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
10X GENOMICS INC CL A COM 88025U109 9,316 74,720 SH   SOLE   74,720 0 0
3M CO COM 88579Y101 6,407 40,000 SH Call SOLE   40,000 0 0
ABIOMED INC COM 003654100 4,849 17,500 SH Put SOLE   17,500 0 0
ACUTUS MED INC COM 005111109 15,943 534,998 SH   SOLE   534,998 0 0
ADAPTIVE BIOTECHNOLOGIES COR COM 00650F109 10,864 223,400 SH   SOLE   223,400 0 0
ALEXION PHARMACEUTICALS INC COM 015351109 22,462 196,296 SH   SOLE   196,296 0 0
ALEXION PHARMACEUTICALS INC COM 015351109 11,443 100,000 SH Call SOLE   100,000 0 0
AMERICAN AIRLS GROUP INC COM 02376R102 2,458 200,000 SH Call SOLE   200,000 0 0
AMERICAN AIRLS GROUP INC COM 02376R102 907 73,800 SH Call SOLE   73,800 0 0
AMERICAN AIRLS GROUP INC COM 02376R102 1,229 100,000 SH Call SOLE   100,000 0 0
AMGEN INC COM 031162100 10,166 40,000 SH Call SOLE   40,000 0 0
AMICUS THERAPEUTICS INC COM 03152W109 2,234 158,200 SH   SOLE   158,200 0 0
AMICUS THERAPEUTICS INC COM 03152W109 1,412 100,000 SH Call SOLE   100,000 0 0
AMICUS THERAPEUTICS INC COM 03152W109 7,060 500,000 SH Call SOLE   500,000 0 0
AMICUS THERAPEUTICS INC COM 03152W109 4,236 300,000 SH Put SOLE   300,000 0 0
APPLIED GENETIC TECHNOLOGIES COM 03820J100 857 176,411 SH   SOLE   176,411 0 0
APYX MEDICAL CORPORATION COM 03837C106 4,252 902,847 SH   SOLE   902,847 0 0
ARDELYX INC COM 039697107 2,199 418,908 SH   SOLE   418,908 0 0
ATRICURE INC COM 04963C209 25,736 645,003 SH   SOLE   645,003 0 0
ATRICURE INC COM 04963C209 2,993 75,000 SH Call SOLE   75,000 0 0
AURINIA PHARMACEUTICALS INC COM 05156V102 737 50,000 SH   SOLE   50,000 0 0
AVADEL PHARMACEUTICALS PLC SPONSORED ADR 05337M104 4,008 795,200 SH   SOLE   795,200 0 0
AVANTOR INC COM 05352A100 2,361 105,000 SH   SOLE   105,000 0 0
BIO-TECHNE CORP COM 09073M104 6,193 25,000 SH Put SOLE   25,000 0 0
BIOCRYST PHARMACEUTICALS INC COM 09058V103 2,480 721,919 SH   SOLE   721,919 0 0
BIOCRYST PHARMACEUTICALS INC COM 09058V103 401 116,800 SH Put SOLE   116,800 0 0
BIOLIFE SOLUTIONS INC COM NEW 09062W204 4,486 155,000 SH   SOLE   155,000 0 0
BIOMARIN PHARMACEUTICAL INC COM 09061G101 761 10,000 SH   SOLE   10,000 0 0
BRISTOL-MYERS SQUIBB CO COM 110122108 5,274 87,469 SH   SOLE   87,469 0 0
BRISTOL-MYERS SQUIBB CO RIGHT 99/99/9999 110122157 1,994 886,222 SH   SOLE   886,222 0 0
BRISTOL-MYERS SQUIBB CO COM 110122108 6,029 100,000 SH Call SOLE   100,000 0 0
BURNING ROCK BIOTECH LTD SPONSORED ADS 12233L107 4,430 176,639 SH   SOLE   176,639 0 0
CARDIOVASCULAR SYS INC DEL COM 141619106 2,361 60,000 SH Call SOLE   60,000 0 0
CASSAVA SCIENCES INC COM 14817C107 576 50,000 SH Call SOLE   50,000 0 0
CELLDEX THERAPEUTICS INC NEW COM NEW 15117B202 2,138 144,200 SH   SOLE   144,200 0 0
CHARDAN HEALTHCR ACQSTN 2 CO UNIT 99/99/9999 15957T206 1,576 153,960 SH   SOLE   153,960 0 0
CO-DIAGNOSTICS INC COM 189763105 680 50,000 SH Put SOLE   50,000 0 0
COMPASS PATHWAYS PLC SPONSORED ADS 20451W101 4,031 115,494 SH   SOLE   115,494 0 0
