Vault-13

ORACLE INVESTMENT MANAGEMENT INC

GREENWICH, CT · CIK 1012622 · 13F filing filed 2026-02-18

Exempt reporting adviser since 2023 · corporation

As an employer

$152.6m reported value +6.5% vs Q3 2025
17positions
98.0%in top 10
6 new 4 added 2 reduced 5 sold out vs Q3 2025

Options: 5 call positions ($15.3m notional), 0 put positions (— notional) – listed below, not included above.

Holdings, Q4 2025

The small lines show how much was held over the last 4 quarters (adjusted for stock splits).

#SecurityTickerShares Value% of portfolioChangeShares change
1 GENEDX HOLDINGS CORP COM CL A WGS WGS 884,654 $115.1m75.40% 75.40% ReducedShares held: Q1 2025 970.0k, Q2 2025 922.5k, Q3 2025 890.0k, Q4 2025 884.7k -5.3k -5,300 -0.6%
2 ARDELYX INC COM ARDX ARDX 1,872,624 $10.9m7.15% 7.15% AddedShares held: Q1 2025 2.4m, Q2 2025 1.4m, Q3 2025 1.5m, Q4 2025 1.9m +368.8k +368,798 24.5%
3 BIOHAVEN LTD COM BHVN BHVN 772,181 $8.7m5.71% 5.71% AddedShares held: Q1 2025 665.9k, Q2 2025 673.2k, Q3 2025 740.0k, Q4 2025 772.2k +32.2k +32,195 4.3%
4 QUIDELORTHO CORP COM QDEL QDEL 118,291 $3.4m2.21% 2.21% UnchangedShares held: Q1 2025 118.3k, Q2 2025 118.3k, Q3 2025 118.3k, Q4 2025 118.3k
5 FORIAN INC COM COM 1,366,107 $2.9m1.90% 1.90% UnchangedShares held: Q1 2025 1.4m, Q2 2025 1.4m, Q3 2025 1.4m, Q4 2025 1.4m
6 PERSONALIS INC COM PSNL PSNL 339,343 $2.7m1.77% 1.77% AddedShares held: Q1 2025 0, Q2 2025 0, Q3 2025 229.4k, Q4 2025 339.3k +109.9k +109,908 47.9%
7 TELADOC HEALTH INC COM TDOC TDOC 354,338 $2.5m1.63% 1.63% ReducedShares held: Q1 2025 565.9k, Q2 2025 381.0k, Q3 2025 705.4k, Q4 2025 354.3k -351.1k -351,078 -49.8%
8 TAYSHA GENE THERAPIES INC COM SHS TSHA TSHA 265,000 $1.5m0.96% 0.96% NewShares held: Q1 2025 0, Q2 2025 0, Q3 2025 0, Q4 2025 265.0k
9 CAVA GROUP INC COM CAVA CAVA 17,100 $1.0m0.66% 0.66% UnchangedShares held: Q1 2025 18.6k, Q2 2025 18.6k, Q3 2025 17.1k, Q4 2025 17.1k
10 EDGEWISE THERAPEUTICS INC COM EWTX EWTX 38,343 $951.5k0.62% 0.62% NewShares held: Q1 2025 0, Q2 2025 0, Q3 2025 0, Q4 2025 38.3k
11 DAY ONE BIOPHARMACEUTICALS I COM COM 100,000 $932.0k0.61% 0.61% NewShares held: Q1 2025 0, Q2 2025 0, Q3 2025 0, Q4 2025 100.0k
12 ARK ETF TR GENOMIC REV ETF ARKG ARKG 19,500 $564.9k0.37% 0.37% NewShares held: Q1 2025 0, Q2 2025 0, Q3 2025 0, Q4 2025 19.5k
13 SANGAMO THERAPEUTICS INC COM SGMOQ SGMOQ 1,035,742 $435.0k0.29% 0.29% AddedShares held: Q1 2025 0, Q2 2025 0, Q3 2025 1.0m, Q4 2025 1.0m +31.0k +31,018 3.1%
14 BIOGEN INC COM BIIB BIIB 2,412 $424.5k0.28% 0.28% UnchangedShares held: Q1 2025 2.4k, Q2 2025 2.4k, Q3 2025 2.4k, Q4 2025 2.4k
15 TEMPUS AI INC CL A TEM TEM 6,507 $384.2k0.25% 0.25% NewShares held: Q1 2025 0, Q2 2025 0, Q3 2025 0, Q4 2025 6.5k
16 TESLA INC COM TSLA TSLA 500 $224.9k0.15% 0.15% UnchangedShares held: Q1 2025 0, Q2 2025 0, Q3 2025 500, Q4 2025 500
17 HERTZ GLOBAL HLDGS INC COM NEW HTZ HTZ 15,000 $77.1k0.05% 0.05% NewShares held: Q1 2025 0, Q2 2025 0, Q3 2025 0, Q4 2025 15.0k

Sold out since Q3 2025

SecurityTickerShares held beforeValue then
PALANTIR TECHNOLOGIES INC PLTR PLTR 29,500 $5.4m29.5k shares
CENTENE CORP DEL CNC CNC 110,300 $3.9m110.3k shares
NOVAVAX INC NVAX NVAX 243,000 $2.1m243.0k shares
KRANESHARES TRUST KOID KOID 22,400 $718.6k22.4k shares
BIODESIX INC BDSX BDSX 15,000 $113.2k15.0k shares

Options (notional value)

UnderlyingTickerTypeShares controlled NotionalChange
TELADOC HEALTH INC TDOC · Call TDOCCall 650,000 $4.5m650.0k shares Added
NOVAVAX INC NVAX 5 12.15.27 · Call NVAX 5 12.15.27Call 600,000 $4.0m600.0k shares New
ARDELYX INC ARDX · Call ARDXCall 600,000 $3.5m600.0k shares Reduced
BIOHAVEN LTD BHVN · Call BHVNCall 232,900 $2.6m232.9k shares Reduced
PFIZER INC PFE · Call PFECall 25,000 $622.5k25.0k shares New