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  <infoTable>
    <nameOfIssuer>ABBOTT LABS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>002824100</cusip>
    <value>5084431</value>
    <shrsOrPrnAmt>
      <sshPrnamt>52498</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>52498</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ABBVIE INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>00287Y109</cusip>
    <value>5858058</value>
    <shrsOrPrnAmt>
      <sshPrnamt>39300</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>39300</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ACADIA PHARMACEUTCLS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>004225108</cusip>
    <value>4375566</value>
    <shrsOrPrnAmt>
      <sshPrnamt>209960</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>10000</Sole>
      <Shared>0</Shared>
      <None>199960</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ARCUTIS BIOTHERAPEUTICS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>03969K108</cusip>
    <value>23136</value>
    <shrsOrPrnAmt>
      <sshPrnamt>4357</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>4357</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ALLAKOS INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>01671P100</cusip>
    <value>1748200</value>
    <shrsOrPrnAmt>
      <sshPrnamt>770132</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>770132</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ALNYLAM PHARMACUETCL</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>02043Q107</cusip>
    <value>5128816</value>
    <shrsOrPrnAmt>
      <sshPrnamt>28960</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>26800</Sole>
      <Shared>0</Shared>
      <None>2160</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ALPHATEC HOLDINGS IN</nameOfIssuer>
    <titleOfClass>COM NEW</titleOfClass>
    <cusip>02081G201</cusip>
    <value>3195095</value>
    <shrsOrPrnAmt>
      <sshPrnamt>246345</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>246345</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>AMGEN INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>031162100</cusip>
    <value>7542749</value>
    <shrsOrPrnAmt>
      <sshPrnamt>28065</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>24000</Sole>
      <Shared>0</Shared>
      <None>4065</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>AMICUS THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>03152W109</cusip>
    <value>9770122</value>
    <shrsOrPrnAmt>
      <sshPrnamt>803464</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>168525</Sole>
      <Shared>0</Shared>
      <None>634939</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>AMYLYX PHARMACEUTIC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>03237H101</cusip>
    <value>1348623</value>
    <shrsOrPrnAmt>
      <sshPrnamt>73655</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>70090</Sole>
      <Shared>0</Shared>
      <None>3565</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ANNEXON INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>03589W102</cusip>
    <value>2121133</value>
    <shrsOrPrnAmt>
      <sshPrnamt>898785</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>898785</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>APELLIS PHARMACEUTIC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>03753U106</cusip>
    <value>198569</value>
    <shrsOrPrnAmt>
      <sshPrnamt>5220</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>3500</Sole>
      <Shared>0</Shared>
      <None>1720</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ARCUS BIOSCIENCES</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>03969F109</cusip>
    <value>6739435</value>
    <shrsOrPrnAmt>
      <sshPrnamt>375456</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>101725</Sole>
      <Shared>0</Shared>
      <None>273731</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ARGENX SE</nameOfIssuer>
    <titleOfClass>SPN ADR</titleOfClass>
    <cusip>04016X101</cusip>
    <value>603230</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1227</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>850</Sole>
      <Shared>0</Shared>
      <None>377</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ARROWHEAD PHARMACEUT</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>04280A100</cusip>
    <value>4233422</value>
    <shrsOrPrnAmt>
      <sshPrnamt>157552</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>5500</Sole>
      <Shared>0</Shared>
      <None>152052</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ARVINAS INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>04335A105</cusip>
    <value>137676</value>
    <shrsOrPrnAmt>
      <sshPrnamt>7010</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>5100</Sole>
      <Shared>0</Shared>
      <None>1910</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ASCENDIS PHARMA A S</nameOfIssuer>
    <titleOfClass>SPN ADR</titleOfClass>
    <cusip>04351P101</cusip>
    <value>397127</value>
    <shrsOrPrnAmt>
      <sshPrnamt>4241</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2940</Sole>
      <Shared>0</Shared>
      <None>1301</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ASTRAZENECA</nameOfIssuer>
    <titleOfClass>SPN ADR</titleOfClass>
