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WWH Worldwide Healthcare Trust Plc

347.00
-0.50 (-0.14%)
03 May 2024 - Closed
Delayed by 15 minutes
Share Name Share Symbol Market Type Share ISIN Share Description
Worldwide Healthcare Trust Plc LSE:WWH London Ordinary Share GB00BN455J50 ORD 2.5P
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  -0.50 -0.14% 347.00 346.00 346.50 347.50 343.50 347.50 2,055,828 16:35:10
Industry Sector Turnover Profit EPS - Basic PE Ratio Market Cap
Trust,ex Ed,religious,charty 34.35M -8.79M -0.0150 -231.00 2.02B

Worldwide Healthcare Annual Financial Report

15/06/2018 1:22pm

UK Regulatory


 
TIDMWWH 
 
Worldwide Healthcare Trust PLC 
 
               Audited Results for the Year Ended 31 March 2018 
 
The Company's annual report will be posted to shareholders on 25 June 2018. 
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.worldwidewh.com 
 
The Company's annual report for the year ended 31 March 2018 has been submitted 
to the UK Listing Authority, and will shortly be available for inspection on 
the National Storage Mechanism (NSM): 
 
www.morningstar.co.uk/uk/nsm 
 
(Documents will usually be available for inspection within two business days of 
this notice being given) 
 
Mark Pope, Frostrow Capital LLP, Company Secretary - 0203 008 4913 
 
Strategic Report/Company Performance 
 
Historic performance for the years ended 31 March 
 
                                       2013     2014     2015     2016     2017     2018 
 
Net asset value per share (total      30.3%    25.9%    53.0%   (9.0%)    28.9%     2.8% 
return)*? 
 
Benchmark (total return)*?            31.4%    14.9%    35.9%   (5.4%)    24.5%   (2.5%) 
 
Net asset value per share - basic   1110.2p  1374.3p  2039.3p  1850.9p 2,367.2p 2,411.1p 
 
Net asset value per share -         1089.6p  1348.2p  2039.3p  1850.5p 2,367.2p 2,411.1p 
diluted** 
 
Share price?                        1009.0p  1301.0p  1930.0p  1715.0p 2,304.0p 2,405.0p 
 
Discount of share price to diluted     7.4%     3.5%     5.4%     7.3%     2.7%     0.3% 
net asset value per share*? 
 
Dividends per share                   16.5p    15.0p    12.5p    16.5p    22.5p    17.5p 
 
Leverage?                             12.7%    13.9%    13.2%    14.0%    16.9%    16.4% 
 
Ongoing charges?                       1.0%     1.0%     1.0%     0.9%     0.9%     0.9% 
 
Ongoing charges (including 
performance fees 
 
paid or crystallised during the        1.2%     1.1%     2.2%     2.1%     1.0%     1.2% 
year)? 
 
*          Source: Morningstar 
 
**         Dilution to take account of the Company's Subscription Shares (which 
expired on 31 July 2014) and any shares held in treasury. 
 
?          Alternative Performance Measure (see Glossary). 
 
Strategic Report/Chairman's Statement 
 
Against a background of a modest decline in the global healthcare sector, I am 
pleased to report that both the Company's share price and the net asset value 
per share produced a positive total return which outperformed the Company's 
Benchmark, the MSCI World Health Care Index on a net total return, sterling 
adjusted basis. 
 
The Company's net asset value per share total return was +2.8% and the share 
price total return was +5.3%. The Company's Benchmark fell by 2.5% during the 
year. Both the Company's portfolio and the Benchmark have a high exposure to 
companies denominated in U.S.$. As such, the strengthening of sterling against 
the U.S.$ during the year, by 12.0%, acted as a headwind for the Company's 
performance in absolute terms. 
 
The Company had, on average, leverage of 16.1% (2017: 16.3%) during the year 
which contributed 0.9% to performance (2017: the contribution to performance 
was 3.2%). 
 
The long-term performance of the Company continues to be strong and it is 
pleasing to note that from the Company's inception in 1995 to 31 March 2018, 
the total return of the Company's net asset value per share has been 2,812.7%, 
equivalent to a compound annual return of 15.8%. This compares to a cumulative 
blended Benchmark return of 1,143.9%, equivalent to a compound annual return of 
11.6% over the same period. 
 
Further information on the healthcare sector and on the Company's investments 
can be found in the Portfolio Manager's Review. 
 
Capital 
 
The Company's share price has traded at a premium to the net asset value per 
share for much of the year. In accordance with the Company's share price 
premium management policy 3,355,000 new shares were issued during the year at a 
small premium to the Company's cum income net asset value per share. This 
issuance gave rise to the receipt of GBP84.7m of new funds by the Company which 
have been invested in line with the Company's investment objective. Since the 
end of the year a further 107,500 new shares have been issued raising GBP2.6m of 
new funds. No shares were repurchased by the Company during the year and to the 
date of this report and no shares were held in treasury. 
 
The Company's share issuance and share buy-back authorities will as usual be 
proposed for renewal at the Company's Annual General Meeting to be held in 
September 2018. 
 
Revenue and dividend 
 
Shareholders will be aware that it remains the Company's policy to pursue 
capital growth for shareholders and to pay dividends at least to the extent 
required to maintain investment trust status. A first interim dividend of 6.5p 
per share, for the year ended 31 March 2018, was paid on 9 January 2018 to 
shareholders on the register on 24 November 2017. The Company's net revenue 
return for the year as a whole fell slightly to GBP9.0 million (2017: GBP10.7 m) 
due, in part, to a fall in the level of income received, and also to the 
strength of sterling against the U.S.$. Accordingly, the Board has declared a 
slightly reduced second interim dividend of 11.0p per share which, together 
with the first interim dividend already paid, makes a total dividend for the 
year of 17.5p (2017: 22.5p per share). Based on the closing mid-market share 
price of 2680.0p on 14 June 2018, the total dividend payment for the year 
represents a current yield of 0.7%. 
 
The second interim dividend will be payable on 31 July 2018 to shareholders on 
the register of members on 22 June 2018. The associated ex-dividend date will 
be 21 June 2018. 
 
Composition of the Board 
 
In December 2017 Sam Isaly, the former Managing Partner at OrbiMed and the 
Company's lead portfolio manager, announced his plans to step down as Managing 
Partner of OrbiMed. He subsequently left the Board of the Company in January 
2018 and has recently completed his retirement from OrbiMed. On behalf of the 
Board, and also shareholders, I would like to thank him for the significant 
contribution he has made to the affairs of the Company since its inception. The 
portfolio remains very well positioned in the very capable hands of Sven Borho 
(one of OrbiMed's Managing Partners) and Trevor Polischuk. 
 
I am delighted that Sven Borho has joined the Board, as announced on 7 June 
2018. Sven is a founding Partner of OrbiMed and has been part of the team that 
manages the Company's portfolio since the Company's inception. A resolution 
proposing Sven's appointment to the Board will be considered by shareholders at 
this year's Annual General Meeting. 
 
Key Information Document 
 
Shareholders may be aware that new regulations, the Packaged Retail and 
Insurance-based Investment Products ("PRIIPs") Regulation, came into effect 
from 1 January 2018. Under these regulations, the Company is required to 
prepare and publish a key information document ("KID") to help potential 
investors understand the nature, risk and costs of this product and to allow 
comparison with others. 
 
The KID contains information about the Company in a highly prescribed format, 
both in terms of the calculation of the numbers and also the narrative, with 
limited ability to add additional context and explanations. The Board believes 
that the KID should therefore be considered only in conjunction with other 
material produced about the Company including the annual report, the half year 
report and the monthly factsheet which, inter alia, describe the Company's 
investment objective together with the investment philosophy of our Portfolio 
Manager. All of these documents are available at www.worldwidewh.com. The Board 
continues to keep this matter under review. 
 
Outlook 
 
Our Portfolio Manager expects the outlook to continue to be positive for the 
healthcare sector. In particular, they believe that attractive valuations, 
merger & acquisition activity, strong innovation, and a favourable regulatory 
environment and a benign U.S. corporate tax environment will all be key 
drivers. 
 
Our Portfolio Manager's focus remains on the selection of stocks with strong 
prospects for capital enhancement and your Board firmly believes that the 
long-term investor will continue to be well rewarded. 
 
Annual General Meeting 
 
The Board is keen to welcome all shareholders to the Company's Annual General 
Meeting which offers an opportunity to meet the Directors and also to hear the 
views of our Portfolio Manager. The Annual General Meeting of the Company will 
be held at Salters' Hall, 4 Fore Street, London EC2Y 5DE on Thursday, 20 
September 2018 at 12 noon. 
 
Following improvements in technology the Company will cease, with effect from 
our 2019 Annual General Meeting, to issue paper proxy forms to shareholders. 
Voting on resolutions to be considered at the Company's general meetings 
(including the Annual General Meeting) will be able to be made via our 
Registrar's website at www.signalshares.com. A paper proxy form, however, will 
be available on request from our Registrar. 
 
Sir Martin Smith 
 
Chairman 
 
15 June 2018 
 
Strategic Report/Investment Objective and Policy 
 
The Company invests in the global healthcare sector with the objective of 
achieving a high level of capital growth. In order to achieve its investment 
objective, the Company invests worldwide in a diversified portfolio of shares 
in pharmaceutical and biotechnology companies and related securities in the 
healthcare sector. It uses gearing, and derivative transactions to enhance 
returns and mitigate risk. Performance is measured against the MSCI World 
Health Care Index on a net total return, sterling adjusted basis ("Benchmark"). 
 
Investment strategy 
 
The implementation of the Company's 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 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 below. 
 
Any material changes to the Investment Objective, Policy and Benchmark or the 
investment, gearing and derivative guidelines and limits require approval from 
shareholders. 
 
Investment limits and guidelines 
 
-        The Company will not invest more than 10% 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% of the portfolio in any one 
individual stock at the time of acquisition; 
 
-        At least 60% of the portfolio will normally be invested in larger 
companies (i.e. with a market capitalisation of at least U.S.$5bn); 
 
-        At least 20% of the portfolio will normally be invested in smaller 
companies (i.e. with a market capitalisation of less than U.S.$5bn); 
 
-        Investment in unquoted securities will not exceed 10% of the portfolio 
at the time of acquisition; 
 
-        A maximum of 5% of the portfolio, at the time of acquisition, may be 
invested in each of debt instruments, convertibles and royalty bonds issued by 
pharmaceutical and biotechnology companies; 
 
-        A maximum of 20% of the portfolio, at the time of acquisition, may be 
invested in companies in each of the following sectors: 
 
-       healthcare equipment and supplies 
 
  * healthcare technology 
  * healthcare providers and services. 
 
Derivative strategy and limits 
 
In line with the Investment Objective, derivatives are employed, when 
appropriate, in an effort to enhance returns and to improve the risk-return 
profile of the Company's portfolio. There are two types of derivatives 
currently employed within the portfolio: Options and Equity Swaps; 
 
The Board has set the following limits within which derivative exposures are 
managed: 
 
-        Derivative transactions (excluding equity swaps) can be used to 
mitigate risk and/or enhance capital returns and will be restricted to a net 
exposure of 5% of the portfolio; and 
 
-        Equity Swaps may be used in order to meet the Company's investment 
objective of achieving a high level of capital growth, and counterparty 
exposure through these is restricted to 12% of the gross assets of the Company 
at the time of acquisition. 
 
Further details on how derivatives are employed can be found in note 16. 
 
The Company does not currently hedge against foreign currency exposure. 
 
Gearing limits 
 
The Board and Frostrow believe that shareholder returns can be enhanced through 
the use of borrowings at appropriate times for the purpose of investment. The 
Board has set a maximum gearing level, through borrowing, of 20% of the net 
assets. OrbiMed are responsible for deciding on the appropriate level of 
gearing at any one time, subject to acting within the 20% limit. 
 
Leverage limits 
 
Under the AIFMD the Company is required to set maximum leverage limits. 
Leverage under the AIFMD is defined as any method by which the total exposure 
of an AIF is increased. 
 
The Company has two current sources of leverage: the overdraft facility, which 
is subject to the gearing limit; and, derivatives, which are subject to the 
separate derivative limits. The Board and Frostrow have set a maximum leverage 
limit of 140% on both the commitment and gross basis. 
 
Further details on the gearing and leverage calculations, and how total 
exposure through derivatives is calculated, is included in the Glossary. 
 
Dividend Policy 
 
It is the Company's policy to pay out dividends to shareholders at least to the 
extent required to maintain investment trust status for each financial year. 
 
Strategic Report/Portfolio 
 
Investments held as at 31 March 2018 
 
                                                                          Market 
 
                                                                           value        % of 
 
Investments                                          Country/region        GBP'000 investments 
 
Alexion Pharmaceuticals                              USA                  57,271         4.4 
 
Merck                                                USA                  55,992         4.3 
 
Boston Scientific                                    USA                  54,757         4.2 
 
Regeneron Pharmaceuticals                            USA                  51,477         4.0 
 
Novo Nordisk*                                        Denmark              48,094         3.7 
 
Bristol-Myers Squibb                                 USA                  41,553         3.2 
 
Vertex Pharmaceuticals                               USA                  40,269         3.1 
 
Biogen                                               USA                  38,370         3.0 
 
Celgene                                              USA                  35,762         2.8 
 
Chugai Pharmaceutical                                Japan                34,355         2.6 
 
Top 10 investments                                                       457,900        35.3 
 
Edwards Lifesciences                                 USA                  32,419         2.5 
 
Wright Medical                                       Netherlands          32,277         2.5 
 
Puma Biotechnology                                   USA                  28,214         2.2 
 
Nevro                                                USA                  26,786         2.1 
 
Eisai                                                Japan                26,617         2.0 
 
Jazz Pharmaceuticals                                 Ireland              25,473         2.0 
 
Alnylam Pharmaceuticals                              USA                  25,386         2.0 
 
Agilent Technologies                                 USA                  24,067         1.9 
 
Allergan                                             Ireland              23,946         1.8 
 
AbbVie                                               USA                  21,778         1.7 
 
Top 20 investments                                                       724,863        56.0 
 
Intuitive Surgical                                   USA                  20,541         1.6 
 
Galapagos**                                          Belgium              20,315         1.5 
 
Stryker                                              USA                  18,274         1.4 
 
Amicus Therapeutics                                  USA                  17,958         1.4 
 
Novartis                                             Switzerland          17,772         1.4 
 
Tenet Healthcare                                     USA                  17,771         1.4 
 
Amgen                                                USA                  16,908         1.3 
 
Shire                                                USA                  16,773         1.3 
 
Bayer                                                Germany              16,488         1.3 
 
DaVita                                               USA                  16,142         1.2 
 
Top 30 investments                                                       903,805        69.8 
 
Clovis Oncology                                      USA                  15,504         1.2 
 
Santen Pharmaceutical                                Japan                15,328         1.2 
 
Illumina                                             USA                  15,269         1.2 
 
Mylan                                                Netherlands          14,930         1.2 
 
Universal Health Services                            USA                  14,754         1.2 
 
Sino Biopharmaceuticals                              China                14,687         1.1 
 
Thermo Fisher Scientific                             USA                  13,290         1.0 
 
Xencor                                               USA                  13,090         1.0 
 
Array BioPharma                                      USA                  12,756         1.0 
 
BeiGene                                              Cayman Islands       11,701         0.9 
 
Top 40 investments                                                     1,045,114        80.8 
 
Coherus Biosciences                                  USA                  11,502         0.9 
 
Nippon Shinyaku                                      Japan                11,155         0.9 
 
ACADIA Pharmaceuticals                               USA                  10,425         0.8 
 
Aerie Pharmaceuticals                                USA                   9,927         0.8 
 
Cigna                                                USA                   8,968         0.7 
 
Wright Medical Contingent Value Rights               Netherlands           8,542         0.7 
 
Radius Health                                        USA                   8,194         0.6 
 
Takeda Pharmaceutical                                Japan                 8,173         0.6 
 
HCA                                                  USA                   8,018         0.6 
 
Magellan Health                                      USA                   7,909         0.6 
 
Top 50 investments                                                     1,137,927        88.0 
 
*          includes Novo Nordisk ADR equating to 0.9% of investments. 
 
**         includes Galapagos ADR equating to 0.9% of investments. 
 
                                                                          Market 
 
                                                                           value        % of 
 
Investments                                          Country/region        GBP'000 investments 
 
LifePoint Health                                     USA                   7,855         0.6 
 
Genmab                                               Denmark               7,548         0.6 
 
Alliance Healthcare Services FRN 20/04/2024          USA                   7,146         0.5 
(unquoted) 
 
Insmed                                               USA                   6,603         0.5 
 
Siemens Healthineers                                 Germany               6,314         0.5 
 
Teleflex                                             USA                   6,181         0.5 
 
Abbott Laboratories                                  USA                   6,155         0.5 
 
Insmed 1.75% 15/01/2025 (unquoted)                   USA                   5,951         0.5 
 
Genoa A QOL Healthcare FRN 28/10/2024 (unquoted)     USA                   5,665         0.4 
 
Medical Depot Holdings FRN 21/12/2023 (unquoted)     USA                   5,639         0.4 
 
Top 60 investments                                                     1,202,984        93.0 
 
Bioventus FRN 21/11/2021 (unquoted)                  USA                   5,602         0.4 
 
Sarepta Therapeutics                                 USA                   5,249         0.4 
 
Ironwood Pharmaceuticals                             USA                   4,931         0.4 
 
China Medical System                                 Cayman Islands        4,582         0.4 
 
Bluebird Bio                                         USA                   4,538         0.4 
 
IHH Healthcare                                       Malaysia              4,423         0.3 
 
Deciphera Pharmaceuticals                            USA                   3,811         0.3 
 
Fluidigm                                             USA                   3,490         0.3 
 
K2M Group                                            USA                   3,329         0.3 
 
Amedisys                                             USA                   3,216         0.2 
 
Top 70 investments                                                     1,246,155        96.4 
 
Yestar Healthcare                                    China                 3,079         0.2 
 
Wenzhou Kangning Hospital                            China                 3,046         0.2 
 
Dentsply Sirona                                      USA                   2,367         0.2 
 
Aegerion Pharmaceuticals 2% 15/08/2019 (unquoted)    USA                   2,007         0.1 
 
ImmunoGen                                            USA                   1,636         0.1 
 
CRISPR Therapeutics                                  Switzerland             817         0.1 
 
Innoviva FRN 18/08/2022 (unquoted)                   USA                     711         0.1 
 
Novelion Therapeutics                                Canada                   62         0.0 
 
Alimera Sciences                                     USA                      46         0.0 
 
Total equities and fixed interest investments                          1,259,926        97.4 
 
Emerging Markets Healthcare (Basket)^*               Emerging Markets     21,418         1.7 
 
Jiangsu Hengrui Medicine^                            China                18,123         1.4 
 
JP China HC A-Share (Basket)^*                       China                17,118         1.3 
 
JPM Gene (Basket)^*                                  USA                  16,942         1.3 
 
Aier Eye Hospital Group^                             China                13,493         1.0 
 
India Health Care (Basket)^*                         India                10,953         0.8 
 
M&A (Basket)^*                                       USA                   9,594         0.7 
 
Strides Shasun                                       China                 6,493         0.5 
 
Shenzhen Salubris Pharmaceuticals^                   China                 5,162         0.5 
 
Jiangsu Nhwa Pharmaceutical^                         China                 4,717         0.3 
 
Ajanta Pharma                                        India                 2,112         0.2 
 
Less: Gross exposure on financed swaps                                  (92,020)       (7.1) 
 
Total OTC Swaps                                                           34,105         2.6 
 
Total investments including OTC Swaps                                  1,294,031       100.0 
 
Put Options (Long)                                                           161         0.0 
 
Put Options (Short)                                                      (1,058)       (0.1) 
 
Call Options (Long)                                                          426         0.1 
 
Call Options (Short)                                                        (40)         0.0 
 
Total investments including OTC Swaps and Options                      1,293,520       100.0 
 
^          Financed 
 
*          See Glossary and note 16 for further details in relation to the OTC 
Swaps and Options. Basket swaps may include underlying holdings that are also 
held directly. 
 
SUMMARY 
 
                                                               Market value        % of 
 
Investments                                                           GBP'000 investments 
 
Equities (including options & swaps)                              1,260,799        97.5 
 
Unquoted debt securities - variable rate                             24,763         1.9 
 
Unquoted debt securities - fixed rate                                 7,958         0.6 
 
Total of all investments                                          1,293,520       100.0 
 
Strategic Report/OrbiMed Capital LLC 
 
OrbiMed was founded in 1989 and has evolved over time to be one of the largest 
dedicated healthcare investment firms in the world. OrbiMed has managed the 
Company's portfolio since its launch in 1995. Strong returns and many 
investment awards signify the aggregate talents of this exceptional team. 
 
OrbiMed had over U.S.$14 billion in assets under management as of 31 March 
2018, across a range of funds, including investment trusts, hedge funds, mutual 
funds, and private equity funds. 
 
Investment strategy and process 
 
Within the guidelines set by the Board, the OrbiMed team work constantly to 
identify sources of outperformance, or alpha, with a focus on fundamental 
research. In healthcare, there are many primary sources of alpha generation, 
especially in therapeutics. Clinical events such as the publication of new 
clinical trial data is a prominent example and historically has been the 
largest source of share price volatility. Regulatory events, such as new drug 
approvals by U.S., European, or Japanese regulatory authorities are also stock 
moving events. Subsequent new product launches are carefully tracked and 
forecasted. Other sources include legal events and, of course, merger and 
acquisition activity. 
 
The team has a global focus with a universe of coverage that covers the entire 
spectrum of companies, from early stage companies with pre-clinical assets to 
fully integrated biopharmaceutical companies. The universe of actively covered 
companies is approaching 1,000. 
 
OrbiMed emphasises investments in companies with underappreciated products in 
the pipeline, high quality management teams, and adequate financial resources. 
A disciplined portfolio construction process is utilised to ensure the 
portfolio is focused on high conviction positions. Finally, the portfolio is 
subject to a rigorous risk management process to moderate portfolio volatility. 
 
The team 
 
The OrbiMed Investment Team continues to expand and now has over 80 investment 
professionals that cover all aspects of research, trading, finance, and 
compliance. This includes over 20 degree holders with MD and/or PhD 
credentials, healthcare industry veterans, and finance professionals with over 
20 years of experience. 
 
The firm has a global investment horizon and the OrbiMed footprint now spans 
three continents with offices in New York, San Francisco, Herzliya (Israel), 
Shanghai, and Mumbai. 
 
The lead managers with responsibility for the Company's portfolio are as 
follows: 
 
Sven H. Borho, CFA, is a founder and Managing Partner of OrbiMed. Sven heads 
the public equity team and he is the portfolio manager for OrbiMed's public 
equity and hedge funds. He has been a portfolio manager for the firm's funds 
since 1993 and has played an integral role in the growth of OrbiMed's asset 
management activities. He started his career in 1991 when he joined OrbiMed's 
predecessor firm as a Senior Analyst covering European pharmaceutical firms and 
biotechnology companies worldwide. Sven studied business administration at 
Bayreuth University in Germany and received a M.Sc. (Econs.), Accounting and 
Finance, from The London School of Economics; he is a citizen of both Germany 
and Sweden. 
 
Trevor M. Polischuk, Ph.D., is a Partner at OrbiMed focused on the global 
pharmaceutical industry. Trevor joined OrbiMed in 2003 and became a Partner in 
2011. Previously, he worked at Lehman Brothers as a Senior Research Analyst 
covering the U.S. pharmaceutical industry. Trevor began his career at Warner 
Lambert as a member of the Global Marketing Planning team within Parke-Davis. 
Trevor holds a Doctorate in Neuropharmacology & Gross Human Anatomy and an 
M.B.A. from Queen's University, Canada. 
 
Strategic Report/Portfolio Manager's Review 
 
Performance Review 
 
The financial year ended 31 March 2018 was defined by a return of industry 
fundamentals driving share price returns; although global currency moves did 
provide some notable volatility. With the shock of "Brexit" and a Republican 
win in the U.S. Presidential election in 2016 moved to the backburner, 
investors refocused on more pertinent growth drivers throughout the year. In 
the healthcare sector that meant reported financials, new drug approvals, 
pipeline advancements, and merger and acquisition (M&A) activity represented 
the principal reasons for share price movements. However, despite a solid first 
nine months, healthcare equities were once again stumped by macro factors that 
clipped much of the gains in the final quarter of the financial year. 
 
Without question, the start of the Company's financial year began with renewed 
optimism due to the pro-business agenda from U.S. President Donald Trump that 
the market did embrace. Whilst the President's first year has not been without 
controversy - in part due to his excessive use of his Twitter account - the 
penultimate legislation of the year was the passage of a major U.S. tax reform 
bill that positively impacted corporates' bottom line across industries. 
 
Overall, volatility remained low throughout the year, until a late year spike 
that was short lived. In fact, the VIX (the Chicago Board Options Exchange 
measure of volatility of the S&P 500), remained remarkably low and range bound 
in the first nine months of the financial year, recording an all-time low in 
November 2017 (8.56) before spiking in February 2018 and reaching a multi-year 
high (50.30) in tandem with a broad market sell off. The cause was multifold, 
including monetary tightening by the U.S. Federal Reserve, regulatory 
uncertainties around major technology companies, inflationary fears, and 
continued opaqueness around U.S. policy. The result was a spike in correlation 
that saw equity markets across industry sectors and around the world swoon. 
 
The net result was a modest decline in global healthcare equities. The MSCI 
World Healthcare Index, measured on a net total return, sterling adjusted 
basis, declined by 2.5% for the year ended 31 March 2018. However, we are 
pleased to report that the Company was able to outperform the Benchmark result 
and post positive returns for this period. The net asset value per share total 
return was +2.8% and the share price total return was +5.3%. 
 
Overall, since the Company's inception in 1995 to 31 March 2018, the total 
return of the Company's net asset value per share is 2,812.7%, equivalent to a 
compound annual return of 15.8%. This compares to the blended benchmark rise of 
1,143.9%, equivalent to a compound annual return of 11.6%. 
 
Contributors to Performance 
 
Overall, outperformance was generated by a mix of sub-sector allocation and 
stock picking across emerging biotechnology, healthcare services, emerging 
markets, and life science tools/diagnostics. In emerging biotechnology, 
overweight positioning and stock picking created approximately 3.5% of both 
positive absolute contribution and alpha generation. In healthcare services, 
astute stock picking and catalyst-driven trading led to over 3.0% of positive 
contribution and an additional 2.5% in alpha generation. In emerging markets, 
overweight allocation resulted in approximately 1.5% of positive absolute 
contribution and alpha generation. Finally, in life science tools/diagnostics, 
stock picking also created positive returns, with over 1.0% of contribution and 
nearly 0.5% of alpha generation. 
 
The top contributor during the year was BeiGene, a China-based, 
commercial-stage biopharmaceutical company focused on the development of cancer 
therapies with significant commercial exposure in the large Chinese market as 
well as worldwide. The shares performed strongly during the year following the 
announcement of a collaboration with Celgene on the development and 
commercialisation of its solid tumour treatment candidate tislelizumab, an 
anti-PD-1 antibody, and the expansion of the BeiGene's commercial footprint in 
the large Chinese market to include Celgene's oncology products Abraxane, 
Revlimid and Vidaza. BeiGene also continued to progress its own oncology 
pipeline including the BTK inhibitor zanubrutinib, which has shown promising 
data in B cell malignancies, and pamiparib, a PARP inhibitor in development for 
the treatment of solid tumours. 
 
Another top contributor was Intuitive Surgical. The company develops robotic 
systems and associated instrument sets for use in a broad array of surgical 
procedures. Robotic procedure volumes accelerated in 2017 against a strong 2016 
comparison. Moreover, new system placements, a leading indicator for procedure 
utilisation strongly outperformed analyst expectations. Hospital adoption and 
enthusiasm for robotics have dramatically increased in new general surgical 
categories, notably hernia repair. Competition concerns have abated somewhat as 
launches have been further delayed and details reveal less comprehensive 
solutions than expected. Further, investor enthusiasm for the company's 
flexible catheter system (currently in development) has increased, leading to a 
strong multi-year outlook for the company. The result was a steady increase in 
the share price throughout the year. 
 
Juno Therapeutics is a development-stage biotechnology company focused on 
chimeric antigen receptor (CAR) T cells which are genetically engineered to 
combat cancer. Juno's lead candidate, JCAR017, has shown a potentially 
best-in-class profile with an impressive six-month complete response rate of 
50% in relapsed or refractory diffuse large B cell lymphoma (DLBCL) and a 
substantially improved safety and tolerability profile over other CAR T 
products. In January 2018, Celgene acquired Juno for a 91% premium to its share 
price. 
 
