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RTW Venture Fund LTD

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FY2021 Annual Report · RTW Venture Fund LTD
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Powering  
the future 
of medicine
Annual Report and Audited Financial Statements 
for the year ended 31 December 2021
RTW Venture Fund Limited

Built on a foundation of deep research, 
RTW invests with innovative companies 
looking to bring important new 
products to patients.
Financial Highlights
Ordinary NAV growth since inception
64.4%
2020: 88.5%
Total shareholder return1 since inception
71.2%
2020: 80.8%
Ordinary NAV
US$363.0m
2020: US$375.3m
NAV per Ordinary Share
US$1.71
2020: US$1.96
Price per Ordinary Share
US$1.78
2020: US$1.88
NAV per Ordinary Share change  
in the period
-12.8%
2020: 53.9%
Share price change1 in the period
-5.3%
2020: 37.2%
1	
Total shareholder return and share price change are 
alternative performance measures (APM). For more information 
please refer to APM definitions table on page 106
Portfolio Highlights
NAV invested in portfolio companies
66.4%
2020: 68.7%
New core portfolio companies
21
2020: 15
Portfolio company investments
42
2020: 22
Publicly-listed portfolio companies
17
2020: 9
Privately-held portfolio companies
25
2020: 13
Portfolio companies’ pipeline products  
in clinical stage programs
44/55
2020: 25/33
Our Investment Manager at a Glance
RTW powers breakthrough 
therapies that transform 
the lives of millions.
Our purpose
We are the engine that turns ideas into viable 
medicines. RTW harnesses the potential of 
world-leading scientists, entrepreneurs, and 
investors to accelerate the revolution in medicine.
  Read more 
Report of the Investment Manager, page 4
Our values
At the core of our business is a set of guiding principles that shape every aspect of RTW:
Our global reach
Our priority is to unlock value by advancing early-stage scientific  
development and delivering innovative therapies to patients in need.
Progress
From research to 
innovation to reality.
Leadership
The courage to shape 
a better future.
Tenacity
We find the pathway 
to success, no matter 
the obstacles.
Rigor
Obsessing over 
science & the data.
Collaboration
We leverage  
collective genius.
Humility
The hunger to learn 
and improve.
  Read more 
Our strategy in action, page 29
IFC Highlights
1
Our Investment Manager at a Glance
2
Chairman’s Statement
4
Report of the Investment Manager
16
Our Long Term Strategy
18
Our Strategy in Action
34
Our Business Model
36
New Company Creation
38
Portfolio Review
43
Operational and Financial Review for the Year
44
Our Key Performance Indicators
46
Risk Management
48
Principal and Emerging Risks 
and Uncertainties
50
Longer Term Viability Statement
51
Engaging with Stakeholders (Section 172)
52
Environmental, Social and 
Community Issues
Strategic Report
54
Biographies of Directors
56
Report of the Directors
58
Corporate Governance Report
61
Statement of Directors’ Responsibilities
62
Directors’ Remuneration Report
64
Report of the Audit Committee
Governance Report
 
RTW Headquarters
 
RTW Global Investments
 
RTW Future offices
Key
70
Independent Auditor’s Report 
74
Statement of Assets and Liabilities
75
Condensed Schedule of Investments
83
Statement of Operations 
84
Statement of Changes in Net Assets
86
Statement of Cash Flows
87
Notes to the Financial Statements
Financial Statements
101
General Company Information – Investment 
Objective and Investment Policy
103 Glossary
106 Alternative Performance Measures
107 AIFMD Disclosures
108 Schedule of Key Service Providers
Additional Information
Defined terms used in the Annual Report are defined in the Glossary.
Governance Report
Strategic Report
Financial Statements
Additional Information     
1

We innovate the  
pathway to success
Chairman’s Statement
I present the 2021 annual results 
for RTW Venture Fund Limited 
(the “Company”) and am 
pleased to report significant 
milestones during the last year.
2021 Overview 
Building upon the considerable achievements 
and extraordinary growth in 2020, the Company 
and RTW continued executing their strategy in 
2021. In spite of the COVID-19 pandemic and 
market volatility in the biotech sector, the 
Investment Manager remained focussed on the 
science-led fundamentals and valuation of the 
underlying companies and demonstrated an 
accelerated pace of capital deployment by 
investing in 21 new portfolio companies, compared 
with 15 in the previous financial year. This 
enabled the Company to build its portfolio of 
innovative biotechnology and medical 
technology companies and providing solution-
driven financing strategies at various points in 
the individual life cycles of these companies. 
Despite market volatility in the biotech sector, the 
Company share price, which fell by 5.3% over 
the year, significantly outperformed its 
benchmark, the small-cap heavy Russell 2000 
Biotech Index, which fell by 26.9% over the same 
period while slightly lower than the large-cap 
heavy Nasdaq Biotech Index which returned 
+0.6% for the reporting period. From 31 December 
2020 to 31 December 2021, the NAV declined by 
12.8% from US$375.3 million or US$1.96 per 
Ordinary Share to US$363.0 million or US$1.71 per 
Ordinary Share. The largest detractor to the NAV 
was the share price performance of Rocket, 
which fell heavily in line with the gene therapy 
sector as a whole as investors priced in delays 
to clinical trials. This was partially offset by the 
better performance of our private companies, 
particularly JIXING, and the IPOs of Landos, 
Immunocore, Prometheus, GH Research, Monte 
Rosa, Tenaya, Ventyx and acquisition of Inivata. 
At the beginning of the year, the Company 
portfolio included 22 core portfolio companies, 
of which 13 were privately held and nine were 
publicly listed. All core portfolio companies were 
initiated as private investments by the Investment 
Manager. During 2021, the Company added 21 
portfolio companies, one of which, Inivata, was 
later acquired by a third-party, bringing the total 
number of core portfolio companies to 42, 
representing c. two-thirds of NAV by the end 
of the year. 
As in previous periods, to mitigate any drag 
on performance due to excess cash awaiting 
deployment into new private assets, the 
Company also invested c. one-third of NAV in 
a high-quality portfolio of listed companies or 
non-core portfolio assets selected by the 
Investment Manager, to be representative 
of positions that are also held in their other 
investment funds. 
Share Issuance
During the reporting period our corporate broker, 
J.P. Morgan Cazenove, reported significant 
demand from prospective shareholders, which 
was reflected in the fact that the Company’s 
share price has traded at an average premium 
to NAV of c. 10% since its admission. Under our 
Articles and in accordance with UK Listing rules, 
the Company has the authority to issue new 
shares of up to 20% of the outstanding share 
capital in any rolling twelve-month period without 
filing an updated prospectus, provided the shares 
are issued on a non-dilutive basis at a premium 
to NAV. In response to market demand in 2021, 
the Company issued a further 20,873,403 shares, 
an 11% increase in the total outstanding shares of 
the Company and raising an additional US$44.1 
million net of expenses. The share issuance was 
also modestly accretive to NAV, contributing c. 1% 
to the NAV growth per Ordinary Share.
Migration to the Premium Listing of the 
Main Market of the LSE
As stated in the 2020 Annual Report, the Board 
intended to raise the profile of the Company 
with a view to broadening its shareholder base 
by means of exploring a migration to the 
Premium Listing of the Main Market of the 
London Stock Exchange.
I am pleased to report that the Company has 
successfully completed the migration and was 
admitted to listing on the Official List of the FCA 
and to trading on the Premium Segment of the 
London Stock Exchange plc’s Main Market on 6 
August 2021. The application for admission was 
approved by a shareholder vote at the extraordinary 
general meeting held on 30 July 2021. The 
Company also introduced an additional market 
quote for the shares on the London Stock 
Exchange denominated in GBP under ticker 
“RTWG”. There were no changes to the legal 
form or nature of the Ordinary Shares nor to the 
reporting currency of the Company’s financial 
statements which, will remain in US Dollars.
The Board believes that the Premium Segment 
of the Main Market is the most appropriate 
platform for the continued growth of the 
Company by increasing RTW Venture Fund’s 
profile, broadening its shareholder register, adding 
a Sterling denomination, and facilitating the 
Company’s potential eligibility for inclusion in 
the FTSE UK Index Series.
Outlook
Even with COVID-19 and war in Ukraine remaining 
pressing issues worldwide, the Company is 
looking ahead with optimism and confidence. As 
a full life-cycle investor, our Investment Manager 
also invests in public biotech and medtech 
securities trading at attractive levels. We can take 
advantage of valuation disparities between small 
and mid-cap and large-cap companies in the 
sector and the overall biotech sector correction in 
2022. The Investment Manager believes that 
there remains significant demand for reliable 
capital to support the discovery and 
development of scientific innovation globally, and 
that there is an opportunity to grow their footprint 
in the UK and EU as an active local participant in 
the biotech ecosystem. The Investment Manager 
therefore intends to grow the Company’s 
portfolio by attracting demand from new 
shareholders to assist in the financing of an 
exciting pipeline of new ideas. These are based 
upon the Company’s strategy of founding, 
investing, and supporting companies developing 
next-generation therapies and technologies that 
can significantly improve patients’ lives. 
Accordingly, the Board expects the Company to 
deliver strong performance over the long term 
and creating value for shareholders.
‘‘
There remains significant demand for  
reliable capital to support the discovery and 
development of scientific innovation globally, 
and that there is an opportunity to grow 
footprint in the UK and EU as an active local 
participant in the biotech ecosystem.”
AGM
The Company will hold its Annual General 
Meeting (AGM) on 21 June 2022 to review the 
annual results and provide portfolio updates.  
We would like to dedicate a part of the meeting 
to address questions from our shareholders. At 
the present time, we anticipate holding the AGM 
in a virtual format, although COVID-permitting it 
may be held in person at Royal Chambers, St 
Julian’s Avenue, St Peter Port, Guernsey. However, 
we encourage our shareholders to share your 
questions here and we will endeavour to answer 
as many as we can:  
RTWVentureFund@rtwfunds.com. 
On behalf of the Board, I would like to express  
my gratitude for your continued support and  
wish you and your families a healthy, safe, and 
prosperous 2022. I look forward to updating  
you further at the time of our interim results later 
in the year.
William Simpson
Chairman of the Board of Directors 
RTW Venture Fund Limited 
30 March 2022
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
2
3
RTW Venture Fund Limited

-22.0%
-1.2%
-1.1%
-0.5%
-0.2%
-0.1%
-0.4%
0.2%
0.3%
0.3%
0.4%
0.5%
0.6%
0.8%
2.6%
1.3%
4.1%
1.5%
-1.0%
-1.9%
1.2%
2.0%
Increase
Decrease
0.0%
-30.0%
-25.0%
-20.0%
-15.0%
-10.0%
-5.0%
Performance
Allocation
New Share
Issuance
Operating
Expense
Non-Core
positions
Other Core
positions
JIXING
VTYX
PYXS
TNYA
GLUE
GHRS
Inivata
RXDX
IMCR
LABP
TARS
LUNG
ITOS
ATHA
RNA
FREQ
RCKT
12.8% NAV
decrease
Rapid advances  
in science give hope  
for world-changing 
therapies
Report of the Investment Manager
Table 1. Financial Highlights
RTW Venture Fund Limited
Year-end reporting 
period (01/01/2021 – 
31/12/2021)
Year-end reporting 
period (01/01/2020-
31/12/2020)
Admission 
(30/10/2019)
Ordinary NAV
US$363.0 million
US$375.3 million
US$168.0 million
NAV per Ordinary Share
US$1.71
US$1.96
US$1.04
NAV Growth per Ordinary Share (%)
-13%
+54%
–
Price per Ordinary Share
US$1.78
US$1.88(ii)
US$1.04
Share price growth (%) (i)
-5%
37%
Nasdaq Biotech (iii)
1%
27%
Russell 2000 Biotech (iii)
-27%
53%
(i)	 Total shareholder return is an alternative performance measure.
(ii)	 As the Company’s December NAV was not published until mid-January and the portfolio enjoyed an exceptionally strong month of performance in December the Company’s share price is shown as being 
at a discount to the December 31 NAV even though its shares traded at a premium to the published November NAV during December.
(iii)	Source: Bloomberg.
Executive summary 
We present the year-end results of the Company 
as of 31 December 2021. Since its listing on the 
London Stock Exchange in October 2019, the 
Company has achieved NAV growth of 64.4% 
from US$168.0 million, or US$1.04 per Ordinary 
Share, to US$363.0 million, or US$1.71 per 
Ordinary Share as of 31 December 2021. For the 
reporting period, the NAV attributable to Ordinary 
Shares declined by 12.8% from US$375.3 million 
NAV or US$1.96 per Ordinary Share as of 31 
December 2020. This compares with a decline 
in the Company’s Russell 2000 benchmark of 
26.9%. From Admission to 31 December 2021, 
the share price has returned 71.2%.
Roderick Wong, MD 
Managing Partner
Figure 1.Performance drivers as of 31 December 2021
RTW Investments, LP (the “Investment Manager”, 
“us”, “we”), a leading healthcare-focused 
entrepreneurial investment firm with a strong 
track record of supporting companies developing 
life-changing therapies, created the Company as 
an investment fund focused on identifying 
transformative assets with high growth potential 
across the biopharmaceutical and medical 
technology sectors. Driven by our deep scientific 
understanding and a long-term approach to 
building and supporting innovative businesses, 
we invest in companies developing transformative 
next-generation therapies and technologies that 
can significantly improve patients’ lives.
As of 31 December 2021, c. two-thirds of NAV 
was invested in core portfolio companies, a 
similar figure to 31 December 2020 despite an 
increase in share capital and reflecting the 
Company’s long term target portfolio allocation 
range. Core portfolio companies typically begin 
as private investments, reflecting the key focus of 
the Company’s strategy. However, our investment 
approach is defined as full life cycle and therefore 
involves retaining our private investments well 
beyond their IPO, hence our core portfolio consists 
of both privately-held and publicly-listed companies.
The Company also invested approximately a third 
of its NAV in publicly listed, non-core portfolio 
assets in order to mitigate any ‘cash drag’ effect 
pending eventual re-investment in core portfolio 
opportunities as they arise. The non-core portfolio 
assets were selected by us and are also held in 
our other funds. The investments represented in 
this portfolio are similarly categorized as innovative 
biotechnology and medical technology companies 
developing and commercializing potentially 
disruptive and transformational products.
Over the year, our listed core holdings produced 
the majority of our losses and our private core 
holdings produced the majority of our gains. In 
2021, the NAV per Ordinary Share declined by 
12.8%. The main contributors to the NAV per 
Ordinary Share decrease were Rocket, Frequency, 
Avidity, Athira, Pulmonx and Tarsus, contributing c. 
25% to the decline. These mark to market losses 
were offset by the performance of our private 
companies, particularly JIXING and IPOs of 
Landos, Immunocore, Prometheus, GH Research, 
Monte Rosa, Tenaya, Ventyx and acquisition of 
Inivata, together contributing c. 12.3% to the NAV 
growth. Share issuance at a premium to net asset 
value contributed c. 1.2% and the balance of our 
performance is made up of operating expenses 
and a performance allocation fee credit.
On listing, the Company’s core portfolio included 
six companies, four of which were developing 
clinical-stage therapeutics and two med tech 
companies developing transformative devices. 
Since listing, the Company has added 36 
companies to its portfolio and has had one 
position acquired, with 15 additions in the 2020 
financial year and 21 in 2021. Portfolio companies 
added in the 2021 are listed on the following page.
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
4
5
RTW Venture Fund Limited

Report of the Investment Manager 
continued
1
2
3
4
5
6
7
(A) Portfolio companies by modality
	1.	 Small molecule
35%
	2.	 Medtech 
17%
	3.	 Antibody
15%
	4.	 Genetic medicine
15%
	5.	 Cell therapy
7%
	6.	 Targeted protein degraration
8%
	7.	 Spec pharma
3%
1
2
3
4
5
6
7 8 9 10
(B) Portfolio companies by disease area
	1.	 Oncology
30%
	2.	 Autoimmune and inflammation 
22%
	3.	 Cardiovascular
15%
	4.	 Rare disease
12%
	5.	 Neurology
5%
	6.	 Ophthalmology
5%
	7.	 Type 1 Diabetes
2%
	8.	 Pulmonary
3%
	9.	 Gastrointestinal 
3%
	10.	Orthodontic
3%
1
2
3
(D) Portfolio companies by geography
	1.	 USA
77%
	2.	 UK and Europe
15%
	3.	 China
8%
1
2
3
4
5
(C) Clinical development stage
	1.	 Preclinical
13%
	2.	 Phase 1
35%
	3.	 Phase 2
24%
	4.	 Phase 3/Pivotal
22%
	5.	 Commercial
7%
Key updates for Portfolio Companies 
during 2021:
Clinical
	
– In April 2021, iTeos shared a positive preliminary 
Phase 1 data update for its TIGIT antibody 
EOS-448 program in adult patients with 
advanced solid tumors, indicating EOS-448 
was generally well tolerated with no 
dose-limiting toxicities observed and 
showed preliminary signs of clinical activity as 
a monotherapy, including a partial response 
in a melanoma patient, and stable disease in 
multiple patients.
	
– In May 2021, Rocket shared positive data 
updates to its lentiviral vector (LVV)-based 
gene therapy programs for the treatment of 
Fanconi Anaemia (FA) and (2) Leukocyte 
Adhesion Deficiency-I (LAD-I), and (3) Pyruvate 
Kinase Deficiency (PKD). Rocket also 
announced that the FDA had put a clinical hold 
on its adeno-associated virus (AAV)-based 
gene therapy for Danon disease, a devastating, 
paediatric heart failure condition. The hold was 
not triggered by safety concerns and patient 
enrollment resumed in Q3 2021.
	
– In June 2021, Tarsus announced positive results 
of Saturn-1 pivotal trial evaluating TP-03 for the 
treatment of demodex blepharitis. The Saturn-1 
Phase 2b/3 trial met all primary and secondary 
endpoints, and demonstrated significant, 
clinically meaningful outcomes with no serious 
treatment-related adverse events and no 
treatment-related discontinuations.
	
– In August 2021, Immunocore announced 
acceptance of its Biologic License Application 
for tebentafusp in metastatic uveal melanoma 
with the FDA and EMA, with the PDUFA action 
date set for February 23, 2022. Immunocore 
received FDA approval for Kimmtrak (tebentafusp) 
in January 2022 ahead of the expected 
PDUFA date.
	
– In October 2021, Avidity announced that the 
FDA had granted Fast Track Designation to its 
lead program, AOC 1001, for the treatment of 
myotonic dystrophy type 1 (DM1). Fast Track 
Designation enables more frequent interactions 
with the FDA to expedite the development and 
review process for drugs intended to treat 
serious or life-threatening conditions and that 
demonstrate the potential to address unmet 
medical needs.
	
– In November 2021, Rocket provided a positive 
incremental data update on its adeno-associated 
virus (AAV)-based gene therapy for Danon 
disease. Overall, it showed stabilization or 
improvement in functional and biomarker metrics. 
Financing
	
– In 2021, nine portfolio companies (Landos, 
Immunocore, Prometheus, Biomea Fusion, 
Monte Rosa, GH Research, Tenaya, Ventyx 
and Pyxis Oncology) launched an initial public 
offering (IPO) with an average 1.9x valuation 
step-up from the initial time of investment to 
IPO, followed by an additional average +15% 
performance on the first day of trading.
	
– In May 2021, JIXING announced an exclusive 
licencing agreement with Milestone to 
develop and commercialize etripamil,  
a novel calcium channel blocker designed  
to be a rapid-response therapy for episodic 
cardiovascular conditions, in China.  
Following this announcement, the Company 
participated alongside our other investment 
vehicles in a Series B financing round.
	
– In May 2021, NiKang Therapeutics completed 
a US$200 million Series C financing round.  
The Company alongside other vehicles 
managed by the Investment Manager 
participated in the financing round. 
	
– We seeded our latest new company creation 
Yarrow Biotechnology, a biotech developing 
antisense oligonucleotide-based therapeutics 
for disorders with high unmet need. In May 
2021, Yarrow announced licensing agreement 
with ProQR for its antisense oligonucleotide 
technology (ASO) to develop and 
commercialize potential therapies for an 
undisclosed CNS target. 
	
– In June 2021, iTeos and GSK announced a deal 
on development and commercialization of iTeos’ 
EOS-448 TIGIT targeting antibody, under which 
iTeos is to receive a US$625M upfront payment 
in addition to potential milestones, and royalty 
payments on ex-US sales up to US$1.45B in 
development and commercial milestones.
	
– In June 2021, Inivata announced that 
NeoGenomics, Inc (NASDAQ: “NEO”) had 
completed its acquisition of the company, 
the intention of which had previously been 
announced on 5 May 2021. NeoGenomics 
exercised its option to acquire the remaining 
Inivata equity interest for US$390 million after it 
had previously made a US$25 million minority 
equity investment.
	
– In August 2021, JIXING announced an exclusive 
license and collaboration agreement with Oyster 
Pharma to develop and commercialize OC-01 
(varenicline) and OC-02 (simpinicline) nasal 
sprays for the treatment of signs and symptoms 
of dry eye disease for patients in Greater China. 
Following this announcement, the Company 
participated alongside our other investment 
vehicles in a Series C financing round.
	
– In December 2021, JIXING announced an 
expansion of its collaboration with Cytokinetics 
by entering into an exclusive license and 
collaboration agreement to develop and 
commercialize omecamtiv mecarbil for the 
proposed treatment of heart failure with reduced 
ejection fraction (HFrEF) in Greater China.
Our 2021 new investments include: 
Company name
Description
H1 2021
Visus
Clinical stage biotech developing a presbyopia-correcting eye drop.
Ancora
Medtech company developing minimally invasive implant for heart failure.
Artiva
Developer of allogenic cord blood-derived Natural Killer (NK) cell therapy.
Ventyx
Clinical stage biotech advancing a promising immunology pipeline for 
autoimmune and inflammatory diseases.
Pyxis
Oncology biotech developing antibody-drug conjugates.
Monte Rosa
Pre-clinical stage targeted protein degradation biotech.
GH Research
Clinical stage biotech developing therapies to manage mental disease.
RTW Royalty #2
Royalty as a part of RTW-Urogen deal relating to the development and 
commercialization of urological cancer treatments..
Numab  
Therapeutics
Swiss biotech developing next-gen multi-specific antibody-based 
immunotherapies for cancer and inflammation.
Yarrow
RTW-backed new company creation focused on CNS diseases.
Alcyone
Gene therapy platform company developing therapies for CNS diseases.
Umoja
Preclinical-stage lentiviral in vivo CAR-T oncology biotech.
Neurogastrx
Clinical stage spec pharma focused on gastrointestinal disorders.
H2 2021
Magnolia Medical
Medtech company focused on innovative blood  
and fluids collection devices.
Artios
Oncology biotech developing first-in-class therapies based on DNA 
Damage Response.
InBrace
Medical technology company pioneering a behind-the-teeth teeth 
straightening approach.
Lycia
Biotech developing extracellular protein degradation-based pipeline  
of therapies.
CinCor
Biopharma developing next-gen treatments for cardio-renal diseases.
Acelyrin
Biotech advancing an antibody mimetic for inflammatory conditions.
Kyverna
Biotech developing cell therapy for autoimmune diseases.
Third Harmonic Bio
Biotech advancing a small molecule for autoimmune mast cell disorders.
As of 31 December 2021, the portfolio included 42 
companies that were diversified across treatment 
modalities, therapeutic focus, and clinical stage of 
their programs (Figure 2A-C). While the portfolio 
remains dominated by US-based companies 
(Figure 2D), we are committed to adding UK and 
EU-based companies in an effort to support the 
best assets globally and foster local biotech 
ecosystems where we see attractive opportunities. 
Figure 2. Portfolio breakdown, by (A) modality,  
(B) therapeutic focus, (C) clinical stage and  
(D) geography as of 31 December 2021
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
6
7
RTW Venture Fund Limited

2.5
1.0
USD
1.3
1.6
1.9
2.2
Dec 21
Oct 21
Aug 21
Jun 21
Apr 21
Feb 21
Dec 20
Oct 20
Aug 20
Jun 20
Apr 20
Feb 20
Dec 19
Oct 19
RTW.L Share Price
NAV per share
Report of the Investment Manager 
continued
In context to this, it is worth noting that it was a challenging year for gene therapy as a subsector. Of 30 publicly traded gene therapy companies, 
the median decline has been 54%, with only three companies up on the year, no drug approvals (the total remains at two), and no public acquisitions. 
Recent setbacks have spanned safety, efficacy, and CMC (chemistry, manufacturing and controls):
Figure 4. Gene therapy setbacks
Type
Company
Program
Description
Safety
Hemophilia B
HCC case later adjudicated to patient
LentiGlobin for sickle cell disease and Lenti-D for 
Adrenoleukodystrophy
Occurrences of blood cancers
Myotubular myopathy
Patient deaths at low and high doses
Danon disease
Adverse immune response in patients
Wet AMD
Adverse immune response in patients
Duchenne muscular dystrophy
Adverse immune response in patients
Phenylketonuria
Liver cancers observed in mice
Efficacy
Duchenne muscular dystrophy
Missing stat sig in critical Phase 2 trial
Hemophilia A
Diminished efficacy over time
Hemophilia A
Mouse data did not replicate in monkeys
Phenylketonuria
Lack of consistent efficacy in patients
CMC
Duchenne muscular dystrophy
More stringent requirements from FDA
Hemophilia B
More stringent requirements from FDA
Metachromatic leukodystrophy
More stringent requirements from FDA
We believe the companies best positioned to overcome these near-term challenges will be those who have chosen to focus on therapies for severe 
diseases with limited options and that also have meaningful commercial potential. Rocket’s talented team and programs have been committed to this 
mission from the start, and we remain optimistic for both our existing programs and new opportunities. 
As of 31 December 2021, nine portfolio companies, which included Landos, Immunocore, Prometheus Biosciences, Biomea Fusion, Monte Rosa, GH 
Research, Tenaya, Ventyx and Pyxis Oncology had gone public via an IPO with an average 1.9x step-up from the initial time of investment to IPO and an 
average private holding period of 0.7 years, followed by an additional average c. 15% performance on the first day of trading.
Table 2. Core portfolio companies IPOs in 2021
Company
Initial funding type
Ticker
IPO date
Performance on 1st 
day of trading
Landos
Series B
LABP
February 2021
-25%
Immunocore
Series B*
IMCR
February 2021
+66%
Prometheus Biosciences
Series D
RXDX
March 2021
+33%
Biomea Fusion
Series A
BMEA
April 2021
+9%
Monte Rosa
Series C
GLUE
June 2021
+12%
GH Research
Series B
GHRS
June 2021
+20%
Tenaya
Series C
TNYA
July 2021
+2%
Ventyx
Series B
VTYX
October 2021
+31%
Pyxis Oncology
Series A
PYXS
October 2021
-17%
*Immunocore originated as a Series A investment with the Investment Manager
Portfolio performance and updates
The Company’s share price has traded at an 
average premium of c. 10% since inception 
(Figure 3A). The Company’s overall returns since 
inception have outperformed its biotech 
benchmarks, generating an overall return of 
c. 71% vs c. 35% by the small and mid-cap heavy 
Russell 2000 Biotechnology Index and vs c. 40% 
by the large-cap heavy Nasdaq Biotechnology 
Index (Figure 3B note: the reporting period for this 
chart is 30 October 2019 to 31 December 2021). 
In 2021, the Company’s share price declined by 
c. 5%, whilst the Nasdaq Biotechnology Index 
returned c. 1% and the Russell 2000 
Biotechnology index returned c. -27% for the 
same period, respectively. Source Bloomberg.
Rocket’s share price declined by 60%, which 
made it the main detractor from the NAV per 
Ordinary Share this year (c. -22%). The FDA put 
Rocket’s Danon program on clinical hold in early 
May 2021 in order to ensure adequate safeguards 
for patients in its clinical study. The trial was 
allowed to resume in August 2021 (for context, 
this was a fast resolution). The company also 
shared an update from the first five patients 
dosed in November 2021. While the data suggest 
four patients have been stable over their one to 
two years on study, investors expressed concern 
that a lack of improvement in certain 
measurements may make phase 3 trial design 
more challenging. Despite these points, Rocket 
remains among the top 3 largest independent 
gene therapy companies by market capitalisation. 
Figure 3. RTW.L share price performance (A) and returns (B) as of 31 December 2021
(A) RTW.L share price vs NAV per ordinary share
(B) RTW.L performance vs biotech benchmarks
125%
0%
-25%
% return
25%
50%
75%
100%
Dec 21
Oct 21
Aug 21
Jun 21
Apr 21
Feb 21
Dec 20
Oct 20
Aug 20
Jun 20
Apr 20
Feb 20
Dec 19
Oct 19
RTW.L 
Russell 2000 Biotech
Nasdaq Biotech Index
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
8
9
RTW Venture Fund Limited

As of 31 December 2021, our top five holdings of non-core portfolio assets represented c. 7% of NAV and consisted of: Alnylam (ticker: “ALNY”), a leading 
RNA medicine company, Natera (ticker: ”NTRA”), a clinical genetic testing company, Masimo (ticker: “MASI”), a medtech company developing innovative 
non-invasive patient monitoring technologies, Thermo Fisher Scientific (ticker “TMO”), a leading scientific service provider, and Cytokinetics (ticker: “CYTK”), 
a clinical-stage biotechnology company developing innovative treatments for cardiovascular conditions. We expect to deploy the capital invested into 
non-core portfolio assets into private companies as new opportunities arise.
Table 5. Overview of portfolio companies’ valuations* as of 31 December 2021
Portfolio Company
Public/ Private
Company’s 
% interest in 
Portfolio Company’s 
capital as of 
31 December 2021
Valuation of 
Company’s 
investment as of 
31 December 2021
% of Company’s 
net assets as of 
31 December 2021
YTD P&L as of
31 December 2021
Valuation  
hierarchy
Rocket 
Public
<5%
US$51.6 million
13.3%
-US$88.8 million
Level 1
JIXING
Private
<10%
US$25.6 million
6.6%
US$10.5 million
Level 3
Prometheus Bio
Public
<5%
US$21.7 million
5.6%
US$16.5 million
Level 1
Avidity
Public
<5%
US$16.6 million
4.3%
-US$0.7 million
Level 1
RTW Royalty #2
Private
<20%
US$13.1 million
3.4%
US$1.3 million
Level 3
Immunocore
Public
<1%
US$11.0 million
2.9%
US$5.1 million
Level 1
RTW Royalty #1
Private
<10%
US$10.0 million
2.6%
US$1.8 million
Level 3
C4 Therapeutics
Public
<1%
US$9.7 million
2.5%
US$0.1 million
Level 1
Tenaya
Public**
<5%
US$8.2 million
2.1%
US$2.5 million
^ Level 2
GH Research
Public
<1%
US$7.2 million
1.8%
US$3.1 million
Level 1
iTeos
Public
<1%
US$6.9 million
1.8%
US$1.3 million
Level 1
Landos
Public
<5%
US$6.1 million
1.6%
US$0.9 million
Level 1
Tarsus
Public
<1%
US$5.2 million
1.3%
-US$4.4 million
Level 1
Beta Bionics
Private
<5%
US$4.9 million
1.3%
-US$0.5 million
Level 3
NiKang
Private
<5%
US$4.6 million
1.2%
US$0.4 million
Level 3
Ventyx
Public**
<1%
US$4.6 million
1.2%
US$1.9 million
^ Level 2
Encoded
Private
<1%
US$4.2 million
1.1%
US$2.2 million
Level 3
Milestone
Public
<5%
US$4.0 million
1.0%
US$0.0 million
Level 1
Monte Rosa
Public
<1%
US$3.8 million
1.0%
US$1.4 million
Level 1
Alcyone
Private
<5%
US$3.7 million
0.9%
US$0.0 million
Level 3
Pyxis
Public**
<1%
US$3.5 million
0.9%
-US$0.4 million
^ Level 2
Umoja
Private
<1%
US$3.4 million
0.9%
US$0.1 million
Level 3
Ancora
Private
<1%
US$2.9 million
0.8%
US$0.0 million
Level 3
Visus
Private
<5%
US$2.4 million
0.6%
US$0.3 million
Level 3
Orchestra
Private
<1%
US$2.3 million
0.6%
-US$0.1 million
Level 3
Pulmonx
Public
<1%
US$1.9 million
0.5%
-US$2.1 million
Level 1
Nuance
Private
<1%
US$1.8 million
0.5%
US$0.0 million
Level 3
Athira
Public
<1%
US$1.7 million
0.4%
-US$4.9 million
Level 1
Numab 
Private
<1%
US$1.7 million
0.4%
US$0.0 million
Level 3
Neurogastrx
Private
<1%
US$1.6 million
0.4%
US$0.0 million
Level 3
Kyverna
Private
<1%
US$1.5 million
0.4%
US$0.0 million
Level 3
Third Harmonic Bio
Private
<1%
US$1.4 million
0.4%
US$0.0 million
Level 3
Cincor
Private
<1%
US$1.3 million
0.3%
US$0.2 million
Level 3
Artiva
Private
<1%
US$1.2 million
0.3%
US$0.2 million
Level 3
Lycia
Private
<1%
US$1.1 million
0.3%
US$0.0 million
Level 3
InBrace
Private
<1%
US$0.9 million
0.2%
US$0.0 million
Level 3
Biomea
Public
<1%
US$0.8 million
0.2%
-US$0.2 million
Level 1
Artios
Private
<1%
US$0.8 million
0.2%
US$0.0 million
Level 3
Acelyrin
Private
<1%
US$0.7 million
0.2%
US$0.0 million
Level 3
Magnolia
Private
<5%
US$0.7 million
0.2%
US$0.0 million
Level 3
Yarrow
Private
<5%
US$0.6 million
0.1%
US$0.0 million
Level 3
Prometheus Labs
Private
<1%
US$0.1 million
0.0%
US$0.0 million
Level 3
* Valuations for Private Portfolio Companies on a fair market value basis as of 31 December 2021. The valuations of Rocket, Avidity, iTeos, Athira, C4 Therapeutics, Milestone, Pulmonx, Tarsus, Landos, 
Immunocore, Prometheus Biosciences, Biomea, Monte Rosa, GH Research, Tenaya, Pyxis and Ventyx have been calculated using market capitalization based on their publicly quoted market prices as of 
31 December 2021. 
**In accordance with the Company’s valuation policy, the Company applies a discount to its investments in Private Portfolio Companies which become Public Portfolio Companies that are subject to 
customary post-IPO lock-up provisions. 
^Also includes Level 1 securities purchased at or after portfolio company IPO.
As of 31 December 2021, two members and one employee of the Investment Manager served on the board of directors of Rocket and two members and 
three employees served on the board of directors of Landos, JIXING, NiKang, Visus, Alcyone, RTW Royalty #1 and #2, and Yarrow, which in aggregate 
represented 30.3% of NAV of the Company.
Report of the Investment Manager 
continued
Table 3. Performance of core private and public portfolio investments as of 31 December 2021
Portfolio company
Initial Investment  
Date
Valuation 
Date
MOC
XIRR
Private Holding 
Period (years)
Beta Bionics
6/28/2019
12/31/2021
1.0x
-1.0%
 2.5 
Orchestra
6/28/2019
12/31/2021
0.9x
-3.3%
 2.5 
Frequency^
7/17/2019
03/23/2021
2.8x
85.3%
 1.7 
Landos*
8/9/2019
12/31/2021
1.2x
6.7%
 2.4 
Immunocore*
8/13/2019
12/31/2021
1.7x
28.5%
 2.4 
Avidity*
11/8/2019
12/31/2021
2.6x
56.9%
 2.1 
JIXING
2/10/2020
12/31/2021
1.7x
85.3%
 1.9 
Iteos*
3/24/2020
12/31/2021
4.2x
136.6%
 1.8 
Pulmonx*
4/17/2020
12/31/2021
2.5x
70.6%
 1.7 
Athira*
5/29/2020
12/31/2021
2.3x
101.2%
 1.6 
C4 Therapeutics*
6/2/2020
12/31/2021
3.6x
126.3%
 1.6 
Encoded 
6/12/2020
12/31/2021
2.1x
62.1%
 1.6 
Milestone^^
7/23/2020
12/31/2021
1.6x
43.5%
 1.4 
Nikang 
9/9/2020
12/31/2021
1.1x
8.2%
 1.3 
Tarsus*
9/24/2020
12/31/2021
1.6x
45.4%
 1.3 
Prometheus*
10/30/2020
12/31/2021
5.0x
382.1%
 1.2 
RTW Royalty #1
11/13/2020
12/31/2021
1.2x
18.9%
 1.1 
Nuance 
12/7/2020
12/31/2021
1.0x
0.0%
 1.1 
Tenaya*
12/17/2020
12/31/2021
1.5x
50.1%
 1.0 
Biomea*
12/23/2020
12/31/2021
0.9x
-6.5%
 1.0 
Inivata**
12/24/2020
6/18/2021
2.6x
635.5%
 0.5 
Prometheus Labs
12/31/2020
12/31/2021
1.0x
0.0%
 1.0 
Ancora 
1/20/2021
12/31/2021
1.0x
2.0%
 0.9 
Visus 
1/26/2021
12/31/2021
1.1x
14.7%
 0.9 
Artiva 
2/23/2021
12/31/2021
1.3x
30.7%
 0.9 
Ventyx*
2/26/2021
12/31/2021
2.0x
206.9%
 0.8 
Pyxis*
3/8/2021
12/31/2021
1.0x
5.9%
 0.8 
Monte Rosa*
3/12/2021
12/31/2021
2.0x
129.4%
 0.8 
GH Research*
4/9/2021
12/31/2021
1.9x
139.8%
 0.7 
RTW Royalty #2
5/5/2021
12/31/2021
1.1x
21.1%
 0.7 
Numab 
5/7/2021
12/31/2021
1.0x
-1.0%
 0.7 
Yarrow
5/14/2021
12/31/2021
1.0x
0.0%
 0.6 
Alcyone 
6/8/2021
12/31/2021
1.0x
0.0%
 0.6 
Umoja 
6/9/2021
12/31/2021
1.0x
8.2%
 0.6 
Neurogastrx
6/25/2021
12/31/2021
1.0x
0.0%
 0.5 
Magnolia 
7/2/2021
12/31/2021
1.0x
0.0%
 0.5 
Artios 
7/27/2021
12/31/2021
1.0x
0.0%
 0.4 
InBrace
8/27/2021
12/31/2021
1.0x
0.0%
 0.3 
Lycia
9/2/2021
12/31/2021
1.0x
0.0%
 0.3 
Cincor*
9/22/2021
12/31/2021
1.2x
95.0%
 0.3 
Acelyrin
10/20/2021
12/31/2021
1.0x
0.0%
 0.2 
Kyverna
11/9/2021
12/31/2021
1.0x
0.0%
 0.1 
Third Harmonic Bio
12/17/2021
12/31/2021
1.0x
0.0%
 0.0 
Average
1.6x
60%
1.1
Public company
Price per share as of  
29/10/2019 market close  
(as of listing of the Company)
% Return
Rocket
US$14.00 
56%
*These positions originated in the portfolio as private companies and since have gone public; as of 31 December 2021, Monte Rosa, GH Research, Tenaya, Pyxis and Ventyx were under 180-day lock-up provision; 
**Acquired; 
^Exited the position; 
^^Milestone is a public company, the Company holds private warrants.
Table 4. NAV capital breakdown
Type
% of NAV as of 31 
December 2021
% of NAV as of 31 
December 2020
Core portfolio assets (private and public)
66.4%
68.7%
Non-core portfolio assets
38.6%
25.4%
Cash, due to/from brokers, other*
-5.0%
5.9%
Total
100.0%
100.0%
*Other includes liabilities such as other payables and accrued expenses.
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
10
11
RTW Venture Fund Limited

