Primary Health Properties Plc (PHP.L) Earnings Call Transcript & Summary

January 13, 2026

LSE GB Real Estate Health Care REITs trading_statement 41 min

Earnings Call Speaker Segments

Operator

operator
#1

Good morning, and welcome to the Primary Health Properties Trading Update. I will now hand over to CEO, Mark Davies. Please go ahead.

Mark Davies

executive
#2

Good morning, everybody. Happy New Year to everybody who we've not met yet, albeit, as you can tell, we've got off to a busy start to the year. Thanks to all of you for dialing in to listen to our update this morning. As you can see from the update that we made, it's a fairly long and detailed update. Richard, myself and the team just felt that with everything that we were doing last year and so many announcements up on the screen, as you are aware, this was a good opportunity to just bring everything together. So there's more facts and figures than you might expect from a typical update at this point of the year, but we felt that would be beneficial to you, and that's certainly the feedback we've been getting this morning. In terms of the highlights, it's clearly been a transformational year for PHP. The combination of PHP and Assura is going to prove to be a big success. And we created a strong platform, GBP 6 billion health care REIT. We got the CMA approval through on the 29th of October. So we got stuck into the integration on which we had a very detailed plan. And as we announced this morning, we're already through 60% delivered of the total annualized synergies of GBP 9 million. This has been -- the reason we're able to do this so quickly is there's obviously duplication of roles. So that impacts people and the people cost and duplication of things like professional fees. So we've acted on that. So we're 60% of the way through, and we'll continue to provide further updates to the market in due course. One of the really pleasing things about the combination of the companies because we got economic control of Assura from the 12th of August is the strong rent review performance that came through in that sort of 4-month period following the acquisition, an additional GBP 8.3 million of rent, which is 6.8%, but on an annualized basis, 3.2%, which is ahead of the guidance that we gave at the Capital Markets Day as recently as July when we told the market they were projecting a 3% increase. So that just, I think, just supports not just the positive rental growth outlook, but supports the combination of the companies, the increased exposure to inflation and long leases. So that's one of the highlights of the update obviously. The enlarged group is now really well placed to take advantage, I think, of that improving rental growth, and we're making good progress. You can see from the update, we provided some detail around the developments that we're pursuing. Assura had a strong development capability and a bigger team than PHP. So we're seeing the benefit of that. And of course, the read across from these projects, which are on the ground from a rent perspective, particularly those projects that we highlighted in the table in the update in Tetbury and Weston-super-Mare. They're going into the USS joint venture at a very attractive yield from our perspective, which makes those projects profitable. But also they're setting a rental tone and a rental evidence above GBP 300 a square meter. So that's good for the future. Just on the subject of JV, we are making good progress in expanding the existing joint venture with USS. I think we feel very fortunate to have such a credible and strategic joint venture partner as USS. They have, as you would imagine, a low cost of capital, probably as low as you could imagine. And that will enable us to do more with them. Currently, we've got GBP 170 million of assets in the JV with a target to get that to GBP 400 million. Of course, that's extremely advantageous to us at the time that we're seeking to raise some proceeds to pay down some debt. So more on that in a minute. USS are totally bought into the health care real estate sector in the U.K. And I'm pretty confident that once we get to that GBP 400 million level, which we will do quite quickly, that there will be capacity to expand that joint venture above and beyond its original mandate. A few sort of initial observations from the USS JV because we have had 3 or 4 meetings with them in a very sort of short space of time. They like the social impact of what we do, as do we, of course. And for that reason, we are working on a number of sort of strategic projects, including things like LIFT, which will become available to the market in the next sort of 2 to 3 years. So really, really good progress with USS. And also on the private hospital side, you can see from the announcement this morning, those private hospitals are performing well, which we're very pleased about. But also we are making progress in identifying a strategic partner to work alongside and the proceeds from the establishment of that joint venture will take the leverage back down in line with our policy. So we've got our results coming out in a few weeks. So we're expecting to make a further update on that. And of course, we've had strong support from the debt and the equity capital markets in the last few months. We're very grateful. We're very grateful to all of you for supporting us on a transformational transaction. And Richard and his team have been very busy on the sort of refinancing side and completed, as you can see from the announcement, a number of financing activities and the undrawn headroom available to us now has increased to GBP 552 million from -- I think it was GBP 300 million, Richard, wasn't it when we last updated the. Yes, so look, a transformational year. Those are the key highlights. And I think maybe just to finish it on the Assura joint venture, I think it's fair to say that we are pleasantly surprised, not just with the progress that we're making on the integration, but we think there's a lot of low-hanging fruit within the portfolio and in the way that, that portfolio has been run and managed. And therefore, that upside we're seeking to capture as soon as possible. And I think we're obviously very excited about the prospect of being able to do that. And it would be wrong of me not to mention our dividend has now increased for 30 consecutive years. So we're celebrating our 30th consecutive year of dividend growth. Those are the sort of key highlights. Richard, did you want to add anything to that at all?

