Financial Performance - For the three months ended March 31, 2025, total revenues increased to 276,785thousand,upfrom243,299 thousand in the same period of 2024, representing a 13.8% increase[172]. - Rental income rose by 25,257thousand,primarilyduetofacilityacquisitionsandincreasedcashrentpayments,withatotalof232,178 thousand recognized in Q1 2025[172][174]. - Interest income increased by 7,280thousandto43,116 thousand, driven by new loans and additional fundings, despite a 3.7milliondecreasefromprincipalrepayments[172][174].−NareitFundsfromOperations(FFO)forQ12025was183,778 thousand, compared to 153,122thousandinQ12024,reflectinga19.95,092 thousand in Q1 2025 compared to 8,470thousandinQ12024[172][174].−TheincreaseinincometaxexpensewasattributedtohighertaxableincomeintheU.K.followingacquisitionsmadein2024and2025[176].InvestmentsandAcquisitions−Inthefirstquarterof2025,thecompanyacquiredsixfacilitiesforatotalconsiderationof58.3 million, with an initial cash yield between 9.9% and 10.0%[163]. - The company invested 35.3millioninconstructionandcapitalimprovementprogramsduringthefirstquarterof2025[163].−Thecompanysold27facilitiesfor120.9 million in net cash proceeds, recognizing a net gain of 10.1millioninthefirstquarterof2025[168].−Asignificantgainof11.5 million was recorded from the sale of 27 facilities in Q1 2025, compared to only four facilities sold in the same period of 2024[175]. - The company has commitments totaling 227.8millionfortheconstructionofnewfacilitiesandcapitalimprovements,withadditionalcommitmentsof40.0 million and 56.3millionunderexistingloans[192].FinancialPosition−TotalassetsasofMarch31,2025,were9.7 billion, with total equity of 4.9billionandtotaldebtof4.5 billion, indicating a debt-to-capitalization ratio of 47.5%[181]. - The company had 368.0millionincashandcashequivalentsand1.45 billion available under its Revolving Credit Facility as of March 31, 2025, providing sufficient liquidity for upcoming obligations[183]. - Cash, cash equivalents, and restricted cash totaled 404.1millionasofMarch31,2025,adecreaseof144.7 million from December 31, 2024[194]. Operational Challenges - The long-term care industry continues to recover from COVID-19 impacts, but labor shortages and lower occupancy rates persist, affecting operators' financial conditions[145]. - A significant portion of operators' revenue is derived from government-funded reimbursement programs, primarily Medicare and Medicaid, which are subject to potential reforms and budgetary adjustments[146]. - The Centers for Medicare and Medicaid Services (CMS) has implemented a final rule requiring SNFs to maintain a total nurse staffing standard of 3.48 hours per resident day, which may adversely impact operators' financial conditions if not accompanied by increased reimbursement[150]. - Inflation-related cost increases and global tariffs are expected to further exacerbate labor shortages and increase operational costs for operators[141]. - The company remains cautious about long-term demand for skilled nursing care due to ongoing challenges faced by certain operators[142]. - Regulatory changes, including potential Medicaid and Medicare reforms, may significantly impact operators' results and financial conditions[146]. - The company has experienced several operators failing to make contractual payments, leading to short-term payment deferrals and lease restructurings[142]. Shareholder Returns - The company declared a cash dividend of 0.67pershareonApril23,2025,tobepaidonMay15,2025[171].−ForthethreemonthsendedMarch31,2025,thecompanypaiddividendstotaling189.2 million, with a dividend of 0.67persharepaidonFebruary18,2025[189].−Thecompanyissued4.4millionsharesundertheATMProgram,generatinggrossproceedsof164.4 million, and has 656.5millionofpotentialissuancesremaining[190].CashFlowActivities−Netcashprovidedbyoperatingactivitiesincreasedby30.5 million year-over-year, driven by a 39.7millionincreaseinnetincome[195].−Cashprovidedbyinvestingactivitiesincreasedprimarilyduetoa110.8 million rise in proceeds from real estate sales and a 55.4millionincreaseinloanrepayments[195].−Cashusedinfinancingactivitiesincreasedby161.7 million, primarily due to a $358.7 million rise in repayments on long-term borrowings[196]. - There were no significant changes to the company's material cash requirements compared to the previous year[191]. - The company reported no material changes in its primary market risk exposures during the quarter[198].