2021
2019
2017
2015
2013
2011
2009
2007
2005
2003
2001
1999
1997
1995
1993
9,000
25
20
15
10
5
0
8,000
Price/Share,
10x Sales/Share
Price/Sales
Price/Share
10x Sales/Share
Price/Sales
7,000
6,000
5,000
4,000
3,000
2,000
1,000
2021
2020
2019
2018
2017
2015
2013
2011
2009
2007
2005
2003
2001
1999
1997
1998
2000
2002
2004
2006
2008
2010
2012
2014
2016
125%
Annual 
Performance/Gap 
(%)
Russell 2000 Bio Annual Performance
Performance Gap Russell 2000 Bio – SP500
75%
25%
-25%
-75%
Sector review and outlook 
Significant biotech sector underperformance, 
attractive valuations, high innovation…
By some measures of market performance, 2021 
was small-cap biotech’s worst calendar year 
since the financial crisis over a decade ago. The 
small-cap heavy Russell 2000 Biotech Index 
finished down -27%, just ahead of 2008’s -31%. 
Only 2002’s drop of -54% was significantly 
worse. This performance is most striking 
compared to the broader markets. The S&P500 
finished +27%, making small-cap biotech’s 54% 
underperformance the largest in history (second 
largest was 1998’s 42%) (Figure 5).
Overall valuations for the Nasdaq Biotechnology 
Index (NBI) and SPDR S&P Biotech (XBI) have 
now returned to the historical average (Figure 6). 
This continues to be coupled with historically low 
interest rates and historically high innovation.
Despite market performance, 2021 was a strong 
year for innovation. The FDA managed through 
COVID resource constraints to approve 60 new 
drugs, topping last year’s 59. Approvals by 
modality include: RNA for three, novel antibody 
technologies for three, and cell therapies for two. 
mRNA firmly established itself as the preferred 
modality for Covid vaccines, and Intellia 
demonstrated human proof-of-concept for in 
vivo CRISPR, unlocking another new modality in 
the battle against disease.
Report of the Investment Manager
continued
Migration to the Main Market of the London Stock Exchange
We are pleased to report that RTW Venture Fund was admitted to the Premium Segment of the Main Market on 6 August 2021 and introduced an 
additional market quote denominated in GBP under ticker “RTWG”. To satisfy the diversification requirements that we agreed with the UK Listing Authority 
we reduced our position in Rocket and brought it under 25% of NAV, while adding to the position in our private fund making RTW overall a net-buyer of the 
security. To note, the sale of Rocket shares by the Company to reduce the position from c. 33% to c.25% did not result in any crystalized losses, as at the 
time of the Company’s IPO Rocket’s share price was $14 and at the time of sale on 11 May 2021 was $40, representing c.186% uplift.
We believe the Premium Segment of the Main Market is the most appropriate platform for the continued growth of the Company. We look forward to 
continuing to advance our presence in the UK and are honoured to bring access to private markets and bespoke negotiated opportunities to an even 
broader investor base now being listed on the Premium Segment. We also believe that by maintaining a strong presence and providing much needed 
capital to late-stage venture companies, we are doing our part in fostering a stable and well capitalized investment ecosystem, which we believe will in 
turn benefit UK companies and support further innovation.
Summary of Portfolio Companies with at least 1.0% position of NAV as of 31 December 2021:
As of 31 December 2021, the Company’s portfolio included 42 companies, ranging from biotechnology companies developing preclinical to clinical-stage 
therapeutic programs, companies developing traditional small molecule pharmaceuticals, and med-tech companies developing or commercializing 
transformative devices. We selected the Company’s portfolio companies based upon our rigorous assessment of scientific and commercial potential, 
opportunities to positively impact value, and with regard to the valuation of the assets at the time of investment. The table below includes portfolio 
companies and their catalysts that had ≥1.0% position size at the end of the reporting period.
Table 6. RTW Venture Fund portfolio summary of catalysts (core portfolio holdings >1.0% of NAV) as of 31 December 2021
Portfolio  
Company
Description
Public/ Private
Clinical stage
Expected 
upcoming 
catalyst
% NAV
Rocket
Gene therapy platform company for rare pediatric diseases; five clinical 
programs for Fanconi anemia, Danon, LAD, PKD and IMO.
Public: “RCKT”
Phase 2
Q2 2022
13.3%
JIXING
NewCo focused on acquiring rights from innovative therapies in the West 
for development and commercialization in China.
Private
Phase 3
Series D; H1 2022
6.6%
Prometheus  
Biosciences
Precision medicine company focused on IBD, a chronic inflammatory 
disease of GI tract; lead antibody program against TL1A.
Public: “RXDX”
Phase 1
H1 2022
5.6%
Avidity
Antibody conjugated RNA medicines company; lead program for myotonic 
dystrophy, a degenerative disease with no therapy.
Public: “RNA”
Phase 1
H1 2022
4.3%
C4 Therapeutics
Targeted protein degradation company working on blood cancers. 
Public: “CCCC”
Phase 1
H1 2022
2.5%
Iteos
Novel immune checkpoint clinical stage company, with lead programs 
targeting TIGIT and A2A in Phase ½ for advanced solid tumors.
Public: ”ITOS”
Phase 1 / 2
H1 2022
1.8%
Landos
Developer of oral therapies for autoimmune disease. Lead program for 
inflammatory bowel disease.
Public: “LABP”
Phase 2 / 3
Q2 2022
1.6%
Tarsus
Clinical stage biotech developing first-in-class therapeutics for. ophthalmic 
conditions.
Public: “TARS”
Phase 3
H1 2022
1.3%
Milestone
Clinical stage biopharma developing interventions for tachycardias.
Public: “MIST”
Phase 3
Q4 2022
1.0%
RTW Royalty #2
Royalty as a part of RTW-Urogen deal.
Private
–
–
3.4%
Immunocore
T-cell receptor therapy company focused on oncology and infectious 
disease; lead program for uveal melanoma.
Public: “IMCR”
Registrational
–
2.9%
RTW Royalty #1
Royalty as a part of RTW-Ji Xing-Cytokinetics deal.
Private
–
–
2.6%
Tenaya
Biotech developing therapies that can address the underlying cause of 
heart disease; lead asset gene therapy for HCM.
Public: “TNYA”
Preclinical
–
2.1%
GH Research
Clinical stage biotech developing therapies to manage mental disease.
Public: “GHRS”
Phase 2
–
1.8%
Beta Bionics
Closed-loop pancreatic system for automated and autonomous delivery 
of insulin.
Private
Pivotal
–
1.3%
NiKang
Biotech using a structure-based design to develop innovative small 
molecules against promising molecular targets in oncology.
Private
Preclinical
–
1.2%
Ventyx
Clinical stage biotech advancing a promising immunology pipeline for 
autoimmune and inflammatory diseases.
Public: “VTYX”
Phase 2
–
1.2%
Encoded
Gene therapy company developing treatments for rare pediatric CNS 
disorders.
Private
Preclinical
–
1.1%
Monte Rosa
Targeted protein degradation biotech.
Public: “GLUE”
Preclinical
–
1.0%
Aggregate of <1.1% core portfolio companies include: Alcyone, Pyxis, Athira, Pulmonx, Biomea, Orchestra, Visus, Nuance, Numab, Ancora, Artiva, Yarrow, 
Prometheus Labs, Neurogastrx, Umoja, Artios, Magnolia, InBrace, Lycia, Cincor, Acelyrin, Kyverna and Third Harmonic Bio.
9.8% 
Source: Bloomberg December 2021.
Figure 5. Russell 2000 Biotech Annual Performance 
Figure 6. Historic sector valuations 
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
12
13
RTW Venture Fund Limited

2021
2020
2018
2019
2016
2017
2014
2015
2012
2013
2010
2011
2008
2009
2006
2007
2004
2005
2002
2003
2000
2001
1997
1998
1999
1994
1995
1996
16,000
14,000
10,000
12,000
8,000
4,000
6,000
2,000
–
# Deals
Value
($Millions)
# Deal
Value
120
100
80
60
40
20
–
33
62
31
34
14
11
56
7
7
11
29
21 24
18
3
4
14 10
29
49
86
49
27
41
66
59
77
108
Report of the Investment Manager
continued
Executing on our strategy
We are scientists and entrepreneurs who 
aspire to change the lives of patients through 
innovation, and purposeful investing is at the 
heart of everything we do. We power breakthrough 
therapies that transform the lives of millions. 
Maximizing value realization from transformative 
products takes time, and we believe it is critical 
to be involved and invested in such companies 
throughout various stages of their development 
and ultimately distribution to patients. In the 
instances where our research leads us to find 
that a company doesn’t exist, we have the 
capability, human power, and funding to create 
a company de novo to advance an asset we believe 
is worth building a business architecture around. 
As a full life-cycle investor, we recognize the 
importance of providing growth capital along with 
the support of an experienced team, if and when 
it is needed, at any critical inflection point in an 
asset’s life cycle. Scientific development rarely 
follows a linear path and nor do we, which is why 
we are always thinking about the optimal way to 
support a company. This can be achieved 
through providing growth capital, creative 
financing solutions, capital markets expertise, or 
guidance through investing our time and sharing 
our collective experience as directors and 
stewards of tomorrow’s most exciting and 
disruptive companies. 
Taking a long-term full lifecycle approach and 
having a true evergreen structure enables us to 
avoid pitfalls of structural constraints of venture-
only or public-only vehicles. Our focus is on 
becoming the best investors and company 
builders we can be, delivering exceptional results 
to shareholders and making an impact on 
patients’ lives.
As we look ahead to 2022 and beyond, based  
on the breadth of opportunities we have been 
seeing and continue to see, we expect our 
efforts will translate into further capital 
commitments. The last 24 months have been 
very active, as we have added fifteen new 
companies in 2020 and twenty-one in 2021 to 
the Company’s growing portfolio, and we foresee 
continuing with a similar investing pace in 2022. 
In 2021 and continuing in 2022, we are particularly 
focused on attractive opportunities within small 
and mic-cap public biotech companies given 
asymmetric risk / reward profiles of strong 
fundamentals and decreased valuations.
Primary areas of focus remain in genetic medicines, 
small molecule, antibody and next generation 
antibody therapies, targeted protein degradation, 
rare diseases, targeted oncology, and medical 
technologies. We are excited by advancements 
we are witnessing in neurology, ophthalmology, 
immunology, muscular dystrophies, and 
cardiovascular and pulmonary diseases. 
We have always emphasized the important point 
that exciting innovation is taking place globally. 
Building upon our strong reputation in the U.S., we 
aim to strengthen our presence with new offices 
in London and Shanghai to further expand our 
presence and grow roots in these two strategic 
geographies. We are as keen on exploring 
scientific programs coming out of the UK and 
Europe as we are for those discovered and 
developed in the U.S. labs. We intend to continue 
to build inroads and have been actively cultivating 
deeper relationships in the UK. 
We believe there is a significant demand for 
reliable capital providers, such as ourselves, to 
continue to support scientific innovation and 
development of transformative therapies for 
patients. With that in mind, we intend to grow 
the Company’s portfolio, by attracting new 
shareholders to assist in the financing of an 
exciting pipeline of new ideas. We expect the 
split to remain close to 80% biopharmaceutical 
assets and 20% across medical technology 
assets. In line with prior guidance, we anticipate 
two-thirds of the investments will be made in mid 
to later stage venture companies and one-third 
of the investments focused on active company 
building around the discovery and development 
or licensing and distribution of promising assets. 
Key Portfolio Company Events Post Period End
On 6 January 2022, CinCor announced pricing of 
its US$193.6 million IPO, by offering 12.1 million 
shares at US$16.00 per share. The shares began 
trading on Nasdaq Global Market on 7 January 
2022 under ticker “CINC”. Since IPO CinCor shares 
have traded down 4.4% as of 23 March 2022.
The Company’s investments in CinCor remains 
under 180-day lock-up provision.
In January 2022, the biotech sector has 
experienced a further selloff driven by investor 
fears over inflation and interest rates. The selloff 
resulted in a NAV per Ordinary Share decrease 
of 14% as of 31 January 2022. In February 2022, 
Russia invaded Ukraine, which resulted in further 
turmoil and uncertainty in the global markets. 
The Company’s NAV per Ordinary Share further 
declined by 2% as of 28 February 2022. The 
Company does not have any portfolio companies 
in the affected regions.
RTW Investments, LP
30 March 2022
2022 Outlook 
Most of the headwinds that we faced over the 
course of 2021 have either resolved or are far 
along in the process. In fact, we are hopeful that 
2022 will transition to tailwinds, such as a return 
to business as usual at the FDA, multi-year clarity 
on drug pricing (should some form of the Build 
Back Better bill pass), and a resurgence in M&A. 
Regarding M&A, 2021’s total deal volume of 
$109B is down from $169B in 2020 and is the 
second lowest in the last eight years. We 
speculate that the mix of more attractive 
valuations, growing pressure from the coming 
wave of patent expirations and an explosion of 
Covid related cash will be a potent recipe for 
deal making in 2022. 
IPO performance struggled this year under the 
weight of an all-time high 108 offerings. The 
average declined ~31% from offer date to YE 
2021, after several years of easy gains for 
crossover investors. Activity had already begun to 
slow, with 60% of the year’s IPOs taking place in 
the first half, and the number of deals in Q4 
starting to approach the run-rate that existed 
before the mid-2020 boom. The number of small 
and relatively illiquid public companies that have 
had poor aftermarket performance has resulted 
in the highest number of companies trading at 
<2x cash in history, creating an exciting backdrop 
of opportunities for us. We are hopeful this will 
lead to the kind of environment that favors those 
with strong fundamental analytical capabilities, 
and who also have the capital and courage to 
deploy after painful losses. These are two of our 
greatest strengths historically that have enabled 
us to distinguish ourselves in recoveries, and we 
are excited to put them to use.
We think the primary market risks that bear 
watching sit largely outside of healthcare and 
revolve around equities and the dynamic between 
inflation and interest rates, and overall market 
volatility due to war in Ukraine. Regardless of what 
happens to equities generally, we are quite optimistic 
the historically large performance gap between 
biotech and the broader markets will narrow. 
US Biotech Market Cap <10B
Source: Bloomberg December 2021.
US BiotechIPOs (1994-2021)
Source: RTW Research December 2021.
Biopharma M&A Volume,  
2010-2021 ($B)
Figure 7. Biopharma M&A and Deal Capacity
Figure 8. US Biotech IPOs
Figure 9. US Biotech Companies under $10 Billion Market Cap
Deal Capacity $B  
(~2.5x 2022E Net Debt to EBITDA)
Charts adopted from JPM research; *PFE includes COVID cash flows in EBITDA calculation;  
**M&A deal include transactions >$1B in total value
2021
2020
2018
2019
2016
2017
2014
2015
2012
2013
2010
2011
2008
2009
2006
2007
2004
2005
2002
2003
2000
2001
1997
1998
1999
1994
1993
1995
1996
# companies trading < 2x cash
# companies
# companies
700
500
600
400
300
200
100
–
2021
2020
2018
2019
2016
2017
2014
2015
2012
2013
2010
2011
$350
$300
$200
$250
$214
$56
$33
$102
$66
$125
$220
$88
$243
$284
$169
$109
$100
$150
$50
$0
Average deal volume
ABBV
LLY
BMY
MRK
JNJ
PFE*
$100
$60
$80
$12
$14
$36
$41
$83
$96
$40
$20
$0
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RTW Venture Fund Limited

Transforming  
the lives of millions
Engage
2
Engage in deep research  
and unlocking value 
We developed repeatable internal processes 
combining technology and manpower to 
comprehensively cover critical drivers of 
innovation globally. We seeks to identify 
biopharmaceutical and medical technology 
assets, ascertained through rigorous 
scientific analysis that have a high probability 
of becoming commercially viable products 
and can dramatically change the course of 
treatment and in some cases bring effective 
and/or full curative outcomes to patients. 
  Read more 
Strategy in Action, page 23
Identify
1
Identify transformational innovations
We have developed expertise through our 
comprehensive study of industry and academic 
efforts in targeted areas of significant innovation. 
Thanks to the genome, there is more clarity 
around the causes of disease. Coupled with  
new exciting modalities that can address  
genetic diseases in a targeted way, drug 
innovation is accelerating.
  Read more 
Strategy in Action, page 19
Our Long Term Strategy
Our long-term strategy is anchored in identifying sources  
of transformational innovations by engaging in a deep scientific 
research and rigorous idea generation process, which is 
complemented with years of financial investment, company 
building, transactional, and legal expertise. 
Support
4
Support full lifecycle investment
A key part of our competitive advantage is 
the ability to determine at what point in a 
company’s life cycle we should support the 
target asset or pipeline. As a full lifecycle investor, 
we can provide growth capital, creative financing 
solutions, capital markets expertise, 
or guidance through investing our time and 
sharing our collective experience as directors 
and stewards of tomorrow’s most exciting and 
innovative companies. Taking a long-term full 
lifecycle approach and having a true evergreen 
structure enables us to avoid pitfalls of structural 
constraints of venture-only or public-only 
vehicles. Our focus is on becoming the best 
investors and company builders we can be, 
delivering exceptional results to shareholders 
and making a positive impact on patients’ lives.
  Read more 
Strategy in Action, page 31
Build
3
Build new companies around  
promising academic licences
We have the capabilities to partner with 
universities and in-license academic programs, 
by providing capital and infrastructure to 
entrepreneurs to advance scientific programs. 
Particularly working in rare diseases, often areas 
with little existing research and treatment options, 
means that forming a rare disease-focused 
company is a way of shining a light on this space 
and creating a roadmap to eventually developing 
a curative treatment. 
  Read more 
Strategy in Action, page 27
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RTW Venture Fund Limited

Identify 
transformational 
innovations
Our Strategy in Action
Identify transformational innovations
RTW focuses on identifying transformational 
innovations across the life sciences space, 
specifically backing scientific programs that 
have the potential to disrupt the prevailing 
standard of care in their respective 
disease areas.
NAV
4.3%
2020: 3.9%
Portfolio company ownership
<5%
2020: <5%
The need
It is estimated that about 40,000 Americans suffer from  
myotonic dystrophy, a rare genetic muscular dystrophy with  
no approved treatments. 
Mission
Avidity is developing antibody oligonucleotide conjugate (AOC™) 
therapeutics, which combines the tissue selectivity of monoclonal 
antibodies and the precision of oligonucleotide-based therapeutics 
to overcome barriers to the delivery of oligonucleotides and target 
genetic drivers of disease.
Status
Avidity’s lead program is in clinical trials for myotonic dystrophy (MD) 
and has discovery efforts underway to address additional diseases  
of the muscle.
Next milestone
Avidity is expected to share its preliminary Phase 1 clinical trial data  
for its lead program in myotonic dystrophy in H1 2022.
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19
RTW Venture Fund Limited

Our Strategy in Action
Identify transformational innovations 
continued
We believe the best way  
to create value is by 
solving unmet needs
As the global life sciences market experiences 
rapid growth, our strategic focus on 
addressing unmet patient needs has led to 
multiple opportunities for value creation. 
Key Achievements
Key Statistics
Core portfolio companies
42
2020: 22
Therapeutics
c.86%
2020: c.80%
New companies added in 2021
21
2020: 15
Medtech
c.14%
2020: c.20%
Therapeutic areas addressed 
by core portfolio
10
2020: 9
Portfolio companies’ pipeline 
products are in clinical stage 
programs
44/55
2020: 25/33
Priorities for 2022
As we look ahead to 2022, based on the breadth of opportunities  
we have been seeing and continue to see, we expect our efforts will 
translate into further capital commitments. The past year has been very 
active, and we foresee continuing with a similar investing pace in 2022.
Primary areas of focus remain in genetic medicines, small molecule, 
antibody and next generation antibody therapies, rare diseases, 
targeted oncology, and medical technologies. We are excited by 
advancements we are witnessing in neurology, ophthalmology, 
immunology, muscular dystrophies, and cardiovascular and 
pulmonary diseases.
Link KPIs
	 5  	Diversified portfolio across multiple therapeutic areas, treatments 
modalities and geographies
	 6  	Active and robust pipeline
Link principal risks
	 3 	 The Investment Manager relies on key personnel
	 4 	 Portfolio Companies may be subject to litigation
	 6 	 Clinical Development & Regulatory Risks
	 8 	 COVID-19
Innovation Boom
We are living in an era where we are 
witnessing innovation accelerating at  
a breakneck speed with unparalleled 
opportunities for value creation. 
The growth of new drug modalities has been 
dramatically accelerating. Whilst small molecules 
dominated drug development for over 30 years, 
antibodies and proteins grew quite gradually for 
about 20 years. Over the most recent decade 
the number of modalities has doubled, and 
furthermore in the first two years of this decade 
we added as many new modalities as in the 
previous ten years. 
We are seeing validated technologies, such as 
those derived from DNA and RNA science, that 
can effectively deliver therapeutic solutions across 
large swaths of diseases, resulting in companies 
with highly efficient development engines. 
We believe there is an opportunity to offer attractive 
risk-adjusted returns to shareholders by building 
companies that possess unique and heretofore 
unrecognized growth opportunities that will benefit 
by capitalization, proactive skilled management, and 
supportive and sustainable governance practices.
Cheap genetic information 
Cheap genetic information has revolutionized the 
discovery process, which is yielding validated drug 
targets at an unprecedented rate. According to 
the National Human Genome Research Institute, 
the approximate cost to sequence a human 
genome fell to less than $1,000 in 2020. This 
reduction in cost has fuelled tremendous 
productivity. According to data from the United 
States Patent and Trademark Office, the number 
of drug patents has inflected upward since 2010, 
which is translating into more new drugs in 
company pipelines. Technological applications are 
also creating platforms of addressable diseases, 
increasing bandwidth, and enabling companies to 
target more diseases with superior scientific 
accuracy and safety profiles than in previous 
generations of drug development.
Market leaders
Market valuation and growth
Although genetically validated targets can 
sometimes be addressed by existing traditional 
approaches, such as small molecules and 
antibodies, in specific tissues it is hard to beat the 
speed and ease in which DNA and RNA based 
medicines can be developed. Gene therapies also 
carry the potential for a one-time cure and RNA 
medicines for infrequent injections. The market for 
genetic medicine has been growing. According to 
Capital IQ, the cumulative market capitalization of 
the genetic medicine companies has increased 
from $9.4B at the end of 2014 to $202.8B by the 
Cumulative market capitalization of the genetic 
medicine companies as of 2021
$202.8b
2014: $9.4b 
FDA new approved drugs in 2021
60
2020: 59
We bring together, lead, create, compel to action
end of 2021. Genetic medicine includes 
companies that use in vivo and ex vivo gene 
therapy, genetic editing, sRNA and mRNA based 
technologies to develop new treatments. 
Looking at just 2021, the FDA approved 60 new 
drugs, topping last year’s 59. Approvals by 
modality include: RNA for three, novel antibody 
technologies for three, and cell therapies for two. 
Additionally, mRNA firmly established itself as the 
preferred modality for COVID vaccines, and Intellia 
demonstrated human proof-of-concept for in vivo 
CRISPR, unlocking another new modality in the 
battle against disease.
1950’s
1970’s
1980’s
1990’s
2000’s
2010’s
2020’s
1960’s
Growth & decline cycles with incremental innovation
New drug modalities are being introduced quicker
Paradigm shifts with radical/disruptive innovation
Source: Modified from Kelvin Stott article 2017; RTW research
12
11
10
9
8
7
6
5
4
3
2
1
 
1950-70s: Small molecule
 
1980s: Protein, Antibody
 
2010s: Oligos, Cell & Gene Therapies
 
2020+: mRNA, Gene Editing, Protein degradation
 
First-in-human proof-of-concept (POC)
Key
1  1980:
Recombinant Insulin
2  1981:
Recombinant 
Growth hormone
4  1985:
1st Monoclonal 
Antibody
5  1987:
Recombinant EPO
7  2011:
RNAi
8  2015:
AAV Gene therapy
9  2015:
CAR-T Cell therapy
10 2020:
mRNA Vaccine
11  2020:
Targeted Protein 
Degradation
12  2021:
In Vivo Gene Editing
3  1983:
1st Antibody-drug 
conjugate
6  2006:
Bispecific antibody
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RTW Venture Fund Limited

Our Strategy in Action
Engaging in deep research and unlocking value
RTW’s team is comprised of individuals with 
medical and advanced scientific training and 
legal and banking experience, enabling a 
deeply differentiated approach to research, 
idea generation and strategic investment.
NAV
6.6%
2020: 1.3%
Portfolio company ownership
<10%
2020: <20%
The need
We formed JIXING in early 2020, borne out of a two-year study of 
innovation, biotechnology, and access to healthcare in China. JIXING 
is a Shanghai-based biotechnology company focused on the 
development and distribution of innovative US and European drugs 
in the Chinese market. 
Mission
JIXING will leverage clinical development and commercial expertise in 
the United States and Europe to bring global innovative medicines to 
Chinese patients. 
Status
JIXING’s pipeline now includes five assets focused on cardiovascular 
and ophthalmology conditions with high unmet need through 
partnerships with Cytokinetics, Milestone, and Oyster Pharma.  
RTW further capitalized JIXING by providing Series B and C funding.
Next catalyst
By working closely with the JIXING team we look to in-license additional 
late-clinical stage or commercial stage assets into its growing pipeline 
and provide further capital for business operation expansion.
  Read more 
Portfolio Review, page 40
Engaging in deep  
research and  
unlocking value
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RTW Venture Fund Limited

Our Strategy in Action
Engaging in deep research and unlocking value 
continued
How we approach  
research and investment
We seek to identify biopharmaceutical and 
medical technology assets, ascertained 
through rigorous scientific analysis, that have 
a high probability of becoming commercially 
viable products and can significantly improve 
patients’ lives. 
Key Achievements
Key Statistics
Medical conference meetings 
attended
147
2020: 115
Medical conference 
presentations attended
3,480
2020: 2,000
Private investments
25
2020: 16
Poster presentations captured
6,500
2020: 3,400
Priorities for 2022
Continue expanding institutional data library and research coverage 
to track and source the most promising assets globally.
	
– Private investments deal pace in line with 2020–2021 
	
– Two-thirds of the deals to be in mid-late stage venture and 
one-third in new company creation and early stage venture 
Link KPIs
	 1 	 NAV growth
	 2 	 Total shareholder return
	 3 	 Premium/discount to NAV
	 4 	 Percent of NAV invested in core portfolio companies
	 6 	 Active and robust pipeline
Link principal risks
	 1 	 Failure to achieve investment objective
	 2 	 Counterparty Risk
	 3 	 The Investment Manager relies on key personnel
	 4 	 Portfolio Companies may be subject to litigation
	 5 	 Exposure to global political and economic risks
	 7 	 Imposition of pricing controls for clinical products and services
The well-roundedness of the RTW team, strengthened by strong ties  
across industry, academia and banking platforms, gives it the ability to 
source viable prospective target businesses, capitalise them, and ensure 
public-market readiness.
Identify an area of  
transformational innovation 
We have developed expertise through our comprehensive study 
of industry and academic efforts in targeted areas of significant 
innovation. We distill opportunities across healthcare through 
three distinct lenses: disease areas, scientific technologies,  
and genetic analysis.
Identify value and assets  
that answer the unmet need 
We apply a rigorous approach to idea screening, analysis,  
and capital commitment. The process starts with the careful 
tracking of transformational events. Examples of such events 
include clinical data, regulatory decisions, product launches, 
competitive entrants, intellectual property disputes, industry 
transformations, distressed situations, and corporate change. 
Our analytical approach incorporates the study of historical 
data gathered from scientific literature, regulatory agencies, 
medical meetings, management teams, and internal expertise.
Select assets with high odds  
of becoming approved therapies 
We assign probabilities to various outcomes and use 
conservative valuation techniques to assign valuations  
to the various scenarios. 
Identify how RTW can maximize value 
Opportunities for financial engineering or active involvement 
are also considered, such as royalties, SPACs, structured deals, 
distress financing, and company formation.
An investment strategy  
built for the future
Accelerating  
the revolution  
in medicine
Leveraging RTW’s research process  
for differentiated idea generation  
Our competitive advantage is anchored in our internal idea 
generation process, which we have refined over the years. In 
our focus areas we aspire to achieve a level of research depth 
consistent with those making permanent capital decisions, 
which means we are generally comparing ourselves to the work 
done within large biotech and pharma companies. The process 
begins with attending over 100 medical meetings worldwide 
each year. Medical conferences are where all meaningful 
scientific data are first shared with the scientific community. 
Over the years we have built our institutional level database 
library, enhanced by technology and data science. This effort 
leads us to some of the most promising assets, where we then 
seek out the companies or academics behind the projects. 
Externally, we also generate ideas in traditional ways, too.  
We place high value on building long-term relationships with 
management teams and scientists, and enjoy working with our 
investment firm peers and other players in our community.
We like to use the analogy that we are organized much like  
a business development team at a large biotech company. 
Across our team we have doctors, scientists, and drug 
development expertise, along with bankers, lawyers and 
operators who can execute. 
Our rigorous approach to deal sourcing  
involves deep research in areas of expertise 
The research coverage is structured based on a modality 
(i.e. gene therapy, RNA medicine, small and large molecules, 
medtech) or a therapeutic area (i.e. rare disease, cancer, 
immunology, neurology) with a collaborative, consensus-building 
approach of gaining the most comprehensive knowledge, leading 
to conviction on the most likely transformational therapies. 
We leverage our proprietary in-house research developed over 
fifteen years of operating in the life sciences sector. RTW has 
developed repeatable internal processes combining an 
institutional data library, technology, and manpower to 
comprehensively cover critical drivers of innovation. 
Work with management teams and syndicate partners 
We believe in developing long-term relationships with great 
entrepreneurs and scientists who are as passionate about 
medicine as we are, and working closely with our peers to 
support companies at any stage of their lifecycle. 
Actively engaging our wide network of doctors, academics and 
universities for promising new academic work. We continue to 
cultivate relationships with entrepreneurs, principal investigators, 
and academic institutions to allow for a wide range of 
intelligence gathering of investment opportunities.
Worldwide medical meetings
100+ per year
Proprietary data science & genetics research efforts
Bioinformatics
Collaborative & iterative in-house research
15 year old library
Dialogue with entrepreneurs & academics
300+ meetings per year
Deep ongoing due diligence
100+ per year
Syndicate partner deal flow
50+ per year
Deal flow from capital markets
15 year old library
Dialogue with management teams
1,000+ per year
Only the best investment ideas
Private and public
Figure 1.  
Leveraging RTW’s research process for differentiated idea genration
1
2
3
4
 
Internal idea generation
 
External idea generation
 
Combined idea generation
Key
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RTW Venture Fund Limited

Build new companies 
around promising 
academic licenses
Our Strategy in Action
Build new companies around promising 
academic licenses
RTW engages in new company formation 
around promising academic licenses. We are 
well-placed to offer support to early-stage 
life sciences companies and NewCos. RTW’s 
business and operations teams consist of 
members with financial, capital markets, legal, 
regulatory, tax, and accounting expertise and 
enforces a strong compliance culture.
NAV
13.3%
2020: 41.1%
Portfolio company ownership
<5%
2020: <5%
The need
Rocket is a clinical-stage platform biotechnology company advancing 
an integrated and sustainable pipeline of genetic therapies for rare 
childhood disorders. 
Mission
Rocket’s mission is to develop first-in-class and best-in-class, 
curative gene therapies for patients with devastating diseases. 
Rocket was born out of a year-long study in gene therapy. In late 
2015, Rocket was formed around a single academic license from a 
European academic institution. RTW helped Rocket hire a world-class 
management team, including CEO Dr. Gaurav Shah and COO Kinnari 
Patel, and continued to identify additional targets and licensed four 
more academic programs.
Status
Five products are in clinical trials (2020: five) 
Two programs in registration-enabling Phase 2 (2020: one).
Medium-term milestones 
First global submission 
Platform and pipeline expansion.
  Read more  
Portfolio Review, page 38
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RTW Venture Fund Limited

Our Strategy in Action
Build new companies around promising academic licenses 
continued
How we build 
new companies
RTW’s business and operations teams 
consist of members with financial, capital 
markets, legal, regulatory, tax, and 
accounting expertise and enforces 
a strong compliance culture. 
Key Achievements
Key Statistics
New company creation
1
2020: 1
In depth study of China biotech 
sector before newco creation
2 years
In-licensing deals for JIXING 
and Yarrow
4
2020: 1
Longstanding expertise in 
genetic diseases and 
oligotherapeutics
10+ years
Funding rounds backed by 
RTW in JIXING and Yarrow  
in 2021
3
2020: 1
Total newco creations
3
Priorities for 2022
Continue due diligence efforts to in-license additional assets into 
JIXING and Yarrow pipeline. 
Start a new company creation in the UK.
Link KPIs
	 5 	 Diversified portfolio across multiple therapeutic areas, 
treatments modalities and geographies
Link principal risks
	 3 	 The Investment Manager relies on key personnel
We leverage 
collective genius 
We leverage our proprietary “data-first” research process to 
source the highest quality assets across the US, UK, and Europe, 
and complement the scientific rigour with years of financial 
investment, company building, and transactional expertise.  
RTW has a world class infrastructure for supporting new 
company creation. Because we have always made exciting 
assets the driver of what we work on, over the years we 
developed the skills and brought in the talent needed to support 
companies regardless of stage. This has made its way into our 
own firm DNA, and most of us actually enjoy being creative  
on the business side nearly as much as we enjoy science. 
Our research approach is collaborative and consensus-based, 
led by the team with industry and academic backgrounds, 
which sets the tone for exceptional research. We believe that 
true value creation takes time and solving for patients’ unmet 
needs endures volatile markets. 
We have expanded our new ventures team with experienced 
venture capitalists and drug developers, as well as capabilities  
in data science technology to enhance data management.  
Our business team, complemented by experienced investment 
bankers and ex consultants, focuses on building targeted 
academic relationships in areas of high yield science, managing 
the capital markets process and syndicate building, and 
becoming a thought leader in the broader healthcare ecosystem.
Core portfolio companies added in 2021
21
2020: 15
Core portfolio businesses supported in 2021
24
2020: 22
Innovative science that gives hope 
to transform the lives of millions
The US Market:
RTW has a core focus on the US, with deep 
coverage of opportunities from academia to 
mid-size public companies. The US Portfolio 
Companies reflect a larger pool of opportunities 
created by the most robust venture and capital 
markets ecosystem. 
What this means for investors:
– access to a robust pool of private  
and public opportunities
– access to venture and capital markets  
that support innovation
The UK & European Market:
RTW has identified and invested in exceptional 
British and European scientific assets. It wishes 
to contribute to these biotech ecosystems by 
injecting capital where needed. It intends to engage 
in NewCo creation around promising early-stage 
assets by partnering with universities and 
in-licensing academic programs as well as through 
its proprietary in-house efforts; and providing 
financial and human capital to entrepreneurs to 
advance scientific programs in development. 
What this means for investors:
– access to cutting edge research labs 
and academic knowledge
– access to much greater breadth of science 
and opportunity
– participation in value creation in local  
biotech ecosystem
The China Market:
RTW plans to capture commercialization 
opportunities in China by investing across the 
venture capital lifecycle from new company 
formation to IPO to bringing successful 
innovative Western drugs to Chinese patients.
What this means for investors:
– access to Chinese budding biotech market, 
innovation and expertise
– an opportunity to establish themselves  
in a new market with the scope for  
significant growth
 
