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
CENTENE CORP DEL COM 15135B101   2,852,216 44,545 SH   OTR   0 0 44,545
MCKESSON CORP COM 58155Q103   2,041,777 3,433 SH   OTR   0 0 3,433
BRIGHTSPRING HEALTH SVCS INC COM 10950A106   4,037,110 171,064 SH   OTR   0 0 171,064
ACADIA HEALTHCARE COMPANY IN COM 00404A109   2,727,125 60,455 SH   OTR   0 0 60,455
MODIVCARE INC COM 60783X104   35,028 8,757 SH   OTR   0 0 8,757
EHEALTH INC COM 28238P109   1,491,348 150,035 SH   OTR   0 0 150,035
PENNANT GROUP INC COM 70805E109   4,367,338 164,992 SH   OTR   0 0 164,992
CVS HEALTH CORP COM 126650100   2,185,607 38,697 SH   OTR   0 0 38,697
HUMANA INC COM 444859102   11,189,657 38,160 SH   OTR   0 0 38,160
CARDINAL HEALTH INC COM 14149Y108   4,179,461 33,798 SH   OTR   0 0 33,798
DAVITA INC COM 23918K108   7,602,678 43,148 SH   OTR   0 0 43,148
ENHABIT INC COM 29332G102   2,495,833 297,123 SH   OTR   0 0 297,123
WALGREENS BOOTS ALLIANCE INC COM 931427108   3,509,242 341,366 SH   OTR   0 0 341,366
ALIGNMENT HEALTHCARE INC COM 01625V104   3,757,530 244,154 SH   OTR   0 0 244,154
UNITEDHEALTH GROUP INC COM 91324P102   6,414,402 11,824 SH   OTR   0 0 11,824
EQUINOX GOLD CORP COM 29446Y502   346,427 57,072 SH   OTR   0 0 57,072
GRAPHIC PACKAGING HLDG CO COM 388689101   717,212 26,147 SH   OTR   0 0 26,147
KRANESHARES TRUST CSI CHI INTERNET 500767306   514,243 16,440 SH   OTR   0 0 16,440
SOLARIS RES INC COM NEW 83419D201   134,033 41,812 SH   OTR   0 0 41,812
LIGHT & WONDER INC COM 80874P109   709,537 7,941 SH   OTR   0 0 7,941
CENOVUS ENERGY INC COM 15135U109   825,383 57,041 SH   OTR   0 0 57,041
ELDORADO GOLD CORP NEW COM 284902509   977,189 64,120 SH   OTR   0 0 64,120
HUDBAY MINERALS INC COM 443628102   758,357 92,022 SH   OTR   0 0 92,022
NEXGEN ENERGY LTD COM 65340P106   1,527,788 234,030 SH   OTR   0 0 234,030
EAST WEST BANCORP INC COM 27579R104   383,769 3,727 SH   OTR   0 0 3,727
FIRST FINL BANCORP OH COM 320209109   348,064 12,422 SH   OTR   0 0 12,422
ROCKET COS INC COM CL A 77311W101   3,840 384 SH Call OTR   0 0 384
INTERNATIONAL BANCSHARES COR COM 459044103   818,683 12,425 SH   OTR   0 0 12,425
ROBINHOOD MKTS INC COM CL A 770700102   1,055,364 20,315 SH   OTR   0 0 20,315
SOUTHSTATE CORPORATION COM 840441109   655,714 6,210 SH   OTR   0 0 6,210
OLD SECOND BANCORP INC ILL COM 680277100   1,284,165 68,343 SH   OTR   0 0 68,343
CVB FINL CORP COM 126600105   517,937 24,853 SH   OTR   0 0 24,853
WEBSTER FINL CORP COM 947890109   374,151 6,211 SH   OTR   0 0 6,211
SPDR S&P 500 ETF TR TR UNIT 78462F103   214,200 476 SH Put OTR   0 0 476
WELLS FARGO CO NEW COM 949746101   979,326 12,428 SH   OTR   0 0 12,428
VALLEY NATL BANCORP COM 919794107   3,570 357 SH Put OTR   0 0 357
COASTAL FINL CORP WA COM NEW 19046P209   1,662,404 18,641 SH   OTR   0 0 18,641
VERSABANK NEW COM 92512J106   473,024 34,178 SH   OTR   0 0 34,178
CITIGROUP INC COM NEW 172967424   2,023,780 24,853 SH   OTR   0 0 24,853
