Q4 2018 INVESTOR UPDATE - March 7, 2019 - NorthWest Healthcare Properties
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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 (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 phrases. Examples of such statements in this presentation may include statements concerning: (i) the REIT’s financial position and future performance, including, normalized financial results, in- 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 opportunities, and (iv) the REIT’s intention and ability to distribute available cash to security holders. 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 or events to differ materially from those expressed in its forward-looking statements. Additional information on these and other factors that could affect the operations or financial results of the 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 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”) 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 December 31, 2018, as filed on SEDAR. 1
CORE HEALTHCARE INFRASTRUCTURE IN MAJOR MARKETS TORONTO NorthWest Healthcare Properties Real Estate AUCKLAND SÃO PAULO Investment Trust (TSX: NWH.UN) is a specialist healthcare real estate investor that owns a high quality portfolio of medical office and hospital properties located MELBOURNE B E R L I N SYDNEY throughout major markets in Canada, Brazil, Germany, Australia and New Zealand. ESTABLISHED RELATIONSHIPS WITH LEADING HEALTHCARE OPERATORS NWH AT A GLANCE NOI DIVERSIFICATION 11.2M 156 $5.1BN SQUARE FEET PROPERTIES TOTAL ASSETS 96.7% 12.6 6.2% OCCUPANCY YEAR WALE IFRS CAP RATE $1.5BN 7.2% 90% MARKET CAP) DISTRIBUTION YIELD PAYOUT RATIO 2
HIGHLIGHTS OF THE QUARTER DELIVERING STABLE Delivering stable operating results AND CONSISTENT Stable per unit AFFO and NAV per unit RESULTS Source currency adjusted cash SPNOI growth of 4.3% YTD Occupancy of 96.7%; International portfolio occupancy above 98% PREVIOUSLY European platform continues to gain momentum ANNOUNCED During the quarter, the REIT acquired 1 German MOB and 1 German rehab hospital for a combined purchase price of $52.3M. Post quarter end, the REIT acquired 1 MOB for a purchase price of $32M in Germany STRATEGIC PRIORITIES YTD over $300M in European acquisitions, including the first acquisitions in The Netherlands and expansion ACTIONED WITH NEW into the German rehab hospital sector OPPORTUNITIES Executing on strategic investment pipeline IDENTIFIED Post quarter end, the REIT entered into a definitive agreement to acquire a portfolio of 11 high quality, major market Australian hospitals from Healthscope Limited (“HSO”) for a combined purchase price of A$1.25 BN The REIT intends to leverage existing capital relationships and ultimately own 25%-30% of the portfolio while retaining management of the entire portfolio and generating incremental third party management fee income The portfolio is highly complementary to the REIT’s existing assets in region and solidifies NorthWest as the leader in Australian healthcare real estate The initial cap rate is 5%, with 2.5% annual rent increases on an initial 20-year lease term on an absolute (quadruple) net lease basis Improved Capital Markets Presence NWH meets all criteria for S&P/TSX Composite index inclusion and expects to be added in the March rebalance Increase level of intuitional support Completed $269M of capital markets financing (including a $144 million equity offering that closed post quarter end) 3
DASHBOARD GROSS BOOK VALUE NORMALIZED AFFO / UNIT +8.3% YoY (8.9x increase since inception) +11.0% since inception $5,072m $4,684m $0.93 $0.88 $572m $0.80 At inception Q4-2017 Q4-2018 At inception Q4-2017 Q4-2018 Annualized Normalized OCCUPANCY WEIGHTED AVERAGE LEASE EXPIRY International portfolio at 98.3% +0.5yr YoY 95.9% 96.7% 12.1 12.6 90.7% 4.0 At inception Q4-2017 Q4-2018 At inception Q4-2017 Q4-2018 4
2018 YTD SUMMARY OF INVESTMENT ACTIVITY Significant Transactional Activity in 2018 Q1 Q2 Acquired an MOB in Berlin and two post-acute care clinics in Bad Kissingen and Wilhelmshaven, Germany, totaling $80M. Acquired the Acquired the 2nd largest MOB in Berlin, Germany and two high quality MOBs in remaining 50% interest in Epworth Clarendon Hospital in Melbourne, Brunssum and Rotterdam, the Netherlands totaling $182M. Acquired a 10% Australia for $55M and completed the $167M disposition of the strategic stake in Healthscope (ASX:HSO). Dundas Edward Centre in Toronto. Q3 Q4 $115M of completed transactions in Q4 (Europe and Australasia), totaling ~$550M Acquired one AAA asset in São Paulo, Brazil for $92M. of global acquisitions in 2018. The quarter’s acquisitions comprised two properties Acquired development land in Australia and New Zealand collectively in Germany, a 50/50 JV between Vital and NWH Australia of Elizabeth Vale in South for ~$12M. Australia, NWH Australia’s Casey Swim School and exercising its option in acquire Disposed 70% of Galaxy assets worth $207M. Epping Medical Centre. Summary Acquisitions Developments Completed Dispositions Construction Stabilized YTD Q4 2018 Value Cap rate Value Cap rate Cost Yield Australasia $138M 5.3% - - $207M 5.2% Brazil $92M 7.0% - - - - Canada - - - - $167M 4.0% Europe $314M 6.0% - - - - Total $544M 6.0% - - $374M 4.7% Note: Value excludes transaction costs and stake in Healthscope 5
