The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete.
The reader should not assume that the information is accurate and complete.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 13F

FORM 13F INFORMATION TABLE

OMB APPROVAL
OMB Number: 3235-0006
Estimated average burden
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COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8
VALUE SHRS OR SH/ PUT/ INVESTMENT OTHER VOTING AUTHORITY
NAME OF ISSUER TITLE OF CLASS CUSIP (x$1000) PRN AMT PRN CALL DISCRETION MANAGER SOLE SHARED NONE
ACADIA HEALTHCARE COMPANY INC PUT 00404A109 659 13,800 SH Put DFND   0 13,800 0
ACTINIUM PHARMACEUTICALS INC COM 00507W107 915 1,590,267 SH   DFND   0 1,590,267 0
ADAMIS PHARMACEUTICALS CORP COM NEW 00547W208 10,115 1,935,961 SH   DFND   0 1,935,961 0
ADVANCED ACCELERATOR APPLICATIONS SA SPONSORED ADS 00790T100 3,556 52,582 SH   DFND   0 52,582 0
AEGLEA BIO THERAPEUTICS INC COM 00773J103 639 129,583 SH   DFND   0 129,583 0
AETNA INC COM 00817Y108 8,034 50,523 SH   DFND   0 50,523 0
AGIOS PHARMACEUTICALS INC PUT 00847X104 5,547 83,100 SH Put DFND   0 83,100 0
ALNYLAM PHARMACEUTICALS INC COM 02043Q107 2,376 20,225 SH   DFND   0 20,225 0
ANTHEM INC COM 036752103 2,548 13,418 SH   DFND   0 13,418 0
ARENA PHARMACEUTICALS INC COM NEW 040047607 1,838 72,086 SH   DFND   0 72,086 0
AVADEL PHARMACEUTICALS PLC SPONSORED ADR 05337M104 960 91,413 SH   DFND   0 91,413 0
AXOVANT SCIENCES LTD COM G0750W104 7,698 1,118,894 SH   DFND   0 1,118,894 0
AXOVANT SCIENCES LTD PUT G0750W104 25,034 3,638,700 SH Put DFND   0 3,638,700 0
BIOGEN INC COM 09062X103 4,869 15,549 SH   DFND   0 15,549 0
CATALYST BIOSCIENCES INC COM NEW 14888D208 2,133 421,635 SH   DFND   0 421,635 0
CHEMOCENTRYX INC COM 16383L106 187 25,182 SH   DFND   0 25,182 0
CYMABAY THERAPEUTICS INC COM 23257D103 605 75,000 SH   DFND   0 75,000 0
DBV TECHNOLOGIES SA PUT 23306J101 772 18,200 SH Put DFND   0 18,200 0
EAGLE PHARMACEUTICALS INC COM 269796108 3,807 63,835 SH   DFND   0 63,835 0
EMERGENT BIOSOLUTIONS INC COM 29089Q105 3,651 90,268 SH   DFND   0 90,268 0
EVOLENT HEALTH INC CL A 30050B101 1,399 78,600 SH   DFND   0 78,600 0
FOAMIX PHARMACEUTICALS LTD SHS M46135105 773 139,200 SH   DFND   0 139,200 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105 6,971 171,694 SH   DFND   0 171,694 0
GLAXOSMITHKLINE PLC CALL 37733W105 4,060 100,000 SH Call DFND   0 100,000 0
GLOBUS MEDICAL INC CL A 379577208 4,380 147,364 SH   DFND   0 147,364 0
HALYARD HEALTH INC COM 40650V100 3,914 86,914 SH   DFND   0 86,914 0
ICON PLC SHS G4705A100 2,688 23,604 SH   DFND   0 23,604 0
INSMED INC PUT 457669307 8,327 266,800 SH Put DFND   0 266,800 0
INTEGER HOLDINGS CORP COM 45826H109 2,622 51,258 SH   DFND   0 51,258 0
INTUITIVE SURGICAL INC PUT 46120E602 2,615 2,500 SH Put DFND   0 2,500 0
KONINKLIJKE PHILIPS NV NY REG SH NEW 500472303 2,795 67,829 SH   DFND   0 67,829 0
KURA ONCOLOGY INC COM 50127T109 4,122 275,731 SH   DFND   0 275,731 0
LUMINEX CORP COM 55027E102 2,358 115,979 SH   DFND   0 115,979 0
MADRIGAL PHARMACEUTICALS INC COM 558868105 1,213 26,958 SH   DFND   0 26,958 0
MEDTRONIC PLC SHS G5960L103 4,343 55,844 SH   DFND   0 55,844 0
OASMIA PHARMACEUTICAL AB ADR 67421W109 211 203,170 SH   DFND   0 203,170 0
OTONOMY INC COM 68906L105 328 100,900 SH   DFND   0 100,900 0
OTONOMY INC PUT 68906L105 328 100,900 SH Put DFND   0 100,900 0
PFENEX INC COM 717071104 259 85,867 SH   DFND   0 85,867 0
PROGENICS PHARMACEUTICALS INC COM 743187106 652 88,523 SH   DFND   0 88,523 0
PUMA BIOTECHNOLOGY INC COM 74587V107 3,260 27,221 SH   DFND   0 27,221 0
QUOTIENT LTD SHS G73268107 11,557 2,344,311 SH   DFND   0 2,344,311 0
RIGEL PHARMACEUTICALS INC COM NEW 766559603 3,971 1,563,307 SH   DFND   0 1,563,307 0
SAGE THERAPEUTICS INC PUT 78667J108 11,862 190,400 SH Put DFND   0 190,400 0
SANOFI SA SPONSORED ADR 80105N105 2,245 45,099 SH   DFND   0 45,099 0
SEATTLE GENETICS INC PUT 812578102 5,441 100,000 SH Put DFND   0 100,000 0
STEADYMED LTD SHS M84920103 184 54,950 SH   DFND   0 54,950 0
SUNESIS PHARMACEUTICALS INC COM PAR 867328700 65 33,710 SH   DFND   0 33,710 0
UNITEDHEALTH GROUP INC COM 91324P102 2,239 11,430 SH   DFND   0 11,430 0
VERTEX PHARMACEUTICALS INC COM 92532F100 2,261 14,874 SH   DFND   0 14,874 0
VOCERA COMMUNICATIONS INC COM 92857F107 1,760 56,106 SH   DFND   0 56,106 0
XENCOR INC COM 98401F105 759 33,100 SH   DFND   0 33,100 0
ZIMMER BIOMET HOLDINGS INC COM 98956P102 3,634 31,033 SH   DFND   0 31,033 0
ZOETIS INC PUT 98978V103 3,188 50,000 SH Put DFND   0 50,000 0