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 |
ABBOTT LABS | COM | 002824100 | 24,036 | 394,100 | SH | | DFND | 1 | 250,000 | 0 | 144,100 |
ACADIA PHARMACEUTICALS INC | COM | 004225108 | 65,392 | 4,282,400 | SH | | DFND | 1 | 764,300 | 0 | 3,518,100 |
ADAMAS PHARMACEUTICALS INC | COM | 00548A106 | 2,583 | 100,000 | SH | Call | DFND | 1 | 23,500 | 0 | 76,500 |
ADAPTIMMUNE THERAPEUTICS PLC | SPONDS ADR | 00653A107 | 7,912 | 666,593 | SH | | SOLE | | 666,593 | 0 | 0 |
AEGERION PHARMACEUTICALS INC | NOTE 2.000% 8/1 | 00767EAB8 | 9,718 | 15,000,000 | PRN | | DFND | 1 | 3,098,000 | 0 | 11,902,000 |
AEGLEA BIOTHERAPEUTICS INC | COM | 00773J103 | 19,737 | 1,865,524 | SH | | SOLE | | 1,865,524 | 0 | 0 |
AERIE PHARMACEUTICALS INC | COM | 00771V108 | 127,271 | 1,884,100 | SH | | DFND | 1 | 303,200 | 0 | 1,580,900 |
AERPIO PHARMACEUTICALS INC | COM | 00810B105 | 21,555 | 5,193,946 | SH | | SOLE | | 5,193,946 | 0 | 0 |
AFFIMED N V | COM | N01045108 | 539 | 326,650 | SH | | SOLE | | 326,650 | 0 | 0 |
AGILENT TECHNOLOGIES INC | COM | 00846U101 | 116,575 | 1,885,100 | SH | | DFND | 1 | 322,400 | 0 | 1,562,700 |
AKORN INC | COM | 009728106 | 3,318 | 200,000 | SH | Call | DFND | 1 | 47,000 | 0 | 153,000 |
ALEXION PHARMACEUTICALS INC | COM | 015351109 | 387,919 | 3,124,603 | SH | | DFND | 1 | 584,700 | 0 | 2,539,903 |
ALEXION PHARMACEUTICALS INC | COM | 015351109 | 8,691 | 70,000 | SH | Call | DFND | 1 | 16,500 | 0 | 53,500 |
ALIMERA SCIENCES INC | COM | 016259103 | 245 | 250,000 | SH | | DFND | 1 | 25,000 | 0 | 225,000 |
ALKERMES PLC | SHS | G01767105 | 5,968 | 145,000 | SH | | SOLE | | 0 | 0 | 145,000 |
ALLERGAN PLC | SHS | G0177J108 | 214,436 | 1,286,205 | SH | | DFND | 1 | 347,431 | 0 | 938,774 |
ALNYLAM PHARMACEUTICALS INC | COM | 02043Q107 | 124,685 | 1,265,966 | SH | | DFND | 1 | 237,300 | 0 | 1,028,666 |
ALPINE IMMUNE SCIENCES INC | COM | 02083G100 | 24,970 | 3,298,516 | SH | | SOLE | | 3,298,516 | 0 | 0 |
AMEDISYS INC | COM | 023436108 | 14,622 | 171,100 | SH | | SOLE | | 0 | 0 | 171,100 |
AMGEN INC | COM | 031162100 | 22,908 | 124,100 | SH | | SOLE | | 0 | 0 | 124,100 |
AMICUS THERAPEUTICS INC | COM | 03152W109 | 110,472 | 7,072,500 | SH | | DFND | 1 | 1,320,215 | 0 | 5,752,285 |
ANTHEM INC | COM | 036752103 | 126,584 | 531,800 | SH | | DFND | 1 | 127,000 | 0 | 404,800 |
ARGENX SE | SPONSORED ADR | 04016X101 | 49,658 | 599,300 | SH | | SOLE | | 0 | 0 | 599,300 |
ARRAY BIOPHARMA INC | COM | 04269X105 | 82,237 | 4,900,900 | SH | | DFND | 1 | 871,600 | 0 | 4,029,300 |
