NWH REIT UPDATE ON STRATEGIC INITIATIVES
February 7, 2020
NWH REIT UPDATE ON STRATEGIC INITIATIVES February 7, 2020 DISCL - - PowerPoint PPT Presentation
NWH REIT UPDATE ON STRATEGIC INITIATIVES February 7, 2020 DISCL AIMER This presentation provides a summary description of Northwest Healthcare Properties Real Estate Investment Trust (NWH or the REIT). This presentation should be
NWH REIT UPDATE ON STRATEGIC INITIATIVES
February 7, 2020
1
DISCL AIMER
This presentation provides a summary description of Northwest Healthcare Properties Real Estate Investment Trust (“NWH” or the “REIT”). This presentation should be read in conjunction with and is qualified in its entirety by reference to the REIT’s most recently filed financial statements, management’s discussion and analysis, management information circular (the “Circular”) and annual information form (the “AIF”). This presentation contains forward-looking statements. These statements generally can be identified by the use of words such as “expect”, “anticipate”, “believe”, “foresee”, “could”, “estimate”, “goal”, “intend”, “plan”, “seek”, “strive”, “will”, “may”, “would”, “might”, “potential”, “should”, “stabilized”, “contracted”, “guidance”, “normalized”, or “run rate” or variations of such words and
place and contracted run rates, payout ratios and other metrics; (ii) the REIT’s property portfolio, cash flow and growth prospects, (iii) liquidity, leverage ratios, future refinancings, fees earned by the asset manager to Vital Trust, anticipated capital expenditures, future general and administrative expenses, including estimated synergies and contracted acquisition and development
Such forward-looking information reflects current beliefs of the REIT and is based on information currently available to the REIT. Other unknown or unpredictable factors could also have material adverse effects on future results, performance or achievements of the REIT. Forward-looking information involves significant risks and uncertainties should not be read as a guarantee of future performance or results and will not necessarily be an accurate indication of whether or not, or the times at which, or by which, such performance or results will be achieved, and readers are cautioned not to place undue reliance on such forward-looking statements. The forward-looking statements contained in this presentation are based on numerous assumptions which may prove incorrect and which could cause actual results or events to differ materially from the forward-looking statements. Although these forward-looking statements are based upon what the REIT believes are reasonable assumptions, the REIT cannot assure investors that actual results will be consistent with this forward-looking information. Such assumptions include, but are not limited to, the assumptions set forth in this presentation, as well as assumptions relating to (i) the REIT successfully realizing the operational and financial benefits described herein, including the realization of synergies, completion of anticipated acquisition and development opportunities, and generation of cash flow; and (ii) general economic and market factors, including exchange rates, local real estate conditions, interest rates and the availability of equity and debt financing to the REIT. These forward-looking statements may be affected by risks and uncertainties in the business of the REIT and market conditions, including that the assumptions upon which the forward-looking statements in this presentation may be incorrect in whole or in part, as well as risks related to increases or decreases in the prices of real estate; currency risk; project development, expansion targets and operational delays; marketability; additional funding requirements; governmental regulations, licenses and permits; environmental regulation and liability; competition; uninsured risks; contingent liabilities and guarantees, including the outcome of pending litigation; litigation; health and safety; trustees’ and officers’ conflicts of interest; the ability of the REIT to integrate the operations of NWI; the ability of the REIT to continue to develop and grow; and management of the REIT’s success in anticipating and managing the foregoing factors, as well as the risks described in the Circular and the AIF. The reader is cautioned that the foregoing list of factors is not exhaustive of the factors that may affect forward-looking statements. Other risks and uncertainties not presently known to the REIT or that the REIT presently believes are not material could also cause actual results
REIT are included in reports filed by the REIT with applicable securities regulatory authorities. These forward-looking statements, which reflect the REIT’s expectations only as of the date of this presentation. The REIT disclaims any obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law. Certain information concerning Vital Trust contained in this presentation has been taken from, or is based upon, publicly available documents and records on file with regulatory bodies. Although the REIT has no knowledge that would indicate that any of such information is untrue or incomplete, the REIT was not involved in the preparation of any such publicly available documents and neither the REIT, nor any of their officers or trustees, assumes any responsibility for the accuracy or completeness of such information or the failure by Vital Trust to disclose events which may have
Funds from operations (“FFO”), adjusted funds from operations (“AFFO”), net operating income (“NOI”) and net asset value (“NAV”) are not measures recognized under International Financial Reporting Standards (“IFRS”) and do not have standardized meanings prescribed by IFRS. FFO, AFFO, NOI, and NAV are supplemental measures of a real estate investment trust’s performance and the REIT believes that FFO, AFFO, NOI, and NAV are relevant measures of its ability to earn and distribute cash returns to unitholders. The IFRS measurement most directly comparable to FFO, AFFO and NOI is net income. The IFRS measurement most directly comparable to NAV is net equity. A reconciliation of NAV, NOI, FFO, AFFO and Normalized AFFO to net income is presented in the REIT’s management’s discussion and analysis of financial condition and results of operations of the REIT for the period ended September 30, 2019, as filed on SEDAR.
