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
AFFIMED N V COM N01045108 2,350 857,771 SH   SOLE   857,771 0 0
AGILE THERAPEUTICS INC COM 00847L100 2,840 1,136,006 SH   SOLE   1,136,006 0 0
AKORN INC COM 009728106 60 40,242 SH   SOLE   40,242 0 0
ALBIREO PHARMA INC COM 01345P106 1,983 78,029 SH   SOLE   78,029 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 19,630 915,590 SH   SOLE   915,590 0 0
ANTHEM INC COM 036752103 3,020 10,000 SH   SOLE   10,000 0 0
APELLIS PHARMACEUTICALS INC COM 03753U106 9,505 310,409 SH   SOLE   310,409 0 0
AQUESTIVE THERAPEUTICS INC COM 03843E104 2,037 350,000 SH   SOLE   350,000 0 0
ARGENX SE SPONSORED ADR 04016X101 5,972 37,204 SH   SOLE   37,204 0 0
ASCENDIS PHARMA A S SPONSORED ADR 04351P101 28,227 202,894 SH   SOLE   202,894 0 0
ASTRAZENECA PLC SPONSORED ADR 046353108 7,008 140,562 SH   SOLE   140,562 0 0
AUDENTES THERAPEUTICS INC COM 05070R104 18,295 305,726 SH   SOLE   305,726 0 0
BIOCRYST PHARMACEUTICALS COM 09058V103 16,920 4,904,460 SH   SOLE   4,904,460 0 0
BIODELIVERY SCIENCES INTL IN COM 09060J106 2,120 335,485 SH   SOLE   335,485 0 0
BLUEBIRD BIO INC COM 09609G100 6,441 73,400 SH   SOLE   73,400 0 0
BRISTOL MYERS SQUIBB CO RIGHT 12/30/2030 110122140 3 6,000 SH   SOLE   6,000 0 0
CARETRUST REIT INC COM 14174T107 2,240 107,464 SH   SOLE   107,464 0 0
CENTENE CORP DEL COM 15135B101 2,515 40,000 SH   SOLE   40,000 0 0
CHEMOCENTRYX INC COM 16383L106 20,297 513,189 SH   SOLE   513,189 0 0
COLLEGIUM PHARMACEUTICAL INC COM 19459J104 2,292 111,361 SH   SOLE   111,361 0 0
COMMUNITY HEALTH SYS INC NEW COM 203668108 1,683 580,364 SH   SOLE   580,364 0 0
CYTOKINETICS INC COM NEW 23282W605 1,928 181,700 SH   SOLE   181,700 0 0
DANAHER CORPORATION COM 235851102 30,282 197,107 SH   SOLE   197,107 0 0
DECIPHERA PHARMACEUTICALS IN COM 24344T101 8,013 128,748 SH   SOLE   128,748 0 0
DEXCOM INC COM 252131107 2,636 12,050 SH   SOLE   12,050 0 0
DICERNA PHARMACEUTICALS INC COM 253031108 411 18,674 SH   SOLE   18,674 0 0
EHEALTH INC COM 28238P109 3,041 31,653 SH   SOLE   31,653 0 0
EIGER BIOPHARMACEUTICALS INC COM 28249U105 1,039 69,708 SH   SOLE   69,708 0 0
ENSIGN GROUP INC COM 29358P101 30,705 676,058 SH   SOLE   676,058 0 0
ENVISTA HLDGS CORP COM 29415F104 15,018 506,678 SH   SOLE   506,678 0 0
FATE THERAPEUTICS INC COM 31189P102 7,058 360,656 SH   SOLE   360,656 0 0
FORTY SEVEN INC COM 34983P104 464 11,795 SH   SOLE   11,795 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105 48,578 1,023,085 SH   SOLE   1,023,085 0 0
GUARDANT HEALTH INC COM 40131M109 5,057 64,720 SH   SOLE   64,720 0 0
HEALTHEQUITY INC COM 42226A107 30 400 SH   SOLE   400 0 0
HESKA CORP COM RESTRC NEW 42805E306 1,993 20,771 SH   SOLE   20,771 0 0
