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 (x$1000) PRN AMT PRN CALL DISCRETION MANAGER SOLE SHARED NONE
ACORDA THERAPEUTICS INC NOTE 1.750% 6/1 00484MAA4 186 216,983 PRN   DFND   0 216,983 0
ALIBABA GROUP HLDG LTD SPONSORED ADS 01609W102 2,740 16,171 SH   DFND   0 16,171 0
ALIGN TECHNOLOGY INC COM 016255101 636 2,325 SH   DFND   0 2,325 0
ALLENA PHARMACEUTICALS INC COM 018119107 1,172 287,851 SH   DFND   0 287,851 0
ALLERGAN PLC SHS G0177J108 4,775 28,517 SH   DFND   0 28,517 0
AMGEN INC CALL 031162900 553 3,000 SH Call DFND   0 3,000 0
AMGEN INC PUT 031162950 2,506 13,600 SH Put DFND   0 13,600 0
ANTHEM INC COM 036752103 980 3,473 SH   DFND   0 3,473 0
ARENA PHARMACEUTICALS INC COM NEW 040047607 1,065 18,159 SH   DFND   0 18,159 0
AUDENTES THERAPEUTICS INC COM 05070R104 987 26,063 SH   DFND   0 26,063 0
AVANTOR INC COM 05352A100 228 11,964 SH   DFND   0 11,964 0
BIOMARIN PHARMACEUTICAL INC COM 09061G101 2,193 25,610 SH   DFND   0 25,610 0
CARDIOVASCULAR SYS INC DEL COM 141619106 218 5,072 SH   DFND   0 5,072 0
CATALENT INC COM 148806102 431 7,952 SH   DFND   0 7,952 0
COHERUS BIOSCIENCES INC COM 19249H103 279 12,607 SH   DFND   0 12,607 0
COUPA SOFTWARE INC COM 22266L106 661 5,217 SH   DFND   0 5,217 0
CROWDSTRIKE HLDGS INC CL A 22788C105 118 1,730 SH   DFND   0 1,730 0
CTRIP COM INTL LTD SPONSORED ADS 22943F100 1,069 28,959 SH   DFND   0 28,959 0
DERMIRA INC COM 24983L104 291 30,429 SH   DFND   0 30,429 0
DERMIRA INC NOTE 3.000% 5/1 24983LAB0 166 192,000 PRN   DFND   0 192,000 0
DEXCOM INC COM 252131107 872 5,818 SH   DFND   0 5,818 0
DISNEY WALT CO COM DISNEY 254687106 1,736 12,429 SH   DFND   0 12,429 0
DROPBOX INC CL A 26210C104 475 18,959 SH   DFND   0 18,959 0
EDWARDS LIFESCIENCES CORP COM 28176E108 1,407 7,616 SH   DFND   0 7,616 0
EQUILLIUM INC COM 29446K106 39 6,932 SH   DFND   0 6,932 0
ESPERION THERAPEUTICS INC NE COM 29664W105 731 15,722 SH   DFND   0 15,722 0
EXACT SCIENCES CORP COM 30063P105 592 5,014 SH   DFND   0 5,014 0
FAIR ISAAC CORP COM 303250104 553 1,761 SH   DFND   0 1,761 0
FATE THERAPEUTICS INC COM 31189P102 250 12,328 SH   DFND   0 12,328 0
FLUIDIGM CORP DEL COM 34385P108 175 14,221 SH   DFND   0 14,221 0
GILEAD SCIENCES INC COM 375558103 1,426 21,102 SH   DFND   0 21,102 0
GODADDY INC CL A 380237107 1,640 23,385 SH   DFND   0 23,385 0
HCA HEALTHCARE INC COM 40412C101 1,563 11,560 SH   DFND   0 11,560 0
HUMANA INC COM 444859102 2,728 10,284 SH   DFND   0 10,284 0
ICON PLC SHS G4705A100 259 1,679 SH   DFND   0 1,679 0
ICU MED INC COM 44930G107 1,257 4,990 SH   DFND   0 4,990 0
INOGEN INC COM 45780L104 124 1,852 SH   DFND   0 1,852 0
INTUIT COM 461202103 1,611 6,163 SH   DFND   0 6,163 0
INVESCO QQQ TR PUT 46090E953 13,651 73,100 SH Put DFND   0 73,100 0
IQVIA HLDGS INC COM 46266C105 1,535 9,542 SH   DFND   0 9,542 0
