Performance vs S&P 500

03
Tracked Q1 2025–Q2 2026 +40.5%
S&P 500 total return (same window) +37.0%
Excess return +3.5%

Annualized: +31.2% · S&P 500: +28.7%

Approximates a buy-and-hold portfolio built from quarterly SEC 13F snapshots. Excludes cash, short positions, options/derivatives, and non-13(f) securities — reflects the disclosed long-equity book only, not total fund AUM. SEC filing lag is up to 45 days; this is not a real-time-copyable timing.

Priceable coverage: 97.3% · Options excluded: 1.3%

Sector breakdown

04
Healthcare 98.8%
Other/Unmapped 1.2%

Full portfolio 77 positions

05
Type Streak 8Q trend
MBX MBX Biosciences, Inc. - Common Stock $44,169,550 4.52% 800,173 $20,288,446 Up ×1
LLY Eli Lilly and Company Common Stock $41,980,050 4.30% 35,000 $10,141,292 Up ×1
CVS CVS Health Corporation Common Stock $40,530,779 4.15% 391,791 $12,714,462 Up ×1
DXCM DexCom, Inc. - Common Stock $36,016,557 3.69% 534,767 $-7,304,265 Down ×1
PTCT PTC Therapeutics, Inc. - Common Stock $35,539,315 3.64% 435,691 $6,150,486 Up ×2
RCUS Arcus Biosciences, Inc. Common Stock $28,340,971 2.90% 919,266 $2,263,853 Down ×1
GPCR Structure Therapeutics Inc. - American Depositary Shares $26,065,426 2.67% 485,661 $14,878,543 Up ×2
VRDN Viridian Therapeutics, Inc. - Common Stock $25,306,071 2.59% 1,377,576 $14,392,843 Up ×1
AGIO Agios Pharmaceuticals, Inc. - Common Stock $24,828,297 2.54% 669,046 $11,177,046 Up ×2
INBX Inhibrx Biosciences, Inc. - Common Stock $24,346,013 2.49% 256,950 Up ×1
XENE Xenon Pharmaceuticals Inc. - Common Shares $23,985,796 2.46% 397,379 $-4,916,789 Down ×1
EWTX Edgewise Therapeutics, Inc. - Common Stock $23,444,973 2.40% 577,036 $13,275,891 Up ×1
UNH UnitedHealth Group Incorporated Common Stock (DE) $23,242,445 2.38% 55,921
SYK Stryker Corporation Common Stock $21,400,619 2.19% 67,973 $-29,455,584 Down ×1
IQV IQVIA Holdings, Inc. Common Stock $20,444,801 2.09% 105,811 $5,658,642 Up ×3
ZBH Zimmer Biomet Holdings, Inc. Common Stock $20,020,832 2.05% 232,557 $-4,352,512 Down ×1
PODD Insulet Corporation - Common Stock $20,002,301 2.05% 131,378 $-12,850,459 Down ×1
ASMB Assembly Biosciences, Inc. - Common Stock $19,818,054 2.03% 721,181 $8,406,505 Up ×2
SNDX Syndax Pharmaceuticals, Inc. - Common Stock $19,176,816 1.96% 877,256 $-1,882,481 Down ×1
EYPT EyePoint, Inc. - Common Stock $18,420,731 1.89% 1,288,163 $957,359 Down ×1
THC Tenet Healthcare Corporation Common Stock $18,199,142 1.86% 97,280 $8,740,431 Up ×1
LIVN LivaNova PLC - Ordinary Shares $17,311,800 1.77% 210,529 $-8,364,215 Down ×2
ANIP ANI Pharmaceuticals, Inc. - Common Stock $16,796,641 1.72% 202,907 $-4,779,577 Down ×1
BCRX BioCryst Pharmaceuticals, Inc. - Common Stock $16,242,790 1.66% 1,624,279 $-18,312 Down ×1
ALNY Alnylam Pharmaceuticals, Inc. - Common Stock $15,253,792 1.56% 50,672 $6,348,095 Up ×1
INDV Indivior Pharmaceuticals, Inc. - Common Stock $14,945,957 1.53% 364,269 Up ×1
NVST Envista Holdings Corporation Common Stock $14,595,687 1.49% 553,916 $-3,459,964 Down ×1
DRUG Bright Minds Biosciences Inc. - common stock $14,394,721 1.47% 205,053 $11,468,770 Up ×1
XERS Xeris Biopharma Holdings, Inc. - Common Stock $14,316,358 1.47% 1,807,621 $4,333,027 Up ×2
AVTX Avalo Therapeutics, Inc. - Common Stock $14,161,039 1.45% 766,290 Up ×1
FDMT 4D Molecular Therapeutics, Inc. - Common Stock $12,610,847 1.29% 948,184 $7,745,655 Up ×3
IMNM Immunome, Inc. - Common Stock $12,591,140 1.29% 594,202 $3,766,879 Up ×2
STOK Stoke Therapeutics, Inc. - Common Stock $11,630,095 1.19% 355,443 $673,036 Up ×1
