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
ACCELERON PHARMA INC COM 00434H108 42,045 335,045 SH   SOLE   335,045 0 0
AFFIMED N V COM N01045108 4,819 566,942 SH   SOLE   566,942 0 0
AGILENT TECHNOLOGIES INC COM 00846U101 2,256 15,261 SH   SOLE   15,261 0 0
ALNYLAM PHARMACEUTICALS INC COM 02043Q107 8,669 51,136 SH   SOLE   51,136 0 0
ALPHA HEALTHCARE ACQUISTN CO CL A 020751103 2,089 205,026 SH   SOLE   205,026 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 73,012 16,669,471 SH   SOLE   16,669,471 0 0
AMN HEALTHCARE SVCS INC COM 001744101 15,430 159,101 SH   SOLE   159,101 0 0
AMNEAL PHARMACEUTICALS INC COM STK CL A 03168L105 28,799 5,624,725 SH   SOLE   5,624,725 0 0
ANTHEM INC COM 036752103 3,868 10,132 SH   SOLE   10,132 0 0
ARK ETF TR GENOMIC REV ETF 00214Q302 71,547 773,480 SH   SOLE   773,480 0 0
ARK ETF TR INNOVATION ETF 00214Q104 11,116 85,000 SH   SOLE   85,000 0 0
ASCENDIS PHARMA A/S SPONSORED ADR 04351P101 31,805 241,774 SH   SOLE   241,774 0 0
ASTRAZENECA PLC SPONSORED ADR 046353108 59,045 985,722 SH   SOLE   985,722 0 0
AUTOLUS THERAPEUTICS PLC SPON ADS 05280R100 3,141 473,074 SH   SOLE   473,074 0 0
AVANTOR INC COM 05352A100 34,609 974,637 SH   SOLE   974,637 0 0
BRISTOL-MYERS SQUIBB CO COM 110122108 31,962 478,328 SH   SOLE   478,328 0 0
CENTENE CORP DEL COM 15135B101 4,959 68,000 SH   SOLE   68,000 0 0
CENTURY THERAPEUTICS INC COM 15673T100 2,960 100,901 SH   SOLE   100,901 0 0
CIGNA CORP NEW COM 125523100 9,896 41,745 SH   SOLE   41,745 0 0
COMMUNITY HEALTH SYS INC NEW COM 203668108 59,007 3,821,729 SH   SOLE   3,821,729 0 0
CROSS CTRY HEALTHCARE INC COM 227483104 509 30,810 SH   SOLE   30,810 0 0
CULLINAN ONCOLOGY INC COM 230031106 4,220 163,880 SH   SOLE   163,880 0 0
DANAHER CORPORATION COM 235851102 54,976 204,705 SH   SOLE   204,705 0 0
DEXCOM INC COM 252131107 4,067 9,525 SH   SOLE   9,525 0 0
ENSIGN GROUP INC COM 29358P101 778 8,973 SH   SOLE   8,973 0 0
ENVISTA HOLDINGS CORPORATION COM 29415F104 28,350 656,098 SH   SOLE   656,098 0 0
EXELIXIS INC COM 30161Q104 3,280 180,000 SH   SOLE   180,000 0 0
F-STAR THERAPEUTICS INC COM 30315R107 859 100,000 SH   SOLE   100,000 0 0
FATE THERAPEUTICS INC COM 31189P102 30,059 346,347 SH   SOLE   346,347 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105 4,613 112,679 SH   SOLE   112,679 0 0
GOHEALTH INC COM CL A 38046W105 772 68,899 SH   SOLE   68,899 0 0
GUARDANT HEALTH INC COM 40131M109 225 1,809 SH   SOLE   1,809 0 0
HCA HEALTHCARE INC COM 40412C101 1,719 8,314 SH   SOLE   8,314 0 0
HEALTHEQUITY INC COM 42226A107 15,895 197,500 SH   SOLE   197,500 0 0
HEALTHSTREAM INC COM 42222N103 2,174 77,812 SH   SOLE   77,812 0 0
HESKA CORP COM RESTRC NEW 42805E306 784 3,412 SH   SOLE   3,412 0 0
HORIZON THERAPEUTICS PUB L SHS G46188101 62,433 666,738 SH   SOLE   666,738 0 0
HUMANA INC COM 444859102 8,272 18,656 SH   SOLE   18,656 0 0
IMMUNOVANT INC COM 45258J102 1,165 110,183 SH   SOLE   110,183 0 0
INTERSECT ENT INC COM 46071F103 2,997 175,389 SH   SOLE   175,389 0 0
INTRA-CELLULAR THERAPIES INC COM 46116X101 4,795 117,462 SH   SOLE   117,462 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602 2,375 2,583 SH   SOLE   2,583 0 0
