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In a fiery competitor showdown, PHP triumphs over KKR in their bid for control of Assura, the prominent National Health Service (NHS) landlord.

US private equity titan foiled by Primary Health Properties in dispute over GP surgery ownership control.

In the struggle for ownership, PHP secures victory over KKR regarding Assura, the management...
In the struggle for ownership, PHP secures victory over KKR regarding Assura, the management company of NHS properties.

In a fiery competitor showdown, PHP triumphs over KKR in their bid for control of Assura, the prominent National Health Service (NHS) landlord.

In a significant development, the takeover of Assura, a leading GP surgery owner, by Primary Health Properties (PHP) has moved forward, with key milestones cleared and the deal becoming unconditional. As of August 21, 2025, PHP has secured acceptances exceeding 81% of Assura's shares, making the revised £2.4 billion takeover offer official [1][4].

The deal, however, faced potential hurdles, including a bidding war with KKR, a US-based private equity firm, which presented a competing offer that Assura's board ultimately rejected in favour of PHP’s higher bid [3]. The competition watchdog has stepped up its probe into the PHP-Assura tie-up, but the investigation's status is not explicitly detailed in the recent updates [6].

The board has consistently supported PHP’s offer despite KKR’s attempts to persuade shareholders and the board to back its rival proposal. Another aspect is market and credit rating risks: Fitch downgraded Assura’s rating to BBB+ with a negative outlook shortly after the offer became unconditional, reflecting some caution around the financial impact of the merger and the combined entity’s profile [5].

Over 63% of Assura's shareholders voted in favour of the merger, and the deal will soon lead to Assura delisting from the stock market [2]. Assura owns surgeries, hospitals, and hospices, making this merger a significant move in the healthcare sector.

It's worth noting that investment platforms such as Hargreaves Lansdown, Interactive Investor, InvestEngine, and Trading 212, chosen by the editorial team for their perceived value, may offer various investment options. While taking out a product from these platforms may result in This Money earning a commission, the commission earned does not influence the selection of these investment platforms [7].

Despite these challenges, the completion of the acquisition appears on track, with the main challenges confronted being the rival bid by KKR and potential financial risks highlighted by Fitch, but as of now, the deal seems to be progressing smoothly [1][4][5].

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