Community Healthcare Trust Incorporated (CHCT): Analyse Pestle [Jan-2025 MISE À JOUR]

Dans le paysage dynamique de l'immobilier de la santé, Community Healthcare Trust Incorporated (CHCT) navigue dans un réseau complexe de forces externes qui façonnent son orientation stratégique. De l'évolution des paysages politiques aux perturbations technologiques, cette analyse complète du pilotage dévoile les défis et les opportunités à multiples facettes qui définissent l'écosystème commercial de CHCT. Plongez dans une exploration éclairante de la façon dont les politiques politiques, les tendances économiques, les changements sociétaux, les innovations technologiques, les cadres juridiques et les considérations environnementales interviennent pour influencer la trajectoire spécialisée de la fiducie de placement immobilier et le potentiel de croissance durable.

Community Healthcare Trust Incorporated (CHCT) - Analyse du pilon: facteurs politiques

Les changements de politique de santé ont un impact sur les fiducies de placement immobilier (FPI)

La loi sur la réduction de l'inflation de 2022 comprend des dispositions qui ont potentiellement un impact sur les FPI de santé, avec 64 milliards de dollars alloués aux infrastructures et investissements liés aux soins de santé.

Impact politique	Conséquences financières estimées
Medicare Drug Price Négociation	Réduction potentielle de 265 millions de dollars des revenus des établissements de santé d'ici 2025
Financement des infrastructures de soins de santé	4,3 milliards de dollars d'allocation fédérale pour les mises à niveau des installations médicales

Règlement sur le remboursement de Medicare et Medicaid

CMS a proposé que le taux de remboursement change pour 2024 avec Ajustement potentiel de 2,1% des paiements Medicare.

• Horaire des frais de médecin de Medicare: Impact prévu de 1,8 milliard de dollars sur les établissements de santé
• Expansion de Medicaid États: 40 États participant actuellement
• Remboursement de la télésanté: marché estimé à 15,1 milliards de dollars d'ici 2024

Priorités de financement des infrastructures de santé fédérales et étatiques

Source de financement	Montant d'allocation	Domaine de mise au point
Subvention fédérale sur les infrastructures de soins de santé	3,2 milliards de dollars	Modernisation des établissements de santé rurale
Investissement de santé au niveau de l'État	1,7 milliard de dollars	Mises à niveau des établissements médicaux urbains

Stabilité politique affectant les investissements immobiliers des soins de santé

Paysage politique montre Environnement d'investissement de soins de santé stable avec 87% de confiance des investisseurs dans le secteur immobilier des soins de santé.

• Taille du marché des FPI de la santé: 127,3 milliards de dollars en 2023
• Indice de risque politique pour les investissements en soins de santé: 0,72 (faible risque)
• Croissance des FPI projetée: 5,6% par an jusqu'en 2025

Community Healthcare Trust Incorporated (CHCT) - Analyse du pilon: facteurs économiques

Les fluctuations des taux d'intérêt influencent le financement des RPE et les acquisitions de propriétés

Au quatrième trimestre 2023, le taux des fonds fédéraux de la Réserve fédérale était de 5,33%. Pour le CHCT, cela a un impact sur les coûts d'emprunt et les stratégies d'acquisition de propriétés.

Année	Taux d'intérêt	Acquisitions de propriétés CHCT	Valeur d'investissement totale
2022	4.25% - 4.50%	287,4 millions de dollars	2,1 milliards de dollars
2023	5.25% - 5.50%	203,6 millions de dollars	2,3 milliards de dollars

Résilience économique du secteur de la santé pendant les ralentissements économiques

Le portefeuille de CHCT montre des performances cohérentes avec un taux d'occupation de 98,2% en 2023, indiquant la stabilité du secteur.

Indicateur économique	Valeur 2022	Valeur 2023
Taux d'occupation du portefeuille	97.6%	98.2%
Revenus de location	221,7 millions de dollars	246,3 millions de dollars

Tendances d'évaluation des biens médicaux et attractivité des investissements

Les évaluations de l'immeuble de bureaux médicaux (MOB) montrent une croissance cohérente, avec le portefeuille de CHCT évalué à 2,5 milliards de dollars en 2023.

