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
Expires: July 31, 2015
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
ABIVAX SA SPONSORED ADS 00370M103 121,783,649 913,880 SH SOLE 913,880 0 0
AGILON HEALTH INC COM NEW 00857U206 4,050,547 37,792 SH SOLE 37,792 0 0
AKEBIA THREAPEUTICS INC COM 00972D105 486,888 427,095 SH SOLE 427,095 0 0
ALECTOR INC COM 014442107 2,861,985 1,423,873 SH SOLE 1,423,873 0 0
ALTO NEUROSCIENCE INC COM SHS 02157Q109 3,385,468 128,286 SH SOLE 128,286 0 0
AMARIN CORP PLC SPONSORED ADR 023111404 2,316,018 145,296 SH SOLE 145,296 0 0
AMN HEALTHCARE SVCS INC COM 001744101 13,871,548 428,531 SH SOLE 428,531 0 0
ANAPTYSBIO INC COM 032724106 4,723,852 69,983 SH SOLE 69,983 0 0
ANTERIS TECHNOLOGIES GLOBAL COM 03675P102 1,637,356 166,229 SH SOLE 166,229 0 0
ARCUTIS BIOTHERAPEUTICS INC COM 03969K108 3,549,008 135,355 SH SOLE 135,355 0 0
ARDELYX INC COM 039697107 8,559,560 1,678,345 SH SOLE 1,678,345 0 0
ARS PHARMACEUTICALS INC COM 82835W108 3,019,826 377,007 SH SOLE 377,007 0 0
ASCENDIS PHARMA A/S ORD SHS K08588103 11,101,153 41,621 SH SOLE 41,621 0 0
ASSEMBLY BIOSCIENCES INC COM NEW 045396207 453,695 16,510 SH SOLE 16,510 0 0
ATAIBECKLEY INC COM SHS 04650F101 539,806 102,430 SH SOLE 102,430 0 0
AVALO THERAPEUTICS INC COM NEW 05338F306 184,800 10,000 SH SOLE 10,000 0 0
BEAM THERAPEUTICS INC COM 07373V105 5,707,038 166,289 SH SOLE 166,289 0 0
BETA BIONICS INC COM 08659B102 19,578,740 1,249,441 SH SOLE 1,249,441 0 0
BICYCLE THERAPEUTICS PLC SPONSORED ADS 088786108 808,632 190,715 SH SOLE 190,715 0 0
BIO-TECHNE CORP COM 09073M104 1,364,110 19,308 SH SOLE 19,308 0 0
BIOCRYST PHARMACEUTICALS INC COM 09058V103 18,656,530 1,865,653 SH SOLE 1,865,653 0 0
BIOHAVEN LTD COM G1110E107 7,675,164 515,804 SH SOLE 515,804 0 0
BIOMARIN PHARMACEUTICAL INC COM 09061G101 14,282,513 249,607 SH SOLE 249,607 0 0
BROOKDALE SR LIVING INC COM 112463104 54,649,202 3,396,470 SH SOLE 3,396,470 0 0
BRUKER CORP COM 116794108 11,006,561 182,894 SH SOLE 182,894 0 0
CARETRUST REIT INC COM 14174T107 43,255,805 1,072,015 SH SOLE 1,072,015 0 0
CELCUITY INC COM 15102K100 13,384,141 127,931 SH SOLE 127,931 0 0
CELLDEX THERAPEUTICS INC NEW COM NEW 15117B202 66,454,865 1,785,941 SH SOLE 1,785,941 0 0
CHEMED CORP NEW COM 16359R103 24,462,062 52,523 SH SOLE 52,523 0 0
COGENT BIOSCIENCES INC COM 19240Q201 18,972,094 490,235 SH SOLE 490,235 0 0
COMMUNITY HEALTH SYS INC NEW COM 203668108 26,267,680 7,864,575 SH SOLE 7,864,575 0 0
COMPASS PATHWAYS PLC SPONSORED ADS 20451W101 9,520,474 672,825 SH SOLE 672,825 0 0
CONTINEUM THERAPEUTICS INC CL A 21217B100 2,425,999 148,017 SH SOLE 148,017 0 0
CORVUS PHARMACEUTICALS INC COM 221015100 11,175,030 747,994 SH SOLE 747,994 0 0
CYBIN INC COM NEW 23256X407 967,724 146,403 SH SOLE 146,403 0 0
CYTOMX THERAPEUTICS INC. COM 23284F105 13,344,364 3,558,497 SH SOLE 3,558,497 0 0
DEFINIUM THERAPEUTICS INC COM SHS 24477V105 10,216,382 217,185 SH SOLE 217,185 0 0
DESIGN THERAPEUTICS INC COM 25056L103 2,749,300 190,000 SH SOLE 190,000 0 0