SIGNIFICANT VALUE CREATION IN ANZ MANAGER PRO-FORMA THE INSTITUTIONAL AUSTRALIAN HEALTHSCOPE JV PLATFORM ACQUISITION NORTHWEST MANAGES AUM (in $M) $491(*) $1,617 $2,000 $1,200 > $5,000 A$5.0BN AUSTRALASIAN PLATFORM WITH A$3.5BN NWH Ownership OF FEE BEARING CAPITAL % 100% 24.9% 30% 25%-30% 34% AND A 34% OWNERSHIP INTEREST 3rd Party Fee Nil $1,214 $1,400 $870 $3,484 Bearing Assets FUNDING IN PLACE TO Market fees LTM $35M Market fees FACILITATE FULL Base fee Base fee To be finalized Fees Internal Performance fee Performance fee based on ultimate $35M to $40M INVESTMENT Activity fees Activity fees ownership Other fees Other fees structure ANZ Manager $270M Valuation Target 11x-13x EBITDA multiple Note (*): Net of the assets sold into the JV. 6
GROWTH THROUGH CAPITAL RELATIONSHIPS OPPORTUNITY TO Healthcare real estate is an attractive investment for long-term institutional capital LEVERAGE A Defensive healthcare fundamentals support high occupancy and long term indexed leases DIFFERENTIATED High quality, new generation healthcare facilities in major global markets HEALTHCARE REAL Significant consolidation opportunity driven by deep operator relationships ESTATE PLATFORM TO ATTRACT ADDITIONAL $2.8BN global pipeline provides an opportunity to scale capital relationships FEE BEARING Australia: Significant strategic opportunity through Healthscope interest INSTITUTIONAL Brazil: “Triple A” major market strategy is well suited to growing institutional relationships CAPITAL Europe - Germany: Recent entry into the post-acute care rehabilitation clinic market Europe - Netherlands: Highly fragmented market with consolidation opportunities Leverage leading global platform and existing assets to drive meaningful fee growth Pro-forma the HSO acquisition current stabilized fees of $35M - $40M underpinned by permanent capital commitments Highly scaleable and differentiated management platform to drive operating leverage Target: $1.0BN of incremental AUM $10M - $15M of incremental fees 7
SOLIDIFYING AUSTRALASIAN LEADERSHIP History and Key Accomplishments in Australia Developed local Initial investment knowledge and Expansion and consolidation Integration and further expansion regional growth Generation Manager In Region: Vital Manager acquisition: Full integration and rebranding of the strengthened acquisition: acquired 100% NWH completed Australasian Management Platform to NWH relationship with key acquired 100% interest in GHM 100% acquisition Healthcare Properties Management operators and interest in VHML of Generation improved portfolio metrics Vital reached $1Bn in assets; doubling Entered into an A$2.0Bn JV with a large NWH: Market since the initial sovereign wealth fund and strategy assessment investment 2011 2012 - 2016 2017 2018 and forward Vital delivered Exclusive RE excellent Partner of performance: Acurity Acquisition of a 10% Feb. 1, 2019 - entered into a Unit price +115% Initial GHC Investment: Completed strategic interest in definitive agreement to Initial Vital Investment: (inception to acquired a $400M in Healthscope; Australia's acquire 11 properties from acquired a 19.8% stake in NZX DEC/15) and 19.8% stake in ASX listed acquisitions and 2nd largest private hospital Healthscope for A$1.25 Bn; listed Vital Healthcare outperformed Generation Healthcare REIT developments operator with a portfolio the transaction is expected Property Trust (founded early benchmark by (founded in 2006) in 2017 of 45 hospitals to close in Q2/19 1990s) 8,636 bp 8
Q4-18 FINANCIAL DASHBOARD As Reported Normalized Target Deliver stable property operating Track to management run rate and Completion of Project Galaxy guidance performance, cash flow and including Seed portfolio sale. distributions Completed the acquisition of Completion of the committed Track to management run rate and Hospital Morumbi in Brazil development projects and guidance over time refinancing initiatives AFFO/unit (5) $0.81/unit $0.88/unit +$0.95/unit LTV (6) 47.8% / 55.7% 45.3% / 53.3%
FINANCIAL HIGHLIGHTS - PROFITABILITY POSITIVE OPERATING Q4-18 Q4-18 RESULTS IN LINE WITH As Reported Normalized MANAGEMENT NOI $66.8M $68.1M GUIDANCE FFO $26.5M $31.6M NORMALIZED RESULTS AFFO $24.5M $29.6M HAVE BEEN ADJUSTED W.A Units 121,169 134,670 Outstanding TO REFLECT THE IMPACT OF RECENTLY Annualized AFFO / Unit (4) $0.81/unit $0.88/unit COMPLETED AND Payout Ratio 99% 90% COMMITTED TRANSACTIONS NORMALIZATION ADJUSTMENTS Normalization adjustments principally relate to: - Full year effect of acquisitions and dispositions completed during the quarter; - Full year effect of debt drawn during the quarter - Debt optimization including initiatives executed during the quarter; - Accrued rent to Q4-2018 based on contracted rent indexation; - NWH Australia development completions; and - Non-recurring and one time items. 11
