| ABIVAX SA | SPONSORED ADS | $49.6M | 1.0%Prev: 0.8% | 367,900 SH | Increased-12,100 SH |
| ADC THERAPEUTICS SA | SHS | $20.6M | 0.4%Prev: 0.6% | 5,822,854 SH | Decreased-84,497 SH |
| ADICET BIO INC | COM NEW | $8.7M | 0.2% | 1,027,944 SH | New |
| ALNYLAM PHARMACEUTICALS INC | COM | $114.8M | 2.3%Prev: 3.2% | 288,800 SH | Decreased-12,800 SH |
| ALTO NEUROSCIENCE INC | COM SHS | $2.2M | 0.0%Prev: 0.0% | 125,000 SH | Increased-125,000 SH |
| ALUMIS INC | COM | $10.8M | 0.2%Prev: 0.2% | 1,102,730 SH | Increased-823,693 SH |
| AMICUS THERAPEUTICS INC | COM | $10.4M | 0.2%Prev: 0.3% | 729,900 SH | Decreased-915,500 SH |
| APELLIS PHARMACEUTICALS INC | COM | $61.0M | 1.2%Prev: 1.4% | 2,429,868 SH | Increased-143,500 SH |
| ARGENX SE | SPONSORED ADR | $122.8M | 2.5%Prev: 3.0% | 146,000 SH | Decreased-26,300 SH |
| ARRIVENT BIOPHARMA INC | COM | $60.9M | 1.2%Prev: 1.3% | 3,027,328 SH | Increased |
| ARS PHARMACEUTICALS INC | COM | $96.6M | 2.0%Prev: 2.0% | 8,288,510 SH | Increased |
| ASCENDIS PHARMA A/S | SPONSORED ADR | $36.7M | 0.7%Prev: 0.9% | 171,977 SH | Decreased-19,928 SH |
| AVALO THERAPEUTICS INC | COM NEW | $21.6M | 0.4%Prev: 0.4% | 1,187,300 SH | Increased-162,000 SH |
| AVIDITY BIOSCIENCES INC | COM | $44.7M | 0.9%Prev: 1.7% | 619,530 SH | Decreased-1,019,356 SH |
| AXSOME THERAPEUTICS INC | COM | $46.2M | 0.9%Prev: 1.5% | 253,121 SH | Decreased-278,679 SH |
| BICARA THERAPEUTICS INC | COM | $3.5M | 0.1% | 209,100 SH | New |
| BIOAGE LABS INC | COM | $10.5M | 0.2%Prev: 0.1% | 790,901 SH | Increased |
| BIOCRYST PHARMACEUTICALS INC | COM | $13.6M | 0.3%Prev: 0.2% | 1,741,800 SH | Increased+840,300 SH |
| BOSTON SCIENTIFIC CORP | COM | $230.7M | 4.7%Prev: 6.0% | 2,419,300 SH | Decreased-210,000 SH |
| BRIGHTSPRING HEALTH SVCS INC | COM | $18.3M | 0.4%Prev: 0.3% | 488,500 SH | Increased+74,700 SH |
| BRISTOL-MYERS SQUIBB CO | COM | $41.8M | 0.9% | 775,000 SH | New |
| BRUKER CORP | COM | $26.2M | 0.5% | 555,789 SH | New |
| C4 THERAPEUTICS INC | COM STK | $2.7M | 0.1%Prev: 0.3% | 1,404,902 SH | Decreased-3,830,244 SH |
| CARIS LIFE SCIENCES INC | COM | $84.1M | 1.7%Prev: 2.2% | 3,116,011 SH | Decreased+81,153 SH |
| CARLSMED INC | COM | $15.5M | 0.3%Prev: 0.4% | 1,252,600 SH | Decreased |
| CELCUITY INC | COM | $8.5M | 0.2%Prev: 0.1% | 85,664 SH | Increased+1,644 SH |
| CG ONCOLOGY INC | COM | $63.0M | 1.3%Prev: 1.6% | 1,516,550 SH | Decreased-210,300 SH |
| COGENT BIOSCIENCES INC | COM | $13.2M | 0.3% | 371,000 SH | New |
| COGENT BIOSCIENCES INC | NOTE 1.625%11/1 | $1.2M | 0.0% | 1,000,000 PRN | New |
| COMPASS THERAPEUTICS INC | COM | $81.7M | 1.7%Prev: 1.3% | 15,219,994 SH | Increased |
| CORBUS PHARMACEUTICALS HLDGS | COM NEW | $13.0M | 0.3%Prev: 0.3% | 1,597,287 SH | Decreased+425,000 SH |
| CORVUS PHARMACEUTICALS INC | COM | $55.2M | 1.1%Prev: 1.2% | 7,165,006 SH | Increased |
| CRINETICS PHARMACEUTICALS IN | COM | $46.5M | 0.9%Prev: 1.2% | 999,000 SH | Decreased-200,000 SH |
| CULLINAN THERAPEUTICS INC | COM | $2.8M | 0.1%Prev: 0.3% | 270,006 SH | Decreased-1,653,849 SH |
