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 FIGI (to the nearest dollar) PRN AMT PRN CALL DISCRETION MANAGER SOLE SHARED NONE
2SEVENTY BIO INC COMMON STOCK 901384107   2,354,765 251,309 SH   SOLE   251,309 0 0
89BIO INC COM 282559103   636,500 50,000 SH   SOLE   50,000 0 0
AGILENT TECHNOLOGIES INC PUT 00846U951   4,489,500 30,000 SH Put SOLE   30,000 0 0
ADMA BIOLOGICS INC COM 000899104   1,164,000 300,000 SH   SOLE   300,000 0 0
ADAPTIVE BIOTECHNOLOGIES COR CALL 00650F909   5,730,000 750,000 SH Call SOLE   0 0 0
AEGLEA BIOTHERAPEUTICS INC COM 00773J103   471,809 1,048,697 SH   SOLE   1,048,697 0 0
ALIGN TECHNOLOGY INC CALL 016255901   2,636,250 12,500 SH Call SOLE   0 0 0
ALKERMES PLC SHS G01767105   1,306,500 50,000 SH   SOLE   50,000 0 0
ALNYLAM PHARMACEUTICALS INC CALL 02043Q907   15,542,310 65,400 SH Call SOLE   0 0 0
ALNYLAM PHARMACEUTICALS INC PUT 02043Q957   7,129,500 30,000 SH Put SOLE   30,000 0 0
ALPINE IMMUNE SCIENCES INC COM 02083G100   227,291 30,924 SH   SOLE   30,924 0 0
ANNEXON INC COM 03589W102   1,565,135 302,734 SH   SOLE   302,734 0 0
APELLIS PHARMACEUTICALS INC CALL 03753U906   10,342,000 200,000 SH Call SOLE   0 0 0
APPLIED THERAPEUTICS INC COM 03828A101   77,257 101,654 SH   SOLE   101,654 0 0
APYX MEDICAL CORPORATION CALL 03837C906   1,965,600 840,000 SH Call SOLE   0 0 0
APYX MEDICAL CORPORATION COM 03837C106   1,421,690 607,560 SH   SOLE   607,560 0 0
ARCTURUS THERAPEUTICS HLDGS COM 03969T109   848,000 50,000 SH   SOLE   50,000 0 0
ARK ETF TR PUT 00214Q952   25,407,000 900,000 SH Put SOLE   900,000 0 0
ARK ETF TR PUT 00214Q954   38,269,000 1,225,000 SH Put SOLE   1,225,000 0 0
ARROWHEAD PHARMACEUTICALS IN CALL 04280A900   803,088 19,800 SH Call SOLE   0 0 0
ATHIRA PHARMA INC COM 04746L104   246,309 77,700 SH   SOLE   77,700 0 0
AVADEL PHARMACEUTICALS PLC SPONSORED ADR 05337M104   1,861,600 260,000 SH   SOLE   260,000 0 0
AVANTOR INC COM 05352A100   731,823 34,700 SH   SOLE   34,700 0 0
AVITA MEDICAL INC COM 05380C102   6,165,938 934,233 SH   SOLE   934,233 0 0
ANAVEX LIFE SCIENCES CORP CALL 032797900   2,778,000 300,000 SH Call SOLE   0 0 0
AZENTA INC COM 114340102   7,335,720 126,000 SH   SOLE   126,000 0 0
BAXTER INTL INC CALL 071813909   45,873,000 900,000 SH Call SOLE   0 0 0
BICYCLE THERAPEUTICS PLC SPONSORED ADS 088786108   7,074,844 239,015 SH   SOLE   239,015 0 0
BIOGEN INC CALL 09062X903   28,633,528 103,400 SH Call SOLE   0 0 0
BIOCRYST PHARMACEUTICALS INC COM 09058V103   1,224,101 106,629 SH   SOLE   106,629 0 0
BIOGEN INC COM 09062X103   17,368,422 62,720 SH   SOLE   62,720 0 0
BIONTECH SE SPONSORED ADS 09075V102   4,235,453 28,195 SH   SOLE   28,195 0 0
BIO-TECHNE CORP COM 09073M104   5,635,840 68,000 SH   SOLE   68,000 0 0
BIOVENTUS INC COM CL A 09075A108   65,250 25,000 SH   SOLE   25,000 0 0
CEREVEL THERAPEUTICS HLDNG I COM 15678U128   441,560 14,000 SH   SOLE   14,000 0 0
CANOPY GROWTH CORP CALL 138035900   4,042,500 1,750,000 SH Call SOLE   0 0 0
CHINOOK THERAPEUTICS INC COM 16961L106   2,358,000 90,000 SH   SOLE   90,000 0 0