FINANCIAL HIGHLIGHTS - CAPITALIZATION Q3-18 Q4-18 Q4 2018 NAV/UNIT WAS As Reported As Reported POSITIVELY IMPACTED BY Gross Book Value $4,679.6M $5,071.6 FAVOURABLE F/X Debt $2,299.0M $2,423.1M MOVEMENTS AND FV Convertible GAINS ACROSS THE REIT’S $295.3M $401.2M Debentures PORTFOLIO Other $564.0M $566.2M Net Asset Value $1,523.8 $1,681.0 LTV (excl./incl. 49.4% / 55.7% 47.8% / 55.7% converts) NAV/Unit $11.09 $12.30 The Canadian dollar depreciated by 5.9% QOQ vs. the weighted basket of the Quarterly NAV / Unit REIT’s foreign currency exposure generating a gain on foreign currency translation FV gains following external and desktop assessments with corresponding cap rate compressions 12
BALANCE SHEET OPTIMIZATION AND REGIONAL DEBT STRATEGY BALANCE SHEET OPTIMIZATION DEBT MATURITY PROFILE (11) Debt Optimization Opportunities Near-term debt maturities totaling ~$260M at 6.8% WAIR; offering attractive interest rate saving opportunity Extend debt maturity profile to align with long-term leases Leverage global balance sheet to reduce regional borrowing differentials Path to Unsecured Credit Rating – Building an Unencumbered Pool 15.7% of debt is currently unsecured Revolving warehouse facility strategy LEVERAGE TRENDING LOWER REGIONAL DEBT STRATEGIES LVR - consolidated incl. converts 60.0% Actuals Target 1 55.0% Asset Level Bank Loans and Asset Level Asset Level Type 50.0% Term Debt Securitization Term Debt Revolving Debt 1 2 LTV (13) ~45% ~25% ~55% ~40% HSO Portfolio Acquisition: 45.0% - Represents impact of acquisition at target 25%- 30% look through ownership LTV temporarily elevated due to high Market 40.0% 2 transactional volume; expected to trend lower Interest ~3.7% ~7.3% ~2.2% ~4.5% Deleveraging Plan by executing on capital recycling initiatives Rates (14) Capital recycling of 35.0% approximately $500 million Typical 25 years 10 years 10 years Interest Only Amortization 30.0% 13
RISK MANAGEMENT – FOREIGN EXCHANGE OVER A 10 YEAR NOI FX Rate - Spot Var. % 150 Weight 29-Dec-17 28-Sep-18 31-Dec-18 QoQ YoY 7-Feb-19 Var. % PERIOD, PORTFOLIO BRL:CAD 17.2% 0.3796 0.3188 0.3514 10.2% -7.4% 0.3581 1.9% EUR:CAD 9.6% 1.5089 1.4979 1.5636 4.4% 3.6% 1.5091 -3.5% 140 NZD:CAD 42.4% 0.8913 0.8549 0.9163 7.2% 2.8% 0.8982 -2.0% INDEX HAS REMAINED AUD:CAD 10.3% 0.9820 0.9322 0.9614 3.1% -2.1% 0.9450 -1.7% CAD:CAD 20.4% 1.0000 1.0000 1.0000 0.0% 0.0% 1.0000 0.0% 130 Portfolio Weighted Avg. 100.0% 5.5% 0.05% -1.0% WITHIN A TIGHT BAND 120 110 RENTAL INDEXATION 100 ACTS AS NATURAL 90 97 CURRENCY HEDGE TO 80 70 74 FX MOVEMENTS 60 50 Dec-07 Dec-12 Dec-17 Jan-05 Nov-05 Apr-06 Jul-07 Oct-08 Jan-10 Nov-10 Apr-11 Jul-12 Oct-13 Jan-15 Nov-15 Apr-16 Jul-17 Oct-18 Sep-06 Feb-07 Mar-09 Sep-11 Feb-12 Mar-14 Sep-16 Feb-17 Aug-09 Aug-14 Jun-05 Jun-10 Jun-15 May-08 May-13 May-18 EUR/CAD BRL/CAD NZD/CAD AUD/CAD Portfolio Avg. Brazil Equity Bridge Despite FX volatility, Brazil NAV has increased primarily as a result of: $700 $600 $162 $606 • Lease Structure: Triple net lease structure -$32 • Structured lease review: Leases are annually $500 $106 indexed to the IPCA index (the Brazilian equivalent $400 $338 of the CPI Index) $300 $200 $100 $0 14
P O RT F O L I O O V E RV I E W 15
PORTFOLIO OVERVIEW $5.1Bn International Platform C A N A D A B R A Z I L LEADING MEDICAL STRONG RELATIONSHIPS OFFICE BUILDING WITH LEADING PLATFORM OPERATORS 56 PROPERTIES 8 PROPERTIES SP NOI Growth (9) 0.4% SP NOI Growth (9) 3.1% 1,050 TENANTS 8 TENANTS Occupancy 93.2% FITCH AAA+ RATED Occupancy 100% TENANT WALE 5.1YRs WALE 20.4YRs AUSTRALASIA E U R O P E LEADING REAL ESTATE CONSOLIDATION OF PLATFORMS MEDICAL OFFICE BUILDINGS 45 PROPETIES IN AUS SP NOI Growth (9) 5.5% 32 PROPERTIES SP NOI Growth (9) 4.0% 11 PROPERTIES IN NZD 666 TENANTS Occupancy 98.5% Occupancy 96.4% 7 DEVELOPMENTS WALE 16.6YRs WALE 10.8YRs 16
PORTFOLIO DIVERSIFICATION NOI DIVERSIFICATION TOP 10 TENANTS BY PERCENTAGE OF GROSS RENT (12) GEOGRAPHICALLY BY GEOGRAPHY (4) DIVERSIFIED % of Gross Tenant Region PORTFOLIO OF CORE Rent 1 HEALTHCARE REAL Rede D'Or 14.3% ESTATE ASSETS IN 2 Healthe Care 12.8% STABLE AND GROWING REGIONS 3 INTERNATIONAL Epworth Foundation 3.2% MARKETS 4 Acurity Group 1.9% HIGH QUALITY AND 5 CISSS / CIUSSS 1.5% DIVERSIFIED TENANT NOI DIVERSIFICATION 6 ROSTER; STRATEGIC BY ASSET MIX (4) Hall & Prior 1.2% 7 RELATIONSHIPS WITH Bolton Clarke 1.1% LEADING HEALTHCARE 8 OPERATORS Hospital Sabara 1.1% 9 ASSET MIX Sportsmed SA 1.0% 10 Mercy Ascot 1.0% Top 10 Tenants 23.9% 17
RECENT DEVELOPMENTS Healthscope $2.0 BN Institutional Significant European Transaction Hospital Morumbi Joint Venture Acquisition Pipeline Complete Complete Compete Complete Ongoing NWH has entered into a Size 233k Square Feet Size A$2.0Bn (debt and equity) ~€90M of near term Transaction definitive agreement to European investment Description acquire 11 high quality Size transactions to close over the hospital assets for $1.2B Seed Portfolio ~A$410M as complete Tenants Rede D’Or next 3-6 months, with ~€35M closed in Q4 2018 HSO is a leading Australian private healthcare provider, 30% NWH / Healthscope Cap Rate ~7.5% Ownership 70% Institutional Partner operating 45 Australian Cap Rate ~4.5%-6.4% Description hospitals, 48 medical centers and 63 pathology labs. Occupancy 100% Management Market base fees and Fee activity fees Occupancy 90%+ NWH intends to leverage its Lease Term ~25 Years JV will allow NWH to Objective capital partners to ultimately accelerate its ANZ retain a 25%-30% ownership Rationale consolidation plan through Rental Annual Inflation Index stake in the portfolio Rental better access to lower cost Increase Annual Inflation Index Increase capital Acquisition Acquisition Completion Acquisition Completed and Pending Expected Q2-2019 Q3-2018 Q3-2018 Date Completion Date Date Date 18
