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
AFFIMED N V COM N01045108 925 322,171 SH   SOLE   322,171 0 0
AKORN INC COM 009728106 678 131,640 SH   SOLE   131,640 0 0
ALBIREO PHARMA INC COM 01345P106 581 18,029 SH   SOLE   18,029 0 0
ALNYLAM PHARMACEUTICALS INC COM 02043Q107 6,323 87,140 SH   SOLE   87,140 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 30,211 1,558,065 SH   SOLE   1,558,065 0 0
ANTHEM INC COM 036752103 2,822 10,000 SH   SOLE   10,000 0 0
APELLIS PHARMACEUTICALS INC COM 03753U106 2,973 117,309 SH   SOLE   117,309 0 0
AQUINOX PHARMACEUTICALS INC COM 03842B101 174 73,717 SH   SOLE   73,717 0 0
ARENA PHARMACEUTICALS INC COM NEW 040047607 4,309 73,501 SH   SOLE   73,501 0 0
ARGENX SE SPONSORED ADR 04016X101 6,833 48,264 SH   SOLE   48,264 0 0
ARQULE INC COM 04269E107 4,973 451,688 SH   SOLE   451,688 0 0
ASCENDIS PHARMA A S SPONSORED ADR 04351P101 15,706 136,397 SH   SOLE   136,397 0 0
AUDENTES THERAPEUTICS INC COM 05070R104 6,040 159,526 SH   SOLE   159,526 0 0
BIOCRYST PHARMACEUTICALS COM 09058V103 1,298 342,460 SH   SOLE   342,460 0 0
BIODELIVERY SCIENCES INTL IN COM 09060J106 1,657 356,274 SH   SOLE   356,274 0 0
CARETRUST REIT INC COM 14174T107 1,499 62,464 SH   SOLE   62,464 0 0
CELGENE CORP RIGHT 12/31/2030 151020112 4 6,000 SH   SOLE   6,000 0 0
CENTENE CORP DEL COM 15135B101 5,223 99,600 SH   SOLE   99,600 0 0
COLLEGIUM PHARMACEUTICAL INC COM 19459J104 1,854 141,000 SH   SOLE   141,000 0 0
CYCLERION THERAPEUTICS INC COM 23255M105 217 18,925 SH   SOLE   18,925 0 0
CYMABAY THERAPEUTICS INC COM 23257D103 604 84,296 SH   SOLE   84,296 0 0
DANAHER CORPORATION COM 235851102 20,761 145,104 SH   SOLE   145,104 0 0
DECIPHERA PHARMACEUTICALS IN COM 24344T101 6,883 305,233 SH   SOLE   305,233 0 0
DERMIRA INC COM 24983L104 3,823 399,874 SH   SOLE   399,874 0 0
DICERNA PHARMACEUTICALS INC COM 253031108 647 41,074 SH   SOLE   41,074 0 0
EHEALTH INC COM 28238P109 15,389 178,739 SH   SOLE   178,739 0 0
EIGER BIOPHARMACEUTICALS INC COM 28249U105 739 69,708 SH   SOLE   69,708 0 0
ENSIGN GROUP INC COM 29358P101 17,402 305,483 SH   SOLE   305,483 0 0
FATE THERAPEUTICS INC COM 31189P102 4,422 217,856 SH   SOLE   217,856 0 0
FOAMIX PHARMACEUTICALS LTD SHS M46135105 627 263,390 SH   SOLE   263,390 0 0
GENOMIC HEALTH INC COM 37244C101 2,234 38,403 SH   SOLE   38,403 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105 28,092 693,685 SH   SOLE   693,685 0 0
HESKA CORP COM RESTRC NEW 42805E306 2,974 34,924 SH   SOLE   34,924 0 0
HUMANA INC COM 444859102 2,658 10,000 SH   SOLE   10,000 0 0
ILLUMINA INC COM 452327109 6,733 18,290 SH   SOLE   18,290 0 0
INVACARE CORP COM 461203101 1,091 210,283 SH   SOLE   210,283 0 0
LTC PPTYS INC COM 502175102 1,508 33,027 SH   SOLE   33,027 0 0
MACROGENICS INC COM 556099109 3,235 190,623 SH   SOLE   190,623 0 0
MEDICINES CO COM 584688105 2,086 57,200 SH   SOLE   57,200 0 0
MYOKARDIA INC COM 62857M105 2,841 56,652 SH   SOLE   56,652 0 0
NUVASIVE INC COM 670704105 5,374 91,798 SH   SOLE   91,798 0 0
OMEGA HEALTHCARE INVS INC COM 681936100 1,521 41,400 SH   SOLE   41,400 0 0
OPTINOSE INC COM 68404V100 744 105,106 SH   SOLE   105,106 0 0
OTONOMY INC COM 68906L105 535 194,429 SH   SOLE   194,429 0 0
PFENEX INC COM 717071104 546 80,968 SH   SOLE   80,968 0 0
PROVENTION BIO INC COM 74374N102 891 73,661 SH   SOLE   73,661 0 0
PTC THERAPEUTICS INC COM 69366J200 2,187 48,600 SH   SOLE   48,600 0 0
R1 RCM INC COM 749397105 33,955 2,699,159 SH   SOLE   2,699,159 0 0
RADIUS HEALTH INC COM NEW 750469207 17,308 710,517 SH   SOLE   710,517 0 0
SABRA HEALTH CARE REIT INC COM 78573L106 1,548 78,600 SH   SOLE   78,600 0 0
SANOFI SPONSORED ADR 80105N105 11,513 266,062 SH   SOLE   266,062 0 0
SAREPTA THERAPEUTICS INC COM 803607100 2,515 16,554 SH   SOLE   16,554 0 0
SAVARA INC COM 805111101 574 242,143 SH   SOLE   242,143 0 0
SCPHARMACEUTICALS INC COM 810648105 556 174,297 SH   SOLE   174,297 0 0
TELIGENT INC NEW COM 87960W104 1,629 2,584,883 SH   SOLE   2,584,883 0 0
TG THERAPEUTICS INC COM 88322Q108 7,642 883,501 SH   SOLE   883,501 0 0
TRICIDA INC COM 89610F101 3,455 87,568 SH   SOLE   87,568 0 0
VERTEX PHARMACEUTICALS INC COM 92532F100 10,608 57,849 SH   SOLE   57,849 0 0
XENON PHARMACEUTICALS INC COM 98420N105 2,212 224,340 SH   SOLE   224,340 0 0
ZOGENIX INC COM NEW 98978L204 25,648 536,794 SH   SOLE   536,794 0 0
BIOCRYST PHARMACEUTICALS CALL 09058V903 8 1,018 SH   SOLE   1,018 0 0
CONCERT PHARMACEUTICALS INC CALL 206022905 1 23 SH   SOLE   23 0 0
ZOGENIX INC PUT 98978L954 5 364 SH   SOLE   364 0 0
ZOGENIX INC CALL 98978L904 677 1,043 SH   SOLE   1,043 0 0