Cirsa shareholders will receive 0.668 new Lottomatica shares for each Cirsa share held. ^[1] Lottomatica shareholders will own 67.5% of the combined company, with Blackstone holding 24%. ^[2] Lottomatica will acquire Cirsa to form the second-largest listed gaming and sports betting operator globally. ^[3] On 2026-09-02, Italian gaming operator Lottomatica signed a merger agreement to absorb Spanish gaming and sports betting operator Cirsa, under which Cirsa will cease to exist as an independent legal entity without liquidation. ^[4] Affected families allege that ARW Solutions exploits patients for profit by sending them to a clinic that does not meet health requirements and does not take responsibility for the care. ^[5] ARW Solutions, which won bid LA-50-GYR-050GYR001-T-20-2026, subcontracted the services to the company Cirsa, owned by Eduardo Noverón Barreto. ^[6] Families of patients in the IMSS Guerrero delegation have complained about irregularities in the hemodialysis service provided by the company ARW Solutions. ^[7] The company ARW Solutions reportedly earns 10,231 pesos monthly per patient without providing adequate service. ^[8] The combined company will return up to €4 billion to shareholders through dividends and share buybacks over three years. ^[9] Blackstone, Cirsa's majority shareholder, is expected to become the largest shareholder of the combined company with approximately 24% of its share capital. ^[10] In a filing with Spain's CNMV, Lottomatica and Cirsa said the proposed combination will create a global leader in sports betting and gaming, with number one positions in Italy and Spain and a strong presence in other high-growth markets. ^[11]