HEALTHSCOPE INVESTMENT HIGHLIGHTS CORE HEALTHCARE INFRASTRUCTURE IN MAJOR MARKETS Transformational 11 property, $1.2BN transaction solidifies the REIT as the leader in Australian healthcare real estate NORWEST Highly complimentary to NWH’s existing portfolio Deepens relationship with Australia’s 2nd largest private BRISBANE operator PRIV ATE Excellent risk adjusted returns from long term “absolute quadruple net” lease structure, 2.5% annual fixed rent increases strong 2.2x EBITDAR coverage on new 20 year leases ~$525M pipeline of brownfield developments and capital projects with attractive development spreads of 100 bps Newcastle Private MELBOURNE CLINIC Expected to be immediately accretive to reported annualized AFFOPU DEEPENS EXISTING RELATIONSHIP ACQUISITION METRICS REGIONS NOI ASSET MIX $1.2BN 5.0% $60M DIVERSIFICATION2 ACQUISITION PRICE CAP RATE1 INITIAL RENT 4% 4% 15% 13% NT SA Psychiatric QLD 57 1,539 11 15% Rehabilitation OPERATING BEDS PROPERTIES VIC NSW General 59% THEATRES ACQUIRED 20% Surgical 71% 100% 20 2.5% 100% ANNUAL RENT 100% OCCUPANCY YEAR WALE INDEXATION Hospital Australia Notes: 19 (1) Based on purchase price excluding transaction costs (2) Based on base rent at completion
CASE STUDY #1 - EPWORTH EASTERN HOSPITAL, MELBOURNE Development of a Healthcare Precinct Co-located private hospital Epworth Eastern Private Public hospital initial Public and private hospitals development attracts Hospital announces major demand catalyst drive health precinct specialists expansion 20
CASE STUDY #1 – EPWORTH EASTERN HOSPITAL, MELBOURNE Development of a Healthcare Precinct Epworth Eastern Private Public hospital initial Private hospital development Public and private hospitals Hospital announces major demand catalyst leads to formation of precinct drive health precinct expansion 1999 2003-05 2014-17 2017-2021 NorthWest has supported Epworth over 15+ years with expansion opportunities, advice and capital Acquisition of adjacent Medical Development of Epworth Eastern Acquisition of Ekera Medical $125m expansion of Epworth Centre housing specialists Hospital (private) Centre increases NorthWest Eastern Hospital operating at Box Hill Public Establishes operator relationship assets in precinct Acquisition of Ekera Medical Hospital with Victoria’s largest not-for- Strategic acquisition of adjacent Centre by NorthWest profit private healthcare group site for private hospital expansion Adjacent site available for next stage expansion Developments have added to the quality & value of assets, driving operational benefits & efficiencies that attract practitioners Large site area creates potential Public and private hospital co- Public hospital major expansion Epworth Eastern Hospital at for future expansion location further attracts specialists Council designated ‘Education capacity for 3 years Begins to drive early stage and Health precinct’ – targeted New 30-year lease term over precinct formation as a high growth area with entire expanded hospital increased density Total 286 beds and $334m value on completion in 2021 21
CASE STUDY #2 – MEDIAN, GERMANY SCALED EUROPEAN PLATFORM PROVIDED Market ~230,000 ACCESS TO PARTICIPATE Leader Patients p.a. IN RECENT ~€940 M 120 CONSOLIDATION Revenue Facilities TRENDS ~18,200 ~15,000 Beds/Places Employees German Fragmented Private Equity NorthWest Rehabilitation Market Leads to Acquisition of Partnership Market Consolidation Operator Opportunity Germany is world-leading in Market fragmentation In 2014 MEDIAN was First NorthWest real estate post-acute rehabilitation Strong operators acquisitive acquired by a private equity acquisition in 2017 Large market with 3% to achieve economies of group Total investment €75m with German healthcare spend scale Now the clear market pipeline of €100m+ (€9.5 bn in 2016) Creates opportunity for real leader and largest private Supporting MEDIAN’s estate portfolios operator through expansion under Master acquisition strategy Lease Agreement 22
CASE STUDY #2 – MEDIAN, GERMANY Supporting ongoing Partnership is foundation MEDIAN seeking reliable real MEDIAN expansion with for continuous acquisition estate partners Who is MEDIAN? SLB transactions pipeline Largest private rehabilitation provider 2017 Present Future with 120+ facilities across Germany NorthWest bought the first MEDIAN is continuously MEDIAN’s growth strategy and clinics from MEDIAN growing through acquiring their existing assets ensure a strong new clinics and operators pipeline (forecast 5+ clinics per In 2014 MEDIAN was The SLB transaction is based annum (€100m+)) acquired by Waterland on a master lease with NorthWest has bought the Private Equity institutional market standards underlying real estate at the International expansion time of MEDIAN‘s acquisition opportunities likely Total market value of current After several MEDIAN clinics: €75m Agreed key terms (master lease acquisitions MEDIAN agreement) ensures competitive has become the clear advantage and efficiency in market leader in the transactions German post-acute and rehabilitation market 23
