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CareTrust REIT (CTRE)
NYSE:CTRE

CareTrust REIT (CTRE) AI Stock Analysis

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CTRE

CareTrust REIT

(NYSE:CTRE)

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Outperform 77 (OpenAI - 5.2)
,
Outperform 77 (OpenAI - 5.2)
,
Outperform 77 (OpenAI - 5.2)
Rating:77Outperform
Price Target:
$41.00
▲(4.46% Upside)
Action:ReiteratedDate:03/21/26
The score is driven primarily by strong financial performance (growth, cash flow improvement, and a much less leveraged balance sheet) and a positive earnings outlook with guided 2026 per-share growth. Offsetting factors are weaker near-term technicals (trading below key short/mid-term moving averages) and execution/market risks noted on the call, including competitive cap-rate pressure and potential equity dilution.
Positive Factors
Balance sheet de‑risking / zero reported debt
The company reported a structural de‑risking of its capital structure, with leverage falling from elevated 2021–2022 levels to zero reported debt in 2025. This materially improves liquidity and funding optionality, reducing refinancing risk and enabling disciplined capital deployment over the medium term.
Improving cash generation and FCF conversion
Operating cash flow and free cash flow both strengthened through 2025, with FCF rising meaningfully in 2025 and FCF roughly matching net income in recent years. Strong cash conversion supports sustainable dividend funding, funds acquisitions organically, and underpins resilient coverage metrics over the next several quarters.
Proven external growth pipeline and execution
Record $1.8B of investments in 2025 and a quoted ~$500M pipeline show repeatable capital deployment and diversification into UK care homes and SHOP. Demonstrated ability to source and close deals at scale supports durable revenue and FFO growth if underwriting discipline is maintained.
Negative Factors
SHOP segment cap‑rate compression and competition
Managers flagged SHOP as the most competitive area, with cap‑rate compression from heightened bidder activity. Persistently tighter cap rates erode potential acquisition yields and force tougher underwriting, raising the risk that new investments deliver lower long‑term cash returns versus historical targets.
UK withholding tax reduces net yields
The company discloses UK withholding tax meaningfully reduces investor net yields on UK care homes. This structural drag lowers blended portfolio cash returns, complicates yield comparisons and requires higher pre‑tax yields to achieve target after‑tax returns across the portfolio.
Reliance on forward equity/ATM funding and potential dilution
Growth financing depends materially on unsettled forward share sales and a large ATM program. While proceeds boost liquidity, settlement increases share count and can dilute FFO/FAD per share unless capital is deployed at accretive yields, leaving medium‑term per‑share growth dependent on execution.

CareTrust REIT (CTRE) vs. SPDR S&P 500 ETF (SPY)

CareTrust REIT Business Overview & Revenue Model

Company DescriptionCareTrust REIT, Inc. is a self-administered, publicly-traded real estate investment trust engaged in the ownership, acquisition, development and leasing of skilled nursing, seniors housing and other healthcare-related properties. With a nationwide portfolio of long-term net-leased properties, and a growing portfolio of quality operators leasing them, CareTrust REIT is pursuing both external and organic growth opportunities across the United States.
How the Company Makes MoneyCareTrust REIT primarily makes money by collecting rental income from healthcare operators that lease its properties. Its core revenue stream is contractual rent earned under long-term net-lease agreements (commonly structured so the tenant/operator is responsible for many property-level operating expenses such as maintenance, insurance, and taxes), which supports predictable property-level cash flows. The company also generates income through interest and related receipts when it provides financing to operators (for example, loans or other structured investments), earning interest income in addition to rent. Growth in earnings is typically driven by acquiring additional facilities, funding development or expansion projects where applicable, and executing sale-leaseback transactions in which CareTrust buys a facility from an operator and leases it back to that operator, converting the operator’s real estate into rent payments to the REIT. Key factors influencing earnings include the credit quality and operating performance of tenants (which affects rent coverage and collection), lease escalators/renewals, portfolio occupancy and reimbursement dynamics at tenant facilities, and access to capital (debt and equity) used to fund acquisitions and investments. Specific significant partnerships: null.

