Location: San Francisco, CA
CIK: 0001442756 · Show all filings
Period: Q2 2026 (← Previous)
Filing Date: Aug 14, 2026
Total Value: $1.165B (100.0% shares, 0.0% debt)
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| ASND | ASCENDIS PHARMA A/S | 233,171 | $62.19M | 5.3% | — | — | ORD SHS | K08588103 |
| HUM | HUMANA INC | 94,375 | $37.49M | 3.2% | — | — | COM | 444859102 |
| MTD | METTLER TOLEDO INTERNATIONAL | 13,344 | $17.05M | 1.5% | — | — | COM | 592688105 |
| MRK | MERCK & CO INC | 127,118 | $16.33M | 1.4% | — | — | COM | 58933Y105 |
| CYTK | CYTOKINETICS INC | 191,686 | $16.33M | 1.4% | — | — | COM NEW | 23282W605 |
| LNTH | LANTHEUS HLDGS INC | 146,403 | $16.24M | 1.4% | — | — | COM | 516544103 |
| CVS | CVS HEALTH CORP | 137,457 | $14.22M | 1.2% | — | — | COM | 126650100 |
| GILD | GILEAD SCIENCES INC | 90,858 | $11.48M | 1.0% | — | — | COM | 375558103 |
| TFX | TELEFLEX INCORPORATED | 79,708 | $10.1M | 0.9% | — | — | COM | 879369106 |
| COR | CENCORA INC | 28,100 | $7.952M | 0.7% | — | — | CALL | 03073E105 |
| IRTC | IRHYTHM HOLDINGS INC | 65,196 | $7.755M | 0.7% | — | — | COM | 450056106 |
| WST | WEST PHARMACEUTICAL SVSC INC | 20,733 | $7.443M | 0.6% | — | — | COM | 955306105 |
| TAK | TAKEDA PHARMACEUTICAL CO LTD | 444,173 | $7.12M | 0.6% | — | — | SPONSORED ADS | 874060205 |
| HNGE | HINGE HEALTH INC | 82,860 | $6.877M | 0.6% | — | — | CL A | 433313103 |
| ARQT | ARCUTIS BIOTHERAPEUTICS INC | 242,069 | $6.347M | 0.5% | — | — | COM | 03969K108 |
| IART | INTEGRA LIFESCIENCES HLDGS C | 348,746 | $6.263M | 0.5% | — | — | COM NEW | 457985208 |
| MGTX | MEIRAGTX HLDGS PLC | 455,286 | $6.151M | 0.5% | — | — | COM | G59665102 |
| OCS | OCULIS HOLDING AG | 436,042 | $6.048M | 0.5% | — | — | ORDINARY SHARES | H5870P102 |
| CNC | CENTENE CORP DEL | 88,200 | $5.662M | 0.5% | — | — | PUT | 15135B101 |
| GH | GUARDANT HEALTH INC | 36,701 | $5.506M | 0.5% | — | — | COM | 40131M109 |
| CELC | CELCUITY INC | 52,155 | $5.456M | 0.5% | — | — | COM | 15102K100 |
| RCUS | ARCUS BIOSCIENCES INC | 152,129 | $4.69M | 0.4% | — | — | COM | 03969F109 |
| CRL | CHARLES RIV LABS INTL INC | 18,747 | $4.252M | 0.4% | — | — | COM | 159864107 |
| ELAN | ELANCO ANIMAL HEALTH INC | 172,489 | $4.245M | 0.4% | — | — | COM | 28414H103 |
| BIO | BIO RAD LABS INC | 13,995 | $4.109M | 0.4% | — | — | CL A | 090572207 |
| SYRE | SPYRE THERAPEUTICS INC | 46,217 | $4.103M | 0.4% | — | — | COM NEW | 00773J202 |
| MIRM | MIRUM PHARMACEUTICALS INC | 31,536 | $3.692M | 0.3% | — | — | COM | 604749101 |
| DNLI | DENALI THERAPEUTICS INC | 100,966 | $2.597M | 0.2% | — | — | COM | 24823R105 |
| OMDA | OMADA HEALTH INC | 114,442 | $2.512M | 0.2% | — | — | COM | 68170A108 |
| ERAS | ERASCA INC | 134,088 | $2.456M | 0.2% | — | — | COM | 29479A108 |
| COR | CENCORA INC | 7,385 | $2.09M | 0.2% | — | — | COM | 03073E105 |
| BCRX | BIOCRYST PHARMACEUTICALS INC | 207,357 | $2.074M | 0.2% | — | — | COM | 09058V103 |
