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    <nameOfIssuer>ABBOTT LABS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>002824100</cusip>
    <value>5007</value>
    <shrsOrPrnAmt>
      <sshPrnamt>51748</sshPrnamt>
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    <votingAuthority>
      <Sole>51748</Sole>
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      <None>0</None>
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    <nameOfIssuer>ABBVIE INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>00287Y109</cusip>
    <value>7120</value>
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      <sshPrnamt>53050</sshPrnamt>
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    <votingAuthority>
      <Sole>53050</Sole>
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      <None>0</None>
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    <nameOfIssuer>AGILENT TECHN INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>00846U101</cusip>
    <value>140</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1148</sshPrnamt>
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    <votingAuthority>
      <Sole>1148</Sole>
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      <None>0</None>
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    <nameOfIssuer>AGILITI INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>00848J104</cusip>
    <value>7981</value>
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      <sshPrnamt>557747</sshPrnamt>
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      <Sole>173045</Sole>
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      <None>384702</None>
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    <nameOfIssuer>ALNYLAM PHARMACUETCL</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>02043Q107</cusip>
    <value>4540</value>
    <shrsOrPrnAmt>
      <sshPrnamt>22680</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>22680</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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    <nameOfIssuer>ALTIMMUNE INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>02155H200</cusip>
    <value>3436</value>
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      <sshPrnamt>269100</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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      <Sole>84100</Sole>
      <Shared>0</Shared>
      <None>185000</None>
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    <nameOfIssuer>AMGEN INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>031162100</cusip>
    <value>3656</value>
    <shrsOrPrnAmt>
      <sshPrnamt>16220</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <votingAuthority>
      <Sole>16220</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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    <nameOfIssuer>AMICUS THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>03152W109</cusip>
    <value>5979</value>
    <shrsOrPrnAmt>
      <sshPrnamt>572682</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>21425</Sole>
      <Shared>0</Shared>
      <None>551257</None>
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    <nameOfIssuer>AMYLYX PHARMACEUTIC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>03237H101</cusip>
    <value>5782</value>
    <shrsOrPrnAmt>
      <sshPrnamt>205400</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>71400</Sole>
      <Shared>0</Shared>
      <None>134000</None>
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    <nameOfIssuer>ELEVANCE HEALTH INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>036752103</cusip>
    <value>1931</value>
    <shrsOrPrnAmt>
      <sshPrnamt>4250</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>4250</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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    <nameOfIssuer>APELLIS PHARMACEUTIC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>03753U106</cusip>
    <value>8469</value>
    <shrsOrPrnAmt>
      <sshPrnamt>123990</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>17090</Sole>
      <Shared>0</Shared>
      <None>106900</None>
    </votingAuthority>
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    <nameOfIssuer>ARCUS BIOSCIENCES</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>03969F109</cusip>
    <value>5939</value>
    <shrsOrPrnAmt>
      <sshPrnamt>227032</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <votingAuthority>
      <Sole>48361</Sole>
      <Shared>0</Shared>
      <None>178671</None>
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    <nameOfIssuer>ARCUTIS BIOTHERAPE</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>03969K108</cusip>
    <value>4223</value>
    <shrsOrPrnAmt>
      <sshPrnamt>220985</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>9700</Sole>
      <Shared>0</Shared>
      <None>211285</None>
    </votingAuthority>
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    <nameOfIssuer>ARGENX SE</nameOfIssuer>
    <titleOfClass>SPN ADR</titleOfClass>
    <cusip>04016X101</cusip>
    <value>448</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1270</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1270</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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    <nameOfIssuer>ARROWHEAD PHARMACEUT</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>04280A100</cusip>
    <value>3265</value>
    <shrsOrPrnAmt>
      <sshPrnamt>98800</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>3400</Sole>
      <Shared>0</Shared>
      <None>95400</None>
    </votingAuthority>
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    <nameOfIssuer>ARVINAS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>04335A105</cusip>
    <value>11103</value>
    <shrsOrPrnAmt>
      <sshPrnamt>249567</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>32083</Sole>