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EXECUT IVE SUMMARY
ADVANCING ST RAT EGIC INIT IAT IVES: SCAL ING T HIRD PART Y MANAGEMENT PL AT F ORM T O INCRE ASE F E E INCOME E NT RY T O UK MARKE T INCRE ASE S T HE RE IT ’S ACQUISIT ION OPPORT UNIT IE S AND ABIL IT Y T O SCAL E IN E UROPE GROWT H OF ASSE T MANAGE ME NT PL AT F ORM E UROPE AN E XPANSION AUST RAL ASIAN PORT F OL IO MANAGE ME NT
$2.9B (€2.0B) JV to
inve st in E uro pe a n he a lthc a re re a l e sta te
NAV g ro wth +$125M
va lua tio n
Se e d po rtfo lio o f
$303M (€209M) c o mprise d o f Ge rma ny a nd Dutc h pro pe rtie s
L
e ve ra g e s e xisting E uro pe a n pla tfo rm to d rive g ro wth
E
uro pe a n pla tfo rm e xc e e d s $1B in a sse ts
E
xpa nsio n to UK with $167.0M (£97.8M) po rtfo lio a c q uisitio n a t a 7.3% initia l yie ld o n a lo ng te rm, triple ne t, infla tio n ind e xe d le a se to BMI a le a d ing UK Ho spita l Ope ra to r
$121.0M (€86.0M) o f
a c q uisitio ns in Ge rma ny a nd the Ne the rla nd s
Ad va nc e d the sa le o f its d ire c tly he ld po rtfo lio to jo int ve nture pla tfo rms a nd third pa rtie s g e ne ra ting $140M in ne t pro c e e d s
Pursuing struc tura l c ha ng e s a t Vita l to inc re a se ta x e ffic ie nc y a nd po sitio n fo r g ro wth
Initia l life sc ie nc e s a c q uisitio n
DE L E VE R AGING T OWARDS INVE ST ME NT GRADE ME T RICS AND E XPE CT E D NORMAL IZAT ION OF E QUIT Y MUL T IPL E Ne t De bt / E BIT DA < 8.0x L T V < 50% Inc r e asing Manage me nt F e e s AF F OPU Ac c r e tive
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IMPACT O F ST RAT EG IC INT IT AT IVES
ST RAT EGIC INIT IAT IVES PROVIDE A PAT H T O INVE ST ME NT GRADE CRE DIT ME T RICS AND IS AL SO ACCRET IVE T O AF F O AND NAV ON A PE R UNIT BASIS
9.91x 8.00x
(1.10x) (1.06x) 0.25x
Q3 Ne t De b t/ E BI T DA E q uity Ra ise Ac q uisitio ns Dispo sitio ns T a rg e t Ne t De b t/ E BI T DA
Consolidate d L T V Pr
tionate L T V 52.6% 59.6% 42.6% 48.4%
PROPORT IONAT E NE T DE BT / E BIT DA BRIDGE
Sourc e s (millions)
E q uity Ra ise $317 Ac q uisitio n F ina nc ing $256 Dispo sitio ns $235
T
$808 Use s (millions)
Ac q uisitio ns $318 Co mple te d De b t Re pa yme nt $273 F urthe r De b t Re pa yme nt $217
T
$808
SOURCE S AND USE S
Inte r e st Cove r age 2.2x 2.8x
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EURO PEAN JO INT VENT URE
€2.0B JOINT VE NT URE PL AT F ORM SE E D PORT F OL IO
Me tric s
Ag g re g a te Va lue €209M ($303M) Pro pe rtie s 11 Ca pita liza tio n ra te 5.4% L T V 55% I nte re st Ra te 2.2%
