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 502 43,700 SH   DFND 1 0 0 43,700
ABBOTT LABS COM 002824100 33,855 565,000 SH   DFND 1 0 0 565,000
ABIOMED INC COM 003654100 7,929 27,250 SH   DFND 1 0 0 27,250
ACADIA PHARMACEUTICALS INC COM 004225108 776 34,550 SH   DFND 1 0 0 34,550
AETNA INC NEW COM 00817Y108 1,521 9,000 SH   DFND 1 0 0 9,000
AGIOS PHARMACEUTICALS INC COM 00847X104 3,296 40,300 SH   DFND 1 0 0 40,300
AKCEA THERAPEUTICS INC COM 00972L107 1,250 48,799 SH   DFND 1 0 0 48,799
ALDER BIOPHARMACEUTICALS INC COM 014339105 8,896 700,464 SH   DFND 1 0 0 700,464
ALEXION PHARMACEUTICALS INC COM 015351109 14,645 131,390 SH   DFND 1 0 0 131,390
ALIGN TECHNOLOGY INC COM 016255101 40,529 161,388 SH   DFND 1 0 0 161,388
ALKERMES PLC SHS G01767105 2,950 50,900 SH   DFND 1 0 0 50,900
ALLERGAN PLC SHS G0177J108 2,188 13,000 SH   DFND 1 0 0 13,000
ALNYLAM PHARMACEUTICALS INC COM 02043Q107 2,590 21,750 SH   DFND 1 0 0 21,750
AMERISOURCEBERGEN CORP COM 03073E105 18,550 215,178 SH   DFND 1 0 0 215,178
AMGEN INC COM 031162100 11,712 68,700 SH   DFND 1 0 0 68,700
ANGIODYNAMICS INC COM 03475V101 1,754 101,700 SH   DFND 1 0 0 101,700
ANTHEM INC COM 036752103 39,819 181,243 SH   DFND 1 0 0 181,243
AURIS MED HLDG AG COM H03579101 347 216,963 SH   DFND 1 0 0 216,963
BAXTER INTL INC COM 071813109 14,049 216,000 SH   DFND 1 0 0 216,000
BECTON DICKINSON & CO COM 075887109 10,835 50,000 SH   DFND 1 0 0 50,000
BEIGENE LTD SPONSORED ADR 07725L102 6,829 40,650 SH   DFND 1 0 0 40,650
BIOGEN INC COM 09062X103 12,650 46,200 SH   DFND 1 0 0 46,200
BIOMARIN PHARMACEUTICAL INC COM 09061G101 3,595 44,350 SH   DFND 1 0 0 44,350
BLUEBIRD BIO INC COM 09609G100 2,271 13,300 SH   DFND 1 0 0 13,300
BOSTON SCIENTIFIC CORP COM 101137107 19,015 696,000 SH   DFND 1 0 0 696,000
BRISTOL MYERS SQUIBB CO COM 110122108 2,530 40,000 SH   DFND 1 0 0 40,000
CARDINAL HEALTH INC COM 14149Y108 1,254 20,000 SH   DFND 1 0 0 20,000
CELGENE CORP COM 151020104 38,753 434,400 SH   DFND 1 0 0 434,400
CELLECTIS S A SPONSORED ADS 15117K103 1,642 52,100 SH   DFND 1 0 0 52,100
CENTENE CORP DEL COM 15135B101 12,827 120,020 SH   DFND 1 0 0 120,020
CERNER CORP COM 156782104 3,712 64,000 SH   DFND 1 0 0 64,000
CIGNA CORPORATION COM 125509109 9,670 57,650 SH   DFND 1 0 0 57,650
CLOVIS ONCOLOGY INC COM 189464100 937 17,750 SH   DFND 1 0 0 17,750
COHERUS BIOSCIENCES INC COM 19249H103 1,658 150,000 SH   DFND 1 0 0 150,000
COOPER COS INC COM NEW 216648402 5,102 22,300 SH   DFND 1 0 0 22,300
COTIVITI HLDGS INC COM 22164K101 748 21,708 SH   DFND 1 0 0 21,708
CVS HEALTH CORP COM 126650100 547 8,800 SH   DFND 1 0 0 8,800
DANAHER CORP DEL COM 235851102 19,778 202,000 SH   DFND 1 0 0 202,000
DENTSPLY SIRONA INC COM 24906P109 2,742 54,500 SH   DFND 1 0 0 54,500
DEXCOM INC COM 252131107 26,430 356,390 SH   DFND 1 0 0 356,390
DYNAVAX TECHNOLOGIES CORP COM NEW 268158201 1,876 94,500 SH   DFND 1 0 0 94,500
EAGLE PHARMACEUTICALS INC COM 269796108 1,739 33,000 SH   DFND 1 0 0 33,000
