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 447 45,000 SH   DFND 1 0 0 45,000
ABBOTT LABS COM 002824100 26,840 503,000 SH   DFND 1 0 0 503,000
ABBVIE INC COM 00287Y109 9,131 102,777 SH   DFND 1 0 0 102,777
ABIOMED INC COM 003654100 14,350 85,110 SH   DFND 1 0 0 85,110
ACADIA HEALTHCARE COMPANY IN COM 00404A109 1,481 31,000 SH   DFND 1 0 0 31,000
ACADIA PHARMACEUTICALS INC COM 004225108 4,407 117,000 SH   DFND 1 0 0 117,000
ADAMAS PHARMACEUTICALS INC COM 00548A106 508 24,000 SH   DFND 1 0 0 24,000
AETNA INC NEW COM 00817Y108 9,016 56,700 SH   DFND 1 0 0 56,700
AGIOS PHARMACEUTICALS INC COM 00847X104 3,004 45,000 SH   DFND 1 0 0 45,000
ALDER BIOPHARMACEUTICALS INC COM 014339105 404 33,000 SH   DFND 1 0 0 33,000
ALEXION PHARMACEUTICALS INC COM 015351109 12,065 86,000 SH   DFND 1 0 0 86,000
ALIGN TECHNOLOGY INC COM 016255101 35,890 192,746 SH   DFND 1 0 0 192,746
ALKERMES PLC SHS G01767105 2,852 56,100 SH   DFND 1 0 0 56,100
ALLERGAN PLC SHS G0177J108 4,201 20,500 SH   DFND 1 0 0 20,500
ALNYLAM PHARMACEUTICALS INC COM 02043Q107 8,878 75,593 SH   DFND 1 0 0 75,593
AMERISOURCEBERGEN CORP COM 03073E105 16,384 197,991 SH   DFND 1 0 0 197,991
AMGEN INC COM 031162100 37,023 198,645 SH   DFND 1 0 0 198,645
ANGIODYNAMICS INC COM 03475V101 1,738 101,700 SH   DFND 1 0 0 101,700
ANTHEM INC COM 036752103 32,490 171,143 SH   DFND 1 0 0 171,143
AURIS MED HLDG AG COM H03579101 1,779 2,169,625 SH   DFND 1 0 0 2,169,625
BARD C R INC COM 067383109 7,288 22,740 SH   DFND 1 0 0 22,740
BAXTER INTL INC COM 071813109 13,554 216,000 SH   DFND 1 0 0 216,000
BECTON DICKINSON & CO COM 075887109 10,777 55,000 SH   DFND 1 0 0 55,000
BIOGEN INC COM 09062X103 18,443 58,900 SH   DFND 1 0 0 58,900
BIOMARIN PHARMACEUTICAL INC COM 09061G101 4,542 48,800 SH   DFND 1 0 0 48,800
BIOVERATIV INC COM 09075E100 1,298 22,750 SH   DFND 1 0 0 22,750
BLUEBIRD BIO INC COM 09609G100 3,447 25,100 SH   DFND 1 0 0 25,100
BOSTON SCIENTIFIC CORP COM 101137107 20,302 696,000 SH   DFND 1 0 0 696,000
CARDINAL HEALTH INC COM 14149Y108 1,338 20,000 SH   DFND 1 0 0 20,000
CELGENE CORP COM 151020104 48,461 332,369 SH   DFND 1 0 0 332,369
CELLDEX THERAPEUTICS INC NEW COM 15117B103 458 160,000 SH   DFND 1 0 0 160,000
CEMPRA INC COM 15130J109 536 165,000 SH   DFND 1 0 0 165,000
CENTENE CORP DEL COM 15135B101 11,509 118,930 SH   DFND 1 0 0 118,930
CERNER CORP COM 156782104 5,313 74,500 SH   DFND 1 0 0 74,500
CIGNA CORPORATION COM 125509109 8,908 47,650 SH   DFND 1 0 0 47,650
CLOVIS ONCOLOGY INC COM 189464100 1,524 18,500 SH   DFND 1 0 0 18,500
COOPER COS INC COM NEW 216648402 5,691 24,000 SH   DFND 1 0 0 24,000
COTIVITI HLDGS INC COM 22164K101 781 21,708 SH   DFND 1 0 0 21,708
CVS HEALTH CORP COM 126650100 716 8,800 SH   DFND 1 0 0 8,800
DANAHER CORP DEL COM 235851102 13,622 158,800 SH   DFND 1 0 0 158,800
DENTSPLY SIRONA INC COM 24906P109 3,260 54,500 SH   DFND 1 0 0 54,500
DEXCOM INC COM 252131107 2,202 45,000 SH   DFND 1 0 0 45,000
DYNAVAX TECHNOLOGIES CORP COM NEW 268158201 1,279 59,500 SH   DFND 1 0 0 59,500
EAGLE PHARMACEUTICALS INC COM 269796108 4,864 81,550 SH   DFND 1 0 0 81,550