Jiangsu Hengrui Medicine is the largest drug innovator in China in terms of 
research and development (R&D) expenditure, spending nearly U.S.$300 million in 
2017. The company focuses on oncology and surgery drugs. Besides its leadership 
in the Chinese pharmaceutical market, the company has been expanding its 
footprint into the global market. It has approximately ten generic drugs 
approved in the U.S. and has licensed out many pipeline candidates to overseas 
pharmaceutical companies. In 2017, the company accomplished some significant 
milestones, leading to strong share price appreciation. First, Hengrui became 
the first among its Chinese peers to start a Phase III clinical trial in 
immuno-oncology, notably for their anti-PD-1 monoclonal antibody. The trial 
targeted over 400 patients with late-stage non-small cell lung cancer. Second, 
the company filed for conditional approval of pyrotinib, a novel, irreversible 
dual tyrosine kinase inhibitor, based on strong survival data from a Phase II 
study in metastatic breast cancer patients. Third, Hengrui's tyrosine kinase 
inhibitor for the treatment of gastric cancer, apatinib, was added to the 
National Drug Reimbursement List in China, resulting in a spike in patient 
demand. The company's dominant leadership in the China pharmaceutical market is 
likely sustainable, thanks to the company's strong in-house research, clinical 
development, and commercialisation capabilities, coupled with continued 
favourable government healthcare policies. 
 
We believe China will continue to gain market share in the global 
pharmaceutical market and become a driving force for the innovation in the 
healthcare sector, such as biological drugs, cell therapy, and healthcare 
artificial intelligence. Therefore, we expect to maintain a healthy exposure in 
the China market. 
 
The California-based Edwards Lifesciences develops products and services to 
treat late-stage cardiovascular disease, including transcatheter heart valve 
replacements, surgical heart valve repair products, and haemodynamic monitoring 
systems for critical care settings. The company's share price rebounded 
strongly off of a weak beginning to 2017 with a powerful cadence of earnings 
reports throughout the year after investors were initially concerned over 
slowing market growth. More recently, the company also held an investor day 
event that highlighted continued runway for market penetration and new 
opportunities in mitral heart valve therapy. This combination of strong 
outperformance and recovery in investor enthusiasm over the pipeline has 
resulted in material stock price appreciation. 
 
Detractors from Performance 
 
As is typical in healthcare investing, detractors in the financial year were 
largely idiosyncratic in nature, with individual stocks from different sectors 
declining primarily due to unexpected negative catalysts or news flow. A main 
culprit, often resulting in acute share price declines, is the failure of a 
clinical trial. 
 
That said, negative offsets to performance were limited. Of most import was our 
overweight allocation to large capitalisation biotechnology stocks. The group 
performed poorly when measured in pound sterling terms in the financial year 
and sold off during the market tumult in the last quarter of the year. This 
resulted in an approximate 3.0% absolute loss and 1.5% of negative alpha. Other 
detractors were more modest. Alpha headwinds from medical devices due to stock 
picking totalled 1.25%. For generic pharmaceuticals, our performance was 
impeded by approximately 0.75%. Finally, large capitalisation pharmaceuticals 
combined for less than 2.0% of negative contribution but the alpha impact was 
neutral given our underweight positioning in the sector. 
 
On a single stock basis, the largest detractor during the year belongs to a 
different descriptor, such as "reversion to the mean" or perhaps even "profit 
taking". Wright Medical develops joint replacement devices, primarily for 
shoulder, foot and ankle, trauma and sports medicine procedures, as well as 
orthobiologic products. In the previous financial year, our investment in the 
company resulted in the largest contribution to performance. Yet the company's 
share price had a challenging time in the current financial year, as the 
company embarked on a sales force expansion plan, accelerated it, and later 
experienced disruption and a lower ramp to productivity than expected. 
Anticipated competition also increased as a key competitor, Zimmer Holdings, 
launched a stemless shoulder product to compete with Wright's "Simpliciti" 
product, a key high growth product for the company. Nevertheless, there are 
reasons for optimism for the company as the new sales force matures, the 
company garners new product approvals, and launches several key new products 
over the course of 2018 and beyond. 
 
Celgene is a large capitalisation biotechnology company with a global presence 
and a focus on the therapeutic categories of haematology and immunology/ 
inflammation. The stock performed well during the first half of the Company's 
financial year but announced a number of negative developments in October 2017 
that led to a precipitous drop in investor confidence and a corresponding drop 
in share price. First, the company announced that a key pipeline asset under 
development for the treatment of Crohn's disease failed to show sufficient 
efficacy in a Phase III trial. Second, the company announced 
lower-than-expected sales for its blockbuster psoriasis drug Otezla 
(apremilast) in the third quarter. And finally, but not coincidentally, the 
company lowered its long term 2020 financial guidance. This combination of 
events led to more than a 30% drop in share price (in local currency) over the 
course of a month. 
 
Unfortunately, the share price in Celgene bore more weakness when the company 
announced that their multiple sclerosis late stage candidate, ozanimod, 
received a "refusal-to-file" letter from the U.S. Food and Drug Administration 
(FDA), effectively (and surprisingly) denying regulatory review for this novel 
drug candidate. Moreover, the setbacks at Celgene contributed to a broader 
selloff in large capitalisation biotechnology stocks as whole. Whilst Celgene's 
valuation plummeted, a near correction did not happen to close the financial 
year as investors put the stock in the "sin bin". 
 
As a leader in the revolution in the field of immuno-oncology, investor 
expectations for Merck's Keytruda (pembrolizumab) were understandably high. 
Only Merck's Keytruda, through an accelerated process, has been able to obtain 
approval for the treatment of frontline, advanced non-small cell lung cancer. 
The share price had reflected this success for first half of the financial 
year. However, when the company announced that the confirmatory trial for 
Keytruda in frontline lung would be delayed for over a year and the European 
filing for Keytruda was being withdrawn, the company lost more than U.S.$25 
billion in market capitalisation. 
 
Incyte is a commercial-stage biopharmaceutical company focused on novel 
therapeutics for unmet needs in the treatment of cancer. Shares in Incyte 
declined as the company faced multiple setbacks during the financial year, 
including an unexpected delay in the U.S. regulatory filing of its rheumatoid 
arthritis treatment Olumiant (baricitinib) with partner Eli Lilly. Incyte had 
previously shown promising early data of its solid tumour treatment candidate 
epacadostat, a IDO-1 enzyme inhibitor, in combination with PD-1 inhibitors in 
metastatic melanoma. However, investors grew increasingly skeptical about this 
pipeline product prior to its pivotal phase III trial readout. 
 
Coherus Biosciences is a pure-play biosimilars company working on developing 
biosimilar versions to a number of blockbuster biotechnology products, 
including Neulasta, Enbrel, and Humira. The company encountered several 
setbacks in the financial year, two of which were of most import. First, the 
company's lead programme is the development of a biosimilar version of 
Neulasta, a white blood cell growth factor marketed by Amgen. The stock gapped 
lower after the FDA rejected the filing and asked the company to conduct 
further testing of its product using a more sensitive assay prior to approval. 
The delay reduces Coherus' time to market advantage versus other biosimilar 
competitors. The company suffered additional setbacks in their attempt to 
overturn a key patent for Humira, Abbvie's U.S.$18 billion biologic drug for 
rheumatoid arthritis, psoriasis, and inflammatory bowel disease. This likely 
delays the launch of Coherus' biosimilar version of the drug in the U.S. to the 
early to mid-2020s. 
 
Derivative Overlay Strategy 
 
OrbiMed continues to employ a derivative overlay strategy to glean market 
intelligence and offer additional outperformance. While the strategy has 
generated meaningful outperformance since 2006, the cumulative contribution 
over the last several years has been modestly positive. The options strategy is 
primarily used to create target effective entry prices for favoured stocks, 
leverage specific catalysts and capture special situation opportunities. Two 
derivative specialists implement the strategy in careful consultation with the 
portfolio management team. OrbiMed adheres to strictly defined risk limits and 
in practice maintains a net exposure well below the 5% restriction. 
 
In addition to the derivative overlay strategy, we utilise thematic 
over-the-counter basket swaps for both tactical and strategic investment 
purposes. Swaps are an efficient and effective way to gain exposure to a 
therapeutic category or to a specific theme (for example oncology; M&A; 
geography). 
 
Sven H. Borho and Trevor M. Polischuk 
 
OrbiMed Capital LLC 
 
Portfolio Manager 
 
15 June 2018 
 
Contribution by Investment 
 
Principal contributors to and detractors from net asset value performance 
 
                                                                         Contribution 
 
                                                           Contribution    per share* 
 
Top five contributors                                             GBP'000             GBP 
 
BeiGene                                                          21,178          0.44 
 
Intuitive Surgical                                               15,777          0.33 
 
Juno Therapeutics?                                               12,680          0.26 
 
Jiangsu Hengrui Medicine                                         12,193          0.25 
 
Edwards Lifesciences                                              9,306          0.19 
 
                                                                 71.134          1.47 
 
Top five detractors 
 
Coherus Biosciences                                            (10,308)        (0.22) 
 
Incyte?                                                        (11,044)        (0.23) 
 
Merck                                                          (13,081)        (0.27) 
 
Celgene                                                        (16,609)        (0.35) 
 
Wright Medical                                                 (24,532)        (0.51) 
 
                                                               (75,574)        (1.58) 
 
*          Calculation based on 47,849,845 shares being the weighted average 
number of shares in issue during the year ended 31 March 2018. 
 
?          Not held in the portfolio as at 31 March 2018. 
 
Strategic Report/Sector Outlook 
 
Global Pharmaceuticals 
 
For the most part, returns for global pharmaceutical stocks mirrored that the 
of the MSCI World Healthcare Index, with some negative divergence in the final 
quarter of the financial year, owing mostly to market volatility and rising 
interest rates. For comparison, net total returns, on a sterling adjusted 
basis, were -5.2% for global pharmaceutical stocks (as measured by the New York 
Stock Exchange ARCA Pharmaceutical Index) compared to -2.5% for the MSCI World 
Healthcare Index. 
 
Underwhelming performance in the subsector during the year can be attributed to 
a variety of issues. Whilst valuation remains undemanding, political rhetoric 
coming from the Donald Trump presidency has created a modest but constant 
overhang for drug stocks, mostly over fears of significant changes to drug 
pricing legislation in the United States. This has led, in our observation, to 
less generalist investor participation in the sector. Further, only modest M&A 
efforts and certainly a lack of transformative business development deals kept 
many investors at bay. 
 
Nonetheless, we view the overall political landscape as a net positive for 
therapeutic stocks. A major macro policy overhang for therapeutics stocks 
entering 2017 was the possible "repeal and replace" of the Affordable 
Healthcare Act (ACA), or "Obamacare". The ACA was President Barack Obama's 
healthcare reform law that was designed to provide universal healthcare 
insurance coverage in the U.S. However, despite the Republican party being in 
control of both chambers of Congress and the White House, the repeal of 
Obamacare failed despite many attempts to do so. The removal of this 
uncertainty was a positive for the sector. 
 
Whilst President Trump failed at his attempts to repeal the ACA, he was 
successful in getting a major tax reform bill passed into law. Importantly for 
global biopharmaceutical companies, the new law lowered corporate tax rates to 
21% (from 35%) and lowered repatriation taxes to 15.5% (or lower, in some 
cases) from 35%. This has resulted in higher earnings, increased share buy 
backs, and larger dividends for large biopharmaceutical companies. 
 
Moreover, the appointment of Dr. Scott Gottlieb as commissioner of the FDA has 
been a positive for therapeutic stocks, as we had anticipated last year. The 
calendar year 2017 ended with a record number of new FDA drug approvals with 
46. Additionally, Dr. Gottlieb's efforts to address the backlog of generic drug 
approvals was also successful, with over 1,000 distinct approvals in 2017. 
 
Finally, we view the appointment of Alex Azar as the United States Secretary of 
Health and Human Services by President Donald Trump as another de-risking event 
on the political front. Mr. Azar is an ex-pharmaceutical industry executive 
(from Eli Lilly & Co.) who will be able to walk the fine line between lowering 
healthcare costs for patients while preserving a market based drug pricing 
system in the United States. 
 
Overall, we view the fundamentals of the global pharmaceutical companies as 
positive, albeit unevenly distributed. Valuation, as mentioned, remains 
undemanding with price to earnings ratios towards the low end of the historical 
range for the group. Innovation remains strong with a number of data read outs 
and new drug launches expected in 2018. Earnings growth rates, however, are 
somewhat disparate, ranging from low single digits to high teens as patent 
expirations, pipelines, and new product are somewhat dissimilar from company to 
company. 
 
Biotechnology 
 
After a difficult 2016, which was marked by election-related political 
overhangs on drug pricing policy in the United States, the biotechnology sector 
partially rebounded over the course of the financial year, especially in U.S. 
dollar terms. For the first half of the Company's financial year, the 
biotechnology recovery was characterised by broad participation by both the 
large capitalisation and emerging capitalisation names in the biotechnology 
industry. However, starting in the last quarter of 2017, a marked divergence in 
performance between the small and large capitalisation members of the sector 
emerged, with smaller capitalisation biotechnology significantly outperforming 
their larger capitalisation counterparts. 
 
Investor sentiment for large capitalisation biotechnology soured considerably 
when Celgene, a bellwether stock for the group, announced multiple negative 
surprises in the autumn of 2017, including a high profile clinical trial 
failure, lower than expected sales of a key growth driver, and ultimately a 
lowering of their long-term guidance. The result was a sudden loss of U.S.$30 
billion in market capitalisation within a month which spooked investors, 
resulting in a broader selloff in large cap biotechnology stocks as generalist 
investors fled the sector. Smaller capitalistion biotechnology companies did 
comparatively better as investors believed that the larger capitalisation names 
would need to acquire emerging biotechnology companies to reaccelerate their 
growth and deal with future patent expirations on their key products. 
 
Valuations among large capitalisation biotechnology companies remain very 
attractive, with some companies' trading at historically low double-digit 
price-to-earnings multiples. While investors have been concerned about 
declining earnings growth and the exclusivity of many of the large 
capitalisation companies' lead drugs, we believe many of these concerns are 
well discounted into share prices. Valuations are so low that we would not be 
surprised if some of the large capitalisation biotechnology companies 
themselves became M&A targets. Takeda Pharmaceutical's proposed acquisition of 
Shire indicates there may be such M&A appetite. 
 
Overall M&A transaction volumes in biotechnology were somewhat muted during 
most of the financial year, likely due to uncertainty about corporate tax 
reform in the U.S. We had expected clarity on tax reform could spark an 
acceleration in M&A activity in the sector, and there does appear to be 
evidence for this thus far in 2018. Numerous M&A transactions have been 
announced since passage of the tax reform bill, including Celgene's acquisition 
of CAR-T company Juno Therapeutics for. U.S$9 billion, Sanofi's acquisition of 
haematology company Bioverativ for U.S.$11.6 billion, and Novartis' acquisition 
of gene therapy company AveXis for U.S.$8.7 billion. 
 
Lastly, the level of innovation in the biotechnology sector remains very 
strong. Completely new modalities of treatment delivering significant clinical 
benefit emerged. The first two CAR-T cellular therapies, a therapy that 
involves harvesting a cancer patient's own T-cells, modifying them externally 
to attack the patient's cancer, and then reinserting them back into the 
patient, were approved in 2017: Novartis' Kymriah for leukemia and Kite 
Pharmaceuticals' Yescarta for lymphoma. These cellular therapies have shown 
dramatic reduction in tumour burden in patients with advanced blood cancers. 
 
Additionally, the very first gene therapy was approved in the United States in 
late 2017: Spark Therapeutics' Luxturna was approved for the treatment of a 
rare genetic eye disorder leading to progressive blindness. Other biotechnology 
companies have also released promising results of gene therapies for disorders 
such as haemophilia, beta-thalassemia, and sickle cell disease. 
 
Lastly, we saw positive developments in treatments involving modifying the 
transcription and processing of ribonucleic acid (RNA)*. Biogen continued the 
launch of their antisense drug Spinraza, which helps restore muscle development 
in patients with the genetic disease spinal muscular atrophy, and Alnylam 
announced positive Phase III results for their RNA interference therapy 
patisiran for hereditary ATTR amyloidosis with polyneuropathy. We expect the 
outlook for the biotechnology sector for the Company's next financial year to 
remain positive, given low valuations, continued M&A activity, strong 
innovation, and a favourable regulatory environment. 
 
*          See Glossary. 
 
Specialty Pharmaceuticals 
 
In the reported financial year, concerns over pricing for branded drug 
franchises remained a notable overhang for specialty pharmaceutical companies 
and has hampered performance of a majority of sector participants. In addition, 
U.S. political rhetoric, potential new U.S. government policies/initiatives and 
aggressive formulary management by third-party payors has not been helpful. 
That said, we continue to believe that several companies in this sector are 
well-positioned and primed for outperformance. For this select group, current 
valuation reflects worst-case scenarios with regards to franchise pricing power 
but ignores potential contributions from meaningful proprietary pipeline 
programmes/compounds poised to emerge as valuable growth drivers in the 
not-to-distant future. As a result, in instances where our due diligence and 
valuation analyses imply favourable risk-reward profiles, we have increased 
exposure to select companies with significant pipeline disclosures over the 
next 12 months. 
 
In Europe, we remain constructive on a select group of companies benefiting 
from improving trends, new launch cycles, and increased M&A. Some companies 
should benefit from newly-installed management teams implementing fresh, more 
effective strategies that enhance shareholder value over time. We expect M&A to 
remain a dominant theme, as companies continue to pursue creative business 
combinations driven by potential revenue, operating and tax synergies. 
 
Generic Pharmaceuticals 
 
The all-important US generic market remains in the throes of a systemic price 
erosion cycle, the result of consolidation of pharmaceutical and wholesaler 
distribution channels and exacerbated competitive dynamics, the latter stemming 
from an uptick in the number of generic approvals by the FDA. Despite this 
challenging backdrop, investors have warmed up to some of the better-positioned 
companies in the sector in response to initial indications that price declines 
are moderating. In general, companies with broad, diversified product 
portfolios have fared better than their more narrowly-focused peers. We 
anticipate that significant consolidation of the U.S. generic market will 
enable a more stable and favourable U.S. pricing environment, however this 
could take considerable time as sector leverage remains high. Furthermore, we 
believe segments of the industry have been permanently scarred, leaving 
acquisition premiums impaired indefinitely. 
 
As anticipated, players with greater geographic reach have benefited from solid 
performance in key EU and Asian markets, which has provided some offset to 
weaker US performance. In these markets, pricing erosion remains moderate and 
in line with expectations, in stark contrast to conditions observed by many 
US-focused participants. Some sizable markets (Italy, Spain) still offer solid 
growth potential as generic utilisation continues to ramp up from modest 
levels. Throughout Asia, economic expansion, favourable demographics, 
supportive governmental policies, and other contributing factors continue to 
drive robust generic utilisation. 
 
Medical Devices 
 
The reported financial year was a strong one for Medical Device stocks and was 
marked by continued, stable growth and further penetration into new high growth 
therapeutic areas. The sector benefited from a favourable macro environment and 
strong U.S. economy, and remained insulated from several political healthcare 
headwinds, notably healthcare reform and drug pricing. M&A flow was also 
healthy with Becton Dickinson's acquisition of C.R. Bard and many tuck-ins 
across the sector. 
 
Looking ahead to the second half of calendar 2018, we expect this positive 
fundamental backdrop to persist and for companies to lay the groundwork for 
revenue growth acceleration into 2019 and beyond, while also benefitting on the 
bottom line from U.S. tax reform. M&A should continue at a steady pace, with 
several large companies boasting ample firepower for tuck-ins and others ripe 
for portfolio optimisation and divestitures. 
 
We continue to favour companies that can sustainably deliver premium organic 
revenue growth through exposure to underpenetrated high growth markets such as 
transcatheter heart valves, surgical robotics, spinal cord stimulation devices, 
extremities implants, and left atrial appendage closure technologies. Our 
investments reflect a preference for companies that have demonstrated strong 
growth and are poised for further growth inflections with new product launches 
and/or indication expansions in the second half of 2018 and 2019. 
 
Healthcare Services 
 
The financial year favoured "payers" over "providers". In other words, 
companies that paid for healthcare services such as U.S. HMOs (Health 
Maintenance Organisations) significantly outperformed companies that 
administered services to patients, such as hospitals. This dynamic occurred for 
two main reasons: utilization of healthcare services came in lower than 
expected and corporate tax reform disproportionately benefited companies with 
low financial leverage (due to new rules against interest expense 
deductibility). Separately, scrutiny regarding drug prices drove 
underperformance in drug supply chain stocks that stand to profit from higher 
inflation. 
 
We do not expect HMOs to duplicate their strong outperformance in the coming 
year for a variety of reasons. First, price competition may intensify driven by 
non-profit competitors (like Blue Cross Blue Shield) that are motivated to 
reinvest higher earnings. Second, tax reform benefits may be difficult to 
retain in a competitive marketplace as payors may give on price to capture 
share gains. Third, a strengthening economy creates stable or increasing 
utilisation of healthcare services, putting pressure on costs. Finally, we note 
valuations are elevated when compared to historical norms. While putative M&A 
activity may offer support to valuations, it is unclear if regulators will 
approve pending deals. 
 
We remain cautious on the drug supply chain because they could be negatively 
impacted by news flow and rhetoric on drug price reform legislation, ongoing 
opioid litigation, decelerating drug price inflation, and increased competition 
from new entrants (such as Amazon). 
 
Life Science Tools/Diagnostics 
 
The life sciences tools sector continued its momentum throughout much of the 
Company's previous financial year. The subsector's leadership position within 
healthcare diverged more as political, macro, and strategic uncertainties were 
largely avoided. The lack of a spotlight on the sector has paid dividends in 
allowing the sector to enjoy an elevated valuation. 
 
On a forward looking fundamental basis, bioprocessing, fueled by increased 
manufacturing focus for biosimilars and the buoyant capital markets for 
bio-pharma, continued to be the main driver in organic growth. The sector 
remains well positioned to capitalise on these secular trends in bio-pharma. 
However, given the premium valuation ascribed to the sector, headline noise 
around global tariffs, especially relating to China, is a risk factor that 
should be taken into consideration. Although impact of the proposed China 
tariff is difficult to quantify, the noise created in the market is a material 
downside event for the group given its relatively high exposure into that 
geography. 
 
Overall, we contend that end markets for tools remain and will continue to be 
attractive during 2018. Political insularity for the most part, is also 
attractive given market's sensitivity on difficult-to-assess twitter headlines. 
However, all things factored in, elevated valuation is reflective of the said 
security in the tools subsector. 
 
Emerging Markets 
 
Healthcare companies in emerging markets continue to grow faster than their 
counterparts in the West, driven by rising income levels, increase in the 
proportion of GDP spent on healthcare, and local governments' policy support. 
 
In China, our investment strategy focuses on innovation and high-quality 
generics in the pharmaceutical sector. The Chinese government has been 
undertaking various initiatives and reforms to improve the robustness and 
efficiency of their drug approval system and to increase the quality of generic 
drugs sold in China. By the end of 2017, China FDA granted priority review to 
over 350 drugs which fit into one of the categories including innovative drugs, 
drugs addressing urgent unmet clinical needs, and first-to-market generics. 
During the same year, China FDA issued comprehensive guidance for the mandating 
bioequivalence testing, also referred as quality consistency evaluation, for 
many of the generic drugs currently marketed in China to confirm that they 
truly have equivalent efficacy to the original brand. In December, China FDA 
published the first batch of 17 generic drugs that have passed quality 
consistent evaluation. We expect more batches and favourable policies for those 
drugs to come in 2018. 
 
The Chinese government also made significant progress towards reimbursement of 
pharmaceutical products. The long-anticipated new version National Drug 
Reimbursement List (NRDL) consisting of 2,535 drugs was released in February 
2017. The number of reimbursable drugs expanded from the version in 2009 by 18% 
and we believe the expansion is positive for the industry growth in the next 
few years. In July 2017, another 36 high-priced drugs were enrolled into NRDL 
with a range of price cuts after negotiation with the government; this was the 
very first time that the price negation mechanism was adopted for NDRL in 
China. 
 
Meanwhile, capital markets are becoming more accessible to Chinese 
biotechnology companies. The Hong Kong Stock Exchange announced its decision to 
amend the Main Board Listing Rules (Listing Rules) to allow New Economy 
companies, including pre-revenue biotechnology companies, to list on the Main 
Board. We believe this will help expand our investment universe in the region. 
 
In India, our stock selection process takes into account geographic and product 
revenue/profit mix, pipeline quality and vesting, manufacturing compliance 
status, and balance sheet health. Manufacturing compliance violations remain a 
notable risk and we continue to closely monitor dynamics in the US generic 
market, which has been adversely impacted by a severe pricing erosion cycle. 
 
From an investment perspective, we prefer companies with significant revenue 
diversity, including meaningful exposure to higher-growth European markets, 
domestic (Indian) markets, and other emerging markets, as this reduces 
dependence on the currently challenged U.S. market. We also favour companies 
with generic portfolios biased toward near-term opportunities targeting 
difficult to formulate products, including injectables, depots, patches, and 
certain orals and topicals. We closely scrutinise companies' compliance 
histories and prefer those with manufacturing redundancies, at least for key 
products in important markets. Lastly, we keep a keen eye on leverage and are 
intensely focused on the cash generating abilities of our portfolio companies. 
 
Sven H. Borho and Trevor M. Polischuk 
 
OrbiMed Capital LLC 
 
Portfolio Manager 
 
15 June 2018 
 
Strategic Report/Business Review 
 
The aim of the Strategic Report is to provide shareholders with the ability 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 based on the information available to them 
at the time of their approval of this report and such statements should be 
treated with caution due to inherent uncertainties, including both economic and 
business risk factors underlying any such forward-looking information. 
 
Business Model 
 
Worldwide Healthcare Trust PLC is an investment trust and has a premium listing 
on the London Stock Exchange. Its investment objective is set out in the 
Strategic Report. In seeking to achieve this objective, 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 has determined an investment 
objective, policy and related guidelines and limits. 
 
The Company is subject to UK and European legislation and regulations including 
UK company law, UK GAAP, the Alternative Investment Fund Managers Directive, 
the UK Listing, Prospectus, Disclosure and Transparency Rules, taxation law and 
the Company's own Articles of Association. 
 
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 Sections 1158 and 1159 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 Board 
 
The Board of the Company comprises Sir Martin Smith (Chairman), Sarah Bates, Dr 
David Holbrook, Doug McCutcheon and Humphrey van der Klugt. All of these 
Directors served throughout the year and are independent non-executive 
Directors. Mr Samuel D. Isaly left the Board on 12 January 2018. Mr Isaly was 
not considered by the Board to be independent. Subsequent to the year-end, Mr 
Sven Borho joined the Board (on 7 June 2018). He is not considered by the Board 
to be an independent Director. 
 
Further information on the Directors can be found in the Governance Section. 
 
All Directors seek election or re-election by shareholders at each Annual 
General Meeting. 
 
Board focus and responsibilities 
 
With the day to day management of the Company outsourced to service providers 
the Board's primary focus at each Board meeting is reviewing the investment 
performance and associated matters, such as, inter alia, future outlook and 
strategy, gearing, asset allocation, investor relations, marketing, and 
industry issues. 
 
In line with its primary focus, the Board retains responsibility for all the 
key elements of the Company's strategy and business model, including: 
 
-        Investment Objective, Policy and Benchmark, incorporating the 
investment and derivative guidelines and limits, and changes to these; 
 
-        maximum level of gearing and leverage the Company may employ; 
 
-        review of performance against the Company's KPIs; 
 
-        review of the performance and continuing appointment of service 
providers; and 
 
-        maintenance of an effective system of oversight, risk management and 
corporate governance. 
 
The Investment Objective, Policy, and Benchmark, including the related limits 
and guidelines, are set out in the Strategic Report, along with details of the 
gearing and leverage levels allowed. 
 
Details of the principal KPIs and further information on the principal service 
providers, their performance and continuing appointment, along with details of 
the principal risks, and how they are managed, follow within this Business 
Review. 
 
The Corporate Governance report includes a statement of compliance with 
corporate governance codes and best practice, and the Business Review includes 
details of the internal control and risk management framework within which the 
Board operates. 
 
Key performance indicators (KPI) 
 
The Board assesses the Company's performance in meeting its objectives against 
key performance indicators (also referred to as Alternative Performance 
Measures) as follows: 
 
-        Net asset value ('NAV') per share total return against the Benchmark; 
 
-        Discount/premium of share price to NAV per share; and 
 
-        Ongoing charges ratio. 
 
Information on the Company's performance is provided in the Chairman's 
Statement and the Portfolio Manager's Review. Further information regarding 
these Alternative Performance Measures can be found in the Glossary. 
 
