Q1 2022 INVESTOR UPDATE - May 12, 2022 - NorthWest Healthcare Properties

Page created by Alice Klein
 
CONTINUE READING
Q1 2022 INVESTOR UPDATE - May 12, 2022 - NorthWest Healthcare Properties
Q1 2022
INVESTOR UPDATE
      May 12, 2022
Q1 2022 INVESTOR UPDATE - May 12, 2022 - NorthWest Healthcare Properties
DISCLAIMER

 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 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
 phrases. Examples of such statements in this presentation may include statements concerning: (i) the REIT’s financial position and future performance, including normalized and target financial
 metrics, forecasted liquidity and potential deleveraging transactions; (ii) joint venture conditional capital commitments and negotiations, potential acquisitions, dispositions and other transactions,
 including a potential UK joint venture, and transactions involving Aspen and Australian Unity; (iii) the REIT’s development pipeline and associated future value creation, (iv) the REIT’s property
 portfolio, cash flow and growth prospects, liquidity, un-deployed capital, leverage ratios, future financings and asset management fees, (v) the REIT’s intention and ability to distribute available
 cash to security holders, (vi) the industry in which the REIT operates and trends related thereto, and (vii) the REIT’s strategic and governance initiatives.

 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) completion of anticipated acquisitions, dispositions, development, joint venture, deleveraging and other
 transactions (some of which remain subject to completing documentation) on terms disclosed; (ii) the REIT’s properties continuing to perform as they have recently, (iii) the REIT successfully
 integrating past and future acquisitions, including the realization of synergies in connection therewith; (iv) various general economic and market factors, including exchange rates remaining
 constant, local real estate conditions remaining strong, interest rates remaining at current levels, the impacts of COVID-19 on the REIT’s business ameliorating or remaining stable; and (vii) 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 the various risks described in the AIF.

 These forward-looking statements 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 occurred or may affect the completeness or accuracy of such information but which are unknown to the REIT.

 Funds from operations (“FFO”), adjusted funds from operations (“AFFO”), net operating income (“NOI”), same property NOI (“SPNOI”), 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, SPNOI, and NAV are supplemental measures of a real estate
 investment trust’s performance and the REIT believes that FFO, AFFO, NOI, SNOI 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, NOI and SPNOI is net income. The IFRS measurement most directly comparable to NAV is net equity. An explanation and reconciliation of
 Non-IFRS measures 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 March 31, 2022 as filed on
 SEDAR.

                                                                                                   1
Q1 2022 INVESTOR UPDATE - May 12, 2022 - NorthWest Healthcare Properties
TORONTO
Focused Healthcare Real Estate Investment Partner

9 Global scale, local relationships
  Partner of choice for leading operators
                                                                                                                                 LONDON
                                                                                                  SÃO PAULO
9 Defensive operating fundamentals
  Cure focus underpinned by government funding
                                                                                                                                    PHOENIX
9 A proven track record
  Annual total shareholder return of 13.1%

                                                                           B E R L I N                             S Y D N E Y
9 Scalable platform with embedded growth
  Robust acquisition and development pipeline
                                                                                               +70% Global Gateway City Exposure

                                                                                    Established Relationships with Leading Healthcare Operators

 NWH AT A GLANCE                                                                                         CONSOLIDATED NO
                                                                                                                       NOII
                                                                                                         DIVERSIFICATION(4)

     18.1M                      229                     $10.3B
     SQUARE FEET*             PROPERTIES*               TOTAL ASSETS(3)

    97.0%                      14.6                       5.2%
    OCCUPANCY*                 YEAR WALE*                IFRS CAP RATE

    $3.0B                      6.4%                        95%
    MARKET CAP (1)         DISTRIBUTION YIELD(1)        PAYOUT RATIO (2)

                                                                                2
   *Q1 2022 PF completion of US portfolio acquisition
Q1 2022 INVESTOR UPDATE - May 12, 2022 - NorthWest Healthcare Properties
WHY INVEST IN HEALTHCARE REAL ESTATE

       $3 Trillion ‘niche’                   Excellent demand                          Defensive
     healthcare real estate                    fundamentals                          characteristics;
      market with growing                                                         indexation delivering
           demand                                                                       growth

 •   $8 Tn spent annually on global    •   Supportive demographic trends     •   Healthcare real estate has been
     healthcare                            with growing & ageing                 among the top performing real
 •   Healthcare spending growing at        populations particularly in the       estate asset classes since before
     4%-7% annually                        key 65+ demographic                   the global financial crisis
                                       •   Rising prevalence of chronic      •   Essential nature of healthcare
 •   Among largest global industries
                                           conditions is driving demand          makes the asset class recession
     accounting for over 10% of
                                                                                 resilient as demonstrated during
     global GDP                        •   Wellness trends are increasing
                                                                                 the GFC and C-19
                                           “consumption” of healthcare

