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Braidwell

Braidwell Portfolio holdings

AUM $2.7B Turnover 43.12%
1-Year Est. Return 88.53%
 

Braidwell is a healthcare-focused investment firm that runs hedge funds and a private equity fund to build and back companies fighting disease. It was started in 2021 by Alex Karnal, its chief investment officer and a former co-portfolio manager at Deerfield Management, and Brian Kreiter, its chief executive and a former chief operating officer of Bridgewater Associates. They set it up to combine scientific research with systematic, technology-driven investing.

This Fund
S&P 500
This Quarter Est. Return
+10.55%
1 Year Est. Return
+88.53%
3 Year Est. Return
+96.53%
5 Year Est. Return
–
10 Year Est. Return
–
AUM
$3.37B
AUM Growth
+$446M
Cap. Flow
-$654M
Cap. Flow %
-19.4%
Top 10 Hldgs %
44.1%
Holding
79
New
25
Increased
8
Reduced
18
Closed
6
Avg Time Held
1 year
Top 10 Avg Time Held
0.8 years
Top 20 Avg Time Held
1 year

Sector Composition

Rank Sector Weight
1 Healthcare 73.36%
2 Miscellaneous 26.64%
Name Market Value Portfolio Weight Shares or Principal Change
in Stake
Capital Flow Held Since
CAI icon
1
Caris Life Sciences
CAI
$7.47B
$221M 6.57%
7,316,142
– –
2025 Q2
1 quarter
XENE icon
2
Xenon Pharmaceuticals
XENE
$3.65B
$145M 4.29%
3,605,029
– –
2022 Q4
11 quarters
CGON icon
3
CG Oncology
CGON
$5.74B
$132M 3.92%
3,283,317
– –
2024 Q1
6 quarters
NBIX icon
4
Neurocrine Biosciences
NBIX
$16.2B
$124M 3.67%
880,282
-280,143
-24% -$38M
2023 Q1
10 quarters
KRYS icon
5
Krystal Biotech
KRYS
$8.9B
$91.9M 2.73%
520,401
-207,410
-28% -$31M
2022 Q4
11 quarters
NUVL icon
6
DELISTED
Nuvalent
NUVL
$87.6M 2.6%
1,012,982
-162,894
-14% -$12.9M
2024 Q4
3 quarters
SLNO icon
7
DELISTED
Soleno Therapeutics
SLNO
$86.7M 2.57%
+1,281,989
New +$95M
2025 Q3
0 quarters
EWTX icon
8
Edgewise Therapeutics
EWTX
$4.26B
$84.5M 2.51%
5,210,831
– –
2024 Q3
4 quarters
INSP icon
9
Inspire Medical Systems
INSP
$1.93B
$65.6M 1.95%
883,747
+361,337
+69% +$36.6M
2023 Q3
8 quarters
GKOS icon
10
Glaukos
GKOS
$13B
$63.6M 1.89%
780,164
+176,750
+29% +$16.2M
2022 Q4
11 quarters
DHR icon
11
Danaher
DHR
$159B
$61.3M 1.82%
309,339
– –
2025 Q1
2 quarters
LEGN icon
12
Legend Biotech
LEGN
$4.38B
$59.6M 1.77%
1,826,155
-715,949
-28% -$26.4M
2022 Q4
11 quarters
ISRG icon
13
Intuitive Surgical
ISRG
$166B
$58.2M 1.73%
130,227
+40,627
+45% +$19.5M
2024 Q1
6 quarters
APGE icon
14
DELISTED
Apogee Therapeutics
APGE
$57.2M 1.7%
1,438,745
-39,767
-3% -$1.52M
2023 Q3
8 quarters
ARGX icon
15
argenx
ARGX
$56.3B
$56.1M 1.67%
76,091
-118,400
-61% -$78.1M
2023 Q4
7 quarters
TMO icon
16
Thermo Fisher Scientific
TMO
$251B
$55.3M 1.64%
113,933
-21,300
-16% -$9.9M
2024 Q4
3 quarters
ALGN icon
17
Align Technology
ALGN
$11.2B
$51.3M 1.52%
409,691
-87,039
-18% -$13.6M
2022 Q4
11 quarters
ACAD icon
18
Acadia Pharmaceuticals
ACAD
$3.66B
$50.8M 1.51%
+2,378,655
New +$56.3M
2025 Q3
0 quarters
HNGE icon
19
Hinge Health
HNGE
$9.36B
$44.7M 1.33%
+910,476
New +$47.6M
2025 Q3
0 quarters
SYRE icon
20
Spyre Therapeutics
SYRE
$9.17B
$43.2M 1.28%
2,578,404
– –
2023 Q4
7 quarters
TMDX icon
21
Transmedics
TMDX
$2.39B
$39.4M 1.17%
351,248
+96,200
+38% +$11.3M
2024 Q4
3 quarters
IRTC icon
22
iRhythm Holdings
IRTC
$4.29B
$38.8M 1.15%
225,845
-74,184
-25% -$11.8M
2022 Q4
11 quarters
PEN icon
23
Penumbra
PEN
$12.7B
$35.9M 1.06%
141,528
+11,900
+9% +$3M
2022 Q4
11 quarters
DYN icon
24
Dyne Therapeutics
DYN
$3.24B
$34.5M 1.02%
2,730,481
-542,868
-17% -$6.19M
2024 Q4
3 quarters
CVS icon
25
CVS Health
CVS
$104B
$33.1M 0.98%
+438,600
New +$30.1M
2025 Q3
0 quarters

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Braidwell's Q3 2025 Portfolio in Review

As of Q3 2025, Braidwell held 79 positions worth $3.37B, up 15% from $2.92B the previous quarter. Its ten largest holdings account for 44% of the portfolio.

Braidwell withdrew a net $654M in Q3 2025, closing 6 positions and reducing 18 holdings. Its most notable exit was Guardant Health, an estimated $43.6M position sold in full.

By sector, the portfolio is most concentrated in Healthcare at 73% of assets, up from 72% a quarter earlier, followed by Miscellaneous.

Against the trend, Braidwell opened a new position in Soleno Therapeutics worth $86.7M.

  • Braidwell's largest Q3 2025 buy was Soleno Therapeutics: 1,281,989 shares worth $86.7M.
  • Braidwell added most to Inspire Medical Systems in Q3 2025, an estimated $36.6M increase.
  • Braidwell's biggest Q3 2025 reduction was argenx, cutting an estimated $78.1M.
  • Braidwell fully exited Guardant Health in Q3 2025, selling an estimated $43.6M.
  • Braidwell's ten largest holdings make up 44% of its $3.37B portfolio in Q3 2025.
  • Braidwell opened 25 new positions and closed 6 in Q3 2025.
  • Braidwell's portfolio value rose 15% quarter-over-quarter to $3.37B.

Based on Braidwell's 13F filing for Q3 2025, filed 14 Nov 2025.