American Healthcare REIT acquires about $1.69B in assets
Revised 2026 guidance sets NFFO per diluted share at $2.23 to $2.26 and total-portfolio Same-Store NOI growth at 12.0% to 14.0%.
Sentiment and the balance of points
Rhea-AI Sentiment reads the wording of the document, how positive or negative its language is on a 1 to 5 scale. The balance of points shown with the takes weighs what the document actually discloses, so the two can disagree, for example when a trial that missed its main goal is described in upbeat language.
American Healthcare REIT, Inc. (AHR) reported third-quarter 2026 revenue of $742.149 million, compared with $572.937 million a year earlier, while net income attributable to controlling interest was $31.213 million versus $55.927 million. Normalized FFO per diluted share was $0.58, up 31.8% from $0.44, and total-portfolio Same-Store NOI growth was 13.8%, including 28.2% in SHOP and 15.7% in ISHC.
AHR acquired 17 SHOP assets for approximately $1.69 billion. It raised 2026 guidance to NFFO per diluted share of $2.23 to $2.26 and total-portfolio Same-Store NOI growth of 12.0% to 14.0%. Net Debt-to-Annualized Adjusted EBITDA was 1.9x as of September 30, compared with 2.5x as of June 30; total liquidity was approximately $2.35 billion.
As of November 5, unsettled forward sale agreements under the ATM Program and August 2026 follow-on offering related to 24,598,011 shares and would result in approximately $1.32 billion in gross proceeds, assuming full physical settlement.
How this balance works
Rhea-AI gives every point it takes from this document a weight. Minor counts 1, Moderate 3 and Major 9, so one Major point outweighs several Minor ones. The bar adds up the weights on each side, and when neither side holds more than 65% of the total the balance reads Mixed.
It reads the document as published, with the same rules for every company, and it does not look at what the market expected or at how the stock traded, so a point can be objectively good on a day the stock falls.
Rhea-AI Sentiment measures something else, the tone of the wording.
Positive
- Moderate pointQuarterly revenue reached $742.149 million, versus $572.937 million a year earlier.
- Moderate pointNormalized FFO per diluted share rose 31.8% to $0.58.
Negative
- Moderate pointNet income attributable to controlling interest declined to $31.213 million from $55.927 million.
Filing Explained
By
8-K Event Classification
Key Figures
Key Terms
Normalized Funds From Operations financial
Same-Store NOI financial
forward sale agreements financial
Net Debt-to-Annualized Adjusted EBITDA financial
RIDEA structure regulatory
Earnings Snapshot
For the year ending December 31, 2026, NFFO per diluted share guidance is $2.23 to $2.26 and total-portfolio Same-Store NOI growth guidance is 12.0% to 14.0%.
FAQ
AI-generated questions and answers. How Rhea-AI works. Not financial advice.
What is AHR's investment pipeline and when could deals close?
How much is AHR's development pipeline expected to cost?
When did AHR pay its third-quarter 2026 distribution?
AI-generated analysis. How Rhea-AI works. Not financial advice.
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): |
(Exact name of Registrant as Specified in Its Charter)
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(Former Name or Former Address, if Changed Since Last Report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
Securities registered pursuant to Section 12(b) of the Act:
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Trading |
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Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Item 2.02 Results of Operations and Financial Condition.
On November 5, 2026, we issued an earnings release announcing our financial position as of September 30, 2026 and our results for the quarter then ended. A copy of the earnings release is attached hereto as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated by reference herein.
Item 7.01 Regulation FD Disclosure.
On November 5, 2026, we released certain supplemental data and a presentation for the quarter ended September 30, 2026. A copy of the supplemental data is attached hereto as Exhibit 99.2 to this Current Report on Form 8-K and is incorporated by reference herein. Additionally, a copy of the presentation is available on the Investor Relations page of the Company’s website at https://ir.americanhealthcarereit.com/events-and-presentations/.
The information contained in Items 2.02 and 7.01 hereof, including Exhibits 99.1 and 99.2 incorporated by reference herein, is being “furnished” and shall not be deemed “filed” for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liabilities of that section, nor shall such information be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, except as shall be expressly set forth by the specific reference in such filing.
Item 9.01 Financial Statements and Exhibits.
(d) Exhibits.
Exhibit No. |
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Description |
99.1 |
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American Healthcare REIT, Inc. Earnings Release, dated November 5, 2026 |
99.2 |
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American Healthcare REIT, Inc. Third Quarter 2026 Supplemental |
104 |
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Cover Page Interactive Data File (embedded within the Inline XBRL document) |
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
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American Healthcare REIT, Inc. |
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Date: |
November 5, 2026 |
By: |
/s/ Jeffrey T. Hanson |
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Name: Jeffrey T. Hanson |
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Exhibit 99.1
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Press Release |
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Irvine, CA – November 5, 2026 |
Contact: Alan Peterson Email: investorrelations@ahcreit.com |
American Healthcare REIT Announces Third Quarter 2026 Results;
Increases Full Year 2026 Guidance
American Healthcare REIT, Inc. (NYSE: AHR) (the “Company,” “we,” “our,” “us,” “management,” or "AHR") is announcing today its third quarter 2026 results and increasing full year 2026 guidance.
