Hello, everyone. Thank you for joining us and welcome to the Care Trust First Quarter 2026 Earnings Conference Call. After today's prepared remarks, we will host a question and answer session. If you would like to ask a question, please press star one to raise your hand. To withdraw your question, press star one again. I will now hand the conference over to Lauren Beal, Care Trust's Chief Accounting Officer. Lauren, please go ahead.

Thank you, and welcome to Care Trust REIT's first quarter 2026 earnings call. We will make forward-looking statements today based on management's current expectations, including statements regarding future financial performance, dividends, acquisitions, investments, financing plans, business strategies, and growth prospects. These forward-looking statements are subject to risks and uncertainties that could cause actual results to materially differ from our expectations. These risks are discussed in CareTrust REIT's most recent Form 10-Q filing with the SEC. We do not undertake a duty to update or revise these statements except as required by law. During the call, the company will reference non-GAAP metrics such as EBITDA, FFO, and FAD. A reconciliation of these measures to the most comparable GAAP financial measures is available in our earnings press release and Q1 2026 financial supplement that are available on the investor relations section of CareTrust website at www.caretrustreit.com. A replay of this call will also be available on the website for a limited period. On the call this morning are Dave Sedgwick, President and Chief Executive Officer, James Collister, Chief Investment Officer, and Derek Bunker, Chief Financial Officer. I'll now turn the call over to Dave.

Thank you, Lauren, and good morning, everybody. Thanks for joining us. The first quarter was a strong start to the year and a continuation of the momentum we've been generating over the past several years. We closed approximately $245 million of investments in the first quarter, and the pace only accelerated from there. Since the start of April, we have closed a dozen separate transactions for approximately $865 million. dollars. Just last Friday, on May 1st, we closed three of those 12 deals that we have not yet had a chance to announce, including our second shop investment. James will provide color on some of the deals we've closed year-to-date and on the reloaded pipeline of $360 million. Our investments team continues to perform at a phenomenal level. What else can you say? I'll just reinforce that shop is an important part of our growth story, and you should expect to see us continue to build that part of the portfolio with the same discipline and operator-centered approach we're known for. DealFlow continues to be active and interesting across shop, skilled nursing, and UK care homes. A quick acknowledgement to some of our unsung heroes here. Our accounting team proves every day to be the best pound-for-pound accounting team around. They have shouldered an enormous load onboarding a massive number of new properties and operators across the US and UK while continuing to support the next wave of growth. Our asset management group continues to do great work curating a strong portfolio and de-risking it as we go. And every other function across the company, legal, tax, finance, operations, data analytics, shows up in a way that allows us to keep executing at a very high level and transforms a growing portfolio into a compounding portfolio. The results of the hard work and sacrifice of an extraordinary team produced year-over-year FFO per share growth of 14%, a 16.4% increase to the dividend, an upgrade to investment grade by Moody's, and a raise to our FFO per share guidance for the year that at the midpoint would be 14.8% higher than 2025. I think you can tell how I feel about my team. Let me talk for a second about our operators. Many of you know I'm a recovery nursing home administrator. Several of us here have many years of experience inside the buildings. We have always hoped that our operating history and DNA would differentiate us in how, where, and with whom we build this portfolio. Our tenants continue to deliver for their employees, residents, patients, and communities. We've recently begun a meaningful study of publicly reported CMS outcomes in our skilled nursing portfolio compared to the rest of the sector. The preliminary findings show that skilled nursing operators who lease from CareTrust deliver care that is measurably better than the sector averages. With respect to the care trust facilities included in our analysis, we limited it to those facilities that have been under leased for at least four years to give adequate time for star ratings to adjust to the new licensed operators. We are specifically pleased to observe in our initial findings that compared to all for-profit operators, our tenants achieve higher overall CMS star ratings and higher health inspection star ratings. And compared to all operators, for-profit and non-profit, our tenants achieve higher quality measure star ratings, lower re-hospitalization rates, and higher successful discharge rates. Now let's take a look at how that commitment to quality care translates to the financial health of our operators. Our overall EBITDA rent coverage in our stabilized triple net portfolio remains very strong at 2.25 times and EBITDA coverage at 2.79 times with broad-based improvements throughout the portfolio. We collected 100% of contractual rent and interest in the first quarter, which speaks to the caliber of our tenants and borrowers. Putting it all together. We are in another extraordinary and busy period full of external growth and internal development as we continue to refine our processes that enable a bigger and better CareTrust portfolio. As we continue to position ourselves with urgency to keep the flywheel going, we see steady deal flow across our three growth engines, and the team is firing on all cylinders. We could not be more excited about where we sit today or about what is still in front of us. With that, I'll hand it off to James for a report on investment activity and the acquisition landscape. James? Thanks, Dave.