WAT Waters Corporation Common Stock $11,328,458 1.16% 30,206 $3,452,541 Up ×1
ANRO Alto Neuroscience, Inc. Common Stock $11,322,234 1.16% 429,035 Up ×1
ORKA Oruka Therapeutics, Inc. - Common Stock $10,772,102 1.10% 113,188 Up ×1
ADPT Adaptive Biotechnologies Corporation - Common Stock $10,445,807 1.07% 486,984 $2,786,615 Down ×1
ABSI Absci Corporation - Common Stock $10,365,795 1.06% 894,374 $4,771,377 Down ×1
MLYS Mineralys Therapeutics, Inc. - Common Stock $10,261,951 1.05% 380,354 $-35,960 Up ×1
COGT Cogent Biosciences, Inc. - Common Stock $9,805,226 1.00% 253,365 $5,951,376 Up ×1
QURE uniQure N.V. - Ordinary Shares $9,588,310 0.98% 208,170 $6,206,443 Up ×1
TARS Tarsus Pharmaceuticals, Inc. - Common Stock $9,441,000 0.97% 150,000 Up ×1
AMRX Amneal Pharmaceuticals, Inc. - Class A Common Stock $9,367,999 0.96% 541,190 $5,629,652 Up ×1
IRTC iRhythm Holdings, Inc. - Common Stock $8,001,410 0.82% 67,267 $3,265,857 Up ×1
CYRX CryoPort, Inc. - Common Stock $7,980,687 0.82% 508,324 Up ×1
BSX Boston Scientific Corporation Common Stock $7,702,929 0.79% 180,481 $-20,457,263 Down ×2
CLYM Climb Bio, Inc. - Common Stock $7,347,831 0.75% 563,484 Up ×1
AMLX Amylyx Pharmaceuticals, Inc. - Common Stock $7,162,125 0.73% 398,782 $-1,476,141 Down ×1
UPB Upstream Bio, Inc. - Common Stock $6,471,909 0.66% 935,247 $-609,138 Up ×1
RMD ResMed Inc. Common Stock $6,427,727 0.66% 32,983
URGN UroGen Pharma Ltd. - Ordinary Shares $6,405,555 0.66% 174,064 $1,461,055 Down ×1
ALGN Align Technology, Inc. - Common Stock $6,234,180 0.64% 36,963 $2,594,207 Up ×1
CARL Carlsmed, Inc. - Common Stock $6,200,161 0.63% 597,318 $1,483,998 Up ×1
AVAH Aveanna Healthcare Holdings Inc. - Common Stock $6,122,845 0.63% 714,451 Up ×1
CDNA CareDx, Inc. - Common Stock $5,768,885 0.59% 202,417 $710,563 Down ×1
SIBN SI-BONE, Inc. - Common Stock $5,364,156 0.55% 328,686 $646,182 Down ×3
VIR Vir Biotechnology, Inc. - Common Stock $4,843,093 0.50% 475,279 $363,093 Down ×1
ERAS Erasca, Inc. - Common Stock $4,739,091 0.49% 258,684 $-1,841,347 Down ×1
SI Shoulder Innovations, Inc. Common Stock $4,587,579 0.47% 226,212 Up ×1
WAY Waystar Holding Corp. - Common Stock $4,187,833 0.43% 203,986 $-6,494,295 Down ×1
ATEC Alphatec Holdings, Inc. - Common Stock $3,892,007 0.40% 449,943 $-5,070,534 Down ×1
ANNX Annexon, Inc. - common stock $3,660,276 0.37% 641,029 $-73,756 Down ×1
CSTL Castle Biosciences, Inc. - Common stock $3,453,265 0.35% 144,791 $356,282 Up ×1
Unknown issuer (CUSIP: 60365F109) $3,385,368 0.35% 226,446 $-1,349,106 Down ×1
EIKN Eikon Therapeutics, Inc. - Common Stock $3,341,492 0.34% 256,053 Up ×1
VTRS Viatris Inc. - Common Stock $3,176,000 0.33% 200,000 Up ×1
Unknown issuer (CUSIP: 384747951) $3,140,420 0.32% 46,000 Put option Up ×1
AORT Artivion, Inc. Common Stock $3,121,982 0.32% 138,940 $-6,106,771 Down ×1
AXSM Axsome Therapeutics, Inc. - Common Stock $2,447,700 0.25% 10,000 Up ×1
OPRX OptimizeRx Corporation - Common Stock $2,003,985 0.21% 350,347 $-2,576,452 Down ×1
NSPR InspireMD Inc. - Common Stock $1,691,804 0.17% 2,416,518 $-2,247,120
Unknown issuer (CUSIP: 423494103) $1,652,850 0.17% 45,000 Up ×1
LUNG Pulmonx Corporation - Common Stock $840,533 0.09% 646,564 $-134,237 Down ×1
SPRY ARS Pharmaceuticals, Inc. - Common Stock $822,627 0.08% 102,700 Up ×1
EDAP EDAP TMS S.A. - American Depositary Shares, each representing One Ordinary Share $802,030 0.08% 154,832 $226,055
OVID Ovid Therapeutics Inc. - Common Stock $532,477 0.05% 197,947 $70,262 Down ×1
ENTX Entera Bio Ltd. - Ordinary Shares $485,860 0.05% 274,497 $165,436 Down ×1

