Location: SAN FRANCISCO, CA
CIK: 0001442756 · Show all filings
Period: Q1 2026 (← Previous)
Filing Date: May 15, 2026
Total Value: $1.097B (98.5% shares, 1.5% debt)
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| XBI | SPDR SERIES TRUST | 455,300 | $58.16M | 5.3% | — | — | PUT | 78464A870 |
| XLV | SELECT SECTOR SPDR TR | 238,900 | $35.03M | 3.2% | — | — | CALL | 81369Y209 |
| UTHR | UNITED THERAPEUTICS CORP DEL | 45,900 | $27.22M | 2.5% | — | — | PUT | 91307C102 |
| UTHR | UNITED THERAPEUTICS CORP DEL | 31,700 | $18.8M | 1.7% | — | — | CALL | 91307C102 |
| INDV | INDIVIOR PHARMACEUTICALS INC | 574,666 | $17.52M | 1.6% | — | — | COM | 45579U109 |
| ABT | ABBOTT LABORATORIES | 140,432 | $14.42M | 1.3% | — | — | COM | 002824100 |
| ACHC | ACADIA HEALTHCARE COMPANY IN | 582,745 | $13.63M | 1.2% | — | — | COM | 00404A109 |
| NTRA | NATERA INC | 60,004 | $12M | 1.1% | — | — | COM | 632307104 |
| HSIC | SCHEIN HENRY INC | 153,114 | $11.28M | 1.0% | — | — | COM | 806407102 |
| MMSI | MERIT MED SYS INC | 162,469 | $11.2M | 1.0% | — | — | COM | 589889104 |
| TERN | TERNS PHARMACEUTICALS INC | 172,962 | $9.119M | 0.8% | — | — | COM | 880881107 |
| ORKA | ORUKA THERAPEUTICS INC | 174,052 | $8.537M | 0.8% | — | — | COM | 687604108 |
| TNGX | TANGO THERAPEUTICS INC | 406,245 | $8.499M | 0.8% | — | — | COM | 87583X109 |
| NVO | NOVO-NORDISK A S | 197,181 | $7.246M | 0.7% | — | — | ADR | 670100205 |
| ALHC | ALIGNMENT HEALTHCARE INC | 359,826 | $6.34M | 0.6% | — | — | COM | 01625V104 |
| ROIV | ROIVANT SCIENCES LTD | 207,446 | $5.746M | 0.5% | — | — | SHS | G76279101 |
| ASND | ASCENDIS PHARMA A/S | 22,400 | $5.124M | 0.5% | — | — | CALL | 04351P101 |
| KOD | KODIAK SCIENCES INC | 114,719 | $4.373M | 0.4% | — | — | COM | 50015M109 |
| ARWR | ARROWHEAD PHARMACEUTICALS IN | 64,279 | $4.03M | 0.4% | — | — | COM | 04280A100 |
| EPRX | EUPRAXIA PHARMACEUTICALS INC | 540,871 | $3.916M | 0.4% | — | — | COM | 29842P105 |
| DFTX | DEFINIUM THERAPEUTICS INC | 205,317 | $3.88M | 0.4% | — | — | COM SHS | 24477V105 |
| CAPR | CAPRICOR THERAPEUTICS INC | 123,831 | $3.764M | 0.3% | — | — | COM NEW | 14070B309 |
| ILMN | ILLUMINA INC | 28,869 | $3.558M | 0.3% | — | — | COM | 452327109 |
| HCA | HCA HEALTHCARE INC | 4,600 | $2.177M | 0.2% | — | — | PUT | 40412C101 |
| GMED | GLOBUS MED INC | 16,923 | $1.458M | 0.1% | — | — | CL A | 379577208 |
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| JAZZ | JAZZ PHARMACEUTICALS PLC | 178,144 (+252.7%) | $33.68M (+292.2%) | 3.1% | — | — | SHS USD | G50871105 |
