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VOL. XII · NO. 117Established MMXIV · George Town, Grand CaymanAtlantic Edition · $4.50

The Cayman Journal

Finance · Business · Technology · Caribbean & Global Affairs
13F HOLDINGS REPORT

Rock Springs Capital Management LP

Quarter ended Q4 2025 · Filed February 17, 2026 · Accession 0001172661-26-000917

Total Value
$1.95B
Positions
99
Other Managers
0
Confidential Omitted
No
View on SEC.gov

Holdings (99)

#IssuerTicker / CUSIPSharesValue% of Filing
1ELI LILLY & COLLY105,400$113.3M5.81%
2REVOLUTION MEDICINES INCRVMDW1,335,270$106.4M5.45%
3ARGENX SEARGX103,250$86.8M4.45%
4TRAVERE THERAPEUTICS INCTVTX2,210,322$84.5M4.33%
5MADRIGAL PHARMACEUTICALS INCMDGL139,618$81.3M4.17%
6RHYTHM PHARMACEUTICALS INCRYTM695,010$74.4M3.81%
7EXACT SCIENCES CORP30063P105601,800$61.1M3.13%
8MIRUM PHARMACEUTICALS INCMIRM762,294$60.2M3.09%
9INSMED INCINSM319,250$55.6M2.85%
10STRUCTURE THERAPEUTICS INCGPCR748,236$52.0M2.67%
11INTUITIVE SURGICAL INCISRG82,000$46.4M2.38%
12CIDARA THERAPEUTICS INC171757206204,878$45.3M2.32%
13ASCENDIS PHARMA A/SASND203,500$43.4M2.23%
14IRHYTHM TECHNOLOGIES INCIRTC235,000$41.7M2.14%
15KYMERA THERAPEUTICS INCKYMR496,871$38.7M1.98%
16BOSTON SCIENTIFIC CORPBSX399,050$38.0M1.95%
17PENUMBRA INCPEN120,500$37.5M1.92%
18XENON PHARMACEUTICALS INCXENE787,788$35.3M1.81%
19SCHOLAR ROCK HLDG CORPSRRK733,477$32.3M1.66%
20COGENT BIOSCIENCES INCCOGT849,030$30.2M1.55%
21ULTRAGENYX PHARMACEUTICAL INRARE1,267,241$29.1M1.49%
22VERA THERAPEUTICS INCVERA568,579$28.8M1.48%
23ALNYLAM PHARMACEUTICALS INCALNY71,250$28.3M1.45%
24AMICUS THERAPEUTICS INCFOLD1,929,931$27.5M1.41%
25SPDR SERIES TRUST78464A870222,000$27.1M1.39%
26TENET HEALTHCARE CORPTHC125,000$24.8M1.27%
27DEXCOM INCDXCM347,300$23.1M1.18%
28AGIOS PHARMACEUTICALS INCAGIO799,163$21.8M1.12%
29TARSUS PHARMACEUTICALS INCTARS260,344$21.3M1.09%
30COMPASS THERAPEUTICS INCCMPX3,927,202$21.1M1.08%
31NEWAMSTERDAM PHARMA COMPANYNAMSW557,194$19.5M1.00%
32AZENTA INCAZTA569,100$18.9M0.97%
33CELLDEX THERAPEUTICS INC NEWCLDX692,538$18.8M0.96%
34CARIS LIFE SCIENCES INCCAI687,500$18.5M0.95%
35ZENAS BIOPHARMA INCZBIO502,077$18.2M0.93%
36DYNE THERAPEUTICS INCDYN912,955$17.9M0.92%
37NEUROCRINE BIOSCIENCES INCNBIX125,500$17.8M0.91%
38PHARVARIS N VPHVS623,402$17.3M0.89%
39MINERALYS THERAPEUTICS INCMLYS427,596$15.5M0.80%
40PHREESIA INCPHR876,600$14.8M0.76%
41ZAI LAB LTDZLAB811,546$14.3M0.73%
42DANAHER CORPORATION23585110261,500$14.1M0.72%
43UNITEDHEALTH GROUP INCUNH40,800$13.5M0.69%
