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HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare Portfolio of Private and Public Companies April 2019

HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

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Page 1: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

HBM Healthcare Investments Ltd

Unique Access to a Global and Diversified Healthcare Portfolio of Private and Public Companies

April 2019

Page 2: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

HBM Healthcare Investments Ltd

About HBM Healthcare Investments LtdInvestment Strategy / Investment ProcessHealthcare SectorPortfolio Structure Investment PositionsOutlook & Concluding RemarksAppendix: Organisation, Team

Page 3: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

A Leading Investment Company in Healthcare 3

HBM Partners Organisation (Investment Advisor to HBM Healthcare Investments)

Investment advisors (14) Investment management& accounting (4)

Contractually assured access to more than 70 industry experts worldwide

► A healthcare sector focused investment company holding a global diversified portfolio of private and public companies with currently over CHF 1.4bn in net assets

► Founded in 2001 and listed on SIX Swiss Exchange since 2008► Proven track record of exits validated by over 60 trade sales and IPOs since 2001► International and stable shareholder base with significant investment from HBM team and

board members► Attractive distribution policy (3-5% p.a.)

As of 31 March 2019

Page 4: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Facts & Figures 4

Data as of 31 March 2019

Registered Shares (CHF)

Total assets 1’421 millionNet assets (NAV) 1’289 millionMarket capitalisation 1’175 millionShare price 168.80NAV per share 185.33Discount 8.9%

Average daily liquidity (1 year) 7’407 shares~ 1.3 million

Number of issued shares 6.96 millionNumber of shareholders 2’019

Net return(includingdistributions) 2019 2018 2017 2016

5YReturn

p.a

10YReturn

p.a.

Share price 8.6% 21.8% 40.5% 2.5% 21.0% 24.5%

NAV 8.3% 9.9% 25.8% -7.2% 14.3% 13.8%

Dividend CHF 7.00 5.80 5.50

Dividend yield 4.9% 5.2% 5.5%

Performance (CHF)

5Y Volatility p.a. 1Y Volatility p.a.Share price 17.5% 18.5%

Page 5: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Value Creation over 5 Years

Data as of 31 March 2019, indexed (12.7.2001 = 100)

5

CHF Performance USD Performance

0

20

40

60

80

100

120

140

160

180

200

220

Mar-14 Mar-15 Mar-16 Mar-17 Mar-18 Mar-19

NAV HBM

Share price HBM

MSCI World Health CareIndex

0

50

100

150

200

250

300

350

400

Mar-14 Mar-15 Mar-16 Mar-17 Mar-18 Mar-19

Page 6: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

2016

About 40 Trade Sales and IPOs during the past 10 Years 6

Eiger (US)

Obseva (CH)

AnaptysBio (US)

Tradesales IPOs

2009-10 2011-12

Brahms (DE)

Nuokang (CN)

Esbatech (CH)

mtm (DE)

Micrus (US)

Asthmatx (US)

Sloning (DE)

PharmaSwiss(CH)

Anthera (US)

Mpex (US)

Pacira (US)

Ziemer (CH)

ChemoCentryx(US)

2013-14

Vivacta (UK)

Enanta (US)

PTC (US)

Ophthotech (US)

Probiodrug(DE)

Paratek (US)

Nabriva (US) Ellipse (US)

Kolltan (US) InterventionalSpine (US)

True North (US)Curetis (DE) ARMO Bio(US)

TandemLife(Cardiac) (US)

Skyepharma(UK)

Homology (US)

Data as of 31 March 2019

Aptinyx (US)

Y-mAbs (US)

Principia (US)

2015 2017 2018

AAAP (US)

Page 7: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

HBM Healthcare Investments Ltd

About HBM Healthcare Investments LtdInvestment Strategy / Investment ProcessHealthcare SectorPortfolio Structure Investment PositionsOutlook & Concluding RemarksAppendix: Organisation, Team

Page 8: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

HBM Investment Focus along the Healthcare Value Chain 8

Services(pharmacies)

Distributors /wholesalers

Medical devices

Diagnostics &Genomics

Pharmacybenefit managers

Insurers(managed health)

Facilities(hospitals /clinics)

Biotechnology

Generics /specialty pharma

Digital health

Pharmaceuticals

Chemicals

Contractresearchorganizations

Life SciencesTools & Services

Suppliers Manufacturers Service Providers Payers

Core

Opportunistic

Patients

Employers

Government

Out of focus

Page 9: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Investments (8-12 deals p.a.)

Private Equity Investment Process 9

Initial Due Diligence(~200 deals p.a.)

Comprehensive Due Diligence(~25 deals p.a.)

Personal contacts,industry network

Other VCs Direct

Deal Sourcing(>700 deals p.a., 45% USA/Canada, 40% Western Europe, 15% RoW)*

Investment banks

*60% Biotech30% Medtech & Diagnostics10% Other

Page 10: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Investment Approach

► Fundamental long with private and public healthcare investments

► Bottom-up selection of investments with solid long-term growth potential

► Sourcing of proprietary private deal flow

► Active lead/co-lead investor in private companies with board representation

► HBM takes an active role and assumes entrepreneurial responsibility together with the management team

► Maximum single position limit at time of investment up to 10% of NAV

10

Page 11: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Public Equity Investment Process 11

