Worldwide Healthcare Trust PLC

Fund Information / Factsheet • Dec 12, 2024

Investment Objective

To invest in the global healthcare sector with the objective of achieving a high level of capital growth. In order to achieve its investment objective, the Company invests worldwide in a diversified portfolio of shares in pharmaceutical and biotechnology companies and related securities in the healthcare sector. It uses gearing, and derivative transactions to enhance returns and mitigate risk. Performance is measured against the MSCI World Health Care Index (net total return, sterling adjusted).

Five Year Performance (%)

Past performance is not a guide to future performance. The value of investments and the income from them may fall as well as rise and is not guaranteed; an investor may receive back less than the original amount invested.

Net Asset Value per share (total return) +33.9%

Share Price (total return) +15.7%

Benchmark: MSCI World Health Care Index (net total return; sterling adjusted) +51.1%

Source: Morningstar, Index - Bloomberg.

Ten Largest Holdings as at 30 November 2024
Name	Region	Sector	Total
Biotech M&A Target Swap	North America	Swap Baskets	8.6
Eli Lilly	North America	Pharmaceuticals	7.9
Boston Scientific	North America	Health Care Equipment & Supplies	7.6
Intuitive Surgical	North America	Health Care Equipment & Supplies	5.8
Novo Nordisk	Europe	Pharmaceuticals	4.9
AstraZeneca	Europe	Pharmaceuticals	4.8
Health Care Select Sector SPDR Fund	North America	Health Care ETF	4.4
Stryker	North America	Health Care Equipment & Supplies	3.8
Tenet Healthcare	North America	Health Care Providers & Services	3.1
Daiichi Sankyo	Japan	Pharmaceuticals	3.0
Total			53.9

Portfolio Manager Trevor Polischuk

Portfolio Manager Sven H. Borho

Fast Facts	As at 30 November 2024
AIC Sector	Biotechnology & Healthcare
Launch Date & appointment April 1995 of Portfolio Manager
	Annual Management Fee (payable by the

Company): 0.65% of net assets plus 0.30% of market cap. up to £150m; in the range £150m to £500m 0.2%; in the range £500m to £1bn 0.15%; in the range £1bn to £1.5bn 0.125%; over £1.5bn 0.075% plus £57,500.

Performance Fee	See Annual Report for details
Ongoing Charges (OCR)*	0.9%
Continuation Vote	2029 AGM and every th AGM thereafter 5
Year / Half Year	31 March / 30 September
Capital Structure	511,259,550 shares# 90,405,650 (treasury)

# excludes shares held in treasury

Trust Characteristics
55 Number of Holdings
Net Assets (£m)	1,971.6
Market Capitalisation (£m)	1,699.9
Dividends	Provisional payment dates: January & July
Indicative Yield	0.8%
Net Gearing	5.9%
Leverage**	Gross 121.8% Commitment 118.0%
Share Price (p)	332.50
NAV per share (p) (cum income) ex dividend	385.63
(Discount) / Premium	(13.8%)
Portfolio Turnover p.a.	41.2%
Active Share***	63.3%

Sector, Region** & Asset Class*** Breakdown at 30 November 2024* (%)

Pharmaceutical	24.7	North America	76.2	Listed Equities	84.5
Healthcare Equipment / Supplies	22.1	Europe	12.9	Equity Swaps	10.2
Biotechnology	20.5	China / Hong Kong	7.1	Unquoteds	5.3
Healthcare Providers / Services	13.0	Japan	2.9	Total	100.0
Swap Baskets	9.5	India	0.9
Life Sciences Tools & Services	5.8	Total	100.0
Health Care ETF	4.4
Total	100.0

*Calculation based on economic exposure and expressed as a % of the total economic exposure. This includes all derivatives as an economically equivalent position in the underlying holding.

**Geographical analysis based on country of primary listing.

***Unquoted securities will not exceed 10% of the portfolio at the time of acquisition.

Source: All portfolio information sourced from Frostrow Capital LLP. Analysis excludes cash and cash equivalents, including liquidity funds.

Discrete Performance – Calendar Years (%)

Percentage Growth 12 Month Return	2019	2020	2021	2022	2023	YTD
NAV	31.9	20.0	-0.4	-3.3	0.4	11.8
Share Price	32.3	19.9	-2.6	-9.8	-2.6	7.8
Index	18.4	10.3	20.8	5.8	-1.6	8.0

Standardised Discrete Performance (%)

Percentage Growth 12 Month Return	Nov 19- Nov 20	Nov 20- Nov 21	Nov 21- Nov 22	Nov 22- Nov 23	Nov 23- Nov 24
NAV	20.1	-1.0	4.3	-7.9	17.2
Share Price	20.6	-0.8	-5.7	-9.9	13.8
Index	10.3	15.8	14.1	-7.1	11.5

Past performance is not a guide to future performance. The value of investments and the income from them may fall as well as rise and is not guaranteed. An investor may receive back less than the original amount invested.