NAV per share total return against the Benchmark 
 
The Directors regard the Company's NAV per share total return as being the 
overall measure of value delivered to shareholders over the long term. This 
reflects both net asset value growth of the Company and dividends paid to 
shareholders. 
 
The Board considers the most important comparator, against which to assess the 
NAV per share total return performance, to be the MSCI World Health Care Index 
measured on a net total return, sterling adjusted basis. Frostrow and OrbiMed 
have flexibility in managing the investments and are not limited by the 
constraints of the Benchmark. As a result, investment decisions may be made 
that differentiate the Company from the Benchmark and therefore the Company's 
performance may also be different to that of the Benchmark. 
 
A full description of performance during the year under review is contained in 
the Portfolio Manager's Review. 
 
Share price discount/premium to NAV per share 
 
The share price discount/premium to NAV per share is considered a key indicator 
of performance as it impacts the share price total return of shareholders and 
can provide an indication of how investors view the Company's performance and 
its Investment Objective. 
 
Ongoing charges ratio 
 
The Board continues to be conscious of expenses and works hard to maintain a 
balance between good quality service and costs. 
 
Principal service providers 
 
The principal service providers to the Company are the AIFM, Frostrow Capital 
LLP (Frostrow), the Portfolio Manager, OrbiMed Capital LLC (OrbiMed), the 
Custodian and Prime Broker J.P. Morgan Securities LLC, and the Depositary, J.P. 
Morgan Europe Limited. Details of their key responsibilities follow and further 
information on their contractual arrangements with the Company are included in 
the Report of the Directors. 
 
Alternative Investment Fund Manager (AIFM) 
 
Frostrow under the terms of its AIFM agreement with the Company provides, inter 
alia, the following services: 
 
-        oversight of the portfolio management function delegated to OrbiMed 
Capital LLC; 
 
-        investment portfolio administration and valuation; 
 
-        risk management services; 
 
-        marketing and shareholder services; 
 
-        share price discount and premium management; 
 
-        administrative and secretarial services; 
 
-        advice and guidance in respect of corporate governance requirements; 
 
-        maintains the Company's accounting records; 
 
-        maintenance of the Company's website; 
 
-        preparation and dispatch of annual and half year reports and monthly 
fact sheets; and 
 
-        ensuring compliance with applicable legal and regulatory requirements. 
 
During the year, under the terms of the AIFM Agreement, Frostrow received a fee 
as follows: 
 
On market capitalisation up to GBP150 million: 0.3%; in the range GBP150 million to 
GBP500 million: 0.2%; in the range GBP500 million to GBP1 billion: 0.15%; in the 
range GBP1 billion to GBP1.5 billion: 0.125%; over GBP1.5 billion: 0.075%. In 
addition, Frostrow receives a fixed fee per annum of GBP57,500. 
 
Frostrow is no longer entitled to performance fees, however it was entitled to 
receive any performance fee that crystallised during the year ended 31 March 
2018 in respect of cumulative outperformance attained by 31 March 2017. 
 
Portfolio Manager 
 
OrbiMed under the terms of its portfolio management agreement with the AIFM and 
the Company provides, inter alia, the following services: 
 
-        the seeking out and evaluating of investment opportunities; 
 
-        recommending the manner by which monies should be invested, 
disinvested, retained or realised; 
 
-        advising on how rights conferred by the investments should be 
exercised; 
 
-        analysing the performance of investments made; and 
 
-        advising the Company in relation to trends, market movements and other 
matters which may affect the investment objective and policy of the Company. 
 
OrbiMed receives a base fee of 0.65% of NAV and a performance fee of 15% of 
outperformance against the Benchmark. 
 
Depositary, Custodian and Prime Broker 
 
J.P. Morgan Europe Limited acts as the Company's Depositary and J.P. Morgan 
Securities LLC as its Custodian and Prime Broker. 
 
J.P. Morgan Europe Limited, as Depositary, must take reasonable care to ensure 
that the Company is managed in accordance with the Financial Conduct 
Authority's Investment Funds Sourcebook, the AIFMD and the Company's Articles 
of Association. The Depositary must in the context of this role act honestly, 
fairly, professionally, independently and in the interests of the Company and 
its shareholders. 
 
The Depositary receives a variable fee based on the size of the Company. 
 
J.P. Morgan Europe Limited has discharged certain of its liabilities as 
Depositary to J.P. Morgan Securities LLC. J.P. Morgan Securities LLC, as 
Custodian and Prime Broker, provides the following services under its agreement 
with the Company: 
 
-        safekeeping and custody of the Company's investments and cash; 
 
-        processing of transactions; 
 
-        provision of an overdraft facility. Assets up to 140% of the value of 
the outstanding overdraft can be taken as collateral. Such assets may be used 
by the Prime Broker and such use may include being loaned, sold, rehypothecated 
or transferred by the Prime Broker; and 
 
-        foreign exchange services. 
 
AIFM and Portfolio Manager evaluation and re-appointment 
 
The performance of the AIFM and the Portfolio Manager is reviewed continuously 
by the Board and the Company's Management Engagement & Remuneration Committee 
(the "Committee") with a formal evaluation being undertaken each year. As part 
of this process, the Committee monitors the services provided by the AIFM and 
the Portfolio Manager and receives regular reports and views from them. The 
Committee also receives comprehensive performance measurement reports to enable 
it to determine whether or not the performance objectives set by the Board have 
been met. The Committee reviewed the appropriateness of the appointment of the 
AIFM and the Portfolio Manager in March 2018 with a positive recommendation 
being made to the Board. 
 
The Board believes the continuing appointment of the AIFM and the Portfolio 
Manager is in the interests of shareholders as a whole. In coming to this 
decision, it took into consideration, inter alia, the following: 
 
-        the quality of the service provided and the depth of experience of the 
company management, company secretarial, administrative and marketing team that 
the AIFM allocates to the management of the Company; and 
 
-        the quality of the service provided and the quality and depth of 
experience allocated by the Portfolio Manager to the management of the 
portfolio and the long-term performance of the portfolio in absolute terms and 
by reference to the Benchmark. 
 
Principal risks 
 
In fulfilling its oversight and risk management responsibilities, the Board 
maintains a framework of key risks which affect the Company and the related 
internal controls designed to enable the Directors to manage and/or mitigate 
these risks. The risks can be categorised under the following broad headings: 
 
-        Investment (including leverage risks); 
 
-        Operational (including financial, corporate governance, accounting, 
legal, cyber security and regulatory risks); and 
 
-        Strategic (including shareholder relations and share price 
performance). 
 
Further information on the internal control and the risk management framework 
can be found below and information on the use of financial instruments and 
their associated risks, including exposures to market risk and counterparty 
risk can be found in note 16. 
 
The following section details the risks the Board consider to be the most 
significant to the Company. 
 
Market risks 
 
By the nature of its activities and Investment Objective, the Company's 
portfolio is exposed to fluctuations in market prices (from both individual 
security prices and foreign exchange rates) and due to exposure to the global 
healthcare sector, it is expected to have higher volatility than the wider 
market. As such investors should be aware that by investing in the Company they 
are exposing themselves to market risks and those additional risks specific to 
the sectors in which the Company invests, such as political interference in 
drug pricing. In addition, the Company uses leverage (both through derivatives 
and gearing) the effect of which is to amplify the gains or losses the Company 
experiences. 
 
To manage these risks the Board and the AIFM have appointed OrbiMed to manage 
the investment portfolio within the remit of the investment objective and 
policy, and imposed various limits and guidelines. These limits ensure that the 
portfolio is diversified, reducing the risks associated with individual stocks, 
and that the maximum exposure (through derivatives and an overdraft facility) 
is limited. The compliance with those limits and guidelines is monitored daily 
by Frostrow and OrbiMed and reported to the Board monthly. 
 
In addition, OrbiMed reports at each Board meeting on the performance of the 
Company's portfolio, which encompasses the rationale for stock selection 
decisions, the make-up of the portfolio, potential new holdings and, derivative 
activity and strategy (further details on derivatives can be found in note 16. 
 
The Company does not currently hedge its currency exposure. 
 
Investment management key person risk 
 
There is a risk that the individuals responsible for managing the Company's 
portfolio may leave their employment or may be prevented from undertaking their 
duties. 
 
The Board manage this risk by: 
 
-        appointing OrbiMed, who operate a team environment such that the loss 
of any individual should not impact on service levels; 
 
-        receiving reports from OrbiMed at each Board meeting, such report 
includes any significant changes in the make-up of the team supporting the 
Company; 
 
-        meeting the wider team, outside the designated lead managers, at 
OrbiMed's offices and encouraging the participation of the wider OrbiMed team 
in investor updates; and 
 
-        delegating to the Management Engagement & Remuneration Committee, 
responsibility to perform an annual review of the service received from 
OrbiMed, including, inter alia, the team supporting the lead managers and 
succession planning. 
 
Counterparty risk 
 
In addition to market and foreign currency risks, discussed above, the Company 
is exposed to credit risk arising from the use of counterparties. If a 
counterparty were to fail, the Company could be adversely affected through 
either delay in settlement or loss of assets. 
 
The most significant counterparty the Company is exposed to is J.P. Morgan 
Securities LLC which is responsible for the safekeeping of the Company's assets 
and provides the overdraft facility to the Company. As part of the arrangements 
with J.P. Morgan Securities LLC they may take assets, up to 140% of the value 
of the drawn overdraft, as collateral and have first priority security interest 
or lien over all of the Company's assets. Such assets taken as collateral may 
be used, loaned, sold, rehypothecated or transferred by J.P. Morgan Securities 
LLC, although the Company maintains the economic benefit from the ownership of 
those assets it does not hold any of the rights associated with those assets. 
Any of the Company's assets taken as collateral are not covered by the custody 
arrangements provided by J.P. Morgan Securities LLC. The Company is, however, 
afforded protection in accordance with SEC rules and U.S. legislation equal to 
the value of the assets that have been rehypothecated. 
 
Credit risk is managed by the Board through: 
 
-        reviews of the arrangements with, and services provided by, the 
Depositary and the Custodian and Prime Broker to ensure that the security of 
the Company's assets is being maintained. Legal opinions are sought, where 
appropriate, as part of this review. Also, the Board regularly monitors the 
credit rating of the Company's Custodian and Prime Broker; 
 
-        monitoring of the assets taken as collateral (further details can be 
found in note 16); 
 
-        reviews of OrbiMed's approved list of counterparties, the Company's 
use of those counterparties and OrbiMed's process for monitoring, and adding 
to, the approved counterparty list; 
 
-        monitoring of counterparties, including reviews of internal control 
reports and credit ratings, as appropriate; 
 
-        by only investing in markets that operate DVP (Delivery Versus 
Payment) settlement. The process of DVP mitigates the risk of losing the 
principal of a trade during the settlement process; and 
 
-        J.P. Morgan Securities LLC is subject to regular monitoring by J.P. 
Morgan Europe Limited, the Company's Depositary, and the Board receives regular 
reports from J.P. Morgan Europe Limited. 
 
Service provider risk 
 
The Board is reliant on the systems of the Company's service providers and as 
such disruption to, or a failure of, those systems could lead to a failure to 
comply with law and regulations leading to reputational damage and/or financial 
loss to the Company. 
 
To manage these risks the Board: 
 
-        receives a monthly compliance report from Frostrow, which includes, 
inter alia, details of compliance with applicable laws and regulations; 
 
-        reviews internal control reports, key policies, including measures 
taken to combat cyber security issues, and also disaster recovery procedures of 
its service providers; 
 
-        maintains a risk matrix with details of risks the Company is exposed 
to, the controls relied on to manage those risks and the frequency of the 
controls operation; and 
 
-        receives updates on pending changes to the regulatory and legal 
environment and progress towards the Company's compliance with these. 
 
Shareholder relations and share price performance risk 
 
The Company is also exposed to the risk, particularly if the investment 
strategy and approach are unsuccessful, that the Company may underperform 
resulting in the Company becoming unattractive to investors and a widening of 
the share price discount to NAV per share. 
 
In managing this risk the Board: 
 
-        reviews the Company's Investment Objective in relation to market, and 
economic, conditions and the operation of the Company's peers; 
 
-        discusses at each Board meeting the Company's future development and 
strategy; 
 
-        reviews the shareholder register at each Board meeting; 
 
-        actively seeks to promote the Company to current and potential 
investors; and 
 
-        has implemented a discount control mechanism. 
 
The operation of the discount control mechanism and Company promotional 
activities have been delegated to Frostrow, who report to the Board at each 
Board meeting on these activities. 
 
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 and stable shareholder register and will 
trade at a superior rating to its peers. 
 
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 talks and 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 
annual investment seminars, 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 Fact Sheets, Annual 
Reports and updates from OrbiMed on 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. 
 
Discount control mechanism (DCM) 
 
The Board undertakes a regular review of the level of discount/premium and 
consideration is given to ways in which share price performance may be 
enhanced, including the effectiveness of marketing, share issuance and share 
buy-backs, where appropriate. 
 
The Board implemented the DCM in 2004. This established a target level of no 
more than a 6% share price discount to the ex-income NAV per share. 
 
Under the DCM, the Company's shares being offered on the stock market, when the 
discount reaches a level of 6% or more, may be bought back and held as treasury 
shares (See Glossary). Treasury shares can be sold back to the market at a 
later date at a discount narrower than that at which they were bought and no 
greater than a 5% discount to the cum income NAV per share. 
 
Shareholders should note, however, that it remains possible for the share price 
discount to the NAV per share to be greater than 6% on any one day. This is due 
to the fact that the share price continues to be influenced by overall supply 
and demand for the Company's shares in the secondary market. The volatility of 
the NAV per share in an asset class such as healthcare is another factor over 
which the Board has no control. 
 
In recent years the Company's successful performance has generated substantial 
investor interest. Whenever there are unsatisfied buying orders for the 
Company's shares in the market, the Company has the ability to issue new shares 
at a small premium to the cum income NAV per share. This is an effective share 
price premium management tool. 
 
Details of share buy-backs and issuance are set out in the Governance section 
of this Annual Report. 
 
Social, economic and environmental matters 
 
The Directors, through the Company's Portfolio Manager, encourage companies in 
which investments are made to adhere to best practice with regard to corporate 
governance. In light of the nature of the Company's business there are no 
relevant human rights issues and the Company does not have a human rights 
policy. 
 
The Company recognises that social and environmental issues can have an effect 
on some of its investee companies. 
 
The Company is an investment trust and so its own direct environmental impact 
is minimal. The Board of Directors consists of six Directors, four of whom are 
resident in the UK, one in Canada and one in the U.S. The Board holds the 
majority of its regular meetings in the United Kingdom, with one meeting held 
each year in New York, and has a policy that travel, as far as possible, is 
minimal, thereby minimising the Company's greenhouse gas emissions. Further 
details concerning greenhouse gas emissions can be found within the Report of 
the Directors. 
 
Board diversity 
 
The Company supports the objectives of the Davies Report to improve the 
performance of corporate boards by encouraging the appointment of the best 
people from a range of differing perspectives and backgrounds. The Company 
recognises the benefits of diversity on the Board, including gender, and will 
continue to take them into account in its Board appointments. 
 
Brexit 
 
The Board continues to consider the potential risks to the Company as a result 
of the UK's vote to leave the EU. Currently, other than the impact of exchange 
rates on the Company's investment values (which is covered under Market Risks), 
the Board does not consider that the Brexit vote has significantly altered the 
risk profile of the Company as substantially all the Company's investments are 
based outside the EU, and the majority of shareholders are UK based. 
 
Long term viability 
 
The Board has carried out a robust assessment of the principal risks facing the 
Company including those that would threaten its business model, future 
performance, solvency or liquidity. The Board has drawn up a matrix of risks 
facing the Company and has put in place a schedule of investment limits and 
restrictions, appropriate to the Company's investment objective and policy, in 
order to mitigate these risks as far as practicable. The principal risks and 
uncertainties which have been identified, and the steps taken by the Board to 
mitigate these as far as possible, are shown in the Business Review. 
 
The Board believes it is appropriate to assess the Company's viability over a 
five year period. This period is also deemed appropriate due to our Portfolio 
Manager's long-term investment horizon and also what we believe to be 
investors' horizons, taking account of the Company's current position and the 
potential impact of the principal risks and uncertainties as shown in the 
Business Review. 
 
The Directors also took into account the liquidity of the portfolio when 
considering the viability of the Company over the next five years and its 
ability to meet liabilities as they fall due. In addition, the Board noted that 
shareholders have an opportunity to vote on the continuation of the Company 
every five years; a resolution regarding the continuance of the Company will 
next be put to shareholders at the Annual General Meeting to be held in 2019. 
 
The Directors do not expect there to be any significant change in the principal 
risks that have been identified or the adequacy of the mitigating controls in 
place, and do not envisage any change in strategy or objectives or any events 
that would prevent the Company from continuing to operate over that period as 
the Company's assets are liquid, its commitments are limited and the Company 
intends to continue to operate as an investment trust. The Directors believe 
that only a substantial financial crisis affecting the global economy could 
have an impact on this assessment. 
 
Based on this assessment, the Directors have 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 -year period. 
 
Alternative performance measures 
 
The Financial Statements set out the required statutory reporting measures of 
the Company's financial performance. In addition, the Board assesses the 
Company's performance against a range of criteria which are viewed as 
particularly relevant for investment trusts and explained in greater detail in 
the Strategic Report, under the heading 'Key Performance Indicators'. 
 
Performance and future developments 
 
An outline of performance, investment activity and strategy, and market 
background during the year, as well as the future outlook, is provided in the 
Chairman's Statement and the Portfolio Manager's Review and Sector Outlook. 
 
It is expected that the Company's strategy will remain unchanged in the coming 
year. 
 
By order of the Board 
 
Frostrow Capital LLP 
 
Company Secretary 
 
15 June 2018 
 
Governance/Board of Directors 
 
Sir Martin Smith 
 
Independent Non-Executive Chairman. 
 
Joined the Board in 2007 and became Chairman in 2008. Remuneration: GBP47,700pa. 
 
Sir Martin Smith has been involved in the financial services sector for more 
than 40 years. He was a founder and senior partner of Phoenix Securities, 
becoming Chairman of European Investment Banking for Donaldson, Lufkin & 
Jenrette (DLJ) following the acquisition of Phoenix by DLJ. He was subsequently 
a founder of New Star Asset Management Ltd. and has a number of other 
directorships and business interests, including being Chairman of GP Bullhound, 
and a directorship with Oxford Capital Partners. 
 
His pro-bono interests include serving as Chairman of the Orchestra of the Age 
of Enlightenment and serving on the boards of a number of other arts 
organisations including the Glyndebourne Arts Trust and also ClientEarth. He 
has chaired the English National Opera and is a Governor of the Ditchley 
Foundation. 
 
Shareholding in the Company: 11,871 (Beneficial) 2,725 (Trustee) 
 
Sarah Bates 
 
Independent Non-Executive Director. 
 
Joined the Board in 2013. 
 
Remuneration: GBP30,130pa. 
 
Sarah is currently non-executive Chair of St James's Place plc. Sarah has 
announced her intention to retire from her responsibilities at St.James's Place 
and it is expected that this will take place in early July 2018. Sarah is also 
non-executive Chair of Polar Capital Technology Trust plc, and a former Chair 
of the Association of Investment Companies. Sarah is a member of the Investment 
Committee of the Universities Superannuation Scheme and from 1 July 2018, of 
the Investment Committee of the BBC Pension Scheme. Sarah is Chair of Trustees 
of the Diversity Group Charity and is a Trustee of the Liver Group Charity. She 
also has a number of voluntary appointments on charity investment committees. 
Sarah attended Cambridge University and has an MBA from London Business School. 
 
Shareholding in the Company: 7,200 
 
Sven Borho 
 
Non-Executive Director. 
 
Joined the Board in 2018. 
 
Remuneration: GBP30,130pa. 
 
Sven H. Borho, CFA, is a founder and Managing Partner of OrbiMed. Sven heads 
the public equity team and he is the portfolio manager for OrbiMed's public 
equity and hedge funds. He has been a portfolio manager for the firm's funds 
since 1993 and has played an integral role in the growth of OrbiMed's asset 
management activities. He started his career in 1991 when he joined OrbiMed's 
predecessor firm as a Senior Analyst covering European pharmaceutical firms and 
biotechnology companies worldwide. Sven studied business administration at 
Bayreuth University in Germany and received a M.Sc. (Econs.), Accounting and 
Finance, from The London School of Economics; he is a citizen of both Germany 
and Sweden. 
 
Sven does not sit on any of the Company's Board Committees. 
 
Shareholding in the Company: Nil 
 
Dr David Holbrook 
 
Independent Non-Executive Director. 
 
Joined the Board in 2007. 
 
Remuneration: GBP32,320pa. 
 
A qualified physician, David manages the new seed fund established by LifeArc 
(formerly known as MRC Technology). David is also a Trustee of the Liver Group 
Charity. He was formerly Investment Director of the life science activities of 
the seed fund of the University of Cambridge. David attended London and Oxford 
Universities, and has an MBA from Harvard Business School. He has held senior 
positions in a number of blue chip biopharmaceutical organisations including 
GlaxoSmithKline and Roche. 
 
David is Chairman of the Nominations Committee and is the Senior Independent 
Director. 
 
Shareholding in the Company: 1,094 
 
Humphrey van der Klugt, FCA 
 
Independent Non-Executive Director. 
 
Joined the Board in 2016. 
 
Remuneration GBP36,920pa. 
 
Humphrey is a Director of JPM Claverhouse Investment Trust plc and Allianz 
Technology Trust PLC. He was formerly Chairman of Fidelity European Values PLC 
and a Director of Murray Income Trust PLC and BlackRock Commodities Income 
Investment Trust plc. Prior to this Humphrey was a fund manager and Director of 
Schroder Investment Management Limited and in a 22 year career was a member of 
their Group Investment and Asset Allocation Committees. Prior to joining 
Schroders, he was with Peat Marwick Mitchell & Co (now KPMG) where he qualified 
as a Chartered Accountant in 1979. 
 
Humphrey is Chairman of the Audit Committee. 
 
Shareholding in the Company: 1,500 
 
Doug McCutcheon 
 
Independent Non-Executive Director. 
 
Joined the Board in 2012. 
 
Remuneration: GBP30,130pa. 
 
Doug is the President of Longview Asset Management Ltd. and Gormley Limited, 
independent investment firms. Until 2012, Doug was an investment banker at S.G. 
Warburg and then UBS for 25 years, most recently as the head of Healthcare 
Investment Banking for Europe, the Middle East, Africa and Asia-Pacific. Doug 
is involved in several philanthropic organisations with a focus on healthcare 
and education. He attended Queen's University, Canada. 
 
Doug is Chairman of the Management Engagement & Remuneration Committee. 
 
Shareholding in the Company: 15,000 
 
All Directors seek either appointment or re-appointment to the Board at the 
Annual General Meeting each year. 
 
Meeting attendance 
 
The number of scheduled meetings held during the year of the Board and its 
Committees, and each Director's attendance level, is shown below: 
 
                                                                                    Management 
 
                                                                                  Engagement & 
 
                                                     Board     Audit Nominations  Remuneration 
                                                           Committee    Committee    Committee 
 
Type and number of meetings held in 2017/18            (4)       (2)          (1)          (1) 
 
Sir Martin Smith^                                        4         -            1            1 
 
Sarah Bates                                              4         2            1            1 
 
Dr David Holbrook                                        4         2            1            1 
 
Samuel D. Isaly*                                         3         -            -            - 
 
Humphrey van der Klugt                                   4         2            1            1 
 
Doug McCutcheon                                          4         2            1            1 
 
*          Left the Board on 12 January 2018. Mr Isaly was not a member of any 
of the Company's Committees. 
 
^          Sir Martin is not a member of the Audit Committee 
 
Sven Borho joined the Board on 7 June 2018. He does not sit on any of the 
Company's Committees. 
 
All of the serving Directors attended the Annual General Meeting held on 14 
September 2017. 
 
Governance/Report of the Directors 
 
The Directors present their Annual Report on the affairs of the Company 
together with the audited financial statements and the Independent Auditors' 
Report for the year ended 31 March 2018. 
 
Significant agreements 
 
Details of the services provided under these agreements are included in the 
Strategic Report. 
 
Alternative Investment Fund Management agreement 
 
As described in the Business Review, Frostrow is the designated AIFM for the 
Company on the terms and subject to the conditions of the alternative 
investment fund management agreement between the Company and Frostrow (the 
"AIFM Agreement"). 
 
The notice period on the AIFM Agreement with Frostrow is 12 months, termination 
can be initiated by either party. 
 
During the year under review, Frostrow charged a variable base fee, which was 
dependent on the size of the Company. 
 
Portfolio management agreement 
 
Under the AIFM Agreement Frostrow has delegated the portfolio management 
function to OrbiMed, under a portfolio management agreement between it, the 
Company and Frostrow (the "Portfolio Management Agreement"). 
 
OrbiMed receives a periodic fee equal to 0.65% p.a. of the Company's NAV and a 
performance fee as set out in the Performance Fee section below. Its agreement 
with the Company may be terminated by either party giving notice of not less 
than 12 months. 
 
Performance fee 
 
Dependent on the level of long-term outperformance of the Company, OrbiMed is 
entitled to a performance fee. The performance fee is calculated by reference 
to the amount by which the Company's NAV performance has outperformed the 
Benchmark (see inside front cover for details of the Benchmark). 
 
The fee is calculated quarterly by comparing the cumulative performance of the 
Company's NAV with the cumulative performance of the Benchmark since the launch 
of the Company in 1995. The performance fee amounts to 15.0% of any 
outperformance over the Benchmark. Provision is made within the daily NAV per 
share calculation as required and in accordance with generally accepted 
accounting standards. 
 
In order to ensure that only sustained outperformance is rewarded, at each 
quarterly calculation date any performance fee payable is based on the lower 
of: 
 
(i)      The cumulative outperformance of the portfolio over the Benchmark as 
at the quarter end date; and 
 
(ii)     The cumulative outperformance of the portfolio over the Benchmark as 
at the corresponding quarter end date in the previous year. 
 
The effect of this is that outperformance has to be maintained for a 
twelve-month period before it is paid. 
 
In addition, a performance fee only becomes payable to the extent that the 
cumulative outperformance gives rise to a total fee greater than the total of 
all performance fees paid to date. 
 
The performance fee charge for the year was GBP9.7m and is represented by a 
provision for potential future performance fee payments of GBP9.7m as at 31 March 
2018. The 2017 charge of GBP4.7m comprised of a GBP3.4m provision for potential 
future performance fees as at 31 March 2017 and GBP1.3m of performance fees that 
crystallised and became payable during the year ended 31 March 2017. 
 
The maximum amount that could become payable by 31 March 2019 is GBP9.7m if the 
current level of outperformance is maintained. The GBP3.4m provided for as at 31 
March 2017 crystallised during the year. GBP2.4m has been paid in accordance with 
the performance fee provisions and GBP1.0m is payable as at 31 March 2018. 
 
Depositary agreement 
 
The Company appointed J.P. Morgan Europe Limited (the "Depositary") as its 
Depositary in accordance with the AIFMD on the terms and subject to the 
conditions of the Depositary agreement between the Company, Frostrow and the 
Depositary (the "Depositary Agreement"). 
 
Under the terms of the Depositary Agreement the Company has agreed to pay the 
Depositary a fee calculated at 1.75bp on net assets up to GBP150 million, 1.50 
bps on net assets between GBP150 million and GBP300 million, 1.00bps on net assets 
between GBP300 million and GBP500 million and 0.50bps on net assets above GBP500 
million. 
 
The Depositary has delegated the custody and safekeeping of the Company's 
assets to J.P. Morgan Securities LLC (the "Custodian and Prime Broker") 
pursuant to a delegation agreement between the Company, Frostrow, the 
Depositary and the Custodian and Prime Broker (the "Delegation Agreement"). 
 
The Delegation Agreement transfers the Depositary's liability for the loss of 
the Company's financial instruments held in custody by the Custodian and Prime 
Broker to the Custodian and Prime Broker in accordance with the AIFMD. The 
Company has consented to the transfer and reuse of its assets by the Custodian 
and Prime Broker (known as "rehypothecation") in accordance with the terms of 
an institutional account agreement between the Company, the Custodian and Prime 
Broker and certain other J.P. Morgan entities (as defined therein). 
 
Prime brokerage agreement 
 
The Company appointed J.P. Morgan Securities LLC on the terms and subject to 
the conditions of the prime brokerage agreement between the Company, Frostrow 
and the Depositary (the "Prime Brokerage Agreement"). The Custodian and Prime 
Broker receives interest on the drawn overdraft as detailed in note 12. 
 