Idea Generation Universe of 750+ companies Tracking of healthcare trends

incl conference attendances and close relationship to experts and executives

Company pre-selection

Due Diligence Fundamental qualitative

and quantitative analysis Stakeholder assessment

and intellectual property review

Investment write-up and conclusion

Stock Selection & Portfolio Construction Determination of exposure

and position size Individual stock selection Initiating new positions

Portfolio & Risk Management Evaluation of global

markets and macro themes

Continuous Portfolio review and adjustment

Comprehensive risk management process

Page 12: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Investment Case Advanced Accelerator Applications 12

Gain of over CHF 200 million (IRR > 60%)

Investment rationale► Combination of unique business proposition with strong growing medical

imaging business (profitable) and promising late-stage therapeutic (phase III)

Investment process (2014)► Growth capital and partial buyout of existing founders

► Founders wanted specialist (non-US) investor with know-how and good industry network

Investment period (2014-2017)► Board representation

► Strategy executed on three pillars:

► Expanding its diagnostic business for PET/CT and SPECT organically and through acquisitions

► Bringing first therapeutic to the market

► Broadening of pipeline through in-house development and in-licensing

► HBM backed pre-IPO financing round to strengthen investor syndicate

Exit (2016-2017)► IPO and take over by Novartis

First institutional investor in 2014

Sold in 2017 to Novartis for approx USD 3.9 billion

Page 13: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Investment Case Skyepharma 13

Investment rationale► Uniquely positioned and patented drug delivery technology for oral and

inhalation products; significant recurring revenue streams through technology outlicensing

Investment period (2005-2016)► Pacira was spun-out from Skyepharma

► The delayed approval of Flutiform® resulted in indebtedness and negative balance sheet

► HBM led the turnaround financing round and participated in capital increase and debt purchase at high discount

► Positive pipeline development of Flutiform® led to continuous company revaluation, Skyepharma turned into a highly profitable cash flow positive company

► Debt to equity swap allowed share price moving back to fair value

Exit process (2015-2016)► Further growth source was needed as revenue growth started to flatten out

and pipeline investments was very limited during the last years due to restructuring and indebtedness that company went through

► Combination with Vectura resulted in highly attractive new platform of complementary products and technologies

Merger with Vectura in 2016 created a global leader of formulation and inhalation devices for respiratory diseases

Impressive reboundbetween 2011 and 2016

Page 14: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Investment Case Ellipse Technologies 14

Business Medical devices forspinal/orthopaedicsurgeryPlatform technology for non-invasive adjustable implants

Stage of Company Substantial revenues (sales growth 60%+ p.a.)Products successfully launched worldwide; R&D focus on additional indications

Return on Multiple of 7.5 – 8.1xInvestment IRR 66 – 68 %

Gain USD 104 – 114m

Products► MAGEC – To treat spine deformations ► PRECICE – Limb lengthening system

Sold in Jan. 2016 to NuVasive for $ 380m in cash plus $ 30m milestones

4.212.3 11.27.7

13.4 9.1

23.7

0

10

20

30

40

50

2013 2014 2015 H1

USD

m

Revenues

Magec Precice LLD 2015 H2 (P)

Page 15: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

HBM Healthcare Investments Ltd

About HBM Healthcare Investments LtdInvestment Strategy / Investment ProcessHealthcare SectorPortfolio Structure Investment PositionsOutlook & Concluding RemarksAppendix: Organisation, Team

Page 16: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Investment Opportunities in Healthcare 16

* Worldwide sales (2015) for pharma, medtech and diagnostics only

Large and Growing Industry Revenues > $1.3 trillion p.a.* Resilient to economic cycles High profit margins, strong cash-flows Many small & innovative firms and

spin-offs

Investment Approach Proprietary global deal sourcing Long-term investment expertise Active lead/co-lead investor Exit-driven investments

Compelling Exit Markets Attractive M&A environment Cash-rich corporate buyers Strategic premiums paid IPO as option for mature firms

Page 17: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

50

100

200

400

800

1600

1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Public Healthcare Generated Strong Returns

Data as of 31 March 2019, in USD

17%

log

MSCI World Health Care Index: +684% (8.9% p.a.)MSCI World Index: +241% (5.2% p.a.)

443%

Page 18: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Still Significant Industry Growth

Source: Evaluate Pharma World Preview 2017, June 2017

18

118120 129141

152165

178183 202

214231

253276

302326

0

50

100

150

200

250

300

350

2008 2010 2012 2014 2016 2018 2020 2022

572 578591628 604600611 594601 596

616645

683728

775

0

100

200

300

400

500

600

700

800

900

2008 2010 2012 2014 2016 2018 2020 2022

CAGR (2016-2022): 8.3%CAGR (2016-2022): 4.3%$ bn

Global Pharma Drug Sales Global Biotech Drug Sales

$ bn

Page 19: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Significant Revenue Contribution from Biotech 19

Revenues of Publicly traded Drug Companies in the US: 1991 – 2016 (in $ bn)

Source: Classification by S&P Capital IQ, Damodaran, HBM Research, March 2017

$232

$127

0%

5%

10%

15%

20%

25%

30%

35%

40%

0

50

100

150

200

250

300

350

400

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

Pharmaceuticals Biotech % from Biotech

Page 20: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Biotech as the Innovation Powerhouse 20

0

20

40

60

80

100

120

Biotech Pharma

R&D Spend (USDbn, 2017) Pipeline (number of clinical programs, 2017)

x 2.6

Source: MSCI World Healthcare Index, Bloomberg 2018

Market Cap (USDm, 2018) Approvals by origin (count, over last 10yrs)

