What Are Healthcare REITs?

Healthcare real estate investment trusts (REITs) invest in a wide range of properties, including assisted living facilities, hospitals, and surgery centers. These properties’ operators provide services that aren’t going away anytime soon. As a result, healthcare REITs are one of the most appealing investments for long-term growth.

When looking for a healthcare REIT to invest in, it’s crucial to keep in mind the developments in the business. Pay particular attention to the types of properties they invest in, as well as the services supplied within the real estate and the operators’ strength.

A healthcare REIT that is ready and prepared to make additional investments when possibilities arise is also a plus. REITs must be able to adapt swiftly to changes in the healthcare market.

What is a REIT and how does it work?

REITs provide a simple option for investors of all sizes to add the historically successful investment class of real estate to their portfolios. REIT shares are owned by an estimated 87 million Americans today.

What exactly are real estate investment trusts (REITs)? A REIT (real estate investment trust) is a firm that invests in real estate that generates revenue. Investors who desire to gain access to real estate can do so by purchasing REIT shares, which effectively add the REIT’s real estate to their investment portfolios. This investment gives investors access to the REIT’s entire portfolio of properties.

What does the REIT stand for?

REITs (real estate investment trusts) have existed for more than fifty years. Individual individuals could participate in large-scale, income-producing real estate through REITs, which were created by Congress in 1960.

What are the three types of REITs?

  • Equity REITs are companies that invest in real estate. The majority of REITs are equity REITs, which own and operate income-generating properties. Rents are the primary source of revenue (not by reselling properties).
  • Mortgage REITs are a type of real estate investment trust. Mortgage REITs provide money to real estate owners and operators directly or indirectly through the purchase of mortgage-backed securities. The net interest margin—the difference between the income they make on mortgage loans and the cost of funding these loans—is the main source of their profits. Because of this paradigm, they are susceptible to interest rate hikes.
  • REITs that are a mix of stocks and bonds. These REITs combine equity and mortgage REIT investment strategies.

Why REITs are a bad idea?

Because no investment is flawless, you should be aware of the possible negatives of REITs before incorporating them into your portfolio.

  • Dividend taxation: REITs pay out higher-than-average dividends and aren’t subject to corporate taxation. The disadvantage is that REIT payouts don’t always qualify as “qualified dividends,” which are taxed at a lower rate than ordinary income.
  • Interest rate sensitivity: Because rising interest rates are detrimental for REIT stock values, REITs can be extremely sensitive to interest rate movements. When the rates on risk-free investments like Treasury securities rise, the returns on other income-based investments rise as well. The yield on the 10-year Treasury is an excellent REIT indication.
  • Real estate investment trusts (REITs) can help diversify your portfolio, but most REITs aren’t highly diversified. They tend to concentrate on a single property type, each with its own set of dangers. Hotel REITs, for example, are extremely vulnerable to economic downturns and other factors. If you decide to invest in REITs, it’s a good idea to pick a few with varying degrees of economic sensitivity.
  • Fees and markups: While REITs provide liquidity, trading in and out of them comes at a significant price. The majority of a REIT’s fees are paid up front. They can account for 20% to 30% of the REIT’s total worth. This consumes a significant portion of your prospective profit.

Do REITs pay dividends?

A REIT is a security that invests directly in real estate and/or mortgages, comparable to a mutual fund. Mortgage REITs engage in portfolios of mortgages or mortgage-backed securities, whereas equity REITs invest mostly in commercial assets such as shopping malls, hotel hotels, and office buildings (MBSs). A hybrid REIT is a fund that invests in both. REIT shares are easy to buy and sell because they are traded on the open market.

All REITs have one thing in common: they pay dividends made up of rental income and capital gains. REITs must pay out at least 90% of their net earnings as dividends to shareholders in order to qualify as securities. REITs are given special tax treatment as a result of this; unlike a traditional business, they do not pay corporate taxes on the earnings they distribute. Regardless of whether the share price rises or falls, REITs must maintain a 90 percent payment.

