Ticker	Issuer	Shares	Value	%	Share Price	Est. Cost/Share	Unrealized @ Report Date	Class	CUSIP
TMO	THERMO FISHER SCIENTIFIC INC	33,584	$16.84M	3.7%	$501.36	$501.36	—	COM	883556102
REGN	REGENERON PHARMACEUTICALS	15,780	$9.839M	2.1%	$623.54	$623.54	—	COM	75886F107
ASND	ASCENDIS PHARMA A/S	21,305	$5.682M	1.2%	$266.72	$266.72	—	ORD SHS	K08588103
BSX	BOSTON SCIENTIFIC CORP	121,128	$5.17M	1.1%	$42.68	$42.68	—	COM	101137107
TVTX	TRAVERE THERAPEUTICS INC	80,000	$4.545M	1.0%	$56.81	$56.81	—	COM	89422G107
CYTK	CYTOKINETICS INC	45,000	$3.834M	0.8%	$85.19	$85.19	—	COM NEW	23282W605
NTLA	INTELLIA THERAPEUTICS INC	185,177	$3.133M	0.7%	$16.92	$16.92	—	COM	45826J105

Increased Positions (19)

IQV IQVIA HLDGS INC 3.3%

Value $15.06M (+119.5%) Shares 77,944 (+93.7%) Share Price $193.22 Est. Cost/Share $201.96 Unrealized @ Report Date —

CVS CVS HEALTH CORP 3.5%

Value $16.07M (+65.3%) Shares 155,337 (+14.8%) Share Price $103.45 Est. Cost/Share $70.44 Unrealized @ Report Date —

QGEN QIAGEN NV 2.4%

Value $11.25M (+73.0%) Shares 287,640 (+77.1%) Share Price $39.10 Est. Cost/Share $45.43 Unrealized @ Report Date —

ABT ABBOTT LABS 2.9%

Value $13.38M (+48.9%) Shares 147,444 (+68.4%) Share Price $90.74 Est. Cost/Share $105.39 Unrealized @ Report Date —

ELV ELEVANCE HEALTH INC FORMERLY 3.7%

Value $17.21M (+33.7%) Shares 44,499 (+1.2%) Share Price $386.73 Est. Cost/Share $351.64 Unrealized @ Report Date —

GEHC GE HEALTHCARE TECHNOLOGIES I 2.9%

Value $13.31M (+47.9%) Shares 207,863 (+64.4%) Share Price $64.01 Est. Cost/Share $71.80 Unrealized @ Report Date —

AVTR AVANTOR INC 1.9%

Value $8.97M (+64.5%) Shares 906,088 (+30.3%) Share Price $9.90 Est. Cost/Share $12.38 Unrealized @ Report Date —

DXCM DEXCOM INC 1.5%

Value $6.878M (+95.1%) Shares 102,122 (+82.0%) Share Price $67.35 Est. Cost/Share $73.56 Unrealized @ Report Date —

BMRN BIOMARIN PHARMACEUTICAL INC 3.7%

Value $16.88M (+24.5%) Shares 294,918 (+22.9%) Share Price $57.22 Est. Cost/Share $67.57 Unrealized @ Report Date —

MDT MEDTRONIC PLC 6.0%

Value $27.57M (+13.4%) Shares 352,437 (+25.6%) Share Price $78.23 Est. Cost/Share $83.12 Unrealized @ Report Date —

BIO BIO RAD LABS INC 2.1%

Value $9.792M (+47.9%) Shares 33,350 (+40.4%) Share Price $293.61 Est. Cost/Share $294.17 Unrealized @ Report Date —

PTCT PTC THERAPEUTICS INC 1.8%

Value $8.157M (+59.6%) Shares 100,000 (+33.3%) Share Price $81.57 Est. Cost/Share $58.80 Unrealized @ Report Date —

IONS IONIS PHARMACEUTICALS INC 3.3%

Value $15.02M (+18.1%) Shares 189,468 (+11.8%) Share Price $79.29 Est. Cost/Share $49.60 Unrealized @ Report Date —

LH LABCORP HOLDINGS INC 1.6%

Value $7.285M (+43.6%) Shares 26,019 (+36.8%) Share Price $280.00 Est. Cost/Share $257.11 Unrealized @ Report Date —

KURA KURA ONCOLOGY INC 1.0%

Value $4.75M (+41.9%) Shares 433,012 (+5.1%) Share Price $10.97 Est. Cost/Share $7.44 Unrealized @ Report Date —