Inc r e ase d manage me nt fe e s and pr
r e tur ns Ability to sc ale E ur
platfor m L
NWH e quity r e quir e me nt Re duc e d c ost of c apital €200M (30% ) NWH e quity de ploye d
5 ye ar s Se e d por tfolio value d at a pr e mium to Q3- 19 IF RS value Sale e xpe c te d to ge ne r ate $95M of ne t pr
inc r e ase manage me nt fe e s Hilve r sum Rotte r dam Ratze bur g Wilhe lmshave n € 0.7 B € 1.3 B
E q uity De b t
T ar ge t 65% L T V
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SIG NIFICANT VAL UE CREAT IO N IN G L O BAL ASSET MANAG ER
$10B OF GL OBAL CAPIT AL COMMIT MENT S DRIVING SIGNIF ICANT VAL UE CRE AT ION IN T HE RE IT ’S ASSE T MANAGER F URT HE R NAV GROWT H AS T HE ASSE T MANAGEMENT PL AT F ORM EXPANDS
AUM (B) Stabilize d F e e s (M) $5.0 $45 $3.0 $15 $8.0 $60 $3.5 $20 $11.5 $80
Sta tus AUM ($B) Ava ila ble Ca pa c ity ($B) NWH Owne rship T e rm Sta bilize d F e e s ($M)
Austra lia n Co re Ho spita l JV Ac tive $3.4 $1.6 30% Pe rpe tuity $20 Vita l Ac tive $1.6 Ope n 25% Pe rpe tuity $25 E uro pe a n JV Co nditio na l $3.0 $2.6 30% 12 Ye a rs $15 Austra lia n JV E xpa nsio n Co mmitte d $1.8 $1.8 30% Pe rpe tuity $10 UK He a lthc a re F und Unde r Ne g o tia tio n $1.7 $1.7 20%-30% T BD $10
T
$11.5 $7.7 $80
Ac tive Unde r Ne gotiation
$525M $725M
$125M $200M
$400M Q3-19 Va lua tio n E uro p e a n Jo int Ve nture Pro fo rma Co mmitte d & Unde r Ne g o tia tio n T
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1 2 3 5 6 4 London Manchester
Oc c upa nc y WAL E Of re nts a re ind e xe d to infla tio n
100% 13 ye ar 100% UK EXPANSIO N INVEST MENT HIG HL IG HT S
3 4 1 6 2 5
L a nc a ste r Hospita l Ca ve ll Hospita l BMI E dg ba ston BMI L inc oln Hospita l
dmunds Hospita l
ate gic fit: Hig h q ua lity he a lth c a re infra struc ture a sse ts
with triple ne t le a se s, 100% o c c upa nc y, lo ng -WAL E a nd a nnua l re nt ind e xa tio n
aphic fit: Na tura l e xte nsio n o f E
uro pe a n pla tfo rm to a ma rke t with a la rg e inve stib le unive rse a nd a n e sta b lishe d priva te he a lth syste m tha t is e sse ntia l to the d e live ry o f the E ng la nd ’ s unive rsa l he a lthc a re mo d e l
ac tive valuation: Imme d ia te ly a c c re tive to AF
F OPU; 7.3% g o ing -in yie ld a t the RE I T ’ s $167M (£97.8M) purc ha se pric e
ST RAT E GIC F IT DE F E NSIVE PORT F OL IO CHARACT E RIST ICS
pro pe rtie s
6
b e d s
150
Hudde r sfie ld
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UK EXPANSIO N: T ENANT PRO FIL E