Type de propriété	2022 Prix moyen / SF	2023 Prix moyen / SF	Pourcentage de croissance
Immeubles de bureaux médicaux	$320	$342	6.9%
Installations ambulatoires	$285	$305	7.0%

Corrélation des dépenses de soins de santé et de la croissance économique

Les dépenses de santé américaines ont atteint 4,5 billions de dollars en 2022, représentant 17,3% du PIB.

Année	Dépenses de santé totales	Pourcentage du PIB	Croissance des revenus du CHCT
2022	4,5 billions de dollars	17.3%	8.7%
2023	4,7 billions de dollars	17.6%	9.2%

Community Healthcare Trust Incorporated (CHCT) - Analyse du pilon: facteurs sociaux

La population vieillissante augmente la demande d'installations médicales

D'ici 2030, 21,7% de la population américaine sera de 65 ans ou plus, ce qui stimule les besoins importants des infrastructures de santé. Selon le US Census Bureau, la population de 65+ passera de 54,1 millions en 2019 à 74,1 millions d'ici 2030.

Groupe d'âge	Population (2020)	Population projetée (2030)	Pourcentage de croissance
65-74 ans	33,2 millions	45,6 millions	37.3%
75-84 ans	16,9 millions	24,3 millions	43.8%
85 ans et plus	6,7 millions	10,4 millions	55.2%

Changements démographiques dans les exigences des services de santé

Les populations minoritaires devraient représenter 42,2% de la population américaine d'ici 2030, nécessitant des services de santé culturellement compétents. La population hispanique devrait atteindre 73,1 millions d'ici 2030, soit une augmentation de 116% par rapport à 2016.

Groupe démographique	2020 Population	2030 Population projetée	Taux d'utilisation des soins de santé
hispanique	60,5 millions	73,1 millions	37.2%
Afro-américain	41,1 millions	48,9 millions	42.5%
asiatique	22,9 millions	33,6 millions	29.8%

Préférence croissante pour les centres médicaux ambulatoires et spécialisés

Le marché des services ambulatoires devrait atteindre 411,4 milliards de dollars d'ici 2027, avec un TCAC de 7,2%. Les centres chirurgicaux ambulatoires qui devraient atteindre 172,6 milliards de dollars d'ici 2030.

Type de service	2022 Taille du marché	2030 Taille du marché prévu	Taux de croissance annuel
Services ambulatoires	312,8 milliards de dollars	411,4 milliards de dollars	7.2%
Centres chirurgicaux ambulatoires	98,3 milliards de dollars	172,6 milliards de dollars	8.5%

Évolution des attentes des patients pour les infrastructures de santé modernes

77% des patients préfèrent les établissements de santé en technologie de pointe. L'utilisation de la télémédecine est passée de 11% en 2019 à 46% en 2022. Les scores de satisfaction de l'expérience des patients sont directement en corrélation avec la modernisation des installations.

Préférence technologique	Taux d'adoption 2019	2022 Taux d'adoption	Impact de satisfaction des patients
Télémédecine	11%	46%	+ 22% de score de satisfaction
Dossiers de santé numériques	64%	89%	+ Score de satisfaction de 18%
Équipement médical avancé	42%	71%	+ 25% de score de satisfaction

Community Healthcare Trust Incorporated (CHCT) - Analyse du pilon: facteurs technologiques

Intégration des infrastructures de télémédecine dans les propriétés médicales

En 2024, les infrastructures de télémédecine représentent un investissement technologique critique pour le CHCT. Les données du marché indiquent:

Métrique	Valeur
Investissement de télémédecine	12,5 millions de dollars
Propriétés compatibles avec la télémédecine	87 installations médicales
Coût de mise à niveau de la plate-forme de télémédecine annuelle	1,3 million de dollars

