Location: Baltimore, MD
CIK: 0001595725 · Show all filings
Period: Q2 2026 (← Previous)
Filing Date: Aug 14, 2026
Total Value: $2.049B (100.0% shares, 0.0% debt)
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| ASND | ASCENDIS PHARMA A/S | 168,750 | $45.01M | 2.2% | — | — | ORD SHS | K08588103 |
| AVLN | AVALYN PHARMACEUTICALS INC | 662,918 | $21.82M | 1.1% | — | — | COM SHS | 05348Y105 |
| COAG | HEMAB THERAPEUTICS HLDGS INC | 575,432 | $21.14M | 1.0% | — | — | COM SHS | 423494103 |
| PBLS | PARABILIS MEDICINES INC | 578,028 | $15.82M | 0.8% | — | — | COM | 698955101 |
| OMER | OMEROS CORP | 718,499 | $6.833M | 0.3% | — | — | COM | 682143102 |
| DFTX | DEFINIUM THERAPEUTICS INC | 143,187 | $6.736M | 0.3% | — | — | COM SHS | 24477V105 |
| MOBI | MOBIA MED INC | 418,200 | $5.604M | 0.3% | — | — | COMMON STOCK | 60705V103 |
| TRVI | TREVI THERAPEUTICS INC | 260,000 | $4.849M | 0.2% | — | — | COM | 89532M101 |
| SYRE | SPYRE THERAPEUTICS INC | 42,254 | $3.751M | 0.2% | — | — | COM NEW | 00773J202 |
| NGEN | NERVGEN PHARMA CORP | 1,208,231 | $2.489M | 0.1% | — | — | COM | 64082X203 |
| MDT | MEDTRONIC PLC | 30,900 | $2.417M | 0.1% | — | — | SHS | G5960L103 |
| SGMT | SAGIMET BIOSCIENCES INC | 250,000 | $1.933M | 0.1% | — | — | COM SER A | 786700104 |
| CAPR | CAPRICOR THERAPEUTICS INC | 74,448 | $1.793M | 0.1% | — | — | COM NEW | 14070B309 |
| ALT | ALTIMMUNE INC | 471,465 | $1.433M | 0.1% | — | — | COM NEW | 02155H200 |
| KLRA | KAILERA THERAPEUTICS INC | 65,000 | $1.432M | 0.1% | — | — | COMMON STOCK | 482931102 |
| AXSM | AXSOME THERAPEUTICS INC. | 5,500 | $1.346M | 0.1% | — | — | COM | 05464T104 |
| GKOS | GLAUKOS CORP | 4,750 | $664K | 0.0% | — | — | COM | 377322102 |
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| TVTX | TRAVERE THERAPEUTICS INC | 2,179,069 (+47.4%) | $124M (+181.9%) | 6.0% | — | — | COM | 89422G107 |
| AGL | AGILON HEALTH INC | 262,600 (+1.0%) | $28.15M (+1268.5%) | 1.4% | — | — | COM NEW | 00857U206 |
| CYTK | CYTOKINETICS INC | 187,980 (+314.4%) | $16.01M (+435.6%) | 0.8% | — | — | COM NEW | 23282W605 |
| INSM | INSMED INC | 362,150 (+15.2%) | $38.61M (-24.9%) | 1.9% | — | — | COM PAR $.01 | 457669307 |
| UNH | UNITEDHEALTH GROUP INC | 63,750 (+20.3%) | $26.5M (+84.8%) | 1.3% | — | — | COM | 91324P102 |
| BSX | BOSTON SCIENTIFIC CORP | 528,500 (+2.6%) | $22.56M (-30.2%) | 1.1% | — | — | COM | 101137107 |
| CMPX | COMPASS THERAPEUTICS INC | 3,524,929 (+6.6%) | $7.72M (-55.9%) | 0.4% | — | — | COM | 20454B104 |
| MBX | MBX BIOSCIENCES INC | 298,218 (+3.6%) | $16.46M (+91.5%) | 0.8% | — | — | COM | 55287L101 |
| ERAS | ERASCA INC | 1,402,150 (+27.1%) | $25.69M (+43.9%) | 1.3% | — | — | COM | 29479A108 |
| MMED | MINIMED GROUP INC | 1,520,000 (+44.1%) | $22.72M (+44.4%) | 1.1% | — | — | COM | 60365F109 |
| TNGX | TANGO THERAPEUTICS INC | 456,551 (+18.0%) | $14.27M (+76.3%) | 0.7% | — | — | COM | 87583X109 |
