578.43 |
2.02% |
| Solventum Corporation |
SOLV |
83444M101 |
Medical Equipment and Services |
253,355 |
$16,751,832.60 |
1.96% |
| Natera, Inc. |
NTRA |
632307104 |
Medical Equipment and Services |
87,632 |
$16,677,245.92 |
1.95% |
| Zimmer Biomet Holdings, Inc. |
ZBH |
98956P102 |
Medical Equipment and Services |
178,616 |
$16,538,055.44 |
1.93% |
| Insmed Incorporated |
INSM |
457669307 |
Pharmaceuticals and Biotechnology |
115,354 |
$16,094,190.08 |
1.88% |
| Medpace Holdings, Inc. |
MEDP |
58506Q109 |
Pharmaceuticals and Biotechnology |
35,746 |
$15,865,862.10 |
1.86% |
| Regeneron Pharmaceuticals, Inc. |
REGN |
75886F107 |
Pharmaceuticals and Biotechnology |
20,806 |
$15,533,967.66 |
1.82% |
| The Cigna Group |
CI |
125523100 |
Health Care Providers |
58,357 |
$15,515,959.16 |
1.81% |
| Gilead Sciences, Inc. |
GILD |
375558103 |
Pharmaceuticals and Biotechnology |
98,140 |
$14,250,909.40 |
1.67% |
| Quest Diagnostics Incorporated |
DGX |
74834L100 |
Medical Equipment and Services |
69,418 |
$13,944,687.84 |
1.63% |
| Abbott Laboratories |
ABT |
002824100 |
Medical Equipment and Services |
128,192 |
$13,862,682.88 |
1.62% |
| IDEXX Laboratories, Inc. |
IDXX |
45168D104 |
Medical Equipment and Services |
23,742 |
$13,561,667.82 |
1.59% |
| Tenet Healthcare Corporation |
THC |
88033G407 |
Health Care Providers |
60,614 |
$13,621,784.22 |
1.59% |
| Bristol-Myers Squibb Company |
BMY |
110122108 |
Pharmaceuticals and Biotechnology |
223,319 |
$13,164,655.05 |
1.54% |
| Elevance Health Inc. |
ELV |
036752103 |
Health Care Providers |
45,816 |
$13,189,968.24 |
1.54% |
| Sarepta Therapeutics, Inc. |
SRPT |
803607100 |
Pharmaceuticals and Biotechnology |
746,320 |
$12,717,292.80 |
1.49% |
| Labcorp Holdings Inc. |
LH |
504922105 |
Medical Equipment and Services |
48,013 |
$12,623,097.83 |
1.48% |
| Sotera Health Company |
SHC |
83601L102 |
Medical Equipment and Services |
910,476 |
$12,127,540.32 |
1.42% |
| BioMarin Pharmaceutical Inc. |
BMRN |
09061G101 |
Pharmaceuticals and Biotechnology |
202,685 |
$11,972,602.95 |
1.40% |
| Apellis Pharmaceuticals, Inc. |
APLS |
03753U106 |
Pharmaceuticals and Biotechnology |
639,363 |
$11,757,885.57 |
1.38% |
| Globus Medical, Inc. (Class A) |
GMED |
379577208 |
Medical Equipment and Services |
137,965 |
$11,659,422.15 |
1.36% |
| Encompass Health Corporation |
EHC |
29261A100 |
Health Care Providers |
113,490 |
$11,383,047.00 |
1.33% |
| Halozyme Therapeutics, Inc. |
HALO |
40637H109 |
Pharmaceuticals and Biotechnology |
178,983 |
$11,376,159.48 |
1.33% |
| Chemed Corporation |
CHE |
16359R103 |
Health Care Providers |
28,155 |
$11,249,330.25 |
1.32% |
| Exelixis, Inc. |
EXEL |
30161Q104 |
Pharmaceuticals and Biotechnology |
274,830 |
$11,314,751.10 |
1.32% |
| Repligen Corporation |
RGEN |
759916109 |
Medical Equipment and Services |
98,018 |
$11,150,527.68 |
1.30% |
| QIAGEN N.V. |
QGEN |
N72482156 |
Medical Equipment and Services |
267,414 |
$10,996,063.68 |
1.29% |
| Neurocrine Biosciences, Inc. |
NBIX |
64125C109 |
Pharmaceuticals and Biotechnology |
84,927 |
$10,851,972.06 |
1.27% |
| Perrigo Company Plc |
PRGO |
G97822103 |
Pharmaceuticals and Biotechnology |
1,153,795 |
$10,868,748.90 |
1.27% |
| Intuitive Surgical, Inc. |
ISRG |
46120E602 |
Medical Equipment and Services |
21,266 |
$10,192,155.82 |
1.19% |
| Alnylam Pharmaceuticals, Inc. |
ALNY |
02043Q107 |
Pharmaceuticals and Biotechnology |
30,290 |
$9,608,896.70 |
1.12% |
| Johnson & Johnson |
JNJ |
478160104 |
Pharmaceuticals and Biotechnology |
38,801 |
$9,391,394.04 |
1.10% |
| Align Technology, Inc. |
ALGN |
016255101 |
Medical Equipment and Services |
51,429 |
$8,584,528.68 |
1.00% |
| Vertex Pharmaceuticals Incorporated |
VRTX |
92532F100 |
Pharmaceuticals and Biotechnology |
17,714 |
$8,469,594.82 |
0.99% |
| Becton, Dickinson and Company |
BDX |
075887109 |
Medical Equipment and Services |
52,577 |
$8,392,866.51 |
0.98% |
| AbbVie Inc. |
ABBV |
00287Y109 |
Pharmaceuticals and Biotechnology |
35,149 |
$7,921,530.13 |
0.93% |
| Henry Schein, Inc. |
HSIC |
806407102 |
