CIK: 0001631134 · Show all filings
Period: Q4 2025 (← Previous)
Filing Date: Feb 13, 2026
Total Value ($000): $2,319,284 (100.0% shares, 0.0% debt)
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| BMY | BRISTOL-MYERS SQUIBB CO | 1,512,994 | $81,611 | 3.5% | $47.53 | 0.0% | COM | 110122108 |
| LLY | ELI LILLY & CO | 61,652 | $66,256 | 2.9% | $955.55 | 0.0% | COM | 532457108 |
| BMRN | BIOMARIN PHARMACEUTICAL INC | 697,133 | $41,431 | 1.8% | $54.44 | 0.0% | COM | 09061G101 |
| CNTA | CENTESSA PHARMACEUTICALS PLC | 1,104,274 | $27,618 | 1.2% | $25.01 | — | SPONSORED ADS | 152309100 |
| ALC | ALCON AG | 332,520 | $26,206 | 1.1% | $77.00 | 0.0% | ORD SHS | H01301128 |
| AMLX | AMYLYX PHARMACEUTICALS INC | 527,099 | $6,367 | 0.3% | $13.58 | 0.0% | COM | 03237H101 |
| MASI | MASIMO CORP | 46,201 | $6,009 | 0.3% | $143.19 | 0.0% | COM | 574795100 |
| XENE | XENON PHARMACEUTICALS INC | 59,900 | $2,685 | 0.1% | $42.00 | 0.0% | COM | 98420N105 |
| EVMN | EVOMMUNE INC | 153,320 | $2,625 | 0.1% | $18.78 | 0.0% | COM SHS | 30054Y107 |
| RARE | ULTRAGENYX PHARMACEUTICAL INC | 83,300 | $1,916 | 0.1% | $32.88 | 0.0% | COM | 90400D108 |
| MIRM | MIRUM PHARMACEUTICALS INC | 23,100 | $1,825 | 0.1% | $71.78 | 0.0% | COM | 604749101 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| AZN | ASTRAZENECA PLC | 1,632,334 (+98.1%) | $150,060 (+137.4%) | 6.5% | $83.02 | — | SPONSORED ADR | 046353108 |
| JAZZ | JAZZ PHARMACEUTICALS PLC | 959,860 (+63.0%) | $163,176 (+110.3%) | 7.0% | $128.75 | +19.1% | SHS USD | G50871105 |
| ABBV | ABBVIE INC | 317,783 (+110.5%) | $72,610 (+107.7%) | 3.1% | $206.22 | +10.3% | COM | 00287Y109 |
| — | CIDARA THERAPEUTICS INC | 180,265 (+232.6%) | $39,819 (+667.2%) | 1.7% | $169.12 | — | COM | 171757206 |
| DYN | DYNE THERAPEUTICS INC | 2,254,161 (+128.7%) | $44,091 (+253.6%) | 1.9% | $18.03 | +5.1% | COM | 26818M108 |
| IMNM | IMMUNOME INC | 1,618,477 (+271.2%) | $34,765 (+580.8%) | 1.5% | $17.80 | -1.4% | COM | 45257U108 |
| VRTX | VERTEX PHARMACEUTICALS INC | 164,594 (+39.6%) | $74,620 (+61.6%) | 3.2% | $421.64 | +2.2% | COM | 92532F100 |
| ISRG | INTUITIVE SURGICAL INC | 126,968 (+14.5%) | $71,910 (+45.0%) | 3.1% | $510.25 | +4.3% | COM | 46120E602 |
| INBX | INHIBRX BIOSCIENCES INC | 454,657 (+3.3%) | $35,918 (+142.3%) | 1.5% | $16.63 | +309.6% | COM | 45720N103 |
| CELC | CELCUITY INC | 299,417 (+18.2%) | $29,864 (+138.6%) | 1.3% | $46.51 | +76.7% | COM | 15102K100 |
| IMTX | IMMATICS N.V | 3,435,542 (+54.2%) | $36,073 (+90.0%) | 1.6% | $7.34 | +37.5% | SHS | N44445109 |
| INSM | INSMED INC | 156,801 (+50.3%) | $27,290 (+81.6%) | 1.2% | $95.36 | +91.4% | COM PAR $.01 | 457669307 |
