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    SBRA
    Earnings call· Jun 2026(Q2 FY26)

    Sabra Health Care REIT Q2 FY26 earnings call SBRA

    Aug 4, 2026 Source

    Executive summary

    Sabra Healthcare REIT Q2 FY26 — Strong SHOP Performance and Strategic Investments Drive Growth

    Sabra Healthcare REIT delivered a strong Q2 FY26, marked by robust growth in its managed senior housing portfolio and strategic investment activity. The company significantly improved its leverage profile and reaffirmed its full-year earnings guidance, driven by operational improvements and a healthy acquisition pipeline. Management continues to focus on growing its SHOP exposure and selectively pursuing value-add opportunities with existing partners.

    Highlights

    5
    • Nearly $600 million in investments closed year-to-date, with an additional $100 million awarded and expected to close prior to year-end.

    • Same-store managed senior housing cash NOI grew 13.7% year-over-year.

    • Net debt to adjusted EBITDA ratio improved to 4.61x as of June 30, 2026, from 5.04x at March 31, 2026.

    • Normalized FFO per share increased 3% year-over-year to $0.38, and normalized AFFO per share increased 5% year-over-year to $0.40.

    • Total managed senior housing portfolio achieved sequential revenue growth of 9.6% and cash NOI growth of 14.4%, with margin expansion of 130 basis points.

    Concerns

    3
    • Triple-net senior housing experienced a drop in occupancy and coverage due to the transition of a high-performing asset to SHOP.

    • A $102.4 million provision for loan losses was recorded, primarily related to the discounted payoff of the RCA mortgage loan.

    • Interest and other income decreased to $5.8 million for the quarter, down from $10 million in the prior quarter.

    Guidance & targets

    5
    CategoryTargetConfidence
    Full-year 2026 Normalized FFO per share
    $1.50 - $1.54
    high materiality
    High
    Full-year 2026 Normalized AFFO per share
    $1.58 - $1.62
    high materiality
    High
    Full-year 2026 Same-store SHOP NOI growth
    low to mid-teens
    high materiality
    High
    Medicaid rates
    around 2%
    medium materiality
    High
    Medicare market basket
    2.4%
    medium materiality
    High

    Segment performance

    7
    SegmentRevenueYoYQoQMargin
    Managed Senior Housing (Total Portfolio)
    Includes non-stabilized communities and joint venture assets at share. Demonstrates sequential improvement in operating results.
    Cash NOI growth: 14.4% QoQMargin expansion: 130 bps QoQ
    9.6%
    Managed Senior Housing (Same-Store Portfolio)
    Includes joint venture assets at share. Continued strong performance.
    Occupancy: 88.2% (up 170 bps YoY)RevPOR increase: 6.6% YoYExpPOR increase: 4.1% YoYCash NOI growth: 13.7% YoY
    8.6%
    Managed Senior Housing (Same-Store, Domestic Portfolio)
    Part of the overall same-store managed senior housing performance.
    Occupancy increase: 170 bps YoY to 85.7%
    Managed Senior Housing (Same-Store, Canadian Portfolio)
    Marked the ninth consecutive quarter where occupancy was over 90%.
    Occupancy increase: 160 bps YoY to 93.2%RevPOR increase: 5.9% YoY
    7.8%
    Triple-Net Portfolio
    Cash rental income for the quarter, compared to $89.8 million in Q1. Includes benefits from Avamere rent reset and other portfolio initiatives.
    $94.1M4.8%
    Triple-Net Skilled Portfolio
    Showed increased rent coverage.
    Rent coverage: Increased
    Triple-Net Senior Housing
    Drop specifically due to the transition of a high-performing asset from triple net to SHOP. Without this, results would have been strong and flat.
    Occupancy: DroppedCoverage: Dropped

    Operational metrics

    33
    Normalized FFO per share
    $0.383% YoY
    Q2 FY26

    Compared to $0.38 in Q1 FY26.

    Normalized AFFO per share
    $0.405% YoY
    Q2 FY26

    Compared to $0.39 in Q1 FY26.

    Total cash NOI
    $144.3Mvs $138.7M QoQ
    Q2 FY26

    Sequential improvement of $5.6 million, primary driver of sequential normalized AFFO per share growth.

    Cash NOI from Managed Senior Housing
    $44.6Mvs $39M QoQ
    Q2 FY26

    Increase reflects contribution from recent investment activity and continued occupancy gains, rate growth, and margin expansion.

    Cash rental income from Triple Net Portfolio (Avamere)
    $48Mvs $41M in 2025
    Annualized

    Result of exercising option to reset rent under lease with Avamere.

    Cash rental income from Triple Net Portfolio (Avamere post-transition)
    $53Mvs $48M current
    Annualized

    Expected after the transition to Cascadia closes.

    Cash rental income from Triple Net Portfolio (other initiatives)
    $1.6M
    Q2 FY26

    Increase from several smaller portfolio initiatives, including rent resets, lease amendments, and lease extensions.

