Community Healthcare Trust Q4 2025 Earnings Call Transcript

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February 18, 2026

Key Takeaways

  • Negative Sentiment: Management said a buyer is under exclusivity to acquire the operations of a geriatric behavioral operator that runs six CHCT hospitals and would sign new leases, but timing and certainty remain unknown, creating tenant/rent continuity risk.
  • Positive Sentiment: Capital recycling was accretive in Q4 — CHCT sold an inpatient rehab at about a 7.9% cap rate
  • Positive Sentiment: Q4 results showed modest growth: total revenue $30.9M (+5.6% YoY), FFO $13.3M (+4.6% YoY, $0.49/share) and AFFO $14.9M (+2.1% YoY, $0.55/share), aided by $12.1M of net gains on sales and slightly lower interest expense after recent rate cuts.
  • Positive Sentiment: The board raised the quarterly dividend to $0.4775 (annualized $1.91) and highlighted that dividends have increased every quarter since the IPO, which supports shareholder income expectations.
  • Neutral Sentiment: Operating metrics were stable: occupancy ticked up to 90.6%, weighted average lease term rose to seven years, and three redevelopment projects (largest expected complete Q2 2026 with rent beginning Q3 pending licensing) should boost leased cash flow later in 2026, but near-term occupancy is expected to remain in the low-90s.
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Earnings Conference Call
Community Healthcare Trust Q4 2025
00:00 / 00:00

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Operator

Welcome to Community Healthcare Trust's 2025 Fourth Quarter Earnings Release Conference Call. On the call today, the company will discuss its 2025 fourth quarter financial results. It will also discuss progress made in various aspects of its business. Following the remarks, the phone lines will be opened for a question-and-answer session. The company's earnings release was distributed last evening and has also been posted on its website, www.chct.reit. The company wants to emphasize that some of the information that may be discussed on this call will be based on information as of today, February 18th, 2026, and may contain forward-looking statements that involve risks and uncertainty. Actual results may differ materially from those set forth in such statements.

Operator

For a discussion of these risks and uncertainties, you should review the company's disclosures regarding forward-looking statements in its earnings release, as well as its risk factors and MD&A in its SEC filings. The company undertakes no obligation to update forward-looking statements, whether as the result of new information, future developments, or otherwise, except as may be required by law. During this call, the company will discuss GAAP and non-GAAP financial measures. A reconciliation between the two is available in its earnings release, which is posted on its website. Call participants are advised this conference call is being recorded for playback purpose. An archive of the call will be made available on the company's investor relations website for approximately 30 days and is property of the company. This call may not be recorded or otherwise reproduced or distributed without the company's prior written permission.

Operator

Now, I would like to turn the call over to Dave Dupuy, CEO of Community Healthcare Trust. Please go ahead, sir.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

Great. Thanks so much, Nick. Good morning, everybody, and thank you for joining us today for our 2025 fourth quarter conference call. On the call with me today is Bill Monroe, our Chief Financial Officer, Leigh Ann Stach, our Chief Accounting Officer, and Mark Kearns, our Senior Vice President of Asset Management. Our earnings announcement and supplemental data report were released last night and furnished on Form 8-K, along with our annual report on Form 10-K. In addition, an updated investor presentation was posted to our website last night. During the fourth quarter, the geriatric behavioral hospital operator, a tenant in six of the company's properties, paid rent of $200,000, consistent with last quarter.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

On July 17th, 2025, this tenant signed a letter of intent for the sale of the operations of all six of its hospitals to an experienced behavioral healthcare operator and is under exclusivity with that buyer. Among other terms and conditions of the sale, the buyer would sign new or amended leases for the six geriatric hospitals owned by CHCT. We continue to maintain frequent, productive communication with the buyer's team to advance the closing process. The buyer is finalizing legal and business due diligence, and while the transaction is progressing, we can't provide specific timing or certainty that it will close. We will share more information as we move through the process. As it relates to our core business, we had a busy fourth quarter from an operations perspective and capital recycling perspective, and continue to be selective from an acquisition standpoint.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

Our occupancy increased from 90.1% to 90.6% during the quarter, and our leasing team is very busy with renewals and new leasing activity. Our weighted average lease term increased from 6.7 to seven years. We have three properties that are undergoing redevelopment or significant renovations, with long-term tenants in place when the renovations or redevelopment are complete. We expect the largest of these projects to be completed in the second quarter of 2026, with rent expected to commence in the third quarter after the tenant obtains the appropriate provider license.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

