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Primary Health Properties: raises bid to £1.68bn to acquire Assura

Primary Health Properties (PHP) ups its offer for Assura, outbidding US firms KKR and Stonepeak with a £1.68bn cash and shares deal.
PHP share research - primary health properties.jpg

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Primary Health Properties (PHP) has offered to buy its peer Assura for £1.68bn, outbidding the all-cash offer by US private equity investors KKR and Stonepeak Partners made in April for £1.61bn.

PHP’s offer values Assura at 51.7p per share, comprising of 12.5p in cash and the remainder payable in PHP shares.

If fully accepted, Assura shareholders will own approximately 48% of the new combined company.

The shares were up 0.9% on the day of the announcement.

Our view

PHP’s bid for rival Assura promises to deliver both scale and efficiency. However, a competing bid on the table is just one of the potential obstacles that still stands in the way of a deal, so there’s no guarantee a combination will happen.

PHP’s purpose-built doctor's surgeries have a long track record of delivering results for shareholders and is now in its 29th consecutive year of dividend increases. As a REIT (real estate investment trust), PHP has to pay out the vast majority of profits as a dividend.

PHP has successfully navigated the interest rate rises seen over the past couple of years. Now things have stabilised, its dipping its toe back into the development arena where it usually takes a cautious approach.

A higher cost of capital in today’s market means attractive sites are limited, and PHP is lobbying hard with bodies like the NHS to make projects more viable. There’s progress, but only in areas where the need for new buildings is strongest.

It’s a bit of a balancing act though, as performance over the past couple of years has been driven by rent hikes. Those same elevated costs that limit development opportunities are giving landlords like PHP more bargaining power at the negotiating table.

Looking to the future, we think PHP has several features that underpin long-term dividend-paying potential. The backlog of procedures in the NHS means improving access to primary care is a key component of the UK government’s latest plans to improve the NHS. And, with 89% of the group's rent roll funded by the NHS or its Irish equivalent, we view the group's tenants as lower risk.

Ireland is also a key growth driver, with arguably better market dynamics than here in the UK. Leases tend to be longer term, with better yields, and it’s a key area of focus for future growth.

There are some reasons for caution too though. Loan-to-value (LTV) is high by industry standards, and has risen over the past year as property values have struggled to grow. If the Assura deal does go through, the balance sheet could come under even more pressure.

We continue to like PHP as a play on a resilient segment of the UK property market and see it as a benefactor of interest rate cuts as and when they come. The valuation isn’t overly demanding, and the prospective dividend yield is attractive – though nothing is guaranteed. In the near term, twists and turns in the race to acquire rival Assura are likely to be a key driver of investor sentiment, so expect more volatility than usual.

Environmental, social and governance (ESG) risk

Real estate is relatively low risk in terms of ESG. One of the principal drivers of this risk is the capacity to integrate material ESG considerations into decision-making, risk management and public reporting; the most material ESG considerations are environmental, like carbon emissions reduction, energy efficiency and physical climate risk. The rise of hybrid working has also reduced demand for commercial property, making product governance and customer satisfaction a top priority. Other risks to monitor include labour relations, business ethics, and emissions & waste.

According to Sustainalytics, PHP’s overall management of material ESG issues is strong.

Responsibility for overseeing ESG issues is assigned to board level and there is an adequate environmental policy in place. Improvements could be made to ESG related disclosures and executive compensation does not appear to be linked to ESG performance. PHP has targets for increasing investment in sustainable buildings and deadlines to meet those targets, in line with industry best practice.

Primary Health Properties key facts

All ratios are sourced from LSEG Datastream, based on previous day’s closing values. Please remember yields are variable and not a reliable indicator of future income. Keep in mind key figures shouldn’t be looked at on their own – it’s important to understand the big picture.

This article is original Hargreaves Lansdown content, published by Hargreaves Lansdown. It was correct as at the date of publication, and our views may have changed since then. Unless otherwise stated estimates, including prospective yields, are a consensus of analyst forecasts provided by Refinitiv. These estimates are not a reliable indicator of future performance. Yields are variable and not guaranteed. Investments rise and fall in value so investors could make a loss.

This article is not advice or a recommendation to buy, sell or hold any investment.No view is given on the present or future value or price of any investment, and investors should form their own view on any proposed investment.This article has not been prepared in accordance with legal requirements designed to promote the independence of investment research and is considered a marketing communication.Non - independent research is not subject to FCA rules prohibiting dealing ahead of research, however HL has put controls in place(including dealing restrictions, physical and information barriers) to manage potential conflicts of interest presented by such dealing.Please see our full non - independent research disclosure for more information.
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Written by
Derren Nathan
Derren Nathan
Head of Equity Research

Derren leads our Equity Research team with more than 15 years of experience in his field. Thriving in a passionate environment, Derren finds motivation in intellectual challenges and exploring diverse ideas within his writing.

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Article history
Published: 19th May 2025