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 4,536 90,000 SH   SOLE   90,000 0 0
ACHILLION PHARMACEUTICALS IN COM 00448Q201 2,040 566,600 SH   SOLE   566,600 0 0
ADVERUM BIOTECHNOLOGIES INC COM 00773U108 545 100,000 SH   SOLE   100,000 0 0
AILERON THERAPEUTICS INC COM 00887A105 91 135,548 SH   SOLE   135,548 0 0
ALEXION PHARMACEUTICALS INC COM 015351109 5,142 52,500 SH   SOLE   52,500 0 0
ALLERGAN PLC SHS G0177J108 11,294 67,109 SH   SOLE   67,109 0 0
AMGEN INC COM 031162100 19,351 100,000 SH Call SOLE   100,000 0 0
APYX MEDICAL CORPORATION COM 03837C106 2,883 425,872 SH   SOLE   425,872 0 0
ARDELYX INC COM 039697107 658 140,085 SH   SOLE   140,085 0 0
ARVINAS INC COM 04335A105 1,384 64,209 SH   SOLE   64,209 0 0
AVADEL PHARMACEUTICALS PLC SPONSORED ADR 05337M104 505 121,435 SH   SOLE   121,435 0 0
AXSOME THERAPEUTICS INC COM 05464T104 1,184 58,519 SH   SOLE   58,519 0 0
BAXTER INTL INC COM 071813109 5,248 60,000 SH   SOLE   60,000 0 0
BEYOND MEAT INC COM 08862E109 2,601 17,500 SH Put SOLE   17,500 0 0
BIODELIVERY SCIENCES INTL IN COM 09060J106 2,169 515,111 SH   SOLE   515,111 0 0
BIOHAVEN PHARMACTL HLDG CO L COM G11196105 1,669 40,000 SH   SOLE   40,000 0 0
BIOHAVEN PHARMACTL HLDG CO L COM G11196105 12,516 300,000 SH Call SOLE   300,000 0 0
CANOPY GROWTH CORP COM 138035100 6,306 275,000 SH Put SOLE   275,000 0 0
CANTEL MED CORP COM 138098108 1,870 25,000 SH Put SOLE   25,000 0 0
CASTLE BIOSCIENCES INC COM 14843C105 2,383 131,718 SH   SOLE   131,718 0 0
COHERUS BIOSCIENCES INC COM 19249H103 1,013 50,000 SH   SOLE   50,000 0 0
COHERUS BIOSCIENCES INC COM 19249H103 8,104 400,000 SH Call SOLE   400,000 0 0
CONMED CORP COM 207410101 4,567 47,500 SH   SOLE   47,500 0 0
CYMABAY THERAPEUTICS INC COM 23257D103 1,536 300,000 SH Call SOLE   300,000 0 0
CYTOKINETICS INC COM NEW 23282W605 2,141 188,096 SH   SOLE   188,096 0 0
DECIPHERA PHARMACEUTICALS IN COM 24344T101 1,392 41,000 SH   SOLE   41,000 0 0
DEXCOM INC COM 252131107 6,716 45,000 SH   SOLE   45,000 0 0
ENDO INTL PLC SHS G30401106 642 200,000 SH Call SOLE   200,000 0 0
ESTABLISHMENT LABS HLDGS INC COM G31249108 14,091 745,163 SH   SOLE   745,163 0 0
ETF MANAGERS TR ETFMG ALTR HRVST 26924G508 14,532 700,000 SH Put SOLE   700,000 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 18,505 250,000 SH Put SOLE   250,000 0 0
FLUIDIGM CORP DEL COM 34385P108 2,315 500,000 SH   SOLE   500,000 0 0
FLUIDIGM CORP DEL COM 34385P108 1,389 300,000 SH Call SOLE   300,000 0 0
GILEAD SCIENCES INC COM 375558103 9,507 150,000 SH   SOLE   150,000 0 0
GREENLANE HLDGS INC CL A 395330103 4,129 1,217,890 SH   SOLE   1,217,890 0 0
GRIFOLS S A SP ADR REP B NVT 398438408 9,944 496,201 SH   SOLE   496,201 0 0
GW PHARMACEUTICALS PLC ADS 36197T103 3,451 30,000 SH   SOLE   30,000 0 0
ICU MED INC COM 44930G107 14,763 92,500 SH   SOLE   92,500 0 0
ICU MED INC COM 44930G107 4,389 27,500 SH Call SOLE   27,500 0 0
ILLUMINA INC COM 452327109 9,127 30,000 SH Call SOLE   30,000 0 0
INOVALON HLDGS INC COM CL A 45781D101 1,229 75,000 SH   SOLE   75,000 0 0
INOVALON HLDGS INC COM CL A 45781D101 4,917 300,000 SH Call SOLE   300,000 0 0
INSPIRE MED SYS INC COM 457730109 21,827 357,700 SH   SOLE   357,700 0 0
INSPIRE MED SYS INC COM 457730109 16,781 275,000 SH Call SOLE   275,000 0 0
INTERSECT ENT INC COM 46071F103 11,397 670,000 SH   SOLE   670,000 0 0
