Half year results presentation - 6 months ended 30 June 2021 - Bupa

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Half year results presentation - 6 months ended 30 June 2021 - Bupa
Half year results presentation
6 months ended 30 June 2021
Half year results presentation - 6 months ended 30 June 2021 - Bupa
Agenda
Section 1
Overview
Section 2
Market Unit performance
Section 3
Financial review
Section 4
Outlook and operating priorities
Section 5
Questions and answers

Martin Potkins   Gareth          Gareth Evans
Interim Chief    Roberts         Group
Financial        Group Financial Treasurer
Officer          Controller

                                                Bupa half year results presentation 2021   2
Half year results presentation - 6 months ended 30 June 2021 - Bupa
Section 1 Section 2   Section 3   Section 4   Section 5

  Overview

  Martin Potkins
  Interim Chief
  Financial
  Officer

                                                          Bupa half year results presentation 2021   3
Half year results presentation - 6 months ended 30 June 2021 - Bupa
Section 1 Section 2           Section 3      Section 4       Section 5

Group financial highlights

    The Half Year results show                                                                              Revenue1                                                                     Solvency II capital coverage ratio2
    early signs of a return to
    growth, as we navigate the
    ongoing impacts of COVID-
                                                                                                            £6.5bn                                                                       163%
                                                                                                            10% AER                                                                      FY 2020: 160%
    19                                                                                                      9% CER

                                                                                                            Statutory profit before taxation                                             Net cash generated from
                                                                                                                                                                                         operating activities

                                                                                                            £245m                                                                        £440m
                                                                                                            2020: £153m AER                                                              2020: £843m AER

                                                                                                            Underlying profit before taxation                                            Ratings

                                                                                                            £191m                                                                        A3                     BBB+
                                                                                                            +36% AER                                                                     Moody’s senior         Fitch senior
                                                                                                            +44% CER                                                                     debt rating            debt rating stable
                                                                                                                                                                                         negative outlook

1 Balances have been restated for a gross up between other revenue and financial expense in relation to the remeasurement of i mputed revenue and interest in respect of interest-free
refundable accommodation deposits received by the Group as payment for aged care units in Bupa Villages and Aged Care - Australia.
2 The 2021 Solvency II capital position is an estimate, and it is unaudited.

                                                                                                                                                                                                                      Bupa half year results presentation 2021   4
Half year results presentation - 6 months ended 30 June 2021 - Bupa
Section 1 Section 2   Section 3   Section 4   Section 5

Operational highlights

                      We launched our new 3x6 Strategy    We launched a global
                      and introduced our ambition to be   talent programme, eco-Disruptive,
                      "the world's most customer          that brings together Bupa teams
                      centric healthcare company“.        and eco-startups.

                      We announced our commitment to
                                                          Our 2021 People Pulse employee
                      the Science Based Target
                                                          survey showed 78% overall
                      Initiative (SBTi) to reduce our
                                                          engagement
                      carbon emissions.

                                                                                           Bupa half year results presentation 2021   5
Half year results presentation - 6 months ended 30 June 2021 - Bupa
Section 1 Section 2   Section 3   Section 4   Section 5

Our new Strategy and Values
 Our purpose

 Helping people live longer, healthier, happier lives and
 making a better world
 Our ambition

 To be the world’s most customer-centric healthcare company

                                                            Bupa half year results presentation 2021   6
Half year results presentation - 6 months ended 30 June 2021 - Bupa
Section 1 Section 2   Section 3   Section 4   Section 5

New Strategy – Driving Bupa’s transformation
                                                  Our purpose
                                                  Helping people live longer, healthier, happier lives and making a
                                                  better world
                                                 Our ambition
                                                 To be the world’s most customer-centric healthcare company

                                                  3x Ambition KPIs
                                                   40% of customer care                    60% active digital                Net Promoter Score of 80
                                                   touchpoints owned by Bupa               customers

                                                  6x Strategic and Enabling Pillars
                                                   Customers                                             Growth
                                                   Obsession with our customers’ experience              Strong performance and governance

                                                   Transformation                                        Sustainability
                                                   Continuous innovation and preparation                 Making a positive impact on the world

                                                   Data                                                  Agile Culture
                                                   Enhanced data driven decision making                  The best, most diverse people and a great place to work

