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
ABBOTT LABS COM 002824100 6,738 73,698 SH   SOLE   73,698 0 0
ABBVIE INC COM 00287Y109 10,284 104,750 SH   SOLE   104,750 0 0
ABIOMED INC COM 003654100 1,643 6,800 SH   SOLE   0 0 6,800
ACADIA PHARMACEUTCLS COM 004225108 16,609 342,663 SH   SOLE   35,450 0 307,213
ACCELERON PHARMA COM 00434H108 667 7,000 SH   SOLE   0 0 7,000
AGIOS PHARMACEUTIC COM 00847X104 503 9,400 SH   SOLE   0 0 9,400
ALEXION PHARM INC COM 015351109 14,117 125,776 SH   SOLE   13,500 0 112,276
ALIGN TECH INC COM 016255101 3,293 12,000 SH   SOLE   0 0 12,000
ALKERMES PLC SHS G01767105 472 24,300 SH   SOLE   0 0 24,300
ALLAKOS INC COM 01671P100 266 3,700 SH   SOLE   0 0 3,700
ALLOGENE THERAPEUT COM 019770106 317 7,400 SH   SOLE   0 0 7,400
ALNYLAM PHARMACUETCL COM 02043Q107 2,607 17,600 SH   SOLE   0 0 17,600
AMEDISYS INC COM 023436108 3,142 15,825 SH   SOLE   0 0 15,825
AMGEN INC COM 031162100 7,065 29,953 SH   SOLE   29,953 0 0
AMICUS THERAPEUTICS COM 03152W109 26,404 1,750,913 SH   SOLE   185,754 0 1,565,159
AMNEAL PHARMACEUTICA COM 03168L105 84 17,700 SH   SOLE   0 0 17,700
APELLIS PHARMACEUTIC COM 03753U106 25,103 768,609 SH   SOLE   103,905 0 664,704
APREA THERAPEUTICS COM 03836J102 35,510 915,681 SH   SOLE   915,681 0 0
ARENA PHARMACEUTICAL COM 040047607 22,845 362,900 SH   SOLE   41,400 0 321,500
ARGENX SE SPONSORED ADR 04016X101 563 2,500 SH   SOLE   2,500 0 0
ARROWHEAD PHARMACEUT COM 04280A100 661 15,300 SH   SOLE   0 0 15,300
ARVINAS INC COM 04335A105 15,663 467,000 SH   SOLE   76,000 0 391,000
ASSEMBLY BIOSCIENCES COM 045396108 15,324 657,124 SH   SOLE   111,698 0 545,426
ASTRAZENECA SPONSORED ADR 046353108 7,500 141,800 SH   SOLE   141,800 0 0
ATRICURE INC COM 04963C209 18,634 414,553 SH   SOLE   27,962 0 386,591
AVANOS MEDICAL INC COM 05350V106 215 7,300 SH   SOLE   0 0 7,300
AVANTOR INC COM 05352A100 1,080 63,500 SH   SOLE   0 0 63,500
AVEO PHARMACEUTICALS COM 053588307 773 150,000 SH   SOLE   150,000 0 0
AVIDITY BIOSCIENCE COM 05370A108 927 32,803 SH   SOLE   0 0 32,803
AXSOME THERAPEUTIC COM 05464T104 346 4,200 SH   SOLE   0 0 4,200
BIO RAD LABS INC CL A 090572207 1,445 3,200 SH   SOLE   0 0 3,200
BIO TECHNE CORP COM 09073M104 1,532 5,800 SH   SOLE   0 0 5,800
BIOGEN INC COM 09062X103 1,710 6,392 SH   SOLE   6,392 0 0
BIOHAVEN PHARMACTL COM G11196105 526 7,200 SH   SOLE   0 0 7,200
BIOMARIN PHARMAC INC COM 09061G101 16,234 131,623 SH   SOLE   21,090 0 110,533
BIOTELEMETRY INC COM 090672106 230 5,100 SH   SOLE   0 0 5,100
BLUEBIRD BIO INC COM 09609G100 604 9,900 SH   SOLE   0 0 9,900
