Rock Springs Capital Management LP's Q2 2023 13F: 7 new positions, 4 exits

Form 13F-HR for the quarter ended Jun 30, 2023 · filed Aug 14, 2023 · 119 reported positions · accession 0001172661-23-003005

What changed this quarter

Rock Springs Capital Management LP's changes in reported equity positions, Q2 2023
Activity Security Weight before Weight now Change Shares Shares %
Exited PROMETHEUS BIOSCIENCES INC (RXDX) 2.6% — −2.6 pts −1.03M sh −100%
Reduced MADRIGAL PHARMACEUTICALS INC (MDGL) 2.0% 1.1% −0.9 pts −149K sh −43%
Reduced HORIZON THERAPEUTICS PUB L (HZNP) 1.9% 1.2% −0.7 pts −245K sh −33%
Reduced PENUMBRA INC (PEN) 2.9% 3.0% +0.1 pts −67,500 sh −16%
Increased HUMANA INC (HUM) 5.0% 5.0% +0.1 pts +43,500 sh +10%
Exited AMRYT PHARMA PLC (AMYT) 0.5% — −0.5 pts −1.33M sh −100%
Reduced UNITEDHEALTH GROUP INC (UNH) 3.1% 2.6% −0.4 pts −40,000 sh −15%
New BOSTON SCIENTIFIC CORP (BSX) — 0.3% +0.3 pts +268K sh new
New MERUS N V (MRUS) — 0.3% +0.3 pts +479K sh new
Reduced ALIGN TECHNOLOGY INC (ALGN) 2.0% 1.8% −0.1 pts −30,350 sh −12%
Reduced BIOMEA FUSION INC (BMEA) 1.0% 0.4% −0.5 pts −460K sh −35%
Increased BLUEPRINT MEDICINES CORP (BPMC) 2.2% 3.3% +1.1 pts +154K sh +8%
Exited VERVE THERAPEUTICS INC (VERV) 0.2% — −0.2 pts −559K sh −100%
Increased AGILON HEALTH INC (AGL) 4.5% 3.4% −1.1 pts +400K sh +5%
Reduced BIOHAVEN LTD (BHVN) 0.2% 0.2% 0.0 pts −284K sh −41%
Increased NEUROCRINE BIOSCIENCES INC (NBIX) 2.9% 2.9% −0.1 pts +69,400 sh +6%
Reduced IDEXX LABS INC (IDXX) 2.5% 2.3% −0.2 pts −13,000 sh −6%
Increased INSULET CORP (PODD) 4.1% 3.8% −0.3 pts +22,250 sh +4%
Increased KYMERA THERAPEUTICS INC (KYMR) 0.9% 0.8% −0.1 pts +259K sh +21%
Reduced ANAPTYSBIO INC (ANAB) 0.3% 0.2% −0.1 pts −235K sh −41%
Increased ZAI LAB LTD (ZLAB) 0.8% 0.8% 0.0 pts +163K sh +15%
Increased AKERO THERAPEUTICS INC (AKRO) 1.3% 1.7% +0.4 pts +96,500 sh +7%
Reduced CHINOOK THERAPEUTICS INC (KDNY) 0.3% 0.4% +0.1 pts −111K sh −22%
New KRYSTAL BIOTECH INC (KRYS) — 0.1% +0.1 pts +34,901 sh new
Increased ABCAM PLC (ABCZF) 0.7% 1.4% +0.7 pts +163K sh +7%
Increased TRAVERE THERAPEUTICS INC (TVTX) 0.7% 0.6% −0.1 pts +251K sh +20%
Increased ACADIA HEALTHCARE COMPANY IN (ACHC) 1.5% 1.7% +0.2 pts +47,132 sh +5%
Increased ACCOLADE INC (ACCD) 0.9% 0.9% 0.0 pts +275K sh +11%
Increased NEVRO CORP (NVRO) 0.9% 0.7% −0.2 pts +134K sh +12%
New LEAP THERAPEUTICS INC (CYPH) — 0.1% +0.1 pts +1.07M sh new
Reduced GAMIDA CELL LTD (GMDA) 0.0% 0.0% 0.0 pts −1.63M sh −70%
New ACELYRIN INC (SLRN) — 0.1% +0.1 pts +142K sh new
New BLACK DIAMOND THERAPEUTICS I (BDTX) — 0.1% +0.1 pts +563K sh new
Reduced MERSANA THERAPEUTICS INC (MRSN) 0.4% 0.3% −0.1 pts −701K sh −17%
Increased DISC MEDICINE INC (IRON) 0.2% 0.4% +0.2 pts +50,000 sh +16%
Increased ULTRAGENYX PHARMACEUTICAL IN (RARE) 1.3% 1.5% +0.2 pts +47,868 sh +4%
New IMMUNOGEN INC (IMGN) — 0.1% +0.1 pts +113K sh new
Increased MIRATI THERAPEUTICS INC (MRTX) 0.9% 1.0% 0.0 pts +56,386 sh +5%
Reduced SAREPTA THERAPEUTICS INC (SRPT) 1.5% 1.2% −0.3 pts −17,500 sh −4%
Increased AMYLYX PHARMACEUTICALS INC (AMLX) 1.0% 0.8% −0.2 pts +91,800 sh +6%
Increased AZENTA INC (AZTA) 0.5% 0.5% +0.1 pts +38,700 sh +9%
Reduced INVITAE CORP (NVTA) 0.1% 0.0% −0.1 pts −1.59M sh −49%
Increased IMMUNOCORE HLDGS PLC (IMCR) 3.5% 4.3% +0.8 pts +26,748 sh +1%
Exited LEAP THERAPEUTICS INC (LPTX) 0.0% — 0.0 pts −4.66M sh −100%
Increased EDAP TMS S A (EDAP) 0.3% 0.3% 0.0 pts +156K sh +15%
Increased INOZYME PHARMA INC (INZY) 0.4% 0.5% 0.0 pts +213K sh +7%
Increased BIOCRYST PHARMACEUTICALS INC (BCRX) 0.5% 0.4% 0.0 pts +163K sh +7%
Increased MEREO BIOPHARMA GROUP PLC (MREO) 0.1% 0.2% +0.1 pts +797K sh +13%
Increased AGIOS PHARMACEUTICALS INC (AGIO) 1.5% 1.8% +0.4 pts +24,562 sh +1%
Increased MIRUM PHARMACEUTICALS INC (MIRM) 1.0% 1.1% +0.1 pts +25,000 sh +1%