RTW Headquarters
 
RTW Global Investments
 
RTW Future offices
Key
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RTW Venture Fund Limited

Our Strategy in Action
Support investments through the lifecycle
Drug development is not a linear process. 
There are advancements and setbacks and 
we are structured to maximize value creation 
at any point beginning with company creation 
to late stage venture and into publicly traded 
markets. We let the fundamentals and not 
market movements dictate our investment.
NAV
2.9%
2020: 1.7%
Portfolio company ownership
<1%
2020: <1%
The need
Immunocore is a UK-based publicly traded biotechnology pioneering 
the development of a novel class of T-cell receptor (TCR) bispecific 
immunotherapies designed to treat a broad range of diseases, 
including cancer, infectious and autoimmune disease. Immunocore 
originated with the Investment Manager as a private company when 
RTW participated in a $320M Series A round in July 2015, 
subsequently supporting Immunocore in Series B and C rounds, 
as well as through its IPO in February 2021. 
Mission
Immunocore is developing tebentafusp, a novel bispecific T cell 
receptor (TCR) therapy for uveal melanoma, a rare and aggressive 
form of melanoma that affects the eye. 
In addition, the company is advancing ImmTAX, its proprietary 
platform technology of bispecific molecules that have the potential 
to overcome the limitations of the natural immune system allowing 
a patient’s own T cells to recognise and kill the infected or cancerous 
cells via an immune activating effector function.
Status
Tebentafusp was in registrational status as YE 2021 and approved in 
January 2022. 
Four additional programs in clinic: two Phase 1 trials in oncology and 
two Phase 1 trials in infectious disease (Hepatitis B and HIV).
Next catalyst
Kimmtrak (tebentafusp), a first-in-class TCR therapy, received FDA 
approval for uveal melanoma in January 2022.
Support investments 
through the lifecycle
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RTW Venture Fund Limited

Our Strategy in Action
Support investments through the lifecycle  
continued
How we support 
companies through 
the lifecycle
We are full life cycle investors supporting 
scientists and entrepreneurs at any stage 
where we identify opportunity, from academic 
programs in need of industry sponsorship all  
the way to mature publicly traded companies. 
Key Achievements
Key Statistics
Number of portfolio 
company IPOs
9
2020: 6
Average step-up from the  
time of investment to IPO
1.9x
2020: 1.8x
Together NAV contribution
8%
2020: 15%
NAV in aggregate of 9 (2020: 5) 
portfolio companies where we 
have a board seat
c.30%
2020: c.48%
Priorities for 2022
Continue supporting existing portfolio companies based on their 
capital needs, as well as continue expanding our creative financial 
solutions tool kit.
Link KPIs
	 4 	 Percent of NAV invested in core portfolio companies 
	 5 	 Diversified portfolio across multiple therapeutic areas, 
treatments modalities and geographies
Link principal risks
	 5 	 Exposure to global political and economic risks
Progressing research to 
innovation to reality through 
collaboration, excellence 
and consensus
We support companies through the ups and downs of  
the often challenging journey to bring therapies to patients.
True value realization from transformative products takes time, 
and in order to capture that value, it is critical to be involved 
and invested in such companies throughout the various 
stages of their development and ultimately distribution to 
patients. Scientific development rarely follows a linear path  
and nor do we, which is why we are always thinking about  
the optimal way to support a company. 
As a full-life cycle investor, RTW has achieved multiple 
successful transaction milestones and provided creative 
financial solutions, including successfully creating new 
companies around academic licenses, supporting those 
companies along the life cycle by taking them public through 
reverse mergers, recapitalizations, SPACs, and offering royalty-
backed funding. 
RTW has earned a constructive reputation of being deeply 
knowledgeable in science, supportive to entrepreneurs 
and aligned with the companies for the long term, until the 
maximum value of those underlying assets can be achieved. 
This has become an earned privilege for us.
44%
56%
 
Progressed
 
Same stage
Clinical trial progress
*excludes commercial stage portfolio companies and companies added in 2021.
Stage
Modality
Company Name
Disease / Tx Area
Preclinical
Phase 1
Phase 2
Phase 3
Registrational Commercial
Genetic Medicine
 
 
Rocket
Rare disease
Avidity
Rare disease
Encoded
Rare disease
Tenaya
Cardiovascular
Yarrow
Rare disease
Alcyone
Rare disease
Antibody
 
 
Immunocore
Oncology
iTeos
Oncology
Prometheus
Inflammation
Ventyx
Autoimmune
Numab
Oncology
Pyxis
Oncology
Cell therapy
 
 
Artiva
Oncology
Kyverna
Autoimmune
Umoja
Oncology
Targeted protein degradation
C4
Oncology
Monte Rosa
Oncology
Lycia
Inflammatory
Medtech and Diagnostics
 
 
Pulmonx
Pulmonary
InBrace
Orthodontic
Magnolia
Sepsis (inflammatory)
Beta Bionics
Type 1 Diabetes
Orchestra
Cardiovascular
Ancora
Cardiovascular
Prometheus labs
Inflammation
Spec Pharma
 
 
Nuance
Iron deficiency
Small molecule
 
 
JIXING
Cardiovascular
Milestone
Cardiovascular
Tarsus
Ophthalmology
Athira
Neurology
Landos
Autoimmune
Visus
Ophthalmology
GH Research
Neurology
Neurogastrx
GI
Cincor
Cardiovascular
Acelyrin
Inflammatory
Nikang
Oncology
Biomea
Oncology
Artios
Oncology
Third Harmonic Bio 
Autoimmune
Clinical stages of the portfolio companies (based on the most advanced program)
44% of portfolio companies have progressed  
to the next stage of their clinical trials in 2021. 
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33
RTW Venture Fund Limited

Id
e
n
ti
fy
 u
n
m
e
t 
n
e
e
d
s
In
v
e
st
 i
n 
r
el
a
ti
o
n
s
hi
p
s
S
u
p
p
o
rt
 t
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r
o
u
g
h
 t
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e 
li
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A business model 
built for the future
Our Business Model
What we need to create value
Experienced team
A collaborative team of doctors, academics, 
drug developers, coupled with seasoned venture 
capitalists, investment bankers, lawyers and 
operators with a strong compliance culture.
How we create value
Our purpose drives everything we do
Identify transformative assets with high growth potential across the biopharmaceutical 
and medical technology sectors. Driven by our deep scientific understanding and a 
long-term approach to supporting innovative businesses, we invest in companies 
developing next-generation therapies and technologies that can significantly improve 
patients’ lives.
Our purpose
We power  
breakthrough  
therapies that  
transform the lives  
of millions.
Transformational innovations
Our long-term strategy is anchored in identifying 
sources of transformational innovations by 
engaging in a deep scientific research and rigorous 
idea generation process, which is complemented 
with years of financial investment, company 
building, transactional, and legal expertise.
Value creation
Patient benefits
Innovation is the best medicine. We believe solving 
unmet patients’ needs is the best way to create value.
RTW’s top 10 most successful investments  
since inception commercialized 10 drugs 
10
Shareholder
Privileged access to private markets and 
bespoke negotiated opportunities. 
Total shareholder return since inception
71%
2020: 81%
Portfolio companies
We support teams trying to solve the inevitable 
setbacks that occur when introducing a first in 
class or disruptive therapy.
66% NAV deployed into 42 core portfolio companies
66%/42
2020: 69%	
(2020: 22)
RTW Charitable Foundation
Founded as the charitable foundation arm  
of RTW, RTWCF partners with organizations 
conducting disease research and championing 
humanitarian causes. 
Number of rare disease grants awarded  
across 6 countries
9
 
Number of community organizations and 
research partners have been supported in 
responding to COVID needs in New York City
12
Invest in relationships
We focus on identifying transformational 
innovations and unmet needs across the life 
sciences space, specifically backing scientific 
programs that have the potential to disrupt the 
prevailing standard of care in their respective 
disease areas.
  Read more 
Strategy in Action, page 18
Deep scientific expertise
We believe in developing long-term relationships 
with great entrepreneurs and scientists who are 
as passionate about medicine as we are, and 
working closely with our peers to support 
companies at any stage of their lifecycle.
  Read more 
Strategy in Action, page 22
Support through the lifecycle
A key part of our competitive advantage is the 
ability to determine at what point in a company’s 
life cycle we should support the target asset or 
pipeline. As a full-life cycle investor, we can 
provide growth capital, creative financing solution, 
capital markets expertise, or guidance through 
investing our time and sharing our collective 
experience as directors and stewards of tomorrow’s 
most exciting and disruptive companies.
  Read more 
Strategy in Action, page 30
  Read more  
Portfolio Review, pages 38 – 42
Global reach
Our priority is to unlock value by advancing 
early-stage scientific development and delivering 
innovative therapies to patients in need.
Deep scientific expertise
We developed repeatable internal processes 
combining technology and manpower to 
comprehensively cover critical drivers of 
innovation globally to identify biopharmaceutical 
and medical technology assets that have a high 
probability of becoming commercially viable 
products and can dramatically change the 
course of treatment outcomes to patients.
Full life cycle investing
Taking a long-term full lifecycle approach and 
having a true evergreen structure enables us to 
avoid pitfalls of structural constraints of venture-
only or public-only vehicles.
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35
RTW Venture Fund Limited

New Company Creation
Discovery
Company
Preclinical
Phase 1
Phase 2
Phase 3
Latest financing round
Realising  
world-changing 
possibilities
  Read more 
Strategy in Action, page 26
  Read more 
Portofolio Review, page 38
  Read more 
Strategy in Action, page 22
  Read more 
Portfolio Review, page 40
  Read more 
Portfolio Review, page 42
PUBLIC: RCKT
Market cap
c.$1.4B
SERIES C
SEED
Pipeline progress
FANCONI ANEMIA
ASO TECHNOLOGY
AFICAMTEN
OC-02
OC-01
ETRIPAMIL
OMECAMTIV MECABRIL
LAD-I
DANON DISEASE
PKD
IMO
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37
RTW Venture Fund Limited

Market cap 2021
$1.4B
2020: $3.5B
NAV invested
13.3%
2020: 41.1%
Portfolio company ownership
<5%
2020: <5%
Link to strategy
1
2
3
4
Rocket’s pipeline is comprised of first-in-
class gene therapies that incorporate both 
adeno-associated viral vector (AAV) and 
lentiviral vector (LVV) approaches to gene 
therapy. They are platform agnostic and 
choose each program’s gene therapy 
platform based on what is most practical 
for the disorder being targeted.
The need
Rocket is a clinical-stage company advancing an integrated and 
sustainable pipeline of genetic therapies for rare childhood disorders. 
Mission
Rocket’s mission is to develop first-in-class and best-in-class, 
curative gene therapies for patients with devastating diseases. 
Status
– Five programs are in the clinical trials
– Two programs in registration-enabling Phase 2
Medium-term milestones 
– First global submission 
– Platform and pipeline expansion 
Preclinical
Phase 1
Phase 2/Pivotal
Catalyst
Disease area
Fanconi Anemia (LVV)
Q3 2022
Leukocyte Adhesion Deficiency-I (LVV)
Q2 2022
Danon Disease (AAV)
H2 2022
Pyruvate Kinase Deficiency (LVV)
H2 2022
Infantile Malignant Osteopetrosis (LVV)
TBD
RP-A201
RP-L102
RP-A501
RP-L301
RP-L401
Rocket’s pipeline is comprised of first-in-class gene therapies  
for rare and devastating, inherited genetic diseases
Identifying unmet patient need 
We seek to invest and build companies developing 
transformative therapies. Thanks to genome, 
disruptive innovation of new modular technologies, 
such as RNA medicine and gene therapy, can 
addressed undruggable before by older modalities 
like small molecules and antibodies. 
Forming and building Rocket 
Rocket was born out of more than a year-long study 
in gene therapy. In late 2015, Rocket was formed 
around a single academic license from a European 
academic institution. RTW hired a world-class 
management team, including CEO Dr. Gaurav Shah, 
COO Kinnari Patel, and CMO Dr. Jonathan Schwartz, 
and continued to identify additional targets and 
licensed four more academic programs. 
Supporting Rocket through the lifecycle
RTW completed two private financings, 
syndicating both the Series A and Series B rounds, 
and took Rocket public through a reverse merger 
in January 2018. We believe opportunities exist to 
license additional gene therapy academic assets 
into the Rocket pipeline in the future. In addition to 
our board representation in the company, Rocket’s 
generous pipeline diversification of now five clinical 
programs creates an attractive risk reward 
opportunity, giving us comfort in owning an 
outsized position in the company. 
Developing first in class gene therapies 
Five of Rocket’s clinical programs include four 
lentiviral vector-based gene therapies for the 
treatment of: 
– Fanconi Anemia, a difficult to treat genetic 
disease that leads to bone marrow failure  
and potentially cancer; 
– Leukocyte Adhesion Deficiency-I, a rare  
genetic disorder of immunodeficiency in  
young children; 
– Pyruvate Kinase Deficiency, a rare genetic 
disorder affecting red blood cells; 
– Infantile Malignant Osteopetrosis, a rare,  
severe monogenic bone resorption disorder 
characterized by skeletal deformities, 
neurologic abnormalities and bone marrow 
failure; 
 – and an adeno-associated virus-based gene 
therapy for Danon disease, a devastating, 
paediatric heart failure condition. 
Rocket’s goal is to have all five clinical programs 
become approved first-in-class gene therapies. 
The company is aspiring to become the next 
“Genentech of gene therapy” and we are looking 
forward to supporting them on this journey.
Portfolio Review
Seeking gene 
therapy cures
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Additional Information     
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Annual Report and Accounts 2021
38
RTW Venture Fund Limited

Portfolio Review
continued
JIXING is a leading biotechnology company 
committed to bringing innovative science and 
medicines to underserved patients in China.
The need
We formed JIXING in early 2020, borne out of a two-year study of 
innovation, biotechnology, and access to healthcare in China. JIXING is a 
leading biotechnology company headquartered in Shanghai committed 
to bringing innovative science and medicines to underserved Chinese 
patients with serious and life-threatening diseases. 
Mission
Backed by RTW, JIXING partners with global biotechnology 
companies to develop and commercialize novel, innovative 
therapeutics to treat unmet medical needs in cardiovascular and 
ophthalmic diseases. With a strong and further developing asset 
pipeline, industry leading talent, and patient-centric focus, JIXING is 
dedicated to delivering a meaningful and lasting impact on patients 
in Greater China.
Status
JIXING’s pipeline now includes 5 assets focused on cardiovascular 
and ophthalmology conditions with high unmet need through 
partnerships with Cytokinetics, Milestone, and Oyster Pharma. RTW 
further capitalized JIXING by providing a Series B and C funding.
Named Joseph Romanelli, a former President of Merck’s operations 
in China and a 25-year pharmaceutical industry veteran, as a new 
CEO of JIXING.
Next catalyst
By working closely with the JIXING team we look to in-license additional 
late-clinical stage or commercial stage assets into its growing pipeline 
and provide further capital for business operation expansion.
Latest funding round in 2021
Series C
2020: Series A
NAV invested
6.6%
2020: 1.3%
Portfolio company ownership
<10%
2020: <20%
Pipeline assets in 2021
5
2020: 1
Link to strategy
1
2
3
4
Global multi-center Ph3 Studies (GALACTIC-HF) Completed
FDA Approval recieved October 2021
Ph2b Studies Completed
Ph2 REDWOOD-HCM (dataset released) | To start global Ph3 in Q1 2022
Ph2 to be Initatied in early 2022
Ph2 to be Initatied in early 2022
Ph3 completion in Q3 2022
Ph2 Initiated in Q2 2021
China participated in the Global multi-center Ph3 Studies
Initiate Ph3 and parallel Ph1 Study in 2H 2022
Initiate Ph3 and parallel Ph1 Study in 1H 2024
Ph1 Completed | Joining Global Ph3 in Q2 2022
To be initiated
To be initiated
Initiate Ph3 and parallel PK Study in 2H 2022
To be initiated
Omecamtiv Mecarbil  
(cardiac myosin activator)
*JIXING has exclusive Greater China rights
China studies conducted by JIXING
Global studies conducted by partner
Tyrvaya Nasal Spray  
(nAChR agonist in 
preservative-free formulation)
0C-02 Nasal Spray  
(nAChR agonist)
Aficamten  
(formerly CK274)
(cardiac myosin inhibitor)
Etripamil Nasal Spray  
(short-acting calcium 
channel blocker)
HFrEF
Dry eye 
disease
Dry eye 
disease
oHCM
nHCM
HFpEF
PSVT
Atrial fibrillation 
(AFib)
Assets*
Indications
Pre-clinical
Phase 1
Cardiovascular
Ophthalmology
Phase 2
Phase 3
Approval
Disruptive science, 
driven by heart
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Annual Report and Accounts 2021
40
RTW Venture Fund Limited

Operational and  
Financial Review  
for the year
Market Capitalisation
The Company’s market capitalisation grew from 
U$360 million to US$378 million during year. This 
was driven by equity issuance and offset by a 
decline in the Company’s share price. 
Ordinary NAV
The Ordinary NAV of the Company declined from 
US$375.3 million to US$363.0 million during the 
year. The main driver of the decline was the share 
price performance of publicly-listed portfolio 
companies, this was partially offset by issuance 
of 20.9m shares.
NAV Per Ordinary Share
The 12.8% decline in NAV per Ordinary Share  
was primarily driven by the performance of 
Rocket share price and the Company’s other 
public portfolio companies. There was also a 
small positive contribution of approximately 1% 
from equity issuance at a premium to NAV  
during the year and a reduction in the 
performance allocation accrual.
Premium / Discount
The Company’s shares traded on average c. 10% 
premium due to market demand during the 
reporting period. At the year end, the Company’s 
Ordinary Shares were trading at a 4.1% premium 
to NAV (2020: 4.1% discount to NAV). The 
Company’s NAV for December 2020 moved 
sharply higher but was reported in January 2021 
resulting in the shares trading at a discount to the 
unpublished December NAV in December 2020 
and recovering to a premium to the published 
December 2020 NAV during 2021.
Total Return to Shareholders  
Based on Ordinary NAV
As the Company has not paid dividends, 
the negative total return for the year of -12.8% 
(2020: +54.3%) equates to the decline in NAV 
per Ordinary Share. There was no performance 
allocation triggered during the reporting period 
as the total shareholder return based on ordinary 
NAV movements was negative.
Total Return to Shareholders 
Based on Share Price
The negative share price return of -5.3% in the 
year compared to the NAV movement of -12.8% 
was the result of the Company’s shares moving 
from a discount to a premium. Nevertheless, the 
Company’s shares traded at a premium to NAV 
throughout the majority of the period. 
Ongoing Charges
The Company’s ongoing charges ratio is 
1.78%, calculated in accordance with the AIC 
recommended methodology, which excludes 
non-recurring costs and uses the average NAV 
in its calculation.
  Read more 
Our Long Term Strategy, page 16
  Read more 
Principal and Emerging Risks  
and Uncertainties, page 48
Key Statistics
Market Capitalisation as of 31 Dec 2021
$378M
2020: $360M
Ordinary NAV as of 31 Dec 2021
$363M
2020: $375.3M
Premium to NAV as of 31 Dec 2021
4.1%
2020: -4.1%
Ongoing charges as of 31 Dec 2021
1.78%
2020: 2.10%
Latest funding round in 2021
Seed
NAV invested
0.1%
Portfolio company ownership
<5%
Pipeline assets in 2021
1
Link to strategy
1
2
3
4
Recent advances have enabled and derisked 
development of ASO therapeutics for CNS 
diseases. Next generation sequencing has 
improved diagnosis and patient pool access. 
Whilst fundamental understanding of CNS 
biology has made big strides thanks to improved 
sequencing, biochemistry, and imaging 
techniques, allowing the deciphering of molecular 
mechanisms that cause a disease. Furthermore, 
improved potency and performance through 
widened medicinal chemistry repertoire and 
better molecular understanding, as well as and 
increases number of tractable CNS genetic 
targets resulted in substantial improvements 
in ASO therapeutics design. 
Opening up 
unrealised potential
Yarrow is an RTW-incubated company 
developing antisense oligonucleotide (ASO) 
therapeutics for severe, genetically defined 
CNS diseases.
The need
There are 100+ genetically-defined CNS diseases tractable antisense 
with oligonucleotide (ASO) therapeutics. However, only 7 monogenic 
CNS diseases have ASOs in development or approved. Genetically-
defined CNS diseases provide a vast opportunity for new, innovative 
ASO therapeutics.
Mission
Yarrow is developing ASO therapeutics for severe, genetically defined 
CNS diseases. Yarrow was founded and incubated by RTW team in New 
York and is rooted in the firm’s longstanding expertise and commitment 
to solving genetic diseases and oligotherapeutics. 
Status
Yarow in-licenced its first ASO asset from ProQR. RTW capitalized 
Yarrow by providing seed funding.
Next milestone
By working closely with the Yarrow team, we look to expand Yarrow’s 
internal R&D capabilities, in-licence additional assets into the growing 
pipeline and further capitalize its business and team expansion. 
Portfolio Review
continued
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RTW Venture Fund Limited

KPIs
Strategic priority
Our performance
Progress
Future intent
Financial KPIs 
1. NAV Growth
Relevant strategy:
1
2
3
4
Relevant principal risks  
and uncertainties:
1
5
6
8
	
– Includes performance of the 
portfolio companies and cash 
management strategy
	
– Net of all fees and costs
Key factors 
	
– Portfolio performance and 
progression through clinical trials
	
– Cash management
	
– Capital pool and deployment 
	
– Scientific and financial risks
12.8% Ordinary NAV decline  
during the reporting period driven 
largely by public companies’ share 
price performance
	
– Achieve superior long-term 
capital appreciation; targeting an 
annualized total return of 20% 
over the medium term
2. Total shareholder return
Relevant strategy:
1
2
3
4
Relevant principal risks  
and uncertainties:
1
4
5  6
8
	
– Indicates performance of 
delivering value to the shareholders
Key factors 
	
– Portfolio performance
	
– Liquidity of RTW.L shares
	
– General market sentimen
(5.3)% return during the reporting 
period (US$1.88 to US$1.78 price 
per share)
	
– Achieve superior long-term 
capital appreciation; targeting an 
annualized total return of 20% 
over the medium term
3. Premium/discount to NAV
Relevant strategy:
1
2
3
4
Relevant principal risks  
and uncertainties:
1
4
5
	
– Indicates the level of  
supply and demand for the 
Company’s shares
Key factors 
	
– Portfolio performance
	
– Liquidity of company’s shares
	
– Governance
The Company traded at an 
average premium of c.10% to NAV 
during the year.
	
– Achieve superior long-term 
capital appreciation; targeting an 
annualized total return of 20% 
over the medium term
The Board has identified the following indicators for assessing the 
Company’s annual performance in meeting its objectives:
Our Key Performance 
Indicators
Strategic priority
Our performance
Progress
Future intent
Financial KPIs  
4. Percent of NAV invested in 
core portfolio companies
Relevant strategy:
1
2
3
4
Relevant principal risks  
and uncertainties:
2
3
5
8
	
– Indicates level of capital deployment 
into core portfolio companies
Key factors 
	
– Level of capital deployment and 
investment pace, as well as 
funds availability to be deployed 
into new portfolio companies or 
for follow-on investments into 
existing portfolio companies
More than 2 /3 of the NAV  
capital deployed into core  
portfolio companies 
	
– Identify transformative assets 
with high growth potential across 
the biopharmaceutical and 
medical technology sectors
Non-financial KPIs 
5. Diversified portfolio across 
geographies and therapeutic 
modalities
Relevant strategy:
1
2
3
4
Relevant principal risks  
and uncertainties:
2
5
	
– Measures Company’s 
commitment to invest in the 
best-in-class science and 
innovative assets worldwide
Key factors 
	
– Continue to diversify within life 
sciences sector, looking for 
opportunities globally and also 
support local biotech ecosystems
Portfolio companies’ focus spans 
across multiple therapeutic areas, 
treatment modalities and 
geographies:
	
– Progress investing and supporting 
companies developing next 
generation therapies and 
technologies that can significantly 
improve patients’ lives
6. Active and robust pipeline
Relevant strategy:
1
2
3
4
Relevant principal risks  
and uncertainties:
2
5
7
8
	
– Delivers transformational new 
treatments and medical devices 
to patients in need
Key factors 
	
– Balance and breadth of the 
pipeline across all clinical stages
	
– Data readouts and progress 
through multiple clinical stages
	
– Commercial opportunity and 
competitive landscape
44/55 programs are in clinical stage 
capturing a spectrum of early-stage 
Phase 1 to late stage Pivotal
	
– Progress towards delivering 
transformational treatments  
to patients in areas of high 
unmet need
Link principal risks
	 1 	 Failure to achieve investment objective
	 2 	 Clinical Development & Regulatory Risks
	 3 	 The Investment Manager relies on key personnel
	 4 	 NAV growth and performance drivers
	 5 	 Exposure to global political and economic risks
	 6 	 Clinical Development & Regulatory Risks
	 7 	 Imposition of pricing controls
	 8 	 Impact of COVID-19
Link strategy
	 1 	 Identifying
	 2 	 Engaging
	 3 	 Building
	 4 	 Supporting
  Read more  
Our Long Term Strategy, page 16
  Read more  
Principal and Emerging Risks and Uncertainties, 
page 48
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RTW Venture Fund Limited

Driven by our deep scientific understanding  
and a long-term approach to supporting innovative 
businesses, we invest in companies developing 
next-generation therapies and technologies that 
can significantly improve patients’ lives. With this 
significant opportunity also come the risk. 
Our risk framework is overseen by the Audit 
Committee under delegation from the Board. 
Everyone participates in managing the risks, 
including the Board, the RTW team, the Company’s 
other advisers, and our portfolio companies.
Risk framework 
Our risk framework begins with the Board, where 
the Board defines risk appetite, oversees the 
process to ensure a robust assessment of 
principal risks, considers the key risks and 
potential future risks, and receives an update at 
each Board meeting. A risk register is maintained 
that sets out our principal risks and risk appetite. 
The RTW team is responsible for day-to-day 
operation and oversight of the risk framework. 
The RTW team has a culture of transparency, 
ensuring that any developments are shared and 
addressed effectively with the benefit of input 
from the whole team, and reported to the Board 
where appropriate. We rely on having highly 
experienced personnel to support and manage 
issues as they arise.
The Audit Committee oversees and monitors the 
risk framework, including reviewing the risk 
register to ensure it properly captures the 
principal risks, overseeing the framework for 
identifying risks (including potential future risks), 
reviewing the ongoing operation and 
effectiveness of our control environment to 
manage the principal risks we face on an annual 
basis, and ensuring that any actions identified are 
taken forward by the RTW team. This review 
process provides a focus to drive continuous 
improvement in our risk processes. 
Our long-term strategy is anchored in identifying transformative 
assets with high growth potential across the biopharmaceutical 
and medical technology sectors. 
Risk management structure
Board of Directors
Risk management leadership; risk appetite
Audit Committee 
Review and monitor the risk framework
Other advisers 
Risk identification; risk reporting
RTW Team 
Risk management is integral to the investment process and financial 
management Implementing and monitoring risk controls; risk reporting
Portfolio companies’ management teams 
Risk identification and mitigation
Planning for  
future growth
Identifying principal risks 
We evaluate our principal risks on an ongoing 
basis and using both top-down and bottom-up 
inputs. We also continuously assess for future 
risks that could have a potential impact. During 
the year the Board and the Investment Manager 
had ongoing discussions and reviews to consider 
the current and potential risks of the Company. 
We were pleased that our principal risks 
substantially capture our key strategic risks to the 
success of our business model. The discussions 
also generated insights into a range of potential 
emerging risks and has helped to focus attention 
on additional areas for monitoring by the Board 
and the Investment Manager.
The RTW team carries out a bottom-up review, 
considering each of our life science companies 
and our internal operations, both as a specific 
exercise and on an ongoing basis through our 
regular monitoring of our portfolio companies. In 
doing this we draw on the underlying assessments 
by the management teams of each of our life 
science companies. These inputs are brought 
together in our risk register, which is reviewed by 
the Audit Committee in detail each year. The 
principal risks identified by the Board are set out 
on pages 48 to 49. These have not substantially 
changed in the last year. The Board also monitors 
future risks that may arise, including: the longer-term 
risks of changes to US pharmaceutical drug 
pricing; US FDA productivity and impact of the 
COVID-19 pandemic; and potential long-term 
impact of the COVID-19 pandemic on the biotech 
sector and portfolio companies.
Risk appetite  
The Board is willing to accept a level of risk in 
managing our business to achieve our strategic 
goals. As part of the risk framework, the Board 
reviews the risk appetite in relation to each of the 
principal risks, and monitors the actual risk 
against that. Where a risk is approaching or 
outside the target risk, the Board will consider  
the actions being taken to manage the risks.  
The Audit Committee this year carried out a 
detailed review of the defined risk types, to 
ensure it continues to reflect the understanding 
of the Board and accurately reflected the risks 
we take. Following that review the Audit 
Committee recommended to the Board that  
the risk appetite remained appropriate, and the 
Board has accepted that recommendation.
Risks Management
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
46
47
RTW Venture Fund Limited

Principal and Emerging Risks 
and Uncertainties
Under the FCA’s Disclosure Guidance and 
Transparency Rules the Directors are required to 
identify the material risks to which the Company 
is exposed, and the steps taken to mitigate 
those risks.
The Company has five categories of risks in its risk  
register namely:
	
– Investment Risks
	
– Operational Risks
	
– Governance/Reputational Risks
	
– External Risks
	
– Emerging Risks
Risk type
Risk description
Risk control measure
Investment
1. Failure to 
achieve 
investment 
objective
The Company’s target return on net assets is not guaranteed 
and may not be achieved.
The Board will monitor and supervise the Company’s 
performance, compared to the target return, similar 
investment funds and broader market conditions. Where 
performance is unsatisfactory, the Board will discuss the 
appropriate response with the Investment Manager. 
Operational
2. Counterparty 
Risk
The Company has the potential to be exposed to the 
creditworthiness of trading counterparties in OTC derivatives 
contracts, its prime broker in the event of re-hypothecation of 
its investments and any counterparty where collateral or cash 
margin is provided or where cash is deposited in the normal 
course of business.
The Company uses Goldman Sachs, Morgan Stanley and 
Bank of America Merrill Lynch as prime brokers and Cowen, 
UBS, Bank of America Merrill Lynch, Goldman Sachs, and 
Morgan Stanley as ISDA counterparties. To monitor counter 
party risk, the Investment Manager monitors fluctuations in 
share prices, percentage changes in daily, monthly, and annual 
5-year CDS spreads and S&P credit ratings. If a share price 
moves up or down in excess of 20%, the trader at the 
Investment Manager is alerted immediately. In case of an alert, 
the trader notifies RTW’s Chief Compliance Officer. There has 
been no disruption in operations with the Company’s 
counterparties to date. The Company’s bankers are an 
offshore branch of Barclays Bank PLC and are also included 
in the Investment Manager’s CDS monitoring program.
Governance/
reputational
3. The Investment 
Manager relies on 
key personnel
The Investment Manager relies on the founder of RTW, 
Roderick Wong M.D. and has a growing team. Roderick Wong 
is a key figure at the Investment Manager and will be 
extensively involved in investment decisions.
In the event that Roderick Wong was to no longer work for 
the Investment Manager or was incapacitated, the Board is 
able to terminate the Investment Management Agreement 
within 180 days if a suitable replacement has not been found 
and would consider whether it was appropriate to wind up 
the Company and return capital to shareholders, or to 
appoint a new Investment Manager.
4. Portfolio 
Companies may 
be subject to 
litigation
Portfolio Companies may be subject to product liability claims. 
Such liability claims would have a direct financial impact and 
may impact market acceptance even if ultimately rebutted.
The Investment Manager’s due diligence process includes 
considering the risk that innovative therapies may have 
unforeseen side effects, based on the Investment Manager’s 
extensive sector knowledge and experience, and based on 
research all published and publicly available information 
based on safety concerns.
External
5. Exposure to 
global political and 
economic risks
It is anticipated that approximately 75% of investments will be 
in US companies or licensing agreement with US institutions 
and 25% of investments will be made outside of the US. The 
Company’s investments will be exposed to foreign exchange, 
and global political, economic, and regulatory risks.
The Investment Manager has extensive experience 
transacting across the global healthcare marketplace and will 
be responsible for identifying relevant events and updating 
the investment plans appropriately.
6. Clinical 
Development & 
Regulatory Risks
New drugs, medical devices and procedures are subject to 
extensive regulatory scrutiny before approval, and approvals 
can be revoked.
The Investment Manager’s due diligence process includes 
the likely attitude of regulators towards a potential new 
therapy. The due diligence will also consider the unmet need 
of the disease and whether the therapy offers advantages 
over the current standard of care. In the current COVID-19 
pandemic it is possible that the FDA and other clinical 
regulators globally will prioritise therapies, diagnostics and 
devices related to this disease which might slow clinical trials. 
Risk type
Risk description
Risk control measure
External
7. Imposition of 
pricing controls for 
clinical products 
and services
Portfolio Company products may be subject to price controls, 
price gouging claims and other pricing regulation in the US 
and other major markets; or government healthcare systems 
may be the major purchasers of the products.
While future political developments cannot be reliably 
forecast, the Investment Manager’s due diligence process 
includes an assessment of political risk, and the likely 
acceptability of the investee’s pricing intentions. 
8. COVID-19
As the global pandemic due to COVID-19 enters its third year,  
the UK government in common with the US and many other 
countries has taken steps to remove the restriction that were 
put in place to limit the transmission of the COVID-19 virus. 
Whilst the ultimate scope of these measures has been eased 
by various degrees across geographies, they have had a severe 
impact on the Global Economy, which Governments and the 
Central Banks were attempting to offset with both traditional 
and unconventional fiscal and monetary policy measures. The 
Company’s portfolio will be impacted by any risks emerging 
from long term changes in the macroeconomic environment. 
The Investment Manager has extensive experience 
transacting across the global healthcare marketplace, 
and will be responsible for identifying relevant events 
and updating the investment plans appropriately.
Emerging
9. Inflation
The unprecedented level of fiscal and monetary stimulus 
that has been applied to the global economy has caused US 
inflation to surge to a 40-year high and resulted in sharp falls in 
the share prices of technology firms without current earnings.
The compounding creation of value through innovation in 
the biotechnology sector, in which the Investment Manager 
invests, outweighs the singular and/ or short-term adjustment 
to valuation levels arising from changes in discount rates as 
a result of rising inflationary expectations.
This may lead to reduced demand for the Company’s shares.
The Investment Manager holds investments that have current 
earnings and cash-flows and has a significant exposure to 
phase 3 products which have a high probability of achieving 
cash-flows in the near-term.
10. Availability  
of capital
A record number of Biotech IPOs occurred in 2021 and 
a record number of companies are trading at <2x than their 
cash balances, implying that the market believes that not 
all companies will survive.
The Investment Manager is experienced in identifying 
potential in companies that have strong fundamentals at 
attractive valuations that create an asymmetric and attractive 
risk/reward profile. 
The Board reviews the financing status of the Company’s 
private portfolio with the manager at each valuation meeting. 
11. Ukraine Invasion
The Invasion of Ukraine by Russia has led to the imposition of 
harsh sanctions on Russia and substantial restrictions on the 
ability to transact in Russian securities and trade with Russian 
companies. These sanctions and the corresponding impact on 
commodity and transport costs have the potential to delay the 
global economic recovery from Covid-19.
The Investment Manager has confirmed that the Company has 
no direct or indirect exposure to Russian securities or assets. 
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
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49
RTW Venture Fund Limited

Realising a robust  
and resilient company 
Longer Term Viability Statement
Assessing the prospects of the Company
The corporate planning process is underpinned 
by scenarios that encompass a wide spectrum 
of potential outcomes. These scenarios are 
designed to explore the resilience of the 
Company to the potential impact of significant 
risks set out below.
The scenarios are designed to be severe but 
plausible and take full account of the availability 
and likely effectiveness of the mitigating actions 
that could be taken to avoid or reduce the impact 
or occurrence of the underlying risks and which 
would realistically be open to management in the 
circumstances. In considering the likely 
effectiveness of such actions, the conclusions of 
the Board’s regular monitoring and review of risk 
and the Investment Manager’s internal control 
systems, as discussed on page 46, is taken into 
account.
The Board reviewed the impact of stress testing 
the quantifiable risks to the Company’s cash 
flows as detailed in risk factors 1-5 in the previous 
pages and concluded that the Company, would 
have sufficient working capital to fund its 
operations in the following extreme scenario:
(1) The Company incurred NAV losses of 39% of 
NAV over a three-year period ending 28 
February 2025.
(2) No new capital was raised.
(3) $110m of private investments were funded from 
cash and by selling public portfolio investments.
To provide some context for this scenario the 
worst-case annual losses for the NASDAQ 
Biotech Index (NBI) in the last 10 years were 8.9% 
in 2018 and 21.4% in 2016 respectively. The 
Company’s three-year loss scenario exceeds the 
cumulative impact of both of these worst-case 
years of 28.3% spread over three years. The 
annualized volatility of the NBI index for the last 10 
years is 25% so an annual loss of 40% or more is 
only likely to occur every twenty years if the index 
returns are normally distributed. As there have 
been no consecutive losing years for the NBI in 
recent history a cumulative loss of between 
28.3% and 40% is therefore assumed to be a 
reasonable stress test.
The Board considers that this stress testing-
based assessment of the Company’s prospects 
is reasonable in the circumstances of the 
inherent uncertainty involved. 
The period over which we confirm  
longer term viability
Within the context of the corporate planning 
framework discussed above, the Board has 
assessed the prospects of the Company over  
a three-year period ending 28 February 2025. 
Whilst the Board has no reason to believe the 
Company will not be viable over a longer period, 
given the inherent uncertainty involved, the  
period over which the Board considers it  
possible to form a reasonable expectation as  
to the Company’s longer term viability, based  
on the stress testing scenario planning discussed 
above, is the three year period to February 2025.  
This period is used for the Investment Manager’s 
business plans and has been selected because  
it presents the Board and therefore readers of  
the Annual Report with a reasonable degree of 
confidence whilst still providing an appropriate 
longer term outlook.
Confirmation of longer term viability
The Board confirms that it has carried out a 
robust assessment of the emerging and principal 
risks facing the Company, including those that 
would threaten its business model, future 
performance, solvency or liquidity.
Based upon the robust assessment of the 
principal and emerging risks facing the Company 
and its stress testing-based assessment of the 
Company’s prospects, the Board confirms that it 
has a reasonable expectation that the Company 
will be able to continue in operation and meet its 
liabilities as they fall due over the period to 
February 2025.
On behalf of the Board
William Simpson
Chairman 
30 March 2022
Stakeholder group
Methods of engagement
Benefits of engagements
Shareholders
The major investors in the Company’s shares are 
set out on page 57.
Continued access to capital is vital to the 
Company’s longer term growth objectives, and 
therefore, in line with its objectives, the Company 
seeks to maintain shareholder satisfaction through:
	
