Community Healthcare Trust

To own outpatient healthcare properties by becoming the indispensable real estate partner for providers in non-urban markets.

Community Healthcare Trust SWOT Analysis

Updated: October 4, 2025 • 2025-Q4 Analysis

How to Use This Analysis

This analysis for Community Healthcare Trust was created using Alignment.io™ methodology - a proven strategic planning system trusted in over 75,000 strategic planning projects. We've designed it as a helpful companion for your team's strategic process, leveraging leading AI models to analyze publicly available data.

While this represents what AI sees from public data, you know your company's true reality. That's why we recommend using Alignment.io and The System of Alignment™ to conduct your strategic planning—using these AI-generated insights as inspiration and reference points to blend with your team's invaluable knowledge.

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The Community Healthcare Trust SWOT analysis reveals a well-run operator excelling in a specific niche. Its core strengths—high occupancy, triple-net leases, and a diversified non-urban portfolio—provide a stable foundation. However, this stability is challenged by its smaller scale, which impacts capital access, and a leverage level that requires careful management. The primary strategic imperative is to leverage its relationship-driven deal pipeline to solidify its leadership in the fragmented non-urban market. This must be balanced with disciplined capital management to navigate the high-interest-rate environment. The key to unlocking its vision is to scale prudently, deepening tenant partnerships while protecting the balance sheet from external shocks. The company's future success depends on converting its unique market position into durable, scalable growth before larger competitors encroach on its turf.

Physicians Realty Trust Global Medical REIT Healthcare Realty Trust Ventas Welltower

No past cycles

Mission & Vision SWOT Analysis OKR Plan Retrospective AI Strategy Data Acquisition

To own outpatient healthcare properties by becoming the indispensable real estate partner for providers in non-urban markets.

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Strengths

OCCUPANCY: Industry-leading 97.5% portfolio occupancy ensures cash flow.
LEASES: Long-term, triple-net lease structure insulates from op-ex.
NICHE: Focus on non-urban markets with less competition, higher yields.
DIVERSIFICATION: Portfolio spread across 34 states and 60+ operators.
PIPELINE: Strong off-market deal flow from established relationships.

Weaknesses

SCALE: Smaller market cap ($700M) limits access to cheaper institutional capital.
LEVERAGE: Net Debt to EBITDA of ~5.5x, nearing upper end of target range.
TENANT CONCENTRATION: Top tenants represent a notable portion of revenue.
G&A: General & Administrative costs are high as a percentage of revenue.
LIQUIDITY: Lower daily trading volume compared to larger REIT peers.

Opportunities

DEMAND: Aging US population creates secular tailwind for healthcare svcs.
OUTPATIENT SHIFT: Procedures moving from hospitals to cheaper facilities.
FRAGMENTATION: ~$350B market is highly fragmented, ripe for consolidation.
RELATIONSHIPS: Deepen ties with existing tenants to fund their expansions.
CAPITAL RECYCLING: Sell stabilized assets to fund higher-yield acquisitions.

Threats

INTEREST RATES: Higher borrowing costs compress investment spreads on deals.
TENANT RISK: Financial distress of a key hospital system could impact rent.
COMPETITION: Private equity and larger REITs seeking yield in our markets.
REGULATORY: Changes to Stark Law or reimbursement could alter landscape.
INFLATION: Persistent inflation could outpace contractual rent escalators.

Key Priorities

PIPELINE: Capitalize on relationship-driven pipeline in a tight market.
BALANCE SHEET: Proactively manage leverage to ensure access to growth capital.
OPERATIONS: Deepen relationships with top tenants to secure long-term value.
MARKET: Solidify non-urban leadership before new competitors gain a foothold.

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Community Healthcare Trust OKR

Updated: October 4, 2025 • 2025-Q4 Analysis

This Community Healthcare Trust OKR plan is a masterclass in focus and alignment. It directly translates the SWOT's strategic imperatives into actionable, measurable goals. 'DOMINATE OUR NICHE' and 'EXPAND PARTNERSHIPS' rightly prioritize leveraging CHT's core strength—its relationships—for growth. 'FORTIFY FINANCES' provides the crucial guardrails, ensuring this growth is sustainable in a volatile macro environment. Finally, 'ACCELERATE INSIGHT' is the forward-looking objective that builds a future moat through technology and data. This plan is not just a list of tasks; it's a clear, compelling narrative for how CHT will win its category by sharpening its existing advantages while building the capabilities needed for the next phase of growth.

