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 9,686 470,444 SH   SOLE   470,444 0 0
AADI BIOSCIENCE INC COM 00032Q104 1,242 100,817 SH   SOLE   100,817 0 0
ABIOMED INC COM 003654100 17,152 69,297 SH   SOLE   69,297 0 0
AC IMMUNE SA SHS H00263105 450 124,589 SH   SOLE   124,589 0 0
AFFIMED N V COM N01045108 3,132 1,130,761 SH   SOLE   1,130,761 0 0
AGILENT TECHNOLOGIES INC COM 00846U101 2,407 20,264 SH   SOLE   20,264 0 0
ALNYLAM PHARMACEUTICALS INC COM 02043Q107 11,520 78,987 SH   SOLE   78,987 0 0
AMARIN CORP PLC SPONS ADR NEW 023111206 19,794 13,284,894 SH   SOLE   13,284,894 0 0
AMICUS THERAPEUTICS INC COM 03152W109 5,136 478,245 SH   SOLE   478,245 0 0
AMNEAL PHARMACEUTICALS INC COM STK CL A 03168L105 17,472 5,494,280 SH   SOLE   5,494,280 0 0
ANAPTYSBIO INC COM 032724106 3,709 182,717 SH   SOLE   182,717 0 0
ARGENX SE SPONSORED ADR 04016X101 18,617 49,136 SH   SOLE   49,136 0 0
ASTRAZENECA PLC SPONSORED ADR 046353108 67,413 1,020,329 SH   SOLE   1,020,329 0 0
AVANTOR INC COM 05352A100 34,837 1,120,175 SH   SOLE   1,120,175 0 0
BIOGEN INC COM 09062X103 20,682 101,414 SH   SOLE   101,414 0 0
BIOHAVEN PHARMACTL HLDG CO L COM G11196105 92,204 632,794 SH   SOLE   632,794 0 0
BOLT BIOTHERAPEUTICS INC COM 097702104 64 31,172 SH   SOLE   31,172 0 0
CELLDEX THERAPEUTICS INC NEW COM NEW 15117B202 14,892 552,388 SH   SOLE   552,388 0 0
CENTENE CORP DEL COM 15135B101 19,769 233,647 SH   SOLE   233,647 0 0
COMMUNITY HEALTH SYS INC NEW COM 203668108 30,228 8,060,859 SH   SOLE   8,060,859 0 0
DANAHER CORPORATION COM 235851102 45,592 179,659 SH   SOLE   179,659 0 0
DEXCOM INC COM 252131107 1,078 14,468 SH   SOLE   14,468 0 0
ELEDON PHARMACEUTICALS INC COM 28617K101 144 59,065 SH   SOLE   59,065 0 0
ELEVANCE HEALTH INC COM 036752103 20,647 42,785 SH   SOLE   42,785 0 0
ENVISTA HOLDINGS CORPORATION COM 29415F104 25,401 659,094 SH   SOLE   659,094 0 0
FATE THERAPEUTICS INC COM 31189P102 18,005 726,586 SH   SOLE   726,586 0 0
GLYCOMIMETICS INC COM 38000Q102 60 100,579 SH   SOLE   100,579 0 0
GOSSAMER BIO INC COM 38341P102 3,920 468,303 SH   SOLE   468,303 0 0
GSK PLC SPONSORED ADR 37733W105 69,913 1,594,121 SH   SOLE   1,594,121 0 0
GUARDANT HEALTH INC COM 40131M109 16,393 406,375 SH   SOLE   406,375 0 0
HEALTHEQUITY INC COM 42226A107 7,799 127,043 SH   SOLE   127,043 0 0
HESKA CORP COM RESTRC NEW 42805E306 735 7,772 SH   SOLE   7,772 0 0
HORIZON THERAPEUTICS PUB L SHS G46188101 70,953 889,583 SH   SOLE   889,583 0 0
HUMANA INC COM 444859102 5,237 11,170 SH   SOLE   11,170 0 0
ICON PLC SHS G4705A100 1,211 5,587 SH   SOLE   5,587 0 0
ILLUMINA INC COM 452327109 6,502 35,266 SH   SOLE   35,266 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602 1,724 8,591 SH   SOLE   8,591 0 0