Key Highlights
(all figures reported for the three months ended September 30, 2026 and percentage changes are compared to the same period in 2025 unless otherwise noted)
“We strengthened three things this quarter: the team, the portfolio and the platform that connects them,” said Jeff Hanson, the Company’s Chairman and Chief Executive Officer. “We added executive leadership across finance, asset management, and technology, added nearly $2.1 billion of new investments in 2026, and brought new operating partners onto a platform that pairs their local expertise with portfolio-wide collaborations among the top operators in the senior housing industry. Importantly, this growth has been ambitious but disciplined. Superior care quality drives resident outcomes, and resident outcomes drive our performance. Our goal remains to be the preferred capital partner for the best senior housing operators in America, and we believe we made great strides in furtherance of that objective this quarter.”
Page | 1
Third Quarter 2026 Results
The Company’s Same-Store NOI growth results for the three and nine months ended September 30, 2026 are detailed below. Same-Store NOI growth in the third quarter of 2026, compared to the same period in 2025, was led by the Company’s operating portfolio, comprised of its ISHC and SHOP segments, through strong pricing power driven by rate growth and effective expense control by its operating partners.
Three Months Ended September 30, 2026 Relative to Three Months Ended September 30, 2025 |
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Segment |
Same-Store NOI Growth |
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ISHC |
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15.7 |
% |
SHOP |
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28.2 |
% |
Outpatient Medical |
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0.4 |
% |
Triple-Net Leased Properties |
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2.7 |
% |
Total Portfolio |
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13.8 |
% |
Nine Months Ended September 30, 2026 Relative to Nine Months Ended September 30, 2025 |
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Segment |
Same-Store NOI Growth |
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ISHC |
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15.5 |
% |
SHOP |
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22.9 |
% |
Outpatient Medical |
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1.2 |
% |
Triple-Net Leased Properties |
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3.1 |
% |
Total Portfolio |
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13.1 |
% |
"Supply and demand dynamics alone do not guarantee success in this business," said Gabe Willhite, AHR's President and Chief Operating Officer. "Together with our roster of top regional operators, we executed on occupancy gains, dynamic pricing management and tight expense control to deliver 28.2% Same-Store NOI growth in SHOP and 15.7% in ISHC. We closed the third quarter with a solid foundation to enter the last quarter of 2026, which we believe should support growth entering 2027. The systems and standards we continue to support with our operating partners have propelled growth across our SHOP+ portfolio, which is comprised of our SHOP and ISHC segments."
Transactional Activity
During the three months ended September 30, 2026, the Company:
Following the Company's completed transaction activity during the three months ended September 30, 2026, and subsequent to quarter end, the Company's investment pipeline consists of over $1.0 billion which includes newly awarded deals and deals in the pipeline previously disclosed in the Company's Second Quarter 2026 Earnings Release that have yet to close. While the Company expects to close the deals in its investment pipeline by the end of the first quarter in 2027, it cannot guarantee when or if these closings will take place. Therefore, the Company is not including any additional transaction activity, including the awarded deals in its investment pipeline, in its 2026 guidance, beyond the transactions disclosed as completed.
Development Activity
The Company's total in-process development and expansion pipeline is expected to cost approximately $192.9 million, of which $88.2 million had been funded as of September 30, 2026.
Capital Markets and Balance Sheet Activity
As of September 30, 2026, the Company had total consolidated indebtedness of $1.38 billion and approximately $2.35 billion of total liquidity, comprised of cash and cash equivalents, undrawn capacity on its lines of credit, and expected gross proceeds from unsettled forward sale agreements, assuming full physical settlement. The Company's Net-Debt-to-Annualized Adjusted EBITDA as of September 30, 2026, was 1.9x.
Page | 2
During the three months ended September 30, 2026, the Company entered into forward sale agreements pursuant to its ATM Program, to sell 14,385,140 shares of common stock for approximately $780.5 million in gross proceeds. Subsequent to quarter end, the Company entered into additional forward sale agreements pursuant to its ATM Program to sell 1,522,952 shares of common stock for approximately $77.1 million in gross proceeds, assuming full physical settlement.
The Company also completed a follow-on common equity offering in August 2026, entering into new forward sale agreements to issue 15,237,500 shares of common stock for gross proceeds of approximately $819.0 million.
During the three months ended September 30, 2026, the Company issued 36,833,346 shares of common stock to physically settle sales under forward sale agreements pursuant to its ATM Program and its May 2026 and August 2026 follow-on common equity offerings for gross proceeds of approximately $1.88 billion. Subsequent to quarter end, the Company issued an additional 589,179 shares of common stock to physically settle sales under forward sale agreements from its ATM Program and its August 2026 follow-on common equity offering for gross proceeds of approximately $31.2 million. As of November 5, 2026, pursuant to its ATM Program and its August 2026 follow-on common equity offering, the Company had unsettled forward sale agreements outstanding relating to 24,598,011 shares of common stock that would result in approximately $1.32 billion in gross proceeds assuming full physical settlement.
