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 FIGI (to the nearest dollar) PRN AMT PRN CALL DISCRETION MANAGER SOLE SHARED NONE
ACADIA HEALTHCARE COMPANY IN COM 00404A109   1,765,945 75,500 SH   SOLE   75,500 0 0
ACLARIS THERAPEUTICS INC COM 00461U105   16,772,438 4,472,650 SH   SOLE   4,472,650 0 0
AGILON HEALTH INC COM NEW 00857U206   2,056,600 260,000 SH   SOLE   260,000 0 0
AGIOS PHARMACEUTICALS INC COM 00847X104   27,035,684 799,163 SH   SOLE   799,163 0 0
ALKERMES PLC SHS G01767105   6,505,745 183,986 SH   SOLE   183,986 0 0
ALNYLAM PHARMACEUTICALS INC COM 02043Q107   24,484,380 74,000 SH   SOLE   74,000 0 0
ALPHATEC HLDGS INC COM NEW 02081G201   3,808,000 350,000 SH   SOLE   350,000 0 0
AMICUS THERAPEUTIC COM 03152W109   304,557 21,062 SH   SOLE   21,062 0 0
AMYLYX PHARMACEUTICALS INC COM 03237H101   6,946,720 499,764 SH   SOLE   499,764 0 0
APELLIS PHARMACEUTICALS INC COM 03753U106   6,547,433 162,750 SH   SOLE   162,750 0 0
ARCELLX INC COMMON STOCK 03940C100   19,503,210 169,859 SH   SOLE   169,859 0 0
ARCUS BIOSCIENCES INC COM 03969F109   3,888,000 180,000 SH   SOLE   180,000 0 0
ARDELYX INC COM 039697107   13,773,843 2,299,473 SH   SOLE   2,299,473 0 0
ARGENX SE SPONSORED ADR 04016X101   71,929,625 98,500 SH   SOLE   98,500 0 0
ASCENDIS PHARMA A/S SPONSORED ADR 04351P101   44,373,620 194,000 SH   SOLE   194,000 0 0
AZENTA INC COM 114340102   12,025,083 569,100 SH   SOLE   569,100 0 0
BICARA THERAPEUTICS INC COM 055477103   9,728,100 489,095 SH   SOLE   489,095 0 0
BIOCRYST PHARMACEUTICALS INC COM 09058V103   119,952 12,600 SH   SOLE   12,600 0 0
BOSTON SCIENTIFIC CORP COM 101137107   32,335,075 515,300 SH   SOLE   515,300 0 0
BRIDGEBIO PHARMA INC COM 10806X102   9,523,845 128,250 SH   SOLE   128,250 0 0
CARIS LIFE SCIENCES INC COM 142152107   10,066,440 563,000 SH   SOLE   563,000 0 0
CELLDEX THERAPEUTICS INC NEW COM NEW 15117B202   20,626,564 650,270 SH   SOLE   650,270 0 0
CENTESSA PHARMACEUTICALS PLC SPONSORED ADS 152309100   13,974,608 351,828 SH   SOLE   351,828 0 0
CENTURY THERAPEUTICS INC COM 15673T100   2,947,824 1,304,347 SH   SOLE   1,304,347 0 0
COGENT BIOSCIENCES INC COM 19240Q201   24,023,726 624,155 SH   SOLE   624,155 0 0
COMPASS THERAPEUTICS INC COM 20454B104   17,485,079 3,305,308 SH   SOLE   3,305,308 0 0
CORCEPT THERAPEUTICS INC COM 218352102   2,025,578 50,250 SH   SOLE   50,250 0 0
CVS HEALTH CORP COM 126650100   2,872,800 40,000 SH   SOLE   40,000 0 0
CYTOKINETICS INC COM NEW 23282W605   2,989,941 45,364 SH   SOLE   45,364 0 0
DANAHER CORP DEL COM 235851102   11,660,400 61,500 SH   SOLE   61,500 0 0
DEXCOM INC COM 252131107   22,331,680 355,600 SH   SOLE   355,600 0 0
DIANTHUS THERAPEUTICS INC COM 252828108   2,245,447 26,757 SH   SOLE   26,757 0 0