                                                                                                                                                    Bupa half year results presentation 2021   7
Half year results presentation - 6 months ended 30 June 2021 - Bupa
Section 1 Section 2   Section 3   Section 4   Section 5

  Market Unit
  performance

  Martin Potkins
  Interim Chief
  Financial
  Officer

                                                          Bupa half year results presentation 2021   8
Half year results presentation - 6 months ended 30 June 2021 - Bupa
Section 1 Section 2         Section 3     Section 4      Section 5

Australia and New Zealand

    Results largely driven by increased customer volumes in                                                                                                     Revenue1                             Revenue by business

                                                                                                                                                                £2.5bn
                                                                                                                                                                                                     A. Bupa Health
    Health Services, lower operating costs in Australian Aged
                                                                                                                                                                                                        Insurance 77%
    Care and improved margins in health insurance                                                                                                                                                    B. Bupa Health Services 13%
                                                                                                                                                                2020: £2.4bn CER                     C. Bupa Villages and Aged Care
                                                                                                                                                                                                        Australia 7%
     ▪ Health Insurance: Revenue growth largely due to customer retention,                                                                                      +6% CER                              D. Bupa Villages and Aged Care
       premium increases and non-recurring customer support given in 2020.                                                                                      +13% AER                                New Zealand 3%
                                                                                                                                                                Underlying profit
     ▪ Health Services: Revenue growth driven by improved customer
       volumes across most businesses.

     ▪ Australia Villages and Aged Care: Revenue was stable. Closing
                                                                                                                                                                £132m                                             C
                                                                                                                                                                                                                        D

                                                                                                                                                                2020: £66m CER                              B
       occupancy rate was 88% (HY 2020: 82%).
                                                                                                                                                                +100% CER
     ▪ New Zealand Villages and Aged Care: Revenue was flat and underlying
                                                                                                                                                                +113% AER
       profit declined. Closing occupancy remained stable at 88% (HY 2020:
       89%).                                                                                                                                                    Combined operating ratio2
                                                                                                                                                                                                                                         A
                                                                                                                                                                Bupa HI Pty Ltd (Australia)

                                                                                                                                                                2021
                                                                                                                                                                                              93%3

                                                                                                                                                                2020
                                                                                                                                                                                               95%

1 Balances have been restated for a gross up between other revenue and financial expense in relation to the remeasurement of i mputed revenue and interest in
respect of interest-free refundable accommodation deposits received by the Group as payment for aged care units in Bupa Villages and Aged Care - Australia.
2 Combined Operating Ratio is an alternative performance metric for insurance businesses. It is calculated based on incurred cl aims and operating expenses

divided by net earned premiums.
3 Bupa HI Pty Ltd (Australia): based on the Solvency II S.05.01 Quantitative Reporting Template (estimated and unaudited).
                                                                                                                                                                                                                Bupa half year results presentation 2021   9
Half year results presentation - 6 months ended 30 June 2021 - Bupa
Section 1 Section 2            Section 3      Section 4      Section 5

Europe and Latin America

Solid revenue growth driven by increased customers                                     Revenue                          Revenue by business2
across healthcare provision and insurance businesses
                                                                                       £2.0bn
                                                                                                                        A. Sanitas Seguros 31%
                                                                                                                        B. Sanitas Dental 5%
 Spain:                                                                                                                 C. Sanitas Hospitals 6%
                                                                                       2020: £1.8bn CER                 D. Sanitas Mayores 3%
 ▪ Sanitas Seguros: Solid revenue growth. Underlying profit declined due to                                             E. Bupa Chile 27%
   higher claims.                                                                      +14% CER                         F. LUX MED (Poland) 12%
                                                                                       +10% AER                         G. Bupa Acıbadem Sigorta (Turkey) 5%
 ▪ Sanitas Dental and Sanitas Hospitals: Revenue and underlying profit                                                  H. Care Plus (Brazil) 4%
   grew driven by higher activity.                                                     Underlying profit
                                                                                                                        I. Bupa Global Latin America 7%
 ▪ Sanitas Mayores: Underlying profit improved. Closing occupancy rate was
   80% (HY 2020: 78%).
                                                                                       £68m
                                                                                       2020: £70m CER
 Other countries:
                                                                                                                                            I
                                                                                       -3% CER                                      H
 ▪ Bupa Chile: Revenue grew driven by outpatient businesses. Underlying                -7% AER                                  G
   profit was down driven by higher claims.                                                                                                                    A
                                                                                       Combined operating ratio
                                                                                                                            F
 ▪ LUX MED (Poland): Good revenue growth and stable profit.                            Sanitas S.A de Seguros (Spain)
                                                                                       2021
 ▪ Bupa Acıbadem Sigorta (Turkey): Good revenue and customer growth.
                                                                                                               89%1                                            B
 ▪ Care Plus (Brazil), Bupa Mexico and BGLA all delivered improved                     2020                                         E
                                                                                                                                                           C
                                                                                                                                                       D
   performance year-on-year.
                                                                                                            84%

