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
2SEVENTY BIO INC COMMON STOCK 901384107   6,300,577 1,177,678 SH   SOLE   1,177,678 0 0
AC IMMUNE SA SHS H00263105   368,783 124,589 SH   SOLE   124,589 0 0
AEROVATE THERAPEUTICS INC COM 008064107   1,601,216 54,150 SH   SOLE   54,150 0 0
AFFIMED N V ORDINARY SHS NEW N01045207   882,238 166,460 SH   SOLE   166,460 0 0
ALECTOR INC COM 014442107   3,227,749 536,171 SH   SOLE   536,171 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206   5,534,316 6,212,748 SH   SOLE   6,212,748 0 0
ARGENX SE SPONSORED ADR 04016X101   21,464,827 54,518 SH   SOLE   54,518 0 0
AVANTOR INC COM 05352A100   3,206,325 125,394 SH   SOLE   125,394 0 0
BIO-TECHNE CORP COM 09073M104   42,775,088 607,687 SH   SOLE   607,687 0 0
BIOCRYST PHARMACEUTICALS INC COM 09058V103   7,276,729 1,432,427 SH   SOLE   1,432,427 0 0
BROOKDALE SR LIVING INC COM 112463104   8,717,037 1,318,765 SH   SOLE   1,318,765 0 0
CELLDEX THERAPEUTICS INC NEW COM NEW 15117B202   29,845,497 711,115 SH   SOLE   711,115 0 0
CENTENE CORP DEL COM 15135B101   7,281,845 92,786 SH   SOLE   92,786 0 0
COMMUNITY HEALTH SYS INC NEW COM 203668108   27,932,244 7,980,641 SH   SOLE   7,980,641 0 0
CORBUS PHARMACEUTICALS HLDGS COM NEW 21833P301   3,489,770 88,934 SH   SOLE   88,934 0 0
CUREVAC N V COM N2451R105   1,562,544 515,691 SH   SOLE   515,691 0 0
DANAHER CORPORATION COM 235851102   10,202,311 40,855 SH   SOLE   40,855 0 0
ELEVANCE HEALTH INC COM 036752103   7,463,346 14,393 SH   SOLE   14,393 0 0
ELI LILLY & CO COM 532457108   10,017,791 12,877 SH   SOLE   12,877 0 0
GOSSAMER BIO INC COM 38341P102   7,073,477 5,994,472 SH   SOLE   5,994,472 0 0
GSK PLC SPONSORED ADR 37733W204   161,705,383 3,771,994 SH   SOLE   3,771,994 0 0
GUARDANT HEALTH INC COM 40131M109   9,274,959 449,586 SH   SOLE   449,586 0 0
HCA HEALTHCARE INC COM 40412C101   34,627,418 103,821 SH   SOLE   103,821 0 0
HEALTHEQUITY INC COM 42226A107   34,394,392 421,345 SH   SOLE   421,345 0 0
HUMANA INC COM 444859102   12,319,655 35,532 SH   SOLE   35,532 0 0
ICON PLC SHS G4705A100   5,155,825 15,347 SH   SOLE   15,347 0 0
IMMUNOVANT INC COM 45258J102   8,256,045 255,526 SH   SOLE   255,526 0 0
INFLARX NV COM N44821101   2,009,916 1,305,140 SH   SOLE   1,305,140 0 0
INSPIRE MED SYS INC COM 457730109   90,361,938 420,699 SH   SOLE   420,699 0 0
IONIS PHARMACEUTICALS INC COM 462222100   16,318,587 376,438 SH   SOLE   376,438 0 0
IQVIA HLDGS INC COM 46266C105   3,079,694 12,178 SH   SOLE   12,178 0 0
KARYOPHARM THERAPEUTICS INC COM 48576U106   7,574,643 5,016,320 SH   SOLE   5,016,320 0 0
KRYSTAL BIOTECH INC COM 501147102   3,301,847 18,557 SH   SOLE   18,557 0 0
LIQUIDIA CORPORATION COM NEW 53635D202   5,843,758 396,187 SH   SOLE   396,187 0 0
MANNKIND CORP COM NEW 56400P706   10,831,810 2,391,128 SH   SOLE   2,391,128 0 0