                           Delivering Superior Risk Adjusted Returns

                                                        3
Q1 2022 INVESTOR UPDATE - May 12, 2022 - NorthWest Healthcare Properties
NORTHWEST’S FOCUS

                            CURE                                  CARE

       Higher Acuity                                                                Lower Acuity

                         NWH FOCUS

     Hospital    Ambulatory Care &   MOB   Life Sciences       Skilled    Assisted Living   Independent
                    Outpatient                             Nursing/Aged                        Living
                                                               Care

                                                                           Healthcare precincts drive long-
Evolution                                                                  term value creations through;

                                                                           ¾ Higher value tenants &
                                                                             retention
                                                                           ¾ Higher rent growth
                                                                           ¾ Up zoning
                                                                           ¾ ESG compliant

                                           4
Q1 2022 INVESTOR UPDATE - May 12, 2022 - NorthWest Healthcare Properties
HIGHLIGHTS OF THE QUARTER

                      +2%                           +15%

         $0.21 YoY                   $14.73 YoY                  320 bps YoY                             2.2% YoY
          AFFO/Unit                      NAV/Unit                 LTV Reduction                             SPNOI

   US MARKET ENTRY & AFFO GROWTH                                      LEVERAGE & VALUE CREATION

              $753M                 5.5%
          Acquisition Price    Portfolio cap rate                52.1%
                                                                                 49.6%         49.8%                           48.8%
                                                                                                              48.5%

             +90%                     55%
            Indexation                 LTV                       44.3%
                                                                                 43.1%         43.8%
                                                                                                              41.9%            42.5%

                                                                 Q1 21           Q2 21         Q3 21          Q4 21            Q1 22

                                                                                     Consolidated      Proportionate

  $0.83                                      $0.84              $12.77                                                  $14.73
Q1-21 AFFO/Unit
                         +2% YoY          Q1-22 AFFO/Unit
                                                                                         +15% YoY
                                                                Q1-21 NAV/Unit                                         Q1-22 NAV/Unit
  Annualized                                Annualized

                                                            5
Q1 2022 INVESTOR UPDATE - May 12, 2022 - NorthWest Healthcare Properties
2022 STRATEGIC PRIORITIES

             CORE DEFENSIVE             ACCELERATING GROWTH            RAPIDLY GROWING ASSET
               PORTFOLIO                       PROFILE                 MANGEMENT PLATFORM

          • NWH’s portfolio is highly
            defensive:
                                        • US market entry to
                                          accelerate growth:    9      • Total management fees
                                                                         +23% YoY
            9 Long-WALE of ~15            9 Largest healthcare RE
              years                         market globally;           • Asset manager expected
            9 Highly diversified          9 High transaction             to continue rapid growth
              geographically                velocity;                    in 2022
              including exposure to       9 Acquisition cap rates at
              USD;                          ~100 bp premium to         • New fund initiatives incl:
            9 Inflation protection
              from inflation indexed
                                            other markets                9 $2.2B AUS JV upsize
                                                                         9 $2.5Bn UK JV
                                                                                                 9
              & annual contractual      • Healthcare Precinct              including ~$1B seed
              rent growth                 strategy:                        portfolio (2H-22)
                                          9 Opportunity to develop       9 $765M US JV (2H-22)
                                             core real estate at the     9 $5.0B Global
                                             intersection of               Healthcare Precinct
                                             healthcare, education         Fund (2H-22)
                                             and life science

              MATCHING THE RIGHT CAPITAL WITH ATTRACTIVE INVESTMENT OPPORTUNITIES
             TO DRIVE VALUE CREATION ACROSS A RAPIDLY EXPANDING ASSET MANAGEMENT
                                           PLATFORM

                                                    6
Q1 2022 INVESTOR UPDATE - May 12, 2022 - NorthWest Healthcare Properties
DEFENSIVE UNDERLYING PORTFOLIO

                    Operating Metrics                                      Diversification

                         ~97%                                             8              >2,000
                    Portfolio Occupancy                               Countries               Tenants

                                                                                  Diverse tenants encompass
              80%              15 yr                                                  hospitals operators,
         Inflation Indexed                                                          rehabilitation clinics, life
                                WALE                                                sciences and individual
                Rents
                                                    STABLE                               practitioners
                                                  OPERATING
                                                FUNDAMENTALS
                        > 80%
                     Tenants with                                               One of Australia’s Leading
                  Government Support                                               Hospital Operators

