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Community Healthcare Trust (CHCT)
NYSE:CHCT

Community Healthcare (CHCT) AI Stock Analysis

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CHCT

Community Healthcare

(NYSE:CHCT)

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Neutral 66 (OpenAI - 5.2)
Rating:66Neutral
Price Target:
$19.50
â–²(16.28% Upside)
Action:ReiteratedDate:02/18/26
CHCT scores mid-range primarily due to steady revenue and strong, consistent cash generation alongside improved balance-sheet risk, but is held back by volatile/uncertain earnings reflected in a negative P/E. Technicals are supportive with price above key moving averages and positive MACD, and the earnings call was net constructive (FFO/AFFO growth, accretive transactions, dividend raise) despite tenant-transaction timing risk and constrained equity funding flexibility.
Positive Factors
Consistent cash generation
Sustained positive operating and free cash flow provides durable internal funding for dividends, redevelopment projects and acquisitions. This cash generation reduces reliance on external equity, supports liquidity and gives management flexibility to execute capital recycling and cover operating needs.
Material balance sheet improvement
Elimination of reported debt materially lowers leverage risk and increases financial flexibility, allowing CHCT to pursue acquisitions via revolver or 1031 exchanges while maintaining modest leverage. A cleaner balance sheet supports resilience through rate cycles and funding optionality.
Disciplined capital recycling and accretive deals
Realized gains and like‑kind reinvestments into assets yielding ~9%-plus indicate effective capital recycling. Consistently closing accretive acquisitions and a sizeable signed pipeline support sustainable FFO/AFFO growth and provide predictable income streams as assets stabilize.
Negative Factors
Volatile earnings history
Significant swings in net income undermine confidence in earnings quality and make cash‑flow forecasting harder. This volatility complicates dividend coverage assessment and planning for acquisitions, increasing execution risk over the medium term despite underlying revenue growth.
Key tenant/operator concentration risk
Concentration with an operator whose sale is uncertain creates structural exposure: lease terms, cash flows and occupancy could change if the operator transaction falters. Such tenant-level execution risk can drive sustained vacancy or renegotiation costs and affect portfolio stability.
Limited equity funding flexibility
Constrained access to accretive equity limits the company’s ability to scale via share-funded acquisitions, forcing reliance on dispositions, revolver borrowings or modest leverage. This restricts strategic optionality and may slow growth or necessitate suboptimal timing of asset sales.

Community Healthcare (CHCT) vs. SPDR S&P 500 ETF (SPY)

Community Healthcare Business Overview & Revenue Model

Company DescriptionCommunity Healthcare Trust Incorporated is a real estate investment trust that focuses on owning income-producing real estate properties associated primarily with the delivery of outpatient healthcare services in our target sub-markets throughout the United States. The Company had investments of approximately $667.3 million in 131 real estate properties as of September 30, 2020, located in 33 states, totaling approximately 2.8 million square feet.
How the Company Makes MoneyCommunity Healthcare generates revenue through multiple streams, primarily by billing for medical services provided to patients. This includes fees for consultations, treatments, and diagnostic services covered by private insurance, Medicare, and Medicaid. Additionally, CHCT earns revenue from wellness programs and preventive care initiatives, which are often funded through grants and partnerships with local governments and health organizations. The company may also engage in value-based care contracts, where it receives bonuses or incentives for meeting specific health outcomes. Strategic partnerships with pharmaceutical companies and technology firms may further enhance its revenue through collaborative programs and research initiatives.