“I am honored to join AHR at a pivotal moment for the Company and sector. AHR’s focus resonated with me: to serve a rapidly growing senior population by supporting top operators who deliver the best care,” said Aric Chang, the Company's Chief Financial Officer. “Our team and operating partners successfully executed on organic and external growth in the third quarter, which is why we are raising full-year guidance for Same-Store NOI growth and NFFO per diluted share. At the midpoint of revised guidance, we now expect 31% NFFO per diluted share growth over 2025, reflecting our continued focus on driving long-term shareholder value.”
Full Year 2026 Guidance
The Company is increasing NFFO per diluted share and Same-Store NOI growth guidance for the year ending December 31, 2026. The Company's 2026 guidance does not assume additional transaction or capital markets activity beyond the transactions or activity disclosed herein as completed. Guidance ranges are detailed below:
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Full Year 2026 Guidance |
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Metric |
Midpoint |
Current FY 2026 Range |
Prior FY 2026 Range |
Net income per diluted share |
$0.605 |
$0.59 to $0.62 |
$0.54 to $0.58 |
NAREIT FFO per diluted share |
$2.145 |
$2.13 to $2.16 |
$2.04 to $2.08 |
NFFO per diluted share |
$2.245 |
$2.23 to $2.26 |
$2.15 to $2.19 |
Total Portfolio SS NOI Growth |
13.0% |
12.0% to 14.0% |
11.0% to 13.0% |
Segment-Level SS NOI Growth: |
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ISHC |
15.5% |
14.5% to 16.5% |
13.0% to 16.0% |
SHOP |
24.5% |
23.0% to 26.0% |
18.0% to 21.0% |
Outpatient Medical |
0.75% |
0.5% to 1.0% |
0.0% to 1.0% |
Triple-Net Leased Properties |
3.0% |
2.5% to 3.5% |
2.0% to 3.0% |
________________________________________
Certain of the assumptions underlying the Company’s 2026 guidance can be found within the Non-GAAP reconciliations in this earnings release and in the appendix of the Company’s Third Quarter 2026 Supplemental Financial Information (“Supplemental”). A reconciliation of net income (loss) calculated in accordance with generally accepted accounting principles in the United States ("GAAP") to NAREIT FFO and NFFO can be found within the Non-GAAP reconciliations in this earnings release. Non-GAAP financial measures and other terms, as used in this earnings release, are also defined and further explained in the Supplemental. The Company is unable to provide, without unreasonable effort, guidance for the most comparable GAAP financial measures of total revenues and property operating and maintenance expenses. Additionally, a reconciliation of the forward-looking non-GAAP financial measures of Same-Store NOI growth to the comparable GAAP financial measures cannot be provided without unreasonable effort because the Company is unable to reasonably predict certain items contained in the GAAP measures, including non-recurring and infrequent items that are not indicative of the Company’s ongoing operations. Such items include, but are not limited to, impairment on depreciated real estate assets, net gain or loss on sale of real estate assets, stock-based compensation, casualty loss, non-Same-Store revenue and non-Same-Store operating expenses. These items are uncertain, depend on various factors and could have a material impact on the Company’s GAAP results for the guidance period.
Page | 3
Distributions
As previously announced, the Company’s Board of Directors declared a cash distribution for the quarter ended September 30, 2026 of $0.25 per share of its common stock. The third quarter distribution was paid in cash on October 16, 2026, to stockholders of record as of September 30, 2026.
Supplemental Information
The Company has disclosed supplemental information regarding its portfolio, financial position and results of operations as of, and for the three and nine months ended, September 30, 2026, and certain other information, which is available on the Investor Relations section of the Company's website at https://ir.americanhealthcarereit.com.
Conference Call and Webcast Information
The Company will host a webcast and conference call at 1:00 p.m. Eastern Time on November 6, 2026. During the conference call, Company executives will review third quarter 2026 results, discuss recent events and conduct a question-and-answer period.
To join via webcast, investors may use the following link: https://events.q4inc.com/attendee/980250267.
To join the live telephone conference call, please dial one of the following numbers at least five minutes prior to the start time:
North America Toll-Free: +1 833-461-5787
International Toll: +1 585-542-9983
International Dial-Ins: https://help.events.q4inc.com/eahc/international-dial-in-numbers
Meeting ID: 980 250 267
A digital replay of the call will be available on the Investor Relations section of the Company’s website at https://ir.americanhealthcarereit.com shortly after the conclusion of the call.