Richard Howell

executive
#3

No, no. I think the only thing perhaps just to mention, Mark, is the strategy and financial framework that we set out in the announcement, obviously, it's key to now get leverage back down below our 40% -- sorry, 50% cap. As Mark has already mentioned, we're working hard on delivering that through the joint ventures and a few other disposals. And obviously, that will drive the financial metrics of getting net debt to EBITDA 9x to 9.5x, interest cover target of 2.5x. And obviously, those are key targets we need to focus on over the coming years. There's obviously a lot of refinancing work to do over the course of '26 to refinance the GBP 1 billion bridging facility that's left. So there's a lot of work ongoing in the background. And as Mark said, hopefully deliver more news around that refinancing with the full year results in a couple of months.

Mark Davies

executive
#4

Yes. So I think on that note, we'll -- we know there's many of you on the call this morning. So we thought we'd take the opportunity to allow you to ask us any questions.

Operator

operator
#5

[Operator Instructions] We will now take our first question from Oli Woodall of Kolytics.

Oli Woodall

analyst
#6

Just a quick one on your LTV target you've mentioned. How are you balancing, trying to get down to below 50% versus making sure you don't take a hit on NAV and disposing at a higher yield than you'd like. Do you have any kind of more information around that you could give?

Mark Davies

executive
#7

Yes. No, that's a good question, Oli. Thank you. The assets that we're injecting into the USS JV, I mentioned previously that the cost of capital of USS is an attractive proposition for us. I can't give an exact figure in terms of the commercial sensitivity that sits around that. But maybe the best way of me to answer that question is to say that we're very confident that those assets are being sold into the joint venture at book value or very close to book value, either slightly above or slightly below. The private hospital portfolio that we've acquired through the Assura merger is performing well. Operationally, it's also performing well. You can see the rental growth coming through in this update. And again, we're sort of in the mix of commercial negotiations with potential strategic JV partners right now. And I'm confident again that we will not be prejudicing our NAV with the transfer of those assets into the joint venture. There's a big transaction being done in the market in private hospitals at the moment. We're not actually involved in that transaction. It's over GBP 1 billion worth of [ Spire ] Hospitals and the valuation yield on that asset transfer -- sorry, disposal is helpful to us in terms of the evidence it's setting for the discussions and negotiations that we're having with our strategic JV partners. So sorry, that's a long answer to a short question. But yes, we're confident assets are being disposed into JVs at book value.

Richard Howell

executive
#8

And just add to Mark's comments, I think those disposals will probably be at yields, which will not be too dissimilar to the marginal cost of debt on the bridging facility. So I think the impact on earnings won't be significant, Oli, which I think was sort of questioning.

Oli Woodall

analyst
#9

Okay. Perfect. That's clear. And just one more quickly, if I may. Just I wonder if you could quantify the kind of gap between what district valuers are assessing versus what construction costs would kind of justify. How do you think rents need to develop within the U.K., if you can kind of turn that tap on again?