The Custodian and Prime Broker is a registered broker-dealer and is regulated 
by the United States Securities and Exchange Commission. 
 
Continuation of the Company 
 
In accordance with the Company's Articles of Association, shareholders will 
have an opportunity to vote on the continuation of the Company at the 2019 
Annual General Meeting and every five years thereafter. 
 
The rules concerning the amendment of the Company's Articles of Association are 
contained in the Company's Articles of Association and in the Companies Act 
2006. 
 
Results and dividends 
 
The results attributable to shareholders for the year and the transfer to 
reserves are shown in the Financial Statements. Details of the Company's 
dividend record can be found in the Strategic Report. 
 
Beneficial owners of shares - information rights 
 
Beneficial owners of shares who have been nominated by the registered holder of 
those shares to receive information rights under section 146 of the Companies 
Act 2006 are required to direct all communications to the registered holder of 
their shares rather than to the Company's registrar, Link Asset Services, or to 
the Company directly. 
 
Directors' & officers' liability insurance cover 
 
Directors' & officers' liability insurance cover was maintained by the Company 
during the year ended 31 March 2018. It is intended that this policy will 
continue for the year ending 31 March 2019 and subsequent years. 
 
Substantial interests in share capital 
 
The Company was aware of the following substantial interests in the voting 
rights of the Company as at 31 May 2018, the latest practicable date before 
publication of the Annual Report: 
 
                                                        31 May 2018       31 March 2018 
 
                                                     Number of     % of Number of     % of 
                                                                 issued             issued 
 
Shareholder                                             shares    share    shares    share 
                                                                capital            capital 
 
Investec Wealth & Investment Limited                 6,074,115     12.2 6,080,733     12.2 
 
Alliance Trust Savings Limited                       3,105,309      6.2 3,044,751      6.1 
 
Rathbone Brothers plc                                2,969,141      5.9 2,959,766      5.9 
 
Hargreaves Lansdown plc                              2,428,970      4.9 2,435,123      4.9 
 
Charles Stanley & Co Limited                         2,359,221      4.7 2,267,585      4.6 
 
Speirs & Jeffrey Limited                             2,149,338      4.3 2,136,223      4.3 
 
Quilter Cheviot Investment Management                2,033,143      4.1 2,076,343      4.2 
 
As at 31 March 2018 the Company had 49,861,778 shares in issue. As at 31 May 
2018 there were 49,968,778 shares in issue. 
 
Directors' indemnities 
 
During the year under review and to the date of this report, indemnities were 
in force between the Company and each of its Directors under which the Company 
has agreed to indemnify each Director, to the extent permitted by law, in 
respect of certain liabilities incurred as a result of carrying out his or her 
role as a Director of the Company. The Directors are also indemnified against 
the costs of defending any criminal or civil proceedings or any claim by the 
Company or a regulator as they are incurred provided that where the defence is 
unsuccessful the Director must repay those defence costs to the Company. The 
indemnities are qualifying third party indemnity provisions for the purposes of 
the Companies Act 2006. 
 
A copy of each deed of indemnity is available for inspection at the Company's 
registered office during normal business hours and will be available for 
inspection at the Annual General Meeting. 
 
Capital structure 
 
The Company's capital structure is composed solely of ordinary shares. 
 
During the year under review and to the date of this report, no shares were 
bought back by the Company to be held in treasury. During the year, a total of 
3,355,000 new shares were issued at an average premium of 0.7% to the 
prevailing cum income NAV per share. 
 
Since the year end, to the date of this report, 107,500 new shares have been 
issued at an average premium of 0.7% to the prevailing cum income NAV per 
share. 
 
Voting rights in the Company's shares 
 
Details of the voting rights in the Company's shares at the date of this Annual 
Report are given in note 9 to the Notice of Annual General Meeting. 
 
Political and charitable donations 
 
The Company has not in the past and does not intend in the future to make 
political or charitable donations. 
 
Modern Slavery Act 2015 
 
The Company does not provide goods or services in the normal course of 
business, and as a financial investment vehicle does not have customers. The 
Directors do not therefore consider that the Company is required to make a 
statement under the Modern Slavery Act 2015 in relation to slavery or human 
trafficking. 
 
Anti-bribery and corruption policy 
 
The Board has adopted a zero tolerance approach to instances of bribery and 
corruption. Accordingly it expressly prohibits any Director or associated 
persons when acting on behalf of the Company, from accepting, soliciting, 
paying, offering or promising to pay or authorise any payment, public or 
private in the UK or abroad to secure any improper benefit for themselves or 
for the Company. 
 
The Board ensures that its service providers apply the same standards in their 
activities for the Company. 
 
A copy of the Company's Anti Bribery and Corruption Policy can be found on its 
website at www.worldwidewh.com. The policy is reviewed regularly by the Audit 
Committee. 
 
Criminal Finances Act 2017 
 
The Company has a commitment to zero tolerance towards the criminal 
facilitation of tax evasion. 
 
Global greenhouse gas emissions 
 
The Company has no greenhouse gas emissions to report from its operations, nor 
does it have responsibility for any other emissions producing sources under 
Large and Medium sized Companies and Groups (Accounts and Reports) Regulations 
2008 (as amended), including those within our underlying investment portfolio. 
 
Common Reporting Standard (CRS) 
 
CRS is a global standard for the automatic exchange of information commissioned 
by the Organisation for Economic Cooperation and Development and incorporated 
into UK law by the International Tax Compliance Regulations 2015. CRS requires 
the Company to provide certain additional details to HMRC in relation to 
certain shareholders. The reporting obligation began in 2016 and will be an 
annual requirement going forward. The Registrars, Link Asset Services, have 
been engaged to collate such information and file the reports with HMRC on 
behalf of the Company. 
 
Requirements of the Listing Rules 
 
Listing Rule 9.8.4 requires the Company to include certain information in a 
single identifiable section of the Annual Report or a cross reference table 
indicating where the information is set out. The Directors confirm that there 
are no disclosures to be made in this regard. 
 
By order of the Board 
 
Frostrow Capital LLP 
 
Company Secretary 
 
15 June 2018 
 
Governance/Statement of Directors' Responsibilities 
 
The Directors are responsible for preparing the Financial Statements in 
accordance with applicable law and regulations. In preparing these financial 
statements, the Directors have: 
 
-        selected suitable accounting policies and applied them consistently; 
 
-        made judgements and estimates that are reasonable and prudent; 
 
-        followed applicable UK accounting standards; and 
 
-        prepared the financial statements on a going concern basis. 
 
The Directors are responsible for keeping adequate accounting records which 
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 Report of the Directors and 
other information included in the Annual Report is prepared in accordance with 
company law in the United Kingdom. They are also responsible for ensuring that 
the Annual Report includes information required by the Listing Rules of the 
FCA. 
 
The financial statements are published on the Company's website 
www.worldwidewh.com and via Frostrow's website www.frostrow.com. The 
maintenance and integrity of these websites, so far as it relates to the 
Company, is the responsibility of Frostrow. The work carried out by the 
Auditors does not involve consideration of the maintenance and integrity of 
these websites and, accordingly, the Auditors accept no responsibility for any 
changes that have occurred to the financial statements since they were 
initially presented on these websites. Visitors to the websites need to be 
aware that legislation in the United Kingdom governing the preparation and 
dissemination of the financial statements may differ from legislation in their 
jurisdiction. 
 
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 the foreseeable future, 
being taken as 12 months after approval of the financial statements. In 
considering this, the Directors took into account the diversified portfolio of 
readily realisable securities which can be used to meet funding commitments and 
the ability of the Company to meet all of its liabilities, including the 
overdraft and ongoing expenses from its assets. 
 
Disclosure of information to the auditors 
 
So far as the Directors are aware, there is no relevant information of which 
the Auditors are unaware. The Directors have taken all steps they ought to have 
taken to make themselves aware of any relevant audit information and to 
establish that the Auditors are aware of such information. 
 
Responsibility statement of the directors in respect of the annual financial 
report 
 
The Directors confirm to the best of their knowledge that: 
 
-        the Financial Statements, within this Annual Report, have been 
prepared in accordance with applicable accounting standards, give a true and 
fair view of the assets, liabilities, financial position and the return for the 
year ended 31 March 2018; 
 
-        the Chairman's Statement, Strategic Report and the Report of the 
Directors include a fair review of the information required by 4.1.8R to 
4.1.11R of the FCA's Disclosure and Transparency Rules; and 
 
-        the Annual Report and Financial Statements taken as a whole are fair, 
balanced and understandable and provide the information necessary to assess the 
Company's performance, business model and strategy. 
 
On behalf of the Board 
 
Sir Martin Smith 
 
Chairman 
 
15 June 2018 
 
Governance/Corporate Governance 
 
Corporate Governance Statement 
 
The Corporate Governance Statement forms part of the Report of the Directors. 
 
The Board is committed to achieving and demonstrating high standards of 
Corporate Governance. 
 
The Board has considered the principles and recommendations of the AIC Code of 
Corporate Governance ('AIC Code'), and by reference to the AIC Corporate 
Governance Guide for Investment Companies ('AIC Guide') (which incorporates the 
UK Corporate Governance Code ('UK Code')), will provide better information to 
shareholders. 
 
The Financial Reporting Council has confirmed that by following the AIC Code 
and the AIC Guide, boards of investment companies will meet their obligations 
in relation to the UK Code and paragraph 9.8.6 of the UK Listing Rules. 
 
The AIC Code and AIC Guide address the principles set out in the UK Code as 
well as additional principles and recommendations on issues that are specific 
to investment trusts. The AIC Code can be viewed at www.theaic.co.uk. 
 
The Principles of the AIC Code 
 
The AIC Code is made up of 21 principles split into three sections covering: 
 
-        The Board 
 
-        Board Meetings and relations with OrbiMed and Frostrow 
 
-        Shareholder Communications 
 
Statement of Compliance 
 
The Company has complied with the recommendations of the AIC Code and the 
relevant provisions of the UK Corporate Governance Code, except as follows: 
 
The UK Code includes certain provisions relating to: 
 
-        the role of the chief executive 
 
-        executive directors' remuneration 
 
-        the need for an internal audit function 
 
For the reasons set out in the AIC Guide, the Board considers these provisions 
are not relevant to the position of the Company, being an externally managed 
investment company. In particular, all of the Company's day-to-day management 
and administrative functions are outsourced to third parties. As a result, the 
Company has no executive directors, employees or internal operations. 
Therefore, with the exception of the need for an internal audit function which 
is addressed further in the Audit Committee Report, the Company has not 
reported further in respect of these provisions. 
 
The Board 
 
AIC Code Principle          Compliance Statement 
 
1.  The Chairman should     The Chairman, Sir Martin Smith, continues to be independent 
    be independent.         of the AIFM and the Portfolio Manager. There is a clear 
                            division of responsibility between the Chairman, the 
                            Directors, the AIFM, the Portfolio Manager and the Company's 
                            other third party service providers. The Chairman is 
                            responsible for the leadership of the Board and for ensuring 
                            its effectiveness in all aspects of its role. 
 
2.  A majority of the       The Board consists of six non-executive Directors. With the 
    Board should be         exception of Sven Borho, all Directors are considered by the 
    independent of the      Board to be independent of the AIFM and the Portfolio 
    manager.                Manager. No member of the Board is a Director of another 
                            investment company managed by Frostrow or OrbiMed, nor (with 
                            the exception of Samuel D. Isaly, until 12 January 2018, the 
                            date he ceased to be a Director of the Company, and Sven 
                            Borho) has any Board member been an employee of the Company, 
                            OrbiMed, Frostrow or any of its service providers. Sir Martin 
                            Smith and Dr David Holbrook have both served on the Board for 
                            more than nine years from the date of their first election. 
                            Given the strongly independent mindsets of Sir Martin Smith 
                            and Dr Holbrook, the Board is firmly of the view that they 
                            can be considered independent. 
 
3.  Directors should be     All Directors submit themselves for annual election or 
    submitted for           re-election by shareholders. 
    re-election at          The individual performance of each Director standing for 
    regular intervals.      election or re-election is evaluated annually by the 
    Nomination for          remaining members of the Board and, if considered 
    re-election should      appropriate, a recommendation is made that shareholders vote 
    not be assumed but be   in favour of their election or re-election at the Annual 
    based on disclosed      General Meeting. 
    procedures and          Sven Borho joined the Board on 7 June 2018. Accordingly, a 
    continued               resolution proposing his appointment as a Director of the 
    satisfactory            Company will be considered by shareholders at the Annual 
    performance.            General Meeting to be held on 20 September 2018. 
 
4.  The Board should have   The Nominations Committee considers the structure of the 
    a policy on tenure,     Board and recognises the need for progressive refreshment. 
    which is disclosed in   The Board subscribes to the view expressed within the AIC 
    the annual report.      Code that long-serving Directors should not be prevented from 
                            forming part of an independent majority. It does not consider 
                            that a Director's tenure necessarily reduces their ability to 
                            act independently and, following formal performance 
                            evaluations, believes that each of the independent Directors 
                            is independent in character and judgment and that there are 
                            no relationships or circumstances which are likely to affect 
                            their judgment. 
                            The Board's policy on tenure is that continuity and 
                            experience are considered to add significantly to the 
                            strength of the Board and, as such, no limit on the overall 
                            length of service of any of the Company's Directors, 
                            including the Chairman, has been imposed. In view of its 
                            non-executive nature, the Board considers that it is not 
                            appropriate for the Directors to be appointed for a specified 
                            term, although new Directors are appointed with the 
                            expectation that they will serve for a minimum period of 
                            three years subject to shareholder approval. 
                            The terms and conditions of the Directors' appointments are 
                            set out in letters of appointment which are available for 
                            inspection on request at the office of the Company's AIFM and 
                            at the Annual General Meeting. 
 
5.  There should be full    The Directors' biographical details, set out in the 
    disclosure of           Governance section of this Annual Report, demonstrate the 
    information about the   wide range of skills and experience that they bring to the 
    Board.                  Board. 
                            Details of the Board's Committees and their composition are 
                            set out in the Corporate Governance section of this Annual 
                            Report. 
 
6.  The Board should aim    The Nominations Committee considers annually the skills 
    to have a balance of    possessed by the Board and identifies any skill shortages to 
    skills, experience,     be filled by new Directors. Following a skills audit carried 
    length of service and   out during the year it was agreed that the Board was equipped 
    knowledge of the        with the necessary skills and experience required for the 
    company.                sound stewardship of the Company and to enable the Directors 
                            to hold meaningful debates at its meetings. When considering 
                            new appointments, the Committee reviews the skills of the 
                            Directors and seeks to add persons with complementary skills 
                            or who possess the skills and experience which fill any gaps 
                            in the Board's knowledge or experience and who can devote 
                            sufficient time to the Company to carry out their duties 
                            effectively. 
                            The experience of the current Directors is detailed in their 
                            biographies set out in the Governance section of this Annual 
                            Report. 
                            The Company's policy on diversity is set out in the Business 
                            Review. 
 
7.  The Board should        During the year an external independent review of the Board, 
    undertake a formal      its committees and individual Directors was carried out by an 
    and rigorous annual     independent third party, Lintstock. 
    evaluation of its own   The Board reviewed the report from Lintstock in June 2018 and 
    performance and that    the Chairman is leading on implementing those changes 
    of its committees and   recommended by the report that the Board considered should be 
    individual directors.   made. The review concluded that the Board worked in a 
                            collegiate efficient and effective manner, and did not 
                            identify any material weaknesses or concerns. 
                            The Board is satisfied that the structure, mix of skills and 
                            operation of the Board continue to be effective and relevant 
                            for the Company. 
                            Further independent review will be commissioned in 2021. 
 
8.  Director remuneration   The Management Engagement & Remuneration Committee reviews 
    should reflect their    the fees paid to the Directors and compares these with the 
    duties,                 fees paid by the Company's peer group and the investment 
    responsibilities and    trust industry generally, taking into account the level of 
    the value of their      commitment and responsibility of each Board member. Details 
    time spent.             on the remuneration arrangements for the Directors of the 
                            Company can be found in the Directors' Remuneration Report. 
                            Individual Directors take no part in discussions regarding 
                            their own remuneration. The Board periodically takes advice 
                            from external independent advisers on Directors' 
                            remuneration. 
 
9.  The Independent         Subject to there being no conflicts of interest, all members 
    Directors should take   of the Nominations Committee are entitled to vote on 
    the lead in the         candidates for the appointment of new Directors and on the 
    appointment of new      recommendation for shareholders' approval of the Directors 
    Directors and the       seeking election or re-election at the Annual General 
    process should be       Meeting. The membership of the Committee comprises solely 
    disclosed in the        those Directors considered to be independent by the Board. 
    annual report.          Details of the Board's commitment to Diversity are set out in 
                            the Business Review. 
                            The appointment of Sven Borho to the Board was considered and 
                            agreed by the independent Directors. A specialist recruitment 
                            firm was not engaged as part of this process. 
 
10. Directors should be     New appointees to the Board are provided with a full 
    offered relevant        induction programme. The programme covers the Company's 
    training and            investment strategy, policies and practices. The Directors 
    induction.              are also given key information on the Company's regulatory 
                            and statutory requirements as they arise including 
                            information on the role of the Board, matters reserved for 
                            its decision, the terms of reference for the Board 
                            Committees, the Company's corporate governance practices and 
                            procedures and the latest financial information. It is the 
                            Chairman's responsibility to ensure that the Directors have 
                            sufficient knowledge to fulfil their role and Directors are 
                            encouraged to participate in training courses where 
                            appropriate. 
                            The Directors have access to the advice and services of a 
                            Company Secretary, through Frostrow, who is responsible to 
                            the Board for ensuring that Board procedures are followed and 
                            that applicable rules and regulations are complied with. The 
                            Company Secretary is also responsible for ensuring good 
                            information flows between all parties. 
 
11. The Chairman (and the   Principle 11 applies to the launch of new investment 
    Board) should be        companies and is not applicable to the Company. 
    brought into the 
    process of 
    structuring a new 
    launch at an early 
    stage. 
 
Board Meetings and relations with the Frostrow and OrbiMed 
 
12. Boards and managers      The Board meets regularly throughout the year and a 
    should operate in a      representative of the AIFM and the Portfolio Manager is in 
    supportive,              attendance at each Board meeting. The Chairman encourages 
    co-operative and open    open debate to foster a supportive and co-operative approach 
    environment.             for all participants. 
 
13. The primary focus at     The Board has agreed a schedule of matters specifically 
    regular board            reserved for decision by the Board. This includes 
    meetings should be a     establishing the investment objectives, strategy and 
    review of investment     benchmarks, the permitted types or categories of 
    performance and          investments, the markets in which transactions may be 
    associated matters,      undertaken, the amount or proportion of the assets that may 
    such as gearing,         be invested in any category of investment or in any one 
    asset allocation,        investment, and the Company's share issuance and share 
    marketing/ investor      buy-back policies. 
    relations, peer group    The Board, at its regular meetings, undertakes reviews of 
    information and          key investment and financial data, revenue projections and 
    industry issues.         expenses, analyses of asset allocation, transactions and 
                             performance comparisons, share price and net asset value 
                             performance, marketing and shareholder communication 
                             strategies, the risks associated with pursuing the 
                             investment strategy, peer group information and industry 
                             issues. 
 
14. Boards should give       The Board is responsible for strategy and has established an 
    sufficient attention     annual programme of agenda items under which it reviews the 
    to overall strategy.     objectives and strategy for the Company at each meeting. 
 
15. The Board should         The Board has delegated the following activities to its 
    regularly review both    committees: 
    the performance of,      The Management Engagement & Remuneration Committee meets at 
    and contractual          least once a year and reviews the performance of the AIFM 
    arrangements with,       and the Portfolio Manager. This Committee considers the 
    the AIFM and the         quality, cost and remuneration method (including the 
    Portfolio manager (or    performance fee) of the service provided by the AIFM and the 
    executives of a          Portfolio Manager against their contractual obligations. It 
    self-managed             also considers the performance analysis provided by the AIFM 
    company).                and the Portfolio Manager. 
                             The Audit Committee reviews the risk matrix and oversees the 
                             risk and control environment of the Company, including 
                             monitoring the internal control system in operation at its 
                             principal service providers. Further details can be found in 
                             the Audit Committee Report. 
 
16. The Board should         The Portfolio Management Agreement between the Company, the 
    agree policies with      AIFM and the Portfolio Manager sets out the limits of the 
    the AIFM and the         Portfolio Manager's authority, beyond which Board approval 
    Portfolio Manager        is required. The Board has agreed detailed guidelines and 
    covering key             limits with the AIFM and the Portfolio Manager, which are 
    operational issues.      considered at each Board meeting. 
                             Representatives from the AIFM and the Portfolio Manager 
                             attends each meeting of the Board to address questions on 
                             specific matters and to seek approval for specific 
                             transactions which the Portfolio Manager is required to 
                             refer to the Board. 
                             The AIFM has delegated the management of the Company's 
                             portfolio and also the voting powers relating to the 
                             securities held therein to the Portfolio Manager. 
                             Contentious or sensitive matters are referred to the Board 
                             for consideration. 
                             The Board has reviewed the Portfolio Manager's Proxy Voting 
                             and Class Action Policy which includes its Corporate 
                             Governance and Voting Guidelines. 
                             Reports on commissions paid by the Portfolio Manager are 
                             submitted to the Board regularly. 
 
17. Boards should monitor    The Board considers any imbalances in the supply of and the 
    the level of the         demand for the Company's shares in the market and has put in 
    share price discount     place a discount control mechanism as described in the 
    or premium (if any)      Business Review. 
    and, if desirable, 
    take action to reduce 
    it. 
 
18. The Board should         The Management Engagement & Remuneration Committee reviews, 
    monitor and evaluate     the performance of all the Company's third party service 
    other service            providers, including the level and structure of fees payable 
    providers.               and the length of the notice period, to ensure that they 
                             remain competitive and in the best interests of 
                             shareholders. 
                             The Audit Committee reviews reports from the principal 
                             service providers on compliance and the internal and 
                             financial control systems in operation and relevant 
                             independent audit reports thereon, as well as reviewing 
                             service providers' anti-bribery and corruption policies to 
                             address the provisions of the Bribery Act 2010, and also 
                             regarding the prevention of the facilitation of tax evasion. 
 
Shareholder 
Communications 
 
19. The Board should         Details of the Company activities undertaken to promote the 
    regularly monitor the    Company and manage relations with shareholders are set out 
    shareholder profile      in the Business Review. In addition, all shareholders are 
    of the company and       encouraged to attend the Annual General Meeting, where they 
    put in place a system    are given the opportunity to question the Chairman, the 
    for canvassing           Board and representatives of OrbiMed. 
    shareholder views and    Shareholders wishing to communicate with the Chairman, or 
    for communicating the    any other member of the Board, may do so by writing to the 
    Board's views to         Company, for the attention of the Company Secretary at the 
    shareholders.            Offices of Frostrow. 
                             The Directors welcome the views of all shareholders and 
                             place considerable importance on communications with them. 
 
20. The Board should         All substantive communications regarding any major corporate 
    normally take            issues are discussed by the Board taking into account 
    responsibility for,      representations from the AIFM and the Portfolio Manager, the 
    and have a direct        Company's Auditors, legal advisers and the Corporate 
    involvement in, the      Stockbroker. 
    content of 
    communications 
    regarding major 
    corporate issues even 
    if the manager is 
    asked to act as 
    spokesman. 
 
21. The Board should         The Company places great importance on communication with 
    ensure that              shareholders and aims to provide them with a full 
    shareholders are         understanding of the Company's investment objective, policy 
    provided with            and activities, its performance and the principal investment 
    sufficient               risks by means of informative Annual and Half Year reports. 
    information for them     This is supplemented by the daily publication, through the 
    to understand the        London Stock Exchange, of the net asset value of the 
    risk/reward balance      Company's shares. 
    to which they are        In line with its primary focus, the Board retains 
    exposed by holding       responsibility for all key elements of the Company's 
    the shares.              strategy and business model. Further details can be found in 
                             the Business Review. 
                             The Annual Report provides information on the Portfolio 
                             Manager's investment performance, portfolio risk and, 
                             operational and compliance issues. Further details on the 
                             risk/reward balance are set out in the Strategic Report 
                             under Principal Risks in the Strategic Report and in note 
                             16. 
                             The Company's website, www.worldwidewh.com, is regularly 
                             updated with monthly factsheets and provides useful 
                             information about the Company including the Company's 
                             financial reports and announcements. 
 
 
The Board and Committees 
 
Responsibility for effective governance lies with the Board. The governance 
framework of the Company reflects the fact that as an Investment Company it has 
no employees and outsources portfolio management to OrbiMed and risk 
management, company management, company secretarial, administrative and 
marketing services to Frostrow. 
 
                                       The Board 
                              Chairman - Sir Martin Smith 
                    Senior Independent Director - Dr David Holbrook 
    Four additional non-executive Directors, all considered independent, except for 
                      Sven Borho (and previously Samuel D. Isaly). 
                                 Key responsibilities: 
     -       to provide leadership and set strategy, values and standards within a 
      framework of prudent effective controls which enable risk to be assessed and 
                                        managed; 
     -       to ensure that a robust corporate governance framework is implemented; 
                                          and 
         -       to challenge constructively and scrutinise performance of all 
                                 outsourced activities. 
 
Management Engagement &         Audit Committee               Nominations Committee 
Remuneration Committee              Chairman                        Chairman 
       Chairman           Humphrey van der Klugt, FCA*          Dr David Holbrook 
    Doug McCutcheon        All Independent Directors        All Independent Directors 
    All Independent       (excluding the Chairman, Sir        Key responsibilities: 
       Directors                 Martin Smith) 
 Key responsibilities:       Key responsibilities: 
   -       to review 
     regularly the 
    contracts, the 
    performance and 
  remuneration of the 
  Company's principal 
service providers; and 
 
*          The Directors believe that Humphrey van der Klugt has the necessary 
recent and relevant financial experience to Chair the Company's Audit 
Committee. 
 
Copies of the full terms of reference, which clearly define the 
responsibilities of each Committee, can be obtained from the Company Secretary, 
will be available for inspection at the Annual General Meeting, and can be 
found at the Company's website at www.worldwidewh.com. 
 
Relations with shareholders 
 
Details of the Company's activities undertaken to promote the Company and 
manage relations with shareholders are set out in the Business Review. 
 
The Board supports the principle that the Annual General Meeting be used to 
communicate with investors, with all Directors attending the Annual General 
Meeting, under the Chairmanship of the Chairman of the Board. Details of proxy 
votes received in respect of each resolution are made available to shareholders 
at the meeting and are also published on the Company's website at 
www.worldwidewh.com. 
 
Representatives from the Portfolio Manager attend the Annual General Meeting 
and give a presentation on investment matters to those present. 
 
The Company has adopted a nominee share code which is set out below. 
 
The annual and half-year financial reports, and a monthly fact sheet are 
available to all shareholders. The Board, with the advice of Frostrow, reviews 
the format of the annual and half-year financial reports so as to ensure they 
are useful to all shareholders and others taking an interest in the Company. In 
accordance with best practice, the annual report, including the Notice of the 
Annual General Meeting, is sent to shareholders at least 20 working days before 
the meeting. Separate resolutions are proposed for substantive issues. 
 
Annual General Meeting 
 
THE FOLLOWING INFORMATION TO BE DISCUSSED AT THE FORTHCOMING ANNUAL GENERAL 
MEETING IS IMPORTANT AND REQUIRES YOUR IMMEDIATE ATTENTION. 
 
If you are in any doubt about the action you should take, you should seek 
advice from your stockbroker, bank manager, solicitor, accountant or other 
financial adviser authorised under the Financial Services and Markets Act 2000 
(as amended). If you have sold or transferred all of your ordinary shares in 
the Company, you should pass this document, together with any other 
accompanying documents, including the form of proxy, at once to the purchaser 
or transferee, or to the stockbroker, bank or other agent through whom the sale 
or transfer was effected, for onward transmission to the purchaser or 
transferee. 
 
Resolutions relating to the following items of special business will be 
proposed at the forthcoming Annual General Meeting. 
 
Resolution 10     Authority to allot shares 
 
Resolution 11     Authority to disapply pre-emption rights 
 
Resolution 12     Authority to sell shares held in Treasury on a non pre-emptive basis 
 
Resolution 13     Authority to buy back shares 
 
Resolution 14     Authority to hold General Meetings (other than the Annual General 
                  Meeting) on at least 14 clear days' notice. 
 
The full text of the resolutions can be found in the Notice of Annual General 
Meeting. 
 
