| ABIVAX SA | SPONSORED ADS | $6.1M | 0.2% | 45,000 SH | New |
| ALKERMES PLC | SHS | $37.0M | 1.4% | 1,322,364 SH | New |
| ALNYLAM PHARMACEUTICALS INC | COM | $27.8M | 1.0%Prev: 0.4% | 70,000 SH | Increased+54,750 SH |
| AMICUS THERAPEUTICS INC | COM | $74.2M | 2.7%Prev: 1.9% | 5,207,284 SH | Increased+517,284 SH |
| ANAPTYSBIO INC | COM | $6.5M | 0.2%Prev: 1.0% | 135,000 SH | Decreased-491,040 SH |
| ANI PHARMACEUTICALS INC | COM | $38.4M | 1.4%Prev: 1.6% | 486,243 SH | Increased+146,000 SH |
| ARCELLX INC | COMMON STOCK | $2.0M | 0.1%Prev: 0.4% | 30,000 SH | Decreased-70,000 SH |
| ARCUS BIOSCIENCES INC | COM | $17.0M | 0.6% | 711,983 SH | New |
| ARGENX SE | SPONSORED ADR | $26.7M | 1.0%Prev: 2.6% | 31,726 SH | Decreased-37,700 SH |
| AVALO THERAPEUTICS INC | COM NEW | $8.0M | 0.3% | 441,978 SH | New |
| AXOGEN INC | COM | $39.5M | 1.5%Prev: 1.6% | 1,206,855 SH | Increased-519,698 SH |
| BELITE BIO INC | SPONSORED ADS | $6.5M | 0.2%Prev: 0.8% | 40,354 SH | Decreased-169,646 SH |
| BETA BIONICS INC | COM | $77.2M | 2.8%Prev: 3.9% | 2,534,565 SH | Increased-1,335,593 SH |
| BICARA THERAPEUTICS INC | COM | $1.7M | 0.1% | 100,000 SH | New |
| BIOMARIN PHARMACEUTICAL INC | COM | $78.4M | 2.9%Prev: 2.4% | 1,320,000 SH | Increased+429,696 SH |
| C4 THERAPEUTICS INC | COM STK | $7.3M | 0.3%Prev: 0.8% | 3,803,942 SH | Decreased-3,250,000 SH |
| CALCIMEDICA INC | COM NEW | $4.5M | 0.2%Prev: 0.1% | 683,904 SH | Increased |
| CAPRICOR THERAPEUTICS INC | COM NEW | $18.7M | 0.7% | 646,390 SH | New |
| CELCUITY INC | COM | $180.4M | 6.7%Prev: 2.9% | 1,808,258 SH | Increased+629,398 SH |
| CERUS CORP | COM | $8.2M | 0.3% | 4,000,000 SH | New |
| CG ONCOLOGY INC | COM | $7.1M | 0.3%Prev: 0.6% | 170,000 SH | Decreased-120,000 SH |
| CIDARA THERAPEUTICS INC | COM NEW | $8.6M | 0.3%Prev: 2.4% | 38,811 SH | Decreased-455,000 SH |
| COGENT BIOSCIENCES INC | COM | $4.3M | 0.2% | 120,000 SH | New |
| DELCATH SYS INC | COM NEW | $101K | 0.0%Prev: 0.0% | 10,000 SH | Decreased |
| DEXCOM INC | COM | $86.1M | 3.2% | 1,297,094 SH | New |
| DYNE THERAPEUTICS INC | COM | $196K | 0.0% | 10,000 SH | New |
| EDAP TMS S A | SPONSORED ADR | $24.0M | 0.9%Prev: 0.8% | 7,309,254 SH | Increased |
| EDGEWISE THERAPEUTICS INC | COM | $22.6M | 0.8% | 910,000 SH | New |
| ENLIVEN THERAPEUTICS INC | COM | $15.8M | 0.6% | 1,025,000 SH | New |
| ERASCA INC | COM | $8.0M | 0.3%Prev: 0.2% | 2,162,162 SH | Increased |
| EVOLUS INC | COM | $7.1M | 0.3%Prev: 0.4% | 1,070,000 SH | Decreased-380,000 SH |
| FRACTYL HEALTH INC | COM | $880K | 0.0%Prev: 0.2% | 400,000 SH | Decreased-2,100,000 SH |