SOFI TECHNOLOGIES INC COM 83406F102   3,770 29 SH Call OTR   0 0 29
FIRST CTZNS BANCSHARES INC N CL A 31946M103   2,191,462 994 SH   OTR   0 0 994
COINBASE GLOBAL INC COM CL A 19260Q107   45,570 31 SH Call OTR   0 0 31
SPDR S&P 500 ETF TR TR UNIT 78462F103   10,455 51 SH Put OTR   0 0 51
AFFIRM HLDGS INC COM CL A 00827B106   32,178 93 SH Call OTR   0 0 93
SYNCHRONY FINANCIAL COM 87165B103   428,642 6,214 SH   OTR   0 0 6,214
ROCKET COS INC COM CL A 77311W101   70,434 234 SH Call OTR   0 0 234
SPDR SER TR S&P REGL BKG 78464A698   43,095 195 SH Call OTR   0 0 195
ESQUIRE FINL HLDGS INC COM 29667J101   249,968 2,797 SH   OTR   0 0 2,797
ROCKET COS INC COM CL A 77311W101   156,568 12,426 SH   OTR   0 0 12,426
UWM HOLDINGS CORPORATION COM CL A 91823B109   374,650 62,131 SH   OTR   0 0 62,131
QCR HOLDINGS INC COM 74727A104   1,207,768 15,532 SH   OTR   0 0 15,532
SMARTFINANCIAL INC COM NEW 83190L208   525,797 14,912 SH   OTR   0 0 14,912
DISCOVER FINL SVCS COM 254709108   1,874,159 9,320 SH   OTR   0 0 9,320
SOFI TECHNOLOGIES INC COM 83406F102   26,352 216 SH Call OTR   0 0 216
EQUITY BANCSHARES INC COM CL A 29460X109   948,126 21,746 SH   OTR   0 0 21,746
SPDR SER TR S&P REGL BKG 78464A698   106,750 427 SH Call OTR   0 0 427
MR COOPER GROUP INC COM 62482R107   580,609 5,593 SH   OTR   0 0 5,593
FINANCIAL INSTNS INC COM 317585404   1,495,575 56,715 SH   OTR   0 0 56,715
GOLDMAN SACHS GROUP INC COM 38141G104   1,193,706 1,864 SH   OTR   0 0 1,864
TOWNEBANK PORTSMOUTH VA COM 89214P109   444,478 12,426 SH   OTR   0 0 12,426
SOFI TECHNOLOGIES INC COM 83406F102   3,910 115 SH Call OTR   0 0 115
FIRST WESTN FINL INC COM 33751L105   306,752 14,538 SH   OTR   0 0 14,538
PATHWARD FINANCIAL INC COM 59100U108   841,789 10,558 SH   OTR   0 0 10,558
CONNECTONE BANCORP INC COM 20786W107   1,653,055 65,235 SH   OTR   0 0 65,235
SOFI TECHNOLOGIES INC COM 83406F102   1,019,388 64,600 SH   OTR   0 0 64,600
FIRST HORIZON CORPORATION COM 320517105   952,040 43,492 SH   OTR   0 0 43,492
KEROS THERAPEUTICS INC COM 492327101   3,010 301 SH Call OTR   0 0 301
REVIVA PHARMACEUTCLS HLDGS I COM 76152G100   304,611 161,170 SH   OTR   0 0 161,170
SAGE THERAPEUTICS INC COM 78667J108   389,477 53,721 SH   OTR   0 0 53,721
NEUROCRINE BIOSCIENCES INC COM 64125C109   1,631,154 10,744 SH   OTR   0 0 10,744
TG THERAPEUTICS INC COM 88322Q108   400 80 SH Call OTR   0 0 80
TG THERAPEUTICS INC COM 88322Q108   709,002 22,366 SH   OTR   0 0 22,366
APOGEE THERAPEUTICS INC COM 03770N101   54,540 54 SH Call OTR   0 0 54
BLUEPRINT MEDICINES CORP COM 09627Y109   1,090,753 9,693 SH   OTR   0 0 9,693
EDGEWISE THERAPEUTICS INC COM 28036F105   464,936 16,593 SH   OTR   0 0 16,593
VAXCYTE INC COM 92243G108   1,691,416 19,151 SH   OTR   0 0 19,151
SOLENO THERAPEUTICS INC COM 834203309   119,685 303 SH Put OTR   0 0 303
ELEDON PHARMACEUTICALS INC COM 28617K101   67,145 14,855 SH   OTR   0 0 14,855
