About the Author
Matt DiLallo has no position in any of the stocks mentioned. The Motley Fool has positions in and recommends Alexandria Real Estate Equities. The Motley Fool recommends Healthpeak Properties. The Motley Fool has a disclosure policy.
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Healthcare real estate investment trusts (REITs) are publicly traded companies that own, operate, manage, acquire, and develop healthcare-related real estate. These facilities include senior living communities, hospitals, medical offices, outpatient facilities, life science innovation and research properties, and skilled nursing facilities. These REITs play a vital role in the healthcare industry. They acquire and develop specialized facilities that healthcare systems and other healthcare institutions need, freeing up their capital to reinvest in improving patient care.
Most healthcare REITs make money by leasing space in their real estate to tenants, such as healthcare systems, primarily under triple-net leases. This lease structure requires the tenant to cover maintenance, real estate taxes, and building insurance, providing REITs with a very predictable stream of rental income to support dividend payments.
Some healthcare REITs also operate the facilities they own, such as senior living communities. They typically hire a third-party manager who earns a fee for managing the property's day-to-day operations. The REIT generates net operating income (NOI) from fees paid by patients for housing and services. The income can vary due to fluctuations in occupancy levels and rates.
Here's a closer look at the top healthcare REIT investments.
Here's a closer look at these top-performing healthcare REITs.
According to the National Association of Real Estate Investment Trusts (Nareit), 20 publicly traded REITs focused on healthcare-related real estate as of mid-2026. That gives investors multiple options. A few stand out for their strong growth potential, including:
| Name and ticker | Market capMarket cap calculated using publicly traded shares outstanding only. Does not include unlisted, private, or dual-class non-traded shares. Implied market cap may vary. | Dividend yield |
|---|---|---|
| Alexandria Real Estate Equities (NYSE:ARE) | $8.9 billion | 6.78% |
| Welltower (NYSE:WELL) | $170.3 billion | 1.30% |
| Healthpeak Properties (NYSE:DOC) | $14.4 billion | 5.86% |
| Ventas (NYSE:VTR) | $46.8 billion | 2.19% |
| Omega Healthcare Investors (NYSE:OHI) | $13.9 billion | 5.88% |
Alexandria Real Estate Equities (ARE +1.86%) pioneered the life science real estate niche. These properties provide healthcare companies with the specialized lab space they need to research and develop new therapies, medical tests, and medical devices.
The REIT owns, operates, and develops collaborative megacampus ecosystems in the Greater Boston area, the San Francisco Bay area, San Diego, Seattle, Maryland, the Research Triangle (North Carolina), and New York City. Alexandria leases space in its best-in-class properties to a diverse, high-quality tenant base, including pharmaceutical, biotechnology, biomedical, and government institutions.
The company's real estate portfolio produces stable, resilient, and long-duration cash flows. That supports the REIT's high-yielding dividend. While Alexandria Real Estate Equities reduced its dividend by 45% in early 2026 to retain additional cash to support its capital program, it still offered a high yield (over 5.5% in mid-2026). The REIT now has a very low 33% dividend payout ratio and a strong, flexible balance sheet. That's allowing it to invest heavily in developing and redeveloping life science properties ($1.5 billion to $2 billion of planned construction spending in 2026).
Welltower (WELL +2.57%) is the world's preeminent residential wellness and healthcare infrastructure company. Welltower was the largest publicly traded REIT in mid-2026, with a market cap of over $140 billion. It's a behemoth compared to other healthcare REITs, as it's more than $100 billion larger than its next-closest rival (Ventas at less than $40 billion).
The giant healthcare REIT owns a portfolio of more than 2,500 senior and wellness housing communities across the U.S., U.K., and Canada. Welltower invests heavily in expanding its portfolio. It announced $10.5 billion in investments through mid-2026, including the purchase of 38 senior housing communities operated by Amica, which represents the highest-quality senior housing portfolio in North America.