BLUEPRINT MEDICINES COM 09627Y109 22,665 290,583 SH   SOLE   43,450 0 247,133
BOSTON SCIENTIFIC COM 101137107 20,174 574,595 SH   SOLE   136,726 0 437,869
BRISTOL MYERS SQUIBB COM 110122108 13,228 224,974 SH   SOLE   224,974 0 0
BROOKDALE SR LIVING COM 112463104 83 28,100 SH   SOLE   0 0 28,100
BRUKER CORP COM 116794108 647 15,900 SH   SOLE   0 0 15,900
CANTEL MEDICAL CORP COM 138098108 257 5,800 SH   SOLE   0 0 5,800
CARDINAL HEALTH INC COM 14149Y108 2,375 45,500 SH   SOLE   0 0 45,500
CARDIOVASCULAR SYS COM 141619106 20,527 650,608 SH   SOLE   71,650 0 578,958
CASTLE BIOSCIENCES I COM 14843C105 5,409 143,500 SH   SOLE   35,500 0 108,000
CATALENT INC COM 148806102 1,730 23,600 SH   SOLE   0 0 23,600
CENTENE CORP DEL COM 15135B101 25,494 401,158 SH   SOLE   81,915 0 319,243
CHANGE HEALTHCARE IN COM 15912K100 15,981 1,426,832 SH   SOLE   236,145 0 1,190,687
CHARLES RIV LABS INT COM 159864107 1,308 7,500 SH   SOLE   0 0 7,500
CHEMED CORP NEW COM 16359R103 1,037 2,300 SH   SOLE   0 0 2,300
CHEMOCENTRYX INC COM 16383L106 391 6,800 SH   SOLE   0 0 6,800
CIGNA CORP COM 125523100 5,424 28,907 SH   SOLE   28,907 0 0
COLLEGIUM PHARMACEUT COM 19459J104 11,454 654,521 SH   SOLE   165,570 0 488,951
CONMED CORP COM 207410101 295 4,100 SH   SOLE   0 0 4,100
COOPER COMPANIES INC COM 216648402 2,127 7,500 SH   SOLE   0 0 7,500
CORCEPT THERAPEUTICS COM 218352102 247 14,700 SH   SOLE   0 0 14,700
CRISPR THERAPEUTICS COM H17182108 8,407 114,400 SH   SOLE   28,600 0 85,800
DAVITA INC COM 23918K108 1,005 12,700 SH   SOLE   0 0 12,700
DECIPHERA PHARMACEUT COM 24344T101 13,399 224,359 SH   SOLE   58,651 0 165,708
DENALI THERAPEUTICS COM 24823R105 232 9,600 SH   SOLE   0 0 9,600
DENTSPLY SIRONA INC COM 24906P109 1,485 33,700 SH   SOLE   0 0 33,700
DEXCOM INC COM 252131107 17,924 44,213 SH   SOLE   0 0 44,213
DR REDDYS LABS LTD ADR 256135203 390 7,354 SH   SOLE   7,354 0 0
EDITAS MEDICINE INC COM 28106W103 251 8,500 SH   SOLE   0 0 8,500
ELANCO ANIMAL HEALTH COM 28414H103 1,321 61,600 SH   SOLE   0 0 61,600
EMERGENT BIOSOLUTNS COM 29089Q105 538 6,800 SH   SOLE   0 0 6,800
ENCOMPASS HEALTH COR COM 29261A100 935 15,100 SH   SOLE   0 0 15,100
ENDO INTL PLC SHS G30401106 119 34,700 SH   SOLE   0 0 34,700
ENSIGN GROUP INC COM 29358P101 326 7,800 SH   SOLE   0 0 7,800
ENVISTA HLDGS CORP COM 29415F104 519 24,600 SH   SOLE   0 0 24,600
EPIZYME INC COM 29428V104 218 13,600 SH   SOLE   0 0 13,600
ESPERION THERAPEUT COM 29664W105 200 3,900 SH   SOLE   0 0 3,900
EVOLENT HEALTH INC COM 30050B101 12,975 1,822,297 SH   SOLE   396,230 0 1,426,067
EXACT SCIENCES CORP COM 30063P105 1,991 22,900 SH   SOLE   0 0 22,900