Source: NAV (total return; fully diluted) & share price (total return) – Morningstar. Benchmark - Bloomberg.

*Calculated at the financial year end, includes management fees and all other operating expenses, and excludes performance fees.

** The Board has set the maximum leverage limit for both the Gross and the Commitment basis at 140% of the Company's Net Asset Value.

*** Active Share is expressed as a percentage and shows the extent to which a fund's holdings and their weightings differ from those of the fund's benchmark index. A fund that closely tracks its index might have a low Active Share of less than 20% and be considered passive, while a fund with an Active Share of 60% or higher is generally considered to be actively managed.

Codes Sedol BN455J5 ISIN GB00BN455J50 Legal Entity Identifier (LEI) 5493003YBCY4W1IMJU04 Global Intermediary Identification Number (GIIN) FIZWRN.99999.SL.826 Bloomberg WWH LN EPIC WWH

Investment Policy

The healthcare sector is global and accessing this market as a UK investor can be difficult. The Company offers an opportunity to gain exposure to pharmaceutical, biotechnology and related companies in the healthcare sector on a global scale. The Company invests in large companies with market capitalisations of over U.S.\$10bn, smaller companies below that size, as well as unquoted companies. The portfolio ranges from large multinational pharmaceutical companies with multiple products to unquoted emerging biotechnology companies. The Company's investment policy allows gearing, through borrowing, of up to 20% of net assets and a net exposure to derivative investments (excluding swaps) of up to 5% of the portfolio. Equity swaps may also be used, counterparty exposure here is limited to 12% of the portfolio at the time of acquisition. Unquoted securities will not exceed 10% of the portfolio at the time of acquisition.

Return vs Volatility (Annualised since Launch Date & appointment of Portfolio Manager) – Chart (%)

Commentary

In November, the NAV per share total return was +1.8%, the share price total return was -1.7% and the MSCI World Health Care Index was +0.2%, on a net total return, sterling adjusted basis.

November was a tumultuous month for healthcare equities, primarily stemming from the outcomes and aftermath of the U.S. Presidential election. An unexpected Republican sweep, with former President Donald Trump returning to the White House, the Senate flipping to Republican control whilst the House remained under Republican command. Broad markets responded positively to this outcome, as did healthcare stocks initially, until the bombshell announcement that President-Elect Trump was nominating outspoken healthcare critic Robert F. Kennedy Jr. for Secretary of Health and Human Services. This triggered an extreme sell-off in healthcare, most notably in Pharmaceuticals (up to a 8% fall as per the DRG*) and Biotechnology (a negative swing in excess of 10% in the XBI) before a month-end recovery.

Overall, all healthcare sub-sectors – save for Healthcare Services – contributed to relative outperformance. Most resilient during the volatile month were Medical Technology stocks. Here, both allocation and stock picking benefited performance. Boston Scientific, Intuitive Surgical, and Stryker comprised three of the top four contributors in November. A combination of share price momentum, solid quarterly reports, and "insulation" from political rhetoric allowed each stock to post outsized gains, cumulatively contributing over 2.0% to absolute performance and over 1.2% to outperformance. Additional outperformance in the month came from Natera (outstanding quarter) and Large Cap Pharmaceuticals via the allocation effect as broad declines there benefited our underweight positioning.

In terms of detractors, Healthcare Services provided the only relative headwind, mostly due to idiosyncratic reasons. The share price for Evolent Health fell 40% (local currency) after unprecedented skyrocketing medical costs impacted the quarterly results and company guidance. Investors took profits in Tenet Healthcare after a CYTD stock move of >100%, noting post-election uncertainty for funding of Medicare and Medicaid programs under the Trump administration. Finally, we note the share price for UnitedHealth Group, which rose 10% post-election given the perception that a Republican administration is more friendly to heavily Medicare Advantage-exposed payors, like UnitedHealth Group. Given our material underweight positioning, this negatively impacted relative performance. We note that these factors pre-dated the 4 December 2024 assassination of Brian Thompson, a senior executive for UnitedHealth Group, which precipitated a 10% fall in the share price in the subsequent four trading days after his shooting.

