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
ACCELERON PHARMA INC COM 00434H108 72,618 1,369,625 SH   DFND 1 1,369,625 0 0
ADAPTHEALTH CORP COM CL A 00653Q102 188,855 17,199,888 SH   DFND 1 17,199,888 0 0
ADDUS HOMECARE CORP COM 006739106 19,241 197,915 SH   DFND 1 197,915 0 0
ADVERUM BIOTECHNOLOGIES INC COM 00773U108 2,435 211,343 SH   DFND 1 211,343 0 0
AERIE PHARMACEUTICALS INC COM 00771V108 42,835 1,772,255 SH   DFND 1 1,772,255 0 0
AERIE PHARMACEUTICALS INC COM 00771V108 2,509 103,800 SH Put DFND 1 103,800 0 0
ALECTOR INC COM 014442107 35,783 2,076,812 SH   DFND 1 2,076,812 0 0
ALPINE IMMUNE SCIENCES INC COM 02083G100 956 248,992 SH   DFND 1 248,992 0 0
ARDELYX INC COM 039697107 52,567 7,004,253 SH   DFND 1 7,004,253 0 0
ARGENX SE SPONSORED ADR 04016X101 29,536 184,000 SH   DFND 1 184,000 0 0
ARVINAS INC COM 04335A105 44,716 1,088,234 SH   DFND 1 1,088,234 0 0
ATRICURE INC COM 04963C209 9,518 292,777 SH   DFND 1 292,777 0 0
AUDENTES THERAPEUTICS INC COM 05070R104 29,555 493,901 SH   DFND 1 493,901 0 0
AVROBIO INC COM 05455M100 23,451 1,164,970 SH   DFND 1 1,164,970 0 0
AXONICS MODULATION TECH INC COM 05465P101 23,219 837,945 SH   DFND 1 837,945 0 0
BIOCRYST PHARMACEUTICALS COM 09058V103 21,994 6,375,143 SH   DFND 1 6,375,143 0 0
BLUEPRINT MEDICINES CORP COM 09627Y109 45,255 564,914 SH   DFND 1 564,914 0 0
BROOKDALE SR LIVING INC COM 112463104 52,514 7,223,419 SH   DFND 1 7,223,419 0 0
CABALETTA BIO INC COM 12674W109 22,750 1,628,504 SH   DFND 1 1,628,504 0 0
CENTENE CORP DEL COM 15135B101 69,685 1,108,400 SH   DFND 1 1,108,400 0 0
CLOVIS ONCOLOGY INC NOTE 2.500% 9/1 189464AB6 42,905 49,064,000 PRN   DFND 1 49,064,000 0 0
CONSTELLATION PHARMCETICLS I COM 210373106 25,911 550,000 SH   DFND 1 550,000 0 0
DBV TECHNOLOGIES S A SPONSORED ADR 23306J101 50,889 4,756,000 SH   DFND 1 4,756,000 0 0
DECIPHERA PHARMACEUTICALS IN COM 24344T101 19,170 308,000 SH   DFND 1 308,000 0 0
DEXCOM INC NOTE 0.750%12/0 252131AH0 50,441 34,000,000 SH   DFND 1 34,000,000 0 0
EDITAS MEDICINE INC COM 28106W103 34,313 1,158,841 SH   DFND 1 1,158,841 0 0
EHEALTH INC COM 28238P109 19,600 204,000 SH   DFND 1 204,000 0 0
FATE THERAPEUTICS INC COM 31189P102 39,191 2,002,605 SH   DFND 1 2,002,605 0 0
FORTY SEVEN INC COM 34983P104 17,598 447,000 SH   DFND 1 447,000 0 0
FREQUENCY THERAPEUTICS INC COM 35803L108 24,869 1,418,665 SH   DFND 1 1,418,665 0 0
GLOBAL BLOOD THERAPEUTICS IN COM 37890U108 19,952 251,000 SH   DFND 1 251,000 0 0
HOMOLOGY MEDICINES INC COM 438083107 108,585 5,245,638 SH   DFND 1 5,245,638 0 0
HORIZON PHARMA INVT LTD NOTE 2.500% 3/1 44052TAB7 191,529 144,832,000 PRN   DFND 1 144,832,000 0 0
HORIZON THERAPEUTICS PUB LTD SHS G46188101 171,672 4,742,311 SH   DFND 1 4,742,311 0 0
HUMANA INC COM 444859102 30,055 82,000 SH   DFND 1 82,000 0 0
IMMUNOMEDICS INC COM 452907108 36,451 1,722,618 SH   DFND 1 1,722,618 0 0
INOGEN INC COM 45780L104 2,529 37,016 SH   DFND 1 37,016 0 0
INTERCEPT PHARMACEUTICALS IN NOTE 3.250% 7/0 45845PAA6 58,256 57,791,000 PRN   DFND 1 57,791,000 0 0
