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
ABBVIE Common Stocks 00287Y109 313 4,114 SH   SOLE   0 0 0
ADVERIUM BIOTECHNOLOGIES INC Common Stocks 00773U108 2,367 242,300 SH   SOLE   0 0 0
ALEXION PHARMACEUTICALS INC Common Stocks 015351109 11,012 122,645 SH   SOLE   0 0 0
ALLERGAN PLC SHS Common Stocks G0177J108 382 2,157 SH   SOLE   0 0 0
AMARIN CORPORATION Common Stocks 023111206 3,032 757,906 SH   SOLE   0 0 0
AMGEN INC Common Stocks 031162100 221 1,092 SH   SOLE   0 0 0
ARENA PHARMACEUTICALS INC Common Stocks 040047607 3,920 93,329 SH   SOLE   0 0 0
ATRICURE INC Common Stocks 04963C209 25,220 750,818 SH   SOLE   0 0 0
BAXTER INTERNATIONAL INC Common Stocks 071813109 265 3,258 SH   SOLE   0 0 0
BIO TECHNE CORP Common Stocks 09073M104 4,808 25,356 SH   SOLE   0 0 0
BIOMARIN PHARMACEUTICAL INC Common Stocks 09061G101 8,886 105,157 SH   SOLE   0 0 0
BLUEBIRD BIO INC Common Stocks 09609G100 4,230 92,047 SH   SOLE   0 0 0
CAREDX INC Common Stocks 14167L103 23,702 1,085,752 SH   SOLE   0 0 0
CENTENE CORPORATION Common Stocks 15135B101 530 8,917 SH   SOLE   0 0 0
CODEXIS INC Common Stocks 192005106 16,590 1,486,598 SH   SOLE   0 0 0
DIREXION DAILY S&P BIOTECH BEAR 3X SHARES Common Stocks 25460E539 217 15,401 SH   SOLE   0 0 0
DYNATRONICS CORP Common Stocks 268157401 389 450,000 SH   SOLE   0 0 0
EPIZYME INC Common Stocks 29428V104 3,027 195,160 SH   SOLE   0 0 0
GLAUKOS CORPORATION Common Stocks 377322102 2,795 90,565 SH   SOLE   0 0 0
GLOBAL BLOOD THERAPEUTICS INC Common Stocks 37890U108 577 11,300 SH   SOLE   0 0 0
GRIFOLS SA SPONSORED ADR CLASS B Common Stocks 398438408 205 10,166 SH   SOLE   0 0 0
GW PHARMACEUTICALS PLC Common Stocks 36197T103 560 6,400 SH   SOLE   0 0 0
HALOZYME THERAPEUTICS INC Common Stocks 40637H109 29,334 1,630,591 SH   SOLE   0 0 0
HEALTH CARE SELECT SECTOR SPDR ETF ETF 81369Y209 1,616 18,241 SH   SOLE   0 0 0
HEALTH CATALYST INC Common Stocks 42225T107 290 11,100 SH   SOLE   0 0 0
HERON THERAPEUTICS INC Common Stocks 427746102 8,117 691,400 SH   SOLE   0 0 0
HILL-ROM HOLDINGS INC Common Stocks 431475102 213 2,121 SH   SOLE   0 0 0
IMMUNOMEDICS INC Common Stocks 452907108 27,191 2,017,103 SH   SOLE   0 0 0
INSMED INC Common Stocks 457669307 16,346 1,019,737 SH   SOLE   0 0 0
INTERSECT ENT INC Common Stocks 46071F103 17,227 1,453,729 SH   SOLE   0 0 0
INVESCO SMALLCAP HEALTH CARE ETF ETF 46138E149 1,787 17,285 SH   SOLE   0 0 0
IONIS PHARMACEUTICALS INC Common Stocks 462222100 9,260 195,850 SH   SOLE   0 0 0
IOVANCE BIOTHERAPEUTICS INC Common Stocks 462260100 15,890 530,805 SH   SOLE   0 0 0
ISHARES NASDAQ BIOTECHNOLOGY ETF ETF 464287556 1,801 16,713 SH   SOLE   0 0 0
ISHARES US MEDICAL DEVICES ETF ETF 464288810 17,080 7,580 SH   SOLE   0 0 0
ITAMAR MEDICAL LTD Common Stocks 465437101 960 81,500 SH   SOLE   0 0 0
JOHNSON AND JOHNSON Common Stocks 478160104 283 2,161 SH   SOLE   0 0 0
LEMAITRE VASCULAR INC Common Stocks 525558201 1,199 48,129 SH   SOLE   0 0 0
LHC GROUP INC Common Stocks 50187A107 2,018 14,393 SH   SOLE   0 0 0
LIGAND PHARMACEUTICALS INC Common Stocks 53220K504 3,262 44,859 SH   SOLE   0 0 0
MERCK & CO INC Common Stocks 58933Y105 327 4,247 SH   SOLE   0 0 0
MODEL N INC Common Stocks 607525102 20,565 925,921 SH   SOLE   0 0 0
MYOKARDIA INC Common Stocks 62857M105 5,630 120,095 SH   SOLE   0 0 0
NEOGENOMICS INC Common Stocks 64049M209 16,860 610,664 SH   SOLE   0 0 0
NOVARTIS AG-SPONSORED ADR Common Stocks 66987V109 291 3,535 SH   SOLE   0 0 0
ORTHOPEDIATRICS CORP Common Stocks 68752L100 4,766 120,234 SH   SOLE   0 0 0
OXFORD IMMUNOTEC GLOBAL PLC Common Stocks G6855A103 37,503 4,050,040 SH   SOLE   0 0 0
PFENEX INC Common Stocks 717071104 20,636 2,339,671 SH   SOLE   0 0 0
PFIZER INC Common Stocks 717081103 276 8,469 SH   SOLE   0 0 0
QUIDEL CORP Common Stocks 74838J101 5,234 53,512 SH   SOLE   0 0 0
REPRO-MED SYSTEMS INC Common Stocks 759910102 54,289 7,238,592 SH   SOLE   0 0 0
SANOFI-SYNTHELABO Common Stocks 80105N105 291 6,650 SH   SOLE   0 0 0
SEASPINE HOLDINGS CORP Common Stocks 81255T108 36,680 4,489,553 SH   SOLE   0 0 0
SI-BONE INC Common Stocks 825704109 8,111 678,773 SH   SOLE   0 0 0
SIMULATIONS PLUS INC Common Stocks 829214105 4,306 123,303 SH   SOLE   0 0 0
TABULA RASA HEALTHCARE INC Common Stocks 873379101 6,999 133,858 SH   SOLE   0 0 0
TANDEM DIABETES CARE INC Common Stocks 875372203 18,416 286,191 SH   SOLE   0 0 0
TEVA PHARMACEUTICAL IND Common Stocks 881624209 16,552 1,843,246 SH   SOLE   0 0 0
ULTRAGENYX PHARMACEUTICAL INC Common Stocks 90400D108 15,222 342,603 SH   SOLE   0 0 0
UNITED THERAPEUTICS CORP DEL Common Stocks 91307C102 12,186 128,509 SH   SOLE   0 0 0
VAPOTHERM INC Common Stocks 922107107 17,514 930,092 SH   SOLE   0 0 0
VERACYTE INC Common Stocks 92337F107 5,439 223,722 SH   SOLE   0 0 0
VERTEX PHARMACEUTICALS INC Common Stocks 92532F100 5,432 22,828 SH   SOLE   0 0 0
ZYMEWORKS INC Common Stocks 98985W102 5,140 144,909 SH   SOLE   0 0 0