| CYBIN INC | COM NEW | $31.4M | 0.6% | 3,840,500 SH | New |
| CYTOMX THERAPEUTICS INC | COM | $15.0M | 0.3%Prev: 0.6% | 3,525,650 SH | Decreased-4,935,850 SH |
| DANAHER CORPORATION | COM | $68.6M | 1.4%Prev: 1.2% | 299,800 SH | Increased+36,700 SH |
| DISC MEDICINE INC | COM | $84.8M | 1.7%Prev: 2.2% | 1,067,550 SH | Decreased-347,470 SH |
| DYNE THERAPEUTICS INC | COM | $43.1M | 0.9%Prev: 0.7% | 2,202,184 SH | Increased-112,000 SH |
| EDGEWISE THERAPEUTICS INC | COM | $385.1M | 7.9%Prev: 5.9% | 15,518,492 SH | Increased |
| EDWARDS LIFESCIENCES CORP | COM | $169.9M | 3.5%Prev: 3.1% | 1,992,900 SH | Increased+308,900 SH |
| ELEVANCE HEALTH INC FORMERLY | COM | $34.7M | 0.7% | 99,100 SH | New |
| ELI LILLY & CO | COM | $323.7M | 6.6%Prev: 5.4% | 301,200 SH | Increased |
| ENLIVEN THERAPEUTICS INC | COM | $122.6M | 2.5%Prev: 3.8% | 7,959,538 SH | Decreased |
| ESPERION THERAPEUTICS INC NE | COM | $22.1M | 0.5% | 5,965,498 SH | New |
| EXACT SCIENCES CORP | COM | $35.7M | 0.7%Prev: 1.3% | 351,716 SH | Decreased-642,900 SH |
| EYEPOINT INC | COM NEW | $45.1M | 0.9% | 2,468,314 SH | New |
| FORTE BIOSCIENCES INC | COM NEW | $32.6M | 0.7%Prev: 0.4% | 1,196,955 SH | Increased |
| IMAGENEBIO INC | COM | $2.6M | 0.1%Prev: 0.1% | 378,556 SH | Decreased |
| IMAGENEBIO INC | NONVOTING | $3.7M | 0.1%Prev: 0.1% | 530,713 SH | Decreased |
| INSMED INC | COM PAR $.01 | $4.4M | 0.1%Prev: 0.0% | 25,400 SH | Increased+11,941 SH |
| INSPIREMD INC | COM | $5.6M | 0.1%Prev: 0.1% | 3,133,405 SH | Increased+1,000,000 SH |
| INTUITIVE SURGICAL INC | COM NEW | $149.2M | 3.0%Prev: 3.0% | 263,400 SH | Increased-23,800 SH |
| JADE BIOSCIENCES INC | COM NEW | $8.2M | 0.2%Prev: 0.1% | 531,163 SH | Increased |
| JANUX THERAPEUTICS INC | COM | $27.0M | 0.6%Prev: 1.0% | 1,954,426 SH | Decreased+188,326 SH |
| KALVISTA PHARMACEUTICALS INC | COM | $6.2M | 0.1% | 382,400 SH | New |
| KEROS THERAPEUTICS INC | COM | $16.4M | 0.3%Prev: 0.4% | 804,212 SH | Increased-214,522 SH |
| KINIKSA PHARMACEUTICALS INTL | ORD SHS CL A | $7.7M | 0.2% | 187,199 SH | New |
| KRYSTAL BIOTECH INC | COM | $29.5M | 0.6%Prev: 0.4% | 119,800 SH | Increased+17,055 SH |
| LEXEO THERAPEUTICS INC | COM | $21.1M | 0.4% | 2,125,000 SH | New |
| MAPLIGHT THERAPEUTICS INC | COM | $952K | 0.0% | 56,000 SH | New |
| MBX BIOSCIENCES INC | COM | $124.1M | 2.5%Prev: 1.6% | 3,935,203 SH | Increased-67,684 SH |
| MIND MEDICINE MINDMED INC | COM NEW | $16.4M | 0.3%Prev: 0.1% | 1,226,700 SH | Increased+858,876 SH |
| MINERALYS THERAPEUTICS INC | COM | $35.6M | 0.7%Prev: 1.3% | 980,400 SH | Decreased-489,094 SH |
| NATERA INC | COM | $83.8M | 1.7%Prev: 1.6% | 365,800 SH | Increased-63,500 SH |
| NEUROCRINE BIOSCIENCES INC | COM | $44.6M | 0.9%Prev: 1.2% | 314,240 SH | Decreased-39,400 SH |
| NEUROPACE INC | COM | $37.2M | 0.8%Prev: 0.6% | 2,406,335 SH | Increased-207,849 SH |
| OCULAR THERAPEUTIX INC | COM | $1.9M | 0.0% | 157,300 SH | New |
| ORIC PHARMACEUTICALS INC | COM | $29.8M | 0.6%Prev: 1.0% | 3,641,756 SH | Decreased |
| PALISADE BIO INC | COM | $4.4M | 0.1% | 1,871,420 SH | New |
