We see Healthcare as a growth sector with a consistent pool of great ideas.
Healthcare spending in the United States has grown every year, and has outpaced GDP growth nearly every year, for the past 60 years.* Roughly half of Healthcare dollar growth come from innovation across sub-sectors, including from new drugs, devices, and services.**
We believe a long-biased approach is aligned to the growth profile of the Healthcare industry. Our portfolio is concentrated in innovative, organic-growth companies that are leaders or emerging leaders in their space, run by management teams with integrity and a history of good judgement.
Long Portfolio
We focus only on innovators and leaders or future leaders in their space. We estimate this to be 50 - 75 companies.
We do extensive research on these companies to understand their long-term opportunity and outlook.
At any time we seek to own the 15 - 20 companies that we believe offer the best potential for near-term value creation.
We constantly do work on these companies to refine our views, and on the broader set to upgrade the portfolio.
Short Portfolio
We look for individual companies that we believe will decline in value for structural reasons.
We do not short companies to hedge our long positions.
We are willing to have zero gross short exposure.
*https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.html
**Technological Change and the Growth of Health Care Spending. The Congress of the United States, 2008, pp. 12–12, Technological Change and the Growth of Health Care Spending.