SEC 13F Intelligence

Managers / Q4 2025 · view latest →

Krensavage Asset Management, LLC

CIK 0001609251 · 610 FIFTH AVENUE, SUITE 301, NEW YORK, NY, 10020 · 212-888-1582

Reported Value
$283M
Q4 2025
Positions
18
Filings on Record
32
2019–present window
Filed
Feb 18, 2026
original filing

Summary

Krensavage Asset Management, LLC reported $283M in U.S.-listed holdings across 18 positions for Q4 2025.

Its largest position, UTHR, represents 15.7% of the portfolio.

Compared with Q3 2025, the fund opened 1 new position and exited 0.

Portfolio Metrics

Turnover
+4.6%
vs prior filed quarter
Top-10 Concentration
+87.1%
share of reported value
Largest Position
+15.7%
United Therapeutics

Methodology: turnover is min(value bought, value sold) ÷ average reported value across the two quarters — value-based, so market moves inflate it slightly versus a share-based measure. Concentration and largest position are shares of the filing’s total reported value, options excluded, with multiple share classes and repeated sub-manager rows for the same issuer combined into one position — the same rule the holdings table uses by default. New/exited counts compare against the prior filed quarter. All figures derive solely from the fund’s 13F filings.

Reported Value by Quarter

13F Reported Value
Q1 ’19: $370MQ1 ’19Q2 ’19: $308MQ3 ’19: $260MQ4 ’19: $293MQ1 ’20: $311MQ1 ’20Q2 ’20: $368MQ3 ’20: $314MQ4 ’20: $342MQ1 ’21: $289MQ1 ’21Q2 ’21: $295MQ3 ’21: $319MQ4 ’21: $288MQ1 ’22: $290MQ1 ’22Q2 ’22: $302MQ3 ’22: $314MQ4 ’22: $324MQ1 ’23: $329MQ1 ’23Q2 ’23: $316MQ3 ’23: $272MQ4 ’23: $282MQ1 ’24: $226MQ1 ’24Q2 ’24: $218MQ3 ’24: $178MQ4 ’24: $169MQ1 ’25: $181MQ1 ’25Q2 ’25: $189MQ3 ’25: $235MQ4 ’25: $283MQ1 ’26: $256MQ1 ’26filingsflow.com

Portfolio Composition

By security type
Common Stock: 78.6%Other: 10.8%ADR: 10.6%
  • Common Stock · 78.6% · $223M
  • Other · 10.8% · $31M
  • ADR · 10.6% · $30M

Quarter-over-Quarter Changes full breakdown →

vs Q3 2025 (amended baseline)

IssuerMoveShare ΔShares nowValue ΔValue now
RAREULTRAGENYX PHARMACEUTICAL INNEW+149.6K149.6K+$3M$3M
GSKGSK PLC-SPON ADRTRIMMED175.0K96.7K$7M$5M
ALKSALKERMES PLCTRIMMED100.0K107.8K$3M$3M
ENTAENANTA PHARMACEUTICALS INCADDED+651.9K2.77M+$18M$44M
BMRNBIOMARIN PHARMACEUTICAL INCADDED+119.3K524.8K+$9M$31M
BNTXBIONTECH SE-ADRADDED+20.2K99.5K+$2M$9M
SUPNSUPERNUS PHARMACEUTICALS INCTRIMMED50.0K313.5K$2M$16M
AVADEL PHARMACEUTICALSTRIMMED100.0K855.9K+$4M$18M

Value changes conflate price moves with buying and selling — share changes are the real signal. Share counts are not split-adjusted.