EXELIXIS INC COM 30161Q104 22,729 957,394 SH   SOLE   107,990 0 849,404
FIBROGEN INC COM 31572Q808 515 12,700 SH   SOLE   0 0 12,700
FORMA THERAPEUTICS COM 34633R104 11,026 237,174 SH   SOLE   44,023 0 193,151
GENERATION BIO CO COM 37148K100 10,737 511,300 SH   SOLE   107,169 0 404,131
GILEAD SCIENCES INC COM 375558103 7,090 92,150 SH   SOLE   92,150 0 0
GLAUKOS CORP COM 377322102 246 6,400 SH   SOLE   0 0 6,400
GLOBAL BLOOD THERA COM 37890U108 14,474 229,271 SH   SOLE   21,641 0 207,630
GLOBUS MED INC CL A 379577208 544 11,400 SH   SOLE   0 0 11,400
GUARDANT HEALTH INC COM 40131M109 6,130 75,552 SH   SOLE   10,200 0 65,352
HAEMONETICS CORP COM 405024100 681 7,600 SH   SOLE   0 0 7,600
HALOZYME THERAPEUTIC COM 40637H109 558 20,800 SH   SOLE   0 0 20,800
HEALTH CATALYST IN COM 42225T107 16,423 563,007 SH   SOLE   77,500 0 485,507
HEALTHCARE SVCS GRP COM 421906108 279 11,400 SH   SOLE   0 0 11,400
HEALTHEQUITY INC COM 42226A107 628 10,700 SH   SOLE   0 0 10,700
HENRY SCHEIN INC COM 806407102 1,279 21,900 SH   SOLE   0 0 21,900
HERON THERAPEUTICS COM 427746102 197 13,400 SH   SOLE   0 0 13,400
HILL-ROM HLDS INC COM 431475102 27,408 249,660 SH   SOLE   32,100 0 217,560
HMS HOLDINGS CORP COM 40425J101 18,189 561,561 SH   SOLE   70,375 0 491,186
HOLOGIC INC COM 436440101 2,252 39,500 SH   SOLE   0 0 39,500
HOMOLOGY MEDICINES COM 438083107 581 38,281 SH   SOLE   38,281 0 0
HORIZON THERAPEUTICS SHS G46188101 1,573 28,300 SH   SOLE   0 0 28,300
HUMANA INC COM 444859102 2,026 5,225 SH   SOLE   5,225 0 0
ICON PLC SHS G4705A100 1,348 8,000 SH   SOLE   0 0 8,000
ICU MED INC COM 44930G107 553 3,000 SH   SOLE   0 0 3,000
IDEXX LABS INC COM 45168D104 4,259 12,900 SH   SOLE   0 0 12,900
ILLUMINA INC COM 452327109 1,011 2,730 SH   SOLE   2,730 0 0
IMMUNOMEDICS INC COM 452907108 18,847 531,795 SH   SOLE   34,900 0 496,895
INCYTE CORPORATION COM 45337C102 14,600 140,424 SH   SOLE   18,800 0 121,624
INSMED INC COM 457669307 427 15,500 SH   SOLE   0 0 15,500
INSULET CORP COM 45784P101 6,360 32,738 SH   SOLE   0 0 32,738
INTEGER HLDGS CORP COM 45826H109 365 5,000 SH   SOLE   0 0 5,000
INTEGRA LIFESCIENCE COM 457985208 517 11,000 SH   SOLE   0 0 11,000
INTRA CELLULAR THERA COM 46116X101 216 8,400 SH   SOLE   0 0 8,400
INVITAE CORP COM 46185L103 536 17,700 SH   SOLE   0 0 17,700
IONIS PHARMACEUTICAL COM 462222100 1,185 20,100 SH   SOLE   0 0 20,100
IOVANCE BIOTHERAPEUT COM 462260100 571 20,800 SH   SOLE   0 0 20,800
IRHYTHM TECHNOLOGIES COM 450056106 13,431 115,895 SH   SOLE   0 0 115,895
IRONWOOD PHARMACEUCL COM CL A 46333X108 252 24,400 SH   SOLE   0 0 24,400
