Improved Portfolio Coverage and Strong Operator Performance
Total portfolio EBITDARM coverage increased year-over-year to 2.6x. General acute operators delivered more than $130 million of incremental EBITDARM versus the same quarter last year.
Post-Acute Portfolio Momentum
Post-acute care operators reported a $50 million year-over-year EBITDARM increase, highlighted by Ernest Health (+15% EBITDARM), Vibra (+28% EBITDARM) and Median (reported +8% in one section and >20% in Germany in another), demonstrating strong rehab performance and higher occupancies (Median Germany occupancy ~90%).
Vibra Restructuring and Master Lease
Completed a Vibra restructuring and signed a new 20-year master lease; collected approximately $18 million one-time payment as part of the transaction. Management noted Vibra refinanced its debt and is a significantly stronger tenant post-transaction.
Selective Acquisitions with Attractive Economics
Acquired a high-performing post-acute facility in California for ~ $32 million (described as strong cap rate) and a European post-acute facility for EUR 23 million; invested roughly $60 million in two well-performing post-acute rehab facilities to add to master leases.
Lease Wins and Rent Ramp Expectations
Entered a 15-year lease with NOR Health Systems expected to reach stabilized annual cash rent of $45 million by December 2026; management expects recently transitioned tenants to reach 100% contractual rent by end of 2026 and targets over $1 billion in annualized cash rent by year-end 2026.
Normalized FFO and One-Time Cash Benefits
Reported normalized FFO of $0.18 per share for Q4 and $0.58 per share for full year 2025. Management noted normalized FFO was approximately $0.03–$0.04 higher in the quarter due to cash receipts including Vibra restructuring and a $4 million HSA payment.
Cash Proceeds from Prospect Process
Received approximately $70 million of net proceeds from the Prospect bankruptcy in the quarter, with an expected remaining collection of ~$60 million in 2026 as the process concludes.
Balance Sheet Actions and Capital Markets Execution
Announced a $150 million share repurchase authorization and repurchased just under 1% of market cap by year-end; secured financing market access noted (prior secured notes trading at premiums implying ~5% rates), and management articulated multiple refinancing/deleveraging options for upcoming maturities.
Operational Wins — Refinancing and Partnerships
Ernest Health delivered double-digit EBITDARM growth and refinanced its 2026 term loan and revolver in Q4 extending maturities to 2030 and compressing its rates. Swiss Medical Network reported solid hospital EBITDARM growth and announced a clinical collaboration with the Mayo Clinic.