Exercise of voting powers 
 
The Board and the AIFM have delegated authority to OrbiMed to vote the shares 
owned by the Company that are held on its behalf by J.P. Morgan Securities LLC. 
The Board has instructed that OrbiMed submit votes for such shares wherever 
possible. This accords with current best practice whilst maintaining a primary 
focus on financial returns. OrbiMed may refer to the Board on any matters of a 
contentious nature. The Company does not retain voting rights on any shares 
that are held as collateral in connection with the overdraft facility provided 
by J.P. Morgan Securities LLC. 
 
Nominee share code 
 
Where shares are held in a nominee company name, the Company undertakes: 
 
-        to provide the nominee company with multiple copies of shareholder 
communications, so long as an indication of quantities has been provided in 
advance; 
 
-        to allow investors holding shares through a nominee company to attend 
general meetings, provided the correct authority from the nominee company is 
available; and 
 
-        that investors in the Alliance Trust Savings Scheme or ISA are 
automatically sent shareholder communications, including details of general 
meetings, together with a form of direction to facilitate voting and to seek 
authority to attend. 
 
Nominee companies are encouraged to provide the necessary authority to 
underlying shareholders to attend the Company's general meetings. 
 
By order of the Board 
 
Frostrow Capital LLP 
 
Company Secretary 
 
15 June 2018 
 
Governance/Audit Committee Report 
 
Introduction from the Chairman 
 
I am pleased to present my formal report to shareholders as Chairman of the 
Audit Committee, for the year ended 31 March 2018. 
 
Composition and Meetings 
 
The Committee comprises those Directors considered to be independent by the 
Board. The Chairman of the Board is not a member of the Committee but will 
attend meetings by invitation. Attendance by each Director is shown in the 
table in the Governance Section of this Annual Report. The Board has taken note 
of the requirements that the Committee as a whole should have competence 
relevant to the sector in which the Company operates and that at least one 
member of the Committee should have recent and relevant financial experience. 
The Committee is satisfied that the Committee is properly constituted in both 
respects. I was appointed Chairman of the Committee in 2016 and am a Fellow of 
the Institute of Chartered Accountants in England and Wales, I am also the 
Chairman of the Audit Committee of two other public companies; the other 
Committee members have a combination of financial, investment and other 
relevant experience gained throughout their careers. 
 
Responsibilities 
 
The Audit Committee's main responsibilities during the year were: 
 
1.      To review the Company's half-year and annual report. In particular, the 
Audit Committee considered whether the annual report is fair, balanced and 
understandable, allowing shareholders to more easily assess the Company's 
strategy, investment policy, business model and financial performance. 
 
2.      To review the risk management and internal control processes of the 
Company and its key service providers. Further details of the Audit Committee's 
review are included in the Internal Controls and Risk Management Section of 
this Annual Report. 
 
3.      To recommend the appointment of external Auditors, agreeing the scope 
of its work and its remuneration, reviewing its independence and the 
effectiveness of the audit process. 
 
4.      To consider any non-audit work to be carried out by the Auditors. The 
Audit Committee reviews the need for non-audit services to be provided by the 
Auditors and authorises such on a case by case basis, having consideration to 
the cost effectiveness of the services and the independence and objectivity of 
the Auditors. 
 
5.      To consider the need for an internal audit function. Since the Company 
delegates its day-to-day operations to third parties and has no employees, the 
Audit Committee has determined there is no requirement for such a function. 
 
The Audit Committee's terms of reference are available for review on the 
Company's website at www.worldwidewh.com. 
 
Significant Issues Considered by the Audit Committee during the year 
 
Financial Statements 
 
The Board has asked the Committee to confirm that in its opinion the Board can 
make the required statement that the Annual Report taken as a whole is fair, 
balanced and understandable and provides the information necessary for 
shareholders to assess the Company's financial position, performance, business 
model and strategy. The Committee has given this confirmation on the basis of 
its review of the whole document, underpinned by involvement in the planning 
for its preparation and review of the processes to assure the accuracy of 
factual content. 
 
Significant Reporting Matters 
 
Overall accuracy of the Annual Report 
 
The Audit Committee dealt with this matter by considering the draft Annual 
Report, a letter from Frostrow in support of the letter of representation made 
by the Board to the Auditors and the Auditors' Report to the Audit Committee. 
 
Valuation and ownership of the Company's investments and derivatives 
 
The Audit Committee dealt with this matter by: 
 
-        ensuring that all investment holdings and cash/deposit balances had 
been agreed to an independent confirmation from the custodian or relevant 
counterparty; 
 
-        reconfirming its understanding of the processes in place to record 
investment transactions and income, and to value the portfolio; 
 
-        reviewing and amending, where necessary, the Company's register of key 
risks in light of changes to the portfolio and the investment environment; 
 
-        gaining an overall understanding of the performance of the portfolio 
both in capital and revenue terms through comparison to the Benchmark; and 
 
-        conducting a review of how the Company's derivative positions were 
monitored. 
 
Other Reporting Matters 
 
Calculation of AIFM, Portfolio Management and Performance fees 
 
The AIFM, Portfolio Management and performance fees are calculated in 
accordance with the AIFM and Portfolio Management Agreements. The Auditors 
independently recalculate any performance fee prior to payment. The Auditors 
also recalculate the AIFM and Portfolio Management fee as part of the audit. 
 
Taxation 
 
The Committee approached and dealt with ensuring compliance with Section 1158 
of the Corporation Tax Act 2010, by seeking confirmation that the Company 
continues to meet the eligibility conditions on a monthly basis. 
 
Investment Performance 
 
The Committee gained an overall understanding of the performance of the 
investment portfolio both in capital and revenue terms through ongoing 
discussions and analysis with the Company's Portfolio Manager and also with 
comparison to suitable key performance indicators. 
 
Accounting Policies 
 
During the year the Committee ensured that the accounting policies were applied 
consistently throughout the year. In light of there being no unusual 
transactions during the year or other possible reasons, the Committee agreed 
that there was no reason to change the policies. 
 
Going Concern 
 
Having reviewed the Company's financial position and liabilities, the Committee 
is satisfied that it is appropriate for the Board to prepare the financial 
statements on the going concern basis. 
 
Internal controls and risk management 
 
The Board is responsible for the risk assessment and review of internal 
controls of the Company, undertaken in the context of the overall investment 
objective. 
 
The review covers the key business, operational, compliance and financial risks 
facing the Company. In arriving at its judgement of what risks the Company 
faces, the Board has considered the Company's operations in the light of the 
following factors: 
 
-        the nature of the Company, with all management functions outsourced to 
third party service providers; 
 
-        the nature and extent of risks which it regards as acceptable for the 
Company to bear within its overall investment objective; 
 
-        the threat of such risks becoming a reality; and 
 
-        the Company's ability to reduce the incidence and impact of risk on 
its performance. 
 
Against this background, a risk matrix has been developed which covers all key 
risks the Company faces, the likelihood of their occurrence and their potential 
impact, how these risks are monitored and mitigating controls in place. The 
Board has delegated to the Audit Committee the responsibility for the review 
and maintenance of the risk matrix and it reviews, in detail, the risk matrix 
each time it meets, bearing in mind any changes to the Company, its environment 
or service providers since the last review. Any significant changes to the risk 
matrix are discussed with the whole Board. 
 
Viability Statement 
 
The Board is required to make a longer-term viability statement in relation to 
the continuing operations of the Company. The Committee reviewed papers 
produced in support of the statement made by the Board which assesses the 
viability of the Company over a period of five years. The Company is a 
long-term investor and the Committee believes that is appropriate to recommend 
to the Board that the Company's viability should be assessed over a five-year 
period, also taking account of the Company's current position and the potential 
impact of the Company's principal risks and uncertainties as shown in the 
Strategic Report. 
 
External Auditors 
 
Meetings: 
 
This year the nature and scope of the audit together with 
PricewaterhouseCoopers LLP's audit plan were considered by the Committee on 8 
November 2017. I, as Chairman of the Committee, had a meeting with them 
specifically to discuss the audit and any issues that arose (of which there 
were none of any significance). The Committee then met PricewaterhouseCoopers 
LLP on 24 May 2018 to formally review the outcome of the audit and to discuss 
the limited issues that arose. The Committee also discussed the presentation of 
the Annual Report with the Auditors and sought their perspective. 
 
Independence and Effectiveness: 
 
In order to fulfil the Committee's responsibility regarding the independence of 
the Auditors, the Committee reviewed: 
 
-        the senior audit personnel in the audit plan for the year, 
 
-        the Auditors' arrangements concerning any conflicts of interest, 
 
-        the extent of any non-audit services, and 
 
-        the statement by the Auditors that they remain independent within the 
meaning of the regulations and their professional standards. 
 
Non-Audit Services 
 
The Company operates on the basis whereby the provision of all non-audit 
services by the Auditors has to be pre-approved by the Audit Committee. Such 
services are only permissible where no conflicts of interest arise, the service 
is not expressly prohibited by audit legislation, where the independence of the 
Auditors is not likely to be impinged by undertaking the work and the quality 
and the objectivity of both the non-audit work and audit work will not be 
compromised. 
 
Non-audit fees of GBP3,500 were payable to the Auditors during the year for 
agreed upon procedures in relation to the Company's performance fee review. 
 
The Audit Committee has considered the extent and nature of non-audit work 
performed by the Auditors and is satisfied that this did not impinge on their 
independence and is a cost effective way for the Company to operate. 
 
Audit Tendering 
 
PricewaterhouseCoopers LLP have been the Auditors since July 2014, which was 
the last occasion an audit tender was held. Formal Audit tender guidelines have 
been adopted to govern the Audit tender process. 
 
As a public company listed on the London Stock Exchange, the Company is subject 
to the mandatory Auditor rotation requirements of the European Union. The 
Company will put the external audit out to tender at least every 10 years and 
change Auditors at least every 20 years. 
 
Auditors' Reappointment 
 
PricewaterhouseCoopers LLP have indicated their willingness to continue to act 
as Auditors to the Company for the forthcoming year and a resolution for their 
re-appointment will be proposed at the Annual General Meeting. 
 
The Committee reviews the scope and effectiveness of the audit process, 
including agreeing the Auditor's assessment of materiality and monitors the 
Auditor's independence and objectivity. It conducted a review of the 
performance of the Auditors during the year and concluded that performance was 
satisfactory and there were no grounds for change. 
 
Audit Committee Confirmation 
 
The Audit Committee confirms that it has carried out a review of the 
effectiveness of the system of internal financial control and risk management 
during the year, as set out above and that: 
 
(a)     An ongoing procedure for identifying, evaluating and managing 
significant risks faced by the Company was in place for the year under review 
and up to 15 June 2018. This procedure is regularly reviewed by the Board; and 
 
(b)     It is responsible (on behalf of the Board) for the Company's system of 
internal controls and for reviewing its effectiveness and that it is designed 
to manage the risk of failure to achieve business objectives. This can only 
provide reasonable not absolute assurance against material misstatement or 
loss. 
 
Humphrey van der Klugt, FCA 
 
Chairman of the Audit Committee 
 
15 June 2018 
 
Governance/Directors' Remuneration Report 
 
Introduction from the Chairman 
 
This report has been prepared in accordance with the requirements of Section 
421 of the Companies Act 2006 and the Enterprise and Regulatory Reform Act 
2013. A non-binding Ordinary Resolution for the approval of this report will be 
put to shareholders at the Company's forthcoming Annual General Meeting. The 
law requires the Company's Auditors to audit certain of the disclosures 
provided in this report. Where disclosures have been audited, they are 
indicated as such and the Auditors' audit opinion is included in its report to 
shareholders. 
 
The Management Engagement & Remuneration Committee considers the framework for 
the remuneration of the Directors on an annual basis. It reviews the ongoing 
appropriateness of the Directors' Remuneration Policy and the individual 
remuneration of Directors by reference to the activities and particular 
complexities of the Company and comparison with other companies of a similar 
structure and size. This is in-line with the AIC Code. 
 
A non-binding Ordinary Resolution proposing adoption of the Directors' 
Remuneration Report was put to shareholders at the Annual General Meeting of 
the Company held on 14 September 2017, and was passed by 98.5% of the votes 
cast by shareholders voting in favour of the Resolution. 
 
As noted in the Strategic Report, all of the Directors are non-executive and 
therefore there is no Chief Executive Officer. The Company does not have any 
employees. There is therefore no Chief Executive Officer or employee 
information to disclose. 
 
Directors' Remuneration Policy 
 
The Directors' Remuneration Policy provides that fees payable to the Directors 
should reflect the time spent by the Board on the Company's affairs and the 
responsibilities borne by the Directors and should be sufficient to enable 
candidates of high calibre to be recruited. Directors are remunerated in the 
form of fees payable monthly in arrears, paid to the Director personally or to 
a specified third party. There are no long-term incentive schemes, share option 
schemes, pension arrangements, bonuses, or other benefits in place and fees are 
not specifically related to the Directors' performance, either individually or 
collectively. 
 
The remuneration for the non-executive Directors is determined within the 
limits set out in the Company's Articles of Association. The present limit is GBP 
250,000 in aggregate per annum. 
 
A binding resolution to approve the Directors' Remuneration Policy was put to 
shareholders at the Annual General Meeting held in 2017, and was passed by 
98.4% of shareholders voting in favour of the resolution. The aforementioned 
Directors' Remuneration Policy provisions apply until the next time that they 
are put to shareholders for the renewal of that approval, which must be at 
intervals of not more than three years, or if the Directors' Remuneration 
Policy is varied. As approval of this policy was last granted by shareholders 
at the Annual General Meeting held in September 2017, shareholder approval will 
again be sought at the Annual General Meeting to be held in 2020. 
 
Directors' appointment 
 
None of the Directors has a service contract. The terms of their appointment 
provide that Directors shall retire and be subject to election at the first 
Annual General Meeting after their appointment and to re-election annually 
thereafter. The terms also provide that a Director may be removed without 
notice and that compensation will not be due on leaving office. 
 
Directors' fees 
 
At the most recent Management Engagement & Remuneration Committee held on 6 
March 2018 it was agreed that the Directors' fees would be, with effect from 1 
April 2018, as follows: 
 
The Chairman of the Company, and Humphrey van der Klugt, as Chairman of the 
Audit Committee, receive an annual fee of GBP47,700 and GBP36,920, respectively. Dr 
David Holbrook, as the Senior Independent Director will receive an annual fee 
of GBP32,320, Sarah Bates, Doug McCutcheon and Sven Borho each receive an annual 
fee of GBP30,130. 
 
The Directors, as at the date of this report, all served throughout the year. 
The table overleaf excludes any employer's national insurance contributions, if 
applicable. 
 
The Directors are entitled to be reimbursed for reasonable expenses incurred by 
them in connection with the performance of their duties and attendance at Board 
and General Meetings. 
 
Directors' emoluments for the year (audited) 
 
                                         Taxable                     Taxable 
 
                      Date of Fees (GBP) Expenses?    Total Fees (GBP) Expenses?    Total 
                  Appointment 
 
                 to the Board     2018      2018     2018     2017      2017     2017 
 
Sir Martin         8 November   45,850       695   46,545   43,650       655   44,305 
Smith                    2007 
 
Humphrey Van      15 February   35,500       253   35,753   30,685       386   31,071 
Der Klugt                2016 
 
Sarah Bates       22 May 2013   28,970         -   28,970   27,570         -   27,570 
 
Dr David           8 November   31,070         -   31,070   28,670        50   28,720 
Holbrook                 2007 
 
Samuel D.         14 February   22,730         -   22,730   27,570         -   27,570 
Isaly^                   1995 
 
Doug               7 November   28,970         -   28,970   27,570         -   27,570 
McCutcheon               2012 
 
Jo Dixon*         25 February        -         -        -   16,055     1,183   17,238 
                         2004 
 
Total                          193,090       948  194,038  201,770     2,274  204,044 
 
?          Taxable expenses primarily comprise travel and associated expenses 
incurred by the Directors in attending Board and Committee meetings in London. 
These are reimbursed by the Company and, under HMRC Rules, are subject to tax 
and National Insurance and therefore are treated as a benefit in kind within 
this table. 
 
*          Retired from the Board on 21 September 2016. 
 
^          Ceased to be a Director on 12 January 2018. 
 
Sven Borho joined the Board on 7 June 2018. 
 
In certain circumstances, under HMRC rules travel and other out of pocket 
expenses reimbursed to the Directors may be considered as taxable benefits. 
Where expenses are classed as taxable under HMRC guidance, they are shown in 
the taxable expenses column of the Directors' remuneration table along with the 
associated tax liability. 
 
No communications have been received from shareholders regarding Directors' 
remuneration. 
 
Sums paid to third parties 
 
None of the fees referred to in the above table were paid to any third party in 
respect of the services provided by any of the Directors. 
 
Directors' interests in the Company's shares (audited) 
 
                                                                           Ordinary 
                                                                         Shares of 25p 
                                                                             each 
 
                                                                       31 March 31 March 
 
                                                                           2018     2017 
 
Sir Martin Smith                                                         11,871   11,871 
 
- Trustee                                                                 2,725    2,725 
 
Sarah Bates                                                               7,200    7,200 
 
Dr David Holbrook                                                         1,094    1,094 
 
Samuel D. Isaly*                                                            n/a    3,600 
 
Humphrey van der Klugt                                                    1,500    1,500 
 
Doug McCutcheon                                                          15,000   15,000 
 
                                                                         39,390   42,990 
 
*          Ceased to be a Director on 12 January 2018 
 
Annual statement 
 
On behalf of the Board, I confirm that the Directors' Remuneration Policy and 
Directors' Remuneration Report summarise, as applicable, for the year to 31 
March 2018: 
 
(a)     the major decisions on Directors' remuneration; 
 
(b)     any substantial changes relating to Directors' remuneration made during 
the year; and 
 
(c)     the context in which the changes occurred and decisions have been 
taken. 
 
Doug McCutcheon 
 
Chairman of the Management Engagement & 
 
Remuneration Committee 
 
15 June 2018 
 
Governance/Independent Auditors' Report to the Members of Worldwide Healthcare 
Trust PLC 
 
Report on the financial statements 
 
Our opinion 
 
In our opinion, Worldwide Healthcare Trust PLC's financial statements: 
 
-        give a true and fair view of the state of the Company's affairs as at 
31 March 2018 and of its net return for the year then ended; 
 
-        have been properly prepared in accordance with United Kingdom 
Generally Accepted Accounting Practice (United Kingdom Accounting Standards, 
comprising FRS 102 "The Financial Reporting Standard applicable in the UK and 
Republic of Ireland", and applicable law); and 
 
-        have been prepared in accordance with the requirements of the 
Companies Act 2006. 
 
We have audited the financial statements, included within the Annual Report, 
which comprise: the statement of financial position as at 31 March 2018; the 
income statement, the statement of changes in equity for the year then ended; 
and the notes to the financial statements, which include a description of the 
significant accounting policies. 
 
Our opinion is consistent with our reporting to the Audit Committee. 
 
Basis for opinion 
 
We conducted our audit in accordance with International Standards on Auditing 
(UK) ("ISAs (UK)") and applicable law. Our responsibilities under ISAs (UK) are 
further described in the Auditors' responsibilities for the audit of the 
financial statements section of our report. We believe that the audit evidence 
we have obtained is sufficient and appropriate to provide a basis for our 
opinion. 
 
Independence 
 
We remained independent of the Company in accordance with the ethical 
requirements that are relevant to our audit of the financial statements in the 
UK, which includes the FRC's Ethical Standard, as applicable to listed public 
interest entities, and we have fulfilled our other ethical responsibilities in 
accordance with these requirements. 
 
To the best of our knowledge and belief, we declare that non-audit services 
prohibited by the FRC's Ethical Standard were not provided to the Company. 
 
Other than those disclosed in note 4 to the financial statements, we have 
provided no non-audit services to the company in the period from 1 April 2017 
to 31 March 2018. 
 
Our audit approach 
 
Overview 
 
-        Overall materiality: GBP12.0 million (2017: GBP11.0 million), based on 1% 
of net assets. 
 
-        The Company is a standalone Investment Trust Company and engages 
Frostrow Capital LLP (the "AIFM") to manage its assets. 
 
-        We conducted our audit of the financial statements using information 
from the AIFM and J.P. Morgan Europe Limited with whom the AIFM has engaged to 
provide certain administrative functions. 
 
-        We tailored the scope of our audit taking into account the types of 
investments within the Company, the involvement of the third parties referred 
to above, the accounting processes and controls, and the industry in which the 
Company operates. 
 
-        Income from investments. 
 
-        Valuation and existence of investments. 
 
-        Performance fee. 
 
The scope of our audit 
 
As part of designing our audit, we determined materiality and assessed the 
risks of material misstatement in the financial statements. In particular, we 
looked at where the Directors made subjective judgements, for example in 
respect of significant accounting estimates that involved making assumptions 
and considering future events that are inherently uncertain. 
 
We gained an understanding of the legal and regulatory framework applicable to 
the company and the industry in which it operates, and considered the risk of 
acts by the company which were contrary to applicable laws and regulations, 
including fraud. We designed audit procedures to respond to the risk, 
recognising that the risk of not detecting a material misstatement due to fraud 
is higher than the risk of not detecting one resulting from error, as fraud may 
involve deliberate concealment by, for example, forgery or intentional 
misrepresentations, or through collusion. We focused on laws and regulations 
that could give rise to a material misstatement in the Company's financial 
statements, including, but not limited to the Companies Act 2006 and section 
1158 of the Corporation Tax Act 2010. Our tests included, but were not limited 
to, review of the financial statement disclosures to underlying supporting 
documentation, enquiries with management and testing the Company's compliance 
with section 1158 in the current year. We also tested the tax disclosures in 
Note 6. There are inherent limitations in the audit procedures described above 
and the further removed non-compliance with laws and regulations is from the 
events and transactions reflected in the financial statements, the less likely 
we would become aware of it. 
 
We did not identify any key audit matters relating to irregularities, including 
fraud. As in all of our audits we also addressed the risk of management 
override of internal controls, including testing journals and evaluating 
whether there was evidence of bias by the Directors that represented a risk of 
material misstatement due to fraud. 
 
Key audit matters 
 
Key audit matters are those matters that, in the auditors' professional 
judgement, were of most significance in the audit of the financial statements 
of the current period and include the most significant assessed risks of 
material misstatement (whether or not due to fraud) identified by the auditors, 
including those which had the greatest effect on: the overall audit strategy; 
the allocation of resources in the audit; and directing the efforts of the 
engagement team. These matters, and any comments we make on the results of our 
procedures thereon, were addressed in the context of our audit of the financial 
statements as a whole, and in forming our opinion thereon, and we do not 
provide a separate opinion on these matters. This is not a complete list of all 
risks identified by our audit. 
 
 Key audit matter                           How our audit addressed the area of focus 
 
 Income from investments                    We assessed the accounting policy for 
 Refer to Accounting Policies and Notes to  income recognition for compliance with 
 the Accounts.                              accounting standards and the AIC SORP and 
 ISAs (UK) presume there is a risk of fraud performed testing to check that income had 
 in income recognition. We considered this  been accounted for in accordance with this 
 risk to specifically relate to the risk of stated accounting policy. 
 overstating investment gains and the       We found that the accounting policies 
 misclassification of dividend income as    implemented were in accordance with 
 either income or capital if one is         accounting standards and the AIC SORP, and 
 particularly underperforming in line with  that income has been accounted for in 
 the total return objective of the Company. accordance with the stated accounting 
 We focused on the accuracy and             policy. 
 completeness of dividend income amounting  We tested the accuracy of dividend 
 to GBP12,204,000 for the year and its        receipts by agreeing the dividend rates 
 presentation in the Income Statement as    from investments to independent market 
 set out in the requirements of The         data. No material misstatements were 
 Association of Investment Companies        identified which required reporting to 
 Statement of Recommended Practice (the     those charged with governance. 
 'AIC SORP').                               To test for completeness, we tested all 
 We also focused on the calculation of      investment holdings in the portfolio, to 
 realised and unrealised gains and losses   ensure that all dividends declared in the 
 on the investment amounting to a gain of GBP market by investment holdings had been 
 30,702,000 for the year.                   recorded. 
 This is because incomplete or inaccurate   We tested occurrence by testing that all 
 income (both revenue and capital) could    dividends recorded in the year had been 
 have a material impact on the company's    declared in the market by investment 
 net asset value.                           holdings, and we traced a sample of 
                                            dividends received to bank statements. 
                                            We tested the allocation and presentation 
                                            of dividend income between the revenue and 
                                            capital return columns of the Statement of 
                                            Comprehensive Income in line with the 
                                            requirements set out in the AIC SORP by 
                                            determining reasons behind dividend 
                                            distributions. Our procedures did not 
                                            identify any material misstatements which 
                                            required reporting to those charged with 
                                            governance. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Income from investments                     We also checked that the gains or losses on 
                                            investments held at fair value comprise 
                                            realised and unrealised gains or losses, we 
                                            tested a sample of disposal proceeds to 
                                            bank statements. For unrealised gains or 
                                            losses, we tested the valuation of the 
                                            portfolio at the year-end, and also tested 
                                            the reconciliation of opening and closing 
                                            investments. 
                                            Our testing did not identify any material 
                                            misstatements which required reporting to 
                                            those charged with governance. 
 
Valuation and existence of investments      -        Quoted investments: 
Refer to the Audit Committee Report),       We tested the valuation of quoted 
Accounting Policies, and the Notes to the   investments by agreeing the prices used to 
Financial Statements.                       third party sources. 
The investment portfolio at 31 March 2018   We tested the existence of the quoted 
principally comprised listed equity         investment portfolio by agreeing the 
investments, OTC swaps, options and         holdings to an independent custodian 
unquoted debt investments and totalled GBP    confirmation from J.P. Morgan Securities 
1,293,520,000.                              LLC as at 31 March 2018. 
We focused on the valuation and existence   No material differences were identified 
of investments because investments          which required reporting to those charged 
represent the principal element of the net  with governance. 
asset value as disclosed on the Statement   -        Unquoted debt investments: 
of Financial Position in the financial      We tested the valuation of unquoted debt 
statements.                                 investments by agreeing the prices used to 
                                            third party sources. 
                                            We tested the existence of the unquoted 
                                            debt investments by agreeing the holdings 
                                            to independent confirmations from the 
                                            administrative agents for each investment 
                                            at 31 March 2018. 
                                            No material differences were identified 
                                            which required reporting to those charged 
                                            with governance. 
                                            -        OTC derivative financial 
                                            instruments (swaps): 
                                            We tested the valuation of the OTC 
                                            derivatives by agreeing the prices used for 
                                            a sample in the valuation to independent 
                                            third party sources as at 31 March 2018. 
                                            We tested the existence of the OTC 
                                            derivatives by agreeing the holdings to an 
                                            independent custodian confirmation from 
                                            J.P. Morgan Securities LLC and the Broker, 
                                            Goldman Sachs International. 
                                            No material differences were identified 
                                            which required reporting to those charged 
                                            with governance. 
 
Performance Fee                             We focused on this area because the 
Refer to the Audit Committee Report, the    performance fee is calculated using a 
Accounting Policies and the Notes to the    complex methodology as set out in the AIFM 
Financial Statements.                       Agreement and Portfolio Management 
The performance fee charge for the year was Agreement. 
GBP9.7m.                                      We independently recalculated the 
As at 31 March 2018, there was a            performance fee using the methodology set 
performance fee accrual of GBP10.7m. GBP9.7m of out in the AIFM Agreement and Portfolio 
which was recognised as a provision for     Management Agreement and agreed the inputs 
potential future payments and GBP1m was       to the calculation, including the benchmark 
payable, relating to outperformance         data, to independent third party sources, 
achieved as at that date.                   where applicable. 
Performance fees totalling GBP3.4m were paid  No material misstatements were identified 
or payable relating to outperformance       by our testing which required reporting to 
achieved during the year                    those charged with governance. 
 
 
How we tailored the audit scope 
 
We tailored the scope of our audit to ensure that we performed enough work to 
be able to give an opinion on the financial statements as a whole, taking into 
account the structure of the Company, the accounting processes and controls, 
and the industry in which it operates. 
 
The Company's accounting is delegated to the Administrator who maintains the 
Company's accounting records and who has implemented controls over those 
accounting records. 
 
We obtained our audit evidence from substantive tests. However, as part of our 
risk assessment, we understood and assessed the internal controls in place at 
the Administrator to the extent relevant to our audit. Following this 
assessment, we applied professional judgement to determine the extent of 
testing required over each balance in the financial statements. 
 
Materiality 
 
The scope of our audit was influenced by our application of materiality. We set 
certain quantitative thresholds for materiality. These, together with 
qualitative considerations, helped us to determine the scope of our audit and 
the nature, timing and extent of our audit procedures on the individual 
financial statement line items and disclosures and in evaluating the effect of 
misstatements, both individually and in aggregate on the financial statements 
as a whole. 
 