JAZZ PHARMA PLC COM G50871105 916 8,300 SH   SOLE   0 0 8,300
KODIAK SCIENCES IN COM 50015M109 238 4,400 SH   SOLE   0 0 4,400
LABORATORY CORP AMER COM 50540R409 2,475 14,900 SH   SOLE   0 0 14,900
LHC GROUP INC COM 50187A107 802 4,600 SH   SOLE   0 0 4,600
LIGAND PHARMACEUTIC COM 53220K504 246 2,200 SH   SOLE   0 0 2,200
LILLY ELI & CO COM 532457108 5,059 30,815 SH   SOLE   30,815 0 0
LIVANOVA PLC COM G5509L101 356 7,400 SH   SOLE   0 0 7,400
LUMINEX CORP DEL COM 55027E102 211 6,500 SH   SOLE   0 0 6,500
MAGELLAN HEALTH INC COM 559079207 255 3,500 SH   SOLE   0 0 3,500
MASIMO CORP COM 574795100 8,403 36,858 SH   SOLE   0 0 36,858
MEDNAX INC COM 58502B106 217 12,700 SH   SOLE   0 0 12,700
MEDPACE HOLDINGS COM 58506Q109 381 4,100 SH   SOLE   0 0 4,100
MEDTRONIC PLC SHS G5960L103 3,829 41,751 SH   SOLE   41,751 0 0
MERCK & CO INC COM 58933Y105 7,513 97,150 SH   SOLE   97,150 0 0
MERIT MEDICAL SYS COM 589889104 379 8,300 SH   SOLE   0 0 8,300
MIRATI THERAPEUTICS COM 60468T105 14,310 125,336 SH   SOLE   12,600 0 112,736
MODERNA INC COM 60770K107 7,208 112,256 SH   SOLE   0 0 112,256
MOLECULAR TEMPLATES COM 608550109 8,207 595,171 SH   SOLE   119,500 0 475,671
MOLINA HEALTHCARE COM 60855R100 14,853 83,453 SH   SOLE   13,365 0 70,088
MOMENTA PHARMACEUTIC COM 60877T100 599 18,000 SH   SOLE   0 0 18,000
MYLAN N V SHS EURO N59465109 1,278 79,500 SH   SOLE   0 0 79,500
MYOKARDIA INC COM 62857M105 734 7,600 SH   SOLE   0 0 7,600
MYRIAD GENETICS INC COM 62855J104 124 10,900 SH   SOLE   0 0 10,900
NATERA INC COM 632307104 529 10,600 SH   SOLE   0 0 10,600
NEKTAR THERAPEUTICS COM 640268108 618 26,700 SH   SOLE   0 0 26,700
NEOGEN CORP COM 640491106 621 8,000 SH   SOLE   0 0 8,000
NEOGENOMICS INC COM 64049M209 489 15,800 SH   SOLE   0 0 15,800
NEUROCRINE BIOSCIENC COM 64125C109 1,720 14,100 SH   SOLE   0 0 14,100
NEVRO CORP COM 64157F103 609 5,100 SH   SOLE   0 0 5,100
NOVOCURE LTD ORD SHS G6674U108 907 15,300 SH   SOLE   0 0 15,300
NUVASIVE INC COM 670704105 434 7,800 SH   SOLE   0 0 7,800
OMNICELL INC COM 68213N109 459 6,500 SH   SOLE   0 0 6,500
OPKO HEALTH INC COM 68375N103 208 60,900 SH   SOLE   0 0 60,900
PACIRA BIOSCIENCES COM 695127100 331 6,300 SH   SOLE   0 0 6,300
PATTERSON COMPANIES COM 703395103 286 13,000 SH   SOLE   0 0 13,000
PENUMBRA INC COM 70975L107 876 4,900 SH   SOLE   0 0 4,900
PERKINELMER INC COM 714046109 1,677 17,100 SH   SOLE   0 0 17,100
PERRIGO CO SHS G97822103 1,161 21,000 SH   SOLE   0 0 21,000
PFIZER INC COM 717081103 7,223 220,900 SH   SOLE   220,900 0 0
PPD INC COM 69355F102 20,700 772,389 SH   SOLE   149,807 0 622,582