Community Healthcare Earnings Call Summary

Earnings Call Date:Feb 17, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:May 05, 2026
Earnings Call Sentiment Positive
The call conveyed modest but clear operational and financial progress: revenue, FFO and AFFO showed year-over-year growth; capital recycling generated meaningful gains and funded accretive acquisitions; occupancy and lease-term metrics improved and dividend was raised. Key risks include timing uncertainty around the sale of the operator of six geriatric behavioral hospitals, short-term sequencing impacts from dispositions/acquisitions that slightly pressured quarter-over-quarter per-share metrics, and limited ability to raise equity at current prices. On balance, the positives (organic growth, accretive transactions, strengthened portfolio metrics, and disciplined capital recycling) outweigh the near-term execution and financing uncertainties.
Q4-2025 Updates
Positive Updates
Revenue Growth Year-over-Year
Total revenue increased from $29.3M in Q4 2024 to $30.9M in Q4 2025, representing 5.6% year-over-year growth.
FFO and AFFO Improvement
FFO rose to $13.3M in Q4 2025, a 4.6% increase year-over-year (FFO per diluted share $0.49 vs. $0.48). AFFO totaled $14.9M, a 2.1% year-over-year increase (AFFO per diluted share $0.55, flat year-over-year).
Substantial Net Gains on Sales / Capital Recycling
Net gains on sales totaled approximately $12.1M in Q4 2025; sale of an inpatient rehab facility at ~7.9% cap rate produced a gain of ~$11.5M and proceeds were reinvested via 1031 into a $28.5M inpatient rehab acquisition with an expected ~9.3% annual return.
Active Acquisition Pipeline and Recent Acquisitions
For the year the company acquired 3 properties (113,000 sq ft) for $64.5M, 100% leased with leases through 2040 and expected returns of 9.3%–9.5%. Signed definitive P&S agreements for 5 additional properties with aggregate expected investment of $122.5M and expected returns of 9.1%–9.75%.
Occupancy and Lease Term Trends
Portfolio occupancy increased from 90.1% to 90.6% in the quarter and weighted average lease term rose from 6.7 years to 7.0 years.
Dividend Raised Again
Declared Q4 dividend of $0.4775 per common share (annualized $1.91); the company has raised its dividend every quarter since IPO.
Lower Interest Expense from Rate Cuts
Interest expense decreased by approximately $100,000 quarter-over-quarter to $7.0M, attributed to recent FOMC rate cuts and lower floating rates on the revolver.
Redevelopment Projects Creating Embedded Growth
Three properties undergoing redevelopment/major renovations with long-term tenants; largest project expected complete Q2 2026 and rent to commence Q3 2026, providing embedded growth into 2026 results.
Negative Updates
Quarter-over-Quarter Revenue and Per-Share Pressure
Total revenue declined slightly by $140,000 quarter-over-quarter (from $31.1M in Q3 2025 to $30.9M in Q4 2025). FFO and AFFO per diluted share were each down $0.01 quarter-over-quarter (FFO $0.50 -> $0.49; AFFO $0.56 -> $0.55).
Uncertainty Around Key Tenant Transaction
Operator of 6 geriatric behavioral hospitals signed LOI for sale in July 2025 and is under exclusivity, but buyer is still finalizing legal/business due diligence; company cannot provide timing or certainty that the sale will close, creating execution risk and timing uncertainty for leases and cash flow.
Sequencing / Capital Recycling Timing Gaps
Capital recycling sequencing caused small timing gaps between dispositions and acquisitions, which weighed on quarter-over-quarter results and can create short-term earnings variability.
Occupancy Momentum Limited Near-Term
Although leasing activity is strong, management expects leased occupancy to remain in the low-90% range for the next couple quarters with meaningful increases more likely in 2H 2026, meaning near-term occupancy improvement may be muted.
Limited Access to Equity Capital
No shares were issued under the ATM last quarter and management noted current stock price constrains ability to raise equity accretively; this limits flexibility to scale acquisitions unless funded by dispositions or debt (while they plan to keep modest leverage).
Dialysis Pipeline on Back Burner
Previously disclosed dialysis term sheet pipeline was removed from the presentation and described as 'on the back burner,' indicating a paused potential programmatic growth channel.
Company Guidance
Management guided that portfolio leased occupancy should remain in the low-90% range near the Q4 level of 90.6% (up from 90.1%), with weighted average lease term up to 7.0 years (from 6.7) and expected occupancy momentum in the second half of 2026; three redevelopment projects are underway (largest to complete in Q2 2026 with rent to commence in Q3 after licensing). On transactions and capital recycling, CHCT closed three acquisitions for the year (113,000 sq ft for $64.5M, 100% leased with leases through 2040 and expected returns of 9.3%–9.5%), sold an IRF at ~7.9% cap with an ~$11.5M gain and reinvested $28.5M via 1031 into a new IRF (new lease through 2040, ~9.3% return), recorded net gains on sales of $12.1M in Q4, had ~$7.7M of net proceeds from recent dispositions, signed PSAs for five properties with aggregate expected investment of $122.5M (expected returns 9.1%–9.75%; one closing Q1, two in 2H‑2026, two in 2H‑2027), did not issue shares on the ATM, expects to fund near‑term acquisitions with selected asset sales and revolver capacity while maintaining modest leverage and using 1031 exchanges when appropriate. Financial anchors reported as guidance context include Q4 total revenue $30.9M (5.6% YoY), FFO $13.3M ($0.49 diluted, +4.6% YoY), AFFO $14.9M ($0.55 diluted), property operating expense ~$6.0M, G&A $4.8M, interest expense ~$7.0M, and a raised Q4 dividend of $0.4775 ($1.91 annualized).

