TIDMBIOG 
 
The Biotech Growth Trust PLC 
 
(the "Company") 
 
Audited Results for the Year Ended 31 March 2023 
 
The Company's annual report for the year ended 31 March 2023 (the "Annual 
Report"), which includes the notice of the Company's forthcoming annual general 
meeting, will be posted to shareholders on 22 June 2023. Members of the public 
may obtain copies from Frostrow Capital LLP, 25 Southampton Buildings, London 
WC2A 1AL or from the Company's website at www.biotechgt.com where up to date 
information on the Company, including daily NAV, share prices and fact sheets, 
can also be found. 
 
The Annual Report has been submitted to the Financial Conduct Authority and will 
shortly be available in full, unedited text for inspection on the National 
Storage Mechanism (NSM): https://data.fca.org.uk/#/nsm/nationalstoragemechanism 
 
Frostrow Capital LLP 
 
Company Secretary 
 
0203 709 8734 
 
FINANCIAL HIGHLIGHTS 
 
as at 31 March 2023 
 
852.6p                                783.0p            £330.3m 
Net asset value per share**           Share price       Shareholders' funds** 
2022: 957.8p                          2022: 898.0p      2022: £394.2m 
 
-11.0%                                -12.8%            +5.4% 
Net asset value per share             Share price       Benchmark*? 
(total return)*^                      (total return)*^  2022: -7.4% 
2022: -33.8%                          2022: -37.0% 
 
8.2%                                  1.1%              76.6% 
Discount of share price to net asset  Ongoing Charges^  Active Share*^ 
value per share*^                     2022: 1.1%        2022: 77.3% 
2022: 6.2% 
 
*Source: Morningstar; 
 
^Alternative Performance Measure (see glossary); 
 
?NASDAQ Biotechnology Index (sterling adjusted) 
 
**UK GAAP Measure 
 
CHAIRMAN'S STATEMENT 
 
ROGER YATES 
 
INTRODUCTION AND RESULTS 
 
This has been another difficult year for the Company. The challenging economic 
conditions of the previous year carried over to the year under review, leading 
to disappointing absolute and relative performance; the Company's NAV per share 
total return was -11.0% (2022: -33.8%), and the share price total return was 
-12.8% (2022: -37.0%), both underperforming the Company's benchmark, the NASDAQ 
Biotechnology Index (sterling adjusted), which over the year rose 5.4% (2022: 
-7.4%). The disparity between the performance of the Company's NAV per share and 
its share price reflected a widening of the share price discount to the NAV per 
share from 6.2% at the start of the Company's financial year to 8.2% at the year 
end. 
 
The majority of the Company's assets are denominated in U.S. dollars with the 
result that the Company's performance was positively affected by the tailwind of 
sterling weakness during the year, particularly against the U.S. dollar, with 
the average exchange over the period being $1.204, some 11.7% weaker than the 
previous year's average of $1.363. 
 
The Company's gearing, which decreased to 7.8% at the year-end from 8.4% at the 
beginning of the year, detracted 0.8% from the Company's overall NAV return 
during the year. 
 
The factors that contributed to the Company's performance are analysed in detail 
in the Portfolio Manager's report. In general, rather than reflecting 
disappointing underlying performance or a lack of innovation from the sector, 
the price of biotechnology stocks has continued to suffer as investors' appetite 
for growth stocks - those companies offering fast growing earnings or revenues - 
has remained muted. Alongside this, there continues to be a very significant 
divergence in performance between large and small capitalisation (cap) stocks in 
the biotechnology sector. Both factors reflect investors' current levels of risk 
aversion which sees them favour larger companies with well-established business 
models and earnings over the potentially more exciting opportunities offered by 
faster growing and smaller companies. 
 
In addition, the selective exposure to Chinese biotechnology companies was a 
headwind to performance. The Portfolio Manager continues to believe that the 
high levels of innovation that can be found in China represent a promising 
investment opportunity, however the companies in question have been affected by 
difficult macroeconomic and geopolitical environments. Accordingly, the 
Portfolio Manager has reduced our exposure to Chinese biotech and has not made 
any new crossover investments (investments in a Company's last private funding 
round prior to an IPO) during the year. Chinese net investments represented 9% 
(2022: 13%) of the portfolio at the year end. 
 
While performance this year has been disappointing, our Portfolio Manager 
expects that the overweighting of small and mid cap companies will deliver 
positive results to shareholders. In particular, they expect that the divergence 
in the valuations of large and small/mid cap companies will close. In addition, 
they anticipate that we can expect to see continued consolidation in the 
biotechnology industry, as larger companies seek to acquire smaller companies 
with promising pipelines of drugs and therapies to address gaps in their own 
portfolios and, in many cases, impending patent expirations which threaten their 
future earnings. This consolidation is likely to create both opportunities and 
challenges for small biotechnology companies, as they navigate the changing 
landscape of the industry. Above all, if breakthroughs can be made in the next 
generation technologies in which the Company is invested, this will be 
transformational for the sector and, we hope, for the Company's performance. 
 
CAPITAL STRUCTURE 
 
The Company's shares traded at a discount throughout the year, leading to the 
repurchase of 2,421,263 shares, at an average discount of 8.0% to the Company's 
cum income NAV per share at the time, at a total cost of £22.6 million. 
 
Shareholders will be aware that the Company pursues an active discount 
management policy, buying back shares when the discount of the Company's share 
price to its NAV per share is higher than 6% (under normal market conditions). 
 
At the period end there were 38,737,419 shares in issue and the share price 
traded at an 8.2% discount to the cum income NAV per share. As we have 
previously commented, while it remains possible for the shares to trade at a 
discount wider than 6% on any one day, the Company remains committed to 
protecting a 6% share price discount over the longer term. Since the year end, a 
further 1,057,959 shares have been bought back for cancellation and at the time 
of writing the share price discount stands at 7.6%. 
 
RETURN AND DIVID 
 
The revenue return per share was (1.6)p (2022: 0.0p). No dividend is recommended 
in respect of the year ended 31March 2023 (2022: nil). 
 
BOARD AND MANAGEMENT CHANGES 
 
During the year, Andrew Joy retired from the Board and I succeeded him as 
Chairman. There will be other retirements in the coming years and we are focused 
on successfully managing transitions with the right individuals and mix of 
people. Improving the diversity of the Board will be a key consideration in 
future recruitment processes and more information on the Board's diversity 
policy can be found on page 45 of the Annual Report. 
 
The Board also welcomes OrbiMed's announcement that Josh Golomb has been 
appointed as co-portfolio manager of the Company's portfolio. Further details 
can be found in their report but the Board believes that Josh's knowledge and 
expertise add significant value to an already well-resourced portfolio 
management team. 
 
PERFORMANCE FEE 
 
There is currently no provision within the Company's NAV for any performance fee 
payable at a future calculation date. The arrangements for performance fees are 
described in detail on pages 48 and 49 of the Annual Report but I would 
highlight that it is dependent on the long-term outperformance of the Company: 
any outperformance has to be maintained for 12 months after the relevant 
calculation date and only becomes payable to the extent that the outperformance 
gives rise to a total fee greater than the total of all performance fees paid to 
date. 
 
INVESTMENT POLICY 
 
The Board reviews the Company's investment policy at every Board meeting to 
ensure the limits and restrictions remain appropriate and must recommend any 
material changes to shareholders for approval. 
 
This year, following consultation with our advisers, the Board is proposing a 
number of small changes to the investment policy in order to clarify the scope 
of the use of swaps and derivatives for efficient portfolio management. The 
proposed changes will: 
 
-Enable derivative instruments (other than equity swaps) to be used to mitigate 
risk and/or enhance return subject to an aggregate net exposure of 5% of the 
value of the Company's gross assets measured at the time of the relevant 
transaction; and 
 
-Remove the current limit for equity swaps but impose a limit on aggregate net 
counterparty exposure, through a combination of derivatives and equity swap 
transactions, of 12% of the value of the gross assets of the Company at the time 
of the transaction. 
 
The proposed amendments have been approved in principle by the Financial Conduct 
Authority. 
 
ANNUAL GENERAL MEETING 
 
The Company's AGM will be held at the Saddlers' Hall, 40 Gutter Lane, London 
EC2V 6BR on Thursday, 27 July 2023 at 12 noon. As well as the formal 
proceedings, there will be an opportunity for shareholders to meet the Board and 
the Portfolio Manager, and to receive an update on the Company's strategy and 
its key investments. 
 
Last year the heatwave in July may have prevented some shareholders from 
attending the AGM, so I very much look forward to seeing as many shareholders as 
possible this year, weather permitting. For those investors who are not able to 
attend the meeting in person, a video recording of the Portfolio Manager's 
presentation will be uploaded to the website after the meeting. Shareholders can 
submit questions in advance by writing to the Company Secretary at 
info@frostrow.com. 
 
I encourage all shareholders to exercise their right to vote at the AGM and to 
register their votes online in advance. Registering your vote in advance will 
not restrict you from attending and voting at the meeting in person should you 
wish to do so, but as the past few years have shown, unforeseen extraordinary 
events can make attendance difficult or impossible. Details of the proxy votes 
received will be published as soon as practicable following the conclusion of 
the AGM by way of a stock exchange announcement and on the Company's website: 
www.biotechgt.com. 
 
OUTLOOK 
 
The biotechnology sector has been a critical area of innovation and growth in 
recent years with the rate of underlying scientific discovery and its 
translation into effective treatments continuing apace. With a focus on 
precision medicine, cell and gene therapy, digital health, and rare diseases, 
small biotechnology companies are at the forefront of this innovation. 
Additionally, advances in technology, the availability of big data and the use 
of artificial intelligence are enabling healthcare solutions which have the 
potential to revolutionise the industry. 
 
However, the challenges facing the sector will persist, including regulatory 
hurdles and uncertainty around funding. Drug development will remain a long-term 
and costly pursuit. The broader economic environment also remains challenging: 
global economic growth has slowed, the cost of capital has risen, and 
geopolitical instability and ongoing supply chain disruptions continue to 
challenge the post-pandemic recovery. More broadly, elevated energy prices and 
surprisingly persistent inflation will continue to impact business investment. 
 
Although the impact of these factors will continue to weigh on financial 
markets, our Portfolio Manager remains confident that there are a number of 
potential catalysts that could elicit a recovery in the biotechnology sector and 
so their overall investment strategy remains unchanged. Their highly skilled 
team will continue to seek out the most innovative and promising opportunities 
in the biotech sector. 
 
The Board shares their view that the fundamental investment themes for the 
biotechnology sector remain intact and with a continued focus on the selection 
of stocks with strong prospects for capital enhancement, long-term investors 
will be rewarded. 
 
Roger Yates 
Chairman 
 
14 June 2023 
 
INVESTMENT PORTFOLIO 
 
INVESTMENTS HELD AS AT 31 MARCH 2023 
 
                                             Fair value  % of 
Security                    Country/Region#  £'000       investments 
Biogen                      United States    22,710      6.4 
Sarepta Therapeutics        United States    19,727      5.5 
BioMarin Pharmaceutical     United States    19,508      5.5 
Regeneron Pharmaceuticals   United States    15,940      4.4 
Amgen                       United States    14,993      4.2 
Keros Therapeutics          United States    14,183      4.0 
Travere Therapeutics        United States    13,712      3.9 
Ionis Pharmaceuticals       United States    13,474      3.8 
Argenx                      Netherlands      13,409      3.8 
XtalPi*                     China            12,899      3.6 
Ten largest investments                      160,555     45.1 
Syndax Pharmaceuticals      United States    12,897      3.6 
Xenon Pharmaceuticals       Canada           12,707      3.6 
Chinook Therapeutics        United States    11,440      3.2 
uniQure                     Netherlands      10,075      2.8 
Mersana Therapeutics        United States    9,549       2.7 
Compass Therapeutics        United States    9,388       2.6 
Amylyx Pharmaceuticals      United States    9,284       2.6 
2seventy bio                United States    9,205       2.6 
BELLUS Health               Canada           9,158       2.6 
GH Research                 Ireland          9,061       2.6 
Twenty largest investments                   263,319     74.0 
Vertex Pharmaceuticals      United States    8,807       2.5 
Aerovate Therapeutics       United States    8,751       2.4 
RAPT Therapeutics           United States    6,362       1.8 
Innovent Biologics          China            5,783       1.6 
StemiRNA Therapeutics*      China            5,204       1.5 
Kezar Life Sciences         United States    4,862       1.4 
Vera Therapeutics           United States    4,640       1.3 
Amicus Therapeutics         United States    4,615       1.3 
Janux Therapeutics          United States    3,387       0.9 
Vaxcyte                     United States    3,319       0.9 
Thirty largest investments                   319,049     89.6 
ALX Oncology Holdings       United States    3,319       0.9 
Crinetics Pharmaceuticals   United States    3,302       0.9 
Ventyx Biosciences          United States    2,974       0.8 
Immatics NV                 Germany          2,852       0.8 
Apellis Pharmaceuticals     United States    2,761       0.8 
YS Biopharma                China            2,723       0.8 
Remegen                     China            2,428       0.7 
BioAtla                     United States    2,315       0.7 
OrbiMed Asia Partners*?     Asia             2,164       0.6 
Intellia Therapeutics       United States    1,950       0.5 
Forty largest investments                    345,837     97.1 
Prelude Therapeutics        United States    1,597       0.5 
Essa Pharma                 Canada           1,558       0.4 
Edgewise Therapeutics       United States    1,426       0.4 
Wuxi Biologics Cayman       China            1,371       0.4 
Gracell Biotechnologies**   China            1,224       0.4 
Suzhou Basecare Medical     China            1,022       0.3 
Heron Therapeutics          United States    980         0.3 
Enliven Therapeutics        United States    824         0.2 
Galecto                     Denmark          454         0.1 
Repare Therapeutics         Canada           390         0.1 
Fifty largest investments                    356,683     100.2 
 
#Primary listing 
 
?Partnership interest 
 
*Unquoted investment 
 
**Gracell Biotechnologies (0.4% of the Company's investments) is held through a 
variable interest entity ("VIE"). See glossary for further details. 
 
                                         Fair value  % of 
Security                Country/Region#  £'000       investments 
AWAKN Life Sciences     Canada           373         0.1 
Nektar Therapeutics     United States    173         - 
AWAKN Life Sciences     Canada           -           - 
warrant 16/06/2023* 
AWAKN Life Sciences     Canada           -           - 
warrant 21/03/2024* 
Imara                   United States    -           - 
Total equities and                       357,229     100.3 
fixed interest 
investments 
OTC equity swaps - 
Financed 
BeiGene                 China            5,022       1.4 
Less: Gross exposure                     (6,224)     (1.7) 
on financed swaps 
Total OTC equity swaps                   (1,202)     (0.3) 
Total investments                        356,027     100.0 
including OTC equity 
swaps 
 
All of the above investments are equities unless otherwise stated. 
 
#Primary listing 
 
?Partnership interest 
 
*Unquoted 
 
PORTFOLIO BREAKDOWN 
 
Investments           Fair value  % of 
                      £'000       investments 
Quoted 
Equities              336,962     94.6 
                      336,962     94.6 
Unquoted 
Equities              18,103      5.1 
Partnership interest  2,164       0.6 
                      20,267      5.7 
Derivatives 
OTC equity swaps      (1,202)     (0.3) 
Total investments     356,027     100.0 
 
PORTFOLIO MANAGER'S REVIEW 
 
PERFORMANCE REVIEW 
 
Following a difficult fiscal year ended 31 March 2022, the Company posted 
another challenging year of performance for the year ended 31 March 2023. The 
Company's net asset value per share total return was down 11.0% during the 
fiscal year, compared to a 5.4% increase for the Company's benchmark, the NASDAQ 
Biotechnology Index, measured on a sterling adjusted basis (the Benchmark). 
 
Macroeconomic factors rather than industry fundamentals continued to dominate 
portfolio performance during the fiscal year. The fiscal year began with 
weakness in the biotech sector in April and May 2022, driven by continued 
investor concerns about rising interest rates. Continued rate hikes by the U.S. 
Federal Reserve (the Fed) to combat inflation drove down share prices for 
unprofitable technology stocks broadly, including emerging biotech. Valuations 
for emerging biotech, which had reached 20-year lows, appeared to bottom out in 
May and June. In August, drug pricing legislation in the U.S. was passed as part 
of the Democrats' "Inflation Reduction Act". While the bill allows for limited 
drug price negotiation by Medicare starting in 2026, the provisions appear 
manageable for the industry and passage of the bill cleared a longstanding 
political overhang for the sector. By the end of September, the biotech sector 
had begun staging a recovery from depressed levels. In October, a disappointing 
round of earnings from large capitalization (cap) technology stocks like Amazon 
and Meta and growing recession concerns appeared to draw generalist inflows into 
the defensive pharmaceutical sector and large cap biotech. Large cap biotech 
outperformance continued in November, but small cap biotech began outperforming 
in December, and January 2023. Unfortunately, interest rate expectations became 
more hawkish in February when the U.S. announced a lower-than-expected 
unemployment rate and higher-than-expected inflation, sending small cap shares 
back down. In March, the unexpected failure of Silicon Valley Bank (SVB) had a 
particularly negative impact on small cap biotech, many of which were SVB 
clients. Even though absolute cash exposure to SVB for most biotech companies 
was minimal, renewed risk aversion due to the concerns over the banking system 
caused large cap biotech to significantly outperform small cap biotech. This 
trading dynamic had a particularly detrimental impact on the Company's relative 
performance versus the Benchmark, given that the Company is significantly 
overweight small cap names and underweight large cap names. The drawdown in 
March accounted for virtually all of the underperformance of the Company's NAV 
versus the Benchmark for the fiscal year. Encouragingly, the Company has seen a 
rebound in relative performance in April and May 2023, which we hope signals a 
more sustained recovery. 
 
Our positioning at the beginning of the fiscal year was premised on 
overweighting smaller cap emerging biotech names for three reasons: 
 
1)Emerging biotech was trading at 20-year valuation lows, with almost 20% of the 
industry at the start of the fiscal year trading at negative enterprise values 
(market capitalisation below the net cash on the companies' balance sheets). 
Small and mid cap biotech companies had significantly underperformed large cap 
biotech and the S&P 500 since early 2021 and a reversion in performance based on 
historical patterns seemed likely. 
 
