CIK: 0001993440
Total reported value
$934.7M
Reporting period: 2026-06-30 · Number of holdings: 31
First Turn Management, LLC disclosed 31 holdings in its latest 13F filing for the period ending 2026-06-30, with total reported value of $934.7M and a quarterly turnover rate of 65.2%.
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First Turn Management, LLC's disclosed holdings carry a Herfindahl concentration index of 0.042 — mathematically equivalent to about 24 equally-sized positions, close to its 31 actual disclosed holdings. Value is spread relatively evenly across the portfolio rather than concentrated in a handful of names.
Position sizes are fairly uniform across the portfolio (a coefficient of variation of 0.56), suggesting a disciplined, rules-based approach to how much capital goes into each idea.
No strong tilt toward either adding to existing winners or initiating outsized new positions was observed in the latest reported quarter.
Sector classification currently covers about 37% of this portfolio's disclosed value; the remainder includes holdings (e.g. unmapped tickers, options, or other security types) not yet covered by our sector mapping.
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Trim NUVL
-92.9% -$34.7M
Sold out IDYA
Add RVMD
-11.3% $32.2M
New buy K08588103
Trim APGE
-73.0% -$24.8M
New buy PCVX
| # | Ticker | Issuer | Asset Subclass | Weight | Weight Change | Shares Change | 4Q Trend |
|---|---|---|---|---|---|---|---|
| 1 | RVMD | Revolution Medicines Inc | Stock-Healthcare | 8.32% | +3.23% | -11.33% | |
| 2 | ABVX | Abivax Sa-adr | Stock-Other | 6.98% | +1.18% | +5.16% | |
| 3 | AXSM | Axsome Therapeutics Inc | Stock-Healthcare | 5.72% | +2.16% | +15.70% | |
| 4 | ELVN | Enliven Therapeutics Inc | Stock-Other | 5.18% | +2.45% | +52.98% | |
| 5 | BBIO | Bridgebio Pharma Inc | Stock-Healthcare | 5.05% | -0.72% | -8.96% | |
| 6 | ROIV | Roivant Sciences Ltd. | Stock-Healthcare | 5.04% | +1.36% | +11.84% | |
| 7 | UTHR | United Therapeutics CORP | Stock-Healthcare | 4.92% | -2.02% | -18.90% | |
| 8 | CYTK | Cytokinetics Inc | Stock-Healthcare | 4.81% | +2.72% | +85.90% | |
| 9 | XENE | Xenon Pharmaceuticals Inc | Stock-Other | 3.88% | -1.23% | -23.72% | |
| 10 | CELC | Celcuity Inc | Stock-Other | 3.68% | +0.99% | +56.28% | |
| 11 | VRDN | Viridian Therapeutics Inc | Stock-Other | 3.28% | +1.29% | +83.25% | |
| 12 | INSM | Insmed Inc | Stock-Healthcare | 3.01% | -1.53% | +6.19% | |
| 13 | QURE | uniQure N.V. | Stock-Other | 3.00% | +1.88% | -1.07% | |
| 14 | ✓ | Ascendis Pharma A/s | Stock-Other | 2.99% | +2.99% | NEW | |
| 15 | PRAX | Praxis Precision Medicines I | Stock-Other | 2.99% | +1.46% | +96.81% | |
| 16 | DNTH | Dianthus Therapeutics Inc | Stock-Other | 2.98% | +0.91% | +29.35% | |
| 17 | PCVX | Vaxcyte Inc | Stock-Other | 2.76% | +2.76% | NEW | |
| 18 | MIRM | Mirum Pharmaceuticals Inc | Stock-Other | 2.73% | -1.40% | -45.55% | |
| 19 | PVLA | Palvella Therapeutics Inc | Stock-Other | 2.56% | +0.50% | +5.64% | |
| 20 | COGT | Cogent Biosciences Inc | Stock-Other | 2.49% | -1.58% | -36.42% | |
| 21 | ERAS | Erasca Inc | Stock-Other | 2.39% | +0.82% | +40.81% | |
| 22 | ORIC | Oric Pharmaceuticals Inc | Stock-Other | 2.34% | -0.52% | — | |
| 23 | NAMS | NewAmsterdam Pharma Company N.V. | Stock-Other | 2.11% | +0.11% | +4.33% | |
| 24 | APGE | Apogee Therapeutics Inc | Stock-Other | 1.97% | -2.86% | -72.98% | |
| 25 | RYTM | Rhythm Pharmaceuticals Inc | Stock-Other | 1.83% | +1.83% | NEW | |
| 26 | INBX | Inhibrx Biosciences Inc | Stock-Other | 1.67% | +1.67% | NEW | |
| 27 | SRRK | Scholar Rock Holding CORP | Stock-Other | 1.60% | -0.85% | -39.24% | |
| 28 | ORKA | Oruka Therapeutics Inc | Stock-Other | 1.58% | +1.58% | NEW | |
| 29 | KYMR | Kymera Therapeutics Inc | Stock-Other | 1.26% | -1.11% | -59.74% | |
| 30 | SION | Sionna Therapeutics Inc | Stock-Other | 0.52% | +0.52% | NEW | |
| 31 | NUVL | Nuvalent Inc-a | Stock-Other | 0.35% | -3.89% | -92.90% |
Performance for Q3 2026
+12.3%
Performance Last 4 Quarters
+54.6%
First Turn Management, LLC's most significant position changes for 2026-06-30: Sold out: Ideaya Biosciences Inc (IDYA); New buy: Ascendis Pharma A/s; New buy: Vaxcyte Inc (PCVX); Sold out: Ascendis Pharma A/S (ASND); Sold out: Fulcrum Therapeutics Inc (FULC).