    <cusip>046353108</cusip>
    <value>1680810</value>
    <shrsOrPrnAmt>
      <sshPrnamt>24820</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>17210</Sole>
      <Shared>0</Shared>
      <None>7610</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ATEA PHARMACEUTICALS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>04683R106</cusip>
    <value>1801383</value>
    <shrsOrPrnAmt>
      <sshPrnamt>600461</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>600461</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ATRICURE INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>04963C209</cusip>
    <value>10360102</value>
    <shrsOrPrnAmt>
      <sshPrnamt>236532</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>63000</Sole>
      <Shared>0</Shared>
      <None>173532</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>AXONICS INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>05465P101</cusip>
    <value>9705954</value>
    <shrsOrPrnAmt>
      <sshPrnamt>172950</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>45000</Sole>
      <Shared>0</Shared>
      <None>127950</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BEIGENE LIMITED</nameOfIssuer>
    <titleOfClass>SPN ADR</titleOfClass>
    <cusip>07725L102</cusip>
    <value>599327</value>
    <shrsOrPrnAmt>
      <sshPrnamt>3332</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2810</Sole>
      <Shared>0</Shared>
      <None>522</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BIOMARIN PHARMAC INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>09061G101</cusip>
    <value>12837563</value>
    <shrsOrPrnAmt>
      <sshPrnamt>145090</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>45600</Sole>
      <Shared>0</Shared>
      <None>99490</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BIOGEN INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>09062X103</cusip>
    <value>3858234</value>
    <shrsOrPrnAmt>
      <sshPrnamt>15012</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>13002</Sole>
      <Shared>0</Shared>
      <None>2010</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BIONTECH SE</nameOfIssuer>
    <titleOfClass>SPON ADS</titleOfClass>
    <cusip>09075V102</cusip>
    <value>374265</value>
    <shrsOrPrnAmt>
      <sshPrnamt>3445</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2450</Sole>
      <Shared>0</Shared>
      <None>995</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BIOATLA INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>09077B104</cusip>
    <value>1200305</value>
    <shrsOrPrnAmt>
      <sshPrnamt>706062</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>706062</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BLUEPRINT MEDICINES</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>09627Y109</cusip>
    <value>8330996</value>
    <shrsOrPrnAmt>
      <sshPrnamt>165890</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>4550</Sole>
      <Shared>0</Shared>
      <None>161340</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BOSTON SCIENTIFIC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>101137107</cusip>
    <value>5225933</value>
    <shrsOrPrnAmt>
      <sshPrnamt>98976</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>98976</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>BRIDGEBIO PHARMA INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>10806X102</cusip>
    <value>4751742</value>
    <shrsOrPrnAmt>
      <sshPrnamt>180195</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>8100</Sole>
      <Shared>0</Shared>
      <None>172095</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>CONMED CORP</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>207410101</cusip>
    <value>11496900</value>
    <shrsOrPrnAmt>
      <sshPrnamt>114000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>20000</Sole>
      <Shared>0</Shared>
      <None>94000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>CYTOKINETICS INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>23282W605</cusip>
    <value>3485206</value>
    <shrsOrPrnAmt>
      <sshPrnamt>118303</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>5850</Sole>
      <Shared>0</Shared>
      <None>112453</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>DANAHER CORP</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>235851102</cusip>
    <value>2722898</value>
    <shrsOrPrnAmt>
      <sshPrnamt>10975</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>10975</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>DENALI THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>24823R105</cusip>
    <value>5259433</value>
    <shrsOrPrnAmt>
      <sshPrnamt>254941</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>8500</Sole>
      <Shared>0</Shared>
      <None>246441</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>DEXCOM INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>252131107</cusip>
    <value>2957610</value>
    <shrsOrPrnAmt>
      <sshPrnamt>31700</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>31700</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>DOCGO INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>256086109</cusip>
    <value>3471962</value>
    <shrsOrPrnAmt>
      <sshPrnamt>651400</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>189760</Sole>