2)We expected an increase in M&A activity due to the compelling valuations of 
smaller biotech targets. 
 
3)Emerging biotech, rather than large cap biotech, was still contributing about 
two-thirds of the total biopharmaceutical industry pipeline. Fundamental 
innovation was strong. 
 
All of these elements of our investment thesis remain intact. Indeed, we think 
emerging biotech was showing good signs of a recovery from the lows of summer 
2022, but the banking crisis in March 2023 temporarily derailed that rerating. 
We believe biotech companies have largely eliminated their direct exposure to 
bank failure risk by diversifying their banking relationships, holding cash at 
banks that are deemed "too big to fail" (e.g. J.P. Morgan, Bank of America), and 
moving their cash into alternate liquid securities. Most emerging biotech 
companies rely on equity financings rather than debt financings to fund their 
operations, so we think they are better insulated than other industries from any 
pullback in bank lending activity. 
 
We are also encouraged by current market expectations that the Fed's recent 
cycle of rate hikes may be coming to an end. Fed comments following their recent 
May 2023 meeting were widely interpreted as signaling that a pause in interest 
rate hikes could occur as early as June. As a result, we think the macro factors 
that have weighed on the sector so heavily over the past two years should soon 
abate, allowing the sector to recover. 
 
Similarly to the prior fiscal year, the underperformance of the Company versus 
the Benchmark can be principally attributed to the portfolio's heavier weighting 
in small cap biotech. As shown in Figure 1 (on page 10 of the Annual Report), if 
one looks at the market cap distribution of the Company's portfolio at the 
beginning of the fiscal year, the Company was 41% overweight small caps and 33% 
underweight large caps relative to the Benchmark. If one plots the average stock 
price performance of the Benchmark constituents in each of those market 
capitalization categories, one observes that small cap biotech underperformed 
large cap biotech by about 27% during the review period. Notably, the prior 
fiscal year showed a similar 30% underperformance of small caps versus large 
caps, a trend that we had hoped would reverse in the review period. Figure 2 (on 
page 11 of the Annual Report) shows that the small cap underperformance during 
the fiscal year is simply an extension of a longer trend of underperformance 
since 31 March 2021. We are surprised that the underperformance of small caps 
has persisted for so long but remain convinced that the segment is overdue a 
recovery. 
 
We believe large cap biotech outperformance is principally driven by generalist 
investors seeking defensive investments during a time of macro volatility. Large 
cap names are better insulated from interest rate hikes and have lower beta - a 
measure of their sensitivity to broader market moves - during market downturns. 
At a time when investors are focused on maintaining liquidity in their 
portfolios, large cap names offer greater liquidity than their small cap 
counterparts. Additionally, drug sales are less economically sensitive than 
other sectors during a recession, making large pharma and large biotech 
companies with marketed drugs natural places to hide for generalist investors 
concerned about recession risk. We would caution that investors may be 
temporarily parking money in large cap biotech primarily as a means of managing 
macro risk rather than investing based on enthusiasm for those companies' 
individual fundamentals. When the macro picture improves, that capital may 
quickly reallocate to other sectors of the economy. While large cap biotech does 
have some defensive qualities during a recession, recent analysis from Goldman 
Sachs shows that small and mid cap biotech (as reflected by the SPDR S&P Biotech 
ETF or XBI) have also outperformed the S&P 500 during the last four recessions. 
 
We have noted in the past the increasing biotech innovation we are now observing 
in China. The Chinese central government made developing a domestic, innovative 
biotech industry a priority in 2015, and we believe the COVID pandemic has only 
strengthened that commitment. According to IQVIA (a provider of 
biopharmaceutical development and data analytics services), about 15% of the 
drug industry's early-stage development pipeline is now being developed by 
Chinese companies, a dramatic increase from the 4% level in 2012. We have 
therefore allocated a portion of the portfolio to investments in Chinese biotech 
(about 9% of NAV as of 31 March 2023). 
 
In 2021, significant macro headwinds in China led to a general decline in the 
Chinese markets, which caused Chinese biotech stocks to decline. Headwinds 
included regulatory tightening by the Chinese government, slowing economic 
growth due to China's "zero COVID" lockdowns, and potential delisting of Chinese 
American Depositary Receipts (ADRs) from the U.S. stock market. Encouragingly, 
most of those headwinds have now abated. In late 2022, China lifted its COVID 
restrictions, allowing the economy to fully reopen. The U.S. and China agreed on 
a compromise solution regarding inspection of Chinese companies' accounting 
records, removing the potential delisting risk of Chinese ADRs. The Chinese 
central government also softened its tone with regards to regulatory 
restrictions on private businesses. Unlike the U.S., where the Federal Reserve 
is raising interest rates to slow down the economy, China is intently focused on 
stimulating economic growth in 2023. During the latter half of the review 
period, we saw some stabilization of the Chinese healthcare indexes to reflect 
the more favorable macro backdrop. Our expectation is that Chinese biotech 
shares should rise from current levels now that the macro headwinds have abated. 
While the state of U.S./China relations remains difficult, we think U.S. trade 
restrictions will continue to be focused on industries directly relevant to 
security and national defense rather than healthcare. Additionally, the primary 
market for our Chinese biotech positions is the Chinese domestic market, not the 
U.S. market. 
 
EMERGING BIOTECH VALUATIONS STILL AT 20-YEAR LOWS 
 
Our confidence in a recovery of small and mid cap biotech really stems from the 
observation that absolute and relative valuations in that segment remain at 20 
-year lows. 
 
As we have noted in the past, one proxy commonly used to track performance of 
small and mid cap biotech is the XBI, an equal weighted index of biotech 
companies created in 2006. About 50% of this index consists of small cap names. 
If one plots the relative performance of the XBI versus the S&P 500 (shown in 
Figure 4 on page 13 of the Annual Report), one can see that since inception, the 
XBI has outperformed the S&P 500, indicating that emerging biotech has 
historically been a sector offering better returns than the broader market. Over 
the past 15 years however, there have been short periods when the XBI has 
underperformed the S&P 500, shown by the red circles. Typically, these drawdown 
periods result in underperformance versus the S&P 500 of 30-45%. The most recent 
relative drawdown was 73%, making it the longest and largest drawdown of the XBI 
on both an absolute and relative basis. Prior drawdowns have been followed by 
periods of significant outperformance of the XBI versus the S&P 500, denoted by 
the green arrows on the graph, which usually results in the biotech index 
reclaiming prior outperformance highs. Encouragingly, a recovery from the recent 
relative drawdown started to take place in the second half of 2022, only to be 
cut short by the banking crisis in March. Our view is that the bank-related 
retracement is just a temporary setback in an eventual recovery over the next 
several months. 
 
On an absolute valuation basis, a significant number of biotech companies are 
now trading at market caps below the net cash on their balance sheets. In other 
words, the market has assigned a negative value to these listed enterprises when 
the value of their cash holdings is excluded. As shown in Figures 5 and 6 (on 
page 14 of the Annual Report), we estimate about 25% of the biotech universe, 
representing approximately 120 companies, is now trading at negative enterprise 
values as of 31 March 2023. The graphs show how unprecedented these valuations 
are in historical context. We have never seen valuations remotely approaching 
these levels in over 20 years, even in previous major market drawdowns like the 
Great Financial Crisis or the Dot Com Bust. 
 
The compelling absolute and relative valuations of emerging biotech have led us 
to continue maintaining our small cap biotech overweighting in the portfolio. 
While a recovery has taken longer to materialize than we had anticipated, we 
think that it is just a matter of time before the sector rerates to historical 
norms. Possible catalysts to trigger such a revaluation include a possible pause 
in interest rate hikes by the Fed as early as mid-2023, with some investors now 
anticipating interest rate cuts in the second half of 2023. M&A activity and 
positive clinical developments should also help aid a recovery. 
 
PRINCIPAL CONTRIBUTORS TO AND DETRACTORS FROM NET ASSET VALUE PERFORMANCE 
 
                                  Contribution 
                                  per share 
Top Five Contributors   £'000     (pence)* 
Sarepta Therapeutics    9,607     23.8 
Verona Pharma           8,916     22.1 
Forma Therapeutics      7,406     18.4 
Syndax Pharmaceuticals  6,276     15.6 
Seagen                  5,783     14.4 
                        37,988    94.3 
 
Top Five Detractors 
YS Biopharma            (11,596)  (28.8) 
GH Research             (9,729)   (24.1) 
Jounce Therapeutics     (7,748)   (19.2) 
Mirati Therapeutics     (7,628)   (18.9) 
Kezar Life Sciences     (7,120)   (17.7) 
                        (43,821)  (108.7) 
 
*based on 40,287,724 shares being the weighted average number of shares in issue 
during the year ended 31March 2023. 
 
CONTRIBUTORS AND DETRACTORS 
 
Sarepta Therapeutics, Verona Pharma, Forma Therapeutics, Syndax Pharmaceuticals 
and Seagen were the leading positive contributors to performance in the 
portfolio during the year. 
 
·      Sarepta Therapeutics is a commercial biotechnology company focused on 
rare neuromuscular diseases. It markets three approved therapies for Duchenne 
muscular dystrophy but is also developing a gene therapy for the condition. The 
company's share price rose on the increased investor expectation that the 
company would be able to obtain accelerated approval for its gene therapy in 
2023. 
 
·      Verona Pharma is a biopharmaceutical company focused on developing 
therapies for the treatment of chronic respiratory diseases. Verona Pharma's 
product candidate, ensifentrine, combines bronchodilator and anti-inflammatory 
activities in one compound for the treatment of chronic obstructive pulmonary 
disease (COPD). In August 2022, shares appreciated on the announcement of a 
positive Phase 3 trial for ensifentrine in COPD, showing the drug yielded 
improvements in lung function, symptoms, and quality of life. In December 2022, 
the stock rose significantly on the announcement of a second positive Phase 3 
trial of ensifentrine in COPD, confirming the benefits demonstrated in the first 
trial. 
 
·      Forma Therapeutics was a development stage biopharmaceutical company 
focused on developing new therapies for patients with sickle cell disease and 
rare blood disorders. Its lead asset, etavopivat, works by activating an enzyme 
that is thought to improve anemia and red blood cell health, thereby reducing 
the painful episodes experienced by sickle cell patients. In early September, 
Novo Nordisk announced that it was acquiring Forma for $1.1 billion in cash, 
representing a 49% premium to Forma's closing price the previous day. 
 
·     Seagen is a pioneer in antibody-drug conjugate (ADC) technology, marketing 
four ADC therapeutics for the treatment of cancer. Seagen's stock appreciated in 
March after Pfizer announced its plans to acquire the company for $43 billion. 
 
·     Syndax Pharmaceuticals is an emerging biotechnology company with two drugs 
in pivotal trials: revumenib for leukemia and axatilimab for chronic graft 
versus host disease. The stock appreciated in anticipation of pivotal data 
readouts for both of those programs in 2023. 
 
YS Biopharma, GH Research, Jounce Therapeutics, Mirati Therapeutics, and Kezar 
Life Sciences were the principal detractors for the year. 
 
·      YS Biopharma is a Chinese vaccine company which markets a rabies vaccine 
and is developing a novel vaccine adjuvant that could have applications for 
developing superior versions of vaccines for COVID, rabies, and hepatitisB. The 
company went public in the U.S. in March via a special purpose acquisition 
company (SPAC) merger but subsequently saw a substantial decline in share price 
that we attribute to SPAC-related trading dynamics rather than fundamentals. 
Given that the company generates over $100 million of revenues, we think the 
shares are extremely oversold and will recover once the fundamentals are 
properly recognized by investors. 
 
·      GH Research is a biopharmaceutical company focused on the treatment of 
psychiatric and neurological disorders. The company is developing a proprietary 
5-MeO-DMT inhaled therapy for the treatment of patients with treatment-resistant 
depression (TRD), now in Phase 2 clinical trials. Shares declined during the 
fiscal year due to overall sector weakness and a lack of near-term catalysts. 
 
·      Jounce Therapeutics is a clinical stage biotech company focused on 
developing targeted immuno-oncology therapies. Shares of Jounce underperformed 
after disclosing its drug vopratelimab failed in a Phase 2 trial in lung cancer. 
Its second asset JTX-8064 also failed to demonstrate sufficient efficacy in a 
variety of tumor types in a Phase 1/2 proof of concept trial. The Company exited 
the position. 
 
·      Mirati Therapeutics is a biotechnology company developing novel small 
molecule drugs to treat cancer. Its lead product, adagrasib, is a precision 
oncology medicine that targets cancers with a specific gene mutation. Shares 
fell in December 2022 following the presentation of disappointing clinical trial 
data suggesting adagrasib might not be superior to standard-of-care treatment in 
first-line lung cancer. The drug may still be used in later-stage lung cancer 
and colorectal cancer. 
 
·      Kezar Life Sciences is an emerging biotech company developing 
zetomipzomib, a first-in-class immunoproteasome inhibitor, for the treatment of 
lupus nephritis. The drug has shown promising results in a Phase 2 trial for 
lupus nephritis. However, shares declined in March 2023 when the company 
announced a lengthy delay in the completion of its first pivotal trial for 
zetomipzomib. 
 
REGULATORY CLIMATE CONTINUES TO BE CONSTRUCTIVE 
 
We continue to believe that the U.S. Food and Drug Administration (the FDA), 
under the leadership of commissioner Robert Califf, remains constructive towards 
the approval of new drugs. Having said that, in 2022, the FDA approved 37new 
drugs, which is lower than recent years. We believe this reflects the residual 
impact of COVID-related delays on clinical trial progress and delays in 
manufacturing inspections. It could also reflect normal year to year variability 
in drug approval timing. Notably, the agency received a similar number of new 
drug applications in 2022 as the past few years, reflecting continued strong 
innovation in the industry. We suspect many of those applications will be 
approved in 2023. 
 
Importantly, we do not believe the reduced number of approvals in 2022 means the 
FDA has become less constructive on approving drugs. On the contrary, about 65% 
of drug approvals in 2022 used an expedited means of approval, whether it be 
Fast Track, Breakthrough Designation, Priority Review, or Accelerated Approval. 
Other recent examples of FDA flexibility include the following: 
 
·    approval of Biogen's Aduhelm for Alzheimer's disease, despite the company 
stopping both of its pivotal trials for futility and a negative FDA advisory 
committee vote; 
 
·    approval of Apellis Pharmaceuticals' Syfovre, a first-in-class treatment 
for geographic atrophy, despite one of two pivotal trials failing to meet its 
primary endpoint; 
 
·    approval of Amylyx Pharmaceuticals' Relyvrio to treat amyotrophic lateral 
sclerosis, despite significant doubts about the statistical rigor of the primary 
endpoint of their pivotal trial; and 
 
·    approval of Biogen's Qalsody for amytrophic lateral sclerosis, despite its 
sole pivotal trial missing the primary endpoint. 
 
The FDA has continued to demonstrate flexibility on approval requirements when 
drugs are submitted to the agency that address an unmet medical need. 
 
DRUG PRICING REFORM CLEARS LONGSTANDING POLITICAL OVERHANG 
 
For many years, the prospect of drug price controls in the U.S. served as an 
overhang on the biopharmaceutical sector. Politicians like Hillary Clinton and 
Bernie Sanders would criticize the pharmaceutical industry in their election 
campaigns and vow to lower pharmaceutical prices via government legislation. 
Whenever the prospect of drug pricing reform was in the news, pharmaceutical and 
biotech stocks in the U.S. would come under pressure. 
 
In July 2022, congressional Democrats finally succeeded in passing some drug 
pricing provisions as part of the "Inflation Reduction Act", which President 
Biden signed into law in August 2022. The new law includes three elements of 
drug pricing reform: 
 
1)a redesign of Medicare Part D to cap out-of-pocket costs that seniors pay for 
prescription drugs (a positive for the industry); 
 
2)an inflation cap on annual drug price increases; and 
 
3)the ability for the federal government to negotiate Medicare drug prices for a 
limited number of drugs starting in 2026. Biologic drugs will enjoy 13 years of 
market exclusivity before becoming eligible for Medicare price negotiation while 
small molecule drugs will enjoy nine years of exclusivity. 
 
We do not think the bill will have an impact on biotech in the near term, though 
in the long run it may incentivize companies to pursue biologic drugs rather 
than small molecule drugs due to biologics' longer exclusivity period. 
 
Now that the legislation has passed, we don't expect any further adverse drug 
pricing legislation for the next several years, especially now that the 
Republicans have retaken a majority in the House of Representatives. The removal 
of this persistent political overhang should help the biotech sector recover. 
 
IPO AND CROSSOVER ACTIVITY SLOWS DOWN, BUT FINANCING ENVIRONMENT REMAINS STRONG 
FOR GOOD COMPANIES 
 
Initial Public Offerings (IPOs) and crossover financing activity slowed 
considerably during the review period as valuations contracted in the sector. 
The Company did not make any new IPO or crossover investments during the fiscal 
year. The only private position that went public during the fiscal year was YS 
Biopharma, a Chinese vaccine company which listed on the NASDAQ in March via a 
SPAC merger. 
 
As of 31 March 2023, the Company had two directly held private investments 
totaling approximately 5.5% of NAV. Both of the positions are Chinese biotech 
companies: XtalPi, an artificial intelligence-based drug discovery company, and 
StemiRNA, a Chinese mRNA vaccine company. Given the IPO delays in China, we may 
seek to sell some of these positions to other private investors prior to an IPO. 
As the IPO markets open up in the U.S. and China, we will reinitiate crossover 
investing as opportunities arise, being mindful of valuation in the current 
market environment. 
 
We would emphasize that, despite reduced IPO activity, the follow-on financing 
environment for high quality emerging biotech companies remains very strong. 
Companies with strong fundamentals have had no problems raising capital from 
equity investors. Companies that are at an earlier stage of development have had 
more difficulty in raising capital, but this can present an opportunity for us 
to invest in these companies at a compelling price. 
 
