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
AAC HLDGS INC COM 000307108 312 45,000 SH   DFND 1 0 0 45,000
ABBOTT LABS COM 002824100 21,534 443,000 SH   DFND 1 0 0 443,000
ABBVIE INC COM 00287Y109 8,308 114,574 SH   DFND 1 0 0 114,574
ABIOMED INC COM 003654100 12,033 83,970 SH   DFND 1 0 0 83,970
ACADIA PHARMACEUTICALS INC COM 004225108 5,854 186,000 SH   DFND 1 0 0 186,000
AETNA INC NEW COM 00817Y108 7,865 51,800 SH   DFND 1 0 0 51,800
AGIOS PHARMACEUTICALS INC COM 00847X104 2,315 45,000 SH   DFND 1 0 0 45,000
ALDER BIOPHARMACEUTICALS INC COM 014339105 378 33,000 SH   DFND 1 0 0 33,000
ALEXION PHARMACEUTICALS INC COM 015351109 11,194 92,000 SH   DFND 1 0 0 92,000
ALIGN TECHNOLOGY INC COM 016255101 20,446 136,200 SH   DFND 1 0 0 136,200
ALKERMES PLC SHS G01767105 7,977 137,600 SH   DFND 1 0 0 137,600
ALLERGAN PLC SHS G0177J108 7,050 29,000 SH   DFND 1 0 0 29,000
ALNYLAM PHARMACEUTICALS INC COM 02043Q107 9,972 125,029 SH   DFND 1 0 0 125,029
AMERISOURCEBERGEN CORP COM 03073E105 10,687 113,058 SH   DFND 1 0 0 113,058
AMGEN INC COM 031162100 28,199 163,728 SH   DFND 1 0 0 163,728
ANGIODYNAMICS INC COM 03475V101 1,649 101,700 SH   DFND 1 0 0 101,700
ANTHEM INC COM 036752103 23,205 123,347 SH   DFND 1 0 0 123,347
AURIS MED HLDG AG COM H03579101 1,551 2,169,625 SH   DFND 1 0 0 2,169,625
BARD C R INC COM 067383109 11,788 37,290 SH   DFND 1 0 0 37,290
BAXTER INTL INC COM 071813109 12,471 206,000 SH   DFND 1 0 0 206,000
BECTON DICKINSON & CO COM 075887109 10,146 52,000 SH   DFND 1 0 0 52,000
BIOGEN INC COM 09062X103 16,689 61,500 SH   DFND 1 0 0 61,500
BIOMARIN PHARMACEUTICAL INC COM 09061G101 5,903 65,000 SH   DFND 1 0 0 65,000
BIOVERATIV INC COM 09075E100 1,369 22,750 SH   DFND 1 0 0 22,750
BLUEBIRD BIO INC COM 09609G100 2,322 22,100 SH   DFND 1 0 0 22,100
BOSTON SCIENTIFIC CORP COM 101137107 17,408 628,000 SH   DFND 1 0 0 628,000
CARDINAL HEALTH INC COM 14149Y108 1,558 20,000 SH   DFND 1 0 0 20,000
CELGENE CORP COM 151020104 34,025 261,992 SH   DFND 1 0 0 261,992
CELLDEX THERAPEUTICS INC NEW COM 15117B103 395 160,000 SH   DFND 1 0 0 160,000
CEMPRA INC COM 15130J109 759 165,000 SH   DFND 1 0 0 165,000
CENTENE CORP DEL COM 15135B101 13,564 169,810 SH   DFND 1 0 0 169,810
CERNER CORP COM 156782104 4,952 74,500 SH   DFND 1 0 0 74,500
CHINA BIOLOGIC PRODS INC COM 16938C106 4,100 36,250 SH   DFND 1 0 0 36,250
CIGNA CORPORATION COM 125509109 11,948 75,500 SH   DFND 1 0 0 75,500
CLOVIS ONCOLOGY INC COM 189464100 1,732 18,500 SH   DFND 1 0 0 18,500
COOPER COS INC COM NEW 216648402 5,746 24,000 SH   DFND 1 0 0 24,000
COTIVITI HLDGS INC COM 22164K101 780 21,000 SH   DFND 1 0 0 21,000
CVS HEALTH CORP COM 126650100 2,687 33,400 SH   DFND 1 0 0 33,400
DANAHER CORP DEL COM 235851102 12,068 143,000 SH   DFND 1 0 0 143,000
DAVITA INC COM 23918K108 648 10,000 SH   DFND 1 0 0 10,000
DENTSPLY SIRONA INC COM 24906P109 3,274 50,500 SH   DFND 1 0 0 50,500
DEXCOM INC COM 252131107 2,743 37,500 SH   DFND 1 0 0 37,500
EAGLE PHARMACEUTICALS INC COM 269796108 10,413 131,990 SH   DFND 1 0 0 131,990
EDWARDS LIFESCIENCES CORP COM 28176E108 22,454 189,900 SH   DFND 1 0 0 189,900