– Positive risk-adjusted returns 
	
– Continuous portfolio updates communication.
The Company engages with its shareholders through 
the issue of regular portfolio updates in the form 
of RNS announcements and quarterly factsheets.
The Company provides in-depth commentary on 
the investment portfolio, corporate governance 
and corporate outlook in its Annual and Interim 
Reports and financial statements.
In addition, the Company, through its brokers 
and Investment Manager underw and 
prospective investors to solicit their feedback, 
understand any areas of concern, and share 
forward looking investment commentary.
The Board receives quarterly feedback from its 
brokers in respect of their investor engagement 
and investor sentiment.
In the financial year the Company issued:
	
– 26 portfolio updates by way of RNS
	
– 12 monthly NAV announcements by way 
of RNS
	
– Fact sheets on a quarterly basis 
	
– Annual and Interim Reports.
Through its roadshows and broker outreach, 
the Company has met with 150+ investors/
prospective investors.
Service providers
The Company does not have any direct employees; 
however, it works closely with a number of service 
providers (the Investment Manager, Administrators, 
secretaries, auditor, third party valuation agent, 
brokers and other professional advisers).
The independence, quality and timeliness of  
their service provision is critical to the success  
of the Company.
The Company has identified its key service 
providers and on an annual basis undertakes a 
review of performance based on a questionnaire 
through which it also seeks feedback.
Furthermore, the Board and its sub-committees 
engage regularly with its service providers on a 
formal and informal basis.
The Company will also regularly review all 
material contracts for service quality and value.
The feedback given by the service providers 
is used to review the Company’s policies and 
procedures to ensure open lines of 
communication, and operational efficiency.
Portfolio Companies
The Company has currently invested in 42 Portfolio 
Companies which are set out on page 10.
The Investment Manager engages on a regular 
basis with its portfolio companies in order to 
conduct regular on-going due diligence and to 
meet obligations if the Investment Manager holds 
a board seat.
Honesty, fairness and integrity of the 
management teams of the portfolio companies 
are vital to the long-term success of the 
Company’s investments.
Community & Environment
The Company does not have any direct employees.
The Company aims to minimize its  
environmental footprint.
The Company and the Directors minimise 
air travel by making maximum use of video 
conferencing for Company related matters. 
Climate change impact
The Company does not anticipate any material 
impact to its business model from climate change.
RTW Charitable Foundation
RTW Charitable Foundation was created by the 
Investment Manager so that RTW can apply its 
work in the community and help patients in 
instances when there is limited potential for 
commercial gain.
RTW Charitable Foundation represents an 
extension of the Investment Manager’s mission 
where its research process helps RTW identify 
important causes of human suffering, and 
introduces the firm to individuals and 
organizations trying to make a difference.
To the research grant recipients, RTW Charitable 
Foundation offers not only financial support, but 
also guidance gleaned from RTW’s experience in 
drug development and company building.
Beyond research, RTW Charitable Foundation 
offers support to humanitarian causes, initiatives 
that raise disease awareness and programs with 
a direct patient impact.
Engaging with Stakeholders 
(Section 172)
Section 172 of the Companies Act 2006 applies 
directly to UK domiciled companies. Nonetheless 
the AIC Code requires that the matters set out in 
section 172 are reported on by all companies, 
irrespective of domicile, provided this does not 
conflict with local company law.
Section 172 recognises that directors are 
responsible for acting in a way that they 
consider, in good faith, is the most likely to promote 
the success of the Company for the benefit of 
its shareholders as a whole. In doing so, they are 
also required to consider the broader implications 
of their decisions and operations on other key 
stakeholders and their impact on the wider 
community and the environment. 
Key decisions are those that are either material 
to the Company or are significant to any of the 
Company’s key stakeholders. The Company’s 
engagement with key stakeholders and the key 
decisions that were made or approved by the 
Directors during the year are described below.
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
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51
RTW Venture Fund Limited

Governance  
Report
Governance Report
54
Biographies of Directors
56
Report of the Directors
58
Corporate Governance Report
61
Statement of Directors’ Responsibilities
62
Directors’ Remuneration Report
64
Report of the Audit Committee
Environmental, Social 
and Community Issues
As an investment company, the Company does 
not have any employees or physical property, and 
most of its activities are performed by other 
organisations. Therefore, the Company does not 
combust fuel and does not have any greenhouse 
gas emissions to report from its operations, nor 
does it have direct responsibility for any other 
emission producing sources.
Responsible Investing
The Board believes that all companies have a 
duty to consider their impact on the community 
and the environment. Three of the four Directors, 
the Administrator, Company Secretary and 
external auditor are all based in Guernsey and 
Board meetings are held in Guernsey, thus 
negating the need for long commutes or flights 
to/from Board meetings, and thereby minimising 
the negative environmental impact of travel to/
from Board meetings.
The Investment Manager’s approach to investment 
in life sciences companies is comprised of goals 
and principles that are aligned specifically with our 
mission to power breakthrough therapies that 
transform the lives of millions, to find cures for 
diseases, and improve quality of life. RTW invests in 
and supports companies developing life-
transforming therapies and technologies for 
patients afflicted with disease and disability. As a 
guiding principle, we prioritize overall positive impact 
on patients and long-term meaningful outcomes to 
society. We believe that staying aligned with RTW’s 
founding principles is the foundation of our success 
and enables us to make socially conscious and 
responsible investments in life sciences companies.
RTW Charitable Foundation
RTW has also created the RTW Charitable 
Foundation so that we can apply our work in the 
community and help patients in instances when 
there is limited potential for commercial gain. 
While improving human health on a global scale 
is its own fulfilment, RTWCF allows RTW to bring 
hope to those with the rarest of diseases but 
whose suffering we find no less affecting. 
Environmental, Social 
and Community Issues
Governance Report
Strategic Report
Financial Statements
Additional Information     
53
Annual Report and Accounts 2021
52
RTW Venture Fund Limited

Leaders that 
are shaping  
our future
Leadership
The leadership team consists of highly experienced professionals and 
business experts with profound understanding of the dynamics of the 
industry, at both a local and international level. 
Board meetings and main subjects discussed in 2021
  Corporate strategy 
  Finance
  Structure and capital
  Risk management and internal control
  Corporate governance and ESG
  Women 
  Men
Board diversity
William Simpson
Chairman – Guernsey resident
Biography
William Simpson is the Chairman and an 
independent director based in Guernsey 
providing services to investment and other 
financial services companies. William has over 
30 years’ experience within the financial services 
industry. He previously practiced law in the 
course of which he advised on the establishment 
of a wide range of investment funds and related 
matters. William graduated in law from Leeds 
University and first qualified as an English 
barrister. William is a member of the Guernsey 
Bar. William also holds directorships at Ninety 
One Premier Funds PCC Limited, Handelsbanken 
Alternatives Fund Limited, AHL Strategies PCC 
Limited, Man AHL Diversified PCC Limited and 
Alpha Real Trust Limited.
Date of appointment
2 October 2019
Board meetings attended
7/7
Committee chair
Management Engagement Committee
Committee membership
Audit Committee
Nomination Committee
Remuneration Committee
Biographies of Directors
Paul Le Page
Chairman of the Audit Committee  
– Guernsey resident
William Scott
Chairman of the Nomination and Remuneration 
Committee – Guernsey resident
Stephanie A. Sirota
Non-Executive Director – non-UK resident
Biography
Paul Le Page is a former Executive Director and 
Senior Portfolio Manager of FRM Investment 
Management Limited, a subsidiary of Man Group, 
and holds non-executive directorships at a 
number of London Stock Exchange listed 
investment funds. Mr. Le Page is Audit Committee 
Chair of Bluefield Solar Income Fund Limited and 
was previously Audit Committee Chair of UK 
Mortgages Limited, Thames River Multi Hedge 
PCC Limited and Cazenove Absolute Equity 
Limited. Mr. Le Page has 18 years’ Audit 
Committee chair experience within the 
closed end investment fund sector and has 
a broad-based knowledge of the global 
investment industry and product structures. 
Mr Le Page graduated from University College 
London and later received an MBA from Heriot 
Watt University. He originally qualified as a 
Chartered Engineer and led the development of 
clinical diagnostic instrumentation and software 
and robotic sample preparation equipment prior 
to commencing a career in finance. 
Biography
William Scott serves as an independent 
non-executive director of a number of investment 
companies and funds. From 2003 to 2004, 
Mr. Scott worked as Senior Vice President with 
FRM Investment Management Limited, now part 
of Man Group. Previously (from 1989–2002), 
Mr. Scott was a portfolio manager and latterly a 
director at Rea Brothers (which became part of 
the Close Brothers group in 1999 and where he 
was a director of Close Bank Guernsey Limited) 
and before that Assistant Investment Manager 
with the London Residuary Body Superannuation 
Scheme (1987-1989). Mr. Scott graduated from 
the University of Edinburgh in 1982 and is a 
Chartered Accountant having qualified with 
Arthur Young (now EY) in 1987. Mr. Scott also 
holds the Securities Institute Diploma and is a 
Chartered Fellow of the Chartered Institute for 
Securities & Investment. He is also a Chartered 
Wealth Manager. His other directorships include 
Axiom European Financial Debt Fund Limited and 
Worsley Investors Limited, both of which are 
listed on the Premium Segment of the London 
Stock Exchange.
Biography
Stephanie A. Sirota, serves as a Partner and 
Chief Business Officer at RTW Investments, LP. 
Ms. Sirota is responsible for strategy and oversight 
of the firm’s business development, strategic 
partnerships, communications, and investor 
relations. Her background in investment banking 
and expertise in financial markets has helped 
position the firm as both a partner to life sciences 
companies and a steward of investors’ capital. 
She also manages RTW’s relationships with key 
partners including banks, academic institutions, 
corporations, investors, and NGOs and has led the 
firm’s entry into the UK and European markets.  
Ms. Sirota has a decade of deal experience in 
financial services. Prior to joining the Investment 
Manager, from 2006 to 2010, she served as a 
director at Valhalla Capital Advisors, a macro and 
commodity investment manager. From 2000 to 
2003, Ms. Sirota worked in the New York and 
London offices of Lehman Brothers, where she 
advised on various mergers and acquisitions, IPOs, 
and capital market financing transactions with a 
focus on cross-border transactions for the firm’s 
global corporate clients. She began her career 
on the Fixed Income trading desk at Lehman 
Brothers, structuring derivatives for municipal 
issuers from 1997 to 1999. Ms. Sirota graduated 
with honours from Columbia University and also 
received a Master’s Degree from the Columbia 
Graduate School of Journalism. She has 
contributed to Fortune Magazine and ABCNews.
com and is a supporter of the arts, science, and 
children’s initiatives. She serves as Co-Chairman 
of the Council of the Phil at the New York 
Philharmonic and as President of RTW Charitable 
Foundation. Ms. Sirota serves as Vice President 
of Corporate Strategy and Corporate 
Communications of Health Sciences Acquisitions 
Corporation 2 (HSAC2) and served in the same 
role at Health Sciences Acquisitions Corporation 
(HSAC) until December 2019. 
Date of appointment
2 October 2019
Board meetings attended
7/7
Committee chair
Audit Committee
Committee membership
Nomination Committee
Remuneration Committee
Management Engagement Committee
Date of appointment
3 October 2019
Board meetings attended
7/7
Committee chair
Nomination Committee
Remuneration Committeee
Committee membership
Audit Committee
Management Engagement Committee
Date of appointment
2 October 2019
Board meetings attended
7/7
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
54
55
RTW Venture Fund Limited

Report of the Directors
The Directors hereby submit the annual report 
and audited financial statements for the 
Company for the year ended 31 December 2021. 
Principal activities
Further information on the principal activities of 
the Company can be found on pages 101 to 102.
Business review
A review of the Company’s business and its likely 
future development is provided in the Chairman’s 
Statement on pages 2 to 3. The underlying 
investments of the Company are reviewed in the 
Investment Manager’s Report on pages 4 to 15.
Results and distributions
The results of the Company for the year are 
shown in the audited statement of operations 
on page 83.
The Net Asset Value of the Company as at 
31 December 2021 was US$387.4 million (2020: 
US$412.6 million).
For the year ended 31 December 2021, the 
Company recorded a net total return based 
on NAV per share of -12.8 per cent.
No dividends or distributions were paid during 
the years ended 31 December 2021 and 31 
December 2020. The Company does not 
anticipate paying any dividends on its Ordinary 
Shares, as it intends to re-invest proceeds 
received from Portfolio Company sales or 
distributions. There have been no material 
changes in the Company’s dividend policy from 
that disclosed in the prospectus published  
by the Company on 14 October 2019. 
Capital Structure
The Company was incorporated as a limited 
liability corporation in Delaware on 16 February 
2017. The Company was subsequently re-
domiciled to Guernsey as a non-cellular company 
limited by shares under the Companies Law on  
2 October 2019 with registered number 66847.
On 30 October 2019, all of the issued Ordinary 
Shares of the Company were listed and admitted 
to trading on the Specialist Fund Segment of the 
LSE under ticker symbol: RTW. On 6 August 2021 
the Company successfully completed the 
migration and was admitted to listing on the 
Official List of the FCA and to trading on the 
Premium Segment of the London Stock 
Exchange plc’s Main Market. The application for 
admission was approved by shareholder vote at 
the extraordinary general meeting held on 30 July 
2021. The Company also introduced an additional 
market quote for the shares on the LSE 
denominated in GBP under ticker “RTWG”.  
There were no changes to the legal form or 
nature of the Ordinary Shares nor to the reporting 
currency of the Company’s financial statements 
(which remain in US Dollars).
The Board believes the Premium Segment of 
the Main Market is the most appropriate platform 
for the continued growth of the Company by 
increasing RTW Venture Fund’s profile, broadening 
its shareholder register, adding sterling 
denomination, and facilitating the Company’s 
eligibility for inclusion in the FTSE UK Index Series.
As at 31 December 2021, the Company’s issued 
share capital was 212,389,138 Ordinary Shares 
and 1 Performance Allocation Share. There are  
no shares held in treasury. 
Further issues of shares will only be made if  
the Directors determine such issues to be in the 
best interests of shareholders and the Company 
as a whole. Relevant factors in making such 
determination include net asset performance, 
share price rating, perceived investor demand 
and any regulatory restrictions. In the case of 
further issues of Ordinary Shares (or sales of 
Ordinary Shares from treasury), such Ordinary 
Shares will only be issued at prices that are not 
less than the NAV per Ordinary Share announced 
as of the end of the immediately preceding 
month in which such Ordinary Shares are 
being issued. 
Directors’ authority to issue shares
Subject to the Company’s Articles of Association, 
the Directors have the power to issue an 
unlimited number of shares.
Authority to buy back shares
The current authority of the Company to  
make market purchases of up to 30,586,670 
Ordinary Shares (being 14.99 per cent. of the 
issued Share Capital) as authorised at the AGM 
of the Company on 22 June 2021. At the AGM 
scheduled to take place on 21 June 2022,  
the Board will seek to renew such authority.  
Any buy back of Ordinary Shares will be made 
subject to Companies Law and within any 
guidelines established from time to time by the 
Board and the making and timing of any buy 
backs will be at the absolute discretion of the 
Board and not at the option of the shareholders. 
Ordinary Shares will only be repurchased at a 
price which, after repurchase costs, represents  
a discount to the Net Asset Value per Ordinary 
Share and where the Directors believe such 
purchases will enhance shareholder value.  
Such purchases will also only be made in 
accordance with the Listing Rules of the UK 
Listing Authority which provide that the price  
to be paid must not be more than 5 per cent 
above the average of the middle market 
quotations for the Ordinary Shares for the five 
business days before the shares are purchased 
unless previously advised to shareholders.
In accordance with the Company’s Articles  
and Companies Law, up to 10 per cent. of the 
Company’s Ordinary Shares may be held as 
treasury shares. The Company has not held  
any Ordinary Shares in treasury at any time.
Directors’ authority to buy shares
The Company has adopted a share dealing code 
for the Board and will seek to ensure compliance 
by the Board with the terms of the share dealing 
code. The share dealing code is compliant with 
the UK Market Abuse Regulation.
Relations with shareholders
The Board welcomes shareholders’ views and 
places great importance on communication with 
its shareholders. The Company’s Annual General 
Meeting provides a forum for shareholders to 
meet and discuss issues with the Directors of the 
Company. The Chairman and other Directors are 
also available to meet with shareholders at other 
times, if required. In addition, the Company maintains 
a website which contains comprehensive 
information (www.rtwfunds.com/venture-fund), 
including company notifications, share information, 
financial reports, monthly NAVs, investment 
objectives and policy, investor contacts and 
information on the Board and corporate governance. 
Further information on relations with shareholders 
and other stakeholders can be found in Engaging 
with Stakeholders (Section 172) on page 51.
Annual General Meeting
The Annual General Meeting (“AGM”) of the 
Company will be held on 21 June 2022 at 1st Floor, 
Royal Chambers, St Julian’s Avenue, St Peter Port, 
Guernsey GY1 3JX. Details of the resolutions to be 
proposed at the AGM, together with explanations, 
appear in the Notices of Meetings which are 
being sent to shareholders in due course.
Members of the Board, including the Chairman 
and the Audit Committee Chairman, will be in 
attendance at the AGM and will be available to 
answer shareholder questions.
Major Shareholders
As at 31 December 2021 and 29 March 2022, insofar as is known to the Company, the following parties 
were interested, directly or indirectly, in 5 per cent. or more of the Ordinary Shares in issue:
Shareholder
Shareholding 
(Ordinary Shares)
% Holding
Nature of Holding
Bluestem Partners, LP
34,093,156
16.05
Direct
Roderick Wong
29,218,773
13.76
Indirect
Ducasse Group Limited
18,361,456
8.65
Direct
Details of the voting rights can be found on page 98. 
Corporate Brokers
On 11 February 2022, Merrill Lynch International 
(BofA Securities) was appointed as corporate 
broker and financial adviser to the Company. 
BofA Securities and J.P. Morgan Cazenove 
have been appointed to act as joint brokers 
for the Company.
Change of control
There are no agreements that the Company 
considers significant and to which the Company 
is party that would take effect, alter or terminate 
upon change of control of the Company 
following a takeover bid.
Principal and emerging risks and 
uncertainties
The Company’s assets consist of investments 
in promising therapies and technologies in the 
pharmaceutical industry. There is inherent 
uncertainty in the long-term viability of 
developing biopharmaceutical technologies and 
whether these technologies can translate 
scientific theory into commercially viable business 
opportunities. Its principal and emerging risks are 
therefore related to the particular circumstances 
of the businesses in which it is invested. The 
Company seeks to mitigate these risks through 
active asset management initiatives and carrying 
out due diligence work on potential targets 
before entering into any investments. 
Each Director is aware of the risks inherent in the 
Company’s business and understands the 
importance of identifying, evaluating and 
monitoring these risks. The Board has adopted 
procedures and controls that enable it to 
manage these risks within acceptable limits and 
to meet all of its legal and regulatory obligations.
The Board considers the process for identifying, 
evaluating and managing any significant risks 
faced by the Company on an on-going basis and 
these risks are reported and discussed at Board 
meetings. It ensures that effective controls are in 
place to mitigate these risks and that a 
satisfactory compliance regime exists to ensure 
all applicable local and international laws and 
regulations are upheld. Particular attention has 
been given to the effectiveness of controls to 
monitor liquidity risk, asset values and 
counterparty exposure.
For each material risk, the likelihood and 
consequences are identified, management 
controls and frequency of monitoring are 
confirmed and results reported and discussed 
at the quarterly Board meetings and through 
updating of the Company’s risk matrix. 
An extraction of the highest rated risks post 
mitigation forms the basis of the Principal and 
Emerging Risks and Uncertainties disclosure 
in the Strategic Report on pages 48 – 49. 
The financial risks of the Company are discussed 
in Note 8 to the financial statements.
The Company’s other risk factors are fully 
discussed in the Company’s prospectus, 
available on the Company’s website 
(www.rtwfunds.com/venture-fund) and 
should be reviewed by Shareholders.
Going concern
In forming a view on whether the Company is a 
going concern, the Directors have considered the 
following factors:
	
– A three-year stressed cash-flow forecast 
prepared by the Investment Manager for the 
purposes of assessing viability;
	
– A viability and going concern memorandum 
from the Investment Manager taking into 
account the impact of COVID-19 and Russia’s 
invasion of Ukraine on the Company’s business 
model and operations (please see the Longer 
Term Viability Statement on page 50);
	
– The Company’s ability to raise additional capital 
both during and after the current financial 
year-end.
After making enquiries and given the nature of 
the Company and its investments, the Directors 
are satisfied that it is appropriate to continue to 
adopt the going concern basis in preparing the 
financial statements, and, after due consideration, 
the Directors consider that the Company is able 
to continue for the foreseeable future.
On behalf of the Board
William Simpson
Chairman
30 March 2022
 
Shareholdings of the Directors
Directors’ shareholdings in the Company are 
disclosed in the Directors’ Remuneration Report.
Directors’ appointment, tenure and 
re-election, and Directors’ remuneration
Directors’ appointment, tenure and re-election 
and Directors’ remuneration are disclosed in the 
Directors’ Remuneration Report.
Articles of Incorporation
The Company’s Articles may only be amended 
by special resolution of the shareholders and if 
the amendment affects the rights of the holders 
of Ordinary Shares, by a separate resolution of 
such holders only. 
Key service providers
Independent auditor
KPMG Channel Islands Limited (“KPMG”) have 
been appointed to serve as the Company’s 
auditor. In such capacity, the auditor is 
responsible for auditing and expressing an 
opinion on the financial statements of the 
Company in accordance with applicable law and 
auditing standards.
Investment Manager
The Directors are responsible for the 
determination of the Company’s investment 
policy and have overall responsibility for the 
Company’s business activities. The Company 
and the Investment Manager have entered into 
the Investment Management Agreement (as 
amended, supplemented or modified from time 
to time), pursuant to which the Investment 
Manager has been appointed as the Company’s 
investment manager and has been delegated 
the authority and responsibility to manage the 
Company’s investment portfolio. The fees 
payable to the Investment Manager are 
disclosed in Note 10.
Administrator and Sub-Administrator
On 1 February 2021, Elysium Fund Management 
Limited was appointed as Administrator, taking 
over the administration, corporate secretarial, 
corporate governance and compliance services 
from Ocorian Administration (Guernsey) Limited 
(see Note 11). Further, from 1 February 2021 
Morgan Stanley Fund Services USA LLC 
was appointed to serve as the Company’s 
Sub-Administrator. 
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
56
57
RTW Venture Fund Limited

Corporate  
Governance Report
The Board recognises the value of sound 
corporate governance and, in particular, has 
regard to the requirements of the UK Code 
(available from the FRC’s website, www.frc.org.uk).
The Company is a registered closed-ended 
investment scheme pursuant to the POI Law, and 
the Registered Collective Investment Schemes 
Rules 2021 issued by the GFSC. The GFSC Code 
applies to all companies that hold a licence from 
the GFSC under the regulatory laws or which are 
registered or authorised as Collective Investment 
Schemes, which includes the Company. The GFSC 
has stated in the GFSC Code that companies 
which report against the UK Code or the AIC Code 
are deemed to meet the GFSC code, and need 
take no further action.
The Company’s prospectus dated 14 October 
2019 stated that the Company will be in 
compliance with the UK Code. The Company 
is a member of the AIC and the Board of the 
Company has accordingly considered, and 
resolved to follow, the principles and 
recommendations of the AIC Code (available 
from the AIC’s website, www.theaic.co.uk). 
The AIC Code addresses all the principles set out 
in the UK Code, as well as setting out additional 
principles and recommendations on issues that 
are of specific relevance to investment 
companies such as the Company. The Board 
considers that reporting against the principles 
and recommendations of the AIC Code (which 
incorporates the UK Code) provides better 
information to shareholders whilst meeting the 
requirements of the GFSC Code. 
For the reasons set out in the preamble to the 
UK Code, the Board considers certain of these 
provisions are not relevant to the position of the 
Company as 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 chief executive or 
any executive directors, employees or internal 
operations and has therefore not reported further 
in respect of these provisions. 
The Directors recognise the value of the AIC 
Code and have taken appropriate measures to 
ensure that the Company has complied and 
continues to comply, as far as possible given the 
Company’s size and nature of the business, with 
the AIC Code, except as set out below:
Senior Independent Director – Provision 14 of  
the AIC Code states a Board should consider 
appointing one Independent Non-Executive 
Director to be the Senior Independent Director. 
Having taken into account its small size and that 
the Chairman and two of the other three Directors 
are each similarly independent and non-executive, 
the Board considers it unnecessary to appoint 
such a Senior Independent Director. All members 
of the Board are available to shareholders if they 
have unresolved concerns.
The Board is aware of the Hampton-Alexander 
Review target to have 33% of FTSE board 
positions held by women by 2020 and notes that 
it currently only achieves 25% female 
representation. The future growth of the Board 
will be linked to the growth of the Company’s 
shareholder base as the Board is mindful of the 
need to manage the Company’s fixed costs 
whilst it is relatively small. Both gender and ethnic 
diversity factors will be considered by the Board 
when making any new appointments or replacing 
current Board members.
The Board and its Committees
The Board monitors developments in corporate 
governance to ensure the Board remains aligned 
with best practices, especially with respect to the 
increased focus on diversity (see the Directors’ 
Remuneration Report). 
The Directors of the Company at the date of this 
report are William Simpson (Chairman and Chair 
of the Management Engagement Committee), 
Paul Le Page (Chair of Audit Committee), William 
Scott (Chair of the Nomination and Remuneration 
Committee) and Stephanie Sirota. The Board 
believes the current Board members have the 
appropriate qualifications, experience and 
expertise to manage the Company. The 
Director’s biographies can be found on page 54. 
The Board meets at least on a quarterly basis. The 
dates for each scheduled meeting are planned at 
the beginning of the year and confirmed in writing 
in accordance with the Company’s articles of 
incorporation. Meetings for urgent issues may be 
and are convened at short notice if all Directors 
are informed. In addition to formal Board and/or 
committee meetings and, to the extent practicable 
and appropriate, the Directors maintain close 
contact with each other, the Investment Manager 
and the Administrator, by email and conference 
calls, for the purpose of keeping themselves 
informed about the Company’s activities. The 
Board requires information to be supplied in a 
timely manner by the Administrator and other 
advisors in a form and of a quality appropriate 
to enable it to discharge its duties.
The Board has delegated certain responsibilities 
to its Audit Committee, Management 
Engagement Committee and Nomination  
and Remuneration Committee (together the 
“Committees”). Given the size and nature of the 
Board it is felt appropriate that all independent 
Directors are members of the Committees.
The roles and responsibilities of the Committees 
are set out in the terms of reference and are 
summarised below.
Items are discussed and, as appropriate, matters 
are endorsed, approved or recommended to the 
Board by the Committees. The chairman of each 
of the Committees provides the Board with a 
summary of the main discussion points at the 
committee meeting and any decisions made by 
the committee along with any recommendations 
which require Board approval.
The Board may also delegate certain functions 
to other parties; in particular the Directors may 
delegate to the Investment Manager. However,  
the Directors retain responsibility for exercising 
overall control and supervision of the Investment 
Manager. Matters reserved for the Board include, 
amongst others, approval and oversight of the 
Company’s investment activities by ensuring  
that the Company has complied with its 
investment restrictions. The Board also reviews  
the performance of the Company against its 
target return (as defined in the Prospectus) and,  
in light of the current market conditions, considers 
the strategy taken by the Investment Manager. 
Approval of the Annual and Interim Reports, 
announcements, and dividends are also  
reserved for the Board.
Audit Committee
The Company has an Audit Committee with 
formally delegated duties and responsibilities within 
written terms of reference. Further information on 
the Audit Committee is included in the Report of the 
Audit Committee on pages 64 to 67.
Management Engagement Committee 
The Management Engagement Committee is 
chaired by William Simpson. The committee 
currently consists of William Simpson, William 
Scott and Paul Le Page. The Management 
Engagement Committee meets at least once 
a year pursuant to its terms of reference, which 
are available on the Company’s website 
www.rtwfunds.com/venture-fund. 
The Management Engagement Committee 
provides a formal mechanism for the review of the 
performance of the Company’s advisers, including 
the Investment Manager. It carries out this review 
through consideration of a number of objective and 
subjective criteria and through a review of the terms 
and conditions of the advisers’ appointments with 
the aim of evaluating performance, identifying any 
weaknesses and ensuring value for money for the 
Company’s shareholders.
Nomination and Remuneration Committee
The Nomination and Remuneration Committee is chaired by William Scott. The committee currently consists of William Scott, William Simpson and Paul Le 
Page. The Nomination and Remuneration Committee meets at least once a year pursuant to its terms of reference, which are available on the Company’s 
website www.rtwfunds.com/venture-fund. 
Further information of the Nomination and Remuneration Committee, Board diversity and Directors’ remuneration are provided in the Directors’ Remuneration 
Report on pages 62 to 63.
Board meeting attendance
The Board meets at least four times a year, with further ad hoc Board and Board Committee meetings as required. Between meetings, there is regular 
contact with the Secretary and the Company’s Broker, as necessary.
The attendance record of the Directors for the year is set out below:
Director
Scheduled Board 
Meetings1
Audit Committee 
Meetings
Management 
Engagement 
Committee Meetings
Nomination and 
Remuneration 
Committee Meetings
William Simpson
7/7
5/5
1/1
1/1
Paul Le Page
7/7
5/5
1/1
1/1
William Scott
7/7
5/5
1/1
1/1
Stephanie Sirota2
7/7
n/a
n/a
n/a
(1) Nine ad hoc Board meetings that were held in the year have not been included in this total.
(2) Ms Sirota is not a member of the Audit Committee, Management Engagement Committee or Nomination and Remuneration Committee, however from time to time she is invited to attend and did so during 
the year. 
Board performance and evaluation
In accordance with Provision 26 of the AIC Code, 
the Board is required to undertake a formal and 
rigorous evaluation of its performance on an 
annual basis. Such an evaluation of the 
performance of the Board as a whole and the 
Chairman is carried out under the mandate of the 
Board in the form of self-appraisal questionnaires 
and a detailed discussion to determine 
effectiveness and performance in various areas 
as well as the Directors’ continued independence.
The performance and effectiveness of the 
Directors is assessed annually having regard to 
the specific responsibilities of each Director as 
described in their service agreements.
To date, the Board has not engaged in the use 
of an external facilitator. The Directors believe that 
the current mix of skills, experience, ages and 
length of service of the Directors is appropriate to 
the requirements of the Company. With any new 
director appointment to the Board, induction 
training will be provided.
Directors’ conflicts of interest
All of the Directors are non-executive. William 
Simpson and William Scott are directors of a 
number of funds managed by members of the 
Man group of companies. Paul Le Page was 
employed by Man Group until 31 December 2019 
and was a director of the investment managers 
of those funds. None of the Directors were 
responsible for the appointment of the others, 
the decision in respect of which was made by 
an independent party. Having considered the 
information disclosed above, the Board have 
concluded that William Simpson, Paul Le Page, 
and William Scott remain independent under 
provision 10 of the AIC Code. The Board 
considers Messrs Simpson, Le Page and Scott 
as independent of each other and free from any 
business or other relationship that could 
materially interfere with the exercise of their 
independent judgment. The Board when taken 
as a whole is independent of the Investment 
Manager. Ms Sirota is a Board representative 
of the Investment Manager and is therefore 
not considered independent. 
The Chairman of the Board must be independent 
and is appointed in accordance with the 
Company’s articles of incorporation. Mr Simpson’s 
independence is evaluated annually and he is 
considered to be independent because he:
	
– has no direct or indirect current or historical 
employment with the Investment Manager; and 
	
– has no current directorships in any other 
entities for which the Investment Manager 
provides services.
Duties and responsibilities
The Board has overall responsibility for 
maximising the Company’s success by directing 
and supervising the affairs of the business and 
meeting the appropriate interests of shareholders 
and relevant stakeholders, while enhancing the 
value of the Company and also ensuring the 
protection of investors. A summary of the Board’s 
responsibilities is as follows:
	
– statutory obligations and public disclosure;
	
– strategic matters and financial reporting;
	
– risk assessment and management including 
reporting, compliance, governance, monitoring 
and control; and
	
– other matters having a material effect on the 
Company.
The Board is responsible to shareholders for the 
overall management of the Company. The Board 
has adopted a Schedule of Matters Reserved for 
the Board which sets out the particular duties of the 
Board, which demonstrates the seriousness with 
which it takes its fiduciary responsibilities. Such 
reserved powers include decisions relating to the 
determination of investment policy and approval of 
changes in strategy, capital structure, statutory 
obligations and public disclosure, and entering 
into any material contracts by the Company.
The Directors have access to the advice and 
services of the Administrator, which is 
responsible to the Board for ensuring that Board 
procedures are followed and that it complies with 
Companies Law and applicable rules and 
regulations of the GFSC and the LSE. Where 
necessary, in carrying out their duties, the 
Directors may seek independent legal or other 
professional advice and services at the expense 
of the Company. As a result of the use of 
professional service providers and the nature of 
the Company’s operations, the Company does 
not have any employees. 
The Company maintains appropriate Directors’ 
and Officers’ liability insurance in respect of legal 
action against its Directors. 
The Board’s responsibilities for the Annual Report 
are set out in the Directors’ Responsibilities 
Statement on page 61. The Board is also 
responsible for issuing appropriate Interim 
Reports and other price-sensitive public reports.
The primary focus at Board meetings is to review 
the Company strategy, investment performance 
and associated matters such as share price 
discount/premium management, investor relations, 
peer group information, gearing and industry 
issues and to consider recommendations from 
the Audit Committee and other committees of 
the Board, as appropriate.
Internal control and financial reporting
The Directors acknowledge that they are 
responsible for establishing and maintaining the 
Company’s system of internal control and 
reviewing its effectiveness. Internal control systems 
are designed to manage rather than eliminate the 
failure to achieve business objectives and can only 
provide reasonable but not absolute assurance 
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
58
59
RTW Venture Fund Limited

against material misstatements or loss. The 
Directors review all controls including operations, 
compliance and risk management. The key 
procedures which have been established to 
provide internal control are: 
	
– The Board monitors the actions of the 
Company and undertakings of any external 
consultant as appointed by the Company at 
regular Board meetings and is given frequent 
updates on developments arising from the 
operations and strategic direction of the 
underlying investee companies. The Board has 
also delegated administration and company 
secretarial services to the Administrator; 
however, it retains accountability for all 
functions it delegates.
	
– The Board clearly defines the duties and 
responsibilities of the Company’s agents and 
advisers and appointments are made by the 
Board after due and careful consideration. The 
Board monitors the ongoing performance of 
such agents and advisers and will continue to 
do so.
	