0

1000

2000

3000

4000

5000

Biotech Pharma

x 0.4

0

500

1'000

1'500

2'000

2'500

Biotech Pharma

x 3.1

0

50

100

150

200

250

Biotech Pharma

x 0.5

Source: HBM Biopharma Drug Approval Report, 2018

Source: EY Biotechnology Report 2017, Evaluate Pharma World Preview 2018 Source: Biotechnology Innovation Organization Report, 2018

Page 21: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

It’s all about Innovation

Source: HBM Research, Barclays, March 2019

21

Immuno-oncology

Cellular therapeutics

Gene therapy

Autoimmune diseases / allergy

CNS

IO has made giant strides in the past few years withcured patients

High efficacy in 3rd line relapsed/refractory cancerpatients with 1st therapies on the market

Potential to cure genetic disease with a one timetreatment

Recent FDA approval of Regeneron’s potentialblockbuster Dupilumab bodes well for other drugs

Dementia psychosis, agitation, behavioral market hasblockbuster potential

Past and current holdings

Complement disorders

Complement is recognized as a key player in a widerange of disease-related immune processes

Page 22: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Supportive Regulatory Climate

Source: FDA, CDER (2017)

22

Number of New Drug Approvals and Applications at the US FDA

Average: 31

2521

29

53

39

3035

2724

1721

36

20 2218

24 2621

30

39

27

4145

22

46

5528

26

50

45

4143

36

26

30

22

26

32

38

26

35 3436

23

41 41

36

41

35

43

57

43

0

10

20

30

40

50

60

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

New Drug Approvals New Drug Applications

Page 23: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Steady Flow of New Investment Opportunities

Source: Evaluate Pharma, November 2018

23

Global venture investments into biotech

5.17.2

11.19.7

12.2

16.8

450

512 514

442457

393

0

100

200

300

400

500

600

0

4

8

12

16

2013 2014 2015 2016 2017 2018

VC Investments ($bn) Number of Investments

Biotech IPOs on western exchanges

3.3

6.5

4.1

6.35.2

7.2

54

97

79

4550

68

0

20

40

60

80

100

0

2

4

6

8

2013 2014 2015 2016 2017 2018

Total amount raised ($bn) IPO count

Page 24: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Ongoing Pharma and Biotech M&A Activity

Source: Evaluate Pharma (2019); BIO Industry Analysis (March 2016)*

24

109

57 4879

219185

10779

137

0

50

100

150

200

250

2010 2011 2012 2013 2014 2015 2016 2017 2018

Deal-Volume in $ bn

50% premium over stock price before aquisition

Actavis / Watson Amylin / BMS Inhibitex / BMS Ardea / Astra

Onyx / Amgen ViroPharma / Shire Algeta / Bayer Santarus / Salix Map / Allergan

Allergan / Actavis Forest / Actavis Cubist / Merck & Co Intermune / Roche Idenix / Merck & Co Viropharma / Shire Pharmacyclics /

AbbVie Hospira / Pfizer Synageva / Alexion Receptos / Celgene ZS Pharma / Astra

Top 20 Pharma have approx. $162bn in cash and could acquire over 90% of US Biotech companies at a premium of 50%*

Pharmasset/ Gilead

Baxalta / Shire Medivation / Pfizer Meda / Mylan Stemcentrx / AbbVie Anacor / Pfizer

Actelion / J&J Kite / Gilead Ariad / Takeda Akorn / Fresenius Ignyta / Roche

Shire / Takeda Bioverativ / Sanofi Juno / Celgene Avexis / Novartis Impact Biomedicines /

Celgene

Page 25: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

HBM Healthcare Investments Ltd

About HBM Healthcare Investments LtdInvestment Strategy / Investment ProcessHealthcare SectorPortfolio Structure Investment PositionsOutlook & Concluding RemarksAppendix: Organisation, Team

Page 26: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Balance Sheet and Currency Allocation

HBM Research, data as of 31 March 2019, in % of net assets

26

USD 73%

EUR 11%

GBP3%

CHF6%

Others 7%

-8%; -101-2%; -31

29%; 375

10%; 133

53%; 688

4%; 49

14%; 176

-130

25

180

335

490

645

800

955

1'110

1'265

CH

F m

Cash

Other Assets

Public Equity

Private Equity Funds

Private Equity

Short-term liabilities

Long-term liabilities2021/23

*Around 13% of public exposure hedged

in % of assets

Page 27: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Portfolio Breakdown by Market Cap and Geography 27