CareTrust REIT Earnings Call Summary

Earnings Call Date:Feb 12, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:Apr 30, 2026
Earnings Call Sentiment Positive
The call conveys a strongly positive operational and financial momentum: record investments ($1.8B), meaningful FFO/FAD growth (FFO per share +17.3% YoY), robust liquidity, low leverage, an active pipeline (~$500M) and constructive 2026 guidance (+9.4% midpoint). Key risks include heightened competition and cap-rate compression in SHOP, UK withholding tax impacts on yields, sub-peak SNF occupancy (~79–80%), and potential equity dilution from forward share sales. Overall, the positives—organic and external growth execution, conservative balance sheet, and clear pipeline—outweigh the highlighted market and execution risks.
Q4-2025 Updates
Positive Updates
Record Annual Investments
Total investments of $1.8 billion in 2025, surpassing the prior record year and supporting portfolio diversification into UK care homes and SHOP.
Strong Full-Year FFO and FAD Growth
Normalized FFO per share increased 17.3% year-over-year to $1.76; normalized FAD per share increased 14.3% to $1.76 for full year 2025.
Quarterly Earnings Momentum
Q4 normalized FFO rose 42.7% sequentially to $104.1 million and normalized FAD rose 38.7% to $103.0 million; Q4 normalized FFO per share increased 17.5% to $0.47 and FAD per share increased 12.2% to $0.46.
Market Cap and Shareholder Returns
Equity market capitalization grew 61% in 2025 to $8.2 billion (after a 74% increase to $5.1 billion in 2024); 10-year total shareholder return through year-end approximately 439%.
Q4 and Early-2026 Deal Activity and Yields
Q4 investments of about $562 million (including first SHOP deal) with a blended stabilized yield of 8.8%; an additional ~$215 million closed since year-end.
Robust Pipeline
Investment pipeline of approximately $500 million (about half UK care homes, ~1/3 U.S. skilled nursing, remainder SHOP, loans and triple-net seniors), with quoted opportunities expected to be actionable within 12 months.
Liquidity and Capital Execution
Strong liquidity with ~$100 million cash on hand (as of 02/11/2026), full capacity on a $1.2 billion revolver, and $372 million gross proceeds pending from unsettled equity forward contracts under the ATM program.
Conservative Leverage and Credit Metrics
Low leverage with net debt to EBITDA of 0.7x, net debt to enterprise value of 3.7%, and fixed charge coverage ratio of 10.5x as of year end.
2026 Guidance Reflects Continued Growth
Initial FY2026 guidance: normalized FFO per share and normalized FAD per share of $1.90 to $1.95 (midpoint implies ~9.4% year-over-year increase) based on current announcements and excluding additional investments.
Negative Updates
Increased Competition and Cap Rate Compression in SHOP
SHOP has become the most competitive segment with cap rate compression and more capital pursuing deals; managers noted yields in seniors housing are increasingly variable and SHOP cap rates are compressing versus prior periods.
Yield Pressure and UK Tax Impact
UK care home yields quoted pre-tax mid-eights (post-tax mid-sevens to higher), and the company typically does not exclude UK withholding tax in blended stabilized yield quotes, which reduces net returns to investors.
Skilled Nursing Occupancy Below Peak
Portfolio skilled nursing occupancy around 79%–80%, indicating room to recover and potential vulnerability to operational headwinds despite record rent/EBITDAR coverage levels.
Pipeline, Guidance Not Assuming New Investments
2026 guidance does not assume any new investments, dispositions, debt repayments, or issuances beyond announced items and assumes equity forward contracts settle at year end — a conservative stance that could understate upside but also indicates reliance on execution.
Potential Funding Dilution and Forward Equity Exposure
The company has sold 10.0 million shares on a forward basis (6.5M in Q4, 3.5M post-year) for ~$372 million gross proceeds pending, which could result in future equity dilution when settled.
Competitive Lending Environment Risks
Banks re-entering lending markets may increase competition in the loan book, potentially reducing future loan-originations or increasing prepayment risk on existing loans that have been a prior growth driver.
Variable Senior Housing Asset Economics
Senior housing cap rates show a wide band based on vintage, CapEx needs, and location; this variability makes underwriting and achieving target low double-digit unlevered IRRs more challenging in certain transactions.
Company Guidance
Management provided initial FY-2026 guidance for normalized FFO per share and normalized FAD per share of $1.90–$1.95 (midpoint $1.925), representing a ~9.4% increase versus 2025 normalized FFO/FAD per share of $1.76; the guidance explicitly excludes any new investments, dispositions, debt repayments or issuances beyond announced items and assumes unsettled equity forwards will settle at year‑end. For context, Q4 normalized FFO was $104.1M (+42.7% QoQ) and normalized FAD was $103.0M (+38.7% QoQ), with Q4 normalized FFO per share $0.47 (+17.5% QoQ) and normalized FAD per share $0.46 (+12.2% QoQ), and full‑year normalized FFO per share of $1.76 (+17.3% YoY). Management said it will fund growth from available liquidity — roughly $100M cash on hand (as of 2/11/2026), full capacity on a $1.2B revolver, and ~$372M of gross proceeds pending from unsettled equity forwards (6.5M shares for ~$242.5M and 3.5M shares for ~$129.5M) — while maintaining low leverage (net debt/EBITDA 0.7x, net debt/enterprise value 3.7%) and strong coverage (fixed‑charge coverage ~10.5x); the company noted a current acquisition pipeline of ~ $500M and ~$215M of investments closed since year‑end.