ARSANIS INC | COM | 042873109 | 6,784 | 1,868,966 | SH | | SOLE | | 1,868,966 | 0 | 0 |
ASCENDIS PHARMA A S | SPONSORED ADR | 04351P101 | 293,572 | 4,413,291 | SH | | DFND | 1 | 3,763,291 | 0 | 650,000 |
ASSEMBLY BIOSCIENCES INC | COM | 045396108 | 28,277 | 721,166 | SH | | SOLE | | 0 | 0 | 721,166 |
ATHENEX INC | COM | 04685N103 | 8,024 | 430,000 | SH | | SOLE | | 0 | 0 | 430,000 |
AUDENTES THERAPEUTICS INC | COM | 05070R104 | 99,919 | 2,615,000 | SH | | SOLE | | 2,615,000 | 0 | 0 |
AURINIA PHARMACEUTICALS INC | COM | 05156V102 | 943 | 167,419 | SH | | SOLE | | 0 | 0 | 167,419 |
AVROBIO INC | COM | 05455M100 | 7,140 | 250,000 | SH | | SOLE | | 0 | 0 | 250,000 |
BEIGENE LTD | SPONSORED ADR | 07725L102 | 40,185 | 261,400 | SH | | DFND | 1 | 55,200 | 0 | 206,200 |
BIOGEN INC | COM | 09062X103 | 338,971 | 1,167,900 | SH | | DFND | 1 | 209,800 | 0 | 958,100 |
BIOLINERX LTD | SPONSORED ADR | 09071M106 | 924 | 1,038,600 | SH | | SOLE | | 1,038,600 | 0 | 0 |
BIOMARIN PHARMACEUTICAL INC | COM | 09061G101 | 6,594 | 70,000 | SH | Call | DFND | 1 | 16,500 | 0 | 53,500 |
BIOMARIN PHARMACEUTICAL INC | COM | 09061G101 | 7,206 | 76,500 | SH | | SOLE | | 0 | 0 | 76,500 |
BIOMARIN PHARMACEUTICAL INC | NOTE 0.750%10/1 | 09061GAE1 | 532 | 500,000 | PRN | | SOLE | | 0 | 0 | 500,000 |
BIOMARIN PHARMACEUTICAL INC | NOTE 1.500%10/1 | 09061GAF8 | 592 | 500,000 | PRN | | SOLE | | 0 | 0 | 500,000 |
BLUEBIRD BIO INC | COM | 09609G100 | 76,623 | 488,200 | SH | | DFND | 1 | 88,400 | 0 | 399,800 |
BOSTON SCIENTIFIC CORP | COM | 101137107 | 313,093 | 9,574,695 | SH | | DFND | 1 | 1,864,500 | 0 | 7,710,195 |
BRISTOL MYERS SQUIBB CO | COM | 110122108 | 131,726 | 2,380,300 | SH | | DFND | 1 | 505,300 | 0 | 1,875,000 |
CELGENE CORP | COM | 151020104 | 204,161 | 2,570,650 | SH | | DFND | 1 | 446,800 | 0 | 2,123,850 |
CIGNA CORPORATION | COM | 125509109 | 36,505 | 214,800 | SH | | DFND | 1 | 82,200 | 0 | 132,600 |
CLEMENTIA PHARMACEUTICALS IN | COM | 185575107 | 137,196 | 10,425,225 | SH | | SOLE | | 10,425,225 | 0 | 0 |
CLOVIS ONCOLOGY INC | COM | 189464100 | 105,985 | 2,330,870 | SH | | DFND | 1 | 514,800 | 0 | 1,816,070 |
CLOVIS ONCOLOGY INC | COM | 189464100 | 4,547 | 100,000 | SH | Call | DFND | 1 | 23,500 | 0 | 76,500 |
COHERUS BIOSCIENCES INC | COM | 19249H103 | 20,727 | 1,480,482 | SH | | SOLE | | 0 | 0 | 1,480,482 |
CORVUS PHARMACEUTICALS INC | COM | 221015100 | 65,524 | 5,967,584 | SH | | SOLE | | 5,967,584 | 0 | 0 |
