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Patient Capital ManagementQuarterly8 Oct 2026Source: patientcapitalmanagement.com

3Q26 Portfolio Activity & Attribution

Patient Capital Management is a Baltimore asset manager founded in 2020 by Samantha McLemore, CFA — Bill Miller's long-time co-manager (working together since 2002, running the flagship Opportunity Equity strategy since 2014). Continuing the Miller-school contrarian tradition, it practices "time arbitrage": exploiting behavioral mispricing to concentrate in controversial growth names (tech, healthcare, Bitcoin-related) at deep discounts to intrinsic value. Its site preserves Bill Miller's complete 1995-2022 market letters, alongside ongoing quarterly letters and webinars.

Samantha McLemore · 2020 · 美国巴尔的摩Contrarian growth-value / time arbitrage

In plain words

This report says the fund earned 4.32% last quarter, beating the S&P 500 by about 2%. The manager is cautiously optimistic, seeing some long-term opportunities rebound after being overly sold off. He bought Broadcom (AVGO), calling it a key AI infrastructure play with cheap valuation and fast profit growth. He also bought call options on Meta (META), betting on its new AI assistant Muse, which got 5 million downloads in 22 days. He sold Illumina, JD.com, and Genius Sports to focus on fewer, bigger bets.

AI SummaryAI-generated · may contain errors · verify against the original

At a Glance

In one sentence: the author holds a【cautiously optimistic】stance toward the market, believing that overly shorted long-term opportunities are recovering, and is actively positioning in AI infrastructure and payment stocks.

  • The portfolio returned 4.32% net of fees this quarter, outperforming the S&P 500's 2.30% by roughly 2 percentage points of excess return.
  • Opened a new position in Broadcom (AVGO), viewing it as uniquely positioned at the AI infrastructure bottleneck, trading at approximately 20x forward earnings, with earnings growth 4.5x the market.
  • Opened new call options on Meta Platforms, taking a positive view on its AI monetization path; its AI assistant Muse recorded about 5 million downloads in the 22 days since launch.
  • Exited Illumina, JD.com, and Genius Sports, concentrating the portfolio into fewer, larger positions.
  • The largest contributor was Precigen (PGEN) and its warrants; the biggest drags were QXO, NCLH, UNH, and CVS.
~18 min full read · 7 sections
Deep Analysis

Outperformed the Benchmark by 2 Percentage Points This Quarter

The portfolio generated a net fee return of 4.32% this quarter, outperforming the S&P 500's 2.30%. Attribution analysis shows that allocation, stock selection, and interaction effects collectively contributed to the excess return. Market breadth narrowed (the S&P 500 Equal Weight Index fell 1.90%), with large-cap stocks regaining dominance. However, the portfolio remained focused on long-term opportunities that were overly shorted, and some stocks purchased after sharp declines earlier this year have begun to recover.

Performance Comparison: The portfolio's net fee return of 4.32% versus the S&P 500 Index's 2.30% represents an excess return of approximately 2 percentage points. The largest contributors were Precigen Inc. Warrants, Precigen Inc. (PGEN), Meta Platforms Inc. (META), Fidelity Wise Origin Bitcoin Fund (FBTC), and Meta Call Options (C540 1/21/28); the largest detractors were QXO Inc. (QXO), Norwegian Cruise Line Holdings Ltd. (NCLH), UnitedHealth Group (UNH), United Airlines Holdings Inc. (UAL), and CVS Health Corp (CVS).

Sector Allocation: Overweight in healthcare, financials, consumer discretionary, communication services, and energy; zero weight in consumer staples, materials, utilities, and real estate; underweight in information technology. The portfolio held 37 positions at quarter-end, with the top ten accounting for 55.3% of assets (versus 39.1% for the index), and an active share of approximately 91.6%.

Payment Stocks Rose Broadly, Favoring the Scaled Economies Shared Model

Payment stocks performed strongly: Chime rose 30%, Global Payments rose 13%, and Adyen rose 6%. The author believes all three still have significant upside, with distinct core rationales for each.