| BCAX | BICARA THERAPEUTICS INC | 535,286 (+9.4%) | $15.89M (+63.4%) | 0.8% | — | — | COM | 055477103 |
| CLDX | CELLDEX THERAPEUTICS INC NEW | 699,146 (+7.5%) | $26.02M (+26.1%) | 1.3% | — | — | COM NEW | 15117B202 |
| MDGL | MADRIGAL PHARMACEUTICALS INC | 174,999 (+2.3%) | $93.97M (+5.0%) | 4.6% | — | — | COM | 558868105 |
| SYK | STRYKER CORPORATION | 29,000 (+95.9%) | $9.13M (+87.7%) | 0.4% | — | — | COM | 863667101 |
| CORT | CORCEPT THERAPEUTICS INC | 72,000 (+43.3%) | $6.26M (+209.1%) | 0.3% | — | — | COM | 218352102 |
| INSP | INSPIRE MED SYS INC | 244,000 (+85.1%) | $10.88M (+60.1%) | 0.5% | — | — | COM | 457730109 |
| INDV | INDIVIOR PHARMACEUTICALS INC | 245,500 (+22.8%) | $10.07M (+65.2%) | 0.5% | — | — | COM | 45579U109 |
| ALKS | ALKERMES PLC | 199,811 (+8.6%) | $10.47M (+60.9%) | 0.5% | — | — | SHS | G01767105 |
| DHR | DANAHER CORP DEL | 76,300 (+24.1%) | $14.53M (+24.6%) | 0.7% | — | — | COM | 235851102 |
| PHR | PHREESIA INC | 696,900 (+16.1%) | $7.171M (+42.5%) | 0.4% | — | — | COM | 71944F106 |
| TARS | TARSUS PHARMACEUTICALS INC | 277,087 (+23.1%) | $17.44M (+10.4%) | 0.9% | — | — | COM | 87650L103 |
| BBIO | BRIDGEBIO PHARMA INC | 144,750 (+12.9%) | $10.78M (+13.2%) | 0.5% | — | — | COM | 10806X102 |
| NGNE | NEUROGENE INC | 106,750 (+2.3%) | $3.357M (+59.6%) | 0.2% | — | — | COM | 64135M105 |
| IRTC | IRHYTHM HOLDINGS INC | 269,650 (+3.0%) | $32.07M (+3.8%) | 1.6% | — | — | COM | 450056106 |
| MLYS | MINERALYS THERAPEUTICS INC | 484,951 (+10.3%) | $13.08M (+9.8%) | 0.6% | — | — | COM | 603170101 |
| ORKA | ORUKA THERAPEUTICS INC | 12,051 (+192.3%) | $1.147M (+467.1%) | 0.1% | — | — | COM | 687604108 |
| ROIV | ROIVANT SCIENCES LTD | 101,000 (+4.1%) | $3.574M (+33.0%) | 0.2% | — | — | SHS | G76279101 |
| ATEC | ALPHATEC HLDGS INC | 360,000 (+2.9%) | $3.114M (-18.2%) | 0.2% | — | — | COM NEW | 02081G201 |
| TEVA | TEVA PHARMACEUTICAL INDS LTD | 59,000 (+29.7%) | $1.999M (+45.9%) | 0.1% | — | — | SPONSORED ADS | 881624209 |
| EYPT | EYEPOINT INC | 268,519 (+3.8%) | $3.84M (+15.1%) | 0.2% | — | — | COM NEW | 30233G209 |
| OLMA | OLEMA PHARMACEUTICALS INC | 235,178 (+38.0%) | $2.942M (+15.8%) | 0.1% | — | — | COM | 68062P106 |
| BCRX | BIOCRYST PHARMACEUTICALS INC | 22,124 (+75.6%) | $221K (+84.4%) | 0.0% | — | — | COM | 09058V103 |
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| ASND | ASCENDIS PHARMA A/S | 194,000 | $44.37M | 2.2% | — | — | — | 04351P101 |
| ACLX | ARCELLX INC | 169,859 | $19.5M | 1.0% | — | — | — | 03940C100 |
| CNTA | CENTESSA PHARMACEUTICALS PLC | 351,828 | $13.97M | 0.7% | — | — | — | 152309100 |
| SLNO | SOLENO THERAPEUTICS INC | 257,253 | $8.613M | 0.4% | — | — | — | 834203309 |
| REGN | REGENERON PHARMACEUTICALS | 10,100 | $7.804M | 0.4% | — | — | — | 75886F107 |
| APLS | APELLIS PHARMACEUTICALS INC | 162,750 | $6.547M | 0.3% | — | — | — | 03753U106 |
| TERN | TERNS PHARMACEUTICALS INC | 113,748 | $5.997M | 0.3% | — | — | — | 880881107 |