Conviction holdings

08

Positions increased for 3+ consecutive quarters.

Share counts are as reported in 13F filings (not split-adjusted)

SecurityValue% of portfolioStreak
IQV $20,444,801 2.09% up ×3
FDMT $12,610,847 1.29% up ×3

Biggest new bets

09

New positions opened this quarter, largest first.

SecurityValueShares% of portfolio
INBX $24,346,013 256,950 2.49%
UNH $23,242,445 55,921 2.38%
INDV $14,945,957 364,269 1.53%
AVTX $14,161,039 766,290 1.45%
ANRO $11,322,234 429,035 1.16%
ORKA $10,772,102 113,188 1.10%
TARS $9,441,000 150,000 0.97%
CYRX $7,980,687 508,324 0.82%
CLYM $7,347,831 563,484 0.75%
RMD $6,427,727 32,983 0.66%
AVAH $6,122,845 714,451 0.63%
SI $4,587,579 226,212 0.47%
EIKN $3,341,492 256,053 0.34%
VTRS $3,176,000 200,000 0.33%
Unknown issuer (CUSIP: 384747951) $3,140,420 46,000 0.32%

Top movers (QoQ)

10
SecurityActionShares ΔValue Δ
SYK Trimmed -87K -$29.5M
BSX Trimmed -268K -$20.5M
MBX Bought more +136 +$20.3M
GPCR Bought more +254K +$14.9M
VRDN Bought more +820K +$14.4M
EWTX Bought more +254K +$13.3M
PODD Trimmed -25K -$12.9M
CVS Bought more +4K +$12.7M
DRUG Bought more +165K +$11.5M
AGIO Bought more +266K +$11.2M

Exited positions

11

Includes corporate events (mergers, delistings) — not all exits are sells

Closed positions reflect 13F reporting changes; for index managers these are often mechanical (delisting, M&A, index rebalancing), not active decisions.