DYNE THERAPEUTICS INC COM 26818M108   17,625,950 972,198 SH   SOLE   972,198 0 0
EDAP TMS S A SPONSORED ADR 268311107   5,126,160 1,378,000 SH   SOLE   1,378,000 0 0
EDWARDS LIFESCIENCES CORP COM 28176E108   2,314,312 28,900 SH   SOLE   28,900 0 0
ELI LILLY & CO COM 532457108   90,781,299 98,700 SH   SOLE   98,700 0 0
ENLIVEN THERAPEUTICS INC COM 29337E102   32,398,800 826,500 SH   SOLE   826,500 0 0
ERASCA INC COM 29479A108   17,854,128 1,103,469 SH   SOLE   1,103,469 0 0
EVOLENT HEALTH INC CL A 30050B101   6,099,000 2,675,000 SH   SOLE   2,675,000 0 0
EYEPOINT INC COM NEW 30233G209   3,335,146 258,739 SH   SOLE   258,739 0 0
GOSSAMER BIO INC COM 38341P102   528,718 1,609,492 SH   SOLE   1,609,492 0 0
HEARTFLOW INC COM 42238D107   13,928,925 572,500 SH   SOLE   572,500 0 0
IMMUNOME INC COM 45257U108   7,603,455 347,666 SH   SOLE   347,666 0 0
INDIVIOR PHARMACEUTICALS INC COM 45579U109   6,096,000 200,000 SH   SOLE   200,000 0 0
INSMED INC COM PAR $.01 457669307   51,394,336 314,300 SH   SOLE   314,300 0 0
INSPIRE MED SYS INC COM 457730109   6,798,244 131,800 SH   SOLE   131,800 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602   37,801,180 82,000 SH   SOLE   82,000 0 0
IRHYTHM HOLDINGS INC COM 450056106   30,891,735 261,750 SH   SOLE   261,750 0 0
JANUX THERAPEUTICS INC COM 47103J105   5,101,425 367,009 SH   SOLE   367,009 0 0
JASPER THERAPEUTICS INC COM NEW 471871202   964,456 1,100,726 SH   SOLE   1,100,726 0 0
JAZZ PHARMACEUTICALS PLC SHS USD G50871105   1,087,038 5,750 SH   SOLE   5,750 0 0
KYMERA THERAPEUTICS INC COM 501575104   41,384,386 496,871 SH   SOLE   496,871 0 0
LEGEND BIOTECH CORP SPONSORED ADS 52490G102   732,645 40,500 SH   SOLE   40,500 0 0
LENZ THERAPEUTICS INC COM 52635N103   2,355,759 257,460 SH   SOLE   257,460 0 0
MADRIGAL PHARMACEUTICALS INC COM 558868105   89,512,847 170,999 SH   SOLE   170,999 0 0
MBX BIOSCIENCES INC COM 55287L101   8,595,815 287,967 SH   SOLE   287,967 0 0
MINERALYS THERAPEUTICS INC COM 603170101   11,912,855 439,751 SH   SOLE   439,751 0 0
MINIMED GROUP INC COM 60365F109   15,740,600 1,055,000 SH   SOLE   1,055,000 0 0
MIRUM PHARMACEUTICALS INC COM 604749101   74,947,340 811,294 SH   SOLE   811,294 0 0
MOONLAKE IMMUNOTHERAPEUTICS CLASS A ORD 61559X104   1,150,088 61,700 SH   SOLE   61,700 0 0
NEUROCRINE BIOSCIENCES INC COM 64125C109   19,820,283 150,450 SH   SOLE   150,450 0 0
NEUROGENE INC COM 64135M105   2,103,474 104,339 SH   SOLE   104,339 0 0
NEWAMSTERDAM PHARMA COMPANY ORDINARY SHARES N62509109   18,847,296 588,794 SH   SOLE   588,794 0 0
NOVO-NORDISK A S ADR 670100205   3,307,500 90,000 SH   SOLE   90,000 0 0
OCULAR THERAPEUTIX INC COM 67576A100   3,250,075 383,716 SH   SOLE   383,716 0 0
OLEMA PHARMACEUTICALS INC COM 68062P106   2,540,336 170,378 SH   SOLE   170,378 0 0