VIRIDIAN THERAPEUTICS INC COM 92790C104   489,093 25,237 SH   OTR   0 0 25,237
ORIC PHARMACEUTICALS INC COM 68622P109   76,827 7,373 SH   OTR   0 0 7,373
JANUX THERAPEUTICS INC COM 47103J105   2,783 53 SH Put OTR   0 0 53
Q32 BIO INC COM 746964105   343,875 105 SH Put OTR   0 0 105
GOSSAMER BIO INC COM 38341P102   15,150 303 SH Call OTR   0 0 303
KEROS THERAPEUTICS INC COM 492327101   356,360 151 SH Put OTR   0 0 151
CENTESSA PHARMACEUTICALS PLC SPONSORED ADS 152309100   637,901 37,701 SH   OTR   0 0 37,701
RHYTHM PHARMACEUTICALS INC COM 76243J105   1,088,282 18,312 SH   OTR   0 0 18,312
NOVO-NORDISK A S ADR 670100205   32,708 221 SH Put OTR   0 0 221
RELAY THERAPEUTICS INC COM 75943R102   24,240 303 SH Call OTR   0 0 303
KEROS THERAPEUTICS INC COM 492327101   3,975 53 SH Call OTR   0 0 53
ALX ONCOLOGY HLDGS INC COM 00166B105   260 52 SH Call OTR   0 0 52
ASCENDIS PHARMA A/S SPONSORED ADR 04351P101   1,168,100 8,940 SH   OTR   0 0 8,940
CRINETICS PHARMACEUTICALS IN COM 22663K107   531,315 13,184 SH   OTR   0 0 13,184
NEKTAR THERAPEUTICS COM 640268108   57,078 1,343 SH Call OTR   0 0 1,343
ZEVRA THERAPEUTICS INC COM NEW 488445206   100,595 12,831 SH   OTR   0 0 12,831
EDGEWISE THERAPEUTICS INC COM 28036F105   60,000 100 SH Call OTR   0 0 100
RECURSION PHARMACEUTICALS IN CL A 75629V104   167,610 906 SH Call OTR   0 0 906
GOSSAMER BIO INC COM 38341P102   65,472 65,894 SH   OTR   0 0 65,894
PFIZER INC COM 717081103   358,816 13,530 SH   OTR   0 0 13,530
AGIOS PHARMACEUTICALS INC COM 00847X104   133,300 310 SH Call OTR   0 0 310
MODERNA INC COM 60770K107   268 268 SH Put OTR   0 0 268
ARCUTIS BIOTHERAPEUTICS INC COM 03969K108   302,004 22,810 SH   OTR   0 0 22,810
TG THERAPEUTICS INC COM 88322Q108   670 134 SH Call OTR   0 0 134
APOGEE THERAPEUTICS INC COM 03770N101   741,998 17,940 SH   OTR   0 0 17,940
KALVISTA PHARMACEUTICALS INC COM 483497103   373,792 41,952 SH   OTR   0 0 41,952
BIOMARIN PHARMACEUTICAL INC COM 09061G101   1,701,596 26,856 SH   OTR   0 0 26,856
INSMED INC COM PAR $.01 457669307   957,250 12,500 SH   OTR   0 0 12,500
CAPRICOR THERAPEUTICS INC COM NEW 14070B309   11,505 177 SH Put OTR   0 0 177
UNITY BIOTECHNOLOGY INC COM NEW 91381U200   23,375 425 SH Call OTR   0 0 425
CAPRICOR THERAPEUTICS INC COM NEW 14070B309   114,950 605 SH Call OTR   0 0 605
TERNS PHARMACEUTICALS INC COM 880881107   57,119 12,807 SH   OTR   0 0 12,807
KODIAK SCIENCES INC COM 50015M109   5,390 22 SH Call OTR   0 0 22
MODERNA INC COM 60770K107   84,688 134 SH Call OTR   0 0 134
TG THERAPEUTICS INC COM 88322Q108   4,050 81 SH Call OTR   0 0 81
Q32 BIO INC COM 746964105   18,238 6,019 SH   OTR   0 0 6,019
MERCK & CO INC COM 58933Y105   14,248 137 SH Put OTR   0 0 137
GOSSAMER BIO INC COM 38341P102   9,500 475 SH Call OTR   0 0 475
LEXICON PHARMACEUTICALS INC COM NEW 528872302   135 3 SH Call OTR   0 0 3
CASSAVA SCIENCES INC COM 14817C107   2,856 24 SH Put OTR   0 0 24
KEROS THERAPEUTICS INC COM 492327101   3,700 2 SH Put OTR   0 0 2