CASE STUDY #3 – REDE D’OR, BRAZIL PLATFORM GROWTH HAS Top 5 Global Healthcare Market NorthWest's Brazilian Portfolio has Scaled Significantly ALLOWED NWH TO Third largest private healthcare market: $180BN REMAIN A KEY CAPITAL p.a. healthcare spending (9% of GDP) NorthWest owns 8 hospitals totaling R$2.1 Population over 200M, rapidly ageing, with a PARTNER AND EXPAND growing middle class billion (C$750m) Ongoing collaboration with partner for win- ALONGSIDE OUR KEY Many old / obsolete private hospitals, with win opportunities unsophisticated operators OPERATING PARTNERS Brazil coming out of recession Top Facilities ‘AAA‘ Strategy Major acute-care assets Leading cities Highly capable operator A-typical lease structures – no rent reviews, inflation escalation R$M +36% p.a. 2,124 1,796 Best-in-Class Private Hospital Operator 1,578 851 885 1,009 Largest private hospital operator in Brazil: 39 340 hospitals, 5,900 beds AAA Fitch national rating Backed by global investors GIC (26%) and Carlyle 2012 2013 2014 2015 2016 2017 2018 Group (12%) 24
Case study #4 – Healthe Care, Australia Driving growth through relationships 2019 Third largest for-profit private hospital operator 2006 2016 2017 in Australia Commenced healthcare operations with the Acquired by pan-Asian health services group that is exploring Acquired portfolios of 18 hospitals and day 2,500 acquisition of 6 hospitals growth in Australia and Asia surgeries, funded through 36 Operator private equity 7,000 Continued acquisition and partnering 2010 2011 - 2018 2019 Acquisition of Healthe Care Acquisition of additional Significant capital partner on hospitals Healthe Care hospitals brownfield developments Real estate partner 8 facilities, 18 facilities, ~$100M across facilities ~$850M gross value 25
ACCRETIVE DEVELOPMENT & EXPANSION PIPELINE ~$344M ($157M proportionate) of committed low risk development & expansions in WITH A TRACK Australasia, Brazil, and Canada to be funded through a combination of existing resources RECORD OF and property financing $275M ($87M proportional) of Australasian hospital and MOB expansions at Vital and NWAUS COMPLETING MORE – – $51M of Brazilian hospital expansions THAN $500M OF – $19M of Canadian MOB development DEVELOPMENTS AND ~$17.4M of stabilized value accretion on a proportionate basis EXPANSIONS, THE REIT – Potential to generate up to an incremental ~$0.15 of NAV/Unit IS LEVERAGING ITS Potential Est. Project Cost to Pre-Leased Project Project EXPERIENCE TO Country (15) Projects Completion Cost Complete Occupancy Yield NOI Value Accretion DELIVER AN Q2 2019 to Q4 ADDITIONAL $344M 7 2022 87 74 100% ~6.2% 5.4 10.7 OF VALUE ENHANCING PROJECTS TO ITS 2 Q4 2019 51 51 100% ~7.5% 3.8 3.6 PORTFOLIO 1 Q1 2020 19 15 60% ~7.0% 1.3 3.1 10 157 140 ~6.7% 10.5 17.4 26
COMMITTED ACCRETIVE DEVELOPMENT & EXPANSIONS – AUSTRALASIA SEVEN DEVELOPMENT $275M ($87M proportional) of committed development at a weighted yield of 6.3% (6.2% PROJECTS TOTALLING proportional). ~C$275M ARE $17M of stabilized net operating income (at 100% interest) CURRENTLY Project Cost Cost to Complete Million of C$ Projects Est. Completion (Proportionate) (Proportionate) ONGOING Maitland Private Hospital Q3 2019 0.7 0.2 BROWNFIELD REDEVELOPMENTS Lingard Day Surgery Q4 2019 5.9 5.0 REMAIN CORE TO NWH‘S AUSTRALASIAN Epworth - GSC & Carpark Q2 2019 24.8 16.1 STRATEGY AND A KEY DRIVER OF NOI AND Epworth Eastern - Q1 2021 30.3 28.6 Nelson Road Flats NAV GROWTH Royston Hospital Q3 2020 3.0 2.6 Wakefield Hospital Q4 2022 21.5 20.3 Bowen Hospital Q1 2019 1.1 1.1 7 87.3 73.9 27
S T R AT E G Y & O U T L O O K 28
RELATIVE VALUATION THE REIT IS TRADING AFFO Multiple 22.0x AT A SIGNIFICANT $18.15 DISCOUNT TO ITS 17.0x $14.86 20.6x PEERS ON AN AFFO $11.10 16.9x $13.24 12.0x 15.0x MULTIPLE BASIS 12.6x 7.0x 2.0x NWH.UN Canadian REITS Internationally Focused US Healthcare REITS -3.0x (EV > $1BN) Canadian REITS (Top 5) 15.0% Implied unit price $13.57 10.0% 10.3% $11.72 $11.66 5.0% $11.10 0.0% -4.7% -5.2% (5.0%) -9.8% (10.0%) (15.0%) Premium(Discount) to NAV - Based on NWH.UN’s closing unit price of $11.10/unit as of February 28, 2019 and normalized AFFO/Unit of $0.88 per year; NWH.UN’s NAV is based on Q4 2018 of $12.30. 29
INVESTOR FACTSHEET Ticker NWH.UN Listed Exchange TSX Distribution Payable Monthly 55% Return of Capital / Distribution Type 45% Capital Gains Unit Price (Dec 31, 2018) $9.48 Market Capitalization ~$1.5Bn Distribution Yield ~7.2% 52-Week Trading Range $9.10- $11.70 Volume Weighted Avg. Price (VWAP) (20-day) $9.92 Average Daily Volume (90-days) 325,000 NAV (Q4-2018) (7) $12.30 30
A P P E N D I X 1 INVESTMENT THESIS 31
