Breaking Down Assura Plc Financial Health: Key Insights for Investors

Assura plc stands at the intersection of property and public health, owning and operating over 600 healthcare buildings and serving more than six million patients across the UK and Ireland, driven by a mission to deliver long-term social impact through sustainable, community-focused healthcare infrastructure; recognised as the first FTSE 250 certified B Corp, the company pairs financial performance with ESG commitments and a vision to make its portfolio net-zero by 2040, while its core values of passion, authenticity, innovation, collaboration and expertise shape flexible, inclusive workplaces and patient-centred facilities - a strategy further bolstered by its acquisition by Primary Health Properties in August 2025.

Assura Plc (AGR.L) - Intro

• Portfolio focus: GP and primary care centres, community diagnostic hubs and multidisciplinary health centres.
• Geography: United Kingdom and Republic of Ireland.
• Patient reach: serving more than six million patients (as of June 2025).
• Scale: owned and operated over 600 healthcare buildings (as of June 2025).

• Provide durable, well-located, modern primary healthcare buildings that support clinicians and improve patient access.
• Deliver long-term social value by enabling community-focused healthcare services and reducing barriers to care.
• Operate with governance and transparency consistent with REIT status and B Corp principles.

• To be the UK and Ireland's leading provider of sustainable primary healthcare real estate, integrating design, digital-ready infrastructure and carbon-efficient operations.
• To expand capacity and access so that millions more patients benefit from fit-for-purpose local healthcare premises.

• Patient and community centred - designing buildings that meet local health needs.
• Long-term stewardship - maintaining assets to deliver reliable service for decades.
• Sustainability - embedding net-zero pathways, energy efficiency and biodiversity measures.
• Partnership - close collaboration with NHS, tenants and local stakeholders.
• Accountability - transparent governance, reporting and social-impact measurement.

• Development pipeline: prioritise schemes that replace inadequate premises and create co-located community services.
• Asset management: retrofit and operational efficiency to meet 2040 net-zero target.
• Tenant alignment: long-duration leases with primary care providers to secure steady income and service continuity.
• Community engagement: stakeholder planning to ensure facilities reflect local needs and deliver broader social value.

• B Corp status within FTSE 250, signaling commitment to social and environmental performance, transparency and accountability.
• Public reporting on ESG targets and progress against carbon and community-impact metrics.
• Acquisition by Primary Health Properties in August 2025 to strengthen combined scale, capital access and ability to deliver long-term social impact across a larger healthcare estate.

Assura Plc (AGR.L) Overview

Assura Plc (AGR.L) positions itself as the leading property business for long-term social impact and sustainability by developing, investing in, and managing primary and community healthcare buildings across the UK and Ireland. The company's mission integrates financial returns with social value, targeting improved local health economies, enhanced patient outcomes and long-term environmental stewardship - including a commitment to net-zero carbon by 2040.

• Core mission: deliver high-quality, sustainable healthcare infrastructure that generates attractive financial and social returns for shareholders, tenants and communities.
• Social impact focus: enable better patient access, stronger primary care pathways and resilient local health systems through modern, accessible premises.
• Sustainability commitment: achieve net-zero carbon across operations and assets by 2040, with phased decarbonisation plans and energy-efficiency investments across the portfolio.
• People & technology: provide secure, flexible buildings designed to unleash the potential of clinical teams and digital health solutions.

Operational and financial characteristics that underpin the mission:

• Financial model: stable, long-dated rent rolls underpinned by primary care and NHS-backed income streams, supporting resilient cashflows and distributable income.
• Capital allocation: build-to-rent and forward-funding development pipeline intended to balance yield, growth and ESG outcomes.
• Stakeholder alignment: investor returns are pursued alongside measurable community benefits - access, quality of care environments and reduced carbon intensity.

Key performance indicators often tracked by Assura in support of the mission include tenant covenant mix, WAULT, occupancy, like-for-like rental growth, development completions, carbon intensity (kgCO2e/m2) and progress versus decarbonisation milestones.

Further background on company trajectory and governance can be found here: Assura Plc: History, Ownership, Mission, How It Works & Makes Money

Assura Plc (AGR.L) - Mission Statement

• Deliver high-quality primary care premises built and managed to net-zero carbon operational standards by 2040.
• Provide long‑term, inflation‑linked rental income streams through long-dated GP and healthcare leases to ensure investor stability.
• Enable tenants to adopt technology and flexible clinical models through modern, digitally-enabled buildings.
• Create social value by locating facilities for strong patient access, job creation, and community health improvement.

• Net‑zero portfolio ambition: target to achieve net‑zero across the entire portfolio by 2040, with interim carbon reduction milestones and measured Scope 1 & 2 reductions.
• First‑choice partner: be the preferred landlord for NHS bodies, GP federations and integrated care systems by delivering secure, modern and flexible solutions that unleash the full potential of people and technology.
• Social and environmental alignment: embed ESG outcomes into asset design, development and property management to optimise health outcomes and reduce environmental footprint.

• Carbon reduction: energy efficiency retrofits, on‑site renewables, and measured Scope 1-3 reporting to track progress toward 2040 net‑zero.
• Design for health: patient‑focused layouts, accessibility, active travel provisions and community co‑location to boost utilisation and wellbeing.
• Supply‑chain and employment impact: local procurement and construction skills programmes to maximise community benefit from development activity.
• Technology enablement: estate connectivity and flexible internal specifications to support modern digital health delivery and multi‑disciplinary teams.

Assura Plc (AGR.L) - Vision Statement

• Net‑zero and sustainability: target of net‑zero carbon emissions across the portfolio by 2040, with interim milestones for energy reductions and fabric improvements.
• Community health outcomes: prioritise GP, urgent care and diagnostic facilities that improve access and local outcomes, leveraging long‑term NHS‑backed leases.
• Financial resilience: maintain a conservative capital structure and strong occupancy to support dividend continuity and reinvestment in facilities.

Core Values

• Passion - a focus on purpose‑driven property investment that supports healthcare delivery.
• Authenticity - transparent reporting, long‑term NHS partnerships and accountable stewardship of assets.
• Innovation - adopting modern construction, energy reduction measures and digital building management to improve outcomes and lower running costs.
• Collaboration - working with NHS partners, tenants, communities and investors to co‑create value.
• Expertise - specialised healthcare real‑estate knowledge across development, asset management and funding.

Diversity, Inclusion & Workplace Culture

• Equity & inclusion - proactive recruitment and development to build a diverse workforce and inclusive culture.
• Flexible working - hybrid/remote options and adjustable hours to accommodate employee needs and improve productivity.
• Learning & expertise development - continuous professional development tied to operational excellence in healthcare real estate.

Environmental Sustainability & Net‑Zero Ambition

• Portfolio decarbonisation pathway with a 2040 net‑zero target and interim reduction milestones.
• Retrofit programmes and low‑carbon specifications for new developments to reduce operational emissions and energy use.
• Monitoring and reporting aligned to recognised frameworks to measure performance and investor transparency.

Social Responsibility & Community Impact

• Long‑dated NHS‑linked leases that secure primary care access in local communities.
• Investment in asset quality and accessibility to improve patient experience and local health capacity.
• Community engagement programmes and sponsorships to strengthen local ties and health outcomes.

Operational priorities are reflected in capital allocation, development pipelines and tenant engagement to protect cashflows and deliver social value. For a focused financial analysis, see Breaking Down Assura Plc Financial Health: Key Insights for Investors