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
908 DEVICES INC COM 65443P102 4,128 217,149 SH   SOLE   217,149 0 0
AADI BIOSCIENCE INC COM 00032Q104 2,559 150,817 SH   SOLE   150,817 0 0
AC IMMUNE SA SHS H00263105 498 124,589 SH   SOLE   124,589 0 0
ADAPTIMMUNE THERAPEUTICS PLC SPONDS ADR 00653A107 488 237,086 SH   SOLE   237,086 0 0
AGILENT TECHNOLOGIES INC COM 00846U101 2,548 19,255 SH   SOLE   19,255 0 0
ALNYLAM PHARMACEUTICALS INC COM 02043Q107 8,633 52,871 SH   SOLE   52,871 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 29,545 8,980,145 SH   SOLE   8,980,145 0 0
AMNEAL PHARMACEUTICALS INC COM STK CL A 03168L105 22,900 5,491,497 SH   SOLE   5,491,497 0 0
ANAPTYSBIO INC COM 032724106 2,824 114,165 SH   SOLE   114,165 0 0
ANTHEM INC COM 036752103 15,941 32,451 SH   SOLE   32,451 0 0
ARGENX SE SPONSORED ADR 04016X101 7,297 23,142 SH   SOLE   23,142 0 0
ARK ETF TR GENOMIC REV ETF 00214Q302 21,610 470,506 SH   SOLE   470,506 0 0
ASCENDIS PHARMA A/S SPONSORED ADR 04351P101 48,959 417,172 SH   SOLE   417,172 0 0
ASSEMBLY BIOSCIENCES INC COM 045396108 577 280,000 SH   SOLE   280,000 0 0
ASTRAZENECA PLC SPONSORED ADR 046353108 49,441 745,263 SH   SOLE   745,263 0 0
AUTOLUS THERAPEUTICS PLC SPON ADS 05280R100 1,549 371,540 SH   SOLE   371,540 0 0
AVANTOR INC COM 05352A100 33,659 995,232 SH   SOLE   995,232 0 0
AVROBIO INC COM 05455M100 390 295,369 SH   SOLE   295,369 0 0
BIO-TECHNE CORP COM 09073M104 460 1,062 SH   SOLE   1,062 0 0
BIOGEN INC COM 09062X103 16,427 78,003 SH   SOLE   78,003 0 0
BIOHAVEN PHARMACTL HLDG CO L COM G11196105 76,438 644,666 SH   SOLE   644,666 0 0
CELLDEX THERAPEUTICS INC NEW COM NEW 15117B202 21,678 636,453 SH   SOLE   636,453 0 0
CENTENE CORP DEL COM 15135B101 10,033 119,170 SH   SOLE   119,170 0 0
CLOVIS ONCOLOGY INC COM 189464100 61 30,000 SH   SOLE   30,000 0 0
COMMUNITY HEALTH SYS INC NEW COM 203668108 84,594 7,126,711 SH   SOLE   7,126,711 0 0
CYCLERION THERAPEUTICS INC COM 23255M105 413 371,955 SH   SOLE   371,955 0 0
DANAHER CORPORATION COM 235851102 46,904 159,768 SH   SOLE   159,768 0 0
DEXCOM INC COM 252131107 14,531 28,404 SH   SOLE   28,404 0 0
ELEDON PHARMACEUTICALS INC COM 28617K101 449 114,008 SH   SOLE   114,008 0 0
ENSIGN GROUP INC COM 29358P101 936 10,397 SH   SOLE   10,397 0 0
ENVISTA HOLDINGS CORPORATION COM 29415F104 27,733 569,351 SH   SOLE   569,351 0 0
EXELIXIS INC COM 30161Q104 4,606 203,156 SH   SOLE   203,156 0 0
FATE THERAPEUTICS INC COM 31189P102 17,681 456,059 SH   SOLE   456,059 0 0
GLAXOSMITHKLINE PLC SPONSORED ADR 37733W105 55,533 1,259,162 SH   SOLE   1,259,162 0 0
GLYCOMIMETICS INC COM 38000Q102 115 100,579 SH   SOLE   100,579 0 0
GOSSAMER BIO INC COM 38341P102 3,253 374,723 SH   SOLE   374,723 0 0
GUARDANT HEALTH INC COM 40131M109 14,123 213,203 SH   SOLE   213,203 0 0
HCA HEALTHCARE INC COM 40412C101 27,929 111,440 SH   SOLE   111,440 0 0
HEALTHEQUITY INC COM 42226A107 9,721 144,140 SH   SOLE   144,140 0 0
HESKA CORP COM RESTRC NEW 42805E306 807 5,836 SH   SOLE   5,836 0 0
HORIZON THERAPEUTICS PUB L SHS G46188101 64,172 609,939 SH   SOLE   609,939 0 0
ICON PLC SHS G4705A100 11,387 46,816 SH   SOLE   46,816 0 0
