Assura Plc · OTC:ARSSF
Assura — Investor Day (November 2021)
39 slides from Assura's investor day presentation, Nov 29, 2021
Slide 1: Assura plc Capital Markets Event
Assura ple Capital Markets Event 29 November 2021 ofa assura
Slide 2: Introduction
Introduction Jayne Cottam CFO
Slide 3: Introduction
Capital markets presentation November 2021 Introduction cm «he Jonathan Murphy Jayne Cottam Simon Oborn Ashley Seymour James Dunmore CEO CFO Head of Property Senior Development Head of Business Manager Development assura
Slide 4: Assura's response to market themes
Capital markets presentation November 2021 Assura's response to market themes Innovation in development Community diagnostic centres Mental health services ina community setting Premises solutions for primary care at scale providers Selective partnerships with private sector health ofa assura
Slide 5: Simon Oborn
Simon Oborn Head of Property
Slide 6: Social impact strategy underpins business model
Capital markets presentation November 2021 Social impact strategy underpins business model Through the Assura Community Fund's grant-making and our support for shared community space, to help improve the wellbeing of more than one million people Develop a sustainable supply chain which shares our co
Slide 7: Why it matters
Capital markets presentation November 2021 Why it matters Lower Improved carbon footprint Benefits our customers & communities Future proot buildings
Slide 8: Ingrained throughout our teams
Capital markets presentation November 2021 Ingrained throughout our teams Investment Development Sustainability and social impact is key element of investment criteria Cost of any necessary EPC improvements costed into acquisition Advances our existing sector- leading energy performance for new buil
Slide 9: Asset enhancement works continue
Capital markets presentation November 2021 Asset enhancement works continue - Example: Newbyres Medical Centre, Edinburgh — Existing lease close to expiry — Proposed works — 123m? extension (1 meeting and 4 clinical rooms) - Refurbishment of existing consulting rooms and remodelled waiting area — Im
Slide 10: Net Zero Carbon development
Net Zero Carbon development Ashley Seymour Senior Development Manager w e 5 FA 0 4 4 0 o u 2 u < 0 ot 0 a oma assura
Slide 11: Net zero carbon development
Capital markets presentation November 2021 Net zero carbon development What is net : How do our What we have Cnoosing a current oon learned and t scheme developments next steps zero carbon development? p rate? assura
Slide 12: Defining net zero carbon
Capital markets presentation November 2021 Defining net zero carbon UK Green Building Council definitions & framework Embodied carbon (construction) Establish building carbon baseline LY Reduce construction impact > Whole life carbon assessment undertaken iodied carbon measured and offset at practic
Slide 13: Polegate
¥ markets presenti - ~ Polegate as assura
Slide 14: Scheme vital for provision of quality services
Capital markets presentation November 2021 Scheme vital for provision of quality services N.B. Video playing during capital markets event Downlands MC (175 m?) Manor Park Surgery (135 m?) 10,900 patients, 7 GPs & 7 Nurses 7,200 patients, 2 GPs, 3 additional practitioners & 4 Converted retail store (
Slide 15: Net Zero pilot: target outputs
Capital markets presentation November 2021 Net Zero pilot: target outputs Reduced emissions Learn What we (operational can change and embodied) fe = Develop a Net Zero Carbon design guide
Slide 16: Whole Life Carbon assessment
Capital markets presentation November 2021 Whole Life Carbon assessment Total: 3,234,950 kg CO,e Split by building phase By building component @ Energy & water 48% ™ Construction 42% m External works 5% @ Operational use 56% mEnd of life 2% m Services (MEP) 9% @ Finishes, fittings 9% m Structure (su
Slide 17: How have we approached the design?
Capital markets presentation November 2021 How have we approached the design? - Architects on the Polegate scheme - Long standing relationships with Assura - Operating for over 20 years, specialists within primary health care market N.B. Video playing during capital markets event Fabric first approa
Slide 18: Embodied carbon
Capital markets presentation November 2021 Embodied carbon Existing Assura buildings compare well with benchmarks Kg CO,e/m? 1,600 , 1,400 1,200 1,000 800 600 400 LETI: London Energy Transformation Initiative RIBA: Royal Institute of British Architects GLA: Greater London Authority WLC: Whole Life C
Slide 19: Operational carbon
Capital markets presentation November 2021 Operational carbon Building regulations / notional minimum model Annual carbon emission rate 17 kg.CO,/m? Cinderford was BREEAM Very Good (Outstanding for Energy) Like for like comparison - before applying grid factors Polegate aspirational Annual carbon em
Slide 20: Where have we got to and lessons learnt?