Mark Davies

executive
#10

Well, yes, you'll have heard us say before, historically, that gap on projects that we've looked at in PHP has been as wide as 20% or sometimes even higher. But if you look at the projects that we announced this morning, there's obviously a weighting there to our Irish projects, as you can see. So clearly, rents in Ireland are now being set at a level which allows us to develop, but we don't have a district value there to think about. So that's helpful. But there's 2 primary care developments that are currently in process -- or progress, the Tetbury Primary Care Center in Gloucestershire and the Weston-super-Mare primary care scheme. These are really fantastic assets. They'll be sold into the USS JV at an attractive yield. And those rents are above GBP 300 a square meter, and that allows us to make an economic return, which is accretive to shareholders. So yes, we're seeing that evidence. We've talked about it before, and we've seen green shoots before, but that's now coming through in projects that we're currently on the ground.

Oli Woodall

analyst
#11

Yes. And just to Mark's comment on the asset management program as well, we reported an announcement today where we're seeing rents increased from just below GBP 190 per square meter to just under GBP 220 per square meter, so 15% increase. And those are on existing assets, and they said great rental evidence for the rest of the portfolio, and those rental terms will be rolled out through the rent review program, albeit over time when the reviews come due.

Mark Davies

executive
#12

I think we're definitely more confident, Oli, now on development. You'll not have seen PHP produce an update with as many projects as this for quite some time, many, many years, I think. And that reflects the bigger size of the business, the greater development capability that we have with the team in the combined business and the fact that economically, rents are getting to a level where we can pursue these projects. And we have the USS JV as well as a sort of strategic partner to work alongside with a lower cost of capital.

Operator

operator
#13

And we'll now move on to our next question from Tom Musson of Berenberg.

Thomas Musson

analyst
#14

Just a question around your 3% organic rent growth target. Obviously, current performance just above 3%, supported by the index-linked leases and also the private hospitals. But if we assume inflation trends back towards 2% and as you're saying, private hospitals may feature in your disposal plans, I just wonder for how long we should expect you to be able to maintain that 3% organic rent growth because I think I'm right in saying open market rents have never really managed to outpace inflation over the long term, either at Assura or PHP.

Mark Davies

executive
#15

Tom, thanks for the question. Yes, I think if you go back quite a long time, there was an extended period of time where those open market rents were ahead of inflation, but that was many years ago. And you can see from the announcement we made this morning, in primary care, those open market rent reviews that we did, and we did many closer to 2% than 3%. It was tempting to sort of try and update the market in terms of our forward-looking guidance at this update because we -- as you know, Tom, because you were in the room, we only updated the market at the Capital Markets Day as recently as July with that 3% forward-looking guidance, which clearly we were confident about. I think the time to review the guidance around our forward-looking rental growth prospects is either at the results, which are imminent in a few weeks' time, which is -- or certainly when we are absolutely sure what the portfolio mix looks like and the retained exposure to the private hospital portfolio. It's on public record from announcements that we made last year that we are expecting to sell assets in our private hospital portfolio and our preferred route in doing that is to do that into strategic joint venture. So at that point, we'll be able to forecast with very good and dependable accuracy what the forward-looking guidance looks like for rent and rent review going forward.

Richard Howell

executive
#16

I just reference the 15% growth that's coming through the asset management program that I mentioned earlier because obviously, that is key to setting rental evidence for the rest of the portfolio.

Operator

operator
#17

[Operator Instructions] And we will now move on to our next question from James Carswell of Peel Hunt.

James Carswell

analyst
#18

Just a follow on from some of the previous conversation on the development side. It sounds very encouraging in terms of some of those conversations. This obviously talks about the pipeline and it will be progressive, it's accretive. I mean, given where you are with some of those negotiations, I mean, are you expecting to commence more projects in the current period, the next kind of 3 to 6 months? Or will that be further down the line?

