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
4D Molecular Therapeutics Inc COM 35104E100   5,691,543 271,155 SH   SOLE   271,155 0 0
Abbott Labs COM 002824100   40,545,682 390,200 SH Call SOLE   390,200 0 0
Achieve Life Sciences Inc COM 004468500   6,525,348 1,388,372 SH   SOLE   1,388,372 0 0
Align Technology Inc COM 016255101   52,758,249 218,524 SH   SOLE   218,524 0 0
Alnylam Pharmaceuticals Inc COM 02043Q107   35,946,747 147,929 SH   SOLE   147,929 0 0
Alnylam Pharmaceuticals Inc COM 02043Q107   12,150,000 50,000 SH Call SOLE   50,000 0 0
Amylyx Pharmaceuticals Inc COM 03237H101   570,000 300,000 SH Put SOLE   300,000 0 0
Amylyx Pharmaceuticals Inc COM 03237H101   569,413 299,691 SH   SOLE   299,691 0 0
AstraZeneca PLC SPONSORED ADR 046353108   62,502,512 801,417 SH   SOLE   801,417 0 0
Astria Therapeutics Inc COM 04635X102   552,297 60,692 SH   SOLE   60,692 0 0
Avantor Inc COM 05352A100   2,990,154 141,045 SH   SOLE   141,045 0 0
Avidity Biosciences Inc COM 05370A108   875,211 21,425 SH   SOLE   21,425 0 0
Axonics Inc COM 05465P101   10,117,443 150,490 SH   SOLE   150,490 0 0
Axsome Therapeutics Inc COM 05464T104   24,970,939 310,198 SH   SOLE   310,198 0 0
Baxter Intl Inc COM 071813109   3,939,373 117,769 SH   SOLE   117,769 0 0
Boston Scientific Corp COM 101137107   13,174,871 171,080 SH   SOLE   171,080 0 0
Cabaletta Bio Inc COM 12674W109   9,128,592 1,220,400 SH   SOLE   1,220,400 0 0
Celldex Therapeutics Inc COM 15117B202   20,270,636 547,707 SH   SOLE   547,707 0 0
Cogent Biosciences Inc COM 19240Q201   23,378,801 2,773,286 SH   SOLE   2,773,286 0 0
Dexcom Inc COM 252131107   6,972,190 61,494 SH   SOLE   61,494 0 0
Disc Medicine Inc COM 254604101   1,318,568 29,256 SH   SOLE   29,256 0 0
Dyne Therapeutics Inc COM 26818M108   57,371,059 1,625,703 SH   SOLE   1,625,703 0 0
Edgewise Therapeutics Inc COM 28036F105   8,567,195 475,691 SH   SOLE   475,691 0 0
Edwards Lifesciences Corp COM 28176E108   66,896,663 724,225 SH   SOLE   724,225 0 0
Edwards Lifesciences Corp COM 28176E108   46,185,000 500,000 SH Put SOLE   500,000 0 0
Elanco Animal Health Inc COM 28414H103   41,331,128 2,864,250 SH   SOLE   2,864,250 0 0
Erasca Inc COM 29479A108   4,010,886 1,699,528 SH   SOLE   1,699,528 0 0
Establishment Labs Hldgs Inc COM G31249108   19,504,847 429,244 SH   SOLE   429,244 0 0
Exact Sciences Corp COM 30063P105   7,682,233 181,828 SH   SOLE   181,828 0 0
IDEAYA Biosciences Inc COM 45166A102   40,430,148 1,151,528 SH   SOLE   1,151,528 0 0
IDEXX Labs Inc COM 45168D104   31,113,566 63,862 SH   SOLE   63,862 0 0
Immatics N.V W EXP 07/01/2025 N44445117   932,855 348,731 SH   SOLE   348,731 0 0
Immatics N.V SHS N44445109   9,257,700 796,704 SH   SOLE   796,704 0 0
Immunome Inc COM 45257U108   7,933,728 655,680 SH   SOLE   655,680 0 0
Inari Med Inc COM 45332Y109   7,503,600 155,838 SH   SOLE   155,838 0 0
Inhibrx Biosciences Inc COM 45720N103   6,565,174 463,315 SH   SOLE   463,315 0 0
Insmed Inc COM PAR $.01 457669307   15,259,049 227,747 SH   SOLE   227,747 0 0
Inspire Med Sys Inc COM 457730109   1,338,300 10,000 SH   SOLE   10,000 0 0
Insulet Corp COM 45784P101   12,303,141 60,967 SH   SOLE   60,967 0 0
Intuitive Surgical Inc COM 46120E602   38,798,482 87,217 SH   SOLE   87,217 0 0
Intuitive Surgical Inc COM 46120E602   22,242,500 50,000 SH Put SOLE   50,000 0 0
