| ABIVAX SA | SPONSORED ADS | $61.8M | 1.1%Prev: 1.0% | 458,343 SH | Increased+69,735 SH |
| ADAGIO MED HLDGS INC | COM | $10.3M | 0.2%Prev: 0.6% | 9,876,576 SH | Decreased |
| ADMA BIOLOGICS INC | COM | $16.1M | 0.3%Prev: 0.5% | 883,468 SH | Decreased-270,000 SH |
| ALDEYRA THERAPEUTICS INC | COM | $21.7M | 0.4%Prev: 0.8% | 4,185,632 SH | Decreased-1,036,679 SH |
| ALTO NEUROSCIENCE INC | COM SHS | $31.8M | 0.6%Prev: 0.0% | 1,784,393 SH | Increased+1,629,027 SH |
| AMICUS THERAPEUTICS INC | COM | $90.7M | 1.6%Prev: 1.4% | 6,370,851 SH | Increased |
| AMYLYX PHARMACEUTICALS INC | COM | $100.1M | 1.8%Prev: 3.5% | 8,284,882 SH | Decreased-667,483 SH |
| ANTERIS TECHNOLOGIES GLOBAL | COM | $8.4M | 0.1%Prev: 0.2% | 1,675,476 SH | Increased-29,654 SH |
| APOGEE THERAPEUTICS INC | COM | $175.9M | 3.1%Prev: 1.6% | 2,330,651 SH | Increased+978,662 SH |
| AQUESTIVE THERAPEUTICS INC | COM | $4.8M | 0.1%Prev: 0.6% | 747,193 SH | Decreased-3,012,906 SH |
| ARCELLX INC | COMMON STOCK | $95.6M | 1.7%Prev: 5.9% | 1,466,071 SH | Decreased-1,002,282 SH |
| ARTIVION INC | COM | $78.6M | 1.4%Prev: 2.5% | 1,722,290 SH | Decreased-297,710 SH |
| ASCENDIS PHARMA A/S | SPONSORED ADR | $230.6M | 4.1%Prev: 6.2% | 1,081,421 SH | Increased-7,080 SH |
| ASTRIA THERAPEUTICS INC | COM | $84.9M | 1.5%Prev: 1.4% | 6,485,420 SH | Increased |
| ATHIRA PHARMA INC | COM | $14.1M | 0.3%Prev: 0.1% | 1,859,322 SH | Increased+1,319,026 SH |
| AVALO THERAPEUTICS INC | COM NEW | $2.5M | 0.0%Prev: 0.1% | 139,667 SH | Increased |
| AXOGEN INC | COM | $25.7M | 0.5% | 784,140 SH | New |
| AXSOME THERAPEUTICS INC | COM | $27.2M | 0.5%Prev: 0.5% | 148,900 SH | Increased |
| BELITE BIO INC | SPONSORED ADS | $66.3M | 1.2%Prev: 0.1% | 414,239 SH | Increased+364,451 SH |
| BETA BIONICS INC | COM | $18.4M | 0.3%Prev: 0.2% | 602,944 SH | Increased+325,000 SH |
| BILLIONTOONE INC | CL A | $6.0M | 0.1% | 72,812 SH | New |
| BIOCRYST PHARMACEUTICALS INC | COM | $24.7M | 0.4% | 3,162,529 SH | New |
| BIODESIX | COM | $739K | 0.0%Prev: 0.0% | 108,694 SH | Decreased |
| BIOGEN INC | COM | $21.8M | 0.4% | 124,000 SH | New |
| BIOHAVEN LTD | COM | $5.6M | 0.1% | 500,000 SH | New |
| BOSTON SCIENTIFIC CORP | COM | $93.3M | 1.7%Prev: 0.9% | 979,000 SH | Increased+669,000 SH |
| BRIGHT MINDS BIOSCIENCES INC | COM NEW | $35.1M | 0.6%Prev: 0.8% | 449,290 SH | Increased |
| CAPRICOR THERAPEUTICS INC | COM NEW | $7.0M | 0.1% | 242,100 SH | New |