  • Chime Financial Inc. (CHYM): The author views Chime as an early practitioner of what Nick Sleep called the "scaled economies shared" model. As a low-cost provider, Chime has carved out a niche among customer segments where traditional competitors struggle to be profitable. The author states, "We view Chime as being in the early stages of what Nick Sleep referred to as 'scaled economies shared.'" The author believes the company can sustainably reinvest its scale advantages into new products, better pricing, and broader customer relationships.
  • Global Payments Inc. (GPN): The author believes the market is overly pessimistic about this traditional payment processor and has not fully recognized the stickiness of its business. The company trades at just 5 times expected 2027 EPS, with a free cash flow yield of 17%, while consistently returning capital to shareholders through buybacks and dividends.
  • Adyen NV (ADYEN): Once a market darling, it is slowly rebuilding its reputation. After adjusting for excess cash, it trades at just 16.6 times expected 2027 earnings, with a sustainable growth rate of approximately 20%.

Adobe Rebounds from the "SaaS Crash"

Adobe (ADBE) has begun to recover from its lows after being built during the "SaaS crash." Despite ongoing AI concerns weighing on the narrative, the company has beaten revenue and EPS estimates for two consecutive quarters and raised its full-year guidance. The author believes Adobe is on the right path to integrating and monetizing AI through platforms like Firefly. The company continues to generate substantial free cash flow, with a free cash flow yield of 12%, and has net repurchased 18% of its outstanding shares over the past five years.

New Position: Broadcom — Unique Positioning in AI Infrastructure Bottlenecks

New position initiated in Broadcom Inc. (AVGO). The author believes Broadcom is one of the clearest beneficiaries of AI infrastructure spending, but its stock has lagged the broader AI trade due to concerns over customer concentration, competition, and the sustainability of demand for custom chips. These concerns have created an attractive entry point.

Broadcom is uniquely positioned at two key AI infrastructure bottlenecks: custom accelerators and high-performance networking. Hyperscale cloud providers are increasingly using custom chips to reduce the cost and power consumption of large-scale AI workloads, and Broadcom is one of the few companies capable of supporting this transition at scale. Management expects AI semiconductor revenue to reach approximately $58 billion in fiscal 2026 and has guided for a doubling to approximately $230 billion in fiscal 2027 and 2028 (nearly 100% year-over-year growth). Meanwhile, its high-margin software business provides stability and substantial free cash flow. The stock currently trades at approximately 20 times forward earnings, in line with the market, but its earnings growth rate exceeds the market by 4.5 times.

New Position: Meta Options — Profiting from a Shift in the AI Narrative

New position initiated in Meta Platforms Inc. (META) options, first buying $600 call options expiring September 2027, then rolling into $540 call options expiring January 2028. The position was established early in the quarter after Meta's stock fell due to high AI spending and unclear monetization paths. The author disagrees with the market's pessimism: Meta has one of the largest global user bases, significant operating cash flow, the scale and distribution resources needed to compete in AI, and a proven management team.

The narrative began to shift late in the quarter: Zuckerberg discussed multiple monetization paths beyond the core advertising business, the company launched its personal AI assistant Muse, which quickly topped the U.S. app store charts, and Sensor Tower data showed approximately 5 million downloads in its first 22 days. The author states, "While we are still very early in AI's evolution, we continue to believe the incumbents with scale, distribution, and significant cash generation are best positioned to compete."

Exited Three Positions to Concentrate the Portfolio

The portfolio exited four positions this quarter: Illumina (ILMN), JD.com (JD), Genius Sports (GENI), and Meta Call Options (C600 9/17/27). Illumina was exited as its stock price approached the author's estimated intrinsic value, with proceeds reinvested into new ideas; JD was exited to reallocate to opportunities with better risk-reward profiles; Genius Sports was a small position exited to continue concentrating the portfolio into fewer, larger holdings.