Invesco QQQ TR UNIT SER 1 46090E103   191,644,000 400,000 SH Put SOLE   400,000 0 0
Kura Oncology Inc COM 50127T109   16,991,753 825,243 SH   SOLE   825,243 0 0
Kyverna Therapeutics Inc COM 501976104   358,875 47,850 SH   SOLE   47,850 0 0
LivaNova PLC SHS G5509L101   1,129,402 20,602 SH   SOLE   20,602 0 0
Madrigal Pharmaceuticals Inc COM 558868105   12,443,867 44,417 SH   SOLE   44,417 0 0
Marinus Pharmaceuticals Inc COM 56854Q200   4,857,344 4,151,576 SH   SOLE   4,151,576 0 0
Marinus Pharmaceuticals Inc COM 56854Q200   122,499 104,700 SH Call SOLE   104,700 0 0
Masimo Corp COM 574795100   2,539,076 20,161 SH   SOLE   20,161 0 0
Novo-Nordisk A S ADR 670100205   92,715,482 649,541 SH   SOLE   649,541 0 0
PepGen Inc COM 713317105   8,955,603 561,128 SH   SOLE   561,128 0 0
Perspective Therapeutics Inc COM 46489V302   1,316,927 132,089 SH   SOLE   132,089 0 0
Pharvaris N V COM N69605108   11,308,839 601,534 SH   SOLE   601,534 0 0
Phibro Animal Health Corp CL A COM 71742Q106   3,974,641 237,009 SH   SOLE   237,009 0 0
Pulmonx Corp COM 745848101   381,960 60,246 SH   SOLE   60,246 0 0
Rapport Therapeutics Inc COM 75383L102   2,052,346 88,235 SH   SOLE   88,235 0 0
Revolution Medicines Inc COM 76155X100   17,662,392 455,099 SH   SOLE   455,099 0 0
Roivant Sciences Ltd SHS G76279101   19,749,115 1,868,412 SH   SOLE   1,868,412 0 0
Sarepta Therapeutics Inc COM 803607100   30,944,616 195,852 SH   SOLE   195,852 0 0
Savara Inc COM 805111101   21,596,440 5,358,918 SH   SOLE   5,358,918 0 0
Savara Inc COM 805111101   604,500 150,000 SH Put SOLE   150,000 0 0
Soleno Therapeutics Inc COM 834203309   22,617,847 554,359 SH   SOLE   554,359 0 0
Spdr Ser Tr S&P BIOTECH 78464A870   23,177,500 250,000 SH Put SOLE   250,000 0 0
Structure Therapeutics Inc SPONSORED ADS 86366E106   350,092 8,915 SH   SOLE   8,915 0 0
Stryker Corporation COM 863667101   65,696,831 193,084 SH   SOLE   193,084 0 0
Syndax Pharmaceuticals Inc COM 87164F105   44,214,825 2,153,669 SH   SOLE   2,153,669 0 0
TG Therapeutics Inc COM 88322Q108   33,112,118 1,861,277 SH   SOLE   1,861,277 0 0
Teleflex Incorporated COM 879369106   2,870,794 13,649 SH   SOLE   13,649 0 0
Waters Corp COM 941848103   6,325,776 21,804 SH   SOLE   21,804 0 0
Zimmer Biomet Holdings Inc COM 98956P102   1,153,674 10,630 SH   SOLE   10,630 0 0
Aerovate Therapeutics Inc COM 008064107   6,239,419 3,758,686 SH   SOLE   3,758,686 0 0
Arrivent BioPharma Inc COM 04272N102   31,474,750 1,696,752 SH   SOLE   1,696,752 0 0
Ascendis Pharma A/S SPONSORED ADR 04351P101   100,141,652 734,284 SH   SOLE   734,284 0 0
Bolt Biotherapeutics Inc COM 097702104   2,065,828 2,754,437 SH   SOLE   2,754,437 0 0
Ikena Oncology Inc COM 45175G108   631,316 382,616 SH   SOLE   382,616 0 0
Inozyme Pharma Inc COM 45790W108   19,090,174 4,280,308 SH   SOLE   4,280,308 0 0
Natera Inc COM 632307104   167,879,821 1,550,280 SH   SOLE   1,550,280 0 0
Nextcure Inc COM 65343E108   4,248,251 2,671,856 SH   SOLE   2,671,856 0 0
PDS Biotechnology Corp COM 70465T107   417,921 142,635 SH   SOLE   142,635 0 0
Rapport Therapeutics Inc COM 75383L102   43,340,986 1,863,327 SH   SOLE   1,863,327 0 0
Vera Therapeutics Inc CL A 92337R101   101,086,450 2,793,987 SH   SOLE   2,793,987 0 0
Y-mAbs Therapeutics Inc COM 984241109   26,506,878 2,194,278 SH   SOLE   2,194,278 0 0