Good morning, everyone. During the first quarter, we completed approximately $245 million of investments at a blended, stabilized yield of 8.8%. Q1 activity was anchored by a sale leaseback of a six property skilled nursing portfolio in the mid-Atlantic leased to one of our quality operators at a yield of approximately 9%. Q1 also included a meaningful tranche of UK care home investments and a small relationship-driven loan secured by a skilled nursing facility operated by one of our existing operators. Since the start of April, we have closed an additional 12 transactions for approximately 865 million dollars at a blended stabilized yield of approximately 8.9 percent. Activity was weighted toward U.S. skilled nursing with a meaningful portion of that volume from an opportunistic transaction with a new operating relationship. The deal came together on a very compressed timeline and the fact we got it closed is a real testament to the team's solutions-oriented approach and the deep relationships we've cultivated over many years. Beyond that anchor transaction, the period included, one, additional skilled nursing and senior housing triple net investments with quality tenants across multiple geographies. Two, a number of new and incremental loans either to existing operators or borrowers we've admired and desired to work with. Three, our second shop investment to bring our total portfolio to four communities. and four lastly additional UK care home activity we're particularly encouraged by the pace and size of our UK care home pipeline since the beginning of the year we've continued to build momentum and have closed on investments in 10 care homes across the pond to add to our consistently growing portfolio putting Q1 and post-quarter activity together year to date we have closed approximately 1.1 billion dollars of investments at a blended stabilized yield of approximately 8.9%. Of that total, approximately $705 million has been U.S. skilled nursing or senior housing triple net. Roughly $225 million has been U.S. loans, primarily secured by skilled nursing facilities and either closed concurrently with asset acquisitions or in anticipation of such. Approximately $160 million has been U.K. care homes and the remainder is shop. Our investment pipeline today sits at approximately 360 million dollars. The composition is heavily UK care homes which represents over half of the quoted pipe with another approximately 20 percent comprised of shop opportunities and the remainder consisting of triple net both skilled nursing and seniors housing and a small amount of loan activity. As always please remember that when we quote our pipeline we only include deals that we have a reasonable level of confidence we can lock up and close within the next 12 months, and it does not always include larger portfolios that we are reviewing. A quick note on the current transaction environment. The skilled nursing market remains active, supported by both brokered and proprietary opportunities. Current skilled nursing deal flow is more heavily weighted towards off-market opportunities, and thanks to our deep operator relationships and the strength of our existing portfolio, we are well positioned to continue pursuing skilled nursing transactions aggressively, but with discipline. In the UK, our pipeline is ahead of schedule and growing. We're very pleased with how our London-based team continues to establish the CareTrust culture of buy operators for operators that has expanded our ability to do more deals, meet new operators, and source opportunities through broker-marketed processes and direct relationships. We see meaningful upside there over time. In shop, while the market remains highly competitive and cap rates keep compressing we are an active player and continue to see significant opportunity to grow that portfolio over the next several years with the right operators and the right assets our disciplined underwriting framework combined with a strong focus on long-term operator relationships and a commitment to creative collaborative transaction structuring will continue to drive sustainable growth across the skilled nursing senior housing and UK care home sectors. And with that, I'll turn it over to Derek to review our quarterly financial results.

