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
10X GENOMICS INC CL A COM 88025U109   3,273,539 154,194 SH   SOLE   154,194 0 0
4D MOLECULAR THERAPEUTICS IN COM 35104E100   1,215,551 130,564 SH   SOLE   130,564 0 0
ADAGENE INC ADS 005329107   2,888,432 736,845 SH   SOLE   736,845 0 0
AGIOS PHARMACEUTICALS INC COM 00847X104   4,230,780 125,060 SH   SOLE   125,060 0 0
ALKERMES PLC SHS G01767105   2,973,882 84,103 SH   SOLE   84,103 0 0
ALUMIS INC COM 022307102   6,150,247 279,176 SH   SOLE   279,176 0 0
ALUMIS INC PUT 022307952   2,313,150 105,000 SH Put SOLE   105,000 0 0
APELLIS PHARMACEUTICALS INC COM 03753U106   3,440,349 85,517 SH   SOLE   85,517 0 0
ARBUTUS BIOPHARMA CORP COM 03879J100   339,678 75,484 SH   SOLE   75,484 0 0
ARROWHEAD PHARMACEUTICALS IN COM 04280A100   2,866,707 45,721 SH   SOLE   45,721 0 0
AVALO THERAPEUTICS INC COM NEW 05338F306   2,378,961 159,341 SH   SOLE   159,341 0 0
BEONE MEDICINES LTD CALL 07725L902   2,969,700 10,000 SH Call SOLE   10,000 0 0
BOSTON SCIENTIFIC CORP COM 101137107   3,033,774 48,347 SH   SOLE   48,347 0 0
BRIDGEBIO PHARMA INC COM 10806X102   5,011,956 67,492 SH   SOLE   67,492 0 0
CENTESSA PHARMACEUTICALS PLC PUT 152309950   1,378,284 34,700 SH Put SOLE   34,700 0 0
COGENT BIOSCIENCES INC COM 19240Q201   10,720,735 278,533 SH   SOLE   278,533 0 0
COMPASS THERAPEUTICS INC CALL 20454B904   132,779 25,100 SH Call SOLE   25,100 0 0
CORBUS PHARMACEUTICALS HLDGS COM NEW 21833P301   2,198,537 234,136 SH   SOLE   234,136 0 0
CRESCENT BIOPHARMA INC. COM G2545C104   2,814,119 153,191 SH   SOLE   153,191 0 0
CYTOKINETICS INC COM NEW 23282W605   6,836,053 103,718 SH   SOLE   103,718 0 0
CYTOKINETICS INC PUT 23282W955   3,954,600 60,000 SH Put SOLE   60,000 0 0
CYTOMX THERAPEUTICS INC. COM 23284F105   2,450,900 521,468 SH   SOLE   521,468 0 0
ELEVANCE HEALTH INC FORMERLY COM 036752103   4,296,692 14,677 SH   SOLE   14,677 0 0
ELI LILLY & CO COM 532457108   6,449,427 7,012 SH   SOLE   7,012 0 0
ENLIVEN THERAPEUTICS INC COM 29337E102   8,627,567 220,091 SH   SOLE   220,091 0 0
ESTABLISHMENT LABS HLDGS INC COM G31249108   743,818 13,100 SH   SOLE   13,100 0 0
GLAUKOS CORP COM 377322102   2,247,295 20,874 SH   SOLE   20,874 0 0
GUARDANT HEALTH INC COM 40131M109   7,642,324 82,736 SH   SOLE   82,736 0 0
IDEAYA BIOSCIENCES INC CALL 45166A902   1,332,800 40,000 SH Call SOLE   40,000 0 0
IDEAYA BIOSCIENCES INC CALL 45166A902   1,332,800 40,000 SH Put SOLE   40,000 0 0
INSMED INC COM PAR $.01 457669307   4,357,972 26,651 SH   SOLE   26,651 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602   2,930,974 6,358 SH   SOLE   6,358 0 0
IONIS PHARMACEUTICALS INC COM 462222100   8,264,706 110,064 SH   SOLE   110,064 0 0
LIPOCINE INC NEW COM NEW 53630X203   486,279 60,861 SH   SOLE   60,861 0 0
LIQUIDIA CORPORATION COM NEW 53635D202   1,728,341 45,796 SH   SOLE   45,796 0 0
LIQUIDIA CORPORATION PUT 53635D952   1,509,600 40,000 SH Put SOLE   40,000 0 0
MAZE THERAPEUTICS INC COM 578784100   2,642,024 88,510 SH   SOLE   88,510 0 0
MONTE ROSA THERAPEUTICS INC COM 61225M102   2,952,512 179,484 SH   SOLE   179,484 0 0
MOONLAKE IMMUNOTHERAPEUTICS CLASS A ORD 61559X104   4,014,609 215,376 SH   SOLE   215,376 0 0
NATERA INC COM 632307104   3,729,814 18,650 SH   SOLE   18,650 0 0
NEXTCURE INC COM NEW 65343E207   1,215,060 115,500 SH   SOLE   115,500 0 0
NOVABRIDGE BIOSCIENCES SPONSORED ADS 44975P103   1,419,322 576,960 SH   SOLE   576,960 0 0
PALISADE BIO INC COM 696389402   1,050,000 600,000 SH   SOLE   600,000 0 0
PENUMBRA INC COM 70975L107   2,068,731 6,300 SH   SOLE   6,300 0 0
PRAXIS PRECISION MEDICINES I COM NEW 74006W207   14,649,657 45,469 SH   SOLE   45,469 0 0
RELAY THERAPEUTICS INC COM 75943R102   2,769,105 278,302 SH   SOLE   278,302 0 0
RHYTHM PHARMACEUTICALS INC COM 76243J105   3,529,330 40,581 SH   SOLE   40,581 0 0
SOLENO THERAPEUTICS INC COM 834203309   2,064,812 61,673 SH   SOLE   61,673 0 0
SPDR SERIES TRUST STATE STREET SPD 78464A870   7,663,800 60,000 SH Put SOLE   60,000 0 0
TRAVERE THERAPEUTICS INC PUT 89422G957   594,200 20,000 SH Put SOLE   20,000 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102   4,182,288 7,053 SH   SOLE   7,053 0 0
UNITEDHEALTH GROUP INC COM 91324P102   3,480,329 12,862 SH   SOLE   12,862 0 0
VERA THERAPEUTICS INC CL A 92337R101   4,626,088 114,991 SH   SOLE   114,991 0 0
VERASTEM INC COM NEW 92337C203   3,374,510 636,700 SH   SOLE   636,700 0 0
WAVE LIFE SCIENCES LTD PUT Y95308955   217,500 30,000 SH Put SOLE   30,000 0 0
ZENAS BIOPHARMA INC COM 98937L105   1,578,272 80,730 SH   SOLE   80,730 0 0