Location: San Francisco, CA
CIK: 0001442756 · Show all filings
Period: Q3 2025 (← Previous) (Next →)
Filing Date: Nov 14, 2025
Total Value: $1.301B (98.8% shares, 1.2% debt)
| Ticker | Issuer | Shares | Value | % | Share Price | Est. Cost/Share | Unrealized @ Report Date | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|---|
| LLY | ELI LILLY & CO | 225,139 | $172M | 13.2% | $763.00 * | $156.24 | +375.1% | COM | 532457108 |
| THC | TENET HEALTHCARE CORP | 461,654 | $93.73M | 7.2% | $203.04 * | $52.95 | +235.1% | COM NEW | 88033G407 |
| XBI | SPDR SERIES TRUST | 717,400 | $71.88M | 5.5% | $100.20 | — | — | Call | 78464A870 |
| AXSM | AXSOME THERAPEUTICS INC | 530,332 | $64.41M | 5.0% | $121.45 * | $54.98 | +104.9% | COM | 05464T104 |
| MCK | MCKESSON CORP | 72,313 | $55.86M | 4.3% | $772.54 * | $163.53 | +329.9% | COM | 58155Q103 |
| PEN | PENUMBRA INC | 195,085 | $49.42M | 3.8% | $253.32 | $201.49 | +25.2% | COM | 70975L107 |
| UTHR | UNITED THERAPEUTICS CORP DEL | 95,650 | $40.1M | 3.1% | $419.21 * | $322.06 | +4.4% | COM | 91307C102 |
| ISRG | INTUITIVE SURGICAL INC | 77,403 | $34.62M | 2.7% | $447.23 * | $358.21 | +34.0% | COM NEW | 46120E602 |
| EW | EDWARDS LIFESCIENCES CORP | 381,324 | $29.66M | 2.3% | $77.77 | $74.29 | +5.2% | COM | 28176E108 |
| ASND | ASCENDIS PHARMA A/S | 145,311 | $28.89M | 2.2% | $198.81 | $156.94 | — | SPONSORED ADR | 04351P101 |
| HUM | HUMANA INC | 110,000 | $28.62M | 2.2% | $260.17 | $306.16 | -14.7% | Call | 444859102 |
| HCA | HCA HEALTHCARE INC | 65,773 | $28.03M | 2.2% | $426.20 * | $229.48 | +68.4% | COM | 40412C101 |
| CVS | CVS HEALTH CORP | 346,679 | $26.14M | 2.0% | $75.39 * | $60.15 | +12.8% | COM | 126650100 |
| COR | CENCORA INC | 80,493 | $25.16M | 1.9% | $312.53 * | $289.07 | +1.5% | COM | 03073E105 |
| OM | OUTSET MED INC | 1,729,921 | $24.43M | 1.9% | $14.12 * | $12.06 | +29.3% | COM NEW | 690145206 |
| UHS | UNIVERSAL HLTH SVCS INC | 116,260 | $23.77M | 1.8% | $204.44 * | $179.65 | 0.0% | CL B | 913903100 |
| ICLR | ICON PLC | 133,683 | $23.39M | 1.8% | $175.00 * | $174.03 | -3.8% | SHS | G4705A100 |
| CNC | CENTENE CORP DEL | 574,360 | $20.49M | 1.6% | $35.68 * | $30.20 | 0.0% | COM | 15135B101 |
| MRK | MERCK & CO INC | 236,468 | $19.85M | 1.5% | $83.93 * | $81.01 | 0.0% | COM | 58933Y105 |
| ELV | ELEVANCE HEALTH INC FORMERLY | 60,776 | $19.64M | 1.5% | $323.12 * | $308.14 | 0.0% | COM | 036752103 |
| NTRA | NATERA INC | 115,596 | $18.61M | 1.4% | $160.97 | $156.13 | +1.3% | COM | 632307104 |
| ADMA | ADMA BIOLOGICS INC | 1,181,011 | $17.31M | 1.3% | $14.66 * | $17.14 | 0.0% | COM | 000899104 |