      <Shared>0</Shared>
      <None>461640</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>DR REDDYS LABS LTD</nameOfIssuer>
    <titleOfClass>ADR</titleOfClass>
    <cusip>256135203</cusip>
    <value>300915</value>
    <shrsOrPrnAmt>
      <sshPrnamt>4500</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>4500</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>EDWARDS LIFESCIENCE</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>28176E108</cusip>
    <value>3408576</value>
    <shrsOrPrnAmt>
      <sshPrnamt>49200</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>49200</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>EFFECTOR THERAPEUTCS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>28202V108</cusip>
    <value>1429348</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>10432957</value>
    <shrsOrPrnAmt>
      <sshPrnamt>383142</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>383142</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>EXELIXIS INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>30161Q104</cusip>
    <value>272688</value>
    <shrsOrPrnAmt>
      <sshPrnamt>12480</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>8700</Sole>
      <Shared>0</Shared>
      <None>3780</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>EYEPOINT PHARMA</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>30233G209</cusip>
    <value>1406879</value>
    <shrsOrPrnAmt>
      <sshPrnamt>176080</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>176080</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>FUSION PHARMACEUTI</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>36118A100</cusip>
    <value>148972</value>
    <shrsOrPrnAmt>
      <sshPrnamt>57297</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>57297</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>GENERATION BIO CO</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>37148K100</cusip>
    <value>1352045</value>
    <shrsOrPrnAmt>
      <sshPrnamt>356740</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>356740</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>GILEAD SCIENCES INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>375558103</cusip>
    <value>2858961</value>
    <shrsOrPrnAmt>
      <sshPrnamt>38150</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>26500</Sole>
      <Shared>0</Shared>
      <None>11650</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>GLAUKOS CORP</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>377322102</cusip>
    <value>5192250</value>
    <shrsOrPrnAmt>
      <sshPrnamt>69000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>69000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>GOODRX HLDGS INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>38246G108</cusip>
    <value>5669410</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1007000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>462000</Sole>
      <Shared>0</Shared>
      <None>545000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>HALOZYME THERAPEUTIC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>40637H109</cusip>
    <value>5577200</value>
    <shrsOrPrnAmt>
      <sshPrnamt>146000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>146000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>HEALTHEQUITY INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>42226A107</cusip>
    <value>10510069</value>
    <shrsOrPrnAmt>
      <sshPrnamt>143875</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>143875</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>HUMANA INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>444859102</cusip>
    <value>3563759</value>
    <shrsOrPrnAmt>
      <sshPrnamt>7325</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>7325</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>IRHYTHM TECHNOLOGIES</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>450056106</cusip>
    <value>3110580</value>
    <shrsOrPrnAmt>
      <sshPrnamt>33000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>33000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ILLUMINA INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>452327109</cusip>
    <value>864864</value>
    <shrsOrPrnAmt>
      <sshPrnamt>6300</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>4370</Sole>
      <Shared>0</Shared>
      <None>1930</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>IMMUNOGEN INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>45253H101</cusip>
    <value>7365457</value>
    <shrsOrPrnAmt>
      <sshPrnamt>464112</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>12938</Sole>
      <Shared>0</Shared>
      <None>451174</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>INARI MED INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>45332Y109</cusip>
    <value>9028012</value>
    <shrsOrPrnAmt>
      <sshPrnamt>138043</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>138043</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>INCYTE CORPORATION</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>45337C102</cusip>
    <value>557192</value>
    <shrsOrPrnAmt>
      <sshPrnamt>9645</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>6680</Sole>
      <Shared>0</Shared>