Holdings — Q4 2025

18 positions
#IssuerClass% PortfolioValueShares
1UTHRUNITED THERAPEUTICS CORPhistory →COM15.71%$44M91.3K
2ENTAENANTA PHARMACEUTICALS INChistory →COM15.41%$44M2.77M
3BMRNBIOMARIN PHARMACEUTICAL INChistory →COM11.02%$31M524.8K
4JAZZJAZZ PHARMACEUTICALS PLChistory →COM10.08%$29M167.8K
5EXELEXELIXIS INChistory →COM7.64%$22M493.5K
6AVADEL PHARMACEUTICALSCOM6.51%$18M855.9K
7SNYSANOFI-ADRhistory →COM5.54%$16M323.9K
8SUPNSUPERNUS PHARMACEUTICALS INChistory →COM5.50%$16M313.5K
9CAHCARDINAL HEALTH INChistory →COM5.35%$15M73.7K
10INDIVIOR PLCCOM4.30%$12M339.5K
11VNDAVANDA PHARMACEUTICALS INChistory →COM3.68%$10M1.18M
12BNTXBIONTECH SE-ADRhistory →COM3.35%$9M99.5K
13GSKGSK PLC-SPON ADRhistory →COM1.68%$5M96.7K
14RAREULTRAGENYX PHARMACEUTICAL INhistory →COM1.22%$3M149.6K
15REGNREGENERON PHARMACEUTICALShistory →COM1.09%$3M4.0K
16ALKSALKERMES PLChistory →COM1.07%$3M107.8K
17BIIBBIOGEN INCCOM0.62%$2M10.0K
18EOLSEVOLUS INCCOM0.23%$665,000100.0K

Filing History

QuarterReported ValuePositionsFiledTypeLinks
Q1 2026$256M20May 15, 202613F-HRchanges · EDGAR ↗
Q4 2025$283M18Feb 18, 202613F-HRchanges · EDGAR ↗
Q3 2025$235M17Nov 17, 202513F-HRchanges · EDGAR ↗
Q2 2025$189M15Aug 15, 202513F-HRchanges · EDGAR ↗
Q1 2025$181M14May 15, 202513F-HRchanges · EDGAR ↗
Q4 2024$169M12Feb 18, 2025RESTATEMENTchanges · EDGAR ↗
Q3 2024$178M13Nov 15, 202413F-HRchanges · EDGAR ↗
Q2 2024$218M13Aug 15, 202413F-HRchanges · EDGAR ↗
Q1 2024$226M12May 15, 202413F-HRchanges · EDGAR ↗
Q4 2023$282M12Feb 14, 202413F-HRchanges · EDGAR ↗
Q3 2023$272M12Nov 15, 202313F-HRchanges · EDGAR ↗
Q2 2023$316M12Aug 11, 202313F-HRchanges · EDGAR ↗
Q1 2023$329M12May 16, 202313F-HRchanges · EDGAR ↗
Q4 2022$324M12Feb 15, 202313F-HRchanges · EDGAR ↗
Q3 2022$314M14Nov 15, 202213F-HRchanges · EDGAR ↗
Q2 2022$302M14Aug 16, 202213F-HRchanges · EDGAR ↗
Q1 2022$290M13May 17, 202213F-HRchanges · EDGAR ↗
Q4 2021$288M10Feb 15, 202213F-HRchanges · EDGAR ↗
Q3 2021$319M13Nov 16, 202113F-HRchanges · EDGAR ↗
Q2 2021$295M13Aug 13, 202113F-HRchanges · EDGAR ↗
Q1 2021$289M12May 18, 202113F-HRchanges · EDGAR ↗
Q4 2020$342M12Feb 17, 202113F-HRchanges · EDGAR ↗
Q3 2020$314M11Dec 8, 2020RESTATEMENTchanges · EDGAR ↗
Q2 2020$368M11Aug 20, 2020RESTATEMENTchanges · EDGAR ↗
Q1 2020$311M13May 18, 202013F-HRchanges · EDGAR ↗
Q4 2019$293M12Feb 18, 202013F-HRchanges · EDGAR ↗
Q3 2019$260M10Nov 15, 201913F-HRchanges · EDGAR ↗
Q2 2019$308M10Aug 14, 201913F-HRchanges · EDGAR ↗
Q1 2019$370M12May 15, 201913F-HRchanges · EDGAR ↗

13F filings are due up to 45 days after quarter end, so holdings shown here lag the fund’s current book. Source: original SEC filing on EDGAR ↗.