| NKTR | NEKTAR THERAPEUTICS | 438,630 (+270.4%) | $18,545 (+175.2%) | 0.8% | $49.79 | +12.4% | COM | 640268306 |
| CMPX | COMPASS THERAPEUTICS INC | 3,365,446 (+65.9%) | $18,072 (+154.5%) | 0.8% | $3.74 | +23.5% | COM | 20454B104 |
| SUPN | SUPERNUS PHARMACEUTICALS INC | 553,095 (+46.7%) | $27,489 (+52.5%) | 1.2% | $38.83 | +25.2% | COM | 868459108 |
| IRON | DISC MEDICINE INC | 111,010 (+719.1%) | $8,815 (+884.3%) | 0.4% | $80.32 | +5.2% | COM | 254604101 |
| ANAB | ANAPTYSBIO INC | 287,690 (+13.1%) | $13,947 (+79.1%) | 0.6% | $20.04 | +94.6% | COM | 032724106 |
| RYTM | RHYTHM PHARMACEUTICALS INC | 271,394 (+9.9%) | $29,050 (+16.5%) | 1.3% | $57.98 | +82.9% | COM | 76243J105 |
| QURE | UNIQURE NV | 176,513 (+29.0%) | $4,224 (-47.1%) | 0.2% | $19.25 | +100.4% | SHS | N90064101 |
| GEHC | GE HEALTHCARE TECHNOLOGIES I | 160,876 (+6.5%) | $13,195 (+16.3%) | 0.6% | $74.75 | +4.2% | COMMON STOCK | 36266G107 |
| ESTA | ESTABLISHMENT LABS HLDGS INC | 28,366 (+163.0%) | $2,067 (+367.5%) | 0.1% | $55.36 | +9.1% | COM | G31249108 |
| ACAD | ACADIA PHARMACEUTICALS INC | 65,567 (+144.7%) | $1,751 (+206.2%) | 0.1% | $23.80 | +0.4% | COM | 004225108 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| GILD | Gilead Sciences Inc | 1,252,312 | $139,007 | 6.0% | $99.85 | +21.1% | — | 375558103 |
| BSX | Boston Scientific Corp | 569,427 | $55,593 | 2.4% | $101.76 | -3.7% | — | 101137107 |
| IBB | iShares TR | 325,000 | $46,920 | 2.0% | — | — | PUT | 464287556 |
| UTHR | United Therapeutics Corp | 97,100 | $40,705 | 1.8% | $313.03 | +48.8% | PUT | 91307C102 |
| XBI | SPDR Series Trust | 400,000 | $40,080 | 1.7% | — | — | PUT | 78464A870 |
| QURE | Uniqure NV | 500,000 | $29,185 | 1.3% | $19.25 | +100.4% | PUT | N90064101 |
| — | Akero Therapeutics Inc | 473,625 | $22,488 | 1.0% | $41.39 | — | — | 00973Y108 |
| SMMT | Summit Therapeutics Inc | 900,000 | $18,594 | 0.8% | — | — | CALL | 86627T108 |
| QURE | Uniqure NV | 300,000 | $17,511 | 0.8% | $19.25 | +100.4% | CALL | N90064101 |
| — | Merus N V | 166,729 | $15,698 | 0.7% | $52.60 | — | — | N5749R100 |
| PTCT | PTC Therapeutics Inc | 186,932 | $11,472 | 0.5% | $49.90 | +45.6% | — | 69366J200 |
| LQDA | Liquidia Corporation | 250,000 | $5,685 | 0.2% | — | — | PUT | 53635D202 |
| SRRK | Scholar Rock Hldg Corp | 31,410 | $1,170 | 0.1% | $37.92 | -1.1% | — | 80706P103 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| AXSM | AXSOME THERAPEUTICS INC | 12,266 (-96.9%) | $2,240 (-95.3%) | 0.1% | $104.88 | +33.1% | COM | 05464T104 |
| COGT | COGENT BIOSCIENCES INC | 1,973,625 (-7.3%) | $70,103 (+129.4%) | 3.0% | $7.16 | +292.8% | COM | 19240Q201 |