      <None>2965</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>INSMED INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>457669307</cusip>
    <value>8771648</value>
    <shrsOrPrnAmt>
      <sshPrnamt>347392</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>9221</Sole>
      <Shared>0</Shared>
      <None>338171</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>INSULET CORP</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>45784P101</cusip>
    <value>5857270</value>
    <shrsOrPrnAmt>
      <sshPrnamt>36725</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>14750</Sole>
      <Shared>0</Shared>
      <None>21975</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>INTELLIA THERAPEUT</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>45826J105</cusip>
    <value>3551938</value>
    <shrsOrPrnAmt>
      <sshPrnamt>112332</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>112332</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>INTRA CELLULAR THERA</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>46116X101</cusip>
    <value>6442491</value>
    <shrsOrPrnAmt>
      <sshPrnamt>123680</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>4900</Sole>
      <Shared>0</Shared>
      <None>118780</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>IOVANCE BIOTHERAPEUT</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>462260100</cusip>
    <value>4481750</value>
    <shrsOrPrnAmt>
      <sshPrnamt>985000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>275000</Sole>
      <Shared>0</Shared>
      <None>710000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>IQVIA HOLDINGS INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>46266C105</cusip>
    <value>3738250</value>
    <shrsOrPrnAmt>
      <sshPrnamt>19000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>19000</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ITEOS THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>46565G104</cusip>
    <value>1698071</value>
    <shrsOrPrnAmt>
      <sshPrnamt>155075</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>155075</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>JOHNSON &amp; JOHNSON</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>478160104</cusip>
    <value>8854388</value>
    <shrsOrPrnAmt>
      <sshPrnamt>56850</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>56850</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>KARUNA THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>48576A100</cusip>
    <value>4392958</value>
    <shrsOrPrnAmt>
      <sshPrnamt>25980</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1480</Sole>
      <Shared>0</Shared>
      <None>24500</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>LANTHEUS HLDGS INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>516544103</cusip>
    <value>4932177</value>
    <shrsOrPrnAmt>
      <sshPrnamt>70987</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>70987</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>LEGEND BIOTECH CORP</nameOfIssuer>
    <titleOfClass>SPON ADS</titleOfClass>
    <cusip>52490G102</cusip>
    <value>448024</value>
    <shrsOrPrnAmt>
      <sshPrnamt>6670</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>5700</Sole>
      <Shared>0</Shared>
      <None>970</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>LILLY ELI &amp; CO</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>532457108</cusip>
    <value>12496329</value>
    <shrsOrPrnAmt>
      <sshPrnamt>23265</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>23265</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>MACROGENICS INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>556099109</cusip>
    <value>1803425</value>
    <shrsOrPrnAmt>
      <sshPrnamt>387001</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>387001</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>MADRIGAL PHARMACEUTI</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>558868105</cusip>
    <value>3052382</value>
    <shrsOrPrnAmt>
      <sshPrnamt>20901</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>800</Sole>
      <Shared>0</Shared>
      <None>20101</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>MEDPACE HOLDINGS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>58506Q109</cusip>
    <value>285956</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1181</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>820</Sole>
      <Shared>0</Shared>
      <None>361</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>MERCK &amp; CO INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>58933Y105</cusip>
    <value>5662250</value>
    <shrsOrPrnAmt>
      <sshPrnamt>55000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>55000</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>MERIT MEDICAL SYS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>589889104</cusip>
    <value>5452580</value>
    <shrsOrPrnAmt>
      <sshPrnamt>79000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>79000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>MINERALYS THERAPEUTI</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>603170101</cusip>
    <value>7995618</value>
    <shrsOrPrnAmt>
      <sshPrnamt>840759</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>523116</Sole>
      <Shared>0</Shared>