Welltower's heavy investments are growing its earnings, which are now supporting dividend growth. The REIT raised its dividend by 10.4% in mid-2025, marking its second consecutive double-digit annual dividend increase. While Welltower has a low dividend yield (less than 1.5% in mid-2026), it has significant long-term dividend growth potential.
Healthpeak Properties (DOC +0.95%) is a leading owner, operator, and developer of real estate focused on healthcare discovery and delivery. It owns almost 700 properties totaling about 49 million square feet. The REIT owns purpose-built lab campuses and high-quality outpatient medical office buildings affiliated with leading healthcare systems.
Additionally, Healthpeak completed the IPO of Janus Living (JAN +4.34%) in early 2025, creating a new healthcare REIT focused on owning senior housing properties. Healthpeak owns an 81.6% interest in Janus Living, enabling it to participate in the company's growth. Janus Living had about $400 million of senior housing property acquisitions under contract at the end of the first quarter.
The Janus Living IPO is part of Healthpeak's plan to enhance its portfolio through asset monetization, giving it more capital to invest in higher-returning outpatient medical development projects and lab acquisitions. The REIT formed a joint venture with a private equity fund in early 2026, contributing a six-property outpatient medical portfolio in a transaction that netted $170 million of proceeds to support new investments.
Healthpeak Properties' strong and growing cash flows support its high-yielding dividend. It increased its payout by 2% in early 2025 and switched to a monthly payment schedule, making it an attractive option for investors seeking passive income from real estate.
Ventas (VTR +2.06%) is a large, diversified healthcare REIT. As of mid-2026, it owned 1,400 properties across the U.S., Canada, and the U.K. The bulk of its portfolio is senior housing communities (over 900 properties), making it the second-largest senior housing property owner in the world.
The company has been steadily growing its exposure to senior housing operating properties (SHOP). These properties provided 56% of its NOI by mid-2026, up from 31% at the end of 2021.
The healthcare REIT has been increasing its exposure to SHOP by converting senior housing properties previously secured by NNN leases to operating properties. It's also spending heavily to acquire senior housing properties ($1.7 billion through mid-2026). This strategy positions Ventas to capture a larger share of the expected growth in senior housing in the coming years.
This strategy shift is supporting the REIT's growing dividend. Ventas hiked its payout by 8% in early 2026.
Omega Healthcare Investors (OHI +2.58%) is a REIT focused on investing in the long-term healthcare industry, primarily skilled nursing and assisted living facilities. It owned over 1,100 properties with more than 102,000 beds across the U.S. and U.K., operated or managed by 94 healthcare companies. Omega is the largest REIT focused on skilled nursing facilities.
The REIT routinely invests capital to grow its portfolio. It invested over $250 million in the first quarter of 2026, including purchasing a 9.9% equity interest in Saber through a joint venture, its first investment in Canada. Omega also invests in real estate loans secured by healthcare facilities, including $27 million in funding in the first quarter.
Omega pays a stable, high-yielding dividend (5.5% in mid-2026) backed by its healthcare real estate portfolio. The REIT's combination of income and growth has supported healthy total returns over the past decade.
Healthcare REITs benefit from several notable catalysts, including:
While healthcare REITs are less risky than other healthcare stocks due to their generally stable rental income, they're not without risk. Here are some of the risks they face:
I analyzed the healthcare REIT sector based on the following factors:
These five healthcare REITs stood out for their property focus, financial health, and portfolio strength compared to others in the sector. That positions them to deliver the best risk-adjusted total returns in the sector going forward.
Healthcare REITs will benefit from the healthcare sector's continued growth. They offer a lower-risk way to invest in the healthcare sector, as these REITs should grow at healthy rates through a combination of internal growth (contractual rent increases or NOI growth) and external growth (acquisitions and development projects). That should enable their REITs to grow their dividends over the long term. This combination of income and growth should yield healthy total returns, making healthcare REITs a potentially excellent addition to any long-term portfolio.