EDITAS MEDICINE INC COM 28106W103 1,486,541 458,809 SH SOLE 458,809 0 0
EHEALTH INC COM 28238P109 603,232 404,854 SH SOLE 404,854 0 0
ELI LILLY & CO COM 532457108 24,127,734 20,116 SH SOLE 20,116 0 0
ENCOMPASS HEALTH CORP COM 29261A100 103,800,973 1,026,919 SH SOLE 1,026,919 0 0
ENGENE THERAPEUTICS INC COM 29286X101 812,380 469,584 SH SOLE 469,584 0 0
ENLIVEN THERAPEUTICS INC COM 29337E102 6,934,023 136,631 SH SOLE 136,631 0 0
ENSIGN GROUP INC COM 29358P101 96,513,264 602,079 SH SOLE 602,079 0 0
EQUILLIUM INC COM 29446K106 4,866,637 1,520,824 SH SOLE 1,520,824 0 0
EVOMMUNE INC COM SHS 30054Y107 2,318,573 174,460 SH SOLE 174,460 0 0
EYEPOINT INC COM NEW 30233G209 4,257,610 297,735 SH SOLE 297,735 0 0
GERON CORP COM 374163103 23,958,300 18,717,422 SH SOLE 18,717,422 0 0
GH RESEARCH PLC ORDINARY SHARES G3855L106 233,103 8,672 SH SOLE 8,672 0 0
GLAUKOS CORP COM 377322102 4,100,978 29,343 SH SOLE 29,343 0 0
GRACE THERAPEUTICS INC COM 00439U104 1,754,483 772,900 SH SOLE 772,900 0 0
GSK PLC SPONSORED ADR 37733W204 25,257,686 481,833 SH SOLE 481,833 0 0
HCA HEALTHCARE INC COM 40412C101 38,307,472 98,252 SH SOLE 98,252 0 0
HUMANA INC COM 444859102 12,381,745 31,171 SH SOLE 31,171 0 0
INFLARX NV COM N44821101 2,921,115 1,304,069 SH SOLE 1,304,069 0 0
INOVIO PHARMACEUTICALS INC COM SHS 45773H409 1,138,896 1,035,360 SH SOLE 1,035,360 0 0
INSMED INC COM PAR $.01 457669307 10,299,492 96,600 SH Call SOLE 96,600 0 0
INSMED INC COM PAR $.01 457669307 15,908,664 149,209 SH SOLE 149,209 0 0
INSULET CORP COM 45784P101 22,657,236 148,816 SH SOLE 148,816 0 0
INTUITIVE SURGICAL INC COM NEW 46120E602 2,879,601 7,241 SH SOLE 7,241 0 0
INVESCO QQQ TR UNIT SER 1 46090E103 72,609,040 98,600 SH Put SOLE 98,600 0 0
INVIVYD INC COM 00534A102 1,951,572 2,237,015 SH SOLE 2,237,015 0 0
IONIS PHARMACEUTICALS INC COM 462222100 52,702,794 664,684 SH SOLE 664,684 0 0
KARYOPHARM THERAPEUTICS INC COM NEW 48576U205 2,698,220 276,174 SH SOLE 276,174 0 0
LB PHARMACEUTICALS INC COM SHS 50180M108 5,960,783 183,663 SH SOLE 183,663 0 0
LIPOCINE INC NEW COM NEW 53630X203 755,172 294,989 SH SOLE 294,989 0 0
LIQUIDIA CORPORATION COM NEW 53635D202 34,176,424 428,652 SH SOLE 428,652 0 0
LTC PPTYS INC COM 502175102 16,173,608 420,640 SH SOLE 420,640 0 0
MINERALYS THERAPEUTICS INC COM 603170101 8,355,409 309,689 SH SOLE 309,689 0 0
MODERNA INC COM 60770K107 10,653,104 152,122 SH SOLE 152,122 0 0
MOLINA HEALTHCARE INC COM 60855R100 18,431,848 80,594 SH SOLE 80,594 0 0
NATERA INC COM 632307104 47,722,810 175,807 SH SOLE 175,807 0 0
NATIONAL HEALTH INVS INC COM 63633D104 5,389,523 70,673 SH SOLE 70,673 0 0
NATIONAL HEALTHCARE CORP COM 635906100 4,674,438 22,116 SH SOLE 22,116 0 0
NEWAMSTERDAM PHARMA COMPANY ORDINARY SHARES N62509109 9,335,712 275,471 SH SOLE 275,471 0 0
NOVO-NORDISK A S ADR 670100205 8,112,742 169,227 SH SOLE 169,227 0 0
ODYSSEY THERAPEUTICS INC COMMON STOCK 67613T104 929,101 49,658 SH SOLE 49,658 0 0
OMEGA HEALTHCARE INVS INC COM 681936100 23,055,521 483,547 SH SOLE 483,547 0 0
PACS GROUP INC COM SHS 69380Q107 5,007,684 117,441 SH SOLE 117,441 0 0