Community Healthcare Financial Statement Overview

Summary
Steady revenue growth and consistently solid operating cash flow/free cash flow support overall financial health. Balance sheet risk improved materially with no reported debt in 2025, but earnings quality is weakened by recent net income volatility (loss in 2024 and only modest profitability in 2025).
Income Statement
62
Positive
Revenue has grown steadily over time, with a particularly strong jump in the latest annual period. Profitability, however, has been volatile: net margin swung from healthy profits in 2020–2023 to a loss in 2024, then back to a small profit in 2025. While gross margins remain consistently strong, the uneven bottom-line results reduce confidence in earnings quality and stability.
Balance Sheet
56
Neutral
The balance sheet shows meaningful improvement in leverage versus prior years: debt moved from moderate-to-high relative to equity in 2023–2024 to no reported debt in 2025, which materially lowers financial risk. That said, returns on equity are currently low and have been inconsistent (negative in 2024 and only modestly positive in 2025), suggesting limited efficiency in generating shareholder returns despite a sizable asset base.
Cash Flow
68
Positive
Operating cash flow has been consistently solid across the period, and free cash flow remains positive each year. The latest annual period shows a sharp improvement in free cash flow growth, supporting liquidity and funding flexibility. The key weakness is variability in cash flow support versus earnings across years, alongside the earnings volatility seen in 2024–2025.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue121.19M115.79M112.84M97.68M90.58M
Gross Profit10.49M92.95M92.13M81.04M75.42M
EBITDA82.71M64.23M66.25M67.13M64.43M
Net Income5.10M-3.18M7.71M22.02M22.49M
Balance Sheet
Total Assets990.76M992.56M945.41M876.42M754.23M
Cash, Cash Equivalents and Short-Term Investments3.34M4.38M3.49M11.23M2.35M
Total Debt543.16M489.98M412.28M357.06M269.39M
Total Liabilities561.37M516.60M432.16M379.61M292.12M
Stockholders Equity429.39M475.96M513.26M496.81M462.11M
Cash Flow
Free Cash Flow56.43M34.24M42.40M49.90M49.13M
Operating Cash Flow56.43M58.88M61.38M60.28M56.35M
Investing Cash Flow-47.70M-92.66M-113.67M-113.77M-104.43M
Financing Cash Flow-9.78M33.53M44.86M62.69M48.05M

Community Healthcare Technical Analysis

Technical Analysis Sentiment
Positive
Last Price16.77
Price Trends
50DMA
16.35
Positive
100DMA
15.19
Positive
200DMA
14.96
Positive
Market Momentum
MACD
0.09
Positive
RSI
50.13
Neutral
STOCH
8.44
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CHCT, the sentiment is Positive. The current price of 16.77 is below the 20-day moving average (MA) of 16.99, above the 50-day MA of 16.35, and above the 200-day MA of 14.96, indicating a neutral trend. The MACD of 0.09 indicates Positive momentum. The RSI at 50.13 is Neutral, neither overbought nor oversold. The STOCH value of 8.44 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for CHCT.

Community Healthcare Risk Analysis

Community Healthcare disclosed 85 risk factors in its most recent earnings report. Community Healthcare reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Community Healthcare Peers Comparison

Overall Rating
UnderperformOutperform
Sector (65)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
75
Outperform
$161.51M20.6350.04%4.62%29.76%22.76%
73
Outperform
$1.41B42.762.34%6.98%3.74%77.82%
66
Neutral
$479.15M216.670.46%12.08%3.40%-240.85%
65
Neutral
$2.17B12.193.79%4.94%3.15%1.96%
64
Neutral
$604.33M33.6310.55%7.51%0.68%-1.34%
55
Neutral
$527.49M-146.250.49%10.01%2.73%-131.16%
54
Neutral
$1.48B-5.37-15.78%0.80%4.10%8.96%
* Real Estate Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CHCT
Community Healthcare
16.82
0.63
3.87%
DHC
Diversified Healthcare Trust
6.39
3.76
143.06%
GMRE
Global Medical REIT
36.24
-2.46
-6.35%
UHT
Universal Health Realty Income
44.09
7.27
19.74%
STRW
Strawberry Fields REIT Inc
12.96
1.53
13.39%
SILA
Sila Realty Trust, Inc.
26.39
3.43
14.94%

Community Healthcare Corporate Events

Business Operations and StrategyDividendsFinancial Disclosures
Community Healthcare Trust Announces Dividend and Q4 Results
Positive
Feb 17, 2026

Community Healthcare Trust reported net income of about $14.4 million, or $0.51 per diluted share, for the quarter ended December 31, 2025, with FFO and AFFO of $0.49 and $0.55 per diluted share, respectively. The company’s board also declared a quarterly dividend of $0.4775 per share on February 12, 2026, payable March 4, 2026 to shareholders of record on February 23, 2026.

During the fourth quarter of 2025, the REIT acquired a fully leased inpatient rehabilitation facility in Florida for approximately $28.5 million, funded via a like-kind exchange following the sale of a Texas facility, and booked a net gain of about $12.3 million on three property disposals that generated $31.6 million in proceeds. It also continued to manage tenant risk at six geriatric behavioral hospitals amid a pending sale of the operator’s business, and lined up five additional properties under definitive purchase agreements totaling roughly $122.5 million in expected investments with projected returns above 9%, supporting future growth if the deals close as anticipated.

The most recent analyst rating on (CHCT) stock is a Buy with a $20.00 price target. To see the full list of analyst forecasts on Community Healthcare stock, see the CHCT Stock Forecast page.

Business Operations and Strategy
Community Healthcare Expands Equity-Based Alignment of Interest Program
Positive
Jan 9, 2026

On January 5, 2026, Community Healthcare Trust Incorporated’s Board of Directors approved a Second Amendment to its Fourth Amended and Restated Alignment of Interest Program, increasing the pool by 500,000 restricted common shares. These additional shares are reserved for issuance to employees, officers and directors in lieu of cash compensation, further aligning management and staff incentives with shareholders through greater equity-based pay.

The most recent analyst rating on (CHCT) stock is a Hold with a $17.00 price target. To see the full list of analyst forecasts on Community Healthcare stock, see the CHCT Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 18, 2026