| NEO | NEOGENOMICS INC | 2,208,530 | $17.05M | 1.3% | $7.72 * | $8.55 | -18.0% | COM NEW | 64049M209 |
| BBIO | BRIDGEBIO PHARMA INC | 327,174 | $16.99M | 1.3% | $51.94 * | $31.20 | +56.3% | COM | 10806X102 |
| SLNO | SOLENO THERAPEUTICS INC | 243,401 | $16.45M | 1.3% | $67.60 * | $50.31 | +47.4% | COM | 834203309 |
| CNTA | CENTESSA PHARMACEUTICALS PLC | 666,196 | $16.16M | 1.2% | $24.25 | $18.33 | — | SPONSORED ADS | 152309100 |
| — | ASCENDIS PHARMA A/S | 11,515,000 | $15.7M | 1.2% | $1.36 | $1.14 | — | NOTE 2.250% 4/0 | 04351PAD3 |
| OSCR | OSCAR HEALTH INC | 820,642 | $15.53M | 1.2% | $18.93 * | $11.78 | +40.0% | CL A | 687793109 |
| RVMD | REVOLUTION MEDICINES INC | 331,069 | $15.46M | 1.2% | $46.70 * | $39.15 | 0.0% | COM | 76155X100 |
| VERA | VERA THERAPEUTICS INC | 513,685 | $14.93M | 1.1% | $29.06 * | $23.13 | 0.0% | CL A | 92337R101 |
| SPY | SPDR S&P 500 ETF TR | 21,210 | $14.13M | 1.1% | $666.18 | $627.15 | — | TR UNIT | 78462F103 |
| IWM | ISHARES TR | 56,700 | $13.72M | 1.1% | $241.96 | — | — | Put | 464287655 |
| — | INDIVIOR PLC | 561,526 | $13.54M | 1.0% | $24.11 | $10.28 | — | ORD | G4766E116 |
| VEEV | VEEVA SYS INC | 41,503 | $12.36M | 1.0% | $297.91 * | $281.43 | 0.0% | CL A COM | 922475108 |
| — | MERUS N V | 130,742 | $12.31M | 0.9% | $94.15 | $52.60 | — | COM | N5749R100 |
| BSX | BOSTON SCIENTIFIC CORP | 122,000 | $11.91M | 0.9% | $97.63 * | $103.56 | 0.0% | Call | 101137107 |
| — | AKERO THERAPEUTICS INC | 248,079 | $11.78M | 0.9% | $47.48 | $53.36 | — | COM | 00973Y108 |
| REGN | REGENERON PHARMACEUTICALS | 19,890 | $11.18M | 0.9% | $562.27 | $564.28 | 0.0% | COM | 75886F107 |
| IRTC | IRHYTHM TECHNOLOGIES INC | 64,998 | $11.18M | 0.9% | $171.99 * | $129.23 | +23.0% | COM | 450056106 |
| CMPS | COMPASS PATHWAYS PLC | 1,662,836 | $9.528M | 0.7% | $5.73 | $4.25 | — | SPONSORED ADS | 20451W101 |
| WAT | WATERS CORP | 30,751 | $9.219M | 0.7% | $299.81 | $332.10 | -9.1% | COM | 941848103 |
| — | VERONA PHARMA PLC | 80,416 | $8.581M | 0.7% | $106.71 | $94.58 | — | SPONSORED ADS | 925050106 |
| INBX | INHIBRX BIOSCIENCES INC | 239,644 | $8.071M | 0.6% | $33.68 * | $14.21 | +73.2% | COM | 45720N103 |
| NBIX | NEUROCRINE BIOSCIENCES INC | 57,246 | $8.036M | 0.6% | $140.38 * | $130.83 | +3.6% | COM | 64125C109 |
| TEVA | TEVA PHARMACEUTICAL INDS LTD | 356,818 | $7.208M | 0.6% | $20.20 | $16.76 | — | SPONSORED ADS | 881624209 |
| ARQT | ARCUTIS BIOTHERAPEUTICS INC | 360,460 | $6.795M | 0.5% | $18.85 * | $14.02 | +12.5% | COM | 03969K108 |
| CGON | CG ONCOLOGY INC | 157,874 | $6.359M | 0.5% | $40.28 * | $29.07 | 0.0% | COM | 156944100 |