Mark Davies

executive
#19

Yes. The pipeline is definitely growing. You know this company very well, James, and it's probably been quite some time, as I mentioned, that we reported an update with as many live projects as this. So it's extremely encouraging. So we feel -- we clearly feel we've got momentum in the U.K. and in Ireland. There is a growing pipeline. So for example, we won a significant contract with the East of England Ambulance Trust to develop new ambulance hubs across the East of England. It's a 10-year assignment, but there will be many opportunities for us to create new sites, probably as many as 20 new ambulance and emergency operation centers, which we have a track record of doing and development capability within the business. So, yes, I think it's really going to start to pick up. We will only pursue developments, of course, if we're satisfied on a risk control basis that we are getting the appropriate risk-adjusted returns. It's advantageous to us, as we've pointed out, particularly in our primary care portfolio where we're setting rental evidence above GBP 300 a square meter for future rental growth prospects. And of course, we've got the USS JV. I think we, maybe, undervalued the prospect of pursuing development projects and then effectively selling those assets into the JV with USS. Of course, we have a 20% stake. So we've retained that economic stake. The assets can be injected into the USS JV as we're seeing yields as low as 4.5%. So it's very attractive. So it feels very different, James. We'll be very conservative, not cautious, that's the wrong word, but we'll be looking at everything on a risk-adjusted basis. And if we think we can get the right returns by allocating capital into development projects, then that will be a good thing for our long-term prospects.

James Carswell

analyst
#20

Great. And just maybe another quick one on the debt side. Obviously, some of the bridging loans have ready been repaid. And clearly, the deleveraging is going to be a big part of the kind of the strategy to repay the rest. But just for the kind of the remainder of that loan, and I appreciate you've got time and clearly kind of market rates, et cetera, can move. But here today, I mean, do you think it's likely to be bond issuance to replace that? Do you think it's like to be kind of bank debt or possibly a convertible? Just your kind of thinking on the kind of the refi of whatever will be left in the bridging loan post the deleveraging.

Richard Howell

executive
#21

Yes. So I think, James, the key now is to deliver the deleveraging to get the LTV back to our target and then look to the bond market and the bank debt market because we do have a large number of shorter-dated bank facilities that need to get refinanced, particularly on the PHP side, move it to an unsecured basis and term it out for longer, for; different durations, but also term out some of this debt through the bond market. And we are sort of looking at options around that. And hopefully, there'll be more news around that when we come out with the full year results.

Mark Davies

executive
#22

Yes. James, Richard and I, as you know, we're already on a journey, if you like, with PHP to become an unsecured borrower. And we had a very credible plan that we intended to pursue -- to move our capital structure more towards unsecured borrowing where we felt we could do that at a lower cost and access a much bigger pool of capital. The Assura transaction has accelerated our plans because they, as you know, we're an unsecured borrower with over GBP 900 million of listed bonds at very attractive coupons. So we now have access to that market. Fitch currently have a rating at BBB+, I think, which isn't it, on the business. We will maintain that rating. I'm confident on the basis that we deliver on all our plans, which are moving along very, very nicely. So yes, it's access to a huge pool of capital in the bond market that we didn't have before. So I think you will see us doing more inevitably unsecured issuances in the future.

Operator

operator
#23

We'll now take our next question from Alexander Totomanov of Green Street.

Alexander Totomanov

analyst
#24

Two questions from me. First one, are all leases in Ireland indexed annually or do some index on a 3- or 5-year lease cycle? I'm just trying to reconcile the 4.1% annualized rent increase in Ireland that was disclosed this morning with -- in the rent review table with the CPI in Ireland that's around the 2% mark. And second question, you mentioned refinancing the bridging facility this year. Would you expect some savings with regard to your cost of debt from this? I don't believe there was any disclosure on the margin facility last year, but would you expect refinancing to be maybe 10 to 20 bps lower in terms of margin? Or would you expect it to be flat?

Mark Davies

executive
#25

Yes. Just I'll pick up on the Ireland point and then Richard, maybe pick up on the credit margin point. The annualized increase on the Irish portfolio that we announced this morning is 4.1%. We capture the inflation on the leases that we have in Ireland every 5 years. I think that was the question that you asked. The line was a little unclear. But was that the question you asked how...

Alexander Totomanov

analyst
#26

It is in a 5-year increase...

Mark Davies

executive
#27

5-year exactly, yes. Richard, do you want to pick up the credit margin point?

Richard Howell

executive
#28

Yes. So I mean, yes, we would expect savings in the credit margin, probably slightly higher than the number you quoted, really reflecting the much larger scale of PHP now we've merged with Assura. And the other critical thing is to deliver on that BBB+ credit rating that Mark touched upon earlier. But I think the other thing to note on the bridging facility, it's quite cheap at the moment, but the margin does stretch up over time. That facility documentation was put on the website at the time of the merger. So it's all public knowledge. That's why although the facility is for 2 years and there's options to extend it for another 2 years, it really needs to get refinanced quite quickly over the course of '26 before it becomes too expensive. But obviously, we are expecting margins to come down across the enlarged group as a result of the merger, reflecting the increased size and scale of the business now.

