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 3,923 43,920 SH   SOLE   43,920 0 0
ABBOTT LABS COM 002824100 222 920 SH Put SOLE   920 0 0
ABIOMED INC COM 003654100 236 150 SH Put SOLE   150 0 0
ABM INDS INC COM 000957100 4,763 131,200 SH   SOLE   131,200 0 0
ACCELERON PHARMA INC COM 00434H108 1,944 20,400 SH   SOLE   20,400 0 0
ACHIEVE LIFE SCIENCE INC COM NEW 004468203 529 1,333,333 SH   SOLE   1,333,333 0 0
ADAPTIVE BIOTECHNOLOGIES COR COM 00650F109 3,227 66,700 SH   SOLE   66,700 0 0
ADURO BIOTECH INC COM 00739L101 533 230,923 SH   SOLE   230,923 0 0
ALEXION PHARMACEUTICALS INC COM 015351109 22,975 204,696 SH   SOLE   204,696 0 0
ALEXION PHARMACEUTICALS INC COM 015351109 222 1,020 SH Call SOLE   1,020 0 0
ALEXION PHARMACEUTICALS INC COM 015351109 110 1,020 SH Call SOLE   1,020 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 1,773 256,248 SH   SOLE   256,248 0 0
AMICUS THERAPEUTICS INC COM 03152W109 1,543 102,300 SH   SOLE   102,300 0 0
APELLIS PHARMACEUTICALS INC COM 03753U106 3 90 SH   SOLE   90 0 0
APPLIED GENETIC TECHNOLOGIES COM 03820J100 1,063 191,899 SH   SOLE   191,899 0 0
APYX MED CORP COM 03837C106 4,579 825,117 SH   SOLE   825,117 0 0
ARDELYX INC COM 039697107 2,744 396,541 SH   SOLE   396,541 0 0
ATRICURE INC COM 04963C209 30,803 685,273 SH   SOLE   685,273 0 0
AVADEL PHARMACEUTICALS PLC SPONSORED ADR 05337M104 4,547 562,800 SH   SOLE   562,800 0 0
BIOCRYST PHARMACEUTICALS INC COM 09058V103 2,080 436,500 SH   SOLE   436,500 0 0
BIOXCEL THERAPEUTICS INC COM 09075P105 1,087 20,500 SH   SOLE   20,500 0 0
BOSTON SCIENTIFIC CORP COM 101137107 6,443 183,500 SH   SOLE   183,500 0 0
BRISTOL-MYERS SQUIBB CO RIGHT 99/99/9999 110122157 1,653 461,622 SH   SOLE   461,622 0 0
BRISTOL-MYERS SQUIBB CO COM 110122108 108 1,020 SH Call SOLE   1,020 0 0
BRISTOL-MYERS SQUIBB CO COM 110122108 42 1,020 SH Call SOLE   1,020 0 0
BRISTOL-MYERS SQUIBB CO COM 110122108 89 1,020 SH Call SOLE   1,020 0 0
CATABASIS PHARMACEUTICALS IN COM NEW 14875P206 119 18,510 SH   SOLE   18,510 0 0
CATALYST PHARMACEUTICALS INC COM 14888U101 3,648 789,603 SH   SOLE   789,603 0 0
CELLDEX THERAPEUTICS INC NEW COM NEW 15117B202 3,251 250,100 SH   SOLE   250,100 0 0
CERUS CORP COM 157085101 3,738 566,321 SH   SOLE   566,321 0 0
CHARDAN HEALTHCR ACQSTN 2 CO UNIT 99/99/9999 15957T206 1,617 153,960 SH   SOLE   153,960 0 0
CONMED CORP COM 207410101 7,912 109,900 SH   SOLE   109,900 0 0
CONSTELLATION PHARMCETICLS I COM 210373106 1,229 40,900 SH   SOLE   40,900 0 0
COOPER COS INC COM NEW 216648402 312 175 SH Put SOLE   175 0 0
CORBUS PHARMACEUTICALS HLDGS COM 21833P103 704 1,739 SH Call SOLE   1,739 0 0
CYTOKINETICS INC NOTE 4.000%11/1 23282WAA8 5,963 2,500,000 PRN   SOLE   2,500,000 0 0
DERMTECH INC COM 24984K105 6,233 471,143 SH   SOLE   471,143 0 0
DEXCOM INC COM 252131107 9,925 24,483 SH   SOLE   24,483 0 0
EDWARDS LIFESCIENCES CORP COM 28176E108 52 410 SH Put SOLE   410 0 0
EDWARDS LIFESCIENCES CORP COM 28176E108 70 260 SH Put SOLE   260 0 0
ESTABLISHMENT LABS HLDGS INC COM G31249108 17,652 944,958 SH   SOLE   944,958 0 0
EVOLUS INC COM 30052C107 29 1,310 SH Call SOLE   1,310 0 0
EVOLUS INC COM 30052C107 23 819 SH Put SOLE   819 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 94 1,020 SH Put SOLE   1,020 0 0
FIVE PRIME THERAPEUTICS INC COM 33830X104 68 11,100 SH   SOLE   11,100 0 0
