CIK: 0001704132
Total reported value
$290.2M
Reporting period: 2026-06-30 · Number of holdings: 6
Foresite Capital Management IV, LLC disclosed 6 holdings in its latest 13F filing for the period ending 2026-06-30, with total reported value of $290.2M and a quarterly turnover rate of 42.2%.
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Foresite Capital Management IV, LLC's disclosed holdings carry a Herfindahl concentration index of 0.384 — mathematically equivalent to about 3 equally-sized positions, well below its 6 actual disclosed holdings. That gap points to a strategy built around a small core of high-conviction bets rather than broad diversification.
Position sizes vary widely across the portfolio (a coefficient of variation of 1.25), with a handful of outsized bets alongside many smaller positions.
Recent activity leans toward adding more aggressively to already-large existing positions than to newly initiated ones (a 7.2 percentage-point tilt) — a pattern consistent with a momentum-following approach.
Sector classification currently covers about 21% 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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Add CYTK
+42.0% $27.7M
Sold out LYEL
Add RLAY
+25.0% $13.4M
Sold out ALEC
Sold out MAZE
New buy CRNX
| # | Ticker | Issuer | Asset Subclass | Weight | Weight Change | Shares Change | 4Q Trend |
|---|---|---|---|---|---|---|---|
| 1 | PHVS | Pharvaris N.V. | Stock-Other | 56.95% | +0.01% | — | |
| 2 | CYTK | Cytokinetics Inc | Stock-Healthcare | 20.98% | +6.99% | +42.00% | |
| 3 | EIKN | Eikon Therapeutics Inc | Stock-Other | 8.74% | +0.07% | — | |
| 4 | RLAY | Relay Therapeutics Inc | Stock-Other | 8.06% | +3.86% | +25.00% | |
| 5 | XENE | Xenon Pharmaceuticals Inc | Stock-Other | 3.33% | -0.59% | — | |
| 6 | CRNX | Crinetics Pharmaceuticals In | Stock-Other | 1.93% | +1.93% | NEW |
Performance for Q3 2026
+10.6%
Performance Last 4 Quarters
+88.5%
| Period | Holdings | Total value | Stability | Top holdings | |
|---|---|---|---|---|---|
| 2026 Q2 | 6 | $290.2M | 42 | ||
| 2026 Q1 | 8 | $237.1M | 25 | ||
| 2025 Q4 | 7 | $229.7M | 23 | ||
| 2025 Q3 | 6 | $182.6M | 80 | ||
| 2025 Q2 | 6 | $123.8M | 0 | ||
| 2025 Q1 | 5 | $111.1M | 100 | ||
| 2024 Q4 | 4 | $108.8M | 0 | ||
| 2024 Q3 | 5 | $153.0M | 0 | ||
| 2024 Q2 | 4 | $148.8M | 0 | ||
| 2024 Q1 | 5 | $197.9M | 0 | ||
| 2023 Q4 | 5 | $197.9M | 0 | ||
| 2023 Q3 | 7 | $180.0M | 0 | ||
| 2023 Q2 | 7 | $203.4M | 0 | ||
| 2023 Q1 | 8 | $192.7M | 0 | ||
| 2022 Q4 | 8 | $234.1M | 0 | ||
| 2022 Q3 | 8 | $311.0M | 0 | ||
| 2022 Q2 | 8 | $371.4M | 0 | ||
| 2022 Q1 | 9 | $357.4M | 0 | ||
| 2021 Q4 | 9 | $486.0M | 0 | ||
| 2021 Q3 | 12 | $679.1M | 0 | ||
| 2021 Q2 | 13 | $739.8M | 100 | ||
| 2021 Q1 | 13 | $834.8M | 49 | ||
| 2020 Q4 | 13 | $920.6M | 89 | ||
| 2020 Q3 | 15 | $443.5M | 91 | ||
| 2020 Q2 | 12 | $205.3M | 100 | ||
| 2020 Q1 | 11 | $81.1M | 100 | ||
| 2019 Q4 | 14 | $231.8M | 75 | ||
| 2019 Q3 | 19 | $309.4M | 38 | ||
| 2019 Q2 | 22 | $353.8M | 65 | ||
| 2019 Q1 | 16 | $278.3M | 56 | ||
| 2018 Q4 | 18 | $217.9M | 57 | ||
| 2018 Q3 | 21 | $305.0M | 30 | ||
| 2018 Q2 | 17 | $293.4M | 57 | ||
| 2018 Q1 | 18 | $241.2M | 56 | ||
| 2017 Q4 | 13 | $142.7M | 0 |
Foresite Capital Management IV, LLC's most significant position changes for 2026-06-30: Sold out: Lyell Immunopharma Inc (LYEL); Sold out: Alector Inc (ALEC); New buy: Crinetics Pharmaceuticals In (CRNX); Sold out: Maze Therapeutics Inc (MAZE); Add: Cytokinetics Inc (CYTK) — shares +42.00%.
| # | Ticker | Issuer | Weight Change | Shares Change | Action |
|---|---|---|---|---|---|
| 1 | CYTK | Cytokinetics Inc | +7% | +42.00% | Add |
| 2 | RLAY | Relay Therapeutics Inc | +3.9% | +25.00% | Add |
| 3 | CRNX | Crinetics Pharmaceuticals In | +1.9% | NEW | New buy |
| 4 | EIKN | Eikon Therapeutics Inc | +0.1% | — | Unchanged |
| 5 | PHVS | Pharvaris N.V. | 0% | — | Unchanged |
| 6 | XENE | Xenon Pharmaceuticals Inc | -0.6% | — | Unchanged |
| 7 | MAZE | Maze Therapeutics Inc | -2% | EXIT | Sold out |
| 8 | ALEC | Alector Inc | -3.5% | EXIT | Sold out |
| 9 | LYEL | Lyell Immunopharma Inc | -6.8% | EXIT | Sold out |
Foresite Capital Management IV, LLC returned an annualized -9.1% over the trailing 36 months — underperforming the S&P 500 by 19.5 points — based on a reconstructed track record of its disclosed 13F positions, with a beta of 1.22 (more volatile than the market) and a 47% quarterly batting average against the index.
Its portfolio is concentrated and moderately active, with 100.0% of the portfolio concentrated in Health Care.
Its turnover score has risen from 0 to 42 over the past 4 quarters — a shift toward more active trading.
It has added to its PHVS position for two straight quarters, increasing it by $32.6M to reach $165.2M.
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