Mark Davies

executive
#29

Yes. And that's one of the things that we think about a lot as we're pursuing these negotiations with USS and our private hospital partner. We're keen to raise those proceeds as soon as possible because that gets us back in line with our LTV and net debt financial policies. But as Richard said, we're highly motivated to do that because the facility that we put in place at the time of the acquisition is attractive as it is today and was at the time. That will start to ramp up later on in the year. So we're well on track to be able to accommodate that and progress is very, very positive.

Operator

operator
#30

And we will now take our next question from Max Nimmo of Deutsche Bank.

Maxwell Nimmo

analyst
#31

I think most of my questions have been answered. But just -- maybe just to clarify on the development point. On a risk-adjusted basis, you guys are quite comfortable with development in Ireland, the private hospital stuff and things that you can sell into the USS JV. Is that fair to say not necessarily as kind of direct let NHS assets sit in your own balance sheet at this point? And then secondly, just on the rents that have been signed at Tetbury and Weston-super-Mare, feeding that through into the rent review process, how wide can that read across go? Does it tend to be quite read across for the local area? Or can that be kind of a wider read across for the sector and when it does finally feed through?

Mark Davies

executive
#32

Thanks, Max. Yes, two good questions, very appropriate. Just on the development point, yes, we are pursuing projects in Ireland because the rental tones on those projects have increased to a level which allows us to do that. And of course, our cost of capital in Ireland is lower because we're borrowing in euros. And that's why we've got -- well, there's 3 projects, I think, in this morning's announcement. On the primary care side, as you identified, the 2 projects that we're currently working on pursuing on site go into the USS JV at a low cost of capital, which helps the economic returns on this project. So I think there's definitely more of that to do. The only bit that you didn't pick up, I think, is the fact that we're doing private hospital developments as well. There's the project in Peterborough that we're doing with Ramsay. This is a really excellent scheme. We're not disclosing our profit on cost this morning. Hopefully, at some point soon, we can do that because that's delivering a very, very handsome profit and cost way above and beyond the yield on cost that we've announced this morning. So -- yes, that's a third strand, if you like, on the development side. In terms of the rental point that you make on that, it is geographically defined or dare I say, localized. So for example, in Tetbury, which is in Gloucestershire, we have -- this is one of the big advantages, by the way, putting these 2 portfolios together. We have obviously an increased representation and a portfolio -- a bigger portfolio in that geography. So absolutely, it's really, really helpful to our future prospects. So the more developments that we can do, the more evidence that we can set, that's going to help the team who've had a very active year, by the way, on rent review performed obviously very well for us. And they're obviously enjoying the combination of the portfolios and the benefits that it brings.

Operator

operator
#33

We have no further questions in the queue. I'll now hand over for webcast questions.

Mark Davies

executive
#34

So are there any questions coming back to the Q&A facility, Richard?

Richard Howell

executive
#35

Yes, got 3. I'll just read them out, Mark. One from -- first one from Matt Saperia at Peel Hunt. Have you committed to any new development schemes since you last updated us? I think there, Mark, we -- I mean, it's in the table, Matt. You've got your primary care center in Ireland and the Ramsay Private Hospital in Peterborough, which came through the Assura portfolio are probably the key ones. And I think the other thing to note is we'll probably give more details on the pipeline when we come out with the full year results in a few months.

Mark Davies

executive
#36

Yes. Good question, Matt. I mean we're definitely spending more time as a business on development. We've not been able to say that for years. So this is a really good thing, not because of the returns that we can make, but Max identified on the last question, the read across and the evidence that this provides to the portfolio.

Richard Howell

executive
#37

Okay. The next question from Bjorn, Panmure Liberum. If equity markets are supportive, are there any attractive acquisition opportunities you would look at? Could you quantify any potential acquisition pipeline?