CONMED CORP COM 207410101 15,655 199,002 SH   SOLE   199,002 0 0
COOPER COS INC COM NEW 216648402 26,970 80,000 SH   SOLE   80,000 0 0
CORBUS PHARMACEUTICALS HLDGS COM 21833P103 879 488,200 SH   SOLE   488,200 0 0
CORBUS PHARMACEUTICALS HLDGS COM 21833P103 900 500,000 SH Put SOLE   500,000 0 0
CORCEPT THERAPEUTICS INC COM 218352102 2,854 164,000 SH Call SOLE   164,000 0 0
CORCEPT THERAPEUTICS INC COM 218352102 433 24,900 SH Call SOLE   24,900 0 0
CURIS INC COM NEW 231269200 234 200,000 SH   SOLE   200,000 0 0
CUTERA INC COM 232109108 3,477 183,275 SH   SOLE   183,275 0 0
CYTOKINETICS INC NOTE 4.000%11/1 23282WAA8 5,561 2,500,000 PRN   SOLE   2,500,000 0 0
DERMTECH INC COM 24984K105 4,812 402,718 SH   SOLE   402,718 0 0
DEXCOM INC COM 252131107 10,587 25,683 SH   SOLE   25,683 0 0
DEXCOM INC COM 252131107 17,314 42,000 SH Put SOLE   42,000 0 0
DINE BRANDS GLOBAL INC COM 254423106 2,730 50,000 SH Call SOLE   50,000 0 0
EDWARDS LIFESCIENCES CORP COM 28176E108 3,991 50,000 SH Put SOLE   50,000 0 0
ESSA PHARMA INC COM NEW 29668H708 138 20,000 SH   SOLE   20,000 0 0
ESTABLISHMENT LABS HLDGS INC COM G31249108 22,149 1,195,284 SH   SOLE   1,195,284 0 0
EVOLUS INC COM 30052C107 782 200,000 SH Call SOLE   200,000 0 0
EVOLUS INC COM 30052C107 115 29,500 SH Put SOLE   29,500 0 0
EVOLUS INC COM 30052C107 59 15,000 SH Put SOLE   15,000 0 0
EVOLUS INC COM 30052C107 978 250,000 SH Put SOLE   250,000 0 0
EXACT SCIENCES CORP COM 30063P105 4,078 40,000 SH Call SOLE   40,000 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 5,921 62,500 SH Put SOLE   62,500 0 0
FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 28,896 305,000 SH Put SOLE   305,000 0 0
FIVE PRIME THERAPEUTICS INC COM 33830X104 1,516 322,452 SH   SOLE   322,452 0 0
FLUIDIGM CORP DEL COM 34385P108 6,039 812,757 SH   SOLE   812,757 0 0
GENMARK DIAGNOSTICS INC COM 372309104 2,485 175,000 SH Put SOLE   175,000 0 0
GLAUKOS CORP COM 377322102 4,952 100,000 SH Call SOLE   100,000 0 0
GOSSAMER BIO INC NOTE 5.000% 6/0 38341PAA0 515 500,000 PRN   SOLE   500,000 0 0
GREENLANE HLDGS INC CL A 395330103 906 404,679 SH   SOLE   404,679 0 0
GUARDANT HEALTH INC COM 40131M109 8,282 74,092 SH   SOLE   74,092 0 0
HAEMONETICS CORP COM 405024100 4,799 55,000 SH   SOLE   55,000 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 10,548 100,000 SH Put SOLE   100,000 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 24,788 235,000 SH Put SOLE   235,000 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 5,274 50,000 SH Put SOLE   50,000 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 10,548 100,000 SH Put SOLE   100,000 0 0
SELECT SECTOR SPDR TR SBI HEALTHCARE 81369Y209 15,822 150,000 SH Put SOLE   150,000 0 0
HEALTH SCIENCES ACQ CORP 2 ORD SHS G4411D109 1,100 100,000 SH   SOLE   100,000 0 0
HOLOGIC INC COM 436440101 4,154 62,500 SH Call SOLE   62,500 0 0
HORIZON THERAPEUTICS PUB L SHS G46188101 6,991 90,000 SH   SOLE   90,000 0 0