  1   Sanitas S.A de Seguros (Spain): Prepared under local GAAP (unaudited).                                                            Bupa half year results presentation 2021   10
  2 Bupa   Mexico is not displayed on the chart as its revenue accounts for below 1%
Section 1 Section 2          Section 3      Section 4      Section 5

Bupa Global and UK

    Revenue growth driven by customer growth in dental                                                                              Revenue                           Revenue by business
    appointments
                                                                                                                                    £1.7bn
                                                                                                                                                                      A. Bupa UK Insurance 46%
                                                                                                                                                                      B. Bupa Global 22%
                                                                                                                                                                      C. Bupa Dental Care 15%
     ▪ UK Insurance: Revenue was up and underlying profit increased due to                                                          2020: £1.5bn CER                  D. Bupa Care Services 12%
       improved product mix. The impact of the return of premium provision                                                                                            E. Bupa Health Services 5%
       reduced compared to 2020.                                                                                                    +9% CER
                                                                                                                                    +8% AER
     ▪ Bupa Global: Revenue stable and underlying profit declined as claims                                                                                                             E
       levels increased.                                                                                                            Underlying profit

                                                                                                                                    £9m
                                                                                                                                                                                D
     ▪ Dental Care: Improved performance with strong revenue growth due to
       increased private customer visits.
                                                                                                                                    2020: £22m CER                                                           A
                                                                                                                                                                            C
     ▪ Care Services: Revenue was flat year-on-year. Underlying profit was
       stable. Occupancy up to 82% (HY 2020: 78%).                                                                                  -59% CER
                                                                                                                                    -59% AER
     ▪ Health Services: Revenue increased. Underlying profit was stable.                                                                                                            B
                                                                                                                                    Combined operating ratio
                                                                                                                                    Bupa Insurance Ltd (UK)

                                                                                                                                    2021
                                                                                                                                                               97%1
                                                                                                                                    2020
                                                                                                                                                               94%

1   Bupa Insurance Limited: Prepared under local GAAP. Excludes our Irish insurer and our associate, Highway to Health (GeoBlue).
                                                                                                                                                                                Bupa half year results presentation 2021   11
Section 1 Section 2   Section 3   Section 4   Section 5

Other businesses

▪ Revenue up 5% to                                        Bupa Arabia                           Max Bupa (India)                        Bupa Hong Kong
  £232m.                                                  ▪ Bupa Arabia is a listed company     ▪ Profit declined year-on-year driven   ▪ Revenue was up driven by higher
                                                            and its results will be published     by higher COVID-19 related              check-up and nursing services in
▪ Underlying profit in                                      shortly on the Kingdom of Saudi       claims.                                 health provision.
  other businesses was                                      Arabia stock exchange, the
                                                            Tadawul.                            ▪ The business is being rebranded       ▪ We formed Bupa Asia Pacific on
  down 16% to £26m at                                                                             as Niva Bupa and is overseen by         1 July 2021 incorporating Bupa
  CER largely driven by                                                                           the Bupa Global & UK Market Unit        Hong Kong and our businesses
  Max Bupa in India.                                                                              from 1 July 2021.                       in Australia and New Zealand.

