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
ABBOTT LABS COM 002824100 5,509 75,100 SH   SOLE   75,100 0 0
ABIOMED INC COM 003654100 1,538 3,419 SH   SOLE   3,419 0 0
AERIE PHARMACEUTICALS INC COM 00771V108 7,430 120,711 SH   SOLE   120,711 0 0
AFFIMED N V COM N01045108 1,882 432,727 SH   SOLE   432,727 0 0
ALBIREO PHARMA INC COM 01345P106 594 18,029 SH   SOLE   18,029 0 0
AMAG PHARMACEUTICALS INC COM 00163U106 66 3,300 SH   SOLE   3,300 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 16,200 995,700 SH   SOLE   995,700 0 0
AMICUS THERAPEUTICS INC COM 03152W109 964 79,750 SH   SOLE   79,750 0 0
ANAPTYSBIO INC COM 032724106 2,247 22,524 SH   SOLE   22,524 0 0
ANTHEM INC COM 036752103 630 2,300 SH   SOLE   2,300 0 0
APELLIS PHARMACEUTICALS INC COM 03753U106 1,783 100,295 SH   SOLE   100,295 0 0
APPLIED GENETIC TECHNOL CORP COM 03820J100 106 14,500 SH   SOLE   14,500 0 0
ARENA PHARMACEUTICALS INC COM NEW 040047607 5,493 119,371 SH   SOLE   119,371 0 0
ARGENX SE SPONSORED ADR 04016X101 1,786 23,554 SH   SOLE   23,554 0 0
ARQULE INC COM 04269E107 1,639 289,618 SH   SOLE   289,618 0 0
ARRAY BIOPHARMA INC COM 04269X105 918 60,412 SH   SOLE   60,412 0 0
ASCENDIS PHARMA A S SPONSORED ADR 04351P101 1,350 19,054 SH   SOLE   19,054 0 0
BIOCRYST PHARMACEUTICALS COM 09058V103 1,137 148,959 SH   SOLE   148,959 0 0
BIOSPECIFICS TECHNOLOGIES CO COM 090931106 1,281 21,900 SH   SOLE   21,900 0 0
CARETRUST REIT INC COM 14174T107 918 51,264 SH   SOLE   51,264 0 0
CELGENE CORP RIGHT 12/31/2030 151020112 10 6,000 SH   SOLE   6,000 0 0
CELYAD SA ADR 151205200 44 1,676 SH   SOLE   1,676 0 0
CENTENE CORP DEL COM 15135B101 623 4,300 SH   SOLE   4,300 0 0
CONFORMIS INC COM 20717E101 134 126,851 SH   SOLE   126,851 0 0
CYMABAY THERAPEUTICS INC COM 23257D103 799 72,096 SH   SOLE   72,096 0 0
DANAHER CORP DEL COM 235851102 3,874 35,604 SH   SOLE   35,604 0 0
DENTSPLY SIRONA INC COM 24906P109 631 16,680 SH   SOLE   16,680 0 0
DERMIRA INC COM 24983L104 436 40,018 SH   SOLE   40,018 0 0
DICERNA PHARMACEUTICALS INC COM 253031108 779 51,074 SH   SOLE   51,074 0 0
DYNAVAX TECHNOLOGIES CORP COM NEW 268158201 335 27,000 SH   SOLE   27,000 0 0
ENSIGN GROUP INC COM 29358P101 5,112 134,655 SH   SOLE   134,655 0 0
EPIZYME INC COM 29428V104 503 47,449 SH   SOLE   47,449 0 0
FOAMIX PHARMACEUTICALS LTD SHS M46135105 1,569 273,817 SH   SOLE   273,817 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105 11,746 289,284 SH   SOLE   289,284 0 0
INSULET CORP COM 45784P101 929 8,765 SH   SOLE   8,765 0 0
INVACARE CORP COM 461203101 1,585 108,902 SH   SOLE   108,902 0 0
IOVANCE BIOTHERAPEUTICS INC COM 462260100 497 44,140 SH   SOLE   44,140 0 0
MADRIGAL PHARMACEUTICALS INC COM 558868105 2,013 9,400 SH   SOLE   9,400 0 0
MEDICINES CO COM 584688105 500 16,717 SH   SOLE   16,717 0 0
MEDTRONIC PLC SHS G5960L103 2,650 26,800 SH   SOLE   26,800 0 0
MELINTA THERAPEUTICS INC COM 58549G100 105 26,479 SH   SOLE   26,479 0 0
MERCK & CO INC COM 58933Y105 10,556 147,800 SH   SOLE   147,800 0 0
MODEL N INC COM 607525102 1,146 72,283 SH   SOLE   72,283 0 0
OPHTHOTECH CORP COM 683745103 352 149,100 SH   SOLE   149,100 0 0
ORTHOPEDIATRICS CORP COM 68752L100 718 19,600 SH   SOLE   19,600 0 0
PUMA BIOTECHNOLOGY INC COM 74587V107 994 21,671 SH   SOLE   21,671 0 0
R1 RCM INC COM 749397105 17,120 1,685,087 SH   SOLE   1,685,087 0 0
RADIUS HEALTH INC COM NEW 750469207 9,416 528,992 SH   SOLE   528,992 0 0
SAGE THERAPEUTICS INC COM 78667J108 6,161 43,621 SH   SOLE   43,621 0 0
SANOFI SPONSORED ADR 80105N105 12,547 280,872 SH   SOLE   280,872 0 0
SAREPTA THERAPEUTICS INC COM 803607100 6,815 42,194 SH   SOLE   42,194 0 0
SEASPINE HLDGS CORP COM 81255T108 481 30,899 SH   SOLE   30,899 0 0
TELIGENT INC NEW COM 87960W104 8,343 2,112,098 SH   SOLE   2,112,098 0 0
TG THERAPEUTICS INC COM 88322Q108 364 65,000 SH   SOLE   65,000 0 0
TRICIDA INC COM 89610F101 737 24,122 SH   SOLE   24,122 0 0
VERTEX PHARMACEUTICALS INC COM 92532F100 9,269 48,092 SH   SOLE   48,092 0 0
VIKING THERAPEUTICS INC COM 92686J106 436 25,000 SH   SOLE   25,000 0 0
WRIGHT MED GROUP N V ORD SHS 0.03 PAR N96617118 1,933 66,600 SH   SOLE   66,600 0 0
XENON PHARMACEUTICALS INC COM 98420N105 2,769 209,739 SH   SOLE   209,739 0 0
ZOGENIX INC COM NEW 98978L204 20,796 419,279 SH   SOLE   419,279 0 0
AKORN INC CALL 009728906 4 16 SH Call SOLE   16 0 0
FOAMIX PHARMACEUTICALS LTD PUT M46135955 13 250 SH Put SOLE   250 0 0
SANGAMO THERAPEUTICS INC CALL 800677906 47 400 SH Call SOLE   400 0 0
SPECTRUM PHARMACEUTICALS INC PUT 84763A958 659 600 SH Put SOLE   600 0 0
SPECTRUM PHARMACEUTICALS INC CALL 84763A908 19 400 SH Call SOLE   400 0 0
SPDR S&P 500 ETF TR PUT 78462F953 7,702 900 SH Put SOLE   900 0 0
VITAL THERAPIES INC PUT 92847R954 8 383 SH Put SOLE   383 0 0