The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete.
The reader should not assume that the information is accurate and complete.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 13F

FORM 13F INFORMATION TABLE
OMB APPROVAL
OMB Number: 3235-0006
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COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8
VALUE SHRS OR SH/ PUT/ INVESTMENT OTHER VOTING AUTHORITY
NAME OF ISSUER TITLE OF CLASS CUSIP FIGI (to the nearest dollar) PRN AMT PRN CALL DISCRETION MANAGER SOLE SHARED NONE
ABBOTT LABS COM 002824100   2,067,080 15,198 SH   SOLE   15,198 0 0
ABBVIE INC COM 00287Y109   2,747,176 14,800 SH   SOLE   14,800 0 0
ALNYLAM PHARMACUETCL COM 02043Q107   1,083,597 3,323 SH   SOLE   2,568 0 755
AMGEN INC COM 031162100   3,146,697 11,270 SH   SOLE   9,450 0 1,820
AMICUS THERAPEUTICS COM 03152W109   685,222 119,585 SH   SOLE   108,820 0 10,765
ANAPTYSBIO INC COM 032724106   1,862,580 83,900 SH   SOLE   0 0 83,900
ARCUS BIOSCIENCES COM 03969F109   2,094,178 257,270 SH   SOLE   21,000 0 236,270
ARGENX SE SPN SP ADR 04016X101   2,251,734 4,085 SH   SOLE   3,676 0 409
ARRIVENT BIOPHARMA COM 04272N102   774,577 35,580 SH   SOLE   32,840 0 2,740
ARS PHARMACEUTICALS COM 82835W108   1,147,948 65,785 SH   SOLE   60,307 0 5,478
ASCENDIS PHARMA A S SP ADR 04351P101   599,095 3,471 SH   SOLE   2,800 0 671
ASTRAZENECA SP ADR 046353108   1,302,563 18,640 SH   SOLE   14,650 0 3,990
AXSOME THERAPEUTIC COM 05464T104   106,478 1,020 SH   SOLE   820 0 200
BEONE MEDICINES LTD SP ADR 07725L102   1,867,812 7,716 SH   SOLE   5,585 0 2,131
BICARA THERAPEUTICS COM 055477103   1,870,960 201,395 SH   SOLE   0 0 201,395
BIOGEN INC COM 09062X103   298,276 2,375 SH   SOLE   1,850 0 525
BIOMARIN PHARMAC INC COM 09061G101   1,293,444 23,530 SH   SOLE   20,800 0 2,730
BIONTECH SE SP ADR 09075V102   1,720,555 16,160 SH   SOLE   14,900 0 1,260
BOSTON SCIENTIFIC COM 101137107   2,269,144 21,126 SH   SOLE   21,126 0 0
BOUNDLESS BIO INC COM 10170A100   685,360 678,574 SH   SOLE   678,574 0 0
BRIDGEBIO PHARMA INC COM 10806X102   694,550 16,085 SH   SOLE   12,500 0 3,585
BRISTOL MYERS SQUIBB COM 110122108   499,932 10,800 SH   SOLE   10,800 0 0
CARIS LIFE SCIENCES COM 142152107   223,112 8,350 SH   SOLE   8,350 0 0
CENTENE CORP COM 15135B101   678,500 12,500 SH   SOLE   12,500 0 0
CONTINEUM THERAPEUTI CL A 21217B100   3,179,124 800,787 SH   SOLE   800,787 0 0
CRISPR THERAPEUTICS NAMEN AKT H17182108   123,546 2,540 SH   SOLE   2,000 0 540
CVRX INC COM 126638105   432,180 73,500 SH   SOLE   73,500 0 0
CYTOKINETICS INC COM NEW 23282W605   387,328 11,723 SH   SOLE   9,150 0 2,573
DANAHER CORP COM 235851102   2,091,354 10,575 SH   SOLE   10,575 0 0
DEXCOM INC COM 252131107   1,152,228 13,200 SH   SOLE   13,200 0 0
EDWARDS LIFESCIENCE COM 28176E108   1,173,150 15,000 SH   SOLE   15,000 0 0
GILEAD SCIENCES INC COM 375558103   2,183,030 19,690 SH   SOLE   15,330 0 4,360
GLOBUS MED INC CL A 379577208   796,770 13,500 SH   SOLE   13,500 0 0
HINGE HEALTH INC CL A 433313103   476,411 9,206 SH   SOLE   9,206 0 0
ILLUMINA INC COM 452327109   265,431 2,782 SH   SOLE   2,132 0 650
IMMATICS NV SHS N44445109   1,787,613 332,270 SH   SOLE   0 0 332,270
INCYTE CORPORATION COM 45337C102   412,686 6,060 SH   SOLE   4,700 0 1,360
INSMED INC COM PAR $.01 457669307   1,497,523 14,880 SH   SOLE   12,950 0 1,930
INSTIL BIO INC COM NEW 45783C200   1,795,963 86,220 SH   SOLE   15,850 0 70,370
INTUITIVE SURGIC INC COM NEW 46120E602   2,852,903 5,250 SH   SOLE   5,250 0 0
IO BIOTECH INC COM 449778109   163,590 117,691 SH   SOLE   91,441 0 26,250
IONIS PHARMACEUTICAL COM 462222100   363,690 9,205 SH   SOLE   7,200 0 2,005
JAZZ PHARMA PLC SHS USD G50871105   241,317 2,274 SH   SOLE   1,750 0 524
JOHNSON & JOHNSON COM 478160104   2,948,075 19,300 SH   SOLE   19,300 0 0
