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Ninepoint Cannabis & Alternative Health Fund

Alternative Health Fund - September 2025
Key Takeaways
  • Macro Outlook: Markets are centered on trade tensions, inflation, labor market data, and the Fed’s policy path, with upcoming catalysts including the October 15 CPI report, October 16 jobless claims, and the October 28–29 FOMC meeting.
  • Economic Conditions: U.S. GDP growth remains solid around 3%, but the Fed’s focus is shifting from inflation to a cooling labor market, raising expectations for rate cuts in October and December, which could further stimulate growth into 2026.

Introduction

Despite concerns about labour market health and a government shutdown, US equities climbed a wall of worry in September. For the Ninepoint Cannabis & Alternative Health Fund, there was continued resilience in the revitalized US cannabis sector, supported by President Trump’s continued references to rescheduling cannabis to a Schedule III drug. In our report, we remind investors about why we hold our key picks for the cannabis sector: GTII and TRUL. September witnessed solid gains for various health-related names in the portfolio. The initial fears of operational challenges for pharma, diagnostic testing and clinical research that drove healthcare equities lower have become far less ominous than anticipated.  As a result, we have seen some healthcare sub-sectors rebound positively.

Our Equity Market View

Markets remain preoccupied with trade tensions, inflation data, labor market health, and the US Federal Reserve’s policy path. Key upcoming catalysts for market participants include the October 15 inflation report for the month of September, initial jobless claims on October 16, and the next FOMC meeting on October 28/29. CPI is expected to re-accelerate into year-end.  The US economy has reported strong real GDP growth, following a short contraction in Q1, growth in Q2 bounced back to 3 - 3.3% annually, and the Atlanta Fed’s GDP now model currently projects Q3 growth at a stable 3% pace. In addition to consumer spending and imports, business investment also contributed to this GDP strength. The FED is becoming more concerned about a slowing labor market than high inflation, indicating they are likely to cut interest rates again in October and at their final meeting of the calendar year in December. Markets are beginning to anticipate that the FED will continue to lower interest rates, which could further boost borrowing, investment, and the economy’s momentum for the rest of 2025 and into 2026.  Simultaneously, global fiscal policies amongst major economies are loosening, increasing global liquidity. Canada continues to lack responsible leadership, and we are at risk of managing that scenario. We still view this as a broadly favorable environment for risk assets.

As overall equity growth continued to broaden, September witnessed solid gains for various health-related names in the portfolio. From a top-down perspective, equity markets continue to climb higher despite worries on jobs, tariffs and the strength of the US dollar. For healthcare investors, the beginning of the year saw rising fears related to the new administration and the policy direction to come from Health & Human Services Secretary Robert F. Kennedy Jr. The initial fears drove healthcare equities lower, forecasting challenges in pharmaceuticals, diagnostic testing and clinical research. Over the months, what has transpired is less ominous and as a result, we have seen some healthcare sub-sectors rebound nicely. Fund performance in September benefited from strong returns from  National Vision (EYE) +26%; Eupraxia (EPRX) +10.5% and Johnson & Johnson (JNJ) +4.5%.

The Ninepoint Cannabis & Alternative Health Fund is focused on the key drivers affecting cannabis, health and wellness, pharma and consumer health sectors. We invest in companies that are embracing new modalities, innovative technology and effective distribution. We believe that people globally are becoming more aware of alternative treatments and seeking out the best providers of select services. Our goal is to invest in those companies best positioned to take advantage of these macro changes.

CBD: US Cannabis & The President’s Truth Social Post

On Sunday Sept 28, President Trump posted a video produced by The Commonwealth Project on his Truth Social platform that highlights the medical benefits related to CBD.

The Commonwealth Project is a lobbyist group that strongly supports the HHS rescheduling proposal to move cannabis from a Schedule I to a Schedule III drug. The focus of the video involved a discussion of various medical treatments for seniors where CBD, both cannabis and hemp-derived strains, are being used to treat various conditions from chronic pain, Huntington’s disease, Tourette syndrome, Alzheimers, Arthritis, neurodegenerative disorders, Parkinson's, as well as cancer symptons, emphasizing its potential to improve healthcare outcomes and reduce overall healthcare costs. 