ENDO INTL PLC SHS G30401106 1,285 115,000 SH   DFND 1 0 0 115,000
ENVISION HEALTHCARE CORP COM 29414D100 816 13,026 SH   DFND 1 0 0 13,026
ESPERION THERAPEUTICS INC NEW COM 29664W105 370 8,000 SH   DFND 1 0 0 8,000
EXELIXIS INC COM 30161Q104 1,281 52,000 SH   DFND 1 0 0 52,000
EXPRESS SCRIPTS HLDG CO COM 30219G108 3,160 49,500 SH   DFND 1 0 0 49,500
GENMARK DIAGNOSTICS INC COM 372309104 4,793 405,178 SH   DFND 1 0 0 405,178
GILEAD SCIENCES INC COM 375558103 22,069 311,803 SH   DFND 1 0 0 311,803
GLAUKOS CORP COM 377322102 933 22,500 SH   DFND 1 0 0 22,500
GLOBUS MED INC CL A 379577208 1,326 40,000 SH   DFND 1 0 0 40,000
GW PHARMACEUTICALS PLC ADS 36197T103 602 6,000 SH   DFND 1 0 0 6,000
HALOZYME THERAPEUTICS INC COM 40637H109 2,808 219,000 SH   DFND 1 0 0 219,000
HCA HEALTHCARE INC COM 40412C101 1,857 21,300 SH   DFND 1 0 0 21,300
HEALTHCARE SVCS GRP INC COM 421906108 1,709 36,500 SH   DFND 1 0 0 36,500
HILL ROM HLDGS INC COM 431475102 8,319 104,503 SH   DFND 1 0 0 104,503
HMS HLDGS CORP COM 40425J101 925 50,000 SH   DFND 1 0 0 50,000
HOLOGIC INC COM 436440101 12,408 273,423 SH   DFND 1 0 0 273,423
HORIZON PHARMA PLC SHS G4617B105 4,836 407,398 SH   DFND 1 0 0 407,398
HUMANA INC COM 444859102 6,376 26,500 SH   DFND 1 0 0 26,500
HUTCHISON CHINA MEDTECH LTD SPONSORED ADR 44842L103 682 29,242 SH   DFND 1 0 0 29,242
ILLUMINA INC COM 452327109 18,821 108,465 SH   DFND 1 0 0 108,465
IMPAX LABORATORIES INC COM 45256B101 2,818 175,000 SH   DFND 1 0 0 175,000
INCYTE CORP COM 45337C102 15,539 123,412 SH   DFND 1 0 0 123,412
INOVIO PHARMACEUTICALS INC COM NEW 45773H201 1,129 144,000 SH   DFND 1 0 0 144,000
INSULET CORP COM 45784P101 872 17,000 SH   DFND 1 0 0 17,000
INTEGRA LIFESCIENCES HLDGS C COM NEW 457985208 8,741 160,350 SH   DFND 1 0 0 160,350
INTERCEPT PHARMACEUTICALS IN COM 45845P108 1,029 8,500 SH   DFND 1 0 0 8,500
INTERSECT ENT INC COM 46071F103 2,795 100,000 SH   DFND 1 0 0 100,000
INTRA CELLULAR THERAPIES INC COM 46116X101 497 40,000 SH   DFND 1 0 0 40,000
INTUITIVE SURGICAL INC COM NEW 46120E602 22,174 23,706 SH   DFND 1 0 0 23,706
IONIS PHARMACEUTICALS INC COM 462222100 11,423 224,562 SH   DFND 1 0 0 224,562
IRHYTHM TECHNOLOGIES INC COM 450056106 999 23,500 SH   DFND 1 0 0 23,500
ISHARES TR NASDQ BIOTEC ETF 464287556 2,171 7,000 SH   DFND 1 0 0 7,000
JAZZ PHARMACEUTICALS PLC SHS USD G50871105 15,582 100,203 SH   DFND 1 0 0 100,203
JOHNSON & JOHNSON COM 478160104 4,167 31,500 SH   DFND 1 0 0 31,500
JUNO THERAPEUTICS INC COM 48205A109 1,285 43,000 SH   DFND 1 0 0 43,000
KITE PHARMA INC COM 49803L109 1,762 17,000 SH   DFND 1 0 0 17,000
LABORATORY CORP AMER HLDGS COM NEW 50540R409 7,918 51,370 SH   DFND 1 0 0 51,370
LIGAND PHARAMCEUTICALS INC COM NEW 53220K504 7,697 63,400 SH   DFND 1 0 0 63,400
LILLY ELI & CO COM 532457108 14,902 181,073 SH   DFND 1 0 0 181,073
LIVANOVA PLC SHS G5509L101 6,293 102,808 SH   DFND 1 0 0 102,808
MACROGENICS INC COM 556099109 5,540 316,418 SH   DFND 1 0 0 316,418
MALLINCKRODT PUB LTD CO SHS G5785G107 8,287 184,945 SH   DFND 1 0 0 184,945
MASIMO CORP COM 574795100 1,550 17,000 SH   DFND 1 0 0 17,000
MCKESSON CORP COM 58155Q103 2,962 18,000 SH   DFND 1 0 0 18,000
