UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 2)*
Streamline Health Solutions, Inc.
(Name of Issuer)
Common Stock, $.01 par value
(Title of Class of Securities)
86323X106
(CUSIP Number)
December 31, 2018
(Date of Event which Requires
Filing of this Statement)
Check the appropriate box to designate the rule pursuant to
which this Schedule is filed:
[X] Rule 13d-1(b)
[X] Rule 13d-1(c)
[ ] Rule 13d-1(d)
*The remainder of this cover page shall be filled out for a
reporting person's initial filing on this form with respect to
the subject class of securities, and for any subsequent
amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover page
shall not be deemed to be "filed" for the purpose of Section 18
of the Securities Exchange Act of 1934 ("Act") or otherwise
subject to the liabilities of that section of the Act but shall
be subject to all other provisions of the Act (however, see the
Notes).
CUSIP No. 86323X106 SCHEDULE 13G Page 2 of 10
1 Names of Reporting Persons
Tamarack Advisers, LP
IRS Identification No. of Above Person (entities only)
__-_________ PROVIDE
2 Check the Appropriate Box if a Member of a Group
(a) [ ]
(See instructions) (b) [ ]
3 SEC USE ONLY
4 Citizenship or Place of Organization
Delaware
5 Sole Voting Power
1,950,000
NUMBER OF 6 Shared Voting Power
SHARES
BENEFICIALLY -0-
OWNED BY EACH
REPORTING 7 Sole Dispositive Power
PERSON WITH
1,950,000
8 Shared Dispositive Power
-0-
9 Aggregate Amount Beneficially Owned by each Reporting
Person
1,950,000
10 Check if the Aggregate Amount in Row (9) Excludes Certain
Shares (see instructions) [ ]
11 Percent of Class Represented by Amount in Row 9
9.7%
12 Type of Reporting Person (See Instructions)
IA
CUSIP No. 86323X106 SCHEDULE 13G Page 3 of 10
1 Names of Reporting Persons
Tamarack Global Healthcare Fund, LP
IRS Identification No. of Above Person (entities only)
20-8297742
2 Check the Appropriate Box if a Member of a Group
(a) [ ]
(See instructions) (b) [ ]
3 SEC USE ONLY
4 Citizenship or Place of Organization
Delaware
5 Sole Voting Power
1,593,096
NUMBER OF 6 Shared Voting Power
SHARES
BENEFICIALLY -0-
OWNED BY EACH
REPORTING 7 Sole Dispositive Power
PERSON WITH
1,593,096
8 Shared Dispositive Power
-0-
9 Aggregate Amount Beneficially Owned by each Reporting
Person
1,593,096
10 Check if the Aggregate Amount in Row (9) Excludes Certain
Shares (see instructions) [ ]
11 Percent of Class Represented by Amount in Row 9
7.9%
12 Type of Reporting Person (See Instructions)
PN
CUSIP No. 86323X106 SCHEDULE 13G Page 4 of 10
1 Names of Reporting Persons
Tamarack Capital GP, LLC
IRS Identification No. of Above Person (entities only)
47-4492240
2 Check the Appropriate Box if a Member of a Group
(a) [ ]
(See instructions) (b) [ ]
3 SEC USE ONLY
4 Citizenship or Place of Organization
Delaware
5 Sole Voting Power
1,950,000
NUMBER OF 6 Shared Voting Power
SHARES
BENEFICIALLY -0-
OWNED BY EACH
REPORTING 7 Sole Dispositive Power
PERSON WITH
1,950,000
8 Shared Dispositive Power
-0-
9 Aggregate Amount Beneficially Owned by each Reporting
Person
1,950,000
10 Check if the Aggregate Amount in Row (9) Excludes Certain
Shares (see instructions) [ ]
11 Percent of Class Represented by Amount in Row 9
9.7%
12 Type of Reporting Person (See Instructions)
HC
CUSIP No. 86323X106 SCHEDULE 13G Page 5 of 10
1 Names of Reporting Persons
Tamarack Capital Management, LLC
IRS Identification No. of Above Person (entities only)
90-0292676
