Our business model

A simple business model to deliver superior risk adjusted returns

Our business banner

We are a listed UK real estate investment trust (“REIT”) specialising in the development of, investment in and management of a portfolio of healthcare buildings across the UK and Ireland.

Our purpose is that we BUILD for health. We aim to be the UK’s number one listed property business for long-term social impact and sustainability.

Our unique offering

We are unique in offering our customers (GPs, the NHS, the HSE, and other healthcare providers) a
full property service; we develop new buildings, invest in highquality existing buildings, look after and enhance our portfolio (manage), and ultimately, own them for the long term. Our internally managed structure provides a highly scalable model and gives us direct relationships with our customers. This enables us to be responsive to their evolving needs; listening to the problems they face before working with them to provide innovative, sustainable solutions; building better futures for people and places.

Our reputation for being innovative, sector experts

We have a responsibility not just to meet current NHS specifications for buildings, but also to ensure
buildings are fit for future health needs, including for advancing net zero carbon performance. We innovate to incorporate the latest advances in the delivery of care, looking at use of space, technological change and sustainability.

We have a highly knowledgeable and experienced in-house team of surveyors and external expert partners in architecture, sustainability and construction. Our team across development, investment, management and external experts work closely with each other and our customers.

Our secure, stable occupier base

We have a secure, long-term rental income stream from our stable customer base. Our typical leases are 21+ years in length, giving us strong visibility of future income.

Our carefully managed balance sheet

The continued support of our shareholders and lenders is crucial to funding future growth in our portfolio. We generally borrow on an unsecured basis (which we believe gives us access to a larger range of funding options) with a loan-to-value policy that allows us to reach the range 40–50% should the need arise. As we grow, so the benefits of scale will accrue to shareholders and drive our progressive dividend policy.

Our commitment to long-term social and environmental impact

Our goal is to become the number one listed property business for long-term social impact and sustainability and to have a net zero carbon portfolio by 2040.

The nature of the challenges we face today means our long-term commercial success will be driven by our performance delivering social impact and sustainability. This is at the heart of everything we do.

Our customers

Our healthcare customers get spaces at the forefront of the sector in terms of design, innovation and  environmental performance that allow them to provide the services needed by the communities that they serve.


 

Our investors and lenders

Our financial supporters, both equity and debt, get a fair financial return derived from rental income from investment in essential health infrastructure.


3.08p dividends per share paid during the year, 2.30% weighted average interest rate paid on debt facilities.

Our communities

The communities that use our spaces get a building that meets the bespoke health needs of that local health economy.


6.3m patients served by our buildings, and over £1.8m distributed by the Assura Community Fund.

Our suppliers

Our supplier partners benefit from a collaborative approach to finding innovative solutions to meet the needs of our customers.

£103m paid during the year to suppliers
for construction, property management and overheads.

Our people

Assura employees work in a friendly, engaging environment that supports aspirations to develop their skills and opportunities.


88% employees taking part in the most recent employee
engagement survey.

Our Environment

We deliver new premises which limit their impact on the environment, and upgrade the energy efficiency of existing buildings.

25 energy efficient building upgrades delivered in this year.

Our strategic priorities drive the behaviours of our team to support our business model, ensuring everything we do is tailored toward creating value for our shareholders and stakeholders. Our five key priorities are:

  • Leveraging our financial strength to invest in our portfolio, making each £ invested work harder aiming to generate secure, growing returns for investors.
  • Quality of buildings delivering the outstanding spaces our customers need, leading for a sustainable future and net zero carbon healthcare buildings. 
  • Quality of service To deliver on the promises we make to the customers and communities our buildings serve, unlocking the power of design and innovation to tackle their challenges.
  • People to attract, retain and develop our high-quality, specialist team, investing in skills and new ways of working.
  • Long-term relationships building better futures for people and places through our enduring partnerships with them, and delivering lasting impact with communities.