CIK: 0001224962 · Show all filings
Period: Q4 2025 (← Previous)
Filing Date: Feb 17, 2026
Total Value ($000): $5,610,284 (99.7% shares, 0.3% debt)
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| XBI | SPDR SERIES TRUST | 1,100,000 | $134,123 | 2.4% | — | — | PUT | 78464A870 |
| IVVD | INVIVYD INC | 21,785,166 | $53,809 | 1.0% | $2.08 | 0.0% | COM | 00534A102 |
| DHR | DANAHER CORPORATION | 200,000 | $45,784 | 0.8% | $219.54 | 0.0% | COM | 235851102 |
| — | CIDARA THERAPEUTICS INC | 165,131 | $36,476 | 0.7% | $220.89 | — | COM NEW | 171757206 |
| IRON | DISC MEDICINE INC | 450,743 | $35,794 | 0.6% | $84.50 | 0.0% | COM | 254604101 |
| JAZZ | JAZZ PHARMACEUTICALS PLC | 170,000 | $28,900 | 0.5% | $153.31 | 0.0% | SHS USD | G50871105 |
| PALI | PALISADE BIO INC | 12,050,000 | $28,318 | 0.5% | $1.92 | 0.0% | COM | 696389402 |
| AXGN | AXOGEN INC | 784,140 | $25,665 | 0.5% | $24.59 | 0.0% | COM | 05463X106 |
| XFOR | X4 PHARMACEUTICALS INC | 6,314,452 | $25,258 | 0.5% | $3.63 | 0.0% | COM NEW | 98420X202 |
| BCRX | BIOCRYST PHARMACEUTICALS INC | 3,162,529 | $24,668 | 0.4% | $7.23 | 0.0% | COM | 09058V103 |
| BIIB | BIOGEN INC | 124,000 | $21,823 | 0.4% | $163.37 | 0.0% | COM | 09062X103 |
| MIRM | MIRUM PHARMACEUTICALS INC | 259,545 | $20,501 | 0.4% | $71.78 | 0.0% | COM | 604749101 |
| GRAL | GRAIL INC | 237,342 | $20,314 | 0.4% | $86.40 | 0.0% | COM | 384747101 |
| CVS | CVS HEALTH CORP | 220,000 | $17,459 | 0.3% | $78.67 | 0.0% | COM | 126650100 |
| GH | GUARDANT HEALTH INC | 160,000 | $16,342 | 0.3% | $89.46 | 0.0% | COM | 40131M109 |
| RLAY | RELAY THERAPEUTICS INC | 1,903,245 | $16,101 | 0.3% | $7.14 | 0.0% | COM | 75943R102 |
| GKOS | GLAUKOS CORP | 140,000 | $15,807 | 0.3% | $95.54 | 0.0% | COM | 377322102 |
| DXCM | DEXCOM INC | 225,758 | $14,984 | 0.3% | $64.65 | 0.0% | COM | 252131107 |
| SVRA | SAVARA INC | 2,400,000 | $14,472 | 0.3% | $4.90 | 0.0% | COM | 805111101 |
| OCS | OCULIS HOLDING AG | 493,827 | $9,862 | 0.2% | $20.00 | 0.0% | ORDINARY SHARES | H5870P102 |
| MPLT | MAPLIGHT THERAPEUTICS INC | 550,000 | $9,661 | 0.2% | $16.75 | 0.0% | COM | 56565P103 |
| KMTS | KESTRA MED TECHNOLOGIES LTD | 285,000 | $7,558 | 0.1% | $25.75 | 0.0% | SHS | G52441105 |
| CAPR | CAPRICOR THERAPEUTICS INC | 242,100 | $6,987 | 0.1% | — | — | CALL | 14070B309 |
| BLLN | BILLIONTOONE INC | 72,812 | $5,959 | 0.1% | $101.40 | 0.0% | CL A | 090168105 |
| BHVN | BIOHAVEN LTD | 500,000 | $5,645 | 0.1% | — | — | CALL | G1110E107 |
| TENX | TENAX THERAPEUTICS INC | 439,142 | $5,353 | 0.1% | $8.70 | 0.0% | COM NEW | 88032L605 |
| TECX | TECTONIC THERAPEUTIC INC | 250,000 | $5,215 | 0.1% | — | — | CALL | 878972108 |
| TNGX | TANGO THERAPEUTICS INC | 513,035 | $4,545 | 0.1% | $8.62 | 0.0% | COM | 87583X109 |
