Comprehensive Stock Comparison
Compare CareTrust REIT, Inc. (CTRE) vs National Health Investors, Inc. (NHI) Stock
Analyze side-by-side fundamentals, valuation, growth, and profitability to decide which stock is the better buy.
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Quick Verdict
| Category | Winner | Why |
|---|---|---|
| Growth | CTRE | 108.7% revenue growth vs NHI's 12.1% |
| Value | NHI | Lower P/E (25.5x vs 27.1x) |
| Quality / Margins | NHI | 380.5% net margin vs CTRE's 80.6% |
| Stability / Safety | NHI | Beta 0.16 vs CTRE's 0.17 |
| Dividends | CTRE | 3.1% yield; 2-year raise streak; NHI pays no meaningful dividend |
| Momentum (1Y) | CTRE | +62.2% vs NHI's +22.4% |
| Efficiency (ROA) | NHI | 47.0% ROA vs CTRE's 5.1% |
Who Each Stock Is For
Income & stability
Growth exposure
Long-term compounding (10Y)
Sleep-well-at-night portfolio
Defensive / Recession hedge
Business Model
What each company does and how it makes money
CareTrust REIT is a healthcare-focused real estate investment trust that owns and leases skilled nursing facilities, senior housing, and other medical properties across the United States. It generates revenue primarily through long-term triple-net leases—where tenants pay rent plus property expenses—with skilled nursing facilities representing its largest segment. The company's competitive advantage lies in its specialized healthcare real estate expertise and relationships with quality operators in a fragmented industry.
National Health Investors is a healthcare-focused real estate investment trust that owns and finances senior housing and medical properties through sale-leaseback transactions and joint ventures. It generates revenue primarily from rental income — about 90% from senior housing and 10% from medical facilities — with long-term triple-net leases that pass operating expenses to tenants. The company's competitive advantage lies in its specialized healthcare real estate expertise and relationships with established operators in the senior living sector.
Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Financial Metrics Comparison
Side-by-side fundamentals across 2 stocks. BestLagging
Financial Scorecard
CTRE leads in 3 of 6 categories (Financial Metrics, Total Returns). NHI leads in 2 (Valuation Metrics, Profitability & Efficiency). 1 tied.
Financial Metrics (TTM)
NHI is the larger business by revenue, generating $37.3B annually — 115.1x CTRE's $324M. Profitability is closely matched — net margins range from 3.8% (NHI) to 80.6% (CTRE). On growth, NHI holds the edge at +431.0% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | CTRECareTrust REIT, I… | NHINational Health I… |
|---|---|---|
| RevenueTrailing 12 months | $324M | $37.3B |
| EBITDAEarnings before interest/tax | $262M | $81.2B |
| Net IncomeAfter-tax profit | $261M | $142.0B |
| Free Cash FlowCash after capex | $334M | $163M |
| Gross MarginGross profit ÷ Revenue | +96.6% | +0.9% |
| Operating MarginEBIT ÷ Revenue | +55.7% | +0.5% |
| Net MarginNet income ÷ Revenue | +80.6% | +3.8% |
| FCF MarginFCF ÷ Revenue | +103.2% | +0.4% |
| Rev. Growth (YoY)Latest quarter vs prior year | +82.4% | +431.0% |
| EPS Growth (YoY)Latest quarter vs prior year | +66.7% | -15.8% |
Valuation Metrics
At 25.9x trailing earnings, CTRE trades at a 7% valuation discount to NHI's 27.8x P/E.
| Metric | CTRECareTrust REIT, I… | NHINational Health I… |
|---|---|---|
| Market CapShares × price | $9.0B | $4.1B |
| Enterprise ValueMkt cap + debt − cash | $8.8B | -$15.6B |
| Trailing P/EPrice ÷ TTM EPS | 25.87x | 27.84x |
| Forward P/EPrice ÷ next-FY EPS est. | 27.11x | 25.54x |
| PEG RatioP/E ÷ EPS growth rate | 1.22x | — |
| EV / EBITDAEnterprise value multiple | 15.72x | -0.19x |
| Price / SalesMarket cap ÷ Revenue | 18.99x | 10.81x |
| Price / BookPrice ÷ Book value/share | 2.05x | 2.59x |
| Price / FCFMarket cap ÷ FCF | 22.96x | 17.17x |
Profitability & Efficiency
NHI delivers a 92.8% return on equity — every $100 of shareholder capital generates $93 in annual profit, vs $7 for CTRE. On the Piotroski fundamental quality scale (0–9), CTRE scores 6/9 vs NHI's 4/9, reflecting solid financial health.