MERGERS AND ACQUISITIONS (M&A) ACTIVITY ACCELERATING 
 
Biotech M&A has been a historical driver of returns in the sector. Emerging 
biotech companies that show successful proof-of-concept for their lead drug are 
usually acquired at some point. We had predicted an acceleration in biotech M&A 
activity given the depressed valuations of potential biotech targets with the 
recent drawdown. If one looks at the number of announced acquisitions of public 
biotech companies shown in Figure 9 (on page 18 of the Annual Report), the 
number of transactions did appear to increase over the course of the fiscal year 
relative to the prior 12 months. Initial results for the first month of the 
second quarter of 2023 show a run-rate of M&A activity that appears to be 
continuing to increase. 
 
The Company benefited directly from five M&A transactions during the fiscal year 
because of holdings in the target companies: 
 
·    Pfizer's acquisition of Seagen for $43 billion; 
 
·   Novo Nordisk's acquisition of Forma Therapeutics for $1.1 billion; 
 
·   Pfizer's acquisition of Global Blood Therapeutics for $5.4 billion; 
 
·   AstraZeneca's acquisition of CinCor Pharma for $1.3 billion; 
 
·   AstraZeneca's acquisition of LogicBio Therapeutics for $68 million; and 
 
·   GlaxoSmithKline's acquisition of BELLUS Health for $2 billion (announced in 
April 2023, after the Company's fiscal year end). 
 
Aside from low valuations, another principal driver of recent M&A activity is 
the upcoming wave of patent expirations of key, blockbuster biopharma products 
in the second half of the decade. With large multi-billion-dollar blockbusters 
like Merck's Keytruda and Bristol Myers Squibb's Eliquis facing biosimilar 
competition before 2030, large pharmaceutical companies are eagerly looking for 
late-stage biotech companies to replace that lost revenue. 
 
RECORD INNOVATION CONTINUES TO DRIVE INDUSTRY VALUE 
 
As seen in Figure 11 (on page 20 of the Annual Report), innovation in the 
biopharmaceutical sector remains strong, with the global drug pipeline 
continuing to grow to record levels. We attribute the flattening of the number 
of drugs in development over the past two years to delays in clinical trial 
starts due to COVID. 
 
Of the 37 drug approvals by the FDA in 2022, 54% of them were first-in-class 
drugs with mechanisms of action different from those of existing therapies. 
Below are just some examples of first-in-class novel drug approvals originated 
by biotech companies in 2022 (some of the biotech companies have been acquired 
by larger pharmaceutical companies): 
 
·   Camzyos, first cardiac myosin inhibitor for obstructive hypertrophic 
cardiomyopathy; 
 
·   Elahere, first FOLR1-targeting antibody-drug conjugate for ovarian cancer; 
 
·   Enjaymo, first C1s inhibitor for hemolysis in cold agglutinin disease; 
 
·   Kimmtrak, first bispecific gp100xCD3 T cell engager for uveal melanoma; 
 
·   Pluvicto, first PSMA-targeting radioligand for metastatic castration 
-resistant prostate cancer; 
 
·   Pyrukynd, first pyruvate kinase activator for pyruvate kinase deficiency; 
 
·   Sunlenca, first long-acting HIV capsid inhibitor for HIV-1 infection; 
 
·   Tzield, first CD3-targeting antibody for type 1 diabetes; 
 
·   Vtama, first aryl hydrocarbon receptor agonist for the topical treatment of 
plaque psoriasis; and 
 
·   Ztalmy, first neuroactive steroid GABA-A receptor positive modulator for 
CDKL5 deficiency disorder. 
 
The number of next generation biotherapeutics entering development based on 
novel development technologies like cell therapy and gene therapy continues to 
rise as shown in Figure 12 on page 21 of the Annual Report. 
 
The Company has exposure across a wide swath of these new technologies, as shown 
in Figure 13 on page 22 of the Annual Report. 
 
Other seminal events in the biotech sector during the review period include: 
 
·   Leqembi, a beta-amyloid antibody for Alzheimer's disease developed by Biogen 
and Eisai, became the first beta-amyloid antibody for Alzheimer's to have a 
conclusively positive Phase 3 trial; 
 
·   Madrigal Pharmaceuticals announced positive Phase 3 results of its drug for 
non-alcoholic steatohepatitis (NASH) and liver fibrosis; 
 
·   Vaxcyte announced positive Phase 1/2 results of its novel 24-valent 
pneumococcal vaccine; 
 
·   Moderna announced positive Phase 2 results of its mRNA cancer vaccine in 
melanoma; 
 
·   Alnylam Pharmaceuticals announced positive Phase 3 results of its RNA 
interference drug in amyloidosis with cardiomyopathy; 
 
·   Prometheus Biosciences announced positive Phase 2 results for its first-in 
-class anti-TL1A antibody for ulcerative colitis; 
 
·   Iveric Bio announced positive Phase 3 results for its drug for geographic 
atrophy; and 
 
·   Verona Pharma announced positive Phase 3 results for its drug for chronic 
obstructive pulmonary disease. 
 
Importantly, all of the clinical events listed above resulted in substantial 
positive stock reactions for the sponsors involved, indicating that investors in 
the current market environment do get paid for taking on the risk of holding 
through clinical events. 
 
The expected sales potential for many of these innovative drugs is also 
substantial. The top 15 new product opportunities in biotechnology today could 
create over $60 billion in cumulative sales by the next decade (source: 
Jefferies). 
 
While innovation is taking place across all therapeutic areas, particular areas 
of focus for the Company now include the following: 
 
·      Gene therapy - The first gene therapies for hemophilia and Duchenne 
muscular dystrophy will likely be approved this year in the U.S. Expected peak 
sales potential for these one-time treatments are both in excess of $1 billion. 
 
·      Immunology & Inflammation - Significant new mechanisms of action have 
been validated recently in this space, which address large markets like 
ulcerative colitis and psoriasis. This is also an area of significant strategic 
interest by larger pharmaceutical companies, so we expect continued M&A activity 
in this area. 
 
·      Oncology - According to IQVIA, drugs in development for cancer now make 
up 38% of the global pharmaceutical development pipeline, making it by far the 
leading therapeutic area of research focus for the industry. Multiple different 
approaches, including antibody-drug conjugates, radiopharmaceuticals, mRNA 
vaccines, and cell therapy, have shown positive proof of concept in this area. 
 
·      Kidney disease - We have seen increased innovation lately in this area 
for conditions like lupus nephritis and IgA nephropathy. 
 
OUTLOOK AND ORBIMED UPDATE 
 
This was a challenging fiscal year for the Company given that small and mid cap 
biotech failed to recover as we had expected. The recent drawdown in biotech has 
been unprecedented in both length and severity. Macro factors outside of company 
fundamentals continue to dominate stock price action, which has made it 
particularly challenging for fundamental-based investors such as us. We remain 
optimistic that once the macro backdrop becomes more stable, valuations will 
recover to historical norms and the industry's strong fundamentals will be 
properly reflected in share prices. Already, we are seeing a pickup in M&A 
activity and the Federal Reserve signaling a potential pause in interest rate 
hikes, which could catalyze a recovery. Our strategic positioning remains 
unchanged, with an emphasis on smaller, emerging biotech names that should have 
the most upside potential when a broad sector recovery materializes. Gearing 
will remain in the 5-10% range. 
 
OrbiMed continues to invest in its research team to improve investment 
performance. We are happy to announce the promotion of Josh Golomb, a Partner at 
OrbiMed, to be a co-portfolio manager of The Biotech Growth Trust. Josh has 
close to 20 years of experience investing in biotech and brings substantial 
expertise to our research effort. Including Josh and Geoff, we now have seven 
analysts on the biotech research team, supplemented by one specialty pharma 
analyst, two tools/diagnostics analysts, and four analysts in China. Now that 
the COVID pandemic has subsided, we have resumed in-person travel to medical and 
investor conferences. We have also recently opened a London office, initially 
for professionals in our venture capital and structured debt businesses. While 
our public equity investing efforts will continue to be headquartered in New 
York, our new London presence gives us a foothold to further expand our 
organization in the UK and other parts of Europe in the future. 
 
In conclusion, while we are disappointed with the investment performance of the 
Company during the fiscal year, we remain confident that a biotech recovery will 
occur soon and do not see much further downside from current levels. We have 
never seen such a large disconnect between valuations and industry fundamentals 
and continue to believe this is an excellent entry point for long-term investors 
seeking exposure to this exciting and innovative area of healthcare. 
 
Geoff Hsu & Josh Golomb 
OrbiMed Capital LLC, Portfolio Manager 
 
14 June 2023 
 
BUSINESS REVIEW 
 
The Strategic Report contains a review of the Company's business model and 
strategy, an analysis of its performance during the financial year and its 
future developments, as well as details of the principal risks and challenges it 
faces. 
 
Its purpose is to inform shareholders in the Company and help them to assess how 
the Directors have performed their duty to promote the success of the Company. 
The Strategic Report contains certain forward-looking statements. These 
statements are made by the Directors in good faith based on the information 
available to them up to the date of this report. Such statements should be 
treated with caution due to the inherent uncertainties, including both economic 
and business risk factors, underlying such forward-looking information. 
 
BUSINESS MODEL 
 
The Biotech Growth Trust PLC is an externally managed investment trust and its 
shares are listed on the premium segment of the Official List and traded on the 
main market of the London Stock Exchange. 
 
The purpose of the Company is to achieve long-term growth in its shareholders' 
wealth by providing a vehicle for investors to gain exposure to a portfolio of 
worldwide biotechnology companies, through a single investment. 
 
The Company's strategy is to create value for shareholders by addressing its 
investment objective. 
 
As an externally managed investment trust, all of the Company's day-to-day 
management and administrative functions are outsourced to service providers. As 
a result, the Company has no executive directors, employees or internal 
operations. 
 
The Company employs Frostrow Capital LLP (Frostrow) as its Alternative 
Investment Fund Manager (AIFM), OrbiMed Capital LLC (OrbiMed) as its Portfolio 
Manager, J.P. Morgan Europe Limited as its Depositary and J.P. Morgan Securities 
LLC as its Custodian and Prime Broker. Further details about their appointments 
can be found in the Report of the Directors. 
 
The Board is responsible for all aspects of the Company's affairs, including 
setting the parameters for and monitoring the investment strategy as well as the 
review of investment performance and policy. 
 
The Company is an investment company within the meaning of Section 833 of the 
Companies Act 2006 and has been approved by HM Revenue & Customs as an 
investment trust (for the purposes of Section 1158 of the Corporation Tax Act 
2010). As a result, the Company is not liable for taxation on capital gains. The 
Directors have no reason to believe that approval will not continue to be 
retained. The Company is not a close company for taxation purposes. 
 
INVESTMENT OBJECTIVE AND POLICY 
 
The Company seeks capital appreciation through investment in the worldwide 
biotechnology industry. 
 
In order to achieve its investment objective, the Company invests in a 
diversified portfolio of shares and related securities in biotechnology 
companies on a worldwide basis. 
 
In connection with the investment policy, the following guidelines apply: 
 
  · The Company will not invest more than 10%, in aggregate, of the value of its 
gross assets in other closed ended investment companies (including investment 
trusts) listed on the London Stock Exchange, except where the investment 
companies themselves have stated investment policies to invest no more than 15% 
of their gross assets in other closed ended investment companies (including 
investment trusts) listed on the London Stock Exchange. 
  · The Company will not invest more than 15%, in aggregate, of the value of its 
gross assets in other closed ended investment companies (including investment 
trusts) listed on the London Stock Exchange. 
  · The Company will not invest more than 15% of the value of its gross assets 
in any one individual stock at the time of acquisition. 
  · The Company will not invest more than 10% of the value of its gross assets 
in unquoted investments at the time of acquisition. This limit includes any 
investment in private equity funds managed by the Portfolio Manager or any 
affiliates of such entity. 
  · The Company may invest or commit for investment a maximum of U.S.$15 
million, after the deduction of proceeds of disposal and other returns of 
capital, in private equity funds managed by the Portfolio Manager, or an 
affiliate thereof. 
  · The Company's borrowing policy is that borrowing will not exceed 20% of the 
Company's net assets. The Company's borrowing requirements are met through the 
utilisation of a loan facility, repayable on demand and provided by J.P. Morgan 
Securities LLC. This facility can be drawn by the Portfolio Manager overseen by 
the AIFM. 
  · The Company may be unable to invest directly in certain countries. In these 
circumstances, the Company may gain exposure to companies in such countries by 
investing indirectly through swaps. Where the Company invests in swaps, exposure 
to underlying assets will not exceed 5% of the gross assets of the Company at 
the time of entering into the contract. 
 
In accordance with the requirements of the Financial Conduct Authority, any 
material change to the investment policy will only be made with the approval of 
shareholders by ordinary resolution. 
 
PROPOSED CHANGES TO THE INVESTMENT POLICY 
 
As explained in the Chairman's Statement, the Board is proposing some changes to 
the investment policy in order to clarify the scope of the use of swaps and 
derivatives for efficient portfolio management. The proposed changes will: 
 
  · Enable derivative instruments (other than equity swaps) to be used to 
mitigate risk and/or enhance return subject to an aggregate net exposure of 5% 
of the value of the Company's gross assets measured at the time of the relevant 
transaction; and 
  · Remove the current limit on equity swaps but impose a limit on aggregate net 
counterparty exposure, through a combination of derivatives and equity swap 
transactions, of 12% of the value of the gross assets of the Company at the time 
of the transaction. 
 
Accordingly, an ordinary resolution to approve the amended investment policy is 
included in the Notice of AGM and a blacklined statement of the investment 
policy showing the proposed changes is set out on page 106 of the Annual Report. 
The proposed amendments have been approved in principle by the Financial Conduct 
Authority in accordance with the requirements of the Listing Rules. 
 
INVESTMENT STRATEGY 
 
The implementation of the Investment Objective has been delegated to OrbiMed by 
Frostrow (as AIFM) under the Board's and Frostrow's supervision and guidance. 
 
Details of OrbiMed's investment strategy and approach are set out in the 
Portfolio Manager's Review. While performance is measured against the Benchmark, 
the Board encourages OrbiMed to manage the portfolio without regard to the 
Benchmark and its make-up. 
 
While the Board's strategy is to allow flexibility in managing the investments, 
in order to manage investment risk it has imposed various investment, gearing 
and derivative guidelines and limits, within which Frostrow and OrbiMed are 
required to manage the investments, as set out in the Investment Policy. 
 
PERFORMANCE MEASUREMENT 
 
The Board measures OrbiMed's performance against the NASDAQ Biotechnology Index 
(sterling adjusted). The Board also monitors the Company's performance against 
its peer group. 
 
DIVID POLICY 
 
The Company invests with the objective of achieving capital growth and it is 
expected that dividends, if any, are likely to be small. The Board intends only 
to pay dividends on the Company's shares to the extent required in order to 
maintain the Company's investment trust status. 
 
No dividends were paid or declared during the year (2022: None). 
 
CONTINUATION OF THE COMPANY 
 
An opportunity to vote on the continuation of the Company is given to 
shareholders every five years. The next such continuation vote will be proposed 
at the Annual General Meeting to be held in 2025. 
 
COMPANY PROMOTION 
 
The Company has appointed Frostrow to provide marketing and investor relations 
services, in the belief that a well-marketed investment company is more likely 
to grow over time, have a more diverse, stable list of shareholders and its 
shares will trade closer to the net asset value per share over the long run. 
Frostrow actively promotes the Company in the following ways: 
 
Engaging regularly with institutional investors, discretionary wealth managers 
and a range of execution-only platforms: Frostrow regularly meets with 
institutional investors, discretionary wealth managers and execution-only 
platform providers to discuss the Company's strategy and to understand any 
issues and concerns, covering both investment and corporate governance matters; 
 
Making Company information more accessible: Frostrow works to raise the profile 
of the Company by targeting key groups within the investment community, holding 
periodic investment seminars, commissioning and overseeing PR output and 
managing the Company's website and wider digital offering, including Portfolio 
Manager videos and social media; 
 
Disseminating key Company information: Frostrow performs the Investor Relations 
function on behalf of the Company and manages the investor database. Frostrow 
produces all key corporate documents, distributes monthly factsheets, annual and 
half yearly reports and updates from OrbiMed on the portfolio and market 
developments; and 
 
Monitoring market activity, acting as a link between the Company, shareholders 
and other stakeholders: Frostrow maintains regular contact with sector broker 
analysts and other research and data providers, and conducts periodic investor 
perception surveys, liaising with the Board to provide up-to-date and accurate 
information on the latest shareholder and market developments. 
 
KEY PERFORMANCE INDICATORS (KPIs) 
 
The Board assesses the Company's performance in meeting its objective against 
the following key performance indicators: 
 
  · net asset value total return; 
  · share price total return; 
  · share price discount to net asset value per share; and 
  · ongoing charges. 
 
Information on the Company's performance is provided in the Chairman's Statement 
and the Portfolio Manager's Review and a record of these measures is shown on 
pages 1, 5 and 6 of the Annual Report. The KPIs have not changed from the prior 
year: 
 
NET ASSET VALUE PER SHARE TOTAL RETURN^ 
 
The Directors regard the Company's net asset value per share total return as 
being the overall measure of value generated by the Portfolio Manager over the 
long term. The Board considers the principal comparator to be the NASDAQ 
Biotechnology Index (sterling adjusted) (the Benchmark). OrbiMed's investment 
style is such that performance is likely to deviate from that of the Benchmark. 
 
During the year under review, the Company's net asset value per total share 
return was -11.0%, underperforming the Benchmark by 16.4% (2022: -33.8%, 
underperforming the Benchmark by 26.4%). Since OrbiMed's date of appointment (19 
May 2005) to 31 March 2023, the Company's net asset value per share total return 
is 756.0% compared with 795.8% for the Benchmark. Please refer to the Chairman's 
Statement and the Portfolio Manager's Review for further information. 
 
SHARE PRICE TOTAL RETURN^ 
 
The Directors also regard the Company's share price total return to be a key 
indicator of performance. This reflects the Company's share price growth which 
the Board recognises is important to investors. 
 
During the year under review the Company's share price total return was -12.8% 
(2022: -37.0%). Since OrbiMed's date of appointment (19 May 2005) to 31 March 
2023, the Company's share price total return is 730.8% compared with Benchmark 
performance of 795.8%. Please refer to the Chairman's Statement for further 
information. 
 