CareTrust REIT Financial Statement Overview

Summary
Strong 2025 fundamentals: sharply accelerated revenue growth, improved profitability versus 2022 losses, rising operating/free cash flow, and a materially de-risked balance sheet (notably lower leverage). Key offset is consistency risk: unusually elevated 2025 margins and the step-change in leverage may reflect non-recurring factors and should be monitored for sustainability.
Income Statement
84
Very Positive
Revenue growth accelerated meaningfully in 2025 (annual) (+46.97%) after modest growth in 2023–2024, showing a strong recent trajectory. Profitability is very strong on the surface with consistently high gross and EBITDA margins, and net margin improved sharply from a loss in 2022 to solid profitability in 2023–2025. Key watchout: profitability was volatile in 2022 (net loss), and the 2025 margins look unusually elevated versus prior years, suggesting results may be influenced by non-recurring items or accounting effects rather than purely operating improvement.
Balance Sheet
88
Very Positive
The balance sheet strengthened substantially over time, with leverage falling from high levels in 2021–2022 (debt meaningfully above equity) to moderate in 2023–2024 and then showing zero debt in 2025 (annual), which is a major de-risking. Equity and total assets expanded materially, and returns on equity improved versus 2023–2024, indicating better profitability on a larger capital base. Main risk: the step-change to zero debt is a major structural shift versus prior periods and may not be permanent; investors should monitor whether leverage reappears as growth continues.
Cash Flow
82
Very Positive
Cash generation is solid and improving: operating cash flow rose each year from 2022 through 2025 (annual), and free cash flow also expanded with strong growth in 2025 (+17.83%). Cash flow quality looks good, with free cash flow roughly matching net income across periods (near 1.0 in 2023–2025), suggesting earnings are well-supported by cash. Weaknesses include the 2022 dip in free cash flow growth and lower cash coverage in 2022 (sub-1), indicating cash flow can soften during tougher periods.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue476.59M228.26M198.60M187.51M190.19M
Gross Profit281.79M214.71M189.01M178.13M186.62M
EBITDA462.08M211.54M145.80M72.88M151.05M
Net Income320.54M125.08M53.73M-7.51M71.98M
Balance Sheet
Total Assets5.15B3.44B2.08B1.62B1.64B
Cash, Cash Equivalents and Short-Term Investments198.04M213.82M294.45M13.18M19.89M
Total Debt894.22M396.93M595.60M719.50M673.40M
Total Liabilities1.09B507.63M666.12M771.41M725.09M
Stockholders Equity4.04B2.91B1.42B849.37M915.76M
Cash Flow
Free Cash Flow379.04M236.20M143.79M137.12M150.86M
Operating Cash Flow394.03M244.25M154.77M144.41M156.87M
Investing Cash Flow-1.46B-1.49B-267.81M-127.40M-192.63M
Financing Cash Flow1.05B1.17B394.32M-23.73M36.74M

CareTrust REIT Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price39.25
Price Trends
50DMA
38.76
Positive
100DMA
37.58
Positive
200DMA
34.88
Positive
Market Momentum
MACD
0.21
Positive
RSI
46.21
Neutral
STOCH
33.34
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CTRE, the sentiment is Neutral. The current price of 39.25 is below the 20-day moving average (MA) of 40.10, above the 50-day MA of 38.76, and above the 200-day MA of 34.88, indicating a neutral trend. The MACD of 0.21 indicates Positive momentum. The RSI at 46.21 is Neutral, neither overbought nor oversold. The STOCH value of 33.34 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for CTRE.