Forward-Looking Statements
Certain statements contained in this press release, including statements relating to the Company's expectations regarding its performance and growth in 2027; full year 2026 guidance, including net income per diluted share, NAREIT FFO per diluted share, NFFO per diluted share, total portfolio Same-Store NOI growth, and segment-level Same-Store NOI growth and margin expansion; purchases and sales of assets, including the timing of the closing of deals in its investment pipeline; development plans; the settlement of forward sale agreements; emissions reduction targets and the benefits of additions to its management team, portfolio and platform may be considered forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. The Company intends for all such forward-looking statements to be covered by the applicable safe harbor provisions for forward-looking statements contained in those acts. Such forward-looking statements generally can be identified by the use of forward-looking terminology, such as “may,” “will,” “can,” “expect,” “intend,” “anticipate,” “estimate,” “believe,” “continue,” “possible,” “initiatives,” “focus,” “seek,” “objective,” “goal,” “strategy,” “plan,” “potential,” “potentially,” “preparing,” “projected,” “future,” “long-term,” “once,” “should,” “could,” “would,” “might,” “uncertainty” or other similar words. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this press release. Any such forward-looking statements are based on current expectations, estimates and projections about the industry and markets in which the Company operates, and beliefs of, and assumptions made by, the Company's management and involve known and unknown risks and uncertainties that could cause actual results to differ materially from those expressed or implied therein, including, without limitation, changing macroeconomic, domestic legal and fiscal policies; geopolitical conditions and other risks disclosed in the Company's Annual Report on Form 10-K for the year ended December 31, 2025, filed on February 27, 2026, and subsequent periodic reports filed with the Securities and Exchange Commission. Except as required by law, the Company does not undertake any obligation to update or revise any forward-looking statements contained in this release.
Page | 4
Non-GAAP Financial Measures
The Company’s reported results are presented in accordance with GAAP. The Company also discloses the following non-GAAP financial measures: EBITDA, Adjusted EBITDA, Net Debt-to-Annualized Adjusted EBITDA, NAREIT FFO, NFFO, NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI. The Company believes these non-GAAP financial measures are useful supplemental measures of its operating performance and are used by investors and analysts to compare the operating performance of the Company between periods and to other REITs or companies on a consistent basis without having to account for differences caused by unanticipated and/or incalculable items. Definitions of the non-GAAP financial measures used herein and reconciliations to the most directly comparable financial measure calculated in accordance with GAAP can be found at the end of this earnings release. See below and "Definitions" for further information regarding the Company's non-GAAP financial measures.
EBITDA and Adjusted EBITDA
Management uses earnings before interest, taxes, depreciation and amortization (“EBITDA”) and Adjusted EBITDA to facilitate internal and external comparisons to our historical operating results and in making operating decisions. EBITDA and Adjusted EBITDA are widely used by investors, lenders, credit and equity analysts in the valuation, comparison, and investment recommendations of companies. Additionally, EBITDA and Adjusted EBITDA are utilized by our Board of Directors to evaluate management. Neither EBITDA nor Adjusted EBITDA represents net income (loss) or cash flows provided by operating activities as determined in accordance with GAAP and should not be considered as alternative measures of profitability or liquidity. In addition, management uses Net Debt-to-Annualized Adjusted EBITDA as a measure of our ability to service our debt. Finally, EBITDA and Adjusted EBITDA may not be comparable to similarly titled items reported by other REITs or other companies.
NAREIT Funds from Operations (FFO) and Normalized Funds from Operations (NFFO)
We believe that the use of FFO, which excludes the impact of real estate-related depreciation and amortization and impairments, provides a further understanding of our operating performance to investors, industry analysts and our management, and when compared year over year, reflects the impact on our operations from trends in Occupancy rates, rental rates, operating costs, general and administrative expenses and interest costs, which may not be immediately apparent from net income (loss) as determined in accordance with GAAP. However, FFO and NFFO should not be construed to be (i) more relevant or accurate than the current GAAP methodology in calculating net income (loss) as an indicator of our operating performance, (ii) more relevant or accurate than GAAP cash flows from operations as an indicator of our liquidity or (iii) indicative of funds available to fund our cash needs, including our ability to make distributions to our stockholders. The method utilized to evaluate the value and performance of real estate under GAAP should be construed as a more relevant measure of operational performance and considered more prominently than the non-GAAP FFO and NFFO measures and the adjustments to GAAP in calculating FFO and NFFO. Presentation of this information is intended to provide useful information to investors, industry analysts and management as they compare the operating performance metrics used by the REIT industry, although it should be noted that some REITs may use different methods of calculating funds from operations and normalized funds from operations, so comparisons with such REITs may not be meaningful.
Net Operating Income (NOI)
We believe that NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI are appropriate supplemental performance measures to reflect the performance of our operating assets because NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI exclude certain items that are not associated with the operations of the properties. We believe that NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI are widely accepted measures of comparative operating performance in the real estate community and are useful to investors in understanding the profitability and operating performance of our property portfolio. However, our use of the terms NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI may not be comparable to that of other real estate companies as they may have different methodologies for computing these amounts.
NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI are not equivalent to our net income (loss) as determined under GAAP and may not be a useful measure of operational income or cash flows. Furthermore, NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI should not be considered as alternatives to net income (loss) as an indication of our operating performance or as an alternative to cash flows from operations as an indication of our liquidity. NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI should not be construed to be more relevant or accurate than the GAAP methodology in calculating net income (loss). NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI should be reviewed in conjunction with other measurements as an indication of our performance.
Page | 5
About American Healthcare REIT, Inc.
American Healthcare REIT, Inc. (NYSE: AHR) is a real estate investment trust that acquires, owns and operates a diversified portfolio of clinical healthcare real estate, focusing primarily on senior housing communities, skilled nursing facilities, and outpatient medical buildings across the United States, and in the United Kingdom and the Isle of Man.