MEDICINES CO COM 584688105 741 19,500 SH   DFND 1 0 0 19,500
MEDTRONIC PLC SHS G5960L103 27,113 305,500 SH   DFND 1 0 0 305,500
MERCK & CO INC COM 58933Y105 1,762 27,500 SH   DFND 1 0 0 27,500
MOLINA HEALTHCARE INC COM 60855R100 1,141 16,500 SH   DFND 1 0 0 16,500
MYLAN N V SHS EURO N59465109 10,217 263,200 SH   DFND 1 0 0 263,200
MYRIAD GENETICS INC COM 62855J104 336 13,000 SH   DFND 1 0 0 13,000
NEKTAR THERAPEUTICS COM 640268108 841 43,000 SH   DFND 1 0 0 43,000
NEUROCRINE BIOSCIENCES INC COM 64125C109 2,162 47,000 SH   DFND 1 0 0 47,000
NEVRO CORP COM 64157F103 722 9,700 SH   DFND 1 0 0 9,700
NUVASIVE INC COM 670704105 2,716 35,304 SH   DFND 1 0 0 35,304
OBALON THERAPEUTICS INC COM 67424L100 446 45,000 SH   DFND 1 0 0 45,000
PENUMBRA INC COM 70975L107 992 11,300 SH   DFND 1 0 0 11,300
PERRIGO CO PLC SHS G97822103 7,285 96,468 SH   DFND 1 0 0 96,468
PFIZER INC COM 717081103 981 29,200 SH   DFND 1 0 0 29,200
PORTOLA PHARMACEUTICALS INC COM 737010108 2,022 36,000 SH   DFND 1 0 0 36,000
PROSHARES TR PSHS ULT NASB 74347R214 1,015 19,000 SH   DFND 1 0 0 19,000
PROTHENA CORP PLC SHS G72800108 2,219 41,000 SH   DFND 1 0 0 41,000
QIAGEN NV SHS NEW N72482123 2,664 79,444 SH   DFND 1 0 0 79,444
QUINTILES IMS HOLDING INC COM 74876Y101 5,954 66,520 SH   DFND 1 0 0 66,520
QUOTIENT LTD SHS G73268107 810 110,000 SH   DFND 1 0 0 110,000
RADIUS HEALTH INC COM NEW 750469207 1,651 36,500 SH   DFND 1 0 0 36,500
REGENERON PHARMACEUTICALS COM 75886F107 13,801 28,100 SH   DFND 1 0 0 28,100
RESMED INC COM 761152107 2,811 36,100 SH   DFND 1 0 0 36,100
SEATTLE GENETICS INC COM 812578102 2,018 39,000 SH   DFND 1 0 0 39,000
SHIRE PLC SPONSORED ADR 82481R106 8,906 53,885 SH   DFND 1 0 0 53,885
STRYKER CORP COM 863667101 11,699 84,300 SH   DFND 1 0 0 84,300
SURGERY PARTNERS INC COM 86881A100 705 31,000 SH   DFND 1 0 0 31,000
TABULA RASA HEALTHCARE INC COM 873379101 555 36,907 SH   DFND 1 0 0 36,907
TELADOC INC COM 87918A105 781 22,500 SH   DFND 1 0 0 22,500
TELEFLEX INC COM 879369106 1,454 7,000 SH   DFND 1 0 0 7,000
TENET HEALTHCARE CORP COM NEW 88033G407 6,353 328,506 SH   DFND 1 0 0 328,506
TESARO INC COM 881569107 2,657 19,000 SH   DFND 1 0 0 19,000
TEVA PHARMACEUTICAL INDS LTD SPONSORED ADR 881624209 9,479 285,329 SH   DFND 1 0 0 285,329
THERAVANCE BIOPHARMA INC COM G8807B106 575 14,428 SH   DFND 1 0 0 14,428
THERMO FISHER SCIENTIFIC INC COM 883556102 2,547 14,600 SH   DFND 1 0 0 14,600
ULTRAGENYX PHARMACEUTICAL INC COM 90400D108 1,615 42,000 SH   DFND 1 0 0 42,000
UNITED THERAPEUTICS CORP DEL COM 91307C102 1,012 7,800 SH   DFND 1 0 0 7,800
UNITEDHEALTH GROUP INC COM 91324P102 23,927 129,040 SH   DFND 1 0 0 129,040
VARIAN MED SYS INC COM 92220P105 722 7,000 SH   DFND 1 0 0 7,000
VERTEX PHARMACEUTICALS INC COM 92532F100 8,815 68,400 SH   DFND 1 0 0 68,400
WALGREENS BOOTS ALLIANCE INC COM 931427108 14,556 185,872 SH   DFND 1 0 0 185,872
WEBMD HEALTH CORP COM 94770V102 434 7,400 SH   DFND 1 0 0 7,400
WRIGHT MED GROUP NV ORD SHS 0.03 PAR N96617118 9,238 336,055 SH   DFND 1 0 0 336,055
ZIMMER BIOMET HLDGS INC COM 98956P102 11,299 88,000 SH   DFND 1 0 0 88,000