FLEXION THERAPEUTICS INC COM 33938J106 1,615 122,800 SH   SOLE   122,800 0 0
FLUIDIGM CORP DEL COM 34385P108 3,386 844,300 SH   SOLE   844,300 0 0
GENETRON HLDGS LTD ADS 37186H100 2,617 216,800 SH   SOLE   216,800 0 0
GOSSAMER BIO INC NOTE 5.000% 6/0 38341PAA0 506 500,000 PRN   SOLE   500,000 0 0
GREENLANE HLDGS INC CL A 395330103 1,611 404,679 SH   SOLE   404,679 0 0
GUARDANT HEALTH INC COM 40131M109 5,103 62,900 SH   SOLE   62,900 0 0
ICU MED INC COM 44930G107 24,744 134,251 SH   SOLE   134,251 0 0
ICU MED INC COM 44930G107 159 200 SH Call SOLE   200 0 0
ICU MED INC COM 44930G107 118 100 SH Call SOLE   100 0 0
IMMUNOMEDICS INC COM 452907108 5,155 145,445 SH   SOLE   145,445 0 0
IMMUNOMEDICS INC COM 452907108 176 1,020 SH Call SOLE   1,020 0 0
IMMUNOVANT INC COM 45258J102 6,594 270,806 SH   SOLE   270,806 0 0
INARI MED INC COM 45332Y109 2,767 57,125 SH   SOLE   57,125 0 0
INCYTE CORP COM 45337C102 31 510 SH Call SOLE   510 0 0
INOVALON HLDGS INC COM CL A 45781D101 20,169 1,047,216 SH   SOLE   1,047,216 0 0
INOVALON HLDGS INC COM CL A 45781D101 200 1,540 SH Call SOLE   1,540 0 0
INOVALON HLDGS INC COM CL A 45781D101 547 2,026 SH Call SOLE   2,026 0 0
INOVIO PHARMACEUTICALS INC COM NEW 45773H201 46 400 SH Call SOLE   400 0 0
INSPIRE MED SYS INC COM 457730109 29,327 337,016 SH   SOLE   337,016 0 0
INTERSECT ENT INC COM 46071F103 13,870 1,024,374 SH   SOLE   1,024,374 0 0
INTERSECT ENT INC COM 46071F103 140 1,020 SH Call SOLE   1,020 0 0
INVACARE CORP COM 461203101 10,164 1,595,609 SH   SOLE   1,595,609 0 0
INVITAE CORP COM 46185L103 4,268 140,900 SH   SOLE   140,900 0 0
INVITAE CORP COM 46185L103 436 2,050 SH Call SOLE   2,050 0 0
IRHYTHM TECHNOLOGIES INC COM 450056106 269 175 SH Put SOLE   175 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 136 1,280 SH Put SOLE   1,280 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 820 3,100 SH Put SOLE   3,100 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 382 1,790 SH Put SOLE   1,790 0 0
ISHARES TR U.S. MED DVC ETF 464288810 297 660 SH Put SOLE   660 0 0
ISHARES TR U.S. MED DVC ETF 464288810 323 1,220 SH Put SOLE   1,220 0 0
ITAMAR MED LTD SPONSORED ADS 465437101 3,302 177,547 SH   SOLE   177,547 0 0
LEGEND BIOTECH CORP SPONSORED ADS 52490G102 872 20,500 SH   SOLE   20,500 0 0
LHC GROUP INC COM 50187A107 11,568 66,359 SH   SOLE   66,359 0 0
LIQUIDIA TECHNOLOGIES INC COM 53635D202 1,263 150,000 SH   SOLE   150,000 0 0
LIVANOVA PLC SHS G5509L101 7,290 151,473 SH   SOLE   151,473 0 0
LIVANOVA PLC SHS G5509L101 69 1,020 SH Call SOLE   1,020 0 0
LYRA THERAPEUTICS INC COM 55234L105 2,245 198,011 SH   SOLE   198,011 0 0
MASIMO CORP COM 574795100 146 150 SH Put SOLE   150 0 0
MEDTRONIC PLC SHS G5960L103 185 635 SH Put SOLE   635 0 0
MERCK & CO. INC COM 58933Y105 5,345 69,119 SH   SOLE   69,119 0 0
MERSANA THERAPEUTICS INC COM 59045L106 2,993 127,900 SH   SOLE   127,900 0 0
MILLENDO THERAPEUTICS INC COM 60040X103 3 1,280 SH Call SOLE   1,280 0 0
MISONIX INC COM 604871103 4,934 363,586 SH   SOLE   363,586 0 0
MOMENTA PHARMACEUTICALS INC COM 60877T100 4,974 149,514 SH   SOLE   149,514 0 0
MYOKARDIA INC COM 62857M105 2,783 28,800 SH   SOLE   28,800 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 31,132 1,060,731 SH   SOLE   1,060,731 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 265 1,020 SH Call SOLE   1,020 0 0