MERUS N V COM N5749R100   5,380,274 119,482 SH   SOLE   119,482 0 0
MOLINA HEALTHCARE INC COM 60855R100   2,394,317 5,828 SH   SOLE   5,828 0 0
MORPHOSYS AG SPONSORED ADS 617760202   3,009,861 165,924 SH   SOLE   165,924 0 0
NATERA INC COM 632307104   162,620,544 1,778,051 SH   SOLE   1,778,051 0 0
NEVRO CORP COM 64157F103   5,626,734 389,663 SH   SOLE   389,663 0 0
NEWAMSTERDAM PHARMA COMPANY ORDINARY SHARES N62509109   8,371,272 353,965 SH   SOLE   353,965 0 0
NOVO-NORDISK A S ADR 670100205   8,004,970 62,344 SH   SOLE   62,344 0 0
PFIZER INC COM 717081103   30,581,666 1,102,042 SH   SOLE   1,102,042 0 0
PROTAGONIST THERAPEUTICS INC COM 74366E102   11,904,059 411,478 SH   SOLE   411,478 0 0
PUMA BIOTECHNOLOGY INC COM 74587V107   7,560,434 1,426,497 SH   SOLE   1,426,497 0 0
REPLIGEN CORP COM 759916109   1,514,949 8,237 SH   SOLE   8,237 0 0
REVVITY INC COM 714046109   50,731,800 483,160 SH   SOLE   483,160 0 0
SERES THERAPEUTICS INC COM 81750R102   1,075,182 1,388,944 SH   SOLE   1,388,944 0 0
SHOCKWAVE MED INC COM 82489T104   26,231,125 80,555 SH   SOLE   80,555 0 0
STOKE THERAPEUTICS INC COM 86150R107   3,915,000 290,000 SH   SOLE   290,000 0 0
SUTRO BIOPHARMA INC COM 869367102   6,166,517 1,091,419 SH   SOLE   1,091,419 0 0
SYNDAX PHARMACEUTICALS INC COM 87164F105   74,568,089 3,133,113 SH   SOLE   3,133,113 0 0
TARO PHARMACEUTICAL INDS LTD SHS M8737E108   11,158,326 263,541 SH   SOLE   263,541 0 0
TAYSHA GENE THERAPIES INC COM SHS 877619106   6,674,446 2,325,591 SH   SOLE   2,325,591 0 0
TENET HEALTHCARE CORP COM NEW 88033G407   18,460,574 175,631 SH   SOLE   175,631 0 0
TERNS PHARMACEUTICALS INC COM 880881107   1,856,703 283,034 SH   SOLE   283,034 0 0
TEVA PHARMACEUTICAL INDS LTD SPONSORED ADS 881624209   85,015,135 6,025,169 SH   SOLE   6,025,169 0 0
TRAVERE THERAPEUTICS INC COM 89422G107   7,367,815 955,618 SH   SOLE   955,618 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102   57,690,732 251,135 SH   SOLE   251,135 0 0
VAXCYTE INC COM 92243G108   13,479,681 197,331 SH   SOLE   197,331 0 0
VERA THERAPEUTICS INC CL A 92337R101   78,641,437 1,823,781 SH   SOLE   1,823,781 0 0
VIATRIS INC COM 92556V106   15,718,652 1,316,469 SH   SOLE   1,316,469 0 0
VIKING THERAPEUTICS INC COM 92686J106   1,871,076 22,818 SH   SOLE   22,818 0 0
VINCERX PHARMA INC COM NEW 92731L106   402,715 79,588 SH   SOLE   79,588 0 0
VIRIDIAN THERAPEUTICS INC COM 92790C104   2,487,733 142,075 SH   SOLE   142,075 0 0
WATERS CORP COM 941848103   4,691,166 13,628 SH   SOLE   13,628 0 0
XOMA CORP DEL COM NEW 98419J206   2,334,413 97,065 SH   SOLE   97,065 0 0
ZIMVIE INC COM 98888T107   9,308,572 564,498 SH   SOLE   564,498 0 0
INVESCO QQQ TR UNIT SER 1 46090E103   145,102,468 326,800 SH Put SOLE   326,800 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103   15,849,021 30,300 SH Put SOLE   30,300 0 0