CRISPR THERAPEUTICS AG | NAMEN AKT | H17182108 | 29,157 | 496,200 | SH | | DFND | 1 | 106,100 | 0 | 390,100 |
CTI BIOPHARMA CORP | COM NEW | 12648L601 | 24,900 | 5,000,000 | SH | | SOLE | | 5,000,000 | 0 | 0 |
DAVITA INC | COM | 23918K108 | 117,312 | 1,689,400 | SH | | DFND | 1 | 375,000 | 0 | 1,314,400 |
DBV TECHNOLOGIES S A | SPONSORED ADR | 23306J101 | 7,922 | 410,700 | SH | | SOLE | | 0 | 0 | 410,700 |
DECIPHERA PHARMACEUTICALS IN | COM | 24344T101 | 78,924 | 2,005,700 | SH | | DFND | 1 | 287,000 | 0 | 1,718,700 |
DENTSPLY SIRONA INC | COM | 24906P109 | 104,763 | 2,393,500 | SH | | DFND | 1 | 590,200 | 0 | 1,803,300 |
DERMIRA INC | COM | 24983L104 | 9,491 | 1,031,596 | SH | | SOLE | | 0 | 0 | 1,031,596 |
EDWARDS LIFESCIENCES CORP | COM | 28176E108 | 126,777 | 870,900 | SH | | DFND | 1 | 170,500 | 0 | 700,400 |
EHEALTH INC | COM | 28238P109 | 40,547 | 1,834,700 | SH | | SOLE | | 0 | 0 | 1,834,700 |
ELECTROCORE INC | COM | 28531P103 | 6,568 | 397,826 | SH | | DFND | 1 | 198,913 | 0 | 198,913 |
EXELIXIS INC | COM | 30161Q104 | 36,179 | 1,681,200 | SH | | DFND | 1 | 329,400 | 0 | 1,351,800 |
FLUIDIGM CORP DEL | COM | 34385P108 | 9,439 | 1,583,700 | SH | | DFND | 1 | 59,600 | 0 | 1,524,100 |
FLUIDIGM CORP DEL | NOTE 2.750% 2/0 | 34385PAA6 | 8,093 | 10,000,000 | PRN | | SOLE | | 0 | 0 | 10,000,000 |
FOAMIX PHARMACEUTICALS LTD | SHS | M46135105 | 20,240 | 4,040,000 | SH | | SOLE | | 0 | 0 | 4,040,000 |
GALAPAGOS NV | SPON ADR | 36315X101 | 44,891 | 486,990 | SH | | DFND | 1 | 68,500 | 0 | 418,490 |
GILEAD SCIENCES INC | COM | 375558103 | 25,828 | 364,600 | SH | | SOLE | | 0 | 0 | 364,600 |
GLOBAL BLOOD THERAPEUTICS IN | COM | 37890U108 | 20,217 | 447,275 | SH | | DFND | 1 | 60,300 | 0 | 386,975 |
GW PHARMACEUTICALS PLC | ADS | 36197T103 | 2,930 | 21,000 | SH | | SOLE | | 0 | 0 | 21,000 |
HCA HEALTHCARE INC | COM | 40412C101 | 24,347 | 237,300 | SH | | DFND | 1 | 76,000 | 0 | 161,300 |
HERON THERAPEUTICS INC | COM | 427746102 | 51,092 | 1,315,100 | SH | | SOLE | | 0 | 0 | 1,315,100 |
HUMANA INC | COM | 444859102 | 21,608 | 72,600 | SH | | DFND | 1 | 31,300 | 0 | 41,300 |
ILLUMINA INC | COM | 452327109 | 79,458 | 284,500 | SH | | DFND | 1 | 70,600 | 0 | 213,900 |
IMMUNOGEN INC | COM | 45253H101 | 28,259 | 2,904,270 | SH | | DFND | 1 | 424,000 | 0 | 2,480,270 |
IMMUNOMEDICS INC | COM | 452907108 | 117,038 | 4,944,573 | SH | | DFND | 1 | 1,184,203 | 0 | 3,760,370 |
INCYTE CORP | COM | 45337C102 | 29,346 | 438,000 | SH | | DFND | 1 | 93,400 | 0 | 344,600 |
