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
ABBOTT LABS COM 002824100   2,870,168 47,900 SH   SOLE   47,900 0 0
ABIOMED INC COM 003654100   2,064,283 7,094 SH   SOLE   7,094 0 0
ABLYNX NV SPONSORED ADR 00372Y105   9,923,973 181,891 SH   SOLE   181,891 0 0
AERIE PHARMACEUTICALS INC COM 00771V108   11,434,707 210,778 SH   SOLE   210,778 0 0
AFFIMED N V COM N01045108   715,695 386,862 SH   SOLE   386,862 0 0
ALBIREO PHARMA INC COM 01345P106   587,205 18,029 SH   SOLE   18,029 0 0
ALIGN TECHNOLOGY INC COM 016255101   753,390 3,000 SH   SOLE   3,000 0 0
ALNYLAM PHARMACEUTICALS INC COM 02043Q107   9,396,156 78,893 SH   SOLE   78,893 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206   752,500 250,000 SH   SOLE   250,000 0 0
ANTHEM INC COM 036752103   1,318,200 6,000 SH   SOLE   6,000 0 0
AQUINOX PHARMACEUTICALS INC COM 03842B101   450,377 31,987 SH   SOLE   31,987 0 0
ARBUTUS BIOPHARMA CORP COM 03879J100   587,475 117,495 SH   SOLE   117,495 0 0
ARENA PHARMACEUTICALS INC COM NEW 040047607   8,721,126 220,788 SH   SOLE   220,788 0 0
ARGENX SE SPONSORED ADR 04016X101   2,878,465 35,784 SH   SOLE   35,784 0 0
ARRAY BIOPHARMA INC COM 04269X105   5,838,105 357,727 SH   SOLE   357,727 0 0
ASCENDIS PHARMA A S SPONSORED ADR 04351P101   1,573,132 24,054 SH   SOLE   24,054 0 0
AVEXIS INC COM 05366U100   9,664,080 78,201 SH   SOLE   78,201 0 0
BIOCRYST PHARMACEUTICALS COM 09058V103   710,534 148,959 SH   SOLE   148,959 0 0
BIOMARIN PHARMACEUTICAL INC COM 09061G101   3,729,220 46,000 SH   SOLE   46,000 0 0
CARETRUST REIT INC COM 14174T107   1,472,932 108,264 SH   SOLE   108,264 0 0
CENTENE CORP DEL COM 15135B101   1,068,700 10,000 SH   SOLE   10,000 0 0
DECIPHERA PHARMACEUTICALS IN COM 24344T101   1,705,204 85,090 SH   SOLE   85,090 0 0
DERMIRA INC COM 24983L104   159,944 20,018 SH   SOLE   20,018 0 0
DYNAVAX TECHNOLOGIES CORP COM NEW 268158201   595,500 30,000 SH   SOLE   30,000 0 0
EHEALTH INC COM 28238P109   1,066,753 74,546 SH   SOLE   74,546 0 0
ENSIGN GROUP INC COM 29358P101   8,585,124 325,897 SH   SOLE   325,897 0 0
ENVISION HEALTHCARE CORP COM 29414D100   365,854 9,520 SH   SOLE   9,520 0 0
EPIZYME INC COM 29428V104   1,019,720 57,449 SH   SOLE   57,449 0 0
FOAMIX PHARMACEUTICALS LTD SHS M46135105   551,475 107,500 SH   SOLE   107,500 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105   8,948,163 226,584 SH   SOLE   226,584 0 0
GLOBAL BLOOD THERAPEUTICS IN COM 37890U108   859,740 17,800 SH   SOLE   17,800 0 0
HAEMONETICS CORP COM 405024100   1,071,501 14,646 SH   SOLE   14,646 0 0
INVACARE CORP COM 461203101   1,738,295 99,902 SH   SOLE   99,902 0 0
IOVANCE BIOTHERAPEUTICS INC COM 462260100   1,098,500 65,000 SH   SOLE   65,000 0 0
IRADIMED CORP COM 46266A109   735,250 51,059 SH   SOLE   51,059 0 0
MAGELLAN HEALTH INC COM NEW 559079207   994,102 9,282 SH   SOLE   9,282 0 0
MEDICINES CO COM 584688105   1,295,102 39,317 SH   SOLE   39,317 0 0
MELINTA THERAPEUTICS INC COM 58549G100   568,594 76,837 SH   SOLE   76,837 0 0
MYOKARDIA INC COM 62857M105   2,049,600 42,000 SH   SOLE   42,000 0 0
NEVRO CORP COM 64157F103   5,273,870 60,850 SH   SOLE   60,850 0 0
OPHTHOTECH CORP COM 683745103   408,534 149,100 SH   SOLE   149,100 0 0
PUMA BIOTECHNOLOGY INC COM 74587V107   1,559,978 22,924 SH   SOLE   22,924 0 0
QUALITY CARE PPTYS INC COM 747545101   20,025,743 1,030,661 SH   SOLE   1,030,661 0 0
QUOTIENT LTD SHS G73268107   49,507 10,511 SH   SOLE   10,511 0 0
R1 RCM INC COM 749397105   13,636,593 1,909,887 SH   SOLE   1,909,887 0 0
RADIUS HEALTH INC COM NEW 750469207   11,994,544 333,738 SH   SOLE   333,738 0 0
SAGE THERAPEUTICS INC COM 78667J108   3,865,680 24,000 SH   SOLE   24,000 0 0
SANOFI SPONSORED ADR 80105N105   5,529,918 137,972 SH   SOLE   137,972 0 0
SEASPINE HLDGS CORP COM 81255T108   313,316 30,899 SH   SOLE   30,899 0 0
TELIGENT INC NEW COM 87960W104   5,209,287 1,550,383 SH   SOLE   1,550,383 0 0
TESARO INC COM 881569107   2,944,024 51,523 SH   SOLE   51,523 0 0
TG THERAPEUTICS INC COM 88322Q108   2,130,000 150,000 SH   SOLE   150,000 0 0
VERTEX PHARMACEUTICALS INC COM 92532F100   7,305,090 44,822 SH   SOLE   44,822 0 0
ZOGENIX INC COM NEW 98978L204   8,192,067 204,546 SH   SOLE   204,546 0 0
ARENA PHARMACEUTICALS INC COM NEW 040047607   825,550 20,900 SH Call SOLE   20,900 0 0
MIMEDX GROUP INC COM 602496101   334,560 48,000 SH Call SOLE   48,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103   15,789,000 60,000 SH Put SOLE   60,000 0 0