2 Check the Appropriate Box if a Member of a Group
(a) [ ]
(See instructions) (b) [ ]
3 SEC USE ONLY
4 Citizenship or Place of Organization
Delaware
5 Sole Voting Power
1,950,000
NUMBER OF 6 Shared Voting Power
SHARES
BENEFICIALLY -0-
OWNED BY EACH
REPORTING 7 Sole Dispositive Power
PERSON WITH
1,950,000
8 Shared Dispositive Power
-0-
9 Aggregate Amount Beneficially Owned by each Reporting
Person
1,950,000
10 Check if the Aggregate Amount in Row (9) Excludes Certain
Shares (see instructions) [ ]
11 Percent of Class Represented by Amount in Row 9
9.7%
12 Type of Reporting Person (See Instructions)
HC
CUSIP No. 86323X106 SCHEDULE 13G Page 6 of 10
1 Names of Reporting Persons
Justin J. Ferayorni
IRS Identification No. of Above Person (entities only)
-----------
2 Check the Appropriate Box if a Member of a Group
(a) [ ]
(See instructions) (b) [ ]
3 SEC USE ONLY
4 Citizenship or Place of Organization
United States
5 Sole Voting Power
1,950,000
NUMBER OF 6 Shared Voting Power
SHARES
BENEFICIALLY -0-
OWNED BY EACH
REPORTING 7 Sole Dispositive Power
PERSON WITH
1,950,000
8 Shared Dispositive Power
-0-
9 Aggregate Amount Beneficially Owned by each Reporting
Person
1,950,000
10 Check if the Aggregate Amount in Row (9) Excludes Certain
Shares (see instructions) [ ]
11 Percent of Class Represented by Amount in Row 9
9.7%
12 Type of Reporting Person (See Instructions)
IN
CUSIP No. 86323X106 SCHEDULE 13G Page 7 of 10
Item 1(a). Name of Issuer.
Streamline Health Solutions, Inc.
Item 1(b). Address of Issuer's Principal Executive Offices.
1230 Peachtree Street, NE, Suite 600, Atlanta, GA 30309
Item 2(a). Name of Person Filing.
Tamarack Advisers, LP
Tamarack Global Healthcare Fund, LP
Tamarack Capital GP, LLC
Tamarack Capital Management, LLC
Justin J. Ferayorni
Item 2(b). Address of Principal Business Office or, if none,
Residence.
The business address of persons mentioned in Item 2(a)
above is 5050 Avenida Encinas, Suite 360, Carlsbad, CA 92008.
Item 2(c). Citizenship.
Tamarack Global Healthcare Fund, LP is a Delaware limited
partnership, Tamarack Advisers, LP is a Delaware limited
partnership, Tamarack Capital GP, LLC is a Delaware limited
liability company, Tamarack Capital Management, LLC is a
Delaware limited liability company, and Justin J. Ferayorni is
a United States citizen.
Item 2(d). Title of Class of Securities.
Common Stock, $.01 par value
Item 2(e). CUSIP Number.
86323X106
Item 3. If this statement is filed pursuant to 240.13d-
1(b) or 240.13d-2(b) or (c), check whether the person filing is
a:
(a) [ ] Broker or dealer registered under section 15 of the
Act (15 U.S.C. 78o).
(b) [ ] Bank as defined in section 3(a)(6) of the Act (15
U.S.C. 78c).
(c) [ ] Insurance company as defined in section 3(a)(19) of
the Act (15 U.S.C. 78c).
CUSIP No. 86323X106 SCHEDULE 13G Page 8 of 10
(d) [ ] Investment company registered under section 8 of the
Investment Company act of 1940 (15 U.S.C. 80a-8).
(e) [X] An investment adviser in accordance with 240.13d-
1(b)(1)(ii)(E). (for Tamarack Advisers, LP)
(f) [ ] An employee benefit plan or endowment fund in
accordance with 240.13d-1(b)(1)(ii)(F).
(g) [X] A parent holding company or control person in
accordance with 240.13d-1(b)(1)(ii)(G). (for Mr. Ferayorni,
Tamarack Global Healthcare Fund, LP, Tamarack Capital GP, LLC,
and Tamarack Capital Management, LLC)
(h) [ ] A savings association as defined in Section 3(b) of
the Federal Deposit Insurance Act (12 U.S.C. 1813).