Thanks, James. For the quarter, normalized FFO increased 38% over the prior quarter to $107.4 million and normalized FAD increased 33% to $107.6 million. On a per share basis, normalized FFO was 48 cents, an increase of 14% over the prior quarter and normalized FAD was also 48 cents, an increase of 12% over the same period. Turning to the balance sheet and capital markets activity, during the first quarter we settled $129.5 million of gross proceeds under our ATM forward program. Subsequent to quarter end, we settled the remaining outstanding forwards totaling $363.6 million of forward equity contracts outstanding at March 31st, bringing our year-to-date total settled forwards to roughly $493 million of gross proceeds in support of our recent investment activity. As of May 7th, we had $350 million drawn on our $1.2 billion unsecured revolving credit facility and approximately $70 million in cash on hand. We continue to have no scheduled debt maturities prior to 2028. As Dave mentioned, subsequent to quarter end, we also received an investment grade rating upgrade from Moody's. This recognition of our balance sheet strength and disciplined approach to capital structure further expands our access to debt capital and supports our ability to fund continued growth on attractive terms. In yesterday's press release, we raised our 2026 full-year guidance, projecting full-year normalized FFO per share of $2 to $2.04 and normalized FAD per share of $1.98 to $2.02. The midpoints of our updated normalized FFO and normalized FAD guidance represent increases of 14.8% and 13.6% respectively over 2025 results and increases of 4.9% and 3.9% respectively compared to the initial 2026 guidance ranges we issued in February. The updated guidance is based on a weighted average diluted share count of 234 million shares and includes the following key assumptions. First, no new investments, loans, or dispositions beyond those made year-to-date. Second, no new debt or equity issuances beyond those made year-to-date. Third, 2.5% inflation-based rent escalators under our long-term triple net leases. Fourth, $145 million of loans to be fully repaid throughout the remainder of the year. And fifth, no material change in the sterling-to-dollar spot exchange rate. Additional guidance measures are detailed in the press release yesterday. Lastly, our liquidity continues to remain strong. As I mentioned, we have approximately $70 million of cash on hand, $850 million of availability under our revolving credit facility, and roughly $879 million of capacity on our ATM program. Net debt to annualized normalized run rate EBITDA was 0.6 times at quarter end, well below our long-term target leverage range of four to five times, and net debt to enterprise value was approximately 3.6%. Aided by an investment grade credit profile, we have ample dry powder and multiple levers across our capital toolkit to continue funding our recent pace of investment activity. And with that, I'll turn it back to Dave.

Thanks, Derek. Well, we hope that the report's been helpful. Appreciate all the interest and support. We'd be happy to take your questions at this time.

We will now begin the question and answer session. If you would like to ask a question, please press star one on your telephone keypad. To withdraw your question, press star 1 again. Please pick up your handset when asking a question. If you are muted locally, please remember to unmute to your device. Please stand by while we compile the Q&A roster. Your first question comes from Farrell Granite with Bank of America. Please go ahead.

Hello, thank you for taking my question. I want to dig in a little bit deeper on your comments about larger portfolio considerations that is not currently contemplated in guidance. Can you give a little details on maybe some larger portfolios you were evaluating year to date that potentially you passed on and maybe why that would have happened?

Well, when we look at, when we put our pipe, as you know, we have the custom of not including larger portfolios that we're pursuing, because even though we may have a strong interest in them, sometimes they're fishing expeditions by the sellers. They may not be real. It's a lower probability of landing those. And so, you know, a prime example is what just happened with this large deal in California. that was something that actually materialized very quickly that couldn't have been included in our previously quoted pipe. So that's, that's just our, our practice to not get too ahead of things. Sometimes the deals, either we decide to pass on them or, you know, they, they, they decide to go a different direction.

Okay. Thank you. And also I will say that in some of the previous earnings calls of peers. We've heard added commentary of increasing competition also in the SNF market that has been difficult to transact. Less product is coming to the market and also this larger increase in private capital. I'm curious if you can add a little bit more color on the skilled nursing side, how you're able to source so many deals and maybe where you're sourcing those?

Sure, Farrell, this is James. I mean, I would say that the SNF market is at this point of a predominantly off market, you know, market, if you will. And I think that it has for a little while been predominantly relationship driven. It's a little bit more unpredictable because you're not getting a, you know, constant flow of broker deals like you are in maybe shop. But I think that, you know, it has been like that for a while. And I think that the track record we have shows that relationships are just super important. And, you know, I don't think you're going to typically find, you know, bread and butter sale leads back at a nine and a half with, you know, no creativity needed, you know, like you may have five years ago, but that's been the case for a while now. So I think it just takes increased creativity. it takes relationship-based deals, and you really have to rely on the off-market relationships in the SNF market today, and I think our track record shows that we've been doing that successfully.