Capital markets presentation November 2021 Where have we got to and lessons learnt? — Incremental change - Offsetting remains part of the solution - Conflicting design requirements - reduce carbon versus needs of users - Challenges e.g. timber frame - Procurement - Insurance - Spans - Future flexibi
Slide 21: Next steps
Capital markets presentation November 2021 Next steps Hailes ; Apply across all Offsetting - learnings in | Keep aan extended : approach in line Assura Net Zero nage developing and : ; pipeline 70 with UK GBC Carbon design i refining ; projects requirements guide v1 assura
Slide 22: Evolving primary care market
Evolving primary care market James Dunmore Head of Business Development
Slide 23: Primary care market
Capital markets presentation November 2021 Primary care market Out-dated : stock & an) gi Chronic lack of ownership aS investment model > Advancing _, NHS reform technology
Slide 24: Current NHS priorities
Capital markets presentation November 2021 Current NHS priorities NHS Long Term Plan Overarching . . . priority Improving population health, quality of care and cost control Reinforce collaboration Short term and partnerships assura
Slide 25: Primary care perspective
Capital markets presentation November 2021 Primary care perspective - Jim Barwick, CEO of Leeds GP Confederation - Not for profit social enterprise - Works to improve the health of the people of Leeds by strengthening and sustaining primary care N.B. Video playing during capital markets event Curren
Slide 26: Evolving our offering
Capital markets presentation November 2021 Evolving our offering Primary Care Adjacent Markets Closer relationship with operators Addressing knowledge gaps Solution shaping Creating diagnostic and community capacity Mental health and learning disabilities Selected private healthcare ofa assura
Slide 27: Collaborative approach
Capital markets presentation November 2021 Collaborative approach Newly established joint venture with leading primary care at scale provider, Modality Partnership modality Over 1 million patients served Nationwide super- partnership 48 practices Primary care, community care, innovative Operating si
Slide 28: Collaborative approach
Capital markets presentation November 2021 Collaborative approach - Vincent Sai, Partner and CEO of Modality Partnership - Modality Partnership is a GP super- partnership that operates primary health care and community services nationally N.B. Video playing during capital markets event Partnership b
Slide 29: Benefits for Assura
Capital markets presentation November 2021 Benefits for Assura _. - Close relationships give competitive advantage Market insight - Better understanding of strategic and operational needs of at scale providers, including property & technology requirements - Secures pipeline of acquisition opportunit
Slide 30: Summary
Capital markets presentation November 2021 Summary Weevolveour \ AN Agee enhancement offering to meet the ' \ offers logica needs of customers Qe \ solution for EPC and stakeholders £ improvements Net Zero Carbon evelopment - we First joint venture remain at the = ] contributes to forefront in our a
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Slide 32: 1.1 Our market
Capital markets presentation November 2021 1.1 Our market Highly attractive sector characteristics Attractive leases - Long term income with 21+ year leases -— NHS backed tenant covenant and no rent-free periods — Low default risk - 3 yearly rent review cycle with linkage to cost of new developments
Slide 33: 1.2 Assura's market leading position
Capital markets presentation November 2021 1.2 Assura's market leading position Well placed to respond to the needs of the market A long track record of delivery - Over £1bn of portfolio additions since April 2017 — £117m of additions in 6 months to September 2021 (yield on cost 4.9% for 16.3 years
Slide 34: 1.3 Primary care model is key to meeting growing UK healthcare demand
Capital markets presentation November 2021 1.3 Primary care model is key to meeting growing UK healthcare demand Assura operates in primary care which is recognised as critical to NHS delivery and faces growing demand 1. Cost of average visit to a primary care centre compared to £138 for a visit to
Slide 35: 1.4 Market developments
Capital markets presentation November 2021 1.4 Market developments Demand for face-to-face appointments remains high We're working with our customers to understand adaptations required to buildings to support evolving multi-channel approach Government funding Autumn Budget 2021 and Health and Social
Slide 36: 2.1 Polegate as a pilot
Capital markets presentation November 2021 Business case Construction approval start Q& 2023 Q1 2017 Q2 2022 ea) 2.1 Polegate as a pilot Qi 2021 Q4 2022 Appointed by practice Planning permission (St) comin - Chosen for: - Stage of design - Expected delivery timeframe - South East coastal town (popul
Slide 37: 3.1 Portfolio EPCs
Capital markets presentation November 2021 3.1 Portfolio EPCs — Assessment of portfolio EPCs across our portfolio completed during the year - 30% of certificates at rating of B or better, target 100% by March 2026 — Built into existing individual property strategies aiming to complete works alongsid
Slide 38: 3.2 Defining net zero carbon
Capital markets presentation November 2021 3.2 Defining net zero carbon UK Green Building Council definitions & framework “When the amount of carbon emissions associated with a building's Embodied product and construction phases up to carbon. practical completion is zero or (construction) negative,
Slide 39: Disclaimer
Capital markets presentation November 2021 Disclaimer This presentation contains certain statements that are neither financial results nor other historical information. These statements are forward-looking in nature and are subject to risks and uncertainties. Actual future results may differ materia