Sabra Health Care REIT, Inc.
Sabra Health Care REIT, Inc. is a U.S.-based healthcare real estate investment trust that owns and invests in properties serving the healthcare industry. Its portfolio includes skilled nursing and transitional care facilities, senior housing communities, behavioral health facilities, specialty hospitals, and related healthcare real estate in the United States and Canada.
Fiscal year 2025 · change from previous year
Development 2020–2025
Business
Share of revenueHealthcare facilities leased to third-party operators under long-term arrangements.
Senior housing communities operated by third-party property managers.
Facilities serving post-acute and long-term care residents.
Behavioral health facilities, specialty hospitals, and related assets.
Structured investments and equity interests in healthcare real estate.
Customers
Sabra’s customers are the healthcare operators, property managers, and development partners that use its real estate platform to access facilities and capital. The end users of the properties are typically seniors, post-acute patients, behavioral health patients, and other healthcare residents, but Sabra’s direct counterparties are the operators and tenants that pay rent or management fees. Its business depends on operators with stable occupancy, reimbursement support, and access to labor and working capital.
Lease skilled nursing, senior housing, behavioral health, and specialty hospital assets and pay rent under property agreements.
Operate senior housing communities under management contracts and generate fees tied to occupancy and operations.
Partner on new healthcare developments, renovations, and structured investments.
Use loans receivable and preferred equity capital for healthcare real estate financing.
Strategy
Sabra’s strategy is to grow and diversify its healthcare real estate portfolio across tenant types, facility types, and geography. It seeks to do this through direct and indirect investments, select development opportunities, asset sales, and structured capital investments such as loans, preferred equity, and joint ventures.
Reduces dependence on any single operator, facility type, or market.
Creates purpose-built facilities and refreshes less competitive assets.
Adds flexibility beyond pure property ownership and leasing.
Geography
Sabra’s portfolio is concentrated in the United States and Canada, with properties spread across both countries rather than tied to a single local market. This geographic mix matters because healthcare reimbursement, labor availability, regulation, and property demand can differ materially by jurisdiction. The company’s revenue exposure is therefore driven more by operator performance and healthcare policy than by a single national market.
Risks
Sabra is exposed to operator credit risk, reimbursement pressure, and occupancy volatility because its cash flows depend on healthcare tenants and managers. The company also faces sector-specific risks from labor shortages, regulation, litigation, cybersecurity, and pandemic-related disruptions, all of which can affect facility performance and tenant solvency.
- Operator and tenant credit riskImpact: HighLikelihood: High
Sabra depends on third-party operators to pay rent and manage facilities.
Exposure - Skilled nursing reimbursement riskImpact: HighLikelihood: Medium
A meaningful portion of revenue is tied directly or indirectly to skilled nursing facilities, which depend on Medicare/Medicaid reimbursement.
Exposure: Skilled nursing/transitional care facilities
- Senior housing operating riskImpact: MediumLikelihood: High
Managed communities are exposed to occupancy, private-pay rates, staffing, and local competition.
Exposure: Senior Housing - Managed
- Pandemic and public health disruptionImpact: MediumLikelihood: High
Healthcare facilities can face sudden occupancy, staffing, and operating shocks during outbreaks.
Exposure: Senior housing and post-acute care assets
- Cybersecurity riskImpact: MediumLikelihood: Low
A breach could disrupt systems, expose sensitive information, or impair tenant/operator relationships.
Exposure: Corporate systems and third-party vendors
Accounting
Judgemental itemsThese non-GAAP measures adjust for depreciation, impairments, and other non-cash items that are central to REIT analysis.
Impact: Helps investors assess recurring cash generation from healthcare properties
Management must test properties for recoverability when operator performance or market conditions weaken.
Impact: Can create volatile charges and signal asset-level stress
Loans receivable and structured investments require judgment on expected credit losses.
Impact: Affects earnings and balance-sheet carrying values
Straight-line rent, non-cash revenue, and non-cash interest can differ from cash receipts and payments.
Impact: Important for comparing GAAP results with cash flow
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Last updated: 24/09/2026