SHARE PRICE (DISCOUNT)/PREMIUM TO NET ASSET VALUE PER SHARE^ 
 
The Board regularly reviews the level of the discount/ premium of the Company's 
share price to the net asset value per share and considers ways in which share 
price performance may be enhanced, including the effectiveness of marketing, 
share issuance and buybacks, where appropriate. The Board has a discount control 
mechanism in place, the aim of which is to prevent the level of the share price 
discount to the net asset value per share exceeding 6%. Shareholders should 
note, however, that it remains possible for the discount to be greater than 6% 
on any one day due to sector volatility and the fact that the share price 
continues to be influenced by the overall supply of and demand for the Company's 
shares in the secondary market. Any decision to repurchase shares is at the 
discretion of the Board. 2,421,263 shares were repurchased by the Company during 
the year (2022: 576,087). 
 
When the Company's shares trade at a premium to the net asset value per share, 
new shares can be issued at a premium to the net asset value per share. 
 
The Board believes that the benefits of issuing new shares in such conditions 
are as follows: 
 
  · to fulfil excess demand in the market in order to help manage the premium at 
which the Company's shares trade to net asset value per share; 
  · to provide a small enhancement to the net asset value per share of existing 
shares through new share issuance at a premium to the estimated net asset value 
per share; 
  · to grow the Company, thereby spreading operating costs over a larger capital 
base, which should reduce the ongoing charges ratio; and 
  · to improve liquidity in the market for the Company's shares. 
 
As the Company's shares traded at a discount to the net asset value per share 
throughout the year, no new shares were issued during the year (2022: 150,000). 
 
The volatility of the net asset value per share in an asset class such as 
biotechnology is a factor over which the Board has no control. The making and 
timing of any share buy-backs or share issuance is at the absolute discretion of 
the Board. Please see the Chairman's Statement for further information. 
 
^ Alternative Performance Measure (See Glossary). 
 
ONGOING CHARGES^ 
 
Ongoing charges represent the costs that the Company can reasonably expect to 
pay from one year to the next, under normal conditions. The Board continues to 
be conscious of expenses and seeks to maintain a sensible balance between high 
quality service and costs. The Board therefore considers the ongoing charges 
ratio to be a KPI and reviews the figure on a regular basis. 
 
As at 31 March 2023 the ongoing charges figure was 1.1% (2022: 1.1%). 
 
^ Alternative Performance Measure (see Glossary). 
 
RISK MANAGEMENT 
 
The Board is responsible for managing the risks faced by the Company. Through 
delegation to the Audit Committee, the Board has established procedures to 
manage risk, to review the Company's internal control framework and to establish 
the level and nature of the principal risks the Company is prepared to accept in 
order to achieve its long-term strategic objective. At least twice during a year 
the Audit Committee carries out a robust assessment of the principal and 
emerging risks with the assistance of Frostrow Capital (the AIFM). A risk 
management process has been established to identify and assess risks, their 
likelihood and the possible severity of impact. Further information is provided 
in the Audit Committee Report. These principal risks and the ways they are 
managed or mitigated are set out below. 
 
PRINCIPAL RISKS     MANAGEMENT/MITIGATION 
AND 
UNCERTAINTIES 
MARKET RISK 
The Company's       The Portfolio Manager has responsibility for selecting 
portfolio is        investments in accordance with the Company's investment 
exposed to          objective and policy and seeks to ensure that investment in 
fluctuations in     individual stocks falls within acceptable risk levels. 
market prices       Compliance with the limits and guidelines contained in the 
(changes in         Company's investment policy is monitored daily by Frostrow 
broad market        and OrbiMed and reported monthly to the Board. 
measures, 
individual          The investment restrictions ensure that the portfolio is 
security prices     diversified, reducing the risks associated with individual 
and foreign         stocks and markets. OrbiMed report at each Board meeting on 
exchange rates)     the Company's performance and the macro factors affecting 
in the              it. 
biotechnology 
sector and the      The Portfolio Manager spreads investment risk over a wide 
regions in          portfolio of investments. At the year end the Company's 
which it            portfolio comprised investments in 54 companies. 
invests, which 
may result in a     As part of its review of the going concern and long-term 
reduction in        viability of the Company, the Board also considers the 
assets due to       sensitivity of the portfolio to changes in market prices 
market falls        and foreign exchange rates (see note 14) and the ability of 
and higher          the Company to liquidate its portfolio if the need arose. 
volatility.         Further details are included in the Going Concern and 
                    Viability Statements. 
The 
biotechnology 
sector has 
historically 
been more 
volatile than 
other equity 
sectors, 
reflecting 
factors 
inherent in 
biotech 
companies, 
including 
emerging 
technologies, 
uncertainty of 
drug approval 
outcomes, 
regulatory and 
pricing policy. 
 
More generally, 
geopolitical 
and economic 
uncertainties 
have affected 
markets 
globally and 
are likely to 
continue to do 
so. These 
include the 
continued 
impact of the 
war in Ukraine 
and the effect 
of sanctions 
against Russia, 
resulting in 
elevated energy 
prices. More 
broadly, 
inflation may 
prove more 
persistent than 
had been hoped. 
This has driven 
interest rates 
higher, 
increasing the 
cost of capital 
for companies 
in our 
investment 
universe and 
leading to 
concerns about 
the resilience 
of elements of 
the US banking 
system, in turn 
reducing 
investors' risk 
appetites. 
Globally, 
political, 
military and 
commercial 
tensions 
between the 
US/West and 
China have put 
the pace of 
global economic 
growth at risk. 
PORTFOLIO 
PERFORMANCE 
Investment          The Board reviews regularly investment performance against 
performance may     the Benchmark and against the Company's peer group. The 
not achieve the     Board also receives regular reports that analyse 
Investment          performance against other relevant indices. The Portfolio 
Objective and       Manager provides an explanation of significant stock 
the value of        selection decisions and an overall rationale for the make 
the investments     -up of the portfolio. The Portfolio Manager discusses 
held in the         current and potential investment holdings with the Board on 
portfolio may       a regular basis. 
fall materially 
out of line 
with the 
sector. 
 
The Portfolio 
Manager's 
approach is 
expected to 
lead to 
performance 
that will 
deviate from 
comparators, 
including both 
market indices 
and other 
investment 
companies 
investing in 
the 
biotechnology 
sector. 
SHARE PRICE 
PERFORMANCE 
The risk that       To manage this risk, the Board: 
the Company's 
share price is        · regularly reviews the level of the share price 
not                 discount/premium to the net asset value per share and 
representative      considers ways in which share price performance may be 
of its              enhanced, including the effectiveness of marketing and 
underlying net      investor relations services, new share issuance and share 
assets.             buybacks, as appropriate; 
                      · has implemented a discount management policy, buying 
                    back the Company's shares when the level of the share price 
                    discount to the net asset value per share exceeds 6% (in 
                    normal market conditions). 
                      · may issue shares at a premium to the net asset value 
                    per share to help prevent a share price premium reaching 
                    too high a level; 
                      · reviews an analysis of the shareholder register at each 
                    Board meeting and is kept informed of shareholder 
                    sentiment; and 
                      · regularly discusses the Company's future development 
                    and strategy with the Portfolio Manager and the AIFM. 
CYBER RISK 
Cyber crime may     The Board relies on controls in place at OrbiMed, Frostrow, 
lead to the         J.P. Morgan, Link and other third-party service providers. 
disruption or 
failure of          The Audit Committee reviews the internal controls reports 
systems             of the principal service providers, as well as their data 
covering            storage and information security arrangements. 
dealing, trade 
processing, 
administrative 
services, 
financial and 
other 
operational 
functions. 
KEY PERSON RISK 
The risk that       The Board manages this risk by: 
the 
individual(s)         · appointing OrbiMed, who in turn have appointed Geoff 
responsible for     Hsu and, in the course of the year, Josh Golomb to manage 
managing the        the Company's portfolio. Mr Hsu and MrGolomb are supported 
Company's           by a team of researchers and analysts dedicated to the 
portfolio may       biotechnology sector; 
leave their           · receiving reports from OrbiMed at each Board meeting, 
employment or       such reports include any significant changes in the make-up 
may be              of the team supporting the Company; 
prevented from        · meeting the wider team at OrbiMed's offices and 
undertaking         encouraging the participation of the wider OrbiMed team in 
their duties.       investor updates; and 
                      · delegating to the Management Engagement Committee, the 
                    responsibility to perform an annual review of the service 
                    received from OrbiMed, including, inter alia, the team 
                    supporting the lead managers and their succession plans. 
VALUATION RISK 
Pursuant to the     Unquoted investments comprised 5.7% of the Company's 
Investment          portfolio at the year end. The Company's directly held 
Policy, the         unquoted investments are valued by an independent, third 
Company may         -party valuation agent. The Board has established a 
invest up to        Valuation Committee to review the valuations of the 
10% of its          unquoted investments and the methodologies used in the 
gross assets in     valuations. The valuations are recommended to the Committee 
unquoted            by Frostrow, the Company's AIFM, following review by its 
investments at      own valuations committee. The Valuation Committee makes 
the time of         recommendations to the Board, as appropriate. Further 
acquisition.        information can be found in the Audit Committee Report and 
The valuation       note 1 to the financial statements. 
of unquoted 
assets involves 
a degree of 
subjectivity 
and there is a 
risk that 
proceeds 
received on the 
disposal of 
unquoted 
holdings may 
prove to be 
significantly 
lower than the 
value at which 
the investment 
is held in the 
Company's 
portfolio. 
CLIMATE CHANGE 
Climate change      Although the effects of climate change have yet to be fully 
events, as well     determined, the Board and the Portfolio Manager keep the 
as the              subject under review. 
introduction of 
new regulations     The Board is conscious that climate change poses a general 
designed to         risk to the investment environment and, through discussions 
combat climate      with the Portfolio Manager, has noted that the 
change, could       biotechnology industry is not a major contributor to 
have an impact      greenhouse gas emissions. For this reason, the Portfolio 
on portfolio        Manager does not consider climate change to be a material 
companies and       ESG consideration when engaging with investee companies. 
their               However energy management is noted as a material concern in 
operations, as      the wider healthcare and pharmaceutical sectors, and this 
well as on the      forms part of OrbiMed's ESG monitoring. 
Company's 
service 
providers, 
potentially 
affecting their 
operating 
models, supply 
chains, 
physical 
locations and 
energy costs. 
COUNTERPARTY 
RISK 
The Company is      The most significant counterparty to which the Company is 
exposed to          exposed is J.P. Morgan Securities LLC (the Company's 
credit risk         Custodian and Prime Broker) which is responsible for the 
arising from        safekeeping of the Company's assets and provides the loan 
the use of          facility to the Company. As part of the arrangements with 
counterparties.     J.P. Morgan Securities LLC (J.P. Morgan) they may take 
If a                assets as collateral up to 140% of the value of the loan 
counterparty        drawn down. The assets taken as collateral by J.P. Morgan 
were to fail,       may be used, loaned, sold, rehypothecated* or transferred. 
the Company         The level of the Company's gearing is at the discretion of 
could be            the AIFM and the Board and the loan can be repaid at any 
adversely           time, at which point the assets taken as collateral will be 
affected            released back to the Company. Any of the Company's assets 
through either      taken as collateral are not covered by the custody 
a delay in          arrangements provided by J.P. Morgan. 
settlement or a 
loss of assets.     J.P. Morgan is a registered broker-dealer and is 
                    accordingly subject to limits on rehypothecation* imposed 
                    by the U.S. Securities and Exchange Commission (SEC). In 
                    the event of J.P. Morgan's insolvency, the Company may be 
                    unable to recover in full assets held by it as Custodian or 
                    held as collateral. 
 
                    The risk is managed through the selection of a financially 
                    stable counterparty, limitations on the use of gearing and 
                    reliance on the SEC's robust regulatory regime. In 
                    addition, the Board monitors the credit rating of J.P. 
                    Morgan. 
 
                    J.P. Morgan is also subject to regular monitoring by J.P. 
                    Morgan Europe Limited, the Depositary, and the Board 
                    receives regular reports from the Depositary. 
 
                    During the year the Company entered into swap transactions 
                    with Goldman Sachs International. 
 
                    Further information can be found in note 14 to the 
                    financial statements. 
OPERATIONAL 
DISRUPTION 
As an               To manage these risks, the Board (in some cases meeting as 
externally          the Audit Committee): 
managed 
investment            · periodically meets representatives from the Company's 
trust, the          key service providers to gain a better understanding of 
Company is          their control environment, and the processes in place to 
reliant on the      mitigate any disruptive events (including the COVID-19 
systems of its      pandemic); 
service               · receives a monthly report from Frostrow, which 
providers for       includes, inter alia, confirmation of compliance with 
dealing, trade      applicable laws and regulations; 
processing,           · reviews the internal control reports and key policies 
administration,     (including disaster recovery procedures and business 
financial and       continuity plans) of its service providers; 
other                 · maintains a risk matrix with details of risks to which 
functions. If       the Company is exposed, the approach to managing those 
such systems        risks, the key controls relied on and the frequency of the 
were to fail or     controls operation; 
be disrupted          · receives updates on pending changes to the regulatory 
(including, for     and legal environment and progress towards the Company's 
example, as a       compliance with such changes; and 
result of a           · has considered the increased risk of cyber-attacks and 
pandemic, war,      received reports and assurance from its service providers 
network             regarding the information security controls in place. 
disruption or 
simply poor 
performance/cont 
rols) this 
could prevent 
accurate 
reporting of 
the Company's 
financial 
position or 
lead to a 
failure to 
comply with 
applicable 
laws, 
regulations and 
governance 
requirements 
and/or to a 
financial loss. 
 
* See glossary. 
 
EMERGING RISKS 
 
The Company has carried out a robust assessment of the Company's emerging risks 
and the procedures in place to identify emerging risks are described below. The 
International Risk Governance Council definition of an `emerging' risk is one 
that is new, or is a familiar risk in a new or unfamiliar context or under new 
context conditions (re-emerging). 
 
The Audit Committee reviews a risk map at its half-yearly meetings. Emerging 
risks are discussed in detail as part of this process and also throughout the 
year to try to ensure that emerging (as well as established) risks are 
identified and, so far as practicable, mitigated. 
 
Current identified emerging risks are: 
 
1.Demographic trends in China and Europe, including the effects of an ageing 
workforce, may have an impact on global markets. 
 
2.Threats to research funding and the effects of increased costs in the biotech 
sector may affect the Company's investee companies. 
 
GOING CONCERN 
 
The financial statements have been prepared on a going concern basis. The 
Directors consider this is the appropriate basis as the Company has adequate 
resources to continue in operational existence for at least the next 12 months 
from the date of approval of this report. The Company's portfolio, trading 
activity, cash balances, revenue and expense forecasts, and the trends and 
factors likely to affect the Company's performance are reviewed and discussed at 
each Board meeting. The Board has considered a detailed assessment of the 
Company's ability to meet its liabilities as they fall due, including stress 
tests which modelled the effects of substantial falls in portfolio valuations 
and liquidity constraints on the Company's financial position. Further 
information is provided in the Audit Committee report. 
 
Based on the information available to the Directors at the date of this report, 
including the results of these stress tests, the conclusions drawn in the 
Viability Statement below, the Company's current cash balances, and the 
liquidity of the Company's investments, the Directors are satisfied that the 
Company has adequate financial resources to continue in operation for at least 
the next 12 months and that, accordingly, it is appropriate to continue to adopt 
the going concern basis in preparing the financial statements. 
 
VIABILITY STATEMENT 
 
In accordance with the UK Corporate Governance Code and the Listing Rules, the 
Directors have carefully assessed the Company's position and prospects as well 
as the principal risks and have formed a reasonable expectation that the Company 
will be able to continue in operation and meet its liabilities as they fall due 
over the next five financial years. The Board has chosen a five-year horizon in 
view of the long-term nature and outlook adopted by the Portfolio Manager when 
making investment decisions. 
 
To make this assessment and in reaching this conclusion, the Audit Committee has 
considered the Company's financial position, its ability to liquidate its 
portfolio and meet its liabilities as they fall due and, in particular, notes 
the following: 
 
  · The portfolio is principally comprised of investments traded on major 
international stock exchanges. Based on recent market volumes 94.5% of the 
current portfolio could be liquidated within 30 trading days with 88.3% in seven 
days. There is no expectation that the nature of the investments held within the 
portfolio will be materially different in future. 
  · The Board has considered the viability of the Company under various 
scenarios, including periods of acute stock market and economic volatility, and 
concluded that it would expect to be able to ensure the financial stability of 
the Company through the benefits of having a diversified portfolio of (mostly) 
listed and realisable assets. As illustrated in note 14 to the financial 
statements, the Board has considered other price risk (the sensitivity of the 
value of shareholders' funds to changes in the fair value of the Company's 
investments), foreign currency sensitivity (the sensitivity to changes in key 
exchange rates to which the portfolio is exposed) and interest rate sensitivity 
(the sensitivity to changes in the interest rate charged on the Company's loan 
facility). 
  · With an ongoing charges ratio of 1.1%, the expenses of the Company are 
predictable and modest in comparison with the assets and there are no capital 
commitments foreseen which would alter that position. 
  · The Company has a short-term bank facility which can be used to meet its 
liabilities. Details of the Company's current liabilities are set out in note 11 
to the financial statements. 
  · The Company has no employees. Consequently it does not have redundancy or 
other employment related liabilities or responsibilities. 
 
The Audit Committee, as well as considering the potential impact of the 
Company's principal risks and various severe but plausible downside scenarios, 
has made the following assumptions in considering the Company's longer-term 
viability: 
 
  · There will continue to be demand for investment trusts; 
  · The Portfolio Manager will continue to adopt a long-term view when making 
investments, and anticipated holding periods will be at least five years; 
  · The Company invests principally in the securities of listed companies traded 
on international stock exchanges to which investors will wish to continue to 
have exposure; 
  · Shareholders will vote for the continuation of the Company at the Annual 
General Meeting to be held in 2025. The Company's shareholders are asked every 
five years to vote for the continuation of the Company. At the current time, the 
Directors believe they have a reasonable expectation that the next vote will be 
passed. 
  · The closed-ended nature of the Company means that, unlike open-ended funds, 
it does not need to realise investments when shareholders wish to sell their 
shares; 
  · The Company will continue to be able to fund share buybacks when required. 
The Company bought back 2,421,263 ordinary shares in the year under review at a 
total cost of £22.6 million and experienced no problem with liquidity in doing 
so. It had shareholders' funds in excess of £330.2 million at the year end; and 
  · The long-term performance of the Company will continue to be satisfactory. 
 