Europe; 23%

North and South

America; 55%

Asia; 22%

Market Cap < CHF 2 billion; 75%

CHF 2-10 billion; 25%

> CHF 10 billion; 0%

HBM Research, data as of 31 March 2019, in % of investments

Market Capitalisation Geography

Page 28: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Profitable12%

Market23%

Phase III31%

Phase II28%

Phase I 5% Pre-Clinical 1%

Orphan diseases 24%

Oncology14%

Central nervous system disorders 9%

Autoimmune diseases 8%Digital health 5%

Medtech / Diagnostics 5%

Metabolic diseases 4%

Infectious diseases 3%

Others 28%

Portfolio Breakdown by Sector, Therapy and Stage 28

HBM Research, data as of 31 March 2019, in % of investments

Sector Breakdown Therapeutic Area Development Stage

Biotech65%

Health IT, Services & Supplies

21%

Medical Devices &

Diagnostics6%

Spec. Pharma 8%

Page 29: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Cathay 6.6%

Neurelis 2.7%Harmony Biosciences 2.3%

Amicus 1.6%

1mg 1.5%SAI Life Sciences 1.4%

Jianke 1.1%

Westmed 0.9%

SpringWorks Therapeutics 0.9%

TP Therapeutics 0.7%

Other Positions 7.3%

Private Equity Funds 9.0%

Y-mAbs Therapeutics*

5.4%Argenx3.6%

Vectura2.8%

Pacira* 2.6%

Galapagos 2.4%

Ultragenyx 2.2%

Principia* 2.0%

Zogenix 2.0%

Immunomedics 1.8%

Alnylam 1.8%

Esperion 1.6%

RA Pharma 1.4%

Acadia Pharma 1.3%

AnaptysBio* 1.3%

ObsEva* 1.3%

Other Positions (< 1%) 15.9%

Investment Portfolio 29

* ex private positions

Private equity positions

Public equity positions

HBM Research, data as of 31 March 2019, in % of assets, Top 10 positions (direct investments): 31.0%

Page 30: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Vectura; 39

Pacira; 36

ObsEva; 18

Galapagos; 34Alnylam; 25

Esperion; 23

Zogenix; 28

Ultragenyx; 31

AnaptysBio; 18

Argenx; 46

Cathay; 91

Immunomedics; 25

Harmony Biosciences; 32

Amicus Therapeutics; 14

Y-mAbs; 75

Westmed; 12

Vascular Dynamics; 10

Neurelis; 381mg; 21

Farmalatam; 9

Aptinyx; 3Jianke; 15

Principia; 28

TP Therapeutics; 10

Amicus AG; 22

-500

500

1'500

2'500

3'500C

HF

m

Portfolio Positioning 30

Size corresponds to HBM’s book value

Phase I Phase II Phase III Market Profitable

Company Stage

HBM Research, data as of 31 March 2019

0

Mar

ket C

ap (C

HF

m)

500

5’000

8’000

1’500

3’000

Private companies

Public companies

Page 31: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Asset Allocation over Time

HBM Research, data as of the end of each financial year (31 March), in % of assets

31

16% 18%

46%32%

51%

55%

27%17% 13% 13%

36%46%

68%63%

59% 67%59%

49%23%

40%

30%

36%

36%

32%

53%

62%56%

43%

37%25%

15%

11%14%

10% 23% 27%

25%41%

19% 16%

5%

5%

8%

8% 16%

25%8%

9%

5%

12%9%

6%6%

13%

-12% -16% -23%-14% -5% -9% -11% -10%

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

-240

0

240

480

720

960

1'200

1'440

CH

F m

Public companies Private companies Private Funds Other assets Cash Liabilities

Page 32: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

32Development Stage of Lead Product of Portfolio Companies

HBM Research, data as of the end of each financial year (31 March), in % of investments

14% 16%

45%51%

58% 59% 57%49%

59%

35%

48%57% 57%

46% 45%35%

32%36%

30%25%

17% 11%10% 26%

20%

50%

46% 30% 30%

35%

23%

31%

22%

23%

11%16%

12% 19% 27%21% 17%

11%4%

11% 10%15%

21% 28%

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 20190%

20%

40%

60%

80%

100%

Product(s) on the market and/or profitable Phase III Phase II Phase I Preclinical

Page 33: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Contribution to NAV 33

NAV impact per share (in CHF)

Private and Ex Private Equity Positions Account for 65 Percent of Contribution

Note: IPO allocations in previously private companies are attributed to P&L from private positions

7.61 29.99

18.759.82

5.12

32.20

19.15

0.59

0.25

5.541.63

-0.99

0.46

0.54

-0.02

10.04

12.52

-4.88

17.45

-5.40

12.25

-1.22-1.97

-7.40

-2.43

-5.48

-5.20

-7.41

2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Private and ex private positions Funds Public positions Other gains/losses (e.g. milestones) Fees Share buy-back

Page 34: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

HBM Healthcare Investments Ltd

About HBM Healthcare Investments LtdInvestment Strategy / Investment ProcessHealthcare SectorPortfolio Structure Investment PositionsOutlook & Concluding RemarksAppendix: Organisation, Team

Page 35: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Zogenix

Argenx

Westmed

Global Reach 35

HBM Research, data as of 31 March 2019 (Selection)

PaciraCathay

AnaptysBio SAI Life Sciences

1mgNeurelis

Alnylam VecturaAmarin Amicus ObsEva

Shriji Polymers

Private companies

Public companies

Valcare

Amphora

Ultragenyx

Y-mabs

Harmony BiosciencesVascular Dynamics

Immunomedics

Aptinyx

Farmalatam

Galapagos

EsperionEverest Medicines

PrincipiaGalera Therapeutics

Jianke

TP Therapeutics

SphingotecAdrenomed

Page 36: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Company Core Business

Phase of Lead

Product Ticker

Market Capitalisation

(CHF m)

Owner-ship (%)

Book Value

(CHF m)

% of Total

Assets

Long chain diacids, carbohydrates and special enzymes

Market Private 1’151* 7.9 91.1 6.6

Developing novel antibody therapeutics for oncology targets

Phase III YMAB(ex private)

892 8.4 74.6 5.4

Drugs for autoimmune and cancer diseases

Phase II ARGX 4’665 1.0 45.7 3.2

Formulation and inhalation devices for the treatment of respiratory diseases

Market VEC 616 6.3 38.5 2.8

Late-stage drug for the treatment of acute breakthrough seizures in epilepsy patients