| MDGL | MADRIGAL PHARMACEUTICALS INC | 34,146 (+370.5%) | $17.87M (+322.9%) | 1.6% | — | — | COM | 558868105 |
| DNTH | DIANTHUS THERAPEUTICS INC | 172,137 (+72.9%) | $14.45M (+252.0%) | 1.3% | — | — | COM | 252828108 |
| RYTM | RHYTHM PHARMACEUTICALS INC | 136,621 (+239.8%) | $11.88M (+176.1%) | 1.1% | — | — | COM | 76243J105 |
| CLDX | CELLDEX THERAPEUTICS INC NEW | 324,957 (+144.0%) | $10.31M (+185.0%) | 0.9% | — | — | COM NEW | 15117B202 |
| NEO | NEOGENOMICS INC | 1,784,552 (+5.3%) | $13.24M (-33.5%) | 1.2% | — | — | COM NEW | 64049M209 |
| BLTE | BELITE BIO INC | 59,432 (+199.8%) | $9.476M (+198.8%) | 0.9% | — | — | SPONSORED ADS | 07782B104 |
| NBIX | NEUROCRINE BIOSCIENCES INC | 215,678 (+32.2%) | $28.41M (+22.8%) | 2.6% | — | — | COM | 64125C109 |
| CGON | CG ONCOLOGY INC | 165,925 (+1.2%) | $11.23M (+65.0%) | 1.0% | — | — | COM | 156944100 |
| COO | COOPER COS INC | 169,829 (+68.5%) | $12.14M (+47.0%) | 1.1% | — | — | COM | 216648501 |
| BTSG | BRIGHTSPRING HEALTH SVCS INC | 187,335 (+58.1%) | $7.982M (+79.8%) | 0.7% | — | — | COM | 10950A106 |
| ITGR | INTEGER HLDGS CORP | 135,081 (+26.7%) | $11.89M (+42.2%) | 1.1% | — | — | COM | 45826H109 |
| TARS | TARSUS PHARMACEUTICALS INC | 80,226 (+193.5%) | $5.628M (+151.4%) | 0.5% | — | — | COM | 87650L103 |
| PRAX | PRAXIS PRECISION MEDICINES I | 35,438 (+13.7%) | $11.42M (+24.3%) | 1.0% | — | — | COM NEW | 74006W207 |
| CMPS | COMPASS PATHWAYS PLC | 1,367,099 (+75.4%) | $7.56M (+40.5%) | 0.7% | — | — | SPONSORED ADS | 20451W101 |
| MLYS | MINERALYS THERAPEUTICS INC | 142,677 (+199.5%) | $3.865M (+123.6%) | 0.4% | — | — | COM | 603170101 |
| VKTX | VIKING THERAPEUTICS INC | 263,106 (+39.2%) | $8.561M (+28.8%) | 0.8% | — | — | COM | 92686J106 |
| — | ASCENDIS PHARMA A/S | 11,505,000 (+8.0%) | $16.92M (+11.8%) | 1.5% | — | — | NOTE 2.250% 4/0 | 04351PAD3 |
| VERA | VERA THERAPEUTICS INC | 174,867 (+62.4%) | $7.035M (+29.0%) | 0.6% | — | — | CL A | 92337R101 |
| GPCR | STRUCTURE THERAPEUTICS INC | 126,383 (+85.2%) | $6.092M (+28.3%) | 0.6% | — | — | SPONSORED ADS | 86366E106 |
| AXSM | AXSOME THERAPEUTICS INC. | 264,304 (+5.1%) | $44.67M (-2.8%) | 4.1% | — | — | COM | 05464T104 |
| UNH | UNITEDHEALTH GROUP INC | 58,038 (+14.8%) | $15.7M (-5.9%) | 1.4% | — | — | COM | 91324P102 |
| PSNL | PERSONALIS INC | 870,097 (+8.0%) | $5.543M (-13.6%) | 0.5% | — | — | COM | 71535D106 |
| EW | EDWARDS LIFESCIENCES CORP | 254,510 (+3.1%) | $20.38M (-3.1%) | 1.9% | — | — | COM | 28176E108 |