INOTEK PHARMACEUTICALS CORP | NOTE 5.750% 8/0 | 45780VAB8 | 7,214 | 7,000,000 | PRN | | SOLE | | 0 | 0 | 7,000,000 |
INSMED INC | COM PAR $.01 | 457669307 | 69,245 | 2,927,891 | SH | | DFND | 1 | 494,900 | 0 | 2,432,991 |
INSMED INC | NOTE 1.750% 1/1 | 457669AA7 | 24,253 | 26,500,000 | PRN | | DFND | 1 | 7,456,000 | 0 | 19,044,000 |
INSPIRE MED SYS INC | COM | 457730109 | 87,161 | 2,444,221 | SH | | SOLE | | 2,444,221 | 0 | 0 |
INSYS THERAPEUTICS INC NEW | COM NEW | 45824V209 | 25,424 | 3,511,544 | SH | | DFND | 1 | 708,500 | 0 | 2,803,044 |
INTELLIA THERAPEUTICS INC | COM | 45826J105 | 23,967 | 876,000 | SH | | SOLE | | 876,000 | 0 | 0 |
INTUITIVE SURGICAL INC | COM NEW | 46120E602 | 52,872 | 110,500 | SH | | DFND | 1 | 48,000 | 0 | 62,500 |
INVITAE CORP | COM | 46185L103 | 11,159 | 1,518,197 | SH | | SOLE | | 1,518,197 | 0 | 0 |
IOVANCE BIOTHERAPEUTICS INC | COM | 462260100 | 71,019 | 5,548,326 | SH | | DFND | 1 | 1,337,800 | 0 | 4,210,526 |
IRONWOOD PHARMACEUTICALS INC | COM CL A | 46333X108 | 56,007 | 2,929,250 | SH | | DFND | 1 | 667,500 | 0 | 2,261,750 |
IRONWOOD PHARMACEUTICALS INC | COM CL A | 46333X108 | 2,868 | 150,000 | SH | Call | DFND | 1 | 34,500 | 0 | 115,500 |
JAZZ PHARMACEUTICALS PLC | SHS USD | G50871105 | 179,209 | 1,040,100 | SH | | DFND | 1 | 234,300 | 0 | 805,800 |
JOHNSON & JOHNSON | COM | 478160104 | 91,733 | 756,000 | SH | | DFND | 1 | 551,000 | 0 | 205,000 |
K2M GROUP HLDGS INC | COM | 48273J107 | 18,972 | 843,205 | SH | | DFND | 1 | 195,700 | 0 | 647,505 |
KALA PHARMACEUTICALS INC | COM | 483119103 | 47,339 | 3,447,840 | SH | | SOLE | | 3,447,840 | 0 | 0 |
LIFEPOINT HEALTH INC | COM | 53219L109 | 25,044 | 513,200 | SH | | DFND | 1 | 120,900 | 0 | 392,300 |
LOXO ONCOLOGY INC | COM | 548862101 | 93,332 | 538,000 | SH | | SOLE | | 538,000 | 0 | 0 |
MAGELLAN HEALTH INC | COM NEW | 559079207 | 24,120 | 251,383 | SH | | DFND | 1 | 54,900 | 0 | 196,483 |
MARINUS PHARMACEUTICALS INC | COM | 56854Q101 | 4,013 | 567,600 | SH | | SOLE | | 567,600 | 0 | 0 |
MEDIGUS LTD | SPONSORD ADR NEW | 58471G201 | 74 | 60,000 | SH | | SOLE | | 60,000 | 0 | 0 |
MEDNAX INC | COM | 58502B106 | 37,333 | 862,600 | SH | | DFND | 1 | 295,300 | 0 | 567,300 |
MERCK & CO INC | COM | 58933Y105 | 284,076 | 4,680,000 | SH | | DFND | 1 | 1,157,800 | 0 | 3,522,200 |
MYLAN N V | SHS EURO | N59465109 | 133,819 | 3,702,800 | SH | | DFND | 1 | 739,400 | 0 | 2,963,400 |
NABRIVA THERAPEUTICS PLC | SHS | G63637105 | 13,640 | 3,919,600 | SH | | SOLE | | 3,919,600 | 0 | 0 |