                                                                                                                                                Bupa half year results presentation 2021   12
Section 1 Section 2   Section 3   Section 4   Section 5

  Financial review

  Gareth                 Gareth Evans
  Roberts                Group
  Group Financial        Treasurer
  Controller

                                                          Bupa half year results presentation 2021   13
Section 1 Section 2   Section 3   Section 4   Section 5

Financial highlights

Solvency II capital                                       Statutory profit before taxation   Underlying profit
coverage ratio1                                                                              before taxation

163%                                                      £245m                              £191m
FY 2020: 160%                                             2020: £153m AER                    2020: £133m CER
                                                                                             +36% AER
                                                                                             +44% CER

                                                                                                                 1   The 2021 Solvency II capital position is an estimate, and it is unaudited.

                                                                                                                                                          Bupa half year results presentation 2021   14
Section 1 Section 2          Section 3       Section 4      Section 5

     Financial overview

      Revenue                                                                                                         Underlying profit before taxation1                                                                         Combined operating ratio2
       2021                                                                                                           2021                                                                                                        2021
                                                                              £6.5bn                                                                                                         £191m                                                                                                            95%

       2020 (CER)                                                                                                     2020 (CER)                                                                                                  2020
                                                                      £5.9bn                                                                                       £133m                                                                                                                              92%
       +9% CER                                                                                                         +44% CER                                                                                                   +3 ppts
       +10% AER                                                                                                        +36% AER

       ▪ Revenue up 9% due to portfolio growth, price                                                                                                                                                                              ▪ The Group’s combined operating ratio stands
                                                                                                                    ▪ Underlying profit up by 44%. Reduction in
         rises in a majority of our insurance markets and                                                                                                                                                                            at 95%, compared to 92% at prior year.
                                                                                                                      insurance profits due to higher claims was more
         increased activity in health provision.
                                                                                                                      than offset by higher profits in health provision
       ▪ Revenue in health insurance grew by 5% due                                                                   and aged care.
         to increased membership portfolio with growth in
                                                                                                                    ▪ Central expenses and net interest margin were
         ELA and premium rises in Australia.
                                                                                                                      lower as higher investment returns were partly
       ▪ Health provision revenue grew 3% reflecting                                                                  offset by additional interest costs associated with
         higher customer numbers.                                                                                     debt issuances completed in June 2020.

       ▪ Aged care revenue broadly in line with 2020.

1 Underlying profit is a non-GAAP financial measure. This means it is not comparable to other companies. Underlying profit reflects our trading performance and excludes a number of items included in statutory profit before taxation, to facilitate year-on-year comparison. These items include impairment of intangible assets and
goodwill arising on business combinations, as well as market movements such as gains or losses on foreign exchange, on return-seeking assets, on property revaluations and other material items not considered part of trading performance.
2 Combined operating ratio is an alternative performance metric for insurance businesses. It is calculated based on incurred cl aims and operating expenses divided by net earned premiums. The Group combined operating ratio is calculated based on the S.05.01 Prudential Regulation Authority (SII) form (estimated and unaudited).

                                                                                                                                                                                                                                                                                      Bupa half year results presentation 2021            15
Section 1 Section 2   Section 3   Section 4   Section 5

Statutory profit

Statutory profit before
                                                                                                                                                                 HY 2021            HY 2020
taxation was £245m, up                                                                                                                                               £m               (AER)
£92m on 2020, reflecting                                                                                                                                                                £m
higher underlying profit,                                 Underlying profit before taxation                                                                             191                140
and gains made on                                         Impairment of intangible assets and goodwill arising on business combinations                                  (1)                     -
acquisitions and
divestments, including                                    Net gain/(loss) on disposal of businesses and transaction costs on business combinations                         9                (5)

a one-off gain arising upon                               Net property revaluation gains                                                                                   7                    11
the transfer of customers
                                                          Realised and unrealised foreign exchange gains                                                                   9                    14
from CS Healthcare into UK
Insurance.                                                Gains/(losses) on return seeking assets, net of hedging                                                          3                (5)

                                                          Other non-underlying items                                                                                     27                 (2)

                                                          Total non-underlying items                                                                                     54                     13

                                                          Statutory profit before taxation                                                                              245                153

                                                                                                                                                     Bupa half year results presentation 2021    16
Section 1 Section 2          Section 3       Section 4      Section 5

       Solvency1

       HY 2021 Solvency position                                                                                                                     Solvency II coverage ratio          ▪ Capital coverage at the year end was
                                                                                                                                                                                           163% with £1.6bn surplus over Group
          Own Funds                                                                                                             £4.1bn                                                     SCR.
                                                                                                                                                       2021                       163%
                                                                                                                                                                                         ▪ Solvency coverage ratio remains within
          Solvency Capital                                                  £2.5bn           Surplus                            £1.6bn                 FY 2020                    160%     our target capital working range of
          Requirement                                                                                                                                                                      140% to 170% of SCR.

