CIK: 0001777015 · Show all filings
Period: Q4 2025 (← Previous)
Filing Date: Feb 17, 2026
Total Value ($000): $1,050,473 (100.0% shares, 0.0% debt)
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| MASI | MASIMO CORP | 200,000 | $26,012 | 2.5% | $143.19 | 0.0% | COM | 574795100 |
| EYPT | EYEPOINT INC | 1,088,033 | $19,878 | 1.9% | $14.17 | 0.0% | COM NEW | 30233G209 |
| WAT | WATERS CORP | 41,899 | $15,914 | 1.5% | $367.96 | 0.0% | COM | 941848103 |
| MTD | METTLER TOLEDO INTERNATIONAL | 10,988 | $15,319 | 1.5% | $1396.48 | 0.0% | COM | 592688105 |
| A | AGILENT TECHNOLOGIES INC | 100,000 | $13,607 | 1.3% | $143.72 | 0.0% | COM | 00846U101 |
| ANIP | ANI PHARMACEUTICALS INC | 145,000 | $11,446 | 1.1% | $86.58 | 0.0% | COM | 00182C103 |
| UNH | UNITEDHEALTH GROUP INC | 31,875 | $10,522 | 1.0% | $337.21 | 0.0% | COM | 91324P102 |
| ADPT | ADAPTIVE BIOTECHNOLOGIES COR | 401,730 | $6,524 | 0.6% | $16.32 | 0.0% | COM | 00650F109 |
| TMDX | TRANSMEDICS GROUP INC | 45,174 | $5,495 | 0.5% | $125.49 | 0.0% | COM | 89377M109 |
| CDNA | CAREDX INC | 276,154 | $5,203 | 0.5% | $16.75 | 0.0% | COM | 14167L103 |
| ABSI | ABSCI CORPORATION | 1,458,652 | $5,091 | 0.5% | $3.64 | 0.0% | COM | 00091E109 |
| ALGN | ALIGN TECHNOLOGY INC | 25,285 | $3,948 | 0.4% | $143.30 | 0.0% | COM | 016255101 |
| GPCR | STRUCTURE THERAPEUTICS INC | 55,000 | $3,825 | 0.4% | $69.55 | — | SPONSORED ADS | 86366E106 |
| ADMA | ADMA BIOLOGICS INC | 200,000 | $3,648 | 0.3% | $16.85 | 0.0% | COM | 000899104 |
| CAI | CARIS LIFE SCIENCES INC | 125,000 | $3,373 | 0.3% | $28.16 | 0.0% | COM | 142152107 |
| ACHC | ACADIA HEALTHCARE COMPANY IN | 100,000 | $1,419 | 0.1% | $18.92 | 0.0% | COM | 00404A109 |
| INSP | INSPIRE MED SYS INC | 15,000 | $1,383 | 0.1% | $95.68 | 0.0% | COM | 457730109 |
| SENS | SENSEONICS HLDGS INC | 206,793 | $1,141 | 0.1% | $6.96 | 0.0% | COM | 81727U303 |
| MDLN | MEDLINE INC | 20,558 | $863 | 0.1% | $42.23 | 0.0% | COM CL A | 58507V107 |
| ARAY | ACCURAY INC | 852,012 | $703 | 0.1% | $1.25 | 0.0% | COM | 004397105 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| DXCM | DEXCOM INC | 587,475 (+242.3%) | $38,991 (+237.6%) | 3.7% | $71.55 | -9.6% | COM | 252131107 |
| MBX | MBX BIOSCIENCES INC | 885,639 (+14.5%) | $27,933 (+106.4%) | 2.7% | $13.93 | +74.2% | COM | 55287L101 |
| RCUS | ARCUS BIOSCIENCES INC | 968,602 (+48.4%) | $23,082 (+160.0%) | 2.2% | $17.91 | +13.9% | COM | 03969F109 |