How often do REITs pay dividends?

is a firm that maintains and operates a diverse portfolio of properties. Apartment buildings, office complexes, commercial properties, hospitals, shopping malls, and hotels are examples of these properties, while particular REITs prefer to specialize in one type of property. REITs are popular because they are required to pay out at least 90% of their earnings in dividends to their shareholders, resulting in yields of 10% or more in some cases.

How do REITs make money?

REITs, like any other business, require capital. An IPO (initial public offering) is how a publicly traded REIT (real estate investment trust) accomplishes this. This is similar to selling any other stock to the general public, who are investing in the company’s income-producing real estate. People who purchase initial public offerings (IPOs) are investing in real estate that is managed similarly to a stock portfolio. These outside cash sources allow the REIT to acquire, develop, and manage real estate in order to generate profits. REITs generate income, and shareholders must get 90 percent of that taxable income on a regular basis. REITs create money by renting, leasing, or selling the assets they purchase. The shareholders elect a board of directors, which is in charge of selecting investments and recruiting a team to oversee them on a daily basis.

FFO stands for funds from operations, which is how most REIT earnings are calculated. FFO is defined by the National Association of Real Estate Investment Trusts (NAREIT) as the net income from rent and/or sales of properties after deducting administrative and financing costs. The NAREIT’s net income computations follow GAAP (generally recognized accounting rules). The issue is that depreciation of assets is presumed to be a predictable given in GAAP calculations, which skews the true measure of a REIT’s revenue in a negative direction because real estate, which is what REITs deal in, retains or even improves in value over time. As a result, depreciation is not included in FFO’s net income.

How do REITs distribute income?

REITs must pay out at least 90% of their taxable revenue to shareholders in the form of taxable dividends every year. To put it another way, a REIT cannot keep its profits. A REIT, like a mutual fund, is eligible for a dividends-paid deduction, which means that if 100% of revenue is distributed, no tax is paid at the entity level.

What is the most common type of REIT?

The most popular type of REIT is an equity real estate investment trust. They buy, manage, construct, refurbish, and sell income-producing properties. Their main source of income is rental income from their real estate holdings.

An equity REIT can invest generally or specialize in a certain market niche. According to the National Association of Real Estate Investment Trusts (Nareit), the following segments performed well in 2019:

Is investing in REITs a good idea?

REITs are a significant investment for both retirement savings and retirees who want a steady income stream to fund their living expenditures because of the high dividend income they generate. Because REITs are obligated to transfer at least 90% of their taxable profits to their shareholders each year, their dividends are large. Their dividends are supported by a consistent stream of contractual rents paid by their tenants. REITs are also a useful portfolio diversifier due to the low correlation of listed REIT stock returns with the returns of other equities and fixed-income investments. REIT returns tend to “zig” while other investments “zag,” lowering overall volatility and improving returns for a given amount of risk in a portfolio.

  • Long-Term Performance: REITs have delivered long-term total returns that are comparable to those of other stocks.
  • Significant, Stable Dividend Yields: REIT dividend yields have historically provided a consistent stream of income regardless of market conditions.
  • Shares of publicly traded REITs are readily available for trading on the major stock exchanges.
  • Transparency: The performance and prognosis of listed REITs are monitored by independent directors, analysts, and auditors, as well as the business and financial media. This oversight offers investors with a level of security as well as multiple indicators of a REIT’s financial health.
  • REITs provide access to the real estate market with low connection to other stocks and bonds, allowing for portfolio diversification.

How much should you invest in REITs?

Private REITs, while they have many of the characteristics of a REIT, do not trade on a stock exchange and are not registered with the Securities and Exchange Commission in the United States (SEC). They aren’t required to give the same level of information to investors as a publicly traded firm because they aren’t registered. Institutional investors, such as major pension funds and accredited investors (those with a net worth of more than $1 million or an annual income of more than $200,000), are typically the only ones who buy private REITs.