                                       >$350B
                                                              One of Germany’s leading           Brazil’s Leading
            Stable Private        Funding from Public
                                                            Rehabilitation Clinic Operators     Hospital Operator
          Healthcare Funding      Healthcare Systems

                 Government Funding                                  Strategic Relationships

                                                        7
Q1 2022 INVESTOR UPDATE - May 12, 2022 - NorthWest Healthcare Properties
HIGH INDEXATION

THE REIT’S             z    Due to the long duration of most of Northwest’s leases; rents generally escalate each year

INTERNATIONAL          z    Within international markets ~99% of leases are indexed minimizing the impact of the current
                            inflationary environment
PORTFOLIO IS
                       z    The international portfolio is also characterized by a weighted average lease term of 17 years
CHARACTERIZED BY A          and occupancy of ~99% indicating long term stability in rental income
LONG WALE OF 17        z    Canadian portfolio continues to increase percentage of inflation indexed leases. With shorter
YEARS AND 99%               term leases, renewal spreads are in line with inflation.
INDEXATION WHICH
MINIMIZES THE IMPACT       International Portfolio Indexation                     Canadian Portfolio Metrics
OF THE INFLATIONARY
ENVIRONMENT                100%      99%       99%                   99%
                                                         91%
                                                                                       $1.2B                  84%
                                                                                        AUM                   MOB

                                                                                      91%                     5 Yr
                                                                                   Occupancy                  WALE

                           Brazil   Europe     ANZ       USA         Total
                                                                 International
                                                                    Portfolio

                                                          8
Q1 2022 INVESTOR UPDATE - May 12, 2022 - NorthWest Healthcare Properties
UK JV POSITIONED FOR COMPLETION

                           KEY METRICS & HISTORY                                              TIMELINE

                                                                            • 2020: 10 hospital portfolio acquired for
            27% YOY AUM GROWTH SINCE 2020                                     ~$620M at a weighted average cap rate
                                                             $1B+             of ~6%
                                   $980M
                                                                            • 2021: Aspen acquisition and restructuring
          $620M                                                               initiatives generated $150M+ of fair value
                                                                              uplift. Cheshire Hospital acquisition of
                                                                              $150M resulted in a regional AUM of ~$1B

          2020                      2021                     2022

                                                                                       JV GROWTH STRATEGY

  £600M (~$1B)                       ~5%                     100%
  UK Portfolio value -                                   Of rents indexed
                               Portfolio cap rate
 Achieving critical mass                                    to inflation    £600M (~$1B)                 £1.5B (~$2.5B)
                                                                            Current AUM                   3-5 yr AUM
                     100%                      +$350M
                   Occupancy                  Net Proceeds

                                LEADING UK PORTFOLIO WITH GREATER LONDON CONCENTRATION

                                                                    9
PLANNED US JV

                                            ILLUSTRATIVE METRICS

       ~$750M                   27                      1.2M        5.5%            Fully
       Portfolio              Assets              Sq. Ft. GLA      WACR          Stabilized

                    OPPORTUNITY                                 HIGH QUALITY PORTFOLIO
 z   Opportunity to expand global asset
     management platform to a dynamic US
     market generating significant fees and value
     creation

 z   Targeting partnership with institutional sponsor
     which is expected to lead to future growth
     opportunities while reducing equity
     requirements

      >95%             >10 Year            >90%
 Occupancy               WALE           Indexation

                                                         10
GLOBAL JV FORMATION DRIVES NAV GROWTH

                             Pre-2020                     2020-2022                2022+

 Region

 Capital
Partner(s)
                                                                                    TBD

 Target
AUM($B)                              +$6.2B                 ~$5.0B                ~$3.5B

Valuation*                           $400M                  $225M                 $125M

                                     $625M                                 $750M
                                                         UK + US JV
                                Current Valuation                     Target Valuation

                                                            11
 * Based on implied 13x Year 1 Manager EBITDA mutliple
BALANCE SHEET OPTIMIZATION

                                                                                          Proforma LTV
                                                                                                                                      Forecast
                                                                                                     -320 bps
                                                                                                       YoY             54.2%
                             52.1%
                                                 49.6%                49.8%                           48.8%
                                                                                          48.5%
                                                                                                                                    44.7%
                                                                                                                       47.5%                       42.1%
                             44.3%                                    43.8%
                                                 43.1%                                                42.5%
                                                                                          41.9%
                                                                                                                                    37.6%
                                                                                                                                                   35.3%

                             Q1 21                Q2 21               Q3 21               Q4 21       Q1 22      US Acquisition   UK & US JV      Series G
                                                                                                                 & Sub events                    Conversion*

