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
89BIO INC COM 282559103   5,768,883 392,441 SH   SOLE   392,441 0 0
ABIVAX SA SPONSORED ADS 00370M103   36,209,765 426,499 SH   SOLE   426,499 0 0
ACADIA PHARMACEUTICALS INC COM 004225108   3,504,818 164,237 SH   SOLE   164,237 0 0
ALECTOR INC COM 014442107   4,406,626 1,488,725 SH   SOLE   1,488,725 0 0
AMARIN CORP PLC SPONSORED ADR 023111404   2,739,981 167,276 SH   SOLE   167,276 0 0
ANTERIS TECHNOLOGIES GLOBAL COM 03675P102   2,250,000 500,000 SH   SOLE   500,000 0 0
ARCUTIS BIOTHERAPEUTICS INC COM 03969K108   2,101,134 111,466 SH   SOLE   111,466 0 0
ARDELYX INC COM 039697107   7,875,867 1,429,377 SH   SOLE   1,429,377 0 0
ARS PHARMACEUTICALS INC COM 82835W108   9,813,936 976,511 SH   SOLE   976,511 0 0
ATYR PHARMA INC COM NEW 002120202   474,681 658,000 SH Put SOLE   658,000 0 0
AVANTOR INC COM 05352A100   11,537,036 924,442 SH   SOLE   924,442 0 0
AVIDITY BIOSCIENCES INC COM 05370A108   13,197,832 302,911 SH   SOLE   302,911 0 0
BICYCLE THERAPEUTICS PLC SPONSORED ADS 088786108   1,504,966 194,440 SH   SOLE   194,440 0 0
BIO-TECHNE CORP COM 09073M104   32,907,370 591,540 SH   SOLE   591,540 0 0
BIOCRYST PHARMACEUTICALS INC COM 09058V103   10,425,814 1,373,625 SH   SOLE   1,373,625 0 0
BIOGEN INC COM 09062X103   7,251,241 51,765 SH   SOLE   51,765 0 0
BIOMARIN PHARMACEUTICAL INC COM 09061G101   7,942,131 146,642 SH   SOLE   146,642 0 0
BIOVENTUS INC COM CL A 09075A108   2,903,012 433,933 SH   SOLE   433,933 0 0
BRUKER CORP COM 116794108   22,324,821 687,129 SH   SOLE   687,129 0 0
CATALYST PHARMACEUTICALS INC COM 14888U101   6,910,996 350,812 SH   SOLE   350,812 0 0
CELLDEX THERAPEUTICS INC NEW COM NEW 15117B202   29,851,910 1,153,920 SH   SOLE   1,153,920 0 0
CENTENE CORP DEL COM 15135B101   8,011,944 224,550 SH   SOLE   224,550 0 0
CERIBELL INC COM 15678C102   196,410 17,094 SH   SOLE   17,094 0 0
COMMUNITY HEALTH SYS INC NEW COM 203668108   22,309,664 6,950,051 SH   SOLE   6,950,051 0 0
CONTINEUM THERAPEUTICS INC CL A 21217B100   1,581,773 134,619 SH   SOLE   134,619 0 0
DANAHER CORPORATION COM 235851102   19,681,865 99,273 SH   SOLE   99,273 0 0
DYNAVAX TECHNOLOGIES CORP COM NEW 268158201   6,886,723 693,527 SH   SOLE   693,527 0 0
DYNE THERAPEUTICS INC COM 26818M108   126,500 10,000 SH   SOLE   10,000 0 0
EDGEWISE THERAPEUTICS INC COM 28036F105   8,146,235 502,234 SH   SOLE   502,234 0 0
EHEALTH INC COM 28238P109   553,068 128,322 SH   SOLE   128,322 0 0
ELEVANCE HEALTH INC FORMERLY COM 036752103   14,533,938 44,980 SH   SOLE   44,980 0 0
EVOLUS INC COM 30052C107   9,057,169 1,475,109 SH   SOLE   1,475,109 0 0
FORTREA HLDGS INC COMMON STOCK 34965K107   1,847,213 219,384 SH   SOLE   219,384 0 0
GERON CORP COM 374163103   17,260,633 12,599,002 SH   SOLE   12,599,002 0 0
GOSSAMER BIO INC COM 38341P102   2,433,363 925,233 SH   SOLE   925,233 0 0
GSK PLC SPONSORED ADR 37733W204   91,518,449 2,120,446 SH   SOLE   2,120,446 0 0
HCA HEALTHCARE INC COM 40412C101   47,606,540 111,700 SH   SOLE   111,700 0 0
HEALTHEQUITY INC COM 42226A107   4,964,811 52,388 SH   SOLE   52,388 0 0
HUMANA INC COM 444859102   4,332,351 16,652 SH   SOLE   16,652 0 0
ICON PLC SHS G4705A100   9,629,375 55,025 SH   SOLE   55,025 0 0
ILLUMINA INC COM 452327109   11,745,320 123,674 SH   SOLE   123,674 0 0
INFLARX NV COM N44821101   2,319,051 1,730,635 SH   SOLE   1,730,635 0 0
INSULET CORP COM 45784P101   14,079,323 45,604 SH   SOLE   45,604 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602   6,451,740 14,426 SH   SOLE   14,426 0 0