ENVIRONMENTAL, SOCIAL, COMMUNITY AND HUMAN RIGHTS MATTERS 
 
As an externally managed investment trust, the Company does not have any 
employees or maintain any premises, nor does it undertake any manufacturing or 
other physical operations itself. All its operational functions are outsourced 
to third party service providers. Therefore, the Company has no material, direct 
impact on the environment or any particular community and, as a result, the 
Company itself has no environmental, human rights, social or community policies. 
 
Under the Listing Rules, the Company is also exempt from reporting against the 
Taskforce for Climate-Related Financial Disclosures (TCFD) framework. However, 
the Board recognises that climate change poses a general risk to the investment 
environment and has discussed with the Portfolio Manager the potential impact of 
climate change risk on the Company's investments. 
 
The Board believes that consideration of environmental, social and governance 
("ESG") factors is important to shareholders and other stakeholders, and has the 
potential to protect and enhance investment returns. The Portfolio Manager's 
investment criteria ensure that ESG factors are integrated into their investment 
process and best practice in this area is encouraged by the Board. The Portfolio 
Manager engages with the Company's underlying investee companies in relation to 
their corporate governance practices and the development of their policies on 
social, community and environmental matters. 
 
The Board is committed to carrying out the Company's business in an honest and 
fair manner with a zero-tolerance approach to bribery, corruption and tax 
evasion. As such, policies and procedures are in place to prevent this. In 
carrying out the Company's activities, the Board aims to conduct itself 
responsibly, ethically and fairly. The Board's expectations are that the 
Company's principal service providers have appropriate governance policies in 
place. 
 
PERFORMANCE AND FUTURE DEVELOPMENTS 
 
A review of the Company's year, its performance and the outlook for the Company 
can be found in the Chairman's Statement and in the Portfolio Manager's Review. 
 
The Company's overall strategy remains unchanged. 
 
STAKEHOLDER INTERESTS AND BOARD DECISION-MAKING (SECTION 172 OF THE COMPANIES 
ACT 2006) 
 
The following disclosure, which is required by the Companies Act 2006 and the 
AIC Code of Corporate Governance, describes how the Directors have had regard to 
the views of the Company's stakeholders in their decision-making. 
 
STAKEHOLDER  HOW THE BOARD HAS ENGAGED WITH THE COMPANY'S STAKEHOLDERS 
GROUP 
Investors    The Board's key mechanisms of engagement with investors include: 
 
               · The Annual and Half-yearly Reports 
               · The Annual General Meeting 
               · The Company's website which hosts reports, articles and 
             insights, monthly factsheets and video interviews with the 
             Portfolio Manager 
               · The Company's distribution list which is maintained by 
             Frostrow and is used to communicate with shareholders on a 
             regular basis 
               · Online seminars with presentations from the Portfolio Manager 
               · One-to-one investor meetings 
 
             The AIFM and the Portfolio Manager, on behalf of the Board, 
             completed a programme of investor relations throughout the year, 
             reporting to the Board on the feedback received. In addition, the 
             Chairman has been and remains available to engage with the 
             Company's shareholders where required. 
Portfolio    The Board met regularly with the Portfolio Manager throughout the 
Manager      year, both formally at quarterly Board meetings and informally, 
             as required. The Board engaged primarily with key members of the 
             portfolio management team, discussing the Company's overall 
             performance as well as developments at individual portfolio 
             companies and wider macroeconomic developments. 
 
             The Directors also met with members of the Portfolio Manager's 
             risk management and compliance teams to better understand their 
             internal controls, as well as their ESG Officer to discuss the 
             integration of ESG considerations into the investment process. 
 
             The Management Engagement Committee reviewed the performance of 
             the Portfolio Manager and the terms and conditions on which they 
             are engaged. The Board carried out an overall review of the 
             Portfolio Management Agreement, which was subsequently restated. 
Other        The Board met regularly with the AIFM, representatives of which 
Service      attend every quarterly Board meeting to provide updates on risk 
Providers    management, accounting, administration, corporate governance and 
             marketing matters. 
 
             The Management Engagement Committee reviewed the performance of 
             all the Company's service providers, receiving feedback from 
             Frostrow in their capacity as AIFM and Company Secretary. The 
             AIFM, which is responsible for the day-to-day operational 
             management of the Company, meets and interacts with the other 
             service providers including the Depositary, Custodian and 
             Registrar, on behalf of the Board, on a daily basis. This can be 
             through email, one-to-one meetings and/or regular written 
             reporting. 
 
             The Audit Committee reviewed the quality and effectiveness of the 
             audit and recommended to the Board that it be proposed to 
             shareholders that BDO LLP ("BDO") be re-appointed as Auditor. The 
             Audit Committee also met with BDO to review the audit plan and 
             set their remuneration for the year. 
 
As an externally managed investment trust, the Company has no employees, 
customers, operations or premises. Therefore, the Company's key stakeholders 
(other than its shareholders) are considered to be its service providers. The 
need to foster good business relationships with the service providers and 
maintain a reputation for high standards of business conduct are central to the 
Directors' decision-making as the Board of an externally managed investment 
trust. 
 
KEY AREAS OF      MAIN DECISIONS AND ACTIONS TAKEN 
ENGAGEMENT 
                  The Board and the Portfolio Manager provided updates via 
  · Ongoing       RNS, the Company's website, the distribution list and the 
dialogue with     usual financial reports and monthly fact sheets. 
shareholders 
concerning the    The Board continued to monitor share price movements 
strategy of       closely. When the discount of the share price to the net 
the Company,      asset value per share exceeded 6%, the Company sought to buy 
performance       back shares in the market. As a result, 2,421,263 shares 
and the           were bought back during the year. No shares were issued at a 
portfolio.        premium to the net asset value per share during the year. 
  · The impact 
of market 
volatility 
caused by, 
inter alia, 
the COVID-19 
pandemic and 
certain 
geopolitical 
events, on the 
portfolio. 
  · Share 
price 
performance. 
                  While the Board was confident that OrbiMed had been able to 
  · Portfolio     successfully implement remote working, the Directors were 
composition,      pleased to be able to visit OrbiMed's offices in New York 
performance,      during the year, to meet with the OrbiMed team in person. 
outlook and 
business          The Board concluded that it was in the interests of 
updates.          shareholders for OrbiMed to continue in their role as 
  · The           Portfolio Manager. A number of minor updates were made to 
ongoing impact    the terms and conditions of the Portfolio Management 
of the COVID      Agreement, which was restated. 
-19 pandemic 
on the            The Audit Committee concluded that the Portfolio Manager's 
Portfolio         internal controls were satisfactory. Please refer to the 
Manager's         Audit Committee Report for further information. 
business and 
the businesses 
of the 
portfolio 
companies. 
  · The 
integration of 
sustainability 
and ESG 
factors to the 
Portfolio 
Manager's 
investment 
process. 
  · The 
Portfolio 
Manager's 
system of 
internal 
controls and 
investment 
risk 
management 
including 
their cyber 
security 
arrangements. 
  · The terms 
and conditions 
of the 
Portfolio 
Management 
Agreement. 
                  The Board concluded that it was in the interests of 
  · The           shareholders for Frostrow to continue in their role as AIFM. 
promotion and     A number of minor updates were made to the terms and 
marketing         conditions of the AIFM Agreement, which was restated. 
strategy of 
the Company.      The Board approved the Audit Committee's recommendation that 
  · Service       it would be in the interests of shareholders for BDO to be 
providers'        re-appointed as the Company's auditor for a further year. 
internal          Please refer to the Audit Committee Report and the Notice of 
controls,         AGM for further information. 
business 
continuity 
plans and 
cyber security 
provisions. 
  · The 
effectiveness 
of the audit 
and the 
Auditor's 
reappointment. 
  · The terms 
and conditions 
under which 
the Auditor is 
engaged. 
 
By order of the Board 
 
Frostrow Capital LLP 
 
Company Secretary 
 
14 June 2023 
 
STATEMENT OF DIRECTORS' RESPONSIBILITIES 
 
The Directors are responsible for preparing the Annual Report and the financial 
statements in accordance with applicable law and regulations. 
 
Company law requires the Directors to prepare financial statements for each 
financial year. Under that law, the Directors are required to prepare the 
financial statements in accordance with UK-adopted international accounting 
standards. Under company law, the Directors must not approve the financial 
statements unless they are satisfied that they give a true and fair view of the 
state of affairs of the Company and of the profit or loss for the Company for 
that period. 
 
In preparing these financial statements, the Directors are required to: 
 
  · select suitable accounting policies and then apply them consistently; 
  · make judgements and accounting estimates that are reasonable and prudent; 
  · state whether they have been prepared in accordance with UK-adopted 
international accounting standards, subject to any material departures disclosed 
and explained in the financial statements; 
  · prepare the financial statements on the going concern basis unless it is 
inappropriate to presume that the Company will continue in business; and 
  · prepare a directors' report, a strategic report and directors' remuneration 
report which comply with the requirements of the Companies Act 2006. 
 
The Directors are responsible for keeping adequate accounting records that are 
sufficient to show and explain the Company's transactions and disclose with 
reasonable accuracy at any time the financial position of the Company and enable 
them to ensure that the financial statements comply with the Companies Act 2006. 
 
They are also responsible for safeguarding the assets of the Company and hence 
for taking reasonable steps for the prevention and detection of fraud and other 
irregularities. The Directors are responsible for ensuring that the Annual 
Report and financial statements, taken as a whole, are fair, balanced, and 
understandable and provide the information necessary for shareholders to assess 
the Company's position, performance, business model and strategy. 
 
WEBSITE PUBLICATION 
 
The Directors are responsible for ensuring the Annual Report and the financial 
statements are made available on a website. Financial statements are published 
on the Company's website in accordance with legislation in the United Kingdom 
governing the preparation and dissemination of financial statements, which may 
vary from legislation in other jurisdictions. The maintenance and integrity of 
the Company's website is the responsibility of the Directors. The Directors' 
responsibility also extends to the ongoing integrity of the financial statements 
contained therein. 
 
RESPONSIBILITY STATEMENT OF THE DIRECTORS IN RESPECT OF THE ANNUAL REPORT 
 
We confirm that to the best of our knowledge: 
 
  · the financial statements have been prepared in accordance with the 
applicable set of accounting standards and give a true and fair view of the 
assets, liabilities, financial position and the return of the Company for the 
year ended 31 March 2023; and 
  · the Annual Report includes a fair review of the development and performance 
of the business and the financial position of the Company, together with a 
description of the principal risks and uncertainties that they face. 
 
The Directors consider the Annual Report, taken as a whole, is fair, balanced 
and understandable and provides the information necessary for shareholders to 
assess the Company's position and performance, business model and strategy. 
 
On behalf of the Board 
 
Roger Yates 
 
Chairman 
 
14 June 2023 
 
INCOME STATEMENT 
 
FOR THE YEARED 31 MARCH 2023 
 
                              2023                         2022 
                     Revenue  Capital   Total     Revenue  Capital    Total 
              Notes  £'000    £'000     £'000     £'000    £'000      £'000 
Investment    2      310      -         310       1,084    -          1,084 
income 
Losses on     8      -        (32,727)  (32,727)  -        (206,032)  (206,032) 
investments 
held at 
fair value 
through 
profit 
or 
loss 
Foreign              -        (3,759)   (3,759)   -        (2,340)    (2,340) 
exchange 
losses 
AIFM,         3      (176)    (3,355)   (3,531)   (237)    6,232      5,995 
Portfolio 
management 
and 
performance 
fees 
Other         4      (692)    (51)      (743)     (678)    (124)      (802) 
expenses 
(Loss)/profi         (558)    (39,892)  (40,450)  169      (202,264)  (202,095) 
t 
before 
finance 
costs and 
taxation 
Finance       5      (40)     (752)     (792)     (9)      (166)      (175) 
costs 
(Loss)/profi         (598)    (40,644)  (41,242)  160      (202,430)  (202,270) 
t 
before 
taxation 
Taxation      6      (56)     -         (56)      (149)    -          (149) 
(Loss)/profi         (654)    (40,644)  (41,298)  11       (202,430)  (202,419) 
t 
for the 
year 
Basic and     7      (1.6)p   (100.9)p  (102.5)p  0.0p     (488.5)p   (488.5)p 
diluted 
(loss)/earni 
ngs 
per share 
 
The Company does not have any income or expenses which are not included in the 
(loss)/profit for the year. Accordingly the "(loss)/profit for the year" is also 
the "total comprehensive (loss)/profit for the year", as defined in IAS 1 
(revised) and no separate Statement of Other Comprehensive Income has been 
presented. 
 
The "Total" column of this statement represents the Company's Income Statement, 
prepared in accordance with UK-adopted International Accounting Standards and 
with the requirements of the Companies Act 2006 as applicable to companies 
reporting under those standards The "Revenue" and "Capital" columns are 
supplementary to this and are prepared under guidance published by the 
Association of Investment Companies. 
 
The accompanying notes are an integral part of this statement. 
 
STATEMENT OF FINANCIAL POSITION 
 
AS AT 31 MARCH 2023 
 
                                                              2023     2022 
                                                       Notes  £'000    £'000 
Non current assets 
Investments held at fair value through profit or loss  8      357,229  427,399 
Current assets 
Other receivables                                      10     508      49 
Cash and cash equivalents                                     2,772    - 
                                                              3,280    49 
Total assets                                                  360,509  427,448 
Current liabilities 
Other payables                                         11     8,846    1,499 
Loan                                                   14     20,170   31,741 
Derivative - OTC equity swaps                          8, 9   1,202    - 
                                                              30,218   33,240 
Net assets                                                    330,291  394,208 
Equity attributable to equity holders 
Ordinary share capital                                 12     9,684    10,289 
Share premium account                                         79,951   79,951 
Capital redemption reserve                                    13,746   13,141 
Capital reserve                                        16     227,968  291,231 
Revenue reserve                                               (1,058)  (404) 
Total equity                                                  330,291  394,208 
Net asset value per share                              13     852.6p   957.8p 
 
The financial statements were approved by the Board on 14 June 2023 and were 
signed on its behalf by: 
 
Roger Yates 
 
Chairman 
 
The accompanying notes are an integral part of this statement. 
 
The Biotech Growth Trust PLC - Company Registration Number 3376377 (Registered 
in England and Wales) 
 
STATEMENT OF CHANGES IN EQUITY 
 
FOR THE YEARED 31 MARCH 2023 
 
                     Ordinary  Share    Capital 
                     Share     premium  redemption  Capital   Revenue 
                     capital   account  reserve     reserve   reserve  Total 
              Notes  £'000     £'000    £'000       £'000     £'000    £'000 
At 1 April           10,289    79,951   13,141      291,231   (404)    394,208 
2022 
Net loss for         -         -        -           (40,644)  (654)    (41,298) 
the 
year 
Repurchase           (605)     -        605         (22,619)  -        (22,619) 
of own 
shares for 
cancellation 
At 31 March   13     9,684     79,951   13,746      227,968   (1,058)  330,291 
2023 
 
FOR THE YEARED 31 MARCH 2022 
 
                      Ordinary  Share    Capital 
                      Share     premium  redemption  Capital    Revenue 
                      capital   account  reserve     reserve    reserve  Total 
               Notes  £'000     £'000    £'000       £'000      £'000    £'000 
At 1 April            10,396    77,895   12,997      500,594    (415)    601,467 
2021 
Net                   -         -        -           (202,430)  11 
(202,419) 
(loss)/profit 
 
for the year 
Issue of new   12     37        2,060    -           -          -        2,097 
shares 
Cost of               -         (4)      -           -          -        (4) 
share 
issuance 
Repurchase            (144)     -        144         (6,933)    -        (6,933) 
of own 
shares for 
cancellation 
At 31 March    13     10,289    79,951   13,141      291,231    (404)    394,208 
2022 
 
The accompanying notes are an integral part of this statement. 
 
See note 16 for details of the amounts of reserves available for distribution. 
 
STATEMENT OF CASH FLOWS 
 
FOR THE YEARED 31 MARCH 2023 
 
                                        2023       2022 
                                 Notes  £'000      £'000 
Operating activities 
Loss before taxation*                   (41,242)   (202,270) 
Finance costs                           792        175 
Losses on investments held at    8      30,945     204,987 
fair value through profit or 
loss 
Transaction costs**                     -          1,045 
Foreign exchange losses                 3,759      2,340 
Decrease/(increase) in other            28         (14) 
receivables 
Decrease in other payables              (116)      (18,255) 
Taxation paid                    6      (56)       (149) 
Net cash outflow from operating         (5,890)    (12,141) 
activities 
Investing activities 
Purchases of investments and            (459,606)  (439,160) 
derivatives 
Sales of investments and                505,300    453,237 
derivatives 
Transaction costs**                     -          (1,045) 
Net cash inflow from investing          45,694     13,032 
activities 
Financing activities 
Gross proceeds from the issue           -          2,097 
of shares 
Cost of share issuance                  -          (4) 
Repurchase of own shares for            (20,910)   (6,933) 
cancellation 
Finance costs - interest paid           (792)      (175) 
Net (repayment)/drawdown of the         (15,330)   2,622 
loan facility 
Net cash outflow from financing         (37,032)   (2,393) 
activities 
Net increase/(decrease) in cash         2,772      (1,502) 
and cash equivalents 
Cash and cash equivalents at            -          1,502 
start of year 
Cash and cash equivalents at            2,772      - 
end of year+ 
 
*Includes dividends earned during the year of £283,000 (2022: £1,027,000) bond 
income of £nil (2022: £37,000) and deposit interest of £11,000 (2022: £3,000). 
 
**In the current year, transaction costs have been disclosed as operating 
activities, hence it is zero compared to the prior year. 
 