Phase III Private 250 15.0 37.5 2.7

Injectable medicines with (patented) controlled release of active drug

Market PCRX(ex private)

1’565 2.3 36.0 2.6

Largest Investments (1/2)

HBM Research, data as of 31 March 2019, * Implied company valuation

36

Page 37: HBM Healthcare Investments Ltd · HBM Healthcare Investments Ltd Unique Access to a Global and Diversified Healthcare ... Tracking of healthcare trends incl conference attendances

Company Core Business

Phase of Lead

Product Ticker

Market Capitalisation

(CHF m)

Owner-ship (%)

Book Value

(CHF m)

% of Total

Assets

Drugs for the treatment of cystic fibrosis and inflammation disorders

Phase III GLPG 6’394 0.5 33.9 2.4

Drug for the treatment of narcolepsy (with and without cataplexy)

Phase III Private 427* 7.6 32.5 2.3

Drugs for rare genetic disorders

Phase III RARE 3’932 0.8 31.1 2.2

Proprietary platform with drugs in clinical stage for autoimmune diseases

Phase II PRNB(ex private)

809 3.5 28.2 2.0

Therapeutic solutions for CNS disorders and rare diseases

Phase III ZGNX 2’322 1.2 28.1 2.0

Drugs for cancer diseases Phase II IMMU 3’634 0.7 25.1 1.8

Largest Investments (2/2)

HBM Research, data as of 31 March 2019, * Implied company valuation

37

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0

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120

140

2014 2015 2016 2017 2018 20190

20

40

60

80

100

120

2014 2015 2016 2017 2018 201920

40

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120

140

2014 2015 2016 2017 2018 2019

0102030405060708090

100110120

2014 2015 2016 2017 201860

80

100

120

140

160

180

2016 2017 2018

Development of Share Prices (1/2)

HBM Research, data as of 31 March 2019

38

USD 6.4bn

USD 619mMarket Cap: USD 896m – (ex private)

USD 4.0bnUSD 1.6bn – (ex private)

USD 4.7bn

0

10

20

30

40

2018 2019

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2014 2015 2016 2017 2018 20190

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2016 2017 2018 2019

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2018 20190

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2014 2015 2016 2017 2018 20190

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2014 2015 2016 2017 2018 2019

Development of Share Prices (2/2)

HBM Research, data as of 31 March 2019

39

USD 3.7bn

USD 944m

USD 2.3bnUSD 812m – (ex private)

USD 10.0bn USD 1.1bn

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0

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Clinical

CHF m

40

Data as of 12 March 2019

More than CHF 300 million Direct Private Investments Since 2014

Average investment size overall: CHF 8 million

Clinical Revenue / Profitable

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41Largest Private Investments over the last 5 Years

Data as of 31 March 2019

2014 2015 2016 2017 2018 /2019 Year of initial investment, only investments > CHF 5 million

IPO or trade sale

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6- Dimensions Capital

201814 mn/a5%

Healthcare

Invest and build quality platform companies currently missing in China

VC with capabilities in China and U.S. to access innovation and build category leaders in healthcare sectors

Currently no co-investment

Medfocus200516 m2.1x

100%

Medical devices

Incubator and accelerator concept, selective later stage investments

Access to promising early stage investments in later rounds; “raised” by successful entrepreneurs

BioVedaChina

Invested: 2005Investment: 8.5 mInvestment multiple: 3.7xOwnership: 34%

Healthcare

Fund strategy: Later and growth stage opportunities

Investment thesis: One of the first local investors specialised in the Chinese healthcare market

Strategic Fund Investments 42

Tata Capital201510 m1.3x67%

Healthcare

Growth and expansion phase

Partnering with one of the leading on-shore private equity investors in Indian life sciences

HBM Genomics

201515 m0.9x

100%

Genomics

Early and development stage opportunities

Access to early stage investments in later rounds; Network of top Silicon Valley investors and companies with a focus on genomics

WuXiHealthcare

201520 m1.3x7%

Healthcare

Access to early stage investment opportunities with a focus on China

Seasoned investment team, former WuXiAppTec, with vast network facilitating / offering deal flow possibilities

Currently no co-investment

Data as of 31 March 2019, in CHF

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43

Data as of 31 March 2019

91

Size corresponds to HBM’s book value (in Mio. CHF)

Long-chain dicarboxylic acids / bio-based diamine 5 Strong revenue growth and profitable Potentially first company with a commercial scale

production of bio-based diamine 5

38 Diazepam (Valtoco) nasal spray for use in breakthrough epilepsy seizures

NDA filed, orphan designation in the US and EU Major unmet need in epilepsy patients, where no

drug is approved for controlling break through seizures

33 Narcolepsy (with and without cataplexy) NDA acceptance and priority review for Pitolisant First-in-class, selective, histamine H3 inverse agonist

which promotes wakefulness (alertness and attention), and reduces the frequency of cataplectic episodes, limited abuse potential

22 Full representation service in CEE markets Profitable company with net sales exceeding

EUR 70 million in 2018; high double-digit sales growth for 2019

Signed agreements with 17 multinationals across 17 countries

21 India’s leading online pharmacy, medicines app

and health platform Strong sales growth Highest ranked medical app on the Indian

Google play-store

Smart care platform (online pharmacy, chronic disease management service center)