Page | 6
AMERICAN HEALTHCARE REIT, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
As of September 30, 2026 and December 31, 2025
(In thousands, except share and per share amounts) (Unaudited)
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September 30, |
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December 31, |
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ASSETS |
|
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Real estate investments, net |
|
$ |
5,949,084 |
|
|
$ |
4,183,419 |
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Debt investments, net |
|
|
240,808 |
|
|
|
92,136 |
|
Cash and cash equivalents |
|
|
222,767 |
|
|
|
114,836 |
|
Restricted cash |
|
|
35,905 |
|
|
|
36,917 |
|
Accounts and other receivables, net |
|
|
228,503 |
|
|
|
204,313 |
|
Identified intangible assets, net |
|
|
370,206 |
|
|
|
253,236 |
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Goodwill |
|
|
234,942 |
|
|
|
234,942 |
|
Operating lease right-of-use assets, net |
|
|
149,524 |
|
|
|
135,399 |
|
Other assets, net |
|
|
177,618 |
|
|
|
171,028 |
|
Total assets |
|
$ |
7,609,357 |
|
|
$ |
5,426,226 |
|
|
|
|
|
|
|
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LIABILITIES, REDEEMABLE NONCONTROLLING INTERESTS AND EQUITY |
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Liabilities: |
|
|
|
|
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|
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Mortgage loans payable, net |
|
$ |
814,957 |
|
|
$ |
966,925 |
|
Lines of credit and term loan, net |
|
|
549,927 |
|
|
|
549,761 |
|
Accounts payable and accrued liabilities |
|
|
372,123 |
|
|
|
317,742 |
|
Identified intangible liabilities, net |
|
|
1,717 |
|
|
|
2,110 |
|
Financing obligations |
|
|
19,208 |
|
|
|
33,902 |
|
Operating lease liabilities |
|
|
135,430 |
|
|
|
135,603 |
|
Security deposits, prepaid rent and other liabilities |
|
|
66,538 |
|
|
|
59,568 |
|
Total liabilities |
|
|
1,959,900 |
|
|
|
2,065,611 |
|
|
|
|
|
|
|
|
||
Commitments and contingencies |
|
|
|
|
|
|
||
|
|
|
|
|
|
|
||
Redeemable noncontrolling interests |
|
|
66,810 |
|
|
|
— |
|
|
|
|
|
|
|
|
||
Equity: |
|
|
|
|
|
|
||
Stockholders’ equity: |
|
|
|
|
|
|
||
Preferred stock, $0.01 par value per share; 200,000,000 shares authorized; |
|
|
— |
|
|
|
— |
|
Common stock, $0.01 par value per share; 1,000,000,000 shares authorized; |
|
|
2,311 |
|
|
|
1,852 |
|
Additional paid-in capital |
|
|
7,164,243 |
|
|
|
4,880,169 |
|
Accumulated deficit |
|
|
(1,628,682 |
) |
|
|
(1,559,279 |
) |
Accumulated other comprehensive loss |
|
|
(2,205 |
) |
|
|
(2,104 |
) |
Total stockholders’ equity |
|
|
5,535,667 |
|
|
|
3,320,638 |
|
Noncontrolling interests |
|
|
46,980 |
|
|
|
39,977 |
|
Total equity |
|
|
5,582,647 |
|
|
|
3,360,615 |
|
Total liabilities, redeemable noncontrolling interests and equity |
|
$ |
7,609,357 |
|
|
$ |
5,426,226 |
|
Page | 7
AMERICAN HEALTHCARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME
For the Three and Nine Months Ended September 30, 2026 and 2025
(In thousands, except share and per share amounts) (Unaudited)
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
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|
|
2026 |
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|
2025 |
|
|
2026 |
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|
2025 |
|
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Revenues: |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Resident fees and services |
|
$ |
701,093 |
|
|
$ |
532,058 |
|
|
$ |
1,945,379 |
|
|
$ |
1,530,519 |
|
Real estate revenue |