+Collateral cash held at Goldman Sachs (2022: £nil). 
 
CHANGES IN NET DEBT ARISING FROM FINANCING ACTIVITIES 
 
                                    2023      2022 
                                    £'000     £'000 
Balance as at 1 April               31,741    26,779 
Net cash flow on the loan facility  (15,330)  2,622 
Foreign exchange losses             3,759     2,340 
Loan balance at 31 March            20,170    31,741 
 
The accompanying notes are an integral part of this statement. 
 
NOTES TO THE FINANCIAL STATEMENTS 
 
1. ACCOUNTING POLICIES 
 
(A) BASIS OF PREPARATION 
 
The financial statements of the Company have been prepared in accordance with UK 
-adopted International Accounting Standards and with the requirements of the 
Companies Act 2006 as applicable to companies reporting under those standards. 
 
The principal accounting policies adopted are set out below. 
 
The financial statements have been prepared under the historical cost 
convention, except for the measurement at fair value of investments. Where 
presentational guidance is set out in the Statement of Recommended Practice (the 
SORP) for Investment Trust Companies and Venture Capital Trusts produced by the 
Association of Investment Companies (AIC) issued in July 2022, the Directors 
have sought to prepare the financial statements on a basis compliant with the 
recommendations of the SORP. 
 
The Board has considered an assessment of the Company's ability to meet its 
liabilities as they fall due, including stress and liquidity tests which 
modelled the effects of significant reductions in market liquidity on the 
Company's financial position and cash flows. The results of the tests showed 
that the Company would have sufficient cash through access to the J.P. Morgan 
loan facility, or the ability to liquidate a sufficient proportion of its listed 
holdings, to meet its liabilities as they fall due. Based on the information 
available to the Directors at the time of this report, including the results of 
the stress tests and the liquidity of the Company's listed investments, the 
Directors are satisfied that the Company has adequate financial resources to 
continue in operation for at least the next 12 months and that, accordingly, it 
is appropriate to adopt the going concern basis in preparing these financial 
statements. 
 
The Company's financial statements are presented in sterling and all values are 
rounded to the nearest thousand pounds (£'000) except when otherwise indicated. 
 
Judgements and key sources of estimation and uncertainty 
 
The preparation of the financial statements requires the Directors to make 
judgements, estimates and assumptions that affect the amounts reported for 
assets and liabilities as at the Statement of Financial Position date and the 
amounts reported for revenues and expenses during the year. However, the nature 
of estimation means that actual outcomes could differ from those estimates. In 
the process of applying the Company's accounting policies, the Directors have 
made the following estimate: 
 
Fair value of the unquoted investments estimate 
 
The Board has established a Valuation Committee to review the valuations and the 
valuation methodologies of the Company's unquoted investments. The Board has 
approved the valuations of the unquoted investments on the recommendation of the 
Valuation Committee. 
 
The unquoted investment in OrbiMed Asia Partners L.P. has been valued using the 
Net Asset Value presented in the Statement of Partner's Capital Activity as at 
31 March 2023, as permitted under the IPEV guidelines. The Consolidated 
Financial Statements of the partnership for the year ended 31 December 2022 were 
audited by KPMG LLP (New Jersey Headquarters) and were approved on 30 March 
2023. 
 
The following two investments, StemiRNA and XtalPi have been valued by Kroll, an 
independent valuer, using the probability - weighted expected returns 
methodology (PWERM). Under the PWERM, fair value is determined through 
consideration of the values of the investment under a range of scenarios. These 
scenarios range from the "partial recovery" or "full recovery" of the amount 
invested, through to a number of IPO or similar exit scenarios. Each scenario is 
assigned a probability, with the value of the investment reflecting the sum of 
each scenario's valuation weighted by the probability of its occurrence. 
Examples of the inputs into the valuation models are: 
 
·The probability assigned to potential future outcomes; 
 
·Likely exit scenarios; and 
 
·The discount rate used to calculate the present value of future outcomes. 
 
AWAKN warrants have been valued using the Black Scholes model with the 
volatility having been assessed by Kroll. 
 
(B) INVESTMENTS 
 
Investments are recognised and de-recognised on the trade date. 
 
As the entity's business is investing in financial assets with a view to 
profiting from their total return in the form of dividends or increases in fair 
value, investments are classified as fair value through profit or loss (FVTPL) 
and are initially recognised at fair value. The entity manages and evaluates the 
performance of these investments on a fair value basis in accordance with its 
investment strategy, and information about the investments is provided 
internally on this basis to the Board. 
 
Investments classified at fair value through profit or loss, which are quoted 
investments, are measured at subsequent reporting dates at fair value which is 
either the bid or the last trade price, depending on the convention of the 
exchange on which it is quoted. 
 
In respect of unquoted investments, or where the market for a financial 
instrument is not active, fair value is established by using valuation 
techniques which may include using weighted expected returns, reference to the 
current fair value of another instrument that is substantially the same, 
discounted cash flow analysis and option pricing models. Where there is a 
valuation technique commonly used by market participants to price the instrument 
and that technique has been demonstrated to provide reliable estimates of prices 
obtained in actual market transactions, that technique is utilised. 
 
Transfers between levels of fair value hierarchy are deemed to have occurred at 
the date of the event or change in circumstances that caused the transfer. 
 
Gains and losses on disposal and fair value changes are also recognised in the 
Income Statement. 
 
(C) PRESENTATION OF INCOME STATEMENT 
 
In order to better reflect the activities of an investment trust company, and in 
accordance with guidance issued by the AIC, supplementary information which 
analyses the Income Statement between items of a revenue and capital nature has 
been presented alongside the Income Statement. Net revenue is the measure the 
Directors believe appropriate in assessing the Company's compliance with certain 
requirements set out in section 1158 of the Corporation Tax Act 2010. The 
requirements are to distribute net revenue but only so far as there are positive 
revenue reserves. 
 
(D) INVESTMENT INCOME 
 
Dividends receivable on equity shares are recognised on the ex-dividend date. 
Where no ex-dividend date is quoted, dividends are recognised when the Company's 
right to receive payment is established. Foreign dividends are grossed up at the 
appropriate rate of withholding tax, with the withholding tax recognised in the 
taxation charge. 
 
Dividends from investments in unquoted shares and securities are also recognised 
when the Company's right to receive payment is established. 
 
Income from fixed interest securities is recognised on a time appointment basis 
so as to reflect the effective interest rate. 
 
In deciding whether a dividend should be regarded as a capital or revenue 
receipt, the Company reviews all relevant information as to the reasons for and 
sources of the dividend on a case by case basis depending upon the nature of the 
receipt. 
 
Special dividends of a revenue nature are recognised through the revenue column 
of the Income Statement. Special dividends of a capital nature are recognised 
through the capital column of the Income Statement. 
 
(E) EXPENSES AND FINANCE COSTS 
 
All expenses are accounted for on an accruals basis. Expenses are charged 
through the Income Statement as follows: 
 
·      transaction costs on the acquisition or disposal of an investment are 
charged to the capital column of the Income Statement; 
 
·      expenses are charged to the capital column of the Income Statement where 
a connection with the maintenance or enhancement of the value of the investment 
can be demonstrated, and accordingly; 
 
·      during the year, AIFM and Portfolio Management fees were charged 95% to 
the capital column of the Income Statement as the Directors had expected that in 
the long term virtually all of the Company's returns would come from capital; 
 
·      during the year, loan interest was charged 95% to the capital column of 
the Income Statement as the Directors had expected that in the long term 
virtually all of the Company's returns would come from capital; 
 
·      performance fees are charged 100% to the capital column of the Income 
Statement. Performance fees are recognised as a liability of the Company when 
they crystalise and become due for payment. Details of the performance fee are 
set out on pages 48 and 49 of the Annual Report; and 
 
·      all other expenses are charged to revenue column of the Income Statement. 
 
(F) TAXATION 
 
In line with the recommendations of the SORP, the allocation method used to 
calculate tax relief on expenses presented against capital returns in the 
supplementary information in the Income Statement is the "marginal basis". Under 
this basis, if taxable income is capable of being offset entirely by expenses 
presented in the revenue column of the Income Statement, then no tax relief is 
transferred to the capital column. 
 
Investment trusts which have approval under Section 1158 Corporation Tax Act 
2010 are not liable for taxation on capital gains. 
 
Current tax is provided at the amounts expected to be paid or recovered. 
 
Deferred tax is the tax expected to be payable or recoverable on differences 
between the carrying amounts of assets and liabilities in the financial 
statements and the corresponding tax bases used in the computation of taxable 
profit, and is accounted for using the Balance Sheet liability method. Deferred 
tax liabilities are recognised for all taxable temporary differences and 
deferred tax assets are recognised to the extent that it is probable that 
taxable profits will be available against which deductible temporary differences 
can be utilised. 
 
Deferred tax is calculated at the tax rates that are expected to apply in the 
period when the liability is settled or the asset is realised. Deferred tax is 
charged or credited in the Income Statement, except when it relates to items 
charged or credited directly to equity, or Other Comprehensive Income (OCI), in 
which case the deferred tax is also dealt with in equity or OCI respectively. 
 
(G) FUNCTIONAL AND PRESENTATION CURRENCY 
 
The financial information is shown in sterling, being the Company's presentation 
currency. In arriving at the functional currency the Directors have considered 
the following: 
 
(i)the primary economic environment of the Company; 
 
(ii)the currency in which the original capital was raised; 
 
(iii)the currency in which distributions would be made; 
 
(iv)the currency in which performance is evaluated; and 
 
(v)the currency in which the capital would be returned to shareholders on a 
break up basis. 
 
The Directors have also considered the currency to which the underlying 
investments are exposed and liquidity is managed. The Directors are of the 
opinion that sterling best represents the functional currency. 
 
(H) FOREIGN CURRENCIES 
 
Transactions involving currencies other than sterling are recorded at the 
exchange rate ruling on the transaction date. At each Statement of Financial 
Position date, monetary items and non-monetary assets and liabilities that are 
fair valued, which are denominated in foreign currencies, are retranslated at 
the closing rates of exchange. 
 
Exchange differences are included in the Income Statement and allocated as 
capital if they are of a capital nature, or as revenue if they are of a revenue 
nature. 
 
(I) RESERVES 
 
Ordinary share capital 
 
·   represents the nominal value of the issued share capital. 
 
Share premium account 
 
·   represents the surplus of net proceeds received from the issue of new shares 
over the nominal value of such shares. The Share premium account is non 
-distributable. 
 
Capital redemption reserve 
 
·   a transfer will be made to this reserve on cancellation of the Company's own 
shares purchased, equal to the nominal value of the shares. This reserve is non 
-distributable. 
 
Capital reserves 
 
The following are credited or charged to the capital column of the Income 
Statement and then transferred to the Capital Reserve: 
 
·   gains or losses on disposal of investments; 
 
·   exchange differences of a capital nature; 
 
·   expenses allocated to this reserve in accordance with the above policies; 
 
·   increases and decreases in the valuation of investments held at year-end; 
and 
 
·   shares which have been bought back by the Company for cancellation. 
 
Realised Capital Reserves are distributable by way of a dividend. 
 
Revenue reserve 
 
·   reflects all income and expenditure recognised in the revenue column of the 
Income Statement. Amounts standing to the credit of the Revenue Reserve are 
distributable by way of dividend. 
 
(J) CASH AND CASH EQUIVALENTS 
 
Cash and cash equivalents are defined as cash in hand, demand deposits and short 
-term deposits with a maturity of three months or less, highly liquid 
investments readily convertible to known amounts of cash and subject to 
insignificant risk of changes in value. 
 
(K) OTHER RECEIVABLES AND OTHER PAYABLES 
 
Other receivables and payables are typically settled in a short time frame and 
are carried at the amount due to be settled. As a result, the fair value of 
these balances is considered to be materially equal to the carrying value. 
 
(L) LOAN 
 
The Company has a loan facility repayable on demand, provided by J.P. Morgan 
Securities LLC ("J.P. Morgan"). As part of the arrangements with J.P. Morgan 
they may take assets as collateral, up to 140% of the value of the loan drawn 
down. Such assets taken as collateral by J.P. Morgan may be used, loaned, sold, 
rehypothecated? or transferred. Any of the Company's assets taken as collateral 
are not covered by the custody arrangements provided by J.P. Morgan. Loans 
payable on demand are carried at the undiscounted amount of the cash or other 
consideration expected to be paid. Interest on the facility is charged at the 
U.S. overnight bank funding rate plus 45 basis points. Finance costs are 
apportioned 95% to capital in accordance with the policy set out under note 1(e) 
expenses and finance costs. 
 
?See glossary. 
 
(M) OPERATING SEGMENTS 
 
IFRS 8 requires entities to define operating segments and segment performance in 
the financial statements based on information used by the Board of Directors. 
The Directors are of the opinion that the Company is engaged in a single segment 
of business, being the investments business. The results published in this 
report therefore correspond to this sole operating segment. 
 
(N) FINANCIAL INSTRUMENTS INCLUDING DERIVATIVE FINANCIAL INSTRUMENTS 
 
Financial assets and financial liabilities are recognised on the Statement of 
Financial Position when the Company becomes a party to the contractual 
provisions of the instrument. Financial assets are derecognised when the 
Company's contractual right to the cash flows from the asset expires or 
substantially all the risks and rewards of ownership are transferred. Financial 
liabilities are derecognised when the contractual obligation is discharged, with 
gains and losses recognised in the income statement. 
 
The Company uses derivative financial instruments, namely equity swaps. All 
derivative instruments are valued initially, and at subsequent reporting dates, 
at fair value in the Statement of Financial Position. 
 
The equity swaps are accounted for as current assets or current liabilities. 
 
(O) ADOPTION OF NEW AND REVISED STANDARDS 
 
Standards and amendments to existing standards effective 1 January 2022 
 
The Company has applied the following standards and amendments for the first 
time for its annual reporting period commencing 1 April 2022: 
 
·   IFRS 9 Financial Instruments - clarification of fees which should be 
included in the 10% test for derecognition of financial liabilities became 
effective on 1 January 2022. 
 
This amendment did not have any impact on the amounts recognised in both current 
and prior years. 
 
New standards, amendments and interpretations effective after 1 January 2023 
which have not been early adopted 
 
A number of new standards, amendments to standards and interpretations will 
become effective for annual periods beginning after 1 January 2023, and have not 
been early adopted in preparing these financial statements. The new standards, 
amendments to standards and interpretations include the following: 
 
·   Disclosure of Accounting Policies - Amendments to IAS 1 and IFRS Practice 
Statement 2 
 
·   Definition of Accounting Estimate - Amendments to IAS 8 
 
·   Deferred tax related to assets and liabilities arising from a single 
transaction - Amendments to IAS 12 
 
None of these is expected to have a material effect on the financial statements 
of the Company. 
 
2. INCOME 
 
                          2023   2022 
                          £'000  £'000 
Investment income 
Overseas dividend income  283    1,027 
Bond income               -      37 
Other income 
Derivatives               16     17 
Deposit interest          11     3 
Total income              310    1,084 
 
3. AIFM, PORTFOLIO MANAGEMENT AND PERFORMANCE FEES 
 
                                           2023                      2022 
                         Revenue  Capital  Total  Revenue  Capital   Total 
                         £'000    £'000    £'000  £'000    £'000     £'000 
AIFM fee - Frostrow      53       1,010    1,063  72       1,369     1,441 
Capital LLP 
Portfolio management     123      2,345    2,468  165      3,128     3,293 
fee - OrbiMed Capital 
LLC 
Performance fee written  -        -        -      -        (10,729)  (10,729) 
back during the year* 
                         176      3,355    3,531  237      (6,232)   (5,995) 
 
*During the financial year under review, due to underperformance against the 
Benchmark and in accordance with the performance fee arrangements in place, no 
performance fee was earned (2022: reversal of £10,729,000). 
 
As at 31 March 2023, no performance fees were accrued or payable (31 March 2022: 
£nil). 
 
Further details of the AIFM, portfolio management fee and the performance fee 
basis can be found in the Report of the Directors. 
 
4. OTHER EXPENSES 
 
                                           2023   2022 
                                           Total  Total 
                                           £'000  £'000 
Directors' emoluments                      165    173 
Fees payable to the Company's auditor for  50     40 
the audit of the Company's financial 
statements 
Fees payable to the Company's auditor for  -      5 
other services to the Company+ 
Registrar fees                             35     35 
Depositary fees                            58     68 
Marketing and PR costs                     68     70 
Legal and professional fees^               51     103 
Broker fees                                39     34 
Listing fees                               37     46 
Printing costs                             32     30 
Other costs                                137    74 
Total expenses charged to Revenue          692    678 
Professional fees charged to Capital*      51     124 
Total expenses                             743    802 
 
^Includes quarterly valuation fees in relation to the valuation of the unquoted 
investments. 
 
*Professional fees in respect of acquisition of unquoted and pre-IPO 
investments. 
 
+See page 58 of the Annual Report for further information. 
 
Details of the amounts paid to Directors are included in the Directors' 
Remuneration Report. 
 
5. FINANCE COSTS 
 
                                 2023                     2022 
               Revenue  Capital  Total  Revenue  Capital  Total 
               £'000    £'000    £'000  £'000    £'000    £'000 
Loan interest  40       752      792    9        166      175 
               40       752      792    9        166      175 
 
6. TAXATION 
 
(A) ANALYSIS OF CHARGE IN THE YEAR: 
 
                                         2023                     2022 
                       Revenue  Capital  Total  Revenue  Capital  Total 
                       £'000    £'000    £'000  £'000    £'000    £'000 
Overseas tax suffered  39       -        39     149      -        149 
Corporation tax        17       -        17     -        -        - 
charge? 
Total taxation for     56       -        56     149      -        149 
the year (see note 
6(b)) 
 
?Corporation tax was paid during the year under review due to the large 
performance fee reversed in 2022 which was captured by the corporate loss 
restrictions rules. 
 
(B) FACTORS AFFECTING TOTAL TAX CHARGE FOR YEAR 
 
Approved investment trusts are exempt from tax on capital gains made within the 
company. 
 
