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Introduction & Market Context
CareTrust REIT, Inc. (NYSE:CTRE) released its second quarter 2025 financial supplement on August 7, revealing continued portfolio expansion and strong financial performance. The healthcare REIT, which focuses on seniors housing and healthcare-related properties, has maintained its growth trajectory following its significant UK market entry earlier this year.
Trading at $32.65 as of August 6, 2025, CareTrust’s stock has performed well within its 52-week range of $24.80 to $33.15. The company’s market capitalization stands at $6.1 billion with an enterprise value of $7.0 billion as of June 30, 2025, reflecting its expanded scale following recent acquisitions.
Quarterly Performance Highlights
CareTrust reported solid financial results for Q2 2025, with rental income of $86.03 million and net income of $68.55 million for the three months ended June 30. Basic earnings per share reached $0.36 for the quarter, while normalized FFO (funds from operations) and normalized FAD (funds available for distribution) per share were $0.43 each.
The company’s portfolio continues to demonstrate strong fundamentals, with a current yield of 9.6% across its investments. Tenant financial health remains robust, as evidenced by EBITDARM and EBITDAR rent coverage ratios of 3.07x and 2.41x, respectively.
As shown in the following consolidated income statement, CareTrust’s financial performance demonstrates year-over-year growth:
Portfolio Growth and Diversification
CareTrust has significantly accelerated its investment activity over the past 18 months. The company deployed $1.52 billion in 2024 and has already invested $1.17 billion in the first half of 2025, maintaining an average historical investment yield of 9.1%.
The following chart illustrates this dramatic increase in investment activity compared to previous years:
A key component of CareTrust’s recent growth has been its expansion into the United Kingdom (TADAWUL:4280), which now represents 14.7% of the company’s total rent and interest income. This aligns with statements from the Q1 earnings call, where CEO Dave Sedgwick described the UK Care REIT acquisition as "the largest deal in our history" and "our entry into the UK."
The company’s portfolio now spans 581 properties with 53,483 operating beds/units across 34 states plus the UK, operated by 46 different healthcare providers. This geographic diversification helps mitigate regional regulatory risks while providing exposure to multiple healthcare markets.
The following map illustrates CareTrust’s revenue diversification by geography:
Detailed Financial Analysis
CareTrust maintains a strong balance sheet with prudent leverage metrics. As of June 30, 2025, the company’s net debt to annualized normalized run rate EBITDA stood at 2.0x, while net debt to enterprise value was 12.3%. These conservative debt levels provide financial flexibility for continued growth.
The following charts illustrate these key debt metrics:
The company’s debt structure is predominantly fixed-rate (93.3%), with only 6.7% in floating-rate debt, providing stability in the current interest rate environment. Total (EPA:TTEF) debt stood at $965 million as of July 31, 2025.
CareTrust’s tenant diversification strategy has resulted in a balanced portfolio, with its top 10 tenants accounting for 74.0% of total rent. The Ensign Group (NASDAQ:ENSG) remains the largest tenant at 20.2% of total rent, followed by PACS Group (11.4%), Priority Management Group (8.1%), Minster Care Management (7.3%), and Links Healthcare (6.5%).
The following table details the rent diversification by tenant:
Forward-Looking Statements
CareTrust has provided optimistic guidance for 2025, projecting net income attributable to CareTrust REIT, Inc. per diluted common share between $1.43 and $1.45. The company expects normalized FFO per share between $1.77 and $1.79, and normalized FAD per share in the same range.
The following table summarizes CareTrust’s 2025 guidance:
These projections represent significant growth compared to previous years and align with the company’s expanded portfolio and strategic initiatives. The guidance reflects management’s confidence in the performance of recent acquisitions, particularly the UK expansion.
Strategic Initiatives
CareTrust’s portfolio composition as of June 30, 2025, reflects its strategic focus on skilled nursing facilities, multi-service campuses, seniors housing, and UK care homes. The company’s investments are distributed across these asset types to balance risk and optimize returns.
The following table provides a detailed breakdown of CareTrust’s portfolio performance:
The company’s entry into the UK market represents a significant strategic shift, reducing concentration risk in the US skilled nursing sector. This international diversification provides exposure to the UK’s healthcare system, which operates under different regulatory and reimbursement frameworks than the US.
CareTrust continues to demonstrate financial discipline while pursuing growth opportunities. With a solid balance sheet, strong tenant relationships, and geographic diversification, the company appears well-positioned to navigate the evolving healthcare real estate landscape while delivering value to shareholders.
Full presentation:
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