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
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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
AGIOS PHARMACEUTICALS INC COM 00847X104   186,462,953 5,674,466 SH   OTR   5,674,466 0 0
AIRBNB INC COM CL A 009066101   319,221,172 2,429,200 SH   OTR   2,429,200 0 0
ALEANNA INC *W EXP 12/13/202 01444V111   138,600 990,000 SH   OTR   990,000 0 0
ALEANNA INC COM CL A 01444V103   48,670 78,400 SH   OTR   78,400 0 0
ALPHABET INC CAP STK CL C 02079K107   396,218,038 2,080,540 SH   OTR   2,080,540 0 0
ALTIMMUNE INC COM NEW 02155H200   198,996 27,600 SH   OTR   27,600 0 0
ALVOTECH ORDINARY SHARES L01800108   2,641,700 199,675 SH   OTR 1 199,675 0 0
AMICUS THERAPEUTICS INC COM 03152W109   150,720 16,000 SH   OTR   16,000 0 0
ANALOG DEVICES INC COM 032654105   245,858,712 1,157,200 SH   OTR   1,157,200 0 0
AON PLC SHS CL A G0403H108   658,244,384 1,832,733 SH   OTR   1,832,733 0 0
ARAMARK COM 03852U106   425,719,785 11,410,340 SH   OTR   11,410,340 0 0
ARCELLX INC COMMON STOCK 03940C100   306,760 4,000 SH   OTR   4,000 0 0
ARCUTIS BIOTRAPEUTICS INC COM 03969K108   362,180 26,000 SH   OTR   26,000 0 0
ARDELYX INC COM 039697107   116,610 23,000 SH   OTR   23,000 0 0
ARROWHEAD PHARMACEUTICALS IN COM 04280A100   11,821,440 628,800 SH   OTR   628,800 0 0
AUTODESK INC COM 052769106   544,380,826 1,841,800 SH   OTR   1,841,800 0 0
AXSOME THERAPEUTICS INC COM 05464T104   338,440 4,000 SH   OTR   4,000 0 0
BEAM THERAPEUTICS INC COM 07373V105   204,330,250 8,239,123 SH   OTR   8,239,123 0 0
BEIGENE LTD SPONSORED ADR 07725L102   203,181 1,100 SH   OTR   1,100 0 0
BEYOND MEAT INC COM 08862EAB5   71,440 19,000 SH   OTR   19,000 0 0
BIODESIX INC COM 09075X108   5,831,482 3,811,426 SH   OTR   3,811,426 0 0
BIOHAVEN LTD COM G1110E107   165,392,037 4,428,167 SH   OTR   4,428,167 0 0
BLUEPRINT MEDICINES CORP COM 09627Y109   348,880 4,000 SH   OTR   4,000 0 0
BOSTON SCIENTIFIC CORP COM 101137107   448,650,519 5,022,957 SH   OTR   5,022,957 0 0
BRIDGEBIO PHARMA INC COM 10806X102   115,110,800 4,195,000 SH   OTR   4,195,000 0 0
BRIGHTSPRING HEALTH SVCS INC COM 10950A106   374,660 22,000 SH   OTR   22,000 0 0
BRISTOL-MYERS SQUIBB CO COM 110122108   180,313,280 3,188,000 SH   OTR   3,188,000 0 0
BRUKER CORP COM 116794108   293,100 5,000 SH   OTR   5,000 0 0
C4 THERAPEUTICS INC COM STK 12529R107   100,800 28,000 SH   OTR   28,000 0 0
CANOPY GROWTH CORP COM NEW 138035704   82,200 30,000 SH   OTR   30,000 0 0
CAPRICOR THERAPEUTICS INC COM NEW 14070B309   31,055,520 2,250,400 SH   OTR   2,250,400 0 0
CARA THERAPEUTICS INC COM NEW 140755208   793,672 129,685 SH   OTR   129,685 0 0
CARTICA ACQUISITION CORP *W EXP 04/30/202 G1995D117   47,250 175,000 SH   OTR   175,000 0 0
CBRE GROUP INC CL A 12504L109   286,185,942 2,179,800 SH   OTR   2,179,800 0 0
