Exhibit 99.1

MEDEQUITIES REALTY TRUST REPORTS THIRD QUARTER 2018 RESULTS

NASHVILLE, Tenn., November 9, 2018 – MedEquities Realty Trust, Inc. (NYSE: MRT) (the “Company”) today announced its consolidated financial results for the quarter ended September 30, 2018 and other recent developments.

Overview – Third Quarter and Recent Developments

Financial Results for the Third Quarter of 2018

Net loss attributable to common stockholders for the quarter ended September 30, 2018 was $(2.1) million, or $(0.07) per share, compared with net income attributable to common stockholders of $5.3 million, or $0.17 per diluted share, for the same period in 2017.  Consolidated total revenues for the quarter ended September 30, 2018 were $9.7 million, compared with $15.8 million for the same period in 2017. The Company placed the Texas Ten Portfolio on non-accrual status for revenue recognition commencing in the third quarter based on the ongoing operating difficulties of the tenant.  The Company recognized $0.5 million in rental income for cash rents received and wrote off the $4.8 million straight-line rent receivable related to the Texas Ten Portfolio master lease. The Texas Ten Portfolio accounted for a $7.9 million decrease in revenues, including the reduction of straight-line rent, which was partially offset by a $2.1 million increase in revenues attributable to the Company’s real estate investment activities during and subsequent to the third quarter of 2017.

FFO for the quarter ended September 30, 2018 was $2.2 million, or $0.07 cents per diluted common share, compared with $9.2 million, or $0.29 per diluted common share, for the same period in 2017.  The decrease in FFO reflects the $7.9 million reduction in revenue associated with the Texas Ten Portfolio.

AFFO for the quarter ended September 30, 2018 was $7.1 million, or $0.22 per diluted common share, compared with $9.0 million, or $0.29 per diluted common share, for the same period in 2017.  The reduction in base rent recognized for

the Texas Ten Portfolio accounted for a $2.7 million decrease in AFFO.  The straight-line rent receivable write off had no effect since straight-line rents are an adjustment to derive AFFO.

Other changes that impacted both FFO and AFFO include $1.7 million in higher net revenues from the Company’s real estate portfolio, excluding the Texas Ten Portfolio; a $0.8 million decrease in general and administrative expenses; $1.1 million in higher interest expense associated with a higher weighted-average balance and interest rate; and $0.6 million in real estate acquisition-related costs on transactions determined no longer viable.

Investment Activity

As of September 30, 2018, the Company had gross real estate investments totaling approximately $643.2 million, which was comprised of $596.0 million in 34 healthcare facilities and $47.2 million in five mortgage notes receivable and one note receivable collateralized by existing healthcare facilities and redevelopment of healthcare facilities. In addition, the Company had approximately $15.1 million remaining to fund under various funding commitments and construction mortgage notes as of September 30, 2018.

Consistent with terms of a construction mortgage loan provided in October 2017 to construct a 63-bed behavioral health facility in Andersonville, Tennessee that specializes in treating youths and adolescents, on September 21, 2018, the Company acquired the facility. The purchase price of approximately $6.4 million was satisfied by applying the aggregate principal amount outstanding on the construction mortgage note. Upon acquisition, the Company leased the facility to Sequel pursuant to a triple-net lease at an initial yield of 9.0%, with annual escalators. This new facility is a replacement for an existing nearby facility operated by Sequel.

Financing Activity

Credit Facility Amendment

On October 9, 2018, the Company amended its $300 million secured credit facility, primarily to account for recent tenant performance issues with the Texas Ten Portfolio and the deferral of a portion of the rent under the Fundamental Healthcare master lease, both of which have been previously disclosed. The following is a summary of the amended terms of the credit agreement, a copy of which was included as an exhibit in a Current Report on Form 8-K filed with the Securities and Exchange Commission on October 12, 2018:

Guidance for 2018

Primarily as a result of the referenced impacts from the Texas Ten Portfolio, the Company for the year ending December 31, 2018, revised its guidance for net income attributable to common stockholders to $0.21 to $0.23 (from $0.60 to $0.61) per diluted common share, FFO to $0.75 to $0.77 (from $1.13 to $1.15) per diluted common share and AFFO to $1.00 to $1.02 (from $1.19 to $1.22) per diluted common share.

A reconciliation of projected net income attributable to common stockholders per diluted share to projected FFO and AFFO per diluted share is provided as follows:

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⁽¹⁾ Includes adjustments for non-real estate depreciation and straight-line rent expense.

The Company’s guidance for net income attributable to common stockholders, FFO and AFFO for 2018 is based on the following assumptions:

Portfolio Update

For the twelve months ended June 30, 2018 (the most recent reporting period for which information is available for the Company’s operators), the Company’s stabilized, single-tenanted portfolio experienced an increase in occupancy and a slight decline in rent coverages, primarily related to its skilled nursing facility (“SNF”) portfolio. Beginning with this reporting period, the Texas Ten Portfolio was removed from the Company’s stabilized portfolio because the Company is actively seeking to transition the facilities to a new operator.