CELLDEX THERAPEUTICS INC NEW CALL 15117B902   8,762,462 196,600 SH Call SOLE   0 0 0
CONCERT PHARMACEUTICALS INC CALL 206022905   347,480 59,500 SH Call SOLE   0 0 0
CONMED CORP PUT 207410951   4,910,656 55,400 SH Put SOLE   55,400 0 0
CONCERT PHARMACEUTICALS INC COM 206022105   1,206,106 206,525 SH   SOLE   206,525 0 0
COOPER COS INC COM NEW 216648402   5,092,318 15,400 SH   SOLE   15,400 0 0
CUREVAC N V COM N2451R105   731,939 121,383 SH   SOLE   121,383 0 0
CUREVAC N V COM N2451R105   41,724 6,862 SH   SOLE   6,862 0 0
CUTERA INC COM 232109108   45,812,849 1,036,021 SH   SOLE   1,036,021 0 0
CUTERA INC CALL 232109908   10,723,350 242,500 SH Call SOLE   0 0 0
CUREVAC N V CALL N2451R905   603,000 100,000 SH Call SOLE   0 0 0
CVS HEALTH CORP PUT 126650950   9,319,000 100,000 SH Put SOLE   100,000 0 0
CYTEK BIOSCIENCES INC COM 23285D109   4,295,847 420,749 SH   SOLE   420,749 0 0
CYTOKINETICS INC COM NEW 23282W605   11,229,835 25,000 PRN   SOLE   25,000 0 0
DEXCOM INC COM 252131107   8,055,780 71,139 SH   SOLE   71,139 0 0
DANAHER CORPORATION PUT 235851952   17,252,300 65,000 SH Put SOLE   65,000 0 0
ELEVANCE HEALTH INC PUT 036752953   10,259,400 20,000 SH Put SOLE   20,000 0 0
ESPERION THERAPEUTICS INC NE COM 29664W105   1,920,790 308,313 SH   SOLE   308,313 0 0
ESTABLISHMENT LABS HLDGS INC CALL G31249908   1,641,250 25,000 SH Call SOLE   0 0 0
ESTABLISHMENT LABS HLDGS INC COM G31249108   62,549,154 952,767 SH   SOLE   952,767 0 0
89BIO INC CALL 282559903   649,230 51,000 SH Call SOLE   0 0 0
EVAXION BIOTECH A S ADS 29970R105   29,895 16,842 SH   SOLE   16,842 0 0
EVOLENT HEALTH INC CL A 30050B101   3,262,896 116,200 SH   SOLE   116,200 0 0
EVOLUS INC COM 30052C107   375,500 50,000 SH   SOLE   50,000 0 0
EXACT SCIENCES CORP CALL 30063P905   13,615,250 275,000 SH Call SOLE   0 0 0
EXELIXIS INC COM 30161Q104   1,203,000 75,000 SH   SOLE   75,000 0 0
FIRST TR EXCHANGE TRADED FD PUT 33734X953   76,111,000 700,000 SH Put SOLE   700,000 0 0
GERON CORP CALL 374163903   4,391,332 1,814,600 SH Call SOLE   0 0 0
GERON CORP PUT 374163953   1,508,386 623,300 SH Put SOLE   623,300 0 0
GUARDANT HEALTH INC CALL 40131M909   11,122,080 408,900 SH Call SOLE   0 0 0
GH RESEARCH PLC ORDINARY SHARES G3855L106   1,538,938 158,327 SH   SOLE   158,327 0 0
GLAUKOS CORP CALL 377322902   10,920,000 250,000 SH Call SOLE   0 0 0
GLAUKOS CORP COM 377322102   33,242,620 761,049 SH   SOLE   761,049 0 0
GLYCOMIMETICS INC CALL 38000Q902   535,098 176,600 SH Call SOLE   0 0 0
GLYCOMIMETICS INC COM 38000Q102   95,793 31,615 SH   SOLE   31,615 0 0
GOSSAMER BIO INC NOTE 5.000% 6/0 38341PAA0   161,750 5,000 PRN   SOLE   5,000 0 0
GUARDANT HEALTH INC COM 40131M109   11,610,973 426,874 SH   SOLE   426,874 0 0
HOLOGIC INC PUT 436440951   7,884,974 105,400 SH Put SOLE   105,400 0 0
HORIZON THERAPEUTICS PUB L SHS G46188101   1,468,020 12,900 SH   SOLE   12,900 0 0
HENRY SCHEIN INC PUT 806407952   11,181,800 140,000 SH Put SOLE   140,000 0 0
HUMANA INC PUT 444859952   10,243,800 20,000 SH Put SOLE   20,000 0 0