CENCORA INC COM 03073E105   224,680 1,000 SH   OTR   1,000 0 0
CENTESSA PHARMACEUTICALS PLC SPONSORED ADS 152309100   58,603,376 3,498,709 SH   OTR   3,498,709 0 0
CHEMED CORP NEW COM 16359R103   211,920 400 SH   OTR   400 0 0
COGENT BIOSCIENCES INC COM 19240Q201   132,600 17,000 SH   OTR   17,000 0 0
CRINETICS PHARMACEUTICALS IN COM 22663K107   208,359,761 4,075,098 SH   OTR   4,075,098 0 0
DBX ETF TR XTRACK HRVST CSI 233051879   26,999,400 1,020,000 SH Call OTR   1,020,000 0 0
DISNEY WALT CO COM 254687106   493,065,372 4,428,068 SH   OTR   4,428,068 0 0
DYNE THERAPEUTICS INC COM 26818M108   5,398,091 229,121 SH   OTR   229,121 0 0
EDWARDS LIFESCIENCES CORP COM 28176E108   222,090 3,000 SH   OTR   3,000 0 0
ELANCO ANIMAL HEALTH INC COM 28414H103   193,760 16,000 SH   OTR   16,000 0 0
ELEVATION ONCOLOGY INC COM 28623U101   1,984,561 3,527,482 SH   OTR   3,527,482 0 0
ENANTA PHARMACEUTICALS INC COM 29251M106   12,122,507 2,108,262 SH   OTR   2,108,262 0 0
ENCOMPASS HEALTH CORP COM 29261A100   42,573,350 461,000 SH   OTR   461,000 0 0
EVOLENT HEALTH INC CL A 30050B101   157,500 14,000 SH   OTR   14,000 0 0
EXELIXIS INC COM 30161Q104   780,535,350 23,439,500 SH   OTR   23,439,500 0 0
FLUTTER ENTMT PLC SHS G3643J108   23,338,035 90,300 SH   OTR 1 90,300 0 0
FORTE BIOSCIENCES INC COM NEW 34962G208   794,850 35,000 SH   OTR   35,000 0 0
FULL TRUCK ALLIANCE CO LTD SPONSORED ADS 35969L108   179,450,728 16,585,095 SH   OTR   16,585,095 0 0
GDS HLDGS LTD SPONSORED ADS 36165L108   36,379,720 1,531,133 SH   OTR   1,531,133 0 0
GE HEALTHCARE TECHNOLOGIES I COMMON STOCK 36266G107   9,694,320 124,000 SH   OTR   124,000 0 0
GENEDX HOLDINGS CORP COM CL A 81663L200   14,987,700 195,000 SH   OTR   195,000 0 0
GERON CORP COM 374163103   152,220 43,000 SH   OTR   43,000 0 0
GLAUKOS CORP COM 377322102   389,844 2,600 SH   OTR   2,600 0 0
GLOBUS MED INC CL A 379577208   297,756 3,600 SH   OTR   3,600 0 0
GRIFOLS S A SP ADR REP B NVT 398438408   208,320 28,000 SH   OTR   28,000 0 0
GRINDR INC *W EXP 11/18/202 39854F119   3,645,000 540,000 SH   OTR   540,000 0 0
GXO LOGISTICS INCORPORATED COMMON STOCK 36262G101   22,332,900 513,400 SH   OTR   513,400 0 0
HCA HEALTHCARE INC COM 40412C101   300,150 1,000 SH   OTR   1,000 0 0
HEALTHCARE RLTY TR CL A COM 42226K105   55,324,800 3,264,000 SH   OTR   3,264,000 0 0
HEALTHEQUITY INC COM 42226A107   268,660 2,800 SH   OTR   2,800 0 0
HELIX ACQUISITION CORP II CL A ORD SHS G4444H101   6,300,000 600,000 SH   OTR   600,000 0 0
HIMS & HERS HEALTH INC COM CL A 433000106   202,555,860 8,377,000 SH   OTR   8,377,000 0 0
ICON PLC SHS G4705A100   209,710 1,000 SH   OTR   1,000 0 0
ICU MED INC COM 44930G107   217,238 1,400 SH   OTR   1,400 0 0
IMMUNOVANT INC COM 45258J102   297,240 12,000 SH   OTR   12,000 0 0
