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
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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
ABBVIE INC COM 00287Y109 BBG0025Y4RY4 67,971,016 504,498 SH   DFND   0 504,498 0
ABCAM PLC ADS 000380204 BBG00XRJJLG2 11,658,242 476,430 SH   DFND   0 476,430 0
ACADIA HEALTHCARE COMPANY IN COM 00404A109 BBG000FPNN38 30,366,891 381,302 SH   DFND   0 381,302 0
ADAPTIMMUNE THERAPEUTICS PLC SPONDS ADR 00653A107 BBG008G65WC2 7,730,449 8,357,242 SH   DFND   0 8,357,242 0
ALKERMES PLC SHS G01767105 BBG000C9F2F9 36,038,319 1,151,384 SH   DFND   0 1,151,384 0
APELLIS PHARMACEUTICALS INC COM 03753U106 BBG007KGRPY4 25,006,768 274,498 SH   DFND   0 274,498 0
ARCELLX INC COMMON STOCK 03940C100 BBG00QHJM4S9 8,089,408 255,832 SH   DFND   0 255,832 0
ARCUS BIOSCIENCES INC COM 03969F109 BBG00DQD26W3 28,536,687 1,405,056 SH   DFND   0 1,405,056 0
ARGENX SE SPONSORED ADR 04016X101 BBG00GHB88X9 40,817,202 104,732 SH   DFND   0 104,732 0
AXSOME THERAPEUTICS INC COM 05464T104 BBG00B6G7GL7 14,372,000 200,000 SH Call DFND   0 200,000 0
AXSOME THERAPEUTICS INC COM 05464T104 BBG00B6G7GL7 35,612,523 495,582 SH   DFND   0 495,582 0
BECTON DICKINSON & CO COM 075887109 BBG000BCZYD3 40,645,660 153,955 SH   DFND   0 153,955 0
BIOGEN INC COM 09062X103 BBG000C17X76 56,495,440 198,334 SH   DFND   0 198,334 0
BIOMARIN PHARMACEUTICAL INC COM 09061G101 BBG000CZWZ05 30,363,831 350,298 SH   DFND   0 350,298 0
BIOMARIN PHARMACEUTICAL INC NOTE 0.599% 8/0 09061GAH4 BBG00HDDJ641 14,771,520 15,000,000 PRN   DFND   0 15,000,000 0
BLUEBIRD BIO INC COM 09609G100 BBG000QGWY50 23,968,048 7,285,121 SH   DFND   0 7,285,121 0
BOSTON SCIENTIFIC CORP COM 101137107 BBG000C0LW92 14,517,594 268,397 SH   DFND   0 268,397 0
CARDINAL HEALTH INC COM 14149Y108 BBG000D898T9 60,504,278 639,783 SH   DFND   0 639,783 0
CARIBOU BIOSCIENCES INC COM 142038108 BBG008G28LJ5 23,676,193 5,570,869 SH   DFND   0 5,570,869 0
CELCUITY INC COM 15102K100 BBG00HKBW045 2,829,689 257,713 SH   DFND   0 257,713 0
CENTENE CORP DEL COM 15135B101 BBG000BDXCJ5 75,036,776 1,112,480 SH   DFND   0 1,112,480 0
COMPASS PATHWAYS PLC SPONSORED ADS 20451W101 BBG00X0VY2N1 1,451,327 175,281 SH   DFND   0 175,281 0
CYTOKINETICS INC COM NEW 23282W605 BBG000F0R4N9 78,273,158 2,399,545 SH   DFND   0 2,399,545 0
DANAHER CORPORATION COM 235851102 BBG000BH3JF8 42,165,600 175,690 SH   DFND   0 175,690 0
DAY ONE BIOPHARMACEUTICALS I COM 23954D109 BBG00V1KSN04 13,696,852 1,147,140 SH   DFND   0 1,147,140 0
DEXCOM INC COM 252131107 BBG000QTF8K1 48,124,168 374,478 SH   DFND   0 374,478 0