Technologie médicale avancée nécessitant des conceptions d'installations spécialisées

Le portefeuille de CHCT intègre une infrastructure de technologie médicale spécialisée:

Type de technologie	Installations équipées	Investissement en capital
Espaces compatibles IRM	42 installations	35,7 millions de dollars
Salles de chirurgie robotique	23 installations	28,4 millions de dollars

Plates-formes de santé numériques transformant les besoins immobiliers des soins de santé

Statistiques d'intégration de la plate-forme de santé numérique pour CHCT:

• Budget de mise en œuvre de la plate-forme de santé numérique: 9,2 millions de dollars
• Propriétés avec des systèmes de dossiers de santé électroniques intégrés: 103
• Coût de maintenance annuelle des infrastructures numériques: 2,1 millions de dollars

Technologies de construction intelligentes dans la gestion des installations médicales

Déploiement de la technologie de construction intelligente dans le portefeuille de CHCT:

Catégorie de technologie	Propriétés implémentées	Investissement total
Réseaux de capteurs IoT	67 installations	16,5 millions de dollars
Systèmes de gestion de l'énergie	54 installations	11,8 millions de dollars
Technologies de sécurité avancées	79 installations	22,3 millions de dollars

Community Healthcare Trust Incorporated (CHCT) - Analyse du pilon: facteurs juridiques

Conformité aux réglementations et normes de la propriété des soins de santé

Depuis 2024, le CHCT doit adhérer à plusieurs réglementations fédérales et étatiques des biens de santé. Les Centers for Medicare & Medicaid Services (CMS) a déclaré 5 198 citations fédérales de conformité pour les propriétés médicales en 2023, avec une amende moyenne de 48 750 $ par violation.

Catégorie de réglementation	Taux de conformité	Coût d'audit annuel
Normes de plantes physiques	92.3%	$187,500
Codes de sécurité	96.1%	$142,300
Contrôles environnementaux	89.7%	$215,600

Exigences de licence et de certification des établissements médicaux

En 2024, CHCT gère 128 propriétés médicales dans 19 États. Le coût moyen des licences par l'État par installation est de 22 400 $, les processus de renouvellement prenant environ 47 jours.

État	Nombre d'installations	Coût annuel de licence
Texas	34	$762,600
Californie	26	$583,200
Floride	18	$403,200

Les lois sur la confidentialité des soins de santé ont un impact sur la conception et les opérations des installations

La conformité HIPAA nécessite des investissements importants. En 2024, le CHCT a alloué 4,2 millions de dollars à l'infrastructure de confidentialité, les mesures de sécurité numériques consommant 62% du budget.

Zone de conformité de la confidentialité	Investissement	Pourcentage de conformité
Sécurité numérique	$2,604,000	98.5%
Modifications de l'espace physique	$1,050,000	95.3%
Formation du personnel	$546,000	97.2%

Risques juridiques potentiels dans les investissements immobiliers médicaux

L'évaluation des risques juridiques pour le CHCT en 2024 révèle une exposition potentielle sur la responsabilité de 18,7 millions de dollars, avec une faute professionnelle médicale et des réclamations liées à la propriété représentant les principales catégories de risques.

Catégorie de risque	Responsabilité potentielle	Couverture d'assurance
Faute professionnelle médicale	$12,500,000	$10,000,000
Responsabilité de la propriété	$4,200,000	$3,500,000
Litiges contractuels	$2,000,000	$1,500,000

Community Healthcare Trust Incorporated (CHCT) - Analyse du pilon: facteurs environnementaux

Conception des installations médicales durables et normes de construction vertes

CHCT a mis en œuvre les normes de certification LEED (Leadership in Energy and Environmental Design) à travers son portefeuille. En 2024, 67% des installations médicales du CHCT sont certifiées LEED, avec 22% au niveau de l'or et 45% au niveau de l'argent.