INTERSECT ENT INC COM 46071F103 13,183 775,000 SH Call SOLE   775,000 0 0
INTRA CELLULAR THERAPIES INC COM 46116X101 815 109,130 SH   SOLE   109,130 0 0
INVACARE CORP COM 461203101 6,149 819,874 SH   SOLE   819,874 0 0
INVACARE CORP COM 461203101 3,000 400,000 SH Call SOLE   400,000 0 0
ISHARES TR NASDAQ BIOTECH 464287556 10,865 109,200 SH Call SOLE   109,200 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 18,918 125,000 SH Put SOLE   125,000 0 0
KALA PHARMACEUTICALS INC COM 483119103 1,266 332,831 SH   SOLE   332,831 0 0
MASIMO CORP COM 574795100 2,991 20,099 SH   SOLE   20,099 0 0
MEDICINES CO COM 584688105 5,000 100,000 SH Call SOLE   100,000 0 0
MIRATI THERAPEUTICS INC COM 60468T105 3,896 50,000 SH Call SOLE   50,000 0 0
MISONIX INC COM 604871103 1,882 93,645 SH   SOLE   93,645 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 18,865 873,800 SH   SOLE   873,800 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 15,329 710,000 SH Call SOLE   710,000 0 0
NATERA INC COM 632307104 984 30,000 SH   SOLE   30,000 0 0
NOVAVAX INC COM NEW 670002401 1,646 327,800 SH Call SOLE   327,800 0 0
ORTHOPEDIATRICS CORP COM 68752L100 6,082 172,500 SH   SOLE   172,500 0 0
OTONOMY INC COM 68906L105 2,374 993,463 SH   SOLE   993,463 0 0
QUOTIENT LTD SHS G73268107 4,391 565,094 SH   SOLE   565,094 0 0
R1 RCM INC COM 749397105 6,761 757,139 SH   SOLE   757,139 0 0
R1 RCM INC COM 749397105 3,126 350,000 SH Call SOLE   350,000 0 0
REGENERON PHARMACEUTICALS COM 75886F107 11,096 40,000 SH   SOLE   40,000 0 0
REGENERON PHARMACEUTICALS COM 75886F107 13,870 50,000 SH Call SOLE   50,000 0 0
SAGE THERAPEUTICS INC COM 78667J108 1,403 10,000 SH Call SOLE   10,000 0 0
SAREPTA THERAPEUTICS INC COM 803607100 7,532 100,000 SH Put SOLE   100,000 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 22,533 250,000 SH Put SOLE   250,000 0 0
SMITH & NEPHEW GROUP PLC SPDN ADR NEW 83175M205 8,663 180,000 SH   SOLE   180,000 0 0
SMITH & NEPHEW GROUP PLC SPDN ADR NEW 83175M205 12,754 265,000 SH Call SOLE   265,000 0 0
SPDR SER TR S&P BIOTECH 78464A870 11,438 150,000 SH Put SOLE   150,000 0 0
SPECTRUM PHARMACEUTICALS INC COM 84763A108 4,148 500,000 SH Put SOLE   500,000 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305 12,993 504,012 SH   SOLE   504,012 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305 5,960 231,200 SH Call SOLE   231,200 0 0
STEMLINE THERAPEUTICS INC COM 85858C107 1,379 132,422 SH   SOLE   132,422 0 0
SUPERNUS PHARMACEUTICALS INC COM 868459108 2,748 100,000 SH Put SOLE   100,000 0 0
TANDEM DIABETES CARE INC COM NEW 875372203 2,359 40,000 SH   SOLE   40,000 0 0
TG THERAPEUTICS INC COM 88322Q108 1,992 354,719 SH   SOLE   354,719 0 0
UNIQURE NV SHS N90064101 590 15,000 SH   SOLE   15,000 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102 3,110 39,000 SH   SOLE   39,000 0 0
UNITEDHEALTH GROUP INC COM 91324P102 6,520 30,000 SH Put SOLE   30,000 0 0
VIEWRAY INC COM 92672L107 2,131 734,994 SH   SOLE   734,994 0 0
VIEWRAY INC COM 92672L107 6,525 2,250,000 SH Call SOLE   2,250,000 0 0
WATERS CORP COM 941848103 11,162 50,000 SH Call SOLE   50,000 0 0
WRIGHT MED GROUP N V ORD SHS N96617118 3,095 150,000 SH Call SOLE   150,000 0 0
ZIMMER BIOMET HLDGS INC COM 98956P102 16,121 117,442 SH   SOLE   117,442 0 0
ZIMMER BIOMET HLDGS INC COM 98956P102 13,727 100,000 SH Call SOLE   100,000 0 0
ZYMEWORKS INC COM 98985W102 1,240 50,000 SH   SOLE   50,000 0 0