                                                                                                                                                                                         ▪ Our capital coverage is relatively stable
       Risk sensitivities2                                                                                                                                                                 to exposure from market risk
                                                                                                                                                                                           sensitivities.
       Solvency Coverage Ratio                                                                                                     163%
                                                                                                                                                                                         ▪ Property remains the most sensitive
       Property values - 10%                                                                                           149%                                                                risk to our capital coverage.

       HY21 loss ratio worsening by 2%                                                                                       156%

       Interest rate -100bps                                                                                                     161%

       Sterling appreciates by 10%                                                                                               162%

       Group specific parameter (GSP)3 +0.2%                                                                                      162%

       Credit spreads + 100bps assuming no credit transition                                                                      163%

       Pension risk +10%                                                                                                           163%

       Equity markets -20%                                                                                                         163%
1   The HY 2021 Solvency II capital position, SCR and coverage ratio are estimates and unaudited.
2 While  this table only shows the impact of individual stresses, it is a helpful illustration of the relatively low risk inherent in our capital base.                                                Bupa half year results presentation 2021   17
3   Group Specific Parameter (GSP) is substituted for the insurance premium risk parameter in the standard formula, reflecting the Group’s own loss experience
Section 1 Section 2          Section 3      Section 4       Section 5

Solvency1

Movement in Solvency II
capital surplus from FY 2020
to HY 2021
                                                                                                                                                    10
                                                                                                                                                                                60

                                                                                                                                                                                           50

                                                                                                                       240                                                                              50
                                                                                                                                                                                                                                       20
                                                                                                                                                                                                                                                           1,610
                                                                                                                                                                                                                   20

                                                                                           1,454

                                                                                           1,520

                                                                                                                   Operating                   Acquisitions             Net capex    Debt financing   Other    Currency risk           Capital               SII
                                                                                      SII Surplus
                                                                                                                     capital                       and                                                market                           tiering             Surplus
                                                                                       FY 2020                                2
                                                                                                                   generation                   disposals                                              risk                          restriction 3         HY 2021
1   The HY 2021 Solvency II capital position, SCR and coverage ratio are estimates and unaudited.
2 Operating    capital of £240m includes adjusted IFRS comprehensive income, reflecting SII valuation differences and the exclusion of non-operating items.
3   Capital tiering restrictions are applied because the aggregate value of eligible Tier 2 and Tier 3 Own Funds cannot exceed 50% of the Group Solvency Capital Requirement.

                                                                                                                                                                                                                               Bupa half year results presentation 2021   18
Section 1 Section 2         Section 3       Section 4      Section 5

Funding

Leverage has reduced vs                                                    Leverage ratio1                      ▪ Leverage has reduced again in     Debt maturity profile
FY 2020 and liquidity                                                                                             the period to 24.1%
                                                                           HY 2021
remains strong                                                                                 24.1%            ▪ At 30 June, the £800m revolving
                                                                                                                                                    1000
                                                                                                                  credit facility was drawn by
                                                                           FY 2020                                £290m, having enabled the
                                                                                                 25.3%            £350m bond repayment in June.      800
                                                                           HY 2020
                                                                                                    27.3%       ▪ There were no changes to Bupa’s
                                                                                                                  credit ratings in the period.      600
                                                                           FY 2019
                                                                                                25.1%
                                                                                                                                                     400
                                                                           HY 2019
                                                                                              24.3%
                                                                                                                                                     200

                                                                           Leverage ratio when accounting for                                          0
                                                                                                                                                           2021   2022   2023   2024    2025    2026   >2026
                                                                           IFRS 16 lease liabilities

                                                                           HY 2021
                                                                                                                                                           Bupa Finance plc Senior
                                                                                                    31.1%
                                                                                                                                                           Bupa Finance plc Tier 2
                                                                                                                                                           Subordinated
                                                                           FY 2020                                                                         Bank facilities
                                                                                                    32.4%
                                                                           FY 2019
1   Leverage is calculated based on gross debt (including hybrid debt)
                                                                                                    32.7%
    divided by gross debt plus equity.