| COGT | COGENT BIOSCIENCES INC | 121,082 | $4,301 | 0.1% | $28.11 | 0.0% | COM | 19240Q201 |
| OLMA | OLEMA PHARMACEUTICALS INC | 165,713 | $4,143 | 0.1% | $17.79 | 0.0% | COM | 68062P106 |
| SDGR | SCHRODINGER INC | 202,400 | $3,619 | 0.1% | $18.96 | 0.0% | COM | 80810D103 |
| SABS | SAB BIOTHERAPEUTICS INC | 803,210 | $3,004 | 0.1% | $3.29 | 0.0% | COM NEW | 78397T202 |
| CNTB | CONNECT BIOPHARMA HLDGS LTD | 792,696 | $2,235 | 0.0% | $2.13 | 0.0% | SHS | G23549101 |
| IMMX | IMMIX BIOPHARMA INC | 338,941 | $1,773 | 0.0% | $4.12 | 0.0% | COM | 45258H106 |
| CPIX | CUMBERLAND PHARMACEUTICALS I | 341,087 | $1,358 | 0.0% | $2.96 | 0.0% | COM | 230770109 |
| MDLN | MEDLINE INC | 28,000 | $1,176 | 0.0% | $42.23 | 0.0% | COM CL A | 58507V107 |
| PTN | PALATIN TECHNOLOGIES INC | 70,000 | $1,077 | 0.0% | $13.14 | 0.0% | COM NEW | 696077601 |
| LENZ | LENZ THERAPEUTICS INC | 50,000 | $800 | 0.0% | $29.15 | 0.0% | COM | 52635N103 |
| IOVA | IOVANCE BIOTHERAPEUTICS INC | 152,714 | $417 | 0.0% | $2.31 | 0.0% | COM | 462260100 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| PRAX | PRAXIS PRECISION MEDICINES I | 1,995,986 (+27.6%) | $588,297 (+609.5%) | 10.5% | $79.26 | +135.0% | COM NEW | 74006W207 |
| CELC | CELCUITY INC | 3,160,200 (+6.9%) | $315,198 (+115.8%) | 5.6% | $29.05 | +183.0% | COM | 15102K100 |
| APGE | APOGEE THERAPEUTICS INC | 2,330,651 (+72.4%) | $175,918 (+227.5%) | 3.1% | $42.68 | +47.6% | COM | 03770N101 |
| EXAS | EXACT SCIENCES CORP | 1,200,487 (+157.9%) | $121,921 (+378.7%) | 2.2% | $68.54 | +17.2% | COM | 30063P105 |
| SYRE | SPYRE THERAPEUTICS INC | 3,069,225 (+149.6%) | $100,548 (+388.0%) | 1.8% | $22.43 | +16.5% | COM NEW | 00773J202 |
| TVTX | TRAVERE THERAPEUTICS INC | 4,278,180 (+12.7%) | $163,469 (+80.2%) | 2.9% | $19.92 | +63.3% | COM | 89422G107 |
| INBX | INHIBRX BIOSCIENCES INC | 1,452,707 (+9.4%) | $114,764 (+156.6%) | 2.0% | $22.31 | +205.4% | COM | 45720N103 |
| VRDN | VIRIDIAN THERAPEUTICS INC | 3,042,703 (+108.1%) | $94,689 (+200.0%) | 1.7% | $22.91 | +19.7% | COM | 92790C104 |
| BSX | BOSTON SCIENTIFIC CORP | 979,000 (+215.8%) | $93,348 (+208.4%) | 1.7% | $99.04 | -1.0% | COM | 101137107 |
| BLTE | BELITE BIO INC | 414,239 (+732.0%) | $66,262 (+1698.5%) | 1.2% | $149.63 | — | SPONSORED ADS | 07782B104 |
| ROIV | ROIVANT SCIENCES LTD | 7,985,461 (+8.4%) | $173,285 (+55.4%) | 3.1% | $12.30 | +60.3% | SHS | G76279101 |
| DYN | DYNE THERAPEUTICS INC | 3,478,944 (+543.7%) | $68,048 (+895.3%) | 1.2% | $19.15 | -1.1% | COM | 26818M108 |
| NRIX | NURIX THERAPEUTICS INC | 3,555,877 (+151.1%) | $67,455 (+415.5%) | 1.2% | $13.92 | +3.2% | COM | 67080M103 |
| ZYME | ZYMEWORKS INC | 3,261,850 (+56.0%) | $85,885 (+140.5%) | 1.5% | $14.71 | +48.3% | COM | 98985Y108 |