      <Shared>0</Shared>
      <None>217484</None>
    </votingAuthority>
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    <nameOfIssuer>ASCENDIS PHARMA A S</nameOfIssuer>
    <titleOfClass>SPN ADR</titleOfClass>
    <cusip>04351P101</cusip>
    <value>195</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1890</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1890</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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    <nameOfIssuer>ASTRAZENECA</nameOfIssuer>
    <titleOfClass>SPN ADR</titleOfClass>
    <cusip>046353108</cusip>
    <value>1070</value>
    <shrsOrPrnAmt>
      <sshPrnamt>19510</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>19510</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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    <nameOfIssuer>ATRICURE INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>04963C209</cusip>
    <value>8857</value>
    <shrsOrPrnAmt>
      <sshPrnamt>226532</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>226532</None>
    </votingAuthority>
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    <nameOfIssuer>AXONICS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>05465P101</cusip>
    <value>8051</value>
    <shrsOrPrnAmt>
      <sshPrnamt>114296</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>19796</Sole>
      <Shared>0</Shared>
      <None>94500</None>
    </votingAuthority>
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    <nameOfIssuer>BEAM THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>07373V105</cusip>
    <value>3130</value>
    <shrsOrPrnAmt>
      <sshPrnamt>65700</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2200</Sole>
      <Shared>0</Shared>
      <None>63500</None>
    </votingAuthority>
  </infoTable>
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    <nameOfIssuer>BEIGENE LIMITED</nameOfIssuer>
    <titleOfClass>SPN ADR</titleOfClass>
    <cusip>07725L102</cusip>
    <value>779</value>
    <shrsOrPrnAmt>
      <sshPrnamt>5780</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>5780</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BELLUS HEALTH INC</nameOfIssuer>
    <titleOfClass>COM NEW</titleOfClass>
    <cusip>07987C204</cusip>
    <value>6488</value>
    <shrsOrPrnAmt>
      <sshPrnamt>614429</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>162710</Sole>
      <Shared>0</Shared>
      <None>451719</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BIOMARIN PHARMAC INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>09061G101</cusip>
    <value>13837</value>
    <shrsOrPrnAmt>
      <sshPrnamt>163230</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>40730</Sole>
      <Shared>0</Shared>
      <None>122500</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BIOGEN INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>09062X103</cusip>
    <value>3538</value>
    <shrsOrPrnAmt>
      <sshPrnamt>13252</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>13252</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BIONTECH SE</nameOfIssuer>
    <titleOfClass>SPN ADR</titleOfClass>
    <cusip>09075V102</cusip>
    <value>364</value>
    <shrsOrPrnAmt>
      <sshPrnamt>2700</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2700</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BLUEPRINT MEDICINES</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>09627Y109</cusip>
    <value>7241</value>
    <shrsOrPrnAmt>
      <sshPrnamt>109900</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>3900</Sole>
      <Shared>0</Shared>
      <None>106000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BOSTON SCIENTIFIC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>101137107</cusip>
    <value>4918</value>
    <shrsOrPrnAmt>
      <sshPrnamt>126976</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>126976</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BRISTOL MYERS SQUIBB</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>110122108</cusip>
    <value>4656</value>
    <shrsOrPrnAmt>
      <sshPrnamt>65500</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>65500</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>CIGNA CORP</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>125523100</cusip>
    <value>2164</value>
    <shrsOrPrnAmt>
      <sshPrnamt>7800</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>7800</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>CTI BIOPHARMA CORP</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>12648L601</cusip>
    <value>5636</value>
    <shrsOrPrnAmt>
      <sshPrnamt>968300</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>320300</Sole>
      <Shared>0</Shared>
      <None>648000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>CENTENE CORP DEL</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>15135B101</cusip>
    <value>3548</value>
    <shrsOrPrnAmt>
      <sshPrnamt>45600</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>45600</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>CERTARA INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>15687V109</cusip>
    <value>2299</value>
    <shrsOrPrnAmt>
      <sshPrnamt>173129</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>173129</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>CINCOR PHARMA INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>17240Y109</cusip>
    <value>6417</value>
    <shrsOrPrnAmt>
      <sshPrnamt>195534</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>58973</Sole>
      <Shared>0</Shared>
      <None>136561</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>CYTOKINETICS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>23282W605</cusip>
    <value>4043</value>
    <shrsOrPrnAmt>
      <sshPrnamt>83450</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>5450</Sole>
      <Shared>0</Shared>