INVESTMENT HIGHLIGHTS FOCUSED Healthcare Real Estate Management Deep Specialists Expertise Relationships Pure play healthcare real estate Aligned leadership with a team of Leading tenant relationships and and infrastructure healthcare real estate experts operational understanding DIFFERENTIATED 96%+ 12.6 yrs. 70%+ High Portfolio Occupancy WALE Indexed Quality International portfolio Cash flow stability; among the NOI indexed to inflation Major markets; core occupancy of 98%+ longest term leases in the industry drives consistent organic growth healthcare infrastructure SCALED 180+ $4.0Bn Australasian $1.5Bn MOB $1.5Bn Professionals Platform Platform Market Cap Operating in 3 of the largest global With strategic investment in Leading MOB platforms in Enhanced capital markets profile private healthcare markets Vital Trust and capital from Canada and Germany with proven access to capital institutional JV deployed 32
HEALTHCARE REAL ESTATE THESIS • Favourable demographics and industry trends Supportive • Aging populations Fundamentals • Rising healthcare expenditures • Defensive core healthcare infrastructure Attractive • Global gateway cities Asset Class • Leading healthcare operators • Significant internal and external growth opportunities Growth Opportunities • Inflation indexed leases • Accretive expansions + industry consolidation Value • Healthcare real estate fundamentals support premium valuations Opportunity • Currently trading at a discount to Canadian REIT peers Proven & • 10+ year public company track record Aligned • Highly aligned founder and management DEFENSIVE, HIGH YIELDING SECURITY WITH GROWTH POTENTIAL 33
KEY DRIVERS OF HEALTH CARE REAL ESTATE Aging Population >65 population cohort growing rapidly in developed countries > 656mm people worldwide over 65 by 2021, ~11.5% of global population Consolidation & Cost Increased Healthcare The Rise of Private Savings Spending Healthcare Scale required for efficiency and $8.7 trillion global healthcare spending Budget pressures affecting the quality by 2020 sustainability of public healthcare 10.6% of global GDP funding Rise of Public Private partnerships Growing at 4.3% per annum Governments mandating lower costs and improved quality Growing Populations and Wealth Creation Emerging economies demanding better access to quality care Patients seeking more choice and control Source: Deloitte 2018 Global Healthcare sector outlook COMPELLING NEED FOR CAPITAL, FACILITIES AND REAL ESTATE SOLUTIONS 34
HEALTHCARE REAL ESTATE OPPORTUNITIES • NWH’s markets comprise a total population of ~350 million, slightly larger than the United States NWH’s Market • Total healthcare real estate opportunity estimated to be comparable to the US Opportunity (~$1 Trillion) across NWH’s markets • Significant potential consolidation opportunity with NWH’s platform currently comprising ~$3.7 billion • Estimated U.S. healthcare real estate market exceeds $1 Trillion • Largest healthcare REITs acquired over $100 Billion over last 10 years; still own U.S. Healthcare less than 15% of the market Opportunity • Large U.S Healthcare REITs historically generated better returns with lower volatility HISTORICAL NOI GROWTH OF “BIG 3 HEALTHCARE REITS (1) Source: Green Street Advisors (January 2017) 35
A P P E N D I X 2 FINANCIAL METRICS 36
TRANSFORMATIONAL GROWTH CONTINUES NWI Investment and Canadian Medical Office Building (MOB) Consolidation International Growth Defensive High Improved Positioned for Quality Portfolio Market Profile Growth Core Healthcare Focus Increased Market Capitalization Aligned & Integrated Global Platform Major Global Markets Reduced Payout Ratio Leverage Institutional Relationships Asset & Capital Diversification Reduced Leverage Identified Expansions and Developments Improved Portfolio Metrics Increased NAV Actionable Acquisition Pipeline 37
FINANCIAL AND OPERATIONAL METRICS GROSS BOOK VALUE PORTFOLIO QUALITY GBV has increased from $4.8N to $5.1BN, a ~6.7% increase Portfolio quality improved – occupancy up to 96.7% with WALE increasing to 12.6 years. Normalized GBV YoY + 6.7% Occupancy % YoY + 0.5 years Wale 4.9 5.1 96.7% 4.8 4.8 4.7 97.0% 96.4% 13.3 5.0 96.3% 96.3% 95.9% 13.1 96.0% 4.0 12.9 95.0% 12.7 3.0 94.0% 12.7 12.5 12.6 12.3 2.0 93.0% 12.5 12.3 12.1 92.0% 12.1 11.9 1.0 11.7 91.0% 11.5 - 90.0% 11.3 Q4-17 Q1-18 Q2-18 Q3-18 Q4-18 Q4-17 Q1-18 Q2-18 Q3-18 Q4-18 SP NOI NAV Cash SP NOI in source currency increased 3.2% YOY in Q4 18. In CAD, SP NOI NAV increased from $11.09 to $12.30 QoQ (+11%) due to was highly impacted by the BRL, which depreciated 11.4% YoY vs. CAD. favourable FX movements and FV gains SP NOI Growth YoY NAVPU % in C$ % in Source $ 12.60 12.32 12.30 7% 12.40 12.20 12.00 5.0% 12.00 5% 4.4… 11.80 4.0% 11.50 11.60 3.2% 11.40 3% 11.20 11.09 1.8% 1.2% 11.00 10.80 1% 0.4% 10.60 10.40 Q4-17 Q1-18 Q2-18 Q3-18 Q4-18 -1% -0.5% -0.3% Q4-17 Q1-18 Q2-18 Q3-18 Q4-18 38
FINANCIAL AND OPERATIONAL METRICS FINANCIAL PROFILE CAPITALIZATION Q4 Normalized AFFOPU of $0.88 results in a ~90% payout ratio Consolidated LTV (Incl. Converts) is 55.7% (flat QoQ) 60% Normalized AFFOPU AFFO payout ratio 56.1% 55.7% 55.7% 1.10 100% 55% 53.1% 53.1% 1.00 0.93 0.92 50.2% 0.90 0.88 0.88 49.4% 0.90 50% 47.8% 46.8% 46.9% 0.80 89% 90% 90% 87% 45% 0.70 86% 80% 0.60 40% 0.50 0.40 35% Q4-17 Q1-18 Q2-18 Q3-18 Q4-18 0.30 60% Q4-17 Q1-18 Q2-18 Q3-18 Q4-18 Debt to GBV (ex. converts) Debt to GBV (incl. converts) CAPITAL RAISING CAPITAL MARKETS AND LIQUIDITY Total capital issuance of ~$269M including completed Q1/19 Volume Price TSX REIT Index equity offering 4.000 $11.50 3.600 3.200 Equity $10.50 2.800 Convertible Debenture Volume (millions) Unit Price (C$) 2.400 $9.50 2.000 1.600 $8.50 1.200 125 $7.50 0.800 144 144 0.400 125 - - $6.50 -- DEC-17 Dec-17 MAR-18 Apr-18 JUN-18 Jul-18 SEP-18 Oct-18 DEC-18 Q1-18 Q2-18 Q3-18 Q4-18 Q1-19 LTM 39
