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
ABIOMED INC COM 003654100 7,808 27,339 SH   SOLE   27,339 0 0
AERIE PHARMACEUTICALS INC COM 00771V108 5,452 114,779 SH   SOLE   114,779 0 0
AFFIMED N V COM N01045108 1,353 322,171 SH   SOLE   322,171 0 0
ALBIREO PHARMA INC COM 01345P106 581 18,029 SH   SOLE   18,029 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 42,772 2,060,287 SH   SOLE   2,060,287 0 0
APELLIS PHARMACEUTICALS INC COM 03753U106 2,035 104,349 SH   SOLE   104,349 0 0
AQUINOX PHARMACEUTICALS INC COM 03842B101 199 73,717 SH   SOLE   73,717 0 0
ARENA PHARMACEUTICALS INC COM NEW 040047607 3,395 75,721 SH   SOLE   75,721 0 0
ARGENX SE SPONSORED ADR 04016X101 4,910 39,334 SH   SOLE   39,334 0 0
ARQULE INC COM 04269E107 3,099 646,918 SH   SOLE   646,918 0 0
ARRAY BIOPHARMA INC COM 04269X105 5,220 214,112 SH   SOLE   214,112 0 0
ASCENDIS PHARMA A S SPONSORED ADR 04351P101 12,158 103,296 SH   SOLE   103,296 0 0
BIOCRYST PHARMACEUTICALS COM 09058V103 3,361 412,876 SH   SOLE   412,876 0 0
BIOSCRIP INC COM 09069N108 246 123,011 SH   SOLE   123,011 0 0
CARETRUST REIT INC COM 14174T107 977 41,264 SH   SOLE   41,264 0 0
CELGENE CORP RIGHT 12/31/2030 151020112 7 6,000 SH   SOLE   6,000 0 0
CENTENE CORP DEL COM 15135B101 1,253 23,600 SH   SOLE   23,600 0 0
COHERUS BIOSCIENCES INC COM 19249H103 1,637 120,036 SH   SOLE   120,036 0 0
CONCERT PHARMACEUTICALS INC COM 206022105 569 47,154 SH   SOLE   47,154 0 0
CRISPR THERAPEUTICS AG NAMEN AKT H17182108 1,515 42,400 SH   SOLE   42,400 0 0
CYMABAY THERAPEUTICS INC COM 23257D103 1,425 107,296 SH   SOLE   107,296 0 0
DANAHER CORPORATION COM 235851102 20,985 158,764 SH   SOLE   158,764 0 0
DECIPHERA PHARMACEUTICALS IN COM 24344T101 5,813 250,432 SH   SOLE   250,432 0 0
DERMIRA INC COM 24983L104 2,432 179,500 SH   SOLE   179,500 0 0
DICERNA PHARMACEUTICALS INC COM 253031108 602 41,074 SH   SOLE   41,074 0 0
EHEALTH INC COM 28238P109 12,508 200,649 SH   SOLE   200,649 0 0
EIGER BIOPHARMACEUTICALS INC COM 28249U105 975 69,708 SH   SOLE   69,708 0 0
ENSIGN GROUP INC COM 29358P101 8,174 159,545 SH   SOLE   159,545 0 0
FATE THERAPEUTICS INC COM 31189P102 6,150 350,011 SH   SOLE   350,011 0 0
FOAMIX PHARMACEUTICALS LTD SHS M46135105 1,105 294,660 SH   SOLE   294,660 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105 34,065 803,185 SH   SOLE   803,185 0 0
HESKA CORP COM RESTRC NEW 42805E306 569 6,680 SH   SOLE   6,680 0 0
ILLUMINA INC COM 452327109 126 405 SH   SOLE   405 0 0
INVACARE CORP COM 461203101 662 79,081 SH   SOLE   79,081 0 0
IRONWOOD PHARMACEUTICALS INC COM CL A 46333X108 2,648 195,701 SH   SOLE   195,701 0 0
MEDICINES CO COM 584688105 2,130 76,200 SH   SOLE   76,200 0 0
MYOKARDIA INC COM 62857M105 1,822 35,052 SH   SOLE   35,052 0 0
NUVASIVE INC COM 670704105 18,775 330,601 SH   SOLE   330,601 0 0
OTONOMY INC COM 68906L105 474 180,100 SH   SOLE   180,100 0 0
PFENEX INC COM 717071104 468 75,700 SH   SOLE   75,700 0 0
PTC THERAPEUTICS INC COM 69366J200 3,787 100,600 SH   SOLE   100,600 0 0
R1 RCM INC COM 749397105 28,659 2,963,659 SH   SOLE   2,963,659 0 0
RADIUS HEALTH INC COM NEW 750469207 12,870 645,417 SH   SOLE   645,417 0 0
SANOFI SPONSORED ADR 80105N105 14,719 332,402 SH   SOLE   332,402 0 0
SAREPTA THERAPEUTICS INC COM 803607100 9,961 83,574 SH   SOLE   83,574 0 0
TELIGENT INC NEW COM 87960W104 2,987 2,574,883 SH   SOLE   2,574,883 0 0
TG THERAPEUTICS INC COM 88322Q108 6,019 748,594 SH   SOLE   748,594 0 0
TRICIDA INC COM 89610F101 1,912 49,508 SH   SOLE   49,508 0 0
VERTEX PHARMACEUTICALS INC COM 92532F100 7,032 38,229 SH   SOLE   38,229 0 0
XENON PHARMACEUTICALS INC COM 98420N105 2,279 224,340 SH   SOLE   224,340 0 0
ZOGENIX INC COM NEW 98978L204 27,254 495,429 SH   SOLE   495,429 0 0
CONCERT PHARMACEUTICALS INC CALL 206022905 2 23 SH   SOLE   23 0 0
INTERCEPT PHARMACEUTICALS IN CALL 45845P908 800 438 SH   SOLE   438 0 0
NOVAVAX INC PUT 670002954 77 1,451 SH   SOLE   1,451 0 0