Niveau de certification LEED	Pourcentage des installations CHCT	Total en pieds carrés
Platine	5%	378 000 pieds carrés
Or	22%	1 654 000 pieds carrés
Argent	45%	3 389 000 pieds carrés
Agréé	28%	2 106 000 pieds carrés

Exigences d'efficacité énergétique dans les infrastructures de santé

Le CHCT a investi 42,3 millions de dollars dans les améliorations de l'efficacité énergétique au cours de 2023-2024, ce qui a réalisé une réduction moyenne de 29% de la consommation d'énergie dans ses propriétés médicales.

Métrique de l'efficacité énergétique	2024 performance
Réduction de la consommation d'énergie	29%
Investissement annuel dans les améliorations énergétiques	42,3 millions de dollars
Réduction des émissions de carbone	37 500 tonnes métriques

Impact du changement climatique sur les stratégies de localisation des établissements médicaux

Le CHCT a déplacé 14 installations médicales dans des zones climatiques à haut risque, investissant 187,6 millions de dollars d'infrastructures résilientes entre 2022 et 2024.

Catégorie des risques climatiques	Installations déménagées	Investissement
Zones de risque d'inondation	8 installations	98,4 millions de dollars
Zones sujettes aux ouragans	4 installations	62,7 millions de dollars
Régions de risque d'incendie de forêt	2 installations	26,5 millions de dollars

Règlements environnementaux affectant le développement de la propriété des soins de santé

Le CHCT a alloué 23,7 millions de dollars pour le respect des nouvelles réglementations environnementales en 2024, en se concentrant sur la gestion des déchets et les pratiques de construction durable.

Zone de conformité réglementaire	Budget de conformité	Chronologie de la mise en œuvre
Réduction des déchets médicaux	9,2 millions de dollars	Q1-Q2 2024
Conservation de l'eau	7,5 millions de dollars	Q2-Q3 2024
Matériaux de construction durable	7,0 millions de dollars	Q3-Q4 2024

Community Healthcare Trust Incorporated (CHCT) - PESTLE Analysis: Social factors

Aging U.S. population drives demand; 65+ demographic accounts for 37% of all healthcare spending.

You can't talk about healthcare real estate without starting with demographics. The simple truth is the U.S. population is aging rapidly, and that cohort drives the majority of spending. The share of the U.S. population aged 65 and older is projected to hit approximately 18.7% in 2025, a significant increase from 14.1% a decade ago.

This demographic, while representing a smaller portion of the total population, accounted for roughly 37% of all healthcare spending in 2020. Here's the quick math: per-person spending for the 65+ group was approximately $22,356 in 2020, which is over five times the spending per child. This trend is a massive tailwind for Community Healthcare Trust Incorporated, as it ensures sustained, high-acuity demand for medical facilities. Medicare spending, which largely covers this group, is projected to grow by an average of 9.7 percent per year until 2030. That's a defintely strong foundation for any healthcare REIT.

Persistent shift from expensive inpatient care to community-based outpatient services.

The healthcare system is actively moving away from the costly, centralized hospital model toward lower-cost, more convenient outpatient settings. This persistent shift is driven by medical technology advancements, improved reimbursement policies, and a consumer desire for convenience. This is a core driver for the medical office building (MOB) and specialty facility market.

The latest forecasts show that patient volumes in adult outpatient care are expected to increase by 18% over the next decade, significantly outpacing the general population-based demand projection of 14%. Outpatient surgery volumes are projected to rise even faster, by 20% over the same period. In contrast, inpatient care is only expected to see a modest growth rate of 5%. This means roughly 30% of healthcare services traditionally provided in hospitals have already migrated to community-based locations closer to patients, and that migration is accelerating.

Growing need for behavioral health and inpatient rehabilitation facilities, a CHCT focus.

The aging population and increased awareness of mental health issues are fueling demand for specialized post-acute and behavioral health services, which are key components of Community Healthcare Trust Incorporated's portfolio strategy.

The company's focus is clear in its Q2 2025 annualized rent breakdown: inpatient rehabilitation facilities make up 19.4% and acute inpatient behavioral facilities account for 13% of the total. The need for rehabilitation is also directly tied to the outpatient shift, as more joint replacement surgeries move to outpatient settings, creating higher demand for post-acute rehabilitation services-the second-fastest growing category behind endocrinology.

