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
ALKERMES PLC SHS G01767105   8,439,477 238,673 SH   SOLE   238,673 0 0
ARGENX SE SPONSORED ADR 04016X101   55,744,364 76,336 SH   SOLE   76,336 0 0
ASCENDIS PHARMA A/S SPONSORED ADR 04351P101   19,819,455 86,650 SH   SOLE   86,650 0 0
ATAIBECKLEY INC COM SHS 04650F101   6,051,131 1,709,359 SH   SOLE   1,709,359 0 0
BIOMARIN PHARMACEUTICAL INC COM 09061G101   28,573,150 505,809 SH   SOLE   505,809 0 0
BOSTON SCIENTIFIC CORP COM 101137107   18,395,288 293,152 SH   SOLE   293,152 0 0
BRIDGEBIO PHARMA INC COM 10806X102   19,829,722 267,031 SH   SOLE   267,031 0 0
CENTESSA PHARMACEUTICALS PLC SPONSORED ADS 152309100   8,511,639 214,291 SH   SOLE   214,291 0 0
COMPASS PATHWAYS PLC SPONSORED ADS 20451W101   11,394,161 2,060,427 SH   SOLE   2,060,427 0 0
FORTREA HLDGS INC COMMON STOCK 34965K107   12,317,215 1,307,560 SH   SOLE   1,307,560 0 0
GUARDANT HEALTH INC COM 40131M109   28,660,656 310,281 SH   SOLE   310,281 0 0
ICON PLC SHS G4705A100   39,671,610 358,500 SH   SOLE   358,500 0 0
ILLUMINA INC COM 452327109   23,100,526 187,413 SH   SOLE   187,413 0 0
IMMUNOCORE HLDGS PLC ADS 45258D105   1,395,945 46,300 SH   SOLE   46,300 0 0
INSMED INC COM PAR $.01 457669307   36,672,794 224,271 SH   SOLE   224,271 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602   2,023,746 4,390 SH   SOLE   4,390 0 0
KYMERA THERAPEUTICS INC COM 501575104   12,145,015 145,816 SH   SOLE   145,816 0 0
NATERA INC COM 632307104   24,374,181 121,877 SH   SOLE   121,877 0 0
PERCEPTIVE CAP SOLUTIONS COR CL A ORD SHS G70077105   413,415 37,686 SH   SOLE   37,686 0 0
PROCEPT BIOROBOTICS CORP COM 74276L105   12,100,213 483,815 SH   SOLE   483,815 0 0
PROCEPT BIOROBOTICS CORP COM 74276L105   2,250,900 90,000 SH Call SOLE   90,000 0 0
PROTAGONIST THERAPEUTICS INC COM 74366E102   18,900,539 179,322 SH   SOLE   179,322 0 0
REVOLUTION MEDICINES INC COM 76155X100   11,617,874 119,464 SH   SOLE   119,464 0 0
SCHOLAR ROCK HLDG CORP COM 80706P103   24,285,974 494,019 SH   SOLE   494,019 0 0
SPDR SERIES TRUST STATE STREET SPD 78464A870   93,242,900 730,000 SH Put SOLE   730,000 0 0
TEMPUS AI INC CL A 88023B103   11,588,484 256,269 SH   SOLE   256,269 0 0
TERNS PHARMACEUTICALS INC COM 880881107   21,746,842 412,497 SH   SOLE   412,497 0 0
ULTRAGENYX PHARMACEUTICAL IN COM 90400D108   18,522,335 884,121 SH   SOLE   884,121 0 0