According to NAREIT, the National Association of Real Estate Investment Trusts, private REITs may have an investment minimum ranging from $1,000 to $25,000 per unit.

Risk: Because private REITs are generally illiquid, getting your money when you need it can be challenging. Second, private REITs are exempt from corporate governance policies because they are not registered. That implies the management team can act in ways that demonstrate a conflict of interest with little to no oversight.

Last but not least, many private REITs are managed externally, which means they have a management that is paid to administer the REIT. External managers’ compensation is frequently based on the amount of money they manage, which presents a conflict of interest. The manager may be motivated to do things that increase his or her fees rather than what is best for you as an investment.

Non-traded REITs

Non-traded REITs are in the middle: they’re registered with the SEC like publicly listed firms, but they don’t trade on major exchanges like private REITs. This type of REIT is required to provide quarterly and year-end financial reports by law, and the filings are open to the public. Public non-listed REITs are another name for non-traded REITs.

Risk: Non-traded REITs can have high management costs, and they’re generally managed externally, similar to private REITs, posing a conflict of interest with your investment.

Furthermore, non-traded REITs, like private REITs, are typically relatively illiquid, making it difficult to get your money back if you suddenly need it. (Here are a few more points to keep in mind while investing in non-traded REITs.)

Publicly traded REIT stocks

This type of REIT is registered with the Securities and Exchange Commission (SEC) and trades on major stock markets, giving public investors the highest potential to profit from individual investments. Due to the nature of public corporations being subject to disclosure and investor supervision, publicly listed REITs are generally considered preferable to private and non-traded REITs in terms of management expenses and corporate governance.

Risk: REIT stock prices can fall, just like any other stock, especially if their specialized sub-sector falls out of favor, and sometimes for no apparent reason. There are also many of the hazards associated with investing in individual equities, such as poor management, poor business decisions, and large debt loads, the latter of which is particularly prevalent in REITs. (For more information on how to buy stocks, click here.)

Publicly traded REIT funds

A publicly listed REIT fund combines the benefits of publicly traded REITs with the added security of a mutual fund. REIT funds often provide exposure to the entire public REIT world, allowing you to buy one fund and own a stake in roughly 200 publicly traded REITs. Residential, commercial, lodging, towers, and other REIT sub-sectors are all represented in these funds.

Investors can benefit from the REIT model without the risk of individual stocks by purchasing a fund. As a result, they benefit from diversification’s ability to reduce risk while enhancing profits. Many investors like funds because they are safer, especially if they are new to investing.

Risk: While REIT funds largely mitigate the risk of a single firm, they do not eliminate dangers that are common to REITs as a whole. For REITs, rising interest rates, for example, raise the cost of borrowing. And if investors conclude that REITs are unsafe and would not pay such high prices for them, many of the sector’s equities could fall. In other words, unlike an S&P 500 index fund, a REIT fund is tightly diversified across industries.

REIT preferred stock

Preferred stock is a unique type of stock that works much like a bond rather than a stock. A preferred stock, like a bond, provides a regular cash dividend and has a fixed par value that can be redeemed. Preferred stock, like bonds, will fluctuate in response to interest rates, with higher rates resulting in a lower price and vice versa.

Preferred stock, on the other hand, does not receive a share of the company’s continuous profits, so it is unlikely to rise in value beyond the price at which it was issued. Unless the preferred stock was purchased at a discount to par value, an investor’s annual return is expected to be the dividend value. In contrast to a traditional REIT, where the stock can continue to appreciate over time, this is a big deal.

Risk: Preferred stock is less volatile than common stock, which means its value will not fluctuate as much as a common stock’s. However, if interest rates rise much, preferred stock, like bonds, will likely suffer.

Preferred stock is positioned above common stock (but below bonds) in the capital structure, requiring it to pay dividends before common stock, but only after the company’s bonds have been paid their interest. Preferred stock is often regarded as riskier than bonds, but less hazardous than common equities, due to its structure.