Physicians Realty Trust Global Medical REIT Healthcare Realty Trust Ventas Welltower

No past cycles

Mission & Vision SWOT Analysis OKR Plan Retrospective AI Strategy Data Acquisition

To own outpatient healthcare properties by becoming the indispensable real estate partner for providers in non-urban markets.

DOMINATE OUR NICHE

Become the undisputed leader in non-urban healthcare RE.

PIPELINE: Source over 50% of new acquisitions through direct, off-market channels to improve investment spreads.
FOOTPRINT: Enter three new, high-growth non-urban markets identified by our proprietary demographic analysis.
MARKETING: Launch a targeted campaign to increase inbound inquiries from regional health systems by 25%.
BRAND: Secure a keynote speaking slot at a major healthcare real estate conference to elevate our market presence.

FORTIFY FINANCES

Build an impenetrable balance sheet for opportunistic growth.

LEVERAGE: Reduce Net Debt to Adjusted EBITDA ratio to below 5.25x through disciplined capital allocation.
COST OF CAPITAL: Execute a new financing or refinance existing debt to reduce weighted average interest rate by 25 bps.
G&A: Implement new software and process efficiencies to reduce G&A as a percentage of revenue by 10%.
DIVIDEND: Maintain a sector-leading dividend coverage ratio (AFFO Payout Ratio) below 90% to ensure sustainability.

EXPAND PARTNERSHIPS

Evolve from a landlord to an indispensable strategic partner.

TENANT ENGAGEMENT: Conduct strategic review meetings with 80% of our top 10 tenants to map their growth needs.
FOLLOW-ON: Generate 20% of new investment volume from expansion projects with existing tenant partners.
RISK-MONITORING: Deploy an AI-based tool to proactively monitor tenant financial health, reducing default risk.
SATISFACTION: Achieve a 10% improvement in tenant satisfaction scores through proactive asset management.

ACCELERATE INSIGHT

Leverage data and AI to make faster, smarter decisions.

SOURCING: Implement an AI-powered data analytics platform to screen and rank 100% of potential target markets.
UNDERWRITING: Reduce the average time from Letter of Intent to closing by 15% through process automation.
DATA-PLATFORM: Consolidate 90% of portfolio data into a single data warehouse for enhanced business intelligence.
REPORTING: Automate the generation of quarterly asset management reports, saving 40 hours of manual work.

METRICS

Normalized FFO Per Share Growth: 5-7% Annually
Portfolio Occupancy Rate: >97%
Net Acquisition Volume: >$100M Annually

VALUES

Integrity
Discipline
Partnership
Long-Term Value

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Community Healthcare Trust Retrospective

AI-Powered Insights

Claude

Gemini

GPT

Community Healthcare Trust Q3 2024 10-Q Report
Community Healthcare Trust Investor Relations Website
Community Healthcare Trust Latest Investor Presentation
Public financial data from Yahoo Finance and Seeking Alpha
NAREIT industry reports on healthcare real estate trends

Physicians Realty Trust Global Medical REIT Healthcare Realty Trust Ventas Welltower

No past cycles

Mission & Vision SWOT Analysis OKR Plan Retrospective AI Strategy Data Acquisition

To own outpatient healthcare properties by becoming the indispensable real estate partner for providers in non-urban markets.

Toggle Theme

What Went Well

ACQUISITIONS: Closed several accretive acquisitions despite market conditions.
OCCUPANCY: Maintained portfolio occupancy at a high level of 97.5%.
LEASING: Executed lease renewals with favorable rent escalators.
FFO GROWTH: Delivered consistent growth in Normalized FFO per share.
BALANCE SHEET: Successfully managed debt maturities and maintained liquidity.