(i) [ ] A church plan that is excluded form the definition of
an investment company under section 3(c)(14) of the Investment
Company act of 1940 (15 U.S.C. 80a-3).
(j) [ ] A non-U.S. institution in accordance with Rule
240.13d-1(b)(1)(ii)(J);
(K) [ ] Group, in accordance with 240.13d-1(b)(1)(ii)(K). If
filing as a non-U.S. institution in accordance with Rule
240.13d-1(b)(1)(ii)(J), please specify the type of institution:
______
Item 4. Ownership.
Reference is hereby made to Items 5-9 and 11 of pages two
(2), three (3), four (4), five (5), and six (6) of this
Schedule 13G, which Items are incorporated by reference herein.
CUSIP No. 86323X106 SCHEDULE 13G Page 9 of 10
Item 5. Ownership of Five Percent or Less of a Class.
Not applicable.
Item 6. Ownership of More Than Five Percent on Behalf of
Another Person.
Tamarack Advisers, LP ("Tamarack Advisers") is deemed to be the
beneficial owner of the number of securities reflected in Item
5-9 and 11 of page two (2) of this Schedule 13G pursuant to
separate arrangements whereby it acts as investment adviser to
certain persons. Each person for whom Tamarack Advisers acts
as investment adviser has the right to receive or the power to
direct the receipt of dividends from, or the proceeds from the
sale of, the Common Stock purchased or held pursuant to such
arrangements.
Tamarack Capital GP, LLC ("Tamarack GP") is deemed to be the
beneficial owner of the number of securities reflected in Item
5-9 and 11 of page four (4) of this Schedule 13G because of its
ownership of Tamarack Advisers.
Tamarack Capital Management, LLC ("Tamarack CM") is deemed to be
the beneficial owner of the number of securities reflected in
Item 5-9 and 11 of page five (5) of this Schedule 13G pursuant
to separate arrangements whereby it acts as general partner to
some of the private funds which together own the securities
reported on page 3.
Mr. Ferayorni is deemed to be the beneficial owner of the
number of securities reflected in Item 5-9 and 11 of page six
(6) of this Schedule 13G because of his position in, and
majority ownership of, Tamarack Advisers, Tamarack GP, and
Tamarack CM.
Item 7. Identification and Classification of the
Subsidiary which Acquired the Security Being Reported on by the
Parent Holding Company or Control Person.
Not applicable.
Item 8. Identification and Classification of Members of
the Group.
Not applicable.
CUSIP No. 86323X106 SCHEDULE 13G Page 10 of 10
Item 9. Notice of Dissolution of Group.
Not applicable.
Item 10. Certification.
By signing below, Justin J. Ferayorni certifies that, to
the best of his knowledge and belief, the securities referred
to above on page two (2), three (3), and four (4) of this
Schedule 13G were acquired and are held in the ordinary course
of business and were not acquired and are not held for the
purpose of or with the effect of changing or influencing the
control of the issuer of the securities and were not acquired
and are not held in connection with or as a participant in any
transaction having that purpose or effect.
Signature
After reasonable inquiry and to the best of his knowledge
and belief, the undersigned certifies that the information set
forth in this statement is true, complete and correct.
DATED:
Tamarack Advisers, LP and Tamarack Capital GP, LLC
/s/ Justin J. Ferayorni
________________________
By: Justin J. Ferayorni Managing member of Tamarack
Capital GP, LLC, the General Partner of Tamarack Advisers, LP
Tamarack Capital Management, LLC and Tamarack Global
Healthcare Fund, LP
/s/ Justin J. Ferayorni
________________________
By: Justin J. Ferayorni Managing Member of Tamarack
Capital Management, LLC, the general partner of Tamarack Global
Healthcare Fund, LP
/s/ Justin J. Ferayorni
________________________
By: Justin J. Ferayorni
Attention: Intentional misstatements or omissions of fact
constitute Federal criminal violations (See 18 U.S.C. 1001)