EDWARDS LIFESCIENCES CORP COM 28176E108 27,508 197,160 SH   DFND 1 0 0 197,160
ENDO INTL PLC SHS G30401106 369 62,200 SH   DFND 1 0 0 62,200
ESPERION THERAPEUTICS INC NEW COM 29664W105 12,493 172,720 SH   DFND 1 0 0 172,720
EXELIXIS INC COM 30161Q104 1,103 49,800 SH   DFND 1 0 0 49,800
EXPRESS SCRIPTS HLDG CO COM 30219G108 3,419 49,500 SH   DFND 1 0 0 49,500
FITBIT INC CL A 33812L102 11,707 2,295,400 SH   DFND 1 0 0 2,295,400
GENMARK DIAGNOSTICS INC COM 372309104 6,455 1,186,502 SH   DFND 1 0 0 1,186,502
GILEAD SCIENCES INC COM 375558103 12,605 167,200 SH   DFND 1 0 0 167,200
GLAUKOS CORP COM 377322102 925 30,000 SH   DFND 1 0 0 30,000
GLOBUS MED INC CL A 379577208 2,434 48,850 SH   DFND 1 0 0 48,850
GW PHARMACEUTICALS PLC ADS 36197T103 549 4,875 SH   DFND 1 0 0 4,875
HALOZYME THERAPEUTICS INC COM 40637H109 1,485 75,800 SH   DFND 1 0 0 75,800
HCA HEALTHCARE INC COM 40412C101 2,066 21,300 SH   DFND 1 0 0 21,300
HEALTHCARE SVCS GRP INC COM 421906108 1,652 38,000 SH   DFND 1 0 0 38,000
SCHEIN HENRY INC COM 806407102 2,890 43,000 SH   DFND 1 0 0 43,000
HILL ROM HLDGS INC COM 431475102 13,739 157,919 SH   DFND 1 0 0 157,919
HMS HLDGS CORP COM 40425J101 901 53,500 SH   DFND 1 0 0 53,500
HOLOGIC INC COM 436440101 18,078 483,894 SH   DFND 1 0 0 483,894
HUMANA INC COM 444859102 22,501 83,700 SH   DFND 1 0 0 83,700
HUTCHISON CHINA MEDITECH LTD SPONSORED ADR 44842L103 8,940 302,420 SH   DFND 1 0 0 302,420
ILLUMINA INC COM 452327109 30,090 127,273 SH   DFND 1 0 0 127,273
IMPAX LABORATORIES INC COM 45256B101 1,459 75,000 SH   DFND 1 0 0 75,000
INCYTE CORP COM 45337C102 19,218 230,626 SH   DFND 1 0 0 230,626
INSMED INC COM PAR $.01 457669307 7,533 334,489 SH   DFND 1 0 0 334,489
INSULET CORP COM 45784P101 1,560 18,000 SH   DFND 1 0 0 18,000
INTEGRA LIFESCIENCES HLDGS C COM NEW 457985208 10,570 191,000 SH   DFND 1 0 0 191,000
INTERCEPT PHARMACEUTICALS IN COM 45845P108 1,962 31,900 SH   DFND 1 0 0 31,900
INTERSECT ENT INC COM 46071F103 1,510 38,430 SH   DFND 1 0 0 38,430
INTRA CELLULAR THERAPIES INC COM 46116X101 1,916 91,000 SH   DFND 1 0 0 91,000
INTUITIVE SURGICAL INC COM NEW 46120E602 34,096 82,590 SH   DFND 1 0 0 82,590
IONIS PHARMACEUTICALS INC COM 462222100 13,761 312,186 SH   DFND 1 0 0 312,186
IRHYTHM TECHNOLOGIES INC COM 450056106 2,103 33,400 SH   DFND 1 0 0 33,400
JAZZ PHARMACEUTICALS PLC SHS USD G50871105 22,909 151,722 SH   DFND 1 0 0 151,722
JOHNSON & JOHNSON COM 478160104 2,563 20,000 SH   DFND 1 0 0 20,000
K2M GROUP HLDGS INC COM 48273J107 12,657 667,941 SH   DFND 1 0 0 667,941
LABORATORY CORP AMER HLDGS COM NEW 50540R409 9,661 59,730 SH   DFND 1 0 0 59,730
LIGAND PHARMACEUTICALS INC COM NEW 53220K504 2,750 16,650 SH   DFND 1 0 0 16,650
LIVANOVA PLC SHS G5509L101 8,383 94,724 SH   DFND 1 0 0 94,724
MACROGENICS INC COM 556099109 14,169 563,151 SH   DFND 1 0 0 563,151
MASIMO CORP COM 574795100 1,495 17,000 SH   DFND 1 0 0 17,000