Great.

Thank you so much. Your next question comes from Austin Werschmidt with KeyBank Capital Markets. Please go ahead.

Hi. Good morning, everybody. Dave or Derek, I guess with the dual investment grade rating and and just kind of continued improvement in your long-term cost of capital i mean how do you think of the benefit of achieving this goal and then you know utilizing that for maybe some strategic opportunities or or even you know the the flexibility gives for you know your ability to source even even some of the larger portfolios from time to time yeah hey all since derek i think you kind of hit it in your question there we've been fortunate to have strong access and support from capital markets to really underwrite and pursue a lot of our investment activity and we

feel like with just the added benefit of the upgrade from moody's recently that it only gives us more optionality and expands our access i think deeper if we do decide to do an inaugural issuance in the high-grade market, and that's certainly on our radar there, especially as we grow and we start to pad out the balance sheet a little bit. So we're excited about it. We're thrilled. We really like what we see in the pipeline and beyond just for the next several years, and so having that option, we're really excited about it.

And maybe Dave or James, within SHOP, you've talked a lot about just and others for that matter the competition of the investment landscape i mean what's been your your hit rate on you know deals that you've been on and i'm just curious if if off-market opportunities as you continue to develop even more relationships similar to what you referenced in skilled as being sort of the best way to to grow that portfolio what what's kind of the current process and strategy to continue to you know build that out within uh just that segment within the overall portfolio yeah i mean i think austin this is james make

a really good point which is that look if if in shop right now given the amount of competition if we do get an off-market deal or some other in or unique you know relationship on a deal that comes through we're going to prioritize that and going to look at if that works and make a more heavy run at it. So I think that's definitely the case given the amount of competition right now. And I mean, as far as hit rate, I mean, you know, it's a small percentage of deals that we see come across the desk that we decide to bid on. It's a smaller percentage that we decide to really push and start to stretch a little bit. If the deals that we really push and stretch, I don't know what the exact hit rate is. I mean, it's a competitive market right now. I think that given the cost of capital we have and the access to capital, you know, if we really decide we want the deal, that it fits for us, and we're going to stretch, you know, it's a pretty good chance we're going to be in the last one or two and hopefully get it. But overall, it's a pretty low hit rate, just given the number of deals that are coming across right now. But much of that, you know, low hit rate is based on the fact that we don't elect to pursue most of what comes across the desk. And then just lastly, how much would you say cap rates have compressed, um you know since you really you know started to evaluate transactions you know in shop if we're talking about rate compression i mean it's hard to put an exact nose on it there's a range in shop often these you know between where your primary market if you're a class a or where you fit in the range from you know the best building or two in a primary market to you know the best few buildings in a secondary or tertiary i would say right now it feels like class a in a primary market is going to have a five handle on it and you're going to go up the range from there. So I would say in the last, it's hard to say in there, but I would say in the last six months, cap rates have probably compressed 50 bps or more.

Thanks for taking the questions. Thanks, awesome.

Your next question comes from Juan Sanabria with BMO Capital Markets. Please go ahead.

Hi, good morning. Just hoping you could talk a little bit about the loan book. It's grown as a preponderance of the transactions that you did in the first quarter, when including the financing receivables. So just curious on how big you're comfortable with that getting and any sort of color you can give on some of the loans you did, any options for for the operators to buy back the real estate we should be thinking about, or just generally more color on those investments. Thank you.

Well, I'll start with that. Juan, this is Dave. You know, I think our strategy with respect to lending was really established a few years ago and has been a key determinant for the explosive growth that we've had. And the key feature of that strategy is that we'll only do loans really if it includes real estate acquisitions or we're confident that it will lead to real estate acquisitions. And the activity that you've seen recently checks those boxes. The real estate that we've acquired came with some loans that were necessary to get the deals done. And even on the financing receivable side, it's a little bit misleading because it's more of an accounting rule that causes what we consider a sale leaseback to be accounted for as a financing receivable because of the purchase options. But because those purchase options are so far out, you know, 9, 10 years, we view that much more as a sale leaseback.