CareTrust REIT Risk Analysis

CareTrust REIT disclosed 49 risk factors in its most recent earnings report. CareTrust REIT 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

CareTrust REIT Peers Comparison

Overall Rating
UnderperformOutperform
Sector (65)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
77
Outperform
$8.06B18.098.99%3.56%59.25%88.37%
74
Outperform
$13.24B22.2511.83%6.11%13.50%31.56%
70
Outperform
$3.97B25.189.63%4.73%8.04%9.20%
70
Outperform
$4.94B29.375.63%6.47%8.12%75.95%
65
Neutral
$2.17B12.193.79%4.94%3.15%1.96%
64
Neutral
$6.01B-24.09-5.13%6.56%-6.59%33.35%
64
Neutral
$9.14B111.952.61%2.10%11.81%
* Real Estate Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CTRE
CareTrust REIT
36.10
8.38
30.21%
NHI
National Health Investors
81.87
11.17
15.80%
OHI
Omega Healthcare
44.79
9.81
28.06%
SBRA
Sabra Healthcare REIT
19.59
3.41
21.08%
HR
Healthcare Realty Trust
17.22
1.60
10.23%
AHR
American Healthcare REIT, Inc.
48.11
19.12
65.95%

CareTrust REIT Corporate Events

Business Operations and Strategy
CareTrust REIT Releases Updated Investor Presentation Materials
Neutral
Mar 2, 2026

CareTrust REIT, Inc., a healthcare-focused real estate investment trust specializing in post-acute and senior housing properties, provides capital to operating partners in the long-term care and related healthcare segments. Its portfolio strategy centers on income-generating healthcare real estate assets that support operators serving aging and medically complex populations.

The company announced that it has updated its investor presentation and made the new materials available on its website in the Investors section. CareTrust emphasized that providing the presentation does not imply any legal requirement to do so or that it contains new material information, and the company noted it does not undertake an obligation to update the presentation in the future.

The most recent analyst rating on (CTRE) stock is a Buy with a $44.00 price target. To see the full list of analyst forecasts on CareTrust REIT stock, see the CTRE Stock Forecast page.

Business Operations and StrategyPrivate Placements and FinancingRegulatory Filings and Compliance
CareTrust REIT Launches New $1 Billion ATM Program
Neutral
Feb 18, 2026

On February 17, 2026, CareTrust REIT, Inc. and its operating partnership entered into a new equity distribution agreement establishing a $1 billion at-the-market equity offering program for its common stock with a syndicate of major banks acting as sales agents, principals and forward purchasers. The shares will be sold from time to time through various transaction methods, including forward sales, with agent and forward purchaser commissions capped at 2% of sale prices or volume-weighted averages.

The company plans to contribute net proceeds from direct share sales and the eventual settlement of any forward sale agreements to its operating partnership for general corporate purposes, including acquisitions, debt repayment and working capital, with temporary investment in short-term interest-bearing instruments. In connection with the new February 2026 ATM program and its related shelf registration and prospectus supplement filed the same day, CareTrust terminated its prior at-the-market program dated January 21, 2025, leaving less than $10 million of unsold capacity but maintaining $367 million of outstanding forward sale agreements that will remain in effect under the prior arrangement.

The most recent analyst rating on (CTRE) stock is a Buy with a $46.00 price target. To see the full list of analyst forecasts on CareTrust REIT stock, see the CTRE Stock Forecast page.

Business Operations and StrategyDividendsFinancial DisclosuresPrivate Placements and Financing
CareTrust REIT Posts Strong Quarter and Upbeat 2026 Outlook
Positive
Feb 12, 2026

CareTrust REIT reported strong results for the quarter and year ended Dec. 31, 2025, highlighted by full-year net income of $320.5 million, or $1.57 per diluted share, nearly doubling year on year. Normalized FFO per share rose 17% to $1.76 and Normalized FAD per share climbed 14%, supported by $1.8 billion of investments at an 8.6% yield and $1.1 billion of equity raised, while the company also maintained a $0.335 quarterly dividend.

Fourth-quarter net income rose 72% to $111.3 million, with 100% rent and interest collection on retained properties and a conservative net debt-to-EBITDA ratio of 0.7x, well below its target leverage range. Management highlighted record external growth, new UK care home and SHOP platforms, ample liquidity including full availability on a $1.2 billion revolver, and 2026 guidance implying roughly 9% growth in Normalized FFO and FAD per share, underscoring a positive outlook and strengthened competitive position in healthcare real estate.

The most recent analyst rating on (CTRE) stock is a Buy with a $43.00 price target. To see the full list of analyst forecasts on CareTrust REIT stock, see the CTRE 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: Mar 21, 2026