Vault-13

Sivik Global Healthcare LLC

GREENWICH, CT · CIK 1596452 · 13F filing filed 2025-07-25

SEC-registered investment adviser since 2014 · limited liability company

$223.6m reported value +22.2% vs Q1 2025
38positions
46.7%in top 10
10 new 17 added 7 reduced 1 sold out vs Q1 2025

Options: 0 call positions (— notional), 8 put positions ($144.0m notional) – listed below, not included above.

Holdings, Q2 2025

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

#SecurityTickerShares Value% of portfolioChangeShares change
1 SPDR SER TR S&P BIOTECH XBI XBI 250,000 $20.7m9.27% 9.27% UnchangedShares held: Q3 2024 300.0k, Q4 2024 200.0k, Q1 2025 250.0k, Q2 2025 250.0k
2 TENET HEALTHCARE CORP COM NEW THC THC 85,000 $15.0m6.69% 6.69% AddedShares held: Q3 2024 65.0k, Q4 2024 55.0k, Q1 2025 70.0k, Q2 2025 85.0k +15.0k +15,000 21.4%
3 HCA HEALTHCARE INC COM HCA HCA 25,000 $9.6m4.28% 4.28% UnchangedShares held: Q3 2024 20.0k, Q4 2024 20.0k, Q1 2025 25.0k, Q2 2025 25.0k
4 MCKESSON CORP COM MCK MCK 13,000 $9.5m4.26% 4.26% AddedShares held: Q3 2024 20.0k, Q4 2024 15.0k, Q1 2025 11.0k, Q2 2025 13.0k +2.0k +2,000 18.2%
5 UNIVERSAL HLTH SVCS INC CL B UHS UHS 52,500 $9.5m4.25% 4.25% AddedShares held: Q3 2024 45.0k, Q4 2024 37.5k, Q1 2025 32.5k, Q2 2025 52.5k +20.0k +20,000 61.5%
6 BOSTON SCIENTIFIC CORP COM BSX BSX 80,000 $8.6m3.84% 3.84% ReducedShares held: Q3 2024 105.0k, Q4 2024 110.0k, Q1 2025 100.0k, Q2 2025 80.0k -20.0k -20,000 -20.0%
7 ELI LILLY & CO COM LLY LLY 11,000 $8.6m3.84% 3.84% AddedShares held: Q3 2024 14.5k, Q4 2024 15.0k, Q1 2025 9.0k, Q2 2025 11.0k +2.0k +2,000 22.2%
8 DANAHER CORPORATION COM DHR DHR 40,000 $7.9m3.53% 3.53% AddedShares held: Q3 2024 30.0k, Q4 2024 25.0k, Q1 2025 35.0k, Q2 2025 40.0k +5.0k +5,000 14.3%
9 CARDINAL HEALTH INC COM CAH CAH 45,000 $7.6m3.38% 3.38% ReducedShares held: Q3 2024 45.0k, Q4 2024 50.0k, Q1 2025 50.0k, Q2 2025 45.0k -5.0k -5,000 -10.0%
10 STRYKER CORPORATION COM SYK SYK 19,000 $7.5m3.36% 3.36% AddedShares held: Q3 2024 27.0k, Q4 2024 20.0k, Q1 2025 17.5k, Q2 2025 19.0k +1.5k +1,500 8.6%
11 CENCORA INC COM COR COR 25,000 $7.5m3.35% 3.35% UnchangedShares held: Q3 2024 25.0k, Q4 2024 25.0k, Q1 2025 25.0k, Q2 2025 25.0k
12 INTUITIVE SURGICAL INC COM NEW ISRG ISRG 13,000 $7.1m3.16% 3.16% ReducedShares held: Q3 2024 17.5k, Q4 2024 0, Q1 2025 14.0k, Q2 2025 13.0k -1.0k -1,000 -7.1%
13 MEDTRONIC PLC SHS MDT MDT 80,000 $7.0m3.12% 3.12% AddedShares held: Q3 2024 60.0k, Q4 2024 0, Q1 2025 75.0k, Q2 2025 80.0k +5.0k +5,000 6.7%
14 NOVO-NORDISK A S ADR NVO NVO 100,000 $6.9m3.09% 3.09% AddedShares held: Q3 2024 90.0k, Q4 2024 70.0k, Q1 2025 70.0k, Q2 2025 100.0k +30.0k +30,000 42.9%
15 HUMANA INC COM HUM HUM 27,000 $6.6m2.95% 2.95% AddedShares held: Q3 2024 10.0k, Q4 2024 20.0k, Q1 2025 23.0k, Q2 2025 27.0k +4.0k +4,000 17.4%
16 WATERS CORP COM WAT WAT 18,000 $6.3m2.81% 2.81% AddedShares held: Q3 2024 0, Q4 2024 14.0k, Q1 2025 17.0k, Q2 2025 18.0k +1.0k +1,000 5.9%
17 GILEAD SCIENCES INC COM GILD GILD 50,000 $5.5m2.48% 2.48% AddedShares held: Q3 2024 0, Q4 2024 0, Q1 2025 40.0k, Q2 2025 50.0k +10.0k +10,000 25.0%
18 THE CIGNA GROUP COM CI CI 16,500 $5.5m2.44% 2.44% AddedShares held: Q3 2024 0, Q4 2024 12.0k, Q1 2025 12.5k, Q2 2025 16.5k +4.0k +4,000 32.0%
19 ABBOTT LABS COM ABT ABT 39,200 $5.3m2.38% 2.38% ReducedShares held: Q3 2024 60.0k, Q4 2024 50.0k, Q1 2025 45.0k, Q2 2025 39.2k -5.8k -5,800 -12.9%
