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CareTrust Commits £1.1 Billion to 45 U.K. Care Homes in Major Senior Housing Expansion

CareTrust REIT has committed roughly £1.1 billion to acquire 45 U.K. care homes from LNT, closing an initial £576 million tranche and setting up a staged move into senior housing operations.

Modern residential building illustrating CareTrust REIT's expansion into UK care homes
Illustrative photo by Rebekah Litherland via Unsplash.

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Summary

CareTrust REIT has committed about £1.1 billion to acquire 45 new U.K. care homes from LNT, beginning with a £576 million first closing and a planned transition from triple-net leases into SHOP operations.

CareTrust REIT is making its largest move yet into the United Kingdom’s private-pay senior housing market, committing approximately £1.1 billion to acquire 45 newly built or developing care homes from LNT Care Developments in a transaction designed to shift the properties from leased assets into an operating portfolio over time.

According to CareTrust’s SEC-filed announcement, the first closing occurred Oct. 1 and covers 24 homes for approximately £576 million, or about $764 million using the company’s stated exchange rate. One of those completed and operating homes remains subject to regulatory approval expected in October. Another 21 homes under development are expected to be acquired for approximately £504 million as construction and regulatory approvals are completed on a rolling basis through 2027.

The scale matters. CareTrust’s investor presentation filed with the SEC says the 45 properties total 2,970 units. On a pro forma basis, the transaction would increase CareTrust’s portfolio from 530 properties and 50,003 beds or units to 575 properties and 52,973 beds or units.

Lease income first, operating exposure later

The structure is more complicated than a conventional real estate acquisition. The homes are, or will be, leased initially to subsidiaries of Crystal Care, LNT’s operating company, under triple-net leases. CareTrust says that arrangement is intended to provide contractual rental income while newly developed homes fill.

Once properties stabilize, CareTrust and LNT intend to move the homes into a RIDEA structure with Crystal Care, placing them within CareTrust’s senior housing operating portfolio, or SHOP. The first transition is expected by the fourth quarter of 2027, with individual properties generally expected to move into the operating structure two to four years after completion.

CareTrust projects the transaction will be accretive to normalized funds from operations per share during the lease-up period and underwrites an all-in pre-tax yield in the mid- to high-7% range in the first year of the SHOP phase. Those figures are company projections, not realized returns, and depend on lease-up, operating performance and execution of the planned transitions.

“These are brand new, purpose-built, private pay homes serving a market with a genuine shortage of modern care beds,” CareTrust Chief Investment Officer James Callister said in the company announcement.

A much larger U.K. operating platform

The investor materials show why CareTrust views the agreement as more than a collection of property purchases. LNT says it has built 140 care homes since the beginning of 2021 and has 132 additional sites in some stage of its development pipeline, excluding the 45 homes covered by this transaction. The company describes a vertically integrated model spanning site acquisition, design, construction, regulatory registration and operations.

CareTrust says the 45-home portfolio is entirely private pay and consists of modern facilities with en-suite wet rooms. The properties are spread across the U.K., with the largest concentrations in the South West, East Midlands and South East.

The deal would also materially alter CareTrust’s geographic and operating mix. Its presentation estimates that, after giving effect to the full transaction and conversion of all 45 homes into SHOP, the United Kingdom would represent roughly one-third of the company’s portfolio income mix, compared with 17% before the LNT transaction. Senior housing would rise to about 40% of the mix from 26%, according to the company’s pro forma analysis.

CareTrust also gets a path to LNT itself

A potentially consequential element sits beyond the 45 properties. LNT granted CareTrust an option to acquire the LNT platform in its entirety in the future. The companies said they are also exploring additional ways to work together. No acquisition of LNT itself has been announced, and the option should not be read as a completed or committed transaction.

The current deal is definitive, but much of its value will be realized in stages. Twenty-one homes still must be completed and receive regulatory approvals before their expected 2027 acquisitions, while the planned shift from triple-net leasing to SHOP depends on stabilization of the individual properties.

For CareTrust, that makes the transaction both a major real estate commitment and an operating bet: contractual lease income provides the bridge, but the longer-term thesis rests on occupancy, care-home economics and the company’s ability to turn a large pipeline of new U.K. properties into a scaled senior housing operating platform.

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