ICU MED INC COM 44930G107 29,790 162,999 SH   SOLE   162,999 0 0
ICU MED INC COM 44930G107 1,371 7,500 SH Call SOLE   7,500 0 0
ICU MED INC COM 44930G107 2,741 15,000 SH Call SOLE   15,000 0 0
IMMUNOMEDICS INC COM 452907108 8,503 100,000 SH   SOLE   100,000 0 0
IMMUNOVANT INC COM 45258J102 5,596 159,026 SH   SOLE   159,026 0 0
INARI MED INC COM 45332Y109 4,659 67,500 SH   SOLE   67,500 0 0
INCYTE CORP COM 45337C102 2,692 30,000 SH Call SOLE   30,000 0 0
INOVALON HLDGS INC COM CL A 45781D101 29,960 1,132,707 SH   SOLE   1,132,707 0 0
INOVALON HLDGS INC COM CL A 45781D101 5,290 200,000 SH Call SOLE   200,000 0 0
INOVIO PHARMACEUTICALS INC COM NEW 45773H201 1,511 130,300 SH Put SOLE   130,300 0 0
INSPIRE MED SYS INC COM 457730109 33,528 259,806 SH   SOLE   259,806 0 0
INSPIRE MED SYS INC COM 457730109 8,388 65,000 SH Call SOLE   65,000 0 0
INTERSECT ENT INC COM 46071F103 14,040 860,816 SH   SOLE   860,816 0 0
INTRA CELLULAR THERAPIES INC COM 46116X101 3,849 150,000 SH   SOLE   150,000 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602 3,548 5,000 SH Put SOLE   5,000 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602 3,548 5,000 SH Put SOLE   5,000 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602 3,548 5,000 SH Put SOLE   5,000 0 0
INVACARE CORP COM 461203101 12,551 1,669,025 SH   SOLE   1,669,025 0 0
INVESCO QQQ TR UNIT SER 1 46090E103 55,568 200,000 SH Put SOLE   200,000 0 0
INVESCO QQQ TR UNIT SER 1 46090E103 27,784 100,000 SH Put SOLE   100,000 0 0
INVESCO QQQ TR UNIT SER 1 46090E103 22,227 80,000 SH Put SOLE   80,000 0 0
INVESCO QQQ TR UNIT SER 1 46090E103 5,557 20,000 SH Put SOLE   20,000 0 0
INVITAE CORP COM 46185L103 5,289 122,000 SH   SOLE   122,000 0 0
IRHYTHM TECHNOLOGIES INC COM 450056106 7,143 30,000 SH Put SOLE   30,000 0 0
ISHARES TR NASDAQ BIOTECH 464287556 13,541 100,000 SH Put SOLE   100,000 0 0
ISHARES TR NASDAQ BIOTECH 464287556 9,479 70,000 SH Put SOLE   70,000 0 0
ISHARES TR NASDAQ BIOTECH 464287556 14,421 106,500 SH Put SOLE   106,500 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 37,448 250,000 SH Put SOLE   250,000 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 7,490 50,000 SH Put SOLE   50,000 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 18,724 125,000 SH Put SOLE   125,000 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 22,469 150,000 SH Put SOLE   150,000 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 7,490 50,000 SH Put SOLE   50,000 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 32,954 220,000 SH Put SOLE   220,000 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 37,448 250,000 SH Put SOLE   250,000 0 0
ISHARES TR RUSSELL 2000 ETF 464287655 14,979 100,000 SH Put SOLE   100,000 0 0
ISHARES TR U.S. MED DVC ETF 464288810 14,981 50,000 SH Put SOLE   50,000 0 0
ITAMAR MED LTD SPONSORED ADS 465437101 3,883 190,074 SH   SOLE   190,074 0 0
KURA ONCOLOGY INC COM 50127T109 3,127 102,066 SH   SOLE   102,066 0 0
