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
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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
ABIOMED INC COM 003654100   5,327,806 29,950 SH   SOLE   29,950 0 0
AFFIMED N V COM N01045108   947,183 322,171 SH   SOLE   322,171 0 0
AGILE THERAPEUTICS INC COM 00847L100   1,077,740 909,485 SH   SOLE   909,485 0 0
AKORN INC COM 009728106   152,920 40,242 SH   SOLE   40,242 0 0
ALBIREO PHARMA INC COM 01345P106   360,580 18,029 SH   SOLE   18,029 0 0
ALNYLAM PHARMACEUTICALS INC COM 02043Q107   7,401,857 92,040 SH   SOLE   92,040 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206   20,158,176 1,329,695 SH   SOLE   1,329,695 0 0
APELLIS PHARMACEUTICALS INC COM 03753U106   1,915,372 79,509 SH   SOLE   79,509 0 0
ARGENX SE SPONSORED ADR 04016X101   4,103,016 36,004 SH   SOLE   36,004 0 0
ARQULE INC COM 04269E107   2,956,822 412,388 SH   SOLE   412,388 0 0
ASCENDIS PHARMA A S SPONSORED ADR 04351P101   22,769,277 236,392 SH   SOLE   236,392 0 0
AUDENTES THERAPEUTICS INC COM 05070R104   7,127,163 253,726 SH   SOLE   253,726 0 0
BIOCRYST PHARMACEUTICALS COM 09058V103   1,875,028 654,460 SH   SOLE   654,460 0 0
BIODELIVERY SCIENCES INTL IN COM 09060J106   2,980,764 708,020 SH   SOLE   708,020 0 0
CARETRUST REIT INC COM 14174T107   3,259,950 137,464 SH   SOLE   137,464 0 0
CODEXIS INC COM 192005106   864,045 63,000 SH   SOLE   63,000 0 0
COLLEGIUM PHARMACEUTICAL INC COM 19459J104   1,840,187 160,295 SH   SOLE   160,295 0 0
COMMUNITY HEALTH SYS INC NEW COM 203668108   2,186,579 607,383 SH   SOLE   607,383 0 0
CYTOKINETICS INC COM NEW 23282W605   2,067,746 181,700 SH   SOLE   181,700 0 0
DANAHER CORPORATION COM 235851102   25,838,590 178,704 SH   SOLE   178,704 0 0
DECIPHERA PHARMACEUTICALS IN COM 24344T101   746,680 22,000 SH   SOLE   22,000 0 0
DEXCOM INC COM 252131107   6,648,642 44,550 SH   SOLE   44,550 0 0
DICERNA PHARMACEUTICALS INC COM 253031108   589,823 41,074 SH   SOLE   41,074 0 0
EHEALTH INC COM 28238P109   2,848,794 42,653 SH   SOLE   42,653 0 0
EIGER BIOPHARMACEUTICALS INC COM 28249U105   714,507 69,708 SH   SOLE   69,708 0 0
ENSIGN GROUP INC COM 29358P101   27,849,345 586,674 SH   SOLE   586,674 0 0
ENVISTA HLDGS CORP COM 29415F104   8,865,840 318,000 SH   SOLE   318,000 0 0
FATE THERAPEUTICS INC COM 31189P102   2,184,388 140,656 SH   SOLE   140,656 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105   42,337,144 983,085 SH   SOLE   983,085 0 0
HESKA CORP COM RESTRC NEW 42805E306   2,893,197 40,824 SH   SOLE   40,824 0 0
ILLUMINA INC COM 452327109   8,137,885 26,750 SH   SOLE   26,750 0 0
INVACARE CORP COM 461203101   970,208 129,361 SH   SOLE   129,361 0 0
LTC PPTYS INC COM 502175102   3,550,929 69,327 SH   SOLE   69,327 0 0
MACROGENICS INC COM 556099109   1,975,554 154,824 SH   SOLE   154,824 0 0
MODEL N INC COM 607525102   3,350,493 120,695 SH   SOLE   120,695 0 0
NEWLINK GENETICS CORP COM 651511107   434,043 272,983 SH   SOLE   272,983 0 0
OMEGA HEALTHCARE INVS INC COM 681936100   4,450,635 106,500 SH   SOLE   106,500 0 0
OPTINOSE INC COM 68404V100   735,742 105,106 SH   SOLE   105,106 0 0
OTONOMY INC COM 68906L105   899,457 376,342 SH   SOLE   376,342 0 0
OXFORD IMMUNOTEC GLOBAL PLC ORD SHS G6855A103   4,257,280 256,000 SH   SOLE   256,000 0 0
PFENEX INC COM 717071104   404,850 47,968 SH   SOLE   47,968 0 0
R1 RCM INC COM 749397105   6,482,930 725,972 SH   SOLE   725,972 0 0
RADIUS HEALTH INC COM NEW 750469207   8,875,974 344,698 SH   SOLE   344,698 0 0
SABRA HEALTH CARE REIT INC COM 78573L106   3,538,136 154,100 SH   SOLE   154,100 0 0
SANOFI SPONSORED ADR 80105N105   11,119,200 240,000 SH   SOLE   240,000 0 0
SAVARA INC COM 805111101   839,199 316,679 SH   SOLE   316,679 0 0
SCPHARMACEUTICALS INC COM 810648105   1,301,003 221,636 SH   SOLE   221,636 0 0
TELIGENT INC NEW COM 87960W104   4,202,126 4,424,222 SH   SOLE   4,424,222 0 0
TG THERAPEUTICS INC COM 88322Q108   4,343,208 773,501 SH   SOLE   773,501 0 0
TRICIDA INC COM 89610F101   2,024,084 65,568 SH   SOLE   65,568 0 0
VERTEX PHARMACEUTICALS INC COM 92532F100   8,625,003 50,909 SH   SOLE   50,909 0 0
XENON PHARMACEUTICALS INC COM 98420N105   1,942,637 215,609 SH   SOLE   215,609 0 0
ZOGENIX INC COM NEW 98978L204   25,778,473 643,818 SH   SOLE   643,818 0 0
AIMMUNE THERAPEUTICS INC COM 00900T107   209,400 10,000 SH Put SOLE   10,000 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206   2,442,276 161,100 SH Call SOLE   161,100 0 0
CEL SCI CORP COM PAR NEW 150837607   382,632 42,800 SH Put SOLE   42,800 0 0
AIMMUNE THERAPEUTICS INC COM 00900T107   190,554 9,100 SH Call SOLE   9,100 0 0