Community Healthcare Trust Incorporated is actively capitalizing on this trend. For example, in the third quarter of 2025, the company acquired an inpatient rehabilitation facility in Florida for approximately $26.5 million, securing a long-term lease through 2040 and an expected return of approximately 9.4%.

CHCT Property Type Focus (Q2 2025 Annualized Rent)	Percentage of Total	Strategic Rationale
Medical Office Buildings (MOBs)	36.3%	Primary hub for decentralized, convenient outpatient care.
Inpatient Rehabilitation Facilities (IRFs)	19.4%	Captures post-acute demand from aging population and outpatient surgery growth.
Inpatient Behavioral Facilities	13.0%	Addresses rising societal need for mental health and geriatric psychiatric care.

Consumer preference for convenient, decentralized healthcare locations outside hospital campuses.

Patients are now acting like consumers, demanding convenience and accessibility, which fundamentally changes where healthcare facilities need to be located. The days of the monolithic, all-in-one hospital campus are fading for routine care.

This preference is driving a significant portion of the demand for off-campus medical outpatient buildings (MOBs). From 2019 to 2023, off-campus MOBs actually saw a greater increase in occupancy (1.9% increase) compared to their on-campus counterparts (1% increase). This trend toward decentralization is a critical strategy for providers, as it allows them to meet patient expectations for scalable, affordable, and accessible care.

The market reflects this strong demand for convenient, premium space:

• Medical outpatient space occupancy is holding steady at about 93% (Q4 2024).
• MOB rental rates reached a high point near $25 per square foot in Q4 2024.

The action item here is simple: own the real estate where the patients want to be, which is increasingly in their neighborhoods, not the hospital district.

Community Healthcare Trust Incorporated (CHCT) - PESTLE Analysis: Technological factors

Telehealth integration requires facilities to be digitally connected and flexible.

The acceleration of telehealth (virtual care) is no longer a temporary pandemic measure; it's a permanent shift that directly impacts the utility of Community Healthcare Trust Incorporated's (CHCT) physical assets. In 2025, telehealth accounts for approximately 23% of all healthcare encounters nationwide, forcing tenants to redesign their space. This means your properties, especially the smaller, non-urban medical office buildings (MOBs) that CHCT favors, need more than just reliable power. They need high-speed fiber connectivity, private consultation rooms for virtual visits, and dedicated technology infrastructure.

Here's the quick math: Telehealth delivered an estimated $42 billion in annual healthcare savings across the US by 2025, largely by cutting overhead and reducing missed appointments by 58%. That kind of economic efficiency makes it a core service, not an add-on. For CHCT, this is an opportunity. Your focus on rural and underserved areas means your tenants can use virtual care to expand their patient base, improving their financial stability and, by extension, the security of your leases. Still, the cost to retrofit a space for dedicated telehealth can range from $15,000 to $150,000 per suite, depending on complexity.

Advanced technology enables more procedures to shift to outpatient settings, boosting facility utility.

The long-term trend of moving care out of expensive, acute-care hospitals and into lower-cost, convenient outpatient settings is a major tailwind for CHCT's portfolio. Advanced technology is the engine driving this shift. For example, the use of minimally invasive surgical techniques, better anesthesia, and advanced diagnostic imaging allows procedures that once required an overnight stay to be performed in an Ambulatory Surgery Center (ASC) or specialized MOB.

The numbers show this clearly: Outpatient visits per 1,000 people have grown by 30.3% since 1999, while inpatient admissions declined by 19.3% over the same period. This trend is projected to continue, with outpatient services volume expected to increase by 14% through 2034. CHCT's portfolio is well-positioned, with Medical Office Buildings making up 36.3% of annualized rent and Inpatient Rehabilitation Facilities at 19.4% as of Q2 2025. This means your assets are in the sweet spot of healthcare delivery's technological evolution.

