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
hours per response: 23.8
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
ACHIEVE LIFE SCIENCES INC COM NEW 004468203 1,361 421,479 SH   SOLE   421,479 0 0
AFFIMED NV COM N01045108 1,125 267,942 SH   SOLE   267,942 0 0
ALNYLAM PHARMACEUTICALS INC COM 02043Q107 7,397 79,153 SH   SOLE   79,153 0 0
ALEXION PHARMACEUTICALS INC COM 015351109 4,788 35,421 SH   SOLE   35,421 0 0
ASCENDIS PHARMA A/S SPONSORED ADR 04351P101 10,631 90,325 SH   SOLE   90,325 0 0
ACTINIUM PHARMACEUTICALS INC COM 00507W107 163 339,796 SH   SOLE   339,796 0 0
AXSOME THERAPEUTICS INC COM 05464T104 603 42,410 SH   SOLE   42,410 0 0
BIOGEN INC COM 09062X103 18,579 78,596 SH   SOLE   78,596 0 0
BIONANO GENOMICS INC COM 09075F107 3,561 816,805 SH   SOLE   816,805 0 0
BIONANO GENOMICS INC *W EXP 08/21/2023 09075F107 1,068 721,619 SH   SOLE   721,619 0 0
BLUEPRINT MEDICINES CORP COM 09627Y109 240 3,000 SH   SOLE   3,000 0 0
CYMABAY THERAPEUTICS INC COM 23257D103 3,185 239,827 SH   SOLE   239,827 0 0
CATALYST BIOSCIENCES INC COM NEW 14888D208 3,684 454,308 SH   SOLE   454,308 0 0
CHEMOCENTRYX INC COM 16383L106 7,364 530,175 SH   SOLE   530,175 0 0
CVS HEALTH CORP COM 126650100 19,796 367,071 SH   SOLE   367,071 0 0
DICERNA PHARMACEUTICALS INC COM 253031108 11,236 766,980 SH   SOLE   766,980 0 0
EMERGENT BIOSOLUTIONS INC COM 29089Q105 9,101 180,156 SH   SOLE   180,156 0 0
EAGLE PHARMACEUTICALS INC COM 269796108 4,276 84,695 SH   SOLE   84,695 0 0
FOAMIX PHARMACEUTICALS LTD SHS M46135105 4,859 1,295,669 SH   SOLE   1,295,669 0 0
GILEAD SCIENCES INC COM 375558103 15,990 245,968 SH   SOLE   245,968 0 0
GLOBUS MEDICAL INC CL A 379577208 10,022 202,827 SH   SOLE   202,827 0 0
GENFIT SA ADS 372279109 2,223 92,637 SH   SOLE   92,637 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105 10,949 262,000 SH   SOLE   262,000 0 0
GW PHARMACEUTICALS PLC ADS 36197T103 10,483 62,186 SH   SOLE   62,186 0 0
GW PHARMACEUTICALS PLC ADS 36197T103 8,563 50,800 SH Put SOLE   50,800 0 0
HCA HEALTHCARE INC COM 40412C101 14,006 107,428 SH   SOLE   107,428 0 0
HILL-ROM HOLDINGS INC COM 431475102 1,025 9,682 SH   SOLE   9,682 0 0
HARROW HEALTH INC COM 415858109 2,695 541,114 SH   SOLE   541,114 0 0
HUMANA INC COM 444859102 2,877 10,817 SH   SOLE   10,817 0 0
ICON PLC SHS G4705A100 3,069 22,471 SH   SOLE   22,471 0 0
INTERCEPT PHARMACEUTICALS INC COM 45845P108 2,439 21,800 SH Put SOLE   21,800 0 0
INTERPACE DIAGNOSTICS GROUP INC COM NEW 46062X204 1,322 1,653,097 SH   SOLE   1,653,097 0 0
IDEXX LABORATORIES INC COM 45168D104 3,779 16,900 SH Put SOLE   16,900 0 0