| PTGX | PROTAGONIST THERAPEUTICS INC | 1,350,425 (+31.1%) | $117,946 (+72.4%) | 2.1% | $39.65 | +106.5% | COM | 74366E102 |
| EWTX | EDGEWISE THERAPEUTICS | 4,457,974 (+17.4%) | $110,625 (+79.7%) | 2.0% | $22.18 | -9.5% | COM | 28036F105 |
| ENGN | ENGENE HOLDINGS INC | 5,869,076 (+179.8%) | $52,998 (+270.0%) | 0.9% | $6.78 | +18.2% | COM | 29286M105 |
| NUVL | NUVALENT INC | 1,665,105 (+6.6%) | $167,493 (+24.0%) | 3.0% | $46.66 | +111.3% | COM | 670703107 |
| ANRO | ALTO NEUROSCIENCE INC | 1,784,393 (+1048.5%) | $31,762 (+4985.4%) | 0.6% | $11.78 | +6.9% | COM SHS | 02157Q109 |
| IMTX | IMMATICS N.V | 10,383,456 (+10.7%) | $109,026 (+36.4%) | 1.9% | $10.60 | -4.8% | SHS | N44445109 |
| ABVX | ABIVAX SA | 458,343 (+17.9%) | $61,810 (+87.3%) | 1.1% | $92.50 | — | SPONSORED ADS | 00370M103 |
| ISRG | INTUITIVE SURGICAL INC | 87,919 (+68.7%) | $49,794 (+113.6%) | 0.9% | $443.22 | +20.1% | COM NEW | 46120E602 |
| IMVT | IMMUNOVANT INC | 1,994,890 (+25.6%) | $50,710 (+98.1%) | 0.9% | $23.20 | -3.9% | COM | 45258J102 |
| RAPT | RAPT THERAPEUTICS INC | 825,890 (+349.1%) | $27,973 (+489.8%) | 0.5% | $25.84 | +20.2% | COM NEW | 75382E208 |
| ORKA | ORUKA THERAPEUTICS INC | 1,476,501 (+16.4%) | $44,753 (+83.5%) | 0.8% | $16.66 | +67.2% | COM | 687604108 |
| RGEN | REPLIGEN CORP | 315,541 (+16.7%) | $51,705 (+43.0%) | 0.9% | $140.51 | +11.5% | COM | 759916109 |
| KOD | KODIAK SCIENCES INC | 848,900 (+33.8%) | $23,735 (+128.5%) | 0.4% | $11.61 | +76.4% | COM | 50015M109 |
| BBNX | BETA BIONICS INC | 602,944 (+116.9%) | $18,372 (+232.7%) | 0.3% | $22.99 | +16.2% | COM | 08659B102 |
| LONA | ATHIRA PHARMA INC | 1,859,322 (+244.1%) | $14,075 (+529.2%) | 0.3% | $4.39 | +4.3% | COM | 04746L203 |
| RAPP | RAPPORT THERAPEUTICS INC | 673,923 (+66.8%) | $20,447 (+70.4%) | 0.4% | $21.78 | +27.1% | COM | 75383L102 |
| CTNM | CONTINEUM THERAPEUTICS INC | 1,464,592 (+105.0%) | $16,740 (+99.4%) | 0.3% | $13.62 | -16.2% | CL A | 21217B100 |
| CAI | CARIS LIFE SCIENCES INC | 1,136,206 (+3.5%) | $30,655 (-7.7%) | 0.5% | $26.99 | +4.3% | COM | 142152107 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| — | MERUS N V | 1,353,093 | $127,394 | 2.3% | $70.83 | — | — | N5749R100 |
| INSM | INSMED INC | 702,130 | $101,114 | 1.8% | $72.15 | +152.9% | — | 457669307 |
| — | VERONA PHARMA PLC | 524,088 | $55,925 | 1.0% | $23.99 | — | — | 925050106 |
| — | AKERO THERAPEUTICS INC | 1,135,766 | $53,926 | 1.0% | $40.07 | — | — | 00973Y108 |
| JANX | JANUX THERAPEUTICS INC | 292,686 | $7,153 | 0.1% | $50.50 | -53.4% | — | 47103J105 |
| TEM | TEMPUS AI INC | 85,000 | $6,860 | 0.1% | $70.04 | +11.7% | — | 88023B103 |
| HTFL | HEARTFLOW INC | 150,000 | $5,049 | 0.1% | $32.24 | -0.1% | — | 42238D107 |
