CIK: 0001442756 · Show all filings
Period: Q4 2025 (← Previous)
Filing Date: Feb 17, 2026
Total Value ($000): $1,003,020 (98.5% shares, 1.5% debt)
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| GKOS | GLAUKOS CORP | 201,676 | $22,771 | 2.3% | $95.54 | 0.0% | COM | 377322102 |
| MDT | MEDTRONIC PLC | 213,796 | $20,537 | 2.0% | $97.14 | 0.0% | SHS | G5960L103 |
| SYK | STRYKER CORPORATION | 50,852 | $17,873 | 1.8% | $363.46 | 0.0% | COM | 863667101 |
| UNH | UNITEDHEALTH GROUP INC | 50,539 | $16,683 | 1.7% | $337.21 | 0.0% | COM | 91324P102 |
| CNC | CENTENE CORP DEL | 372,300 | $15,320 | 1.5% | $31.71 | +18.0% | CALL | 15135B101 |
| DXCM | DEXCOM INC | 227,357 | $15,090 | 1.5% | $64.65 | 0.0% | COM | 252131107 |
| CAH | CARDINAL HEALTH INC | 62,341 | $12,811 | 1.3% | $187.72 | 0.0% | COM | 14149Y108 |
| TFX | TELEFLEX INCORPORATED | 102,395 | $12,496 | 1.2% | $121.00 | 0.0% | COM | 879369106 |
| GILD | GILEAD SCIENCES INC | 71,018 | $8,717 | 0.9% | $120.88 | 0.0% | COM | 375558103 |
| JAZZ | JAZZ PHARMACEUTICALS PLC | 50,511 | $8,587 | 0.9% | $153.31 | 0.0% | SHS USD | G50871105 |
| SNY | SANOFI SA | 176,413 | $8,549 | 0.9% | $48.46 | — | SPONSORED ADR | 80105N105 |
| IQV | IQVIA HLDGS INC | 37,852 | $8,532 | 0.9% | $217.58 | 0.0% | COM | 46266C105 |
| ITGR | INTEGER HLDGS CORP | 106,585 | $8,359 | 0.8% | $79.69 | 0.0% | COM | 45826H109 |
| BLLN | BILLIONTOONE INC | 87,547 | $7,165 | 0.7% | $101.40 | 0.0% | CL A | 090168105 |
| ALGN | ALIGN TECHNOLOGY INC | 42,304 | $6,606 | 0.7% | $143.30 | 0.0% | COM | 016255101 |
| PSNL | PERSONALIS INC | 805,817 | $6,414 | 0.6% | $8.75 | 0.0% | COM | 71535D106 |
| ELAN | ELANCO ANIMAL HEALTH INC | 207,311 | $4,691 | 0.5% | $21.76 | 0.0% | COM | 28414H103 |
| BTSG | BRIGHTSPRING HEALTH SVCS INC | 118,525 | $4,439 | 0.4% | $33.54 | 0.0% | COM | 10950A106 |
| ABVX | ABIVAX SA | 31,878 | $4,299 | 0.4% | $134.86 | — | SPONSORED ADS | 00370M103 |
| MDGL | MADRIGAL PHARMACEUTICALS INC | 7,258 | $4,227 | 0.4% | $510.76 | 0.0% | COM | 558868105 |
| MOH | MOLINA HEALTHCARE INC | 22,802 | $3,957 | 0.4% | $164.37 | 0.0% | COM | 60855R100 |
| CLDX | CELLDEX THERAPEUTICS INC NEW | 133,161 | $3,617 | 0.4% | $26.34 | 0.0% | COM NEW | 15117B202 |
| MDLN | MEDLINE INC | 85,000 | $3,570 | 0.4% | $42.23 | 0.0% | COM CL A | 58507V107 |
| BLTE | BELITE BIO INC | 19,823 | $3,171 | 0.3% | $159.96 | — | SPONSORED ADS | 07782B104 |
| FTRE | FORTREA HLDGS INC | 165,439 | $2,854 | 0.3% | $12.35 | 0.0% | COMMON STOCK | 34965K107 |
| CGEM | CULLINAN THERAPEUTICS INC | 227,003 | $2,349 | 0.2% | $9.02 | 0.0% | COM | 230031106 |
| TARS | TARSUS PHARMACEUTICALS INC | 27,338 | $2,238 | 0.2% | $74.67 | 0.0% | COM | 87650L103 |