– The Administrator maintains a system of 
internal control on which they report to the 
Board. The Board has reviewed the need for an 
internal audit function and has decided that the 
systems and procedures employed by the 
Administrator provide sufficient assurance that 
a sound system of risk management and 
internal control should, which safeguards 
shareholders’ investment and the Company’s 
assets. An internal audit function specific to the 
Company is therefore considered unnecessary. 
The systems of control referred to above are 
designed to ensure effectiveness and efficient 
operation, internal control and compliance with 
laws and regulations. In establishing the systems 
of internal control, regard is given to the materiality 
of relevant risks, the likelihood of costs being 
incurred and costs of control. 
The need for an internal audit function is 
discussed in the Report of the Audit Committee.
Listing requirements
The Company was a private unlisted investment 
vehicle throughout 2018 and, until admission to 
the SFS on 30 October 2019, was not subject 
to compliance with any corporate governance 
codes, laws, rules or regulations ordinarily 
applicable to public companies listed on 
an EU regulated market. 
Following Initial admission to the SFS on 30 October 
2019 and subsequent admission to trading on the 
Premium Segment of the London Stock Exchange, 
the Company became subject to the Prospectus 
Rules, the Disclosure Guidance and Transparency 
Rules (as implemented in the UK through the 
Financial Services and Markets Act 2000 of the 
United Kingdom, as amended), the Market Abuse 
Regulation and the admission and disclosure 
standards of the London Stock Exchange. 
Since admission to the SFS and subsequent 
admission to trading on the Premium Segment of 
the London Stock Exchange, the Company has 
complied with the applicable Listing Rules.
Common Reporting Standard and Tax 
Reporting Requirements
The Common Reporting Standard formerly the 
Standard for Automatic Exchange of Financial 
Account Information, became effective on 1 
January 2016. CRS is an information standard for 
the automatic exchange of information 
developed by the Organisation for Economic 
Co-operation and Development. CRS is a 
measure to counter tax evasion and it builds 
upon other information sharing legislation, such 
as FATCA, the UK-Guernsey Intergovernmental 
Agreement (“UK-Guernsey IGA”) for the 
Automatic Exchange of Information, and the 
European Union Savings Directive. Under the 
UK-Guernsey IGA, certain disclosure 
requirements may be imposed in respect of 
certain shareholders in the Company who are, 
or are entities that are controlled by one or more, 
residents of the United Kingdom. In addition, 
under FATCA, the Company is required to make 
certain disclosures and reports to further 
compliance with the legislation’s requirements. 
It is the Company’s policy to comply with 
applicable requirements under CRS, the 
UK-Guernsey IGA and FATCA.
AIFMD
The Directors have considered the impact of 
AIFMD on the Company and its operations. The 
Company is a non-EU domiciled Alternative 
Investment Fund and the Investment Manager 
has been appointed as the Company’s non-EU 
AIFM. As the Company is managed by a non-EU 
AIFM, only a limited number of provisions of 
AIFMD apply. The Investment Manager has made 
the notifications or applications and received, 
where relevant, approvals for the marketing of the 
Ordinary Shares to “professional investors” (as 
defined in AIFMD) in the United Kingdom.
Anti-Bribery and Corruption Policy
The Board has a zero-tolerance approach to 
instances of bribery and corruption and has 
reiterated its commitment to carry out business 
fairly, honestly and openly. 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 United Kingdom or abroad 
to secure any improper benefit for themselves or 
for the Company. The Investment Manager has 
also adopted a zero-tolerance approach to 
instances of bribery and corruption. The Board 
insists on strict observance with these same 
standards by its service providers in their 
activities for the Company and continues to 
refine its process in this regard.
Criminal Finances Act
The Board has a zero-tolerance commitment 
to preventing persons associated with it from 
engaging in criminal facilitation of tax evasion. 
The Board expects the same of its service 
providers and will not work with service providers 
that it knows do not demonstrate the same 
zero-tolerance commitment to preventing 
persons associated with it from engaging in 
criminal facilitation of tax evasion.
Environment, Employees, Human Rights 
and Social Matters
The Company has an investment management 
contract with the Investment Manager. The 
Company has no employees and all of its 
Directors are non-executive, with day-to-day 
activities being carried out by third party service 
providers. There are therefore no disclosures to 
be made in respect of its employees. Further, 
because the Company is a closed-ended 
investment company with no employees, its 
environmental impact is minimal. The Board notes 
that the companies in which the Company invests 
directly or indirectly may have an environmental, 
employee, human rights or social impact of which 
the Board has no visibility or control.
The UK Modern Slavery Act
The Board conducts the business of the 
Company ethically and with integrity, and has a 
zero-tolerance policy towards modern slavery in 
all its forms. As the Company has no employees, 
all its Directors are non-executive and all its 
functions are outsourced, there are no further 
disclosures to be made in respect of employees 
and human rights. The Board notes that the 
companies in which the Company invests directly 
or indirectly may have employee, community, 
human rights or social impacts of which the 
Board has no visibility or control.
Litigation
So far as the Directors are aware, no litigation 
or claim of material importance is pending or 
threatened against the Company.
On behalf of the Board
William Simpson
Chairman
30 March 2022
Statement of Directors’ 
Responsibilities
The Directors are responsible for preparing the 
Annual Report and financial statements in 
accordance with applicable law and regulations. 
The Companies Law requires the Directors to 
prepare financial statements for each financial 
year. Under that law, the Directors have elected 
to prepare the financial statements in 
accordance with accounting principles generally 
accepted in the United States of America and 
applicable law.
Under the Companies Law, the Directors must 
not approve the financial statements unless they 
are satisfied that they give a true and fair view of 
the state of affairs of the Company and of its 
profit or loss for that period. In preparing these 
financial statements, the Directors are required to: 
	
– Select suitable accounting policies and then 
apply them consistently; 
	
– Make judgements and estimates that are 
reasonable, relevant and reliable; 
	
– State whether applicable accounting standards 
have been followed, subject to any material 
departures disclosed and explained in the 
financial statements; 
	
– Assess the Company’s ability to continue as 
a going concern, disclosing, as applicable, 
matters related to going concern; and 
	
– Use the going concern basis of accounting 
unless liquidation is imminent. 
The Directors confirm that they have complied 
with the above requirements in preparing the 
financial statements.
The Directors are responsible for keeping proper 
accounting records that are sufficient to show and 
explain the Company’s transactions and disclose 
with reasonable accuracy at any time the financial 
position of the Company and enable them to 
ensure that its financial statements comply with 
the Companies (Guernsey) Law, 2008. They are 
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, and 
have general responsibility for taking such steps 
as are reasonably open to them to safeguard the 
assets of the Company and to prevent and detect 
fraud and other irregularities. 
The Directors are responsible for the 
maintenance and integrity of the corporate and 
financial information included on the Company’s 
website (www.rtwfunds.com/venture-fund). 
Legislation in Guernsey governing the preparation 
and dissemination of financial statements may 
differ from legislation in other jurisdictions. 
Responsibility Statement
The Directors who hold office at the date of 
approval of this Director’s Report confirm that so 
far as they are aware, there is no relevant audit 
information of which the Company’s auditor is 
unaware, and that each Director has taken all the 
steps he ought to have taken as a director to 
make himself or herself aware of any relevant 
audit information and to establish that the 
Company’s auditor is aware of that information.
We confirm that to the best of our knowledge: 
	
– the financial statements, prepared in 
accordance with the applicable set of 
accounting standards, give a true and fair view 
of the assets, liabilities, financial position and 
profit or loss of the Company;
	
– the Strategic Report contained in the Annual 
Report includes a fair review of the 
development and performance of the business 
and the position of the Company together with 
a description of the principal risks and 
uncertainties that they face;
	
– the Annual Report and audited financial 
statements, taken as a whole, are fair, balanced 
and understandable and provide the 
information necessary for shareholders to 
assess the Company’s performance, position, 
business model and strategy; and 
	
– the Annual Report and audited financial 
statements includes information required by 
the FCA for the purpose of ensuring that the 
Company complies with the provisions of the 
Listing Rules and the Disclosure Guidance and 
Transparency Rules of the FCA.
The responsibility statement was approved by 
the Board of Directors on 30 March 2022 and 
was signed on behalf of the Board. 
On behalf of the Board
William Simpson
Chairman
30 March 2022
Paul Le Page
Director
30 March 2022
Corporate Governance Report
continued
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
60
61
RTW Venture Fund Limited

Directors’ 
Remuneration Report
The Nomination and Remuneration Committee 
has been established to consider the 
appointment and reappointment of Directors and 
ensure that the Company maintains fair and 
appropriate remuneration policies and controls. 
The Nomination and Remuneration Committee 
comprises all the independent Directors of the 
Company and is chaired by William Scott.
The Company is not required to present a 
Directors’ Remuneration Report, and this report 
does not purport to meet all of the requirements 
of a typical listed UK company’s Directors’ 
Remuneration Report, but has been provided as 
the Directors believe that it may be useful to users 
of this annual report and financial statements.
The Company has no employees and hence no 
executive directors. Directors do not have service 
contracts, but are appointed under letters of 
appointment, copies of which are available upon 
request from the Company Secretary and will be 
available for inspection at the AGM.
Regarding nomination, the Nomination and 
Remuneration Committee’s remit is to review 
regularly the structure, size and composition of 
the Board, to give full consideration to succession 
planning for Directors, to keep under review the 
leadership needs of the Company and be 
responsible for identifying and nominating for the 
approval of the Board, candidates to fill Board 
vacancies as and when they arise.
Board diversity
No specific diversity parameters have been set 
as the Board believes that all appointments 
should be made on merit and taken in the 
context of skills, knowledge and experience 
required for an effective Board. However, it is the 
Company’s policy to give careful consideration 
to issues of Board balance and diversity when 
making new appointments. 
The Board believes the current Board members 
have the appropriate qualifications, experience 
and expertise to manage the Company. The 
Director’s biographies can be found on page 54. 
Tenure policy
Each Director retires at each Annual General 
Meeting subsequent to his or her election and is 
eligible for re-election by the Company at such 
Annual General Meeting.
A Director who retires at an Annual General Meeting 
may, if willing to continue to act, be elected or 
re-elected at that meeting. If, at a general meeting 
at which a Director retires, the Company neither 
re-elects that Director nor appoints another person 
to the Board in their place, the retiring Director shall, 
if willing to act, be deemed to have been re-elected 
unless at the general meeting it is resolved not to fill 
the vacancy or unless a resolution for the re-
election of the Director is put to the meeting and 
not passed.
In accordance with the AIC Code, if and when 
any Director has been in office (or upon 
re-election would at the end of that term, be in 
office) for more than nine years, or in the case of 
the Chairman ten years, the Company will 
consider whether there is a risk that such 
Director might reasonably be deemed to have 
lost independence through such long service.
The Chairman, Mr Le Page and Ms Sirota 
have been members of the Board since their 
appointment on 2 October 2019. Mr Scott was 
appointed on 3 October 2019.
Termination policy
Should a Director not be re-elected by Shareholders, 
or retires from office under the Articles of 
Incorporation, the appointment shall be terminated 
with immediate effect and without compensation.
A Director may resign at any time by notice in 
writing to the Board in accordance with the 
Articles of Incorporation.
The Company may terminate a Director’s 
appointment with immediate effect should the 
Director have:
	
– Committed any serious breach or (after 
warning in writing) any repeated or continued 
material breach of their obligations to the 
Company; or
	
– Been guilty of any act of dishonesty, fraud or 
serious misconduct or any conduct which (in 
the reasonable opinion of the Board) tends to 
bring the Director or Company into disrepute.
Succession policy
The Board gives full consideration to succession 
planning, including the succession of the Chairman 
and Directors in the course of its work, taking into 
account the challenges and opportunities facing 
the Company, and what skills and expertise are 
therefore needed on the Board in the future.
Overboarding policy
To ensure that each Director has sufficient time 
to meet their responsibilities to the Company, the 
Board has adopted an overboarding policy which 
outlines its expectations regarding the time 
commitments of the Directors.
Should a Director wish to take on an additional 
external directorship of a London listed, or 
equivalent, company, or is anticipating a 
significant increase in time commitment of an 
existing appointment, details must be provided to 
the Chairman (or, if the Chairman is taking on the 
external directorship, the Chairman of the Audit 
Committee) for approval prior to accepting the 
external directorship or additional time commitment.
The Director should:
	
– Confirm that the external directorship or 
change in time commitment is not in conflict 
with the Company;
	
– Provide an estimate of the time commitment 
required;
	
– Confirm that they have sufficient surplus 
capacity to meet their commitments to the 
Company; and
	
– Confirm that no commercial conflict of interest 
is likely to arise or be perceived to arise.
To assist in the Chairman’s decision, on an ongoing 
basis, at each Board meeting, the Directors confirm 
that they continue to have sufficient time capacity 
and disclose their other directorships at each 
quarterly meeting of the Company.
Remuneration policy
The Directors shall be remunerated at such a rate 
as the Directors shall determine provided that the 
aggregate amount of such fees shall not exceed 
US$300,000 per annum. However, at the 
Company’s AGM to be held on 21 June 2022, in 
accordance with Article 28.1.1 of the Company’s 
Articles, shareholder approval is sought to 
increase the total aggregate amount of Directors’ 
fees that may be paid in any financial year (“Fee 
Cap”) by US$200,000, from US$300,000 to 
US$500,000 (or the applicable currency 
equivalent thereof). It is proposed that the 
increase in the Fee Cap will take effect from the 
date of the AGM. The current Fee Cap of 
US$300,000 was approved by shareholders at 
the time of the IPO of the Company and its listing 
on the SFS of the LSE in October 2019. The 
Company has subsequently moved the listing of 
its shares to the Premium Segment of the Official 
List. The Board is conscious that it needs to 
ensure that it has the right skills and experience 
appointed to the Board to best support the 
Company’s growth and its strategic plans and 
priorities over coming years. Accordingly, in order 
to ensure that the Company maintains the ability 
to pay competitive fees and attract and retain 
high calibre Directors, the Board is seeking to 
increase the Fee Cap to US$500,000. The 
proposed increase would also provide 
appropriate headroom to accommodate any 
future market-based adjustments to Directors’ 
fees and increases to the composition of the 
Board. The Board does not expect to utilise the 
full amount of the proposed Fee Cap in the short 
to medium term and there is no intention to 
adjust the remuneration of existing Board 
members except where future reviews identify a 
material change of duties, or benchmarking 
against comparable investment companies 
indicates that such changes are appropriate to 
remain in line with market levels.
In setting the level of each non-executive 
Director’s fee, the Company had regard to: the 
time commitments expected; the level of skill and 
experience of each Director; and the current 
market and levels of companies of similar size 
and complexity. Following this evaluation, the 
Board determined that the fees set out in this 
remuneration policy were appropriate.
Under the terms of their appointments as 
non-executive Directors, the Directors are entitled 
to the following annual fees:
William Simpson
GBP50,000
Paul Le Page
GBP40,000
William Scott
GBP35,000
Stephanie Sirota
US$42,000
All of the Directors are also entitled to be paid all 
reasonable expenses properly incurred by them 
in attending general meetings, Board or 
committee meetings or otherwise in connection 
with the performance of their duties. The Board 
may determine that additional remuneration may 
be paid, from time to time, to any one or more 
Directors in the event such Director or Directors 
are requested by the Board to perform extra or 
special services on behalf of the Company. The 
Directors do not participate in any discussions 
relating to their own fee, which is determined by 
the other Directors.
The Company does not pay any remuneration to 
the Directors for loss of office.
On termination of the appointment, Directors 
shall only be entitled to such fees as may have 
accrued to the date of termination, together with 
reimbursement in the normal way of any 
expenses properly incurred prior to that date.
Annual report on remuneration
Service contracts obligations and payment on loss of office
No Director has a service contract with the Company and, as such, no Director is entitled to 
compensation payments upon termination of their appointment or loss of office.
Total remuneration paid to each Director
During the year ended 31 December 2021 the US Dollar equivalent of Directors’ remuneration that 
was paid was as follows:
31 December 
2021 (US$)
31 December 
2020 (US$)
William Simpson
68,941
71,600
Paul Le Page
55,153
57,285
William Scott
48,259 
49,990
Stephanie Sirota
42,000 
42,000
Total
214,353 
220,875
All of the above remuneration relates to fixed annual fees. The remuneration of each of the Directors 
other than Ms Sirota is fixed in pounds sterling (as set out in the first table on this page) and the US 
Dollar equivalent set out above may vary in accordance with fluctuations in the pound/US Dollar 
exchange rate.
Directors are not eligible for bonuses, share options or long-term incentive schemes or other 
performance-related benefits. There are no pension arrangements in place for the Directors of the 
Company. Accordingly, there were no other items in the nature of remuneration, pension entitlements 
or incentive scheme arrangements which were paid or accrued to the Directors during the year.
Directors’ shareholdings in the Company
Directors of the Company and their beneficial interests in the Company as at 31 December 2021 are 
detailed below:
Director
Number of Shares
% Holding  
31 December  
2021
% Holding  
31 December  
2020
31 December  
2021
31 December  
2020
William Simpson
150,000
100,000
0.07
0.05
Paul Le Page
103,000
103,000
0.05
0.05
William Scott
150,000
100,000
0.07
0.05
Stephanie Sirota
1,000,000
763,004
0.47
0.40
On behalf of the Board
William Scott
Chairman of the Nomination  
and Remuneration Committee
30 March 2022
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
62
63
RTW Venture Fund Limited

Paul Le Page
Chairman of the Audit Committee 
Composition
The Audit Committee, chaired by Paul Le Page, 
operates within clearly defined terms of reference 
which include all matters indicated by DTR 7.1 and 
the AIC Code. Its other members are William 
Simpson and William Scott. The Chairman of the 
Company is a member of the Audit Committee 
but does not chair it. His membership of the 
Audit Committee is considered appropriate due 
to: the lack of perceived conflict; the small size of 
the Board; and because the Directors consider 
that he continues to be independent.
Only independent Directors can serve on the 
Audit Committee and members of the Audit 
Committee must have no current links with the 
Company’s external auditor and must be 
independent of the Investment Manager. The 
Audit Committee can request the attendance 
of the Investment Manager, the auditors or any 
service provider at its meetings.
The Board has taken note of the requirement that 
at least one member of the Audit Committee 
should have recent and relevant financial 
experience and is satisfied that the Audit 
Committee is properly constituted in that respect, 
with all members being highly experienced and, 
in particular one member has a background as a 
chartered accountant. 
The Board has also considered the inclusion of the 
Company Chairman within the Audit Committee 
and, having considered that the Chairman is 
independent and non-executive, believes it 
appropriate for the Chairman to be a member.
The performance of the chairman of the Audit 
Committee is reviewed on an annual basis and 
the membership of the Audit Committee and its 
terms of reference are kept under regular review.
‘‘
I present the Audit Committee’s report for 
financial year ended 31 December 2021, setting 
for the Audit Committee’s structure, duties, 
and activities during the reporting period.”
Report of the  
Audit Committee
Responsibilities
The duties of the Audit Committee in discharging its 
responsibilities include reviewing: the Interim Report; 
the Annual Report; the valuation of the Company’s 
investment portfolio; the system of internal controls; 
and the terms of appointment of the external 
auditor together with their remuneration.
The Audit Committee is the formal forum through 
which the external auditor reports to the Board of 
Directors. The objectivity of the external auditor is 
reviewed by the Audit Committee, which also 
reviews the terms under which the external 
auditor is appointed to perform non-audit 
services and the fees paid to the external auditor 
or their affiliated firms overseas.
The main duties of the Audit Committee are:
	
– Giving full consideration and recommending to 
the Board for approval of the contents of the 
Interim Report and Annual Report and 
reviewing the external auditor’s report thereon;
	
– Reviewing the scope, results, cost 
effectiveness, independence and objectivity of 
the external auditor;
	
– Reviewing the draft valuation of the Company’s 
investments prepared by the Investment Manager, 
and making a recommendation to the Board 
on the valuation of the Company’s investments;
	
– Reviewing and recommending to the Board for 
approval of the audit, audit related and 
non-audit fees payable to the external auditor 
and the terms of their engagement;
	
– Reviewing and approving the external auditor’s 
plan for the annual audit and interim review;
	
– Reviewing the appropriateness of the 
Company’s accounting policies; 
	
– Ensuring the standards and adequacy of the 
service provider’s control systems;
	
– Reviewing and considering the UK Code, the 
AIC Code and the FRC Guidance on Audit 
Committees; and
	
– Reviewing the risks facing the Company and 
monitoring the risk matrix.
The Audit Committee is required to report its 
findings to the Board, identifying any matters on 
which it considers that action or improvement is 
needed, and make recommendations on the 
steps to be taken.
The external auditor is invited to attend the Audit 
Committee meetings at which the Interim Reports 
and Annual Reports are considered and at which 
they have the opportunity to meet with the Audit 
Committee without representatives of any external 
consultant as appointed by the Investment 
Manager being present at least once a year.
Financial reporting
The primary role of the Audit Committee in relation 
to financial reporting is to review with the 
Administrator, any external consultant as appointed 
by the Investment Manager and the external 
auditor, the appropriateness of the Interim Reports 
and Annual Reports, concentrating on, amongst 
other matters:
	
– the quality and acceptability of accounting 
policies and practices;
	
– the clarity of the disclosures and compliance with 
financial reporting standards and relevant financial 
and governance reporting requirements;
	
– material areas in which significant judgements 
have been applied or there has been 
discussion with both any external consultant as 
appointed by the Investment Manager and the 
external auditor;
	
– whether the Annual Report, taken as a whole, is 
fair, balanced and understandable and provides 
the information necessary for shareholders to 
assess the Company’s performance, business 
model and strategy; and
	
– any correspondence from regulators in relation 
to the Company’s financial reporting.
To aid its review, the Audit Committee considers 
reports from the Investment Manager and any 
external consultant as appointed by the 
Investment Manager and also reports from the 
external auditor on the outcomes of its interim 
review and annual audit. 
Meetings 
The Audit Committee meets no less than twice  
a year in Guernsey, at such other times as the 
Audit Committee Chairman shall require, and 
meets the external auditor at least once a year  
in Guernsey. The Audit Committee met five times 
in the year ended 31 December 2021.
The matters discussed at these meetings were:
	
– Review of the terms of reference of the Audit 
Committee to confirm that they are 
appropriate to the business of the Audit 
Committee and the current regulatory 
environment in which the Company operates;
	
– Semi-annual reviews of the valuations of the 
Company’s investments;
	
– Review of the accounting policies and format 
of the financial statements;
	
– The relationship with the external auditor;
	
– Discussion and approval of the fee for the 
external audit;
	
– Consideration of the requirement for an 
internal audit function;
	
– Consideration of and recommendations to 
the Board regarding the appointment of 
third-party service providers and the adequacy  
of their arrangements; and
	
– Review of the Company’s key risks and  
internal controls.
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
64
65
RTW Venture Fund Limited

Primary area of judgement
The Audit Committee determined that the key risk of 
misstatement of the Company’s financial statements 
related to the valuation of investment in securities, at 
fair value, in the context of the judgements 
necessary to evaluate current fair values.
As outlined in Note 2 to the financial statements 
of the Company, the total carrying value of the 
Company’s investments in securities at fair value 
as at 31 December 2021 was US$409.2 million 
(2020: US$390.8 million), of which US$92.9 
million (2020: US$47.2 million) related to private 
company investments. Market quotations will be 
available for those financial assets that are listed 
and traded and have an active market quote. 
For private company investments, the value of the 
Company’s investments is based on the value of the 
relevant underlying investee companies as 
determined by the Investment Manager. The 
valuation of the Company’s private and restricted 
investments and the methodology used for the year 
end valuation and constitution of the Investment 
Manager’s Valuation Committee was discussed with 
the Investment Manager and with the external 
auditor at a Board meeting held on 26 January 2022, 
and the Independent Valuer, as appointed by the 
Investment Manager, carries out a valuation 
semi-annually on the private company investments.
The Company values investment in private 
investment companies using the net asset values 
provided by the underlying private investment 
companies as a practical expedient. The Company 
applies the practical expedient to its private 
investment companies on an investment-by-
investment basis and consistently with the 
Company’s entire position in a particular investment, 
unless it is probable that the Company will sell a 
portion of an investment at an amount different from 
the NAV of the investment.
The Audit Committee has reviewed the valuation 
papers prepared by the Investment Manager.  
The Investment Manager confirmed to the Audit 
Committee that the valuation methodology had 
been applied consistently during the year. After 
reviewing the scope and results of the work of 
the external auditor, the Audit Committee 
concluded that they had not identified any 
material errors or inconsistencies.
The external auditor explained the results of 
its audit work on the valuations, including its 
challenge of management’s underlying projections, 
the economic assumptions, illiquidity discounts and 
prices used. On the basis of its audit work, there 
were no material adjustments proposed to those 
valuations as approved by the Audit Committee.
Internal audit
The Audit Committee shall consider at least once 
a year whether there is a need for an internal 
audit function. Currently, the Audit Committee 
does not consider there to be a need for an 
internal audit function, given that there are no 
employees in the Company and all outsourced 
functions are with parties who have their own 
internal controls and procedures.
The Audit Committee worked with the 
Administrator and the Investment Manager to 
structure a risk matrix for the Company, which 
considered the controls applied by the Board, the 
Investment Manager and key service providers. 
The matrix has also been reviewed with the 
Investment Manager in light of the COVID-19 
pandemic and was used to form the basis of the 
Company’s principal and emerging risk 
disclosures in the Strategic Report on page 49. 
The Audit Committee has reviewed a COVID-19 
impact assessment prepared by the Investment 
Manager as part of the final review process for 
this Annual Report.
The external auditor may not undertake any 
work for the Company in respect of the following 
matters – preparation of the financial statements, 
preparation of valuations used in financial 
statements, provision of investment advice, 
taking management decisions or advocacy 
work in adversarial situations. 
The Audit Committee reviews the scope and 
results of the audit, its cost effectiveness and the 
independence and objectivity of the auditor, with 
particular regard to the level of non-audit fees. 
During the year, KPMG was also engaged as 
reporting accountant in connection with the 
Company’s migration to the Premium Segment, 
which is a permissible service under the FRC 
Ethical Standards for a company’s auditor to 
undertake. The Audit Committee considers 
KPMG to be independent of the Company and 
that the provision of such non-audit services is 
not a threat to the objectivity and independence 
of the conduct of the audit as appropriate 
safeguards are in place.
Appointment of the external auditor
KPMG has been appointed as the statutory 
external auditor of the Company since the 
Company re-domiciled to Guernsey on 2 October 
2019. The Audit Committee held meetings with 
KPMG before the start of the audit to discuss 
formal planning and to discuss any possible 
issues, along with the scope of the audit and 
appropriate timetable. Informal meetings have 
also been held with the Chairman of the Audit 
Committee in order that the Chairman is kept up 
to date with the progress of the audit and formal 
reporting requirement by the Audit Committee.
The objectivity of the external auditor is reviewed 
by the Audit Committee, which also reviews the 
terms under which the external auditor may be 
appointed to perform non-audit services. The 
Audit Committee reviews the scope and results 
of the audit, its cost effectiveness and the 
independence and objectivity of the external 
auditor, with particular regard to any non-audit 
work that the external auditor may undertake 
and the level of fees associated to this non-audit 
work. In order to safeguard external auditor 
independence and objectivity, the Audit 
Committee ensures that audit related, non-audit, 
or advisory services provided by the external 
auditor do not conflict with its statutory audit 
responsibilities. Audit related services will 
generally only cover reviews of interim financial 
statements and capital raising work. Any 
non-audit services conducted by the external 
auditor outside of the reviews of interim financial 
statements requires the consent of the Audit 
Committee before being initiated.
To fulfil its responsibility regarding the 
independence of the external auditor, the Audit 
Committee considered:
	
– audit personnel in the audit plan for the 
current year; 
	
– a report from the external auditor describing 
its arrangements to identify, report and manage 
any conflicts of interest; and
	
– the extent of non-audit services provided 
by the external auditor.
To assess the effectiveness of the external 
auditor, the Audit Committee reviewed:
	
– the external auditor’s fulfilment of the agreed 
audit plan and variations from it;
	
– reports highlighting the findings that arose 
during the course of the audit; and
	
– feedback from the Investment Manager, 
Administrator, Sub-Administrator, and any 
external consultant as appointed by the 
Investment Manager in evaluating the 
performance of the audit team.
The Audit Committee is satisfied with KPMG’s 
effectiveness and independence as external 
auditor having considered the degree of diligence 
and professional scepticism demonstrated by 
them. Having carried out the review described 
above and having satisfied itself that the external 
auditor remains independent and effective, the 
Audit Committee has recommended to the 
Board that KPMG be reappointed as external 
auditor for the year ending 31 December 2022.
2021
2020
Audit fee
GBP 168,000 
GBP 127,000
Review of interim financial statements
GBP 41,000
GBP 40,000
Other non-audit services1
GBP 62,500
–
Total
GBP 271,500
GBP 167,000
(1) During the year, KPMG was paid a reporting accountant fee for its work on the migration of the Company’s shares to the Official List of 
the FCA and to trading on the Premium Segment of the London Stock Exchange plc’s Main Market.
Annual Report
The Audit Committee members have each 
reviewed this Annual Report and earlier drafts 
of it in detail, comparing its content with their 
own knowledge of the Company, reporting 
requirements and shareholder expectations. 
Formal meetings of the Audit Committee have 
also reviewed the Annual Report and its content 
and have received reports and explanations from 
the Company’s service providers about the content 
and the financial results. The Audit Committee 
has concluded that the Annual Report, taken as 
a whole, is fair, balanced and understandable, 
and that the Board can reasonably and with 
justification make the statement of Directors’ 
responsibilities on page 61.
Key activities of the Audit Committee
During the course of the year, the Audit 
Committee undertook a number of projects 
in addition to its regular duties, which included 
reviewing the working capital model required 
for migrating the Company to the LSE and 
reviewing a number of the Investment Manager’s 
policies relating to issues such as portfolio 
liquidity management and allocation of capacity 
in private investments.
The Audit Committee reviewed the NAV process, 
following the administrator change, and the 
process that was used by the administrator to 
verify the NAV. It also closely reviewed the first 
NAV that was produced by the new Administrator 
and Sub-Administrator.
The Audit Committee is currently working with 
the Investment Manager to summarise the 
extensive and detailed valuation reporting that 
it receives to ensure that the Board remains 
focused on key issues as the portfolio grows.
On behalf of the Audit Committee,
Paul Le Page
Chairman of the Audit Committee
30 March 2022
The fees paid by the Company to KPMG during 
the last two years were as follows:
Report of the Audit Committee
continued
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
66
67
RTW Venture Fund Limited

Financial  
Statements
70
Independent Auditor’s Report 
74
Statement of Assets and Liabilities
75
Condensed Schedule of Investments
83
Statement of Operations 
84
Statement of Changes in Net Assets
86
Statement of Cash Flows
87
Notes to the Financial Statements
Financial Statements
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
68
69
RTW Venture Fund Limited

Independent Auditor’s Report to the  
Members of RTW Venture Fund Limited 
1. Our opinion is unmodified
We have audited the financial statements of RTW Venture Fund Limited (the 
“Company”), which comprise the statement of assets and liabilities including 
the condensed schedule of investments as at 31 December 2021, the 
statements of operations, changes in net assets and cash flows for the 
year then ended, and notes, comprising significant accounting policies and 
other explanatory information.
In our opinion, the accompanying financial statements:
	
– give a true and fair view of the financial position of the Company as at 31 
December 2021, and of the Company’s financial performance and cash 
flows for the year then ended;
	
– are prepared in conformity with U.S. generally accepted accounting 
principles (“US GAAP”); and
	
– comply with the Companies (Guernsey) Law, 2008.
Basis for opinion
We conducted our audit in accordance with International Standards on 
Auditing (UK) (“ISAs (UK)”) and applicable law. Our responsibilities are 
described below. We have fulfilled our ethical responsibilities under, and are 
independent of the Company in accordance with, UK ethical requirements 
including the FRC Ethical Standard as required by the Crown Dependencies’ 
Audit Rules and Guidance. We believe that the audit evidence we have 
obtained is a sufficient and appropriate basis for our opinion.
Overview
Materiality: financial 
statements as a whole
$7.7m (2020: $8.3m)
Approximately 2% (2020: 2%)  
of net assets
Key audit matter
vs 2020
Recurring risks
Valuation of
investments in
securities, at fair value
< >
2. Key audit matters: our assessment of risks of material misstatement
Key audit matters are those matters that, in our professional judgement, were of most significance in the audit of the financial statements and include the most 
significant assessed risks of material misstatement (whether or not due to fraud) identified by us, 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 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. In arriving at our 
audit opinion above, the key audit matter was as follows (unchanged from 2020):
Valuation of 
investments 
in securities,  
at fair value
$409,179,507;  
(2020: $390,790,635)
Refer to the Report of 
the Audit Committee 
on page 66, the 
Condensed Schedule 
of Investments as at  
31 December 2021 on 
pages 75 to 77, note 1 
fair value significant 
accounting policies 
and note 2 fair value 
measurements 
disclosures.
Our response
Our audit procedures included, but were not limited to:
Controls evaluation:
We assessed the design and implementation of the Investment Manager s 
review control in relation to the valuation of private unquoted life science 
investments.
Challenging managements’ Investments valuation, including the use of 
our KPMG valuation specialists, as applicable:
For all Investments we assessed the appropriateness of the valuation 
methodology used to estimate fair value.
Publicly quoted life science investments:
For publicly quoted life science investments, we independently priced 
99.6% by fair value to third party data sources.
Private unquoted life science investments:
For a value driven selection of the private unquoted life science investments 
we performed the following procedures, as applicable:
	
– Obtained and read the valuation memorandums produced by the 
Investment Manager;
	
– Assessed the objectivity, capabilities and competency of the Independent 
Valuer. We considered the scope of their engagement and methodology 
applied by the Independent Valuer in performing their work. We obtained 
and assessed their findings and considered the impact, if any, on our 
audit work;
	
– Agreed the price of investments acquired during the year to supporting 
documentation such as purchase agreements, funding drawdown 
requests and bank statements. We performed public searches for 
contradictory or dis-confirming evidence to challenge both the absence 
or appropriateness of fair value movements;
	
– Considered the participation of third party investors in any funding round 
either at, or subsequent to, the transaction date;
	
– Assessed and challenged the key assumptions based on available 
market information and corroborated key inputs to supporting 
documentation;
	
– Considered market transactions in close proximity to the year-end and 
assessed their appropriateness as being representative of fair value; and
The risk
Basis
The Company’s investment portfolio represents 
the most significant balance on the statement of 
assets and liabilities and is the principal driver of 
the Company’s net asset value (2021: 106%; 2020: 
95%). The investment portfolio is composed of 
publicly quoted and private unquoted life science 
investments (together the “Investments” ).
Publicly quoted life science investments, 
representing 77% of the fair value of Investments, 
are valued using third party data sources.
Private unquoted life science investments, 
representing 23% of the fair value of Investments, 
are valued using recognised valuation 
methodologies, including option pricing models.
The Investment Manager utilises an Independent 
Valuer to assist them in their determination of  
the fair value of certain private unquoted life 
science investments.
Risk:
The valuation of the Company’s Investments is 
considered a significant area of our audit, given 
that it represents the majority of the net assets  
of the Company.
The valuation risk of the private unquoted life 
science investments incorporates both a risk of 
fraud and error given the significance of the 
estimates and judgements that are involved in 
the determination of their fair value.
3. Our application of materiality and an overview of the scope  
of our audit
Materiality for the financial statements as a whole was set at $7.7m, 
determined with reference to a benchmark of net assets of $387.4m, 
of which it represents approximately 2.0% (2020: 2.0%).
In line with our audit methodology, our procedures on individual account 
balances and disclosures were performed to a lower threshold, 
performance materiality, so as to reduce to an acceptable level the risk that 
individually immaterial misstatements in individual account balances add up 
to a material amount across the financial statements as a whole. 
Performance materiality for the Company was set at 75% (2020: 75%) of 
materiality for the financial statements as a whole, which equates to $5.8m. 
We applied this percentage in our determination of performance materiality 
because we did not identify any factors indicating an elevated level of risk.
We reported to the Audit Committee any corrected or uncorrected 
identified misstatements exceeding $0.4m, in addition to other identified 
misstatements that warranted reporting on qualitative grounds.
Our audit of the Company was undertaken to the materiality level specified 
above, which has informed our identification of significant risks of material 
misstatement and the associated audit procedures performed in those 
areas as detailed above.
Valuation of 
investments 
in securities,  
at fair value 
(continued)
$409,179,507;  
(2020: $390,790,635)
Refer to the Report of 
the Audit Committee 
on page 66, the 
Condensed Schedule 
of Investments as at 
31 December 2021 on 
pages 75 to 77, note 1 
fair value significant 
accounting policies 
and note 2 fair value 
measurements 
disclosures.
Our response (continued)
Challenging managements’ Investments valuation, including the use of 
our KPMG valuation specialists, as applicable (continued):
	
– For private investment company life science investments we obtained 
independent confirmations, from the administrator of those private 
investment companies, of the net asset values per share and reconciled 
these to the net asset values used in the Company’s valuation. Further we 
obtained the coterminous audited financial statements for those private 
investment companies to corroborate the net asset values per share 
used. We also evaluated the accounting framework and accounting 
policies applied and considered the impact, if any, of the issued audit 
opinions therein.
Assessing disclosures:
	
– We also considered the Company’s financial statement disclosures in 
relation to the use of estimates and judgements regarding the fair value of 
investments in securities and the Company’s investment valuation policies 
adopted and the fair value disclosures, in notes 1 and 2 respectively, for 
conformity with US GAAP.
The risk (continued)
Risk:
The valuation of the Company’s Investments is 
considered a significant area of our audit, given 
that it represents the majority of the net assets of 
the Company.
The valuation risk of the private unquoted life 
science investments incorporates both a risk of 
fraud and error given the significance of the 
estimates and judgements that are involved in the 
determination of their fair value.
 