A P P E N D I X 3 REGIONAL PORTFOLIO OVERVIEWS 40
PORTFOLIO PROFILE PORTFOLIO GLOBAL HEALTHCARE REAL ESTATE INFRASTRUCTURE COMPRISES 156 PROPERTIES Q4 2018 Canada Brazil Europe Vital Trust NWAUS Platform (1) TOTALING 11.2M SQUARE FEET OF GLA IN SIX COUNTRIES Number of 56 8 32 45 15 156 Properties STRONG OPERATING ~94% MOB & / ~24% MOB & / ~76% Hospital ~40% MOB & / 48% MOB / 52% Hospital 100% ~6% Hospital and ~60% Hospital and FUNDAMENTALS WITH Asset Mix by GLA 100% MOB Hospital other Healthcare and Other Other Healthcare and Other Healthcare Healthcare Facilities Facilities Facilities Facilities OCCUPANCY OF GLA (Million 3.5 1.7 2.1 2.6 1.3 11.2 96.7%, WALE OF 12.6 Square Feet) YEARS AND 48% MOB Gross Assets $1,113 $768 $618 $1,717 $749 $5.1B 52% HOSPITAL AND OTHER HEALTHCARE Occupancy 93.2% 100.0% 96.4% 99.4% 96.7% 96.7% FACILITIES MIX WALE (Years) 5.1 20.4 10.8 18.5 13.0 12.6 Avg. Building ~30 ~14 ~25 ~21 ~11 ~23 (Years) Weighted Cap 6.5% 7.5% 5.8% 5.7% 5.8% 6.2% Rate 1. All metrics are shown on a 100% consolidated basis and excludes non-real estate metrics: Corporate and Vital Manager 41
CANADA: LARGEST PORTFOLIO OF MOB ASSETS INVESTMENT AND MARKET OVERVIEW Canada’s largest non-government owner/manager of MOBs and healthcare related facilities YT Portfolio of 56 properties comprising GLA of 3.5 million sf and NT 1,050 tenants NU 93.2% occupancy and ~5.1 year WALE High quality real estate with stable cash flow underpinned by AB BC SK NL tenancies supported by the Canadian publicly funded healthcare system Spruce Grove (1) Edmonton (4) MB QC Airdrie (1) Provides stability and diversification to a broader international Calgary (7) ON Winnipeg (2) NB PE healthcare real estate portfolio NS QC CANADA NB PE ON Quebec City (3) Moncton (1) Fredericton (1) New Glasgow (1) Queensway Professional Center Levis (1) Lower Sackville (1) Halifax (2) Mississauga, ON Joliette (1) Laval (1) Lachenaie (1) NS Longueuil (2) Ottawa (1) Richelieu (1) Saint Hubert (1) Montreal (1) Vaudreuil-Dorion (1) Collingwood (1) Barrie (1) Whitby (1) Mississauga (1) Guelph (2) Toronto (10) Cambridge (1) Oakville (1) London (2) Hamilton (3) Hys Centre Edmonton, AB Springbank Medical Centre London, ON 42
BRAZIL: NEWLY BUILT PRIVATE PAY HOSPITAL ASSETS INVESTMENT AND MARKET OVERVIEW Institutional quality, core healthcare infrastructure assets in strategic markets including São Paulo, Brasilia and Rio de Janeiro RORAIMA 100.0% occupancy and ~20.4 year WALE AMAPÁ Stable cash flow with long-term, triple-net, inflation-indexed leases, Manaus Bele m Fortaleza providing consistent organic growth AMAZONAS PARA MARANHÃO CEARA RIO GRANDE Long-term relationship with one of the country’s leading hospital operators Rede D’Or São Luiz S.A. (Fitch National Rating: AAA) DO NORTE Natal PIAUI PERNAMBUCO Recife ACRE ALAGOAS Macieo RONDÔNIA TOCANTINS BAHIA Salvador FEDERAL Hospital Santa Helena DISTRICT Brasilia Hospital Santa Luzia Hospital Coração GOIAS Existing Assets MINAS GERAIS MATO GROSSO DO SUL SÃO PAULO RIO DE JANEIRO Hospital Sabará Hospital Caxias Rio De Janeiro Hospital Brasil São Paulo Hospital São Luiz Morumbi Hospital Ifor PARANÁ SANTA CATARINA RIO GRANDE DO SUL Port Alegre Hospital Infantil Sabará Hospital Caxias D’Or São Paulo Rio de Janeiro 43
EUROPE: STRATEGICALLY LOCATED MOB ASSETS INVESTMENT AND MARKET OVERVIEW High quality MOB assets located in the major markets including Berlin, The Netherlands SCHLESWIG- Hamburg, Frankfurt, Ingolstadt, Leipzig and Rotterdam 2 HOLSTEIN 96.4% occupancy and ~10.8 year WALE MECKLENBURG-VORPOMMERN Wilhelmshaven 1 2 Expansion into rehabilitation clinics presents a unique opportunity to BREMEN Hamburg acquire assets with infrastructure-like characteristics. NIEDERSACHSEN BERLIN Fully integrated property management and asset management Berlin Assets 12 capabilities allow efficient operation and deal sourcing BRANDENBURG SAXONY-ASPHALT NORDRHEIN-WESTFALEN HESSEN SACHSEN Fulda 11 2 THURINGIA Leipzig Portfolio Bad Kissingen Bernkastel-Kues Frankfurt 1 1 RHINELAND-PFALZ Adlershof 1 Medimall Berlin Rotterdam SAARLAND BAYERN Ingolstadt BADEN-WÜRTTEMBERG 1 Munich Berlin Neukolln Hollis Centre Berlin Ingolstadt 44
