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
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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 INC COM 00287Y109 43,948 501,750 SH   DFND   0 501,750 0
ACADIA PHARMACEUTICALS INC COM 004225108 17,370 421,087 SH   DFND   0 421,087 0
ACORDA THERAPEUTICS INC NOTE 1.750% 6/1 00484MAA4 1,200 2,000,000 PRN   DFND   0 2,000,000 0
ADAPTIMMUNE THERAPEUTICS PLC SPONDS ADR 00653A107 6,779 849,440 SH   DFND   0 849,440 0
AERIE PHARMACEUTICALS INC COM 00771V108 26,219 2,227,611 SH   DFND   0 2,227,611 0
AERIE PHARMACEUTICALS INC NOTE 1.500%10/0 00771VAB4 41,948 51,850,000 PRN   DFND   0 51,850,000 0
ALEXION PHARMACEUTICALS INC COM 015351109 80,538 703,817 SH   DFND   0 703,817 0
ALLENA PHARMACEUTICALS INC COM 018119107 421 284,285 SH   DFND 1 0 284,285 0
ALLOGENE THERAPEUTICS INC COM 019770106 8,457 224,266 SH   DFND   0 224,266 0
AMAZON COM INC COM 023135106 16,821 5,342 SH   DFND   0 5,342 0
AMERICAN WELL CORP CL A 03044L105 3,853 130,000 SH   DFND   0 130,000 0
ANTHEM INC COM 036752103 27,787 103,455 SH   DFND   0 103,455 0
APTIV PLC SHS G6095L109 13,825 150,794 SH   DFND   0 150,794 0
ARCUS BIOSCIENCES INC COM 03969F109 4,114 240,000 SH Call DFND   0 240,000 0
ARCUS BIOSCIENCES INC COM 03969F109 43,483 2,536,932 SH   DFND   0 2,536,932 0
ASTRAZENECA PLC SPONSORED ADR 046353108 21,257 387,900 SH   DFND   0 387,900 0
ATHIRA PHARMA INC COM 04746L104 7,245 392,489 SH   DFND   0 392,489 0
AVANTOR INC COM 05352A100 28,564 1,270,070 SH   DFND   0 1,270,070 0
AVIDITY BIOSCIENCES, INC. COM 05370A108 6,347 254,672 SH   DFND   0 254,672 0
AVIDITY BIOSCIENCES, INC. COM 05370A108 4,648 186,483 SH   DFND 1 0 186,483 0
BIOGEN INC COM 09062X103 25,451 89,716 SH   DFND   0 89,716 0
BIOMARIN PHARMACEUTICAL INC COM 09061G101 21,774 286,200 SH Call DFND   0 286,200 0
BIOMARIN PHARMACEUTICAL INC COM 09061G101 53,260 700,052 SH   DFND   0 700,052 0
BIOMARIN PHARMACEUTICAL INC NOTE 0.599% 8/0 09061GAH4 42,361 40,300,000 PRN   DFND   0 40,300,000 0
CONSTELLATION PHARMCETICLS I COM 210373106 26,236 1,294,977 SH   DFND   0 1,294,977 0
DANAHER CORPORATION COM 235851102 35,242 163,663 SH   DFND   0 163,663 0
DEERE & CO COM 244199105 16,918 76,336 SH   DFND   0 76,336 0
DYNAVAX TECHNOLOGIES CORP COM NEW 268158201 12,688 2,936,990 SH   DFND   0 2,936,990 0
EDWARDS LIFESCIENCES CORP COM 28176E108 38,940 487,842 SH   DFND   0 487,842 0
FLUIDIGM CORP DEL COM 34385P108 7,849 1,056,343 SH   DFND   0 1,056,343 0
GILEAD SCIENCES INC COM 375558103 22,117 350,000 SH Call DFND   0 350,000 0
GILEAD SCIENCES INC COM 375558103 68,124 1,078,089 SH   DFND   0 1,078,089 0
HCA HEALTHCARE INC COM 40412C101 45,501 364,940 SH   DFND   0 364,940 0
HENRY SCHEIN INC COM 806407102 23,648 402,310 SH   DFND   0 402,310 0
HERON THERAPEUTICS INC COM 427746102 27,743 1,872,012 SH   DFND   0 1,872,012 0
HOLOGIC INC COM 436440101 18,093 272,193 SH   DFND   0 272,193 0