                                                                                    Consolidated       Proportionate

    Net
Debt/EBITDA
                             8.5x                                                                                      9.8x                       ~7.0x
                                                      JV formation in the UK and US
                                                     and debt optimization results in
  Floating                                                  improved metrics
    Rate                                                                                                               64%                         21%
 Exposure

                                                                                              12
  * Assumes Series G debentures are in the money and convert to equity at a strike price of $13.35
GLOBAL HEALTHCARE PRECINCT STRATEGY

                                                    1 Intersection of
NORTHWEST IS                                            healthcare,
                                                                                       HEALTHCARE AT THE CORE
INVESTING IN THE CORE                                education, and life
                                                          science
OF HEALTHCARE,
RESEARCH AND
                                     2
KNOWLEDGE                                     Growing                       PROJECT PIPELINE EXPANDING
PRECINCTS                                    Opportunity                   WITH POTENTIAL VALUE OF $2.5B

                        3
                            Differentiated                 ATTRACTIVE RISK ADJUSTED
                            Return Profile                         RETURNS

                                         13
FINANCIAL HIGHLIGHTS

        14
FINANCIAL DASHBOARD

                         Q1-21 Annualized          Q1-22 Annualized

  AFFO/unit (5)              $0.83/unit                 $0.84/unit

     LTV (6)/
                           44.3% / 52.1%               42.5% / 48.8%
Proportionate LTV

     NAV (7)                $12.77/unit                 $14.73/unit

                      Accretive               JV                 Debt
                    Developments          Deployment          Repayment

                                             15
DELIVERING NAV GROWTH

                         15% YOY NAV/UNIT GROWTH ON PRIMARILY DRIVEN BY FAIR VALUE GAINS

                                                   $0.44            ($0.24)
                           $1.82                                                     ($0.06)

                                                                                                        $14.73

      $12.77

  Q1-21 NAV/Unit       IPP revaluation        Global Manager          FX             Other          Q1-22 NAV/Unit

               NAV growth driven by +$300M fair value gains & ~$100M valuation uplift from AUS JV expansion

                                                                    Global Asset
       Institutionalization                                                                    Development
                                           UK & US Joint            Management
         of Healthcare
                                         Venture Initiatives          Platform                  Accretion
           Real Estate
                                                                     Expansion

                                                               16
EVOLUTION OF ASSET MANAGEMENT PLATFORM

SUCCESSFUL                                       HISTORICAL CHART OF AUM AND OWNERSHIP
EXECUTION OF UK & US   $12B
                                                                                                                     $10.3B           $10.3B
                                                                                                                                                         100%
                                                                                                                                                         90%
JV WILL RESULT IN      $10B
                                    70%
                                                                                                  $9.2B
                                                                                                                                                         80%
                                                      $6.5B              $7.8B                                                         $5.4B
                                                                                                                                                         70%
LOOK-THROUGH            $8B
                                                                          56%
                                                                                                  57%
                                                                                                                      60%
                                                      61%                                                                              48%               60%
OWNERSHIP               $6B                                              $3.4B                    $4.B
                                                                                                                     $4.1B                               50%
                                   $4.1B                                                                                                                 40%
DECREASING TO ~48%      $4B
                                                      $2.5B
                                                                                                                                                         30%
                                   $1.2B
                                                                                                                     $6.2B
                                                                                                 $5.2B                                 $4.9B             20%
                        $2B                           $4.B               $4.4B
                                   $2.9B                                                                                                                 10%
                         $B                                                                                                                              0%
                                    2018              2019                2020                    2021             Q1 2022 PF         Post UK &
                                                                                                                                        US JV
                                                     Owned AUM                Third Party AUM             Look-through Ownership

                                 BASE FEES CAGR OF ~29%                                                   RETURNS COMPARISON
                       $6,500M                                                      $100.M        $100
                       $6,000M                                        $5.9B         $90.M      Investment                Direct                   JV
                       $5,500M                                                               (5% Cap Rate)
                                                                                    $80.M
                                                   $4.9B
                       $5,000M                                   $68.7M                           Ownership                  100%                 30%
                                                                                    $70.M
                       $4,500M                                                                        LTV                     65%                 65%
                                                                                    $60.M
                       $4,000M                    $47.5M                                         Interest Rate               ~3%
                                    $3.3B                                           $50.M                                                         ~3%
                       $3,500M                                   $40.7M
                                                                                    $40.M             NOI                     $5                  $1.5
                       $3,000M     $29.9M         $22.4M
                                                                                    $30.M            Fees                     N/A                 $0.4
                       $2,500M
                                    $13.M                                                       Interest Expense             ($1.9)            ($0.6)
                       $2,000M                                                      $20.M
                                                  $25.1M             $28.M
                       $1,500M     $16.9M                                           $10.M         Total Return               $3.1                 $1.3
                       $1,000M                                                      $.M         Equity Required               $35              $10.5
                                  Q1 2020 LTM    Q1 2021 LTM    Q1 2022 LTM
                                     Base Fees     Other Fees                 AUM                    ROE                      9%               12%