AUSTRALASIA (1): MAJOR MARKET HOSPITAL AND MOB PORTFOLIO PORTFOLIO OVERVIEW Northwest Healthcare Properties Australia REIT “NWHP AUS” owns a leading Australian healthcare real estate portfolio with over $600M in existing assets Portfolio of 15 Properties of ~1.3M Square Feet Epworth Victoria Parade Hospital Epworth Freemasons Private Hospital 6 hospitals, 6 medical centers, 3 residential aged care Melbourne CBD, Victoria Melbourne CBD, Victoria Strong occupancy and long-term lease expiry profile 96.8% occupancy and ~13.0 year WALE STRATEGIC FIT Australian Red Cross Blood Clinic Casey Specialist Centre Brisbane, Queensland Melbourne Suburb, Victoria Major Market Focus − The portfolio is centered around Australia’s three largest cities: Sydney (pop: ~4.9m), Melbourne (pop: 4.5m), and Brisbane (pop: ~2.3m) NORTHERN Stable, Growing & Accretive Cashflow TERRITORY − Long-term inflation indexed leases to some of the region’s QUEENSLAND largest hospital operators WESTERN AUSTRALIA 5 − Track record of earnings growth through accretive acquisitions, expansions, and developments SOUTH AUSTRALIA Core Healthcare Strategy NEW SOUTH WALES 3 − 10+ years of dedicated healthcare focus VICTORIA − Strong healthcare operator relationships Healthscope, 7 Epworth Foundation, and St. John of God TASMANIA 45
AUSTRALASIA (2): STRATEGIC INVESTMENT IN VITAL TRUST INVESTMENT AND MARKET OVERVIEW Manager and 24.9% strategic shareholder of Vital Trust (NZX:VHP), AUSTRALIA Australasia’s listed healthcare real estate owner with 26 private hospitals, 10 MOBs, 5 aged care assets and 4 development lots 99.4% occupancy and ~18.5 year WALE NORTHERN Stable and growing cash flows underpinned by tenancies of high quality TERRITORY hospital and healthcare operators with long-term, inflation-indexed QUEENSLAND leases 5 WESTERN AUSTRALIA 4 SOUTH AUSTRALIA 3 NEW SOUTH WALES 14 VICTORIA 6 NEW ZEALAND TASMANIA Epworth Eastern Medical Centre Marian Centre 1 Melbourne, AU Perth, AU 12 Epworth Eastern Hospital Ascot Hospital Melbourne, AU Auckland, NZ 46
A P P E N D I X 4 MANAGEMENT BIOGRAPHIES 47
GLOBAL PLATFORM WITH REGIONAL CAPABILITY AND EXPERTISE FULLY ESTABLISHED, MANAGEMENT REGIONAL OPERATING PLATFORM AND EXPERTISE SCALABLE REGIONAL TEAMS WITH EXPERTISE IN Paul Dalla Lana Gerson Amado Leads NWH’s Brazilian Founder of NWH & NWI REITs Chairman & Managing platform HEALTHCARE PROPERTY Largest unitholder of REIT CEO Director – Brazil Office in Sao Paulo OPERATIONS, ACQUISITIONS AND DEVELOPMENT Global governance oversight and business development Jan Krizan Leads NHW’s European Bernard Crotty Managing platform LOCAL MARKET President Representative on NWH’s and Director – Office in Berlin Vital Trust’s board KNOWLEDGE AND Germany STRONG RELATIONSHIPS WITH LEADING Peter Riggin Leads NWH’s real estate Craig Mitchell Leads NWH’s Australasian HEALTHCARE PROVIDERS COO & MD operations and global MOB CEO – ANZ platform Canada platform Management Office in Melbourne Platform OVER 180 PROFESSIONALS ACROSS 9 OFFICES IN 5 Responsible for financial COUNTRIES strategy & reporting, and Co-leads NWH’s Shailen Chande capital market & corporate Australasian platform David Carr CFO finance activities CEO - Vital Trust Office in Auckland Chartered Accountant EVP, General Counsel and Mike Brady Secretary to NWH REIT Executive Vice Transaction management and President leadership 48
NOTES 1. Based on NWH.UN’s closing unit price of $11.10/unit as of February 28, 2019. 2. Based on the REIT’s distribution policy of $0.80/unit per annum and normalized Q4-18 AFFO of $0.88/unit. 3. Based on total assets of NWH, Vital Trust on a fully consolidated basis including post-quarter acquisitions. NHW owns a 24.9% interest in Vital Trust. 4. The pie charts above reflect proportionate NOI and include i) the REIT’s 24.9% proportionate ownership of Vital Trust and ii) ANZ fee income. 5. Reported AFFO/Unit represents quarterly AFFO annualized for the three month period ending December 31, 2018. Normalized AFFO/unit is based on Q4-18 Reported AFFO/unit and adjusted for completed acquisitions, and financings as presented in the REIT’s Q4-18 MD&A PART III. 6. LTV excludes/includes convertible debentures and is shown on a fully consolidated basis (Vital Trust at 100%). On a proportionate ownership basis Reported LTV is 50.6% / 61.2%. 7. NAV is based on unitholder’s equity plus add-backs as set out in Part XII in the REIT’s Q4-18 MD&A. Normalized NAV is equal to the reported NAV adjusted for the impact of FX changes post quarter end. 8. At inception represents metrics for NorthWest Healthcare Properties based on the IPO prospectus dated of March 25, 2010. 9. Represents same property NOI growth YoY (“SPNOI”) in source currency for the three months ended December 31, 2018 and excludes non-cash amortization and non-recurring transactions. In the current quarter the SP NOI Growth does not include NW Australia. 10. Represents Financial Statements as of December 31, 2018 adjusted for normalization adjustments, presented in the REIT’s Q4-18 MD&A PART III. 11. Reflects the debt maturity profile as per the REIT’s Q4-18 MD&A and does not include deferred consideration. 12. Gross rent on a fully consolidated basis 13. LTV’s are excluding corporate debt (ie. convertible debentures and revolving credit lines) and are shown on a regional basis. 14. Represent estimate of current market rates. 15. Assuming projects are 100% debt funded at the existing region’s financing costs and is for indicative purposes only. Does not include development pipeline from announced acquisitions 49
CONTACT INFORMATION NORTHWEST HEALTHCARE PROPERTIES REIT Paul Dalla Lana, Chairman & CEO 416-366-2000 Ext. 1001 Shailen Chande, CFO 416-366-2000 Ext. 1002 50
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