| ROIV | ROIVANT SCIENCES LTD | 734,582 (-76.7%) | $15,940 (-66.5%) | 0.7% | $10.86 | +81.7% | SHS | G76279101 |
| PRAX | PRAXIS PRECISION MEDICINES INC | 125,722 (-27.3%) | $37,055 (+304.5%) | 1.6% | $49.76 | +274.3% | COM | 74006W207 |
| DXCM | DEXCOM INC | 378,219 (-51.5%) | $25,102 (-52.1%) | 1.1% | $77.45 | -16.5% | COM | 252131107 |
| APGE | APOGEE THERAPEUTICS INC | 534,845 (-5.4%) | $40,370 (+79.7%) | 1.7% | $38.16 | +65.0% | COM | 03770N101 |
| RNA | AVIDITY BIOSCIENCES INC | 745,116 (-14.9%) | $53,745 (+40.8%) | 2.3% | $33.95 | +90.3% | COM | 05370A108 |
| BBIO | BRIDGEBIO PHARMA INC | 720,448 (-13.4%) | $55,107 (+27.5%) | 2.4% | $34.41 | +90.8% | COM | 10806X102 |
| SLNO | SOLENO THERAPEUTICS INC | 12,414 (-92.5%) | $575 (-94.9%) | 0.0% | $45.28 | +21.1% | COM | 834203309 |
| EXAS | EXACT SCIENCES CORP | 101,443 (-72.2%) | $10,303 (-48.4%) | 0.4% | $50.44 | +59.2% | COM | 30063P105 |
| RCUS | ARCUS BIOSCIENCES INC | 1,096,705 (-10.3%) | $26,134 (+57.2%) | 1.1% | $11.15 | +83.0% | COM | 03969F109 |
| GKOS | GLAUKOS CORP | 288,128 (-7.9%) | $32,533 (+27.5%) | 1.4% | $91.83 | +4.0% | COM | 377322102 |
| SVRA | SAVARA INC | 304,770 (-87.4%) | $1,838 (-78.8%) | 0.1% | $4.16 | +17.6% | COM | 805111101 |
| IDYA | IDEAYA BIOSCIENCES INC | 885,121 (-4.1%) | $30,599 (+21.9%) | 1.3% | $25.35 | +25.8% | COM | 45166A102 |
| UTHR | UNITED THERAPEUTICS CORP | 157,641 (-17.3%) | $76,811 (-3.9%) | 3.3% | $313.03 | +48.8% | COM | 91307C102 |
| EWTX | EDGEWISE THERAPEUTICS INC | 437,819 (-15.8%) | $10,864 (+28.8%) | 0.5% | $16.17 | +24.1% | COM | 28036F105 |
| WVE | WAVE LIFE SCIENCES LTD | 158,182 (-7.5%) | $2,689 (+114.9%) | 0.1% | $7.07 | +43.8% | SHS | Y95308105 |
| RAPP | RAPPORT THERAPEUTICS INC | 1,904,408 (-2.2%) | $57,780 (-0.1%) | 2.5% | $23.12 | +19.7% | COM | 75383L102 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| NTRA | NATERA INC | 1,550,280 | $355,154 | 15.3% | $9.81 | +2026.5% | COM | 632307104 |
| VERA | VERA THERAPEUTICS INC | 2,793,987 | $141,488 | 6.1% | $15.35 | +131.3% | CL A | 92337R101 |
| BIOA | BIOAGE LABS INC | 2,293,788 | $30,347 | 1.3% | $20.04 | -55.8% | COM | 09077V100 |
| AVBP | ARRIVENT BIOPHARMA INC | 1,696,752 | $34,139 | 1.5% | $20.17 | +3.2% | COM | 04272N102 |
| PHVS | PHARVARIS N V | 745,169 | $20,678 | 0.9% | $21.08 | +14.3% | COM | N69605108 |
| NXTC | NEXTCURE INC | 222,654 | $3,159 | 0.1% | $5.23 | +98.0% | COM | 65343E207 |
| JBIO | JADE BIOSCIENCES INC | 107,391 | $1,657 | 0.1% | $33.31 | -64.8% | COM | 008064206 |
| IMA | IMAGENEBIO INC | 31,884 | $220 | 0.0% | $13.25 | -44.1% | COM | 45175G207 |
| BOLT | BOLT BIOTHERAPEUTICS INC | 137,721 | $753 | 0.0% | $6.62 | -18.9% | COM | 097702203 |