      <None>317643</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>MIRATI THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>60468T105</cusip>
    <value>7923738</value>
    <shrsOrPrnAmt>
      <sshPrnamt>181904</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>44563</Sole>
      <Shared>0</Shared>
      <None>137341</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>MODERNA INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>60770K107</cusip>
    <value>1549350</value>
    <shrsOrPrnAmt>
      <sshPrnamt>15000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>10400</Sole>
      <Shared>0</Shared>
      <None>4600</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>MOONLAKE IMMUNOTHERA</nameOfIssuer>
    <titleOfClass>CLASS A</titleOfClass>
    <cusip>61559X104</cusip>
    <value>5584005</value>
    <shrsOrPrnAmt>
      <sshPrnamt>97965</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>31234</Sole>
      <Shared>0</Shared>
      <None>66731</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>NEUROCRINE BIOSCIENC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>64125C109</cusip>
    <value>453938</value>
    <shrsOrPrnAmt>
      <sshPrnamt>4035</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2800</Sole>
      <Shared>0</Shared>
      <None>1235</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>OCULAR THERAPEUTIX</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>67576A100</cusip>
    <value>3043759</value>
    <shrsOrPrnAmt>
      <sshPrnamt>969350</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>41200</Sole>
      <Shared>0</Shared>
      <None>928150</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>OLEMA PHARMACEUTICAL</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>68062P106</cusip>
    <value>5405002</value>
    <shrsOrPrnAmt>
      <sshPrnamt>437652</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>11200</Sole>
      <Shared>0</Shared>
      <None>426452</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>OPTION CARE HEALTH</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>68404L201</cusip>
    <value>12147425</value>
    <shrsOrPrnAmt>
      <sshPrnamt>375500</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>90500</Sole>
      <Shared>0</Shared>
      <None>285000</None>
    </votingAuthority>
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  <infoTable>
    <nameOfIssuer>PMV PHARMACEUTICALS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>69353Y103</cusip>
    <value>1865479</value>
    <shrsOrPrnAmt>
      <sshPrnamt>303824</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>303824</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>PTC THERAPEUTICS I</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>69366J200</cusip>
    <value>4191029</value>
    <shrsOrPrnAmt>
      <sshPrnamt>187016</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>5125</Sole>
      <Shared>0</Shared>
      <None>181891</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>PFIZER INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>717081103</cusip>
    <value>5220958</value>
    <shrsOrPrnAmt>
      <sshPrnamt>157400</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>157400</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>PRIVIA HEALTH GROUP</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>74276R102</cusip>
    <value>11376306</value>
    <shrsOrPrnAmt>
      <sshPrnamt>494622</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>117310</Sole>
      <Shared>0</Shared>
      <None>377312</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>PROGYNY INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>74340E103</cusip>
    <value>4082400</value>
    <shrsOrPrnAmt>
      <sshPrnamt>120000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>120000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>RADNET INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>750491102</cusip>
    <value>10405887</value>
    <shrsOrPrnAmt>
      <sshPrnamt>369134</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>79296</Sole>
      <Shared>0</Shared>
      <None>289838</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>RALLYBIO CORP</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>75120L100</cusip>
    <value>1266985</value>
    <shrsOrPrnAmt>
      <sshPrnamt>375960</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>375960</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>REGENERON PHARMCTCLS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>75886F107</cusip>
    <value>3061411</value>
    <shrsOrPrnAmt>
      <sshPrnamt>3720</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2580</Sole>
      <Shared>0</Shared>
      <None>1140</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>REPLIMUNE GROUP INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>76029N106</cusip>
    <value>4637768</value>
    <shrsOrPrnAmt>
      <sshPrnamt>271056</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>80316</Sole>
      <Shared>0</Shared>
      <None>190740</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>REVOLUTION MEDICIN</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>76155X100</cusip>
    <value>3948552</value>
    <shrsOrPrnAmt>
      <sshPrnamt>142650</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>6000</Sole>
      <Shared>0</Shared>