|
|
41,056 |
|
|
|
40,879 |
|
|
|
121,794 |
|
|
|
125,524 |
|
Total revenues |
|
|
742,149 |
|
|
|
572,937 |
|
|
|
2,067,173 |
|
|
|
1,656,043 |
|
Expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Property operating expenses |
|
|
564,735 |
|
|
|
454,530 |
|
|
|
1,601,744 |
|
|
|
1,313,238 |
|
Rental expenses |
|
|
12,619 |
|
|
|
12,592 |
|
|
|
37,892 |
|
|
|
39,225 |
|
General and administrative |
|
|
21,582 |
|
|
|
14,108 |
|
|
|
59,078 |
|
|
|
42,206 |
|
Transaction, transition and restructuring costs |
|
|
5,113 |
|
|
|
50 |
|
|
|
9,870 |
|
|
|
1,808 |
|
Depreciation and amortization |
|
|
90,869 |
|
|
|
49,181 |
|
|
|
230,056 |
|
|
|
132,236 |
|
Total expenses |
|
|
694,918 |
|
|
|
530,461 |
|
|
|
1,938,640 |
|
|
|
1,528,713 |
|
Other income (expense): |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Interest expense: |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Interest expense, net |
|
|
(17,773 |
) |
|
|
(20,392 |
) |
|
|
(55,195 |
) |
|
|
(65,969 |
) |
(Loss) gain in fair value of derivative financial instruments |
|
|
(106 |
) |
|
|
166 |
|
|
|
1,778 |
|
|
|
(1,213 |
) |
Gain (loss) on dispositions of real estate investments, net |
|
|
— |
|
|
|
691 |
|
|
|
5,647 |
|
|
|
(2,344 |
) |
Impairment of real estate investments |
|
|
— |
|
|
|
(3,768 |
) |
|
|
(2,137 |
) |
|
|
(38,133 |
) |
Income (loss) from unconsolidated entities |
|
|
49 |
|
|
|
462 |
|
|
|
1,733 |
|
|
|
(2,624 |
) |
Gain on re-measurement of previously held equity interest |
|
|
— |
|
|
|
14,580 |
|
|
|
— |
|
|
|
14,580 |
|
Foreign currency (loss) gain |
|
|
(619 |
) |
|
|
(977 |
) |
|
|
(1,363 |
) |
|
|
3,181 |
|
Other income, net |
|
|
3,473 |
|
|
|
2,309 |
|
|
|
7,722 |
|
|
|
5,314 |
|
Total net other expense |
|
|
(14,976 |
) |
|
|
(6,929 |
) |
|
|
(41,815 |
) |
|
|
(87,208 |
) |
Income before income taxes |
|
|
32,255 |
|
|
|
35,547 |
|
|
|
86,718 |
|
|
|
40,122 |
|
Income tax (expense) benefit |
|
|
(740 |
) |
|
|
21,092 |
|
|
|
(212 |
) |
|
|
19,756 |
|
Net income |
|
|
31,515 |
|
|
|
56,639 |
|
|
|
86,506 |
|
|
|
59,878 |
|
Net income attributable to noncontrolling interests |
|
|
(302 |
) |
|
|
(712 |
) |
|
|
(974 |
) |
|
|
(847 |
) |
Net income attributable to controlling interest |
|
$ |
31,213 |
|
|
$ |
55,927 |
|
|
$ |
85,532 |
|
|
$ |
59,031 |
|
Net income per common share attributable to controlling |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Basic |
|
$ |
0.14 |
|
|
$ |
0.33 |
|
|
$ |
0.43 |
|
|
$ |
0.36 |
|
Diluted |
|
$ |
0.14 |
|
|
$ |
0.33 |
|
|
$ |
0.43 |
|
|
$ |
0.36 |
|
Weighted average number of common shares outstanding: |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Basic |
|
|
216,783,990 |
|
|
|
169,010,301 |
|
|
|
199,046,304 |
|
|
|
162,188,510 |
|
Diluted |
|
|
217,711,583 |
|
|
|
169,802,090 |
|
|
|
199,494,794 |
|
|
|
162,908,219 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Net income |
|
$ |
31,515 |
|
|
$ |
56,639 |
|
|
$ |
86,506 |
|
|
$ |
59,878 |
|
Other comprehensive income (loss): |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Foreign currency translation adjustments |
|
|
8 |
|
|
|
(121 |
) |
|
|
(101 |
) |
|
|
398 |
|
Total other comprehensive income (loss) |
|
|
8 |
|
|
|
(121 |
) |
|
|
(101 |
) |
|
|
398 |
|
Comprehensive income |
|
|
31,523 |
|
|
|
56,518 |
|
|
|
86,405 |
|
|
|
60,276 |
|
Comprehensive income attributable to noncontrolling |
|
|
(302 |
) |
|
|
(712 |
) |
|
|
(974 |
) |
|
|
(847 |
) |
Comprehensive income attributable to controlling interest |
|
$ |
31,221 |
|
|
$ |
55,806 |
|
|
$ |
85,431 |
|
|
$ |
59,429 |
|
Page | 8
AMERICAN HEALTHCARE REIT, INC.