NEVRO CORP COM 64157F103 831 710 SH Put SOLE   710 0 0
NOVOCURE LTD ORD SHS G6674U108 15 554 SH Call SOLE   554 0 0
NUVASIVE INC COM 670704105 206 375 SH Put SOLE   375 0 0
ONCOCYTE CORP COM 68235C107 11,429 5,983,724 SH   SOLE   5,983,724 0 0
ORASURE TECHNOLOGIES INC COM 68554V108 5,648 485,600 SH   SOLE   485,600 0 0
ORTHOPEDIATRICS CORP COM 68752L100 7,532 172,113 SH   SOLE   172,113 0 0
OTONOMY INC COM 68906L105 4,514 1,246,858 SH   SOLE   1,246,858 0 0
PERSONALIS INC COM 71535D106 1,131 87,211 SH   SOLE   87,211 0 0
PROFOUND MED CORP COM NEW 74319B502 9,716 573,556 SH   SOLE   573,556 0 0
QUOTIENT LTD SHS G73268107 9,401 1,270,434 SH   SOLE   1,270,434 0 0
R1 RCM INC COM 749397105 9,654 865,844 SH   SOLE   865,844 0 0
REPRO MED SYS INC COM 759910102 3,861 429,916 SH   SOLE   429,916 0 0
REVANCE THERAPEUTICS INC COM 761330109 999 40,900 SH   SOLE   40,900 0 0
SAREPTA THERAPEUTICS INC COM 803607100 2,726 510 SH Call SOLE   510 0 0
SAREPTA THERAPEUTICS INC COM 803607100 937 1,324 SH Put SOLE   1,324 0 0
SATSUMA PHARMACEUTICALS INC COM 80405P107 802 27,872 SH   SOLE   27,872 0 0
SAVARA INC COM 805111101 868 348,768 SH   SOLE   348,768 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 271 2,810 SH Put SOLE   2,810 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 236 1,020 SH Put SOLE   1,020 0 0
SERES THERAPEUTICS INC COM 81750R102 410 2,560 SH Call SOLE   2,560 0 0
SI BONE INC COM 825704109 7,551 473,703 SH   SOLE   473,703 0 0
SIERRA ONCOLOGY INC COM NEW 82640U404 229 18,940 SH   SOLE   18,940 0 0
SILK RD MED INC COM 82710M100 4,981 118,900 SH   SOLE   118,900 0 0
SILVER SPIKE ACQUISITION COR *W EXP 08/02/202 G8136L114 25 50,000 SH   SOLE   50,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 470 920 SH Put SOLE   920 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 486 1,200 SH Put SOLE   1,200 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 522 720 SH Put SOLE   720 0 0
SPDR SER TR S&P BIOTECH 78464A870 740 2,040 SH Put SOLE   2,040 0 0
SPDR SER TR S&P BIOTECH 78464A870 83 1,280 SH Put SOLE   1,280 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305 22,018 357,780 SH   SOLE   357,780 0 0
STABLE RD ACQUISITION CORP UNIT 05/15/2026 85236Q208 748 74,070 SH   SOLE   74,070 0 0
STEREOTAXIS INC COM NEW 85916J409 4,024 902,275 SH   SOLE   902,275 0 0
STRYKER CORPORATION COM 863667101 1,369 1,530 SH Put SOLE   1,530 0 0
TG THERAPEUTICS INC COM 88322Q108 2,754 141,364 SH   SOLE   141,364 0 0
TRILLIUM THERAPEUTICS INC COM NEW 89620X506 799 98,787 SH   SOLE   98,787 0 0
TRIMAS CORP COM NEW 896215209 3,185 133,000 SH   SOLE   133,000 0 0
TWIST BIOSCIENCE CORP COM 90184D100 4,901 108,181 SH   SOLE   108,181 0 0
UNIQURE NV SHS N90064101 1,154 25,600 SH   SOLE   25,600 0 0
UNITEDHEALTH GROUP INC COM 91324P102 184 260 SH Put SOLE   260 0 0
UNITEDHEALTH GROUP INC COM 91324P102 356 310 SH Put SOLE   310 0 0
VEEVA SYS INC CL A COM 922475108 75 610 SH Put SOLE   610 0 0
VERASTEM INC COM 92337C104 862 501,384 SH   SOLE   501,384 0 0
VIEWRAY INC COM 92672L107 15,328 6,842,954 SH   SOLE   6,842,954 0 0
ZIMMER BIOMET HOLDINGS INC COM 98956P102 8,910 74,652 SH   SOLE   74,652 0 0
ZYMEWORKS INC COM 98985W102 739 20,500 SH   SOLE   20,500 0 0
ZYNERBA PHARMACEUTICALS INC COM 98986X109 6 2,393 SH Call SOLE   2,393 0 0