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1 MARKETVIEW United Kingdom Healthcare, Q Trade buyers return increases competition for limited stock 4.50% (4.75%) 4.50% (4.50%) 5.00% (5.00%) 5.50% (5.50%) *Arrows indicate yield direction. Previous quarter yields in brackets. Spire Healthcare A 63m state-of-the-art hospital in West Didsbury, South Manchester. Under construction, to be completed early 2017 Ideal Care Homes Oakwood Grange, Barnsley, South Yorkshire MARKET HIGHLIGHTS KEY TRENDS Over 300 million invested into UK market in Q3 2015, of which trade buyers accounted for over 90%. Deal volumes for Q expected to push annual volume for 2015 over 3 billion. Anchor Trust secures double acquisition of Ideal Care Homes and Cavendish Healthcare Group investing over 140 million. Cygnet Healthcare acquires Alpha Hospitals for reported 95 million to consolidate market position. Q CBRE Research 2015 CBRE Ltd 1

2 HOSPITALS MARKET INSIGHT Our expert, Liane Smith, looks at the prospects for investors in the networked acute hospitals market. LIANE SMITH Director, CBRE UK Healthcare NEW CAPITAL INVESTMENT FINANCIAL RESULTS Q CBRE Research 2015 CBRE Ltd 2

3 HOSPITALS MARKET INSIGHT One Ashford Hospital, opening January 2016 THE INVESTMENT OPPORTUNITIES HOSPITAL PERFORMANCE Q CBRE Research 2015 CBRE Ltd 3

4 Healthcare Real Estate Investment MARKETVIEW UNITED KINGDOM HEALTHCARE HEALTHCARE INVESTMENT MARKET OVERVIEW KEY TRANSACTIONS Q3 Figure 1: UK Healthcare Transactions by Value 2.0 bn 1.8 bn 1.6 bn 1.4 bn 1.2 bn 1.0 bn 0.8 bn 0.6 bn 0.4 bn 0.2 bn 14.0 bn 12.0 bn 10.0 bn 8.0 bn 6.0 bn 4.0 bn 2.0 bn Cumulative Total 0.0 bn Q3-14 Q4-14 Q1-15 Q2-15 Q3-15 UK Real Estate Investor Overseas Real Estate Investor UK Trade Buyer US Real Estate Investor Overseas Trade Buyer Private Equity Cumulative Total (RHS) Source: CBRE 0.0 bn Q CBRE Research 2015 CBRE Ltd 4

5 HEALTHCARE PRICING DYNAMICS Table 1: Care Homes, Specialist and Hospital Sales Parameters Category Yield Range Multiple Range Price per Bed Trend Super Prime Best in class, high value location, Prime Modern purpose build, fully compliant Tier 1 Older purpose built, single ensuites Tier 2 Mixed converted/extended, part en-suite Tier 3 / Vacant / Redundant Small low value conversions, compliance issues 4.50% 5.25% >11 > 200k Stronger 5.25% 6.25% >9.0 > 100k Stronger 6.25% 8.00% >7.5 > 70k Stable 8.00% 10.00% >6.0 > 40k Stable No Market >5.0 / VP / AUV Up to 40k Weaker Specialist Care > 5.50% > 6.0 N/A Stronger Hospitals - Prime 5.00% 5.75% >10 N/A Stronger Note: Prime yields refer to rack rented care homes let to financially strong tenants, but not charitable, on a lease with a minimum 25 years unexpired and index linked rent reviews. Table 2: GP/ Medical Centres Category Yield Range Trend Super Prime 4.50% 4.75% Stronger Prime 4.75% 5.50% Stronger Secondary 5.50% 7.00% Stable Tertiary 7.00% 9.00% Stable Table 3: Care Home Development Land Values Category Top-tier Mid-tier Description Mostly located within Greater London and the South East of England in recognised affluent locations Regional affluent locations with small core catchments and recognised retirement towns with high elderly populations Land Value Range per bed* Trend 40k 70k Stronger 25k 40k Stronger Lower-tier Generally regional/provincial less affluent locations < 20k Stable * Subject to planning. Source: CBRE Q CBRE Research 2015 CBRE Ltd 5

6 WE HAVE RECENTLY EXTENDED OUR HEALTHCARE NATIONAL NETWORK WITH THREE HIRES CONTACT US London Regions Disclaimer: Information contained herein, including projections, has been obtained from sources believed to be reliable. While we do not doubt its accuracy, we have not verified it and make no guarantee, warranty or representation about it. It is your responsibility to confirm independently its accuracy and completeness. This information is presented exclusively for use by CBRE clients and professionals and all rights to the material are reserved and cannot be reproduced without prior written permission of CBRE.

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