| OMCL | OMNICELL COM | 49,040 | $2.036M | 0.2% | — | — | COM | 68213N109 |
| CVRX | CVRX INC | 369,572 | $1.9M | 0.2% | — | — | COM | 126638105 |
| HIMS | HIMS & HERS HEALTH INC | 49,454 | $1.715M | 0.1% | — | — | COM CL A | 433000106 |
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| UNH | UNITEDHEALTH GROUP INC | 88,276 (+52.1%) | $36.69M (+133.6%) | 3.1% | — | — | COM | 91324P102 |
| ICLR | ICON PUB LTD CO | 136,482 (+137.4%) | $23.71M (+272.6%) | 2.0% | — | — | SHS | G4705A100 |
| RVMD | REVOLUTION MEDICINES INC | 143,222 (+1.7%) | $26.82M (+95.9%) | 2.3% | — | — | COM | 76155X100 |
| SYK | STRYKER CORPORATION | 56,637 (+157.9%) | $17.83M (+147.2%) | 1.5% | — | — | COM | 863667101 |
| WAT | WATERS CORP | 59,825 (+50.5%) | $22.44M (+89.5%) | 1.9% | — | — | COM | 941848103 |
| OSCR | OSCAR HEALTH INC | 519,016 (+3.8%) | $14.8M (+158.2%) | 1.3% | — | — | CL A | 687793109 |
| DFTX | DEFINIUM THERAPEUTICS INC | 249,020 (+21.3%) | $11.71M (+201.9%) | 1.0% | — | — | COM SHS | 24477V105 |
| TMO | THERMO FISHER SCIENTIFIC INC | 28,496 (+92.1%) | $14.29M (+96.0%) | 1.2% | — | — | COM | 883556102 |
| ARWR | ARROWHEAD PHARMACEUTICALS IN | 131,667 (+104.8%) | $10.73M (+166.3%) | 0.9% | — | — | COM | 04280A100 |
| NVO | NOVO-NORDISK A S | 265,016 (+34.4%) | $12.7M (+75.3%) | 1.1% | — | — | ADR | 670100205 |
| EPRX | EUPRAXIA PHARMACEUTICALS INC | 1,210,661 (+123.8%) | $8.002M (+104.4%) | 0.7% | — | — | COM | 29842P105 |
| ROIV | ROIVANT SCIENCES LTD | 268,008 (+29.2%) | $9.485M (+65.1%) | 0.8% | — | — | SHS | G76279101 |
| COO | COOPER COS INC | 220,890 (+30.1%) | $15.84M (+30.4%) | 1.4% | — | — | COM | 216648501 |
| UTHR | UNITED THERAPEUTICS CORP DEL | 49,991 (+25.6%) | $27.09M (+14.8%) | 2.3% | — | — | COM | 91307C102 |
| KOD | KODIAK SCIENCES INC | 193,315 (+68.5%) | $7.532M (+72.2%) | 0.6% | — | — | COM | 50015M109 |
| ABVX | ABIVAX SA | 43,264 (+62.3%) | $5.765M (+94.2%) | 0.5% | — | — | SPONSORED ADS | 00370M103 |
| ILMN | ILLUMINA INC | 35,040 (+21.4%) | $6.161M (+73.1%) | 0.5% | — | — | COM | 452327109 |
| VERA | VERA THERAPEUTICS INC | 224,289 (+28.3%) | $9.624M (+36.8%) | 0.8% | — | — | CL A | 92337R101 |
| MMSI | MERIT MED SYS INC | 197,038 (+21.3%) | $13.66M (+22.0%) | 1.2% | — | — | COM | 589889104 |
| CLDX | CELLDEX THERAPEUTICS INC NEW | 342,751 (+5.5%) | $12.75M (+23.7%) | 1.1% | — | — | COM NEW | 15117B202 |
| PRAX | PRAXIS PRECISION MEDICINES I | 38,575 (+8.9%) | $12.91M (+13.1%) | 1.1% | — | — | COM NEW | 74006W207 |
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| XBI | SPDR SERIES TRUST | 455,300 | $58.16M | 5.0% | — | — | PUT | 78464A870 |
| XLV | SELECT SECTOR SPDR TR | 238,900 | $35.03M | 3.0% | — | — | CALL | 81369Y209 |
| ASND | ASCENDIS PHARMA A/S | 152,034 | $34.77M | 3.0% | — | — | — | 04351P101 |
| UTHR | UNITED THERAPEUTICS CORP DEL | 45,900 | $27.22M | 2.3% | — | — | PUT | 91307C102 |