ILLUMINA INC COM 452327109 13,542 38,759 SH   SOLE   38,759 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602 2,463 8,163 SH   SOLE   8,163 0 0
IONIS PHARMACEUTICALS INC COM 462222100 5,882 158,806 SH   SOLE   158,806 0 0
IQVIA HLDGS INC COM 46266C105 13,773 59,570 SH   SOLE   59,570 0 0
IRHYTHM TECHNOLOGIES INC COM 450056106 4,259 27,047 SH   SOLE   27,047 0 0
KARUNA THERAPEUTICS INC COM 48576A100 2,020 15,934 SH   SOLE   15,934 0 0
KODIAK SCIENCES INC COM 50015M109 704 91,200 SH   SOLE   91,200 0 0
LABORATORY CORP AMER HLDGS COM NEW 50540R409 9,995 37,910 SH   SOLE   37,910 0 0
LIQUIDIA CORPORATION COM NEW 53635D202 9,890 1,377,490 SH   SOLE   1,377,490 0 0
MASIMO CORP COM 574795100 30,413 208,970 SH   SOLE   208,970 0 0
MCKESSON CORP COM 58155Q103 16,072 52,375 SH   SOLE   52,375 0 0
MERCK & CO INC COM 58933Y105 1,987 9,483 SH   SOLE   9,483 0 0
MEREO BIOPHARMA GROUP PLC ADS 589492107 415 370,170 SH   SOLE   370,170 0 0
MERUS N V COM N5749R100 2,032 76,849 SH   SOLE   76,849 0 0
MILESTONE PHARMACEUTICALS IN COM 59935V107 945 147,165 SH   SOLE   147,165 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 9,754 280,695 SH   SOLE   280,695 0 0
ORCHARD THERAPEUTICS PLC ADS 68570P101 299 419,581 SH   SOLE   419,581 0 0
ORTHO CLINICAL DIAGNOSTICS H ORD SHS G6829J107 8,305 445,059 SH   SOLE   445,059 0 0
PERKINELMER INC COM 714046109 1,708 9,788 SH   SOLE   9,788 0 0
PUMA BIOTECHNOLOGY INC COM 74587V107 4,103 1,424,650 SH   SOLE   1,424,650 0 0
QIAGEN NV SHS NEW N72482123 9,442 192,699 SH   SOLE   192,699 0 0
R1 RCM INC COM 749397105 36,434 1,361,506 SH   SOLE   1,361,506 0 0
RADIUS HEALTH INC COM NEW 750469207 2,668 302,172 SH   SOLE   302,172 0 0
REPLIGEN CORP COM 759916109 6,869 36,521 SH   SOLE   36,521 0 0
SONIDA SENIOR LIVING INC COM 140475203 504 15,209 SH   SOLE   15,209 0 0
SPERO THERAPEUTICS INC COM 84833T103 519 59,639 SH   SOLE   59,639 0 0
SURGALIGN HOLDINGS INC COM 86882C105 479 1,573,802 SH   SOLE   1,573,802 0 0
SYNEOS HEALTH INC CL A 87166B102 6,591 81,416 SH   SOLE   81,416 0 0
TARO PHARMACEUTICAL INDS LTD SHS M8737E108 9,530 220,286 SH   SOLE   220,286 0 0
TEVA PHARMACEUTICAL INDS LTD SPONSORED ADS 881624209 38,908 4,143,602 SH   SOLE   4,143,602 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102 52,430 292,234 SH   SOLE   292,234 0 0
VIRIDIAN THERAPEUTICS INC COM 92790C104 2,880 155,743 SH   SOLE   155,743 0 0
XENON PHARMACEUTICALS INC COM 98420N105 12,534 410,021 SH   SOLE   410,021 0 0
ZENTALIS PHARMACEUTICALS INC COM 98943L107 4,623 100,187 SH   SOLE   100,187 0 0
ASTRAZENECA PLC CALL 046353908 33,742 5,723 SH   SOLE   5,723 0 0
BIOGEN INC CALL 09062X903 913 1,400 SH   SOLE   1,400 0 0
ISHARES INC PUT 46434G952 2,965 1,000 SH   SOLE   1,000 0 0
GLAXOSMITHKLINE PLC CALL 37733W905 56,059 15,537 SH   SOLE   15,537 0 0
ISHARES TR PUT 464287958 381 17 SH   SOLE   17 0 0
KODIAK SCIENCES INC PUT 50015M959 1,373 1,812 SH   SOLE   1,812 0 0
MERCK & CO INC CALL 58933Y905 3,007 487 SH   SOLE   487 0 0
PROGYNY INC PUT 74340E953 1,039 500 SH   SOLE   500 0 0
INVESCO QQQ TR PUT 46090E953 26,128 1,800 SH   SOLE   1,800 0 0
TEVA PHARMACEUTICAL INDS LTD CALL 881624909 299 929 SH   SOLE   929 0 0