20 AGILENT TECHNOLOGIES INC COM A A 45,000 $5.3m2.38% 2.38% ReducedShares held: Q3 2024 0, Q4 2024 35.0k, Q1 2025 50.0k, Q2 2025 45.0k -5.0k -5,000 -10.0%
21 UNITEDHEALTH GROUP INC COM UNH UNH 15,000 $4.7m2.09% 2.09% AddedShares held: Q3 2024 0, Q4 2024 12.5k, Q1 2025 5.0k, Q2 2025 15.0k +10.0k +10,000 200.0%
22 SELECT MED HLDGS CORP COM SEM SEM 300,000 $4.6m2.04% 2.04% AddedShares held: Q3 2024 140.0k, Q4 2024 150.0k, Q1 2025 200.0k, Q2 2025 300.0k +100.0k +100,000 50.0%
23 QUEST DIAGNOSTICS INC COM DGX DGX 25,000 $4.5m2.01% 2.01% NewShares held: Q3 2024 0, Q4 2024 0, Q1 2025 0, Q2 2025 25.0k
24 REVVITY INC COM RVTY RVTY 45,000 $4.4m1.95% 1.95% NewShares held: Q3 2024 40.0k, Q4 2024 0, Q1 2025 0, Q2 2025 45.0k
25 BIO RAD LABS INC CL A BIO BIO 18,000 $4.3m1.94% 1.94% NewShares held: Q3 2024 0, Q4 2024 10.0k, Q1 2025 0, Q2 2025 18.0k
26 SMITH & NEPHEW PLC SPDN ADR NEW SNN SNN 140,000 $4.3m1.92% 1.92% AddedShares held: Q3 2024 140.0k, Q4 2024 125.0k, Q1 2025 120.0k, Q2 2025 140.0k +20.0k +20,000 16.7%
27 REPLIGEN CORP COM RGEN RGEN 30,000 $3.7m1.67% 1.67% NewShares held: Q3 2024 25.0k, Q4 2024 10.0k, Q1 2025 0, Q2 2025 30.0k
28 WEST PHARMACEUTICAL SVSC INC COM WST WST 15,000 $3.3m1.47% 1.47% AddedShares held: Q3 2024 17.0k, Q4 2024 0, Q1 2025 12.5k, Q2 2025 15.0k +2.5k +2,500 20.0%
29 ENCOMPASS HEALTH CORP COM EHC EHC 25,000 $3.1m1.37% 1.37% ReducedShares held: Q3 2024 50.0k, Q4 2024 45.0k, Q1 2025 51.6k, Q2 2025 25.0k -26.6k -26,600 -51.5%
30 AVANTOR INC COM AVTR AVTR 225,000 $3.0m1.35% 1.35% AddedShares held: Q3 2024 250.0k, Q4 2024 200.0k, Q1 2025 200.0k, Q2 2025 225.0k +25.0k +25,000 12.5%
31 ALIGN TECHNOLOGY INC COM ALGN ALGN 15,000 $2.8m1.27% 1.27% NewShares held: Q3 2024 0, Q4 2024 0, Q1 2025 0, Q2 2025 15.0k
32 SURGERY PARTNERS INC COM SGRY SGRY 125,000 $2.8m1.24% 1.24% UnchangedShares held: Q3 2024 230.0k, Q4 2024 200.0k, Q1 2025 125.0k, Q2 2025 125.0k
33 BAXTER INTL INC COM BAX BAX 75,000 $2.3m1.02% 1.02% ReducedShares held: Q3 2024 150.0k, Q4 2024 0, Q1 2025 175.0k, Q2 2025 75.0k -100.0k -100,000 -57.1%
34 COOPER COS INC COM COO COO 30,000 $2.1m0.95% 0.95% NewShares held: Q3 2024 0, Q4 2024 0, Q1 2025 0, Q2 2025 30.0k
35 ALNYLAM PHARMACEUTICALS INC COM ALNY ALNY 6,500 $2.1m0.95% 0.95% NewShares held: Q3 2024 0, Q4 2024 7.0k, Q1 2025 0, Q2 2025 6.5k
36 MADRIGAL PHARMACEUTICALS INC COM MDGL MDGL 5,000 $1.5m0.68% 0.68% NewShares held: Q3 2024 0, Q4 2024 0, Q1 2025 0, Q2 2025 5.0k
37 ARGENX SE SPONSORED ADR ARGX ARGX 2,500 $1.4m0.62% 0.62% NewShares held: Q3 2024 0, Q4 2024 0, Q1 2025 0, Q2 2025 2.5k
38 INSPIRE MED SYS INC COM INSP INSP 10,000 $1.3m0.58% 0.58% NewShares held: Q3 2024 0, Q4 2024 0, Q1 2025 0, Q2 2025 10.0k

Sold out since Q1 2025

SecurityTickerShares held beforeValue then
ASTRAZENECA PLC 70,000 $5.1m70.0k shares

Options (notional value)

UnderlyingTickerTypeShares controlled NotionalChange
PUT - SPY 100 @ 599 EXP 07/18/2025 Put Put 400 $24.0m400 shares New
PUT - SPY 100 @ 596 EXP 07/18/2025 Put Put 400 $23.8m400 shares New
PUT - SPY 100 @ 602 EXP 07/31/2025 Put Put 300 $18.1m300 shares New
PUT - SPY 100 @ 597 EXP 07/18/2025 Put Put 300 $17.9m300 shares New
PUT - SPY 100 @ 610 EXP 08/15/2025 Put Put 250 $15.2m250 shares New
PUT - SPY 100 @ 607 EXP 07/31/2025 Put Put 250 $15.2m250 shares New
PUT - SPY 100 @ 600 EXP 08/15/2025 Put Put 250 $15.0m250 shares New
PUT - SPY 100 @ 593 EXP 07/31/2025 Put Put 250 $14.8m250 shares New