KESTRA MED TECHNOLOG SHS G52441105   580,300 35,000 SH   SOLE   35,000 0 0
KURA ONCOLOGY INC COM 50127T109   1,867,010 323,572 SH   SOLE   0 0 323,572
LEGEND BIOTECH CORP SP ADR 52490G102   696,562 19,627 SH   SOLE   8,550 0 11,077
LENZ THERAPEUTICS COM 52635N103   28,643,051 977,245 SH   SOLE   977,245 0 0
ELI LILLY & CO COM 532457108   6,997,061 8,976 SH   SOLE   8,976 0 0
MADRIGAL PHARMACEUTI COM 558868105   220,927 730 SH   SOLE   570 0 160
MBX BIOSCIENCES INC COM 55287L101   2,188,723 191,825 SH   SOLE   0 0 191,825
MEDPACE HOLDINGS COM 58506Q109   166,660 531 SH   SOLE   415 0 116
MERCK & CO INC COM 58933Y105   1,666,294 20,900 SH   SOLE   20,900 0 0
MERUS B V COM N5749R100   824,505 15,675 SH   SOLE   14,000 0 1,675
MINERALYS THERAPEUTI COM 603170101   5,174,075 382,415 SH   SOLE   378,385 0 4,030
MODERNA INC COM 60770K107   154,504 5,600 SH   SOLE   4,350 0 1,250
MOONLAKE IMMUNOTHERA CLASS A ORD 61559X104   713,098 15,108 SH   SOLE   13,687 0 1,421
NEUROCRINE BIOSCIENC COM 64125C109   372,042 2,960 SH   SOLE   2,300 0 660
OMADA HEALTH INC COM 68170A108   631,350 34,500 SH   SOLE   34,500 0 0
ORIC PHARMACEUTICA COM 68622P109   2,349,573 231,485 SH   SOLE   16,000 0 215,485
PALVELLA THERAPEUTIC COM 697947109   2,155,162 95,615 SH   SOLE   0 0 95,615
PFIZER INC COM 717081103   1,870,116 77,150 SH   SOLE   77,150 0 0
PTC THERAPEUTICS COM 69366J200   416,849 8,535 SH   SOLE   6,650 0 1,885
RADNET INC COM 750491102   711,375 12,500 SH   SOLE   12,500 0 0
RAPPORT THERAPEUTICS COM 75383L102   2,045,008 179,860 SH   SOLE   0 0 179,860
RECURSION PHARMACEUT CL A 75629V104   58,190 11,500 SH   SOLE   9,100 0 2,400
REGENERON PHARMCTCLS COM 75886F107   1,455,825 2,773 SH   SOLE   2,163 0 610
REPLIMUNE GROUP INC COM 76029N106   2,152,029 231,650 SH   SOLE   23,000 0 208,650
REVOLUTION MEDICIN COM 76155X100   229,570 6,240 SH   SOLE   4,900 0 1,340
ROIVANT SCIENCES LTD SHS G76279101   563,579 50,007 SH   SOLE   39,000 0 11,007
ROYALTY PHARMA PLC SHS CLASS A G7709Q104   334,358 9,280 SH   SOLE   7,200 0 2,080
SCHOLAR ROCK HLDG COM 80706P103   367,660 10,380 SH   SOLE   8,300 0 2,080
SOLID BIOSCIENCES COM NEW 83422E204   2,053,095 421,580 SH   SOLE   0 0 421,580
STRUCTURE THERAPEU SP ADR 86366E106   1,065,393 51,369 SH   SOLE   31,250 0 20,119
STRYKER CORP COM 863667101   1,545,250 3,900 SH   SOLE   3,900 0 0
SUMMIT THERAPEUTICS COM 86627T108   1,387,882 65,220 SH   SOLE   57,700 0 7,520
SYNDAX PHARMACEUTI COM 87164F105   592,805 63,300 SH   SOLE   58,300 0 5,000
TARSUS PHARMACEUTICA COM 87650L103   750,853 18,535 SH   SOLE   16,420 0 2,115
TECTONIC THERAPEUTIC COM 878972108   1,966,534 98,970 SH   SOLE   0 0 98,970
TEMPUS AI INC CL A 88023B103   238,910 3,760 SH   SOLE   2,900 0 860
THE CIGNA GROUP COM 125523100   595,044 1,800 SH   SOLE   1,800 0 0
THERMO FISHER SCI COM 883556102   1,582,468 3,900 SH   SOLE   3,900 0 0
TOURMALINE BIO INC COM 89157D105   1,862,995 116,510 SH   SOLE   0 0 116,510
TREVI THERAPEUTICS COM 89532M101   733,801 134,150 SH   SOLE   124,800 0 9,350
UNIQURE N.V. SHS N90064101   772,973 55,450 SH   SOLE   50,400 0 5,050
UNITED THERAPEUTICS COM 91307C102   219,823 765 SH   SOLE   595 0 170
UNITEDHEALTH GRP INC COM 91324P102   5,223,938 16,745 SH   SOLE   16,745 0 0
VAXCYTE INC COM 92243G108   136,705 4,205 SH   SOLE   3,265 0 940
VENTYX BIOSCIENCES COM 92332V107   1,993,667 931,620 SH   SOLE   0 0 931,620
VERA THERAPEUTICS CL A 92337R101   975,808 41,418 SH   SOLE   39,040 0 2,378
VERTEX PHARMA COM 92532F100   3,091,914 6,945 SH   SOLE   5,780 0 1,165
VIATRIS INC COM 92556V106   176,814 19,800 SH   SOLE   15,600 0 4,200
ZAI LAB LTD ADR 98887Q104   553,925 15,840 SH   SOLE   12,500 0 3,340
ZENAS BIOPHARMA INC COM 98937L105   2,040,956 210,625 SH   SOLE   0 0 210,625