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
10X GENOMICS INC CL A COM 88025U109 6,660 87,340 SH   SOLE   87,340 0 0
ABBOTT LABS COM 002824100 115 1,370 SH Put SOLE   1,370 0 0
ABEONA THERAPEUTICS INC COM 00289Y107 802 245,250 SH   SOLE   245,250 0 0
ABIOMED INC COM 003654100 400 860 SH Put SOLE   860 0 0
ABIOMED INC COM 003654100 923 810 SH Put SOLE   810 0 0
ABIOMED INC COM 003654100 86 100 SH Put SOLE   100 0 0
ACHIEVE LIFE SCIENCE INC COM NEW 004468203 883 1,666,666 SH   SOLE   1,666,666 0 0
ADAPTIVE BIOTECHNOLOGIES COR COM 00650F109 1,616 54,010 SH   SOLE   54,010 0 0
ALEXION PHARMACEUTICALS INC COM 015351109 9,430 87,190 SH   SOLE   87,190 0 0
ALKERMES PLC SHS G01767105 1,112 54,500 SH   SOLE   54,500 0 0
ALLERGAN PLC SHS G0177J108 13,334 69,750 SH   SOLE   69,750 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 740 34,501 SH   SOLE   34,501 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 237 2,180 SH Put SOLE   2,180 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 132 2,180 SH Put SOLE   2,180 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 193 2,180 SH Put SOLE   2,180 0 0
APPLIED THERAPEUTICS INC COM 03828A101 595 21,810 SH   SOLE   21,810 0 0
APYX MED CORP COM 03837C106 4,854 573,782 SH   SOLE   573,782 0 0
ARDELYX INC COM 039697107 2,046 272,605 SH   SOLE   272,605 0 0
AURINIA PHARMACEUTICALS INC COM 05156V102 5,410 267,050 SH   SOLE   267,050 0 0
AVADEL PHARMACEUTICALS PLC SPONSORED ADR 05337M104 823 109,000 SH   SOLE   109,000 0 0
AXONICS MODULATION TECH INC COM 05465P101 4,530 163,490 SH   SOLE   163,490 0 0
BAXTER INTL INC COM 071813109 195 2,055 SH Call SOLE   2,055 0 0
BEYOND MEAT INC COM 08862E109 152 540 SH Put SOLE   540 0 0
BIOCRYST PHARMACEUTICALS COM 09058V103 7,521 2,179,950 SH   SOLE   2,179,950 0 0
BIOHAVEN PHARMACTL HLDG CO L COM G11196105 2,534 3,270 SH Call SOLE   3,270 0 0
CABALETTA BIO INC COM 12674W109 2,162 154,792 SH   SOLE   154,792 0 0
CANOPY GROWTH CORP COM 138035100 38 3,000 SH Put SOLE   3,000 0 0
CARDIOVASCULAR SYS INC DEL COM 141619106 175 1,090 SH Put SOLE   1,090 0 0
CARDIOVASCULAR SYS INC DEL COM 141619106 205 1,090 SH Put SOLE   1,090 0 0
CIGNA CORP NEW COM 125523100 106 220 SH Put SOLE   220 0 0
CONMED CORP COM 207410101 5,181 46,330 SH   SOLE   46,330 0 0
CYMABAY THERAPEUTICS INC COM 23257D103 17 3,270 SH Call SOLE   3,270 0 0
DAVITA INC COM 23918K108 25 1,120 SH Put SOLE   1,120 0 0
DERMIRA INC COM 24983L104 1,673 110,350 SH   SOLE   110,350 0 0
DEXCOM INC COM 252131107 12,049 55,082 SH   SOLE   55,082 0 0
ESTABLISHMENT LABS HLDGS INC COM G31249108 18,881 682,600 SH   SOLE   682,600 0 0
ETF MANAGERS TR ETFMG ALTR HRVST 26924G508 203 3,000 SH Call SOLE   3,000 0 0
EVOLUS INC COM 30052C107 2,380 195,583 SH   SOLE   195,583 0 0
EXACT SCIENCES CORP COM 30063P105 200 500 SH Put SOLE   500 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 73 1,630 SH Put SOLE   1,630 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 90 1,060 SH Put SOLE   1,060 0 0