| TECX | TECTONIC THERAPEUTIC INC | 46,129 (+8.0%) | $1.426M (+60.0%) | 0.1% | — | — | COM | 878972108 |
| GKOS | GLAUKOS CORP | 215,685 (+6.9%) | $23.22M (+2.0%) | 2.1% | — | — | COM | 377322102 |
| INBX | INHIBRX BIOSCIENCES INC | 305,431 (+15.0%) | $20.53M (-2.1%) | 1.9% | — | — | COM | 45720N103 |
| AMLX | AMYLYX PHARMACEUTICALS INC | 145,275 (+8.0%) | $2.019M (+24.2%) | 0.2% | — | — | COM | 03237H101 |
| OM | OUTSET MED INC | 594,630 (+12.0%) | $2.283M (+16.0%) | 0.2% | — | — | COM NEW | 690145206 |
| MDLN | MEDLINE INC | 86,777 (+2.1%) | $3.862M (+8.2%) | 0.4% | — | — | COM CL A | 58507V107 |
| QURE | UNIQURE NV | 42,635 (+7.9%) | $697K (-26.3%) | 0.1% | — | — | SHS | N90064101 |
| ARGX | ARGENX SE | 4,535 (+7.9%) | $3.312M (-6.3%) | 0.3% | — | — | SPONSORED ADR | 04016X101 |
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| ADMA | ADMA BIOLOGICS INC | 1,270,894 | $23.18M | 2.1% | — | — | — | 000899104 |
| MDT | MEDTRONIC PLC | 213,796 | $20.54M | 1.9% | — | — | — | G5960L103 |
| MRK | MERCK & CO INC | 187,834 | $19.77M | 1.8% | — | — | — | 58933Y105 |
| CNC | CENTENE CORP DEL | 372,300 | $15.32M | 1.4% | — | — | CALL | 15135B101 |
| — | INDIVIOR PLC | 360,695 | $12.94M | 1.2% | — | — | — | G4766E116 |
| UHS | UNIVERSAL HLTH SVCS INC | 57,409 | $12.52M | 1.1% | — | — | — | 913903100 |
| TFX | TELEFLEX INCORPORATED | 102,395 | $12.5M | 1.1% | — | — | — | 879369106 |
| ISRG | INTUITIVE SURGICAL INC | 15,410 | $8.728M | 0.8% | — | — | — | 46120E602 |
| GILD | GILEAD SCIENCES INC | 71,018 | $8.717M | 0.8% | — | — | — | 375558103 |
| CVS | CVS HEALTH CORP | 107,767 | $8.552M | 0.8% | — | — | — | 126650100 |
| SNY | SANOFI SA | 176,413 | $8.549M | 0.8% | — | — | — | 80105N105 |
| IQV | IQVIA HLDGS INC | 37,852 | $8.532M | 0.8% | — | — | — | 46266C105 |
| VEEV | VEEVA SYS INC | 32,489 | $7.253M | 0.7% | — | — | — | 922475108 |
| ALGN | ALIGN TECHNOLOGY INC | 42,304 | $6.606M | 0.6% | — | — | — | 016255101 |
| ELAN | ELANCO ANIMAL HEALTH INC | 207,311 | $4.691M | 0.4% | — | — | — | 28414H103 |
| MOH | MOLINA HEALTHCARE INC | 22,802 | $3.957M | 0.4% | — | — | — | 60855R100 |
| FTRE | FORTREA HLDGS INC | 165,439 | $2.854M | 0.3% | — | — | — | 34965K107 |
| IRON | DISC MEDICINE INC | 11,002 | $874K | 0.1% | — | — | — | 254604101 |
| NPCE | NEUROPACE INC | 11,329 | $175K | 0.0% | — | — | — | 641288105 |
| TMCI | TREACE MED CONCEPTS INC | 50,000 | $123K | 0.0% | — | — | — | 89455T109 |
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| CNC | CENTENE CORP DEL | 263,486 (-63.7%) | $8.627M (-71.1%) | 0.8% | — | — | COM | 15135B101 |