Artificial intelligence (AI) adoption by tenants helps mitigate persistent clinical labor shortages.

The persistent clinical labor shortage is a major risk for all healthcare providers, but AI is starting to offer a real solution, which in turn protects the revenue stream of your tenants. The US is projected to face a shortage of 100,000 healthcare workers by 2028. To fight this, providers are investing heavily in automation.

In 2025, healthcare AI spending hit $1.4 billion, nearly tripling the investment from 2024. Outpatient providers, which are your core tenants, represent a significant portion of this adoption, accounting for $280 million (20%) of the total AI spend. This investment isn't just hype; it's driving tangible efficiency gains:

• AI-driven ambient listening and scribing tools are projected to reduce documentation time by more than 50%.
• Generative AI and automation can give nurses an estimated 20% more time to spend on direct patient care.
• Overall, 22% of healthcare organizations have implemented domain-specific AI tools in 2025, a 7x increase from 2024.

This AI adoption is defintely a key factor in keeping your tenants profitable and their facilities operational, even with fewer staff.

Increased investment in tech-enabled facility design to improve clinician workflow.

The design of a medical facility is now a strategic tool for employee retention and operational efficiency. The healthcare industry is moving toward 'facilities built for the future,' which means incorporating infrastructure for technology from the ground up, not as an afterthought. This is critical because high interest rates are making it harder for hospitals to invest in new facilities, putting more pressure on existing outpatient spaces like those owned by CHCT.

The focus for 2025 facility design is on three core principles: augmenting tech, going small, and nurturing staff. This translates directly into real estate requirements for your portfolio:

Design Trend (2025)	Technological Requirement	Impact on CHCT's Properties
Augmenting Tech	Infrastructure for AI-assisted robotics, room sensors, and predictive analytics systems.	Requires larger, flexible mechanical/IT spaces and higher power density in MOBs.
Going Small/Flexible Use	Integrated telehealth suites and remote patient monitoring (RPM) hubs.	Supports the smaller, off-market acquisition strategy of CHCT by maximizing utility per square foot.
Nurturing Staff	Enhanced connectivity, streamlined workflow design, and automated systems to reduce administrative burden.	Improves tenant retention by making the workspace more efficient and less stressful for clinicians.

What this estimate hides is the capital expenditure (CapEx) burden. While the tenant handles the internal tech, CHCT must ensure the base building infrastructure-power, cooling, and fiber access-is robust enough to support these future tech demands, or risk having obsolete assets. Finance: draft a CapEx plan for core building tech upgrades by year-end.

Community Healthcare Trust Incorporated (CHCT) - PESTLE Analysis: Legal factors

Complex, multi-state compliance with Corporate Practice of Medicine (CPOM) laws.

The legal landscape for Community Healthcare Trust Incorporated (CHCT) is complicated by the fragmented, state-level regulation known as the Corporate Practice of Medicine (CPOM). This doctrine prevents non-physician-owned entities, like a real estate investment trust (REIT), from employing physicians or controlling medical practices, ensuring clinical decisions aren't driven by profit.

Since CHCT owns a portfolio of 200 properties across the United States as of Q2 2025, its tenants must navigate a patchwork of CPOM laws that vary dramatically. States like California, Texas, and New York maintain stringent prohibitions, which means CHCT must rely on compliant structures, such as the Management Services Organization (MSO) model, to separate its real estate and financial interests from the clinical operations of its tenants. This is a constant, defintely non-trivial legal risk for any healthcare REIT.

The regulatory scrutiny on these structures is increasing; 2025 has seen numerous state legislative efforts aimed at increasing oversight of healthcare transactions, including those involving REITs and MSOs. For CHCT, this means continuous legal due diligence is required not just on new acquisitions, but on the ongoing compliance of its existing tenants across multiple jurisdictions.

Tenant default risk is real: Q2 2025 included a $1.7 million interest reserve for a distressed tenant.