IONIS PHARMACEUTICALS INC COM 462222100 3,195 86,311 SH   SOLE   86,311 0 0
IQVIA HLDGS INC COM 46266C105 1,307 6,024 SH   SOLE   6,024 0 0
LABORATORY CORP AMER HLDGS COM NEW 50540R409 1,255 5,354 SH   SOLE   5,354 0 0
LANTHEUS HLDGS INC COM 516544103 11,889 180,053 SH   SOLE   180,053 0 0
LIQUIDIA CORPORATION COM NEW 53635D202 9,155 2,099,708 SH   SOLE   2,099,708 0 0
MARAVAI LIFESCIENCES HLDGS I COM CL A 56600D107 12,085 425,364 SH   SOLE   425,364 0 0
MASIMO CORP COM 574795100 782 5,984 SH   SOLE   5,984 0 0
MERUS N V COM N5749R100 6,516 287,806 SH   SOLE   287,806 0 0
MILESTONE PHARMACEUTICALS IN COM 59935V107 905 147,165 SH   SOLE   147,165 0 0
NATERA INC COM 632307104 16,857 475,655 SH   SOLE   475,655 0 0
PERKINELMER INC COM 714046109 1,464 10,293 SH   SOLE   10,293 0 0
PUMA BIOTECHNOLOGY INC COM 74587V107 4,090 1,435,077 SH   SOLE   1,435,077 0 0
QIAGEN NV SHS NEW N72482123 8,964 189,907 SH   SOLE   189,907 0 0
R1 RCM INC CO 77634L105 12,384 590,819 SH   SOLE   590,819 0 0
RADIUS HEALTH INC COM NEW 750469207 5,212 502,587 SH   SOLE   502,587 0 0
REPLIGEN CORP COM 759916109 925 5,693 SH   SOLE   5,693 0 0
SANOFI SPONSORED ADR 80105N105 43,999 879,460 SH   SOLE   879,460 0 0
SHOCKWAVE MED INC COM 82489T104 631 3,300 SH   SOLE   3,300 0 0
SONIDA SENIOR LIVING INC COM 140475203 319 15,209 SH   SOLE   15,209 0 0
SPDR SER TR S&P BIOTECH 78464A870 26,445 356,067 SH   SOLE   356,067 0 0
SYNDAX PHARMACEUTICALS INC COM 87164F105 19,132 994,362 SH   SOLE   994,362 0 0
TANDEM DIABETES CARE INC COM NEW 875372203 15,169 256,268 SH   SOLE   256,268 0 0
TARO PHARMACEUTICAL INDS LTD SHS M8737E108 7,969 220,390 SH   SOLE   220,390 0 0
TEVA PHARMACEUTICAL INDS LTD SPONSORED ADS 881624209 33,920 4,510,702 SH   SOLE   4,510,702 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102 73,245 310,834 SH   SOLE   310,834 0 0
VIRIDIAN THERAPEUTICS INC COM 92790C104 5,155 445,592 SH   SOLE   445,592 0 0
XENON PHARMACEUTICALS INC COM 98420N105 14,173 465,911 SH   SOLE   465,911 0 0
ZENTALIS PHARMACEUTICALS INC COM 98943L107 1,077 38,342 SH   SOLE   38,342 0 0
ARK ETF TR PUT 00214Q954 1,692 900 SH   SOLE   900 0 0
ASTRAZENECA PLC CALL 046353908 19,596 3,003 SH   SOLE   3,003 0 0
CELLDEX THERAPEUTICS INC NEW PUT 15117B952 288 606 SH   SOLE   606 0 0
CELLDEX THERAPEUTICS INC NEW CALL 15117B902 2,454 1,916 SH   SOLE   1,916 0 0
COMMUNITY HEALTH SYS INC NEW CALL 203668908 219 2,000 SH   SOLE   2,000 0 0
GSK PLC CALL 37733W905 54,795 15,537 SH   SOLE   15,537 0 0
ISHARES TR PUT 464287955 4,604 500 SH   SOLE   500 0 0
MERCK & CO INC CALL 58933Y905 3,595 487 SH   SOLE   487 0 0
INVESCO QQQ TR PUT 46090E953 44,946 2,700 SH   SOLE   2,700 0 0
SPDR S&P 500 ETF TR PUT 78462F953 62,256 4,650 SH   SOLE   4,650 0 0
SPDR SER TR CALL 78464A900 5,108 2,598 SH   SOLE   2,598 0 0