INTEGRA LIFESCIENCES HLDGS C PUT 457985958   11,298,105 201,500 SH Put SOLE   201,500 0 0
ICAD INC COM NEW 44934S206   2,028,864 1,108,669 SH   SOLE   1,108,669 0 0
ICU MED INC COM 44930G107   6,273,216 39,835 SH   SOLE   39,835 0 0
ICU MED INC CALL 44930G907   18,897,600 120,000 SH Call SOLE   0 0 0
IDEXX LABS INC PUT 45168D954   8,159,200 20,000 SH Put SOLE   20,000 0 0
ISHARES TR PUT 464288950   78,855,000 1,500,000 SH Put SOLE   1,500,000 0 0
ILLUMINA INC CALL 452327909   11,626,500 57,500 SH Call SOLE   0 0 0
IMMUNOGEN INC COM 45253H101   248,000 50,000 SH   SOLE   50,000 0 0
INCYTE CORP COM 45337C102   2,441,728 30,400 SH   SOLE   30,400 0 0
INHIBRX INC COM 45720L107   2,305,688 93,575 SH   SOLE   93,575 0 0
INMODE LTD PUT M5425M953   7,140,000 200,000 SH Put SOLE   200,000 0 0
INSPIRE MED SYS INC COM 457730109   50,623,850 200,984 SH   SOLE   200,984 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602   2,653,500 10,000 SH   SOLE   10,000 0 0
IRHYTHM TECHNOLOGIES INC CALL 450056906   6,556,900 70,000 SH Call SOLE   0 0 0
IVERIC BIO INC CALL 46583P902   4,915,736 229,600 SH Call SOLE   0 0 0
IVERIC BIO INC PUT 46583P952   421,777 19,700 SH Put SOLE   19,700 0 0
INTUITIVE SURGICAL INC CALL 46120E902   29,188,500 110,000 SH Call SOLE   0 0 0
IVERIC BIO INC COM 46583P102   25,327,495 1,182,975 SH   SOLE   1,182,975 0 0
ISHARES TR PUT 464287955   95,898,000 550,000 SH Put SOLE   550,000 0 0
KALVISTA PHARMACEUTICALS INC COM 483497103   4,953,066 732,702 SH   SOLE   732,702 0 0
LANTHEUS HLDGS INC COM 516544103   5,945,248 116,665 SH   SOLE   116,665 0 0
LIQUIDIA CORPORATION COM NEW 53635D202   1,328,368 208,535 SH   SOLE   208,535 0 0
LIVANOVA PLC SHS G5509L101   12,660,399 227,951 SH   SOLE   227,951 0 0
LIVANOVA PLC CALL G5509L901   16,717,540 301,000 SH Call SOLE   0 0 0
PULMONX CORP CALL 745848901   843,000 100,000 SH Call SOLE   0 0 0
MERRIMACK PHARMACEUTICALS IN CALL 590328909   460,692 40,200 SH Call SOLE   0 0 0
MADRIGAL PHARMACEUTICALS INC PUT 558868955   10,449,000 36,000 SH Put SOLE   36,000 0 0
MEDTRONIC PLC PUT G5960L953   10,103,600 130,000 SH Put SOLE   130,000 0 0
MERRIMACK PHARMACEUTICALS IN COM NEW 590328209   734,586 64,100 SH   SOLE   64,100 0 0
MILESTONE PHARMACEUTICALS IN COM 59935V107   1,472,280 371,788 SH   SOLE   371,788 0 0
MIRATI THERAPEUTICS INC CALL 60468T905   5,536,882 122,200 SH Call SOLE   0 0 0
MIRATI THERAPEUTICS INC PUT 60468T955   566,375 12,500 SH Put SOLE   12,500 0 0
ADVISORSHARES TR CALL 00768Y903   15,727,500 2,250,000 SH Call SOLE   0 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109   7,249,512 909,600 SH   SOLE   909,600 0 0
INARI MED INC PUT 45332Y959   1,906,800 30,000 SH Put SOLE   30,000 0 0
NATERA INC COM 632307104   6,628,050 165,000 SH   SOLE   165,000 0 0
NGM BIOPHARMACEUTICALS INC CALL 62921N905   302,706 60,300 SH Call SOLE   0 0 0
NGM BIOPHARMACEUTICALS INC COM 62921N105   417,433 83,154 SH   SOLE   83,154 0 0
NOVOCURE LTD ORD SHS G6674U108   3,667,500 50,000 SH   SOLE   50,000 0 0