Not So Well

G&A EXPENSE: G&A as a percentage of revenue remains elevated.
DEAL VOLUME: Acquisition volume slowed compared to prior years due to rates.
STOCK PERFORMANCE: Share price has underperformed the broader REIT index.
INVESTOR COMMUNICATION: Market seems to misunderstand the non-urban strategy.
CAPITAL COST: Increased cost of both debt and equity capital.

Learnings

RELATIONSHIPS: Our direct relationships are our biggest moat in a tight market.
DISCIPLINE: Sticking to underwriting discipline is key in volatile times.
SCALE MATTERS: Achieving greater scale is crucial for G&A efficiency.
COMMUNICATION: Must better articulate our unique value proposition to investors.
FLEXIBILITY: A flexible balance sheet is paramount when capital is tight.

Action Items

PIPELINE: Double down on relationship sourcing to find off-market deals.
COSTS: Identify specific areas for G&A reduction without impacting growth.
INVESTOR RELATIONS: Launch a targeted IR campaign on the non-urban thesis.
CAPITAL: Explore creative financing structures and potential asset sales.
TENANTS: Proactively engage with top tenants on their future space needs.

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Organization	SWOT Analysis	OKR Plan	Top 6	Retrospective

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Community Healthcare Trust Market

AI-Powered Insights

Claude

Gemini

GPT

Community Healthcare Trust Q3 2024 10-Q Report
Community Healthcare Trust Investor Relations Website
Community Healthcare Trust Latest Investor Presentation
Public financial data from Yahoo Finance and Seeking Alpha
NAREIT industry reports on healthcare real estate trends

Founded: 2014 (IPO in 2015)
Market Share: <1% of the fragmented healthcare real estate market.
Customer Base: Hospitals, physician groups, healthcare systems, specialized providers.
Category:
Healthcare REIT
SIC Code: 6798 Real Estate Investment Trusts
NAICS Code: 525930 Finance and InsuranceT
Location: Franklin, Tennessee
Zip Code: 37067
Congressional District: TN-7 NASHVILLE
Employees: 22

Competitors

Physicians Realty Trust Request Analysis

Global Medical REIT Request Analysis

Healthcare Realty Trust Request Analysis

Ventas Request Analysis

Welltower View Analysis

Products & Services

No products or services data available

Distribution Channels

Community Healthcare Trust Business Model Analysis

AI-Powered Insights

Claude

Gemini

GPT

Community Healthcare Trust Q3 2024 10-Q Report
Community Healthcare Trust Investor Relations Website
Community Healthcare Trust Latest Investor Presentation
Public financial data from Yahoo Finance and Seeking Alpha
NAREIT industry reports on healthcare real estate trends

Problem

Providers need capital for growth/operations.
Providers lack real estate management focus.
Aging facilities require modernization.

Solution

Sale-leaseback transactions to unlock capital.
Long-term, triple-net lease management.
Funding for expansions and improvements.

Key Metrics

Normalized FFO per share
Portfolio Occupancy Rate
Net Investment Activity

Unique

Singular focus on non-urban markets.
Relationship-based, off-market deal sourcing.
Flexible and responsive small-cap structure.

Advantage

Deep expertise in secondary/tertiary markets.
C-suite relationships with regional providers.
Reputation as a reliable transaction partner.

Channels

Direct outreach to healthcare systems.
National and regional brokerage networks.
Industry conferences and events.

Customer Segments

Regional non-profit hospital systems.
Multi-state physician practice groups.
Specialized healthcare service providers.

Costs

Property acquisition costs.
Interest expense on debt.
General and administrative (G&A) expenses.

Community Healthcare Trust Product Market Fit Analysis

Updated: October 4, 2025

Community Healthcare Trust provides critical growth capital to healthcare providers in non-urban markets by acquiring their real estate. This allows them to invest in patient care and expand services, not manage buildings. It's a partnership that funds the future of community healthcare, delivering stable returns for investors and better facilities for patients, creating a win-win for all stakeholders involved.

Unlock capital from your real estate assets.

Provide modern facilities to improve patient care.

Be a long-term partner for your growth.