| MLYS | MINERALYS THERAPEUTICS INC | 47,637 | $1,729 | 0.2% | $40.10 | 0.0% | COM | 603170101 |
| TECX | TECTONIC THERAPEUTIC INC | 42,724 | $891 | 0.1% | $18.58 | 0.0% | COM | 878972108 |
| NPCE | NEUROPACE INC | 11,329 | $175 | 0.0% | $13.37 | 0.0% | COM | 641288105 |
| TMCI | TREACE MED CONCEPTS INC | 50,000 | $123 | 0.0% | $4.34 | 0.0% | COM | 89455T109 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| TMO | THERMO FISHER SCIENTIFIC INC | 37,915 (+1538.5%) | $21,970 (+1857.5%) | 2.2% | $559.03 | +1.1% | COM | 883556102 |
| NBIX | NEUROCRINE BIOSCIENCES INC | 163,197 (+185.1%) | $23,146 (+188.0%) | 2.3% | $139.95 | +3.5% | COM | 64125C109 |
| AMRX | AMNEAL PHARMACEUTICALS INC | 1,465,480 (+311.9%) | $18,465 (+418.4%) | 1.8% | $10.84 | +5.5% | COM STK CL A | 03168L105 |
| INBX | INHIBRX BIOSCIENCES INC | 265,517 (+10.8%) | $20,976 (+159.9%) | 2.1% | $19.46 | +250.0% | COM | 45720N103 |
| CNC | CENTENE CORP DEL | 725,424 (+26.3%) | $29,851 (+45.7%) | 3.0% | $31.71 | +18.0% | COM | 15135B101 |
| ASND | ASCENDIS PHARMA A/S | 177,685 (+22.3%) | $37,890 (+31.2%) | 3.8% | $167.20 | — | SPONSORED ADR | 04351P101 |
| WAT | WATERS CORP | 43,208 (+40.5%) | $16,412 (+78.0%) | 1.6% | $342.44 | +7.5% | COM | 941848103 |
| ADMA | ADMA BIOLOGICS INC | 1,270,894 (+7.6%) | $23,181 (+33.9%) | 2.3% | $17.12 | -1.6% | COM | 000899104 |
| SLNO | SOLENO THERAPEUTICS INC | 247,893 (+1.8%) | $11,477 (-30.2%) | 1.1% | $50.39 | +8.8% | COM | 834203309 |
| COO | COOPER COS INC | 100,802 (+35.6%) | $8,262 (+62.0%) | 0.8% | $71.88 | +4.1% | COM | 216648501 |
| VKTX | VIKING THERAPEUTICS INC | 188,956 (+3.0%) | $6,647 (+37.8%) | 0.7% | $29.29 | +21.0% | COM | 92686J106 |
| DNTH | DIANTHUS THERAPEUTICS INC | 99,576 (+46.8%) | $4,104 (+53.7%) | 0.4% | $29.77 | +30.2% | COM | 252828108 |
| CGON | CG ONCOLOGY INC | 163,967 (+3.9%) | $6,808 (+7.1%) | 0.7% | $29.53 | +40.1% | COM | 156944100 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| XBI | SPDR SERIES TRUST | 717,400 | $71,883 | 7.2% | — | — | CALL | 78464A870 |
| MCK | MCKESSON CORP | 72,313 | $55,865 | 5.6% | $163.53 | +398.7% | — | 58155Q103 |
| HUM | HUMANA INC | 110,000 | $28,619 | 2.9% | $306.16 | -14.6% | CALL | 444859102 |
| COR | CENCORA INC | 80,493 | $25,156 | 2.5% | $289.07 | +17.8% | — | 03073E105 |
| ELV | ELEVANCE HEALTH INC FORMERLY | 60,776 | $19,638 | 2.0% | $308.14 | +9.3% | — | 036752103 |
| NTRA | NATERA INC | 115,596 | $18,607 | 1.9% | $156.13 | +33.6% | — | 632307104 |
| SPY | SPDR S&P 500 ETF TR | 21,210 | $14,130 | 1.4% | $627.15 | — | — | 78462F103 |
| IWM | ISHARES TR | 56,700 | $13,719 | 1.4% | — | — | PUT | 464287655 |
| — | MERUS N V | 130,742 | $12,309 | 1.2% | $52.60 | — | — | N5749R100 |
