CareTrust REIT, Inc.(CTRE)Stock Analysis
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Rank #197 of 2,879 stocksTOP 10%
Rankings refresh quarterly once 80% of peers have filed (~45 days after quarter-end). Next update: ~Aug 14, 2026.
Revenue Growth
Profitability
Balance Sheet
Earnings Quality
Free Cash Flow
Institutional Flow
Revenue Scale
Dilution Risk
CTRE Stock Analysis & AI Quality Score
AI stock analysis and institutional research for CareTrust REIT, Inc. (CTRE), a Real Estate sector company. 13F Pro's AI-powered ranking engine scores CTRE at 73.4/100 on a 32-signal composite quality model, placing it at rank #197 of 2,879 stocks — the top 10% of the AI-ranked universe. CTRE scores in the top quartile across profitability (96.3), free cash flow (96.3), earnings quality (94.0). Areas of concern include institutional flow (9.1) and revenue scale (31.8), which score below median versus the broader universe. Shareholder dilution risk is elevated at 37.4/100, reflecting ongoing share issuance or stock-based compensation. Based on the latest XBRL financial filings (Q1 2026), CareTrust REIT, Inc. reports quarterly revenue of $142.8M, net income of $80.2M, an operating margin of 57.3%. Top institutional holders of CTRE by reported 13-F value include BlackRock,, VANGUARD PORTFOLIO MANAGEMENT, STATE STREET, based on the most recent SEC filings. CTRE trades on the NYSE exchange and files with the SEC under CIK 1590717. 13F Pro's AI research platform runs 10 specialized AI analysts — value, growth, momentum, macro, and activist specialists — that debate CTRE daily and publish AI-generated analysis with cited SEC sources. The platform aggregates historical XBRL financial facts, 10-Q and 10-K filings, insider Form 4 transactions, and institutional 13-F holdings for CareTrust REIT, Inc. directly from SEC EDGAR. CareTrust REIT, Inc.'s 13F Pro composite quality score has ranged between 8 and 85 since 2021, currently 73.4 — a stable long-term trajectory across 48 quarterly and live scoring snapshots.
What's Driving CTRE's Business? Latest 10-Q Breakdown
AI-extracted from CareTrust REIT, Inc.'s 10-Q filed 2026-05-07 — Q1 2026 (quarter ended March 31, 2026). Every figure is machine-verified against the filing text on SEC EDGAR.
CareTrust REIT reported Q1 2026 net income of $80.2M, up 22% YoY, driven by $114.2M rental income (+59% YoY) from acquisitions and SHOP platform expansion.
Biggest Revenue Drivers
Total revenue: $142.8M+48% YoY
Increase due to real estate investments made after December 31, 2024, rental rate increases for existing tenants, and transfers to new operators.
Generated from three senior housing communities acquired under SHOP platform in December 2025.
Interest on sale-leaseback transaction financing receivable recorded on a net present value basis.
Largest Expense Items
Increase from acquisitions and capital improvements made after December 31, 2024, partially offset by dispositions.
Increase in cash and incentive compensation reflecting organizational growth, partially offset by lower share-based compensation amortization.
Increase primarily due to new $500M Term Loan Facility established May 2025, partially offset by reduced revolving facility borrowings.
Operating costs of three senior housing communities acquired under SHOP platform in December 2025.
Margins: Gross operating margin (revenues less depreciation and operating expenses) improved year-over-year as rental income growth significantly outpaced depreciation and operating expense increases. Operating margin compression reflects elevated G&A expenses and interest burden from new term loan financing, though interest coverage remains solid.
Watch Items from the Filing
- Ensign represents 17% of Q1 2026 revenue (down from 21% YoY), and PACS 11%; both operators are SEC-registered companies subject to public reporting requirements.
- Geographic concentration: California, UK, and Texas each represent 11-17% of Q1 2026 revenue; California increased from 23% YoY as UK investment grew.
- Earn-out obligations total $45.1M ($10M due Oct 2025-Oct 2026 for Virginia SNF; $32.5M due Dec 2026-Dec 2028 for five SNFs).
- Outstanding debt totals $900M ($400M senior notes due June 2028; $500M term loan due May 2030); Company collected 100% of contractual rents and interest in Q1 2026.
- California minimum wage for healthcare workers increases to $22-23/hour June 2026 and $25/hour June 2028, pressuring tenant operating costs and ability to pay rent.
AI-extracted and verified against SEC EDGAR filing text. Not investment advice.
Revenue
Q1 2026
$142.8M
Net Income
Q1 2026
$80.2M
Free Cash Flow
Q1 2026
$90.4M
Operating Margin
Q1 2026
57.3%
D/E Ratio
Q1 2026
0.22
Revenue & Net Income
Earnings Per Share
Key Financials Over Time
Export Financial Table · Pro+Revenue
+60.8% YoYNet Income
+156.3% YoYEPS (Diluted)
+96.3% YoYTotal Assets
+49.8% YoYTotal Debt
+125.3% YoYOp. Cash Flow
+61.3% YoY| Metric | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 |
|---|---|---|---|---|---|---|
| Revenue | $476.4M +60.8% | $296.3M +36.1% | $217.8M +11.0% | $196.1M +2.0% | $192.4M +7.9% | $178.3M |
| Net Income | $320.5M +156.3% | $125.1M +132.8% | $53.7M +815.9% | $-7.5M -110.4% | $72.0M -11.0% | $80.9M |
| EPS (Diluted) | $1.57 +96.3% | $0.80 +60.0% | $0.50 +725.0% | $-0.08 -110.8% | $0.74 -12.9% | $0.85 |
| Total Assets | $5.15B +49.8% | $3.44B +64.9% | $2.08B +28.6% | $1.62B -1.2% | $1.64B +9.1% | $1.50B |
| Total Debt | $894.2M +125.3% | $396.9M -33.4% | $595.6M -17.2% | $719.5M +6.8% | $673.4M +23.4% | $545.6M |
| Operating Cash Flow | $394.0M +61.3% | $244.3M +57.8% | $154.8M +7.2% | $144.4M -7.9% | $156.9M +7.6% | $145.7M |
AI Insight: CTRE Financial Trends
CareTrust REIT's revenue has more than doubled in two years — from $69M in Q2 2024 to $143M in Q1 2026 — while equity nearly tripled, signaling aggressive but equity-funded growth.