Commercial stage One of the top three on-line pharmacy and

healthcare on-line services businesses in China

15

Private Companies with significant Value-Increasing Potential

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Promising Public Company Holdings 44

Data as of 31 March 2019

75 Pediatric oncology (neuroblastoma), radio-immunotherapy

Filing for both lead compounds with the FDA expected in 2019

46 Severe autoimmune diseases (MG, ITP, PV) Novel antibody-based therapies, combining the

diversity of the llama immune system with antibody engineering

Positive proof-of-concept clinical data for lead antibody ARGX-113, in the treatment of myasthenia gravis (MG)

25

RNAi targeting therapies Patisiran which targets TTR amyloidosis was the first

approved product in 2018 Pivotal data for givosiran (porphyria), lumasiran and

fitusiran expected over the course of 2019

25

23 Cholesterol-lowering drugs, alternative to statins Bempedoic Acid (BA) is an orally available drug

that lowers LDL (“bad” cholesterol) Phase III results showed sizable and consistent

LDL reduction (by BA) on top of standard of care First FDA approval expected in H2 2019

19

16

28 Rare neurological disorders (Dravet Syndrome and

Lennox Gastaut Syndrome) ZX008 is a low dose formulation of fenfluramine for

the treatment of uncontrolled seizures US approval decision in 2019

Immune and inflammatory-mediated diseases (ulcerative colitis, chronic kidney disease)

Potential best-in-class safety for Etrasimod (currently completed phase II) among S1P’s

Complement-mediated diseases (aHUS, MG) Potential competitive threat to Alexion’s Soliris due to

convenience of SC dosing and planned discounted pricing strategy

RA101495: Phase II proof-of-concept data (aHUS) in H2 2019 expected

Antibody drug conjugate, solid tumors Sacituzumab govitecan targeting Trop-2 Impressive data in 3rd-line, triple negative breast

cancer, which led to breakthrough designation from FDA

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CNSA-001: Phase II proof-of-concept top-line data (PKU)

Filgotinib: Phase III results (FINCH 1 & FINCH 3) (rheumatoid arthritis)

RA101495: Phase II proof-of-concept data (aHUS)

2019 Busy Event Calendar of Main Public Positions 45

HBM Research, data as of 31 March 2019

H2ARGX-113 (Efgartigimod): Phase II full data (PV)

PRN 1371: Phase I results (multiple cancers)

IMMU-132: US approval (breast cancer)

ANB020 (Etokimab): Phase IIb (ECLIPSE) top-line data (adult chronic rhinosinusitis)

NYX-2925: Phase II results (painful diabetic peripheral neuro-pathy)

NYX-2925: Phase II results (fibromyalgia)

PRN1008: Phase II results (ITP)

Givosiran (ALN-AS1): Topline phase III results (AHPs)

ANB019: Phase II top-line data (GALLOP) (generalized pustular psoriasis)

IMMU-132: Phase II interim update (bladder cancer)

Naxitamab GD2: US approval (R/R high-risk neuroblastoma)

Exparel: EU approval (post-operative pain)

UX007: US & EU approval (LC-FAOD)

RE-024 (Fosmetpantotenate): Phase III (FORT) top-line data (PKAN)

Fintepla (fenflur-amine): US & EU approval (dravetsyndrome)

Omburtamab B7-H3: US approval (CNS/LM from neuroblastoma)

ANB020 (Etokimab): Phase IIb (ATLAS) top-line data (atopic dermatitis)

Lumasiran: Phase III topline results (hyperoxaluria)

OBE2109 (Linzagolix): primary endpoint data PRIMROSE 1 and 2 (uterine fibroids)

Fenfluramine: Phase III results (lennox-gastautsyndrome)

Q2Q1

ETC-1002 bempedoic acid: US & EU approval (hyper-lipidaemia)

2019

Inclisiran: Phase III (ORION) results (hypercholesterolemia)

Fitusiran: Phase III (ATLAS) topline results (hemophilia)

DTX301: Data from phase I/II cohort 3 (OTC deficiency)

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46HBM Healthcare Investments Ltd – Attractions for Investors

Equity investment into promising private and public companies

Growing Industry

Expertise Commitment

Value Creation

Portfolio with significant value-increasing potential

Expertise of the HBM Partners team in selecting investments with attractive risk and reward

Transparent valuation and reporting, annual cash distribution and share buy-back program

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HBM Healthcare Investments Ltd

About HBM Healthcare Investments LtdInvestment StrategyHealthcare SectorPortfolio Structure Investment PositionsOutlook & Concluding RemarksAppendix: Organisation, Team

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Timely & Transparent Investment Valuations 48

► Positions in listed companies are valued at market prices► Positions in private companies are valued at acquisition cost in the investment currency,

except when:− Portfolio company is valued higher or lower in connection with a new round of financing with a third

party lead investor (not strategic investors)− Portfolio company is performing below expectations, leading to a write down in steps

of 25, 50, 75 or 100%− Portfolio company has significant revenues and profits, in which case an appropriate price/sales or

price/earnings multiple is applied (“sales and earnings multiple method”)

Negative events are reflected in the valuations as they occur. Positive developments (i.e. good clinical data, partnering deals, etc.) will only be reflected in the valuations if there is a „liquidity event“ (financing round with third party investor, IPO or trade sale).