PRA HEALTH SCIENCE COM 69354M108 9,700 99,700 SH   SOLE   31,215 0 68,485
PRECIGEN INC COM 74017N105 50 10,100 SH   SOLE   0 0 10,100
PRESTIGE CONSUMER HE COM 74112D101 289 7,700 SH   SOLE   0 0 7,700
PTC THERAPEUTICS I COM 69366J200 26,419 520,667 SH   SOLE   51,225 0 469,442
QUEST DIAGNOSTICS COM 74834L100 2,348 20,600 SH   SOLE   0 0 20,600
QUIDEL CORP COM 74838J101 1,275 5,700 SH   SOLE   0 0 5,700
R1 RCM INC COM 749397105 18,328 1,643,809 SH   SOLE   214,373 0 1,429,436
REATA PHARMACEUTIC COM 75615P103 562 3,600 SH   SOLE   0 0 3,600
REGENERON PHARMCTCLS COM 75886F107 11,249 18,038 SH   SOLE   6,720 0 11,318
REPLIGEN CORP COM 759916109 10,183 82,383 SH   SOLE   0 0 82,383
RESMED INC COM 761152107 13,883 72,305 SH   SOLE   0 0 72,305
SAGE THERAPEUTICS COM 78667J108 324 7,800 SH   SOLE   0 0 7,800
SAREPTA THERAPEUTICS COM 803607100 14,074 87,774 SH   SOLE   16,610 0 71,164
SEATTLE GENETICS INC COM 812578102 13,861 81,576 SH   SOLE   12,000 0 69,576
SELECT MED HLDGS COM 81619Q105 245 16,600 SH   SOLE   0 0 16,600
SILK ROAD MEDICAL COM 82710M100 21,876 522,228 SH   SOLE   58,800 0 463,428
STERIS PLC SHS USD G8473T100 1,979 12,900 SH   SOLE   0 0 12,900
SYNEOS HEALTH INC CL A 87166B102 562 9,650 SH   SOLE   50 0 9,600
TABULA RASA HEALTH COM 873379101 17,234 314,890 SH   SOLE   35,627 0 279,263
TANDEM DIABETES CARE COM 875372203 19,489 197,014 SH   SOLE   0 0 197,014
TELADOC HEALTH COM 87918A105 22,574 118,288 SH   SOLE   38 0 118,250
TELEFLEX INC COM 879369106 20,546 56,448 SH   SOLE   4,130 0 52,318
TENET HEALTHCARE COM 88033G407 290 16,000 SH   SOLE   0 0 16,000
THERAPEUTICSMD INC COM 88338N107 45 36,200 SH   SOLE   0 0 36,200
TURNING POINT THERAP COM 90041T108 18,375 284,486 SH   SOLE   22,950 0 261,536
ULTRAGENYX PHARMAC COM 90400D108 673 8,600 SH   SOLE   0 0 8,600
UNIQURE N.V. SHS N90064101 11,317 251,158 SH   SOLE   46,400 0 204,758
UNITED THERAPEUTICS COM 91307C102 799 6,600 SH   SOLE   0 0 6,600
UNITEDHEALTH GRP INC COM 91324P102 10,770 36,514 SH   SOLE   36,514 0 0
UNIVERSAL HEALTH SVC CL B 913903100 1,050 11,300 SH   SOLE   0 0 11,300
VARIAN MED SYS INC COM 92220P105 1,715 14,000 SH   SOLE   0 0 14,000
VERTEX PHARMACEUTICL COM 92532F100 4,259 14,671 SH   SOLE   14,671 0 0
VIR BIOTECHNOLOGY COM 92764N102 291 7,100 SH   SOLE   0 0 7,100
WEST PHARMACEUT SVS COM 955306105 2,567 11,300 SH   SOLE   0 0 11,300
XENCOR INC COM 98401F105 275 8,500 SH   SOLE   0 0 8,500
ZAI LAB LTD ADR 98887Q104 558 6,800 SH   SOLE   6,800 0 0
ZENTALIS PHARMACEU COM 98943L107 6,924 144,200 SH   SOLE   19,840 0 124,360
ZOGENIX INC COM 98978L204 230 8,500 SH   SOLE   0 0 8,500