                                                                17
SIGNIFICANT VALUE CREATION IN GLOBAL ASSET MANAGER

                                                                                           Total      Deployed &    Available            NWH
                                                          $B              Status                                                                             Term
~$11B OF ACTIVE                Active
                                                                                          Capacity    Committed     Capacity           Ownership
                                                   Australian Core
GLOBAL CAPITAL                                       Hospital JV
                                                                          Active            $3.5          $3.2        $0.3               30%               Perpetuity

COMMITMENTS                                         Australian JV
                                                                          Active            $2.2            -         $2.2               30%               Perpetuity
                                                     Expansion
DRIVING SIGNIFICANT
                                                         Vital            Active            $2.7          $2.7        Open               27%               Perpetuity
VALUE CREATION IN
                                                    European JV           Active
THE REIT’S ASSET                                                                            $2.8          $0.5        $2.3               30%               12 Years

MANAGER                                         Total Commitments                          ~$11           $6.4        $4.8

                                                                          Under
                                                UK Healthcare Fund                          $2.5          $1.0       $1.5*             20%-30%             +10 Years
                                                                        Negotiation
                                                                          Under
                                                 US Co-investment                           $0.8          $0.8          -              30%-50%             Perpetuity
                                                                        Negotiation
                                                 Global Healthcare
                                                                        Preliminary         $5.0            -         $5.0               ~30%                 TBD
                                                   Precinct Fund
                             Under
                           Negotiation                   Total                             ~$20           $8.2       $11.3

                                                                                                                      $125M
                                                                               $100M

                                                                                                                                                $750M
                                                                                                      $625M
                                                               $525M

                                                             Q4-21         AUS JV Expansion           Q1-22        Under Negotiation            Proforma
                                                            Valuation                                Valuation

                                      AUM ($B)                   $9.0              $2.2               $11.2                  $3.3                  $14.5

                                                                          18
                      * Capacity net of seed portfolio
PROPORTIONATE INCOME STATEMENT

DEFENSIVE OPERATING
PERFORMANCE AND
ACCRETIVE INVESTMENT                                      Increase driven by SPNOI
ACTIVITY COMBINED                                      growth and investment activity

WITH MANAGEMENT                                            Driven by increased
FEE GROWTH DRIVES                                        deployment within global
                                                              asset manager
FINANCIAL RESULTS

                                                          10 bps
                          2.2%               +21%
                                                       Reduction in
                       SPNOI Growth        Base Fees
                                                       WAIR to 3.3%

                                      19
PROPORTIONATE BALANCE SHEET

~15% NAV PER UNIT
GROWTH DRIVEN BY
IMPROVED PROPERTY                                        Includes +$300M Fair
VALUATIONS, $100M                                             Value Gain

UPLIFT IN THE GLOBAL
MANAGER AND 320 BPS
OF DELEVERAGING

                                                                 ~$550M
                                                        Equity Issuance primarily
                                                           deployed towards
                                                              deleveraging

                       3.3%             ~15%           ~320 bps
                       WAIR        NAV/Unit Growth   LTV Reduction

                              20
RISK MANAGEMENT – FOREIGN EXCHANGE

OVER A 15 YEAR
PERIOD, THE REIT’S
NOI WEIGHTED
FOREIGN EXCHANGE
INDEX HAS REMAINED
RELATIVELY STABLE

RENTAL INDEXATION
ACTS AS NATURAL
CURRENCY HEDGE

PORTFOLIO SECURED
WITH LOCAL
CURRENCY DEBT
WHEREVER POSSIBLE
TO MINIMIZE FX RISK   •   Canada: FFX  X                  •   Europe: FX volatility        •   Au
                                                                                               Australia:
                                                                                                  stra
                                                                                                  st
                                                                                                   tralililia
                                                                                                            a: FX
                          appreciation due to                 expected due to                  appreciation due to
                          flight to stability                 regional conflict                proximity to China’s
                                                                                               economic recovery
                      •   Brazil: FX appreciation         •   UK: Stable FX due to
                          due to rising global                greater certainty and        •   New Zealand: FX
                          commodity prices                    flight to stability within       stability expected since
                          driven by the                       Europe                           the country is relatively
                          inflationary environment                                             insulated from regional
                                                                                               conflicts

                                                     21
GLOBAL HEALTHCARE
     TRENDS

        22
HEALTHCARE TRENDS IMPACT ON HEALTHCARE REAL ESTATE

                   HEALTHCARE TRENDS are driving real estate opportunities.