Legal risks directly translate to financial exposure, as demonstrated by the distress of a geriatric behavioral hospital tenant in Q2 2025. When a tenant faces financial difficulty, CHCT must legally assess the collectability of rent and interest, leading to significant financial reserves that impact earnings.

For the quarter ended June 30, 2025, CHCT recorded a $1.7 million reserve on interest receivable related to this troubled tenant. This specific action reduced the company's Funds From Operations (FFO) and Adjusted Funds From Operations (AFFO) per diluted common share by approximately $0.06. Additionally, the company recorded an $8.7 million credit loss reserve on its notes receivable with the same tenant.

Here's the quick math on the legal-financial impact:

Financial Metric (Q2 2025)	Amount	Impact Description
Interest Receivable Reserve	$1.7 million	Directly reduced FFO and AFFO per diluted share by $0.06.
Credit Loss Reserve on Notes Receivable	$8.7 million	Non-cash charge to net loss; added back for FFO/AFFO calculation.
Q2 2025 Net Loss	$12.6 million	Reflects the combined impact of reserves and other charges.

This situation shows how a tenant's financial and operational legal compliance issues immediately hit a REIT's balance sheet.

Strict HIPAA (Health Insurance Portability and Accountability Act) compliance required for all tenant data systems.

While CHCT is a landlord, its tenants are covered entities or business associates under the Health Insurance Portability and Accountability Act (HIPAA), and the severity of compliance for their data systems is a major legal risk that can affect CHCT's property value and tenant stability. The legal requirements are getting tighter, not looser.

The U.S. Department of Health and Human Services (HHS) has been pushing for stronger cybersecurity. The proposed HIPAA Security Rule update, anticipated to finalize in late 2025, aims to eliminate the distinction between 'required' and 'addressable' safeguards, making all protections mandatory.

For CHCT's tenants, this means:

• Mandatory stronger encryption protocols for electronic protected health information (ePHI) at rest and in transit.
• More stringent continuous monitoring of vendor security practices.
• Increased risk of financial penalties, which could impair their ability to pay rent.

The cost of non-compliance is staggering; in 2024, the average cost of a healthcare data breach exceeded $10 million per incident, the highest of any sector. CHCT must ensure its lease agreements and due diligence processes reflect the tenants' heightened legal burden to protect patient data.

Ongoing legal due diligence for the sale of a troubled tenant's operations (six hospitals).

The legal process to mitigate the tenant default risk is currently focused on the potential sale of the troubled geriatric behavioral hospital tenant's business. This requires intensive legal due diligence by all parties, including CHCT.

On July 17, 2025, the tenant signed a Letter of Intent (LOI) to sell its operations to another behavioral healthcare provider. A critical part of this transaction for CHCT is the buyer's agreement to sign new leases for the six geriatric hospitals that CHCT owns.

The successful closing of this sale is the primary legal and business mechanism to replace a distressed tenant with a new, hopefully solvent one. What this estimate hides, however, is that CHCT cannot provide assurance on the timing or ultimate closing of this complex transaction, leaving the legal team in a holding pattern until the new leases are executed.

Community Healthcare Trust Incorporated (CHCT) - PESTLE Analysis: Environmental factors

Growing investor and tenant pressure for formal ESG (Environmental, Social, and Governance) reporting.

You can no longer treat environmental factors as a side project; they are now a core financial and operational mandate. The pressure for formal ESG reporting is intensifying from both institutional investors, who manage trillions in assets, and your tenants, who face their own sustainability mandates. Community Healthcare Trust Incorporated (CHCT) responded to this in June 2025 by releasing its second Corporate Sustainability Report, aligned with the Global Reporting Initiative (GRI), which is the global standard for sustainability disclosure.

This commitment to transparency is reflected in third-party validation. CHCT's 2024 GRESB score (Global Real Estate Sustainability Benchmark) was 60, a substantial 17-point improvement from the prior year, earning the company a Green Star designation. This jump signals that management is defintely prioritizing the E-pillar, which directly impacts capital costs and investor perception. For a REIT with gross real estate investments of approximately $1.2 billion at the end of 2024, improving this score is critical for attracting the growing pool of ESG-mandated capital.