HUMANA INC COM 444859102 1,837 5,009 SH   SOLE   5,009 0 0
IGM BIOSCIENCES INC COM 449585108 2,465 64,600 SH   SOLE   64,600 0 0
ILLUMINA INC COM 452327109 5,888 17,750 SH   SOLE   17,750 0 0
IMMUNOVANT INC COM 45258J102 1,220 76,866 SH   SOLE   76,866 0 0
INFLARX NV COM N44821101 1,325 334,618 SH   SOLE   334,618 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602 77 131 SH   SOLE   131 0 0
KADMON HLDGS INC COM 48283N106 5,173 1,141,939 SH   SOLE   1,141,939 0 0
LIQUIDIA TECHNOLOGIES INC COM 53635D202 1,215 284,103 SH   SOLE   284,103 0 0
LTC PPTYS INC COM 502175102 2,656 59,327 SH   SOLE   59,327 0 0
MACROGENICS INC COM 556099109 1,273 116,998 SH   SOLE   116,998 0 0
MEDICINES CO COM 584688105 9,714 114,358 SH   SOLE   114,358 0 0
MODEL N INC COM 607525102 7,281 207,615 SH   SOLE   207,615 0 0
MYOKARDIA INC COM 62857M105 1,564 21,452 SH   SOLE   21,452 0 0
NATERA INC COM 632307104 5,292 157,081 SH   SOLE   157,081 0 0
OMEGA HEALTHCARE INVS INC COM 681936100 3,028 71,500 SH   SOLE   71,500 0 0
OPTINOSE INC COM 68404V100 968 105,006 SH   SOLE   105,006 0 0
OTONOMY INC COM 68906L105 2,109 550,665 SH   SOLE   550,665 0 0
OXFORD IMMUNOTEC GLOBAL PLC ORD SHS G6855A103 5,807 349,823 SH   SOLE   349,823 0 0
PENNANT GROUP INC COM 70805E109 12,275 371,193 SH   SOLE   371,193 0 0
PFENEX INC COM 717071104 508 46,293 SH   SOLE   46,293 0 0
QIAGEN NV SHS NEW N72482123 4,631 137,000 SH   SOLE   137,000 0 0
R1 RCM INC COM 749397105 5,409 416,726 SH   SOLE   416,726 0 0
RADIUS HEALTH INC COM NEW 750469207 6,427 318,811 SH   SOLE   318,811 0 0
SABRA HEALTH CARE REIT INC COM 78573L106 1,623 76,054 SH   SOLE   76,054 0 0
SANOFI SPONSORED ADR 80105N105 22,171 441,661 SH   SOLE   441,661 0 0
SAREPTA THERAPEUTICS INC COM 803607100 9,678 75,000 SH   SOLE   75,000 0 0
SCPHARMACEUTICALS INC COM 810648105 1,707 301,636 SH   SOLE   301,636 0 0
SESEN BIO INC COM 817763105 1,352 1,300,000 SH   SOLE   1,300,000 0 0
TARO PHARMACEUTICAL INDS LTD SHS M8737E108 436 4,953 SH   SOLE   4,953 0 0
TELIGENT INC NEW COM 87960W104 1,917 4,501,799 SH   SOLE   4,501,799 0 0
TG THERAPEUTICS INC COM 88322Q108 8,617 776,323 SH   SOLE   776,323 0 0
VERTEX PHARMACEUTICALS INC COM 92532F100 15,985 73,009 SH   SOLE   73,009 0 0
XENON PHARMACEUTICALS INC COM 98420N105 2,827 215,609 SH   SOLE   215,609 0 0
ZOGENIX INC COM NEW 98978L204 25,838 495,645 SH   SOLE   495,645 0 0
AMARIN CORP PLC CALL 023111906 13,828 9,942 SH   SOLE   9,942 0 0
RADIUS HEALTH INC CALL 750469907 5 56 SH   SOLE   56 0 0
SPECTRUM PHARMACEUTICALS INC PUT 84763A958 697 2,756 SH   SOLE   2,756 0 0
SPDR S&P 500 ETF TR PUT 78462F953 9,490 1,600 SH   SOLE   1,600 0 0
TG THERAPEUTICS INC CALL 88322Q908 229 415 SH   SOLE   415 0 0