                                                 Outpatient /                                 Increased
                       Aging                                      Operator      Increasing
                                  Urbanization                                                  funding
                     population                  home care      consolidation    asset size
                                                                                                 needs

                                                   Limited
                      Positive      Positive                      Positive       Positive     Positive
     Hospitals                                     impact

 Outpatient /         Positive      Positive       Positive       Positive       Positive     Positive
Medical Office

                                    Limited        Limited
         Care         Positive                                    Positive       Positive     Positive
                                    impact         impact
      Facilities

 Life Sciences        Positive      Positive        N/A            N /A          Positive     Positive
    / Research

                                                  23
INVESTMENT ACTIVITY

         24
CONSOLIDATED INVESTMENT ACTIVITY

 2022 TRANSACTIONS
                                   TYPE       REGION    C$M

 US Portfolio Acquisition       Acquisition     US      753

 Normal Course Acquisitions     Acquisition   Various   125
                                                                   CHESHIRE HOSPITAL UNITED KINGDOM
 Total                                                  878

2021 TRANSACTIONS
 HIGHLIGHTED
                                 TYPE         REGION    C$M
 TRANSACTIONS
                                                                     AUSTRALIA               GERMANY
 Netherlands MOB              Acquisition       NL      176

 Australian Unity
                                 M&A           AUS      127
 Acquisition

 Cheshire Hospital            Acquisition       UK      153

 Epworth Geelong &
                              Acquisition      AUS      117
 ELIM Hospital

 NORMAL COURSE
                                 TYPE         REGION    C$M
 TRANSACTIONS

Normal Course Acquisitions    Acquisition     Various   347

Normal Course Dispositions    Disposition     Various   55

 Total                                                  975

                                                              25
COMMITTED DEVELOPMENTS

                    • ~$304.1M (fully consolidated; $128.8M proportionate) of committed low risk development &
THE REIT IS             expansions in Australasia, Europe, Brazil and Canada to be funded through a combination of
                        existing resources and property financing
LEVERAGING ITS
                            ƒ    $232.7M ($64.1M proportionate) of Australasian hospital and MOB expansions
SIGNIFICANT                 ƒ    $18.5M ($11.9M proportionate) of European developments
EXPERTISE AND               ƒ    $28.9M of Brazilian hospital expansions
                            ƒ    $24.0M of Canadian MOB development
EXPERIENCE WITHIN
THE INDUSTRY TO
                                                                                                                      Anticipated
                                                                                               Cost to   Pre-Leased
DELIVER AN               Country (8)          Projects       Est. Completion   Project Cost                             Project
                                                                                              Complete   Occupancy
                                                                                                                         Yield
ADDITIONAL $304M
OF VALUE                                         11
                                                                Q2 2022 to
                                                                                  232.7        184.5        74%          6.1%
                                                                 Q4 2024
ENHANCING
PROJECTS TO ITS
                                                  2               Q2 2022         18.5          3.2         90%          5.2%
PORTFOLIO

THE REIT’S                                        2
                                                                Q2 2022 to
                                                                                  28.9          28.9       100%          7.5%
                                                                 Q4 2022
DEVELOPMENT
PIPELINE OF $2B
                                                  1               Q3 2022         24.0          5.1         62%          7.1%
DRIVES FUTURE
GROWTH
                                                 16                               304.1        221.7        76%          6.3%

                    Note: represents post-quarter close development metrics

                                                                 26
PORTFOLIO OVERVIEW

        27
ASSET MIX BY REGION AND SEGMENT

ON A PROPORTIONATE                              PROPORTIONATE NOI DIVERSIFICATION
BASIS HOSPITALS                                    Q1 2022                                                  Q1 2022

                                                                                                                                Life
ACCOUNT FOR 60% OF       Australasia
                                                                         Canada     Hospital and                             Sciences
                                                              25%                                                       2%
                                       26%                                          Healthcare
NET OPERATING                             27%
                                                                                     Facilities                        2%
                                                   Q1 2021   27%                                           Q1 2021

INCOME                                                                                         60%
                                                                                                     61%
                                                   REGIONS                                                 ASSET MIX