The 50 largest of 62 changes, by size of the trade. Full holdings for this quarter.

Reported by the fund in its Form 13F filed with the SEC; holdings are as of the quarter-end report date and may have changed since. For informational purposes only — not investment advice or a recommendation to buy or sell any security. FilingExplorer is not affiliated with or endorsed by this fund. How this brief is compiled

Top 10 positions — 34.4% of the equity book

Changes in the top 10 this quarter: BPMC entered · RXDX left

# Security Weight before Weight now
1 HUMANA INC (HUM) 5.0% 5.0%
2 IMMUNOCORE HLDGS PLC (IMCR) 3.5% 4.3%
3 INSULET CORP (PODD) 4.1% 3.8%
4 AGILON HEALTH INC (AGL) 4.5% 3.4%
5 BLUEPRINT MEDICINES CORP (BPMC) 2.2% 3.3% Entered the top 10
6 ARGENX SE (ARGX) 3.1% 3.3%
7 PENUMBRA INC (PEN) 2.9% 3.0%
8 NEUROCRINE BIOSCIENCES INC (NBIX) 2.9% 2.9%
9 EVOLENT HEALTH INC (EVH) 3.0% 2.7%
10 UNITEDHEALTH GROUP INC (UNH) 3.1% 2.6%
— PROMETHEUS BIOSCIENCES INC (RXDX) 2.6% 0.0% Left the top 10

Weights are each position's reported value as a share of the fund's reported equity positions (options and principal-amount holdings excluded).

Option positions (puts and calls)

Reported separately from the positions above. The value a 13F reports for an option is that of the underlying shares, not the option itself.

Activity Security Type Shares before Shares now Reported value
Exited 89BIO INC (ETNB) Call 165K 0 $0