| BSX | BOSTON SCIENTIFIC CORP | 122,000 | $11,911 | 1.2% | $103.56 | -5.3% | CALL | 101137107 |
| — | AKERO THERAPEUTICS INC | 248,079 | $11,779 | 1.2% | $53.36 | — | — | 00973Y108 |
| REGN | REGENERON PHARMACEUTICALS | 19,890 | $11,184 | 1.1% | $564.28 | +20.3% | — | 75886F107 |
| IRTC | IRHYTHM TECHNOLOGIES INC | 64,998 | $11,179 | 1.1% | $129.23 | +37.1% | — | 450056106 |
| — | VERONA PHARMA PLC | 80,416 | $8,581 | 0.9% | $94.58 | — | — | 925050106 |
| TEVA | TEVA PHARMACEUTICAL INDS LTD | 356,818 | $7,208 | 0.7% | $16.76 | — | — | 881624209 |
| ARQT | ARCUTIS BIOTHERAPEUTICS INC | 360,460 | $6,795 | 0.7% | $14.02 | +82.6% | — | 03969K108 |
| WST | WEST PHARMACEUTICAL SVSC INC | 18,365 | $4,818 | 0.5% | $242.79 | +12.6% | — | 955306105 |
| AZN | ASTRAZENECA PLC | 61,795 | $4,741 | 0.5% | $76.72 | — | — | 046353108 |
| ELVN | ENLIVEN THERAPEUTICS INC | 156,463 | $3,203 | 0.3% | $20.16 | -1.2% | — | 29337E102 |
| BSX | BOSTON SCIENTIFIC CORP | 28,648 | $2,797 | 0.3% | $103.56 | -5.3% | — | 101137107 |
| LQDA | LIQUIDIA CORPORATION | 76,300 | $1,735 | 0.2% | — | — | PUT | 53635D202 |
| HIMS | HIMS & HERS HEALTH INC | 22,915 | $1,300 | 0.1% | $51.24 | -16.4% | — | 433000106 |
| HUM | HUMANA INC | 3,648 | $949 | 0.1% | $306.16 | -14.6% | — | 444859102 |
| — | MIND MEDICINE MINDMED INC | 75,138 | $886 | 0.1% | $11.79 | — | — | 60255C885 |
| HOWL | WEREWOLF THERAPEUTICS INC | 401,110 | $790 | 0.1% | $4.07 | -70.1% | — | 95075A107 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| LLY | ELI LILLY & CO | 68,289 (-69.7%) | $73,389 (-57.3%) | 7.3% | $156.24 | +511.6% | COM | 532457108 |
| ISRG | INTUITIVE SURGICAL INC | 15,410 (-80.1%) | $8,728 (-74.8%) | 0.9% | $358.21 | +48.6% | COM NEW | 46120E602 |
| OM | OUTSET MED INC | 530,796 (-69.3%) | $1,969 (-91.9%) | 0.2% | $12.06 | -28.9% | COM NEW | 690145206 |
| HCA | HCA HEALTHCARE INC | 13,865 (-78.9%) | $6,473 (-76.9%) | 0.6% | $229.48 | +102.1% | COM | 40412C101 |
| AXSM | AXSOME THERAPEUTICS INC | 251,562 (-52.6%) | $45,945 (-28.7%) | 4.6% | $54.98 | +153.9% | COM | 05464T104 |
| CVS | CVS HEALTH CORP | 107,767 (-68.9%) | $8,552 (-67.3%) | 0.9% | $60.15 | +30.8% | COM | 126650100 |
| THC | TENET HEALTHCARE CORP | 397,767 (-13.8%) | $79,044 (-15.7%) | 7.9% | $52.95 | +281.7% | COM NEW | 88033G407 |
| UHS | UNIVERSAL HLTH SVCS INC | 57,409 (-50.6%) | $12,516 (-47.3%) | 1.2% | $179.65 | +23.0% | CL B | 913903100 |
| VERA | VERA THERAPEUTICS INC | 107,690 (-79.0%) | $5,453 (-63.5%) | 0.5% | $23.13 | +53.6% | CL A | 92337R101 |
| EW | EDWARDS LIFESCIENCES CORP | 246,835 (-35.3%) | $21,043 (-29.0%) | 2.1% | $74.29 | +10.5% | COM | 28176E108 |