Mark Davies

executive
#38

Yes. Thanks, Bjorn. We're so focused on our priorities and the plan that we set out at the time. We successfully acquired Assura last August. So we've set those priorities out very clearly to integrate the companies, to deliver the synergies, to delever, to further establish strategic joint ventures, which -- we're making such good progress on all of that. We're not really thinking about acquisitions that we wouldn't be doing our jobs properly. We're not thinking about next year or the year after and beyond. So there's always things coming our way, but we're not really deploying any resource or any time to acquisition opportunities. I mentioned that big private hospital portfolio that's being sold in the market currently. We keep an eye on those things because that gives us good intelligence and good information to help us make strategic decisions. But no, we're just so focused on our priorities right now that we're not even thinking about acquisition opportunities. But once we come through the other side of our integration and other priorities, the answer to that question may be very different. And that might not be that far away because we're making such good progress on the integration and the JV stroke disposal negotiations. So yes, we'll provide more updates, obviously, in the future on that. But for the time being, we're focused on what we need to do.

Richard Howell

executive
#39

Okay. The last question from Mike Prew at Jefferies. Are the disposals to lower LTV mostly through sales into JVs? Or will that also be outright asset sales? And if so, will ease be biased to the Assura portfolio and on what criteria?

Mark Davies

executive
#40

Thanks, Mike. Good questions. I don't think there is a bias towards the Assura portfolio or the PHP portfolio or otherwise. The only obvious point to make on that is that we've said publicly, and we've said this morning and we're saying today that we're looking to sell the private hospital assets into a strategic joint venture. Like any REIT or any property owner, we're not precious about any of our assets. Any of our assets are for sale if somebody wants to buy them at the right price. We're confident that we can inject these assets into JVs at book value. If we were selling assets into the market, I think we'd be equally as confident because we said publicly last year at the time of the Assura acquisition that we were seeking to realize proceeds from asset disposals and a focus on the private hospital side. We have been unsurprisingly inundated with -- from high-quality institutions who are attracted to the high conviction growth fundamentals that they see in that private hospital space. So yes, we could sell out completely. There are buyers out there that would do that. But we don't think that that's the right strategy, and that's why we're focusing on a joint venture, retaining an economic interest in those assets and benefiting from the guaranteed growth coming through in the future. So thanks, Mike. I think, Richard, that brings an end to all the questions that have come through.

Richard Howell

executive
#41

Yes. Online, yes.

Mark Davies

executive
#42

Yes. Great. Well, maybe if I could just sort of just close out by reiterating my thanks and gratitude to all of you, not just for dialing in this morning, but your support to our company, particularly over the last 12 months, but also over many, many years. We are proud to put a dividend increase up on the screen this morning. It is our 30th consecutive year. But now we're very focused on the future. We want to continue and maintain that strong track record of growing a fully covered dividend now in the future. There's a lot of upside for us to capture as we're combining these 2 portfolios. PHP, as you will know, always had a strong track record from an asset management perspective, a rent review perspective. And we are applying that approach and those disciplines from the PHP side across the combined portfolio. And as I said earlier, there's plenty of low-hanging fruit for us to go for. We're clearly ahead of even our own expectations on the delivery of the integration and the synergies. Richard and I have done this before in other businesses. So we're well placed to deliver this well in advance of the plan that we set out at the time of the acquisition. The quality of the team that we now have is fantastic. The new colleagues that we have that have come across from the Assura side are excellent and many of them bring a skill set to the business, particularly in development and private hospitals, but many other things. And this is a powerful platform to deliver sector-leading growth to our shareholders in the future. So there's loads for us to do. We're very focused on our priorities. We remain disciplined. Our cost ratio, which has always been one-off, if not the lowest in the sector, will come down again further, and we'll provide obviously more guidance on that at our results in a few weeks' time. So maybe on that note, thanks again for listening to our update this morning. We'll see you again, no doubt, in a few weeks at our results, which we're looking forward to getting up on the screen, a very positive statement to make to the market. And of course, because you all know so well, feel free to drop Richard or myself or anyone at PHP a line if you have any further questions or you'd like to meet with the company in the next few weeks. So on that note, thanks very much from Richard and myself and everybody at PHP. Wishing you all a very good day.

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