| Metric | CTRECareTrust REIT, I… | NHINational Health I… |
|---|---|---|
| ROE (TTM)Return on equity | +6.5% | +92.8% |
| ROA (TTM)Return on assets | +5.1% | +47.0% |
| ROICReturn on invested capital | +10.1% | — |
| ROCEReturn on capital employed | +11.0% | — |
| Piotroski ScoreFundamental quality 0–9 | 6 | 4 |
| Debt / EquityFinancial leverage | — | — |
| Net DebtTotal debt minus cash | -$198M | -$19.6B |
| Cash & Equiv.Liquid assets | $198M | $19.6B |
| Total DebtShort + long-term debt | $0 | $0 |
| Interest CoverageEBIT ÷ Interest expense | 10.76x | — |
Total Returns (with DRIP)
A $10,000 investment in CTRE five years ago would be worth $20,333 today (with dividends reinvested), compared to $14,828 for NHI. Over the past 12 months, CTRE leads with a +62.2% total return vs NHI's +22.4%. The 3-year compound annual growth rate (CAGR) favors CTRE at 31.0% vs NHI's 19.9% — a key indicator of consistent wealth creation.
| Metric | CTRECareTrust REIT, I… | NHINational Health I… |
|---|---|---|
| YTD ReturnYear-to-date | +11.9% | +9.4% |
| 1-Year ReturnPast 12 months | +62.2% | +22.4% |
| 3-Year ReturnCumulative with dividends | +124.9% | +72.6% |
| 5-Year ReturnCumulative with dividends | +103.3% | +48.3% |
| 10-Year ReturnCumulative with dividends | +343.7% | +94.4% |
| CAGR (3Y)Annualised 3-year return | +31.0% | +19.9% |
Risk & Volatility
NHI is the less volatile stock with a 0.16 beta — it tends to amplify market swings less than CTRE's 0.17 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. CTRE currently trades 97.4% from its 52-week high vs NHI's 92.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | CTRECareTrust REIT, I… | NHINational Health I… |
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.17x | 0.16x |
| 52-Week HighHighest price in past year | $41.72 | $91.05 |
| 52-Week LowLowest price in past year | $25.48 | $66.41 |
| % of 52W HighCurrent price vs 52-week peak | +97.4% | +92.3% |
| RSI (14)Momentum oscillator 0–100 | 69.8 | 60.3 |
| Avg Volume (50D)Average daily shares traded | 1.5M | 182K |
Analyst Outlook
Wall Street rates CTRE as "Buy" and NHI as "Hold". Consensus price targets imply 3.7% upside for CTRE (target: $42) vs 1.3% for NHI (target: $85). CTRE is the only dividend payer here at 3.13% yield — a key consideration for income-focused portfolios.
| Metric | CTRECareTrust REIT, I… | NHINational Health I… |
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Hold |
| Price TargetConsensus 12-month target | $42.11 | $85.20 |
| # AnalystsCovering analysts | 19 | 18 |
| Dividend YieldAnnual dividend ÷ price | +3.1% | — |
| Dividend StreakConsecutive years of raises | 2 | 0 |
| Dividend / ShareAnnual DPS | $1.27 | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% |
Historical Charts
Charts are rendered on first load. Hover for details.
Chart 1Total Return — 5 Years (Rebased to 100)
| Stock | Mar 20 | Feb 26 | Change |
|---|---|---|---|
| CareTrust REIT, Inc. (CTRE) | 100 | 171.58 | +71.6% |
| National Health Inv… (NHI) | 100 | 97.44 | -2.6% |
CareTrust REIT, Inc. (CTRE) returned +103% over 5 years vs National Health Inv… (NHI)'s +48%. A $10,000 investment in CTRE 5 years ago would be worth $20,333 today (including dividends reinvested).
Chart 2Revenue Growth — 10 Years
| Stock | 2016 | 2025 | Change |
|---|---|---|---|
| CareTrust REIT, Inc. (CTRE) | $104M | $476M | +358.3% |
| National Health Inv… (NHI) | $249M | $376M | +51.2% |
CareTrust REIT, Inc.'s revenue grew from $104M (2016) to $476M (2025) — a 18.4% CAGR. National Health Investors, Inc.'s revenue grew from $249M (2016) to $376M (2025) — a 4.7% CAGR.