| SYK | STRYKER CORPORATION | 105,472 (+64.5%) | $37,070 (+56.4%) | 3.5% | $363.12 | +0.1% | COM | 863667101 |
| LIVN | LIVANOVA PLC | 410,912 (+49.0%) | $25,283 (+75.0%) | 2.4% | $52.85 | +8.1% | SHS | G5509L101 |
| STOK | STOKE THERAPEUTICS INC | 430,155 (+72.1%) | $13,653 (+132.4%) | 1.3% | $22.55 | +33.3% | COM | 86150R107 |
| MCK | MCKESSON CORP | 36,355 (+27.4%) | $29,822 (+35.2%) | 2.8% | $657.22 | +24.1% | COM | 58155Q103 |
| KALV | KALVISTA PHARMACEUTICALS INC | 1,768,508 (+1.9%) | $28,561 (+35.2%) | 2.7% | $12.42 | +6.6% | COM | 483497103 |
| CVS | CVS HEALTH CORP | 450,212 (+18.6%) | $35,729 (+24.9%) | 3.4% | $60.18 | +30.7% | COM | 126650100 |
| APGE | APOGEE THERAPEUTICS INC | 130,069 (+22.9%) | $9,818 (+133.5%) | 0.9% | $47.39 | +32.9% | COM | 03770N101 |
| BSX | BOSTON SCIENTIFIC CORP | 500,529 (+15.2%) | $47,725 (+12.5%) | 4.5% | $79.09 | +24.0% | COM | 101137107 |
| PODD | INSULET CORP | 140,860 (+21.2%) | $40,038 (+11.6%) | 3.8% | $230.55 | +35.6% | COM | 45784P101 |
| DAWN | DAY ONE BIOPHARMACEUTICALS I | 645,544 (+113.9%) | $6,016 (+182.8%) | 0.6% | $11.46 | -27.1% | COM | 23954D109 |
| OPRX | OPTIMIZERX CORP | 538,649 (+5.7%) | $6,604 (-36.8%) | 0.6% | $6.96 | +134.9% | COM NEW | 68401U204 |
| MAZE | MAZE THERAPEUTICS INC | 209,266 (+4.6%) | $8,670 (+67.2%) | 0.8% | $17.66 | +94.7% | COM | 578784100 |
| VERA | VERA THERAPEUTICS INC | 100,564 (+4.0%) | $5,093 (+81.2%) | 0.5% | $29.05 | +22.2% | CL A | 92337R101 |
| IQV | IQVIA HLDGS INC | 35,230 (+17.4%) | $7,941 (+39.4%) | 0.8% | $160.50 | +35.6% | COM | 46266C105 |
| FDMT | 4D MOLECULAR THERAPEUTICS IN | 503,431 (+151.7%) | $3,776 (+117.2%) | 0.4% | $8.49 | +19.5% | COM | 35104E100 |
| ANNX | ANNEXON INC | 601,202 (+48.1%) | $3,018 (+143.8%) | 0.3% | $4.40 | -13.2% | COM | 03589W102 |
| LUNG | PULMONX CORP | 727,781 (+45.4%) | $1,608 (+98.3%) | 0.2% | $5.49 | -65.8% | COM | 745848101 |
| QTRX | QUANTERIX CORP | 328,956 (+30.4%) | $2,092 (+52.8%) | 0.2% | $5.72 | +8.6% | COM | 74766Q101 |
| WAY | WAYSTAR HLDG CORP | 369,023 (+20.6%) | $12,086 (+4.1%) | 1.2% | $37.37 | -4.7% | COM | 946784105 |
| SLDB | SOLID BIOSCIENCES INC | 418,371 (+5.5%) | $2,360 (-3.5%) | 0.2% | $5.82 | -7.0% | COM NEW | 83422E204 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| QQQ | INVESCO QQQ TR | 80,000 | $48,030 | 4.6% | — | — | PUT | 46090E103 |
| UTHR | UNITED THERAPEUTICS CORP DEL | 22,000 | $9,223 | 0.9% | $284.13 | +63.9% | — | 91307C102 |