Position Moves

Position Action Key Logic Key Data
Broadcom Inc. (AVGO) New position Unique positioning at the AI infrastructure bottleneck; undervalued long-term compounder ~20x forward earnings, earnings growth >4.5x the market; AI semiconductor revenue ~$58B in FY2026, doubling in each of 2027/2028
Meta Platforms Call Options (C600 9/17/27) New position, then rolled Disagrees with market pessimism on AI spending; constructive on monetization path Established at quarter start, later rolled to C540 1/21/28
Meta Platforms Call Options (C540 1/21/28) New position (after roll) Same as above Muse reached ~5M downloads in 22 days since launch
Illumina Inc. (ILMN) Exited Price near intrinsic value; reallocating into new ideas Not disclosed
JD.com Inc. (JD) Exited Reallocating to better risk-reward opportunities Not disclosed
Genius Sports Ltd. (GENI) Exited Small position; concentrated portfolio Not disclosed
Meta Platforms Call Options (C600 9/17/27) Exited Rolled to C540 1/21/28 Not disclosed
Adobe Inc. (ADBE) Held – monitoring Recovered from "SaaS bust" lows; AI integration is sound 12% free cash flow yield; five-year net buybacks of 18% of shares outstanding
Chime Financial Inc. (CHYM) Held – monitoring Early stage of a shared-scale economic model Up 30% this quarter
Global Payments Inc. (GPN) Held – monitoring Market overly pessimistic; business is highly sticky 5x 2027 EPS, 17% free cash flow yield
Adyen NV (ADYEN) Held – monitoring Leading next-generation payments company; reasonable valuation 16.6x 2027 adjusted earnings; sustaining ~20% growth
Precigen Inc. Warrants Held – monitoring Largest contributor this quarter Not disclosed
Precigen Inc. (PGEN) Held – monitoring Largest contributor this quarter Not disclosed
Meta Platforms Inc. (META) Held – monitoring Largest contributor this quarter Not disclosed
Fidelity Wise Origin Bitcoin Fund (FBTC) Held – monitoring Largest contributor this quarter Not disclosed
QXO Inc. (QXO) Held – monitoring Largest detractor this quarter Not disclosed
Norwegian Cruise Line Holdings Ltd. (NCLH) Held – monitoring Largest detractor this quarter Not disclosed
UnitedHealth Group (UNH) Held – monitoring Largest detractor this quarter Not disclosed
United Airlines Holdings Inc. (UAL) Held – monitoring Largest detractor this quarter Not disclosed
CVS Health Corp (CVS) Held – monitoring Largest detractor this quarter Not disclosed

Performance Attribution: PGEN and META Lead Gains, QXO and NCLH Weigh

The quarter's largest contributors were Precigen (PGEN) and its warrants, while the biggest drags were QXO, NCLH, UNH, and CVS. The author details the rationale behind each position's movement and reaffirms long-term conviction in these companies.

Largest Contributors:

  • Precigen Inc. (PGEN) Common Stock and Warrants (Added/Hold for Observation): The author led a PIPE transaction in December 2024, securing convertible preferred shares and warrants. In August 2025, Papzimeos was approved as the first off-the-shelf immunotherapy for recurrent respiratory papillomatosis. Subsequently, the company obtained a J-code (supporting reimbursement), orphan drug designation (7-year exclusivity), and FDA platform designation (AdenoVerse platform). The author believes the platform designation enables Precigen to leverage Papzimeos data to advance more products, with its CAR-T platform potentially becoming a second platform designation opportunity. The author states: "we believe the market continues to underappreciate Precigen’s potential to evolve from a single-product company into a true biotech platform company." This means: we believe the market still underestimates Precigen's potential to transform from a single-product company into a true biotech platform company.
  • Meta Platforms Inc. (META) (Hold for Observation): Despite early-quarter selling pressure, it remained a major contributor. Concerns over AI investment returns were alleviated by the launch of Muse agents (5 million downloads in 22 days). The author views this as just the beginning—Meta has 3.6 billion daily active users, with Muse penetration at only about 0.1%. The author states: "For a company built around capturing consumer attention and distributing products at scale, we believe Meta is well positioned to be one of the long-term winners as AI adoption evolves." This means: For a company centered on capturing consumer attention and distributing products at scale, we believe Meta is well positioned to be one of the long-term winners as AI adoption evolves.