| OSCR | OSCAR HEALTH INC | 499,837 (-39.1%) | $7,183 (-53.8%) | 0.7% | $11.78 | +46.9% | CL A | 687793109 |
| UTHR | UNITED THERAPEUTICS CORP DEL | 67,743 (-29.2%) | $33,008 (-17.7%) | 3.3% | $322.06 | +44.6% | COM | 91307C102 |
| BBIO | BRIDGEBIO PHARMA INC | 306,506 (-6.3%) | $23,445 (+38.0%) | 2.3% | $31.20 | +110.4% | COM | 10806X102 |
| PRAX | PRAXIS PRECISION MEDICINES I | 31,163 (-48.6%) | $9,185 (+186.1%) | 0.9% | $29.44 | +532.7% | COM NEW | 74006W207 |
| VEEV | VEEVA SYS INC | 32,489 (-21.7%) | $7,253 (-41.3%) | 0.7% | $281.43 | -5.7% | CL A COM | 922475108 |
| AMLX | AMYLYX PHARMACEUTICALS INC | 134,549 (-69.2%) | $1,625 (-72.6%) | 0.2% | $3.56 | +281.7% | COM | 03237H101 |
| PEN | PENUMBRA INC | 145,171 (-25.6%) | $45,135 (-8.7%) | 4.5% | $201.49 | +37.1% | COM | 70975L107 |
| CMPS | COMPASS PATHWAYS PLC | 779,618 (-53.1%) | $5,379 (-43.5%) | 0.5% | $4.25 | — | SPONSORED ADS | 20451W101 |
| RZLT | REZOLUTE INC | 206,265 (-54.4%) | $487 (-88.6%) | 0.0% | $3.83 | +104.5% | COM NEW | 76200L309 |
| RVMD | REVOLUTION MEDICINES INC | 151,453 (-54.3%) | $12,063 (-22.0%) | 1.2% | $39.15 | +67.5% | COM | 76155X100 |
| NEO | NEOGENOMICS INC | 1,694,051 (-23.3%) | $19,922 (+16.8%) | 2.0% | $8.55 | +26.2% | COM NEW | 64049M209 |
| ICLR | ICON PLC | 115,336 (-13.7%) | $21,017 (-10.2%) | 2.1% | $174.03 | +2.3% | SHS | G4705A100 |
| QURE | UNIQURE NV | 39,499 (-14.8%) | $945 (-65.1%) | 0.1% | $10.89 | +254.3% | SHS | N90064101 |
| CRBU | CARIBOU BIOSCIENCES INC | 957,787 (-29.5%) | $1,523 (-51.9%) | 0.2% | $14.05 | -85.1% | COM | 142038108 |
| GPCR | STRUCTURE THERAPEUTICS INC | 68,248 (-40.7%) | $4,747 (+47.3%) | 0.5% | $23.23 | — | SPONSORED ADS | 86366E106 |
| MBX | MBX BIOSCIENCES INC | 79,310 (-64.2%) | $2,501 (-35.5%) | 0.2% | $13.37 | +81.5% | COM | 55287L101 |
| CNTA | CENTESSA PHARMACEUTICALS PLC | 591,601 (-11.2%) | $14,796 (-8.4%) | 1.5% | $18.33 | — | SPONSORED ADS | 152309100 |
| IRON | DISC MEDICINE INC | 11,002 (-66.2%) | $874 (-59.4%) | 0.1% | $47.64 | +77.4% | COM | 254604101 |
| ARGX | ARGENX SE | 4,202 (-34.4%) | $3,534 (-25.2%) | 0.4% | $395.24 | — | SPONSORED ADR | 04016X101 |
| SNDX | SYNDAX PHARMACEUTICALS INC | 242,967 (-5.3%) | $5,105 (+29.4%) | 0.5% | $13.09 | +33.3% | COM | 87164F105 |
| — | INDIVIOR PLC | 360,695 (-35.8%) | $12,942 (-4.4%) | 1.3% | $10.28 | — | ORD | G4766E116 |
| — | ASCENDIS PHARMA A/S | 10,655,000 (-7.5%) | $15,135 (-3.6%) | 1.5% | $1.14 | — | NOTE 2.250% 4/0 | 04351PAD3 |
| RYTM | RHYTHM PHARMACEUTICALS INC | 40,210 (-16.5%) | $4,304 (-11.5%) | 0.4% | $92.84 | +14.3% | COM | 76243J105 |
| MRK | MERCK & CO INC | 187,834 (-20.6%) | $19,771 (-0.4%) | 2.0% | $81.01 | +15.1% | COM | 58933Y105 |