Texas Ten Tenant

For the reporting period ended June 30, 2018, the tenant for the Company’s ten skilled nursing facilities in Texas (the “Texas Ten Tenant”) reported that the rent and fixed charge coverage ratios were 0.79x and 0.72x, respectively, for the trailing twelve-month reporting period ended June 30, 2018, as compared to 0.77x and 0.70x, respectively, for the prior trailing twelve-month reporting period ended March 31, 2018. Rent coverage on an EBITDARM basis for the same reporting periods was 1.07x and 1.04x, respectively. For the third quarter of 2018, the Texas Ten Tenant, currently on cash basis revenue recognition, paid us approximately $0.5 million applied to rent. We have continued to seek alternative tenants for the facilities in the Texas Ten Portfolio.

Discussions are in advanced stages with multiple parties that have expressed interest in the portfolio. At this time, we expect that a master lease with a new operator would commence effective January 1, 2019, subject to obtaining regulatory approvals, and would provide for annual cash base rent of approximately $7.7 million. However, we can provide no assurances regarding our ability to lease the facilities to a new operator on such terms, in a timely manner or at all.

Fundamental Healthcare

Mountain’s Edge Hospital, leased and operated by a subsidiary of Fundamental Healthcare (“Fundamental”), is undergoing an expansion to add five operating rooms. Once construction is completed, Fundamental believes the facility will be able to provide a broad variety of surgical services that will result in higher patient volumes and reimbursements. The operating results of the Mira Vista skilled nursing facility have been adversely affected by turnover in the facility’s administrator position as well as by increased competition in the market. As a result of the operating performance at these two facilities, management of Fundamental has reported to us that, for the trailing twelve-month period ended June 30, 2018, the portfolio rent coverage ratio was 0.74x. Additionally, Fundamental management reported the fixed charge coverage ratio of the Fundamental Guarantor for the trailing twelve-month period ended June 30, 2018 was 1.08x.

Consistent with its prior disclosures in August 2018, the Company executed an amendment to the master lease with Fundamental on October 6, 2018, to defer a portion of monthly rent in the aggregate amount of approximately $2.4 million (the “Total Abatement Amount”), for the period from May 20, 2018 through March 20, 2019 (“the Temporary Abatement Period”). During the Temporary Abatement Period, Fundamental is required to pay monthly interest on the then-outstanding Total Abatement Amount at an annual interest rate of 9.0% in addition to other contractual rents due under the Fundamental Master Lease. Beginning April 20, 2019, Fundamental is required to repay the Total Abatement Amount based on a nine-month amortization schedule ending on December 20, 2019, in addition to other contractual rents due under the Fundamental Master Lease.

The Temporary Abatement Period coincides with the currently planned date of completion of the expansion of Mountain’s Edge Hospital and the commencement of surgical procedures in the new operating rooms, in order to align expected operational performance with contractual rent.

Quarterly Distributions to Common Stockholders

Pending resolution of matters related to the Company’s Texas Ten Portfolio, which include obtaining regulatory approvals of the transfer of operations to a new operator and commencement of rent pursuant to a new lease as discussed in the Portfolio Update section above, the Company’s Board of Directors delayed any decision regarding the dividend for the third quarter of 2018. There can be no assurances regarding the timing and amount of the third quarter dividend. All future dividends remain subject to the discretion of the Company’s Board of Directors.

Earnings Conference Call and Webcast

The Company will host a conference call and live audio webcast, both open for the general public to hear, on Monday, November 12, 2018 at 7:30 a.m. Central Time. The number to call for this interactive teleconference is (412) 542-4116. A

replay of the call will be available through November 19, 2018 by dialing (412) 317-0088 and entering the replay access code, 10125156.

The live audio webcast of the Company’s quarterly conference call will be available online in the Investor Relations section of the Company’s website at ir.medequities.com. The online replay will be available approximately one hour after the end of the call and archived for approximately twelve months.

About MedEquities Realty Trust, Inc.