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Investor Information 49

% ShareholderLatest

Notification

15-20 Nogra SA, Luxemburg 9.11.2016Swiss security number 1.262.725

German security number 984345

ISIN CH 0012627250

CUSIP H 3553X112

Telekurs 126,126272

SIX Swiss Exchange Ticker HBMN

Annual Management fees (paid quarterly) 0.75% of company assets plus 0.75% of the company's market capitalisation

Performance fee (paid annually) 15% on increase in value above the high water mark

High water mark (per share for all outstanding shares) NAV of CHF 189.47

Share Information Largest shareholders

Fees

Distribution policy

Withholding tax-exempt distribution yield of 3-5% p.a. from par value repayment

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Board of Directors 50

Mario G. Giuliani

Member of the Compensation Committee

Member of the Board of Directors Jukka LLC since 2015, NGR (MONACO) SAM since 2015, Giuliani Group SpA since 2010, and Giuliani SpA since 1999; Member of the Investment Committee Royalty Pharma since 2001, and Mosaix Ventures LLP since 2000 as well as various other directorships within the Nogra GroupPreviously executive positions and directorships at Giuliani SpA, Recordati SpA, and Nogra Group SA

Dr Eduard Holdener

Board Member

Chairman of the Board of Directors NovImmuneS.A. since 2008, CEO since 2016Medical doctor. Prior to this, specialist in internal medicine and oncology; various international executive positions at F. Hoffmann-La Roche Ltd

Prof Dr Dr h.c. mult. Heinz Riesenhuber

Vice Chairman and Member of the Audit Committee

Chairman of the Advisory Board Rock Tech Lithium Inc. since 2018; Member of the Investors’ Committee Heidelberg Innovation BioScienceVenture II GmbH since 2001Member of the German Parliament 1976 to 2017; German Federal Minister of Research 1982 to 1993; Chairman of German Parliamentary Society 2006 to 2018; numerous directorships

Robert A. Ingram

Member of the Compensation and Nominating Committee

Chairman of the Board of Directors ViametPharmaceuticals Inc. since 2015, BioCrystPharmaceuticals Inc. since 2015, Novan Inc. since 2011, and Cree Inc. since 2008General Partner of Hatteras Venture Partners USA

Hans Peter Hasler

Chairman and Member of the Compensation Committee

Chairman of the Board of Directors MIAC AG since 2012. Member of the Board of Directors Minerva Neurosciences since 2017, member of the Board of Directors Shield Therapeutics plc since 2018Since 2017 CEO of Vicarius Pharma. Prior to this, international management positions at Wyeth Pharmaceuticals, Biogen and Biogen Idec, as well as Elan Corporation

Dr Rudolf Lanz

Member of the Audit and Nominating Committee

Chairman of the Board of Directors Dr. Rudolf LanzAG since 2009; Member of the Board of Directors MIAC AG since 2015, and Pearls Fashion Holding AG since 2009Previously Partner of The Corporate Finance Group and head of M&A & Corporate Finance of Ernst & Young Switzerland

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Management HBM Healthcare Investments Zug / Cayman 51

Dr Andreas Wicki(2001)Chief Executive Officer

Doctorate in chemistry and biochemistry; since 2001 Chief Executive Officer HBM Healthcare Investments Ltd and HBM Partners Ltd. Prior to this, chief executive of several pharmaceutical companies (1988 to 2001), investment and venture capital advisor (1993 to 2001)Member of the Board of Directors Harmony Biosciences since 2017, Vitaeris Inc. since 2016, Pacira Pharmaceuticals Inc. since 2007, HBM Healthcare Investments (Cayman) Ltd since 2001, and Buchler GmbH since 2000

Erwin Troxler(2005)Chief Financial Officer

Economist and Swiss Certified Public Accountant; since 2005 HBM Healthcare Investments Ltd and HBM Partners Ltd, since 2011 Chief Financial Officer. Prior to this, auditor PricewaterhouseCoopers Ltd (1996 to 2002) and Julius Baer Family Office (2002 to 2005)Chairman of the Swiss Association of Investment Companies (SAIC) since 2014

Jean Marc Lesieur(2001)Managing Director and Member of the Board of DirectorsHBM Healthcare Investments (Cayman) Ltd

More than twenty years of experience in trust and corporate management and administration. Before joining HBM Healthcare Investments, he was with Vontobel Private Equity Management Ltd, acting as an executive director with responsibilities for personnel and all corporate and company management matters of the private equity business in the Cayman IslandsAssociate of the Chartered Institute of Bankers, ACIB (Trustee), a member of the Society of Trust and Estate Practitioners (STEP) and a Notary Public in the Cayman Islands. He was educated in the Cayman Islands and England

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Private Equity Team 52

Dr Ulrich Geilinger(2001)Head Private EquityMore than 25 years of experience in the Venture Capital IndustryPhD ETH Zurich in Natural Sciences and Industrial EngineeringPreviously in management functions at Innoventure, Credit Suisse, Apax and Vontobel. Board member of Westmed and Reha Technology

Dr Priyanka Belawat(2007)Investment AdvisorTen years of experience in venture and private equity investing in the healthcare space in the US, Europe and selected emerging marketsHolds a doctorate in molecular biology and genetics from the University of Zurich and a post-doc at HKUSTFormerly involved in various public equity, fund and direct private investments in India

Dr Alexander Asam, MBA(2007)Investment AdvisorMore than twenty years of experience in the life sciences and private equity businessesMBA degree from ASTON Business School, Birmingham and a MSc and PhD in chemistry from University of HeidelbergFormer managing director and partner of Deutsche Venture Capital (DVC) / Deutsche Bank. Various positions at Hoechst AG, Aventis S.A. (now: Sanofi) and LION Bioscience AG