As previously disclosed, during the fourth quarter, we sold an inpatient rehab facility at an approximate 7.9% cap rate, resulting in a gain on the sale of approximately $11.5 million, with net proceeds reinvested through a 1031 like-kind exchange into a new inpatient rehab facility for a purchase price of $28.5 million. We entered into a new lease with a lease expiration in 2040 and an anticipated annual return of approximately 9.3%. I will note an additional benefit of the transaction was the reduction of our largest tenant concentration, further enhancing our overall portfolio diversification.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

For the year, we acquired three properties with a total of 113,000 sq ft for an aggregate purchase price of $64.5 million, which were 100% leased, with leases running through 2040 and anticipated annual returns of 9.3%-9.5%. As it relates to other capital recycling activity, we had two additional dispositions closed in the fourth quarter and one disposition closed in the first quarter, resulting in net proceeds of approximately $7.7 million. We have other properties, both in market and under review, as part of our capital recycling program, and when appropriate, we would anticipate using a similar 1031 like-kind exchange to accretively reinvest proceeds to fund our pipeline.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

Also, we have signed definitive purchase and sale agreements for five properties to be acquired after completion and occupancy for an aggregate expected investment of $122.5 million. The expected return on these investments should range from 9.1%-9.75%. We expect to close on one of these properties in the first quarter, with two properties expected to close in the second half of 2026, and the remaining two closing in the second half of 2027. We did not issue any shares under our ATM last quarter. However, we anticipate having sufficient capital from selected asset sales, coupled with our revolver capacity, to fund near-term acquisitions. Going forward, we will evaluate the best uses of our capital, all while maintaining modest leverage levels.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

To finish up, we declared our dividend for the fourth quarter and raised it to $0.4775 per common share. This equates to an annualized dividend of $1.91 per share, and we are proud to have raised our dividend every quarter since our IPO. That takes care of the items I wanted to cover, so I will hand things off to Bill to discuss the numbers.

Bill Monroe
Bill Monroe
CFO at Community Healthcare Trust

Thank you, Dave. I will now provide more details on our fourth quarter financial performance. I am pleased to report total revenue grew from $29.3 million in the fourth quarter of 2024 to $30.9 million in the fourth quarter of 2025, representing 5.6% annual growth over the same period last year. On a quarter-over-quarter basis, the capital recycling and asset disposition progress in the fourth quarter that Dave discussed led to relatively flat quarterly performance across many line items on our income statement, as I will review. The $30.9 million of fourth quarter total revenue was a slight decrease of $140,000 quarter over quarter, versus the $31.1 million in the third quarter of 2025, impacted by the capital recycling and asset disposition activity.

Bill Monroe
Bill Monroe
CFO at Community Healthcare Trust

Moving to expenses, property operating expense increased by less than $100,000 quarter-over-quarter to $6 million for the fourth quarter of 2025. Total general and administrative expense was $4.8 million in the fourth quarter of 2025, which was nearly flat both quarter-over-quarter from the $4.7 million in the third quarter of 2025, and year-over-year from the $4.8 million in the fourth quarter of 2024. Interest expense decreased slightly by approximately $100,000 quarter-over-quarter to $7 million in the fourth quarter of 2025, due primarily to recent FOMC interest rate cuts and the resulting lower floating rates on our revolving credit facility.

Bill Monroe
Bill Monroe
CFO at Community Healthcare Trust

Moving to funds from operations, FFO in the fourth quarter of 2025 was $13.3 million, a 4.6% increase year-over-year compared to the $12.7 million of FFO in the fourth quarter of 2024. On a diluted common share basis, FFO increased from $0.48 in the fourth quarter of 2024 to $0.49 in the fourth quarter of 2025, although this was 1 cent less quarter-over-quarter from the $0.50 of FFO in the third quarter of 2025 as a result of the net impacts to revenue and expenses described earlier.

Bill Monroe
Bill Monroe
CFO at Community Healthcare Trust

Adjusted funds from operations, or AFFO, which adjusts for straight-line rent and stock-based compensation, totaled $14.9 million in the fourth quarter of 2025, a 2.1% increase year-over-year compared to the $14.6 million of AFFO in the fourth quarter of 2024. AFFO on a diluted common share basis was $0.55 in the fourth quarter of 2025, even with the $0.55 of AFFO in the fourth quarter of 2024, although this was 1 cent less quarter-over-quarter from the $0.56 of AFFO in the third quarter of 2025, again, as a result of the net impacts to revenue and expenses described earlier.

Bill Monroe
Bill Monroe
CFO at Community Healthcare Trust

And finally, while it did not impact FFO or AFFO, we did have net gains on sale of $12.1 million from the capital recycling and asset disposition activity during the fourth quarter of 2025 that increased net income. That concludes our prepared remarks. Nick, we are now ready to begin the question and answer session.