FLUIDIGM CORP DEL COM 34385P108 3,796 1,090,830 SH   SOLE   1,090,830 0 0
GLAUKOS CORP COM 377322102 772 1,320 SH Put SOLE   1,320 0 0
GREENLANE HLDGS INC CL A 395330103 1,787 549,017 SH   SOLE   549,017 0 0
GRIFOLS S A SP ADR REP B NVT 398438408 13,476 578,620 SH   SOLE   578,620 0 0
GUARDANT HEALTH INC COM 40131M109 4,685 59,960 SH   SOLE   59,960 0 0
GUARDANT HEALTH INC COM 40131M109 163 660 SH Call SOLE   660 0 0
HCA HEALTHCARE INC COM 40412C101 62 220 SH Put SOLE   220 0 0
HEXO CORP COM 428304109 64 1,500 SH Put SOLE   1,500 0 0
HOMOLOGY MEDICINES INC COM 438083107 1 21 SH Put SOLE   21 0 0
HORIZON THERAPEUTICS PUB LTD SHS G46188101 676 1,090 SH Call SOLE   1,090 0 0
ICU MED INC COM 44930G107 19,333 103,320 SH   SOLE   103,320 0 0
ICU MED INC COM 44930G107 643 710 SH Call SOLE   710 0 0
ILLUMINA INC COM 452327109 125 100 SH Call SOLE   100 0 0
ILLUMINA INC COM 452327109 420 420 SH Call SOLE   420 0 0
IMMUNOMEDICS INC COM 452907108 191 2,180 SH Put SOLE   2,180 0 0
IMMUNOVANT INC UNIT 12/18/2024 45258J201 4,047 165,170 SH   SOLE   165,170 0 0
INOVALON HLDGS INC COM CL A 45781D101 13,333 708,470 SH   SOLE   708,470 0 0
INOVALON HLDGS INC COM CL A 45781D101 65 1,090 SH Call SOLE   1,090 0 0
INSPIRE MED SYS INC COM 457730109 28,470 383,640 SH   SOLE   383,640 0 0
INSPIRE MED SYS INC COM 457730109 1,540 1,630 SH Call SOLE   1,630 0 0
INTERSECT ENT INC COM 46071F103 18,186 730,360 SH   SOLE   730,360 0 0
INTERSECT ENT INC COM 46071F103 1,782 3,270 SH Call SOLE   3,270 0 0
INTERSECT ENT INC COM 46071F103 1,226 3,270 SH Call SOLE   3,270 0 0
INVACARE CORP COM 461203101 12,073 1,338,493 SH   SOLE   1,338,493 0 0
IOVANCE BIOTHERAPEUTICS INC COM 462260100 172 1,090 SH Call SOLE   1,090 0 0
ISHARES TR U.S. MED DVC ETF 464288810 95 1,090 SH Put SOLE   1,090 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 158 1,580 SH Put SOLE   1,580 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 47 1,000 SH Put SOLE   1,000 0 0
KALA PHARMACEUTICALS INC COM 483119103 1,968 533,287 SH   SOLE   533,287 0 0
KALA PHARMACEUTICALS INC COM 483119103 0 167 SH Put SOLE   167 0 0
MASIMO CORP COM 574795100 3,858 24,409 SH   SOLE   24,409 0 0
MEDTRONIC PLC SHS G5960L103 348 2,660 SH Call SOLE   2,660 0 0
MERIT MED SYS INC COM 589889104 330 1,420 SH Call SOLE   1,420 0 0
MOMENTA PHARMACEUTICALS INC COM 60877T100 3,226 163,490 SH   SOLE   163,490 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 26,834 964,570 SH   SOLE   964,570 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 512 5,990 SH Call SOLE   5,990 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 0 550 SH Call SOLE   550 0 0
NATERA INC COM 632307104 2,571 76,300 SH   SOLE   76,300 0 0
NATERA INC COM 632307104 10 540 SH Call SOLE   540 0 0
NEOLEUKIN THERAPEUTICS INC COM 64049K104 1,579 128,180 SH   SOLE   128,180 0 0
NEVRO CORP COM 64157F103 562 920 SH Call SOLE   920 0 0
NOVAVAX INC COM NEW 670002401 8 3,034 SH Call SOLE   3,034 0 0
NOVAVAX INC COM NEW 670002401 1 244 SH Call SOLE   244 0 0
OMNICELL INC COM 68213N109 111 790 SH Put SOLE   790 0 0