The video discusses the human body’s endocannabinoid system and how it declines with age, and how CBD restores the system’s balance, reduces pain, improves sleep and lowers stress as people grow older. What was also noteworthy after going through some of the medical ailments and opportunities for treatment, the video discusses a policy aspect of having Medicare cover the cost of CBD for seniors. It was this proposal that led to an addition to their position in the sector. We have a sitting president, discussing medical benefits, cost coverage and encouraging further research on those benefits so that doctors can be more comfortable prescribing cannabis to seniors.

Cannabis Sector Outlook

One of the subsectors that continues to stay elevated is the US cannabis. September was an important follow-up month where values stabilized after a strong uptick in August. Combined with market flows, there is renewed enthusiasm based on the prospect of federal legislative changes with respect to medical cannabis and hemp-derived CBD. That narrative has been supporting the sector for almost two months. Most recently, the sector was aided by a video posted to Truth Social, the social media platform founded by President Trump, extoling the virtues of CBD for a variety of medical applications for seniors. Given the links from the White House to Truth Social, there is cautious optimism for the sector. Investors still find it difficult to gauge the degree of enthusiasm for cannabis reform in the Trump administration, as individuals appointed by the White House have very different views on the matter. Terry Cole (DEA administrator), for example, is on record as being a staunch opponent of cannabis reform. Other senior administration officials, such as HHS head RFK Jr., are more supportive. Ultimately, we believe it will require President Trump’s influence, so we are encouraged that the President shared this post. As with all things political, the timing of any decision is driven by factors that have little to do with the issue in question and is therefore difficult to predict.

We continue to hold overweight positions in US cannabis leaders Green Thumb Industries (GTII) and Trulieve Cannabis (TRUL) as we believe both companies are well-positioned in the current patchwork of US regulations, as well as being ready for a re-scheduled US cannabis landscape.

Green Thumb Industries (GTII) is a well-managed, efficient operator based in Illinois. The GTII model focuses on wholesale distribution of its branded products as well as its 108 RISE retail dispensary network across the 14 states, with a total of 20 cultivation and processing facilities where it has licensed operations. GTII is an industry leader, generating annual revenues of over $1.1 billion with adj EBITDA margins in the 28%+ range, and has virtually no debt in its most recent fiscal year. Also noteworthy is that GTII is the first cannabis company to initiate a share buyback, its Board approving annual buyback programs of $50 million allocations in each of the last two fiscal years.

Trulieve Cannabis (TRUL) is the largest retailer in US cannabis with 231 dispensaries across FL, PA, AZ, WV, GA, MD, CT, OH, CO. It has the leading market position in the large  vertically integrated FL medical market. Overall TRUL generates $1.3 billion in annual revenues and maintains an industry leading 60% gross margin supported by its 4 million sq ft of cultivation and processing. Its other state markets continue to grow and expand its brand distribution. In terms of balance sheet strength, the company has free cash flow that it is using to reduce indebtedness. In addition, TRUL is leading the industry in advocacy; in FL leading ballot initiatives to legalize cannabis; while at the federal level working with Republican law makers in Washington to understand the positive medical benefits of re-scheduling.

COSTCO Q4-25 & Full Year Results

Top ten fund holding, COSTCO (COST) released strong Q4 and full year results that once again surpassed analyst estimates. Sales for the quarter were up 8% to $84.4 billion from $78.2 billion YoY. For the year, sales increased over 8% for the company’s fiscal year; generating $269 billion vs $249 billion in fiscal 24. Net income for the físcal year was $8.099 billion, $18.21 per diluted share, compared to $7.367 billion, $16.56 per diluted share in fiscal 2024. Same-store sales, an industry metric that takes out one-time factors such as store openings and closures, rose 6.4% excluding the impact from changes in gas prices and foreign exchange. Revenue growth is being achieved by COST as it continues to make inroads with younger members, re-merchandising due to tariffs as well as enhancing its digital sales platform. For the year, e-commerce sales increased 13.5%, exceeding $19 billion, representing a little over 7% of Costco’s net sales for the year.

On its earnings call, COST CEO Ron Vachris told investors that the company opened 27 new warehouses and plans to open another 35 warehouses in the 2026 fiscal year. In reaction to its strong financial results, beating analyst estimates while continuing its growth trajectory, investors were not impressed. The stock has faded through much of September as investors are concerned that same store sales growth isn’t as strong as it was in prior periods. However, one must consider the changes in inflation that have occurred over the last few years when comparing sales growth. The portfolio team continues to see COST as a key holding that defies other retail weakness with its broad product and service offering all at low prices. We need to remember revenues from membership fees are the most important metric for Costco, not comparable sales. Costco ended Q4 with 81 million paid memberships, up 6.3% year over year and a renewal rate on memberships of 90%.