INOGEN INC COM 45780L104 1,449 15,189 SH   SOLE   15,189 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602 5,649 9,900 SH Put SOLE   9,900 0 0
LOGICBIO THERAPEUTICS INC COM 54142F102 1,571 158,958 SH   SOLE   158,958 0 0
LEXICON PHARMACEUTICALS INC COM NEW 528872302 120 21,600 SH Put SOLE   21,600 0 0
MASIMO CORP COM 574795100 456 3,300 SH Put SOLE   3,300 0 0
MCKESSON CORP COM 58155Q103 6,005 51,300 SH   SOLE   51,300 0 0
MEDTRONIC PLC SHS G5960L103 11,974 131,464 SH   SOLE   131,464 0 0
MEDPACE HOLDINGS INC COM 58506Q109 10,725 181,866 SH   SOLE   181,866 0 0
MEI PHARMA INC COM NEW 55279B202 7,235 2,356,633 SH   SOLE   2,356,633 0 0
MOLINA HEALTHCARE INC COM 60855R100 6,378 44,928 SH   SOLE   44,928 0 0
MIRATI THERAPEUTICS INC COM 60468T105 4,163 56,800 SH   SOLE   56,800 0 0
NOVO NORDISK A/S ADR 670100205 8,474 162,000 SH   SOLE   162,000 0 0
OSMOTICA PHARMACEUTICALS PLC SHS G6S41R101 1,247 346,410 SH   SOLE   346,410 0 0
PENUMBRA INC COM 70975L107 3,528 24,000 SH Put SOLE   24,000 0 0
PETMED EXPRESS INC COM 716382106 4,058 178,151 SH   SOLE   178,151 0 0
PFENEX INC COM 717071104 1,320 213,608 SH   SOLE   213,608 0 0
RIGEL PHARMACEUTICALS INC COM NEW 766559603 4,136 1,609,265 SH   SOLE   1,609,265 0 0
RA MEDICAL SYSTEMS INC COM 74933X104 590 173,652 SH   SOLE   173,652 0 0
REVANCE THERAPEUTICS INC COM 761330109 4,012 254,581 SH   SOLE   254,581 0 0
SENSEONICS HOLDINGS INC COM 81727U105 1,359 554,858 SH   SOLE   554,858 0 0
SMITH & NEPHEW PLC SPDN ADR NEW 83175M205 4,425 110,327 SH   SOLE   110,327 0 0
SANOFI SA SPONSORED ADR 80105N105 6,945 156,854 SH   SOLE   156,854 0 0
SPECTRUM PHARMACEUTICALS INC COM 84763A108 5,922 554,019 SH   SOLE   554,019 0 0
STERICYCLE INC COM 858912108 4,082 75,000 SH   SOLE   75,000 0 0
SUTRO BIOPHARMA INC COM 869367102 4,542 398,796 SH   SOLE   398,796 0 0
STRYKER CORP COM 863667101 3,792 19,200 SH Put SOLE   19,200 0 0
SYNEOS HEALTH INC CL A 87166B102 4,239 81,899 SH   SOLE   81,899 0 0
UNITEDHEALTH GROUP INC COM 91324P102 3,810 15,407 SH   SOLE   15,407 0 0
UROVANT SCIENCES LTD SHS G9381B108 2,161 215,042 SH   SOLE   215,042 0 0
UNITED THERAPEUTICS CORP COM 91307C102 3,950 33,655 SH   SOLE   33,655 0 0
VARIAN MEDICAL SYSTEMS INC COM 92220P105 3,911 27,600 SH Put SOLE   27,600 0 0
VICAL INC COM NEW 925602203 1,939 1,615,887 SH   SOLE   1,615,887 0 0
VIKING THERAPEUTICS INC COM 92686J106 8,470 852,160 SH   SOLE   852,160 0 0
VERTEX PHARMACEUTICALS INC COM 92532F100 5,193 28,232 SH   SOLE   28,232 0 0
WALGREENS BOOTS ALLIANCE INC COM 931427108 10,471 165,500 SH Put SOLE   165,500 0 0
WELLCARE HEALTH PLANS INC COM 94946T106 5,789 21,459 SH   SOLE   21,459 0 0
ZIMMER BIOMET HOLDINGS INC COM 98956P102 3,831 30,000 SH   SOLE   30,000 0 0