NANOSTRING TECHNOLOGIES INC CALL 63009R909   10,251,811 1,286,300 SH Call SOLE   0 0 0
NUVALENT INC COM 670703107   2,100,175 70,523 SH   SOLE   70,523 0 0
NOVOCURE LTD CALL G6674U908   2,567,250 35,000 SH Call SOLE   0 0 0
NOVOCURE LTD PUT G6674U958   19,445,085 265,100 SH Put SOLE   265,100 0 0
INVITAE CORP CALL 46185L903   744,000 400,000 SH Call SOLE   0 0 0
NYXOAH S A SHS B6S7WD106   801,378 149,131 SH   SOLE   149,131 0 0
OLINK HLDG AB SPONSORED ADS 680710100   12,439,423 490,127 SH   SOLE   490,127 0 0
OUTSET MED INC CALL 690145907   9,703,156 375,800 SH Call SOLE   0 0 0
ONCOCYTE CORP COM 68235C107   5,794,258 18,056,274 SH   SOLE   18,056,274 0 0
ORAMED PHARMACEUTICALS INC CALL 68403P903   2,231,565 185,500 SH Call SOLE   0 0 0
OUTSET MED INC COM 690145107   11,732,350 454,390 SH   SOLE   454,390 0 0
PACIFIC BIOSCIENCES CALIF IN COM 69404D108   818,000 100,000 SH   SOLE   100,000 0 0
PENUMBRA INC CALL 70975L907   9,321,074 41,900 SH Call SOLE   0 0 0
PFIZER INC CALL 717081903   5,124,000 100,000 SH Call SOLE   0 0 0
KONINKLIJKE PHILIPS N V PUT 500472953   4,497,000 300,000 SH Put SOLE   300,000 0 0
VANECK ETF TRUST PUT 92189F952   31,096,000 400,000 SH Put SOLE   400,000 0 0
PROMETHEUS BIOSCIENCES INC COM 74349U108   2,310,000 21,000 SH   SOLE   21,000 0 0
PROTHENA CORP PLC SHS G72800108   3,856,000 64,000 SH   SOLE   64,000 0 0
PRIVIA HEALTH GROUP INC CALL 74276R902   7,948,500 350,000 SH Call SOLE   0 0 0
PULMONX CORP COM 745848101   8,567,055 1,016,258 SH   SOLE   1,016,258 0 0
QIAGEN NV SHS NEW N72482123   548,570 11,000 SH   SOLE   11,000 0 0
INVESCO QQQ TR PUT 46090E953   107,843,400 405,000 SH Put SOLE   405,000 0 0
QUANTERIX CORP CALL 74766Q901   15,315,330 1,105,800 SH Call SOLE   0 0 0
QUANTERIX CORP COM 74766Q101   7,287,053 526,141 SH   SOLE   526,141 0 0
R1 RCM INC COM 77634L105   4,927,500 450,000 SH   SOLE   450,000 0 0
ROCKET PHARMACEUTICALS INC PUT 77313F956   2,935,500 150,000 SH Put SOLE   150,000 0 0
RELMADA THERAPEUTICS INC COM 75955J402   77,593 22,233 SH   SOLE   22,233 0 0
REPLIGEN CORP PUT 759916959   3,352,338 19,800 SH Put SOLE   19,800 0 0
RELMADA THERAPEUTICS INC CALL 75955J902   69,800 20,000 SH Call SOLE   0 0 0
ROIVANT SCIENCES LTD *W EXP 09/30/202 G76279119   387,317 199,648 SH   SOLE   199,648 0 0
PROMETHEUS BIOSCIENCES INC PUT 74349U958   1,375,000 12,500 SH Put SOLE   12,500 0 0
SAREPTA THERAPEUTICS INC DEBT 1.250% 9/1 803607AC4   2,893,750 25,000 PRN   SOLE   25,000 0 0
SAVARA INC COM 805111101   147,272 95,014 SH   SOLE   95,014 0 0
SCHRODINGER INC COM 80810D103   4,859,400 260,000 SH   SOLE   260,000 0 0
SEER INC PUT 81578P956   1,450,000 250,000 SH Put SOLE   250,000 0 0
THE BEAUTY HEALTH COMPANY PUT 88331L958   1,820,000 200,000 SH Put SOLE   200,000 0 0
SUMMIT THERAPEUTICS INC CALL 86627T908   850,000 200,000 SH Call SOLE   0 0 0
SOMALOGIC INC *W EXP 08/31/202 83444K113   81,760 204,401 SH   SOLE   204,401 0 0
SONENDO INC COM 835431107   13,912,407 4,916,045 SH   SOLE   4,916,045 0 0
SOPHIA GENETICS SA ORDINARY SHARES H82027105   1,553,314 754,036 SH   SOLE   754,036 0 0