      <None>78000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>DANAHER CORP</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>235851102</cusip>
    <value>2228</value>
    <shrsOrPrnAmt>
      <sshPrnamt>8625</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>8625</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>DENALI THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>24823R105</cusip>
    <value>7468</value>
    <shrsOrPrnAmt>
      <sshPrnamt>243350</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>8350</Sole>
      <Shared>0</Shared>
      <None>235000</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>DR REDDYS LABS LTD</nameOfIssuer>
    <titleOfClass>ADR</titleOfClass>
    <cusip>256135203</cusip>
    <value>471</value>
    <shrsOrPrnAmt>
      <sshPrnamt>9004</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>9004</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>EFFECTOR THERAPEUTCS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>28202V108</cusip>
    <value>1363</value>
    <shrsOrPrnAmt>
      <sshPrnamt>2382644</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2382644</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>EVOLENT HEALTH INC</nameOfIssuer>
    <titleOfClass>CL A</titleOfClass>
    <cusip>30050B101</cusip>
    <value>13371</value>
    <shrsOrPrnAmt>
      <sshPrnamt>372142</sshPrnamt>
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      <None>372142</None>
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    <titleOfClass>COM</titleOfClass>
    <cusip>30161Q104</cusip>
    <value>8677</value>
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      <sshPrnamt>553375</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>18375</Sole>
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      <None>535000</None>
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    <nameOfIssuer>FATE THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>31189P102</cusip>
    <value>4101</value>
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      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
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      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>183000</None>
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    <titleOfClass>COM</titleOfClass>
    <cusip>36118A100</cusip>
    <value>172</value>
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    <investmentDiscretion>SOLE</investmentDiscretion>
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      <Sole>57297</Sole>
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      <None>0</None>
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    <cusip>375558103</cusip>
    <value>2246</value>
    <shrsOrPrnAmt>
      <sshPrnamt>36400</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
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      <None>0</None>
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    <cusip>40131M109</cusip>
    <value>257</value>
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      <sshPrnamt>4770</sshPrnamt>
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      <Sole>4770</Sole>
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      <None>0</None>
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    <titleOfClass>COM</titleOfClass>
    <cusip>40637H109</cusip>
    <value>5433</value>
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    <votingAuthority>
      <Sole>4400</Sole>
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      <None>133000</None>
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    <cusip>42226A107</cusip>
    <value>15657</value>
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      <sshPrnamt>233100</sshPrnamt>
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    <votingAuthority>
      <Sole>43600</Sole>
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      <None>189500</None>
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    <cusip>444859102</cusip>
    <value>5398</value>
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      <sshPrnamt>11125</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>11125</Sole>
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      <None>0</None>
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    <nameOfIssuer>IRHYTHM TECHNOLOGIES</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>450056106</cusip>
    <value>12893</value>
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      <sshPrnamt>102911</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>25275</Sole>
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      <None>77636</None>
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    <cusip>452327109</cusip>
    <value>881</value>
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      <sshPrnamt>4620</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>4620</Sole>
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      <None>0</None>
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    <nameOfIssuer>IMMUNOGEN INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>45253H101</cusip>
    <value>4057</value>
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      <sshPrnamt>848744</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>35138</Sole>
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      <None>813606</None>
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    <nameOfIssuer>INARI MED INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>45332Y109</cusip>
    <value>13242</value>
    <shrsOrPrnAmt>
      <sshPrnamt>182293</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>20250</Sole>
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      <None>162043</None>
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    <nameOfIssuer>INCYTE CORPORATION</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>45337C102</cusip>
    <value>472</value>
    <shrsOrPrnAmt>
      <sshPrnamt>7080</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>7080</Sole>