| XBI | SPDR SERIES TRUST | 30,000 | $3.832M | 0.2% | — | — | — | 78464A870 |
| EW | EDWARDS LIFESCIENCES CORP | 28,900 | $2.314M | 0.1% | — | — | — | 28176E108 |
| ACHC | ACADIA HEALTHCARE COMPANY IN | 75,500 | $1.766M | 0.1% | — | — | — | 00404A109 |
| JAZZ | JAZZ PHARMACEUTICALS PLC | 5,750 | $1.087M | 0.1% | — | — | — | G50871105 |
| GOSS | GOSSAMER BIO INC | 1,609,492 | $529K | 0.0% | — | — | — | 38341P102 |
| FOLD | AMICUS THERAPEUTIC | 21,062 | $305K | 0.0% | — | — | — | 03152W109 |
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| RVMD | REVOLUTION MEDICINES INC | 1,105,210 (-8.6%) | $207M (+76.0%) | 10.1% | — | — | COM | 76155X100 |
| ARGX | ARGENX SE | 52,750 (-46.4%) | $48.94M (-32.0%) | 2.4% | — | — | SPONSORED ADR | 04016X101 |
| MIRM | MIRUM PHARMACEUTICALS INC | 798,145 (-1.6%) | $93.44M (+24.7%) | 4.6% | — | — | COM | 604749101 |
| KYMR | KYMERA THERAPEUTICS INC | 453,156 (-8.8%) | $51.96M (+25.6%) | 2.5% | — | — | COM | 501575104 |
| ELVN | ENLIVEN THERAPEUTICS INC | 464,625 (-43.8%) | $23.58M (-27.2%) | 1.2% | — | — | COM | 29337E102 |
| EVH | EVOLENT HEALTH INC | 2,500,000 (-6.5%) | $13.55M (+122.2%) | 0.7% | — | — | CL A | 30050B101 |
| ISRG | INTUITIVE SURGICAL INC | 76,460 (-6.8%) | $30.41M (-19.6%) | 1.5% | — | — | COM NEW | 46120E602 |
| AGIO | AGIOS PHARMACEUTICALS INC | 532,563 (-33.4%) | $19.76M (-26.9%) | 1.0% | — | — | COM | 00847X104 |
| RARE | ULTRAGENYX PHARMACEUTICAL IN | 967,855 (-20.6%) | $32.32M (+26.6%) | 1.6% | — | — | COM | 90400D108 |
| ACRS | ACLARIS THERAPEUTICS INC | 4,330,532 (-3.2%) | $22.91M (+36.6%) | 1.1% | — | — | COM | 00461U105 |
| NBIX | NEUROCRINE BIOSCIENCES INC | 144,750 (-3.8%) | $24.4M (+23.1%) | 1.2% | — | — | COM | 64125C109 |
| ALNY | ALNYLAM PHARMACEUTICALS INC | 66,750 (-9.8%) | $20.09M (-17.9%) | 1.0% | — | — | COM | 02043Q107 |
| COGT | COGENT BIOSCIENCES INC | 515,917 (-17.3%) | $19.97M (-16.9%) | 1.0% | — | — | COM | 19240Q201 |
| DYN | DYNE THERAPEUTICS INC | 942,154 (-3.1%) | $20.93M (+18.7%) | 1.0% | — | — | COM | 26818M108 |
| XENE | XENON PHARMACEUTICALS INC | 683,907 (-10.4%) | $41.28M (-7.0%) | 2.0% | — | — | COM | 98420N105 |
| PEN | PENUMBRA INC | 115,750 (-3.9%) | $36.55M (-7.6%) | 1.8% | — | — | COM | 70975L107 |
| SRRK | SCHOLAR ROCK HLDG CORP | 715,452 (-3.3%) | $39.35M (+8.2%) | 1.9% | — | — | COM | 80706P103 |
| ARDX | ARDELYX INC | 2,241,769 (-2.5%) | $11.43M (-17.0%) | 0.6% | — | — | COM | 039697107 |
| VKTX | VIKING THERAPEUTICS INC | 25,500 (-73.4%) | $995K (-68.2%) | 0.0% | — | — | COM | 92686J106 |
| VERA | VERA THERAPEUTICS INC | 427,584 (-15.1%) | $18.35M (-9.4%) | 0.9% | — | — | CL A | 92337R101 |
| AZTA | AZENTA INC | 403,000 (-29.2%) | $10.28M (-14.5%) | 0.5% | — | — | COM | 114340102 |
| OMDA | OMADA HEALTH INC | 373,000 (-31.1%) | $8.187M (+20.4%) | 0.4% | — | — | COM | 68170A108 |