• Revenue surged from $69M in Q2 2024 to $143M in Q1 2026, a ~107% increase over seven quarters.
• Equity expanded from $1,944M in Q2 2024 to $4,132M in Q1 2026, suggesting growth is primarily equity-financed rather than leverage-driven.
• Operating cash flow rose from $53M in Q2 2024 to $121M in Q4 2025, though it dipped to $90M in Q1 2026.
• Total debt jumped from $397M in Q4 2024 to $1,155M in Q2 2025 before settling at $895M in Q1 2026, reflecting episodic acquisition financing.
⚠ Net income fell from $111M in Q4 2025 to $80M in Q1 2026 — sharpest sequential decline in the dataset; worth monitoring for sustainability.
⚠ Debt spiked to $1,155M in Q2 2025 then retreated to $895M; further debt drawdowns tied to acquisitions could pressure the balance sheet.
⚠ Operating cash flow dipped to $90M in Q1 2026 from $121M in Q4 2025 — first sequential OCF decline in three quarters.
AI Insight: CTRE Ratio Trends
CareTrust REIT's profitability has surged since Q2 2024, with NPM climbing from 15.6% to 82.5% at peak, though Q1 2026 shows a sequential pullback from Q4 2025's outsized quarter.
• Net profit margin expanded dramatically from 15.6% in Q2 2024 to 82.5% in Q4 2025, reflecting strong earnings momentum over six quarters.
• ROE improved from 2.2% in Q2 2024 to 11.0% in Q4 2025, though Q1 2026 pulled back to 7.8%.
• Leverage (D/E) declined meaningfully from 0.35 in Q2 2024 to 0.14 in Q4 2024, stabilizing at 0.22 through Q1 2026.
• Q1 2026 operating margin of 57.3% and NPM of 56.2% represent a sharp sequential drop from Q4 2025's 84.7% and 82.5%.
⚠ Q4 2025 margins appear anomalously high; if Q1 2026 levels (~57%) represent the new baseline, growth expectations may need recalibration.
⚠ D/E ticked back up to 0.35 in Q2 2025 before settling at 0.22 — monitor whether leverage re-escalates with further investment activity.
⚠ ROIC dropped to 6.5% in Q1 2026 from 9.3% in Q4 2025 — first quarter-over-quarter decline since data began reporting this metric.
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Top Institutional Holders of CTRE
BlackRock, Inc.
$1.3B35,876,497 shVANGUARD PORTFOLIO MANAGEMENT LLC
$729.4M19,901,022 shSTATE STREET CORP
$445.7M12,035,271 shWELLINGTON MANAGEMENT GROUP LLP
$433.2M11,821,082 shFMR LLC
$368.2M10,046,856 shVANGUARD CAPITAL MANAGEMENT LLC
$366.4M9,998,178 shGEODE CAPITAL MANAGEMENT, LLC
$255.9M6,981,637 shNuveen, LLC
$162.8M4,443,341 shCHARLES SCHWAB INVESTMENT MANAGEMENT INC
$156.3M4,265,114 shDEUTSCHE BANK AG\
$125.1M3,412,762 sh
| Fund | Value | Shares |
|---|---|---|
| BlackRock, Inc. | $1.3B | 35,876,497 |
| VANGUARD PORTFOLIO MANAGEMENT LLC | $729.4M | 19,901,022 |
| STATE STREET CORP | $445.7M | 12,035,271 |
| WELLINGTON MANAGEMENT GROUP LLP | $433.2M | 11,821,082 |
| FMR LLC | $368.2M | 10,046,856 |
| VANGUARD CAPITAL MANAGEMENT LLC | $366.4M | 9,998,178 |
| GEODE CAPITAL MANAGEMENT, LLC | $255.9M | 6,981,637 |
| Nuveen, LLC | $162.8M | 4,443,341 |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC | $156.3M | 4,265,114 |
| DEUTSCHE BANK AG\ | $125.1M | 3,412,762 |
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Popular Research
Is CTRE a good stock to buy?
13F Pro's AI-powered analysis of CareTrust REIT, Inc. (CTRE) draws on SEC EDGAR-sourced fundamentals, institutional 13F holdings, and insider Form 4 transactions in the Real Estate sector (listed on NYSE). The 32-signal AI Quality Score, current rank, and full bull/bear verdict for CTRE are available on the CTRE stock profile dashboard — with the same data, AI insights, ratios, and institutional activity refreshed after every 10-K, 10-Q, 13F, and Form 4 filing.
Which hedge funds own CTRE?
Institutional investors are required to disclose their holdings quarterly via SEC Form 13F. 13F Pro aggregates these filings to show which hedge funds, mutual funds, and asset managers are buying or selling CTRE. Combined with insider transaction data from Form 4 filings and AI-powered analysis from 10 specialized research agents, 13F Pro provides a comprehensive view of CareTrust REIT, Inc.'s investment landscape.