      <None>136650</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ROCKET PHARMACEUTICA</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>77313F106</cusip>
    <value>4651845</value>
    <shrsOrPrnAmt>
      <sshPrnamt>227030</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>8500</Sole>
      <Shared>0</Shared>
      <None>218530</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>R1 RCM INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>77634L105</cusip>
    <value>11215004</value>
    <shrsOrPrnAmt>
      <sshPrnamt>744194</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>176194</Sole>
      <Shared>0</Shared>
      <None>568000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SPDR SER TR</nameOfIssuer>
    <titleOfClass>S&amp;P BIOTECH</titleOfClass>
    <cusip>78464A870</cusip>
    <value>1801769</value>
    <shrsOrPrnAmt>
      <sshPrnamt>24675</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>24675</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SANOFI</nameOfIssuer>
    <titleOfClass>SPN ADR</titleOfClass>
    <cusip>80105N105</cusip>
    <value>688201</value>
    <shrsOrPrnAmt>
      <sshPrnamt>12830</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>8900</Sole>
      <Shared>0</Shared>
      <None>3930</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SAREPTA THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>803607100</cusip>
    <value>2182687</value>
    <shrsOrPrnAmt>
      <sshPrnamt>18006</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>16460</Sole>
      <Shared>0</Shared>
      <None>1546</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SCHOLAR ROCK HLDG</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>80706P103</cusip>
    <value>2203826</value>
    <shrsOrPrnAmt>
      <sshPrnamt>310398</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>310398</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SEAGEN INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>81181C104</cusip>
    <value>1953902</value>
    <shrsOrPrnAmt>
      <sshPrnamt>9210</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>6400</Sole>
      <Shared>0</Shared>
      <None>2810</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SHOCKWAVE MEDICAL</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>82489T104</cusip>
    <value>3464340</value>
    <shrsOrPrnAmt>
      <sshPrnamt>17400</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>17400</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ARS PHARMACEUTICALS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>82835W108</cusip>
    <value>3965942</value>
    <shrsOrPrnAmt>
      <sshPrnamt>1049191</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>302088</Sole>
      <Shared>0</Shared>
      <None>747103</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>STAAR SURGICAL CO</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>852312305</cusip>
    <value>1888460</value>
    <shrsOrPrnAmt>
      <sshPrnamt>47000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>47000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SUMMIT THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>86627T108</cusip>
    <value>37400</value>
    <shrsOrPrnAmt>
      <sshPrnamt>20000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>20000</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>SUTRO BIOPHARMA IN</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>869367102</cusip>
    <value>1500216</value>
    <shrsOrPrnAmt>
      <sshPrnamt>432339</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>432339</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>TELA BIO INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>872381108</cusip>
    <value>4200000</value>
    <shrsOrPrnAmt>
      <sshPrnamt>525000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>215000</Sole>
      <Shared>0</Shared>
      <None>310000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>TENET HEALTHCARE</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>88033G407</cusip>
    <value>6028935</value>
    <shrsOrPrnAmt>
      <sshPrnamt>91500</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>91500</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>THERMO FISHER SCI</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>883556102</cusip>
    <value>3626708</value>
    <shrsOrPrnAmt>
      <sshPrnamt>7165</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>7165</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>TURNSTONE BIOLOGICS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>90042W100</cusip>
    <value>2039533</value>
    <shrsOrPrnAmt>
      <sshPrnamt>517648</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>517648</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>UNITED THERAPEUTICS</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>91307C102</cusip>
    <value>590650</value>
    <shrsOrPrnAmt>
      <sshPrnamt>2615</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>1815</Sole>
      <Shared>0</Shared>
      <None>800</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>UNITEDHEALTH GRP INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>91324P102</cusip>
    <value>8533416</value>
    <shrsOrPrnAmt>
      <sshPrnamt>16925</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>16925</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>VAXCYTE INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>92243G108</cusip>