BDX BECTON DICKINSON & CO 3.1%

Value $14.1M (+8.5%) Shares 93,168 (+12.8%) Share Price $151.33 Est. Cost/Share $204.75 Unrealized @ Report Date —

IOVA IOVANCE BIOTHERAPEUTICS INC 0.9%

Value $4.029M (+27.5%) Shares 968,466 (+7.6%) Share Price $4.16 Est. Cost/Share $2.78 Unrealized @ Report Date —

CRNX CRINETICS PHARMACEUTICALS IN 0.9%

Value $4.289M (+25.4%) Shares 114,628 (+21.7%) Share Price $37.42 Est. Cost/Share $43.25 Unrealized @ Report Date —

ARDX ARDELYX INC 0.8%

Value $3.503M (+13.3%) Shares 686,844 (+33.1%) Share Price $5.10 Est. Cost/Share $6.58 Unrealized @ Report Date —

Ticker	Issuer	Shares	Value	%	Share Price	Est. Cost/Share	Unrealized @ Report Date	Class	CUSIP
IQV	IQVIA HLDGS INC	77,944 (+93.7%)	$15.06M (+119.5%)	3.3%	$193.22	$201.96	—	COM	46266C105
CVS	CVS HEALTH CORP	155,337 (+14.8%)	$16.07M (+65.3%)	3.5%	$103.45	$70.44	—	COM	126650100
QGEN	QIAGEN NV	287,640 (+77.1%)	$11.25M (+73.0%)	2.4%	$39.10	$45.43	—	ORD SHARES	N72482156
ABT	ABBOTT LABS	147,444 (+68.4%)	$13.38M (+48.9%)	2.9%	$90.74	$105.39	—	COM	002824100
ELV	ELEVANCE HEALTH INC FORMERLY	44,499 (+1.2%)	$17.21M (+33.7%)	3.7%	$386.73	$351.64	—	COM	036752103
GEHC	GE HEALTHCARE TECHNOLOGIES I	207,863 (+64.4%)	$13.31M (+47.9%)	2.9%	$64.01	$71.80	—	COMMON STOCK	36266G107
AVTR	AVANTOR INC	906,088 (+30.3%)	$8.97M (+64.5%)	1.9%	$9.90	$12.38	—	COM	05352A100
DXCM	DEXCOM INC	102,122 (+82.0%)	$6.878M (+95.1%)	1.5%	$67.35	$73.56	—	COM	252131107
BMRN	BIOMARIN PHARMACEUTICAL INC	294,918 (+22.9%)	$16.88M (+24.5%)	3.7%	$57.22	$67.57	—	COM	09061G101
MDT	MEDTRONIC PLC	352,437 (+25.6%)	$27.57M (+13.4%)	6.0%	$78.23	$83.12	—	SHS	G5960L103
BIO	BIO RAD LABS INC	33,350 (+40.4%)	$9.792M (+47.9%)	2.1%	$293.61	$294.17	—	CL A	090572207
PTCT	PTC THERAPEUTICS INC	100,000 (+33.3%)	$8.157M (+59.6%)	1.8%	$81.57	$58.80	—	COM	69366J200
IONS	IONIS PHARMACEUTICALS INC	189,468 (+11.8%)	$15.02M (+18.1%)	3.3%	$79.29	$49.60	—	COM	462222100
LH	LABCORP HOLDINGS INC	26,019 (+36.8%)	$7.285M (+43.6%)	1.6%	$280.00	$257.11	—	COM SHS	504922105
KURA	KURA ONCOLOGY INC	433,012 (+5.1%)	$4.75M (+41.9%)	1.0%	$10.97	$7.44	—	COM	50127T109
BDX	BECTON DICKINSON & CO	93,168 (+12.8%)	$14.1M (+8.5%)	3.1%	$151.33	$204.75	—	COM	075887109
IOVA	IOVANCE BIOTHERAPEUTICS INC	968,466 (+7.6%)	$4.029M (+27.5%)	0.9%	$4.16	$2.78	—	COM	462260100
CRNX	CRINETICS PHARMACEUTICALS IN	114,628 (+21.7%)	$4.289M (+25.4%)	0.9%	$37.42	$43.25	—	COM	22663K107
ARDX	ARDELYX INC	686,844 (+33.1%)	$3.503M (+13.3%)	0.8%	$5.10	$6.58	—	COM	039697107