e L imite d (“BMI”) ha s d o mina te d the UK
priva te a c ute ho spita l ma rke t c o ntro lling 28% o f a c ute o ve rnig ht b e d s, 16% o f re ve nue s a nd 14% o f the ma rke t sha re in 2018
re c o mme nd BMI to fa mily a nd frie nd s a nd 95% o f pa tie nts ra ting o ve ra ll c a re a s ve ry g o o d o r e xc e lle nt
6,500+
Co nsulta nt Sp e c ia lists So urc e : L aing Buisso n “Private Ac ute He althc are UK Marke t Re po rt” Sixth E ditio n
Marke t share s (%) o f the UK private ac ute me dic al c are ho spital marke t (inde pe nde nt se c to r ho spitals and c linic s + NHS private patie nt re ve nue s) b y pro vide r, 2018
1,700,000
Out-p a tie nt visits p e r ye a r
97.5%
Of p a tie nts sa y the y wo uld re c o mme nd BMI to fa mily a nd frie nd s
95%
Of p a tie nts ra te d o ve ra ll q ua lity o f c a re a s ve ry g o o d o r e xc e lle nt
500+
Diffe re nt tre a tme nts a c ro ss 60+ sp e c ia ltie s
51
Ho sp ita ls thro ug ho ut the UK So urc e : www.b mihe althc are .c o .uk 14%
CIRCL E HE AL T H L IMIT E D HAS AGRE E D T O ACQUIRE BMI (DE C 2019) BMI IS A L E ADING PROVIDE R OF PRIVAT E HE AL T HCARE IN T HE UK
c le He alth L imite d (“Circ le ”) ha s a g re e d to a c q uire BMI (De c 2019):
with two
pro g ra m whic h c o mme nc e d fo llo wing BMI’ s De c e mb e r 2018 re c a pita liza tio n
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AUST RAL ASIAN PO RT FO L IO MANAG EMENT : SIMPL IFICAT IO N
DIVE ST ING WHOL L Y OWNE D AUST RAL ASIAN ASSE T S SIMPL IF IE S PL AT F ORM
Cur r e nt Asse t Value Cur r e nt L e ve r age NWH Owne r ship Change in Asse ts
DIRE CT INVE ST ME NT
100% 50% $0.4B
*2 no n-c o re a sse ts so ld to third pa rtie s
AUST RAL IAN JV VIT AL
25% 30% 65% 50% $1.5B $1.6B +10 Impac t of Austr alasian simplific ation
ation: $140M o f ne t pro c e e d s
(inc lud ing third pa rty sa le s)
e ase manage me nt fe e s: Re la te d pa rty
sa le s e xpe c te d to inc re a se ma na g e me nt fe e s b y ~$1.2M
HIGH QUAL IT Y DIRE CT L Y HE L D PORT F OL IO
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AUST RAL ASIAN PO RT FO L IO MANAG EMENT : L IFE SCIENCE EXPANSIO N
~3.5km fro m Me lb o urne CBD No rthWe st ha s a g re e d to a c q uire , a s pa rt o f its Austra lia n institutio na l JV the Burne tt T
e b . 2020). T he a c q uisitio n a d va nc e s the RE IT ’ s c o -lo c a tio n (o n-c a mpus) stra te g y with ma jo r pub lic institutio ns a nd ma rks initia l life sc ie nc e s a c q uisitio n.