EDWARDS LIFESCIENCES CORP COM 28176E108 22,503 205,860 SH   DFND 1 0 0 205,860
ENDO INTL PLC SHS G30401106 985 115,000 SH   DFND 1 0 0 115,000
ENVISION HEALTHCARE CORP COM 29414D100 586 13,026 SH   DFND 1 0 0 13,026
ESPERION THERAPEUTICS INC NEW COM 29664W105 401 8,000 SH   DFND 1 0 0 8,000
EXELIXIS INC COM 30161Q104 1,260 52,000 SH   DFND 1 0 0 52,000
EXPRESS SCRIPTS HLDG CO COM 30219G108 3,134 49,500 SH   DFND 1 0 0 49,500
GENMARK DIAGNOSTICS INC COM 372309104 5,043 523,677 SH   DFND 1 0 0 523,677
GILEAD SCIENCES INC COM 375558103 32,610 402,541 SH   DFND 1 0 0 402,541
GLAUKOS CORP COM 377322102 990 30,000 SH   DFND 1 0 0 30,000
GLOBUS MED INC CL A 379577208 1,635 55,000 SH   DFND 1 0 0 55,000
GW PHARMACEUTICALS PLC ADS 36197T103 609 6,000 SH   DFND 1 0 0 6,000
HALOZYME THERAPEUTICS INC COM 40637H109 1,522 87,600 SH   DFND 1 0 0 87,600
HCA HEALTHCARE INC COM 40412C101 1,695 21,300 SH   DFND 1 0 0 21,300
HEALTHCARE SVCS GRP INC COM 421906108 2,051 38,000 SH   DFND 1 0 0 38,000
SCHEIN HENRY INC COM 806407102 3,116 38,000 SH   DFND 1 0 0 38,000
HILL ROM HLDGS INC COM 431475102 12,575 169,939 SH   DFND 1 0 0 169,939
HMS HLDGS CORP COM 40425J101 1,063 53,500 SH   DFND 1 0 0 53,500
HOLOGIC INC COM 436440101 13,322 363,101 SH   DFND 1 0 0 363,101
HORIZON PHARMA PLC SHS G4617B105 6,173 486,463 SH   DFND 1 0 0 486,463
HUMANA INC COM 444859102 7,638 31,350 SH   DFND 1 0 0 31,350
HUTCHISON CHINA MEDTECH LTD SPONSORED ADR 44842L103 1,751 64,573 SH   DFND 1 0 0 64,573
ILLUMINA INC COM 452327109 32,570 163,525 SH   DFND 1 0 0 163,525
IMPAX LABORATORIES INC COM 45256B101 1,766 87,000 SH   DFND 1 0 0 87,000
INCYTE CORP COM 45337C102 17,086 146,366 SH   DFND 1 0 0 146,366
INOVIO PHARMACEUTICALS INC COM NEW 45773H201 913 144,000 SH   DFND 1 0 0 144,000
INSULET CORP COM 45784P101 991 18,000 SH   DFND 1 0 0 18,000
INTEGRA LIFESCIENCES HLDGS C COM NEW 457985208 8,927 176,850 SH   DFND 1 0 0 176,850
INTERCEPT PHARMACEUTICALS IN COM 45845P108 493 8,500 SH   DFND 1 0 0 8,500
INTERSECT ENT INC COM 46071F103 1,277 41,000 SH   DFND 1 0 0 41,000
INTRA CELLULAR THERAPIES INC COM 46116X101 631 40,000 SH   DFND 1 0 0 40,000
INTUITIVE SURGICAL INC COM NEW 46120E602 31,760 30,377 SH   DFND 1 0 0 30,377
IONIS PHARMACEUTICALS INC COM 462222100 13,469 265,706 SH   DFND 1 0 0 265,706
IRHYTHM TECHNOLOGIES INC COM 450056106 1,733 33,400 SH   DFND 1 0 0 33,400
ISHARES TR NASDQ BIOTEC ETF 464287556 3,002 9,000 SH   DFND 1 0 0 9,000
JAZZ PHARMACEUTICALS PLC SHS USD G50871105 16,856 115,252 SH   DFND 1 0 0 115,252
JOHNSON & JOHNSON COM 478160104 4,095 31,500 SH   DFND 1 0 0 31,500
JUNO THERAPEUTICS INC COM 48205A109 1,929 43,000 SH   DFND 1 0 0 43,000
LABORATORY CORP AMER HLDGS COM NEW 50540R409 8,255 54,680 SH   DFND 1 0 0 54,680
LIGAND PHARAMCEUTICALS INC COM NEW 53220K504 6,631 48,700 SH   DFND 1 0 0 48,700
LILLY ELI & CO COM 532457108 20,631 241,262 SH   DFND 1 0 0 241,262
LIVANOVA PLC SHS G5509L101 11,074 158,069 SH   DFND 1 0 0 158,069
MACROGENICS INC COM 556099109 8,007 433,299 SH   DFND 1 0 0 433,299
MALLINCKRODT PUB LTD CO SHS G5785G107 8,596 229,983 SH   DFND 1 0 0 229,983