Exited Positions (9)

UNH UNITEDHEALTH GROUP INC 2.1%

Value $9.859M Shares 36,435 Share Price $270.59 Est. Cost/Share $308.69 Unrealized @ Report Date —

GILD GILEAD SCIENCES INC 1.6%

Value $7.421M Shares 53,247 Share Price $139.37 Est. Cost/Share $75.45 Unrealized @ Report Date —

LNTH LANTHEUS HLDGS INC 1.5%

Value $7.08M Shares 93,344 Share Price $75.85 Est. Cost/Share $74.91 Unrealized @ Report Date —

ASND ASCENDIS PHARMA A/S 1.1%

Value $4.873M Shares 21,305 Share Price $228.73 Est. Cost/Share $182.86 Unrealized @ Report Date —

HUM HUMANA INC 0.7%

Value $3.329M Shares 19,202 Share Price $173.39 Est. Cost/Share $223.53 Unrealized @ Report Date —

BBIO BRIDGEBIO PHARMA INC 0.7%

Value $3.287M Shares 44,263 Share Price $74.26 Est. Cost/Share $74.48 Unrealized @ Report Date —

DNLI DENALI THERAPEUTICS INC 0.7%

Value $3.124M Shares 162,710 Share Price $19.20 Est. Cost/Share $19.63 Unrealized @ Report Date —

COGT COGENT BIOSCIENCES INC 0.7%

Value $3.079M Shares 80,000 Share Price $38.49 Est. Cost/Share $37.37 Unrealized @ Report Date —

ARWR ARROWHEAD PHARMACEUTICALS IN 0.4%

Value $1.881M Shares 30,000 Share Price $62.70 Est. Cost/Share $65.73 Unrealized @ Report Date —

Ticker	Issuer	Shares	Value	%	Share Price	Est. Cost/Share	Unrealized @ Report Date	Class	CUSIP
UNH	UNITEDHEALTH GROUP INC	36,435	$9.859M	2.1%	$270.59	$308.69	—	—	91324P102
GILD	GILEAD SCIENCES INC	53,247	$7.421M	1.6%	$139.37	$75.45	—	—	375558103
LNTH	LANTHEUS HLDGS INC	93,344	$7.08M	1.5%	$75.85	$74.91	—	—	516544103
ASND	ASCENDIS PHARMA A/S	21,305	$4.873M	1.1%	$228.73	$182.86	—	—	04351P101
HUM	HUMANA INC	19,202	$3.329M	0.7%	$173.39	$223.53	—	—	444859102
BBIO	BRIDGEBIO PHARMA INC	44,263	$3.287M	0.7%	$74.26	$74.48	—	—	10806X102
DNLI	DENALI THERAPEUTICS INC	162,710	$3.124M	0.7%	$19.20	$19.63	—	—	24823R105
COGT	COGENT BIOSCIENCES INC	80,000	$3.079M	0.7%	$38.49	$37.37	—	—	19240Q201
ARWR	ARROWHEAD PHARMACEUTICALS IN	30,000	$1.881M	0.4%	$62.70	$65.73	—	—	04280A100

Decreased Positions (11)

BMY BRISTOL-MYERS SQUIBB CO 9.1%

Value $41.84M (-16.7%) Shares 726,115 (-12.3%) Share Price $57.62 Est. Cost/Share $49.36 Unrealized @ Report Date —

AMGN AMGEN INC 2.1%

Value $9.517M (-42.6%) Shares 26,281 (-44.3%) Share Price $362.12 Est. Cost/Share $285.08 Unrealized @ Report Date —

PFE PFIZER INC 5.2%

Value $24.18M (-21.1%) Shares 1,004,215 (-8.0%) Share Price $24.08 Est. Cost/Share $25.58 Unrealized @ Report Date —

BIIB BIOGEN INC 2.5%

Value $11.7M (-29.2%) Shares 54,163 (-39.9%) Share Price $216.06 Est. Cost/Share $165.19 Unrealized @ Report Date —

MRK MERCK & CO INC 6.0%

Value $27.89M (-11.0%) Shares 217,008 (-16.6%) Share Price $128.50 Est. Cost/Share $80.39 Unrealized @ Report Date —