ime on c ampus loc ation : lo c a te d in Me lb o urne ’ s Alfre d He a lth
Pre c inc t a nd a d ja c e nt to the 600+ b e d Alfre d Pub lic Ho spita l, a mo ng Austra lia ’ s b usie st e me rg e nc y a nd tra uma c e ntre s a nd the sta te ’ s la rg e st ICU
al life sc ie nc e ac quisition: a c q uisitio n ma rks the RE
I T ’ s first fo ra y into the life sc ie nc e s spa c e a nd inc re a se s its a c q uisitio n o ppo rtunity se t
he pro pe rtie s a re 100% o c c upie d b y Mo na sh Unive rsity, L a T ro b e Unive rsity, Burne t Institute a nd Ba ke r He a rt a nd Dia b e te s Institute
Alfr e d Ce ntr e Bur ne t T
Gr
10 10
11
L
Hudde rsfie ld, We st Yo rkshire (~22km fro m L e e ds)
Pr
ty De sc r iption
T he Hudde rsfie ld wa s b uilt in 1970 a nd re furb ishe d in 1983. T his priva te a c ute c a re ho spita l ha s 29 b e ds, 2
c o nsulta tio n ro o ms a nd 50 pa rking spa c e s. T he site a re a is 2.5 a c re s.
Pote ntial De ve lopme nt
T he site o ffe rs
e xte nsio ns a nd the re is a mple spa c e fo r a dditio na l pa rking .
Ope r ating Pe r for manc e
23% E BIT DARM ma rg in (2019). Re ve nue split 30%/ 70% priva te pa y/ NHS. 2019 CQC ra ting : “Go o d” (dia g no stic s,
L
E dg b a sto n, Birming ha m (~5km fro m CBD)
Pr
ty De sc r iption
Built in 1965 a nd re furb ishe d in 1992, this priva te a c ute c a re ho spita l ha s 55 b e ds, 3
c o nsulta tio n ro o ms a nd 127 pa rking spa c e s. Site a re a is 2.6 a c re s.
Pote ntial De ve lopme nt
Situa te d in a wo rld- c la ss me dic a l a nd life sc ie nc e s hub , the pro pe rty is suite d fo r re de ve lo pme nt fo r mo de rn c linic a l o r se nio r c a re use s.
Ope r ating Pe r for manc e
19% E BIT DARM ma rg in (2019). 2020 CQC ra ting : “Go o d” (e ffe c tive , c a ring , re spo nsive ,
BMI T he E dgbasto n Ho spital BMI T he Hudde r sfie ld Ho spital
L
E nfie ld, L
fro m Ce ntra l L
Pr
ty De sc r iption
Built in 1976/ 1998 a nd re furb ishe d in 2016, T he Ca ve ll is a purpo se b uilt two -b uilding a c ute c a re priva te ho spita l with 43 b e ds, 3 o pe ra ting the a tre s a nd 100 pa rking spa c e s. T he site a re a is 1.5 a c re s.
Pote ntial De ve lopme nt
T he Ca ve ll is situa te d in a pre do mina ntly re side ntia l a nd me dic a l/ institutio na l a re a , with re c e nt-b uild fully-o c c upie d se nio rs ho using o n a dja c e nt site s, sug g e sting a po te ntia l a lte rna tive use .
Ope r ating Pe r for manc e
25% E BIT DARM ma rg in(2019). 2019 CQC
BMI T he Cave ll Ho spital
ASSET PRO FIL ES
L
Me a do wside , L a nc a ste r (~70km fro m Ma nc he ste r)
Pr
ty De sc r iption
T he L a nc a ste r wa s b uilt in 1960 a s a re se a rc h la b o ra to ry, c o nve rte d to ho spita l-use in 1984 a nd re furb ishe d in 2006. T his priva te a c ute c a re ho spita l ha s 25 b e ds, 1
c o nsulta tio n ro o ms a nd 25 pa rking spa c e s. T he site a re a is 1.6 a c re s.
Pote ntial De ve lopme nt
T he b uilding ’ s de sig n a llo ws fo r furthe r re c o nfig ura tio n to inc re a se c a pa c ity.
