Stock Markets March 17, 2026

Primary Health Properties lifts covered dividend 3% as NAV falls to 99p

Earnings edge up and cost synergies progress, but loan-to-value remains above target amid higher debt costs

By Derek Hwang
Primary Health Properties lifts covered dividend 3% as NAV falls to 99p

Primary Health Properties increased its fully covered dividend per share by 3% for the year 2025 while reporting a 4% drop in net asset value to 99 pence. The £6 billion healthcare real estate investment trust posted modestly higher earnings per share, expanded contracted rent roll with a high proportion of government-backed income, and reported substantial progress on merger-related cost savings, even as leverage and borrowing costs rose.

Key Points

  • Dividend per share increased 3% to 7.1 pence with full coverage at 1.12 times - impacts income investors and UK REIT sector.
  • Contracted rent roll rose to £342 million, 76% government-backed, and rent reviews/asset management added £9 million (around 7%) - affects healthcare real estate cash flow stability.
  • Net debt £3.4 billion and loan-to-value at 57% above the 40% target, while cost of debt rose to 3.7% - relevant to capital markets and fixed-income costs for REITs.

Primary Health Properties reported a 3% rise in its covered dividend per share for the full year 2025 and a 4% decline in net asset value to 99 pence, the healthcare-focused real estate investment trust said on Tuesday.

Earnings and dividend

The company, with a market value of approximately £6 billion, delivered earnings per share of 7.3 pence for the period, an increase of 4% from the prior year. Dividend per share was 7.1 pence, up 3%, and the dividend remained fully covered at a ratio of 1.12 times.

Rental income and portfolio metrics

Primary Health Properties reported a contracted rent roll that rose to £342 million, with 76% of that income backed by government sources. Rent reviews and active asset management contributed an additional £9 million of income annually, an uplift of around 7% relative to the comparator period. The portfolio's valuation implied a net initial yield of 5.4%, which is 20 basis points higher than in the prior period, and occupancy across the portfolio remained high at 99%.

Private hospitals now account for 13% of the portfolio by value, while assets in Ireland represent 6%.

Cost savings, partnerships and operating efficiency

Following its merger with Assura Growth REIT, Primary Health Properties set an annual cost saving target of £9 million. The company has achieved £7.5 million of those savings so far, representing 83% of the target. Management also reported progress in expanding a primary care joint venture and the creation of a strategic partnership for the private hospital portfolio. The EPRA cost ratio was reported at 9.8%, noted as one of the lowest among UK REITs.

Balance sheet and liquidity

Net debt stood at £3.4 billion at the period end, corresponding to a loan-to-value ratio of 57%, which remains above the company’s stated target of 40%. The company said the cost of debt increased to 3.7% from 3.4% in the prior period. Available liquidity was £571 million, and management indicated plans to reduce that liquidity level.

The statements reflect a mix of income growth, operational efficiency gains and elevated leverage and borrowing costs, with management continuing to execute on post-merger synergies and portfolio partnerships.

Risks

  • Loan-to-value ratio of 57% remains above the company target of 40%, presenting balance sheet leverage risk - impacts REIT investors and credit markets.
  • Rising cost of debt from 3.4% to 3.7% increases financing costs and could pressure returns if rates continue to rise - affects financing conditions for property companies.
  • A 4% decline in net asset value to 99 pence signals valuation pressure on the portfolio that could affect investor sentiment in the healthcare real estate sector.

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