NAREIT FFO and Normalized FFO Reconciliation
For the Three and Nine Months Ended September 30, 2026 and 2025
(In thousands, except share and per share amounts) (Unaudited)
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
||||||||||
|
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
||||
Net income |
|
$ |
31,515 |
|
|
$ |
56,639 |
|
|
$ |
86,506 |
|
|
$ |
59,878 |
|
Depreciation and amortization related to real estate — |
|
|
90,800 |
|
|
|
49,115 |
|
|
|
229,849 |
|
|
|
131,980 |
|
Depreciation and amortization related to real estate — |
|
|
43 |
|
|
|
15 |
|
|
|
71 |
|
|
|
1,018 |
|
Impairment of real estate investments — |
|
|
— |
|
|
|
3,768 |
|
|
|
2,137 |
|
|
|
38,133 |
|
(Gain) loss on dispositions of real estate investments, net — |
|
|
— |
|
|
|
(691 |
) |
|
|
(5,647 |
) |
|
|
2,344 |
|
Gain on re-measurement of previously held equity interest |
|
|
— |
|
|
|
(14,580 |
) |
|
|
— |
|
|
|
(14,580 |
) |
Net income attributable to noncontrolling interests |
|
|
(302 |
) |
|
|
(712 |
) |
|
|
(974 |
) |
|
|
(847 |
) |
Depreciation, amortization, impairments, net gain/loss on |
|
|
(1,449 |
) |
|
|
(521 |
) |
|
|
(3,005 |
) |
|
|
(2,216 |
) |
NAREIT FFO attributable to controlling interest |
|
$ |
120,607 |
|
|
$ |
93,033 |
|
|
$ |
308,937 |
|
|
$ |
215,710 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Transaction, transition and restructuring costs |
|
$ |
5,113 |
|
|
$ |
50 |
|
|
$ |
9,870 |
|
|
$ |
1,808 |
|
Amortization of above- and below-market leases |
|
|
281 |
|
|
|
295 |
|
|
|
911 |
|
|
|
1,063 |
|
Amortization of direct origination and closing costs — debt investments |
|
|
739 |
|
|
|
11 |
|
|
|
763 |
|
|
|
60 |
|
Change in deferred rent |
|
|
(184 |
) |
|
|
(485 |
) |
|
|
(1,120 |
) |
|
|
(1,877 |
) |
Non-cash impact of changes to equity instruments (1) |
|
|
9,284 |
|
|
|
3,429 |
|
|
|
19,909 |
|
|
|
9,170 |
|
Non-cash income tax benefit |
|
|
(294 |
) |
|
|
(21,401 |
) |
|
|
(1,241 |
) |
|
|
(21,401 |
) |
Capitalized interest |
|
|
(834 |
) |
|
|
(401 |
) |
|
|
(2,189 |
) |
|
|
(843 |
) |
(Gain) loss on debt extinguishments |
|
|
— |
|
|
|
(22 |
) |
|
|
147 |
|
|
|
1,784 |
|
Loss (gain) in fair value of derivative financial instruments |
|
|
106 |
|
|
|
(166 |
) |
|
|
(1,778 |
) |
|
|
1,213 |
|
Foreign currency loss (gain) |
|
|
619 |
|
|
|
977 |
|
|
|
1,363 |
|
|
|
(3,181 |
) |
Other non-recurring income (2) |
|
|
(8,815 |
) |
|
|
— |
|
|
|
(8,815 |
) |
|
|
— |
|
Adjustments for unconsolidated entities |
|
|
(1 |
) |
|
|
(1 |
) |
|
|
(2 |
) |
|
|
4 |
|
Adjustments for noncontrolling interests |
|
|
(62 |
) |
|
|
211 |
|
|
|
(192 |
) |
|
|
139 |
|
Normalized FFO attributable to controlling interest |
|
$ |
126,559 |
|
|
$ |
75,530 |
|
|
$ |
326,563 |
|
|
$ |
203,649 |
|
NAREIT FFO and Normalized FFO weighted average common |
|
|
217,711,583 |
|
|
|
169,802,090 |
|
|
|
199,494,794 |
|
|
|
162,908,219 |
|
NAREIT FFO per common share attributable to controlling |
|
$ |
0.55 |
|
|
$ |
0.54 |
|
|
$ |
1.55 |
|
|
$ |
1.32 |
|
Normalized FFO per common share attributable to controlling |
|
$ |
0.58 |
|
|
$ |
0.44 |
|
|
$ |
1.64 |
|
|
$ |
1.25 |
|
Page | 9
AMERICAN HEALTHCARE REIT, INC.
Adjusted EBITDA Reconciliation
For the Three Months Ended September 30, 2026
(In thousands) (Unaudited)
Net income |
|
$ |
31,515 |
|
Interest expense, net (including amortization of deferred financing costs and amortization of debt |
|
|
17,773 |
|
Income tax expense |
|
|
740 |
|
Depreciation and amortization (including amortization of leased assets and accretion of lease liabilities) |
|
|
91,403 |
|
EBITDA |
|
|
141,431 |
|
Income from unconsolidated entities |
|
|
(49 |
) |
Straight line rent and amortization of above/below market leases |
|
|
(437 |
) |
Non-cash impact of changes to equity instruments |
|
|
9,284 |
|
Transaction, transition and restructuring costs |
|
|
5,113 |
|
Amortization of direct origination and closing costs — debt investments |
|
|
739 |
|
Foreign currency loss |
|
|
619 |
|
Loss in fair value of derivative financial instruments |
|
|
106 |
|
Other non-recurring income |
|
|
(8,815 |
) |
Adjusted EBITDA |
|
$ |
147,991 |
|
Page | 10
AMERICAN HEALTHCARE REIT, INC.