44ARDELYX INCARDX2,299,473$13.4M0.69%
45ACLARIS THERAPEUTICS INCACRS4,453,741$13.4M0.69%
46SUMMIT THERAPEUTICS INCSMMT710,000$12.4M0.64%
47ENLIVEN THERAPEUTICS INCELVN798,405$12.3M0.63%
48INSPIRE MED SYS INC457730109131,000$12.1M0.62%
49OMADA HEALTH INCOMDA740,000$11.7M0.60%
50SOLENO THERAPEUTICS INCSLNO247,053$11.4M0.59%
51ARCELLX INCACLX169,859$11.1M0.57%
52EVOLENT HEALTH INCEVH2,675,000$10.7M0.55%
53GOSSAMER BIO INCGOSS3,266,960$10.1M0.52%
54MBX BIOSCIENCES INCMBX282,624$8.9M0.46%
55CENTESSA PHARMACEUTICALS PLCCNTA324,015$8.1M0.42%
56HEARTFLOW INCHTFL277,700$8.1M0.42%
57BRIDGEBIO PHARMA INCBBIO103,500$7.9M0.41%
58REGENERON PHARMACEUTICALSREGN10,100$7.8M0.40%
59IMMUNOME INCIMNM347,666$7.5M0.38%
60RAPT THERAPEUTICS INC75382E208213,731$7.2M0.37%
61BICARA THERAPEUTICS INCBCAX429,095$7.2M0.37%
62EDWARDS LIFESCIENCES CORPEW82,500$7.0M0.36%
63GOSSAMER BIO INCGOSS9,573,000$6.6M0.34%
64ALPHATEC HLDGS INCATEC302,500$6.4M0.33%
65AMYLYX PHARMACEUTICALS INCAMLX499,764$6.0M0.31%
66THERMO FISHER SCIENTIFIC INCTMO10,000$5.8M0.30%
67JANUX THERAPEUTICS INCJANX358,798$5.0M0.25%
68SURGERY PARTNERS INCSGRY310,000$4.8M0.25%
69EYEPOINT INCEYPT258,739$4.7M0.24%
70PTC THERAPEUTICS INCPTCT61,879$4.7M0.24%
71AGILON HEALTH INCAGL6,500,000$4.5M0.23%
72MERSANA THERAPEUTICS INC59045L205152,586$4.4M0.23%
73TERNS PHARMACEUTICALS INCTERN108,481$4.4M0.22%
74ARCUS BIOSCIENCES INCRCUS180,000$4.3M0.22%
75EDAP TMS S AEDAP1,286,500$4.2M0.22%
76OCULAR THERAPEUTIX INCOCUL345,820$4.2M0.22%
77LENZ THERAPEUTICS INCLENZ257,460$4.1M0.21%
78TALPHERA INCTLPH3,589,186$4.1M0.21%
79SIONNA THERAPEUTICS INCSION99,429$4.1M0.21%
80THERAVANCE BIOPHARMA INCTBPH208,771$3.9M0.20%
81ALKERMES PLCALKS139,228$3.9M0.20%
82APELLIS PHARMACEUTICALS INCAPLS150,500$3.8M0.19%
83INDIVIOR PLCINDV105,100$3.8M0.19%
84ERASCA INCERAS951,710$3.5M0.18%
85TANGO THERAPEUTICS INCTNGX386,915$3.4M0.18%
86OLEMA PHARMACEUTICALS INCOLMA98,240$2.5M0.13%
87CYTOKINETICS INCCYTK35,853$2.3M0.12%
88VAXCYTE INCPCVX47,000$2.2M0.11%
89NEUROGENE INCNGNE104,339$2.1M0.11%
90JASPER THERAPEUTICS INCJSPRW1,100,726$2.0M0.10%
91ROIVANT SCIENCES LTDROIV88,750$1.9M0.10%
92CORCEPT THERAPEUTICS INCCORT50,250$1.7M0.09%
93ACADIA HEALTHCARE COMPANY INACHC120,000$1.7M0.09%
94TEVA PHARMACEUTICAL INDS LTD88162420945,500$1.4M0.07%
95NEWAMSTERDAM PHARMA COMPANYNAMSW31,600$1.1M0.06%
96MOONLAKE IMMUNOTHERAPEUTICSMLTX61,700$813,2060.04%
97LEGEND BIOTECH CORPLEGN33,800$734,8120.04%
98JAZZ PHARMACEUTICALS PLCJAZZ1,750$297,5000.02%
99NUVATION BIO INCNUVB134,028$44,2290.00%