INSMED INC COM PAR $.01 457669307   207,120 3,000 SH   OTR   3,000 0 0
INTUIT COM 461202103   473,736,903 753,758 SH   OTR   753,758 0 0
INVESCO EXCHANGE TRADED FD T S&P500 EQL WGT 46137V357   771,012,000 4,400,000 SH Put OTR   4,400,000 0 0
IOVANCE BIOTRAPEUTICS INC COM 462260100   192,400 26,000 SH   OTR   26,000 0 0
IQVIA HLDGS INC COM 46266C105   613,730,403 3,123,151 SH   OTR   3,123,151 0 0
IRONWOOD PHARMACEUTICALS INC COM CL A 46333X108   57,590 13,000 SH   OTR   13,000 0 0
ISHARES BITCOIN TRUST ETF SHS BEN INT 46438F101   385,095,255 7,259,100 SH   OTR 1 7,259,100 0 0
ISHARES TR ISHARES BIOTECH 464287556   475,956,000 3,600,000 SH Put OTR   3,600,000 0 0
JANUX THERAPEUTICS INC COM 47103J105   2,569,920 48,000 SH   OTR   48,000 0 0
KRYSTAL BIOTECH INC COM 501147102   313,320 2,000 SH   OTR   2,000 0 0
LANTHEUS HLDGS INC COM 516544103   475,589,667 5,316,227 SH   OTR   5,316,227 0 0
LATAM AIRLINES GROUP SA SPONSORED ADR 51817R205   17,057,375 618,469 SH   OTR   618,469 0 0
LIQUIDIA CORPORATION COM NEW 53635D202   38,701,643 3,290,956 SH   OTR   3,290,956 0 0
MAC COPPER LIMITED ORD SHS G60409110   3,514,169 330,901 SH   OTR   330,901 0 0
MADRIGAL PHARMACEUTICALS INC COM 558868105   1,024,144 3,319 SH   OTR   3,319 0 0
MARA HOLDINGS INC COM 565788106   9,307,350 555,000 SH   OTR   555,000 0 0
MARBLEGATE ACQUISITION CORP *W EXP 08/31/202 56608A113   48,263 1,485,000 SH   OTR   1,485,000 0 0
MARBLEGATE ACQUISITION CORP COM CL A 56608A105   1,648,500 150,000 SH   OTR   150,000 0 0
MASIMO CORP COM 574795100   65,624,100 397,000 SH   OTR   397,000 0 0
MASTERCARD INCORPORATED CL A 57636Q104   155,691,478 295,671 SH   OTR   295,671 0 0
MCKESSON CORP COM 58155Q103   348,044,037 610,700 SH   OTR   610,700 0 0
MERIT MED SYS INC COM 589889104   290,160 3,000 SH   OTR   3,000 0 0
MICROSOFT CORP COM 594918104   688,371,461 1,633,147 SH   OTR   1,633,147 0 0
MODERNA INC COM 60770K107   108,972,864 2,620,800 SH Put OTR   2,620,800 0 0
NASDAQ INC COM 631103108   309,086,849 3,998,019 SH   OTR   3,998,019 0 0
NATERA INC COM 632307104   701,523,705 4,431,609 SH   OTR   4,431,609 0 0
NEW ORIENTAL ED & TECHNOLOGY SPON ADR 647581206   151,410,247 2,359,150 SH   OTR   2,359,150 0 0
NEW YORK TIMES CO CL A 650111107   383,926,682 7,376,113 SH   OTR   7,376,113 0 0
NOVAVAX INC COM NEW 670002401   128,640 16,000 SH   OTR   16,000 0 0
NUVALENT INC COM 670703107   11,742,000 150,000 SH   OTR   150,000 0 0
NVNI GROUP LIMITED *W EXP 11/01/202 G50716110   24,825 375,000 SH   OTR   375,000 0 0
OSCAR HEALTH INC CL A 687793109   147,840 11,000 SH   OTR   11,000 0 0
PACIFIC BIOSCIENCES CALIF IN COM 69404D108   247,050 135,000 SH   OTR   135,000 0 0
PRIME MEDICINE INC COM 74168J101   2,190,000 750,000 SH   OTR   750,000 0 0
PROGYNY INC COM 74340E103   310,500 18,000 SH   OTR   18,000 0 0
