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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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
2SEVENTY BIO INC COMMON STOCK 901384107   5,697,242 1,453,378 SH   SOLE   1,453,378 0 0
AADI BIOSCIENCE INC COM 00032Q104   493,283 101,918 SH   SOLE   101,918 0 0
AC IMMUNE SA SHS H00263105   355,079 124,589 SH   SOLE   124,589 0 0
AEROVATE THERAPEUTICS INC COM 008064107   681,784 50,242 SH   SOLE   50,242 0 0
AFFIMED N V COM N01045108   801,287 1,676,684 SH   SOLE   1,676,684 0 0
AGILENT TECHNOLOGIES INC COM 00846U101   4,676,872 41,825 SH   SOLE   41,825 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206   7,757,325 8,431,875 SH   SOLE   8,431,875 0 0
AMNEAL PHARMACEUTICALS INC COM STK CL A 03168L105   11,161,849 2,644,988 SH   SOLE   2,644,988 0 0
APELLIS PHARMACEUTICALS INC COM 03753U106   4,665,340 122,643 SH   SOLE   122,643 0 0
ARGENX SE SPONSORED ADR 04016X101   2,244,291 4,565 SH   SOLE   4,565 0 0
AVANTOR INC COM 05352A100   1,781,155 84,495 SH   SOLE   84,495 0 0
BIO-TECHNE CORP COM 09073M104   26,267,464 385,889 SH   SOLE   385,889 0 0
BIOCRYST PHARMACEUTICALS INC COM 09058V103   17,552,049 2,479,103 SH   SOLE   2,479,103 0 0
BIOHAVEN LTD COM G1110E107   3,409,989 131,103 SH   SOLE   131,103 0 0
BLACK DIAMOND THERAPEUTICS I COM 09203E105   967,566 337,131 SH   SOLE   337,131 0 0
CELLDEX THERAPEUTICS INC NEW COM NEW 15117B202   16,185,695 588,143 SH   SOLE   588,143 0 0
CENTENE CORP DEL COM 15135B101   13,129,010 190,607 SH   SOLE   190,607 0 0
COMMUNITY HEALTH SYS INC NEW COM 203668108   20,723,655 7,146,088 SH   SOLE   7,146,088 0 0
CUREVAC N V COM N2451R105   3,529,703 516,794 SH   SOLE   516,794 0 0
DANAHER CORPORATION COM 235851102   25,748,810 103,784 SH   SOLE   103,784 0 0
ELEVANCE HEALTH INC COM 036752103   9,446,001 21,694 SH   SOLE   21,694 0 0
GOSSAMER BIO INC COM 38341P102   3,687,519 4,427,857 SH   SOLE   4,427,857 0 0
GSK PLC SPONSORED ADR 37733W204   118,151,148 3,259,342 SH   SOLE   3,259,342 0 0
HCA HEALTHCARE INC COM 40412C101   27,075,757 110,073 SH   SOLE   110,073 0 0
HEALTHEQUITY INC COM 42226A107   24,728,594 338,516 SH   SOLE   338,516 0 0
HORIZON THERAPEUTICS PUB L SHS G46188101   23,810,737 205,815 SH   SOLE   205,815 0 0
HUMANA INC COM 444859102   8,816,229 18,121 SH   SOLE   18,121 0 0
ICON PLC SHS G4705A100   5,170,758 20,998 SH   SOLE   20,998 0 0
ILLUMINA INC COM 452327109   22,895,833 166,782 SH   SOLE   166,782 0 0
INFLARX NV COM N44821101   5,177,881 1,737,544 SH   SOLE   1,737,544 0 0
INSPIRE MED SYS INC COM 457730109   38,302,492 193,018 SH   SOLE   193,018 0 0
INSULET CORP COM 45784P101   3,396,978 21,299 SH   SOLE   21,299 0 0
IONIS PHARMACEUTICALS INC COM 462222100   11,450,951 252,446 SH   SOLE   252,446 0 0
IQVIA HLDGS INC COM 46266C105   4,533,317 23,041 SH   SOLE   23,041 0 0