| INCY | INCYTE CORP | 100,442 | $8,518 | 0.8% | $67.33 | +43.7% | — | 45337C102 |
| ASND | ASCENDIS PHARMA A/S | 40,343 | $8,021 | 0.8% | $172.60 | — | — | 04351P101 |
| LLY | ELI LILLY & CO | 10,000 | $7,630 | 0.7% | $766.62 | +24.6% | — | 532457108 |
| BMRN | BIOMARIN PHARMACEUTICAL INC | 125,949 | $6,821 | 0.6% | $67.28 | -19.1% | — | 09061G101 |
| OM | OUTSET MED INC | 454,512 | $6,418 | 0.6% | $14.06 | -39.0% | — | 690145206 |
| ABVX | ABIVAX SA | 55,197 | $4,686 | 0.4% | $84.90 | — | — | 00370M103 |
| — | DYNAVAX TECHNOLOGIES CORP | 271,306 | $2,694 | 0.3% | $13.31 | — | — | 268158201 |
| TVRD | TVARDI THERAPEUTICS INC | 65,000 | $2,533 | 0.2% | $28.47 | -68.5% | — | 140755307 |
| MASS | 908 DEVICES INC | 100,368 | $879 | 0.1% | $5.56 | +25.8% | — | 65443P102 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| ALNY | ALNYLAM PHARMACEUTICALS INC | 47,703 (-45.6%) | $18,969 (-52.6%) | 1.8% | $263.78 | +67.8% | COM | 02043Q107 |
| TERN | TERNS PHARMACEUTICALS INC | 620,877 (-33.6%) | $25,083 (+257.3%) | 2.4% | $6.36 | +263.6% | COM | 880881107 |
| QURE | UNIQURE NV | 257,382 (-25.5%) | $6,159 (-69.4%) | 0.6% | $11.24 | +243.4% | SHS | N90064101 |
| BIIB | BIOGEN INC | 35,425 (-72.8%) | $6,234 (-65.8%) | 0.6% | $135.17 | +20.9% | COM | 09062X103 |
| ZBH | ZIMMER BIOMET HOLDINGS INC | 151,049 (-39.9%) | $13,582 (-45.2%) | 1.3% | $104.03 | -9.1% | COM | 98956P102 |
| DHR | DANAHER CORPORATION | 58,889 (-46.7%) | $13,481 (-38.5%) | 1.3% | $206.78 | +6.2% | COM | 235851102 |
| FOLD | AMICUS THERAPEUTICS INC | 1,487,283 (-11.9%) | $21,179 (+59.3%) | 2.0% | $8.45 | +16.3% | COM | 03152W109 |
| UPB | UPSTREAM BIO INC | 834,559 (-1.1%) | $22,658 (+42.8%) | 2.2% | $10.28 | +142.2% | COM | 91678A107 |
| DOCS | DOXIMITY INC | 162,276 (-9.3%) | $7,186 (-45.1%) | 0.7% | $62.69 | -10.5% | CL A | 26622P107 |
| TMCI | TREACE MED CONCEPTS INC | 199,393 (-76.5%) | $489 (-91.4%) | 0.0% | $8.61 | -49.5% | COM | 89455T109 |
| CSTL | CASTLE BIOSCIENCES INC | 150,558 (-68.3%) | $5,857 (-45.9%) | 0.6% | $20.22 | +59.5% | COM | 14843C105 |
| TVTX | TRAVERE THERAPEUTICS INC | 86,297 (-74.6%) | $3,297 (-59.4%) | 0.3% | $12.22 | +166.2% | COM | 89422G107 |
| ATEC | ALPHATEC HLDGS INC | 277,181 (-60.2%) | $5,832 (-42.5%) | 0.6% | $11.88 | +55.8% | COM NEW | 02081G201 |
| URGN | UROGEN PHARMA LTD | 168,768 (-58.1%) | $3,953 (-50.8%) | 0.4% | $16.50 | +31.5% | COM | M96088105 |