    <value>6180305</value>
    <shrsOrPrnAmt>
      <sshPrnamt>121230</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>5350</Sole>
      <Shared>0</Shared>
      <None>115880</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>VENTYX BIOSCIENCES I</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>92332V107</cusip>
    <value>3056240</value>
    <shrsOrPrnAmt>
      <sshPrnamt>88000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>4000</Sole>
      <Shared>0</Shared>
      <None>84000</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>VERASTEM INC</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>92337C203</cusip>
    <value>1653049</value>
    <shrsOrPrnAmt>
      <sshPrnamt>203327</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>203327</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>VERA THERAPEUTICS</nameOfIssuer>
    <titleOfClass>CL A</titleOfClass>
    <cusip>92337R101</cusip>
    <value>4896376</value>
    <shrsOrPrnAmt>
      <sshPrnamt>357139</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>116733</Sole>
      <Shared>0</Shared>
      <None>240406</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>VERALTO CORPORATION</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>92338C103</cusip>
    <value>309320</value>
    <shrsOrPrnAmt>
      <sshPrnamt>3658</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>3658</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>VERTEX PHARMACEUTICL</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>92532F100</cusip>
    <value>3049332</value>
    <shrsOrPrnAmt>
      <sshPrnamt>8769</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>6069</Sole>
      <Shared>0</Shared>
      <None>2700</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ZAI LAB LTD</nameOfIssuer>
    <titleOfClass>ADR</titleOfClass>
    <cusip>98887Q104</cusip>
    <value>72930</value>
    <shrsOrPrnAmt>
      <sshPrnamt>3000</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>3000</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ZENTALIS PHARMACEU</nameOfIssuer>
    <titleOfClass>COMMON</titleOfClass>
    <cusip>98943L107</cusip>
    <value>7753692</value>
    <shrsOrPrnAmt>
      <sshPrnamt>386525</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>80700</Sole>
      <Shared>0</Shared>
      <None>305825</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ALKERMES PLC</nameOfIssuer>
    <titleOfClass>SHS</titleOfClass>
    <cusip>G01767105</cusip>
    <value>6841723</value>
    <shrsOrPrnAmt>
      <sshPrnamt>244260</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>9150</Sole>
      <Shared>0</Shared>
      <None>235110</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>HORIZON THERAPEUTICS</nameOfIssuer>
    <titleOfClass>SHS</titleOfClass>
    <cusip>G46188101</cusip>
    <value>290960</value>
    <shrsOrPrnAmt>
      <sshPrnamt>2515</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>0</Sole>
      <Shared>0</Shared>
      <None>2515</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ICON PLC</nameOfIssuer>
    <titleOfClass>SHS</titleOfClass>
    <cusip>G4705A100</cusip>
    <value>8289514</value>
    <shrsOrPrnAmt>
      <sshPrnamt>33663</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>11850</Sole>
      <Shared>0</Shared>
      <None>21813</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>JAZZ PHARMA PLC</nameOfIssuer>
    <titleOfClass>SHS USD</titleOfClass>
    <cusip>G50871105</cusip>
    <value>506628</value>
    <shrsOrPrnAmt>
      <sshPrnamt>3914</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
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    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>2700</Sole>
      <Shared>0</Shared>
      <None>1214</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>MEDTRONIC PLC</nameOfIssuer>
    <titleOfClass>SHS</titleOfClass>
    <cusip>G5960L103</cusip>
    <value>3138396</value>
    <shrsOrPrnAmt>
      <sshPrnamt>40051</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>40051</Sole>
      <Shared>0</Shared>
      <None>0</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>PROTHENA CORP PLC</nameOfIssuer>
    <titleOfClass>SHS</titleOfClass>
    <cusip>G72800108</cusip>
    <value>8318638</value>
    <shrsOrPrnAmt>
      <sshPrnamt>172407</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>34629</Sole>
      <Shared>0</Shared>
      <None>137778</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ROIVANT SCIENCES LTD</nameOfIssuer>
    <titleOfClass>SHS</titleOfClass>
    <cusip>G76279101</cusip>
    <value>355621</value>
    <shrsOrPrnAmt>
      <sshPrnamt>30447</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>22000</Sole>
      <Shared>0</Shared>
      <None>8447</None>
    </votingAuthority>
  </infoTable>
  <infoTable>
    <nameOfIssuer>ROYALTY PHARMA PLC</nameOfIssuer>
    <titleOfClass>SHS CLASS A</titleOfClass>
    <cusip>G7709Q104</cusip>
    <value>487163</value>
    <shrsOrPrnAmt>
      <sshPrnamt>17950</sshPrnamt>
      <sshPrnamtType>SH</sshPrnamtType>
    </shrsOrPrnAmt>
    <investmentDiscretion>SOLE</investmentDiscretion>
    <votingAuthority>
      <Sole>12440</Sole>
      <Shared>0</Shared>
      <None>5510</None>
    </votingAuthority>
  </infoTable>
</informationTable>