Costco currently operates 914 warehouses, including 629 in the United States and Puerto Rico, 110 in Canada, 42 in Mexico, 37 in Japan, 29 in the United Kingdom, 20 in Korea, 15 in Australia, 14 in Taiwan, 7 in China. Costco also operates e-commerce sites in the U.S., Canada, the U.K., Mexico, Korea, Taiwan, Japan, and Australia. With its efficiency and curated offerings, Costco helps consumers find organic and health-based products at more affordable prices.

Options Strategy

Since the inception of the option writing program in September 2018, the Fund has generated significant income from options premium of approximately CAD$5.27 million. We will continue to utilize our options program to look for attractive opportunities given the volatility in the sector and to assist in rebalancing the portfolio in favor of names we prefer as we strongly believe that option writing can continue to add incremental value going forward. 

Ninepoint Cannabis & Alternative Health Fund - Compounded Returns* as of September 30, 2025 (Series F NPP5421) | Inception Date - August 4, 2017

1M

YTD

3M

6M

1YR

3YR

5YR

Inception

Fund

-1.33%

0.43%

18.24%

13.05%

-18.62%

-8.66%

-8.72%

1.23%

Statistical Analysis

Fund

Cumulative Returns

10.50%

Standard Deviation

27.18%

Sharpe Ratio

0.11

The Ninepoint Cannabis & Alternative Health Fund, launched in March of 2017 is Canada’s first actively managed mutual fund with a focus on the cannabis sector and remains open to new investors, available for purchase daily.

Charles Taerk & Douglas Waterson
The Portfolio Team
Faircourt Asset Management
Sub-Advisor to the Ninepoint Cannabis & Alternative Health Fund

Historical Commentary

View All
  • Ninepoint Cannabis & Alternative Health Fund
    August witnessed general market optimism as fund flows continued to support risk assets and equity growth.
  • Ninepoint Cannabis & Alternative Health Fund
    The Ninepoint Cannabis & Alternative Health Fund is focussed on the key drivers affecting cannabis, health and wellness, pharma and consumer health sectors. We invest in companies that are embracing new modalities, innovative technology and effective distribution
  • Ninepoint Cannabis & Alternative Health Fund
    During the month of May, broader market indices rebounded as sentiment turned positive with trade talks continuing to reduce the temperature and threats around tariff barriers. The new reality is that all countries will need to deal with tariffs, the remaining question is to what degree
  • Ninepoint Cannabis & Alternative Health Fund
    April saw continued volatile equity markets as investors grappled with the impact of rising tariffs on consumer behavior, slowing growth and the potential for weaker earnings across many industries.
  • Ninepoint Cannabis & Alternative Health Fund
    In this month’s commentary, we review the quarterly and year end financial results of top ten holdings in the US cannabis sector as well as top ten consumer name Walmart Inc (WMT). We also dive into the hemp derived drink industry, a sub-category of the US cannabis sector that is gaining traction amongst producers and consumers alike. Given the new White House Cabinet focus on deficit reduction, we discuss the potential impact and portfolio implications this overarching policy approach will have on the consumer health, healthcare and pharmaceutical sectors.
  • Ninepoint Cannabis & Alternative Health Fund
    In this month’s commentary, we review the quarterly and year end financial results of top ten holdings in the US cannabis sector as well as top ten consumer name Walmart Inc (WMT). We also dive into the hemp derived drink industry, a sub-category of the US cannabis sector that is gaining traction amongst producers and consumers alike. Given the new White House Cabinet focus on deficit reduction, we discuss the potential impact and portfolio implications this overarching policy approach will have on the consumer health, healthcare and pharmaceutical sectors.
  • Ninepoint Cannabis & Alternative Health Fund
    The Ninepoint Cannabis & Alternative Health Fund is focussed on the key drivers affecting cannabis, health and wellness, pharma and consumer health sectors. We invest in companies that are embracing new modalities, innovative technology and effective distribution. We believe that people globally are becoming more aware of alternative treatments and seeking out the best providers of select services. Our goal is to invest in those companies best positioned to take advantage of these macro changes.
  • Ninepoint Cannabis & Alternative Health Fund
    2024 was a mixed year for cannabis investors. The sector underperformed broader indices with Canadian companies outperforming US cannabis as American operators continue to lack access to liquid public markets. For the year, Canadian cannabis industry was up 5.3%<sup>1</sup> while the US industry lagged down 49.4% YTD).
  • Ninepoint Cannabis & Alternative Health Fund
    In this month’s commentary, we review the regulatory landscape in the US as President Elect Trump has announced the nominations for his Cabinet posts.
  • Ninepoint Cannabis & Alternative Health Fund
    In this month’s commentary, we review the US election results and implications on the regulatory changes that could have an effect on cannabis, pharma and healthcare.
  • Ninepoint Cannabis & Alternative Health Fund
    Without immediate catalysts or news flow, investor interest in US Cannabis remains subdued among retail investors as everyone awaits election night results on November 5th. Significant
  • Ninepoint Cannabis & Alternative Health Fund
    During the month, investors witnessed strong equity performance from pharma and health related names such as Eli Lilly (LLY) +19.6%, CostCo (COST) + 8.6%, Walmart (WMT) + 12.8% (USD performance) while key US cannabis names exceeded analyst expectations but suffered from regulatory setbacks.

