GBCSOTCReal Estate Investment TrustsUS GAAP · USD

Selectis Health, Inc.

Selectis Health, Inc. owns and operates long-term care facilities in the United States, with a portfolio concentrated in skilled nursing and related healthcare real estate. The company’s business combines facility ownership with healthcare service operations, including reimbursement-driven patient care at its operating sites.

Revenue41.4m USD
+4.9 %y/y
Operating profit (EBIT)-1.6m USD
+42.7 %y/y
EBIT margin-3.8%
+3.1 ppy/y
Net income-1.0m USD
+58.1 %y/y
Free cash flow1.4m USD
+177.3 %y/y

Fiscal year 2025 · change from previous year

Development 2020–2025

-200204060m USD2020: 21 m USD2020: EBIT 3.4 m USD20202021: 29 m USD2021: EBIT -0.73 m USD20212022: 41 m USD2022: EBIT -0.29 m USD20222023: 37 m USD2023: EBIT -9.0 m USD20232024: 39 m USD2024: EBIT -2.7 m USD20242025: 41 m USD2025: EBIT -1.6 m USD202541-1.6
RevenueOperating profit (EBIT)

Business

Share of revenue
Skilled nursing operations100 %

Patient care services delivered through owned and operated long-term care facilities.

Healthcare real estate0 %

Ownership of facilities and related property assets used for senior care operations.

Rental and leasing income0 %

Lease income from properties leased to third parties when applicable.

Products

Reported · share of revenue
99.8%FY2025100 %
  • Health Care99.8 %
  • Management Fee Revenue0.2 %

Source: 10-K FY2025, revenue the company reports per product line (SEC XBRL). Shares are of the lines shown and add up to 100 %.

Customers

The company serves patients who require skilled nursing, inpatient care, and long-term care services at its facilities. Payment is typically routed through third-party payers such as Medicare and Medicaid, with reimbursement terms shaping realized revenue. It also has exposure to operators or tenants where facilities are leased or transferred.

Skilled nursing patients

Residents and patients receiving inpatient and long-term care services at company facilities.

Medicare payers

Federal healthcare reimbursement for eligible inpatient and outpatient services.

Medicaid payers

State and managed-care reimbursement for covered nursing and care services.

Facility operators and tenants

Counterparties that lease or operate properties and generate rental or transfer-related economics.

Strategy

The company’s stated priorities center on stabilizing operations, increasing revenue, and reducing costs while maintaining access to financing. It also appears focused on portfolio simplification and asset actions, including facility sales, to align the business with available capital and operating capacity.

Improve operating revenueShort term

Higher reimbursement and better facility utilization support the core care business.

Portfolio rationalizationShort term

Selling non-core or lower-value facilities can simplify the asset base and free capital.

Liquidity and financing accessShort term

The business depends on external capital to support operations and obligations.

Geography

Selectis Health’s facilities are located in the United States, with operating sites in Arkansas, Georgia, Ohio, and Oklahoma. Its portfolio is concentrated in a small number of states, so reimbursement rules, labor conditions, and state Medicaid rates can materially affect operations and revenue.

Risks

Selectis Health faces going-concern, liquidity, and reimbursement risk because its operations depend on government payer rates and access to external financing. It is also exposed to occupancy, labor, regulatory, and operator/tenant risks typical of skilled nursing and healthcare real estate businesses.

Sorted by severity
Going-concern and liquidity riskCritical

The company disclosed substantial doubt about its ability to continue without additional funding.

Exposure: Operations and debt service depend on external capital

Government reimbursement riskHigh

A large share of revenue depends on Medicare and Medicaid rates and settlement processes.

Exposure: Healthcare revenue at Georgia and Oklahoma facilities

Occupancy and utilization riskHigh

Skilled nursing economics depend on census, length of stay, and facility utilization.

Exposure: Owned and operated long-term care facilities

Regulatory and compliance riskHigh

Healthcare facilities are subject to state and federal rules affecting operations and payments.

Exposure: Medicare/Medicaid participation and facility licensing

Operating cost inflationMedium

Property, insurance, labor, and other operating costs can rise faster than reimbursement.

Exposure: Facility-level margins and cash flow

Accounting

Judgemental items
ASC 606 healthcare revenue estimation

Revenue is recorded net of estimated allowances and depends on expected reimbursement from payers.

Impact: Can shift reported revenue and receivables as estimates are updated

Contractual allowances and payer mix

Managed care, Medicare, and Medicaid reimbursement terms require monthly estimation.

Impact: Affects net revenue and comparability across periods

Cost report settlements

Government program reimbursements are adjusted after filings and final settlements.

Impact: Can create later-period revenue or expense adjustments

Property and equipment depreciation

Facility assets are capital intensive and depreciated over long lives.

Impact: Influences operating results and asset carrying values

Credit loss allowance

Patient and payer receivables require estimation of uncollectible amounts.

Impact: Affects bad debt expense and net realizable receivables

Publicly listed companies with a comparable business focus.

Last updated: 24/09/2026