| CARIS LIFE SCIENCES INC | COM | $30.7M | 0.5%Prev: 1.0% | 1,136,206 SH | Decreased+38,043 SH |
| CELCUITY INC | COM | $315.2M | 5.6%Prev: 4.2% | 3,160,200 SH | Increased+203,881 SH |
| CELCUITY INC | NOTE 2.750% 8/0 | $14.1M | 0.3% | 6,500,000 PRN | New |
| CENTESSA PHARMACEUTICALS PLC | SPONSORED ADS | $73.0M | 1.3%Prev: 2.2% | 2,917,634 SH | Decreased-183,268 SH |
| CIDARA THERAPEUTICS INC | COM NEW | $36.5M | 0.7% | 165,131 SH | New |
| COGENT BIOSCIENCES INC | COM | $4.3M | 0.1% | 121,082 SH | New |
| CONNECT BIOPHARMA HLDGS LTD | SHS | $2.2M | 0.0% | 792,696 SH | New |
| CONTINEUM THERAPEUTICS INC | CL A | $16.7M | 0.3%Prev: 0.2% | 1,464,592 SH | Increased+750,000 SH |
| CORVUS PHARMACEUTICALS INC | COM | $5.3M | 0.1%Prev: 0.3% | 692,441 SH | Decreased-746,154 SH |
| CRESCENT BIOPHARMA INC. | COM | $5.4M | 0.1%Prev: 0.2% | 453,686 SH | Decreased |
| CUMBERLAND PHARMACEUTICALS I | COM | $1.4M | 0.0% | 341,087 SH | New |
| CVS HEALTH CORP | COM | $17.5M | 0.3% | 220,000 SH | New |
| CYTOMX THERAPEUTICS INC | COM | $41.2M | 0.7%Prev: 0.9% | 9,680,185 SH | Increased |
| DANAHER CORPORATION | COM | $45.8M | 0.8% | 200,000 SH | New |
| DEXCOM INC | COM | $15.0M | 0.3% | 225,758 SH | New |
| DISC MEDICINE INC | COM | $35.8M | 0.6% | 450,743 SH | New |
| DYNE THERAPEUTICS INC | COM | $68.0M | 1.2%Prev: 0.2% | 3,478,944 SH | Increased+2,938,500 SH |
| EDGEWISE THERAPEUTICS | COM | $110.6M | 2.0% | 4,457,974 SH | New |
| ENGENE HOLDINGS INC | COM | $53.0M | 0.9%Prev: 0.4% | 5,869,076 SH | Increased+3,771,840 SH |
| ENSYSCE BIOSCIENCES INC | COM NEW | $80K | 0.0%Prev: 0.0% | 86,666 SH | Decreased |
| ENVVENO MEDICAL CORPORATION | COM | $564K | 0.0%Prev: 0.0% | 1,759,035 SH | Decreased |
| EXACT SCIENCES CORP | COM | $121.9M | 2.2%Prev: 0.7% | 1,200,487 SH | Increased+735,000 SH |
| GLAUKOS CORP | COM | $15.8M | 0.3% | 140,000 SH | New |
| GOSSAMER BIO INC | COM | $9.7M | 0.2%Prev: 0.3% | 3,139,669 SH | Decreased-673,128 SH |
| GRAIL INC | COM | $20.3M | 0.4% | 237,342 SH | New |
| GUARDANT HEALTH INC | COM | $16.3M | 0.3% | 160,000 SH | New |
| IMMATICS N.V | SHS | $109.0M | 1.9%Prev: 2.3% | 10,383,456 SH | Increased+1,000,000 SH |
| IMMIX BIOPHARMA INC | COM | $1.8M | 0.0% | 338,941 SH | New |
| IMMUNOVANT INC | COM | $50.7M | 0.9%Prev: 0.7% | 1,994,890 SH | Increased+407,000 SH |
| INHIBIKASE THERAPEUTICS INC | COM NEW | $11.1M | 0.2%Prev: 0.3% | 5,421,568 SH | Increased |