*All returns and fund details are a) based on Series F units; b) net of fees; c) annualized if period is greater than one year; d) as at 9/30/2025.

Where applicable, risk-free rate and minimum acceptable rate calculated using rolling 90-day CDN T-bill rate. The rate of return or mathematical table shown is used only to illustrate the effects of the compound growth rate and is not intended to reflect future values of the mutual fund or returns on investment in the mutual fund. 

The Fund is generally exposed to the following risks: Active Management Risk; Cannabis Sector Risk; Concentration Risk; Currency Risk; Cybersecurity Risk; Derivatives Risk; Exchange Traded Funds Risk; Foreign Investment Risk; Inflation Risk; Market Risk; Regulatory Risk; Securities Lending, Repurchase and Reverse Repurchase Transactions Risk; Series Risk; Short Selling Risk; Specific Issuer Risk; Sub-Adviser Risk; Tax Risk.

Ninepoint Partners LP is the investment manager to the Ninepoint Funds (collectively, the “Funds”). Commissions, trailing commissions, management fees, performance fees (if any), and other expenses all may be associated with investing in the Funds. Please read the prospectus carefully before investing. The indicated rate of return for series F shares of the Fund for the period ended 9/30/2025 is based on the historical annual compounded total return including changes in share value and reinvestment of all distributions and does not take into account sales, redemption, distribution or optional charges or income taxes payable by any unitholder that would have reduced returns. Mutual funds are not guaranteed, their values change frequently and past performance may not be repeated. The information contained herein does not constitute an offer or solicitation by anyone in the United States or in any other jurisdiction in which such an offer or solicitation is not authorized or to any person to whom it is unlawful to make such an offer or solicitation. Prospective investors who are not resident in Canada should contact their financial advisor to determine whether securities of the Fund may be lawfully sold in their jurisdiction.

The opinions, estimates and projections (“information”) contained within this report are solely those of Ninepoint Partners LP and are subject to change without notice. Ninepoint Partners makes every effort to ensure that the information has been derived from sources believed to be reliable and accurate. However, Ninepoint Partners assumes no responsibility for any losses or damages, whether direct or indirect, which arise out of the use of this information. Ninepoint Partners is not under any obligation to update or keep current the information contained herein. The information should not be regarded by recipients as a substitute for the exercise of their own judgment. Please contact your own personal advisor on your particular circumstances.

Views expressed regarding a particular company, security, industry or market sector should not be considered an indication of trading intent of any investment funds managed by Ninepoint Partners. Any reference to a particular company is for illustrative purposes only and should not to be considered as investment advice or a recommendation to buy or sell nor should it be considered as an indication of how the portfolio of any investment fund managed by Ninepoint Partners is or will be invested.

Ninepoint Partners LP and/or its affiliates may collectively beneficially own/control 1% or more of any class of the equity securities of the issuers mentioned in this report. Ninepoint Partners LP and/or its affiliates may hold short position in any class of the equity securities of the issuers mentioned in this report. During the preceding 12 months, Ninepoint Partners LP and/or its affiliates may have received remuneration other than normal course investment advisory or trade execution services from the issuers mentioned in this report.