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

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COLUMN 1COLUMN 2COLUMN 3COLUMN 4COLUMN 5COLUMN 6COLUMN 7COLUMN 8
VALUESHRS ORSH/PUT/INVESTMENTOTHERVOTING AUTHORITY
NAME OF ISSUERTITLE OF CLASSCUSIP(x$1000)PRN AMTPRNCALLDISCRETIONMANAGERSOLESHAREDNONE
AC IMMUNE SASHSH002631051,488221,749SH SOLE 221,74900
ACCELERON PHARMA INCCOM00434H10860,148349,494SH SOLE 349,49400
ADAPTIMMUNE THERAPEUTICS PLCSPONDS ADR00653A1072,300444,887SH SOLE 444,88700
AGILENT TECHNOLOGIES INCCOM00846U1012,94018,660SH SOLE 18,66000
AKOYA BIOSCIENCES INCCOM00974H1041,27891,568SH SOLE 91,56800
ALNYLAM PHARMACEUTICALS INCCOM02043Q10711,18459,233SH SOLE 59,23300
AMARIN CORP PLCSPONS ADR NEW02311120659,18511,604,990SH SOLE 11,604,99000
AMN HEALTHCARE SVCS INCCOM0017441011,14810,000SH SOLE 10,00000
AMNEAL PHARMACEUTICALS INCCOM STK CL A03168L10536,5786,849,834SH SOLE 6,849,83400
ANAPTYSBIO INCCOM0327241062,11778,054SH SOLE 78,05400
ANTHEM INCCOM03675210311,79131,628SH SOLE 31,62800
ARGENX SESPONSORED ADR04016X1011,7355,746SH SOLE 5,74600
ARK ETF TRGENOMIC REV ETF00214Q30251,520689,501SH SOLE 689,50100
ARK ETF TRINNOVATION ETF00214Q1043,86935,000SH SOLE 35,00000
ASCENDIS PHARMA A/SSPONSORED ADR04351P10170,961445,203SH SOLE 445,20300
ASSEMBLY BIOSCIENCES INCCOM0453961081,218350,000SH SOLE 350,00000
ASTRAZENECA PLCSPONSORED ADR04635310853,502890,808SH SOLE 890,80800
AUTOLUS THERAPEUTICS PLCSPON ADS05280R1002,607398,074SH SOLE 398,07400
AVANTOR INCCOM05352A10052,8431,292,014SH SOLE 1,292,01400
AVROBIO INCCOM05455M1002,006359,480SH SOLE 359,48000
BRISTOL-MYERS SQUIBB COCOM11012210827,791464,801SH SOLE 464,80100
CATALENT INCCOM14880610224,525184,299SH SOLE 184,29900
CENTENE CORP DELCOM15135B1018,792141,107SH SOLE 141,10700
COMMUNITY HEALTH SYS INC NEWCOM20366810870,0625,988,163SH SOLE 5,988,16300
CROSS CTRY HEALTHCARE INCCOM22748310442520,000SH SOLE 20,00000
CYCLERION THERAPEUTICS INCCOM23255M1051,142371,955SH SOLE 371,95500
DANAHER CORPORATIONCOM23585110245,068147,938SH SOLE 147,93800
DEXCOM INCCOM2521311073,5006,401SH SOLE 6,40100
ELEDON PHARMACEUTICALS INCCOM28617K101705114,008SH SOLE 114,00800
ENSIGN GROUP INCCOM29358P10177910,397SH SOLE 10,39700
ENVISTA HOLDINGS CORPORATIONCOM29415F10433,903810,881SH SOLE 810,88100
EVOLENT HEALTH INCCL A30050B1013,105100,170SH SOLE 100,17000
EXELIXIS INCCOM30161Q10410,915516,307SH SOLE 516,30700
F-STAR THERAPEUTICS INCCOM30315R10736649,933SH SOLE 49,93300
FATE THERAPEUTICS INCCOM31189P10215,463260,895SH SOLE 260,89500
FREQUENCY THERAPEUTICS INCCOM35803L10821230,000SH SOLE 30,00000
GLAXOSMITHKLINE PLCSPONSORED ADR37733W10515,410401,654SH SOLE 401,65400
GOHEALTH INCCOM CL A38046W1056,3461,261,723SH SOLE 1,261,72300
GOSSAMER BIO INCCOM38341P1021,884149,910SH SOLE 149,91000
GUARDANT HEALTH INCCOM40131M10912,546100,361SH SOLE 100,36100
HCA HEALTHCARE INCCOM40412C1019,31238,366SH SOLE 38,36600
HEALTHEQUITY INCCOM42226A1077,407114,378SH SOLE 114,37800
HEALTHSTREAM INCCOM42222N1032,22477,812SH SOLE 77,81200
HESKA CORPCOM RESTRC NEW42805E3061,1704,525SH SOLE 4,52500
HILL-ROM HLDGS INCCOM4314751024,50030,000SH SOLE 30,00000
HORIZON THERAPEUTICS PUB LSHSG4618810169,522634,670SH SOLE 634,67000
HUMANA INCCOM4448591029,39124,083SH SOLE 24,08300
ICON PLCSHSG4705A10018,84271,911SH SOLE 71,91100