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      <None>0</None>
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    <nameOfIssuer>INSMED INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>457669307</cusip>
    <value>11074</value>
    <shrsOrPrnAmt>
      <sshPrnamt>514092</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>9621</Sole>
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      <None>504471</None>
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    <nameOfIssuer>INSPIRE MED SYS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>457730109</cusip>
    <value>7414</value>
    <shrsOrPrnAmt>
      <sshPrnamt>41800</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>41800</None>
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    <nameOfIssuer>INTELLIA THERAPEUT</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>45826J105</cusip>
    <value>3994</value>
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      <sshPrnamt>71380</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2480</Sole>
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      <None>68900</None>
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    <nameOfIssuer>INTRA CELLULAR THERA</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>46116X101</cusip>
    <value>5698</value>
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      <sshPrnamt>122450</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>5650</Sole>
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      <None>116800</None>
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    <nameOfIssuer>IONIS PHARMACEUTICAL</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>462222100</cusip>
    <value>197</value>
    <shrsOrPrnAmt>
      <sshPrnamt>4450</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>4450</Sole>
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      <None>0</None>
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    <nameOfIssuer>IQVIA HOLDINGS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>46266C105</cusip>
    <value>3677</value>
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      <sshPrnamt>20300</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>20300</Sole>
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      <None>0</None>
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    <nameOfIssuer>JASPER THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>471871103</cusip>
    <value>316</value>
    <shrsOrPrnAmt>
      <sshPrnamt>400000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>400000</None>
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    <nameOfIssuer>JOHNSON &amp; JOHNSON</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>478160104</cusip>
    <value>11084</value>
    <shrsOrPrnAmt>
      <sshPrnamt>67850</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>67850</Sole>
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      <None>0</None>
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    <nameOfIssuer>KARUNA THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>48576A100</cusip>
    <value>4343</value>
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      <sshPrnamt>19310</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1410</Sole>
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      <None>17900</None>
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    <nameOfIssuer>LANTHEUS HLDGS INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>516544103</cusip>
    <value>8136</value>
    <shrsOrPrnAmt>
      <sshPrnamt>115687</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
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      <None>115687</None>
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    <nameOfIssuer>LEGEND BIOTECH CORP</nameOfIssuer>
    <titleOfClass>SPN ADR</titleOfClass>
    <cusip>52490G102</cusip>
    <value>367</value>
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      <sshPrnamt>9000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>9000</Sole>
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      <None>0</None>
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    <nameOfIssuer>LILLY ELI &amp; CO</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>532457108</cusip>
    <value>5954</value>
    <shrsOrPrnAmt>
      <sshPrnamt>18415</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>18415</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>MEDPACE HOLDINGS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>58506Q109</cusip>
    <value>167</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1060</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1060</Sole>
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      <None>0</None>
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    <nameOfIssuer>MERCK &amp; CO INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>58933Y105</cusip>
    <value>4973</value>
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      <sshPrnamt>57750</sshPrnamt>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>57750</Sole>
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      <None>0</None>
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    <nameOfIssuer>MIRATI THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>60468T105</cusip>
    <value>4157</value>
    <shrsOrPrnAmt>
      <sshPrnamt>59516</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>13516</Sole>
      <Shared>0</Shared>
      <None>46000</None>
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    <nameOfIssuer>MODERNA INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>60770K107</cusip>
    <value>2163</value>
    <shrsOrPrnAmt>
      <sshPrnamt>18293</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>18293</Sole>
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      <None>0</None>