Based on our professional judgement, we determined materiality for the 
financial statements as a whole as follows: 
 
Overall materiality - GBP12.0 million (2017: GBP11.0 million). 
 
How we determined it - 1% of net assets. 
 
Rationale for benchmark applied - We applied this benchmark, which is a 
generally accepted auditing practice for investment trust audits. 
 
We agreed with the Audit Committee that we would report to them misstatements 
identified during our audit above GBP601,000 (2017: GBP550,000) as well as 
misstatements below that amount that, in our view, warranted reporting for 
qualitative reasons. 
 
Going concern 
 
In accordance with ISAs (UK) we report as follows: 
 
Reporting obligation 
 
We are required to report if we have anything material to add or draw attention 
to in respect of the Directors' statement in the financial statements about 
whether the Directors considered it appropriate to adopt the going concern 
basis of accounting in preparing the financial statements and the Directors' 
identification of any material uncertainties to the Company's ability to 
continue as a going concern over a period of at least twelve months from the 
date of approval of the financial statements. 
 
We are required to report if the Directors' statement relating to Going Concern 
in accordance with Listing Rule 9.8.6R(3) is materially inconsistent with our 
knowledge obtained in the audit. 
 
Outcome 
 
We have nothing material to add or to draw attention to. However, because not 
all future events or conditions can be predicted, this statement is not a 
guarantee as to the Company's ability to continue as a going concern. 
 
We have nothing to report. 
 
Reporting on other information 
 
The other information comprises all of the information in the Annual Report 
other than the financial statements and our auditors' report thereon. The 
Directors are responsible for the other information. Our opinion on the 
financial statements does not cover the other information and, accordingly, we 
do not express an audit opinion or, except to the extent otherwise explicitly 
stated in this report, any form of assurance thereon. 
 
In connection with our audit of the financial statements, our responsibility is 
to read the other information and, in doing so, consider whether the other 
information is materially inconsistent with the financial statements or our 
knowledge obtained in the audit, or otherwise appears to be materially 
misstated. If we identify an apparent material inconsistency or material 
misstatement, we are required to perform procedures to conclude whether there 
is a material misstatement of the financial statements or a material 
misstatement of the other information. If, based on the work we have performed, 
we conclude that there is a material misstatement of this other information, we 
are required to report that fact. We have nothing to report based on these 
responsibilities. 
 
With respect to the Strategic Report and Directors' Report, we also considered 
whether the disclosures required by the UK Companies Act 2006 have been 
included. 
 
Based on the responsibilities described above and our work undertaken in the 
course of the audit, the Companies Act 2006, (CA06), ISAs (UK) and the Listing 
Rules of the Financial Conduct Authority (FCA) require us also to report 
certain opinions and matters as described below (required by ISAs (UK) unless 
otherwise stated). 
 
Strategic Report and Directors' Report 
 
In our opinion, based on the work undertaken in the course of the audit, the 
information given in the Strategic Report and Directors' Report for the year 
ended 31 March 2018 is consistent with the financial statements and has been 
prepared in accordance with applicable legal requirements. (CA06) 
 
In light of the knowledge and understanding of the Company and its environment 
obtained in the course of the audit, we did not identify any material 
misstatements in the Strategic Report and Directors' Report. (CA06) 
 
The Directors' assessment of the prospects of the Company and of the principal 
risks that would threaten the solvency or liquidity of the Company 
 
We have nothing material to add or draw attention to regarding: 
 
-        The Directors' confirmation contained in the Business Review that they 
have carried out a robust assessment of the principal risks facing the Company, 
including those that would threaten its business model, future performance, 
solvency or liquidity. 
 
-        The disclosures in the Annual Report that describe those risks and 
explain how they are being managed or mitigated. 
 
-        The Directors' explanation in the Business Review as to how they have 
assessed the prospects of the Company, over what period they have done so and 
why they consider that period to be appropriate, and their statement as to 
whether they have a reasonable expectation that the Company will be able to 
continue in operation and meet its liabilities as they fall due over the period 
of their assessment, including any related disclosures drawing attention to any 
necessary qualifications or assumptions. 
 
We have nothing to report having performed a review of the Directors' statement 
that they have carried out a robust assessment of the principal risks facing 
the Company and statement in relation to the longer-term viability of the 
Company. Our review was substantially less in scope than an audit and only 
consisted of making inquiries and considering the Directors' process supporting 
their statements; checking that the statements are in alignment with the 
relevant provisions of the UK Corporate Governance Code (the "Code"); and 
considering whether the statements are consistent with the knowledge and 
understanding of the Company and its environment obtained in the course of the 
audit. (Listing Rules) 
 
Other Code Provisions 
 
We have nothing to report in respect of our responsibility to report when: 
 
-        The statement given by the Directors that they consider the Annual 
Report taken as a whole to be fair, balanced and understandable, and provides 
the information necessary for the members to assess the Company's position and 
performance, business model and strategy is materially inconsistent with our 
knowledge of the Company obtained in the course of performing our audit. 
 
-        The section of the Annual Report describing the work of the Audit 
Committee does not appropriately address matters communicated by us to the 
Audit Committee. 
 
-        The Directors' statement relating to the Company's compliance with the 
Code does not properly disclose a departure from a relevant provision of the 
Code specified, under the Listing Rules, for review by the auditors. 
 
Directors' Remuneration 
 
In our opinion, the part of the Directors' Remuneration Report to be audited 
has been properly prepared in accordance with the Companies Act 2006. (CA06) 
 
Responsibilities for the financial statements and the audit 
 
Responsibilities of the Directors for the financial statements 
 
As explained more fully in the Statement of Directors' Responsibilities, the 
Directors are responsible for the preparation of the financial statements in 
accordance with the applicable framework and for being satisfied that they give 
a true and fair view. The Directors are also responsible for such internal 
control as they determine is necessary to enable the preparation of financial 
statements that are free from material misstatement, whether due to fraud or 
error. 
 
In preparing the financial statements, the Directors are responsible for 
assessing the Company's ability to continue as a going concern, disclosing as 
applicable, matters related to going concern and using the going concern basis 
of accounting unless the Directors either intend to liquidate the Company or to 
cease operations, or have no realistic alternative but to do so. 
 
Auditors' responsibilities for the audit of the financial statements 
 
Our objectives are to obtain reasonable assurance about whether the financial 
statements as a whole are free from material misstatement, whether due to fraud 
or error, and to issue an auditors' report that includes our opinion. 
Reasonable assurance is a high level of assurance, but is not a guarantee that 
an audit conducted in accordance with ISAs (UK) will always detect a material 
misstatement when it exists. Misstatements can arise from fraud or error and 
are considered material if, individually or in the aggregate, they could 
reasonably be expected to influence the economic decisions of users taken on 
the basis of these financial statements. 
 
A further description of our responsibilities for the audit of the financial 
statements is located on the FRC's website at: www.frc.org.uk/ 
auditorsresponsibilities. This description forms part of our auditors' report. 
 
Use of this report 
 
This report, including the opinions, has been prepared for and only for the 
Company's members as a body in accordance with Chapter 3 of Part 16 of the 
Companies Act 2006 and for no other purpose. We do not, in giving these 
opinions, accept or assume responsibility for any other purpose or to any other 
person to whom this report is shown or into whose hands it may come save where 
expressly agreed by our prior consent in writing. 
 
Other required reporting 
 
Companies Act 2006 exception reporting 
 
Under the Companies Act 2006 we are required to report to you if, in our 
opinion: 
 
-        we have not received all the information and explanations we require 
for our audit; or 
 
-        adequate accounting records have not been kept by the Company, or 
returns adequate for our audit have not been received from branches not visited 
by us; or 
 
-        certain disclosures of Directors' remuneration specified by law are 
not made; or 
 
-        the financial statements and the part of the Directors' Remuneration 
Report to be audited are not in agreement with the accounting records and 
returns. 
 
We have no exceptions to report arising from this responsibility. 
 
Appointment 
 
Following the recommendation of the Audit Committee, we were appointed by the 
members on 14 July 2014 to audit the financial statements for the year ended 31 
March 2015 and subsequent financial periods. The period of total uninterrupted 
engagement is 4 years, covering the years ended 31 March 2015 to 31 March 2018. 
 
Sandra Dowling (Senior Statutory Auditor) 
 
for and on behalf of PricewaterhouseCoopers LLP 
 
Chartered Accountants and Statutory Auditors 
 
London 15 June 2018 
 
Financial Statements/Income Statement 
 
For the year ended 31 March 2018 
 
                                                          2018                       2017 
 
                                     Revenue  Capital    Total  Revenue  Capital    Total 
 
                              Notes    GBP'000    GBP'000    GBP'000    GBP'000    GBP'000    GBP'000 
 
Gains on investments              9        -   30,702   30,702        -  260,256  260,256 
 
Exchange gains/(losses) on 
 
currency balances                          -    7,942    7,942        -  (9,113)  (9,113) 
 
Income from investments           2   12,204        -   12,204   13,098        -   13,098 
 
AIFM, Portfolio management 
 
and performance fees              3    (493) (19,099) (19,592)    (423) (12,751) (13,174) 
 
Other expenses                    4    (908)        -    (908)    (718)        -    (718) 
 
Net return before finance 
 
charges and taxation                  10,803   19,545   30,348   11,957  238,392  250,349 
 
Finance costs                     5     (82)  (1,552)  (1,634)     (43)    (785)    (828) 
 
Net return before taxation            10,721   17,993   28,714   11,914  237,607  249,521 
 
Taxation on net return            6  (1,764)      229  (1,535)  (1,231)       79  (1,152) 
 
Net return after taxation              8,957   18,222   27,179   10,683  237,686  248,369 
 
Return per share                  7    18.7p    38.1p    56.8p    22.9p   509.0p   531.9p 
 
The "Total" column of this statement is the Income Statement of the Company. 
The "Revenue" and "Capital" columns are supplementary to this and are prepared 
under guidance published by The Association of Investment Companies. 
 
All revenue and capital items in the above statement derive from continuing 
operations. 
 
The Company has no recognised gains and losses other than those shown above and 
therefore no separate Statement of Total Comprehensive Income has been 
presented. 
 
The accompanying notes are an integral part of these statements. 
 
Financial Statements/Statement of Changes in Equity 
 
For the year ended 31 March 2018 
 
                                       Share    Share  Capital    Capital  Revenue         Total 
                                     capital  premium  reserve redemption  reserve shareholders' 
                                       GBP'000  account    GBP'000    reserve    GBP'000         funds 
                                                GBP'000               GBP'000                  GBP'000 
 
At 31 March 2017                      11,627  233,539  833,484      8,221   14,032     1,100,903 
 
Net return after taxation                  -        -   18,222          -    8,957        27,179 
 
Dividend paid in respect of 
 
year ended 31 March 2017                   -        -        -          -  (7,447)       (7,447) 
 
First interim dividend paid in 
respect 
 
of year ended 31 March 2018                -        -        -          -  (3,153)       (3,153) 
 
New shares issued                        839   83,867        -          -        -        84,706 
 
At 31 March 2018                      12,466  317,406  851,706      8,221   12,389     1,202,188 
 
For the year ended 31 March 2017 
 
                                      Share    Share  Capital    Capital  Revenue         Total 
                                    capital  premium  reserve redemption  reserve shareholders' 
                                      GBP'000  account    GBP'000    reserve    GBP'000         funds 
                                               GBP'000               GBP'000                  GBP'000 
 
At 31 March 2016                     11,960  233,537  617,314      7,888   11,059       881,758 
 
Net return after taxation                 -        -  237,686          -   10,683       248,369 
 
Dividend paid in respect of 
 
year ended 31 March 2016                  -        -        -          -  (4,702)       (4,702) 
 
First interim dividend paid in 
respect 
 
of year ended 31 March 2017               -        -        -          -  (3,008)       (3,008) 
 
Shares purchased for treasury             -        - (27,533)          -        -      (27,533) 
 
Shares issued from treasury               -        2    6,017          -        -         6,019 
 
Shares cancelled from treasury        (333)        -        -        333        -             - 
 
At 31 March 2017                     11,627  233,539  833,484      8,221   14,032     1,100,903 
 
The accompanying notes are an integral part of these statements. 
 
Financial Statements/Statement of Financial Position 
 
As at 31 March 2018 
 
                                                                            2018      2017 
 
                                                                 Notes     GBP'000     GBP'000 
 
Fixed assets 
 
Investments                                                          9 1,259,926 1,157,562 
 
Derivative - OTC swaps                                          9 & 10    34,105    34,410 
 
                                                                       1,294,031 1,191,972 
 
Current assets 
 
Debtors                                                             11     6,601     5,865 
 
Derivative - put and call options                               9 & 10       587     1,191 
 
Cash                                                                       9,932    10,780 
 
                                                                          17,120    17,836 
 
Current liabilities 
 
Creditors: amounts falling due within one year                      12 (107,865) (108,623) 
 
Derivatives - put and call options                              9 & 10   (1,098)     (282) 
 
                                                                       (108,963) (108,905) 
 
Net current liabilities                                                 (91,843)  (91,069) 
 
Total net assets                                                       1,202,188 1,100,903 
 
Capital and reserves 
 
Share capital                                                       13    12,466    11,627 
 
Share premium account                                                    317,406   233,539 
 
Capital reserve                                                     17   851,706   833,484 
 
Capital redemption reserve                                                 8,221     8,221 
 
Revenue reserve                                                           12,389    14,032 
 
Total shareholders' funds                                              1,202,188 1,100,903 
 
Net asset value per share                                           14  2,411.1p  2,367.2p 
 
The financial statements were approved by the Board of Directors and authorised 
for issue on 15 June 2018 and were signed on its behalf by: 
 
Sir Martin Smith 
 
Chairman 
 
The accompanying notes are an integral part of this statement. 
 
Worldwide Healthcare Trust PLC - Company Registration Number 3023689 
(Registered in England) 
 
Financial Statements/Notes to the Financial Statements 
 
1. ACCOUNTING POLICIES 
 
The principal accounting policies, all of which have been applied consistently 
throughout the year in the preparation of these financial statements, are set 
out below: 
 
(a) Basis of preparation 
 
These financial statements have been prepared in accordance with the Companies 
Act 2006, FRS 102 'The Financial Reporting Standard applicable in the UK and 
Ireland' ('UK GAAP') and the guidelines set out in the Statement of Recommended 
Practice ('SORP'), updated in January 2017, for Investment Trust Companies and 
Venture Capital Trusts issued by the Association of Investment Companies 
('AIC'), the historical cost convention, as modified by the valuation of 
investments and derivatives at fair value and on a going concern basis. 
 
The Company has taken advantage of the exemption from preparing a Cash Flow 
Statement under FRS 102, as it is an investment fund and its investments are 
substantially all highly liquid and carried at fair (market) value. 
 
The Company's financial statements are presented in sterling, being the 
functional and presentational currency of the Company. All values are rounded 
to the nearest thousand pounds (GBP'000) except where otherwise indicated. 
 
In addition, investments and derivatives held at fair value are categorised 
into a fair value hierarchy based on the degree to which the inputs to the fair 
value measurements are observable and the significance of the inputs to the 
fair value measurement in its entirety, which are described as follows: 
 
-        Level 1 -  Quoted prices in active markets. 
 
-        Level 2 -  Inputs other than quoted prices included within Level 1 
that are observable (i.e. developed using market data), either directly or 
indirectly. 
 
-        Level 3 -  Inputs are unobservable (i.e. for which market data is 
unavailable). 
 
Presentation of the Income Statement 
 
In order to reflect better the activities of an investment trust company and in 
accordance with the SORP, supplementary information which analyses the Income 
Statement between items of a revenue and capital nature has been presented 
alongside the Income Statement. The net revenue return is the measure the 
Directors believe appropriate in assessing the Company's compliance with 
certain requirements set out in Sections 1158 and 1159 of the Corporation Tax 
Act 2010. 
 
(b) Investments 
 
Investments are measured initially, and at subsequent reporting dates, at fair 
value, and are recognised and de-recognised at trade date where a purchase or 
sale is under a contract whose terms require delivery within the time frame 
established by the market concerned. For quoted securities fair value is either 
bid price or last traded price, depending on the convention of the exchange on 
which the investment is listed. Unquoted debt investments are fair valued using 
prices from independent market sources. Changes in fair value and gains or 
losses on disposal are included in the Income Statement as a capital item. 
 
(c) Derivative financial instruments 
 
The Company uses derivative financial instruments (namely put and call options 
and 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 Fixed Assets and Options are accounted 
for as Current Assets or Current Liabilities. 
 
Options are reviewed on a case-by-case basis and gains and losses are charged 
to the capital column of the Income Statement, where the option has been 
entered into to generate or protect capital returns. All of the put and call 
options bought and sold during the current and comparative year were capital in 
nature. 
 
All gains and losses on over-the-counter (OTC) equity swaps are accounted for 
as gains or losses on investments. Where there has been a re-positioning of the 
swap, gains and losses are accounted for on a realised basis. All such gains 
and losses have been debited or credited to the capital column of the Income 
Statement. 
 
Cash collateral held by counterparties is included within cash, except where 
there is a right of offset against the overdraft facility. 
 
(d) Investment income 
 
Dividends receivable 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. UK dividends are shown net of tax credits 
and foreign dividends are grossed up at the appropriate rate of withholding 
tax. 
 
Income from fixed interest securities is recognised on a time apportionment 
basis so as to reflect the effective interest rate. Deposit interest is 
accounted for on an accruals basis. 
 
(e) Expenses 
 
All expenses are accounted for on an accruals basis. Expenses are charged 
through the revenue column of the Income Statement except as follows: 
 
-        expenses which are incidental to the acquisition or disposal of an 
investment are charged to the capital column of the Income Statement; and 
 
-        expenses are charged to the capital column of the Income Statement 
where a connection with the maintenance or enhancement of the value of the 
investments can be demonstrated. In this respect the portfolio management and 
AIFM fees have been charged to the Income Statement in line with the Board's 
expected long-term split of returns, in the form of capital gains and income, 
from the Company's portfolio. As a result, 5% of the portfolio management and 
AIFM fees are charged to the revenue column of the Income Statement and 95% are 
charged to the capital column of the Income Statement. 
 
Any performance fee accrued or paid is charged in full to the capital column of 
the Income Statement. 
 
(f) Finance costs 
 
Finance costs are accounted for on an accruals basis. Finance costs are charged 
to the Income Statement in line with the Board's expected long-term split of 
returns, in the form of capital gains and income, from the Company's portfolio. 
As a result, 5% of the finance costs are charged to the revenue column of the 
Income Statement and 95% are charged to the capital column of the Income 
Statement. Finance charges, if applicable, including interest payable and 
premiums on settlement or redemption, are accounted for on an accruals basis in 
the Income Statement using the effective interest rate method and are added to 
the carrying amount of the instrument to the extent that they are not settled 
in the period in which they arise. 
 
(g) Taxation 
 
The tax effect of different items of expenditure is allocated between capital 
and revenue using the marginal basis. 
 
Deferred taxation is provided on all timing differences that have originated 
but not been reversed by the Statement of Financial Position date other than 
those differences regarded as permanent. This is subject to deferred tax assets 
only being recognised if it is considered more likely than not that there will 
be suitable profits from which the reversal of timing differences can be 
deducted. Any liability to deferred tax is provided for at the rate of tax 
enacted or substantially enacted. 
 
(h) Foreign currency 
 
Transactions recorded in overseas currencies during the year are translated 
into sterling at the appropriate daily exchange rates. Assets and liabilities 
denominated in overseas currencies at the Statement of Financial Position date 
are translated into sterling at the exchange rates ruling at that date. 
 
Exchange gains/losses on foreign currency balances 
 
Any gains or losses on the translation of foreign currency balances, including 
the foreign currency overdraft, whether realised or unrealised, are taken to 
the capital or the revenue column of the Income Statement, depending on whether 
the gain or loss is of a capital or revenue nature. 
 
(i) Capital reserve 
 
The following are transferred to this reserve: 
 
-        gains and losses on the disposal of investments; 
 
-        exchange differences of a capital nature, including the effects of 
changes in exchange rates on foreign currency borrowings; 
 
-        expenses, together with the related taxation effect, in accordance 
with the above policies; and 
 
-        changes in the fair value of investments and derivatives. 
 
This reserve can be used to distribute realised capital profits by way of 
dividend. Any gains in the fair value of investments that are not readily 
convertible to cash are treated as unrealised gains in the capital reserve. 
 
(j) Capital redemption reserve 
 
This reserve arose when ordinary shares were redeemed by the Company and 
subsequently cancelled. When ordinary shares are redeemed by the Company and 
subsequently cancelled, an amount equal to the par value of the ordinary share 
capital is transferred from the ordinary share capital to the capital 
redemption reserve. 
 
(k) Revenue reserve 
 
The revenue reserve is distributable by way of dividend. 
 
(l) Dividend payments 
 
Dividends paid by the Company on its shares are recognised in the financial 
statements in the year in which they are paid and are shown in the Statement of 
Changes in Equity. 
 
2. INCOME FROM INVESTMENTS 
 
                                                                           2018     2017 
 
                                                                          GBP'000    GBP'000 
 
Income from investments 
 
Overseas dividends                                                        9,600   10,735 
 
Fixed interest income                                                     2,250    2,023 
 
                                                                         11,850   12,758 
 
Other income 
 
Derivatives                                                                 233      290 
 
Deposit interest                                                            121       50 
 
Total income from investments                                            12,204   13,098 
 
Total income comprises: 
 
Dividends                                                                 9,600   10,735 
 
Interest                                                                  2,604    2,363 
 
                                                                         12,204   13,098 
 
3. AIFM, PORTFOLIO MANAGEMENT AND PERFORMANCE FEES 
 
                                                         2018                       2017 
 
                                    Revenue  Capital    Total  Revenue  Capital    Total 
 
                                      GBP'000    GBP'000    GBP'000    GBP'000    GBP'000    GBP'000 
 
AIFM fee                                109    2,076    2,185       89    1,693    1,782 
 
Portfolio management fee                384    7,293    7,677      334    6,340    6,674 
 
Performance fee                           -    9,730    9,730        -    4,718    4,718 
 
                                        493   19,099   19,592      423   12,751   13,174 
 
Further Details on the above fees are set out in the Report of the Directors. 
 
4. OTHER EXPENSES 
 
                                                                           2018     2017 
 
                                                                        Revenue  Revenue 
 
                                                                          GBP'000    GBP'000 
 
Directors' remuneration                                                     193      202 
 
Auditors' remuneration for the audit of the Company's financial              30       27 
statements 
 
Auditors' remuneration for non-audit services                                 3        4 
 
Marketing expenses                                                           50       58 
 
Registrar fees                                                               55       63 
 
Broker fees                                                                  30       14 
 
Legal and professional costs                                                  7       18 
 
Stock Exchange listing fees                                                151*       23 
 
Depositary and custody fees                                                 132      139 
 
Other costs                                                                 257      170 
 
                                                                            908      718 
 
Details of the amounts paid to Directors are included in the Directors' 
Remuneration Report. 
 
*          Includes GBP124,000 (2017: Nil) in respect of Stock Exchange Block 
Listing fees required as a result of the issuance of new shares by the Company 
during the year. 
 
5. FINANCE COSTS 
 
                                                      2018                          2017 
 
                               Revenue   Capital     Total   Revenue   Capital     Total 
 
                                 GBP'000     GBP'000     GBP'000     GBP'000     GBP'000     GBP'000 
 
Finance costs                       82     1,552     1,634        43       785       828 
 
6. TAXATION ON NET RETURN 
 
(a) Analysis of charge in year 
 
                                                         2018                       2017 
 
                                    Revenue  Capital    Total  Revenue  Capital    Total 
 
                                      GBP'000    GBP'000    GBP'000    GBP'000    GBP'000    GBP'000 
 
Corporation tax at 19% 
 
(2017: 20%) 
 
Tax relief to capital                   229    (229)        -       79     (79)        - 
 
Overseas taxation                     1,535        -    1,535    1,152        -    1,152 
 
                                      1,764    (229)    1,535    1,231     (79)    1,152 
 
(b) Factors affecting current tax charge for the year 
 
Approved investment trusts are exempt from tax on capital gains made within the 
Company. 
 
The tax charged for the year is lower (2017: lower) than the standard rate of 
corporation tax of 19% (2017: 20%). 
 
The difference is explained below. 
 
                                    Revenue  Capital    Total  Revenue  Capital     2017 
                                                                                   Total 
 
                                      GBP'000    GBP'000    GBP'000    GBP'000    GBP'000    GBP'000 
 
Net return before taxation           10,721   17,993   28,714   11,914  237,607  249,521 
 
Corporation tax at 19% (2017: 20%)    2,037    3,419    5,456    2,383   47,522   49,905 
 
Non-taxable gains on investments          -  (7,342)  (7,342)        - (50,229) (50,229) 
 
Overseas withholding taxation         1,535        -    1,535    1,152        -    1,152 
 
Non taxable overseas dividends      (1,748)        -  (1,748)  (2,103)        -  (2,103) 
 
Excess management expenses            (278)    3,923    3,645    (280)    2,707    2,427 
 
Tax relief to capital                   229    (229)        -       79     (79)        - 
 
Double taxation relief expensed        (11)        -     (11)        -        -        - 
 
Total tax charge                      1,764    (229)    1,535    1,231     (79)    1,152 
 
(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 profits and 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. 
 
The Company has not recognised a deferred tax asset of GBP18,995,000 (17% tax 
rate) (2017: GBP15,813,000 (17% tax rate)) as a result of excess management 
expenses and loan expenses. It is not anticipated that these excess expenses 
will be utilised in the foreseeable future. 
 
7. RETURN PER SHARE 
 
                                                                             2018       2017 
 
                                                                            GBP'000      GBP'000 
 
The return per share is based on the following figures: 
 
Revenue return                                                              8,957     10,683 
 
Capital return                                                             18,222    237,686 
 
                                                                           27,179    248,369 
 
Weighted average number of ordinary shares in issue during the year    47,849,849 46,695,120 
 
Revenue return per ordinary share                                           18.7p      22.9p 
 
Capital return per ordinary share                                           38.1p     509.0p 
 
                                                                            56.8p     531.9p 
 
The calculation of the total, revenue and capital return per ordinary share is 
carried out in accordance with IAS 33, "Earnings per Share". 
 
8. INTERIM DIVID 
 
Under UK GAAP, final dividends are not recognised until they are approved by 
shareholders and interim dividends are not recognised until they are paid. They 
are also debited directly from reserves. Amounts recognised as distributable in 
these financial statements were as follows: 
 
                                                                  2018              2017 
 
                                                                 GBP'000             GBP'000 
 
Second interim dividend in respect of the year ended                 -             4,702 
31 March 2016 
 
First interim dividend in respect of the year ended                  -             3,008 
31 March 2017 
 
Second interim dividend in respect of the year ended             7,447                 - 
31 March 2017 
 
First interim dividend in respect of the year ended              3,153                 - 
31 March 2018 
 
                                                                10,600             7,710 
 
In respect of the year ended 31 March 2018, the first interim dividend of 6.5p 
per share was paid on 9 January 2018. A second interim dividend of 11.0p is 
payable on 31 July 2018, the associated ex dividend date will be 21 June 2018. 
The total dividends payable in respect of the year ended 31 March 2018 amount 
to 17.5p per share (2017: 22.5p per share). The aggregate cost of the second 
interim dividend, based on the number of shares in issue at 15 June 2018, will 
be GBP5,497,000. In accordance with FRS 102 the second interim dividend will be 
reflected in the financial statements for the year ending 31 March 2019. Total 
dividends in respect of the financial year, which is the basis on which the 
requirements of s1158 of the Corporation Tax Act 2010 are considered, are set 
out below: 
 
                                                                  2018              2017 
 
                                                                 GBP'000             GBP'000 
 
Revenue available for distribution by way of                     8,957            10,683 
dividend for the year 
 
First interim dividend in respect of the year ended            (3,153)                 - 
31 March 2018 
 
Second interim dividend in respect of the year ended           (5,497)                 - 
31 March 2018* 
 
First interim dividend in respect of the year ended                  -           (3,008) 
31 March 2017 
 
Second interim dividend in respect of the year ended                 -           (7,447) 
31 March 2017 
 
Net retained revenue                                               307               228 
 
*          based on 49,968,778 shares in issue as at 15 June 2018. 
 
