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   5,614,595 964,707 SH   SOLE   964,707 0 0
AGILENT TECHNOLOGIES INC COM 00846U101   589,725 4,977 SH   SOLE   4,977 0 0
ALEXION PHARMACEUTICALS INC COM 015351109   58,777,488 376,200 SH   SOLE   376,200 0 0
ALTIMMUNE INC COM NEW 02155H200   4,286,400 380,000 SH   SOLE   380,000 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206   77,965,744 15,943,915 SH   SOLE   15,943,915 0 0
AMNEAL PHARMACEUTICALS INC COM STK CL A 03168L105   5,384,159 1,178,153 SH   SOLE   1,178,153 0 0
ANAPTYSBIO INC COM 032724106   1,899,181 88,334 SH   SOLE   88,334 0 0
ANTHEM INC COM 036752103   21,118,410 65,771 SH   SOLE   65,771 0 0
APELLIS PHARMACEUTICALS INC COM 03753U106   218,275 3,816 SH   SOLE   3,816 0 0
ASCENDIS PHARMA A/S SPONSORED ADR 04351P101   31,195,032 187,043 SH   SOLE   187,043 0 0
ASTRAZENECA PLC SPONSORED ADR 046353108   42,613,026 852,431 SH   SOLE   852,431 0 0
AURINIA PHARMACEUTICALS INC COM 05156V102   8,358,409 604,368 SH   SOLE   604,368 0 0
AUTOLUS THERAPEUTICS PLC SPON ADS 05280R100   1,385,530 154,981 SH   SOLE   154,981 0 0
AVANTOR INC COM 05352A100   25,916,298 920,650 SH   SOLE   920,650 0 0
BIOCRYST PHARMACEUTICALS INC COM 09058V103   3,664,297 491,852 SH   SOLE   491,852 0 0
BIOHAVEN PHARMACTL HLDG CO L COM G11196105   8,893,612 103,764 SH   SOLE   103,764 0 0
CATABASIS PHARMACEUTICALS IN COM NEW 14875P206   1,117,170 522,042 SH   SOLE   522,042 0 0
CATALENT INC COM 148806102   29,087,877 279,503 SH   SOLE   279,503 0 0
COMMUNITY HEALTH SYS INC NEW COM 203668108   95,141 12,805 SH   SOLE   12,805 0 0
CONCERT PHARMACEUTICALS INC COM 206022105   1,312,399 103,829 SH   SOLE   103,829 0 0
DANAHER CORPORATION COM 235851102   28,082,373 126,330 SH   SOLE   126,330 0 0
DECIPHERA PHARMACEUTICALS IN COM 24344T101   14,052,917 246,240 SH   SOLE   246,240 0 0
DEXCOM INC COM 252131107   914,318 2,473 SH   SOLE   2,473 0 0
ENSIGN GROUP INC COM 29358P101   15,213,890 208,470 SH   SOLE   208,470 0 0
ENVISTA HOLDINGS CORPORATION COM 29415F104   29,053,504 861,355 SH   SOLE   861,355 0 0
EXAGEN INC COM 30068X103   1,077,160 81,603 SH   SOLE   81,603 0 0
FATE THERAPEUTICS INC COM 31189P102   36,326,444 399,499 SH   SOLE   399,499 0 0
FIVE PRIME THERAPEUTICS INC COM 33830X104   3,557,727 209,155 SH   SOLE   209,155 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105   35,196,522 946,581 SH   SOLE   946,581 0 0
GOHEALTH INC COM CL A 38046W105   405,497 29,685 SH   SOLE   29,685 0 0
HCA HEALTHCARE INC COM 40412C101   2,755,363 16,754 SH   SOLE   16,754 0 0
HESKA CORP COM RESTRC NEW 42805E306   11,093,578 76,166 SH   SOLE   76,166 0 0
HORIZON THERAPEUTICS PUB L SHS G46188101   38,840,894 530,976 SH   SOLE   530,976 0 0
INTRA CELLULAR THERAPIES INC COM 46116X101   11,328,273 356,235 SH   SOLE   356,235 0 0
IQVIA HLDGS INC COM 46266C105   731,909 4,085 SH   SOLE   4,085 0 0
KADMON HLDGS INC COM 48283N106   9,996,873 2,408,885 SH   SOLE   2,408,885 0 0
KALVISTA PHARMACEUTICALS INC COM 483497103   359,386 18,925 SH   SOLE   18,925 0 0
MAGELLAN HEALTH INC COM NEW 559079207   8,673,348 104,700 SH   SOLE   104,700 0 0
MERUS N V COM N5749R100   253,221 14,445 SH   SOLE   14,445 0 0
ONCTERNAL THERAPEUTICS INC COM 68236P107   1,686,041 344,090 SH   SOLE   344,090 0 0
OTONOMY INC COM 68906L105   1,638,741 253,283 SH   SOLE   253,283 0 0
OXFORD IMMUNOTEC GLOBAL PLC ORD SHS G6855A103   5,374,714 307,742 SH   SOLE   307,742 0 0
PROTARA THERAPEUTICS INC COM STK 74365U107   879,065 36,310 SH   SOLE   36,310 0 0
PROTHENA CORP PLC SHS G72800108   2,441,969 203,328 SH   SOLE   203,328 0 0
QIAGEN NV SHS NEW N72482123   17,803,157 336,862 SH   SOLE   336,862 0 0
QUIDEL CORP COM 74838J101   7,290,736 40,583 SH   SOLE   40,583 0 0
RITE AID CORP COM 767754872   8,421,623 532,004 SH   SOLE   532,004 0 0
SANOFI SPONSORED ADR 80105N105   3,310,825 68,138 SH   SOLE   68,138 0 0
SAREPTA THERAPEUTICS INC COM 803607100   23,637,416 138,644 SH   SOLE   138,644 0 0
SERES THERAPEUTICS INC COM 81750R102   8,184,201 334,049 SH   SOLE   334,049 0 0
SESEN BIO INC COM 817763105   2,105,762 1,559,824 SH   SOLE   1,559,824 0 0
SURMODICS INC COM 868873100   1,797,332 41,299 SH   SOLE   41,299 0 0
TARO PHARMACEUTICAL INDS LTD SHS M8737E108   11,178,636 152,256 SH   SOLE   152,256 0 0
TEVA PHARMACEUTICAL INDS LTD SPONSORED ADS 881624209   26,520,613 2,748,250 SH   SOLE   2,748,250 0 0
TG THERAPEUTICS INC COM 88322Q108   44,937,529 863,851 SH   SOLE   863,851 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102   69,616,358 458,636 SH   SOLE   458,636 0 0
ZOGENIX INC COM NEW 98978L204   18,185,063 909,708 SH   SOLE   909,708 0 0
ZYMEWORKS INC COM 98985W102   255,440 5,405 SH   SOLE   5,405 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206   6,285,606 1,285,400 SH Call SOLE   1,285,400 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105   12,975,680 352,600 SH Call SOLE   352,600 0 0