The tax assessed for the year is higher than the standard rate of corporation 
tax in the UK of 19% (2022: 19%). The differences are explained below: 
 
                                      2023                          2022 
                   Revenue  Capital   Total     Revenue  Capital    Total 
                   £'000    £'000     £'000     £'000    £'000      £'000 
Net (loss)/profit  (598)    (40,644)  (41,242)  160      (202,430)  (202,270) 
before taxation 
Corporation tax    (114)    (7,722)   (7,836)   30       (38,462)   (38,432) 
at 19% (2022: 
19%) 
Effects of: 
Non-taxable        -        6,932     6,932     -        39,591     39,591 
losses on 
investments 
Non-taxable        (54)     -         (54)      (195)    -          (195) 
overseas 
dividends 
Overseas tax       39       -         39        149      -          149 
suffered 
Excess expenses    168      790       958       165      (1,129)    (964) 
unused 
Corporation tax    17       -         17        -        -          - 
charge 
Total tax charge   56       -         56        149      -          149 
 
(C) PROVISION FOR DEFERRED TAX 
 
No provision for deferred taxation has been made in the current or prior year. 
 
The Company has not provided for deferred tax on capital profit or losses 
arising on the revaluation or disposal of investments, as it is exempt from tax 
on these items because of its status as an investment trust company. 
 
At 31 March 2023, the Company had unutilised management expenses and other 
losses of £83,627,000 (2022: £78,625,000) that are available to offset future 
taxable revenue. 
 
A deferred tax asset of £20,907,000 (25% tax rate) (2022: £19,656,000 (25% tax 
rate)) arising as a result of these excess management expenses and other losses 
has not been recognised because the Company is not expected to generate 
sufficient taxable income in future periods in excess of the available 
deductible expenses. Given the composition of the Company's portfolio, it is not 
likely that this asset will be used in the foreseeable future and therefore no 
asset has been recognised in the financial statements. 
 
7. BASIC AND DILUTED (LOSS)/EARNINGS PER SHARE 
 
                                  2023                        2022 
               Revenue  Capital   Total     Revenue  Capital  Total 
               pence    pence     pence     pence    pence    pence 
(Loss)/earnin  (1.6)    (100.9)p  (102.5)p  0.0      (488.5)  (488.5) 
gs per share 
 
The total loss per share of 102.5p (2022: loss of 488.5p) is based on the total 
loss attributable to equity shareholders of £41,298,000 (2022: loss 
£202,419,000). 
 
The revenue loss per share 1.6p (2022: profit of 0.0p) is based on the revenue 
loss attributable to equity shareholders of £654,000 (2022: profit of £11,000). 
The capital loss per share of 100.9p (2022: loss of 488.5p) is based on the 
capital loss attributable to equity shareholders of £40,644,000 (2022: loss of 
£202,430,000). 
 
The total loss per share is based on the weighted average number of shares in 
issue during the year of 40,287,724 (2022: 41,441,570). 
 
There are no dilutive instruments issued by the Company (2022: none). 
 
8. INVESTMENTS 
 
As at 31 March 2023, all investments with the exception of the unquoted 
investments have been classified as level 1. The unquoted investments have been 
classified as either level 2 or level 3. See note 14 for further details. 
 
                                                 2023 
2022 
                                    Derivative 
Derivative 
                                    Financial 
Financial 
             Quoted                 Instruments             Quoted 
Instruments 
             Investments  Unquoted  - Net        Total      Investments 
Unquoted  - Net        Total 
             £'000        £'000     £'000        £'000      £'000        £'000 
£'000        £'000 
Opening      512,894      22,943    -            535,837    534,610      29,098 
-            563,708 
book 
cost 
Opening      (119,725)    11,287    -            (108,438)  70,926       8,636 
(618)        78,944 
investment 
holding 
(losses)/ga 
 
in 
s 
Valuation    393,169      34,230    -            427,399    605,536      37,734 
(618)        642,652 
at 
1 April 
2022 
Movement 
in 
the year 
Purchases    465,360      -         -            465,360    424,962      13,284 
-            438,246 
at 
cost 
Sales        (505,787)    -         -            (505,787)  (450,556)    (123) 
2,167        (448,512) 
proceeds 
Transfer     9,887        (9,887)   -            -          19,625 
(19,625)  -            - 
between 
levels 
Net          (25,667)     (4,076)   (1,202)      (30,945)   (206,398)    2,960 
(1,549)      (204,987) 
movement 
in 
investment 
holding 
losses 
Valuation    336,962      20,267    (1,202)      356,027    393,169      34,230 
-            427,399 
at 
31 March 
2023 
Closing      392,482      14,341    -            406,823    512,894      22,943 
-            535,837 
book 
cost at 31 
March 2023 
Investment   (55,520)     5,926     (1,202)      (50,796)   (119,725)    11,287 
-            (108,438) 
holding 
(losses)/ga 
 
in 
s at 31 
March 2023 
Valuation    336,962      20,267    (1,202)      356,027    393,169      34,230 
-            427,399 
at 
31 March 
2023 
 
The sales proceeds of £505,787,000 (2022: £448,512,000) includes transaction 
costs of £991,000 (2022: £649,000). The book cost of these investments when they 
were purchased was £594,374,000 (2022: £465,513,000). 
 
These investments have been revalued over time and until they were sold any 
unrealised gains/loss were included in the fair value of these investments. 
 
GAINS ON INVESTMENTS 
 
                               2023      2022 
                               £'000     £'000 
Losses on investments          (30,945)  (204,987) 
Transaction costs              (1,782)   (1,045) 
Losses on investments held at  (32,727)  (206,032) 
fair value through profit or 
loss 
 
The total transaction costs for the year were £1,782,000 (31 March 2022: 
£1,045,000) broken down as follows: purchase transaction costs for the year to 
31 March 2023 were £791,000 (31 March 2022: £396,000), sale transaction costs 
were £991,000 (31 March 2022: £649,000). These costs consist mainly of 
commission. Transaction costs are recorded in the capital column of the Income 
Statement. 
 
9. DERIVATIVE FINANCIAL INSTRUMENTS 
 
                                              2023     2022 
                                              £'000    £'000 
Fair value of OTC equity swaps (assets)       -        - 
Fair value of OTC equity swaps (liabilities)  (1,202)  - 
                                              (1,202)  - 
 
(See note 1(n) for further details). 
 
10. OTHER RECEIVABLES 
 
                                2023   2022 
                                £'000  £'000 
Future settlements - sales      487    - 
Prepayments and accrued income  21     49 
                                508    49 
 
11. OTHER PAYABLES 
 
                                             2023   2022 
                                             £'000  £'000 
Future settlements - purchases               6,206  452 
Amounts due to brokers in respect of shares  1,695  - 
repurchased by the Company for cancellation 
Other creditors and accruals                 945    1,047 
                                             8,846  1,499 
 
12. ORDINARY SHARE CAPITAL 
 
                                                     2023         2022 
                                                     Number of    Number of 
                                                     Shares       Shares 
Allotted, issued and fully paid at 1 April 2022      41,158,682   41,584,769 
Issue of new shares                                  -            150,000 
Shares bought back for cancellation during the year  (2,421,263)  (576,087) 
At 31 March 2023                                     38,737,419   41,158,682 
 
During the year no new ordinary shares were issued (2022: 150,000 new ordinary 
shares were issued for a consideration of £2,093,000 net of issue costs of 
£4,000). 2,421,263 shares were bought back for cancellation for a consideration 
of £22,618,000 (2022: 576,087 shares were bought back for a consideration of 
£6,933,000). 
 
                                               2023   2022 
                                               £'000  £'000 
Allotted, issued and fully paid shares of 25p  9,684  10,289 
 
13. NET ASSET VALUE PER SHARE 
 
                           2023    2022 
Net asset value per share  852.6p  957.8p 
 
The net asset value per share is based on the net assets attributable to equity 
shareholders of £330,291,000 (2022:£394,208,000) and on 38,737,419 (2022: 
41,158,682) shares in issue at 31 March 2023. 
 
14. RISK MANAGEMENT POLICIES AND PROCEDURES 
 
As an investment trust, the Company invests in equities and other investments 
for the long term in order to achieve its investment objective. In pursuing its 
investment objective, the Company is exposed to a variety of risks that could 
result in either a reduction or increase in the Company's net assets or in 
profits. 
 
The Company's financial instruments comprise securities and other investments, 
cash balances, debtors and creditors and a loan facility that arise directly 
from its operations (for example, in respect of sales and purchases awaiting 
settlement). 
 
The main risks the Company faces from its financial instruments are (i) market 
price risk (comprising currency risk, interest rate risk and other price risk 
(i.e. changes in market prices other than those arising from interest rate or 
currency risk)), (ii) liquidity risk and (iii) credit risk. The Board also 
considers (iv) fair value measurement and (v) capital management. 
 
The Board reviews and agrees policies regularly for managing and monitoring each 
of these risks. 
 
OTC EQUITY SWAPS (See glossary for further details) 
 
The Company uses OTC equity swap positions to gain access to Chinese markets 
where the Company is not locally registered to trade directly. During the year 
the Company entered into an OTC equity swap contract related to Beigene, with 
Goldman Sachs as the counterparty. 
 
1. MARKET PRICE RISK: 
 
The Company's portfolio is exposed to fluctuations in market prices in the 
biotechnology sector and the regions in which it invests. Market-wide 
uncertainties which have recently caused increased volatility in the markets 
include the war in Ukraine, increasing political, military and commercial 
tensions between the US/West and China, and increased inflationary pressures. 
 
The Company's portfolio is exposed to market price fluctuations which are 
monitored by the AIFM and the Portfolio Manager in pursuance of the investment 
objective. Further information on the composition of the portfolio is set out on 
page 7 and 8 of the Annual Report. 
 
This market risk comprises three elements - foreign currency risk, interest rate 
risk and other price risk. 
 
(a) Foreign currency risk: 
 
The Company's portfolio is denominated in currencies other than sterling (the 
Company's functional currency, and in which it reports its results). As a 
result, movements in exchange rates can significantly affect the sterling value 
of those items. 
 
Management of the risk 
 
The AIFM and the Portfolio Manager monitor the Company's exposure to foreign 
currencies on a continuous basis and report to the Board regularly. The Company 
does not hedge against foreign currency movements to manage market price risk. 
 
The Company does not use financial instruments to mitigate the currency exposure 
in the period between the time that the income is included in the financial 
statements and its receipt. 
 
Foreign currency exposure 
 
At the date of the Statement of Financial Position the Company held £345,049,000 
(2022: £395,486,000) of investments denominated in U.S. dollars and £10,978,000 
(2022: £31,913,000) in other non-sterling currencies. 
 
Foreign currency sensitivity 
 
The fair value of the Company's monetary items that have foreign currency 
exposure at 31 March 2023 is shown below. 
 
Where the Company's equity investments (which are not monetary items) are priced 
in a foreign currency they are shown separately in the analysis as to show the 
overall level of exposure. 
 
                                            2023      2022 
                                            £'000     £'000 
Sterling equivalent of US$ and other non 
-sterling exposure 
Current assets                              3,257     19 
Creditors                                   (6,206)   (452) 
Spot currency contracts                     (1,692)   - 
Loan (non-sterling)                         (20,167)  (31,709) 
Foreign currency exposure on net monetary   (24,808)  (32,142) 
items 
Investments held at fair value through      356,027   427,399 
profit or loss including derivative equity 
swap 
Total net foreign currency exposure         331,219   395,257 
 
The table below details the sensitivity of the Company's profit or loss after 
taxation for the year (investment values) to a 10% increase and decrease in the 
value of sterling compared to the U.S. dollar and other non-sterling currencies 
(2022: 10% increase and decrease). 
 
The above percentages have been determined based on market volatility in 
exchange rates over the previous twelve months. The analysis is based on the 
Company's foreign currency financial instruments held at each Statement of 
Financial Position date, after adjusting for an increase/decrease in the AIFM 
and portfolio management fees. 
 
If sterling had weakened against the U.S. dollar and other non-sterling 
currencies, as stated above, this would have had the following effect: 
 
                                                      2023    2022 
                                                      £'000   £'000 
Impact on revenue return                              -       - 
Impact on capital return                              43,302  43,500 
Total return after tax/effect on shareholders' funds  43,302  43,500 
 
If sterling had strengthened against the U.S. dollar and other non-sterling 
currencies, as stated above, this would have had the following effect: 
 
                                                      2023      2022 
                                                      £'000     £'000 
Impact on revenue return                              -         - 
Impact on capital return                              (24,220)  (35,592) 
Total return after tax/effect on shareholders' funds  (24,220)  (35,592) 
 
(b) Interest rate risk: 
 
Interest rate risk is the risk that the fair value of a financial instrument 
will fluctuate because of changes in market interest rates. 
 
Interest rate exposure 
 
The Company's main exposure to interest rate risk is through its loan facility 
with J.P. Morgan Securities LLC which is repayable on demand. Interest is 
charged at the U.S. overnight bank funding rate plus 45 basis points. 
 
At the year-end financial assets and liabilities subject to interest rate risk 
were as follows: 
 
                                                     Fixed  Floating  Floating 
                                                     rate   rate      rate 
                                                     2023   2023      2022 
                                                     £'000  £'000     £'000 
Loan facility with J.P. Morgan Securities LLC        -      20,170    31,741 
Gross exposure on OTC equity swaps                   -      6,224     - 
Total liabilities subject to interest rate risk      -      26,394    31,741 
Cash held at Goldman Sachs                           -      2,772     - 
Total net liabilities subject to interest rate risk  -      23,622    31,741 
 
Management of the risk 
 
The level of borrowings is approved and monitored by the Board and the AFIM on a 
regular basis. 
 
Interest rate sensitivity 
 
The majority of the Company's financial assets are equity shares and other 
investments which neither pay interest nor have a maturity date. The amount 
subject to interest rate risk as at 31 March 2023 was £26,622,000 (2022: 
£31,741,000). If the rate increased by 1%, the impact on the profit or loss and 
net assets would be expected to be £236,000 (2022: £317,000). 
 
(c) Other price risk 
 
Other price risk may affect the value of the quoted investments. 
 
If market prices at the date of the Statement of Financial Position had been 20% 
higher or lower (2022: 20% higher or lower) while all other variables had 
remained constant, the return and net assets attributable to shareholders for 
the year ended 31 March 2023 would have increased/decreased by £71,762,000 
(2022: £84,668,000), after adjusting for an increase or decrease in the AIFM and 
the Portfolio management fees. The calculations are based on the portfolio 
valuations as at the respective Statement of Financial Position dates. 
 
Other price risk exposure 
 
                                   2023                             2022 
                                   Notional                         Notional 
             Assets   Liabilities  exposure*  Assets   Liabilities  exposure* 
             £'000    £'000        £'000      £'000    £'000        £'000 
Investments  357,229  -            357,229    427,399  -            427,399 
OTC equity   -        (1,202)      (1,202)    -        -            - 
swaps 
             357,229  (1,202)      356,027    427,399  -            427,399 
 
*Calculated in accordance with AIFMD requirements, see glossary for further 
details. 
 
2. LIQUIDITY RISK: 
 
This is the risk that the Company will encounter difficulty in meeting 
obligations associated with financial liabilities. 
 
Management of the risk 
 
Liquidity risk is not significant as the majority of the Company's assets are 
investments in quoted equities that are readily realisable within one week, in 
normal market conditions. Stress tests have been performed to understand how 
long the portfolio would take to realise in such situations. The Board is 
comfortable that in such situations the Company would be able to meet its 
liabilities as they fall due. Short-term funding flexibility can be achieved 
through the use of the bank loan facility. The maximum amount of gearing 
permitted by the Board is 20% of net assets which equated to £66,058,000 at the 
year end. 
 
The Board gives guidance to the Portfolio Manager as to the maximum amount of 
the Company's resources that should be invested in any one company. 
 
Liquidity exposure and maturity 
 
Contractual maturities of the financial liabilities as at 31 March 2023, based 
on the earliest date on which payment can be required, are as follows: 
 
                                     2023      2023       2022      2022 
                                     3 months  3 to       3 months  3 to 
                                     or less   12 months  or less   12 months 
                                     £'000     £'000      £'000     £'000 
Loan facility (repayable on demand)  20,170    -          31,741    - 
Future settlements                   6,206     -          452       - 
Performance fees accrued             -         -          -         - 
Derivative - OTC equity swaps        -         1,202      -         - 
Other creditors and accruals         2,640     -          1,047     - 
                                     29,016    1,202      33,240    - 
 
3. CREDIT RISK: 
 
Credit risk is the risk of failure of a counterparty to discharge its 
obligations resulting in the Company suffering a loss. 
 
J.P. Morgan Securities LLC ("J.P. Morgan") may take assets with a value of up to 
140% of the loan as collateral. Such assets held by J.P. Morgan are available 
for rehypothecation?. 
 
As at 31 March 2023, the maximum value of assets available for rehypothecation 
was £28,238,000 being 140% of the loan balance of £20,170,000 (31 March 2022: 
£44,437,000 being 140% of the loan balance of £31,741,000). 
 
See page 32 of the Annual Report for further details on the loan facility and 
the associated credit risk. 
 
? See glossary. 
 
Management of the risk 
 
The risk is not significant and is managed as follows: 
 
J.P. Morgan 
 
·   by receiving and reviewing regular updates from the Custodian and Prime 
Broker and Depository. 
 
·   by reviewing their Internal Control reports and regularly monitor J.P. 
Morgan's credit rating. J.P. Morgan has a credit rating of Aa3 (Moody's), A+ 
(S&P) and AA (Fitch). 
 
·   by reviewing on a monthly basis assets which are available for 
rehypothecation. 
 
Other counterparties 
 
·   by only dealing with brokers which have been approved by OrbiMed Capital LLC 
and banks with high credit ratings such as Goldman Sachs International who have 
a credit rating of A1 (Moody's), A+ (S&P) and A+ (Fitch); 
 
·   by investing in markets that mainly operate DVP (delivery versus payment) 
settlement. 
 
·   all cash balances are held with approved counterparties. J.P. Morgan is the 
Custodian of the Company's assets and all assets are segregated from J.P. 
Morgan's own assets. 
 
At 31 March 2023 the Company's exposure to credit risk amounted to £3,260,000 
and was in respect of amounts due from brokers in relation to future settlements 
and cash held as collateral (2022: £nil). 
 