INVESCO QQQ TR UNIT SER 1 46090E103   138,085,100 230,000 SH Put SOLE   230,000 0 0
INVIVYD INC COM 00534A102   2,251,992 2,047,265 SH   SOLE   2,047,265 0 0
IONIS PHARMACEUTICALS INC COM 462222100   35,239,203 538,661 SH   SOLE   538,661 0 0
KORRO BIO INC COM 500946108   998,794 20,856 SH   SOLE   20,856 0 0
KURA ONCOLOGY INC COM 50127T109   2,333,108 263,628 SH   SOLE   263,628 0 0
LIQUIDIA CORPORATION COM NEW 53635D202   11,052,118 486,021 SH   SOLE   486,021 0 0
MANNKIND CORP COM NEW 56400P706   10,969,444 2,042,727 SH   SOLE   2,042,727 0 0
MARAVAI LIFESCIENCES HLDGS I COM CL A 56600D107   834,232 290,673 SH   SOLE   290,673 0 0
MERUS N V COM N5749R100   4,524,284 48,054 SH   SOLE   48,054 0 0
MIRUM PHARMACEUTICALS INC COM 604749101   3,615,209 49,314 SH   SOLE   49,314 0 0
MOLINA HEALTHCARE INC COM 60855R100   1,812,179 9,470 SH   SOLE   9,470 0 0
NATERA INC COM 632307104   83,647,095 519,644 SH   SOLE   519,644 0 0
NEKTAR THERAPEUTICS COM NEW 640268306   2,838,741 49,890 SH   SOLE   49,890 0 0
NEWAMSTERDAM PHARMA COMPANY ORDINARY SHARES N62509109   13,895,556 488,592 SH   SOLE   488,592 0 0
NOVAVAX INC COM NEW 670002401   2,108,405 243,184 SH   SOLE   243,184 0 0
NOVO-NORDISK A S ADR 670100205   12,080,617 217,708 SH   SOLE   217,708 0 0
PALVELLA THERAPEUTICS INC NE COM 697947109   711,093 11,343 SH   SOLE   11,343 0 0
PENNANT GROUP INC COM 70805E109   957,856 37,980 SH   SOLE   37,980 0 0
PLIANT THERAPEUTICS INC COM 729139105   1,220,399 824,594 SH   SOLE   824,594 0 0
RAPPORT THERAPEUTICS INC COM 75383L102   4,263,880 143,565 SH   SOLE   143,565 0 0
REGENERON PHARMACEUTICALS COM 75886F107   9,401,154 16,720 SH   SOLE   16,720 0 0
RELAY THERAPEUTICS INC COM 75943R102   2,500,672 479,056 SH   SOLE   479,056 0 0
REPLIGEN CORP COM 759916109   14,046,979 105,087 SH   SOLE   105,087 0 0
REPLIMUNE GROUP INC COM 76029N106   251,366 59,992 SH   SOLE   59,992 0 0
RETRACTABLE TECHNOLOGIES INC COM 76129W105   305,911 363,315 SH   SOLE   363,315 0 0
REVVITY INC COM 714046109   34,561,359 394,311 SH   SOLE   394,311 0 0
STRUCTURE THERAPEUTICS INC SPONSORED ADS 86366E106   4,658,948 166,391 SH   SOLE   166,391 0 0
SURROZEN INC COM NEW 86889P208   992,106 76,997 SH   SOLE   76,997 0 0
SUTRO BIOPHARMA INC COM 869367102   1,989,776 2,291,313 SH   SOLE   2,291,313 0 0
SYNDAX PHARMACEUTICALS INC COM 87164F105   53,344,626 3,467,314 SH   SOLE   3,467,314 0 0
TEVA PHARMACEUTICAL INDS LTD SPONSORED ADS 881624209   27,545,791 1,363,653 SH   SOLE   1,363,653 0 0
TRAVERE THERAPEUTICS INC COM 89422G107   33,871,176 1,417,204 SH   SOLE   1,417,204 0 0
TYRA BIOSCIENCES INC COM 90240B106   3,815,157 272,706 SH   SOLE   272,706 0 0
UNIQURE NV SHS N90064101   51,212,262 877,373 SH   SOLE   877,373 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102   106,152,356 253,220 SH   SOLE   253,220 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102   6,791,202 16,200 SH Put SOLE   16,200 0 0
UNITEDHEALTH GROUP INC COM 91324P102   21,691,746 62,820 SH   SOLE   62,820 0 0
VAXCYTE INC COM 92243G108   51,219,828 1,421,983 SH   SOLE   1,421,983 0 0
VERA THERAPEUTICS INC CL A 92337R101   81,595,714 2,807,836 SH   SOLE   2,807,836 0 0
VIRIDIAN THERAPEUTICS INC COM 92790C104   41,526,523 1,924,306 SH   SOLE   1,924,306 0 0
ZENAS BIOPHARMA INC COM 98937L105   3,524,072 158,742 SH   SOLE   158,742 0 0
ZIMVIE INC COM 98888T107   39,383,457 2,079,380 SH   SOLE   2,079,380 0 0