INCREASING FOCUS                                                                                                        37%
                                                                                                                           38%
                                                             17%                                                                   MOB
                                                                   18%
ON HEALTHCARE                                29%                           Brazil
                                          31%
INFRASTRUCTURE,
                                 Europe
INCLUDING
ACUTE/POST ACUTE                                         Detailed Segment Breakdown
HOSPITALS AND
                                                                  AUS      NZ         BRL          CAD     GER          NL       UK
RELATED BUILDINGS IN
EACH OF ITS MARKETS          Acute hospitals

                             Post-acute hospitals

                             MOBs

                             Aged care

                             LLife Sciences

                       High Priority                                                                                         Low Priority

                                                             28
STRATEGIC RELATIONSHIPS AND TENANT DIVERSIFCATION

                                                           STRATEGIC RELATIONSHIPS ALLOWING FOR BEST-
              TOP 10 TENANTS BY GROSS RENT(9)
                                                                     IN-CLASS PERFORMANCE

     TENANT                  REGION    % GROSS RENT                          •   Alberta Health Services (6
                                                                                 Locations): Largest provincial
1
                                                                                 healthcare provider to 4.3 M
    Healthscope
    He
     e          Limited                   13.9%                                  Albertans
2
    Rede
    Re
     e D’or                                8.0%
3
    Epworth
    Ep
     p      Foundation                     5.9%
4
    Aurora Healthcare
    A
    Au                                     4.8%                              •   Median (5 Transactions): Germany’s
                                                                                 largest private provider of
5
                                                                                 rehabilitation services
    Nuffield Health
    N
    Nu                                     4.7%
 6
    HealtheCare
    He
     e                                     3.5%
7
    Circle
    C i    Health Group                    2.3%
                                                                             •   Epworth Foundation (7 transactions):
8                                                                                The largest not-for profit hospital
    Evolution
    Ev
     v        Group                        1.9%                                  operator in the Australian state of
                                                                                 Victoria
9
    Median Kliniken
    M                                      1.5%
10
    Spire
    SSp
      p Healthcare                         1.2%
                                                                             •   Rede D’Or (7 transactions):
     Top 10 Tenants                       47.7%                                  Brazil’s leading hospital
                                                                                 operator

                                                      29
CASE STUDY – EPWORTH EASTERN HOSPITAL, MELBOURNE

NON-FOR-PROFIT PRIVATE
HEALTHCARE GROUP THAT
RAISES FUNDS TO
PURCHASE ADVANCED
MEDICAL EQUIPMENT,
                          NorthWest has supported Epworth over 15+ years with expansion opportunities, advice and capital. Developments
FUND RESEARCH AND          have added to the quality & value of assets, driving operational benefits & efficiencies that attract practitioners.
PROVIDE BEST POSSIBLE                    2003-05                                        2014-17                              2017-21
CARE TO PATIENTS                Private hospital
                                                                         Public and private hospitals             Eastern Private Hospital
                             development leads to
EPWORTH EASTERN IS A                                                        drive health precinct               announces major expansion
                             formation of precinct
LEADING HOSPITAL WITH
223 BEDS AND STATE OF    • Development of Epworth Eastern            • Acquisition of Ekera Medical Centre      • $125m expansion of Epworth
                           Hospital (private)                          increases NorthWest assets in              Eastern Hospital
THE ART EQUIPMENT AND    • Establishes operator relationship           precinct                                 • Construction is in progress and
                           with Victoria’s largest not-for-profit    • Strategic acquisition of adjacent site     remains on target for late 2021
TECHNOLOGY                 private healthcare group                    for private hospital expansion             completion.

                         • Public and private hospital co-           • Public hospital major expansion          • Epworth Eastern Hospital at
                            location further attracts specialists    • Council designated ‘Education and          capacity for 3 years
                         • Begins to drive early stage precinct           Health precinct’ – targeted as a      • New 30-year lease term over entire
                            formation                                     high growth area with increased         expanded hospital
                                                                          density

                                                                    30
INVESTMENT OPPORTUNITY

          31
NORTHWEST OVERVIEW

                    GLOBAL HEALTHCARE REAL ESTATE INVESTMENT PARTNER

    Global                                                             Dynamic
    Capital                                                            Capital
    Relationships                                                      Allocation

    Accretive                                                          Strategic
    Acquisition
    Opportunities
                                  NWH.UN                               Operator
                                                                       Partnerships

    Regional                         LISTED                            Brownfield
    Operating                                                          Development
    Platforms
                                        TSE                            Opportunities

    Healthcare                                                         Long Term
    Precincts in                                                       Indexed
    Urban Locations                                                    Leases

