CareTrust REIT's biggest risks in the FY2024 10-K
- CareTrust REIT is a healthcare real estate investment trust heavily dependent on government reimbursement rates for tenants operating skilled nursing facilities.
The risks most specific to CareTrust REIT
- Risks Related to Our Business and Operations
Our tenants and borrowers depend on reimbursement from government and other third-party payors and if reimbursement rates from such payors are reduced by future legislative reform, it could cause our tenants’ and borrowers’ revenues to decline and could affect their ability to meet their obligations to us
Tenants and borrowers depend on government and third-party reimbursement, and rate reductions from legislative reform could cause tenant revenues to decline and affect their obligations to CareTrust.
- Risks Related to Our Business and Operations
We face potential adverse consequences of bankruptcy, insolvency or financial deterioration of our tenants or borrowers
CareTrust receives a significant portion of income as rental payments from tenants who may experience business downturns, bankruptcy, insolvency, or financial deterioration.
- Risks Related to Our Business and Operations
Replacement tenants or operators may be difficult to identify and we may be required to incur substantial renovation costs to make our healthcare properties suitable for such tenants or operators
If tenants terminate or do not renew leases, replacement tenants may be difficult to find and CareTrust may incur substantial renovation costs to make healthcare properties suitable.
- Risks Related to Our Business and Operations
The geographic concentration of some of our facilities could leave us vulnerable to an economic downturn, regulatory changes or acts of nature in those areas
The concentration of CareTrust properties in California and Texas leaves the company vulnerable to local economic downturns, regulatory changes, or natural disasters in those areas.
- Risks Related to Our Business and Operations
Increased competition has resulted and may further result in lower net revenues for some of our tenants and borrowers and may affect their ability to meet their financial and other contractual obligations to us
High competition in the healthcare industry could result in lower net revenues for tenants and borrowers, affecting their ability to meet financial obligations to CareTrust.
- Risks Related to Our Business and Operations
Required regulatory approvals can delay or prohibit transfers of our healthcare properties, which could result in periods in which we are unable to receive rent for such properties
Required regulatory approvals can delay or prohibit transfers of healthcare properties, resulting in periods where CareTrust is unable to receive rent.
- Risks Related to Our Business and Operations
We are, and may continue to be, exposed to contingent rent escalators, which could hinder our profitability and growth
CareTrust is exposed to contingent rent escalators tied to the Consumer Price Index under triple-net leases, meaning revenues may not increase if the index does not rise.
- Risks Related to Our Capital Resources and Indebtedness
From time to time, we may have substantial indebtedness and we are able to incur significant additional indebtedness
CareTrust has substantial indebtedness, including approximately $400.0 million of 3.875% Senior Notes due 2028, and is able to incur significant additional indebtedness.
All 40 risk factors
Headings as the filing states them, in filing order.
Risks Related to Our Business and Operations
- 01Unstable market and economic conditions may have serious adverse consequences on our business, results of operations and financial condition
- 02Our tenants and borrowers depend on reimbursement from government and other third-party payors and if reimbursement rates from such payors are reduced by future legislative reform, it could cause our tenants’ and borrowers’ revenues to decline and could affect their ability to meet their obligations to us
- 03We face potential adverse consequences of bankruptcy, insolvency or financial deterioration of our tenants or borrowers
- 04Replacement tenants or operators may be difficult to identify and we may be required to incur substantial renovation costs to make our healthcare properties suitable for such tenants or operators
- 05We have incurred and may in the future incur impairment charges, which could negatively impact our results of operations
- 06The geographic concentration of some of our facilities could leave us vulnerable to an economic downturn, regulatory changes or acts of nature in those areas
- 07We are subject to risks associated with public health crises and government measures to prevent the spread of infectious diseases
- 08We pursue property acquisitions and seek strategic opportunities in the ordinary course of our business, which may result in significant usage of management resources or costs, and we may not fully realize the potential benefits of such transactions
- 09Investments in consolidated joint ventures involve risks not present in investments in which we are the sole investor
- 10Increased competition has resulted and may further result in lower net revenues for some of our tenants and borrowers and may affect their ability to meet their financial and other contractual obligations to us
- 11Required regulatory approvals can delay or prohibit transfers of our healthcare properties, which could result in periods in which we are unable to receive rent for such properties