INTERCEPT PHARMACEUTICALS IN NOTE 2.000% 5/1 45845PAB4 4,632 3,500,000 SH   DFND 1 3,500,000 0 0
INTERSECT ENT INC COM 46071F103 69,646 2,797,033 SH   DFND 1 2,797,033 0 0
ITAMAR MED LTD SPONSORED ADS 465437101 4,043 314,136 SH   DFND 1 314,136 0 0
IVERIC BIO INC COM 46583P102 8,580 1,000,000 SH   DFND 1 1,000,000 0 0
KEMPHARM INC COM 488445107 196 517,692 SH   DFND 1 517,692 0 0
KODIAK SCIENCES INC COM 50015M109 14,390 200,000 SH   DFND 1 200,000 0 0
MALLINCKRODT PUB LTD CO SHS G5785G107 14,053 4,026,750 SH   DFND 1 4,026,750 0 0
MIRATI THERAPEUTICS INC COM 60468T105 22,422 174,000 SH   DFND 1 174,000 0 0
MIRUM PHARMACEUTICALS INC COM 604749101 84,567 3,448,912 SH   DFND 1 3,448,912 0 0
MOLINA HEALTHCARE INC COM 60855R100 20,141 148,433 SH   DFND 1 148,433 0 0
MYLAN N V SHS EURO N59465109 163,850 8,151,754 SH   DFND 1 8,151,754 0 0
MYOKARDIA INC COM 62857M105 57,506 789,000 SH   DFND 1 789,000 0 0
NEOS THERAPEUTICS INC COM 64052L106 485 320,993 SH   DFND 1 320,993 0 0
NEURONETICS INC COM 64131A105 4,827 1,075,000 SH   DFND 1 1,075,000 0 0
NEVRO CORP NOTE 1.750% 6/0 64157FAA1 154,250 115,776,000 PRN   DFND 1 115,776,000 0 0
ORCHARD THERAPEUTICS PLC ADS 68570P101 121,856 8,862,247 SH   DFND 1 8,862,247 0 0
ORTHOPEDIATRICS CORP COM 68752L100 10,573 225,000 SH   DFND 1 225,000 0 0
PROTEON THERAPEUTICS INC COM 74371L109 832 2,029,000 SH   DFND 1 2,029,000 0 0
PTC THERAPEUTICS INC NOTE 3.000% 8/1 69366JAB7 28,400 24,877,000 PRN   DFND 1 24,877,000 0 0
PUMA BIOTECHNOLOGY INC COM 74587V107 3,469 396,472 SH   DFND 1 396,472 0 0
RA PHARMACEUTICALS INC COM 74933V108 71,320 1,519,718 SH   DFND 1 1,519,718 0 0
REATA PHARMACEUTICALS INC CL A 75615P103 20,443 100,000 SH   DFND 1 100,000 0 0
REVANCE THERAPEUTICS INC COM 761330109 14,607 900,000 SH   DFND 1 900,000 0 0
RHYTHM PHARMACEUTICALS INC COM 76243J105 98,482 4,289,291 SH   DFND 1 4,289,291 0 0
ROCKET PHARMACEUTICALS INC COM 77313F106 49,263 2,164,471 SH   DFND 1 2,164,471 0 0
SAREPTA THERAPEUTICS INC COM 803607100 27,098 210,000 SH   DFND 1 210,000 0 0
SELECT MED HLDGS CORP COM 81619Q105 18,513 793,200 SH   DFND 1 793,200 0 0
SHOCKWAVE MED INC COM 82489T104 3,074 70,000 SH   DFND 1 70,000 0 0
SIENTRA INC COM 82621J105 37,795 4,227,680 SH   DFND 1 4,227,680 0 0
SILK ROAD MEDICAL INC COM 82710M100 51,665 1,279,480 SH   DFND 1 1,279,480 0 0
SPRINGWORKS THERAPEUTICS INC COM 85205L107 30,339 788,243 SH   DFND 1 788,243 0 0
SYROS PHARMACEUTICALS INC COM 87184Q107 8,768 1,268,946 SH   DFND 1 1,268,946 0 0
TANDEM DIABETES CARE INC COM NEW 875372203 81,150 1,361,345 SH   DFND 1 1,361,345 0 0
THERAPEUTICSMD INC COM STK COM 88338N107 5,445 2,250,000 SH   DFND 1 2,250,000 0 0
TURNING POINT THERAPEUTICS I COM 90041T108 22,798 366,000 SH   DFND 1 366,000 0 0
VERICEL CORP COM 92346J108 47,808 2,747,563 SH   DFND 1 2,747,563 0 0
X4 PHARMACEUTICALS INC COM 98420X103 4,809 449,437 SH   DFND 1 449,437 0 0
XERIS PHARMACEUTICALS INC COM 98422L107 18,212 2,583,291 SH   DFND 1 2,583,291 0 0