                                                                                                                                                                    Bupa half year results presentation 2021   19
Section 1 Section 2   Section 3   Section 4   Section 5

Cash and financial investments

                                                          Net cash generated from operating activities                  ▪ Net cash generated from operating
Net cash generated
                                                                                                                          activities decreased from £843m in
from operating activities                                                                                                 H1 2020 to £440m as claims
was £440m as claims                                                                                     £440m             outflows return to a more normal
outflows normalise                                                                                                        level compared to 2020.

                                                                                                                £843m   ▪ Cash and investments were
                                                                                                                          marginally down.
                                                          (44%) AER
                                                                                                                        ▪ Conservative portfolio, primarily
                                                                                                                          cash-based but with circa £640m
                                                                                                                          bond and loan funds.

                                                          Cash and investment portfolio                                 ▪ Low yield environment continues to
Conservative portfolio                                                                                                    provide a challenging investment
                                                          2021                                                            backdrop.
                                                                                                      £4.7bn

                                                          2020 FY
                                                                                                       £4.9bn
                                                            Cash and cash-like instruments
                                                            (e.g. deposits, liquidity funds, covered bonds)

                                                            Return seeking assets

                                                                                                                                  Bupa half year results presentation 2021   20
Section 1 Section 2   Section 3   Section 4   Section 5

Sustainability & Environmental, Social and Governance (ESG)

We continue to progress                                   Highlights
our Sustainability agenda                                 ▪ We established a new Board Sustainability
and this a key pillar of our                                Committee, which ensures the integrated
                                                            management of ESG.
new strategy.
                                                          ▪ We committed to the Science Based Targets
                                                            Initiative (SBTi) to reduce our carbon
                                                            emissions.

                                                          ▪ We launched eco-Disruptive, a global
                                                            innovation challenge in which Bupa teams are
                                                            interacting with eco start-ups.

                                                                                            Bupa half year results presentation 2021   21
Section 1 Section 2   Section 3   Section 4   Section 5

  Outlook and
  operating
  priorities

  Martin Potkins
  Interim Chief
  Financial
  Officer

                                                          Bupa half year results presentation 2021   22
Section 1 Section 2   Section 3   Section 4   Section 5

Outlook and operating priorities

A resilient business,                                     •   Several of our markets are in advanced stages of vaccine
well-placed to pursue future                                  deployment, but the pace will vary by country.
growth from transformation.
                                                          •   COVID-19 is still impacting our economies and health systems, but
                                                              we are positive about the future.

                                                          •   Conditions in some markets remain challenging and there is
                                                              uncertainty as to the timing and volume at which insurance claims
                                                              will return.

                                                          •   Major shifts in customer expectations and engagement, particularly
                                                              in digital healthcare. The pandemic has increased people’s focus on
                                                              their health and wellbeing.

                                                          •   Underlying financial strength, resilience and a diversified business
                                                              model.

                                                          •   Focused on embedding our new strategy and driving growth from
                                                              transformation.

                                                                                                                                     Bupa half year results presentation 2021   23
Section 1 Section 2   Section 3   Section 4   Section 5

  Q&A

  Martin Potkins         Gareth                  Gareth Evans
  Interim Chief          Roberts                 Group
  Financial              Group Financial         Treasurer
  Officer                Controller

                                                                Bupa half year results presentation 2021   24
Section 1 Section 2   Section 3   Section 4   Section 5

Further information

                                                          Website
                                                          www.bupa.com/corporate/
                                                          our performance

                                                          Investors:
                                                          ir@bupa.com

                                                                                    Bupa half year results presentation 2021   25
Appendix

           Bupa half year results presentation 2021   26
Bupa’s purpose is helping        ▪ Founded in 1947, Bupa is a private
people live longer, healthier,     company limited by guarantee. With
                                   no shareholders, our customers are
happier lives and making a         our focus. We reinvest profits to
better world.                      benefit our current and future
                                   customers.

                                 ▪ We are an international healthcare
                                   company serving over 31 million
                                   customers worldwide.

