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
AFFIMED N V COM N01045108   2,350,293 857,771 SH   SOLE   857,771 0 0
AGILE THERAPEUTICS INC COM 00847L100   2,840,015 1,136,006 SH   SOLE   1,136,006 0 0
AKORN INC COM 009728106   60,363 40,242 SH   SOLE   40,242 0 0
ALBIREO PHARMA INC COM 01345P106   1,983,497 78,029 SH   SOLE   78,029 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206   19,630,250 915,590 SH   SOLE   915,590 0 0
ANTHEM INC COM 036752103   3,020,300 10,000 SH   SOLE   10,000 0 0
APELLIS PHARMACEUTICALS INC COM 03753U106   9,504,724 310,409 SH   SOLE   310,409 0 0
AQUESTIVE THERAPEUTICS INC COM 03843E104   2,037,000 350,000 SH   SOLE   350,000 0 0
ARGENX SE SPONSORED ADR 04016X101   5,971,986 37,204 SH   SOLE   37,204 0 0
ASCENDIS PHARMA A S SPONSORED ADR 04351P101   28,226,613 202,894 SH   SOLE   202,894 0 0
ASTRAZENECA PLC SPONSORED ADR 046353108   7,008,421 140,562 SH   SOLE   140,562 0 0
AUDENTES THERAPEUTICS INC COM 05070R104   18,294,644 305,726 SH   SOLE   305,726 0 0
BIOCRYST PHARMACEUTICALS COM 09058V103   16,920,387 4,904,460 SH   SOLE   4,904,460 0 0
BIODELIVERY SCIENCES INTL IN COM 09060J106   2,120,265 335,485 SH   SOLE   335,485 0 0
BLUEBIRD BIO INC COM 09609G100   6,440,850 73,400 SH   SOLE   73,400 0 0
CARETRUST REIT INC COM 14174T107   2,239,644 107,464 SH   SOLE   107,464 0 0
CENTENE CORP DEL COM 15135B101   2,514,800 40,000 SH   SOLE   40,000 0 0
CHEMOCENTRYX INC COM 16383L106   20,296,625 513,189 SH   SOLE   513,189 0 0
COLLEGIUM PHARMACEUTICAL INC COM 19459J104   2,291,809 111,361 SH   SOLE   111,361 0 0
COMMUNITY HEALTH SYS INC NEW COM 203668108   1,683,056 580,364 SH   SOLE   580,364 0 0
CYTOKINETICS INC COM NEW 23282W605   1,927,837 181,700 SH   SOLE   181,700 0 0
DANAHER CORPORATION COM 235851102   30,281,861 197,107 SH   SOLE   197,107 0 0
DECIPHERA PHARMACEUTICALS IN COM 24344T101   8,013,276 128,748 SH   SOLE   128,748 0 0
DEXCOM INC COM 252131107   2,635,817 12,050 SH   SOLE   12,050 0 0
DICERNA PHARMACEUTICALS INC COM 253031108   411,388 18,674 SH   SOLE   18,674 0 0
EHEALTH INC COM 28238P109   3,041,220 31,653 SH   SOLE   31,653 0 0
EIGER BIOPHARMACEUTICALS INC COM 28249U105   1,038,649 69,708 SH   SOLE   69,708 0 0
ENSIGN GROUP INC COM 29358P101   30,704,809 676,058 SH   SOLE   676,058 0 0
ENVISTA HLDGS CORP COM 29415F104   15,017,936 506,678 SH   SOLE   506,678 0 0
FATE THERAPEUTICS INC COM 31189P102   7,058,038 360,656 SH   SOLE   360,656 0 0
FORTY SEVEN INC COM 34983P104   464,369 11,795 SH   SOLE   11,795 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105   48,578,465 1,023,085 SH   SOLE   1,023,085 0 0
GUARDANT HEALTH INC COM 40131M109   5,057,221 64,720 SH   SOLE   64,720 0 0
HESKA CORP COM RESTRC NEW 42805E306   1,992,770 20,771 SH   SOLE   20,771 0 0
HUMANA INC COM 444859102   1,837,453 5,009 SH   SOLE   5,009 0 0