9. INVESTMENTS 
 
                                                      Quoted    Unquoted  Derivative       Total 
                                                 Investments        Debt   Financial       GBP'000 
                                                       GBP'000 Investments Instruments 
                                                                   GBP'000       GBP'000 
 
Cost at 1 April 2017                                 924,045      28,137      28,037     980,219 
 
Investment holding gains at 1 April 2017             203,042       2,338       7,282     212,662 
 
Valuation at 1 April 2017                          1,127,087      30,475      35,319   1,192,881 
 
Movement in the year: 
 
Purchases at cost                                  1,072,461      15,413       1,206   1,089,080 
 
Sales - proceeds                                   (980,261)    (10,333)    (28,937) (1,019,531) 
 
- realised gains on sales                            186,517       2,065      12,750     201,332 
 
Net movement in investment holding gains           (178,599)     (4,899)      13,256   (170,242) 
 
Valuation at 31 March 2018                         1,227,205      32,721      33,594   1,293,520 
 
Cost at 31 March 2018                              1,202,762      35,282      13,056   1,251,100 
 
Investment holding gains/(losses) at 31 March         24,443     (2,561)      20,538      42,420 
2018 
 
Valuation at 31 March 2018                         1,227,205      32,721      33,594   1,293,520 
 
 
 
                                                                               2018          2017 
 
                                                                              GBP'000         GBP'000 
 
Gains on investments 
 
Gains on disposal                                                           201,332       180,694 
 
Effective interest rate amortisation                                          (388)          (90) 
 
Less: amounts recognised as investment holding gains in previous years    (128,450) (81,728) 
 
Gains based on carrying value at previous Statement 
 
of Financial Position date                                                   72,494        98,876 
 
Movement in investment holding gains in the year                           (41,792)       161,380 
 
Gains on investments                                                         30,702       260,256 
 
Purchase transaction costs for the year to 31 March 2018 were GBP836,000 (year 
ended 31 March 2017: GBP713,000). Sales transaction costs for the year to 31 
March 2018 were GBP804,000 (year ended 31 March 2017: GBP587,000). These comprise 
mainly commission. 
 
10. DERIVATIVE FINANCIAL INSTRUMENTS 
 
                                                                           2018     2017 
 
                                                                          GBP'000    GBP'000 
 
Fair value of OTC equity swaps                                           34,105   34,410 
 
Fair value of put and call options (long)                                   587    1,191 
 
Fair value of put and call options (short)                              (1,098)    (282) 
 
                                                                         33,594   35,319 
 
See note 9 above for movements during the year. 
 
11. DEBTORS 
 
                                                                           2018     2017 
 
                                                                          GBP'000    GBP'000 
 
Amounts due from brokers                                                  3,415    2,751 
 
Withholding taxation recoverable                                          1,762    1,575 
 
VAT recoverable                                                              25       15 
 
Prepayments and accrued income                                            1,399    1,524 
 
                                                                          6,601    5,865 
 
12. CREDITORS Amounts falling due within one year 
 
                                                                           2018     2017 
 
                                                                          GBP'000    GBP'000 
 
Amounts due to brokers                                                    3,545    4,783 
 
Overdraft drawn*                                                         91,351   98,337 
 
Performance fee provision                                                 9,731    3,387 
 
Performance fee payable                                                     959        - 
 
Other creditors and accruals                                              2,279    2,116 
 
                                                                        107,865  108,623 
 
*        The Company's borrowing requirements are met through the utilisation 
of an overdraft facility provided by J.P. Morgan Securities LLC. The overdraft 
is drawn down in U.S. dollars. Interest on the drawn overdraft is charged at 
the United States Overnight Bank Funding Rate plus 45 basis points. 
 
As at 31 March 2017, the overdraft of GBP98.3m is net of GBP6.3 million of cash 
held as collateral against certain derivative positions. No cash was offset at 
31 March 2018. J.P. Morgan Securities LLC may take investments up to 140% of 
the value of the overdrawn balance as collateral and has been granted a first 
priority security interest or lien over the Company's assets. 
 
13. SHARE CAPITAL 
 
                                                                                       Total 
 
                                                                         Treasury     shares 
 
                                                                  Shares   shares   in issue 
 
                                                                  number   number     number 
 
Issued and fully paid at 1 April 2017                         46,506,278        - 46,506,278 
 
New shares issued                                              3,355,000        -  3,355,000 
 
At 31 March 2018                                              49,861,278        - 49,861,278 
 
 
 
                                                                          2018     2017 
 
                                                                         GBP'000    GBP'000 
 
Issued and fully paid: 
 
Shares of 25p                                                           12,466   11,627 
 
During the year ended 31 March 2018 3,355,000 shares were issued raising GBP 
84,706,000. During the year ended 31 March 2017 1,425,062 shares were bought 
back at cost of GBP27,533,000 and 291,295 shares were issued from treasury 
raising proceeds of GBP6,019,000. 
 
14. NET ASSET VALUE PER SHARE 
 
                                                                           2018     2017 
 
Net asset value per share                                              2,411.1p 2,367.2p 
 
The net asset value per share is based on the assets attributable to equity 
shareholders of GBP1,202,188,000 (2017: GBP1,100,903,000) and on the number of 
Ordinary Shares in issue at the year end of 49,861,278 (2017: 46,506,278). 
 
15. RELATED PARTIES 
 
The following are considered to be related parties: 
 
-        Frostrow Capital LLP (under the Listing Rules only) 
 
-        OrbiMed Capital LLC 
 
-        The Directors of the Company 
 
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 in the Business Review. Samuel D. Isaly was until 12 January 2018 a 
Director of the Company. He was also formerly the Managing Partner at OrbiMed 
Capital LLC. Sven Borho, who joined the Board on 7 June 2018, is a Managing 
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. 
 
Details of the remuneration of all Directors can be found in the Remuneration 
Report. Details of the Directors' interests in the capital of the Company can 
also be found in the Remuneration Report. 
 
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 
note 3. 
 
16. FINANCIAL INSTRUMENTS 
 
Risk management policies and procedures 
 
The Company's financial instruments comprise securities and other investments, 
derivative instruments, cash balances, loans, debtors and creditors that arise 
directly from its operations. 
 
As an investment trust, the Company invests in equities and other investments 
for the long term so as to secure its investment objective. In pursuing its 
investment objective, the Company is exposed to a variety of risks that could 
result in a reduction in the Company's net assets. 
 
The main risks that the Company faces arising from its financial instruments 
are: 
 
(i)      market risk (including foreign currency risk, interest rate risk and 
other price risk) 
 
(ii)     liquidity risk 
 
(iii)     credit risk 
 
These risks, with the exception of liquidity risk, and the Directors' approach 
to the management of them, are set out in the Strategic Report and have not 
changed from the previous accounting year. The AIFM, in close co-operation with 
the Board and the Portfolio Manager co-ordinate the Company's risk management. 
 
Use of derivatives 
 
As noted in the Strategic Report, options and equity swaps are used within the 
Company's portfolio. More details on options and swaps can be found in the 
Glossary. 
 
Put and call options 
 
OrbiMed employs, when appropriate, options strategies in an effort to enhance 
returns and to improve the risk-return profile of the Company's portfolio. 
 
The Board monitor the use of options through a monthly report, summarising the 
options activity and strategic intent, provided by OrbiMed. 
 
OrbiMed employs the following option strategies, or a combination of such: 
 
-        Buy calls: provides leveraged long exposure while minimising capital 
at risk; 
 
-        Buy puts: provides leveraged protection, against price falls while 
minimising capital at risk; 
 
-        Sell calls: against an existing position, provides partial protection 
from a decline in stock price, facilitates commitment to an exit strategy and 
exit price that is consistent with fundamental analysis; 
 
-        Sell puts: provides an effective entry price at which to add to an 
existing position, or provides an effective entry price at which to initiate a 
new position. 
 
OTC equity swaps 
 
The Company uses OTC equity swap positions to gain access to the Indian and 
Chinese markets, because the Company is not locally registered to trade in 
either market, and to gain exposure to thematic baskets of stocks. 
 
Details of funded and financed* swap positions are noted in the Portfolio. 
 
Cash of GBP9.9 million (2017: GBP17.1 million) was held as collateral against the 
financed swap positions, of which nil (2017: GBP6.3 million) was offset against 
the overdraft position. 
 
Offsetting disclosure 
 
Swap trades and OTC derivatives are traded under ISDA? Master Agreements. The 
Company currently has such agreements in place with Goldman Sachs and JP 
Morgan. 
 
These agreements create a right of set-off that becomes enforceable only 
following a specified event of default, or in other circumstances not expected 
to arise in the normal course of business. As the right of set-off is not 
unconditional, for financial reporting purposes, the Company does not offset 
derivative assets and derivative liabilities. 
 
(i) Other price risk 
 
In pursuance of the Company's Investment Objective the Company's portfolio, 
including its derivatives, is exposed to the risk of fluctuations in market 
prices and foreign exchange rates. 
 
The Board manage these risks through the use of limits and guidelines, monthly 
compliance reports from Frostrow and reports from Frostrow and OrbiMed 
presented at each Board meeting. 
 
?          International Swap Dealers Association Inc. 
 
*          See Glossary for a description of funded and financed swaps. 
 
Other price risk exposure 
 
The Company's gross exposure to other price risk is represented by the fair 
value of the investments and the underlying exposure through the derivative 
investments held at the year end as shown in the table below. 
 
                                                    2018 Notional*                  2017  Notional 
 
                                      Assets Liabilities  exposure    Assets Liabilities  exposure 
 
                                       GBP'000       GBP'000     GBP'000     GBP'000       GBP'000     GBP'000 
 
Investments                        1,259,926           - 1,259,926 1,157,562           - 1,157,562 
 
Put and call options                     587     (1,098)    22,584     1,191       (282)    11,590 
 
OTC equity swaps                      34,105           -   126,125    34,410           -   116,926 
 
                                   1,294,618     (1,098) 1,408,635 1,193,163       (282) 1,286,078 
 
*          The notional exposure is calculated as the maximum loss the Company 
could experience. 
 
Other price risk sensitivity 
 
If market prices of all of the Company's financial instruments including the 
derivatives at the Statement of Financial Position date had been 25% higher or 
lower (2017: 25% higher or lower) while all other variables remained constant: 
the revenue return would have decreased/increased by GBP1,343,000 (2017: GBP 
123,000); the capital return would have increased by GBP346,181,000 (2017: GBP 
318,300,000)/decreased by GBP346,882,000 (2017: GBP317,372,000); and, the return on 
equity would have increased by GBP344,838,000 (2017: GBP318,177,000)/decreased by GBP 
345,539,000 (2017: GBP317,249,000). The calculations are based on the portfolio 
as at the respective Statement of Financial Position dates and are not 
representative of the year as a whole. 
 
(ii) Foreign currency risk 
 
A significant proportion of the Company's portfolio and derivative positions 
are denominated in currencies other than sterling (the Company's functional 
currency, and the currency in which it reports its results). As a result, 
movements in exchange rates can significantly affect the sterling value of 
those items. 
 
Foreign currency exposure 
 
The fair values of the Company's monetary assets and liabilities that are 
denominated in foreign currencies are shown below: 
 
                                             2018                               2017 
 
                              Current     Current                Current     Current 
 
                               assets liabilities Investments     assets liabilities Investments 
 
                                GBP'000       GBP'000       GBP'000      GBP'000       GBP'000       GBP'000 
 
U.S. dollar                    11,236    (94,894)   1,075,131     14,886   (103,492)     998,352 
 
Swiss franc                     1,032           -      17,772        969       (168)      41,448 
 
Japanese yen                    3,988           -      95,628        659           -      76,385 
 
Other                             217           -     104,989        525       (147)      76,697 
 
                               16,473    (94,894)   1,293,520     17,039   (103,807)   1,192,881 
 
Foreign currency sensitivity 
 
The following table details the sensitivity of the Company's net return for the 
year and shareholders' funds to a 10% increase and decrease in sterling against 
the relevant currency (2017: 10% increase and decrease). 
 
These percentages have been determined based on market volatility in exchange 
rates over the previous 12 months. The sensitivity analysis is based on the 
Company's significant foreign currency exposures at each Statement of Financial 
Position date. 
 
                                                2018                       2017 
 
                                        USD      YEN      CHF      USD      YEN      CHF 
 
                                      GBP'000    GBP'000    GBP'000    GBP'000    GBP'000    GBP'000 
 
Sterling depreciates                120,388   11,068    2,089  110,251    8,560    4,694 
 
Sterling appreciates               (98,499)  (9,056)  (1,709) (90,206)  (7,004)  (3,841) 
 
(iii) Interest rate risk 
 
Interest rate changes may affect: 
 
-       the interest payable on the Company's variable rate borrowings; 
 
-       the level of income receivable from floating and fixed rate securities 
and cash at bank and on deposit; 
 
-       the fair value of investments in fixed interest securities. 
 
Interest rate exposure 
 
The Company's main exposure to interest rate risks is through its overdraft 
facility with J.P. Morgan Securities LLC, 
 
which is repayable on demand, and, its holding in fixed interest securities. 
The exposure of financial assets and 
 
liabilities to fixed and floating interest rates, is shown below. 
 
At 31 March 2018, the Company held 2.5% of the portfolio in convertible bonds 
and securitised debt (2017: 3.8% of the portfolio). The exposure is shown in 
the table below: 
 
                                      2018                                  2017 
 
                   Weighted Weighted                  Weighted Weighted 
 
                    average  average                   average  average 
 
                     period    fixed                    period    fixed 
 
                        for interest Fixed   Floating      for interest    Fixed   Floating 
                      which                              which 
 
                    rate is     rate  rate       rate  rate is     rate     rate       rate 
                      fixed                              fixed 
 
                      Years        % GBP'000      GBP'000    Years        %    GBP'000      GBP'000 
 
Convertible               -        -     -          -      1.3      6.2   15,403          - 
securities 
 
Unquoted debt           5.4      1.8 7,958     24,763      5.1      9.7   12,085     18,390 
investments 
 
Cash                                     -      9,932                          -     10,780 
 
Overdraft facility                       -   (91,351)                          -   (98,337) 
 
Financed swap                            -   (92,020)                          -   (82,516) 
positions 
 
                                     7,958  (148,676)                     27,488  (151,683) 
 
All interest rate exposures are held in U.S. dollars. 
 
Interest rate sensitivity 
 
If interest rates had been 1% higher or lower and all other variables were held 
constant, the Company's net return for the year ended 31 March 2018 and the net 
assets would increase/decrease by GBP1,487,000 (2017: increase/decrease by GBP 
1,517,000). 
 
(iv) 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 considered significant as the majority of the Company's 
assets are investments in quoted securities that are readily realisable within 
one week, in normal market conditions. 
 
Liquidity exposure and maturity 
 
Contractual maturities of the financial liability exposures as at 31 March 
2018, based on the earliest date on which payment can be required, are as 
follows: 
 
                                                                                                                             2018     2017 
 
                                                                                                                         3 months 3 months 
 
                                                                                                                          or less  or less 
 
                                                                                                                            GBP'000    GBP'000 
 
Overdraft facility                                                                                                         91,351   98,337 
 
Amounts due to brokers and accruals                                                                                         3,545    4,783 
 
Derivatives - Put options (short)                                                                                           1,058      282 
 
Derivatives - Call options (short)                                                                                             40        - 
 
                                                                                                                           95,994  103,402 
 
(v) Credit risk 
 
Credit risk is the risk of failure of a counterparty to discharge its 
obligations resulting in the Company suffering a financial loss. 
 
The carrying amounts of financial assets best represent the maximum credit risk 
at the Statement of Financial Position date. The Company's quoted securities 
are held on its behalf by J.P. Morgan Securities LLC acting as the Company's 
Custodian and Prime Broker. 
 
Certain of the Company's assets can be held by J.P. Morgan Securities LLC as 
collateral against the overdraft provided by them to the Company. As at 31 
March 2018, assets with a total market value of GBP129.3 million (2017: GBP146.1 
million) were available to J.P. Morgan Securities LLC to be used as collateral 
against the overdraft facility which equates to 140% (2017: 140%) of the 
overdrawn position (calculated on a settled basis) of GBP92.3 million (2017: GBP 
104.6 million). Such assets held by J.P. Morgan Securities LLC are available 
for rehypothecation (see Glossary for further information). 
 
Credit risk exposure 
 
                                                                           2018     2017 
 
                                                                          GBP'000    GBP'000 
 
Convertible securities and unquoted debt investments                     32,721   45,878 
 
Derivative - OTC equity swaps                                            34,105   34,410 
 
Current assets: 
 
Other receivables (amounts due from brokers, dividends 
 
and interest receivable)                                                  6,601    5,865 
 
Derivative - Put options (long)                                             161        - 
 
Derivative - Call options (long)                                            426    1,191 
 
Cash                                                                      9,932   10,780 
 
(vi) 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 (investments and derivatives) or the 
Statement of Financial Position amount is a reasonable approximation of fair 
value (due from brokers, dividends and interest receivable, due to brokers, 
accrual, cash at bank, bank overdraft and amounts due under the loan facility). 
 
(vii) Hierarchy of investments 
 
The Company has classified its financial assets designated at fair value 
through profit or loss and the fair value of derivative financial instruments 
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 2018                                      GBP'000    GBP'000    GBP'000     GBP'000 
 
Investments held at fair value through profit or     1,227,205        -   32,721 1,259,926 
loss 
 
Derivatives: put and call options (short)                    -  (1,098)        -   (1,098) 
 
Derivatives: put and call options (long)                     -      587        -       587 
 
Derivatives: OTC swaps                                       -   34,105        -    34,105 
 
Financial instruments measured at fair value         1,227,205   33,594   32,721 1,293,520 
 
As at 31 March 2018, the put and call options and equity swaps have been 
classified as Level 2. 
 
As at 31 March 2018, the seven debt investments (included in the portfolio) 
have been classified as Level 3. All level 3 positions have been valued using 
the estimated fair values as provided by independent market sources. 
 
                                                       Level 1  Level 2  Level 3     Total 
 
As of 31 March 2017                                      GBP'000    GBP'000    GBP'000     GBP'000 
 
Investments held at fair value through profit or     1,127,087        -   30,475 1,157,562 
loss 
 
Derivatives: put and call options (short)                    -    (282)        -     (282) 
 
Derivatives: put and call options (long)                     -    1,191        -     1,191 
 
Derivatives: OTC swaps                                       -   34,410        -    34,410 
 
Financial instruments measured at fair value         1,127,087   35,319   30,475 1,192,881 
 
As at 31 March 2017, the put and call options and equity swaps have been 
classified as Level 2. 
 
As at 31 March 2017, the five debt investments were classified as Level 3. All 
level 3 positions were valued using the estimated fair values as provided by 
independent market sources. 
 
(viii) Capital management policies and procedures 
 
The Company's capital management objectives are to ensure that it will be able 
to continue as a going concern and to maximise the income and capital return to 
its equity shareholders through an appropriate level of gearing or leverage. 
 
The Board's policy on gearing and leverage is set out in the Strategic Report. 
 
As at 31 March 2018, the Company had a leverage percentage of 16.4% (2017: 
16.9%). 
 
The capital structure of the Company consists of the equity share capital, 
retained earnings and other reserves as shown in the Statement of Financial 
Position. 
 
The Board, with the assistance of the AIFM and the Portfolio Manager, monitors 
and reviews the broad structure of the Company's capital on an ongoing basis. 
This includes a review of: 
 
-       the planned level of gearing, which takes into account the Portfolio 
Manager's view of the market; 
 
-       the need to buy back equity shares, either for cancellation or to hold 
in treasury, in light of any share price discount to net asset value per share 
in accordance with the Company's share buy-back policy; 
 
-       the need for new issues of equity shares, including issues from 
treasury; and 
 
-       the extent to which revenue in excess of that which is required to be 
distributed should be retained. 
 
The Company's objectives, policies and processes for managing capital are 
unchanged from the preceding accounting year. 
 
17. CAPITAL RESERVE 
 
                                                                  Capital Reserves* 
 
                                                                Other Investment    Total 
                                                                GBP'000    Holding    GBP'000 
                                                                           Gains 
                                                                           GBP'000 
 
At 31 March 2017                                              620,822    212,662  833,484 
 
Net gains on investments                                       72,494   (41,792)   30,702 
 
Expenses charged to capital less tax relief thereon          (20,422)          - (20,422) 
 
Exchange gain on currency balances                              7,942          -    7,942 
 
At 31 March 2018                                              680,836    170,870  851,706 
 
*          Investment holding gains relate to the revaluation of investments 
and derivatives held at the reporting date. (See note 9 for further 
information). 
 
Under the terms of the revisions made to the Company's Articles of Association 
in 2013, sums within "capital reserves - other" are also available for 
distribution. 
 
Further Information/Shareholder Information 
 
Financial calendar 
 
31 March          Financial Year End 
 
June              Final Results Announced 
 
September         Annual General Meeting 
 
30 September      Half Year End 
 
November          Half Year Results Announced 
 
January/July      Dividends Payable 
 
Annual General Meeting 
 
The Annual General Meeting of Worldwide Healthcare Trust PLC will be held at 
Salters' Hall, 4 Fore Street, London EC2Y 5DE on Thursday, 20 September 2018 
from 12 noon. 
 
Dividends 
 
The Company pays two interim dividends in January and July each year. 
Shareholders who wish to have dividends paid directly into a bank account, 
rather than by cheque to their registered address, can complete a mandate form 
for the purpose. Mandates may be obtained from the Company's Registrars, Link 
Asset Services, on request. 
 
Share prices 
 
The Company's shares are listed on the London Stock Exchange under 'Investment 
Companies'. The price is given daily in the Financial Times and other 
newspapers. 
 
Change of address 
 
Communications with shareholders are mailed to the address held on the share 
register. In the event of a change of address or other amendment this should be 
notified to the Company's Registrars, Link Asset Services, under the signature 
of the registered holder. 
 
Daily net asset value 
 
The daily net asset value of the Company's shares can be obtained on the 
Company's website at www.worldwidewh.com and is published daily via the London 
Stock Exchange. 
 
Further Information/Glossary 
 
Alternative Investment Fund Managers Directive (AIFMD) 
 
Agreed by the European Parliament and the Council of the European Union and 
transported 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. 
 
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. 
 
Equity Swaps 
 
An equity swap is an agreement in which one party (counterparty) transfers the 
total return of an underlying equity position to the other party (swap holder) 
in exchange for a one off payment 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. 
 
Your company uses two types of equity swap: 
 
-        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; 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. 
 
The Company employs swaps for two purposes: 
 
-        To gain access to individual stocks in the Indian, Chinese and 
emerging markets, where the Company is not locally registered to trade; and, 
 
-        To gain exposure to thematic baskets of stocks (a Basket Swap). Basket 
Swaps are used to build exposure to themes, or ideas, that the Portfolio 
Manager believes the Company will benefit from and where holding a Basket Swap 
is more cost effective and operationally efficient than holding the underlying 
stocks or individual swaps. 
 
Gearing 
 
Gearing is calculated as the overdraft drawn, less net current assets 
(excluding dividends), divided by Net Assets, expressed as a percentage. For 
years prior to 2013, the calculation was based on borrowings as a percentage of 
Net Assets. 
 
Health Maintenance Organisation (HMO) 
 
In the United States an HMO is a medical insurance group that provides health 
services for a fixed fee. 
 
International Swaps and Derivatives Association (ISDA) 
 
ISDA has created a standardised contract (the ISDA Master Agreement) which sets 
out the basic trading terms between the counterparties to derivative contracts. 
 
Leverage 
 
Leverage is defined in the AIFMD as any method by which the AIFM increases the 
exposure of an AIF. In addition to the gearing limit the Company also has to 
comply with the AIFMD leverage requirements. For these purposes the Board has 
set a maximum leverage limit of 140% for both methods. This limit is expressed 
as a % with 100% representing no leverage or gearing in the Company. There are 
two methods of calculating leverage as follows: 
 
The Gross Method is calculated as total exposure divided by Shareholders' 
Funds. Total exposure is calculated as net assets, less cash and cash 
equivalents, adding back cash borrowing plus derivatives converted into the 
equivalent position in their underlying assets. 
 
The Commitment Method is calculated as total exposure divided by Shareholders 
Funds. In this instance total exposure is calculated as net assets, less cash 
and cash equivalents, adding back cash borrowing plus derivatives converted 
into the equivalent position in their underlying assets, adjusted for netting 
and hedging arrangements. 
 
See the definition of Options and Equity Swaps for more details on how exposure 
through derivatives is calculated. 
 
                                                        31 March 2018       31 March 2017 
                                                              GBP                   GBP 
 
                                                          Fair Exposure*      Fair Exposure* 
                                                         Value               Value 
 
Investments                                          1,259,926 1,259,926 1,157,562 1,157,562 
 
OTC equity swaps                                        34,105   126,125    34,410   116,926 
 
Put + Call options                                       (511)    13,098       909    13,151 
 
                                                     1,293,520 1,399,149 1,192,881 1,287,339 
 
Shareholders' funds                                            1,202,188           1,100,903 
 
Leverage %                                                          16.4                16.9 
 
*        Calculated in accordance with AIFMD requirements using the Commitment 
Method 
 
MSCI World Health Care Index 
 
The MSCI World Health Care Index is designed to capture the large and mid 
capitalisation segments across 23 developed markets countries: All securities 
in the index are classified as healthcare as per the Global Industry 
Classification Standard (GICS). Developed Markets countries include: Australia, 
Austria, Belgium, Canada, Denmark, Finland, France, Germany, Hong Kong, 
Ireland, Israel, Italy, Japan, Netherlands, New Zealand, Norway, Portugal, 
Singapore, Spain, Sweden, Switzerland the UK and the U.S. The net total return 
of the Index is used which assumes the reinvestment of any dividends paid by 
its constituents after the deduction of relevant withholding taxes. The 
performance of the Index is calculated in U.S.$ terms. Because the Company's 
reporting currency is GBP the prevailing U.S.$/GBP exchange rate is applied to 
obtain a GBP based return. 
 
NAV per Share (pence) 
 
The value of the Company's assets, principally investments made in other 
companies and cash being held, minus any liabilities. The NAV is also described 
as 'shareholders' funds' per share. 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. 
 
NAV Total Return 
 
The theoretical total return on shareholders' funds per share, reflecting the 
change in NAV assuming that dividends paid to shareholders were reinvested at 
NAV at the time the shares were quoted ex-dividend. A way of measuring 
investment management performance of investment trusts which is not affected by 
movements in discounts/premiums. 
 
NAV Total Return                                                       31 March 31 March 
                                                                           2018     2017 
                                                                              p        p 
 
Opening NAV                                                             2,367.2  1,850.9 
 
Increase in NAV                                                            43.9    516.3 
 
Closing NAV                                                             2,411.1  2,367.2 
 
% increase in NAV                                                          1.9%    27.9% 
 
Impact of reinvested dividends                                             0.9%     1.0% 
 
NAV Total Return                                                           2.8%    28.9% 
 
Ongoing Charges 
 
Ongoing charges are calculated by taking the Company's annualised ongoing 
charges, excluding finance costs, taxation, performance fees and exceptional 
items, and expressing them as a percentage of the average daily net asset value 
of the Company over the year. 
 
                                                                        31 March  31 March 
 
                                                                            2018      2017 
 
                                                                           GBP'000     GBP'000 
 
AIFM & Portfolio Management fees (Note 3)                                  9,862     8,456 
 
Other Expenses (Note 4)                                                      908       718 
 
Total Ongoing Charges                                                     10,770     9,174 
 
Performance fees paid/crystallised                                         3,387     1,331 
 
Total                                                                     14,157    10,505 
 
Average net assets                                                     1,183,992 1,006,812 
 
Ongoing Charges                                                             0.9%      0.9% 
 
Ongoing Charges (including performance fees paid or crystallised            1.2%      1.0% 
during the year) 
 
Options 
 
An option is an agreement that gives the buyer, who pays a fee (premium), the 
right - but not the obligation - to buy or sell a specified amount of an 
underlying asset at an agreed price (strike or exercise price) on or until the 
expiration of the contract (expiry). A call option is an option to buy, and a 
put option an option to sell. 
 
The potential loss of the buyer is limited to the higher of the premium paid or 
the market value of the bought option. On the other side for the seller of a 
covered call option (your company does not sell uncovered options) any loss 
would be offset by gains in the covering position, and for sold puts the 
potential loss is the strike price times the number of option contracts held. 
For the purposes of calculating exposure to risk in note 16, the potential loss 
is used. The exposure, used in calculating the AIFMD leverage limits, between 
these two bounds is determined as the delta (an options delta measures the 
sensitivity of an option's price solely to a change in the price of the 
underlying asset) adjusted equivalent of the underlying position. 
 
Rehypothecation 
 
Rehypothecation is the practice by banks and brokers of using, for their own 
purposes, assets that have been posted as collateral by clients. 
 
Ribonucleic Acid 
 
Ribonucleic Acid, or RNA is one of the three major macromolecules that are 
essential for all known life (along with DNA and proteins). 
 
Share Price Total Return 
 
Return to the investor on mid-market prices assuming that all dividends paid 
were reinvested. 
 