*NYSE Arca Pharmaceutical Index

DISCOUNT/PREMIUM CONTROL

It is the Board's policy to buy back the Company's shares if the share price discount to the net asset value per share exceeds 6% on an ongoing basis. Shares repurchased are held as treasury shares. Treasury shares can be sold back to the market at a later date at a premium to the cum income net asset value per share. Shareholders should note, however, that it remains very possible for the discount to be greater than 6% for extended periods of time particularly when sentiment towards the Company, the sector and to investment trusts generally remains poor.

While buy backs may prove unable to prevent the discount from widening, they also enhance the net asset value per share for remaining shareholders and go some way to dampening discount volatility which can adversely affect investors' risk adjusted returns.

At times when there are unsatisfied buying orders for the Company's shares in the market, the Company has the ability to issue new shares or to re-issue treasury shares at a small premium to the cum income net asset value per share. This acts as an effective share price premium management tool.

How to Contact Us

Frostrow Capital LLP 25 Southampton Buildings London, WC2A 1AL

Tel.: 0203 008 4910 Fax: 0203 043 8889

Website: www.frostrow.com Email: info@frostrow.com

Risk Warnings

This document is for information purposes only and does not constitute an offer or invitation to purchase shares in the Company and has not been prepared in connection with any such offer or invitation. Before investing in the Company, or any other investment product, you should satisfy yourself as to its suitability and the risks involved, and you may wish to consult a financial adviser.

Any return you receive depends on future market performance and is uncertain. The Company does not seek any protection from future market performance so you could lose some or all of your investment. For information on the principal risks the Company is exposed to please refer to the Company's Annual Report or Investor Disclosure Document available at www.worldwidewh.com.

Shares in the Company are bought and sold on the London Stock Exchange. The price you pay or receive, like other listed shares, is determined by supply and demand and may be at a discount or premium to the underlying net asset value of the Company. Usually, at any given time, the price you pay for a share will be higher than the price you could sell it.

The Company has increased its exposure to investments via the use of an overdraft facility and derivatives, and this could potentially magnify any losses or gains made by the Company. The Annual Report and Investor Disclosure Document, available on the Company's website, include further details on the use of, and exposure to, derivatives.

Target Market

The Company is suitable for investors seeking an investment that aims to deliver total returns over the longer term (at least five years), is compatible with the needs for retail clients, professional clients and eligible counterparties, and is eligible for all distribution channels.

The Company may not be suitable for investors who are concerned about short-term volatility and performance, have low or no risk tolerance or are looking for capital protection, who are seeking a guaranteed or regular income, or a predictable return profile. The Company does not offer capital protection.

Value Assessment

Frostrow Capital LLP has conducted an annual Value Assessment on the Company in line with Financial Conduct Authority (FCA) rules set out in the Consumer Duty regulation. The Assessment focuses on the nature of the product, including benefits received and its quality, limitations that are part of the product, expected total costs to clients and target market considerations.

Within this, the assessment considers quality of services, performance of the Company (against both benchmark and peers), total fees (including management fees and entry and exit fees as applicable to the Company), and also considers whether vulnerable consumers are able to receive fair value from the product.

Frostrow Capital LLP concluded that the Company is providing value based on the above assessment.

Important Information

Worldwide Healthcare Company PLC (the Company) is a public limited company whose shares are listed on the London Stock Exchange (LSE) and is registered with HMRC as an investment Company. The Company has an indeterminate life, although shareholders consider and vote on the continuation of the Company every five years (the next such vote will be held in 2024). This financial promotion is issued by Frostrow Capital LLP which is authorised and regulated by the Financial Conduct Authority ("FCA").

The MSCI information (relating to the Benchmark) may only be used for your internal use, may not be reproduced or redisseminated in any form and may not be used as a basis for or a component of any financial instruments or products or indices. None of the MSCI information is intended to constitute investment advice or a recommendation to make (or refrain from making) any kind of investment decision and may not be relied on as such. Historical data and analysis should not be taken as an indication or guarantee of any future performance analysis, forecast or prediction. The MSCI information is provided on an "as is" basis and the user of this information assumes the entire risk of any use made of this information. MSCI, each of its affiliates and each other person involved in or related to compiling, computing or creating any MSCI information (collectively, the "MSCI Parties") expressly disclaims all warranties (including, without limitation, any warranties of originality, accuracy, completeness, timeliness, non-infringement, merchantability and fitness for a particular purpose) with respect to this information. Without limiting any of the foregoing, in no event shall any MSCI Party have any liability for any direct, indirect, special, incidental, punitive, consequential (including, without limitation lost profits) or any other damages. (www.msci.com).