IGM BIOSCIENCES INC COM 449585108   2,465,136 64,600 SH   SOLE   64,600 0 0
ILLUMINA INC COM 452327109   5,888,385 17,750 SH   SOLE   17,750 0 0
IMMUNOVANT INC COM 45258J102   1,219,863 76,866 SH   SOLE   76,866 0 0
INFLARX NV COM N44821101   1,325,087 334,618 SH   SOLE   334,618 0 0
KADMON HLDGS INC COM 48283N106   5,172,984 1,141,939 SH   SOLE   1,141,939 0 0
LIQUIDIA TECHNOLOGIES INC COM 53635D202   1,214,540 284,103 SH   SOLE   284,103 0 0
LTC PPTYS INC COM 502175102   2,656,070 59,327 SH   SOLE   59,327 0 0
MACROGENICS INC COM 556099109   1,272,938 116,998 SH   SOLE   116,998 0 0
MEDICINES CO COM 584688105   9,713,569 114,358 SH   SOLE   114,358 0 0
MODEL N INC COM 607525102   7,281,058 207,615 SH   SOLE   207,615 0 0
MYOKARDIA INC COM 62857M105   1,563,529 21,452 SH   SOLE   21,452 0 0
NATERA INC COM 632307104   5,292,059 157,081 SH   SOLE   157,081 0 0
OMEGA HEALTHCARE INVS INC COM 681936100   3,028,025 71,500 SH   SOLE   71,500 0 0
OPTINOSE INC COM 68404V100   968,155 105,006 SH   SOLE   105,006 0 0
OTONOMY INC COM 68906L105   2,109,047 550,665 SH   SOLE   550,665 0 0
OXFORD IMMUNOTEC GLOBAL PLC ORD SHS G6855A103   5,807,062 349,823 SH   SOLE   349,823 0 0
PENNANT GROUP INC COM 70805E109   12,275,353 371,193 SH   SOLE   371,193 0 0
PFENEX INC COM 717071104   508,297 46,293 SH   SOLE   46,293 0 0
QIAGEN NV SHS NEW N72482123   4,630,600 137,000 SH   SOLE   137,000 0 0
R1 RCM INC COM 749397105   5,409,103 416,726 SH   SOLE   416,726 0 0
RADIUS HEALTH INC COM NEW 750469207   6,427,230 318,811 SH   SOLE   318,811 0 0
SABRA HEALTH CARE REIT INC COM 78573L106   1,622,992 76,054 SH   SOLE   76,054 0 0
SANOFI SPONSORED ADR 80105N105   22,171,382 441,661 SH   SOLE   441,661 0 0
SAREPTA THERAPEUTICS INC COM 803607100   9,678,000 75,000 SH   SOLE   75,000 0 0
SCPHARMACEUTICALS INC COM 810648105   1,707,260 301,636 SH   SOLE   301,636 0 0
SESEN BIO INC COM 817763105   1,352,000 1,300,000 SH   SOLE   1,300,000 0 0
TARO PHARMACEUTICAL INDS LTD SHS M8737E108   435,517 4,953 SH   SOLE   4,953 0 0
TELIGENT INC NEW COM 87960W104   1,917,316 4,501,799 SH   SOLE   4,501,799 0 0
TG THERAPEUTICS INC COM 88322Q108   8,617,185 776,323 SH   SOLE   776,323 0 0
VERTEX PHARMACEUTICALS INC COM 92532F100   15,985,321 73,009 SH   SOLE   73,009 0 0
XENON PHARMACEUTICALS INC COM 98420N105   2,826,634 215,609 SH   SOLE   215,609 0 0
ZOGENIX INC COM NEW 98978L204   25,837,974 495,645 SH   SOLE   495,645 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206   21,315,648 994,200 SH Call SOLE   994,200 0 0
SPECTRUM PHARMACEUTICALS INC COM 84763A108   1,003,184 275,600 SH Put SOLE   275,600 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103   51,497,600 160,000 SH Put SOLE   160,000 0 0
TG THERAPEUTICS INC COM 88322Q108   460,650 41,500 SH Call SOLE   41,500 0 0
RADIUS HEALTH INC COM NEW 750469207   112,896 5,600 SH Call SOLE   5,600 0 0