OMADA HEALTH INC COM 68170A108   6,800,370 541,000 SH   SOLE   541,000 0 0
ORUKA THERAPEUTICS INC COM 687604108   202,233 4,123 SH   SOLE   4,123 0 0
PENUMBRA INC COM 70975L107   39,568,585 120,500 SH   SOLE   120,500 0 0
PHARVARIS N V COM N69605108   18,236,307 645,533 SH   SOLE   645,533 0 0
PHREESIA INC COM 71944F106   5,031,352 600,400 SH   SOLE   600,400 0 0
PTC THERAPEUTICS INC COM 69366J200   11,023,298 161,798 SH   SOLE   161,798 0 0
REGENERON PHARMACEUTICALS COM 75886F107   7,803,664 10,100 SH   SOLE   10,100 0 0
REVOLUTION MEDICINES INC COM 76155X100   117,620,471 1,209,465 SH   SOLE   1,209,465 0 0
RHYTHM PHARMACEUTICALS INC COM 76243J105   59,987,384 689,748 SH   SOLE   689,748 0 0
ROIVANT SCIENCES LTD SHS G76279101   2,686,900 97,000 SH   SOLE   97,000 0 0
SCHOLAR ROCK HLDG CORP COM 80706P103   36,369,355 739,816 SH   SOLE   739,816 0 0
SIONNA THERAPEUTICS INC COM 829401108   3,986,109 99,429 SH   SOLE   99,429 0 0
SOLENO THERAPEUTICS INC COM 834203309   8,612,830 257,253 SH   SOLE   257,253 0 0
SPDR SERIES TRUST STATE STREET SPD 78464A870   3,831,900 30,000 SH   SOLE   30,000 0 0
STRUCTURE THERAPEUTICS INC SPONSORED ADS 86366E106   30,858,459 640,217 SH   SOLE   640,217 0 0
STRYKER CORPORATION COM 863667101   4,863,132 14,800 SH   SOLE   14,800 0 0
SUMMIT THERAPEUTICS INC COM 86627T108   13,461,600 710,000 SH   SOLE   710,000 0 0
SURGERY PARTNERS INC COM 86881A100   2,479,360 208,000 SH   SOLE   208,000 0 0
TALPHERA INC COM NEW 00444T209   2,680,763 3,589,186 SH   SOLE   3,589,186 0 0
TANGO THERAPEUTICS INC COM 87583X109   8,094,262 386,915 SH   SOLE   386,915 0 0
TARSUS PHARMACEUTICALS INC COM 87650L103   15,796,307 225,179 SH   SOLE   225,179 0 0
TENET HEALTHCARE CORP COM NEW 88033G407   23,588,750 125,000 SH   SOLE   125,000 0 0
TERNS PHARMACEUTICALS INC COM 880881107   5,996,795 113,748 SH   SOLE   113,748 0 0
TEVA PHARMACEUTICAL INDS LTD SPONSORED ADS 881624209   1,370,460 45,500 SH   SOLE   45,500 0 0
THERMO FISHER SCIENTIFIC INC COM 883556102   4,915,300 10,000 SH   SOLE   10,000 0 0
TRAVERE THERAPEUTICS INC COM 89422G107   43,910,013 1,477,954 SH   SOLE   1,477,954 0 0
ULTRAGENYX PHARMACEUTICAL IN COM 90400D108   25,533,294 1,218,773 SH   SOLE   1,218,773 0 0
UNITEDHEALTH GROUP INC COM 91324P102   14,341,270 53,000 SH   SOLE   53,000 0 0
VAXCYTE INC COM 92243G108   3,501,128 60,250 SH   SOLE   60,250 0 0
VERA THERAPEUTICS INC CL A 92337R101   20,259,225 503,585 SH   SOLE   503,585 0 0
VIKING THERAPEUTICS INC COM 92686J106   3,123,840 96,000 SH   SOLE   96,000 0 0
XENON PHARMACEUTICALS INC COM 98420N105   44,369,613 763,020 SH   SOLE   763,020 0 0
ZAI LAB LTD ADR 98887Q104   15,324,639 814,707 SH   SOLE   814,707 0 0
ZENAS BIOPHARMA INC COM 98937L105   9,815,605 502,077 SH   SOLE   502,077 0 0