IONIS PHARMACEUTICALS INC COM 462222100 17,631 442,000 SH   SOLE   442,000 0 0
IQVIA HLDGS INC COM 46266C105 1,384 5,712 SH   SOLE   5,712 0 0
KADMON HLDGS INC COM 48283N106 3,464 894,995 SH   SOLE   894,995 0 0
LEXICON PHARMACEUTICALS INC COM NEW 528872302 1,052 229,289 SH   SOLE   229,289 0 0
LIQUIDIA CORPORATION COM NEW 53635D202 2,800 979,049 SH   SOLE   979,049 0 0
MAGELLAN HEALTH INC COM NEW 559079207 9,863 104,700 SH   SOLE   104,700 0 0
MARAVAI LIFESCIENCES HLDGS I COM CL A 56600D107 3,130 75,000 SH   SOLE   75,000 0 0
MCKESSON CORP COM 58155Q103 14,373 75,000 SH   SOLE   75,000 0 0
NATERA INC COM 632307104 1,057 9,314 SH   SOLE   9,314 0 0
OCULAR THERAPEUTIX INC COM 67576A100 2,127 150,000 SH   SOLE   150,000 0 0
OMNICELL COM COM 68213N109 14,898 98,366 SH   SOLE   98,366 0 0
OPTION CARE HEALTH INC COM NEW 68404L201 6,327 289,297 SH   SOLE   289,297 0 0
ORGANON & CO COMMON STOCK 68622V106 21,173 699,696 SH   SOLE   699,696 0 0
ORTHO CLINICAL DIAGNOSTICS H ORD SHS G6829J107 29,852 1,394,284 SH   SOLE   1,394,284 0 0
OUTSET MED INC COM 690145107 5,363 107,300 SH   SOLE   107,300 0 0
QIAGEN NV SHS NEW N72482123 31,497 651,035 SH   SOLE   651,035 0 0
R1 RCM INC COM 749397105 17,125 770,000 SH   SOLE   770,000 0 0
REPLIGEN CORP COM 759916109 737 3,692 SH   SOLE   3,692 0 0
SERES THERAPEUTICS INC COM 81750R102 1,421 59,560 SH   SOLE   59,560 0 0
SURGALIGN HOLDINGS INC COM 86882C105 4,906 3,882,096 SH   SOLE   3,882,096 0 0
TARO PHARMACEUTICAL INDS LTD SHS M8737E108 12,539 174,249 SH   SOLE   174,249 0 0
TELIGENT INC NEW COM NEW 87960W203 1,337 2,500,260 SH   SOLE   2,500,260 0 0
TEVA PHARMACEUTICAL INDS LTD SPONSORED ADS 881624209 37,664 3,804,405 SH   SOLE   3,804,405 0 0
TG THERAPEUTICS INC COM 88322Q108 2,706 69,760 SH   SOLE   69,760 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102 79,469 442,945 SH   SOLE   442,945 0 0
VERTEX PHARMACEUTICALS INC COM 92532F100 10,989 54,500 SH   SOLE   54,500 0 0
ZOGENIX INC COM NEW 98978L204 8,568 495,860 SH   SOLE   495,860 0 0
ACADIA PHARMACEUTICALS INC CALL 004225908 1,208 846 SH   SOLE   846 0 0
ARK ETF TR CALL 00214Q902 18,386 1,990 SH   SOLE   1,990 0 0
BIOGEN INC CALL 09062X903 35,090 1,156 SH   SOLE   1,156 0 0
BIOGEN INC PUT 09062X953 318 20 SH   SOLE   20 0 0
FREQUENCY THERAPEUTICS INC PUT 35803L958 852 925 SH   SOLE   925 0 0
GLOBAL BLOOD THERAPEUTICS IN PUT 37890U958 936 400 SH   SOLE   400 0 0
GLAXOSMITHKLINE PLC CALL 37733W905 35,172 14,037 SH   SOLE   14,037 0 0
HORIZON THERAPEUTICS PUB L CALL G46188901 4,012 700 SH   SOLE   700 0 0
ISHARES TR PUT 464287956 4,282 700 SH   SOLE   700 0 0
MERCK & CO INC CALL 58933Y905 2,410 487 SH   SOLE   487 0 0
NOVAVAX INC CALL 670002901 1,449 100 SH   SOLE   100 0 0
INVESCO QQQ TR PUT 46090E953 14,301 2,500 SH   SOLE   2,500 0 0
SPDR S&P 500 ETF TR PUT 78462F953 37,416 2,500 SH   SOLE   2,500 0 0
TELADOC HEALTH INC CALL 87918A905 5,223 400 SH   SOLE   400 0 0
TEVA PHARMACEUTICAL INDS LTD CALL 881624909 778 1,929 SH   SOLE   1,929 0 0
VERTEX PHARMACEUTICALS INC CALL 92532F900 9,192 1,733 SH   SOLE   1,733 0 0
SPDR SER TR CALL 78464A900 18,193 2,000 SH   SOLE   2,000 0 0
SPDR SER TR PUT 78464A950 6,279 1,000 SH   SOLE   1,000 0 0