HORIZON THERAPEUTICS PUB L SHS G46188101 105,600 1,359,420 SH   DFND   0 1,359,420 0
HUMANA INC COM 444859102 32,176 77,740 SH   DFND   0 77,740 0
ICON PLC SHS G4705A100 23,184 121,323 SH   DFND   0 121,323 0
ICU MED INC COM 44930G107 55,376 302,999 SH   DFND   0 302,999 0
IMMUNOMEDICS INC COM 452907108 114,244 1,343,570 SH   DFND   0 1,343,570 0
INVESCO QQQ TR UNIT SER 1 46090E103 105,996 381,500 SH Put DFND   0 381,500 0
IOVANCE BIOTHERAPEUTICS INC COM 462260100 12,575 381,990 SH   DFND   0 381,990 0
IQVIA HLDGS INC COM 46266C105 53,277 337,987 SH   DFND   0 337,987 0
IRHYTHM TECHNOLOGIES INC COM 450056106 39,766 167,008 SH   DFND   0 167,008 0
ITEOS THERAPEUTICS INC COM 46565G104 10,028 406,467 SH   DFND   0 406,467 0
KARUNA THERAPEUTICS INC COM 48576A100 10,667 137,960 SH   DFND   0 137,960 0
LABORATORY CORP AMER HLDGS COM NEW 50540R409 26,983 143,323 SH   DFND   0 143,323 0
MERCK & CO. INC COM 58933Y105 28,203 340,000 SH Call DFND   0 340,000 0
MICROSOFT CORP COM 594918104 20,019 95,177 SH   DFND   0 95,177 0
MIRATI THERAPEUTICS INC COM 60468T105 26,086 157,100 SH Call DFND   0 157,100 0
MIRATI THERAPEUTICS INC COM 60468T105 41,358 249,068 SH   DFND   0 249,068 0
MODERNA INC COM 60770K107 8,489 120,000 SH Put DFND   0 120,000 0
MOLINA HEALTHCARE INC COM 60855R100 29,748 162,524 SH   DFND   0 162,524 0
MYOVANT SCIENCES LTD COM G637AM102 8,827 628,272 SH   DFND   0 628,272 0
NEVRO CORP COM 64157F103 44,330 318,232 SH   DFND   0 318,232 0
NEVRO CORP NOTE 2.750% 4/0 64157FAC7 3,151 2,000,000 PRN   DFND   0 2,000,000 0
NEXTERA ENERGY INC COM 65339F101 13,087 47,151 SH   DFND   0 47,151 0
NVIDIA CORPORATION COM 67066G104 14,024 25,911 SH   DFND   0 25,911 0
NXP SEMICONDUCTORS N V COM N6596X109 18,083 144,881 SH   DFND   0 144,881 0
OUTSET MED INC COM 690145107 120,235 2,640,477 SH   DFND   0 2,640,477 0
OUTSET MED INC COM 690145107 10,356 232,513 SH   DFND 1 0 232,513 0
PENUMBRA INC COM 70975L107 46,534 239,397 SH   DFND   0 239,397 0
PERKINELMER INC COM 714046109 18,450 147,000 SH   DFND   0 147,000 0
PFIZER INC COM 717081103 33,984 926,000 SH Call DFND   0 926,000 0
PFIZER INC COM 717081103 17,556 478,361 SH   DFND   0 478,361 0
PPD INC COM 69355F102 29,143 787,863 SH   DFND   0 787,863 0
REVOLUTION MEDICINES INC COM 76155X100 12,539 360,313 SH   DFND   0 360,313 0
SENSATA TECHNOLOGIES HLDNG P SHS G8060N102 8,351 193,585 SH   DFND   0 193,585 0
SHOPIFY INC CL A 82509L107 9,671 9,454 SH   DFND   0 9,454 0
SPDR SER TR S&P BIOTECH 78464A870 22,286 200,000 SH Put DFND   0 200,000 0
SQUARE INC CL A 852234103 29,504 181,509 SH   DFND   0 181,509 0
TCR2 THERAPEUTICS INC COM 87808K106 15,764 775,794 SH   DFND   0 775,794 0
TENET HEALTHCARE CORP COM NEW 88033G407 20,618 841,194 SH   DFND   0 841,194 0
TRILLIUM THERAPEUTICS INC COM NEW 89620X506 16,005 1,126,325 SH   DFND   0 1,126,325 0
VISA INC COM CL A 92826C839 8,692 43,468 SH   DFND   0 43,468 0
ZENDESK INC COM 98936J101 6,899 67,034 SH   DFND   0 67,034 0