Ope r ating Pe r for manc e
14% E BIT DARM ma rg in (2019). 2019 CQC ra ting : “Go o d” (surg e ry, e ffe c tive , c a ring ).
BMI T he L anc aste r Ho spital
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L
Bury St. E dmo nds, Suffo lk (~50km fro m Ma nc he ste r)
Pr
ty De sc r iption
T his priva te a c ute ho spita l wa s b uilt in 1979 a nd re furb ishe d in
c o nsulta tio n ro o ms a nd 24 pa rking spa c e s. T he site a re a is 3.7 a c re s.
Pote ntial De ve lopme nt
T he site is lo c a te d in a re side ntia l a nd lig ht ma nufa c turing a re a , with po te ntia l re de ve lo pme nt fo r suc h use s.
Ope r ating Pe r for manc e
20% E BIT DARM ma rg in (2019). 2019 o ve ra ll CQC ra ting : “Go o d”.
BMI St. E dmo nds Ho spital
L
L inc o ln, L inc o lnshire (~22km fro m L e e ds)
Pr
ty De sc r iption
T he b a se b uilding wa s c o nstruc te d in 1887, with e xte nsio ns a dde d in 1989 a nd 2006 (full re furb ishme nt a lso in 2006). T he L inc o ln is a priva te a c ute ho spita l with 18 b e ds, 2
c o nsulta tio n ro o ms a nd 73 pa rking spa c e s. T he site a re a is 1.7 a c re s.
Pote ntial De ve lopme nt
T he site is lo c a te d in a n a fflue nt re side ntia l a nd institutio na l a re a a nd re de ve lo pme nt fo r suc h use s is po ssib le .
Ope r ating Pe r for manc e
23% E BIT DARM ma rg in (2019). Mo st re c e nt
“Go o d”.
BMI T he L inc o ln Ho spital
ASSET PRO FIL ES (C ONT INUED)
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L
Ba d Sa lzufle n, Ge rma ny
Pr
ty De sc r iption
Ac ute c a re psyc hia tric ho spita l b uilt in 1965 a nd re furb ishe d in 1985. T he pro pe rty is c o mprise d o f 5,830 sq m
A a nd 101 inpa tie nt b e ds a c ro ss 4 a b o ve g ro und le ve ls.
Pote ntial De ve lopme nt
T he pro pe rty is fully de ve lo pe d
L e asing
T he pro pe rty is 100%
te na nt o n a ne w 25- ye a r le a se with a nnua lly inde xe d to infla tio n.
Bad Salzufle n
ASSET PRO FIL ES (C ONT INUED)
L
E indho ve n, Ne the rla nds
Pr
ty De sc r iption
T he pro pe rty c o mprise s 3,100 sq m o f L F A o ve r 3 flo o rs. T he pro pe rty wa s fully re no va te d in 2016 a nd inc lude s fo ur
we ll a s priva te do c to rs
spa c e
Pote ntial De ve lopme nt
T he site is fully de ve lo pe d a nd sta b ilize d
L e asing
T he pro pe rty is 100%
te na nt with ~12.5-ye a r re ma ining te rm to ma turity.
E indho ve n, Ne the r lands
L
Ba d Ro the nfe lde , Ge rma ny
Pr
ty De sc r iption
Me dia n Pa rkklinik Ba d Ro the nfe lde is a 216k sq . ft. re ha b ilita tio n ho spita l T his histo ric a l b uilding wa s c o mple te ly re furb ishe d in 1986 a nd e xpa nde d in 1995 with a ne w 263 b e d ho spita l b uilding .