Operator

Thank you. We will now begin the question and answer session. To ask a question, you may press star, then one on your touchtone phone. If you are using a speakerphone, please pick up your handset before pressing any keys. If at any time your question has been addressed and you would like to withdraw your question, please press star then two. At this time, we will pause momentarily to assemble our roster. The first question will come from Connor Mitchell with Piper Sandler. Please go ahead.

Connor Mitchell
Connor Mitchell
Equity Research Analyst at Piper Sandler

Hey, good morning. Thanks for taking my question. I guess just focusing first on the Geriatric Behavioral Hospital operator that signed the transaction last summer. Just want to get a-- I know you guys can't speak too much about the timing or some details, but just try to get a little better understanding. Is the transaction on your part essentially supposed to all take place in one by all the same time? Or is there any chance that the new operator that would come in and sign leases on the properties could do it on a property-by-property timeline or even a state-by-state timeline instead of kind of all at once?

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

Hey, Connor, thanks for the question. Yeah, as it relates to the transaction itself, you know, there was not as much progress as we would have hoped being made in the fourth quarter. I think a lot of that is, you know, the buyer had to confirm various liabilities and was related, you know, was dependent on the government to get through some of those issues. I think we're seeing significantly more activity in this first quarter, as far as the progress made from a due diligence standpoint and, you know, site visits and really working on getting the documentation squared away.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

What I would say about your question specifically, you know, the buyer is still very interested in all six hospitals, and the goal is for this transaction to happen all at one time. And that's our expectation, that's the buyer's expectation. So there would be no plans to have any sort of a staged closing. I think it just makes it, you know, more challenging that way and a little bit messier. And so everybody is moving forward with the acquisition of the operations of all six hospitals in the three states, and so there would not be a staged closing based on our expectations or the buyer's expectations.

Connor Mitchell
Connor Mitchell
Equity Research Analyst at Piper Sandler

Okay. Appreciate the color. And then, turning towards transactions, the pipeline seems pretty stable compared to prior quarters as well. Just curious kind of how you balance the level of transactions, the timing of closing those transactions, along with, you know, the time needed to find the right dispositions to fund the acquisitions, or if you are considering maybe increasing the debt levels or leverage, if there's a ceiling you have there, when you see the optimal acquisitions and the timeline needs to be sped up, so you can't really wait for the offsetting dispositions.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

You know, our goal is really to execute and sequence the dispositions, just like we did in the fourth quarter, where we, you know, sold the inpatient rehab facility. There was a little bit of a gap between selling that facility and acquiring the new facility, which had some small impact on our financials. But overall, it worked very, very well. And as I mentioned in the prepared remarks, we're working right now on, you know, a handful of other acquisitions, so that we could similarly sequence in the same way when we acquire these facilities, that we expect these inpatient rehab facilities that we expect to close sometime in the third quarter.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

So, so the goal is obviously to do it and sequence it in a way that we can, we can do a 1031 Like-Kind Exchange, if that's appropriate, because we would anticipate a significant gain on some of the assets that we're looking to sell. But you're right. I mean, buying and selling real estate is inherently, you know, sometimes those time gaps don't always sequence correctly. I think, you know, everybody should know that there may be some gaps between, you know, when we close and when we sell, but the goal is to, to keep that leverage in sort of the, the zip code that it is today, and certainly not add leverage over time. But some of that is, is gonna be dependent on the timing of close.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

We feel confident that based on what we have in progress from a capital recycling perspective, will allow us to acquire assets without adding meaningful leverage to the balance sheet.

Connor Mitchell
Connor Mitchell
Equity Research Analyst at Piper Sandler

Okay, I appreciate that as well. Maybe just one more, if I could sneak it in. Can you just give an update on if there's really been any change in what you're seeing for cap rates for other acquisitions or dispositions? I know you gave some, some color in your opening remarks, but just maybe if there's anything you're seeing in the market right now that's, that's really changing, drastically from, from the recent, closed transactions.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

You know, I think... Look, the good news is, I think there's a high level of demand for the assets that we're looking to selectively manage through a disposition process and our capital recycling. You know, we received an indicative 7.9% cap rate on the sale of inpatient rehab. We would expect similar sort of pricing on other types of dispositions that we're looking at. So we feel like that disposition capital recycling activity is gonna be accretive to us and to the business. And we do see opportunities on the buy side in that 9%-10% cap rate range.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

But of course, you know, not having, not wanting to raise stock through the ATM at these price levels, we're being very, very selective. You know, what I would say is, in addition to these, acquisitions that are in the pipeline, as I mentioned on the prepared remarks, we have, you know, some embedded growth in our 2026 numbers, because we've got a redevelopment project that we anticipate coming online in mid-2026, and then we've got another redevelopment project that should be coming online at the end of the year. And so, you know, those are essentially like acquisitions for us, and, so we expect that to be a nice tailwind in the second half of the year for us.