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    <nameOfIssuer>MOLINA HEALTHCARE</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>60855R100</cusip>
    <value>2070</value>
    <shrsOrPrnAmt>
      <sshPrnamt>6275</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>6275</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>NEUROCRINE BIOSCIENC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>64125C109</cusip>
    <value>324</value>
    <shrsOrPrnAmt>
      <sshPrnamt>3050</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>3050</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>NOVAVAX INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>670002401</cusip>
    <value>46</value>
    <shrsOrPrnAmt>
      <sshPrnamt>2550</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2550</Sole>
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      <None>0</None>
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  <infoTable>
    <nameOfIssuer>OLEMA PHARMACEUTICAL</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>68062P106</cusip>
    <value>2437</value>
    <shrsOrPrnAmt>
      <sshPrnamt>883056</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>46000</Sole>
      <Shared>0</Shared>
      <None>837056</None>
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  <infoTable>
    <nameOfIssuer>OUTSET MED INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>690145107</cusip>
    <value>797</value>
    <shrsOrPrnAmt>
      <sshPrnamt>50000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>50000</None>
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  <infoTable>
    <nameOfIssuer>PTC THERAPEUTICS I</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>69366J200</cusip>
    <value>11992</value>
    <shrsOrPrnAmt>
      <sshPrnamt>238891</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>4900</Sole>
      <Shared>0</Shared>
      <None>233991</None>
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  <infoTable>
    <nameOfIssuer>PFIZER INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>717081103</cusip>
    <value>5663</value>
    <shrsOrPrnAmt>
      <sshPrnamt>129400</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>129400</Sole>
      <Shared>0</Shared>
      <None>0</None>
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  <infoTable>
    <nameOfIssuer>PRIVIA HEALTH GROUP</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>74276R102</cusip>
    <value>9305</value>
    <shrsOrPrnAmt>
      <sshPrnamt>273200</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>53288</Sole>
      <Shared>0</Shared>
      <None>219912</None>
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  <infoTable>
    <nameOfIssuer>PROMETHEUS BIOSCIENC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>74349U108</cusip>
    <value>6090</value>
    <shrsOrPrnAmt>
      <sshPrnamt>103210</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>23750</Sole>
      <Shared>0</Shared>
      <None>79460</None>
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  <infoTable>
    <nameOfIssuer>RALLYBIO CORP</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>75120L100</cusip>
    <value>3377</value>
    <shrsOrPrnAmt>
      <sshPrnamt>233381</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>233381</None>
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  <infoTable>
    <nameOfIssuer>REGENERON PHARMCTCLS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>75886F107</cusip>
    <value>2287</value>
    <shrsOrPrnAmt>
      <sshPrnamt>3320</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>3320</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>ROCKET PHARMACEUTICA</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>77313F106</cusip>
    <value>4322</value>
    <shrsOrPrnAmt>
      <sshPrnamt>270790</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>270790</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>R1 RCM INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>77634L105</cusip>
    <value>12648</value>
    <shrsOrPrnAmt>
      <sshPrnamt>682594</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>160194</Sole>
      <Shared>0</Shared>
      <None>522400</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SANOFI</nameOfIssuer>
    <titleOfClass>SPN ADR</titleOfClass>
    <cusip>80105N105</cusip>
    <value>338</value>
    <shrsOrPrnAmt>
      <sshPrnamt>8900</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>8900</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SAREPTA THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>803607100</cusip>
    <value>310</value>
    <shrsOrPrnAmt>
      <sshPrnamt>2800</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2800</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SEAGEN INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>81181C104</cusip>
    <value>3376</value>
    <shrsOrPrnAmt>
      <sshPrnamt>24670</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>24670</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SHOCKWAVE MEDICAL</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>82489T104</cusip>
    <value>8231</value>
    <shrsOrPrnAmt>
      <sshPrnamt>29600</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>29600</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>SIGNIFY HEALTH INC</nameOfIssuer>
    <titleOfClass>CL A COM</titleOfClass>
    <cusip>82671G100</cusip>
    <value>4373</value>
    <shrsOrPrnAmt>
      <sshPrnamt>150000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>150000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SILK ROAD MEDICAL</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>82710M100</cusip>
    <value>5130</value>
    <shrsOrPrnAmt>
      <sshPrnamt>114000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>114000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SILVERBACK THERAPEUT</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>82835W108</cusip>
    <value>5519</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1045234</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>426882</Sole>