Before State

Providers burdened by real estate ownership
Limited capital for core medical operations
Inadequate or outdated clinical facilities

After State

Capital unlocked via sale-leaseback deals
Focus 100% on healthcare delivery
Modern, purpose-built medical facilities

Negative Impacts

Capital tied up in non-core assets
Distraction from patient care delivery
Inability to expand services or modernize

Positive Outcomes

Improved balance sheets and liquidity
Enhanced operational efficiency and growth
Better patient experience and outcomes

Key Metrics

Occupancy Rate

97.5%

Net Promoter Score (NPS)

Estimated 50-60 (B2B Tenant Focus)

User Growth Rate

8.5% YoY revenue growth

Customer Feedback/Reviews

N/A, B2B focus on tenant relationships

Repeat Purchase Rates

High tenant retention; new deals via relationships

Requirements

Access to reliable, long-term capital
Expertise in healthcare real estate
A trustworthy real estate partner

Why Community Healthcare Trust

Provide capital through property acquisition
Manage properties with long-term leases
Fund improvements and facility expansions

Community Healthcare Trust Competitive Advantage

Focus on non-urban markets ignored by others
Deep relationships with regional providers
Flexible, fast, and reliable transaction execution

Proof Points

Portfolio growth from 0 to 190+ properties
Consistent high occupancy rates above 97%
Track record of accretive acquisitions

Community Healthcare Trust Market Positioning

AI-Powered Insights

Claude

Gemini

GPT

Community Healthcare Trust Q3 2024 10-Q Report
Community Healthcare Trust Investor Relations Website
Community Healthcare Trust Latest Investor Presentation
Public financial data from Yahoo Finance and Seeking Alpha
NAREIT industry reports on healthcare real estate trends

Strategic pillars derived from our vision-focused SWOT analysis

Acquire high-quality assets in non-urban markets.

Build deep, long-term relationships with tenants.

Execute accretive acquisitions with prudent leverage.

Maintain balance by geography, asset type, and tenant.

What You Do

Acquire and manage outpatient healthcare facilities.

Target Market

Healthcare providers in non-urban US markets.

Differentiation

Exclusive focus on non-urban, non-MSA markets
Relationship-based sourcing and direct leases

Revenue Streams

Triple-net lease rental income
Annual rent escalators

Community Healthcare Trust Operations and Technology

AI-Powered Insights

Claude

Gemini

GPT

Community Healthcare Trust Q3 2024 10-Q Report
Community Healthcare Trust Investor Relations Website
Community Healthcare Trust Latest Investor Presentation
Public financial data from Yahoo Finance and Seeking Alpha
NAREIT industry reports on healthcare real estate trends

Company Operations

Organizational Structure: Lean, centralized executive team with functional departments.
Supply Chain: Real estate brokers, healthcare operators, construction contractors.
Tech Patents: No significant patents; focus on proprietary deal sourcing methods.
Website: https://www.chct.reit/

Top Clients

Board Members

Community Healthcare Trust Competitive Forces

Threat of New Entry

MODERATE: Capital requirements are high, but not prohibitive. The main barrier is building the relationships and expertise to source deals effectively.

Supplier Power

LOW: CHT is the supplier of capital and space. The 'suppliers' (property sellers) are fragmented, giving CHT negotiating leverage.

Buyer Power

MODERATE: Tenants (buyers of space) have some power due to the importance of their operations, but high switching costs for medical facilities limit it.

Threat of Substitution

LOW: Telehealth is a supplement, not a substitute. The need for physical outpatient healthcare facilities remains fundamentally strong.

Competitive Rivalry

MODERATE: Fragmented market but growing interest from private equity and larger REITs in non-urban assets is increasing competition for deals.

Analysis of AI Strategy

Updated: October 4, 2025 • 2025-Q4 Analysis

The Community Healthcare Trust AI SWOT analysis highlights a classic dilemma for a niche leader: a valuable, proprietary dataset but limited resources for exploitation. The company's strengths lie in its focused data and agile leadership. However, significant weaknesses in talent, systems, and budget prevent in-house development. The most potent opportunities are clearly in deal sourcing and risk management—using AI to find the next non-urban growth area and predict tenant financial health. The primary threat is not an AI apocalypse, but simply being outmaneuvered by larger, tech-enabled competitors. The strategic path is clear: pursue AI through targeted, cost-effective partnerships. Focus on tools that augment the existing relationship-based model, sharpening the company's core advantage rather than attempting to build a new one from scratch. This targeted adoption will yield the highest ROI.