                                 ▪ Our global footprint has grown from
                                   our origins in the UK to Australia,
                                   Spain, Poland, Chile, Brazil, Mexico,
                                   Turkey, the Middle East, the US,
                                   Hong Kong SAR, New Zealand and
                                   Ireland. We also have associate
                                   businesses in Saudi Arabia and          Australia and                  Europe and Latin                Bupa Global and UK             Bupa Hong Kong
                                   India. We directly employ around        New Zealand                    America
                                   85,000 people.                                                                                                                        Associate businesses
                                                                                                                                                                         in Saudi Arabia and
                                                                                                                                                                         India

                                                                           IPMI
                                                                           We also offer international private medical insurance (IPMI) for cover in most countries, including through our associate
                                                                           business Highway to Health (GeoBlue) in the US.

                                                                           Market Unit structure
                                                                           This infographic reflects our market unit structure as of 30 June 2021.

                                                                                                                                                            Bupa half year results presentation 2021   27
Business mix1                                                                                                Health insurance2   Health insurance accounts for 72% of our total revenue with
                                                                                                                                     17.9m insurance customers worldwide.
                                                                                                                                     Strong domestic health insurance presence in: UK, Australia,
    Bupa in the context of the                                                                                                       Spain, Chile, Hong Kong, Turkey, Brazil3 and Mexico and our
                                                                                                                                     associate businesses in Saudi Arabia and India
    wider insurance market                                                                                                           International Private Medical Insurance: Bupa Global
                                                                                                                                     Dental insurance: Australia, UK, Spain, Chile, Poland, Hong Kong
                                                                                                                                     SAR, Brazil and through Bupa Global

                                                                                                                 Provision           Health provision accounts for 20% of our total revenue with

                                                                                                                                                                                                                                          Personal Lines
                                                                                                Specialist P&C
                                                                                                                                     13.6m customers worldwide. We operate around 390 health
                                                                                                                                     clinics, 22 hospitals and over 1,000 dental centres.

                                                                                        Motor                                        Hospitals: Spain, Chile, Poland and one in the UK

                                                                                                                                                                                                                           Life
                                                                                                                                     Dental centres: UK, Ireland, Australia, Spain, Chile, New Zealand,
                                                                                                                                     Poland, Brazil and Hong Kong SAR.
                                                                                                                                     Clinics: Spain, Chile, Poland, the UK, Brazil4, Hong Kong SAR,
                                                                                                                                     Saudi Arabia5, Australia, New Zealand and China

                                                                                                                 Aged Care           Residential aged care accounts for 8% of total revenue.
                                                                                                                                     We provide aged care services in the UK, Spain, Australia and New
                                                                                                                                     Zealand

1 All numbers are updated as of FY 2020.
2 We also provide travel insurance, cash plans, subscription products and third party
administration arrangements in different markets.
3 We have a growing domestic health insurance business in Mexico.
4 We also have very small numbers of clinics in other Latin American countries

including Peru.
5 We have an interest in the MyClinic business in Saudi Arabia.
                                                                                                                                                                                                      Bupa half year results presentation 2021             28
Bupa’s footprint                                                                                                                                   Australia and
                                                                                                                                                       New Zealand
                                                                                                                                                                                                             Europe and
                                                                                                                                                                                                            Latin America
                                                                                                                                                                                                                                                                 Bupa Global and UK                        Other

    and Market Units                                                                                                                                 Australia   New Zealand   Spain1    Poland    Turkey       Chile       Brazil
                                                                                                                                                                                                                                      Bupa Global
                                                                                                                                                                                                                                     Latin America2,3   Mexico
                                                                                                                                                                                                                                                                   United
                                                                                                                                                                                                                                                                  Kingdom4
                                                                                                                                                                                                                                                                               Bupa
                                                                                                                                                                                                                                                                              Global2
                                                                                                                                                                                                                                                                                         Saudi
                                                                                                                                                                                                                                                                                        Arabia5   India5
                                                                                                                                                                                                                                                                                                                 Hong
                                                                                                                                                                                                                                                                                                               Kong SAR
                                                                                                                                                                                                                                                                                                                          Mainland
                                                                                                                                                                                                                                                                                                                           China