    Interest and other income
    $5.8Mvs $10M QoQ
    Q2 FY26

    Decrease primarily due to reduced interest income from discounted payoff of RCA mortgage loan.

    Cash interest expense
    $27.4Mvs $26M QoQ
    Q2 FY26

    Increase reflects higher borrowings under credit facility to fund completed investment activity.

    Normalized cash G&A
    $10.7Mvs $11M QoQ
    Q2 FY26

    Modest decrease due to incurred expenses in Q1 related to operator conference, partially offset by increased performance-based compensation.

    Provision for loan losses and other reserves
    $102.4M
    Q2 FY26

    Primarily related to discounted payoff of RCA mortgage loan; excluded from normalized quarterly results.

    Recovery of straight-line rent receivable and lease intangibles
    $3.1M
    Q2 FY26

    Result of moving two tenants from cash basis to accrual basis accounting, reflecting continued strengthening of operators' performance.

    Write-off of straight-line rent receivable
    $1.3M
    Q2 FY26

    Related to a triple net senior housing facility transitioned to managed senior housing portfolio; normalized in quarterly results.

    Net debt to adjusted EBITDA
    4.61xvs 5.04x at March 31, 2026
    as of June 30, 2026

    Meaningful improvement due to RCA mortgage loan payoff and continued earnings growth; positions company comfortably below 5x target.

    Total liquidity
    $1.3B
    as of June 30, 2026

    Company in compliance with all debt covenants.

    ATM program shares sold
    921,000
    Q2 FY26

    Utilized forward feature of ATM program.

    Shares remaining outstanding under forward sale agreements
    21.4M
    as of June 30, 2026

    Part of ATM program.

    Availability remaining under ATM program
    $334.1M
    as of June 30, 2026

    Used to efficiently fund future investment activity and preserve balance sheet flexibility.

    Quarterly cash dividend
    $0.30
    Q2 FY26

    Declared by Board of Directors on August 3, 2026.

    Dividend payout ratio
    75%
    Q2 FY26

    Dividend is well covered.

    Investment volume closed (Q2 FY26)
    $274.1M
    Q2 FY26

    Added to Sabra's managed senior housing portfolio.

    Investment volume closed (subsequent to Q2 FY26)
    $223M
    Subsequent to Q2 FY26

    Brings total year-to-date investments to roughly $599 million.

    Total year-to-date investments
    $599M
    YTD

    As of August 4, 2026.

    Managed senior housing assets added
    2124% increase
    YoY

    By number of assets.

    Managed senior housing NOI increase
    76%
    YoY

    Total managed senior housing NOI.

    Value-add properties occupancy
    80%
    Current

    For value-add opportunities being pursued.

    Value-add properties expected year one yield
    6%
    Year one

    For value-add opportunities being pursued.

    Value-add properties stabilized yields
    9%
    Stabilized

    For value-add opportunities being pursued.

    Value-add properties IRRs
    mid-teens
    Stabilized

    For value-add opportunities being pursued.

    Value-add properties average age
    5
    Current

    For value-add opportunities being pursued.

    Value-add properties units
    713
    Current

    Across six value-add properties.

    Replacement cost per unit (range)
    mid-$200 to $500
    Current

    Acquisition cost per unit, compared to $400-$600+ for new construction.

    Replacement cost per unit (average)
    ~$300+
    Current

    Average acquisition cost per unit.

    Industry KPIs

    9
    MetricValueDetails
    Exppor growth4.1%%
    Revpor growth6.6%%
    Coverage ratios
    Senior housing occupancy88.2%%
    Revpor minus exppor spread
    Operator tenant concentration
    Same store noi growth by segment13.7%%
    Private funds management platform
    Investment volume and sourcing mix$599MUSD

    Orderbook & backlog

    2
    Awarded managed senior housing and skilled nursing investments$100MQ2 FY26

    Expected to close prior to year-end.

    Managed senior housing investments actively pursuing$330MQ2 FY26

    Actively pursuing, part of a pipeline exceeding $1 billion.

    Deals & partnerships

    4
    AvamereLease reset and transition of properties to Cascadia

    Option exercised to reset rent. Transition is cooperative and planned, with Cascadia having a track record of turning around similar assets.

    CommuniCareSale of properties

    Sale announced last quarter.

    RCADiscounted payoff of mortgage loan

    Discussed in July 21 business update. Improved balance sheet leverage.

    Signature BehavioralPotential buyout of psych hospital assets

    Signature Behavioral has been a reliable tenant for nine years and is interested in taking Sabra out of these assets. Sabra would be open to a compelling offer.

    Risks & headwinds

    4
    Provision for loan lossesQ2 FY26

    $102.4M

    Mitigation: Primarily related to the discounted payoff of the RCA mortgage loan, which is now behind the company, improving the balance sheet.

    Decrease in interest and other incomeQ2 FY26

    $4.2M sequential decrease (from $10M to $5.8M)

    Mitigation: Primarily due to the discounted payoff of the RCA mortgage loan, which is now resolved.