      <Shared>0</Shared>
      <None>618352</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>STAAR SURGICAL CO</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>852312305</cusip>
    <value>4409</value>
    <shrsOrPrnAmt>
      <sshPrnamt>62500</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>62500</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>STRYKER CORP</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>863667101</cusip>
    <value>2106</value>
    <shrsOrPrnAmt>
      <sshPrnamt>10400</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>10400</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SYNEOS HEALTH INC</nameOfIssuer>
    <titleOfClass>CL A</titleOfClass>
    <cusip>87166B102</cusip>
    <value>8622</value>
    <shrsOrPrnAmt>
      <sshPrnamt>182856</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>63156</Sole>
      <Shared>0</Shared>
      <None>119700</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>TENET HEALTHCARE</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>88033G407</cusip>
    <value>5235</value>
    <shrsOrPrnAmt>
      <sshPrnamt>101500</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>101500</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>THERMO FISHER SCI</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>883556102</cusip>
    <value>2962</value>
    <shrsOrPrnAmt>
      <sshPrnamt>5840</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>5840</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>TRAVERE THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>89422G107</cusip>
    <value>6153</value>
    <shrsOrPrnAmt>
      <sshPrnamt>249700</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>66508</Sole>
      <Shared>0</Shared>
      <None>183192</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>TREACE MED CONCEPT</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>89455T109</cusip>
    <value>5378</value>
    <shrsOrPrnAmt>
      <sshPrnamt>243674</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>56150</Sole>
      <Shared>0</Shared>
      <None>187524</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>UNITED THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>91307C102</cusip>
    <value>401</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1915</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1915</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>UNITEDHEALTH GRP INC</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>91324P102</cusip>
    <value>16729</value>
    <shrsOrPrnAmt>
      <sshPrnamt>33125</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>33125</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>VERTEX PHARMACEUTICL</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>92532F100</cusip>
    <value>2293</value>
    <shrsOrPrnAmt>
      <sshPrnamt>7918</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>7918</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ZAI LAB LTD</nameOfIssuer>
    <titleOfClass>ADR</titleOfClass>
    <cusip>98887Q104</cusip>
    <value>479</value>
    <shrsOrPrnAmt>
      <sshPrnamt>14000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>14000</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ZENTALIS PHARMACEU</nameOfIssuer>
    <titleOfClass>COM</titleOfClass>
    <cusip>98943L107</cusip>
    <value>1300</value>
    <shrsOrPrnAmt>
      <sshPrnamt>60000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>60000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ALKERMES PLC</nameOfIssuer>
    <titleOfClass>SHS</titleOfClass>
    <cusip>G01767105</cusip>
    <value>5189</value>
    <shrsOrPrnAmt>
      <sshPrnamt>232400</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>11400</Sole>
      <Shared>0</Shared>
      <None>221000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>HORIZON THERAPEUTICS</nameOfIssuer>
    <titleOfClass>SHS</titleOfClass>
    <cusip>G46188101</cusip>
    <value>5846</value>
    <shrsOrPrnAmt>
      <sshPrnamt>94450</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>6950</Sole>
      <Shared>0</Shared>
      <None>87500</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ICON PLC</nameOfIssuer>
    <titleOfClass>SHS</titleOfClass>
    <cusip>G4705A100</cusip>
    <value>9910</value>
    <shrsOrPrnAmt>
      <sshPrnamt>53925</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>15425</Sole>
      <Shared>0</Shared>
      <None>38500</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>JAZZ PHARMA PLC</nameOfIssuer>
    <titleOfClass>SHS USD</titleOfClass>
    <cusip>G50871105</cusip>
    <value>263</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1970</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1970</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>MEDTRONIC PLC</nameOfIssuer>
    <titleOfClass>SHS</titleOfClass>
    <cusip>G5960L103</cusip>
    <value>2548</value>
    <shrsOrPrnAmt>
      <sshPrnamt>31551</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>31551</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>NOVOCURE LTD</nameOfIssuer>
    <titleOfClass>ORD SHS</titleOfClass>
    <cusip>G6674U108</cusip>
    <value>122</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1600</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1600</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ROYALTY PHARMA PLC</nameOfIssuer>
    <titleOfClass>SHS CL A</titleOfClass>
    <cusip>G7709Q104</cusip>
    <value>488</value>
    <shrsOrPrnAmt>
      <sshPrnamt>12140</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>12140</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>CRISPR THERAPEUTICS</nameOfIssuer>
    <titleOfClass>NAMEN AKT</titleOfClass>
    <cusip>H17182108</cusip>
    <value>163</value>
    <shrsOrPrnAmt>
      <sshPrnamt>2490</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2490</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
</informationTable>