Medical Equipment and Services |
106,254 |
$7,965,862.38 |
0.93% |
| ResMed Inc. |
RMD |
761152107 |
Medical Equipment and Services |
33,340 |
$7,748,549.40 |
0.91% |
| Zoetis Inc. |
ZTS |
98978V103 |
Pharmaceuticals and Biotechnology |
63,824 |
$7,369,119.04 |
0.86% |
| Medtronic Plc |
MDT |
G5960L103 |
Medical Equipment and Services |
83,599 |
$7,304,880.62 |
0.85% |
| Revvity, Inc. |
RVTY |
714046109 |
Medical Equipment and Services |
83,004 |
$7,035,419.04 |
0.82% |
| GE HealthCare Technologies Inc. |
GEHC |
36266G107 |
Medical Equipment and Services |
97,906 |
$6,885,728.98 |
0.81% |
| UnitedHealth Group Incorporated |
UNH |
91324P102 |
Health Care Providers |
24,326 |
$6,739,518.30 |
0.79% |
| Certara, Inc. |
CERT |
15687V109 |
Medical Equipment and Services |
911,514 |
$5,979,531.84 |
0.70% |
| Waters Corporation |
WAT |
941848103 |
Medical Equipment and Services |
21,138 |
$5,988,818.15 |
0.70% |
| Humana Inc. |
HUM |
444859102 |
Health Care Providers |
31,356 |
$5,132,036.52 |
0.60% |
| Royalty Pharma Plc (Class A) |
RPRX |
G7709Q104 |
Pharmaceuticals and Biotechnology |
97,416 |
$4,468,471.92 |
0.52% |
| Edwards Lifesciences Corporation |
EW |
28176E108 |
Medical Equipment and Services |
44,159 |
$3,736,292.99 |
0.44% |
| Elanco Animal Health Incorporated |
ELAN |
28414H103 |
Pharmaceuticals and Biotechnology |
166,338 |
$3,772,545.84 |
0.44% |
| Viking Therapeutics, Inc. |
VKTX |
92686J106 |
Pharmaceuticals and Biotechnology |
107,002 |
$3,795,360.94 |
0.44% |
| Baxter International Inc. |
BAX |
071813109 |
Medical Equipment and Services |
196,977 |
$3,547,555.77 |
0.41% |
| Illumina, Inc. |
ILMN |
452327109 |
Pharmaceuticals and Biotechnology |
28,697 |
$3,316,225.32 |
0.39% |
| The Cooper Companies, Inc. |
COO |
216648501 |
Medical Equipment and Services |
45,926 |
$3,284,627.52 |
0.38% |
| Insulet Corporation |
PODD |
45784P101 |
Medical Equipment and Services |
13,242 |
$3,126,038.94 |
0.37% |
| Steris Plc |
STE |
G8473T100 |
Medical Equipment and Services |
14,848 |
$3,152,972.80 |
0.37% |
| Tempus AI, Inc. (Class A) |
TEM |
88023B103 |
Pharmaceuticals and Biotechnology |
63,750 |
$3,157,537.50 |
0.37% |
| West Pharmaceutical Services, Inc. |
WST |
955306105 |
Medical Equipment and Services |
13,678 |
$3,160,849.02 |
0.37% |
| Agilent Technologies, Inc. |
A |
00846U101 |
Medical Equipment and Services |
27,665 |
$3,088,243.95 |
0.36% |
| Thermo Fisher Scientific Inc. |
TMO |
883556102 |
Medical Equipment and Services |
6,497 |
$3,091,857.33 |
0.36% |
| Veeva Systems Inc. (Class A) |
VEEV |
922475108 |
Health Care Providers |
16,861 |
$3,048,300.19 |
0.36% |
| Boston Scientific Corporation |
BSX |
101137107 |
Medical Equipment and Services |
39,478 |
$2,706,216.90 |
0.32% |
| Inspire Medical Systems, Inc. |
INSP |
457730109 |
Medical Equipment and Services |
40,816 |
$2,377,532.00 |
0.28% |
| US Dollar |
$USD |
|
Other |
1,265,504 |
$1,265,503.87 |
0.15% |
Holdings are subject to change.
The holdings information set forth above for the date indicated reflects creation and redemption transactions from the prior business day and may differ from the holdings information currently available from the Fund's custodian and accounting agent. With respect to the market value of the Fund's holdings set forth above, the pricing sources are generally third party vendors. The Fund ultimately relies on pricing information provided by the Fund's accounting agent.
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The information presented is not intended to constitute an investment recommendation for, or advice to, any specific person. By providing this information, First Trust is not undertaking to give advice in any fiduciary capacity within the meaning of ERISA, the Internal Revenue Code or any other regulatory framework. Financial professionals are responsible for evaluating investment risks independently and for exercising independent judgment in determining whether investments are appropriate for their clients.
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