4. FAIR VALUE MEASUREMENT 
 
Hierarchy of investments 
 
As required under IFRS 13 "Fair Value Measurement", the Company has classified 
its financial assets designated at fair value through profit or loss using a 
fair value hierarchy that reflects the significance of the inputs used in making 
the fair value measurements. The hierarchy has the following levels: 
 
·   Level 1 - quoted prices (unadjusted) in active markets for identical assets 
or liabilities; 
 
·   Level 2 - inputs other than quoted prices included with Level 1 that are 
observable for the asset or liability, either directly (i.e. as prices) or 
indirectly (i.e. derived from prices); and 
 
·   Level 3 - inputs for the asset or liability that are not based on observable 
market data (unobservable inputs). 
 
                               Level 1  Level 2  Level 3  Total 
As of 31 March 2023            £'000    £'000    £'000    £'000 
Assets                         336,962  -        20,267   357,229 
Derivatives: equity swap       -        (1,202)  -        (1,202) 
(liabilities) 
Financial investments held at  336,962  (1,202)  20,267   356,027 
fair value through profit or 
loss 
 
                               Level 1  Level 2  Level 3  Total 
As at 31 March 2022            £'000    £'000    £'000    £'000 
Assets                         393,169  303      33,927   427,399 
Financial investments held at  393,169  303      33,927   427,399 
fair value through profit or 
loss 
 
As at 31 March 2023, the investments in OrbiMed Asia Partners LP Fund has been 
classified as Level 3. The OrbiMed Asia Partners Fund LP has been valued at the 
net asset value presented in its Statement of Partners Capital Activity as at 31 
March 2023, as permitted under the IPEV guidelines. If the value of the fund 
were to increase or decrease by 10%, while all other variables remain constant, 
the return and net assets attributable to shareholders for the year ended 
31March 2023 would have increased/decreased by £216,000 (2022: £175,000). 
 
The following two investments have been valued by the Board, following 
recommendations received from the Valuation Committee which has reviewed in 
detail both the valuation and the methodologies provided by Kroll, an 
independent valuer. StemiRNA and XtalPi have been valued using the probability 
-weighted expected returns methodology (PWERM) and are classified as Level 3. If 
the non-observable market data: "the probability of certain scenarios" 
percentage were to increase or decrease by 10%, while all other variables remain 
constant, the return attributable to shareholders for the year ended 31 March 
2023 would have increased/ decreased by £1,786,000. 
 
These Level 3 investments include assumptions based on non-observable market 
data such as: 
 
(i)the probability of certain scenarios;, 
 
(ii)the expected time to the date of sale or realisation opportunity; and 
 
(iii)discount rates. 
 
The tables below set out the range of inputs applied in arriving at the fair 
value of the Level 3 investments valued by Kroll. 
 
Probability of Scenario 
 
The probability assigned to certain scenarios is determined by the independent 
valuer following consultation with the Portfolio Manager. The probability 
assigned to any scenario reflects a number of factors including the operating 
performance and prospects of the investee company and market receptivity for 
IPOs or other realisation routes. 
 
2023  Probability of scenario                   5%-35% 
      Weighted average probability of scenario  20% 
2022  Probability of scenario                   10%-35% 
      Weighted average probability of scenario  22.5% 
 
Expected time to date of sale or realisation opportunity 
 
The expected time to a sale or realisation opportunity is determined by the 
independent valuer following consultation with the Portfolio Manager and 
reflects a number of factors including the operating performance and prospects 
of the investee company and the current and expected market receptivity for IPOs 
and other realisation routes. 
 
2023  Expected time to sale or        1-2.5 years 
      realisation opportunity 
      Weighted average expected time  1.75 years 
      to sale or realisation 
      opportunity 
2022  Expected time to sale or        0.3-1.8 years 
      realisation opportunity 
      Weighted average expected time  1.05 years 
      to sale or realisation 
      opportunity 
 
Discount rate 
 
The discount rates assigned to certain scenarios are determined by the 
independent valuer using market surveys of discount rates used in a range of 
private equity and unquoted investment transactions. 
 
2023  Discount rate                   22.5% 
      Discount rate weighted average  22.5% 
2022  Discount rate                   20.5% 
      Discount rate weighted average  20.5% 
 
Level 3 Reconciliation 
 
Please see below a reconciliation disclosing the changes during the year for the 
financial assets and liabilities designated at fair value through profit or loss 
classified as being Level 3. There has been no transfer between fair value 
hierarchy levels. 
 
                                                          2023     2022 
                                                          £'000    £'000 
Assets 
As at 1 April                                             33,927   37,483 
Purchase of unquoted investments                          -        13,266 
Sale of unquoted investments                              -        (40) 
Net movement in investment holding gains during the year  (3,773)  2,843 
Transfer from level 3 to level 1                          (9,887)  (19,625) 
Assets as at 31 March                                     20,267   33,927 
 
Yisheng Biopharma and Summit Healthcare Acquisition Corp. entered into a 
definitive agreement for a business combination and upon closing of the 
transaction in March 2023, the combined company was renamed as YS Biopharma Co. 
Ltd and became a publicly traded company on the Nasdaq. 
 
FAIR VALUE OF FINANCIAL ASSETS AND FINANCIAL LIABILITIES: 
 
Financial assets and financial liabilities are either carried in the Statement 
of Financial Position at their fair value or at a reasonable approximation of 
fair value. 
 
5. CAPITAL MANAGEMENT 
 
The Company's capital management objectives are: 
 
·   to ensure that it will be able to continue as a going concern; and 
 
·   to maximise the total return to its equity shareholders. 
 
The Board's policy is to limit gearing to a maximum of 20% of the Company's net 
assets. 
 
As at 31 March 2023 the Company was geared 7.8% (2022: 8.4%). 
 
The capital structure of the Company consists of the equity share capital, 
retained earnings and other reserves shown in the Statement of Financial 
Position. 
 
Shares may be repurchased by the Company. 
 
The Company's objectives, policies and processes for managing capital are 
unchanged from the preceding accounting period. 
 
As at 31 March 2023, the maximum value of assets available for rehypothecation 
was £28,238,000, being 140% of the loan balance of £20,170,000 (31 March 2022: 
£44,437,000 being 140% of the loan balance of £31,741,000). 
 
15. TRANSACTIONS WITH RELATED PARTIES AND THE MANAGERS 
 
Related Parties 
 
The Directors of the Company are considered to be related parties. 
 
Details of the remuneration of the Directors of the Company can be found on page 
61 of the Annual Report. Geoff Hsu has waived his Directors' fees. Details of 
the Directors' interests in the capital of the Company can be found on page 63 
of the Annual Report. 
 
Transactions with the Managers 
 
·   Frostrow Capital LLP 
 
·   OrbiMed Capital LLC 
 
Details of the relationship between the Company and Frostrow Capital LLP, the 
Company's AIFM, and OrbiMed Capital LLC, the Company's Portfolio Manager, are 
disclosed on page 48 of the Annual Report. Geoff Hsu, who joined the Board on 16 
May 2018, is a General Partner at OrbiMed. Details of fees paid to OrbiMed by 
the Company can be found in note 3. All material related party transactions have 
been disclosed in notes 3 and 4. 
 
The Company holds an interest in OrbiMed Asia Partners Fund which equates to 
0.6% of the investments held at 31March 2023. 
 
Three current and two former partners at OrbiMed Capital LLC have a minority 
financial interest totalling 20% in Frostrow Capital LLP, the Company's AIFM. 
Details of the fees paid to Frostrow Capital LLP by the Company can be found in 
note3. 
 
16. CAPITAL RESERVE 
 
               2023                            2022 
                         Capital                         Capital 
                         Reserves                        Reserves 
                         Investment                      Investment 
                         holdings                        holdings 
                         gains/                          gains/ 
               Other     (losses)    Total     Other     (losses)    Total 
               £'000     £'000       £'000     £'000     £'000       £'000 
At 1 April     399,416   (108,185)   291,231   421,917   78,677      500,594 
Net            (90,316)  57,589      (32,727)  (19,170)  (186,862)   (206,032) 
(losses)/gain 
s 
on 
investments 
Foreign        (3,759)   -           (3,759)   (2,340)   -           (2,340) 
exchange 
losses 
Expenses       (4,158)   -           (4,158)   5,942     -           5,942 
charged to 
capital 
Repurchase     (22,619)  -           (22,619)  (6,933)   -           (6,933) 
of own 
shares for 
cancellation 
At 31 March    278,564   (50,596)    227,968   399,416   (108,185)   291,231 
 
Sums within the Total Capital Reserve less unrealised gains (those on 
investments not readily convertible to cash) are available for distribution. 
Investment holding gains in the table above are unrealised. 
 
17. CONTINGENT LIABILITIES AND CAPITAL COMMITMENTS 
 
As at 31 March 2023 there were no contingent liabilities or capital commitments 
for the Company (2022: nil). 
 
The figures and financial information for 2022 are extracted from the published 
Annual Report for the year ended 31 March 2022 and do not constitute the 
statutory accounts for that year. The Annual Report for the year ended 31 March 
2022 has been delivered to the Registrar of Companies and included the 
Independent Auditor's Report which was unqualified and did not contain a 
statement under either section 498(2) or section 498(3) of the Companies Act 
2006. 
 
The figures and financial information for 2023 are extracted from the Annual 
Report for the year ended 31 March 2023 and do not constitute the statutory 
accounts for the year.  The Annual Report for the year ended 31 March 2023 
includes the Independent Auditor's Report which is unqualified and does not 
contain a statement under either section 498(2) or section 498(3) of the 
Companies Act 2006.  The Annual Report and financial statements have not yet 
been delivered to the Registrar of Companies. 
 
GLOSSARY OF TERMS AND ALTERNATIVE PERFORMANCE MEASURES 
 
ACTIVE SHARE 
 
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. 
 
ADR 
 
An American depositary receipt (ADR) is a negotiable security that represents 
securities of a foreign company and allows that company's shares to trade in the 
U.S. financial markets. Shares of many non-U.S. companies trade on U.S. stock 
exchanges through ADRs, which are denominated and pay dividends in U.S. dollars, 
and may be traded like regular shares of stock. 
 
AIC 
 
Association of Investment Companies. 
 
ALTERNATIVE INVESTMENT FUND MANAGERS DIRECTIVE (AIFMD) 
 
Agreed by the European Parliament and the Council of the European Union and 
transposed into UK legislation, the AIFMD classifies certain investment 
vehicles, including investment companies, as Alternative Investment Funds (AIFs) 
and requires them to appoint an Alternative Investment Fund Manager (AIFM) and 
depositary to manage and oversee the operations of the investment vehicle. The 
Board of the Company retains responsibility for strategy, operations and 
compliance and the Directors retain a fiduciary duty to shareholders. 
 
ALTERNATIVE PERFORMANCE MEASURE (APM) 
 
An APM is a numerical measure of the Company's current, historical or future 
financial performance, financial position or cash flows, other than a financial 
measure defined or specified in the applicable financial framework. In selecting 
these Alternative Performance Measures, the Directors considered the key 
objectives and expectations of typical investors in an investment trust such as 
the Company. 
 
DISCOUNT OR PREMIUM^ 
 
A description of the difference between the share price and the net asset value 
per share. The size of the discount or premium is calculated by subtracting the 
share price from the net asset value per share and is usually expressed as a 
percentage (%) of the net asset value per share. If the share price is higher 
than the net asset value per share the result is a premium. If the share price 
is lower than the net asset value per share, the shares are trading at a 
discount. 
 
                                  As at 31    As at 31 
                                  March 2023  March 2022 
                                  (pence)     (pence) 
Share price                       783.0       898.0 
Net asset value per share (see    852.6       957.8 
note 13 for further 
information) 
Discount of share price to net    8.2%        6.2% 
asset value per share 
 
^Alternative Performance Measure 
 
GEARING^ 
 
Gearing represents prior charges, adjusted for net current liabilities, 
expressed as a percentage of net assets (AIC methodology). Prior charges 
includes all loans and overdrafts for investment purposes. 
 
                                                             31 March  31 March 
                                                             2023      2022 
                                                             £'000     £'000 
Loan                                                         20,170    31,741 
Net current liabilities (excluding loan and derivatives)*    5,565     1,450 
                                                             25,736    33,191 
Net assets                                                   330,291   394,208 
Gearing                                                      7.8%      8.4% 
 
*current liabilities less current assets 
 
IPO 
 
An Initial Public Offering ("IPO") is the process by which the shares of a 
previously private company are listed on a stock exchange for the first time. 
Through this process a company can raise new capital, offer an exit opportunity 
for private investors and founders, and enable the trading of its shares. 
 
IPO LOCK-IN 
 
When a company offers shares in an IPO, investors sometimes enter into a lock-in 
agreement preventing them from selling their shares for a specified period after 
the IPO. 
 
LEVERAGE 
 
The AIFMD leverage definition is slightly different from the Association of 
Investment Companies' method of calculating gearing and is defined as follows: 
any method by which the AIFM increases the exposure of an AIF it manages whether 
through borrowing of cash or securities, or leverage embedded in derivative 
positions. 
 
For the purposes of the AIFMD, leverage is any method which increases the 
Company's exposure, including the borrowing of cash and the use of derivatives. 
It is expressed as a ratio between the Company's exposure and its net asset 
value and can be calculated on a gross and a commitment method. Under the gross 
method, exposure represents the sum of the Company's positions after the 
deduction of sterling cash balances, without taking into account any hedging and 
netting arrangements. Under the commitment method, exposure is calculated 
without the deduction of sterling cash balances and after certain hedging and 
netting positions are offset against each other. 
 
                            Gross   Commitment 
                            Method  Method 
Maximum limit               130.0%  130.0% 
Actual as at 31 March 2023  110.5%  109.7% 
 
MARGINABLE SECURITIES 
 
Marginable securities are stocks, bonds, futures or other securities capable of 
being traded on a Margin Account and are available for rehypothecation*. 
 
NET ASSET VALUE (NAV) 
 
The net asset value of the Company's assets, principally investments made in 
other companies and cash held, less any liabilities. The NAV is also described 
as "shareholders' funds". The NAV is often expressed in pence per share after 
being divided by the number of shares which have been issued. The NAV per share 
is unlikely to be the same as the share price, which is the price at which the 
Company's shares can be bought or sold by an investor. The share price is 
determined by the relationship between the demand and supply of the shares in 
the secondary market. 
 
*See glossary. 
 
^Alternative Performance Measure 
 
NET ASSET VALUE PER SHARE TOTAL RETURN^ 
 
The net asset value per share return for the year ended 31 March 2023 is 
calculated by taking the percentage movement from the net asset value per share 
as at 31 March 2022 of 957.8p (2021: 1,446.4p) to the net asset value per share 
at 31March 2023 of 852.6p (2022: 957.8p). The Company has not paid any dividends 
to shareholders in respect of the above mentioned years. 
 
ONGOING CHARGES^ 
 
Ongoing charges are calculated by taking the Company's annualised operating 
expenses expressed as a proportion of the average daily net asset value of the 
Company over the year. 
 
The costs of buying and selling investments are excluded, as are interest costs, 
taxation, performance fees, cost of buying back or issuing ordinary shares and 
other non-recurring costs. 
 
                                             31 March  31 March 
                                             2023      2022 
                                             £'000     £'000 
AIFM & portfolio management fees (note 3)    3,531     4,734 
Other re-occurring expenses (note 4)         692       678 
Total ongoing charges                        4,223     5,412 
Average daily net assets for the year        394,525   507,333 
Ongoing charges                              1.1%      1.1% 
 
OTC EQUITY SWAPS 
 
Over-the-Counter (OTC) refers to the process of how securities are traded via a 
broker - dealer network, as opposed to on a centralised exchange. 
 
An equity swap is an agreement where one party (counterparty) transfers the 
total return of an underlying equity position to the other party (swap holder) 
in exchange for a payment of the principal, and interest for financed swaps, at 
a set date. Total return includes dividend income and gains or losses from 
market movements. The exposure of the holder is the market value of the 
underlying equity position. 
 
There are two main types of equity swaps: 
 
·      Funded - where payment is made on acquisition. They are equivalent to 
holding the underlying equity position with the exception of additional 
counterparty risk and not possessing voting rights in the underlying security; 
and 
 
·      Financed - where payment is made on maturity. As there is no initial 
outlay, financed swaps increase exposure by the value of the underlying equity 
position with no initial increase in the investments value - there is therefore 
embedded leverage within a financed swap due to the deferral of payment to 
maturity. 
 
REHYPOTHECATION 
 
Rehypothecation is the practice by banks and brokers of using collateral posted 
as security for loans as regulated by the U.S. Securities Exchange Commission. 
 
SUSTAINABILITY ACCOUNTING STANDARDS BOARD (SASB) 
 
The Sustainability Accounting Standards Board (SASB) is a non-profit 
organisation, founded in 2011 to develop sustainability accounting standards. 
Its stated mission is "to establish industry-specific disclosure standards 
across ESG topics that facilitate communication between companies and investors 
about financially material, decision-useful information. Such information should 
be relevant, reliable and comparable across companies on a global basis." 
 
SHARE PRICE TOTAL RETURN^ 
 
The share price total return represents the theoretical return to a shareholder, 
on a closing market price basis. The share price total return is calculated by 
taking the percentage movement from the share price as at 31 March 2022 of 
898.0p (2021: 1,426.0p) to the share price as at 31 March 2023 of 783.0p (2022: 
898.0p). The Company has not paid dividends to shareholders in respect of the 
above mentioned years. 
 
^Alternative Performance Measure 
 
VARIABLE INTEREST ENTITY (VIE) 
 
A corporate structure through which an investor can own the economic interests 
of shares in a company through a contractual relationship. This structure is 
common in China, including in the biotechnology sector. 
 
ANNOUNCEMENT ENDS 
 
Neither the contents of the Company's website nor the contents of any website 
accessible from hyperlinks on the Company's website (or any other website) is 
incorporated into, or forms part of, this announcement. 
 
 
This information was brought to you by Cision http://news.cision.com 
 
 
END 
 
 

(END) Dow Jones Newswires

June 15, 2023 02:03 ET (06:03 GMT)

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