NATERA INC | COM | 632307104 | 18,520 | 984,086 | SH | | SOLE | | 984,086 | 0 | 0 |
NEUROCRINE BIOSCIENCES INC | COM | 64125C109 | 13,537 | 137,800 | SH | | SOLE | | 0 | 0 | 137,800 |
NEURONETICS INC | COM | 64131A105 | 3,992 | 150,000 | SH | | DFND | 1 | 51,400 | 0 | 98,600 |
NEVRO CORP | COM | 64157F103 | 100,618 | 1,260,091 | SH | | DFND | 1 | 267,900 | 0 | 992,191 |
NOVO-NORDISK A S | ADR | 670100205 | 15,220 | 330,000 | SH | | SOLE | | 0 | 0 | 330,000 |
NOVUS THERAPEUTICS INC | COM | 67011N105 | 17,760 | 2,537,110 | SH | | SOLE | | 2,537,110 | 0 | 0 |
OBSEVA SA | COM | H5861P103 | 39,448 | 2,605,531 | SH | | SOLE | | 2,605,531 | 0 | 0 |
ORTHOPEDIATRICS CORP | COM | 68752L100 | 3,647 | 136,900 | SH | | SOLE | | 0 | 0 | 136,900 |
PFIZER INC | COM | 717081103 | 35,627 | 982,000 | SH | | SOLE | | 982,000 | 0 | 0 |
PIERIS PHARMACEUTICALS INC | COM | 720795103 | 15,920 | 3,140,000 | SH | | SOLE | | 3,140,000 | 0 | 0 |
PROQR THRAPEUTICS N V | SHS EURO | N71542109 | 9,512 | 1,302,955 | SH | | DFND | 1 | 85,783 | 0 | 1,217,172 |
PUMA BIOTECHNOLOGY INC | COM | 74587V107 | 161,650 | 2,732,881 | SH | | DFND | 1 | 542,246 | 0 | 2,190,635 |
RADIUS HEALTH INC | COM NEW | 750469207 | 22,483 | 762,900 | SH | | DFND | 1 | 59,700 | 0 | 703,200 |
RECRO PHARMA INC | COM | 75629F109 | 539 | 107,357 | SH | | SOLE | | 107,357 | 0 | 0 |
REDHILL BIOPHARMA LTD | SPONSORED ADS | 757468103 | 4,819 | 564,900 | SH | | SOLE | | 564,900 | 0 | 0 |
REGENERON PHARMACEUTICALS | COM | 75886F107 | 128,509 | 372,500 | SH | | DFND | 1 | 73,200 | 0 | 299,300 |
RESTORBIO INC | COM | 76133L103 | 44,198 | 4,830,387 | SH | | SOLE | | 4,830,387 | 0 | 0 |
RHYTHM PHARMACEUTICALS INC | COM | 76243J105 | 64,552 | 2,065,000 | SH | | SOLE | | 2,065,000 | 0 | 0 |
ROCKET PHARMACEUTICALS INC | COM | 77313F106 | 15,213 | 775,000 | SH | | SOLE | | 0 | 0 | 775,000 |
SAREPTA THERAPEUTICS INC | COM | 803607100 | 59,825 | 452,600 | SH | | DFND | 1 | 94,300 | 0 | 358,300 |
SCPHARMACEUTICALS INC | COM | 810648105 | 19,300 | 3,409,865 | SH | | SOLE | | 3,409,865 | 0 | 0 |
SELECT MED HLDGS CORP | COM | 81619Q105 | 92,097 | 5,074,200 | SH | | DFND | 1 | 1,248,800 | 0 | 3,825,400 |
SELECTA BIOSCIENCES INC | COM | 816212104 | 24,417 | 1,842,797 | SH | | SOLE | | 1,842,797 | 0 | 0 |
SHIRE PLC | SPONSORED ADR | 82481R106 | 60,195 | 356,608 | SH | | DFND | 1 | 102,600 | 0 | 254,008 |
SIERRA ONCOLOGY INC | COM | 82640U107 | 3,751 | 1,267,104 | SH | | SOLE | | 1,267,104 | 0 | 0 |