MCKESSON CORP COM 58155Q103 1,944 13,800 SH   DFND 1 0 0 13,800
MEDICINES CO COM 584688105 580 17,600 SH   DFND 1 0 0 17,600
MEDTRONIC PLC SHS G5960L103 28,639 357,000 SH   DFND 1 0 0 357,000
MERCK & CO INC COM 58933Y105 681 12,500 SH   DFND 1 0 0 12,500
MOLINA HEALTHCARE INC COM 60855R100 3,531 43,500 SH   DFND 1 0 0 43,500
MYLAN N V SHS EURO N59465109 9,632 233,950 SH   DFND 1 0 0 233,950
MYRIAD GENETICS INC COM 62855J104 349 11,800 SH   DFND 1 0 0 11,800
NEKTAR THERAPEUTICS COM 640268108 3,772 35,500 SH   DFND 1 0 0 35,500
NEUROCRINE BIOSCIENCES INC COM 64125C109 4,449 53,650 SH   DFND 1 0 0 53,650
NEVRO CORP COM 64157F103 927 10,700 SH   DFND 1 0 0 10,700
NUVASIVE INC COM 670704105 1,687 32,312 SH   DFND 1 0 0 32,312
OMNICELL INC COM 68213N109 868 20,000 SH   DFND 1 0 0 20,000
PENUMBRA INC COM 70975L107 1,943 16,800 SH   DFND 1 0 0 16,800
PERRIGO CO PLC SHS G97822103 2,750 33,000 SH   DFND 1 0 0 33,000
PFIZER INC COM 717081103 1,036 29,200 SH   DFND 1 0 0 29,200
PORTOLA PHARMACEUTICALS INC COM 737010108 1,395 42,700 SH   DFND 1 0 0 42,700
PROTHENA CORP PLC SHS G72800108 1,133 30,850 SH   DFND 1 0 0 30,850
QUANTERIX CORP COM 74766Q101 1,428 83,800 SH   DFND 1 0 0 83,800
QUOTIENT LTD SHS G73268107 518 110,000 SH   DFND 1 0 0 110,000
RADIUS HEALTH INC COM NEW 750469207 1,197 33,300 SH   DFND 1 0 0 33,300
REGENERON PHARMACEUTICALS COM 75886F107 9,429 27,380 SH   DFND 1 0 0 27,380
RESMED INC COM 761152107 10,536 107,000 SH   DFND 1 0 0 107,000
SAGE THERAPEUTICS INC COM 78667J108 2,005 12,450 SH   DFND 1 0 0 12,450
SEATTLE GENETICS INC COM 812578102 2,557 48,850 SH   DFND 1 0 0 48,850
SHIRE PLC SPONSORED ADR 82481R106 8,730 58,435 SH   DFND 1 0 0 58,435
STRYKER CORP COM 863667101 18,232 113,300 SH   DFND 1 0 0 113,300
SUPERNUS PHARMACEUTICALS INC COM 868459108 13,227 288,800 SH   DFND 1 0 0 288,800
SURGERY PARTNERS INC COM 86881A100 532 31,000 SH   DFND 1 0 0 31,000
TABULA RASA HEALTHCARE INC COM 873379101 2,250 58,000 SH   DFND 1 0 0 58,000
TELADOC INC COM 87918A105 20,782 515,694 SH   DFND 1 0 0 515,694
TELEFLEX INC COM 879369106 3,570 14,000 SH   DFND 1 0 0 14,000
TESARO INC COM 881569107 8,274 144,802 SH   DFND 1 0 0 144,802
TEVA PHARMACEUTICAL INDS LTD SPONSORED ADR 881624209 1,538 90,000 SH   DFND 1 0 0 90,000
THERMO FISHER SCIENTIFIC INC COM 883556102 4,924 23,848 SH   DFND 1 0 0 23,848
ULTRAGENYX PHARMACEUTICAL INC COM 90400D108 2,055 40,300 SH   DFND 1 0 0 40,300
UNITEDHEALTH GROUP INC COM 91324P102 30,514 142,590 SH   DFND 1 0 0 142,590
VALEANT PHARMACEUTICALS INTL COM 91911K102 1,592 100,000 SH   DFND 1 0 0 100,000
VARIAN MED SYS INC COM 92220P105 859 7,000 SH   DFND 1 0 0 7,000
VERTEX PHARMACEUTICALS INC COM 92532F100 15,778 96,810 SH   DFND 1 0 0 96,810
WALGREENS BOOTS ALLIANCE INC COM 931427108 17,255 263,560 SH   DFND 1 0 0 263,560
WRIGHT MED GROUP NV ORD SHS 0.03 PAR N96617118 10,749 541,801 SH   DFND 1 0 0 541,801
ZIMMER BIOMET HLDGS INC COM 98956P102 9,050 83,000 SH   DFND 1 0 0 83,000