MASIMO CORP COM 574795100 1,472 17,000 SH   DFND 1 0 0 17,000
MCKESSON CORP COM 58155Q103 2,765 18,000 SH   DFND 1 0 0 18,000
MEDICINES CO COM 584688105 722 19,500 SH   DFND 1 0 0 19,500
MEDTRONIC PLC SHS G5960L103 16,876 217,000 SH   DFND 1 0 0 217,000
MERCK & CO INC COM 58933Y105 1,761 27,500 SH   DFND 1 0 0 27,500
MOLINA HEALTHCARE INC COM 60855R100 2,991 43,500 SH   DFND 1 0 0 43,500
MYLAN N V SHS EURO N59465109 5,684 181,200 SH   DFND 1 0 0 181,200
MYRIAD GENETICS INC COM 62855J104 470 13,000 SH   DFND 1 0 0 13,000
NEKTAR THERAPEUTICS COM 640268108 2,952 123,000 SH   DFND 1 0 0 123,000
NEUROCRINE BIOSCIENCES INC COM 64125C109 3,432 56,000 SH   DFND 1 0 0 56,000
NEVRO CORP COM 64157F103 972 10,700 SH   DFND 1 0 0 10,700
NUVASIVE INC COM 670704105 2,562 46,204 SH   DFND 1 0 0 46,204
OBALON THERAPEUTICS INC COM 67424L100 457 48,000 SH   DFND 1 0 0 48,000
PENUMBRA INC COM 70975L107 1,517 16,800 SH   DFND 1 0 0 16,800
PERRIGO CO PLC SHS G97822103 3,933 46,468 SH   DFND 1 0 0 46,468
PFIZER INC COM 717081103 1,042 29,200 SH   DFND 1 0 0 29,200
PORTOLA PHARMACEUTICALS INC COM 737010108 1,702 31,500 SH   DFND 1 0 0 31,500
PROTHENA CORP PLC SHS G72800108 2,422 37,400 SH   DFND 1 0 0 37,400
QIAGEN NV SHS NEW N72482123 1,941 61,611 SH   DFND 1 0 0 61,611
QUINTILES IMS HOLDING INC COM 74876Y101 6,766 71,170 SH   DFND 1 0 0 71,170
QUOTIENT LTD SHS G73268107 542 110,000 SH   DFND 1 0 0 110,000
RADIUS HEALTH INC COM NEW 750469207 1,407 36,500 SH   DFND 1 0 0 36,500
REGENERON PHARMACEUTICALS COM 75886F107 13,503 30,200 SH   DFND 1 0 0 30,200
RESMED INC COM 761152107 3,617 47,000 SH   DFND 1 0 0 47,000
SEATTLE GENETICS INC COM 812578102 2,448 45,000 SH   DFND 1 0 0 45,000
SHIRE PLC SPONSORED ADR 82481R106 6,499 42,440 SH   DFND 1 0 0 42,440
STRYKER CORP COM 863667101 11,972 84,300 SH   DFND 1 0 0 84,300
SURGERY PARTNERS INC COM 86881A100 321 31,000 SH   DFND 1 0 0 31,000
TABULA RASA HEALTHCARE INC COM 873379101 1,482 55,407 SH   DFND 1 0 0 55,407
TELADOC INC COM 87918A105 1,558 47,000 SH   DFND 1 0 0 47,000
TELEFLEX INC COM 879369106 2,468 10,200 SH   DFND 1 0 0 10,200
TENET HEALTHCARE CORP COM NEW 88033G407 10,128 616,796 SH   DFND 1 0 0 616,796
TESARO INC COM 881569107 1,420 11,000 SH   DFND 1 0 0 11,000
TEVA PHARMACEUTICAL INDS LTD SPONSORED ADR 881624209 10,236 581,940 SH   DFND 1 0 0 581,940
THERAVANCE BIOPHARMA INC COM G8807B106 494 14,428 SH   DFND 1 0 0 14,428
THERMO FISHER SCIENTIFIC INC COM 883556102 4,883 25,808 SH   DFND 1 0 0 25,808
ULTRAGENYX PHARMACEUTICAL INC COM 90400D108 2,237 42,000 SH   DFND 1 0 0 42,000
UNITED THERAPEUTICS CORP DEL COM 91307C102 2,531 21,600 SH   DFND 1 0 0 21,600
UNITEDHEALTH GROUP INC COM 91324P102 26,688 136,270 SH   DFND 1 0 0 136,270
VARIAN MED SYS INC COM 92220P105 700 7,000 SH   DFND 1 0 0 7,000
VERTEX PHARMACEUTICALS INC COM 92532F100 9,092 59,800 SH   DFND 1 0 0 59,800
WALGREENS BOOTS ALLIANCE INC COM 931427108 20,224 262,060 SH   DFND 1 0 0 262,060
WRIGHT MED GROUP NV ORD SHS 0.03 PAR N96617118 14,016 541,801 SH   DFND 1 0 0 541,801
ZIMMER BIOMET HLDGS INC COM 98956P102 10,889 93,000 SH   DFND 1 0 0 93,000