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
ABBVIE INC COM 00287Y109 115,522 1,318,900 SH   SOLE   1,318,900 0 0
ALIGN TECHNOLOGY INC COM 016255101 4,806 14,680 SH   SOLE   14,680 0 0
AMERICAN WELL CORP CL A 03044L105 7,410 250,000 SH   SOLE   250,000 0 0
AMGEN INC COM 031162100 59,407 233,740 SH   SOLE   233,740 0 0
ARCTURUS THERAPEUTICS HLDGS COM 03969T109 8,580 200,000 SH Call SOLE   200,000 0 0
ARCTURUS THERAPEUTICS HLDGS COM 03969T109 68,402 1,594,452 SH   SOLE   1,594,452 0 0
ARENA PHARMACEUTICALS INC COM NEW 040047607 23,185 310,000 SH Call SOLE   310,000 0 0
ARENA PHARMACEUTICALS INC COM NEW 040047607 43,231 578,030 SH   SOLE   578,030 0 0
ASSEMBLY BIOSCIENCES INC COM 045396108 8,540 519,490 SH   SOLE   519,490 0 0
ATHIRA PHARMA INC COM 04746L104 4,015 217,500 SH   SOLE   217,500 0 0
AURINIA PHARMACEUTICALS INC COM 05156V102 130,713 8,873,953 SH   SOLE   8,873,953 0 0
BIOMARIN PHARMACEUTICAL INC COM 09061G101 1,111 14,600 SH   SOLE   14,600 0 0
BRISTOL-MYERS SQUIBB CO COM 110122108 7,566 125,500 SH   SOLE   125,500 0 0
CHARLES RIV LABS INTL INC COM 159864107 54,853 242,230 SH   SOLE   242,230 0 0
COOPER COS INC COM NEW 216648402 81,428 241,540 SH   SOLE   241,540 0 0
DANAHER CORPORATION COM 235851102 31,137 144,600 SH   SOLE   144,600 0 0
DYNE THERAPEUTICS INC COM 26818M108 2,423 120,000 SH   SOLE   120,000 0 0
EDWARDS LIFESCIENCES CORP COM 28176E108 17,869 223,860 SH   SOLE   223,860 0 0
GUARDANT HEALTH INC COM 40131M109 89,170 797,730 SH   SOLE   797,730 0 0
HCA HEALTHCARE INC COM 40412C101 115,492 926,310 SH   SOLE   926,310 0 0
HORIZON THERAPEUTICS PUB L SHS G46188101 139,071 1,790,310 SH   SOLE   1,790,310 0 0
HUMANA INC COM 444859102 94,752 228,930 SH   SOLE   228,930 0 0
INCYTE CORP COM 45337C102 2,026 22,580 SH   SOLE   22,580 0 0
IQVIA HLDGS INC COM 46266C105 132,526 840,740 SH   SOLE   840,740 0 0
MADRIGAL PHARMACEUTICALS INC COM 558868105 134,159 1,129,948 SH   SOLE   1,129,948 0 0
MEDNAX INC COM 58502B106 52,654 3,234,280 SH   SOLE   3,234,280 0 0
MEDTRONIC PLC SHS G5960L103 145,712 1,402,160 SH   SOLE   1,402,160 0 0
NEUROCRINE BIOSCIENCES INC COM 64125C109 89,147 927,070 SH   SOLE   927,070 0 0
NEVRO CORP COM 64157F103 101,825 730,977 SH   SOLE   730,977 0 0
OUTSET MED INC COM 690145107 1,750 35,000 SH   SOLE   35,000 0 0
REGENERON PHARMACEUTICALS COM 75886F107 106,532 190,310 SH   SOLE   190,310 0 0
ROYALTY PHARMA PLC SHS CL A G7709Q104 62,954 1,496,410 SH   SOLE   1,496,410 0 0
STRYKER CORPORATION COM 863667101 24,702 118,550 SH   SOLE   118,550 0 0
SYNDAX PHARMACEUTICALS INC COM 87164F105 475 32,200 SH   SOLE   32,200 0 0
TELEFLEX INCORPORATED COM 879369106 56,224 165,160 SH   SOLE   165,160 0 0
TENET HEALTHCARE CORP COM NEW 88033G407 27,328 1,114,980 SH   SOLE   1,114,980 0 0
UNITEDHEALTH GROUP INC COM 91324P102 159,430 511,370 SH   SOLE   511,370 0 0
VERTEX PHARMACEUTICALS INC COM 92532F100 98,614 362,390 SH   SOLE   362,390 0 0
ZIMMER BIOMET HOLDINGS INC COM 98956P102 177,822 1,306,170 SH   SOLE   1,306,170 0 0
ZYMEWORKS INC COM 98985W102 16,096 345,550 SH   SOLE   345,550 0 0