LAIRD SUPERFOOD INC COM STK 50736T102 6,881 150,000 SH   SOLE   150,000 0 0
LHC GROUP INC COM 50187A107 4,782 22,497 SH   SOLE   22,497 0 0
LIQUIDIA TECHNOLOGIES INC COM 53635D202 492 100,000 SH   SOLE   100,000 0 0
LYRA THERAPEUTICS INC COM 55234L105 2,535 226,703 SH   SOLE   226,703 0 0
MASIMO CORP COM 574795100 3,541 15,000 SH Put SOLE   15,000 0 0
MASIMO CORP COM 574795100 9,442 40,000 SH Put SOLE   40,000 0 0
MEDTRONIC PLC SHS G5960L103 22,862 220,000 SH Call SOLE   220,000 0 0
MILESTONE PHARMACEUTICALS IN COM 59935V107 732 100,000 SH   SOLE   100,000 0 0
MISONIX INC COM 604871103 5,755 490,586 SH   SOLE   490,586 0 0
MODERNA INC COM 60770K107 7,075 100,000 SH Call SOLE   100,000 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 42,792 957,322 SH   SOLE   957,322 0 0
NANOSTRING TECHNOLOGIES INC COM 63009R109 4,470 100,000 SH Call SOLE   100,000 0 0
NATERA INC COM 632307104 13,726 190,000 SH   SOLE   190,000 0 0
NEVRO CORP COM 64157F103 4,435 31,838 SH   SOLE   31,838 0 0
ONCOCYTE CORP COM 68235C107 8,371 6,022,534 SH   SOLE   6,022,534 0 0
OPTION CARE HEALTH INC COM NEW 68404L201 4,345 325,000 SH   SOLE   325,000 0 0
ORASURE TECHNOLOGIES INC COM 68554V108 3,651 300,000 SH Call SOLE   300,000 0 0
ORASURE TECHNOLOGIES INC COM 68554V108 124 10,200 SH Call SOLE   10,200 0 0
ORTHOPEDIATRICS CORP COM 68752L100 8,193 178,418 SH   SOLE   178,418 0 0
OTONOMY INC COM 68906L105 6,771 1,671,748 SH   SOLE   1,671,748 0 0
OTONOMY INC COM 68906L105 3 800 SH Call SOLE   800 0 0
OUTSET MED INC COM 690145107 17,000 340,000 SH   SOLE   340,000 0 0
PACIFIC BIOSCIENCES CALIF IN COM 69404D108 9,870 1,000,000 SH   SOLE   1,000,000 0 0
PANDION THERAPEUTICS INC COM 698340106 287 25,000 SH   SOLE   25,000 0 0
PERSONALIS INC COM 71535D106 11,513 531,271 SH   SOLE   531,271 0 0
POSEIDA THERAPEUTICS INC COM 73730P108 1,321 148,949 SH   SOLE   148,949 0 0
PPD INC COM 69355F102 22,194 600,000 SH   SOLE   600,000 0 0
PRELUDE THERAPEUTICS INC COM 74065P101 151 5,000 SH   SOLE   5,000 0 0
PROFOUND MED CORP COM NEW 74319B502 13,769 780,567 SH   SOLE   780,567 0 0
QUANTERIX CORP COM 74766Q101 5,101 151,175 SH   SOLE   151,175 0 0
QUEST DIAGNOSTICS INC COM 74834L100 8,014 70,000 SH Put SOLE   70,000 0 0
QUIDEL CORP COM 74838J101 2,194 10,000 SH Put SOLE   10,000 0 0
QUOTIENT LTD SHS G73268107 15,702 3,054,863 SH   SOLE   3,054,863 0 0
R1 RCM INC COM 749397105 14,695 856,840 SH   SOLE   856,840 0 0
RAPT THERAPEUTICS INC COM 75382E109 1,610 50,000 SH   SOLE   50,000 0 0
REPRO MED SYS INC COM 759910102 2,949 408,516 SH   SOLE   408,516 0 0
ROYAL CARIBBEAN GROUP COM V7780T103 3,237 50,000 SH Call SOLE   50,000 0 0
SAREPTA THERAPEUTICS INC COM 803607100 7,583 54,000 SH Call SOLE   54,000 0 0
SAVARA INC COM 805111101 291 266,570 SH   SOLE   266,570 0 0
SCHRODINGER INC COM 80810D103 5,107 107,500 SH   SOLE   107,500 0 0
SI BONE INC COM 825704109 10,876 458,509 SH   SOLE   458,509 0 0