                                           32
ENVIRONMENTAL, SOCIAL AND GOVERANCE

          NWH is committed to creating a more sustainable future through the implementation of a
        comprehensive ESG program underscored by four key pillars resulting in key 2022 commitments:

Inclusive Company               Thriving Partners               Strong Communities               Healthy Planet
 Building for our current        Preparing lasting                 Investing in the                Deepening our
team members as well as      tenant spaces for health            communities we serve             contribution to a
  our future employees            and healing                                                      healthy planet

• Establish a globally      • Formalize a global survey        • Pledge a contribution of   • Achieve Net-Zero GHG
  consistent employee         for all tenants with an            $5M in support of            emissions by 2050. Over
  experience with an          ambition to achieve top            academic research about      the next 12 to 24 months,
  ambition to achieve top     quartile performance on            the impacts of the           we will round out our
  quartile NPS                tenant NPS                         pandemic on health           baseline on emissions
  performance                                                    systems across the world     and establish a science-
                            • Define a three-year
                                                                                              based 2030 interim
• For every open senior       schedule to complete air         • Launch an employee
                                                                                              reduction target
  leadership position and     quality and wellness               volunteer program
  for as many other open      reviews for 100%                   providing two days per     • Conduct energy audits
  positions as possible,      landlord-controlled                year of paid time off to     across 100% of landlord-
  with a goal of 90%,         properties                         further support the          controlled properties,
  Consider at least one                                          communities NWH serves       helping to further inform
                            • Collaborate with tenants
  woman or one minority                                                                       energy reduction and
                              on sustainable
  in the slate of                                                                             conservation actions
                              construction guidelines
  candidates
                              for renovations and                                           • Submit to GRESB
• Deploy targeted             developments                                                    evaluation
  sustainability training

                                                          33
INVESTOR FACTSHEET

    Ticker                                            NWH.UN

    Listed Exchange                                   TSX

    Distribution Payable                              Monthly

                                                      40% Other Income/
    Distribution Type                                 46% Return on Capital/
                                                      14% Capital Gain

    Unit Price (May 12, 2021)                         $12.53

    Market Capitalization                             ~$3.0B

    Distribution Yield                                6.4%

    52-Week Trading Range                             $12.35-$14.42

    Volume Weighted Avg. Price (VWAP) (20-day)        $13.57

    Average Daily Volume (90-days)                    ~917,000

    NAV/Unit (Q1 2022)(7)                             $14.73

                                                 34
NOTES

1. Based on NWH.UN’s closing unit price of $12.53/unit as of May 12, 2022.
2. Based on the REIT’s distribution policy of $0.80/unit per annum and Q1-2021 annualized AFFO/Unit of $0.84
3. Based on total assets under management of NWH pro-formal completion of the US portfolio acquisition, Vital Trust on a fully
   consolidated basis including post-quarter acquisitions. NWH owns a 27.5% interest in Vital Trust.
4. The pie chart fully reflects consolidated NOI and includes i) post- quarter acquisitions ii) 100% of NOI from Vital Trust and iii) 100% of the
   NOI from the REIT’s institutional JVs including the Healthscope portfolio and European JV.
5. AFFO/unit is based on annualized Reported AFFO/unit and adjusted for acquisitions, and financings as presented in the REIT’s –Q1 2022
   MD&A PART III.
6. LTV includes convertible debentures and is shown on a fully consolidated basis (Vital Trust at 100%) and includes the HSO portfolio
   accounted for using the equity method.
7. NAV is based on unitholder’s equity plus add-backs as set out in Part XII in the REIT’s Q1 2022 MD&A.
8. Presented on a fully consolidated basis. Assuming projects are 100% debt funded at the existing region’s financing costs and is for
   indicative purposes only.
9. Gross rent on a fully consolidated basis.

                                                                        35
NON-IFRS MEASURES

Non-IFRS measures defined in Q4 2021 MD&A
1. FFO
2. AFFO
3. FFO per Unit
4. AFFO per Unit
5. AFFO Payout Ratio
6. EBITDA
7. Adjusted EBITDA
8. Investment Properties on a proportionate basis
9. Proportionate Management Fees
10. Interest Coverage
11. Cash Flows from Operation Activities Attributable to Unitholders
12. Distributions
13. Net Asset Value (“NAV”)
14. Constant Currency Same Property NOI (”Same Property NOI”/“SPNOI”)

                                                          36
CONTACT INFORMATION

NORTHWEST HEALTHCARE PROPERTIES REIT

Paul Dalla Lana, Chairman & CEO
pdl@nwhreit.com
416-366-2000 Ext. 1001

Shailen Chande, CFO
shailen.chande@nwhreit.com
416-366-2000 Ext. 1002

                                       37
You can also read