| # | Ticker | Issuer | Weight Change | Shares Change | Action |
|---|---|---|---|---|---|
| 1 | RVMD | Revolution Medicines Inc | +3.2% | -11.33% | Trim |
| 2 | ✓ | Ascendis Pharma A/s | +3% | NEW | New buy |
| 3 | PCVX | Vaxcyte Inc | +2.8% | NEW | New buy |
| 4 | CYTK | Cytokinetics Inc | +2.7% | +85.90% | Add |
| 5 | ELVN | Enliven Therapeutics Inc | +2.5% | +52.98% | Add |
| 6 | AXSM | Axsome Therapeutics Inc | +2.2% | +15.70% | Add |
| 7 | QURE | uniQure N.V. | +1.9% | -1.07% | Trim |
| 8 | RYTM | Rhythm Pharmaceuticals Inc | +1.8% | NEW | New buy |
| 9 | INBX | Inhibrx Biosciences Inc | +1.7% | NEW | New buy |
| 10 | ORKA | Oruka Therapeutics Inc | +1.6% | NEW | New buy |
| 11 | PRAX | Praxis Precision Medicines I | +1.5% | +96.81% | Add |
| 12 | ROIV | Roivant Sciences Ltd. | +1.4% | +11.84% | Add |
| 13 | VRDN | Viridian Therapeutics Inc | +1.3% | +83.25% | Add |
| 14 | ABVX | Abivax Sa-adr | +1.2% | +5.16% | Add |
| 15 | CELC | Celcuity Inc | +1% | +56.28% | Add |
| 16 | DNTH | Dianthus Therapeutics Inc | +0.9% | +29.35% | Add |
| 17 | ERAS | Erasca Inc | +0.8% | +40.81% | Add |
| 18 | SION | Sionna Therapeutics Inc | +0.5% | NEW | New buy |
| 19 | PVLA | Palvella Therapeutics Inc | +0.5% | +5.64% | Add |
| 20 | NAMS | NewAmsterdam Pharma Company N.V. | +0.1% | +4.33% | Add |
| 21 | ORIC | Oric Pharmaceuticals Inc | -0.5% | — | Unchanged |
| 22 | MLTX | Moonlake Immunotherapeutics | -0.7% | EXIT | Sold out |
| 23 | BBIO | Bridgebio Pharma Inc | -0.7% | -8.96% | Trim |
| 24 | SRRK | Scholar Rock Holding CORP | -0.9% | -39.24% | Trim |
| 25 | KYMR | Kymera Therapeutics Inc | -1.1% | -59.74% | Trim |
| 26 | XENE | Xenon Pharmaceuticals Inc | -1.2% | -23.72% | Trim |
| 27 | OLMA | Olema Pharmaceuticals Inc | -1.3% | EXIT | Sold out |
| 28 | MIRM | Mirum Pharmaceuticals Inc | -1.4% | -45.55% | Trim |
| 29 | INSM | Insmed Inc | -1.5% | +6.19% | Add |
| 30 | COGT | Cogent Biosciences Inc | -1.6% | -36.42% | Trim |
| 31 | NTRA | Natera Inc | -1.8% | EXIT | Sold out |
| 32 | VERA | Vera Therapeutics Inc | -1.9% | EXIT | Sold out |
| 33 | 430 | Terns Pharmaceuticals Inc | -1.9% | EXIT | Sold out |
| 34 | FULC | Fulcrum Therapeutics Inc | -1.9% | EXIT | Sold out |
| 35 | ASND | Ascendis Pharma A/S | -2% | EXIT | Sold out |
| 36 | UTHR | United Therapeutics CORP | -2% | -18.90% | Trim |
| 37 | APGE | Apogee Therapeutics Inc | -2.9% | -72.98% | Trim |
| 38 | IDYA | Ideaya Biosciences Inc | -3.3% | EXIT | Sold out |
| 39 | NUVL | Nuvalent Inc-a | -3.9% | -92.90% | Trim |
First Turn Management, LLC returned an annualized 18.5% over the trailing 30 months — outperforming the S&P 500 by 7.7 points — based on a reconstructed track record of its disclosed 13F positions, with a beta of 0.64 (less volatile than the market) and a 43% quarterly batting average against the index.
Its portfolio is broadly diversified and fast-trading, with 100.0% of the portfolio concentrated in Health Care.
Its turnover score has risen from 0 to 65 over the past 4 quarters — a shift toward more active trading.
It has added to its ROIV position over the past two quarters (+$21.4M, now $47.1M), while trimming INSM over the same stretch (-$17.9M, still holding $28.1M).
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