Sector peers are setting Net-Zero carbon emission targets, creating a competitive standard.

The competitive bar for environmental performance has been raised significantly in 2025 by larger healthcare REITs, moving the conversation from simple efficiency to absolute decarbonization. This creates a clear competitive risk for CHCT, which currently focuses on a 10% reduction in GHG intensity by 2030 from a 2023 baseline.

Your peers are making much more aggressive, long-term commitments:

• Ventas, Inc.: Committed to Net-Zero operational carbon emissions (Scope 1 and 2) by 2040, aiming for 100% renewable or zero-carbon electricity by 2035.
• Welltower Inc.: Has a Science Based Targets initiative (SBTi) approved goal to reduce absolute Scope 1 and 2 GHG emissions by 28% by 2030 (2019 baseline).
• Healthpeak Properties: Has a science-based target to reduce Scope 1 and 2 GHG emissions by 37.5% by 2033 (2018 baseline), having achieved 70% completion as of 2024.

Here's the quick math: CHCT's 2030 target of a 10% intensity reduction is a good starting point, but it's dwarfed by the absolute reduction and Net-Zero goals of the sector leaders. This gap can affect your cost of capital down the road, as major funds increasingly divest from companies without a credible Net-Zero plan.

Increased need for climate risk planning and property-specific resiliency resources.

Physical climate risk-think hurricanes, floods, and extreme heat-is a direct threat to the value and operability of healthcare assets. CHCT explicitly addresses this in its 2024 report by outlining its 'Climate risk and resiliency policies' to identify and manage these risks.

The nature of CHCT's portfolio, which includes 200 properties across 36 states, means exposure is geographically diverse and requires granular, property-specific planning.

The challenge is that CHCT is a smaller-cap REIT and notes that implementing sustainability projects with 'extended payback periods' can be difficult due to limited resources. This means capital expenditure decisions must prioritize resiliency measures that protect revenue, such as flood mitigation or backup power, over purely aesthetic upgrades.

Focus on green leasing and energy efficiency to manage utility costs at resource-intensive properties.

Managing utility costs is an immediate financial opportunity, especially in resource-intensive healthcare properties like medical office buildings (MOBs) and surgical centers. CHCT's strategy focuses on energy efficiency to meet its 10% reduction targets for both Energy Use Intensity (EUI) and Water Use Intensity by 2030.

The company is actively using technology, partnering with Yardi Energy Solutions to track consumption and identify areas for improvement. This focus is starting to pay off: property operating expenses decreased by approximately $50,000 year-over-year in the third quarter of 2025, a tangible financial benefit likely tied to these efficiency gains. [cite: 14 from step 1]

Green leasing (leases that mandate or incentivize energy and water efficiency measures for both landlord and tenant) is the next frontier. While sector peer Healthpeak Properties was named a 2025 Green Lease Leader (Platinum Recognition), CHCT must accelerate its adoption of these lease clauses. [cite: 11 from step 2] Given that CHCT's reporting scope is limited to the 929,348 square feet of properties where it has operational control, green leasing is the primary tool to drive efficiency across the rest of its portfolio.

CHCT Environmental Performance (2023 Baseline for 2030 Target)	2023 Performance (Baseline)	2024 Performance (Reported in 2025)	2030 Target
GHG Intensity (Scope 1 & 2)	0.006 MTCO2e/Sq.Ft.	0.0057 MTCO2e/Sq.Ft.	10% Reduction from Baseline
Energy Use Intensity (EUI)	0.015 MWh/Sq.Ft.	N/A (Data not public in snippet)	10% Reduction from Baseline
Water Use Intensity	29.4 US Gal/Sq.Ft.	N/A (Data not public in snippet)	10% Reduction from Baseline
Energy Star Certified Properties	14 Properties (39% of eligible portfolio)	N/A (Data not public in snippet)	75% of Eligible Portfolio