    (as of 30 June 2021)                                                            Funding                                Health insurance
                                                                                                                           Pay-as-you-go
                                                                                                                           Dental insurance
                                                                                                                           Travel insurance
                                                                                                                           Cash plans
                                                                                    Health provision                       Clinics
                                                                                                                           Hospitals
                                                                                                                           Dental centres
                                                                                                                           Optical and audiology
                                                                                    Aged care provision                    Care homes
                                                                                                                           Retirement villages

                                                                                    Australia and New Zealand                                      Europe and Latin America                                             Bupa Global & UK                         Other

                                                                                    Australia:                         New Zealand:                Spain:                               Chile:                          UK:                                      Saudi Arabia:
                                                                                    Bupa Health Insurance              Bupa Villages and           Sanitas Seguros                      Bupa Chile                      Bupa UK Insurance                        Private health insurer,          Bupa Hong Kong:
                                                                                    Bupa Health Services               Aged Care New               Sanitas Hospitales                   Brazil:                         Bupa Dental Care4                        Bupa Arabia5, in which           Health insurance and
                                                                                    Bupa Villages and                  Zealand                     and New Services                     CarePlus                        Bupa Care Services                       we have a 43.25%                 provision.
                                                                                    Aged Care Australia                                            Sanitas Dental                       Mexico:                         Bupa Health Services                     stake. We also have an           Bupa China:
                                                                                                                                                   Sanitas Mayores1                     Bupa Mexico                     IPMI:                                    interest in MyClinic, a          Comprises our
                                                                                                                                                   Poland:                              IPMI:                           Bupa Global2                             health clinics business.         representative office in
                                                                                                                                                   LuxMed                               Bupa Global                                                              India:                           Beijing and an
                                                                                                                                                   Turkey:                              Latin America2, 3                                                        Max Bupa5: Private               integrated medical
                                                                                                                                                   Bupa Acıbadem                                                                                                 health insurer in India,         centre in Guangzhou.
                                                                                                                                                   Sigorta                                                                                                       in which we hold a
                                                                                                                                                                                                                                                                 44.42% stake.
1   In Spain we also have day care centres.
2   Global international insurance coverage available in many countries.
3   BGLA’s main operations include Guatemala, Panama, Dominican Republic, Colombia, Ecuador, Bolivia and Chile and a provision business in Peru.
4   We also run dental centres in the Republic of Ireland.
5    Bupa Arabia (Saudi Arabia) and Max Bupa (India) are associate businesses.

                                                                                                                                                                                                                                                                             Bupa half year results presentation 2021            29
Breakdown
of borrowings

                                                                                 HY 2021          FY 2020          HY 2020
                                                                                     £m               £m               £m
                £330m perpetual hybrid bond (guaranteed by Bupa Insurance Ltd)            -                 -             349

                £350m senior bond due 2021                                                -             350               350

                £500m subordinated bond due 2023                                      503               503               503

                £300m senior bond due 2024                                            304               310               309

                £400m subordinated bond due 2026                                      398               397               397

                £300m senior bond due 2027                                            291               300               299

                £350m subordinated bond due 2035                                      347               347               346

                Revolving credit facility                                             290                   -                  -

                Bupa Chile borrowings                                                  90               177               172

                Other                                                                  52                 54                  41

                Total borrowings                                                   2,275             2,438             2,766

                                                                                   Bupa half year results presentation 2021   30
Disclaimer

Cautionary statement   This document may contain certain ‘forward looking statements’. Statements that are not historical facts, including statements about the
                       beliefs and expectations of The British United Provident Association Limited (Bupa) and Bupa’s directors or management, are forward looking
concerning forward     statements. In particular, but not exclusively, these may relate to Bupa’s plans, current goals and expectations relating to future financial
looking statements     condition, performance and results.
                       By their nature, forward looking statements involve risk and uncertainty because they relate to events and depend upon future circumstances
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                       such as fluctuations in interest rates and exchange rates, the policies and actions of governmental and regulatory authorities, the impact of
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                       Accordingly, none of Bupa or its affiliates, advisers, directors, employees or agents shall be liable (save in the case of fraud) for any loss
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                       Forward-looking statements in this document are current only as of the date on which such statements are made.
                       Neither the content of Bupa’s website nor the content of any other website accessible from hyperlinks on Bupa’s website is incorporated into,
                       or forms part of, this document.

                                                                                                                                      Bupa half year results presentation 2021   31
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