MedEquities Realty Trust (NYSE: MRT) is a self-managed and self-administered real estate investment trust that invests in a diversified mix of healthcare properties and healthcare-related real estate debt investments. The Company’s management team has extensive industry experience in acquiring, owning, developing, financing, operating, leasing and monetizing many types of healthcare properties and portfolios. MedEquities’ strategy is to become an integral capital partner with high-quality and growth-oriented facility-based providers of healthcare services on a nationwide basis, primarily through net-leased real estate investment. For more information, please visit www.medequities.com.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the U.S. federal securities laws. Forward-looking statements provide our current expectations or forecasts of future events and are not statements of historical fact. These forward-looking statements include information about the Company’s 2018 guidance and related assumptions, strategic plans and objectives, potential property acquisitions and investments, anticipated capital expenditures, access to capital, the declaration, if any, the timing and the amounts of anticipated cash distributions to our stockholders in the future, the ability of the Texas Ten Tenant and Fundamental to improve their operating results and return to compliance with financial covenants under their master leases, our ability to lease the Texas Ten facilities to other tenants on terms acceptable to the lenders under our credit agreement and satisfy the Performance Hurdle and other conditions under our credit agreement, the future borrowing capacity under our credit agreement and other matters. Words such as “anticipates,” “expects,” “intends,” “plans,” “believes,” “seeks,” “estimates,” “will” and variations of these words and other similar expressions are intended to identify forward-looking statements. These statements are not guarantees of future performance and are subject to risks, uncertainties and other factors, some of which are beyond our control, are difficult to predict and/or could cause actual results to differ materially from those expressed or forecasted in the forward-looking statements.  Forward-looking statements involve inherent uncertainty and may ultimately prove to be incorrect or false. For a description of factors that may cause the Company’s actual results or performance to differ from its forward-looking statements, see the sections entitled “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Risk Factors” included in the Company’s most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission (the “SEC”), and other documents filed by the Company with the SEC from time to time, including our Quarterly Report on Form 10-Q for the quarter ended September 30, 2018. You are cautioned to not place undue reliance on forward-looking statements. Except as otherwise may be required by law, we undertake no obligation to update or revise forward-looking statements to reflect changed assumptions, the occurrence of unanticipated events or actual operating results.

Non-GAAP Financial Measures

We consider the following non-GAAP financial measures useful to investors as key supplemental measures of our performance: funds from operations attributable to common stockholders (“FFO”) and adjusted fund from operations attributable to common stockholders (“AFFO”).

Funds from Operations

FFO is a non-GAAP measure used by many investors and analysts that follow the real estate industry. FFO, as defined by the National Association of Real Estate Investment Trusts (“Nareit”), represents net income (computed in accordance with GAAP), excluding gains (losses) on sales of real estate and impairments of real estate assets, plus real estate-related depreciation and amortization and after adjustments for unconsolidated partnerships and joint ventures. Noncontrolling interest amounts represent adjustments to reflect only our share of real estate-related depreciation and amortization. We compute FFO in accordance with Nareit’s definition, which may differ from the methodology for calculating FFO, or similarly titled measures, used by other companies.

Historical cost accounting for real estate assets implicitly assumes that the value of real estate assets diminishes predictably over time. Since real estate values instead have historically risen or fallen with market conditions, most real estate industry investors consider FFO to be helpful in evaluating a real estate company’s operations. We believe that the presentation of FFO provides useful information to investors regarding our operating performance by excluding the effect of real-estate related depreciation and amortization, gains or losses from sales for real estate, including impairments, extraordinary items and the portion of items related to unconsolidated entities, all of which are based on historical cost accounting, and that FFO can facilitate comparisons of operating performance between periods and between REITs, even though FFO does not represent an amount that accrues directly to common stockholders.

Our calculation of FFO may not be comparable to measures calculated by other companies that do not use the Nareit definition of FFO or do not calculate FFO per diluted share in accordance with Nareit guidance. FFO should not be considered as an alternative to net income (computed in accordance with GAAP) as an indicator of our financial performance or to cash flow from operating activities (computed in accordance with GAAP) as an indicator of our liquidity.

Adjusted Funds from Operations

AFFO is a non-GAAP measure used by many investors and analysts to measure a real estate company’s operating performance by removing the effect of items that do not reflect ongoing property operations.  To calculate AFFO, we further adjust FFO for certain items that are not added to net income in Nareit’s definition of FFO, such as acquisition expenses on completed real estate transactions, non-real estate-related depreciation and amortization (including amortization of lease incentives, tenant allowances and leasing costs), stock-based compensation expenses, and any other non-comparable or non-operating items, that do not relate to the operating performance of our properties. For the nine months ended September 30, 2018, approximately $2.0 million of transaction costs comprised primarily of professional fees incurred during the second quarter of 2018 was added back in the calculation of AFFO. To calculate AFFO, we also adjust FFO to remove the effect of straight-line rent revenue, which represents the recognition of net unbilled rental income expected to be collected in future periods of a lease agreement that exceeds the actual contractual rent due periodically from tenants for their use of the leased real estate under each lease. Noncontrolling interest amounts represent adjustments to reflect only our share of straight-line rent revenue.

Our calculation of AFFO may differ from the methodology used for calculating AFFO by certain other REITs and, accordingly, our AFFO may not be comparable to AFFO reported by other REITs. AFFO should not be considered as an alternative to net income (computed in accordance with GAAP) as an indicator of our financial performance or to cash flow from operating activities (computed in accordance with GAAP) as an indicator of our liquidity.