| — | SCPHARMACEUTICALS INC | 583,142 | $3,306 | 0.1% | $3.84 | — | — | 810648105 |
| VKTX | VIKING THERAPEUTICS INC | 105,597 | $2,775 | 0.0% | $52.65 | -32.7% | — | 92686J106 |
| PYXS | PYXIS ONCOLOGY INC | 1,178,307 | $2,616 | 0.0% | $1.44 | +144.9% | — | 747324101 |
| SPRY | ARS PHARMACEUTICALS INC | 200,000 | $2,010 | 0.0% | — | — | PUT | 82835W108 |
| TRIB | TRINITY BIOTECH PLC | 1,790,000 | $1,862 | 0.0% | $0.65 | — | — | 896438504 |
| LYRA | LYRA THERAPEUTICS INC | 229,382 | $1,498 | 0.0% | $8.30 | -40.0% | — | 55234L204 |
| QURE | UNIQURE NV | 20,000 | $1,167 | 0.0% | $18.16 | +112.5% | — | N90064101 |
| APYX | APYX MEDICAL CORPORATION | 150,000 | $321 | 0.0% | $1.40 | +149.3% | — | 03837C106 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| ACLX | ARCELLX INC | 1,466,071 (-40.6%) | $95,588 (-52.8%) | 1.7% | $24.76 | +222.2% | COMMON STOCK | 03940C100 |
| MGTX | MEIRAGTX HLDGS PLC | 10,326,103 (-18.2%) | $82,093 (-20.9%) | 1.5% | $10.52 | -21.0% | COM | G59665102 |
| AMLX | AMYLYX PHARMACEUTICALS INC | 8,284,882 (-7.5%) | $100,081 (-17.7%) | 1.8% | $4.53 | +199.8% | COM | 03237H101 |
| PEN | PENUMBRA INC | 110,529 (-49.9%) | $34,365 (-38.5%) | 0.6% | $255.20 | +8.2% | COM | 70975L107 |
| NBIX | NEUROCRINE BIOSCIENCES INC | 331,050 (-26.4%) | $46,953 (-25.7%) | 0.8% | $124.99 | +15.9% | COM | 64125C109 |
| AQST | AQUESTIVE THERAPEUTICS INC | 747,193 (-80.1%) | $4,827 (-77.0%) | 0.1% | $3.57 | +74.6% | COM | 03843E104 |
| RYTM | RHYTHM PHARMACEUTICALS INC | 2,546,391 (-99.4%) | $272,566 (-5.5%) | 4.9% | $92.51 | +14.7% | COM | 76243J105 |
| OBIO | ORCHESTRA BIOMED HLDGS INC | 5,127,256 (-3.1%) | $21,278 (+62.1%) | 0.4% | $8.01 | -49.6% | COM | 68572M106 |
| AORT | ARTIVION INC | 1,722,290 (-14.7%) | $78,554 (-8.2%) | 1.4% | $19.16 | +132.5% | COM | 228903100 |
| ALDX | ALDEYRA THERAPEUTICS INC | 4,185,632 (-19.9%) | $21,682 (-20.5%) | 0.4% | $7.22 | -28.9% | COM | 01438T106 |
| CRVS | CORVUS PHARMACEUTICALS INC | 692,441 (-51.9%) | $5,332 (-49.7%) | 0.1% | $3.64 | +116.7% | COM | 221015100 |
| KYMR | KYMERA THERAPEUTICS INC | 69,935 (-58.8%) | $5,442 (-43.4%) | 0.1% | $34.43 | +96.1% | COM | 501575104 |
| PVLA | PALVELLA THERAPEUTICS INC NE | 266,287 (-32.6%) | $27,872 (+12.5%) | 0.5% | $44.59 | +91.3% | COM | 697947109 |
| CNTA | CENTESSA PHARMACEUTICALS PLC | 2,917,634 (-5.9%) | $72,970 (-3.0%) | 1.3% | $20.01 | — | SPONSORED ADS | 152309100 |
| IRTC | IRHYTHM TECHNOLOGIES INC | 108,000 (-12.2%) | $19,164 (-9.4%) | 0.3% | $158.94 | +11.5% | COM | 450056106 |
| SEPN | SEPTERNA INC | 433,160 (-20.0%) | $12,077 (+18.6%) | 0.2% | $8.24 | +190.0% | COM | 81734D104 |
| KRYS | KRYSTAL BIOTECH INC | 17,500 (-50.0%) | $4,314 (-30.2%) | 0.1% | $149.68 | +40.6% | COM | 501147102 |