| ACLX | ARCELLX INC | 128,111 (-14.5%) | $8,353 (-32.1%) | 0.8% | $52.69 | +51.4% | COMMON STOCK | 03940C100 |
| CERT | CERTARA INC | 348,750 (-36.8%) | $3,072 (-54.4%) | 0.3% | $11.75 | -12.3% | COM | 15687V109 |
| NBIX | NEUROCRINE BIOSCIENCES INC | 114,712 (-19.1%) | $16,270 (-18.3%) | 1.5% | $113.80 | +27.3% | COM | 64125C109 |
| VCYT | VERACYTE INC | 100,269 (-55.0%) | $4,221 (-44.9%) | 0.4% | $31.14 | +29.4% | COM | 92337F107 |
| AMLX | AMYLYX PHARMACEUTICALS INC | 381,760 (-34.1%) | $4,612 (-41.4%) | 0.4% | $4.86 | +179.3% | COM | 03237H101 |
| THC | TENET HEALTHCARE CORP | 60,514 (-18.6%) | $12,025 (-20.3%) | 1.1% | $103.88 | +94.5% | COM NEW | 88033G407 |
| PGEN | PRECIGEN INC | 1,002,826 (-52.3%) | $4,192 (-39.4%) | 0.4% | $1.91 | +102.9% | COM | 74017N105 |
| MLYS | MINERALYS THERAPEUTICS INC | 410,249 (-9.9%) | $14,888 (-13.8%) | 1.4% | $12.60 | +218.4% | COM | 603170101 |
| QDEL | QUIDELORTHO CORP | 184,491 (-27.0%) | $5,269 (-29.2%) | 0.5% | $34.86 | -22.3% | COM | 219798105 |
| RPID | RAPID MICRO BIOSYSTEMS INC | 354,465 (-61.2%) | $1,028 (-66.3%) | 0.1% | $2.40 | +44.6% | CLASS A COM | 75340L104 |
| CRNX | CRINETICS PHARMACEUTICALS IN | 22,852 (-69.0%) | $1,064 (-65.4%) | 0.1% | $30.78 | +44.6% | COM | 22663K107 |
| IMNM | IMMUNOME INC | 277,812 (-20.9%) | $5,967 (+45.1%) | 0.6% | $9.95 | +76.4% | COM | 45257U108 |
| PTGX | PROTAGONIST THERAPEUTICS INC | 25,973 (-58.0%) | $2,268 (-44.8%) | 0.2% | $47.99 | +70.5% | COM | 74366E102 |
| COO | COOPER COS INC | 125,335 (-29.0%) | $10,272 (-15.1%) | 1.0% | $92.05 | -18.7% | COM | 216648501 |
| SIBN | SI-BONE INC | 374,382 (-1.1%) | $7,383 (+32.5%) | 0.7% | $19.16 | -9.4% | COM | 825704109 |
| EWTX | EDGEWISE THERAPEUTICS INC | 427,690 (-22.3%) | $10,613 (+18.9%) | 1.0% | $12.40 | +61.9% | COM | 28036F105 |
| NUVL | NUVALENT INC | 118,712 (-1.2%) | $11,941 (+14.9%) | 1.1% | $74.57 | +32.2% | COM | 670703107 |
| SDGR | SCHRODINGER INC | 298,939 (-12.1%) | $5,345 (-21.7%) | 0.5% | $27.60 | -31.3% | COM | 80810D103 |
| XERS | XERIS BIOPHARMA HOLDINGS INC | 1,691,585 (-5.6%) | $13,279 (-8.9%) | 1.3% | $3.87 | +103.6% | COM | 98422E103 |
| CVRX | CVRX INC | 413,018 (-16.0%) | $2,932 (-26.1%) | 0.3% | $13.29 | -31.3% | COM | 126638105 |
| SNDX | SYNDAX PHARMACEUTICALS INC | 574,023 (-32.2%) | $12,060 (-7.4%) | 1.1% | $15.03 | +16.0% | COM | 87164F105 |
