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 11,900 137,000 SH Put SOLE   137,000 0 0
ABEONA THERAPEUTICS INC COM 00289Y107 802 245,250 SH   SOLE   245,250 0 0
ABIOMED INC COM 003654100 30,194 177,000 SH Put SOLE   177,000 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 1,102 54,000 SH   SOLE   54,000 0 0
ALLERGAN PLC SHS G0177J108 13,334 69,750 SH   SOLE   69,750 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 14,022 654,000 SH Put SOLE   654,000 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 740 34,501 SH   SOLE   34,501 0 0
APPLIED THERAPEUTICS INC COM 03828A101 595 21,810 SH   SOLE   21,810 0 0
APYX MEDICAL CORPORATION 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 TECHNOLOG COM 05465P101 4,530 163,490 SH   SOLE   163,490 0 0
BAXTER INTL INC COM 071813109 17,184 205,500 SH Call SOLE   205,500 0 0
BEYOND MEAT INC COM 08862E109 4,082 54,000 SH Put SOLE   54,000 0 0
BIOCRYST PHARMACEUTICALS INC COM 09058V103 7,521 2,179,950 SH   SOLE   2,179,950 0 0
BIOHAVEN PHARMACTL HLDG CO L COM G11196105 17,802 327,000 SH Call SOLE   327,000 0 0
CABALETTA BIO INC COM 12674W109 2,162 154,792 SH   SOLE   154,792 0 0
CANOPY GROWTH CORP COM 138035100 6,327 300,000 SH Put SOLE   300,000 0 0
CARDIOVASCULAR SYS INC DEL COM 141619106 10,593 218,000 SH Put SOLE   218,000 0 0
CIGNA CORP NEW COM 125523100 4,499 22,000 SH Put SOLE   22,000 0 0
CONMED CORP COM 207410101 5,181 46,330 SH   SOLE   46,330 0 0
CYMABAY THERAPEUTICS INC COM 23257D103 641 327,000 SH Call SOLE   327,000 0 0
DAVITA INC COM 23918K108 8,403 112,000 SH Put SOLE   112,000 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 5,136 300,000 SH Call SOLE   300,000 0 0
EVOLUS INC COM 30052C107 2,380 195,583 SH   SOLE   195,583 0 0
EXACT SCIENCES CORP COM 30063P105 4,624 50,000 SH Put SOLE   50,000 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 22,650 269,000 SH Put SOLE   269,000 0 0
FLUIDIGM CORP DEL COM 34385P108 3,796 1,090,830 SH   SOLE   1,090,830 0 0
GLAUKOS CORP COM 377322102 7,190 132,000 SH Put SOLE   132,000 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 5,157 66,000 SH Call SOLE   66,000 0 0
HCA HEALTHCARE INC COM 40412C101 3,252 22,000 SH Put SOLE   22,000 0 0
HEXO CORP COM 428304109 239 150,000 SH Put SOLE   150,000 0 0
HORIZON THERAPEUTICS PUB L SHS G46188101 3,946 109,000 SH Call SOLE   109,000 0 0
ICU MED INC COM 44930G107 19,333 103,320 SH   SOLE   103,320 0 0
ICU MED INC COM 44930G107 13,286 71,000 SH Call SOLE   71,000 0 0
ILLUMINA INC COM 452327109 17,250 52,000 SH Call SOLE   52,000 0 0
IMMUNOMEDICS INC COM 452907108 4,613 218,000 SH Put SOLE   218,000 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 2,051 109,000 SH Call SOLE   109,000 0 0
INSPIRE MED SYS INC COM 457730109 28,470 383,640 SH   SOLE   383,640 0 0
INSPIRE MED SYS INC COM 457730109 12,096 163,000 SH Call SOLE   163,000 0 0
INTERSECT ENT INC COM 46071F103 18,186 730,360 SH   SOLE   730,360 0 0
INTERSECT ENT INC COM 46071F103 16,285 654,000 SH Call SOLE   654,000 0 0
INVACARE CORP COM 461203101 12,073 1,338,493 SH   SOLE   1,338,493 0 0
IOVANCE BIOTHERAPEUTICS INC COM 462260100 3,017 109,000 SH Call SOLE   109,000 0 0
ISHARES TR U.S. MED DVC ETF 464288810 28,811 109,000 SH Put SOLE   109,000 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 42,743 258,000 SH Put SOLE   258,000 0 0
KALA PHARMACEUTICALS INC COM 483119103 1,968 533,287 SH   SOLE   533,287 0 0
MASIMO CORP COM 574795100 3,858 24,409 SH   SOLE   24,409 0 0
MEDTRONIC PLC SHS G5960L103 30,178 266,000 SH Call SOLE   266,000 0 0
MERIT MED SYS INC COM 589889104 4,433 142,000 SH Call SOLE   142,000 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 18,194 654,000 SH Call SOLE   654,000 0 0
NATERA INC COM 632307104 2,571 76,300 SH   SOLE   76,300 0 0
NATERA INC COM 632307104 1,819 54,000 SH Call SOLE   54,000 0 0
NEOLEUKIN THERAPEUTICS INC COM 64049K104 1,579 128,180 SH   SOLE   128,180 0 0
NEVRO CORP COM 64157F103 10,814 92,000 SH Call SOLE   92,000 0 0
NOVAVAX INC COM NEW 670002401 1,305 327,800 SH Call SOLE   327,800 0 0
OMNICELL COM COM 68213N109 6,456 79,000 SH Put SOLE   79,000 0 0
ONCOCYTE CORP COM 68235C107 12,817 5,696,576 SH   SOLE   5,696,576 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 9,127 94,000 SH Put SOLE   94,000 0 0
QIAGEN NV SHS NEW N72482123 4,218 124,780 SH   SOLE   124,780 0 0
QIAGEN NV SHS NEW N72482123 20,043 593,000 SH Call SOLE   593,000 0 0
QIAGEN NV SHS NEW N72482123 11,053 327,000 SH Put SOLE   327,000 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 2,116 163,000 SH Call SOLE   163,000 0 0
ROCKET PHARMACEUTICALS INC COM 77313F106 2,481 109,000 SH   SOLE   109,000 0 0
SAREPTA THERAPEUTICS INC COM 803607100 14,065 109,000 SH Put SOLE   109,000 0 0
SAVARA INC COM 805111101 1,286 287,110 SH   SOLE   287,110 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 41,050 403,000 SH Put SOLE   403,000 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 7,167 820,000 SH Put SOLE   820,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 156,488 486,200 SH Put SOLE   486,200 0 0
SPDR SER TR S&P BIOTECH 78464A870 40,707 428,000 SH Put SOLE   428,000 0 0
SPECTRUM PHARMACEUTICALS INC COM 84763A108 794 218,000 SH Call SOLE   218,000 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 11,501 327,000 SH Put SOLE   327,000 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
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 27,634 94,000 SH Put SOLE   94,000 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 9,879 66,000 SH Call SOLE   66,000 0 0