HALOZYME THERAPEUTICS INC COM 40637H109   237,855 303 SH Call OTR   0 0 303
TARSUS PHARMACEUTICALS INC COM 87650L103   832,044 15,477 SH   OTR   0 0 15,477
ULTRAGENYX PHARMACEUTICAL IN COM 90400D108   174,400 320 SH Put OTR   0 0 320
VISTAGEN THERAPEUTICS INC COM 92840H400   351,571 121,651 SH   OTR   0 0 121,651
NUVALENT INC COM 670703107   380,567 4,435 SH   OTR   0 0 4,435
SOLENO THERAPEUTICS INC COM 834203309   1,095,466 21,809 SH   OTR   0 0 21,809
NOVO-NORDISK A S ADR 670100205   134 134 SH Call OTR   0 0 134
COGENT BIOSCIENCES INC COM 19240Q201   629,514 67,617 SH   OTR   0 0 67,617
REPLIMUNE GROUP INC COM 76029N106   406,860 29,103 SH   OTR   0 0 29,103
SUMMIT THERAPEUTICS INC COM 86627T108   12,150 60 SH Call OTR   0 0 60
NOVO-NORDISK A S ADR 670100205   807 269 SH Put OTR   0 0 269
VERVE THERAPEUTICS INC COM 92539P101   56,950 268 SH Call OTR   0 0 268
NEKTAR THERAPEUTICS COM 640268108   137,805 166,572 SH   OTR   0 0 166,572
BRIDGEBIO PHARMA INC COM 10806X102   33,087 269 SH Call OTR   0 0 269
ELIEM THERAPEUTICS INC COM 28658R106   276,944 145,760 SH   OTR   0 0 145,760
AMICUS THERAPEUTICS INC COM 03152W109   68,175 303 SH Call OTR   0 0 303
SOLENO THERAPEUTICS INC COM 834203309   104,038 287 SH Call OTR   0 0 287
EVOLUS INC COM 30052C107   266,184 19,054 SH   OTR   0 0 19,054
RELAY THERAPEUTICS INC COM 75943R102   651,851 145,828 SH   OTR   0 0 145,828
CANDEL THERAPEUTICS INC COM 137404109   42,745 6,046 SH   OTR   0 0 6,046
CHIMERIX INC COM 16934W106   34,723 8,813 SH   OTR   0 0 8,813
CORCEPT THERAPEUTICS INC COM 218352102   438 1 SH Put OTR   0 0 1
ALTIMMUNE INC COM NEW 02155H200   110,166 602 SH Call OTR   0 0 602
OCULAR THERAPEUTIX INC COM 67576A100   103,290 313 SH Call OTR   0 0 313
CELLDEX THERAPEUTICS INC NEW COM NEW 15117B202   15,300 204 SH Call OTR   0 0 204
SCHOLAR ROCK HLDG CORP COM 80706P103   529,099 13,103 SH   OTR   0 0 13,103
ARCUS BIOSCIENCES INC COM 03969F109   647,748 50,213 SH   OTR   0 0 50,213
SOLENO THERAPEUTICS INC COM 834203309   224,615 269 SH Call OTR   0 0 269
BIOMEA FUSION INC COM 09077A106   76,325 215 SH Put OTR   0 0 215
NOVO-NORDISK A S ADR 670100205   29,748 268 SH Call OTR   0 0 268
MERCK & CO INC COM 58933Y105   1,326,362 13,422 SH   OTR   0 0 13,422
PFIZER INC COM 717081103   537 537 SH Call OTR   0 0 537
BRIDGEBIO PHARMA INC COM 10806X102   227,250 303 SH Call OTR   0 0 303
ULTRAGENYX PHARMACEUTICAL IN COM 90400D108   18,170 158 SH Call OTR   0 0 158
ELI LILLY & CO COM 532457108   1,190,665 1,468 SH   OTR   0 0 1,468
SOLENO THERAPEUTICS INC COM 834203309   9,975 15 SH Put OTR   0 0 15
VIR BIOTECHNOLOGY INC COM 92764N102   250,318 24,069 SH   OTR   0 0 24,069
89BIO INC COM 282559103   257,683 26,842 SH   OTR   0 0 26,842
Q32 BIO INC COM 746964105   850 17 SH Call OTR   0 0 17
NOVO-NORDISK A S ADR 670100205   63,650 134 SH Call OTR   0 0 134
NEKTAR THERAPEUTICS COM 640268108   16,275 217 SH Call OTR   0 0 217