CAH CARDINAL HEALTH INC 2.1%

Value $9.666M (-16.7%) Shares 40,689 (-25.9%) Share Price $237.56 Est. Cost/Share $64.47 Unrealized @ Report Date —

ZBH ZIMMER BIOMET HOLDINGS INC 2.7%

Value $12.25M (-13.1%) Shares 142,307 (-8.7%) Share Price $86.09 Est. Cost/Share $104.78 Unrealized @ Report Date —

OGN ORGANON & CO 0.8%

Value $3.666M (+62.8%) Shares 270,781 (-28.0%) Share Price $13.54 Est. Cost/Share $9.46 Unrealized @ Report Date —

SNDX SYNDAX PHARMACEUTICALS INC 1.1%

Value $5.284M (-20.9%) Shares 241,739 (-15.5%) Share Price $21.86 Est. Cost/Share $14.63 Unrealized @ Report Date —

INCY INCYTE CORP 4.2%

Value $19.36M (+2.6%) Shares 170,753 (-14.8%) Share Price $113.36 Est. Cost/Share $71.18 Unrealized @ Report Date —

BRKR BRUKER CORP 2.0%

Value $9.169M (-0.1%) Shares 152,352 (-40.0%) Share Price $60.18 Est. Cost/Share $51.49 Unrealized @ Report Date —

Ticker	Issuer	Shares	Value	%	Share Price	Est. Cost/Share	Unrealized @ Report Date	Class	CUSIP
BMY	BRISTOL-MYERS SQUIBB CO	726,115 (-12.3%)	$41.84M (-16.7%)	9.1%	$57.62	$49.36	—	COM	110122108
AMGN	AMGEN INC	26,281 (-44.3%)	$9.517M (-42.6%)	2.1%	$362.12	$285.08	—	COM	031162100
PFE	PFIZER INC	1,004,215 (-8.0%)	$24.18M (-21.1%)	5.2%	$24.08	$25.58	—	COM	717081103
BIIB	BIOGEN INC	54,163 (-39.9%)	$11.7M (-29.2%)	2.5%	$216.06	$165.19	—	COM	09062X103
MRK	MERCK & CO INC	217,008 (-16.6%)	$27.89M (-11.0%)	6.0%	$128.50	$80.39	—	COM	58933Y105
CAH	CARDINAL HEALTH INC	40,689 (-25.9%)	$9.666M (-16.7%)	2.1%	$237.56	$64.47	—	COM	14149Y108
ZBH	ZIMMER BIOMET HOLDINGS INC	142,307 (-8.7%)	$12.25M (-13.1%)	2.7%	$86.09	$104.78	—	COM	98956P102
OGN	ORGANON & CO	270,781 (-28.0%)	$3.666M (+62.8%)	0.8%	$13.54	$9.46	—	COMMON STOCK	68622V106
SNDX	SYNDAX PHARMACEUTICALS INC	241,739 (-15.5%)	$5.284M (-20.9%)	1.1%	$21.86	$14.63	—	COM	87164F105
INCY	INCYTE CORP	170,753 (-14.8%)	$19.36M (+2.6%)	4.2%	$113.36	$71.18	—	COM	45337C102
BRKR	BRUKER CORP	152,352 (-40.0%)	$9.169M (-0.1%)	2.0%	$60.18	$51.49	—	COM	116794108

Unchanged Positions (3)

CNC CENTENE CORP DEL 2.3%

Value $10.42M Shares 162,405 Share Price $64.19 Est. Cost/Share $53.34 Unrealized @ Report Date —

TNDM TANDEM DIABETES CARE INC 0.9%

Value $4.03M Shares 267,091 Share Price $15.09 Est. Cost/Share $24.77 Unrealized @ Report Date —

EW EDWARDS LIFESCIENCES CORP 1.2%

Value $5.464M Shares 60,402 Share Price $90.46 Est. Cost/Share $78.07 Unrealized @ Report Date —

Ticker	Issuer	Shares	Value	%	Share Price	Est. Cost/Share	Unrealized @ Report Date	Class	CUSIP
CNC	CENTENE CORP DEL	162,405	$10.42M	2.3%	$64.19	$53.34	—	COM	15135B101
TNDM	TANDEM DIABETES CARE INC	267,091	$4.03M	0.9%	$15.09	$24.77	—	COM NEW	875372203
EW	EDWARDS LIFESCIENCES CORP	60,402	$5.464M	1.2%	$90.46	$78.07	—	COM	28176E108