Net assets
 
Materiality
Net assets
$387.4m (2020: $412.6m)
$7.7m
Financial
statements 
materiality 
(2020: 
$8.3m)
$0.4m
Misstatements 
reported to 
the audit 
commitee 
(2020: $0.4m)
4. Going concern
The directors have prepared the financial statements on the going concern 
basis as they do not intend to liquidate the Company or to cease its 
operations, and as they have concluded that the Company’s financial 
position means that this is realistic. They have also concluded that there are 
no material uncertainties that could have cast significant doubt over its 
ability to continue as a going concern for at least a year from the date of 
approval of the financial statements (the “going concern period”).
In our evaluation of the directors’ conclusions, we considered the inherent 
risks to the Company’s business model and analysed how those risks might 
affect the Company’s financial resources or ability to continue operations 
over the going concern period. The risks that we considered most likely to 
affect the Company’s financial resources or ability to continue operations 
over this period was the availability of capital to meet operating costs and 
other financial commitments.
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
70
71
RTW Venture Fund Limited

Independent Auditor’s Report to the  
Members of RTW Venture Fund Limited
continued
4. Going concern (continued)
We considered whether this risk could plausibly affect the liquidity in the 
going concern period by comparing severe, but plausible downside 
scenarios that could arise from this risk against the level of available 
financial resources indicated by the Company’s financial forecasts.
We considered whether the going concern disclosure in note 1 to the 
financial statements gives a full and accurate description of the directors’ 
assessment of going concern.
Our conclusions based on this work:
	
– we consider that the directors’ use of the going concern basis of 
accounting in the preparation of the financial statements is appropriate;
	
– we have not identified, and concur with the directors’ assessment that 
there is not, a material uncertainty related to events or conditions that, 
individually or collectively, may cast significant doubt on the Company’s 
ability to continue as a going concern for the going concern period; and
	
– we have nothing material to add or draw attention to in relation to the 
directors’ statement in the notes to the financial statements on the use of 
the going concern basis of accounting with no material uncertainties that 
may cast significant doubt over the Company’s use of that basis for the 
going concern period, and that statement is materially consistent with the 
financial statements and our audit knowledge.
However, as we cannot predict all future events or conditions and as 
subsequent events may result in outcomes that are inconsistent with 
judgements that were reasonable at the time they were made, the above 
conclusions are not a guarantee that the Company will continue in operation.
5. Fraud and breaches of laws and regulations – 
ability to detect
Identifying and responding to risks of material misstatement due to fraud
To identify risks of material misstatement due to fraud (“fraud risks”) we 
assessed events or conditions that could indicate an incentive or pressure 
to commit fraud or provide an opportunity to commit fraud. Our risk 
assessment procedures included:
	
– enquiring of management as to the Company’s policies and procedures 
to prevent and detect fraud as well as enquiring whether management 
have knowledge of any actual, suspected or alleged fraud;
	
– reading minutes of meetings of those charged with governance; and
	
– using analytical procedures to identify any unusual or unexpected relationships.
As required by auditing standards, and taking into account possible incentives 
or pressures to misstate performance and our overall knowledge of the 
control environment, we perform procedures to address the risk of 
management override of controls, in particular the risk that management may 
be in a position to make inappropriate accounting entries, and the risk of bias 
in accounting estimates such as valuation of private unquoted life science 
investments. On this audit we do not believe there is a fraud risk related to 
revenue recognition because the Company’s revenue streams are simple in 
nature with respect to accounting policy choice, and are easily verifiable to 
external data sources or agreements with little or no requirement for 
estimation from management. We did not identify any additional fraud risks.
We performed procedures including:
	
– identifying journal entries and other adjustments to test based on risk 
criteria and comparing any identified entries to supporting documentation;
	
– incorporating an element of unpredictability in our audit procedures; and
	
– assessing significant accounting estimates for bias.
Further detail in respect of valuation of private unquoted life science 
investments is set out in the key audit matter section of in this report.
7. Disclosures of emerging and principal risks and longer  
term viability
We are required to perform procedures to identify whether there is a 
material inconsistency between the directors disclosures in respect of 
emerging and principal risks and the viability statement, and the financial 
statements and our audit knowledge. We have nothing material to add or 
draw attention to in relation to:
	
– the directors’ confirmation within the Longer Term Viability Statement 
(page 50) that they have carried out a robust assessment of the emerging 
and principal risks facing the Company, including those that would 
threaten its business model, future performance, solvency or liquidity;
	
– the emerging and principal risks disclosures describing these risks and 
explaining how they are being managed or mitigated;
	
– the directors’ explanation in the Longer Term Viability Statement (page 50) 
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 are also required to review the Longer Term Viability Statement, set out 
on page 50 under the Listing Rules. Based on the above procedures, we 
have concluded that the above disclosures are materially consistent with 
the financial statements and our audit knowledge.
8. Corporate governance disclosures
We are required to perform procedures to identify whether there is a 
material inconsistency between the directors corporate governance 
disclosures and the financial statements and our audit knowledge.
Based on those procedures, we have concluded that each of the 
following is materially consistent with the financial statements and our 
audit knowledge:
	
– the directors’ statement that they consider that the annual report and 
financial statements taken as a whole is fair, balanced and understandable, 
and provides the information necessary for shareholders to assess the 
Company’s position and performance, business model and strategy;
	
– the section of the annual report describing the work of the Audit 
Committee, including the significant issues that the audit committee 
considered in relation to the financial statements, and how these issues 
were addressed; and
	
– the section of the annual report that describes the review of the 
effectiveness of the Company’s risk management and internal 
control systems.
We are required to review the part of Corporate Governance Statement 
relating to the Company’s compliance with the provisions of the UK 
Corporate Governance Code specified by the Listing Rules for our review. 
We have nothing to report in this respect.
5. Fraud and breaches of laws and regulations – 
ability to detect (continued)
Identifying and responding to risks of material misstatement due  
to non-compliance with laws and regulations
We identified areas of laws and regulations that could reasonably be 
expected to have a material effect on the financial statements from our 
sector experience and through discussion with management (as required by 
auditing standards), and from inspection of the Company’s regulatory and 
legal correspondence, if any, and discussed with management the policies 
and procedures regarding compliance with laws and regulations. As the 
Company is regulated, our assessment of risks involved gaining an 
understanding of the control environment including the entity s procedures 
for complying with regulatory requirements.
The Company is subject to laws and regulations that directly affect the 
financial statements including financial reporting legislation and taxation 
legislation and we assessed the extent of compliance with these laws and 
regulations as part of our procedures on the related financial statement items.
The Company is subject to other laws and regulations where the 
consequences of non-compliance could have a material effect on amounts 
or disclosures in the financial statements, for instance through the imposition 
of fines or litigation or impacts on the Company’s ability to operate. We 
identified financial services regulation as being the area most likely to have 
such an effect, recognising the regulated nature of the Company’s activities 
and its legal form. Auditing standards limit the required audit procedures to 
identify non-compliance with these laws and regulations to enquiry of 
management and inspection of regulatory and legal correspondence, if any. 
Therefore if a breach of operational regulations is not disclosed to us or 
evident from relevant correspondence, an audit will not detect that breach.
Context of the ability of the audit to detect fraud or breaches  
of law or regulation
Owing to the inherent limitations of an audit, there is an unavoidable risk 
that we may not have detected some material misstatements in the 
financial statements, even though we have properly planned and performed 
our audit in accordance with auditing standards. For example, the further 
removed non-compliance with laws and regulations is from the events and 
transactions reflected in the financial statements, the less likely the inherently 
limited procedures required by auditing standards would identify it.
In addition, as with any audit, there remains a higher risk of non-detection of 
fraud, as this may involve collusion, forgery, intentional omissions, 
misrepresentations, or the override of internal controls. Our audit procedures 
are designed to detect material misstatement. We are not responsible for 
preventing non-compliance or fraud and cannot be expected to detect 
non-compliance with all laws and regulations.
6. Other information
The directors are responsible for the other information. The other 
information comprises the information included in the annual report but 
does not include the financial statements and our auditor’s report thereon. 
Our opinion on the financial statements does not cover the other 
information and we do not express an audit opinion or any form of 
assurance conclusion 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, 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 in this regard.
9. We have nothing to report on other matters on which we are 
required to report by exception
We have nothing to report in respect of the following matters where the 
Companies (Guernsey) Law, 2008 requires us to report to you if, in our opinion:
	
– the Company has not kept proper accounting records; or
	
– the financial statements are not in agreement with the accounting 
records; or
	
– we have not received all the information and explanations, which to the best 
of our knowledge and belief are necessary for the purpose of our audit.
10. Respective responsibilities
Directors’ responsibilities
As explained more fully in their statement set out on page 61, the directors 
are responsible for: the preparation of the financial statements including 
being satisfied that they give a true and fair view; 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; 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 liquidation is imminent.
Auditor’s responsibilities
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 our opinion in an auditor s report. 
Reasonable assurance is a high level of assurance, but does not 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 aggregate, they could 
reasonably be expected to influence the economic decisions of users taken 
on the basis of the financial statements.
A fuller description of our responsibilities is provided on the FRC s website 
at www.frc.org.uk/auditorsresponsibilities.
11. The purpose of this report and restrictions on its use by 
persons other than the Company’s members as a body
This report is made solely to the Company’s members, as a body, in 
accordance with section 262 of the Companies (Guernsey) Law, 2008. Our 
audit work has been undertaken so that we might state to the Company’s 
members those matters we are required to state to them in an auditor s 
report and for no other purpose. To the fullest extent permitted by law, we 
do not accept or assume responsibility to anyone other than the Company 
and the Company’s members, as a body, for our audit work, for this report, 
or for the opinions we have formed.
Dermot Dempsey
For and on behalf of KPMG Channel Islands Limited
Chartered Accountants and Recognised Auditors
Guernsey
30 March 2022
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
72
73
RTW Venture Fund Limited

Statement of Assets and Liabilities as at  
31 December 2021 and 31 December 2020  
(Expressed in United States Dollars)
2021
US$
2020
US$
Assets:
Investments in securities, at fair value (cost at 31 December 2021: US$271,421,062; cost at 31 December 2020: 
US$151,961,275)
409,179,507 
390,790,635
Derivative contracts, at fair value (cost at 31 December 2021: US$2,348,062; cost at 31 December 2020: US$1,763,991)
 10,983,574 
4,713,942
Cash and cash equivalents
 6,484,057 
4,553,481
Due from brokers
 12,323,965 
20,032,971
Receivable from unsettled trades
 200,695 
685,498
Other assets
 191,565 
124,575
Total assets
439,363,363 
420,901,102
Liabilities:
Securities sold short, at fair value (proceeds at 31 December 2021: US$9,620,981; proceeds at 31 December 2020: 
US$4,986,163)
9,318,393 
6,672,359
Derivative contracts, at fair value (proceeds at 31 December 2021: US$nil; proceeds at 31 December 2020: US$6,903)
 3,310,833 
579,782
Due to brokers
 38,019,859 
361,032
Accrued expenses
 861,545 
530,070
Payable for unsettled trades
 492,007 
145,930
Total liabilities
52,002,637 
8,289,173
Total net assets
387,360,726 
412,611,929
Net assets attributable to Ordinary Shares (shares at 31 December 2021: 212,389,138; shares at 31 December 
2020: 191,515,735)
363,040,222 
375,281,126
Net assets attributable to Performance Allocation Shares (shares at 31 December 2021: 1; shares at 31 December 
2020: 1)
24,320,504 
37,330,803
NAV per Ordinary Share 
1.7093 
1.9595
The audited financial statements of the Company were approved and authorised for issue by the Board of Directors on 30 March 2022  
and signed on its behalf by:
William Simpson
Chairman
Paul Le Page
Director
See accompanying notes to the financial statements.
Descriptions
Number of 
Shares
Cost
US$
Fair Value 
US$
Percentage of 
Net Assets
%
Investments in securities, at fair value
Common stocks
United States
Financials
108,150
106,527
0.03
Healthcare
Prometheus Biosciences, Inc.
740,564
5,396,652
21,850,828
5.64
Rocket Pharmaceuticals, Inc.
 2,364,728
 6,223,376 
 51,622,012 
13.33
Others*
 131,292,813 
177,272,154
45.76
Materials
45,415 
9,801 
0.00
Total United States
143,066,406
250,861,322
64.76
Ireland
Healthcare
4,099,989 
7,155,755 
1.85
Netherlands
Healthcare
3,339,207
4,302,049
1.11
Canada
Healthcare
4,400,407 
2,573,859 
0.66
China
Healthcare
Ji Xing Pharmaceuticals Ltd.
541,205
216,482 
844,280
0.22
British Virgin Islands
Healthcare
226,450 
689,080 
0.18
Cayman Islands
Financials
422,961 
414,583
0.11
Healthcare
104,050 
103,530 
0.03
Total Cayman Islands
527,011
518,113 
0.14
Bermuda
Healthcare
260,330 
262,413 
0.07
Belgium
Healthcare
207,840 
146,096 
0.04
Switzerland
Healthcare
106,002
83,035
0.02
Total common stocks
156,450,124
267,436,002
69.05
* No individual investment security or contract constitutes greater than 5 percent of net assets.
See accompanying notes to the financial statements.
Condensed Schedule of Investments  
as at 31 December 2021  
(Expressed in United States Dollars)
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
74
75
RTW Venture Fund Limited

Descriptions
Number 
of Shares
Cost
US$
Fair Value 
US$
Percentage of 
Net Assets
%
Investments in securities, at fair value
(continued)
Convertible preferred stocks
United States
Healthcare*
35,924,442
39,402,135
10.17
China
Healthcare
Ji Xing Pharmaceuticals Ltd.
10,599,945
 14,824,184 
 24,793,386 
6.40
Others
1,771,209
1,771,209
0.46
Total China
16,595,393
26,564,595 
6.86
Switzerland
Healthcare
1,704,186
1,693,165
0.44
Ireland
Healthcare
116,545
132,819
0.03
Total convertible preferred stocks
54,340,566
67,792,714
17.50
Exchange traded funds
United States
Index
SPDR S&P 500 ETF TRUST
67,579
26,216,888
32,097,322
8.28
Total exchange traded funds
26,216,888
32,097,322
8.28
  Investment in private investment companies
Ireland
Healthcare
11,814,933
13,068,663
3.37
United States
Healthcare
8,234,839
10,013,859
2.59
Total investment in private investment companies
20,049,772
23,082,522
5.96
* No individual investment security or contract constitutes greater than 5 percent of net assets.
Descriptions
Cost
US$
Fair Value
US$
Percentage of 
Net Assets
%
Investments in securities, at fair value (continued)
American depository receipts
United Kingdom
Healthcare
7,368,293 
12,033,889 
3.11
Netherlands
Healthcare
3,786,165 
3,962,050 
1.02
Ireland
Healthcare
893,338
1,085,120
0.28
Sweden
Healthcare
438,397 
388,133 
0.10
Israel
Healthcare
372,855
308,578
0.08
China
Healthcare
549,132
202,418
0.05
Singapore
Healthcare
231,809 
67,036 
0.02
Total American depository receipts
13,639,989 
18,047,224 
4.66
Convertible bonds
United States
Healthcare
723,723
723,723
0.18
Total convertible bonds
723,723
723,723
0.18
Total investments in securities, at fair value
271,421,062 
409,179,507
105.63
See accompanying notes to the financial statements.
Condensed Schedule of Investments  
as at 31 December 2021 continued 
(Expressed in United States Dollars)
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
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77
RTW Venture Fund Limited

Descriptions
Cost
US$
Fair Value
US$
Percentage of 
Net Assets
%
Derivative contracts – assets, at fair value
Equity swaps
United States
Healthcare
5,442,939 
1.41
British Virgin Islands
Healthcare
2,128,260
0.55
Netherlands
Healthcare
4,225
0.00
Total equity swaps
7,575,424 
1.96
Warrants
Canada
Healthcare
1,939,543 
3,077,816 
0.79
United States
Healthcare
407,920 
329,865 
0.09
Cayman Islands
Financials
599
469
0.00
Total warrants
 2,348,062
 3,408,150
0.88
Total derivative contracts – assets, at fair value
 2,348,062
10,983,574
2.84
See accompanying notes to the financial statements.
Descriptions
Proceeds 
US$
Fair Value
US$
Percentage of 
Net Assets
%
Securities sold short, at fair value
Common stocks
United States
Healthcare
8,526,920 
8,330,314 
2.15
Materials
56,309 
9,801 
0.00
Total United States
8,583,229 
8,340,115 
2.15
Netherlands
Healthcare
278,805 
324,576 
0.09
Cayman Islands
Financials
96,480
97,018
0.03
Switzerland
Healthcare
106,146 
83,035 
0.02
Total common stocks
9,064,660 
8,844,744 
2.29
American depository receipts
Sweden
Healthcare
462,836 
388,133 
0.10
China
Healthcare
93,485 
85,516 
0.02
Total American depository receipts
556,321 
473,649 
0.12
Total securities sold short, at fair value
9,620,981 
9,318,393 
2.41
Descriptions
Fair Value
US$
Percentage of 
Net Assets
%
Derivative contracts – liabilities, at fair value
Equity swaps
United States
Healthcare	
3,223,278
0.83
Ireland
Healthcare
52,601 
0.01
Israel
Healthcare
34,954 
0.01
Total derivative contracts – liabilities, at fair value
3,310,833 
0.85
See accompanying notes to the financial statements.
Condensed Schedule of Investments  
as at 31 December 2021 continued 
(Expressed in United States Dollars)
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
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79
RTW Venture Fund Limited

Descriptions
Number of 
Shares
Cost
US$
Fair Value
US$
Percentage of 
Net Assets
%
Investments in securities, at fair value
Common stocks
United States
Healthcare
Rocket Pharmaceuticals, Inc.
3,089,728
8,131,396
169,440,683
41.07
Others*
97,062,100
176,270,298
42.72
Total United States
105,193,496
345,710,981
83.79
Canada
Healthcare
3,891,345
2,360,037
0.57
Netherlands
Healthcare
2,011,065
1,695,645
0.41
Cayman Islands
Healthcare
749,216
938,398
0.23
British Virgin Islands
Healthcare
226,450
383,740
0.09
China
Healthcare
7,325
13,224
0.00
Total common stocks
112,078,897
351,102,025
85.09
Convertible preferred stocks
United States
Healthcare*
23,972,095
23,591,822
5.72
United Kingdom
Healthcare
7,402,614
7,707,415
1.87
Cayman Islands
Healthcare
6,862,515
6,862,515
1.66
Ireland
Healthcare
116,545
109,806
0.03
Total convertible preferred stocks
38,353,769
38,271,558
9.28
*No individual investment security or contract constitutes greater than 5 percent of net assets.
See accompanying notes to the financial statements.
Descriptions
Cost
 US$
Fair Value
US$
Percentage of 
Net Assets
%
Investments in securities, at fair value (continued)
American depository receipts
Ireland
Healthcare
1,093,043
1,004,772
0.24
Israel
Healthcare
422,828
394,447
0.10
Cayman Islands
Healthcare
12,738
17,833
0.00
Total American depository receipts
1,528,609
1,417,052
0.34
Total investments in securities, at fair value
151,961,275
390,790,635
94.71
Descriptions
Cost
 US$
Fair Value
US$
Percentage of 
Net Assets
%
Derivative contracts – assets, at fair value
Warrants
Canada
Healthcare
1,589,508
2,721,084
0.66
United States
Healthcare
155,991
209,900
0.05
Total warrants
1,745,499
2,930,984
0.71
Equity swaps
United States
Healthcare
13,412
859,586
0.21
British Virgin Islands
Healthcare
3,873
846,117
0.20
Canada
Healthcare
1,207
77,255
0.02
Total equity swaps
18,492
1,782,958
0.43
Total derivative contracts – assets, at fair value
1,763,991
4,713,942
1.14
See accompanying notes to the financial statements.
Condensed Schedule of Investments  
as at 31 December 2020 
(Expressed in United States Dollars)
Governance Report
Strategic Report
Financial Statements
Additional Information     
Annual Report and Accounts 2021
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81
RTW Venture Fund Limited

Descriptions
Proceeds
 US$
Fair Value
US$
Percentage of 
Net Assets
%
Securities sold short, at fair value
Common stocks
United States
Healthcare
4,541,074
6,229,135
1.51
Netherlands
Healthcare
213,386
199,896
0.05
Canada
Healthcare
58,823
78,292
0.02
Total common stocks
4,813,283
6,507,323
1.58
American depository receipts
Israel
Healthcare
149,412
147,203
0.04
Cayman Islands
Healthcare
23,468
17,833
0.00
Total American depository receipts
172,880
165,036
0.04
Total securities sold short, at fair value
4,986,163
6,672,359
1.62
Descriptions
Proceeds
 US$
Fair Value
US$
Percentage of 
Net Assets
%
Derivative contracts – liabilities, at fair value
Equity swaps
United States
6,903
579,782
0.14
Healthcare	
Total derivative contracts – liabilities, at fair value
6,903
579,782
0.14
See accompanying notes to the financial statements.
Statement of Operations
For the year ended 31 December 2021 and 31 December 2020
(Expressed in United States Dollars)
2021
US$
2020
US$
Investment income
Interest (net of withholding taxes of US$nil 2020: US$nil)
363,673 
70,291
Dividends (net of withholding taxes of US$123,894; 2020: US$nil)
294,027 
83,814
Total investment income
657,700 
154,105
Expenses
Management fees
4,813,854 
2,912,850
Professional fees
1,070,317 
1,068,017
Listing fees
936,615
–
Administrative fees
330,834 
233,459
Audit fees
288,254 
162,016
Directors’ fees
214,353 
220,875
Research fees
237,984 
130,489
Interest
215,606 
73,545
Other expenses
346,867 
305,856
Total expenses
8,454,684 
5,107,107
Net investment income/(loss)
(7,796,984) 
(4,953,002)
Realised and change in unrealised gain/(loss) on investments, derivatives and foreign currency transactions
Net realised gain/(loss) on securities and foreign currency transactions 
 41,280,297 
8,337,422
Net change in unrealised gain/(loss) on securities and foreign currency translation
 (99,115,160)
159,009,990
Net realised gain/(loss) on derivative contracts
 (1,648,961)
(2,880,680)
Net change in unrealised gain/(loss) on derivative contracts
 2,936,018 
1,139,850
Net realised and unrealised gain/(loss) on investments, derivatives and foreign currency transactions
(56,547,806) 165,606,582
Net increase/(decrease) in net assets resulting from operations
(64,344,790) 160,653,580
See accompanying notes to the financial statements.
Condensed Schedule of Investments  
as at 31 December 2020 continued 
(Expressed in United States Dollars)
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Additional Information     
Annual Report and Accounts 2021
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RTW Venture Fund Limited

Statement of Changes in Net Assets
For the year ended 31 December 2021
(Expressed in United States Dollars)
Ordinary Share 
Class Fund
US$
Performance 
Allocation Share 
Class Fund
US$
Total 
Shareholders’ 
Funds
US$
Net assets, beginning of year
375,281,126
37,330,803
412,611,929
Operations
Net investment gain/(loss)
(7,796,984) 
–
(7,796,984) 
Net realised gain/(loss) on securities and foreign currency transactions
41,280,297 
–
41,280,297
Net change in unrealised gain/(loss) on securities and foreign currency translation
(99,115,160) 
–
(99,115,160) 
Net realised gain/(loss) on derivative contracts
(1,648,961)
–
(1,648,961)
Net change in unrealised gain/(loss) on derivative contracts
2,936,018 
–
2,936,018
Performance Allocation
8,035,379 
(8,035,379) 
–
Net change in net assets resulting from operations
(56,309,411) 
(8,035,379) (64,344,790) 
Capital transactions
Issuance of Ordinary Shares (net of issuance cost of US$222,883)
44,068,507 
–
44,068,507 
Performance Allocation distribution
–
(4,974,920) 
(4,974,920)
Net change in net assets resulting from capital transactions
44,068,507 
(4,974,920) 
39,093,587 
Net change in net assets
(12,240,904)
(13,010,299) 
(25,251,203)
Net assets, end of year
363,040,222 
 24,320,504
 387,360,726
See accompanying notes to the financial statements.
Statement of Changes in Net Assets
For the year ended 31 December 2020
(Expressed in United States Dollars)
Ordinary Share 
Class Fund
US$
Performance 
Allocation Share 
Class Fund
US$
Total 
Shareholders’ 
Funds
US$
Net assets, beginning of year
205,695,869
8,691,106
214,386,975
Operations
Net investment gain/(loss)
 (4,953,002)
 –
(4,953,002)
Net realised gain/(loss) on securities and foreign currency transactions
8,337,422
–
8,337,422
Net change in unrealised gain/(loss) on securities and foreign currency translation
159,009,990
–
159,009,990
Net realised gain/(loss) on derivative contracts
(2,880,680)
–
(2,880,680)
Net change in unrealised gain/(loss) on derivative contracts
1,139,850
–
1,139,850
Performance Allocation
(32,787,677)
32,787,677
–
Net change in net assets resulting from operations
127,865,903
32,787,677
160,653,580
Capital transactions
Issuance of Ordinary Shares (net of issuance costs of US$209,676)
41,719,354
–
41,719,354
Performance Allocation distribution
–
(4,147,980)
(4,147,980)
Net change in net assets resulting from capital transactions
41,719,354
(4,147,980)
37,571,374
Net change in net assets
169,585,257
28,639,697
198,224,954
Net assets, end of year
375,281,126
37,330,803
412,611,929
See accompanying notes to the financial statements.
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Additional Information     
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RTW Venture Fund Limited

Statement of Cash Flows
For the year ended 31 December 2021 and 31 December 2020
(Expressed in United States Dollars)
2021
US$
2020
US$
Cash flows from operating activities
Net increase/(decrease) in net assets resulting from operations
(64,344,790) 
160,653,580
Adjustments to reconcile net change in net assets resulting from operations to net cash provided by/(used in) operating 
activities:
Net realised (gain)/loss on securities and foreign currency transactions
(41,280,297)
(8,337,422)
Net change in unrealised (gain)/loss on securities and foreign currency translation 
 99,115,160
(159,009,990)
Net realised (gain)/loss on derivative contracts
 1,648,961 
2,880,680
Net change in unrealised (gain)/loss on derivative contracts
 (2,936,018)
(1,139,850)
Purchases of investments in securities
(202,925,739)
(117,412,482)
Proceeds from sales of investments in securities
 119,715,056 
66,905,737
Proceeds from securities sold short
 15,049,848 
6,506,635
Payments for securities sold short
 (5,416,866)
(2,306,452)
Proceeds from derivative contracts
 (784,778)
1,222,986
Payments for derivative contracts
 (1,466,746)
(5,785,761)
Changes in operating assets and liabilities:
Other assets
 (66,990)
(118,767)
(Receivable from)/payable for unsettled trades
 830,880 
(1,072,270)
Due to brokers
37,658,827
361,032
Accrued expenses
 331,475 
(130,162)
Net cash provided by/(used in) operating activities (including restricted cash)
(44,872,017) 
(56,782,506)
Cash flows from financing activities
Net proceeds from issuance of shares
44,068,507 
41,719,354
Performance Allocation distribution
(4,974,920) 
(4,147,980)
Net cash provided by/(used in) financing activities
39,093,587
37,571,374
Net change in cash and cash equivalents (including restricted cash)
(5,778,430) 
(19,211,132)
Cash and cash equivalents (including restricted cash), beginning of the year
24,586,452
43,797,584
Cash and cash equivalents (including restricted cash), end of the year
18,808,022
24,586,452
At 31 December 2021, the amounts categorised in cash and cash equivalents (including restricted cash) include the following:
Cash and cash equivalents
6,484,057 
4,553,481
Due from brokers
12,323,965
20,032,971
Total cash and cash equivalents (including restricted cash) 
18,808,022
24,586,452
Supplemental disclosure of cash flow information
Cash paid during the year for interest
250,980 
84,698
See accompanying notes to the financial statements.
Notes to the Financial Statements
For the year ended 31 December 2021
(Expressed in United States Dollars)
1. Nature of operations and summary of significant 
accounting policies
RTW Venture Fund Limited (the “Company”), is a publicly listed Guernsey 
non-cellular company limited by shares. It was originally incorporated in 
the State of Delaware, United States of America, and re-domiciled into 
Guernsey under the Companies Law on 2 October 2019 with registration 
number 66847 on the Guernsey Register of Companies. On 30 October 
2019, all of the issued Ordinary Shares of the Company were listed and 
admitted to trading on the Specialist Fund Segment of the London Stock 
Exchange under ticker symbol: RTW. Subsequently, on 6 August 2021, the 
Company’s Ordinary Shares were admitted to trading on the Premium 
Segment of the London Stock Exchange under ticker symbol RTWG. 
The Company seeks to use equity capital (from the net proceeds of any 
share issuance or, where appropriate, from the net proceeds of investment 
divestments or other related profits) to provide seed and additional growth 
capital to the private investments. To mitigate cash-drag, the uninvested 
portion is invested across public stocks largely replicating the public stock 
portfolios of the Investment Manager’s (as defined below) existing 
US-based funds. The Company focuses on creating, building, and 
supporting world-class life sciences, biopharmaceutical and medical 
technology companies. The Company’s investment objective is to generate 
attractive risk-adjusted returns through investments in securities, both 
equity and debt, long and short, of companies with a focus on the 
pharmaceutical sector.
Pursuant to an investment management agreement, the Company appointed 
RTW Investments, LP, a Delaware limited partnership (the “Investment Manager”), 
to provide the Company with discretionary portfolio management, risk 
management services and certain other services. The Investment Manager is 
an investment adviser registered with the U.S. Securities and Exchange 
Commission under the Investment Advisers Act of 1940. 
Basis of presentation
The financial statements are expressed in United States Dollars. The 
financial statements which give a true and fair view and have been 
prepared in conformity with US generally accepted accounting principles 
(“US GAAP”) and are in compliance with the Companies (Guernsey) Law, 
2008. The Company is an investment company and follows the accounting 
and reporting guidance in Financial Accounting Standards Board’s (“FASB”) 
Accounting Standards Codification Topic 946, Financial Services – 
Investment Companies. 
Although the Company was in a net current liability position as at 31 December 
2021, the Directors considered that it is appropriate to adopt a going concern 
basis of accounting in preparing the financial statements. In reaching this 
assessment, the Directors have considered a wide range of information relating 
to present and future conditions including the balance sheets, future 
projections, cash flows and the longer-term strategy of the business.
The COVID-19 pandemic continues to be a risk to the global economy, and, 
although the impact of COVID-19 continues to be seen across the world, 
the implications for financial markets has begun to reduce, with equity volatilities 
improving. Although impeded by the discovery of the new Omicron variant 
in the fourth quarter of 2021, overall indices were in a better position than at 
the start of 2021.
Like the majority of companies, COVID-19 has had an impact on the 
Company’s operations but, at the height of the lockdowns in Guernsey 
and the United States, the Investment Manager, Administrator and 
Sub-Administrator demonstrated that they were able to work remotely 
without any significant negative impact on the Company’s operations.
While the ongoing implications of COVID-19 are still unknown, as of 
year-end, the movements in the market are encouraging but, should 
another new variant lead to further lockdowns this could change again. 
However, in part due to the successful vaccine roll-out, there is light at the 
end of the COVID-19 pandemic tunnel, and it is expected that the risk to the 
Company from it will continue to decrease throughout 2022.
Although the COVID-19 pandemic could have a negative impact on 
investment valuations and on the volatility of investment valuations, it does 
not impact the ability of the Company to continue as a going concern. The 
impact of the COVID-19 pandemic is changing but the Directors consider 
that the Company is well placed to deal with challenges arising from the 
COVID-19 pandemic.
Cash and cash equivalents (including restricted cash)
Cash represents cash deposits held at financial institutions. Cash 
equivalents include short-term highly liquid investments of sufficient credit 
quality that are readily convertible to known amounts of cash and have 
original maturities of three months or less. Cash equivalents are carried at 
cost plus accrued interest, which approximates fair value. Cash equivalents 
are held for the purpose of meeting short-term liquidity requirements, rather 
than for investment purposes. As at 31 December 2021 and 31 December 
2020, the Company had no cash equivalents.
Restricted cash is subject to a legal or contractual restriction by third parties 
as well as a restriction as to withdrawal or use, including restrictions that 
require the funds to be used for a specified purpose and restrictions that 
limit the purpose for which the funds can be used. The Company considers 
cash pledged as collateral for securities sold short, cash collateral posted 
with counterparties for derivative contracts and further amounts due from 
brokers to be restricted cash, as outlined in Note 3.
Fair value – definition and hierarchy 
Fair value is defined as the price that would be received to sell an asset 
or paid to transfer a liability (i.e. the ‘exit price’) in an orderly transaction 
between market participants at the measurement date.
In determining fair value, the Company uses various valuation techniques. 
A fair value hierarchy for inputs is used in measuring fair value that maximizes 
the use of observable inputs and minimizes the use of unobservable inputs 
by requiring that the most observable inputs are to be used when available. 
Observable inputs are those that market participants would use in pricing the 
asset or liability based on market data obtained from sources independent of 
the Company.
Unobservable inputs reflect the Company’s assumptions about the inputs 
market participants would use in pricing the asset or liability based on the 
best information available in the circumstances. The fair value hierarchy is 
categorised into three levels based on the inputs as follows:
	
– Level 1 – Valuations based on unadjusted quoted prices in active markets 
for identical assets or liabilities that the Company has the ability to access. 
Valuation adjustments are not applied to Level 1 investments. Since 
valuations are based on quoted prices that are readily and regularly 
available in an active market, valuation of these investments does not 
entail a significant degree of judgement.
	
– Level 2 – Valuations based on inputs, other than quoted prices included 
in Level 1, that are observable, either directly or indirectly. 
	