- 12We may not be able to sell properties when we desire because real estate investments are relatively illiquid, which could materially and adversely affect our business, financial position or results of operations
- 13We, our tenants or our borrowers may experience uninsured or underinsured losses, which could result in a significant loss of the capital we have invested in a property, decrease anticipated future revenues or cause us to incur unanticipated expenses
- 14We are, and may continue to be, exposed to contingent rent escalators, which could hinder our profitability and growth
- 15Cybersecurity incidents or other damage to the information systems and technology of us, our tenants or borrowers could harm our business
- 16Bank failures or other events affecting financial institutions could have a material adverse effect on our, our tenants’ or our borrowers’ liquidity, results of operations, and financial condition
Risks Related to Laws and Regulations
- 17Healthcare reform legislation impacts cannot accurately be predicted and could adversely affect our results of operations
- 18Tenants and borrowers that fail to comply with applicable requirements of governmental reimbursement programs, such as Medicare or Medicaid, may cease to operate or be unable to meet their financial and other contractual obligations to us
- 19If we, our tenants or borrowers fail to adhere to applicable privacy and data security laws, this could have a material adverse effect on us or on our tenants’ and borrowers’ ability to meet their obligations to us
- 20Tenants and borrowers that fail to comply with federal, state and local licensure, certification and inspection laws and regulations may cease to operate or be unable to meet their financial and other contractual obligations to us
- 21Environmental compliance costs and liabilities may materially impair the value of properties owned by us
Risks Related to Our Status as a REIT
- 22If we fail to qualify or remain qualified as a REIT, we will be subject to U.S. federal income tax as a regular corporation and could face substantial tax liability, which could adversely affect our ability to raise capital or service our indebtedness
- 23Legislative or other actions affecting REITs could have a negative effect on us
- 24We could fail to qualify to be taxed as a REIT if income we receive from our tenants is not treated as qualifying income
- 25Dividends payable by REITs do not qualify for the reduced tax rates available for some dividends
- 26REIT distribution requirements could adversely affect our ability to execute our business plan
- 27Even if we remain qualified as a REIT, we may face other tax liabilities that reduce our cash flow
- 28Complying with REIT requirements may cause us to forgo otherwise attractive acquisition opportunities or liquidate otherwise attractive investments
- 29Complying with REIT requirements may limit our ability to hedge effectively and may cause us to incur tax liabilities
Risks Related to Our Capital Resources and Indebtedness
- 30From time to time, we may have substantial indebtedness and we are able to incur significant additional indebtedness
- 31We may be unable to service our indebtedness
- 32We rely on our subsidiaries for our operating funds
- 33Covenants in our debt agreements restrict our activities and could adversely affect our business
- 34Increases in interest rates could increase our existing and future debt borrowing costs and adversely affect our stock price
- 35A credit rating downgrade could impair our ability to obtain additional debt financing on favorable terms, if at all, and significantly reduce the trading price of our common stock
Risks Related To Our Common Stock and Organizational Documents
- 36Our charter restricts the ownership and transfer of our outstanding stock, which may have the effect of delaying, deferring or preventing a transaction or change of control of our company
- 37Maryland law and provisions in our charter and bylaws may inhibit our stockholders from realizing a premium on their stock by delaying or preventing takeover attempts by third parties
- 38Our bylaws contain a provision that exempts from the MGCL’s control share acquisition statute any and all acquisitions by any person of shares of our stock. However, there can be no assurance that this provision will not be amended or eliminated, in whole or in part, at any time in the future
- 39Our bylaws provide that the Circuit Court for Baltimore City, Maryland will be the sole and exclusive forum for substantially all disputes between us and our stockholders, which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers or other employees
- 40We cannot assure you of our ability to pay dividends in the future
Other CareTrust REIT 10-Ks
- FY2025 10-K risk factors50 risks11 new1 dropped15 reworded
Expansion into international markets like the UK via the Care REIT acquisition introduces new currency and regulatory risks. Growth of the SHOP platform increases direct operational, legal, and insurance liabilities for senior housing communities. Regulatory updates clarify the repeal of CMS nursing home minimum staffing mandates through 2034.
Filed Feb 12, 2026
About this page
The headings are the filing's own. The one-line readings and the overview are automated and can be wrong: read Item 1A of the 10-K for the exact wording.