Pote ntial de ve lopme nt
Appro xima te ly 2,000sq m o f e xpa nsio n la nd fo r po te ntia l future de ve lo pme nt
L e asing
100% o c c upie d b y a sing le te na nt; ne w 27- ye a r le a se with a nnua l re nt inde xa tio n
Par kklinic Bad Ro the nfe lde
14 14
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SOL ID E CONOMIC F UNDAME NT AL S
ye a rs, the UK g e ne ra l e c o no my ha s b e e n re silie nt a nd sta b le , with 2020 fo re c a st GDP g ro wth (1.5%) a nd infla tio n (2.1%) in line with
he UK ’ s dive rsifie d do me stic a nd e xpo rt e c o no my, hig hly-skille d wo rkfo rc e a nd ro b ust pub lic e duc a tio n syste m ha ve suppo rte d stro ng histo ric a l a nd fo re c a st une mplo yme nt (3.85% in 2020) we ll b e lo w the na tura l ra te o f 5.4%
L ARGE , OPE N AND GROWING MARKE T
he UK ’ s po pula tio n (~67M) is se c o nd in size o nly to Ge rma ny’ s a mo ng E uro pe a n na tio ns, a nd is fo re c a st to g ro w b y 14% b e twe e n 2018 a nd 2043
he UK ’ s GDP (£2.83 tr
illion) a lso ra nks se c o nd o nly to Ge rma ny’ s
he UK ’ s o ve ra ll a nd urb a n po pula tio n de nsity is the hig he st a mo ng ma jo r E uro pe a n na tio ns a t 274.8 pe o ple pe r km2
uro pe a n e c o no mie s, the Wo rld Ba nk ra nke d the UK hig he st o n the Ease o f Do ing Busine ss, Ec o no mic F
r e e do m a nd Pr
ty Rights Indic e s, a nd se c o nd o nly to Ge rma ny o n the Pr
ity Inde x
POL IT ICAL ST ABIL IT Y
he e le c tio n o f a Co nse rva tive Pa rty ma jo rity pa rlia me nt re so lve d unc e rta inty re g a rding Bre xit’ s pa th, b o o sting b usine ss a nd c o nsume r c o nfide nc e a s e vide nc e d b y a sig nific a nt rise in the c o mpo site Purc ha sing Ma na g e rs’ Inde x (53.3 in Ja nua ry, up fro m 49.3 in De c e mb e r)
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T HCARECONSIDERATIONS
UK HE AL T HCARE POL ICY SUPPORT S INVE ST ME NT IN PRIVAT E HE AL T HCARE RE AL E ST AT E
I T inve sts, a pilla r o f UK he a lthc a re po lic y is pub lic ly-fund e d unive rsa l c o ve ra g e fre e a t the po int o f ne e d fo r a ll pe rma ne nt re sid e nts, whic h is d e live re d thro ug h a d yna mic c o mb ina tio n
he Na tio na l He a lth Se rvic e (“NHS”) is the g o ve rnme nt b o d y tha t a d ministe rs the d e live ry a nd mo nito rs the q ua lity o f b o th pub lic a nd priva te he a lthc a re se rvic e s, a nd it is o ne o f the la rg e st e mplo ye rs in the wo rld (1.5 millio n e mplo ye e s), c e me nting its ro le a s a fo und a tio na l e le me nt o f UK so c ie ty a nd the g e ne ra l e c o no my
isc a l pre ssure s ha ve stra ine d NHS re so urc e s, re sulting in lo ng wa it-time s fo r c a re in pub lic ho spita ls, a c a ta lyst fo r g ro wth o f the priva te he a lthc a re se c to r a nd the inc re a sing pre va le nc e
pa rtic ula rly fo r e le c tive pro c e d ure s
ma jo rity Co nse rva tive pa rlia me nt ha s c o mmitte d to suppo rt the NHS’ s pub lic / priva te c a re d e live ry struc ture , a nd ha s re a ffirme d pla ns to inc re a se pub lic fund ing fo r the NHS (+£20 b illio n a nnua lly)
£156B £42B Pub lic (NHS) Priva te
~₤197B
UK He althc ar e E xpe nditur e (2018) UK He althc ar e E xpe nditur e Gr
E xpansion of Pr ivate Se c tor
17
IO N
Paul Dalla L ana, Chair man & CE O
416-366-2000 E
Shaile n Chande , CF O
416-366-2000 E
NORT HWE ST HE AL T HCARE PROPE RT IE S RE IT