KRYSTAL BIOTECH INC COM 501147102   12,617,436 108,771 SH   SOLE   108,771 0 0
LIQUIDIA CORPORATION COM NEW 53635D202   8,847,178 1,395,454 SH   SOLE   1,395,454 0 0
MARAVAI LIFESCIENCES HLDGS I COM CL A 56600D107   4,523,230 452,323 SH   SOLE   452,323 0 0
MEDPACE HLDGS INC COM 58506Q109   2,136,313 8,823 SH   SOLE   8,823 0 0
MERUS N V COM N5749R100   3,159,956 134,010 SH   SOLE   134,010 0 0
MOLINA HEALTHCARE INC COM 60855R100   4,011,406 12,234 SH   SOLE   12,234 0 0
NATERA INC COM 632307104   110,299,143 2,492,636 SH   SOLE   2,492,636 0 0
NEWAMSTERDAM PHARMA COMPANY ORDINARY SHARES N62509109   6,110,717 660,618 SH   SOLE   660,618 0 0
PENNANT GROUP INC COM 70805E109   4,072,456 365,899 SH   SOLE   365,899 0 0
PROTAGONIST THERAPEUTICS INC COM 74366E102   4,782,957 286,748 SH   SOLE   286,748 0 0
PUMA BIOTECHNOLOGY INC COM 74587V107   4,421,422 1,681,149 SH   SOLE   1,681,149 0 0
REPLIGEN CORP COM 759916109   2,568,489 16,153 SH   SOLE   16,153 0 0
REVVITY INC COM 714046109   3,619,669 32,698 SH   SOLE   32,698 0 0
SERES THERAPEUTICS INC COM 81750R102   5,599,083 2,352,556 SH   SOLE   2,352,556 0 0
SHOCKWAVE MED INC COM 82489T104   16,816,384 84,462 SH   SOLE   84,462 0 0
SPDR SER TR S&P BIOTECH 78464A870   1,460,400 20,000 SH   SOLE   20,000 0 0
SUTRO BIOPHARMA INC COM 869367102   2,670,644 769,638 SH   SOLE   769,638 0 0
SYNDAX PHARMACEUTICALS INC COM 87164F105   37,697,477 2,596,245 SH   SOLE   2,596,245 0 0
TARO PHARMACEUTICAL INDS LTD SHS M8737E108   9,628,230 255,323 SH   SOLE   255,323 0 0
TAYSHA GENE THERAPIES INC COM SHS 877619106   5,390,246 1,705,774 SH   SOLE   1,705,774 0 0
TEVA PHARMACEUTICAL INDS LTD SPONSORED ADS 881624209   70,911,267 6,952,085 SH   SOLE   6,952,085 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102   60,511,251 267,903 SH   SOLE   267,903 0 0
VAXCYTE INC COM 92243G108   9,708,121 190,430 SH   SOLE   190,430 0 0
VERA THERAPEUTICS INC CL A 92337R101   20,270,084 1,478,489 SH   SOLE   1,478,489 0 0
VIRIDIAN THERAPEUTICS INC COM 92790C104   6,799,762 443,270 SH   SOLE   443,270 0 0
WATERS CORP COM 941848103   6,340,832 23,124 SH   SOLE   23,124 0 0
XOMA CORP DEL COM NEW 98419J206   1,267,396 89,950 SH   SOLE   89,950 0 0
AMN HEALTHCARE SVCS INC COM 001744101   4,259,000 50,000 SH Put SOLE   50,000 0 0
BRIDGEBIO PHARMA INC COM 10806X102   1,471,446 55,800 SH Put SOLE   55,800 0 0
ISHARES TR IBOXX HI YD ETF 464288513   6,634,800 90,000 SH Put SOLE   90,000 0 0
ISHARES TR ISHARES BIOTECH 464287556   8,596,987 70,300 SH Put SOLE   70,300 0 0
INVESCO QQQ TR UNIT SER 1 46090E103   143,308,000 400,000 SH Put SOLE   400,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103   102,595,200 240,000 SH Put SOLE   240,000 0 0
ISHARES TR 20 YR TR BD ETF 464287432   8,310,253 93,700 SH Put SOLE   93,700 0 0
SPDR SER TR S&P BIOTECH 78464A870   5,841,600 80,000 SH Put SOLE   80,000 0 0