| INHIBRX BIOSCIENCES INC | COM | $114.8M | 2.0%Prev: 1.3% | 1,452,707 SH | Increased+125,000 SH |
| INTUITIVE SURGICAL INC | COM NEW | $49.8M | 0.9%Prev: 0.7% | 87,919 SH | Increased+35,800 SH |
| INVIVYD INC | COM | $53.8M | 1.0% | 21,785,166 SH | New |
| IOVANCE BIOTHERAPEUTICS INC | COM | $417K | 0.0% | 152,714 SH | New |
| IRHYTHM TECHNOLOGIES INC | COM | $19.2M | 0.3%Prev: 0.6% | 108,000 SH | Decreased-15,000 SH |
| JAZZ PHARMACEUTICALS PLC | SHS USD | $28.9M | 0.5% | 170,000 SH | New |
| KESTRA MED TECHNOLOGIES LTD | SHS | $7.6M | 0.1% | 285,000 SH | New |
| KODIAK SCIENCES INC | COM | $23.7M | 0.4%Prev: 0.3% | 848,900 SH | Increased+214,323 SH |
| KRYSTAL BIOTECH INC | COM | $4.3M | 0.1%Prev: 0.2% | 17,500 SH | Decreased-17,500 SH |
| KYMERA THERAPEUTICS INC | COM | $5.4M | 0.1%Prev: 0.3% | 69,935 SH | Decreased-99,861 SH |
| LENZ THERAPEUTICS INC | COM | $800K | 0.0% | 50,000 SH | New |
| LEXEO THERAPEUTICS INC | COM | $1.4M | 0.0%Prev: 0.0% | 139,835 SH | Increased |
| MAPLIGHT THERAPEUTICS INC | COM | $9.7M | 0.2% | 550,000 SH | New |
| MEDLINE INC | COM CL A | $1.2M | 0.0% | 28,000 SH | New |
| MEIRAGTX HLDGS PLC | COM | $82.1M | 1.5%Prev: 3.0% | 10,326,103 SH | Decreased-2,300,000 SH |
| MIRUM PHARMACEUTICALS INC | COM | $20.5M | 0.4% | 259,545 SH | New |
| NAUTILUS BIOTECHNOLOGY INC | COM | $24.6M | 0.4%Prev: 0.3% | 12,594,211 SH | Increased |
| NEUROCRINE BIOSCIENCES INC | COM | $47.0M | 0.8%Prev: 1.8% | 331,050 SH | Decreased-119,000 SH |
| NURIX THERAPEUTICS INC | COM | $67.5M | 1.2%Prev: 0.4% | 3,555,877 SH | Increased+2,139,728 SH |
| NUVALENT INC | COM | $167.5M | 3.0%Prev: 3.9% | 1,665,105 SH | Increased+102,769 SH |
| OCULIS HOLDING AG | ORDINARY SHARES | $9.9M | 0.2% | 493,827 SH | New |
| OLEMA PHARMACEUTICALS INC | COM | $4.1M | 0.1% | 165,713 SH | New |
| OMADA HEALTH INC | COM | $37.8M | 0.7%Prev: 1.5% | 2,396,330 SH | Decreased |
| OPUS GENETICS INC | COM | $8.7M | 0.2%Prev: 0.2% | 4,325,000 SH | Increased |
| ORCHESTRA BIOMED HLDGS INC | COM | $21.3M | 0.4%Prev: 0.4% | 5,127,256 SH | Increased-165,300 SH |
| ORUKA THERAPEUTICS INC | COM | $44.8M | 0.8%Prev: 0.7% | 1,476,501 SH | Increased+208,480 SH |
| OUTSET MED INC | COM NEW | $3.1M | 0.1%Prev: 0.3% | 833,333 SH | Decreased |
| PALATIN TECHNOLOGIES INC | COM NEW | $1.1M | 0.0% | 70,000 SH | New |
| PALISADE BIO INC | COM | $28.3M | 0.5% | 12,050,000 SH | New |
| PALVELLA THERAPEUTICS INC NE | COM | $27.9M | 0.5%Prev: 0.7% | 266,287 SH | Increased-128,806 SH |