| GKOS | GLAUKOS CORP | 215,685 | $23.22M | 2.0% | — | — | — | 377322102 |
| CNTA | CENTESSA PHARMACEUTICALS PLC | 528,224 | $20.98M | 1.8% | — | — | — | 152309100 |
| UTHR | UNITED THERAPEUTICS CORP DEL | 31,700 | $18.8M | 1.6% | — | — | CALL | 91307C102 |
| — | ASCENDIS PHARMA A/S | 11,505,000 | $16.92M | 1.5% | — | — | — | 04351PAD3 |
| NEO | NEOGENOMICS INC | 1,784,552 | $13.24M | 1.1% | — | — | — | 64049M209 |
| DXCM | DEXCOM INC | 149,734 | $9.403M | 0.8% | — | — | — | 252131107 |
| TERN | TERNS PHARMACEUTICALS INC | 172,962 | $9.119M | 0.8% | — | — | — | 880881107 |
| SLNO | SOLENO THERAPEUTICS INC | 248,180 | $8.309M | 0.7% | — | — | — | 834203309 |
| BLLN | BILLIONTOONE INC | 88,069 | $6.952M | 0.6% | — | — | — | 090168105 |
| CAH | CARDINAL HEALTH INC | 31,941 | $6.749M | 0.6% | — | — | — | 14149Y108 |
| ALHC | ALIGNMENT HEALTHCARE INC | 359,826 | $6.34M | 0.5% | — | — | — | 01625V104 |
| PSNL | PERSONALIS INC | 870,097 | $5.543M | 0.5% | — | — | — | 71535D106 |
| ASND | ASCENDIS PHARMA A/S | 22,400 | $5.124M | 0.4% | — | — | CALL | 04351P101 |
| MDLN | MEDLINE INC | 86,777 | $3.862M | 0.3% | — | — | — | 58507V107 |
| HCA | HCA HEALTHCARE INC | 4,600 | $2.177M | 0.2% | — | — | PUT | 40412C101 |
| GMED | GLOBUS MED INC | 16,923 | $1.458M | 0.1% | — | — | — | 379577208 |
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| THC | TENET HEALTHCARE CORP | 126,572 (-68.2%) | $23.68M (-68.5%) | 2.0% | — | — | COM NEW | 88033G407 |
| PEN | PENUMBRA INC | 60,221 (-56.9%) | $19.01M (-58.6%) | 1.6% | — | — | COM | 70975L107 |
| LLY | ELI LILLY & CO | 39,258 (-40.3%) | $47.09M (-22.2%) | 4.0% | — | — | COM | 532457108 |
| AXSM | AXSOME THERAPEUTICS INC. | 219,596 (-16.9%) | $53.75M (+20.3%) | 4.6% | — | — | COM | 05464T104 |
| NBIX | NEUROCRINE BIOSCIENCES INC | 213,407 (-1.1%) | $35.97M (+26.6%) | 3.1% | — | — | COM | 64125C109 |
| CNC | CENTENE CORP DEL | 248,867 (-5.5%) | $15.97M (+85.2%) | 1.4% | — | — | COM | 15135B101 |
| ABT | ABBOTT LABORATORIES | 82,230 (-41.4%) | $7.462M (-48.2%) | 0.6% | — | — | COM | 002824100 |
| ORKA | ORUKA THERAPEUTICS INC | 158,825 (-8.7%) | $15.12M (+77.1%) | 1.3% | — | — | COM | 687604108 |
| NTRA | NATERA INC | 22,077 (-63.2%) | $5.993M (-50.1%) | 0.5% | — | — | COM | 632307104 |
| JAZZ | JAZZ PHARMACEUTICALS PLC | 160,768 (-9.8%) | $38.74M (+15.0%) | 3.3% | — | — | SHS USD | G50871105 |
| BLTE | BELITE BIO INC | 34,803 (-41.4%) | $5.359M (-43.4%) | 0.5% | — | — | SPONSORED ADS | 07782B104 |
| CMPS | COMPASS PATHWAYS PLC | 247,589 (-81.9%) | $3.503M (-53.7%) | 0.3% | — | — | SPONSORED ADS | 20451W101 |
| AMRX | AMNEAL PHARMACEUTICALS INC | 480,715 (-48.3%) | $8.321M (-28.0%) | 0.7% | — | — | COM STK CL A | 03168L105 |
| SNDX | SYNDAX PHARMACEUTICALS INC | 118,422 (-51.7%) | $2.589M (-54.8%) | 0.2% | — | — | COM | 87164F105 |
| HCA | HCA HEALTHCARE INC | 8,295 (-37.9%) | $3.234M (-48.8%) | 0.3% | — | — | COM | 40412C101 |
