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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 79 (OpenAI - 5.2)
Rating:79Outperform
Price Target:
$46.00
▲(13.24% Upside)
Action:ReiteratedDate:02/14/26
CTRE scores well on financial performance and earnings-call outlook, driven by strong recent growth, improving cash generation, and a conservatively positioned balance sheet alongside upbeat 2026 guidance. The score is moderated by an extended technical setup (overbought signals) and a less attractive valuation given the higher P/E despite a solid dividend yield.
Positive Factors
De-risked balance sheet and strong liquidity
CareTrust's move to essentially zero debt and materially lower leverage meaningfully reduces refinancing and interest-rate risks, increasing financial flexibility to fund acquisitions from cash, revolver capacity and pending equity proceeds. This strengthens durability of cash dividends and ability to execute a $500M+ pipeline without immediate leverage.
Diversified, growth-oriented investment pipeline
Record investments and expansion into UK care homes and a SHOP platform broaden revenue sources and reduce concentration in U.S. SNF. A sizable, actionable pipeline (~$500M) and recent deal flow (~$215M closed since year-end) create durable external growth options that can sustain FFO accretion over the next 2–6 months and beyond.
Improving cash generation and FFO/FAD growth
Consistent operating and free cash flow growth, with free cash flow roughly matching net income in recent years, indicates earnings quality and strong cash conversion. Meaningful FFO/FAD per-share growth supports the dividend and provides internal capital for investments, making cash generation a durable pillar of the business model.
Negative Factors
Skilled nursing occupancy below peak
Sub-peak SNF occupancy constrains rent/EBITDAR recovery and operator financial health, limiting organic revenue upside and increasing sensitivity to operational headwinds. If occupancy recovery stalls, lease economics and rent escalations could underperform projections, pressuring long-term FFO and requiring more active asset or operator management.
SHOP competition and cap-rate compression
Rising competition and cap-rate compression in SHOP and portions of seniors housing reduce yield on new acquisitions, making it harder to underwrite attractive unlevered returns. Over time this narrows margin for error on acquisitions, raises reinvestment risk, and can slow accretive growth if purchase yields no longer exceed cost of capital.
Potential equity dilution from forward share sales
Reliance on unsettled equity forwards exposes investors to future dilution when shares settle, which can weigh on per-share FFO accretion. Continued dependence on equity financing to fund growth could limit long-term per-share gains or force management to reintroduce leverage, reducing the currently conservative capital structure's durability.

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 generates revenue primarily through long-term leases with skilled nursing and assisted living operators. The company enters into triple-net leases, where the operators are responsible for property expenses such as maintenance, taxes, and insurance, allowing CareTrust to focus on rental income. Key revenue streams include monthly rental payments from tenants, which are typically structured to provide predictable cash flow. Additionally, CareTrust may benefit from rent escalations tied to inflation or other factors, enhancing its revenue potential. The company also engages in strategic partnerships with experienced healthcare operators, which helps ensure stable occupancy rates and enhances the value of its properties. Overall, CareTrust REIT's revenue model is built on the stability and predictability of lease income in the growing healthcare real estate sector.

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 overall fundamentals: accelerating 2025 revenue growth, improved profitability versus the 2022 loss, rising operating/free cash flow, and a significantly de-risked balance sheet (notably lower leverage). Primary offset is consistency risk—2025 profitability and the shift to near-zero debt look unusually large versus prior years and may reflect one-time or non-recurring factors.
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
Positive
Last Price40.62
Price Trends
50DMA
37.82
Positive
100DMA
36.78
Positive
200DMA
34.06
Positive
Market Momentum
MACD
0.96
Negative
RSI
62.69
Neutral
STOCH
72.50
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CTRE, the sentiment is Positive. The current price of 40.62 is above the 20-day moving average (MA) of 39.31, above the 50-day MA of 37.82, and above the 200-day MA of 34.06, indicating a bullish trend. The MACD of 0.96 indicates Negative momentum. The RSI at 62.69 is Neutral, neither overbought nor oversold. The STOCH value of 72.50 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for CTRE.

CareTrust REIT Risk Analysis

CareTrust REIT disclosed 41 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
79
Outperform
$9.13B25.929.21%3.56%59.25%88.37%
74
Outperform
$14.22B24.8911.79%6.11%13.50%31.56%
70
Outperform
$4.24B27.869.85%4.73%8.04%9.20%
70
Outperform
$5.19B32.295.59%6.47%8.12%75.95%
65
Neutral
$2.17B12.193.79%4.94%3.15%1.96%
65
Neutral
$10.05B124.862.50%2.10%11.81%
64
Neutral
$6.43B-25.89-5.04%6.56%-6.59%33.35%
* Real Estate Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CTRE
CareTrust REIT
40.89
15.30
59.81%
NHI
National Health Investors
87.58
16.88
23.88%
OHI
Omega Healthcare
48.11
12.86
36.49%
SBRA
Sabra Healthcare REIT
20.57
4.81
30.54%
HR
Healthcare Realty Trust
18.43
2.63
16.64%
AHR
American Healthcare REIT, Inc.
52.90
23.10
77.52%

CareTrust REIT Corporate Events

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.

Business Operations and StrategyExecutive/Board Changes
CareTrust REIT Updates Operating Partnership Agreement
Neutral
Dec 17, 2025

On December 11, 2025, CareTrust REIT, Inc. announced amendments to its Operating Partnership Agreement, introducing a new class of ‘LTIP Units’ that include sub-classes such as Basic and Performance LTIP Units. These changes enhance compensation flexibility for directors, executives, and employees with equity awards based on service and performance requirements tied to shareholder returns. The updated structure aims to maintain U.S. tax benefits, provide employees with convertible equity incentives, and incorporate broader changes, reflecting a reduction in the company’s ownership stake in its operating partnerships. This development impacts both the company’s internal operations and its competitive positioning in attracting and retaining talent.

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: Feb 14, 2026