But technically, it'll look like the loan book has grown more than it really will feel like it for the next 10 years. great and then um just curious on um genius housing on the shop side um how are you thinking about what markets you're you're looking to target you've kind of mentioned cap rates in the primary markets in the with the five handle and or that the type of um assets whether they're core core plus value uh kind of where do you think there's the best opportunity for the company you

You know, and I think that we would, this is James, we're still pretty agnostic in the market. I mean, we want, you know, primary, secondary, some tertiary, but, you know, we're really going to look at it on a deal-by-deal basis, or we're going to pursue it opportunistically. We view that we want to underwrite to an IRR of low double digits, and we see a lot of paths to get there. And not every deal is going to get the same path to get there. So we don't have one box that has to fit. We're going to look at each deal. We're going to be opportunistic, and we're going and say, what's this deal's path to a low double-digit IRR? Do we have confidence in that path? And if we do, we're going to make a run at it. If we don't, we're going to pass. So, you know, that path is really different if you're in a primary market than if you're in secondary or tertiary. I think typically we want to be in one or two, maybe three best facilities in a market. We want an operator that is a regional sharpshooter with experience in that area that has reporting capabilities to help us on the shop side but has a proven track record in that market of success. And that's kind of the parameters around where we're pursuing deals in shop right now. Thank you.

Your next question comes from Michael Carroll with RBC Capital Markets. Please go ahead.

Yep, thanks. James, I kind of wanted to talk a little bit more about the valuations just across the portfolio. I know historically the shop cap rates have kind of come in. And what about like the skilled nursing facility in the UK care homes? I mean, have those markets been any more competitive over the past few quarters? I mean, how are you thinking about the competitive landscape and those property types?

Yeah, I mean, skilled, I still feel like it's really changed that much in the past year. You have a lot of family office. You have a lot of fierce competition. It's just fewer buyers in the U.S. sniff side, but it's the same groups we see really on every deal. so there's still you know a lot of competition mike but it's the same players if you will so i haven't seen cap rates change much maybe a little bit you know we've had to forget to get bigger deals you know we're going to go below a nine yield on the lease to get the deal if it's big enough in the right operator in the uk can be a little bit of increased competition but we're still seeing for the product we're looking at you know yields are still going to be in the mid-eighths for us. So that's pretty typical. It's more like a seniors housing asset over there. So that's pretty typical for, you know, if you were to do seniors housing, triple net deals here. So we like that kind of yield and basis. So it's maybe a little bit uptick in competition in the UK, but, you know, nothing comparable to, you know, the uptick in shop competition you see here.

And then can you provide us some details on the recent shop deal? Is that with a relationship operator that you could grow with? I mean, was it in a primary, secondary market? I mean, how should we think about that specific transaction?

Yeah, since Prescott, Arizona, it was done with a relationship operator that we've known for a long time. This is the first deal with them, but we've known them for a very long time. Socks do deals with them for a long time. They're the current operator in the building. we had a great relationship with the seller we've been buying buildings from them for the last few years and hope to continue to buy buildings from them in the future uh it's about 110 units of assisted living you know the going in estimated year one yield is going to be in the eighth uh and we like the market um we like this operator we like we'd like to grow with them and think that we will uh and we like the path to get us to that low double digit you know irr It's a pretty stable asset, so it's not in a lease-up or other turnaround situation. It's really just making some tweaks to optimize the performance a bit to get us to that low double-digit IRR.

Okay, great. And then lastly, Derek, can you talk a little bit about, I guess, CareTrust's desire to enter the debt markets? And should we think about another bond being pound-denominated just to kind of naturally hedge some of your U.K. exposure? Is that kind of in your process, or should we think about that as more U.S. dollar-denominated debt?