| ADMA | ADMA BIOLOGICS INC | 883,468 (-23.4%) | $16,114 (-4.7%) | 0.3% | $8.62 | +95.4% | COM | 000899104 |
| AVR | ANTERIS TECHNOLOGIES GLOBAL | 1,675,476 (-1.7%) | $8,361 (+9.0%) | 0.1% | $5.59 | -18.0% | COM | 03675P102 |
| GOSS | GOSSAMER BIO INC | 3,139,669 (-17.7%) | $9,733 (-2.9%) | 0.2% | $2.20 | +29.5% | COM | 38341P102 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| FOLD | AMICUS THERAPEUTICS INC | 6,370,851 | $90,721 | 1.6% | $7.36 | +33.4% | COM | 03152W109 |
| — | ASTRIA THERAPEUTICS INC | 6,485,420 | $84,894 | 1.5% | $11.36 | — | COM | 04635X102 |
| OMDA | OMADA HEALTH INC | 2,396,330 | $37,814 | 0.7% | $17.31 | +17.2% | COM | 68170A108 |
| ASND | ASCENDIS PHARMA A/S | 1,081,421 | $230,602 | 4.1% | $175.60 | — | SPONSORED ADR | 04351P101 |
| NAUT | NAUTILUS BIOTECHNOLOGY INC | 12,594,211 | $24,559 | 0.4% | $8.54 | -80.8% | COM | 63909J108 |
| SION | SIONNA THERAPEUTICS INC | 1,179,098 | $48,508 | 0.9% | $16.34 | +132.1% | COM | 829401108 |
| CTMX | CYTOMX THERAPEUTICS INC | 9,680,185 | $41,238 | 0.7% | $1.79 | +112.3% | COM | 23284F105 |
| AXSM | AXSOME THERAPEUTICS INC | 148,900 | $27,195 | 0.5% | $77.79 | +79.5% | COM | 05464T104 |
| ADGM | ADAGIO MED HLDGS INC | 9,876,576 | $10,272 | 0.2% | $4.76 | -75.1% | COM | 00534B100 |
| OM | OUTSET MED INC | 833,333 | $3,092 | 0.1% | $11.92 | -28.1% | COM NEW | 690145206 |
| DRUG | BRIGHT MINDS BIOSCIENCES INC | 449,290 | $35,063 | 0.6% | $35.55 | +88.0% | COM NEW | 10919W405 |
| SLDB | SOLID BIOSCIENCES INC | 11,833,539 | $66,741 | 1.2% | $6.40 | -15.4% | COM NEW | 83422E204 |
| — | CELCUITY INC | 6,500,000 | $14,098 | 0.3% | $1.34 | — | NOTE 2.750% 8/0 | 15102KAA8 |
| IKT | INHIBIKASE THERAPEUTICS INC | 5,421,568 | $11,114 | 0.2% | $2.49 | -36.2% | COM NEW | 45719W205 |
| PEPG | PEPGEN INC | 829,870 | $5,402 | 0.1% | $1.61 | +222.0% | COM | 713317105 |
| IRD | OPUS GENETICS INC | 4,325,000 | $8,693 | 0.2% | $1.12 | +81.8% | COM | 67577R102 |
| — | ENVVENO MEDICAL CORPORATION | 1,759,035 | $564 | 0.0% | $3.16 | — | COM | 29415J106 |
| XENE | XENON PHARMACEUTICALS INC | 200,791 | $8,999 | 0.2% | $26.63 | +57.7% | COM | 98420N105 |
| AVTX | AVALO THERAPEUTICS INC | 139,667 | $2,536 | 0.0% | $7.58 | +122.8% | COM NEW | 05338F306 |
| LXEO | LEXEO THERAPEUTICS INC | 139,835 | $1,389 | 0.0% | $11.93 | -23.5% | COM | 52886X107 |
| RVMDW | REVOLUTION MEDICINES INC | 250,000 | $235 | 0.0% | $0.33 | — | *W EXP 12/17/202 | 76155X118 |
| ENSC | ENSYSCE BIOSCIENCES INC | 86,666 | $80 | 0.0% | $6.89 | -73.1% | COM NEW | 293602504 |
| BDSX | BIODESIX | 108,694 | $739 | 0.0% | $7.69 | -4.3% | COM | 09075X207 |
| CBIO | CRESCENT BIOPHARMA INC. | 453,686 | $5,381 | 0.1% | $21.15 | -39.8% | COM | G2545C104 |
| SRZNW | SURROZEN INC | 166,666 | $3 | 0.0% | $1.14 | — | *W EXP 08/01/203 | 86889P117 |