    Triple-net senior housing occupancy and coverage dropQ2 FY26

    Drop in occupancy and coverage

    Mitigation: Attributed specifically to the transition of a high-performing asset from triple net to SHOP; results would have been flat without this transition, implying a temporary and specific impact.

    ExPOR growth spikeQ2 FY26

    4.1% YoY increase in ExpPOR

    Mitigation: Attributed to a mix of factors including choppiness in repairs and maintenance and increases in incentive management fees (which indicate strong operator performance). Management expects ExpPOR growth to return to the 2% range in the next couple of quarters.

    What to watch in Q3 FY26

    5

    Same-store SHOP NOI growth

    Next quarter (Q3 FY26)
    Current14.1% (H1 average)
    TargetLow to mid-teens (reaffirmed guidance)

    Why it matters

    This is a core organic growth driver for the company, and management will revisit its full-year guidance with more visibility.

    in terms of our SHOP guidance, we've reaffirmed that low to mid-teens growth rate that we put out earlier this year. As you noted, we've been right firmly within that range. And we continue to see opportunities for upside in that portfolio, but also at the same time, want to preserve that flexibility with how the rest of the year pans out. As we get further into the year and we have more visibility on what the second half is going to hold for us, it's something that we'll revisit.

    Q&A highlights

    6

    How is management feeling about the low to mid-teens same-store SHOP guidance given H1 performance and peak leasing season?

    Management reaffirmed the low to mid-teens guidance, noting opportunities for upside but preferring to preserve flexibility. They will revisit the guidance later in the year with more visibility.

    in terms of our SHOP guidance, we've reaffirmed that low to mid-teens growth rate that we put out earlier this year. As you noted, we've been right firmly within that range. And we continue to see opportunities for upside in that portfolio, but also at the same time, want to preserve that flexibility with how the rest of the year pans out.

    asked by Farrell Granath · answered by Rick Matros

    2 min read6 chapters

    Detailed Narrative

    01

    Investment Activity & Pipeline

    Sabra closed $274.1 million in investments during Q2 FY26, including four managed senior housing properties and three skilled nursing communities. An additional $223 million was invested subsequent to quarter-end, bringing total year-to-date investments to $599 million at an estimated initial cash yield of 7.5%. The company has another $100 million of awarded managed senior housing and skilled nursing investments expected to close prior to year-end, and is actively pursuing $330 million in additional managed senior housing investments. The overall pipeline under review exceeds $1 billion, predominantly focused on SHOP assets.

    02

    Managed Senior Housing Performance

    The total managed senior housing portfolio demonstrated strong sequential growth, with revenue up 9.6% and cash NOI up 14.4%, leading to a 130 basis point margin expansion. The same-store managed senior housing portfolio saw revenue growth of 8.6% year-over-year, with occupancy increasing 170 basis points to 88.2%. RevPOR rose 6.6% year-over-year, while ExpPOR increased 4.1%, contributing to a 13.7% year-over-year cash NOI growth. The Canadian portfolio notably maintained over 90% occupancy for the ninth consecutive quarter.

    03

    Triple-Net Portfolio & Proactive Management

    The triple-net portfolio generated $94.1 million in cash rental income for the quarter. Sabra exercised an option to reset the rent with Avamere, increasing the annualized fixed cash rent to $48 million from $41 million in 2025, which added $3.2 million in rental revenue during Q2 (including $1.6 million of out-of-period📎 revenues). An additional $1.6 million increase in cash rental income resulted from other portfolio initiatives like rent resets, lease amendments, and extensions, highlighting the benefits of diligent portfolio management.

    04

    Balance Sheet & Liquidity Improvement

    Sabra significantly improved its leverage profile, with the net debt to adjusted EBITDA ratio decreasing to 4.61x as of June 30, 2026, from 5.04x at March 31, 2026, comfortably below its previous target of 5x. The company maintained strong liquidity, ending the quarter with approximately $1.3 billion, comprising $231.6 million in unrestricted cash and cash equivalents, $682.5 million of available borrowings under its credit facility, and $411.8 million related to shares outstanding under forward sale agreements from its ATM program.

    05

    Value-Add Investment Strategy

    Sabra is strategically pursuing value-add opportunities within its SHOP pipeline, focusing on properties with approximately 80% occupancy. These opportunities, often with existing operator relationships, are expected to stabilize at around 9% yields and generate mid-teen IRRs, purchased well below replacement cost. Management emphasizes that these are not high-risk turnarounds but rather assets with a clear path to improved stability, leveraging proven operator capabilities.

    06

    G&A and Operational Efficiency

    Normalized cash G&A for the quarter was $10.7 million, a modest decrease from the prior quarter. The company is actively investing in technology and AI initiatives to enhance efficiency and scalability across the organization, including investments, asset management, accounting, and finance. These efforts are expected to enable Sabra to manage growth with a more scalable platform, reducing the need for a proportional increase in headcount.

    AI-generated summary of the company’s earnings call. Not investment advice.