During 2025, Sila acquired six necessity-based healthcare facilities for approximately $150 million, totaling 241,000 square feet. After year-end, management closed on a purpose-built inpatient rehabilitation facility in Oklahoma City for $43.1 million, which expanded licensed beds from 40 to 58, and completed over $7 million of redevelopment projects with committed follow-on investments at key rehab facilities.

The trust reported a net debt to EBITDAre ratio of 3.9x—below its 4.5–5.5x target range—supported by over $480 million in total liquidity. Management indicated capacity to deploy $225–$375 million to reach target leverage, with $676 million outstanding under unsecured credit facilities at a 4.7% weighted average rate.

Investment-grade tenant or guarantor exposure rose to 40.6% in 2025, while lease retention reached 90% of expiring gross leasable area. Proactive renewals and early extensions pushed the weighted average remaining lease term to 10 years, reflecting stable leasing and improved tenant sponsorship.

Sila completed the $14.5 million sale of its Saginaw Healthcare facility and has executed purchase and sale agreements for Henderson, Las Vegas Two, and Alexandria facilities expected to close in early 2026. Demolition and site clearance at the Stoughton Healthcare property are underway, reducing carrying costs from $120,000 to $35,000 per month.