Largest Detractors:

  • QXO Inc. (QXO) (Added): The author initiated a position via PIPE in mid-2024 and has continued participating in subsequent financings. Led by Brad Jacobs, the company executes a consolidation strategy in the highly fragmented building products distribution industry, having completed three acquisitions (Beacon Roofing Supply, Kodiak Building Partners, TopBuild). Despite recent pressure on construction activity, the author believes the long-term value creation opportunity remains unchanged—QXO targets annual revenue exceeding $50 billion over the next decade, compared to an estimated $13.5 billion this year. The author views the pullback as an opportunity to add.
  • Norwegian Cruise Line Holdings Ltd. (NCLH) (Hold for Observation): Shares fell due to disappointing 2026 guidance, Middle East geopolitical tensions, rising fuel costs, and balance sheet concerns. The author considers these issues fixable: new CEO John Chidsey (who successfully turned around Subway and Burger King) has taken office, and Elliott Investment Management holds a 10% economic stake and is driving change. The company's leverage is higher than peers, but the author believes its free cash flow generation capability is sufficient under normalized conditions. The stock trades at a significant discount to peers, and with new management and an activist investor involved, the author believes it is undervalued.
  • UnitedHealth Group (UNH) (Hold for Observation): Despite raising full-year earnings guidance, the stock declined as management commentary indicated rising medical cost trends. The author believes its diversified revenue model (health benefits, pharmacy benefit management, Optum health services) provides a buffer. As an industry leader, the company is expected to deliver double-digit earnings growth, with the stock offering a 2.2% dividend yield and an ongoing buyback program. The author maintains confidence in long-term profitability and competitive positioning.

Position Moves

Ticker Direction Author's One-Sentence View Key Data
Broadcom Inc. (AVGO) New Position Unique positioning in AI infrastructure bottlenecks, an underestimated long-term compounder ~20x forward earnings, earnings growth >4.5x market; AI semiconductor revenue ~$58B in FY2026, doubling in FY2027 and FY2028 each
Meta Platforms Call Options (C540 1/21/28) New Position Disagrees with market pessimism on AI spending, sees clear monetization path Muse reached ~5M downloads in 22 days since launch
Precigen Inc. (PGEN) Hold & Watch Market underestimates its potential to evolve from a single-product company into a biotech platform Papzimeos approved, granted orphan drug designation and FDA platform designation
Precigen Inc. Warrants Hold & Watch Same as above Same as above
Meta Platforms Inc. (META) Hold & Watch Possesses scale, distribution, and cash generation capabilities, a long-term winner in AI application evolution 3.6B daily active users, Muse penetration rate only ~0.1%
Chime Financial Inc. (CHYM) Hold & Watch Early stage of scale economy sharing model, sustainable reinvestment Up 30% this quarter
Global Payments Inc. (GPN) Hold & Watch Market overly pessimistic, business has strong stickiness 5x 2027 EPS, 17% free cash flow yield
Adyen NV (ADYEN) Hold & Watch Leading next-generation payment company, valuation reasonable 16.6x 2027 adjusted earnings, sustained growth ~20%
Adobe Inc. (ADBE) Hold & Watch Recovering from "SaaS crash" lows, AI integration on the right track 12% free cash flow yield, net repurchased 18% of outstanding shares over five years
QXO Inc. (QXO) Hold & Watch Pullback seen as accumulation opportunity, long-term value creation thesis unchanged Targeting annual revenue over $50B in the next decade, expected $13.5B this year
Norwegian Cruise Line Holdings Ltd. (NCLH) Hold & Watch Issues are fixable, new management and activist investor involvement, undervalued Leverage higher than peers, significant discount relative to peers
UnitedHealth Group (UNH) Hold & Watch Diversified revenue model provides buffer, confidence in long-term profitability and competitive position 2.2% dividend yield, ongoing buyback program
Illumina Inc. (ILMN) Liquidated Share price near intrinsic value, reallocating to new ideas Not disclosed
JD.com Inc. (JD) Liquidated Reallocating to better risk-reward opportunities Not disclosed
Genius Sports Ltd. (GENI) Liquidated Small position, concentrating the portfolio Not disclosed
Meta Platforms Call Options (C600 9/17/27) Liquidated Rolling to C540 1/21/28 Not disclosed