– Level 3 – Valuations based on inputs that are unobservable and 
significant to the overall fair value measurement.
Investments in private investment companies measured using net asset value 
(“NAV”) as a practical expedient are not categorized in the fair value hierarchy.
The availability of valuation techniques and observable inputs can vary 
from investment to investment and is affected by a wide variety of factors, 
including the type of investment, whether the investment is new and not yet 
established in the marketplace, and other characteristics particular to the 
transaction. To the extent that valuation is based on models or inputs that 
are less observable or unobservable in the market, the determination of fair 
value requires more judgement. Those estimated values do not necessarily 
represent the amounts that may be ultimately realised due to the occurrence 
of future circumstances that cannot be reasonably determined. Because of 
the inherent uncertainty of valuation, those estimated values may be materially 
higher or lower than the values that would have been used had a ready 
market for the investments existed. Accordingly, the degree of judgement 
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RTW Venture Fund Limited

Notes to the Financial Statements
continued
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Financial Statements
Additional Information     
exercised by the Company in determining fair value is greatest for investments 
categorised in Level 3. In certain cases, the inputs used to measure fair 
value may fall into different levels of the fair value hierarchy. In such cases, 
for disclosure purposes, the level in the fair value hierarchy within which 
the fair value measurement falls in its entirety is determined based on the 
lowest level input that is significant to the fair value measurement.
Fair value is a market-based measure considered from the perspective of 
a market participant rather than an entity-specific measure. Therefore, even 
when market assumptions are not readily available, the Company’s own 
assumptions are set to reflect those that market participants would use in 
pricing the asset or liability at the measurement date. The Company uses 
prices and inputs that are current as of the measurement date, including 
periods of market dislocation. In periods of market dislocation, the 
observability of prices and inputs may be reduced for many investments. 
This condition could cause an investment to be reclassified to a lower level 
within the fair value hierarchy. 
Fair value – valuation techniques and inputs
Investments in securities and securities sold short
Listed investments
The Company values investments in securities including exchange traded 
funds and securities sold short that are freely tradable and are listed on a 
national securities exchange or reported on the NASDAQ national market 
at their closing sales price as of the valuation date. To the extent these 
securities are actively traded and valuation adjustments are not applied, 
they are categorised in Level 1 of the fair value hierarchy. Securities traded 
on inactive markets or valued by reference to similar instruments or where 
a discount may be applied are categorised in Level 2 or 3 of the fair value 
hierarchy. A discount for lack of marketability based on the 180 day 
restriction period under SEC Rule 144 is applied for investments that the 
Company purchases prior to an IPO and that subsequently begin trading 
on the NASDAQ national market. 
Unlisted investments
Unlisted investments are valued at fair value by the Directors following a 
detailed review and appropriate challenge of the valuations proposed by 
the Investment Manager. As part of their valuation process, the Investment 
Manager engages an Independent Valuer to challenge their assessed 
fair value on certain unlisted investments. The Investment Manager’s 
unlisted investment valuation policy applies to techniques consistent 
with the IPEV Guidelines.
The valuation techniques applied are either a market based approach, an 
income approach such as discounted cash flows, or where available, a NAV 
practical expedient approach. The IPEV Guidelines recognise that the price 
of a recent transaction, if resulting from an orderly transaction, generally 
represents fair value as at the transaction date and may be an appropriate 
starting point for estimating fair value at subsequent measurement dates. 
Consideration is given to the facts and circumstances as at the subsequent 
measurement date including changes in the market and/or performance of 
the investee company. Milestone analysis is used where appropriate to 
incorporate operational progress at the investee company level. In addition, 
a trigger event such as a subsequent round of financing by the investee 
company would influence the market technique used to calibrate fair value 
at the measurement date.
The market approach utilizes guideline public companies relying on projected 
revenues to derive an indicated enterprise value. Due to the nature of the 
investments, being in the early stages of development, the projected revenues 
are used as a proxy for stable state revenue. A selected multiple is then 
applied based on the observed market multiples of the guideline public 
companies. To reflect the risk associated with the achievement of the 
projected revenues, the early development stage of each of the investments 
and the indicated enterprise value is discounted at an appropriate rate.
The income approach utilizes the discounted cash flow method. Projected 
cash flows for each investment were discounted to determine an assumed 
enterprise value. 
Where applicable, the indicated enterprise value was determined using 
a back-solve model based on the pricing of the most recent round of 
financing. The internal rate of return for each investment was compared to 
the selected venture capital rate applied in the market approach to assess 
the reasonableness of the indicated value implied by each financing round. 
The derived enterprise value was allocated to the equity class on either a 
fully diluted basis or using an option pricing model. The resulting indicated 
value on a per share basis is then multiplied by the number of shares to 
derive the fair market value.
American depository receipts
The Company values investments in American depositary receipts that 
are freely tradable and are listed on a national securities exchange or 
reported on the NASDAQ national market at their last reported sales price 
as of the valuation date. These investments are categorised in Level 1 of 
the fair value hierarchy.
Convertible bonds
Convertible bonds are recorded at fair value using valuation techniques 
based on observable inputs. These instruments are generally categorised 
in Level 2 of the fair value hierarchy. In instances where significant inputs 
are unobservable, convertible bonds are categorised in Level 3 of the 
fair value hierarchy.
Convertible preferred stock
The Company values Level 1 investments in convertible preferred stock that 
are listed on a national securities exchange at their closing sales price as of 
the valuation date. Level 3 investments in convertible preferred stock are 
valued in accordance with the unlisted investments section above. As of 
31 December 2021, these investments are categorised in Level 1 and Level 3 
of the fair value hierarchy.
Investment in private investment companies
The Company values investment in private investment companies using the 
net asset values provided by the underlying private investment companies 
as a practical expedient. The Company applies the practical expedient to its 
private investment companies on an investment-by-investment basis and 
consistently with the Company’s entire position in a particular investment, 
unless it is probable that the Company will sell a portion of an investment 
at an amount different from the NAV of the investment.
Equity swaps
Equity swaps may be centrally cleared or traded on the over-the-counter 
market. The fair value of equity swaps is calculated based on the terms of 
the contract and current market data, such as changes in fair value of the 
reference asset. The fair value of equity swaps is generally categorised in 
Level 2 of the fair value hierarchy.
Warrants
Warrants that are listed on major securities exchanges are valued at their 
last reported sales price as of the valuation date. The fair value of over-the-
counter (“OTC”) warrants is determined using the Black-Scholes option 
pricing model, a valuation technique that follows the income approach. This 
pricing model takes into account the contract terms (including maturity) as 
well as multiple inputs, including time value, implied volatility, equity prices, 
interest rates and currency rates. Warrants are categorised in all levels of 
the fair value hierarchy.
Fair value – valuation processes
The Company establishes valuation processes and procedures to ensure 
that the valuation techniques are fair and consistent, and valuation inputs are 
supportable. The Company designates the Investment Manager’s Valuation 
Committee to oversee the entire valuation process of the Company’s 
investments. The Valuation Committee comprises various members of the 
Investment Manager, including those separate from the Company’s portfolio 
management and trading functions, and reports to the Board. 
The Valuation Committee is responsible for developing the Company’s 
written valuation processes and procedures, conducting periodic reviews 
of the valuation policies, and evaluating the overall fairness and consistent 
application of the valuation policies.
The Investment Manager’s Valuation Committee meets on a monthly basis 
or more frequently, as needed, to determine the valuations of the 
Company’s Level 3 investments. Valuations determined by the Valuation 
Committee are required to be supported by market data, third-party pricing 
sources, industry-accepted pricing models, counterparty prices or other 
methods they deem to be appropriate, including the use of internal 
proprietary pricing models.
The Company periodically tests its valuations of Level 3 investments by 
performing back-testing. Back-testing involves the comparison of sales 
proceeds of those investments to the most recent fair values reported and, 
if necessary, uses the findings to recalibrate its valuation procedures.
On a regular basis, the Company engages the services of a third-party 
valuation firm, the Independent Valuer, to perform an independent review 
of the valuation of the Company’s Level 3 investments and may adjust its 
valuations based on the recommendations from the Investment Manager’s 
Valuation Committee.
Translation of foreign currency
Assets and liabilities denominated in foreign currencies are translated into 
United States Dollar amounts at the year-end exchange rates. Transactions 
denominated in foreign currencies, including purchases and sales of 
investments, and income and expenses, are translated into United States 
Dollar amounts on the transaction date. Adjustments arising from foreign 
currency transactions are reflected in the statement of operations.
The Company does not isolate that portion of the results of operations 
arising from the effect of changes in foreign exchange rates on investments 
from fluctuations arising from changes in market prices of investments held. 
Such fluctuations are included in net realised and change in unrealised  
gain/(loss) on securities, derivatives and foreign currency transactions in 
the statement of operations.
Reported net realised gain/(loss) from foreign currency transactions arise 
from sales of foreign currencies; currency gains or losses realised between 
the trade and settlement dates on securities transactions; and the 
difference between the amounts of dividends, interest, and foreign 
withholding taxes recorded on the Company’s books and the United States 
Dollar equivalent of the amounts actually received or paid.
Net change in unrealised gain/(loss) from foreign currency translation of 
assets and liabilities arises from changes in the fair values of assets and 
liabilities, other than investments in securities at the end of the period, 
resulting from changes in exchange rates.
Investment transactions and related investment income
Investment transactions are accounted for on a trade date basis. For the 
year ended 31 December 2020, realised gains and losses on investment 
transactions were determined using cost calculated on a first in, first out 
basis. However, with effect from 1 January 2021, realised gains and losses on 
investment transactions have been calculated on a specific identification 
method. The change in accounting policy was made in order to achieve a 
more favorable tax outcome for shareholders. It is impracticable to 
determine the cumulative effect of applying the change in accounting 
policy through retrospective application on prior periods owing to the 
change in Administrator during the year, hence the change was made 
prospectively as of the earliest date practicable, 1 January 2021. Note that, 
following the change, there is no effect on either the Company’s net assets 
as at 31 December 2021 or net increase/(decrease) in net assets resulting 
from operations for the year then ended and the Directors are of the 
opinion that any retrospective application of this change would not be 
material to the prior period reported results. 
Dividends are recorded on the ex-dividend date and interest is recognised 
on the accrual basis. 
Withholding taxes on foreign dividends have been provided for in accordance 
with the Company’s understanding of the applicable country’s rules and rates.
Offsetting of amounts related to certain contracts 
Amounts due from and to brokers are presented on a net basis, by 
counterparty, to the extent the Company has the legal right to offset the 
recognised amounts and intends to settle on a net basis.
The Company has elected not to offset fair value amounts recognised 
for cash collateral receivables and payables against fair value amounts 
recognised for derivative positions executed with the same counterparty 
under the same master netting arrangement. At 31 December 2021, the 
Company had cash collateral receivables of US$12,228,870 (31 December 
2020: US$5,191,837) (see Note 3) with derivative counterparties under the 
same master netting arrangement.
Income taxes
The Company is exempt from taxation in Guernsey and is charged an 
annual exemption fee of £1,200. The Company will only be liable to tax in 
Guernsey in respect of income arising or accruing from a Guernsey source, 
other than from a relevant bank deposit. It is not anticipated that such 
Guernsey source taxable income will arise.
The Company is managed so as not to be resident in the UK for UK tax 
purposes and as a foreign limited partnership for US tax purposes and 
provides full tax reporting for its US shareholders.
The Company recognises tax benefits of uncertain tax positions only where 
the position is more likely than not to be sustained assuming examination by 
a tax authority based on the technical merits of the position. In evaluating 
whether a tax position has met the recognition threshold, the Company must 
presume the position will be examined by the appropriate taxing authority 
and that taxing authority has full knowledge of all relevant information. A tax 
position meeting the more likely than not recognition threshold is measured 
to determine the amount of benefit to recognise in the Company’s financial 
statements. Income tax and related interest and penalties would be 
recognised as a tax expense in the statement of operations if the tax position 
was deemed to meet the more likely than not threshold.
The Investment Manager has analysed the Company’s tax positions and has 
concluded no liability for unrecognised tax benefits should be recorded in 
relation to uncertain tax positions. Further, management is not aware of any 
tax positions for which it is reasonably possible the total amounts of 
unrecognised tax benefits will significantly change in the next twelve months.
Prior to re-domiciliation the Company did not record a provision for US 
federal, state, or local income taxes because the participating members 
reported their share of the Company’s income or loss on their income tax 
returns. The Company files an income tax return in the US federal 
jurisdiction, and may have to file income tax returns in various US states 
and foreign jurisdictions. Generally, the Company was subject to income tax 
examinations by major taxing authorities for the tax period since inception. 
Based on its analysis, the Company determined that it had not incurred any 
liability for unrecognised tax benefits as of 31 December 2021 or 31 
December 2020.
1. Nature of operations and summary of significant accounting 
policies (continued) 
Annual Report and Accounts 2021
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RTW Venture Fund Limited

Notes to the Financial Statements
continued
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Strategic Report
Financial Statements
Additional Information     
Use of estimates
Preparing financial statements in accordance with US GAAP requires management to make estimates and assumptions in determining the reported 
amounts of assets and liabilities, including the fair value of investments, and disclosure of contingent assets and liabilities as of the date of the financial 
statements and the reported amounts of income and expenses during the reporting period. Actual results could differ from those estimates. 
New accounting pronouncements
There were no new accounting pronouncements required to be adopted by the Company during the year.
2. Fair value measurements
The Company’s assets and liabilities recorded at fair value have been categorised based upon a fair value hierarchy as described in the Company’s 
significant accounting policies in Note 1.
The following table presents information about the Company’s assets and liabilities measured at fair value as of 31 December 2021:
Level 1
US$
Level 2
US$
Level 3
US$
Investments 
measured at net 
asset value*
Total
US$
Assets (at fair value)
Investments in securities
Common stocks
249,490,511 
16,001,524
1,943,967
–
267,436,002
Convertible preferred stocks
615,444
–
67,177,270
–
67,792,714
Exchange traded funds
32,097,322
–
–
–
32,097,322
Investment in private
investment companies
–
–
–
23,082,522
23,082,522
American depository receipts
18,047,224
–
–
–
18,047,224
Convertible bonds
–
–
723,723
–
723,723
Total investments in securities
300,250,501
16,001,524
69,844,960
23,082,522
409,179,507
Derivative contracts
Equity swaps
–
7,575,424
–
–
7,575,424
Warrants
6,576
3,267,566
134,008
–
3,408,150
Total derivative contracts
6,576
10,842,990
134,008
–
10,983,574
300,257,077
26,844,514
69,978,968
23,082,522
420,163,081
Liabilities (at fair value)
Securities sold short
Common stocks
8,844,744
–
–
8,844,744
American depository receipts
473,649
–
–
473,649
Total securities sold short
9,318,393
–
–
9,318,393
Derivative contracts
Equity swaps
–
3,310,833
–
3,310,833
Total derivative contracts
–
3,310,833
–
3,310,833
9,318,393
3,310,833
–
12,629,226
*	 The Company’s investment in private investment companies that are valued at their net asset value are not categorized within the fair value hierarchy.
The following table presents information about the Company’s assets and liabilities measured at fair value as of 31 December 2020:
Level 1
US$
Level 2
US$
Level 3
US$
Total
US$
Assets (at fair value)
Investments in securities
Common stocks
307,923,358
34,091,286
9,087,381
351,102,025
Convertible preferred stocks
109,806
–
38,161,752
38,271,558
American depository receipts
1,417,052
–
–
1,417,052
Total investments in securities
309,450,216
34,091,286
47,249,133
390,790,635
Derivative contracts
Warrants
75,917
2,721,084
133,983
2,930,984
Equity swaps
–
1,782,958
–
1,782,958
Total derivative contracts
75,917
4,504,042
133,983
4,713,942
 309,526,133
 38,595,328
 47,383,116
 395,504,577
Liabilities (at fair value)
Securities sold short
Common stocks
6,507,323
 –
 –
 6,507,323
American depository receipts
165,036
–
–
165,036
Total securities sold short
6,672,359
–
–
6,672,359
Derivative contracts
Equity swaps
–
579,782
–
579,782
Total derivative contracts
–
579,782
–
579,782
6,672,359
 579,782
 –
 7,252,141
Transfers between Levels 2 and 3 generally relate to whether significant relevant observable inputs are available for the fair value measurements in their 
entirety. See Note 1 for additional information related to the fair value hierarchy and valuation techniques and inputs. For the year ended 31 December 2021, 
the Company had transfers into Level 2 of US$9,064,760 from Level 3 due to conversion into publicly traded common stocks subject to an unexpired 
180-day lock-up as at 31 December 2021 (2020: US$9,002,481) and transfers into Level 1 of US$20,330,984 from Level 3 due to conversion into publicly 
traded common stocks (2020: US$4,999,996). During the year ended 31 December 2021, US$8,210,689 (2020: US$nil) relating to investment companies 
measured using NAV as a practical expedient and which are not categorized in the fair value hierarchy, was transferred out of Level 3. Transfers between 
levels are deemed to occur at year end.
2. Fair value measurements (continued)
Annual Report and Accounts 2021
90
91
RTW Venture Fund Limited

Notes to the Financial Statements
continued
Governance Report
Strategic Report
Financial Statements
Additional Information     
The following tables summarise the valuation techniques and significant unobservable inputs used for the Company’s investments that are categorised 
within Level 3 of the fair value hierarchy as of 31 December 2021 and 31 December 2020:
Fair value at  
31 December 2021
US$
Valuation  
techniques
Significant  
unobservable inputs
Range  
of inputs
Assets (at fair value)
Investments in securities
Convertible preferred stocks
60,740,530
Discounted cash flow;
WACC
16% – 38%
Market approach; 
Exit revenue multiple
3.0x – 4.0x
and/or option pricing model
Expected volatility
40% – 135%
market up step multiple
1.0x – 1.8x
6,436,740
Price of most recent funding round
n/a
n/a
Common stocks
844,280
market approach;
Expected volatility
60%
and/or option pricing model
market up step multiple
1.1x – 1.7x
1,099,687
Price of most recent funding round
n/a
n/a
Convertible bonds
723,723
Price of most recent funding round
n/a
n/a
Total investments in securities
69,844,960 
Derivative contracts
Warrants
133,983
Price of most recent funding round
n/a
n/a
25
Discounted cash flow;
WACC
38%
Market approach; 
 Exit revenue multiple
3.0x
and/or option pricing model
Expected volatility
45%
Total derivative contracts
134,008
 
Fair value at  
31 December 2020 
US$
Valuation  
techniques
Significant  
unobservable inputs
Range  
of inputs
Assets (at fair value)
Investments in securities
Convertible preferred stocks
20,777,728
Price of most recent funding round 
n/a
n/a
17,384,024
Discounted cash flows, option pricing 
model
WACC
28%–42%
Exit revenue multiple 
4x
Expected volatility
50%–80%
Common stocks
8,741,068
Price of most recent funding round
n/a
n/a
346,313
Discounted cash flows, option pricing 
model
Expected volatility
95%
Total investments in securities
47,249,133
Derivative contracts
Warrants
133,983
Price of most recent funding round
n/a
n/a
Total derivative contracts
133,983
The significant unobservable inputs used in the fair value measurements of Level 3 convertible preferred stocks are WACC, exit revenue multiple, and 
expected volatility. Increases in the WACC in isolation would result in a lower fair value for the security, and vice versa. Increases in the exit multiple in 
isolation would result in a higher fair value of the security, and vice versa. A change in volatility in isolation could result in a higher or lower fair value 
for the security.
The table on the following page presents additional information about Level 3 assets and liabilities measured at fair value. Both observable and 
unobservable inputs may be used to determine the fair value of positions that the Company has classified within the Level 3 category. As a result, the 
unrealised gains and losses for assets and liabilities within the Level 3 category may include changes in fair value that were attributable to both observable 
and unobservable inputs
Changes in Level 3 assets and liabilities measured at fair value for the year ended 31 December 2021 were as follows:
Balance 
beginning 
1 January 2021
US$
Realised gains/ 
(losses)
(a)
US$
Change in 
Unrealised  
gains/(losses)
(a) 
US$
Purchases
US$
Sales 
US$
Transfers into/
(from) Level 3*  
US$
Ending  
balance 31 
December 2021  
US$
Assets (at fair value)
Investments in securities
Convertible preferred stocks
38,161,752
1,440,394
13,226,721
46,075,180
(2,331,033)
(29,395,744)
67,177,270
Common stocks
9,087,381
–
502,587
564,688
–
(8,210,689)
1,943,967
Convertible bonds
–
–
–
723,723
–
–
723,723
Total investments in securities
 47,249,133
1,440,394
13,729,308
47,363,591
(2,331,033)
(37,606,433)
69,844,960
Derivative contracts
Warrants
133,983
–
1
24
–
–
134,008
Total derivative contracts
133,983
 –
1
24
–
–
134,008
* Conversions of preferred stock into common stock.
Changes in Level 3 assets and liabilities measured at fair value for the year ended 31 December 2020 were as follows:
Balance 
beginning 
1 January 2020
US$
Realised gains/ 
(losses)
(a)
US$
Change in 
Unrealised  
gains/(losses)
(a) 
US$
Purchases
US$
Sales 
US$
Transfers into/
(from) Level 3*  
US$
Ending  
balance 31 
December 2020  
US$
Assets (at fair value)
Investments in securities
Convertible preferred stocks
26,064,551
–
 (640,023)
 28,972,718
 (3,000,004)
 (13,235,490)
 38,161,752
Convertible notes
–
–
–
762,640
–
(762,640)
–
Common stocks
–
–
125,210
8,966,519
–
(4,348)
9,087,381
Total investments in securities
 26,064,551
–
 (514,813)
 38,701,877
 (3,000,004)
 (14,002,478)
 47,249,133
Derivative contracts
Warrants
–
–
–
133,983
–
–
133,983
Total derivative contracts
–
–
–
 133,983
–
–
133,983
*	 Conversions of preferred stock and convertible notes into common stock.
(a)	Realised and unrealised gains and losses are included in net realised and change in unrealised gain/(loss) on investments, derivatives and foreign currency transactions in the statement of operations.
Changes in Level 3 unrealised gains and losses during the year for assets still held at year end were as follows:
2021
US$
2020
US$
Convertible preferred stocks
12,873,757
(640,023)
Common stocks
497,966
125,210
Change in unrealised gains and losses during the year for assets still held at year end
13,371,723
(514,813)
Total realised gains and losses and unrealised gains and losses in the Company’s investment in securities, derivative contracts and securities sold short are made up of the following gain and loss elements:
2021
US$
2020
US$
Realised gains
54,163,408
17,159,030
Realised losses
(14,532,072)
(11,702,288)
Net realised gain on securities, derivative contracts and securities sold short
39,631,336
5,456,742
2021
US$
2020
US$
Change in unrealised gains
106,379,343
218,626,449
Change in unrealised losses
(202,558,485)
(58,476,609)
Net change in unrealised gain/(loss) on securities, derivative contracts and securities sold short
(96,179,142)
160,149,840
As at 31 December 2021, the Company had commitments (subject to completion of certain parameters) to certain of its investments totaling US$2,358,325.
2. Fair value measurements (continued)
Annual Report and Accounts 2021
92
93
RTW Venture Fund Limited

Notes to the Financial Statements
continued
Governance Report
Strategic Report
Financial Statements
Additional Information     
3. Due to/from brokers
Due to/from brokers includes cash balances held with brokers and collateral on derivative transactions. Amounts due from brokers may be restricted to 
the extent that they serve as deposits for securities sold short or cash posted as collateral for derivative contracts. 
At 31 December 2021, amounts included within due from brokers of US$95,095 (31 December 2020: US$14,841,134) can be used for investment. The 
Company pledged cash collateral to counterparties to over-the-counter derivative contracts of US$12,228,870 (31 December 2020: US$5,191,837) which 
is included in due from brokers.
In the normal course of business, substantially all of the Company’s securities transactions, money balances, and security positions are transacted with the 
Company’s prime brokers, Goldman Sachs & Co. LLC, Cowen Financial Products, LLC, UBS AG, Bank of America Merrill Lynch, Morgan Stanley & Co. LLC, 
Jeffries & Co. and J.P. Morgan Securities, LLC. The Company is subject to credit risk to the extent any broker with which it conducts business is unable to 
fulfil contractual obligations on its behalf. The Company’s management monitors the financial condition of such brokers and does not anticipate any losses 
from these counterparties.
4. Derivative contracts
In the normal course of business, the Company utilizes derivative contracts in connection with its proprietary trading activities. Investments in derivative 
contracts are subject to additional risks that can result in a loss of all or part of an investment. The Company’s derivative activities and exposure to 
derivative contracts are classified by the primary underlying risk, equity price risk and foreign currency exchange rate risk. In addition to its primary 
underlying risk, the Company is also subject to additional counterparty risk due to the inability of its counterparties to meet the terms of their contracts.
Warrants
The Company may receive warrants from its portfolio companies upon an investment in the debt or equity of a portfolio company. The warrants provide 
the Company with exposure and potential gains upon equity appreciation of the portfolio company’s share price.
The value of a warrant has two components: time value and intrinsic value. A warrant has a limited life and expires on a certain date. As time to the 
expiration date of a warrant approaches, the time value of a warrant will decline. In addition, if the stock underlying the warrant declines in price, the intrinsic 
value of an “in the money” warrant will decline. Further, if the price of the stock underlying the warrant does not exceed the strike price of the warrant on 
the expiration date, the warrant will expire worthless. As a result, there is the potential for the Company to lose its entire investment in a warrant.
The Company is exposed to counterparty risk from the potential failure of an issuer of warrants to settle its exercised warrants. The maximum risk of loss 
from counterparty risk to the Company is the fair value of the contracts and the purchase price of the warrants. The Company considers the effects of 
counterparty risk when determining the fair value of its investments in warrants.
Equity swap contracts
The Company is subject to equity price risk in the normal course of pursuing its investment objectives. The Company may enter into equity swap contracts 
either to manage its exposure to the market or certain sectors of the market, or to create exposure to certain equities to which it is otherwise not exposed.
Equity swap contracts involve the exchange by the Company and a counterparty of their respective commitments to pay or receive a net amount based 
on the change in the fair value of a particular security or index and a specified notional amount.
Volume of derivative activities
The Company considers the average month-end notional amounts during the year, categorised by primary underlying risk, to be representative of the 
volume of its derivative activities during the year ended 31 December 2021:
Primary underlying risk
31 December 2021 
31 December 2020
Long exposure
Short exposure
Long exposure
Short exposure
Notional 
amounts US$
Notional 
amounts US$
Notional 
amounts US$
Notional 
amounts US$
Equity price
Equity swaps
2,347,607
–
5,756,513
7,117,933
Warrants(a)
9,031,998
66,149,127
1,487,443
–
11,379,605
66,149,127
7,243,956
7,117,933
(a) Notional amounts presented for warrants are based on the fair value of the underlying shares as if the warrants were exercised at each respective month end date.
Impact of derivatives on the statement of assets and liabilities and statement of operations 
The following tables identify the fair value amounts of derivative instruments included in the statement of assets and liabilities as derivative contracts, 
categorised by primary underlying risk, at 31 December 2021 and 31 December 2020. The following table also identifies the gain and loss amounts included 
in the statement of operations as net realised gain/(loss) on derivative contracts and net change in unrealised gain/(loss) on derivative contracts, 
categorised by primary underlying risk, for the year ended 31 December 2021 and 31 December 2020.
4. Derivative contracts (continued)
Primary underlying risk
31 December 2021
Derivative assets
US$
Derivative 
liabilities
US$
Realised gain/
(loss)
US$
Change in 
unrealised gain/
(loss)
US$
Equity price
Equity swaps
7,575,424
3,310,833
(1,651,404)
3,061,415
Warrants
3,408,150
–
2,443
(125,397)
10,983,574
3,310,833
(1,648,961)
2,936,018
Primary underlying risk
31 December 2020 
Derivative assets
US$
Derivative 
liabilities
US$
Realised gain/
(loss)
US$
Change in 
unrealised gain/
(loss)
US$
Equity price
Equity swaps
1,782,958
579,782
–
1,185,485
Warrants
2,930,984
–
(2,880,680)
(45,635)
4,713,942
579,782
(2,888,680)
1,139,850
5. Securities lending agreements
The Company has entered into securities lending agreements with its prime brokers. From time to time, the prime brokers lend securities on the Company’s 
behalf. As of 31 December 2021 and 31 December 2020, no securities were loaned and no collateral was received.
6. Offsetting assets and liabilities 
The Company is required to disclose the impact of offsetting assets and liabilities represented in the statement of assets and liabilities to enable users of 
the financial statements to evaluate the effect or potential effect of netting arrangements on its financial position for recognised assets and liabilities. These 
recognised assets and liabilities are financial instruments and derivative instruments that are either subject to an enforceable master netting arrangement or 
similar agreement or meet the following right of setoff criteria: the amounts owed by the Company to another party are determinable, the Company has the 
right to offset the amounts owed with the amounts owed by the other party, the Company intends to offset and the Company’s right of setoff are 
enforceable by law.
As of 31 December 2021 and 31 December 2020, the Company held financial instruments and derivative instruments that were eligible for offset in the 
statement of assets and liabilities and are subject to a master netting arrangement. The master netting arrangement allows the counterparty to net 
applicable collateral held on behalf of the Company against applicable liabilities or payment obligations of the Company to the counterparty. These 
arrangements also allow the counterparty to net any of its applicable liabilities or payment obligations they have to the Company against any collateral 
sent to the Company.
As discussed in Note 1, the Company has elected not to offset assets and liabilities in the statement of assets and liabilities. The following table presents 
the potential effect of netting arrangements for asset derivative contracts presented in the statement of assets and liabilities:
Description
Gross amounts 
of recognised 
assets
Gross amounts 
offset in the 
statement of 
assets and 
liabilities
Gross amounts 
of recognised 
assets and 
liabilities
31 December 2021
Gross amounts not offset in the 
statement of assets and liabilities
Net amount
Financial 
instruments(a) 
Cash collateral 
received(b) 
Equity swaps
Cowen Financial Products, LLC
5,777,357
–
5,777,357
(1,532,754)
–
4,244,603
Bank of America Merrill Lynch
1,396,737
–
1,396,737
(1,190,091)
–
206,646
Morgan Stanley & Co. LLC
306,560
–
306,560
(77,393)
–
229,167
Jeffries & Co.
78,710
–
78,710
(78,710)
–
–
UBS AG
16,060
–
16,060
(16,060)
–
–
7,575,424
–
7,575,424
(2,895,008)
–
4,680,416
Annual Report and Accounts 2021
94
95
RTW Venture Fund Limited

Notes to the Financial Statements
continued
Governance Report
Strategic Report
Financial Statements
Additional Information     
Description
Gross amounts 
of recognised 
assets
Gross amounts 
offset in the 
statement of 
assets and 
liabilities
Gross 
amounts of
recognised
 assets and 
liabilities
31 December 2020
Gross amounts not offset in the 
statement of assets and liabilities
Net amount
Financial 
instruments
(a) 
Cash collateral 
received
(b) 
Equity swaps
Cowen Financial Products, LLC
1,487,760
–
1,487,760
(296,372)
–
1,191,388
UBS AG
323,371
–
323,371
(60,876)
–
262,495
Bank of America Merrill Lynch
32,659
–
32,659
(32,659)
–
–
1,843,790
1,843,790
(389,907)
–
1,453,883
(a)	Amounts related to master netting agreements (e.g. ISDA), determined by the Company to be legally enforceable in the event of default and if certain other criteria are met in accordance with applicable 
offsetting accounting guidance but were not offset due to management’s accounting policy election.
(b)	Amounts related to master netting agreements and collateral agreements determined by the Company to be legally enforceable in the event of default, but certain other criteria are not met in accordance 
with applicable offsetting accounting guidance. The collateral amounts may exceed the related net amounts of financial assets and liabilities presented in the statement of assets and liabilities. If this is the 
case, the total amount reported is limited to the net amounts of financial assets and liabilities with that counterparty.
The following tables present the potential effect of netting arrangements for liability derivative contracts presented in the statement of assets and liabilities 
as of 31 December 2021 and 31 December 2020:
Description
Gross amounts 
of recognised 
liabilities
Gross amounts 
offset in the 
statement of 
assets and 
liabilities
Gross amounts 
of recognised 
liabilities
31 December 2021
Gross amounts not offset in the 
statement of assets and liabilities
Net amount
Financial 
instruments(a) 
Cash collateral 
pledged(b) 
Equity swaps
Cowen Financial Products, LLC
1,532,754
–
1,532,754
(1,532,754)
–
–
Bank of America Merrill Lynch
1,190,091
–
1,190,091
(1,190,091)
–
–
Jeffries & Co.
406,977
–
406,977
(78,710)
(328,267)
–
UBS AG
103,618
–
103,618
(16,060)
(87,558)
–
Morgan Stanley & Co. LLC
77,393
–
77,393
(77,393)
–
–
3,310,833
–
3,310,833
(2,895,008)
(415,825)
–
Description
Gross amounts 
of recognised 
liabilities
Gross amounts 
offset in the 
statement of 
assets and 
liabilities
Gross amounts 
of recognised 
liabilities
31 December 2020
Gross amounts not offset in the 
statement of assets and liabilities
Net amount
Financial 
instruments
(a) 
Cash collateral 
pledged
(b) 
Equity swaps
Cowen Financial Products, LLC
296,372
–
296,372
(296,372)
–
–
UBS AG
60,876
–
60,876
(60,876)
–
–
Bank of America Merrill Lynch
284,370
–
284,370
(32,659)
–
251,711
641,618
–
641,618
(389,907)
–
251,711
(a) Amounts related to master netting agreements (e.g. ISDA), determined by the Company to be legally enforceable in the event of default and if certain other criteria are met in accordance with applicable 
offsetting accounting guidance but were not offset due to management’s accounting policy election.
(b) Amounts related to master netting agreements and collateral agreements determined by the Company to be legally enforceable in the event of default, but certain other criteria are not met in accordance 
with applicable offsetting accounting guidance. The collateral amounts may exceed the related net amounts of financial assets and liabilities presented in the statement of assets and liabilities. If this is the 
case, the total amount reported is limited to the net amounts of financial assets and liabilities with that counterparty.
7. Securities sold short
The Company is subject to certain inherent risks arising from its investing activities of selling securities short. The ultimate cost to the Company to acquire 
these securities may exceed the liability reflected in these financial statements.
8. Risk factors
Some underlying investments may be deemed to be a highly speculative 
investment and are not intended as a complete investment program. The 
Company is designed only for sophisticated persons who are able to bear 
the economic risk of the loss of their entire investment in the Company and 
who have a limited need for liquidity in their investment. The following risks 
are applicable to the Company:
Market risk
Certain events particular to each market in which Portfolio Companies 
conduct operations, as well as general economic and political conditions, 
may have a significant negative impact on the operations and profitability 
of the Company’s investments and/or on the fair value of the Company’s 
investments. Such events are beyond the Company’s control, and the 
likelihood they may occur and the effect on the Company cannot be 
predicted. The Company intends to mitigate market risk generally by 
investing in LifeSci Companies in various geographies.
Portfolio Company products are subject to regulatory approvals and actions 
with new drugs, medical devices and procedures being subject to extensive 
regulatory scrutiny before approval, and approvals can be revoked.
The market value of the Company’s holdings in public Portfolio Companies 
could be affected by a number of factors, including, but not limited to; a 
change in sentiment in the market regarding the public Portfolio Companies, 
the market’s appetite for specific asset classes, and the financial or 
operational performance of the public Portfolio Companies.
The size of investments in public Portfolio Companies or involvement in 
management may trigger restrictions on buying or selling securities. Laws 
and regulations relating to takeovers and inside information may restrict the 
ability of the Company to carry out transactions, or there may be delays or 
disclosure requirements before transactions can be completed.
Equity prices and returns from investing in equity markets are sensitive to 
various factors, including but not limited to; expectations of future dividends 
and profits, economic growth, exchange rates, interest rates, and inflation.
Biotech/healthcare companies
The Portfolio Companies are biotechnology companies. Biotech companies 
are generally subject to greater governmental regulation than other 
industries at both the state and federal levels. Changes in governmental 
policies may have a material effect on the demand for or costs of certain 
products and services. 
Any failure by a Portfolio Company to develop new technologies or to 
accurately evaluate the technical or commercial prospects of new 
technologies could result in it failing to achieve a growth in value and this 
could have a material adverse effect on the Company’s financial condition. 
Portfolio Companies may not successfully translate promising scientific 
theory into a commercially viable business opportunity. Further, the 
Companies’ therapies in development may fail clinical trials and therefore 
no longer be viable.
Portfolio Company products are subject to intense competition and 
there are many factors that will affect whether the new therapies released 
by the Portfolio Companies gain market share against competitors and 
existing therapies.
Portfolio Companies may be newer small and mid-size LifeSci Companies. 
These companies may be more volatile and have less experience and fewer 
resources than more established companies.
Concentration risk
The Company may not make an investment or a series of investments in 
a Portfolio Company that result in the Company’s aggregate investment 
in such Portfolio Company exceeding 15 per cent. of the Company’s gross 
assets, save for Rocket for which the limit will be 25 per cent. as stated in 
the Company’s prospectus. Each of these investment restrictions will be 
calculated as at the time of investment. As such, it is possible that the 
Company’s portfolio may be concentrated at any given point in time, 
potentially with more than 15 per cent. of gross assets held in one Portfolio 
Company as Portfolio Companies increase or decrease in value following 
such initial investment. The Company’s portfolio of investments may also 
lack diversification among LifeSci Companies and related investments. 
Concentration of credit risk
In the normal course of business, the Company maintains its cash balances 
in financial institutions, which at times may exceed US federal or UK insured 
limits, as applicable. The Company is subject to credit risk to the extent any 
financial institution with which it conducts business is unable to fulfil 
contractual obligations on its behalf. Management monitors the financial 
condition of such financial institutions and does not anticipate any losses 
from these counterparties.
Counterparty risk
The Company invests in equity swaps and takes the risk of non-
performance by the other party to the contract. This risk may include credit 
risk of the counterparty, the risk of settlement default, and generally, the risk 
of the inability of counterparties to perform with respect to transactions, 
whether due to insolvency, bankruptcy or other causes.
In an effort to mitigate such risks, the Company will attempt to limit its 
transactions to counterparties which are established, well capitalised 
and creditworthy.
Liquidity risk
Liquidity risk is the risk that the Company cannot meet its financial 
commitments as they fall due. The Company’s unquoted investments may 
have limited or no secondary market liquidity so the Investment Manager 
maintains a sufficient balance of cash and market quoted securities which 
can be sold if needed to meet its commitments.
The Company’s investments in quoted securities may also be subject to 
sale restrictions on listing and when the Investment Manager is subject to 
close periods or privy to confidential information by virtue of their active 
involvement in the management of portfolio companies.
Derivative transactions may not be liquid in all circumstances, such that in 
volatile markets it may not be possible to close out a position without 
incurring a loss. The illiquidity of the derivatives markets may be due to 
various factors, including congestion, disorderly markets, limitations on 
deliverable supplies, the participation of speculators, government regulation 
and intervention, and technical and operational or system failures.
Foreign exchange risk
The Company will make investments in various jurisdictions in a number of 
currencies and will be exposed to the risk of currency fluctuations that may 
materially adversely affect, amongst other things, the value of the Portfolio 
Company or the Company’s investment in such Portfolio Company, or any 
distributions received from the Portfolio Company. Under its investment 
policy, the Company does not intend to enter into any securities or 
financially engineered products designed to hedge portfolio exposure 
or mitigate portfolio risk as a core part of its investment strategy.
6. Offsetting assets and liabilities (continued)
Annual Report and Accounts 2021
96
97
RTW Venture Fund Limited