| AMLX | AMYLYX PHARMACEUTICALS INC | 436,156 | $5.927M | 0.5% | $13.59 * | $3.56 | +164.5% | COM | 03237H101 |
| COO | COOPER COS INC | 74,363 | $5.098M | 0.4% | $68.56 * | $70.83 | 0.0% | COM | 216648501 |
| RYTM | RHYTHM PHARMACEUTICALS INC | 48,162 | $4.864M | 0.4% | $100.99 * | $92.84 | 0.0% | COM | 76243J105 |
| VKTX | VIKING THERAPEUTICS INC | 183,538 | $4.823M | 0.4% | $26.28 * | $29.11 | +2.5% | COM | 92686J106 |
| WST | WEST PHARMACEUTICAL SVSC INC | 18,365 | $4.818M | 0.4% | $262.33 * | $242.79 | 0.0% | COM | 955306105 |
| AZN | ASTRAZENECA PLC | 61,795 | $4.741M | 0.4% | $76.72 | $76.72 | — | SPONSORED ADR | 046353108 |
| ARGX | ARGENX SE | 6,403 | $4.723M | 0.4% | $737.56 | $395.24 | — | SPONSORED ADR | 04016X101 |
| RZLT | REZOLUTE INC | 452,733 | $4.256M | 0.3% | $9.40 * | $3.83 | +73.7% | COM NEW | 76200L309 |
| SNDX | SYNDAX PHARMACEUTICALS INC | 256,488 | $3.946M | 0.3% | $15.39 * | $13.09 | 0.0% | COM | 87164F105 |
| MBX | MBX BIOSCIENCES INC | 221,505 | $3.876M | 0.3% | $17.50 * | $13.37 | 0.0% | COM | 55287L101 |
| AMRX | AMNEAL PHARMACEUTICALS INC | 355,818 | $3.562M | 0.3% | $10.01 * | $8.98 | 0.0% | COM STK CL A | 03168L105 |
| GPCR | STRUCTURE THERAPEUTICS INC | 115,073 | $3.222M | 0.2% | $28.00 | $23.23 | — | SPONSORED ADS | 86366E106 |
| PRAX | PRAXIS PRECISION MEDICINES I | 60,578 | $3.211M | 0.2% | $53.00 * | $29.44 | +64.7% | COM NEW | 74006W207 |
| ELVN | ENLIVEN THERAPEUTICS INC | 156,463 | $3.203M | 0.2% | $20.47 | $20.16 | 0.0% | COM | 29337E102 |
| CRBU | CARIBOU BIOSCIENCES INC | 1,358,831 | $3.166M | 0.2% | $2.33 * | $14.05 | -86.6% | COM | 142038108 |
| BSX | BOSTON SCIENTIFIC CORP | 28,648 | $2.797M | 0.2% | $97.63 * | $103.56 | 0.0% | COM | 101137107 |
| QURE | UNIQURE NV | 46,353 | $2.706M | 0.2% | $58.37 * | $10.89 | +66.7% | SHS | N90064101 |
| DNTH | DIANTHUS THERAPEUTICS INC | 67,840 | $2.67M | 0.2% | $39.35 * | $25.56 | 0.0% | COM | 252828108 |
| IRON | DISC MEDICINE INC | 32,539 | $2.15M | 0.2% | $66.08 * | $47.64 | +24.9% | COM | 254604101 |
| LQDA | LIQUIDIA CORPORATION | 76,300 | $1.735M | 0.1% | $22.74 | — | — | Put | 53635D202 |
| HIMS | HIMS & HERS HEALTH INC | 22,915 | $1.3M | 0.1% | $56.72 * | $51.24 | 0.0% | COM CL A | 433000106 |
| TMO | THERMO FISHER SCIENTIFIC INC | 2,314 | $1.122M | 0.1% | $485.02 * | $464.78 | 0.0% | COM | 883556102 |
| HUM | HUMANA INC | 3,648 | $949K | 0.1% | $260.17 | $306.16 | -14.7% | COM | 444859102 |
| — | MIND MEDICINE MINDMED INC | 75,138 | $886K | 0.1% | $11.79 | $11.79 | — | COM NEW | 60255C885 |
| HOWL | WEREWOLF THERAPEUTICS INC | 401,110 | $790K | 0.1% | $1.97 * | $4.07 | -66.4% | COM | 95075A107 |