| CAI | CARIS LIFE SCIENCES INC | 487,500 (-13.4%) | $8.687M (-13.7%) | 0.4% | — | — | COM | 142152107 |
| SGRY | SURGERY PARTNERS INC | 84,000 (-59.6%) | $1.411M (-43.1%) | 0.1% | — | — | COM | 86881A100 |
| MLTX | MOONLAKE IMMUNOTHERAPEUTICS | 10,696 (-82.7%) | $208K (-81.9%) | 0.0% | — | — | CLASS A ORD | 61559X104 |
| NAMS | NEWAMSTERDAM PHARMA COMPANY | 582,744 (-1.0%) | $19.75M (+4.8%) | 1.0% | — | — | ORDINARY SHARES | N62509109 |
| DXCM | DEXCOM INC | 343,000 (-3.5%) | $23.1M (+3.4%) | 1.1% | — | — | COM | 252131107 |
| DNTH | DIANTHUS THERAPEUTICS INC | 20,326 (-24.0%) | $1.981M (-11.8%) | 0.1% | — | — | COM | 252828108 |
| NVO | NOVO-NORDISK A S | 63,500 (-29.4%) | $3.044M (-8.0%) | 0.1% | — | — | ADR | 670100205 |
| LEGN | LEGEND BIOTECH CORP | 33,500 (-17.3%) | $967K (+32.1%) | 0.0% | — | — | SPONSORED ADS | 52490G102 |
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| LLY | ELI LILLY & CO | 98,700 | $118M | 5.8% | — | — | COM | 532457108 |
| RYTM | RHYTHM PHARMACEUTICALS INC | 692,598 | $76.9M | 3.8% | — | — | COM | 76243J105 |
| PHVS | PHARVARIS N V | 648,333 | $22.42M | 1.1% | — | — | COM | N69605108 |
| GPCR | STRUCTURE THERAPEUTICS INC | 640,317 | $34.37M | 1.7% | — | — | SPONSORED ADS | 86366E106 |
| SMMT | SUMMIT THERAPEUTICS INC | 715,000 | $10.42M | 0.5% | — | — | COM | 86627T108 |
| ZBIO | ZENAS BIOPHARMA INC | 502,077 | $12.74M | 0.6% | — | — | COM | 98937L105 |
| HTFL | HEARTFLOW INC | 573,500 | $16.83M | 0.8% | — | — | COM | 42238D107 |
| PTCT | PTC THERAPEUTICS INC | 162,298 | $13.24M | 0.6% | — | — | COM | 69366J200 |
| EDAP | EDAP TMS S A | 1,386,000 | $7.179M | 0.4% | — | — | SPONSORED ADR | 268311107 |
| AMLX | AMYLYX PHARMACEUTICALS INC | 499,764 | $8.976M | 0.4% | — | — | COM | 03237H101 |
| RCUS | ARCUS BIOSCIENCES INC | 180,000 | $5.549M | 0.3% | — | — | COM | 03969F109 |
| CVS | CVS HEALTH CORP | 40,000 | $4.138M | 0.2% | — | — | COM | 126650100 |
| TLPH | TALPHERA INC | 3,589,186 | $3.697M | 0.2% | — | — | COM NEW | 00444T209 |
| LENZ | LENZ THERAPEUTICS INC | 257,460 | $1.462M | 0.1% | — | — | COM | 52635N103 |
| JANX | JANUX THERAPEUTICS INC | 367,009 | $5.637M | 0.3% | — | — | COM | 47103J105 |
| OCUL | OCULAR THERAPEUTIX INC | 383,716 | $3.768M | 0.2% | — | — | COM | 67576A100 |
| JSPR | JASPER THERAPEUTICS INC | 1,100,726 | $463K | 0.0% | — | — | COM NEW | 471871202 |
| SION | SIONNA THERAPEUTICS INC | 99,429 | $4.374M | 0.2% | — | — | COM | 829401108 |
| IPSC | CENTURY THERAPEUTICS INC | 1,304,347 | $3.196M | 0.2% | — | — | COM | 15673T100 |
| IMNM | IMMUNOME INC | 347,666 | $7.367M | 0.4% | — | — | COM | 45257U108 |
| THC | TENET HEALTHCARE CORP | 125,000 | $23.39M | 1.1% | — | — | COM NEW | 88033G407 |
| ZLAB | ZAI LAB LTD | 814,707 | $15.48M | 0.8% | — | — | ADR | 98887Q104 |
| TMO | THERMO FISHER SCIENTIFIC INC | 10,000 | $5.014M | 0.2% | — | — | COM | 883556102 |
| PCVX | VAXCYTE INC | 60,250 | $3.502M | 0.2% | — | — | COM | 92243G108 |