DYNAVAX TECHNOLOGIES CORP COM NEW 268158201 BBG000BFX694 34,947,528 2,704,917 SH   DFND   0 2,704,917 0
EDITAS MEDICINE INC COM 28106W103 BBG005MX5GZ2 3,630,829 441,170 SH   DFND   0 441,170 0
EDWARDS LIFESCIENCES CORP COM 28176E108 BBG000BRXP69 66,275,126 702,588 SH   DFND   0 702,588 0
ELEVANCE HEALTH INC COM 036752103 BBG000BCG930 33,375,953 75,122 SH   DFND   0 75,122 0
ERASCA INC COM 29479A108 BBG00MTSR883 13,240,990 4,797,460 SH   DFND   0 4,797,460 0
ESSA PHARMA INC COM NEW 29668H708 BBG0088NJ8D1 11,353,373 4,204,953 SH   DFND   0 4,204,953 0
GENERATION BIO CO COM 37148K100 BBG00K698K88 14,285,898 2,597,436 SH   DFND   0 2,597,436 0
HCA HEALTHCARE INC COM 40412C101 BBG000QW7VC1 48,184,127 158,772 SH   DFND   0 158,772 0
HORIZON THERAPEUTICS PUB L SHS G46188101 BBG0014FFY08 112,295,744 1,091,840 SH   DFND   0 1,091,840 0
HUMANA INC COM 444859102 BBG000BLKK03 74,253,091 166,066 SH   DFND   0 166,066 0
ICON PLC SHS G4705A100 BBG000CTSZQ6 53,432,462 213,559 SH   DFND   0 213,559 0
IMMUNOVANT INC COM 45258J102 BBG00P5MC0Q8 7,377,774 388,918 SH   DFND   0 388,918 0
INHIBRX INC COM 45720L107 BBG00P80N9T9 3,315,170 127,703 SH   DFND   0 127,703 0
INTUITIVE SURGICAL INC COM NEW 46120E602 BBG000BJPDZ1 58,828,383 172,043 SH   DFND   0 172,043 0
INVESCO EXCHANGE TRADED FD T S&P500 EQL WGT 46137V357 BBG00KJR2MY7 61,367,364 410,100 SH Put DFND   0 410,100 0
IO BIOTECH INC COM 449778109 BBG0131XRY31 1,197,854 612,713 SH   DFND   0 612,713 0
IOVANCE BIOTHERAPEUTICS INC COM 462260100 BBG000FTLBV7 6,661,987 946,305 SH   DFND   0 946,305 0
IQVIA HLDGS INC COM 46266C105 BBG00333FYS2 45,187,086 201,037 SH   DFND   0 201,037 0
IRHYTHM TECHNOLOGIES INC COM 450056106 BBG001J19V24 2,086,400 20,000 SH Call DFND   0 20,000 0
IRHYTHM TECHNOLOGIES INC COM 450056106 BBG001J19V24 50,644,022 485,468 SH   DFND   0 485,468 0
ISHARES TR CHINA LG-CAP ETF 464287184 BBG000Q8RVM1 11,022,826 405,400 SH Call DFND   0 405,400 0
ISHARES TR CHINA LG-CAP ETF 464287184 BBG000Q8RVM1 10,841,197 398,720 SH   DFND   0 398,720 0
KARUNA THERAPEUTICS INC COM 48576A100 BBG00NN875G0 29,970,622 138,209 SH   DFND   0 138,209 0
KEROS THERAPEUTICS INC COM 492327101 BBG00H1HP9G9 817,663 20,350 SH   DFND   0 20,350 0
LEGEND BIOTECH CORP SPONSORED ADS 52490G102 BBG00TTGH5W4 46,876,616 679,076 SH   DFND   0 679,076 0
LILLY ELI & CO COM 532457108 BBG000BNBDC2 140,057,594 298,643 SH   DFND   0 298,643 0
MCKESSON CORP COM 58155Q103 BBG000DYGNW7 45,214,098 105,811 SH   DFND   0 105,811 0
MERCK & CO INC COM 58933Y105 BBG000BPD168 68,802,557 596,261 SH   DFND   0 596,261 0
MOLINA HEALTHCARE INC COM 60855R100 BBG000MBHNC8 43,311,986 143,779 SH   DFND   0 143,779 0