| GERON CORP | COM | $30.7M | 1.1%Prev: 1.2% | 23,290,000 SH | Increased+6,000,000 SH |
| GLOBUS MED INC | CL A | $77.4M | 2.9%Prev: 0.5% | 887,000 SH | Increased+711,000 SH |
| GRAIL INC | COM | $941K | 0.0% | 11,000 SH | New |
| GSK PLC | SPONSORED ADR | $31.3M | 1.2%Prev: 0.5% | 639,000 SH | Increased+419,000 SH |
| IMMUNOVANT INC | COM | $28.2M | 1.0% | 1,110,000 SH | New |
| INDIVIOR PLC | ORD | $3.6M | 0.1%Prev: 1.8% | 100,000 SH | Decreased-1,366,000 SH |
| INHIBIKASE THERAPEUTICS INC | COM NEW | $22.3M | 0.8%Prev: 0.5% | 10,875,000 SH | Increased+4,550,000 SH |
| INHIBRX BIOSCIENCES INC | COM | $2.0M | 0.1% | 25,000 SH | New |
| INSMED INC | COM PAR $.01 | $8.4M | 0.3%Prev: 0.0% | 48,500 SH | Increased+45,950 SH |
| INSPIRE MED SYS INC | COM | $27.6M | 1.0%Prev: 2.7% | 299,399 SH | Decreased-428,789 SH |
| INSPIREMD INC | COM | $2.0M | 0.1%Prev: 0.2% | 1,150,000 SH | Decreased-320,934 SH |
| INSULET CORP | COM | $42.6M | 1.6% | 150,000 SH | New |
| INVIVYD INC | COM | $19.0M | 0.7% | 7,708,727 SH | New |
| JADE BIOSCIENCES INC | COM NEW | $12.3M | 0.5%Prev: 0.3% | 796,744 SH | Increased |
| JASPER THERAPEUTICS INC | COM NEW | $366K | 0.0%Prev: 0.2% | 200,000 SH | Decreased-1,294,420 SH |
| KARYOPHARM THERAPEUTICS INC | COM NEW | $3.2M | 0.1% | 440,000 SH | New |
| KINIKSA PHARMACEUTICALS INTL | ORD SHS CL A | $24.2M | 0.9%Prev: 0.3% | 587,000 SH | Increased+437,000 SH |
| KODIAK SCIENCES INC | COM | $1.7M | 0.1%Prev: 0.0% | 60,000 SH | Increased+40,356 SH |
| KRYSTAL BIOTECH INC | COM | $232.0M | 8.6%Prev: 9.1% | 941,059 SH | Increased-77,772 SH |
| LB PHARMACEUTICALS INC | COM SHS | $223K | 0.0%Prev: 0.3% | 10,000 SH | Decreased-390,000 SH |
| LIVANOVA PLC | SHS | $34.9M | 1.3% | 567,500 SH | New |
| MADRIGAL PHARMACEUTICALS INC | COM | $291K | 0.0%Prev: 1.6% | 500 SH | Decreased-67,836 SH |
| MBX BIOSCIENCES INC | COM | $12.9M | 0.5%Prev: 0.2% | 408,900 SH | Increased+133,900 SH |
| MIRUM PHARMACEUTICALS INC | COM | $45.3M | 1.7%Prev: 0.5% | 573,614 SH | Increased+424,918 SH |
| MOONLAKE IMMUNOTHERAPEUTICS | CLASS A ORD | $5.3M | 0.2% | 400,000 SH | New |
| NATERA INC | COM | $4.6M | 0.2% | 20,000 SH | New |
| NEOGENOMICS INC | COM NEW | $5.0M | 0.2% | 427,504 SH | New |
| NEUROCRINE BIOSCIENCES INC | COM | $25.0M | 0.9%Prev: 1.0% | 175,982 SH | Increased+37,982 SH |
| NEUROPACE INC | COM | $41.7M | 1.5%Prev: 1.5% | 2,703,208 SH | Increased-254,749 SH |
| NOVOCURE LTD | ORD SHS | $110.3M | 4.1%Prev: 6.3% | 8,530,665 SH | Decreased-1,114,207 SH |
| NURIX THERAPEUTICS INC | COM | $23.1M | 0.9%Prev: 1.1% | 1,219,394 SH | Increased-1,203,439 SH |
| OLEMA PHARMACEUTICALS INC | COM | $1.7M | 0.1%Prev: 0.3% | 69,874 SH | Decreased-550,000 SH |