Chart 3Net Margin Trend — 10 Years
| Stock | 2016 | 2025 | Change |
|---|---|---|---|
| CareTrust REIT, Inc. (CTRE) | 28.2% | 67.3% | +138.3% |
| National Health Inv… (NHI) | 61.0% | 378.0% | +519.8% |
CareTrust REIT, Inc.'s net margin went from 28% (2016) to 67% (2025). National Health Investors, Inc.'s net margin went from 61% (2016) to 378% (2025).
Chart 4P/E Ratio History — 9 Years
| Stock | 2017 | 2025 | Change |
|---|---|---|---|
| CareTrust REIT, Inc. (CTRE) | 46.6 | 23 | -50.6% |
| National Health Inv… (NHI) | 19.5 | 25.3 | +29.7% |
CareTrust REIT, Inc. has traded in a 23x–103x P/E range over 9 years; current trailing P/E is ~26x. National Health Investors, Inc. has traded in a 18x–102x P/E range over 9 years; current trailing P/E is ~28x.
Chart 5EPS Growth — 10 Years
| Stock | 2016 | 2025 | Change |
|---|---|---|---|
| CareTrust REIT, Inc. (CTRE) | 0.52 | 1.57 | +201.9% |
| National Health Inv… (NHI) | 3.87 | 3.02 | -22.0% |
CareTrust REIT, Inc.'s EPS grew from $0.52 (2016) to $1.57 (2025) — a 13% CAGR. National Health Investors, Inc.'s EPS grew from $3.87 (2016) to $3.02 (2025) — a -3% CAGR.
Chart 6Free Cash Flow — 5 Years
CareTrust REIT, Inc. generated $394M FCF in 2025 (+161% vs 2021). National Health Investors, Inc. generated $237M FCF in 2025 (+12% vs 2021).
CTRE vs NHI: Frequently Asked Questions
9 questions · data-driven answers · updated daily
01Is CTRE or NHI a better buy right now?
CareTrust REIT, Inc. (CTRE) offers the better valuation at 25.9x trailing P/E (27.1x forward), making it the more compelling value choice. Analysts rate CareTrust REIT, Inc. (CTRE) a "Buy" — based on 19 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which has the better valuation — CTRE or NHI?
On trailing P/E, CareTrust REIT, Inc. (CTRE) is the cheapest at 25.9x versus National Health Investors, Inc. at 27.8x. On forward P/E, National Health Investors, Inc. is actually cheaper at 25.5x — notably different from the trailing picture, reflecting expected earnings growth.
03Which is the better long-term investment — CTRE or NHI?
Over the past 5 years, CareTrust REIT, Inc. (CTRE) delivered a total return of +103.3%, compared to +48.3% for National Health Investors, Inc. (NHI). A $10,000 investment in CTRE five years ago would be worth approximately $20K today (assuming dividends reinvested). Over 10 years, the gap is even starker: CTRE returned +343.7% versus NHI's +94.4%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
04Which is safer — CTRE or NHI?
By beta (market sensitivity over 5 years), National Health Investors, Inc. (NHI) is the lower-risk stock at 0.16β versus CareTrust REIT, Inc.'s 0.17β — meaning CTRE is approximately 6% more volatile than NHI relative to the S&P 500.
05Which has better profit margins — CTRE or NHI?
National Health Investors, Inc. (NHI) is the more profitable company, earning 378.0% net margin versus 67.3% for CareTrust REIT, Inc. — meaning it keeps 378.0% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: CTRE leads at 98.7% versus 0.5% for NHI. At the gross margin level — before operating expenses — CTRE leads at 98.9%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
06Is CTRE or NHI more undervalued right now?
On forward earnings alone, National Health Investors, Inc. (NHI) trades at 25.5x forward P/E versus 27.1x for CareTrust REIT, Inc. — 1.6x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for CTRE: 3.7% to $42.11.
07Which pays a better dividend — CTRE or NHI?
In this comparison, CTRE (3.1% yield) pays a dividend. NHI does not pay a meaningful dividend and should not be held primarily for income.
08Is CTRE or NHI better for a retirement portfolio?
For long-horizon retirement investors, CareTrust REIT, Inc. (CTRE) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.17), 3.1% yield, +343.7% 10Y return). Both have compounded well over 10 years (CTRE: +343.7%, NHI: +94.4%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
09What are the main differences between CTRE and NHI?
Both stocks operate in the Real Estate sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both. In terms of investment character: CTRE is a small-cap income-oriented stock; NHI is a small-cap quality compounder stock. CTRE pays a dividend while NHI does not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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