Yeah, thanks, Mike. I think if we do something this year and we're exploring that option pretty deeply and heavily, you'll see it denominated in USD. We're conscious and aware of our exposure to the pound sterling, and we really like our current program, and it's going very well. And paired with the pipeline, which has been growing very consistently and I think exceeding our expectations a bit due to the team there, where we feel like we're sort of naturally hedged a little bit in terms of buying pounds and being short dollars. I think given the pricing differential there, we'll continue to put things on our balance sheet here and keep it nominated in USD as we explore it.

Your next question comes from Michael Goldsmith with UBS. Please go ahead.

Yeah, thanks. This is Justin. Hot to speak on for Michael Goldsmith. Thanks for taking the question. I noticed that occupancy in your skilled nursing portfolio was up in 4-2-25. Is that primarily due to recently acquired properties? And maybe, you know, can you talk about how you feel occupancy will trend this year? You know, if pre-COVID SNP occupancy was, you know, 80 percent roughly, does the demographic tailwind push that number up significantly over the coming years?

Yeah, so skilled nursing has been kind of on a steady, modest incline really since it bottomed out in 21. it's difficult to say one quarter versus the other of what exactly happened across the portfolio of our size. But the direction of travel, we believe, will continue to be what it has been. But the difference being, I think, in the coming years, it's going to start ramping up significantly. The demographics are inevitable. And, of course, that's what has been kind of the basis for the shop and the skilled nursing excitement and investment by institutional investors. So, yeah, I think while we're in the low 80s as an industry and around 80 percent in our portfolio, five to seven years from now, I think it's going to be dramatically different. Great.

And then last one for me. Can you walk through the increase in the guidance for GNA, the changes in interest income and interest expense as well?

Yeah, thanks, Justin. The increase in GNA is almost entirely due to just hidden key KPIs for STI, given our performance and kind of guide for FFO and investment spend to date. So we kind of started with a nicer accrual there. We're just sort of catching up. But we're also continuing to build out the team a little bit just to support overall growth, not just shop, but just generally across the organization, really just sort of rounding out the team at the moment, coming off a couple years of growth there. Interest income and expense is really just moving around in part because of us drawing down the revolver this quarter to date to fund the acquisitions and not anticipating or not incorporating the pipeline or future acquisitions into guidance. We're just sort of taking a snapshot there and running out the interest income and interest expense.

Great. Thank you. Thanks, Justin.

Your next question comes from Rich Anderson with Cantor Fitzgerald. please go ahead.

Hey, thanks. Good morning. So my first question is, are you finding that building and buying or building out your shop platform is proving to be more challenging than perhaps you thought going into it? I recall back in Dallas, you know, you've made your first shop deal and everyone's like, okay, here comes your care trust, you know, but, you know, it's been a little bit slow, and perhaps to your credit, you know, you're not growing for the sake of growth. But do you find yourself a little bit surprised by how tough it is to move the needle in building the shop platform while some of your peers in the REIT space are, you know, certainly pacing themselves at a faster clip than you at this point?

Just curious your thoughts there yeah on some level it's been um a little bit surprising not not so much that it's been competitive because we we know and knew as we were entering it that it's a very competitive scene i think one of the surprises has just been to see how aggressive some um some of our competitors underwriting has been. Even for the deals that, like James talked about, that we really like and we stretch for, we sometimes get beat by folks that don't nearly have the cost of capital that we do. And, you know, I think it may speak a little bit, Rich, to us really being agnostic across three growth engines. And the reality is we haven't, in essence, painted ourselves in a corner with respect to having to do shop or feeling compelled to put money to work there. So I think that really is our advantage because we have the freedom to maintain the discipline that we've built the CareTrust portfolio on. And so, yeah, I think we're pleased with what we've done so far. I think we'll continue to grow it. And over time, it will become meaningful. And I think our confidence in the deals that we do get is very high.

Okay, great. Second, when you talk about larger portfolio deals not included in the 360 million dollar pipeline are there any larger shop deals in that portfolio of potential deals no i don't think so i think what we're the chunkier deals right now that we're evaluating are in the uk and us okay and then quickly for me uh ohi has talked about applying ridea to their UK business. Is that at all on the table for you guys at this point? Or are you too new there at this juncture?

Yeah, I think there will be a time when that opportunity presents itself for us. So we should be ready to do that.

Okay, fair enough. Thanks very much.