| ORGANOGENESIS HLDGS INC | COM | $51.7M | 1.9%Prev: 2.6% | 9,985,951 SH | Increased-2,145,748 SH |
| ORTHOPEDIATRICS CORP | COM | $9.3M | 0.3%Prev: 0.1% | 525,447 SH | Increased+397,447 SH |
| ORUKA THERAPEUTICS INC | COM | $5.8M | 0.2% | 190,000 SH | New |
| PHARVARIS N V | COM | $19.5M | 0.7%Prev: 0.8% | 702,052 SH | Increased+55,000 SH |
| PRAXIS PRECISION MEDICINES I | COM NEW | $107.0M | 3.9%Prev: 2.3% | 362,966 SH | Increased-496,200 SH |
| PULMONX CORP | COM | $4.5M | 0.2% | 2,038,323 SH | New |
| QUIDELORTHO CORP | COM | $2.1M | 0.1%Prev: 0.6% | 75,000 SH | Decreased-300,000 SH |
| QUOIN PHARMACEUTICALS LTD | SPONSORED ADS | $361K | 0.0% | 25,000 SH | New |
| RAPT THERAPEUTICS INC | COM NEW | $25.9M | 1.0%Prev: 0.7% | 764,000 SH | Increased+226,097 SH |
| RIGEL PHARMACEUTICALS INC | COM | $12.9M | 0.5%Prev: 0.5% | 300,034 SH | Increased-29,976 SH |
| SEPTERNA INC | COM | $10.7M | 0.4%Prev: 0.0% | 383,368 SH | Increased+365,108 SH |
| SIONNA THERAPEUTICS INC | COM | $11.0M | 0.4%Prev: 0.6% | 268,500 SH | Decreased-145,000 SH |
| SPDR SERIES TRUST | STATE STREET SPD | $353.6M | 13.0% | 2,900,000 SH | New |
| STAAR SURGICAL CO | COM PAR $0.01 | $577K | 0.0%Prev: 0.7% | 25,000 SH | Decreased-475,000 SH |
| STRUCTURE THERAPEUTICS INC | SPONSORED ADS | $6.3M | 0.2% | 90,000 SH | New |
| SYNDAX PHARMACEUTICALS INC | COM | $47.2M | 1.7%Prev: 1.6% | 2,247,110 SH | Increased+235,000 SH |
| TANGO THERAPEUTICS INC | COM | $89K | 0.0%Prev: 0.1% | 10,000 SH | Decreased-290,000 SH |
| TELEFLEX INCORPORATED | COM | $23.2M | 0.9% | 190,000 SH | New |
| TENET HEALTHCARE CORP | COM NEW | $18.4M | 0.7% | 92,500 SH | New |
| TERNS PHARMACEUTICALS INC | COM | $8.6M | 0.3%Prev: 3.1% | 212,710 SH | Decreased-7,914,390 SH |
| TG THERAPEUTICS INC | COM | $93.6M | 3.5%Prev: 7.0% | 3,139,312 SH | Decreased-705,419 SH |
| TREVI THERAPEUTICS INC | COM | $11.3M | 0.4%Prev: 0.0% | 900,000 SH | Increased+875,000 SH |
| TWIST BIOSCIENCE CORP | COM | $59.1M | 2.2%Prev: 2.6% | 1,861,802 SH | Increased-4,432 SH |
| TYRA BIOSCIENCES INC | COM | $3.3M | 0.1% | 125,000 SH | New |
| UNITED THERAPEUTICS CORP DEL | COM | $29.2M | 1.1%Prev: 3.2% | 60,000 SH | Decreased-90,000 SH |
| UROGEN PHARMA LTD | COM | $3.5M | 0.1%Prev: 0.7% | 150,000 SH | Decreased-529,000 SH |
| VAXCYTE INC | COM | $28.1M | 1.0% | 608,958 SH | New |
| VERACYTE INC | COM | $421K | 0.0%Prev: 0.7% | 10,000 SH | Decreased-412,055 SH |
| VERICEL CORP | COM | $27.5M | 1.0%Prev: 0.8% | 764,000 SH | Increased+266,047 SH |
| VIKING THERAPEUTICS INC | COM | $2.5M | 0.1% | 70,000 SH | New |
| ZYMEWORKS INC | COM | $2.6M | 0.1% | 100,000 SH | New |