Connor Mitchell
Connor Mitchell
Equity Research Analyst at Piper Sandler

Understood. That's all for me. Thank you very much.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

Thanks for the questions.

Operator

The next question will come from Michael Lewis with Truist. Please go ahead.

Michael Lewis
Michael Lewis
Analyst at Truist

Great. Thank you. Dave, last quarter on the call, you said you expected the lease percentage for the portfolio to be up 50-100 basis points in Q2, and it was, it was up 50 basis points. I was just wondering if you, you know, felt compelled to give a little bit of insight into what you might expect for occupancy, either over the next quarter or two, or for the full year. You know, do you expect that to continue going up this year?

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

... Hey, Michael, thanks for the question. You know, I think over the next—we have had great leasing activity in the portfolio. We've also had some... You know, we had some terminations toward the end of last year. And so I think Mark and his team are doing a remarkable job of taking some of those terminations, re-leasing the space. I think our view, big picture, is that's gonna be really good overall for the portfolio. As you know, it takes a little bit of time for those new leases to become economic. But we feel very good about the leasing activity we're seeing. But you know, the reality of it is, it's probably I would say you know, this range of in the low nineties will continue for the next couple of quarters.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

I wouldn't suspect that it goes up meaningfully or down meaningfully, just because some of the new leases we're getting in place. I think it's really in the second half of the year that we would expect to see some you know, momentum as it relates to growing leased occupancy. So I would anticipate that that leased occupancy would stay in that, in that general zip code of where it is today for the next couple of quarters, with it, you know, looking to increase second half of this year.

Michael Lewis
Michael Lewis
Analyst at Truist

Okay. And then my second question's about the investment pipeline. You know, I remember the days when you know, the annual target was $120 million-$150 million annually. Obviously, with COVID and some changes in the cost of capital, you know, you've been below that in recent years. Is the goal now, you know, you have these developments that you'll be taking down, is that kind of the pipeline? Or, you know, if you were gonna do $120 million-$150 million annually, and you had the cost of capital, is there still that volume of opportunity out there, or has something changed since the pandemic, and maybe there's not as many opportunities in your niche?

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

Yeah, the opportunity is still there, Michael. We're, you know, we're chomping at the bit and see a lot of great opportunities. We're constantly, you know, in touch with sort of that core group of brokers that we've worked with routinely over the last 10 years with the company. We've got great relationships, and we're seeing the activity in that 9-10 range. And what I would tell you is, if our stock was in a different spot, and we were, you know, doing what we had done, you know, prior to the last year and a half, we would be looking to make those acquisitions. You know, we've always, as you will recall, because you've covered the company for a long time, there's always been sort of half of our business has been, you know, client business that we've...

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

programmatic, that we've done. So call it $50 million-$60 million a year, and then the other half has been that brokered business, with some redevelopment projects mixed in. And I think what you've seen and what we've acted on over the last couple of years, with our stock price where it was, is we've been focused more on supporting our clients. And, you know, as soon as that dynamic changes and the share price gets to a level where we can raise capital accretively, we would absolutely look to augment that client acquisition with the broker deals that we've done historically.

Michael Lewis
Michael Lewis
Analyst at Truist

Okay. Then lastly from me, you know, the last few years, you've also had a note in the investor presentation about this dialysis term sheet pipeline. I didn't see that disclosure this time. Is that relationship kind of done, or is that on the back burner, and that could still become something programmatic down the line?

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

It's on. I think you nailed it. It is on the back burner. You know, most of that company's growth has really been, you know, buying operations. There hasn't been real estate as part of their overall acquisition cadence, and that has been the case now for a while. And they have been focused on really their core business over the last, you know, couple of years, now that they've done several acquisitions. So, you know, putting it in there just didn't seem like it made sense, just given the fact that we haven't executed any transactions under that deal. We still have a great relationship and, you know, four dialysis clinics with the operator, and we'll continue to monitor their acquisition activity.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

But yes, I would anticipate that that is an opportunistic and certainly not a focus or an expectation that that would occur anytime soon.

Michael Lewis
Michael Lewis
Analyst at Truist

Okay. Thank you.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

Thank you, Michael. Appreciate the questions.

Operator

This concludes our question and answer session. I would like to turn the conference back over to Dave Dupuy for any closing remarks.

Dave Dupuy
Dave Dupuy
CEO at Community Healthcare Trust

Thanks, everybody. I appreciate everyone joining us, and feel free to reach out if you ever have any additional questions. Hope everyone has a good day. Thank you.

Operator

The conference is now concluded. Thank you for attending today's presentation. You may now disconnect.

Executives
    • Bill Monroe
      Bill Monroe
      CFO
    • Dave Dupuy
      Dave Dupuy
      CEO
Analysts
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