PROTAGONIST THERAPEUTICS INC COM 74366E102   228,898,232 5,930,006 SH   OTR   5,930,006 0 0
REVOLUTION MEDICINES INC COM 76155X100   579,497,788 13,248,692 SH   OTR   13,248,692 0 0
REVOLUTION MEDICINES INC *W EXP 12/17/202 76155X118   19,406 120,085 SH   OTR   120,085 0 0
ROIVANT SCIENCES LTD SHS G76279101   437,710 37,000 SH   OTR   37,000 0 0
SABRA HEALTH CARE REIT INC COM 78573L106   242,480 14,000 SH   OTR   14,000 0 0
SAGE THERAPEUTICS INC COM 78667J108   232,404 42,800 SH   OTR   42,800 0 0
SALESFORCE INC COM 79466L302   404,585,438 1,210,138 SH   OTR   1,210,138 0 0
SAREPTA THERAPEUTICS INC COM 803607100   348,367,509 2,865,100 SH   OTR   2,865,100 0 0
SAVARA INC COM 805111101   20,983,450 6,835,000 SH   OTR   6,835,000 0 0
SCHOLAR ROCK HLDG CORP COM 80706P103   302,540 7,000 SH   OTR   7,000 0 0
SCHWAB CHARLES CORP COM 808513105   234,537,690 3,169,000 SH   OTR   3,169,000 0 0
SILICON MOTION TECHNOLOGY CO SPONSORED ADR 82706C108   22,430,750 415,000 SH   OTR   415,000 0 0
SOLENO THERAPEUTICS INC COM 834203309   4,045,500 90,000 SH   OTR   90,000 0 0
SOLID POWER INC *W EXP 12/08/202 83422N113   182,392 405,316 SH   OTR   405,316 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103   48,058,560 82,000 SH   OTR   82,000 0 0
SPDR S&P 500 ETF TR TR UNIT 78462F103   2,432,232,000 4,150,000 SH Put OTR   4,150,000 0 0
SUMMIT MIDSTREAM CORPORATION COM 86614G101   2,199,325 58,214 SH   OTR   58,214 0 0
SYNDAX PHARMACEUTICALS INC COM 87164F105   132,200 10,000 SH   OTR   10,000 0 0
TANGO THERAPEUTICS INC COM 87583X109   12,360,000 4,000,000 SH   OTR   4,000,000 0 0
TECTONIC THERAPEUTIC INC COM 878972108   32,921,519 713,050 SH   OTR   713,050 0 0
THERMO FISHER SCIENTIFIC INC COM 883556102   641,576,769 1,233,256 SH   OTR   1,233,256 0 0
TRANSUNION COM 89400J107   493,803,034 5,326,319 SH   OTR   5,326,319 0 0
TWIST BIOSCIENCE CORP COM 90184D100   355,496 7,650 SH   OTR   7,650 0 0
TYRA BIOSCIENCES INC COM 90240B106   13,913,636 1,000,981 SH   OTR   1,000,981 0 0
UNITED THERAPEUTICS CORP DEL COM 91307C102   352,840 1,000 SH   OTR   1,000 0 0
UNITEDHEALTH GROUP INC COM 91324P102   739,820,250 1,462,500 SH   OTR   1,462,500 0 0
VISA INC COM CL A 92826C839   173,667,140 549,510 SH   OTR   549,510 0 0
VNET GROUP INC SPONSORED ADS A 90138A103   3,081,000 650,000 SH   OTR   650,000 0 0
VOYAGER THERAPEUTICS INC COM 92915B106   14,575,869 2,570,700 SH   OTR   2,570,700 0 0
WABTEC COM 929740108   271,151,239 1,430,198 SH   OTR   1,430,198 0 0
WAYSTAR HLDG CORP COM 946784105   49,251,400 1,342,000 SH   OTR   1,342,000 0 0
WOODWARD INC COM 980745103   253,174,746 1,521,300 SH   OTR   1,521,300 0 0
ZTO EXPRESS CAYMAN INC NOTE 1.500% 9/0 98980AAB1   54,598,064 54,930,000 PRN   OTR   54,930,000 0 0
ZYMEWORKS INC COM 98985Y108   19,470,819 1,329,974 SH   OTR   1,329,974 0 0