INTRA-CELLULAR THERAPIES INCCOM46116X1018,602230,744SH SOLE 230,74400
INTUITIVE SURGICAL INCCOM NEW46120E6023,1273,145SH SOLE 3,14500
IONIS PHARMACEUTICALS INCCOM46222210015,110450,501SH SOLE 450,50100
IQVIA HLDGS INCCOM46266C1051,6266,790SH SOLE 6,79000
IRHYTHM TECHNOLOGIES INCCOM4500561066,667113,854SH SOLE 113,85400
KARUNA THERAPEUTICS INCCOM48576A1003,05825,000SH SOLE 25,00000
LABORATORY CORP AMER HLDGSCOM NEW50540R40936,112128,311SH SOLE 128,31100
LEXICON PHARMACEUTICALS INCCOM NEW5288723024,198872,694SH SOLE 872,69400
LIQUIDIA CORPORATIONCOM NEW53635D2022,564929,049SH SOLE 929,04900
LOGICBIO THERAPEUTICS INCCOM54142F1021,603349,919SH SOLE 349,91900
MAGELLAN HEALTH INCCOM NEW5590792079,899104,700SH SOLE 104,70000
MAGENTA THERAPEUTICS INCCOM55910K1081,448198,879SH SOLE 198,87900
MARAVAI LIFESCIENCES HLDGS ICOM CL A56600D10716,089327,810SH SOLE 327,81000
MASIMO CORPCOM57479510018,13867,000SH SOLE 67,00000
MCKESSON CORPCOM58155Q10332,289161,708SH SOLE 161,70800
MEREO BIOPHARMA GROUP PLCADS5894921072,177899,569SH SOLE 899,56900
MILESTONE PHARMACEUTICALS INCOM59935V107649113,597SH SOLE 113,59700
MIRATI THERAPEUTICS INCCOM60468T1051,6559,355SH SOLE 9,35500
MORPHIC HLDG INCCOM61775R1052,47043,600SH SOLE 43,60000
MYOMO INCCOM NEW62857J2011,784150,000SH SOLE 150,00000
NANOSTRING TECHNOLOGIES INCCOM63009R1098,098168,668SH SOLE 168,66800
NATERA INCCOM63230710412,502112,189SH SOLE 112,18900
ORCHARD THERAPEUTICS PLCADS68570P1011,310569,581SH SOLE 569,58100
ORTHO CLINICAL DIAGNOSTICS HORD SHSG6829J10716,909914,986SH SOLE 914,98600
OUTSET MED INCCOM6901451072,34847,500SH SOLE 47,50000
PERKINELMER INCCOM7140461098,15947,081SH SOLE 47,08100
PHASEBIO PHARMACEUTICALS INCCOM717224109933300,000SH SOLE 300,00000
PUMA BIOTECHNOLOGY INCCOM74587V1072,790397,940SH SOLE 397,94000
QIAGEN NVSHS NEWN724821237,396143,109SH SOLE 143,10900
R1 RCM INCCOM74939710516,833764,780SH SOLE 764,78000
REPLIGEN CORPCOM7599161091,2724,402SH SOLE 4,40200
SANOFISPONSORED ADR80105N10512,493259,128SH SOLE 259,12800
SI-BONE INCCOM8257041093,213150,000SH SOLE 150,00000
SURGALIGN HOLDINGS INCCOM86882C1053,8243,508,536SH SOLE 3,508,53600
TARO PHARMACEUTICAL INDS LTDSHSM8737E10811,413179,366SH SOLE 179,36600
TELIGENT INC NEWCOM NEW87960W2034271,069,465SH SOLE 1,069,46500
TEVA PHARMACEUTICAL INDS LTDSPONSORED ADS88162420934,6243,554,804SH SOLE 3,554,80400
UNITED THERAPEUTICS CORP DELCOM91307C10282,040444,471SH SOLE 444,47100
VIRIDIAN THERAPEUTICS INCCOM92790C1042,632160,000SH SOLE 160,00000
ZOGENIX INCCOM NEW98978L20411,766774,591SH SOLE 774,59100
APELLIS PHARMACEUTICALS INCCALL03753U9062081,264SH SOLE 1,26400
ASTRAZENECA PLCCALL0463539089,5672,603SH SOLE 2,60300
COMMUNITY HEALTH SYS INC NEWCALL2036689087,24210,772SH SOLE 10,77200
DECIPHERA PHARMACEUTICALS INCALL24344T901447187SH SOLE 18700
EDITAS MEDICINE INCPUT28106W9531,826500SH SOLE 50000
FREQUENCY THERAPEUTICS INCPUT35803L958477679SH SOLE 67900
GLAXOSMITHKLINE PLCCALL37733W90532,68115,037SH SOLE 15,03700
HILL-ROM HLDGS INCCALL4314759023,530294SH SOLE 29400
HORIZON THERAPEUTICS PUB LCALLG461889016,199700SH SOLE 70000
MERCK & CO INCCALL58933Y9052,155487SH SOLE 48700
NOVAVAX INCCALL6700029011,601100SH SOLE 10000
SPDR S&P 500 ETF TRPUT78462F95316,3441,000SH SOLE 1,00000
TEVA PHARMACEUTICAL INDS LTDCALL8816249094,5569,624SH SOLE 9,62400
VERTEX PHARMACEUTICALS INCCALL92532F9002,7431,733SH SOLE 1,73300