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
ABBOTT LABS COM 002824100   5,509,336 75,100 SH   SOLE   75,100 0 0
ABIOMED INC COM 003654100   1,537,695 3,419 SH   SOLE   3,419 0 0
AERIE PHARMACEUTICALS INC COM 00771V108   7,429,762 120,711 SH   SOLE   120,711 0 0
AFFIMED N V COM N01045108   1,882,362 432,727 SH   SOLE   432,727 0 0
ALBIREO PHARMA INC COM 01345P106   594,236 18,029 SH   SOLE   18,029 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206   16,200,039 995,700 SH   SOLE   995,700 0 0
AMICUS THERAPEUTICS INC COM 03152W109   964,178 79,750 SH   SOLE   79,750 0 0
ANAPTYSBIO INC COM 032724106   2,247,219 22,524 SH   SOLE   22,524 0 0
ANTHEM INC COM 036752103   630,315 2,300 SH   SOLE   2,300 0 0
APELLIS PHARMACEUTICALS INC COM 03753U106   1,783,245 100,295 SH   SOLE   100,295 0 0
APPLIED GENETIC TECHNOL CORP COM 03820J100   105,850 14,500 SH   SOLE   14,500 0 0
ARENA PHARMACEUTICALS INC COM NEW 040047607   5,493,453 119,371 SH   SOLE   119,371 0 0
ARGENX SE SPONSORED ADR 04016X101   1,786,335 23,554 SH   SOLE   23,554 0 0
ARQULE INC COM 04269E107   1,639,238 289,618 SH   SOLE   289,618 0 0
ARRAY BIOPHARMA INC COM 04269X105   918,262 60,412 SH   SOLE   60,412 0 0
ASCENDIS PHARMA A S SPONSORED ADR 04351P101   1,350,166 19,054 SH   SOLE   19,054 0 0
BIOCRYST PHARMACEUTICALS COM 09058V103   1,136,557 148,959 SH   SOLE   148,959 0 0
BIOSPECIFICS TECHNOLOGIES CO COM 090931106   1,280,931 21,900 SH   SOLE   21,900 0 0
CARETRUST REIT INC COM 14174T107   918,395 51,264 SH   SOLE   51,264 0 0
CENTENE CORP DEL COM 15135B101   622,554 4,300 SH   SOLE   4,300 0 0
CONFORMIS INC COM 20717E101   134,462 126,851 SH   SOLE   126,851 0 0
CYMABAY THERAPEUTICS INC COM 23257D103   798,824 72,096 SH   SOLE   72,096 0 0
DANAHER CORP DEL COM 235851102   3,874,427 35,604 SH   SOLE   35,604 0 0
DENTSPLY SIRONA INC COM 24906P109   630,963 16,680 SH   SOLE   16,680 0 0
DERMIRA INC COM 24983L104   436,196 40,018 SH   SOLE   40,018 0 0
DICERNA PHARMACEUTICALS INC COM 253031108   779,389 51,074 SH   SOLE   51,074 0 0
DYNAVAX TECHNOLOGIES CORP COM NEW 268158201   334,800 27,000 SH   SOLE   27,000 0 0
ENSIGN GROUP INC COM 29358P101   5,112,177 134,655 SH   SOLE   134,655 0 0
EPIZYME INC COM 29428V104   502,959 47,449 SH   SOLE   47,449 0 0
FOAMIX PHARMACEUTICALS LTD SHS M46135105   1,568,971 273,817 SH   SOLE   273,817 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105   11,745,720 289,284 SH   SOLE   289,284 0 0
INSULET CORP COM 45784P101   928,652 8,765 SH   SOLE   8,765 0 0
INVACARE CORP COM 461203101   1,584,524 108,902 SH   SOLE   108,902 0 0
IOVANCE BIOTHERAPEUTICS INC COM 462260100   496,575 44,140 SH   SOLE   44,140 0 0
MADRIGAL PHARMACEUTICALS INC COM 558868105   2,012,822 9,400 SH   SOLE   9,400 0 0
MEDICINES CO COM 584688105   500,005 16,717 SH   SOLE   16,717 0 0
MEDTRONIC PLC SHS G5960L103   2,649,716 26,800 SH   SOLE   26,800 0 0
MELINTA THERAPEUTICS INC COM 58549G100   104,592 26,479 SH   SOLE   26,479 0 0
MERCK & CO INC COM 58933Y105   10,555,876 147,800 SH   SOLE   147,800 0 0
MODEL N INC COM 607525102   1,145,686 72,283 SH   SOLE   72,283 0 0
OPHTHOTECH CORP COM 683745103   351,876 149,100 SH   SOLE   149,100 0 0
ORTHOPEDIATRICS CORP COM 68752L100   718,144 19,600 SH   SOLE   19,600 0 0
PUMA BIOTECHNOLOGY INC COM 74587V107   993,615 21,671 SH   SOLE   21,671 0 0
R1 RCM INC COM 749397105   17,120,484 1,685,087 SH   SOLE   1,685,087 0 0
RADIUS HEALTH INC COM NEW 750469207   9,416,058 528,992 SH   SOLE   528,992 0 0
SAGE THERAPEUTICS INC COM 78667J108   6,161,466 43,621 SH   SOLE   43,621 0 0
SANOFI SPONSORED ADR 80105N105   12,546,552 280,872 SH   SOLE   280,872 0 0
SAREPTA THERAPEUTICS INC COM 803607100   6,814,753 42,194 SH   SOLE   42,194 0 0
SEASPINE HLDGS CORP COM 81255T108   480,788 30,899 SH   SOLE   30,899 0 0
TELIGENT INC NEW COM 87960W104   8,342,787 2,112,098 SH   SOLE   2,112,098 0 0
TG THERAPEUTICS INC COM 88322Q108   364,000 65,000 SH   SOLE   65,000 0 0
TRICIDA INC COM 89610F101   736,927 24,122 SH   SOLE   24,122 0 0
VERTEX PHARMACEUTICALS INC COM 92532F100   9,269,252 48,092 SH   SOLE   48,092 0 0
VIKING THERAPEUTICS INC COM 92686J106   435,500 25,000 SH   SOLE   25,000 0 0
WRIGHT MED GROUP N V ORD SHS 0.03 PAR N96617118   1,932,732 66,600 SH   SOLE   66,600 0 0
XENON PHARMACEUTICALS INC COM 98420N105   2,768,555 209,739 SH   SOLE   209,739 0 0
ZOGENIX INC COM NEW 98978L204   20,796,238 419,279 SH   SOLE   419,279 0 0
FOAMIX PHARMACEUTICALS LTD SHS M46135105   143,250 25,000 SH Put SOLE   25,000 0 0
SANGAMO THERAPEUTICS INC COM 800677106   678,000 40,000 SH Call SOLE   40,000 0 0
SPECTRUM PHARMACEUTICALS INC COM 84763A108   1,008,000 60,000 SH Put SOLE   60,000 0 0
SPECTRUM PHARMACEUTICALS INC COM 84763A108   672,000 40,000 SH Call SOLE   40,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103   26,164,800 90,000 SH Put SOLE   90,000 0 0
VITAL THERAPIES INC COM 92847R104   10,548 38,300 SH Put SOLE   38,300 0 0