ONCOCYTE CORPORATION COM 68235C107 6,618 2,941,176 SH   SOLE   2,941,176 0 0
ORTHOPEDIATRICS CORP COM 68752L100 11,437 243,392 SH   SOLE   243,392 0 0
OTONOMY INC COM 68906L105 4,367 1,140,163 SH   SOLE   1,140,163 0 0
PERKINELMER INC COM 714046109 24 940 SH Put SOLE   940 0 0
QIAGEN NV SHS NEW N72482123 4,218 124,780 SH   SOLE   124,780 0 0
QIAGEN NV SHS NEW N72482123 1,153 3,270 SH Call SOLE   3,270 0 0
QIAGEN NV SHS NEW N72482123 572 2,660 SH Call SOLE   2,660 0 0
QIAGEN NV SHS NEW N72482123 2,044 3,270 SH Put SOLE   3,270 0 0
QUOTIENT LTD SHS G73268107 10,370 1,090,400 SH   SOLE   1,090,400 0 0
R1 RCM INC COM 749397105 10,509 809,610 SH   SOLE   809,610 0 0
R1 RCM INC COM 749397105 143 1,630 SH Call SOLE   1,630 0 0
ROCKET PHARMACEUTICALS INC COM 77313F106 2,481 109,000 SH   SOLE   109,000 0 0
SAREPTA THERAPEUTICS INC COM 803607100 2,153 1,090 SH Put SOLE   1,090 0 0
SAVARA INC COM 805111101 1,286 287,110 SH   SOLE   287,110 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 42 1,090 SH Put SOLE   1,090 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 67 760 SH Put SOLE   760 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 151 1,090 SH Put SOLE   1,090 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 45 1,090 SH Put SOLE   1,090 0 0
SILVER SPIKE ACQUISITION COR *W EXP 08/02/202 G8136L114 20 50,000 SH   SOLE   50,000 0 0
SMILEDIRECTCLUB INC CL A COM 83192H106 65 3,720 SH Put SOLE   3,720 0 0
SMILEDIRECTCLUB INC CL A COM 83192H106 44 1,120 SH Put SOLE   1,120 0 0
SMILEDIRECTCLUB INC CL A COM 83192H106 69 3,360 SH Put SOLE   3,360 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 230 2,340 SH Put SOLE   2,340 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 44 750 SH Put SOLE   750 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 263 1,420 SH Put SOLE   1,420 0 0
SPDR SERIES TRUST S&P BIOTECH 78464A870 231 1,060 SH Put SOLE   1,060 0 0
SPDR SERIES TRUST S&P BIOTECH 78464A870 313 2,160 SH Put SOLE   2,160 0 0
SPDR SERIES TRUST S&P BIOTECH 78464A870 246 1,060 SH Put SOLE   1,060 0 0
SPECTRUM PHARMACEUTICALS INC COM 84763A108 5 2,180 SH Call SOLE   2,180 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305 18,996 540,110 SH   SOLE   540,110 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305 679 3,270 SH Put SOLE   3,270 0 0
STABLE RD ACQUISITION CORP UNIT 05/15/2026 85236Q208 4,485 435,850 SH   SOLE   435,850 0 0
STEREOTAXIS INC COM NEW 85916J409 1,291 244,103 SH   SOLE   244,103 0 0
SUNESIS PHARMACEUTICALS INC COM 867328700 3 1,005 SH Call SOLE   1,005 0 0
TG THERAPEUTICS INC COM 88322Q108 3,082 277,639 SH   SOLE   277,639 0 0
UNIQURE NV SHS N90064101 1,172 16,350 SH   SOLE   16,350 0 0
UNITEDHEALTH GROUP INC COM 91324P102 266 590 SH Put SOLE   590 0 0
UNITEDHEALTH GROUP INC COM 91324P102 25 350 SH Put SOLE   350 0 0
VIEWRAY INC COM 92672L107 26,809 6,352,939 SH   SOLE   6,352,939 0 0
ZIMMER BIOMET HLDGS INC COM 98956P102 19,577 130,790 SH   SOLE   130,790 0 0
ZIMMER BIOMET HLDGS INC COM 98956P102 147 660 SH Call SOLE   660 0 0