PALISADE BIO INC COM 696389402 8,742,021 4,182,785 SH SOLE 4,182,785 0 0
PENNANT GROUP INC COM 70805E109 17,007,050 460,272 SH SOLE 460,272 0 0
PHARVARIS N V COM N69605108 13,361,124 386,383 SH SOLE 386,383 0 0
PLIANT THERAPEUTICS INC COM 729139105 1,016,224 891,425 SH SOLE 891,425 0 0
PMV PHARMACEUTICALS INC COM 69353Y103 2,533,811 1,890,904 SH SOLE 1,890,904 0 0
PROQR THRAPEUTICS N V SHS EURO N71542109 1,901,413 1,022,265 SH SOLE 1,022,265 0 0
PROTAGONIST THERAPEUTICS INC COM 74366E102 7,171,420 58,504 SH SOLE 58,504 0 0
QIAGEN NV ORD SHARES N72482156 2,662,710 68,100 SH Call SOLE 68,100 0 0
RELAY THERAPEUTICS INC COM 75943R102 8,126,015 434,314 SH SOLE 434,314 0 0
RELMADA THERAPEUTICS INC COM 75955J402 644,889 93,192 SH SOLE 93,192 0 0
REPLIGEN CORP COM 759916109 1,964,872 14,401 SH SOLE 14,401 0 0
REPLIMUNE GROUP INC COM 76029N106 6,534,090 590,252 SH SOLE 590,252 0 0
RETRACTABLE TECHNOLOGIES INC COM 76129W105 418,262 580,919 SH SOLE 580,919 0 0
REVOLUTION MEDICINES INC COM 76155X100 1,300,285 6,943 SH SOLE 6,943 0 0
REVVITY INC COM 714046109 9,304,006 83,624 SH SOLE 83,624 0 0
SAVARA INC COM 805111101 1,259,276 204,428 SH SOLE 204,428 0 0
SELECTQUOTE INC COM 816307300 268,974 319,788 SH SOLE 319,788 0 0
SONIDA SENIOR LIVING INC COM 140475203 4,187,059 102,624 SH SOLE 102,624 0 0
SPDR SERIES TRUST ST STR SP BIOT 78464A870 4,905,750 31,000 SH Put SOLE 31,000 0 0
SPRUCE BIOSCIENCES INC COM NEW 85209E208 2,160,000 40,000 SH SOLE 40,000 0 0
SS INNOVATIONS INTERNATIONAL COM NEW 05453U203 457,152 110,157 SH SOLE 110,157 0 0
STRUCTURE THERAPEUTICS INC SPONSORED ADS 86366E106 10,535,528 196,302 SH SOLE 196,302 0 0
SURROZEN INC COM NEW 86889P208 1,239,813 47,777 SH SOLE 47,777 0 0
SYNDAX PHARMACEUTICALS INC COM 87164F105 61,168,871 2,798,210 SH SOLE 2,798,210 0 0
TARSUS PHARMACEUTICALS INC COM 87650L103 3,506,387 55,710 SH SOLE 55,710 0 0
TENET HEALTHCARE CORP COM NEW 88033G407 21,364,349 114,199 SH SOLE 114,199 0 0
TRAVERE THERAPEUTICS INC COM 89422G107 45,389,656 798,973 SH SOLE 798,973 0 0
ULTRAGENYX PHARMACEUTICAL IN COM 90400D108 5,146,401 154,130 SH SOLE 154,130 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102 155,867,152 287,668 SH SOLE 287,668 0 0
UNITEDHEALTH GROUP INC COM 91324P102 21,257,396 51,145 SH SOLE 51,145 0 0
UNIVERSAL HLTH SVCS INC CL B 913903100 2,795,372 18,800 SH Put SOLE 18,800 0 0
VAXCYTE INC COM 92243G108 36,619,110 629,952 SH SOLE 629,952 0 0
VERA THERAPEUTICS INC CL A 92337R101 94,949,961 2,212,770 SH SOLE 2,212,770 0 0
VIKING THERAPEUTICS INC COM 92686J106 23,519,987 602,922 SH SOLE 602,922 0 0
VIR BIOTECHNOLOGY INC COM 92764N102 1,596,121 156,636 SH SOLE 156,636 0 0
VIRIDIAN THERAPEUTICS INC COM 92790C104 15,268,079 831,142 SH SOLE 831,142 0 0
VOR BIOPHARMA INC COM NEW 929033207 2,755,627 149,681 SH SOLE 149,681 0 0
WELLTOWER INC COM 95040Q104 19,817,205 87,312 SH SOLE 87,312 0 0
WHITEHAWK THERAPEUTICS INC COM 00032Q104 1,389,141 303,306 SH SOLE 303,306 0 0
XENON PHARMACEUTICALS INC COM 98420N105 11,862,672 196,532 SH SOLE 196,532 0 0