| TARS | TARSUS PHARMACEUTICALS INC | 40,579 (-49.4%) | $2.554M (-54.6%) | 0.2% | — | — | COM | 87650L103 |
| DNTH | DIANTHUS THERAPEUTICS INC | 121,222 (-29.6%) | $11.82M (-18.2%) | 1.0% | — | — | COM | 252828108 |
| EW | EDWARDS LIFESCIENCES CORP | 250,453 (-1.6%) | $22.66M (+11.2%) | 1.9% | — | — | COM | 28176E108 |
| MLYS | MINERALYS THERAPEUTICS INC | 62,418 (-56.3%) | $1.684M (-56.4%) | 0.1% | — | — | COM | 603170101 |
| MDGL | MADRIGAL PHARMACEUTICALS INC | 29,313 (-14.2%) | $15.74M (-11.9%) | 1.4% | — | — | COM | 558868105 |
| CGON | CG ONCOLOGY INC | 128,286 (-22.7%) | $9.115M (-18.8%) | 0.8% | — | — | COM | 156944100 |
| BTSG | BRIGHTSPRING HEALTH SVCS INC | 141,914 (-24.2%) | $9.897M (+24.0%) | 0.8% | — | — | COM | 10950A106 |
| ACHC | ACADIA HEALTHCARE COMPANY IN | 524,934 (-9.9%) | $15.5M (+13.7%) | 1.3% | — | — | COM | 00404A109 |
| MBX | MBX BIOSCIENCES INC | 70,971 (-1.3%) | $3.918M (+82.6%) | 0.3% | — | — | COM | 55287L101 |
| TNGX | TANGO THERAPEUTICS INC | 326,047 (-19.7%) | $10.19M (+19.9%) | 0.9% | — | — | COM | 87583X109 |
| VKTX | VIKING THERAPEUTICS INC | 255,330 (-3.0%) | $9.96M (+16.3%) | 0.9% | — | — | COM | 92686J106 |
| CRBU | CARIBOU BIOSCIENCES INC | 354,687 (-63.0%) | $624K (-65.7%) | 0.1% | — | — | COM | 142038108 |
| GPCR | STRUCTURE THERAPEUTICS INC | 91,550 (-27.6%) | $4.913M (-19.3%) | 0.4% | — | — | SPONSORED ADS | 86366E106 |
| INDV | INDIVIOR PHARMACEUTICALS INC | 401,208 (-30.2%) | $16.46M (-6.0%) | 1.4% | — | — | COM | 45579U109 |
| ARGX | ARGENX SE | 4,482 (-1.2%) | $4.158M (+25.6%) | 0.4% | — | — | SPONSORED ADR | 04016X101 |
| CAPR | CAPRICOR THERAPEUTICS INC | 122,221 (-1.3%) | $2.943M (-21.8%) | 0.3% | — | — | COM NEW | 14070B309 |
| RYTM | RHYTHM PHARMACEUTICALS INC | 101,550 (-25.7%) | $11.28M (-5.1%) | 1.0% | — | — | COM | 76243J105 |
| AMLX | AMYLYX PHARMACEUTICALS INC | 143,700 (-1.1%) | $2.581M (+27.8%) | 0.2% | — | — | COM | 03237H101 |
| QURE | UNIQURE NV | 26,396 (-38.1%) | $1.216M (+74.4%) | 0.1% | — | — | SHS | N90064101 |
| CGEM | CULLINAN THERAPEUTICS INC | 192,442 (-15.4%) | $3.504M (+8.4%) | 0.3% | — | — | COM | 230031106 |
| BBIO | BRIDGEBIO PHARMA INC | 253,358 (-1.7%) | $18.87M (-1.4%) | 1.6% | — | — | COM | 10806X102 |
| RZLT | REZOLUTE INC | 127,289 (-1.1%) | $662K (+68.6%) | 0.1% | — | — | COM NEW | 76200L309 |
| OM | OUTSET MED INC | 582,122 (-2.1%) | $2.515M (+10.1%) | 0.2% | — | — | COM NEW | 690145206 |
| TECX | TECTONIC THERAPEUTIC INC | 45,631 (-1.1%) | $1.569M (+10.0%) | 0.1% | — | — | COM | 878972108 |
| HSIC | SCHEIN HENRY INC | 134,423 (-12.2%) | $11.23M (-0.5%) | 1.0% | — | — | COM | 806407102 |
| ITGR | INTEGER HLDGS CORP | 126,669 (-6.2%) | $11.84M (-0.4%) | 1.0% | — | — | COM | 45826H109 |
| Ticker | Issuer | Shares | Value | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| INBX | INHIBRX BIOSCIENCES INC | 308,385 | $29.22M | 2.5% | — | — | COM | 45720N103 |