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KKR was overlooked as Assura shareholders approved the PHP offer

Shareholders at Assura, NHS landlord, have approved a takeover proposal from Primary Health Properties, thus concluding a contentious takeover struggle

KKR's proposal is rejected as shareholders approve Assura's deal with PHP instead
KKR's proposal is rejected as shareholders approve Assura's deal with PHP instead

KKR was overlooked as Assura shareholders approved the PHP offer

Primary Health Properties (PHP) has secured the takeover of NHS landlord Assura, following a 62.9% majority vote in favour of PHP's £1.8bn cash and share offer, which superseded a rival £1.7bn cash bid from a consortium led by KKR and Stonepeak[1][2]. Despite the shareholder approval, the merger faces scrutiny from the UK's Competition and Markets Authority (CMA), which is investigating potential antitrust ramifications[1].

The combined entity will control a property portfolio worth around £6 billion, including 600 healthcare buildings such as GP surgeries and pharmacies. This will make it the eighth largest London-listed REIT by market capitalization[1]. The CMA has temporarily blocked full integration of PHP and Assura during its review process due to potential antitrust concerns arising from the increased market concentration among NHS property landlords[1].

This deal marks a significant consolidation in the UK healthcare real estate sector, underlining the dominance of London-listed REITs over private equity in this space and potentially impacting the competitive dynamics in the UK healthcare property market[2][3]. The resignation of Assura’s chair shortly after the deal’s conclusion further highlights the significant governance changes resulting from the merger[4].

Initially, Assura's board had supported a £1.7bn all-cash bid from KKR, but later switched its support to PHP's merger proposal[1]. The vote was supported by 63% of Assura's shareholders[1]. The deal has been frozen by the CMA until the investigation is concluded[1].

Upon completion, the combined entity will become the largest listed healthcare landlord in the UK, with a strong presence in the sector. The outcome of the CMA's investigation will be closely watched for precedent-setting antitrust implications in the UK’s real estate investment trust (REIT) sector, particularly regarding NHS property ownership and competition[1][2].

| Aspect | Details | |---------------------------|-------------------------------------------------------------------------| | Current Status | PHP's £1.8bn bid approved by 62.9% shareholders, KKR's £1.7bn offer lapses. The CMA is reviewing the deal. | | Antitrust Ramifications | CMA reviewing to assess if the merger reduces competition significantly; integration blocked pending outcome. | | Impact on UK REIT Sector | Will create the 8th largest London-listed REIT by market cap, consolidating NHS healthcare properties under PHP. Signals preference for public market REIT deals over private equity in this sector. |

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