Notes to the Financial Statements
continued
Governance Report
Strategic Report
Financial Statements
Additional Information     
9. Share capital
During the year the Company issued 20,873,403 Ordinary Shares, as follows:
2021
2020 
Number of 
Ordinary Shares
Number of 
Ordinary Shares
As at 1 January
191,515,735
161,544,695
Issuance of Ordinary Shares
20,873,403
29,971,040
As at 31 December
212,389,138
191,515,735
Ordinary Shares carry the right to receive all income of the Company 
attributable to the Ordinary Shares and to participate in any distribution 
of such income made by the Company. Such income shall be divided pari 
passu among the holders of Ordinary Shares in proportion to the number 
of Ordinary Shares held by them.
Ordinary Shares shall carry the right to receive notice of and attend and vote 
at any general meeting of the Company, and at any such meeting on a 
show of hands, every holder of Ordinary Shares present in person (includes 
present by attorney or by proxy or, in the case of a corporate member, by 
duly authorised corporate representative) and entitled to vote shall have one 
vote, and on a poll, subject to any special voting powers or restrictions, 
every holder of Ordinary Shares present in person or by proxy shall be 
entitled to one vote for each Ordinary Share, or fraction of an Ordinary 
Share, held. 
The Performance Allocation Amount will be allocated to the Performance 
Allocation Share Class Fund. All Performance Allocation Shares are held by 
RTW Venture Performance, LLC. As at 31 December 2021, there is one 
Performance Allocation Share in issue (31 December 2020: one).
Performance Allocation Shares shall carry the right to receive, and participate 
in, any dividends or other distributions of the Company available for dividend 
or distribution. Performance Allocation Shares shall not be entitled to receive 
notice of, to attend or to vote at general meetings of the Company.
Management Shares shall not be entitled to receive, and participate in, any 
dividends or other distributions of the Company available for dividend or 
distribution. Management Shares shall be entitled to receive notice of, to 
attend or to vote at general meetings of the Company. Upon admission the 
Management shares of the Company were compulsorily redeemed by the 
Directors for nil consideration. 
For all share classes, subject to compliance with the solvency test set out in 
the Companies Law, the Board may declare and pay such annual or interim 
dividends and distributions as appear to be justified by the position of the 
Company. The Board may, in relation to any dividend or distribution, direct 
that the dividend or distribution shall be satisfied wholly or partly by the 
distribution of assets, and in particular of paid up shares or reserves of any 
nature as approved by the Company. 
10. Related party transactions
Management Fee
The Investment Manager receives a monthly management fee, in advance, 
as of the beginning of each month in an amount equal to 0.104% (1.25% per 
annum) of the net assets of the Company (the “Management Fee”). For 
purposes of determining the Management Fee, private investments will be 
valued at the fair value. The Management Fee will be prorated for any period 
that is less than a full month. The Management Fees charged for the year 
amounted to US$4,813,854 (31 December 2020: US$2,912,850) of which 
US$nil (31 December 2020: US$nil) was outstanding at the year end.
Performance Allocation
The Articles provide that in respect of each Performance Allocation Period, 
the Performance Allocation Amount shall be allocated to the Performance 
Allocation Share Class Fund, subject to the satisfaction of a hurdle condition. 
The Performance Allocation Amount relating to the Performance Allocation 
Period is an amount equal to:
((A-B) x C) x 20 per cent.
where:
A 	is the Adjusted Net Asset Value per Ordinary Share on the Calculation 
Date, adjusted by:
	 adding back (i) the total net Distributions (if any) per Ordinary Share 
(whether paid, or declared but not yet paid) during the Performance 
Allocation Period; and (ii) any accrual for the Performance Allocation for 
the current Performance Allocation Period reflected in the Net Asset 
Value per Ordinary Share; and deducting any accretion in the Net Asset 
Value per Ordinary Share resulting from either the issuance of Ordinary 
Shares at a premium or the repurchase or redemption of Ordinary Shares 
at a discount during the Performance Allocation Period;
B 	is the Adjusted Net Asset Value per Ordinary Share at the start of the 
Performance Allocation Period; and
C 	is the time weighted average number of Ordinary Shares in issue during 
the Performance Allocation Period.
The Hurdle Amount represents an 8 per cent. annualised compounded rate 
of return in respect of the Adjusted Net Asset Value per Ordinary Share from 
the start of the initial Performance Allocation Period through the then 
current Performance Allocation Period.
The Performance Allocation Share Class Fund can elect to receive the 
Performance Allocation Amount in Ordinary Shares; cash; or a mixture of the 
two, subject to a minimum 50% as Ordinary Shares. The Performance 
Allocation Share Class Fund entered into a letter agreement dated 21 April 
2020, pursuant to which the Performance Allocation Share Class Fund agreed 
to defer distributions of the Company’s Ordinary Shares that would otherwise 
be distributed to the Performance Allocation Share Class Fund no later than 
30 business days after the publication of the Company’s audited annual 
financial statements. Under that letter agreement, such Ordinary Shares shall 
be distributed to the Performance Allocation Share Class Fund at such time 
or times as determined by the Board of Directors of the Company.
Notes to the Financial Statements
continued
The Company will increase or decrease the amount owed to the Performance Allocation Share Class Fund based on its investment exposure to the 
Company’s performance had such Performance Ordinary Shares been so issued. The Performance Allocation Amount for the year ended 31 December 
2021 includes the residual, undistributed Performance Allocation Amounts from prior years that were previously converted into a total of 14,228,208 Notional 
Ordinary Shares. These Notional Ordinary Shares are subject to market risk alongside the Ordinary Shares and incurred a mark-to-market loss of 
US$3,559,670 in 2021. Additionally, there was a reallocation of the uncrystallized performance allocation back to Ordinary Shareholders of US$4,475,709 
related to the Company’s performance in the year. Together with the Notional Ordinary Shares mark-to-market loss of US$3,559,670, the total period to 
date performance allocation reversal is US$8,035,379, which is incorporated into the value of the 31 December 2021 Performance Allocation balance of 
US$24,320,504.
Until the Company makes a distribution of Ordinary Shares to the Performance Allocation Share Class Fund, the Company will have an unsecured 
discretionary obligation to make such distribution at such time or times as the Board of Directors of the Company determines. RTW Venture Performance, 
LLC has agreed to the deferral of the distributions of the Company’s Ordinary Shares in connection with its own tax planning. The Company does not 
believe that the deferral of such distributions to the Performance Allocation Share Class Fund will have any negative effects on holders of the Company’s 
Ordinary Shares.
The Investment Manager is a member of the Performance Allocation Share Class Fund, and will therefore receive a proportion of the Performance 
Allocation Amount. In May 2021, the Board approved a cash distribution of US$4,974,920 to the Performance Allocation Share Class Fund (31 December 
2020: US$4,147,980). At the year end the Performance Allocation was US$24,320,504 (31 December 2020: US$37,330,803).
The Investment Manager is also refunded any research costs incurred on behalf of the Company.
One of the Directors of the Company, Stephanie Sirota, is also a partner and the Chief Business Officer of the Investment Manager. The following table 
represents the number of related parties who served on the board of directors of investments held by the Company during the year ended 31 December 
2021 and 31 December 2020:
Investments
Partners
Employees
Rocket
Two(a)
One
HSAC2 Holdings II
Two(a)
One
Ji Xing
One(b)
One
RTW Royalty (#1)
–
One
RTW Royalty (#2)
–
One
Yarrow Biotechnology
One(b)
One
(a) Roderick Wong, Naveen Yalamanchi
(b) Roderick Wong.
As at 31 December 2021, the number of Ordinary Shares held by each Director was as follows:
2021
2020
Number of 
Ordinary Shares
Number of 
Ordinary Shares
William Simpson
150,000
100,000
Paul Le Page
103,000
103,000
William Scott
150,000
100,000
Stephanie Sirota
1,000,000
763,004
William Simpson added to his holding during the year by purchasing 50,000 Ordinary Shares in the Company’s share issuance programme at a premium 
to NAV. Stephanie Sirota added to her holding during the year by purchasing 236,996 Ordinary Shares in the Company’s share issuance programme at a 
premium to NAV. William Scott added to his holding during the year by purchasing 50,000 Ordinary Shares in the Company’s share issuance programme 
at a premium to NAV.
Roderick Wong is a major shareholder and also a member of the Investment Manager. As at 31 December 2021, he held 29,218,773 (13.76% of the Ordinary 
Shares in issue) (31 December 2020: 27,286,368, 14.25% of the Ordinary Shares in issue) Ordinary Shares in the Company. 
The total Directors’ fees expense for the year amounted to US$214,353 (31 December 2020: US$220,875) of which US$52,761 was outstanding at 
31 December 2021 (31 December 2020: US$53,136), included within accrued expenses.
11. Administrative services 
On 1 February 2021, Elysium Fund Management Limited (“EFML”) was appointed as Administrator, taking over the administration, corporate secretarial, 
corporate governance and compliance services from Ocorian Administration (Guernsey) Limited (“OAGL”). Further, from 1 February 2021 Morgan Stanley 
Fund Services USA LLC (“MSFS”) was appointed to serve as the Company’s Sub-Administrator. 
During the year EFML and MSFS charged administration fees of US$107,767 and US$223,067 respectively (2020: OAGL charged US$233,459) of which 
US$8,396 and US$76,053 (2020: US$51,947 was outstanding to OAGL) was outstanding at 31 December 2021, and is included within accrued expenses. 
Annual Report and Accounts 2021
98
99
RTW Venture Fund Limited
Annual Report and Accounts 2021
99
RTW Venture Fund limited

Notes to the Financial Statements
continued
Governance Report
Strategic Report
Financial Statements
Additional information 
12. Financial highlights
Financial highlights for the year ended 31 December 2021 and 31 December 2020 are as follows:
 2021
2020
Per Ordinary Share operating performance
Net Asset Value, beginning of year
US$ 1.96
US$ 1.27
Issuance of Ordinary Shares
0.02
0.02
Income from investments
Net investment income/(loss)
(0.04)
(0.03)
Net realised and unrealised gain/(loss) on investments, derivatives and foreign currency transactions
(0.23)
0.70
Total from investment operations
(0.27)
0.67
Net Asset Value, end of year
US$ 1.71 
US$ 1.96 
Total return
Total return before Performance Allocation
(15.35)%
62.35%
Performance Allocation
2.58%
(8.46)%
Total return after Performance Allocation
(12.77)%
 53.89%
Ratios to average net assets*
Expenses
2.22%
2.11%
Performance Allocation
(2.11)%
13.56%
Expenses and Performance Allocation
0.11%
15.67%
Net investment income/(loss)
(2.04)%
(2.05)%
NAV total return for the year
(15.35)%
62.35%
* The Company’s annualised ongoing charges ratio is 1.78%, calculated in accordance with the AIC recommended methodology, which excludes non-recurring costs and uses the average NAV in its calculation.
Financial highlights are calculated for Ordinary Shares. An individual shareholder’s financial highlights may vary based on participation in new issues, 
different Performance Allocation arrangements, and the timing of capital share transactions. Net investment income/loss does not reflect the effects of the 
Performance Allocation.
13. Subsequent events
On 6 January 2022, CinCor announced pricing of its US$193.6 million IPO, by offering 12.1 million shares at US$16.00 per share. The shares began trading on 
Nasdaq Global Market on 7 January 2022 under ticker “CINC”. 
These financial statements were approved by the Board of Directors and available for issuance on 30 March 2022. Subsequent events have been evaluated 
through this date. 
The Company
RTW Venture Fund Limited is a company that was incorporated as a limited 
liability corporation in the State of Delaware, United States of America on 16 
February 2017, with the name “RTW Special Purpose Fund I, LLC”, and 
re-domiciled into Guernsey under the Companies Law on 2 October 2019 
with registration number 66847 on the Guernsey Register of Companies.
The Company is registered with the Guernsey Financial Services 
Commission (“GFSC”) as a Registered Closed-ended Collective Investment 
Scheme and is an investment company limited by shares. The registered 
office of the Company is 1st Floor, Royal Chambers, St Julian’s Avenue, St 
Peter Port, Guernsey, GY1 3JX.
On 30 October 2019, the issued Ordinary Shares of the Company were 
listed and admitted to trading on the Specialist Fund Segment of the Main 
Market of the London Stock Exchange. The ISIN of the Company’s ordinary 
shares is GG00BKTRRM22 and trades under the ticker symbol “RTW”.
The Company’s Ordinary Shares were admitted to trading on the Premium 
Segment of the London Stock Exchange with effect from 6 August 2021.
Investment Objective
The Company seeks to achieve positive absolute performance and superior 
long-term capital appreciation, with a focus on forming, building, and 
supporting world-class life sciences, biopharmaceutical and medical 
technology companies. It intends to create a diversified portfolio of 
investments across a range of businesses, each pursuing the development 
of superior pharmacological or medical therapeutic assets to enhance the 
quality of life and/or extend patient life. 
Investment Policy
The Company seeks to achieve its investment objective by leveraging 
RTW Investments, LP’s (the “Investment Manager”) data-driven proprietary 
pipeline of innovative assets to invest in LifeSci Companies: 
	
– across various geographies (globally);
	
– across various therapeutic categories and product types (including but 
not limited to genetic medicines, biologics, traditional modalities such as 
small molecule pharmaceuticals and antibodies, and medical devices);
	
– in both a passive and active capacity and intends, from time to time, to 
take a controlling or majority position with active involvement in a Portfolio 
Company to assist and influence its management. In those situations, it is 
expected that the Investment Manager’s senior executives may serve in 
temporary executive capacities; and
	
– by participation in opportunities created by the Investment Manager’s 
formation of companies de novo when a significant unmet need has 
been identified and the Company is able to build a differentiated, 
sustainable business to address said unmet need.
The Company expects to invest approximately 80 per cent. of its gross 
assets in the investments to be made in the biopharmaceutical sector and 
approximately 20 per cent. of its gross assets in the investments to be 
made in the medical technology sector. 
The Company’s portfolio will reflect its view of the most compelling 
opportunities available to the Investment Manager, with an initial investment 
in each privately held Portfolio Company (“Private Portfolio Company”) 
expected to start in a low single digit per cent. of the Company’s gross 
assets and grow over time, as the Company may, if applicable, participate in 
follow-on investments and/or continue holding the Portfolio Company as it 
becomes publicly-traded. It is intended certain long-term holds will increase 
in size and may represent between five and ten per cent. or greater of the 
Company’s gross assets. 
The Company anticipates deploying one-third of its capital toward early-stage 
and de novo company formations (including newly formed entities around 
early-stage academic licenses and commercial stage corporate assets) and 
two-thirds of its capital in mid- to late-stage ventures. 
The Company may choose to invest in Portfolio Companies listed on a 
public stock exchange (“Public Portfolio Companies”) depending on 
market conditions and the availability of appropriate investment 
opportunities. Equally, as part of a full-life cycle investment approach, it is 
expected that Private Portfolio Companies may later become Public 
Portfolio Companies. Monetisation events such as IPOs and reverse 
mergers will not necessarily represent exit opportunities for the Company. 
Rather, the Company may decide to retain all or some of its investment in 
such Portfolio Companies where they continue to meet the standard of 
diligence set by the Investment Manager. The Company is not required to 
allocate a specific percentage of its assets to Private Portfolio Companies 
or Public Portfolio Companies. 
The Company also intends, where appropriate, to invest further in its Portfolio 
Companies, supporting existing investments throughout their lifecycle. The 
Company may divest its interest in Portfolio Companies in part or in full 
when the risk–reward trade-off is deemed to be less favourable. 
From time to time, the Company may seek opportunities to optimise investing 
conditions, and to allow for such circumstances, the Company will have the 
ability to hedge or enter into securities or derivative structures in order to 
enhance the risk-reward position of the portfolio and its underlying securities. 
Investment restrictions 
The Company will be subject to the following restrictions when making 
investments in accordance with its investment policy: 
	
– the Company may not make an investment or a series of investments in 
a Portfolio Company that result in the Company’s aggregate investment 
in such Portfolio Company exceeding 15 per cent. (or, in the case of Rocket 
Pharmaceuticals, Inc., 25 per cent.) of the Company’s gross assets at the 
time of each such investment; 
	
– the Company may not make any direct investment in any tobacco 
company and not knowingly make or continue to hold any Public Portfolio 
Company investments that would result in exposure to tobacco 
companies exceeding one per cent. of the aggregate value of the Public 
Portfolio Companies from time to time. 
Each of these investment restrictions will be calculated as at the time of 
investment. In the event that any of the above limits are breached at any 
point after the relevant investment has been made (for instance, upon 
successful realisation of economic and/or scientific milestones or as a result 
of any movements in the value of the Company’s gross assets), there will 
be no requirement to sell or otherwise dispose of any investment (in whole 
or in part). 
General company information 
Investment Objective and Investment Policy
Governance Report
Strategic Report
Financial Statements
Additional Information 
101
Annual Report and Accounts 2021
100
RTW Venture Fund Limited
100

Leverage and borrowing limits 
The Company will have no leverage as at the date of Admission but may 
use conservative leverage in the future in order to enhance returns and 
maximise the growth of its portfolio, as well as for working capital purposes, 
up to a maximum of 50 per cent. of the Company’s net asset value at the 
time of incurrence. Any other decision to incur indebtedness may be taken 
by the Investment Manager for reasons and within such parameters as are 
approved by the Board. There are no limitations placed on indebtedness 
incurred in the Company’s underlying investments. 
Capital deployment 
The Company anticipates that it will initially, upon Admission and upon any 
subsequent capital raises, invest up to 80 per cent. of available cash in 
Public Portfolio Companies that have been diligenced by the Investment 
Manager and represent holdings in other portfolios managed by the 
Investment Manager, subsequently rebalancing the portfolio between Public 
Portfolio Companies and Private Portfolio Companies as opportunities to 
invest in the latter become available. 
Cash management 
The Company’s uninvested capital may be invested in cash instruments 
or bank deposits pending investment in Portfolio Companies or used for 
working capital purposes. 
Hedging 
As described above, the Company may seek opportunities to optimise 
investing conditions, and to allow for such circumstances, there will be no 
limitations placed on the Company’s ability to hedge or enter into securities 
or derivative structures in order to enhance the risk-reward position of the 
portfolio and its underlying securities. 
On an ongoing basis, the Company does not intend to enter into any 
securities or financially engineered products designed to hedge portfolio 
exposure or mitigate portfolio risk as a core part of its investment strategy, 
but may enter into hedging transactions to hedge individual positions or 
reduce volatility related to specific risks such as fluctuations in foreign 
exchange rates, interest rates, and other market forces.
Defined Terms
“Adjusted Net Asset 
Value”
the NAV adjusted by deducting the unrealised 
gains and unrealised losses in respect of 
private Portfolio Companies;
“Acelyrin”
Acelyrin. Inc.;
“Administrator”
means Elysium Fund Management Limited;
“AIC”
the Association of Investment Companies;
“AIC Code”
the AIC Code of Corporate Governance dated 
February 2019;
“AIFM”
means Alternative Investment Fund Manager; 
“AIFMD”
the Alternative Investment Fund Managers 
Directive;
“Alcyone”
Alcyone Therapeutics, Inc.;
“Ancora”
Ancora Heart, Inc.;
“Annual General 
Meeting” or “AGM”
the annual general meeting of the shareholders 
of the Company; 
“Annual Report”
the Annual Report and audited financial 
statements;
“Antibody”
a large Y-shaped blood protein that can stick 
to the surface of a virus, bacteria, or receptor 
on a cell;
“Antibody-
Oligonucleotide 
Conjugates” or “AOC”
molecules that combine structures of an 
antibody and an oligo;
“Artios”
Artios Pharma, Inc.;
“Artiva”
Artiva Biotherapeutics, Inc.;
“Athira”
Athira Pharma, Inc.;
“Autoimmune diseases”
conditions, where the immune system 
mistakenly attacks a body tissue;
“Avidity”
Avidity Biosciences, Inc.;
“Beta Bionics”
Beta Bionics, Inc.;
“Biomea”
Biomea Fusion, Inc.;
“BLA” or “Biological 
License Application”
a request for permission to introduce, or deliver 
for introduction, a biologic product into 
interstate commerce;
“C4 Therapeutics” or 
“C4T”
C4 Therapeutics, Inc.;
“Cardiac myosin”
a target of the treatment development for a 
cardiovascular condition;
“Cardiovascular 
disease”
conditions affecting heart and vascular system;
“CinCor”
CinCor Pharma, Inc.;
“Clinical stage” or 
“clinical trial”
a therapy in development goes through a 
number of clinical trials to ensure its safety and 
efficacy. The trials in human subjects range 
from Phase 1 to Phase 3. All studies done prior 
to clinical testing in human subjects are 
considered preclinical;
“Companies Law”
the Companies (Guernsey) Law, 2008 (as 
amended);
“Company” or “RTW 
Venture Fund Limited”
RTW Venture Fund Limited is a company 
incorporated in and controlled from Guernsey 
as a close-ended Investment Company. The 
Company has an unlimited life and is registered 
with the GFSC as a Registered Closed-ended 
Collective Investment Scheme. The registered 
office of the Company is 1st Floor, Royal 
Chambers, St Julian’s Avenue, St Peter Port, 
Guernsey, GY1 3JX; 
“Company’s Articles”
means the Company’s Articles of 
Incorporation;
“Corporate Brokers”
being Barclays and J.P. Morgan Cazenove, until 
February 2022, when BofA Securities was 
appointed and Barclays ceased to act for the 
Company;
“Crohn’s Disease”
a condition, in which a part(s) of digestive tract 
is inflamed;
“CRS”
Common Reporting Standard;
“Danon Disease”
a rare genetic heart condition in children, 
predominantly boys;
“Directors” or “Board”
the directors of the Company as at the date of 
this document, or who served during the 
reporting period, and “Director” means any one 
of them;
“Dravet Syndrome”
a type of rare paediatric epilepsy;
“DTR”
Disclosure Guidance and Transparency Rules 
of the UK’s FCA;
“Encoded”
Encoded Therapeutics, Inc.;
“EU” or “European 
Union”
the European Union first established by the 
treaty made at Maastricht on 7 February 1992;
“Fanconi Anemia”
a rare genetic blood condition in young 
children;
“FATCA”
the Foreign Account Tax Compliance Act;
“FCA”
the Financial Conduct Authority;
“FCA Rules”
the rules or regulations issued or promulgated 
by the FCA from time to time and for the time 
being in force (as varied by any waiver or 
modification granted, or guidance given, by the 
FCA);
“FDA”
the US Food and Drug Administration;
“FDA Breakthrough 
Device Designation”
a process designed to facilitate the 
development and expedite the review of the 
device that provides a more effective treatment 
or diagnosis of life-threatening or irreversibly 
debilitating human disease or conditions;
“FDA Breakthrough Drug 
Designation”
a process designed to expedite the 
development and review of drugs which may 
demonstrate substantial improvement over 
available therapy;
“FDA Fast Track 
designation”
a process designed to facilitate the 
development and expedite the review of drugs 
to treat serious conditions and fill an unmet 
medical need;
“FRC”
the Financial Reporting Council;
Glossary
General company information 
Investment Objective and Investment Policy
continued
Governance Report
Strategic Report
Financial Statements
Additional Information 
Annual Report and Accounts 2021
102
103
RTW Venture Fund Limited

“Gene therapy”
a biotechnology that uses gene delivery 
systems to treat or prevent a disease;
“Genetic Medicine”
an approach to treat or prevent a disease using 
gene therapy or RNA medicines;
“GFSC”
the Guernsey Financial Services Commission;
“GFSC Code”
the GFSC Finance Sector Code of Corporate 
Governance as amended February 2016;
“GH Research”
GH Research PLC;
“HCM” or “Hypertrophic 
cardiomyopathy”
a cardiovascular disease characterized by an 
abnormally thick heart muscle;
“Immunocore”
Immunocore Limited;
“InBrace”
InBrace or Swift Health, Inc.;
“Independent Valuer”
Alvarez & Marsal Valuation Services, LLC;
“Infantile Malignant 
Osteopetrosis” or “IMO”
a rare genetic bone disease in young children, 
manifesting in an increased bone density;
“Inivata”
Inivata Ltd;
“Interim Report”
the interim (half-yearly) report and financial 
statements;
“Investigational New 
Drug” or “IND”
the FDA’s investigational New Drug program is 
the means by which a pharmaceutical 
company obtains permission to start human 
clinical trials;
“Investment Manager”
RTW Investments, LP, also referred to as RTW;
“IPEV Guidelines”
the International Private Equity and Venture 
Capital Valuation Guidelines; 
“IPO”
an initial public offering;
“IRR”
internal rate of return;
“ISDA”
International Swaps and Derivatives 
Association;
“iTeos”
iTeos Therapeutics, Inc.;
“JIXING”
Ji Xing Pharmaceuticals, formerly China New 
Co;
“Kyverna”
Kyverna Therapeutics, Inc.;
“Landos”
Landos Biopharma, Inc.;
“Lentiviral vector or 
“LVV”
based gene therapy – a type of viral vector 
used to deliver a gene;
“Leukocyte adhesion 
deficiency” or “LAD-I”
a rare genetic disorder of immunodeficiency in 
young children;
“LifeSci Companies”
companies operating in the life sciences, 
biopharmaceutical, or medical technology 
industries;
“Listing Rules”
the listing rules made under section 73A of the 
Financial Services and Markets Act 2000 (as 
set out in the FCA Handbook), as amended;
“London Stock 
Exchange” or “LSE”
London Stock Exchange plc;
“LSE”
London Stock Exchange’s main market for 
listed securities;
“Lycia”
Lycia Therapeutics, Inc.;
“Magnolia Medical” or 
“Magnolia”
Magnolia Medical Technologies, Inc.;
“Medtech”
medical technology sector within healthcare;
“Milestone”
Milestone Pharmaceuticals, Inc.;
“MOC”
Multiple on capital is the ratio of realised and 
unrealised gains divided by the acquisition cost 
of an investment;
“Monte Rosa”
Monte Rosa Therapeutics, Inc.;
“Myotonic Dystrophy”
a genetic condition that affects muscle 
function;
“NASDAQ Biotech”
a stock market index made up of securities of 
NASDAQ-listed companies classified 
according to the Industry Classification 
Benchmark as either the Biotechnology or the 
Pharmaceutical industry;
“Net Asset Value” or 
“NAV”
the value of the assets of the Company less its 
liabilities, calculated in accordance with the 
valuation guidelines laid down by the Board;
“Neurogastrx”
Neurogastrx, Inc.;
“NewCo”
a new company;
“NiKang”
Nikang Therapeutics, Inc;
“Non-core portfolio 
assets”
investments made in public companies as a 
part of cash management strategy;
“Notional Ordinary 
Shares”
Performance Ordinary Shares, in which receipt 
of such shares has been deferred;
“Nuance”
Nuance Pharma;
“Numab”
Numab Therapeutics, Inc.;
“Official List”
the official list of the UK Listing Authority;
“Oligonucleotides” or 
“Oligos”
a short DNA or RNA molecules that have a 
wide range of applications in genetic testing 
and research;
“Oncology”
a therapeutic area focused on diagnosis, 
prevention and treatment of cancer;
“Ophthalmic conditions”
conditions affecting the eye;
“Orchestra BioMed” or 
“Orchestra”
Orchestra BioMed, Inc.:
“Ordinary Shares”
the Ordinary Shares of the Company;
“Performance Allocation 
Amount”
an allocation connected with the performance 
of the Company to be allocated to the 
Performance Allocation Share Class Fund in 
such amounts and as such times as shall be 
determined by the Board;
Glossary
continued
“Performance Allocation 
Period”
the First Performance Allocation Period and/or 
a subsequent Performance Allocation Period, 
as the context so requires;
“Performance Allocation 
Share Class Fund”
a class fund for the Performance Allocation 
Shares to which the Performance Allocation 
will be allocated; 
“Performance Allocation 
Shares”
performance allocation shares of no-par value 
in the capital of the Company; 
“Performance Allocation 
Shareholder”
the holder of Performance Allocation Shares;
“POI Law”
The Protection of Investors (Bailiwick of 
Guernsey) Law, 2020
“Portfolio Companies”
Private and public companies included into the 
portfolio;
“Premium Segment”
Premium Segment of the Main Market of the 
LSE;
“Prometheus”
Prometheus Biosciences, Inc.;
“Prospectus”
the prospectus of the Company, most recently 
updated on 14 October 2019 and available on 
the Company’s website (www.rtwfunds.com/
venture-fund);
“Pulmonary conditions”
pathologic conditions that affect lungs;
“Pulmonx”
Pulmonx Corporation;
“Pyruvate Kinase 
Deficiency” or “PKD”
a rare genetic disorder affecting red blood 
cells;
“Pyxis”
Pyxis Oncology, Inc.;
“Rare disease”
a disease that affects a small percentage of 
the population;
“Registrar”
Link Market Services (Guernsey) Limited;
“RNA medicines”
a type of biotechnology that uses RNA to treat 
a disease;
“Rocket 
Pharmaceuticals” or 
“Rocket”
Rocket Pharmaceuticals, Inc.;
“RTW”
RTW Investments, LP, also referred to as the 
Investment Manager;
“RTWCF”
RTW Charitable Foundation;
“RTW Royalty”
RTW Royalty Holding Company;
“Russell 2000 Biotech”
a stock index of small cap biotechnology and 
pharmaceutical companies;
“SEC Rule 144”
selling restricted and control securities;
“SFS”
Specialist Fund Segment of the London Stock 
Exchange;
“Small molecule”
a compound that can regulate a biologic 
activity;
“Tachycardia”
a heart rhythm disorder;
“Tarsus”
Tarsus, Inc.;
“Tenaya”
Tenaya Therapeutics. Inc.;
“Third Harmonic Bio”
Third harmonic Bio, Inc.
“TIGIT”
a target for a checkpoint antibody 
development in immune-oncology;
“TL1A”
a target for the treatment of inflammation 
associated with inflammatory bowel disease 
(IBD);
“Type 1 Diabetes” or 
“TD1”
a type of insulin resistance;
“Total shareholder 
return”
a measure of shareholders’ investment in a 
company with reference to movements in 
share price and dividends paid over time;
“UK”
United Kingdom;
“UK Code”
the UK Corporate Governance Code 2018 
published by the Financial Reporting Council in 
July 2018;
“Ulcerative Colitis”
an inflammatory bowel disease that causes 
sores in the digestive tract;
“Umoja”
Umoja Biopharma. Inc.;
“US”
the United States of America;
“US GAAP”
US Generally Accepted Accounting Principles;
“Uveal melanoma”
a type of eye cancer;
“Valuation Committee”
Valuation Committee of the Investment 
Manager;
“Ventyx”
Ventyx Biosciences, Inc.;
“Visus”
Visus Therapeutics, Inc.;
“WACC”
weighted average cost of capital;
“XIRR”
an internal rate of return calculated using 
irregular time intervals.
“Yarrow”
Yarrow Biotechnology, Inc.
Governance Report
Strategic Report
Financial Statements
Additional Information 
Annual Report and Accounts 2021
104
105
RTW Venture Fund Limited

APM
Definition
Purpose
Calculation
Cash
Cash held by the Company’s 
Bankers, Prime Broker and an ISDA 
counterparty.
A measure of the Company’s liquidity, 
working capital and investment level.
Cash and cash equivalents,  
Due from brokers less Due to 
brokers on the Statement of 
Assets & Liabilities.
NAV per Ordinary share
The Company's NAV divided by the 
number of Ordinary Shares.
A measure of the value of one 
Ordinary Share.
The net assets attributable to 
Ordinary Shares on the statement 
of financial position (US$363.0m) 
divided by the number of Ordinary 
Shares in issue (212,389,138) as at 
the calculation date.
Price per share
The Company’s closing share price 
on the London Stock Exchange for 
a specified date.
A measure of the supply and 
demand for the Company’s shares.
Extracted from the official list  
of the London Stock Exchange.
NAV Growth
The percentage increase(decrease) 
in the NAV per Ordinary Share during 
the reporting period.
A key measure of the success  
of the Investment Manager’s  
investment strategy.
The quotient of the NAV per share at 
the end of the period (US$1.71) and 
the NAV per share at the beginning 
of the period (US$1.96) minus one 
expressed as a percentage.
Share price growth/Total 
Shareholder Return
The percentage increase(decrease) 
in the price per share during the 
reporting period.
A measure of the return that could 
have been obtained by holding a 
share over the reporting period.
The quotient of the price per 
share at the end of the period 
(US$1.78) and the price per share 
at the beginning of the period 
(US$1.88) minus one expressed 
as a percentage. The measure 
excludes transaction costs.
Share Price Premium (Discount)
The amount by which the Ordinary 
Share price is higher/lower than the 
NAV per Ordinary Share, expressed 
as a percentage of the NAV per 
Ordinary Share.
A key measure of supply and demand 
for the Company’s shares. A premium 
implies excess demand versus supply 
and vice versa.
The quotient of the price per share 
at the end of the period (US$1.78) 
and the NAV per share at the end 
of the period (US$1.71) minus one 
expressed as a percentage.
Ongoing charges ratio
The recurring costs that the Company 
has incurred during the period excluding 
performance fees and one off legal and 
professional fees expressed as a 
percentage of the Company’s average 
NAV for the period.
A measure of the minimum gross 
profit that the Company needs to 
produce to make a positive return  
for shareholders. 
Calculated in accordance with the 
AIC methodology detailed on the 
web link below.
https://www.theaic.co.uk/sites/ 
default/files/documents/ 
AICOngoingChargesCalculation 
May12.pdf
Ongoing Charges
2021
US$
2020
US$
Fees to Investment Manager
4,813,854 
2,912,850
Legal and professional fees
1,070,317
1,068,017
Listing fees
936,615
–
Administration fees
330,834
233,459
Director’s remuneration
214,353 
220,875
Audit fees
288,254
162,016
Ongoing expenses
800,457
509,890
Total expenses
8,454,684
5,107,107
Non-recurring expenses
(1,176,627)
(18,331)
Total ongoing expenses
7,278,057
5,088,776
Average NAV
408,929,032
241,755,741
Annualised Ongoing charges (using AIC methodology)
1.78 %
2.10 %
Alternative Performance Measures unaudited
Report on remuneration and quantitative remuneration 
disclosure
Under the Alternative Investment Fund Managers Directive (‘AIFMD’), we 
are required to make disclosures relating to remuneration of staff working 
for the Investment Manager for the year to 31 December 2021.
Amount of remuneration paid
The Investment Manager paid the following remuneration to staff in 
respect of the financial year ending on 31 December 2021 in relation to 
work on the Company.
2021  
US$’000
2020  
US$’000
Fixed remuneration
590
451
Variable remuneration
1,004
962
Total remuneration
1,594
1,413
Number of beneficiaries
56
36
The amount of the aggregate remuneration paid (or to be paid) by the 
Investment Manager to its partners which has been attributed to the 
Company in respect of the financial year ending on 31 December 2021 
was US$33.6 million (2020: US$21.3 million). The amount of the total 
remuneration paid by the Investment Manager to members of its staff 
whose actions have a material impact on the risk profile of the Company 
which has been attributed to the Company in respect of financial year 
ending on 31 December 2021 was US$29.6 million (2020: US$18.9 million).
AIFMD Disclosures unaudited
Leverage
The Company may employ leverage and borrow cash, up to a maximum 
of 50 per cent. of the NAV at the time of incurrence, in accordance with its 
stated investment policy. The use of borrowings and leverage has attendant 
risks and can, in certain circumstances, substantially increase the adverse 
impact to which the Company’s investment portfolio may be subject. For 
the purposes of this disclosure, leverage is any method by which the 
Company’s exposure is increased, whether through borrowing of cash or 
securities, or leverage embedded in foreign exchange forward contracts or 
by any other means. AIFMD requires that each leverage ratio be expressed 
as the ratio between a Company’s exposure and its net asset value, and 
prescribes two required methodologies, the gross methodology and the 
commitment methodology (as set out in AIFMD Level 2 Implementation 
Guidance), for calculating such exposure. Using the methodologies 
prescribed under AIFMD, the leverage of the Company is detailed in the 
table below:
Commitment 
leverage as at
31 December
Gross  
leverage as at  
31 December
2021
2020
2021
2020
Leverage ratio
129%
102%
129%
102%
Other risk disclosures
The risk disclosures relating to risk framework and risk profile of the 
Company are set out in note 8 to the Financial Statements on page 97 
and the principal risks and uncertainties on pages 48 to 49.
Pre-investment disclosures
AIFMD requires certain information to be made available to investors in 
an Alternative Investment Fund (‘AIF’) before they invest and requires that 
material changes to this information be disclosed in the Annual Report of 
the AIF. There have been no material changes (other than those reflected 
in these financial statements) to this information requiring disclosure.
Governance Report
Strategic Report
Financial Statements
Additional Information 
Annual Report and Accounts 2021
106
107
RTW Venture Fund Limited

Board of Directors
William Simpson (Chairman)
Paul Le Page (Chairman of Audit Committee)
William Scott 
Stephanie Sirota
Investment Manager and AIFM
RTW Investments, LP 
40 10th Avenue 
Floor 7 
New York 
NY 10014 
United States of America
Registered office*
1st Floor, Royal Chambers 
St Julian’s Avenue 
St Peter Port 
Guernsey 
GY1 3JX
Administrator and Company Secretary 
Elysium Fund Management Limited** 
1st Floor, Royal Chambers 
St Julian’s Avenue 
St Peter Port 
Guernsey 
GY1 3JX
Sub-Administrator
Morgan Stanley Fund Services USA LLC** 
1585 Broadway  
New York 
NY 10036 
United States of America
Registrar
Link Market Services (Guernsey) Limited 
Mont Crevelt House  
Bulwer Avenue 
St Sampson 
Guernsey  
GY2 4LH 
Independent Valuer
Alvarez & Marsal Valuation Services LLC 
600 Madison Avenue 
8th Floor 
New York 
NY 10022 
United States of America
Guernsey advocates to the Company
Carey Olsen (Guernsey) LLP 
PO Box 98 
Carey House 
Les Banques 
St Peter Port 
Guernsey 
GY1 4BZ
UK Legal advisers to the Company
Herbert Smith Freehills LLP 
Exchange House 
Primrose Street 
London  
EC2A 2EG 
Schedule of Key Service Providers
Corporate brokers and financial advisers
Merrill Lynch International (BofA Securities)*** 
2 King Edward Street 
London 
EC1A 1HQ
J.P. Morgan Cazenove 
25 Bank Street 
Canary Wharf 
London 
E14 5JP
Independent auditor
KPMG Channel Islands Limited 
Glategny Court 
Glategny Esplanade 
St Peter Port 
Guernsey 
GY1 1WR
Principal Bankers 
Barclays Bank PLC, Guernsey Branch 
Le Marchant House, 
Le Truchot,  
St Peter Port 
Guernsey  
GY1 3BE
Prime Broker
Goldman Sachs & Co. LLC 
200 West Street 
29th Floor 
New York 
NY 10282 
United States of America
Website: www.rtwfunds.com/venture-fund
Identifiers:
ISIN: GG00BKTRRM22
SEDOL: BKTRRM2 / BNNXVW5
Ticker: RTW / RTWG
LEI: 549300Q7EXQQH6KF7Z84
	 *	on 1 February 2021, the registered office address of the 
Company changed from PO Box 286, Floor 2, Trafalgar Court, 
Les Banques, St Peter Port, Guernsey, GY1 4LY
	**	appointed on 1 February 2021, after Ocorian Administration 
(Guernsey) Limited resigned on 31 January 2021.
	***	on 11 February 2022, Merrill Lynch International (BofA Securities) 
was appointed as a corporate broker and financial adviser to 
the Company.
Annual Report and Accounts 2021
108
RTW Venture Fund Limited