SINOVAC BIOTECH LTD | SHS | P8696W104 | 21,183 | 2,839,500 | SH | | SOLE | | 0 | 0 | 2,839,500 |
STEADYMED LTD | SHS | M84920103 | 19,108 | 4,246,196 | SH | | SOLE | | 4,246,196 | 0 | 0 |
STRYKER CORP | COM | 863667101 | 24,215 | 143,400 | SH | | DFND | 1 | 62,400 | 0 | 81,000 |
SYNDAX PHARMACEUTICALS INC | COM | 87164F105 | 3,068 | 437,000 | SH | | SOLE | | 437,000 | 0 | 0 |
SYNLOGIC INC | COM | 87166L100 | 19,955 | 2,029,996 | SH | | SOLE | | 2,029,996 | 0 | 0 |
TANDEM DIABETES CARE INC | COM NEW | 875372203 | 37,192 | 1,689,000 | SH | | DFND | 1 | 286,000 | 0 | 1,403,000 |
TELEFLEX INC | COM | 879369106 | 51,067 | 190,400 | SH | | DFND | 1 | 35,700 | 0 | 154,700 |
TENET HEALTHCARE CORP | COM NEW | 88033G407 | 12,518 | 372,900 | SH | | DFND | 1 | 87,800 | 0 | 285,100 |
TESARO INC | COM | 881569107 | 2,992 | 67,281 | SH | | DFND | 1 | 17,934 | 0 | 49,347 |
THERMO FISHER SCIENTIFIC INC | COM | 883556102 | 120,866 | 583,500 | SH | | DFND | 1 | 102,500 | 0 | 481,000 |
TRICIDA INC | COM | 89610F101 | 325,589 | 10,889,280 | SH | | SOLE | | 10,889,280 | 0 | 0 |
TRIPLE-S MGMT CORP | CL B | 896749108 | 11,359 | 290,800 | SH | | SOLE | | 0 | 0 | 290,800 |
ULTRAGENYX PHARMACEUTICAL IN | COM | 90400D108 | 5,197 | 67,605 | SH | | DFND | 1 | 11,700 | 0 | 55,905 |
UNITEDHEALTH GROUP INC | COM | 91324P102 | 30,250 | 123,300 | SH | | DFND | 1 | 53,100 | 0 | 70,200 |
UNIVERSAL HLTH SVCS INC | CL B | 913903100 | 51,630 | 463,300 | SH | | DFND | 1 | 103,900 | 0 | 359,400 |
VERONA PHARMA PLC | SPONSORED ADS | 925050106 | 17,080 | 1,250,396 | SH | | SOLE | | 1,250,396 | 0 | 0 |
VERRICA PHARMACEUTICALS INC | COM | 92511W108 | 29,195 | 1,479,733 | SH | | SOLE | | 1,479,733 | 0 | 0 |
VERTEX PHARMACEUTICALS INC | COM | 92532F100 | 304,670 | 1,792,600 | SH | | DFND | 1 | 276,700 | 0 | 1,515,900 |
VERTEX PHARMACEUTICALS INC | COM | 92532F100 | 29,743 | 175,000 | SH | Call | DFND | 1 | 41,500 | 0 | 133,500 |
VIEWRAY INC | COM | 92672L107 | 65,453 | 9,458,567 | SH | | SOLE | | 9,458,567 | 0 | 0 |
WRIGHT MED GROUP N V | ORD SHS 0.03 PAR | N96617118 | 164,136 | 6,322,668 | SH | | DFND | 1 | 1,049,359 | 0 | 5,273,309 |
WRIGHT MED GROUP N V | RIGHT 03/01/2019 | N96617126 | 11,196 | 8,746,583 | SH | | SOLE | | 0 | 0 | 8,746,583 |
XENON PHARMACEUTICALS INC | COM | 98420N105 | 5,840 | 634,812 | SH | | SOLE | | 634,812 | 0 | 0 |
XTANT MED HLDGS INC | COM NEW | 98420P308 | 51,099 | 9,207,012 | SH | | SOLE | | 9,207,012 | 0 | 0 |
ZAI LAB LTD | ADR | 98887Q104 | 37,456 | 1,611,000 | SH | | SOLE | | 1,611,000 | 0 | 0 |