Thanks, Rich.

Your next question comes from Michael Stroyak with Green Street.

Please go ahead. thanks and good morning uh now that there's been some time since the original care reet acquisition how is that portfolio performing relative to expectations and where does even our coverage on that initial deal sit today well it's uh it's an appropriate question for today because today marks the one-year anniversary of us closing that deal so thank you for for that um i would say in in most cases, it is ahead of schedule. I'd say that importantly, the team that we inherited there were very pleased with the quality of that team and their openness and acceptance and adoption of of us and and becoming truly a care trust arm in in the UK and that that's important because all the success that we have throughout the organization is really based on the culture and the people that we have in the company and that's that's what's produced the results I thought if we could do in our in, you know, 2026, a couple hundred million dollars of new investments in the UK, that that would be that would be great. Remember when we acquired Care Reet, their pipeline was was basically starting from a standing start because they had a real restriction to access to capital before we acquired them. And so to see the amount of acquisitions that we've done and the pipeline continue to build as it has is really good. With respect to lease coverage, it continues to be phenomenally high, particularly when you think about what these assets are. These are really senior housing assets that in the United States, if you have a triple net business, back when we started 10, 11 years ago, when triple net work was still getting done, those lease coverages for senior housing would be about 1.1 times or somewhere around there. And we're much higher than that. I don't have it actually right in front of me, but it's closer to 1.75, 1.8 times, north of two times on an EBIT-DARM basis. So to have that type of security on senior housing properties is a really strong foundation from which to grow.

Understood. And then maybe going back to the debt discussion, with that investment grade rating from Moody's, what sort of rate do you think you could issue at today?

Yeah, I mean, thank you. I'd like to signal to all the investors exactly what it would be and give you hope. But no, we're probably looking at, if we're doing like a 10-year, probably looking at 130, 140 basis point spread there.

Great. Thanks for the time.

Thanks, Mike. your next question comes from wes galladay with baird please go ahead hey good morning everyone want to go back to that comment about the better cms outcomes and i imagine you know that's driven you know partly by the background helps you work with the operators but there's also probably a component of you know who a good operator is out the gate and so how transferable is that skill set to the U.K. and to U.S. shop?

Oh, the skill, I think, of identifying, vetting, and selecting quality operators is definitely transferable. Although I'm not sure that that skill set needs to be transferred to the team there because they evidently already had that skill set, as evidenced by the very strong lease coverage. and the quality operators that we were able to inherit. We're really pleased, by and large, with the operators that they selected there before we got there. And we feel like we're definitely in sync as we evaluate new operators for the UK. Thank you. Thanks, Wes.

Your next question comes from Vikram Milotra with Mizuho. please go ahead.

Hi, thank you. This is Jody on behalf of Vikram. So the new operator you have, the saleease-backed transaction, is there an opportunity to grow that relationship by the Genesis assets? And the second question I had is, what's your view on sustained double-digit fat growth here on? Thank you.

I'll take the first part of that, Jody. You know, the Genesis bankruptcy doesn't have much of any real estate in it really so i don't know if it's probably yet to be determined you know if we grow with that operator at all based on those assets i mean there's certainly nothing in the discussion at the current time so i think we'll definitely look to grow with them uh in other asset bases and other deals that we bring them or they bring us we really like them so uh we look forward to growing with them uh moving forward um but could you repeat the second half of your question you cut out a little uh yeah sorry about that uh i was just wondering what's your view on the sustained double digit fat growth here on i'll take that

one sterek i look i i think we're really really pleased and excited about both the progress we've made on an investment center integration as well as the outlook and i think that um you know as dave mentioned in the in the press release and i think in his prepared remarks we don't plan on slowing down. We're still extremely bullish about all three of our growth segments. And I think it's really just up to us to execute on that.

There are no further questions at this time. I will now turn the call back to Dave Sedgwick, CEO, for closing remarks.

Well, I just really appreciate everybody's time and questions and interest. Appreciate our board, our shareholders, especially our team here and the operators who make it all happen. So really appreciate it all. And if you have further questions, you know where to find us. Have a great weekend.

This concludes today's call. Thank you for attending. You may now disconnect.