Share price Total Return                                               31 March 31 March 
                                                                           2018     2017 
                                                                              p        p 
 
Opening share price                                                     2,304.0  1,715.0 
 
Increase in share price                                                   101.0    589.0 
 
Closing share price                                                     2,405.0  2,304.0 
 
% increase in share price                                                  4.4%    34.3% 
 
Impact of reinvested dividends                                             0.9%     1.2% 
 
Share price Total Return                                                   5.3%    35.5% 
 
Treasury Shares 
 
Shares previously issued by a company that have been bought back from 
shareholders to be held by the company for potential sale or cancellation at a 
later date. Such shares are not capable of being voted and carry no rights to 
dividends. 
 
Further Information/Notice of the Annual General Meeting 
 
Notice is hereby given that the Annual General Meeting of Worldwide Healthcare 
Trust PLC will be held at Salters' Hall, 4 Fore Street, London EC2Y 5DE on 
Thursday, 20 September 2018 from 12 noon for the following purposes: 
 
Ordinary business 
 
To consider and, if thought fit, pass the following as ordinary resolutions: 
 
1.      To receive and, if thought fit, to accept the Audited Accounts and the 
Report of the Directors for the year ended 31 March 2018 
 
2.      To re-elect Dr David Holbrook as a Director of the Company 
 
3.      To re-elect Sir Martin Smith as a Director of the Company 
 
4.      To re-elect Mrs Sarah Bates as a Director of the Company 
 
5.      To re-elect Mr Humphrey van der Klugt as a Director of the Company 
 
6.      To re-elect Mr Doug McCutcheon as a Director of the Company 
 
7.      To elect Mr Sven Borho as a Director of the Company 
 
8.      To re-appoint PricewaterhouseCoopers LLP as the Company's Auditors and 
to authorise the Audit Committee to determine their remuneration 
 
9.      To approve the Directors' Remuneration Report for the year ended 31 
March 2018 
 
Special business 
 
To consider and, if thought fit, pass the following resolutions of which 
resolutions 11, 12, 13 and 14 will be proposed as special resolutions: 
 
Authority to allot shares 
 
10.    THAT in substitution for all existing authorities the Directors be and 
are hereby generally and unconditionally authorised in accordance with section 
551 of the Companies Act 2006 (the "Act") to exercise all powers of the Company 
to allot relevant securities (within the meaning of section 551 of the Act) up 
to a maximum aggregate nominal amount of GBP1,249,219 (being 10% of the issued 
share capital of the Company at 15 June 2018) and representing 4,996,877 shares 
of 25 pence each (or, if changed, the number representing 10% of the issued 
share capital of the Company at the date at which this resolution is passed), 
provided that this authority shall expire at the conclusion of the Annual 
General Meeting of the Company to be held in 2019 or 15 months from the date of 
passing this resolution, whichever is the earlier, unless previously revoked, 
varied or renewed, by the Company in General Meeting and provided that the 
Company shall be entitled to make, prior to the expiry of such authority, an 
offer or agreement which would or might require relevant securities to be 
allotted after such expiry and the Directors may allot relevant securities 
pursuant to such offer or agreement as if the authority conferred hereby had 
not expired. 
 
Disapplication of pre-emption rights 
 
11.    THAT in substitution of all existing powers (but in addition to any 
power conferred on them by resolution 12 set out in the notice convening the 
Annual General Meeting at which this resolution is proposed ("Notice of Annual 
General Meeting")) the Directors be and are hereby generally empowered pursuant 
to Section 570 of the Companies Act 2006 (the "Act") to allot equity securities 
(within the meaning of Section 560 of the Act) for cash pursuant to the 
authority conferred on them by resolution 10 set out in the Notice of Annual 
General Meeting or otherwise as if Section 561(1) of the Act did not apply to 
any such allotment: 
 
(a)     pursuant to an offer of equity securities open for acceptance for a 
period fixed by the Directors where the equity securities respectively 
attributable to the interests of holders of shares of 25p each in the capital 
of the Company ("Shares") are proportionate (as nearly as may be) to the 
respective numbers of Shares held by them but subject to such exclusions or 
other arrangements in connection with the issue as the Directors may consider 
necessary, appropriate or expedient to deal with equity securities representing 
fractional entitlements or to deal with legal or practical problems arising in 
any overseas territory, the requirements of any regulatory body or stock 
exchange, or any other matter whatsoever; 
 
(b)     provided that (otherwise than pursuant to sub-paragraph (a) above) this 
power shall be limited to the allotment of equity securities up to an aggregate 
nominal value of GBP1,249,219, being 10% of the issued share capital of the 
Company as at 15 June 2018 and representing 4,996,877 Shares or, if changed, 
the number representing 10% of the issued share capital of the Company at the 
date of the meeting at which this resolution is passed, and provided further 
that (i) the number of equity securities to which this power applies shall be 
reduced from time to time by the number of treasury shares which are sold 
pursuant to any power conferred on the Directors by resolution 12 set out in 
the Notice of Annual General Meeting and (ii) no allotment of equity securities 
shall be made under this power which would result in Shares being issued at a 
price which is less than the net asset value per Share as at the latest 
practicable date before such allotment of equity securities as determined by 
the Directors in their reasonable discretion; and 
 
and such power shall expire at the conclusion of the next Annual General 
Meeting of the Company after the passing of this resolution or 15 months from 
the date of passing this resolution, whichever is earlier, unless previously 
revoked, varied or renewed by the Company in General Meeting and provided that 
the Company shall be entitled to make, prior to the expiry of such authority, 
an offer or agreement which would or might otherwise require equity securities 
to be allotted after such expiry and the Directors may allot equity securities 
pursuant to such offer or agreement as if the power conferred hereby had not 
expired. 
 
12.    THAT in substitution of all existing powers (but in addition to any 
power conferred on them by resolution 10 set out in the Notice of Annual 
General Meeting) the Directors be and are hereby generally empowered pursuant 
to Section 570 of the Companies Act 2006 (the "Act") to sell relevant shares 
(within the meaning of Section 560 of the Act) if, immediately before the sale, 
such shares are held by the Company as treasury shares (as defined in Section 
724 of the Act ("treasury shares")), for cash as if Section 561(1) of the Act 
did not apply to any such sale provided that: 
 
(a)     where any treasury shares are sold pursuant to this power at a discount 
to the then prevailing net asset value of ordinary shares of 25p each in the 
capital of the Company ("Shares"), such discount must be (i) lower than the 
discount to the net asset value per Share at which the Company acquired the 
Shares which it then holds in treasury and (ii) not greater than 5% to the 
prevailing diluted cum income net asset value per Share at the latest 
practicable time before such sale (and for this purpose the Directors shall be 
entitled to determine in their reasonable discretion the discount to their net 
asset value at which such Shares were acquired by the Company and the net asset 
value per Share at the latest practicable time before such Shares are sold 
pursuant to this power); and 
 
(b)     this power shall be limited to the sale of relevant shares having an 
aggregate nominal value of GBP1,249,219 being 10% of the issued share capital of 
the Company as at 15 June 2018 and representing 4,996,877 Shares or, if 
changed, the number representing 10% of the issued share capital of the Company 
at the date of the meeting at which this resolution is passed, and provided 
further that the number of relevant shares to which power applies shall be 
reduced from time to time by the number of Shares which are allotted for cash 
as if Section 561(1) of the Act did not apply pursuant to the power conferred 
on the Directors by resolution 11 set out in the Notice of Annual General 
Meeting, 
 
and such power shall expire at the conclusion of the next Annual General 
Meeting of the Company after the passing of this resolution or 15 months from 
the date of passing this resolution, whichever is earlier, unless previously 
revoked, varied or renewed by the Company in General Meeting and provided that 
the Company shall be entitled to make, prior to the expiry of such authority, 
an offer or agreement which would or might otherwise require treasury shares to 
be sold after such expiry and the Directors may sell treasury shares pursuant 
to such offer or agreement as if the power conferred hereby had not expired. 
 
Authority to repurchase ordinary shares 
 
13.    THAT the Company be and is hereby generally and unconditionally 
authorised in accordance with section 701 of the Companies Act 2006 (the "Act") 
to make one or more market purchases (within the meaning of section 693(4) of 
the Act) of ordinary shares of 25 pence each in the capital of the Company 
("Shares") (either for retention as treasury shares for future reissue, resale, 
transfer or cancellation), provided that: 
 
(a)     the maximum aggregate number of Shares authorised to be purchased shall 
be that number of shares which is equal to 14.99% of the issued share capital 
of the Company as at the date of the passing of this resolution; 
 
(b)     the minimum price (exclusive of expenses) which may be paid for a Share 
is 25 pence; 
 
(c)     the maximum price (exclusive of expenses) which may be paid for a Share 
is an amount equal to the greater of (i) 105% of the average of the middle 
market quotations for a Share as derived from the Daily Official List of the 
London Stock Exchange for the five business days immediately preceding the day 
on which that Share is purchased and (ii) the higher of the price of the last 
independent trade and the highest then current independent bid on the London 
Stock Exchange as stipulated in Article 5(1) of Regulation No. 2233/2003 of the 
European Commission (Commission Regulation of  22 December 2003 implementing 
the Market Abuse Directive as regards exemptions for buy-back programmes and 
stabilisation of financial instruments); 
 
(d)     the authority hereby conferred shall expire at the conclusion of the 
Annual General Meeting of the Company to be held in 2019 or, if earlier, on the 
expiry of 15 months from the date of the passing of this resolution unless such 
authority is renewed prior to such time; and 
 
(e)     the Company may make a contract to purchase Shares under this authority 
before the expiry of such authority which will or may be executed wholly or 
partly after the expiration of such authority, and may make a purchase of 
Shares in pursuance of any such contract. 
 
General meetings 
 
14.    THAT the Directors be authorised to call general meetings (other than 
the Annual General Meeting of the Company) on not less that 14 clear days' 
notice, such authority to expire on the conclusion of the next Annual General 
Meeting of the Company, or, if earlier, on the expiry 15 months from the date 
of the passing of the resolution. 
 
By order of the Board                                                Registered Office: 
 
                                                                        One Wood Street 
 
Frostrow Capital LLP                                                    London EC2V 7WS 
 
Company Secretary 
 
15 June 2018 
 
Notes 
 
1.         Members are entitled to appoint a proxy to exercise all or any of 
their rights to attend and to speak and vote on their behalf at the meeting. A 
shareholder may appoint more than one proxy in relation to the meeting provided 
that each proxy is appointed to exercise the rights attached to a different 
share or shares held by that shareholder. A proxy need not be a shareholder of 
the Company. A proxy form which may be used to make such appointment and give 
proxy instructions accompanies this notice. 
 
2.         A vote withheld is not a vote in law, which means that the vote will 
not be counted in the calculation of votes for or against the resolutions. If 
no voting indication is given, a proxy may vote or abstain from voting at his/ 
her discretion. A proxy may vote (or abstain from voting) as he or she thinks 
fit in relation to any other matter which is put before the meeting. 
 
3.         To be valid any proxy form or other instrument appointing a proxy 
must be completed and signed and received by post or (during normal business 
hours only) by hand at Link Asset Services, PXS1, 34 Beckenham Road, Beckenham, 
Kent BR3 4ZF no later than 12 noon Tuesday, 18 September 2018. 
 
4.         In the case of a member which is a company, the instrument 
appointing a proxy must be executed under its seal or signed on its behalf by a 
duly authorised officer or attorney or other person authorised to sign. Any 
power of attorney or other authority under which the instrument is signed (or a 
certified copy of it) must be included with the instrument. 
 
5.         The return of a completed proxy form, other such instrument or any 
CREST Proxy Instruction (as described below) will not prevent a shareholder 
attending the meeting and voting in person if he/she wishes to do so. 
 
6.         Any person to whom this notice is sent who is a person nominated 
under section 146 of the Companies Act 2006 to enjoy information rights (a 
"Nominated Person") may, under an agreement between him/her and the shareholder 
by whom he/she was nominated, have a right to be appointed (or have someone 
else appointed) as a proxy for the meeting. If a Nominated Person has no such 
proxy appointment right or does not wish to exercise it, he/she may, under any 
such agreement, have a right to give instructions to the shareholder as to the 
exercise of voting rights. 
 
7.         The statement of the rights of shareholders in relation to the 
appointment of proxies in paragraphs 1 and 3 above does not apply to Nominated 
Persons. The rights described in these paragraphs can only be exercised by 
shareholders of the Company. 
 
8.         Pursuant to regulation 41 of the Uncertificated Securities 
Regulations 2001, only shareholders registered on the register of members of 
the Company (the "Register of Members") at the close of business on Tuesday, 18 
September 2018 (or, in the event of any adjournment, on the date which is two 
days before the time of the adjourned meeting) will be entitled to attend and 
vote or be represented at the meeting in respect of shares registered in their 
name at that time. Changes to the Register of Members after that time will be 
disregarded in determining the rights of any person to attend and vote at the 
meeting. 
 
9.         As at 15 June 2018 (being the last business day prior to the 
publication of this notice) the Company's issued share capital consists of 
49,968,779 ordinary shares, carrying one vote each. Therefore, the total voting 
rights in the Company as at 15 June 2018 are 49,968,778. 
 
10.       CREST members who wish to appoint a proxy or proxies through the 
CREST electronic proxy appointment service may do so by using the procedures 
described in the CREST Manual. CREST Personal Members or other CREST sponsored 
members, and those CREST members who have appointed a service provider(s), 
should refer to their CREST sponsor or voting service provider(s), who will be 
able to take the appropriate action on their behalf. 
 
11.       In order for a proxy appointment or instruction made using the CREST 
service to be valid, the appropriate CREST message (a "CREST Proxy 
Instruction") must be properly authenticated in accordance with the 
specifications of Euroclear UK and Ireland Limited ("CRESTCo"), and must 
contain the information required for such instruction, as described in the 
CREST Manual. The message, regardless of whether it constitutes the appointment 
of a proxy or is an amendment to the instruction given to a previously 
appointed proxy must, in order to be valid, be transmitted so as to be received 
by the issuer's agent (ID RA10) no later than 48 hours before the time 
appointed for holding the meeting. For this purpose, the time of receipt will 
be taken to be the time (as determined by the timestamp applied to the message 
by the CREST Application Host) from which the issuer's agent is able to 
retrieve the message by enquiry to CREST in the manner prescribed by CREST. 
After this time any change of instructions to proxies appointed through CREST 
should be communicated to the appointee through other means. 
 
12.       CREST members and, where applicable, their CREST sponsors, or voting 
service providers should note that CRESTCo does not make available special 
procedures in CREST for any particular message. Normal system timings and 
limitations will, therefore, apply in relation to the input of CREST Proxy 
Instructions. It is the responsibility of the CREST member concerned to take 
(or, if the CREST member is a CREST personal member, or sponsored member, or 
has appointed a voting service provider, to procure that his CREST sponsor or 
voting service provider(s) take(s)) such action as shall be necessary to ensure 
that a message is transmitted by means of the CREST system by any particular 
time. In this connection, CREST members and, where applicable, their CREST 
sponsors or voting system providers are referred, in particular, to those 
sections of the CREST Manual concerning practical limitations of the CREST 
system and timings. 
 
13.       The Company may treat as invalid a CREST Proxy Instruction in the 
circumstances set out in Regulation 35(5)(a) of the Uncertificated Securities 
Regulations 2001. 
 
14.       In the case of joint holders, where more than one of the joint 
holders purports to appoint a proxy, only the appointment submitted by the most 
senior holder will be accepted. Seniority is determined by the order in which 
the names of the joint holders appear in the Register of Members in respect of 
the joint holding (the first named being the most senior). 
 
15.       Members who wish to change their proxy instructions should submit a 
new proxy appointment using the methods set out above. Note that the cut-off 
time for receipt of proxy appointments (see above) also applies in relation to 
amended instructions; any amended proxy appointment received after the relevant 
cut-off time will be disregarded. 
 
16.       Members who have appointed a proxy using the hard-copy proxy form and 
who wish to change the instructions using another hard-copy form, should 
contact Link Asset Services on 0871 664 0300 or +44 371 664 0300 if calling 
from outside the United Kingdom. Calls cost 12p per minute plus your phone 
company's access charge. Calls outside the United Kingdom will be charged at 
the applicable international rate. Lines are open 09.00 to 17.30 Monday to 
Friday excluding public holidays in England and Wales. 
 
17.       If a member submits more than one valid proxy appointment, the 
appointment received last before the latest time for the receipt of proxies 
will take precedence. 
 
18.       In order to revoke a proxy instruction, members will need to inform 
the Company. Members should send a signed hard copy notice clearly stating 
their intention to revoke a proxy appointment to Link Asset Services, PXS1, 34 
Beckenham Road, Beckenham, Kent BR3 4ZF. 
 
In the case of a member which is a company, the revocation notice must be 
executed under its common seal or signed on its behalf by an officer of the 
company or an attorney for the company. Any power of attorney or any other 
authority under which the revocation notice is signed (or a duly certified copy 
of such power of attorney) must be included with the revocation notice. If a 
member attempts to revoke their proxy appointment but the revocation is 
received after the time for receipt of proxy appointments then, subject to 
paragraph 4, the proxy appointment will remain valid. 
 
Further Information/Explanatory Notes to the Resolutions 
 
Resolution 1 - To receive the Annual Report and Accounts 
 
The Annual Report and Accounts for the year ended 31 March 2018 will be 
presented to the Annual General Meeting (AGM). These accounts accompany this 
Notice of Meeting and shareholders will be given an opportunity at the meeting 
to ask questions. 
 
Resolutions 2 to 7 - Re-election and election of Directors 
 
Resolutions 2 to 7 deal with the re-election and election of each Director. 
Biographies of each of the Directors can be found in the Governance section of 
the annual report. 
 
The Board has confirmed, following a performance review, that the Directors 
standing for re-election and election continue to perform effectively. 
 
Resolution 8 - Re-appointment of Auditors and the determination of their 
remuneration 
 
Resolution 8 relates to the re-appointment of PricewaterhouseCoopers LLP as the 
Company's independent Auditors to hold office until the next AGM of the Company 
and also authorises the Audit Committee to set their remuneration. 
 
Resolution 9 - Remuneration Report 
 
The Directors' Remuneration Report can be found in this annual report. 
 
Resolutions 10, 11 and 12 - Issue of Shares 
 
Ordinary Resolution 10 in the Notice of AGM will renew the authority to allot 
the unissued share capital up to an aggregate nominal amount of GBP1,249,219 
(equivalent to 4,996,877 shares, or 10% of the Company's existing issued share 
capital on 15 June 2018, being the nearest practicable date prior to the 
signing of this Report (or if changed, the number representing 10% of the 
issued share capital of the Company at the date at which the resolution is 
passed). Such authority will expire on the date of the next AGM or after a 
period of 15 months from the date of the passing of the resolution, whichever 
is earlier. This means that the authority will have to be renewed at the next 
AGM. 
 
When shares are to be allotted for cash, Section 551 of the Companies Act 2006 
(the "Act") provides that existing shareholders have pre-emption rights and 
that the new shares must be offered first to such shareholders in proportion to 
their existing holding of shares. However, shareholders can, by special 
resolution, authorise the 
 
Directors to allot shares otherwise than by a pro rata issue to existing 
shareholders. Special Resolution 11 will, if passed, give the Directors power 
to allot for cash equity securities up to 10% of the Company's existing share 
capital on 15 June 2018 (or if changed, the number representing 10% of the 
issued share capital of the Company at the date at which the resolution is 
passed), as if Section 551 of the Act does not apply. This is the same nominal 
amount of share capital which the Directors are seeking the authority to allot 
pursuant to Resolution 10. This authority will also expire on the date of the 
next Annual General Meeting or after a period of 15 months, whichever is 
earlier. This authority will not be used in connection with a rights issue by 
the Company. 
 
Under the Companies (Acquisition of Own Shares) (Treasury Shares) Regulations 
2003 (as amended) (the "Treasury Share Regulations") the Company is permitted 
to buy-back and hold shares in treasury and then sell them at a later date for 
cash, rather than cancelling them. The Treasury Share Regulations require such 
sale to be on a pre-emptive, pro rata, basis to existing shareholders unless 
shareholders agree by special resolution to disapply such pre-emption rights. 
Accordingly, in addition to giving the Directors power to allot unissued share 
capital on a non pre-emptive basis pursuant to Resolution 11, Resolution 12, if 
passed, will give the Directors authority to sell shares held in treasury on a 
non pre-emptive basis. No dividends may be paid on any shares held in treasury 
and no voting rights will attach to such shares. The benefit of the ability to 
hold treasury shares is that such shares may be resold. This should give the 
Company greater flexibility in managing its share capital, and improve 
liquidity in its shares. It is the intention of the Board that any re-sale of 
treasury shares would only take place at a narrower discount to the net asset 
value per share than that at which they had been bought into treasury, and in 
any event at a discount no greater than 5% to the prevailing diluted cum income 
net asset value per share, and this is reflected in the text of Resolution 12. 
It is also the intention of the Board that sales from treasury would only take 
place when the Board believes that to do so would assist in the provision of 
liquidity to the market. The number of treasury shares which may be sold 
pursuant to this authority is limited to 10% of the Company's existing share 
capital on 15 June 2018 (or if changed, the number representing 10% of the 
issued share capital of the Company at the date at which the resolution is 
passed) (reduced by any equity securities allotted for cash on a non-pro rata 
basis pursuant to Resolution 10, as described above). This authority will also 
expire on the date of the next Annual General Meeting or after a period of 15 
months, whichever is earlier. 
 
The Directors intend to use the authority given by Resolutions 10, 11 and 12 to 
allot shares and disapply pre-emption rights only in circumstances where this 
will be clearly beneficial to shareholders as a whole. The issue proceeds would 
be available for investment in line with the Company's investment policy. No 
issue of shares will be made which would effectively alter the control of the 
Company without the prior approval of shareholders in general meeting. 
 
New Shares will only be issued at a premium to the Company's Cum income net 
asset value per share at the time of issue. 
 
Resolution 13 - Share Repurchases 
 
The Directors wish to renew the authority given by shareholders at the previous 
AGM. The principal aim of a share buy-back facility is to enhance shareholder 
value by acquiring shares at a discount to net asset value, as and when the 
Directors consider this to be appropriate. The purchase of Shares, when they 
are trading at a discount to net asset value per share should result in an 
increase in the net asset value per share for the remaining shareholders. This 
authority, if conferred, will only be exercised if to do so would result in an 
increase in the net asset value per share for the remaining shareholders and if 
it is in the best interests of shareholders generally. Any purchase of shares 
will be made within guidelines established from time to time by the Board. It 
is proposed to seek shareholder authority to renew this facility for another 
year at the AGM. 
 
Under the current Listing Rules, the maximum price that may be paid on the 
exercise of this authority must not exceed the higher of (i) 105% of the 
average of the middle market quotations for the shares over the five business 
days immediately preceding the date of purchase and (ii) the higher of the last 
independent trade and the highest current independent bid on the trading venue 
where the purchase is carried out. The minimum price which may be paid is 25p 
per Share. Existing shares which are purchased under this authority will either 
be cancelled or held as Treasury Shares. 
 
Special Resolution 13 in the Notice of AGM will renew the authority to purchase 
in the market a maximum of 14.99% of Ordinary Shares in issue as at the date of 
the passing of the resolution. Such authority will expire on the date of the 
next AGM or after a period of 15 months from the date of passing of the 
resolution, whichever is earlier. This means in effect that the authority will 
have to be renewed at the next AGM or earlier if the authority has been 
exhausted. 
 
Resolution 14 - General Meetings 
 
Special Resolution 14 seeks shareholder approval for the Company to hold 
General Meetings (other than the AGM) at 14 clear days' notice. The Board 
confirms that the shorter notice period would only be used where it was merited 
by the purpose of the meeting. 
 
Recommendation 
 
The Board considers that the resolutions relating to the above items are in the 
best interests of shareholders as a whole. Accordingly, the Board unanimously 
recommends to the shareholders that they vote in favour of the above 
resolutions to be proposed at the forthcoming AGM as the Directors intend to do 
in respect of their own beneficial holdings totalling 36,665 shares. 
 
Further Information/Regulatory Disclosures (unaudited) 
 
Alternative Investment Fund Managers Directive 
 
(AIFMD) Disclosures 
 
Investment Objective and Leverage 
 
A description of the investment strategy and objectives of the Company, the 
types of assets in which the Company may invest, the techniques it may employ, 
any applicable investment restrictions, the circumstances in which it may use 
leverage, the types and sources of leverage permitted and the associated risks, 
any restrictions on the use of leverage and the maximum level of leverage which 
the AIFM and Portfolio Manager are entitled to employ on behalf of the Company 
and the procedures by which the Company may change its investment strategy and/ 
or the investment policy can be found in the Strategic Report under the heading 
"Investment Strategy". 
 
The table below sets out the current maximum permitted limit and actual level 
of leverages for the Company: As a percentage of net assets 
 
                                                                   Gross     Commitment 
                                                                  Method         Method 
 
Maximum level of leverage                                         140.0%         140.0% 
 
Actual level at 31 March 2018                                     117.4%         116.4% 
 
Remuneration of AIFM Staff 
 
Following completion of an assessment of the application of the proportionality 
principle to the FCA's AIFM Remuneration Code, the AIFM has disapplied the 
pay-out process rules with respect to it and any of its delegates. This is 
because the AIFM considers that it carries out non-complex activities and is 
operating on a small scale. 
 
Further disclosures required under the AIFM Rules can be found within the 
Investor Disclosure Document on the Company's website: www.worldwidewh.com. 
 
Security Financing Transactions Disclosures 
 
As defined in Article 3 of Regulation (EU) 2015/2365, securities financing 
transactions (SFT) include repurchase transactions, securities or commodities 
lending and securities or commodities borrowing, buy-sell back transactions or 
sell-buy back transactions and margin lending transactions. Whilst the Company 
does not engage in such SFT's, it does engage in Total Return Swaps (TRS) 
therefore, in accordance with Article 13 of the Regulation, the Company's 
involvement in and exposure to Total Return Swaps for the accounting year ended 
31 March 2018 are detailed below. 
 
Global Data 
 
Amount of assets engaged in TRS 
 
The following table represents the total value of assets engaged in TRS: 
 
                                                                          GBP'000 % of AUM 
 
TRS                                                                      34,105      2.6 
 
Concentration Data 
 
Counterparties 
 
The following table provides details of the counterparties and their country of 
incorporation (based on gross volume of outstanding transactions with exposure 
on a gross basis) in respect of TRS as at the balance sheet date: 
 
                                                            Country of 
 
                                                         Incorporation            GBP'000 
 
Goldman Sachs                                             U.S.A.                 78,572 
 
JPMorgan                                                  U.S.A.                 47,553 
 
Aggregate transaction data 
 
Type, quality, maturity, tenor and currency of collateral 
 
No collateral was received by the Company in respect of TRS during the year to 
31 March 2018. The collateral provided by the Company to the above 
counterparties is set out below. 
 
Type                                                 Currency Maturity  Quality    GBP'000 
 
Cash                                                      USD     less      n/a    9,932 
                                                                  than 
                                                                 1 day 
 
Maturity tenor of TRS 
 
The following table provides an analysis of the maturity tenor of open TRS 
positions (with exposure on a gross basis) as at the balance sheet date: 
 
                                                                                    TRS 
 
                                                                                  Value 
 
Maturity                                                                          GBP'000 
 
1 to 3 months                                                                    44,939 
 
3 to 12 months                                                                   81,186 
 
                                                                                126,125 
 
Settlement and clearing 
 
OTC derivative transactions (including TRS) are entered into by the Company 
under an International Swaps and Derivatives Associations, Inc. Master 
Agreement ("ISDA Master Agreement"). An ISDA Master Agreement is a bilateral 
agreement between the Company and a counterparty that governs OTC derivative 
transactions (including TRS) entered into by the parties. All OTC derivative 
transactions entered under an ISDA Master Agreement are netted together for 
collateral purposes, therefore any collateral disclosures provided are in 
respect of all OTC derivative transactions entered into by the Company under 
the ISDA Master agreement, not just total return swaps. 
 
Safekeeping of collateral 
 
There was no non-cash collateral provided by the Company in respect of OTC 
derivatives (including TRS) with the counterparties noted above as at the 
statement of financial position date. 
 
Return and cost 
 
All returns from TRS transactions will accrue to the Company and are not 
subject to any returns sharing arrangements with the Company's AIFM, Portfolio 
Manager or any other third parties. Returns from those instruments are 
disclosed in Note 9 to the Company's financial statements. 
 
Frostrow Capital LLP, 
 
Company Secretary 
 
15 June 2018 
 
ANNOUNCEMENT ENDS 
 
 
 
END 
 

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