SPRINGBIG HOLDINGS INC *W EXP 06/14/202 85021Q116   211 10,000 SH   SOLE   10,000 0 0
SPDR S&P 500 ETF TR PUT 78462F953   110,904,700 290,000 SH Put SOLE   290,000 0 0
SAREPTA THERAPEUTICS INC CALL 803607900   25,916,000 200,000 SH Call SOLE   0 0 0
STAAR SURGICAL CO PUT 852312955   20,629,500 425,000 SH Put SOLE   425,000 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305   8,412,467 173,310 SH   SOLE   173,310 0 0
STERIS PLC SHS USD G8473T100   2,862,695 15,500 SH   SOLE   15,500 0 0
STEVANATO GROUP S P A ORD SHS T9224W109   754,740 42,000 SH   SOLE   42,000 0 0
SUTRO BIOPHARMA INC COM 869367102   253,785 31,409 SH   SOLE   31,409 0 0
STRYKER CORPORATION PUT 863667951   22,004,100 90,000 SH Put SOLE   90,000 0 0
SYNEOS HEALTH INC CALL 87166B902   5,502,000 150,000 SH Call SOLE   0 0 0
TALKSPACE INC *W EXP 06/21/202 87427V111   31,142 427,194 SH   SOLE   427,194 0 0
TRICIDA INC CALL 89610F901   45,870 300,000 SH Call SOLE   0 0 0
TELA BIO INC COM 872381108   5,980,909 520,079 SH   SOLE   520,079 0 0
TERNS PHARMACEUTICALS INC COM 880881107   6,159,704 605,079 SH   SOLE   605,079 0 0
TG THERAPEUTICS INC COM 88322Q108   5,972,127 504,829 SH   SOLE   504,829 0 0
TG THERAPEUTICS INC CALL 88322Q908   2,957,500 250,000 SH Call SOLE   0 0 0
TG THERAPEUTICS INC PUT 88322Q958   7,016,373 593,100 SH Put SOLE   593,100 0 0
TRANSMEDICS GROUP INC PUT 89377M959   5,554,800 90,000 SH Put SOLE   90,000 0 0
THERMO FISHER SCIENTIFIC INC PUT 883556952   22,027,600 40,000 SH Put SOLE   40,000 0 0
TRANSMEDICS GROUP INC COM 89377M109   5,554,800 90,000 SH   SOLE   90,000 0 0
TRAVERE THERAPEUTICS INC NOTE 2.250% 3/0 89422GAA5   457,500 5,000 PRN   SOLE   5,000 0 0
TRUPANION INC PUT 898202956   3,564,750 75,000 SH Put SOLE   75,000 0 0
TWIST BIOSCIENCE CORP PUT 90184D950   2,381,000 100,000 SH Put SOLE   100,000 0 0
UNITEDHEALTH GROUP INC PUT 91324P952   31,810,800 60,000 SH Put SOLE   60,000 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102   10,103,844 36,333 SH   SOLE   36,333 0 0
VAXCYTE INC COM 92243G108   2,950,268 61,528 SH   SOLE   61,528 0 0
VERA THERAPEUTICS INC CL A 92337R101   684,448 35,372 SH   SOLE   35,372 0 0
VERASTEM INC COM 92337C104   404,219 1,004,272 SH   SOLE   1,004,272 0 0
VERTEX PHARMACEUTICALS INC COM 92532F100   808,584 2,800 SH   SOLE   2,800 0 0
VIEWRAY INC COM 92672L107   56,219,560 12,549,009 SH   SOLE   12,549,009 0 0
VIRIDIAN THERAPEUTICS INC COM 92790C104   1,022,438 35,003 SH   SOLE   35,003 0 0
VIEWRAY INC CALL 92672L907   16,576,000 3,700,000 SH Call SOLE   0 0 0
WM TECHNOLOGY INC *W EXP 06/16/202 92971A117   5,000 50,000 SH   SOLE   50,000 0 0
SPDR SER TR CALL 78464A900   8,233,600 99,200 SH Call SOLE   0 0 0
SPDR SER TR PUT 78464A950   47,310,000 570,000 SH Put SOLE   570,000 0 0
LYRA THERAPEUTICS INC COM 55234L105   6,773,916 2,157,298 SH   SOLE   2,157,298 0 0
MEDAVAIL HOLDINGS INC COM 58406B103   99,462 331,761 SH   SOLE   331,761 0 0
SELECT SECTOR SPDR TR PUT 81369Y959   29,887,000 220,000 SH Put SOLE   220,000 0 0