SIERRA ONCOLOGY INC COM NEW 82640U404 202 18,940 SH   SOLE   18,940 0 0
SILK RD MED INC COM 82710M100 6,950 103,400 SH   SOLE   103,400 0 0
SILVER SPIKE ACQUISITION COR *W EXP 08/02/202 G8136L114 31 50,000 SH   SOLE   50,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 142,328 425,000 SH Put SOLE   425,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 41,861 125,000 SH Put SOLE   125,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 10,047 30,000 SH Put SOLE   30,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 70,327 210,000 SH Put SOLE   210,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 16,745 50,000 SH Put SOLE   50,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 25,117 75,000 SH Put SOLE   75,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 30,140 90,000 SH Put SOLE   90,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103 17,548 52,400 SH Put SOLE   52,400 0 0
SPDR SER TR S&P BIOTECH 78464A870 19,500 175,000 SH Put SOLE   175,000 0 0
SPDR SER TR S&P BIOTECH 78464A870 15,322 137,500 SH Put SOLE   137,500 0 0
SPDR SER TR S&P BIOTECH 78464A870 9,472 85,000 SH Put SOLE   85,000 0 0
SPDR SER TR S&P BIOTECH 78464A870 27,858 250,000 SH Put SOLE   250,000 0 0
SPDR SER TR S&P BIOTECH 78464A870 8,357 75,000 SH Put SOLE   75,000 0 0
SPDR SER TR S&P BIOTECH 78464A870 17,829 160,000 SH Put SOLE   160,000 0 0
SPDR SER TR S&P BIOTECH 78464A870 7,800 70,000 SH Put SOLE   70,000 0 0
SPDR SER TR S&P BIOTECH 78464A870 5,616 50,400 SH Put SOLE   50,400 0 0
STAAR SURGICAL CO COM PAR $0.01 852312305 28,280 500,000 SH   SOLE   500,000 0 0
STEREOTAXIS INC COM NEW 85916J409 3,230 902,275 SH   SOLE   902,275 0 0
STRYKER CORPORATION COM 863667101 10,419 50,000 SH Put SOLE   50,000 0 0
TAYSHA GENE THERAPIES INC COM SHS 877619106 224 10,000 SH   SOLE   10,000 0 0
TELA BIO INC COM 872381108 4,774 288,605 SH   SOLE   288,605 0 0
TELEFLEX INCORPORATED COM 879369106 5,106 15,000 SH Put SOLE   15,000 0 0
THERMO FISHER SCIENTIFIC INC COM 883556102 6,623 15,000 SH Put SOLE   15,000 0 0
TRANSMEDICS GROUP INC COM 89377M109 1,034 75,000 SH Put SOLE   75,000 0 0
TRILLIUM THERAPEUTICS INC COM NEW 89620X506 4,469 314,487 SH   SOLE   314,487 0 0
TURNING POINT BRANDS INC COM 90041L105 927 33,238 SH   SOLE   33,238 0 0
TWIST BIOSCIENCE CORP COM 90184D100 4,374 57,581 SH   SOLE   57,581 0 0
UNITEDHEALTH GROUP INC COM 91324P102 7,794 25,000 SH Put SOLE   25,000 0 0
VANECK VECTORS PHARMACEUTICAL ETF PHARMACEUTICAL 92189F692 6,217 100,000 SH Put SOLE   100,000 0 0
VAPOTHERM INC COM 922107107 2,900 100,000 SH Put SOLE   100,000 0 0
VEEVA SYSTEMS INC CL A COM 922475108 7,030 25,000 SH Put SOLE   25,000 0 0
VERICEL CORP COM 92346J108 16,674 899,857 SH   SOLE   899,857 0 0
VIEWRAY INC COM 92672L107 24,434 6,981,137 SH   SOLE   6,981,137 0 0
ZIMMER BIOMET HOLDINGS INC COM 98956P102 11,143 81,852 SH   SOLE   81,852 0 0
ZIMMER BIOMET HOLDINGS INC COM 98956P102 4,084 30,000 SH Call SOLE   30,000 0 0