| PFIZER INC | COM | $41.2M | 0.8%Prev: 0.3% | 1,652,900 SH | Increased+1,152,900 SH |
| PHARVARIS N V | COM | $5.7M | 0.1% | 205,400 SH | New |
| PMV PHARMACEUTICALS INC | COM | $6.2M | 0.1%Prev: 0.2% | 4,975,291 SH | Decreased-1,000,000 SH |
| PRAXIS PRECISION MEDICINES I | COM NEW | $27.9M | 0.6% | 94,500 SH | New |
| PRELUDE THERAPEUTICS INC | COM | $31.6M | 0.6%Prev: 0.4% | 10,909,256 SH | Increased |
| PRELUDE THERAPEUTICS INC | NONVOTING | $16.5M | 0.3%Prev: 0.2% | 5,680,186 SH | Increased |
| PROTAGONIST THERAPEUTICS INC | COM | $1.9M | 0.0% | 21,700 SH | New |
| PTC THERAPEUTICS INC | COM | $1.8M | 0.0% | 23,200 SH | New |
| Q32 BIO INC | COM | $7.5M | 0.2%Prev: 0.1% | 2,252,987 SH | Increased |
| RAPT THERAPEUTICS INC | COM NEW | $55.6M | 1.1%Prev: 0.7% | 1,642,891 SH | Increased+556,273 SH |
| RELMADA THERAPEUTICS INC | COM | $12.6M | 0.3% | 2,610,600 SH | New |
| REPARE THERAPEUTICS INC | COM | $8.6M | 0.2%Prev: 0.1% | 3,322,488 SH | Increased |
| REVOLUTION MEDICINES INC | COM | $2.1M | 0.0% | 25,900 SH | New |
| RHYTHM PHARMACEUTICALS INC | COM | $25.7M | 0.5%Prev: 0.5% | 239,800 SH | Increased+24,648 SH |
| ROIVANT SCIENCES LTD | SHS | $47.5M | 1.0%Prev: 1.0% | 2,190,907 SH | Increased-523,891 SH |
| SHATTUCK LABS INC | COM | $23.0M | 0.5%Prev: 0.4% | 6,306,127 SH | Increased |
| SINOVAC BIOTECH LTD | SHS | $184.5M | 3.8%Prev: 4.3% | 2,718,735 SH | |
| SIONNA THERAPEUTICS INC | COM | $146.5M | 3.0%Prev: 2.6% | 3,561,655 SH | Increased-143,304 SH |
| STRUCTURE THERAPEUTICS INC | SPONSORED ADS | $80.8M | 1.6%Prev: 0.7% | 1,161,803 SH | Increased+22,503 SH |
| STRYKER CORPORATION | COM | $114.2M | 2.3%Prev: 3.1% | 325,000 SH | Decreased-34,200 SH |
| TARSUS PHARMACEUTICALS INC | COM | $12.6M | 0.3%Prev: 0.3% | 154,400 SH | Increased-43,500 SH |
| TECTONIC THERAPEUTIC INC | COM | $12.0M | 0.2% | 574,600 SH | New |
| TERNS PHARMACEUTICALS INC | COM | $87.0M | 1.8%Prev: 1.3% | 2,153,300 SH | Increased-5,409,671 SH |
| THE CIGNA GROUP | COM | $56.4M | 1.2%Prev: 1.1% | 205,000 SH | Increased+42,200 SH |
| THERMO FISHER SCIENTIFIC INC | COM | $26.9M | 0.5%Prev: 0.5% | 46,500 SH | Increased |
| TRAWS PHARMA INC | COM NEW | $684K | 0.0%Prev: 0.0% | 605,531 SH | Decreased |
| TREVI THERAPEUTICS INC | COM | $39.9M | 0.8%Prev: 0.7% | 3,190,700 SH | Increased-117,700 SH |
| UNIQURE NV | SHS | $17.6M | 0.4%Prev: 0.6% | 737,400 SH | Decreased+278,900 SH |
| UNITED THERAPEUTICS CORP DEL | COM | $51.3M | 1.0%Prev: 1.1% | 105,200 SH | Increased-9,700 SH |
| UPSTREAM BIO INC | COM | $154.6M | 3.2%Prev: 2.5% | 5,693,589 SH | Increased |
| UROGEN PHARMA LTD | COM | $20.5M | 0.4%Prev: 0.3% | 875,487 SH | Increased+186,487 SH |
| VERA THERAPEUTICS INC | CL A | $17.9M | 0.4% | 353,500 SH | New |
| VIR BIOTECHNOLOGY INC | COM | $14.4M | 0.3%Prev: 0.3% | 2,380,715 SH | Increased |
| VISTAGEN THERAPEUTICS INC | COM | $2.1M | 0.0%Prev: 0.3% | 3,105,200 SH | Decreased |
| WHITEHAWK THERAPEUTICS INC | COM | $10.1M | 0.2%Prev: 0.2% | 4,166,000 SH | Increased |
| XENON PHARMACEUTICALS INC | COM | $20.0M | 0.4%Prev: 0.4% | 447,200 SH | Increased+27,600 SH |