| BFLY | BUTTERFLY NETWORK INC | 100,835 (-83.3%) | $383 (-67.0%) | 0.0% | $1.70 | +60.1% | COM CL A | 124155102 |
| AXGN | AXOGEN INC | 250,318 (-50.1%) | $8,193 (-8.5%) | 0.8% | $13.25 | +85.6% | COM | 05463X106 |
| EW | EDWARDS LIFESCIENCES CORP | 150,985 (-3.1%) | $12,871 (+6.3%) | 1.2% | $71.27 | +15.2% | COM | 28176E108 |
| SYRE | SPYRE THERAPEUTICS INC | 124,485 (-38.0%) | $4,078 (+21.2%) | 0.4% | $16.31 | +60.2% | COM NEW | 00773J202 |
| BCRX | BIOCRYST PHARMACEUTICALS INC | 900,057 (-11.1%) | $7,020 (-8.7%) | 0.7% | $7.58 | -4.6% | COM | 09058V103 |
| RARE | ULTRAGENYX PHARMACEUTICAL IN | 62,030 (-9.6%) | $1,427 (-30.9%) | 0.1% | $42.20 | -22.1% | COM | 90400D108 |
| AORT | ARTIVION INC | 218,669 (-1.1%) | $9,973 (+6.6%) | 0.9% | $28.78 | +54.7% | COM | 228903100 |
| VRDN | VIRIDIAN THERAPEUTICS INC | 788,076 (-31.7%) | $24,525 (-1.6%) | 2.3% | $18.54 | +47.9% | COM | 92790C104 |
| PTCT | PTC THERAPEUTICS INC | 160,179 (-20.8%) | $12,167 (-2.0%) | 1.2% | $40.80 | +78.1% | COM | 69366J200 |
| RXST | RXSIGHT INC | 351,655 (-7.6%) | $3,664 (+7.1%) | 0.3% | $29.33 | -65.8% | COM | 78349D107 |
| WGS | GENEDX HOLDINGS CORP | 39,272 (-13.2%) | $5,108 (+4.8%) | 0.5% | $78.50 | +74.8% | COM CL A | 81663L200 |
| XENE | XENON PHARMACEUTICALS INC | 154,184 (-12.5%) | $6,911 (-2.3%) | 0.7% | $24.65 | +70.4% | COM | 98420N105 |
| — | QIAGEN NV | 494,351 (-1.2%) | $22,231 (-0.5%) | 2.1% | $42.35 | — | COM SHS | N72482206 |
| MNKD | MANNKIND CORP | 640,356 (-2.4%) | $3,631 (+3.1%) | 0.3% | $4.57 | +20.5% | COM NEW | 56400P706 |
| ENTX | ENTERA BIO LTD | 275,073 (-2.0%) | $534 (-1.0%) | 0.1% | $2.18 | +7.6% | SHS | M40527109 |
| Ticker | Issuer | Shares | Value ($000) | % | Est. Cost | Unrealized | Class | CUSIP |
|---|---|---|---|---|---|---|---|---|
| ASMB | ASSEMBLY BIOSCIENCES INC | 249,357 | $8,481 | 0.8% | $21.94 | +46.8% | COM NEW | 045396207 |
| NSPR | INSPIREMD INC | 2,416,518 | $4,301 | 0.4% | $2.57 | -19.0% | COM | 45779A846 |
| KNSA | KINIKSA PHARMACEUTICALS INTL | 665,208 | $27,440 | 2.6% | $23.10 | +73.7% | ORD SHS CL A | G52694109 |
| AGIO | AGIOS PHARMACEUTICALS INC | 99,604 | $2,711 | 0.3% | $37.61 | -6.7% | COM | 00847X104 |
| EDAP | EDAP TMS S A | 154,832 | $509 | 0.0% | $2.55 | — | SPONSORED ADR | 268311107 |
| CMPS | COMPASS PATHWAYS PLC | 99,472 | $686 | 0.1% | $5.73 | — | SPONSORED ADS | 20451W101 |
| OVID | OVID THERAPEUTICS INC | 201,036 | $328 | 0.0% | $0.87 | +77.7% | COM | 690469101 |