Axel Bolte(2003)Venture PartnerOver fifteen years of experience in the life sciences and private equity businessesGraduated in biochemistry at the Swiss Federal Institute of Technology and the University of Cambridge, UK. MBA from the University of St. Gallen, SwitzerlandFormer investment manager and partner at New Medical Technologies. Position in R&D management at Serono SA

Dr Matthias Fehr, CFA(2002)Investment AdvisorOver twenty years of experience in private and public equity investment management and researchMSc and PhD in chemistry from ETH, ZurichFormer senior sell-side analyst at Lombard Odier for biotech and medical technology industries; former scientist at the Swiss Federal Institute of Technology

Dr Chandra P. Leo, MBA(2007)Investment AdvisorOver fifteen years of experience in private equity, clinical practice and biomedical researchCompleted medical studies in Berlin and London, doctoral degree from Freie Universität Berlin (Charité), MBA degree with distinction from INSEADFormer postdoctoral scientist at Stanford University, physician at University Hospital Leipzig and principal at Wellington Partners

Dr Emil Bujak(2015)Investment AdvisorOver six years of experience in life sciences, including one year in investment analysis and industry report preparationHolds a PhD in Pharmaceutical Sciences and an MSc in Medicinal and Industrial Pharmaceutical Sciences from ETH ZurichPrior experience as registered pharmacist

Dr Michael Buschle(2017)Investment advisorMore than 25 years of experience in biotech and pharmaPhD from the University of London. Research at St. Jude’s Children’s Research Hospital, Boehringer Ingelheim-owned Institute of Molecular Pathology, ViennaIndustrial experience: Boehringer Ingelheim, Co-founder of Intercell with successful IPO, Chief Scientific Officer of Glenmark Pharma

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Thomas Heimann(2010)Risk Manager and AnalystOver eight years of experience in Investment Research, Analysis, FINMA Risk Management and client servicesMSc and BSc in Banking & Finance from the Lucerne University of Applied SciencesPreviously in investment analysis and valuation and in client advisory at a Swiss bank

Ny Ken(2004)Investment Control

More than 10 years experience in trading & execution and administrationBachelor in business administration from Zurich University of Applied SciencesPreviously in administrative functions at HBM Partners AG

Dr Thomas Thaler(2006)Investment AdvisorOver 25 years of experience in the investment management, financial research and in the biotechnology and medical technology industryPhD in life sciences and MSc in biochemistry and a master’s degree in business administration from ETH ZurichPreviously senior equity analyst at Bank Julius Baer and in senior management positions with Sulzer Medica, Schneider and Boston Scientific

Public Equity Team 53

Dr Ivo Staijen, CFA(2003)Head Public Equity

Over fifteen years experience in the pharma industry and in investment analysis and portfolio managementPhD in biotechnology from ETH Zurich and MSc in chemistry from the University of GroningenPreviously senior biotechnology analyst at Bank Sarasin and department head at MDS Pharma Services

Miles Schofield(2007)Trading & Execution

Over 15 years experience in trading & executionBachelors of Science (Hons) degree from the Open University UKPreviously in US Equities Middle Office activities at Salomon Smith Barney and Citigroup

Michael Jasulavic(2012)Investment Advisor to HBM Partners Over ten years of experience in healthcare investment research, strategy and trade executionMS in Medical Science from MCP/Hahnemann UniversityPreviously biotechnology analyst at TraxisPartners, Sivik Global Healthcare and Jefferies Asset Management

Gavin MacGregor(2017)Investment AdvisorOver 13 years’ experience in the pharma industry and in global healthcare investment analysis1st Class BSc in Biomedical Sciences from the University of Manchester and a Chartered Management Accountant (CIMA)Previously senior global healthcare analyst at Martin Currie Investment Management, European pharmaceuticals analyst at Credit Suisse and Lehman Brothers

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Disclaimer 54

This document is intended to be for information purposes only. The material is not intended as an offer or solicitation for the purchase or sale of any financial instrument and should therefore not be relied on for accounting, legal or tax advice, or investment recommendations.Information herein is believed to be reliable but HBM does not warrant its completeness or accuracy. No responsibility canbe accepted for errors of fact or opinion. Reliance should not be placed on the views and information in the document whentaking individual investment and/or strategic decisions. HBM has expressed its own views in this document and these maychange.Past performance is not a reliable indicator of future results, prices of shares and the income from them may fall as well asrise and investors may not get back the amount originally invested. All investments involve risk including the risk of possibleloss of the invested amount. Investors should consider all potential risks and further disclosure information associated withthe investment disclosed in the fund documents and the appropriateness with their financial profile and objectives. Changesin foreign-exchange rates may also cause the value of investments to fall as well as rise.Some information quoted was obtained from external sources HBM considers to be reliable. No responsibility can beaccepted for errors of fact obtained from third parties, and this data may change with market conditions. Third party data isowned or licensed by the data provider and may not be reproduced or extracted and used for any other purpose without thedata provider's consent. Third party data is provided without any warranties of any kind. The data provider and HBM shallhave no liability in connection with third party data.Issued by HBM Healthcare Investments AG, Bundesplatz 1, 6300 Zug, Switzerland.

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Your Contact 55

HBM Healthcare Investments LtdBundesplatz 16301 ZugSwitzerland

Phone +41 41 710 75 77Fax +41 41 710 75 78

[email protected]