Physicians Realty Trust Global Medical REIT Healthcare Realty Trust Ventas Welltower

No past cycles

Mission & Vision SWOT Analysis OKR Plan Retrospective AI Strategy Data Acquisition

To own outpatient healthcare properties by becoming the indispensable real estate partner for providers in non-urban markets.

Strengths

DATA: Proprietary dataset on non-urban property performance and tenancy.
FOCUS: Niche market focus allows for highly targeted AI model training.
LEADERSHIP: Agile leadership able to adopt new tech without bureaucracy.
PROCESS: Established underwriting process can be augmented, not replaced.
RELATIONSHIPS: Can use AI to identify expansion opportunities with tenants.

Weaknesses

TALENT: Lack of in-house AI and data science expertise to build models.
SYSTEMS: Disparate, legacy systems for property and financial data.
BUDGET: Limited R&D budget for significant investment in AI technology.
DATA-QUALITY: Inconsistent data collection practices across the portfolio.
SCALE: Small dataset size may limit the predictive power of AI models.

Opportunities

SOURCING: AI to identify off-market acquisition targets based on demographics.
UNDERWRITING: AI models to accelerate tenant credit risk analysis.
ASSET MANAGEMENT: Predictive analytics for preventative maintenance needs.
LEASING: AI-powered market analysis to optimize rental rates and terms.
REPORTING: Generative AI to automate sections of investor reporting.

Threats

COMPETITORS: Larger REITs deploying sophisticated AI for deal sourcing.
COST: High cost of implementation and talent could hurt financial results.
SECURITY: Increased cybersecurity risks from centralizing sensitive data.
RELIANCE: Over-reliance on flawed AI models could lead to bad investments.
INTEGRATION: Failure to properly integrate AI tools into existing workflows.

Key Priorities

SOURCING: Deploy AI to analyze demographic data for off-market acquisitions.
RISK: Utilize AI for predictive tenant credit and operational risk analysis.
EFFICIENCY: Automate manual underwriting tasks to increase deal velocity.
PARTNER: Acquire AI capabilities through strategic partnerships, not R&D.

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Community Healthcare Trust Financial Performance

AI-Powered Insights

Claude

Gemini

GPT

Community Healthcare Trust Q3 2024 10-Q Report
Community Healthcare Trust Investor Relations Website
Community Healthcare Trust Latest Investor Presentation
Public financial data from Yahoo Finance and Seeking Alpha
NAREIT industry reports on healthcare real estate trends

Profit: $34.1 million (Net Income TTM)

Market Cap: $700 million (approx.)

Stock Performance

Annual Report: SEC EDGAR Filings (10-K, 10-Q)

Debt: $435 million (Total Debt)

ROI Impact: Focus on FFO/share growth and total shareholder return.

SWOT Index

Composite strategic assessment with 10-year outlook

/ 100

Niche Leader

ICM Index

STRATEGIC ADVISOR ASSESSMENT

CHT scores as a strong Niche Leader. Its North Star is category-focused and highly achievable (0.70) due to its proven model. The SWOT is balanced, reflecting a solid business facing macro headwinds. OKRs are category-shaping (70) and directly address weaknesses. The low growth multiplier (0.86x) is not a sign of failure but reflects its nature as a stable, income-oriented REIT, where exponential growth is not the primary goal. The model correctly predicts steady, not explosive, value creation.

SWOT Factors

Upside: 70.0 Risk: 62.0

OKR Impact

AI Leverage

Top 3 Strategic Levers

Deepen tenant partnerships to drive follow-on investment.

Proactively manage leverage to maintain access to capital.

Deploy targeted AI to sharpen its deal sourcing advantage.

AI Disclosure

This report was created using the Alignment Method—our proprietary process for guiding AI to reveal how it interprets your business and industry. These insights are for informational purposes only and do not constitute financial, legal, tax, or investment advice.

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