SecurityQuarterShares beforeValue beforePrice since exit
QQQ Dec. 31, 2025 80,000 $48,029,600 21.2%
KALV June 30, 2026 1,835,506 $36,948,736 No longer tracked
BDX June 30, 2025 120,283 $27,552,024
UNH June 30, 2025 50,213 $26,299,059 34.0%
MASI March 31, 2026 200,000 $26,012,000 No longer tracked
TERN March 31, 2026 620,877 $25,083,431 No longer tracked
QGEN (filed as QGENXXXX) March 31, 2026 494,351 $22,230,964 25.8%
FOLD March 31, 2026 1,487,283 $21,178,910 No longer tracked
QGEN June 30, 2026 500,000 $20,020,000 28.9%
VRNA Sept. 30, 2025 197,898 $18,717,193 No longer tracked
ABBV June 30, 2026 75,000 $16,311,750 13.5%
MTD March 31, 2026 10,988 $15,319,360 32.4%
RVTY Sept. 30, 2025 157,196 $15,203,997 81.1%
GILD Sept. 30, 2025 131,675 $14,598,807 40.6%
A March 31, 2026 100,000 $13,607,000 51.8%
ILMN June 30, 2026 110,370 $13,604,206 53.2%
DHR March 31, 2026 58,889 $13,480,870 21.6%
EW June 30, 2026 167,155 $13,385,772 -1.5%
NBIX June 30, 2026 99,069 $13,051,350 -15.3%
KNSA June 30, 2026 259,184 $12,479,710 20.0%
MCK June 30, 2026 12,676 $10,969,303 32.4%
UNH March 31, 2026 31,875 $10,522,256 54.5%
UTHR Dec. 31, 2025 22,000 $9,222,620 20.6%
NUVL June 30, 2026 88,078 $9,023,591 No longer tracked
AXGN June 30, 2026 268,160 $8,884,141 -17.6%
MRUS Sept. 30, 2025 162,980 $8,572,748 No longer tracked
INCY Dec. 31, 2025 100,442 $8,518,486 17.2%
IDXX June 30, 2026 15,000 $8,428,350 6.4%
ANIP Sept. 30, 2025 128,478 $8,383,190 -20.7%
ACLX March 31, 2026 128,111 $8,352,837 No longer tracked
REPL Sept. 30, 2025 896,710 $8,330,436 173.5%
ASND Dec. 31, 2025 40,343 $8,020,592 14.1%
LLY Dec. 31, 2025 10,000 $7,630,000 18.5%
DGX Sept. 30, 2025 40,997 $7,364,291 26.9%
DOCS March 31, 2026 162,276 $7,185,581 43.3%
BMRN Dec. 31, 2025 125,949 $6,821,398 -5.9%
APGE June 30, 2026 77,686 $6,538,831 No longer tracked
COO June 30, 2026 89,883 $6,426,635 -14.6%
OM Dec. 31, 2025 454,512 $6,417,709 10.5%
BIIB March 31, 2026 35,425 $6,234,446 36.7%
DAWN March 31, 2026 645,544 $6,016,470 No longer tracked
ALKS Sept. 30, 2025 200,000 $5,722,000 45.4%
TNGX June 30, 2026 266,127 $5,567,377 -25.3%
TMDX March 31, 2026 45,174 $5,495,417 -28.8%
SDGR March 31, 2026 298,939 $5,345,029 109.5%
VERA March 31, 2026 100,564 $5,092,561 -30.4%
RMD June 30, 2025 22,622 $5,063,935 -2.0%
RARE June 30, 2026 235,000 $4,923,250 -53.1%
PHLT Sept. 30, 2025 1,214,272 $4,857,088 No longer tracked
ABVX Dec. 31, 2025 55,197 $4,686,225 -34.7%
SUPN June 30, 2026 85,062 $4,396,855 -12.5%
PGEN March 31, 2026 1,002,826 $4,191,813 59.9%
CAI June 30, 2026 229,912 $4,110,827 79.6%
SYRE March 31, 2026 124,485 $4,078,129 79.1%
CVRX June 30, 2026 429,507 $4,063,136 -72.4%
GH June 30, 2025 89,329 $3,805,415 224.9%
MNKD March 31, 2026 640,356 $3,630,819 30.2%
PCVX June 30, 2025 93,431 $3,527,955 85.9%
TVTX March 31, 2026 86,297 $3,297,408 68.6%
WGS June 30, 2026 50,778 $3,260,963 -18.2%
VCYT June 30, 2026 101,237 $3,260,844 -18.4%
CERT March 31, 2026 348,750 $3,072,488 81.2%
CMPS June 30, 2026 554,411 $3,065,893 -21.0%
INSM June 30, 2025 37,901 $2,891,467 -7.2%
DVAX Dec. 31, 2025 271,306 $2,694,069 No longer tracked
NRIX Sept. 30, 2025 228,271 $2,600,007 174.2%
TVRD Dec. 31, 2025 65,000 $2,533,050 -78.1%
PTGX March 31, 2026 25,973 $2,268,482 31.3%
SLDB June 30, 2026 308,844 $2,223,677 -40.7%
KROS June 30, 2025 217,753 $2,218,903 -15.5%
BFLY June 30, 2026 544,477 $2,199,687 -19.7%
NAMS June 30, 2025 100,955 $2,066,549 8.8%
QDEL June 30, 2026 101,764 $1,671,983 -21.6%
ICAD June 30, 2025 781,670 $1,610,240 No longer tracked
RXST June 30, 2026 249,989 $1,539,932 4.1%
MRVI June 30, 2025 660,000 $1,458,600 203.7%
ACHC March 31, 2026 100,000 $1,419,000 34.7%
INSP March 31, 2026 15,000 $1,383,450 37.9%
QTRX June 30, 2026 341,453 $1,201,915 -33.8%
ARDX Sept. 30, 2025 301,086 $1,180,257 -44.1%
SENS March 31, 2026 206,793 $1,141,497 12.8%
SLN June 30, 2025 401,746 $1,132,924 239.1%
ORIC June 30, 2025 203,006 $1,132,773 29.8%
PLSE June 30, 2026 50,125 $1,082,199 91.2%
CRNX March 31, 2026 22,852 $1,063,761 No longer tracked
RPID March 31, 2026 354,465 $1,027,949 -65.6%
MAZE June 30, 2026 31,844 $950,543 3.9%
MASS Dec. 31, 2025 100,368 $879,224 118.9%
MDLN March 31, 2026 20,558 $863,436 -23.4%
ATYR Sept. 30, 2025 150,000 $760,500 -77.1%
ADMA June 30, 2026 82,443 $742,811 27.6%
RLAY June 30, 2025 188,052 $492,696 425.4%
TMCI March 31, 2026 199,393 $488,513 218.7%
VYNE June 30, 2025 217,978 $344,405 No longer tracked
ARAY June 30, 2026 884,578 $343,305 -50.0%
IRWD June 30, 2025 205,086 $301,476 380.6%