NEVRO CORP NOTE 2.750% 4/0 64157FAC7 BBG00SZTDMX7 16,192,610 17,500,000 PRN   DFND   0 17,500,000 0
OSCAR HEALTH INC CL A 687793109 BBG00YMWFTZ2 2,709,498 336,166 SH   DFND   0 336,166 0
PENUMBRA INC COM 70975L107 BBG001BP92V1 123,871,922 360,030 SH   DFND   0 360,030 0
PMV PHARMACEUTICALS INC COM 69353Y103 BBG007NM47G3 1,429,847 228,410 SH   DFND   0 228,410 0
POINT BIOPHARMA GLOBAL INC COM 730541109 BBG00VHK26D8 11,773,388 1,299,491 SH   DFND   0 1,299,491 0
PRAXIS PRECISION MEDICINES I COM 74006W108 BBG00W9LF2G5 10,225,526 8,891,762 SH   DFND   0 8,891,762 0
PROCEPT BIOROBOTICS CORP COM 74276L105 BBG009KD84H4 10,447,480 295,544 SH   DFND   0 295,544 0
PROTHENA CORP PLC SHS G72800108 BBG003PDKJF7 52,886,001 774,546 SH   DFND   0 774,546 0
REATA PHARMACEUTICALS INC CL A 75615P103 BBG000R33BD1 14,799,188 145,147 SH   DFND   0 145,147 0
ROCKET PHARMACEUTICALS INC COM 77313F106 BBG000WG3567 4,744,201 238,762 SH   DFND   0 238,762 0
ROIVANT SCIENCES LTD SHS G76279101 BBG007STW2B8 3,880,709 384,991 SH   DFND   0 384,991 0
SANA BIOTECHNOLOGY INC COM 799566104 BBG00N5BMH61 83,237 13,966 SH   DFND   0 13,966 0
SAREPTA THERAPEUTICS INC COM 803607100 BBG000BCJ161 18,983,408 165,765 SH   DFND   0 165,765 0
SEAGEN INC COM 81181C104 BBG000BH0FR6 49,327,306 256,299 SH   DFND   0 256,299 0
STRYKER CORPORATION COM 863667101 BBG000DN7P92 41,193,862 135,022 SH   DFND   0 135,022 0
SYNDAX PHARMACEUTICALS INC COM 87164F105 BBG000R33JY1 45,469,106 2,172,437 SH   DFND   0 2,172,437 0
TENET HEALTHCARE CORP COM NEW 88033G407 BBG000CPHYL4 41,617,244 511,394 SH   DFND   0 511,394 0
THERMO FISHER SCIENTIFIC INC COM 883556102 BBG000BVDLH9 32,423,110 62,143 SH   DFND   0 62,143 0
UNIQURE NV SHS N90064101 BBG005SSJYH3 694,671 60,617 SH   DFND   0 60,617 0
UNITEDHEALTH GROUP INC COM 91324P102 BBG000CH5208 55,786,443 116,067 SH   DFND   0 116,067 0
UNIVERSAL HLTH SVCS INC CL B 913903100 BBG000CB8Q50 44,689,457 283,257 SH   DFND   0 283,257 0
VEEVA SYS INC CL A COM 922475108 BBG001CGB489 7,399,254 37,421 SH   DFND   0 37,421 0
VERVE THERAPEUTICS INC COM 92539P101 BBG00P33TCZ8 3,489,131 186,087 SH   DFND   0 186,087 0
VIRIDIAN THERAPEUTICS INC COM 92790C104 BBG002H242Z5 6,973,801 293,140 SH   DFND   0 293,140 0
WATERS CORP COM 941848103 BBG000FQRVM3 25,221,081 94,624 SH   DFND   0 94,624 0
WEREWOLF THERAPEUTICS INC COM 95075A107 BBG00QXQ9XK4 7,026,868 2,303,891 SH   DFND   0 2,303,891 0
XENON PHARMACEUTICALS INC COM 98420N105 BBG0073DM784 3,855,660 100,147 SH   DFND   0 100,147 0
ZAI LAB LTD ADR 98887Q104 BBG00HFX3N90 6,841,157 246,706 SH   DFND   0 246,706 0