IRHYTHM TECHNOLOGIES INC COM 450056106 607 7,672 SH   DFND   0 7,672 0
ISHARES TR PUT 464287954 575 13,400 SH Put DFND   0 13,400 0
KARUNA THERAPEUTICS INC COM 48576A100 116 7,219 SH   DFND   0 7,219 0
MADISON SQUARE GARDEN CO NEW CL A 55825T103 893 3,191 SH   DFND   0 3,191 0
MERIT MED SYS INC COM 589889104 346 5,813 SH   DFND   0 5,813 0
MICROCHIP TECHNOLOGY INC COM 595017104 1,938 22,356 SH   DFND   0 22,356 0
MICROSOFT CORP COM 594918104 1,403 10,475 SH   DFND   0 10,475 0
MOLINA HEALTHCARE INC COM 60855R100 1,090 7,617 SH   DFND   0 7,617 0
MYOKARDIA INC COM 62857M105 866 17,272 SH   DFND   0 17,272 0
NEON THERAPEUTICS INC COM 64050Y100 491 103,596 SH   DFND   0 103,596 0
NETFLIX INC COM 64110L106 1,224 3,331 SH   DFND   0 3,331 0
NEVRO CORP COM 64157F103 745 11,489 SH   DFND   0 11,489 0
NEW YORK TIMES CO CL A 650111107 1,202 36,859 SH   DFND   0 36,859 0
PACIRA BIOSCIENCES COM 695127100 317 7,291 SH   DFND   0 7,291 0
PAYPAL HLDGS INC COM 70450Y103 1,718 15,009 SH   DFND   0 15,009 0
PENUMBRA INC COM 70975L107 1,386 8,660 SH   DFND   0 8,660 0
PERKINELMER INC COM 714046109 290 3,010 SH   DFND   0 3,010 0
PFIZER INC CALL 717081903 983 22,700 SH Call DFND   0 22,700 0
PFIZER INC COM 717081103 1,137 26,252 SH   DFND   0 26,252 0
PROGRESSIVE CORP OHIO COM 743315103 1,648 20,617 SH   DFND   0 20,617 0
PUMA BIOTECHNOLOGY INC COM 74587V107 350 27,567 SH   DFND   0 27,567 0
QUALCOMM INC CALL 747525903 3,514 46,200 SH Call DFND   0 46,200 0
SALESFORCE COM INC COM 79466L302 2,587 17,052 SH   DFND   0 17,052 0
SAREPTA THERAPEUTICS INC COM 803607100 1,023 6,730 SH   DFND   0 6,730 0
SEA LTD SPONSORED ADS 81141R100 1,138 34,270 SH   DFND   0 34,270 0
SIENNA BIOPHARMACEUTICALS IN COM 82622H108 12 13,260 SH   DFND   0 13,260 0
SPARK THERAPEUTICS INC COM 84652J103 97 948 SH   DFND   0 948 0
SPDR SERIES TRUST CALL 78464A900 395 4,500 SH Call DFND   0 4,500 0
SQUARE INC CL A 852234103 1,049 14,459 SH   DFND   0 14,459 0
STRYKER CORP COM 863667101 1,617 7,867 SH   DFND   0 7,867 0
TENET HEALTHCARE CORP COM NEW 88033G407 394 19,048 SH   DFND   0 19,048 0
THERMO FISHER SCIENTIFIC INC COM 883556102 865 2,947 SH   DFND   0 2,947 0
TRADEWEB MKTS INC CL A 892672106 93 2,132 SH   DFND   0 2,132 0
TWILIO INC CL A 90138F102 1,179 8,644 SH   DFND   0 8,644 0
TWITTER INC COM 90184L102 1,294 37,074 SH   DFND   0 37,074 0
UNIQURE NV SHS N90064101 153 1,961 SH   DFND   0 1,961 0
UNITEDHEALTH GROUP INC COM 91324P102 275 1,125 SH   DFND   0 1,125 0
VOYAGER THERAPEUTICS INC COM 92915B106 312 11,444 SH   DFND   0 11,444 0
WELLCARE HEALTH PLANS INC COM 94946T106 2,052 7,199 SH   DFND   0 7,199 0
WRIGHT MED GROUP N V ORD SHS N96617118 423 14,180 SH   DFND   0 14,180 0
ZIMMER BIOMET HLDGS INC COM 98956P102 2,521 21,409 SH   DFND   0 21,409 0