| PENUMBRA INC | COM | $34.4M | 0.6%Prev: 1.6% | 110,529 SH | Decreased-110,018 SH |
| PEPGEN INC | COM | $5.4M | 0.1%Prev: 0.1% | 829,870 SH | Increased |
| PRAXIS PRECISION MEDICINES I | COM NEW | $588.3M | 10.5%Prev: 2.4% | 1,995,986 SH | Increased+431,432 SH |
| PROTAGONIST THERAPEUTICS INC | COM | $117.9M | 2.1%Prev: 2.0% | 1,350,425 SH | Increased+320,291 SH |
| RAPPORT THERAPEUTICS INC | COM | $20.4M | 0.4%Prev: 0.3% | 673,923 SH | Increased+270,000 SH |
| RAPT THERAPEUTICS INC | COM NEW | $28.0M | 0.5%Prev: 0.1% | 825,890 SH | Increased+642,000 SH |
| RELAY THERAPEUTICS INC | COM | $16.1M | 0.3% | 1,903,245 SH | New |
| REPLIGEN CORP | COM | $51.7M | 0.9%Prev: 1.0% | 315,541 SH | Increased+45,113 SH |
| REVOLUTION MEDICINES INC | *W EXP 12/17/202 | $235K | 0.0%Prev: 0.0% | 250,000 SH | Increased |
| RHYTHM PHARMACEUTICALS INC | COM | $272.6M | 4.9%Prev: 8.3% | 2,546,391 SH | Decreased-416,558,578 SH |
| ROIVANT SCIENCES LTD | SHS | $173.3M | 3.1%Prev: 3.2% | 7,985,461 SH | Increased+617,000 SH |
| SAB BIOTHERAPEUTICS INC | COM NEW | $3.0M | 0.1% | 803,210 SH | New |
| SAVARA INC | COM | $14.5M | 0.3% | 2,400,000 SH | New |
| SCHRODINGER INC | COM | $3.6M | 0.1% | 202,400 SH | New |
| SEPTERNA INC | COM | $12.1M | 0.2%Prev: 0.3% | 433,160 SH | Increased-108,290 SH |
| SIONNA THERAPEUTICS INC | COM | $48.5M | 0.9%Prev: 1.0% | 1,179,098 SH | Increased |
| SOLID BIOSCIENCES INC | COM NEW | $66.7M | 1.2%Prev: 2.1% | 11,833,539 SH | Decreased |
| SPDR SERIES TRUST | STATE STREET SPD | $134.1M | 2.4% | 1,100,000 SH | New |
| SPYRE THERAPEUTICS INC | COM NEW | $100.5M | 1.8%Prev: 0.6% | 3,069,225 SH | Increased+1,839,780 SH |
| SURROZEN INC | *W EXP 08/01/203 | $3K | 0.0%Prev: 0.0% | 166,666 SH | Increased |
| TANGO THERAPEUTICS INC | COM | $4.5M | 0.1% | 513,035 SH | New |
| TECTONIC THERAPEUTIC INC | COM | $5.2M | 0.1% | 250,000 SH | New |
| TENAX THERAPEUTICS INC | COM NEW | $5.4M | 0.1% | 439,142 SH | New |
| TRAVERE THERAPEUTICS INC | COM | $163.5M | 2.9%Prev: 2.6% | 4,278,180 SH | Increased+483,565 SH |
| VIRIDIAN THERAPEUTICS INC | COM | $94.7M | 1.7%Prev: 0.9% | 3,042,703 SH | Increased+1,580,303 SH |
| X4 PHARMACEUTICALS INC | COM NEW | $25.3M | 0.5% | 6,314,452 SH | New |
| XENON PHARMACEUTICALS INC | COM | $9.0M | 0.2%Prev: 0.2% | 200,791 SH | Increased |
| ZYMEWORKS INC | COM | $85.9M | 1.5%Prev: 1.0% | 3,261,850 SH | Increased+1,171,187 SH |