| TMO | THERMO FISHER SCIENTIFIC INC | 14,832 (-60.9%) | $7.29M (-66.8%) | 0.7% | — | — | COM | 883556102 |
| ICLR | ICON PLC | 57,500 (-50.1%) | $6.363M (-69.7%) | 0.6% | — | — | SHS | G4705A100 |
| LLY | ELI LILLY & CO | 65,762 (-3.7%) | $60.49M (-17.6%) | 5.5% | — | — | COM | 532457108 |
| SYK | STRYKER CORPORATION | 21,957 (-56.8%) | $7.215M (-59.6%) | 0.7% | — | — | COM | 863667101 |
| UTHR | UNITED THERAPEUTICS CORP DEL | 39,805 (-41.2%) | $23.6M (-28.5%) | 2.2% | — | — | COM | 91307C102 |
| AMRX | AMNEAL PHARMACEUTICALS INC | 930,096 (-36.5%) | $11.56M (-37.4%) | 1.1% | — | — | COM STK CL A | 03168L105 |
| CNTA | CENTESSA PHARMACEUTICALS PLC | 528,224 (-10.7%) | $20.98M (+41.8%) | 1.9% | — | — | SPONSORED ADS | 152309100 |
| CAH | CARDINAL HEALTH INC | 31,941 (-48.8%) | $6.749M (-47.3%) | 0.6% | — | — | COM | 14149Y108 |
| DXCM | DEXCOM INC | 149,734 (-34.1%) | $9.403M (-37.7%) | 0.9% | — | — | COM | 252131107 |
| WAT | WATERS CORP | 39,763 (-8.0%) | $11.84M (-27.8%) | 1.1% | — | — | COM | 941848103 |
| BBIO | BRIDGEBIO PHARMA INC | 257,747 (-15.9%) | $19.14M (-18.4%) | 1.7% | — | — | COM | 10806X102 |
| ASND | ASCENDIS PHARMA A/S | 152,034 (-14.4%) | $34.77M (-8.2%) | 3.2% | — | — | SPONSORED ADR | 04351P101 |
| RVMD | REVOLUTION MEDICINES INC | 140,770 (-7.1%) | $13.69M (+13.5%) | 1.2% | — | — | COM | 76155X100 |
| ABVX | ABIVAX SA | 26,664 (-16.4%) | $2.969M (-30.9%) | 0.3% | — | — | SPONSORED ADS | 00370M103 |
| PEN | PENUMBRA INC | 139,779 (-3.7%) | $45.9M (+1.7%) | 4.2% | — | — | COM | 70975L107 |
| MBX | MBX BIOSCIENCES INC | 71,894 (-9.4%) | $2.146M (-14.2%) | 0.2% | — | — | COM | 55287L101 |
| HCA | HCA HEALTHCARE INC | 13,351 (-3.7%) | $6.318M (-2.4%) | 0.6% | — | — | COM | 40412C101 |
| RZLT | REZOLUTE INC | 128,726 (-37.6%) | $393K (-19.3%) | 0.0% | — | — | COM NEW | 76200L309 |
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| THC | TENET HEALTHCARE CORP | 398,567 | $75.21M | 6.9% | — | — | COM NEW | 88033G407 |
| SLNO | SOLENO THERAPEUTICS INC | 248,180 | $8.309M | 0.8% | — | — | COM | 834203309 |
| OSCR | OSCAR HEALTH INC | 499,837 | $5.733M | 0.5% | — | — | CL A | 687793109 |
| CGEM | CULLINAN THERAPEUTICS INC | 227,406 | $3.231M | 0.3% | — | — | COM | 230031106 |
| SNDX | SYNDAX PHARMACEUTICALS INC | 245,021 | $5.724M | 0.5% | — | — | COM | 87164F105 |
| CRBU | CARIBOU BIOSCIENCES INC | 957,787 | $1.82M | 0.2% | — | — | COM | 142038108 |
| BLLN | BILLIONTOONE INC | 88,069 | $6.952M | 0.6% | — | — | CL A | 090168105 |