NOI and Cash NOI Reconciliation
For the Three and Nine Months Ended September 30, 2026 and 2025
(In thousands) (Unaudited)
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
||||||||||
|
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
||||
Net income |
|
|
31,515 |
|
|
|
56,639 |
|
|
|
86,506 |
|
|
|
59,878 |
|
General and administrative |
|
|
21,582 |
|
|
|
14,108 |
|
|
|
59,078 |
|
|
|
42,206 |
|
Transaction, transition and restructuring costs |
|
|
5,113 |
|
|
|
50 |
|
|
|
9,870 |
|
|
|
1,808 |
|
Depreciation and amortization |
|
|
90,869 |
|
|
|
49,181 |
|
|
|
230,056 |
|
|
|
132,236 |
|
Interest expense, net |
|
|
17,773 |
|
|
|
20,392 |
|
|
|
55,195 |
|
|
|
65,969 |
|
Loss (gain) in fair value of derivative financial instruments |
|
|
106 |
|
|
|
(166 |
) |
|
|
(1,778 |
) |
|
|
1,213 |
|
(Gain) loss on dispositions of real estate investments, net |
|
|
— |
|
|
|
(691 |
) |
|
|
(5,647 |
) |
|
|
2,344 |
|
Impairment of real estate investments |
|
|
— |
|
|
|
3,768 |
|
|
|
2,137 |
|
|
|
38,133 |
|
(Income) loss from unconsolidated entities |
|
|
(49 |
) |
|
|
(462 |
) |
|
|
(1,733 |
) |
|
|
2,624 |
|
Gain on re-measurement of previously held equity interest |
|
|
— |
|
|
|
(14,580 |
) |
|
|
— |
|
|
|
(14,580 |
) |
Foreign currency loss (gain) |
|
|
619 |
|
|
|
977 |
|
|
|
1,363 |
|
|
|
(3,181 |
) |
Other income, net |
|
|
(3,473 |
) |
|
|
(2,309 |
) |
|
|
(7,722 |
) |
|
|
(5,314 |
) |
Income tax expense (benefit) |
|
|
740 |
|
|
|
(21,092 |
) |
|
|
212 |
|
|
|
(19,756 |
) |
Net operating income |
|
|
164,795 |
|
|
|
105,815 |
|
|
|
427,537 |
|
|
|
303,580 |
|
Straight line rent |
|
|
(297 |
) |
|
|
(730 |
) |
|
|
(1,580 |
) |
|
|
(2,286 |
) |
Facility rental expense |
|
|
6,752 |
|
|
|
7,030 |
|
|
|
20,265 |
|
|
|
21,807 |
|
Other non-cash adjustments |
|
|
934 |
|
|
|
133 |
|
|
|
1,025 |
|
|
|
517 |
|
Cash NOI from dispositions |
|
|
(6 |
) |
|
|
(102 |
) |
|
|
(351 |
) |
|
|
(716 |
) |
Cash NOI attributable to noncontrolling interests (1) |
|
|
(734 |
) |
|
|
(251 |
) |
|
|
(1,234 |
) |
|
|
(758 |
) |
Cash NOI (1) |
|
$ |
171,444 |
|
|
$ |
111,895 |
|
|
$ |
445,662 |
|
|
$ |
322,144 |
|
Page | 11
AMERICAN HEALTHCARE REIT, INC.
Same-Store Revenue Reconciliation
For the Three and Nine Months Ended September 30, 2026 and 2025
(In thousands) (Unaudited)
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
||||||||||
|
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
||||
ISHC |
|
|
|
|
|
|
|
|
|
|
|
|
||||
GAAP Revenue |
|
$ |
534,189 |
|
|
$ |
455,452 |
|
|
$ |
1,549,810 |
|
|
$ |
1,313,494 |
|
Cash revenue from dispositions |
|
|
— |
|
|
|
1 |
|
|
|
(2,069 |
) |
|
|
(2,680 |
) |
Cash revenue |
|
|
534,189 |
|
|
|
455,453 |
|
|
|
1,547,741 |
|
|
|
1,310,814 |
|
Revenue attributable to new acquisitions/dispositions/other |
|
|
(177,351 |
) |
|
|
(118,985 |
) |
|
|
(507,174 |
) |
|
|
(330,145 |
) |
Revenue attributable to Non-Core Properties |
|
|
(3,576 |
) |
|
|
(6,655 |
) |
|
|
(13,698 |
) |
|
|
(19,258 |
) |
Other normalizing revenue adjustments |
|
|
(7,772 |
) |
|
|
— |
|
|
|
(7,772 |
) |
|
|
— |
|
Same-Store revenue |
|
$ |
345,490 |
|
|
$ |
329,813 |
|
|
$ |
1,019,097 |
|
|
$ |
961,411 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
SHOP |
|
|
|
|
|
|
|
|
|
|
|
|
||||
GAAP Revenue |
|
$ |
166,904 |
|
|
$ |
76,606 |
|
|
$ |
395,569 |
|
|
$ |
217,025 |
|
Cash revenue from dispositions |
|
|
— |
|
|
|
(1 |
) |
|
|
— |
|
|
|
(167 |
) |
Cash revenue attributable to noncontrolling interests (1) |
|
|
(1,929 |
) |
|
|
(278 |
) |
|
|
(2,496 |
) |
|
|
(824 |
) |
Cash revenue (1) |
|
|
164,975 |
|
|
|
76,327 |
|
|
|
393,073 |
|
|
|
216,034 |
|
Revenue attributable to new acquisitions/dispositions |
|
|
(88,418 |
) |
|
|
(6,208 |
) |
|
|
(169,892 |
) |
|
|
(9,617 |
) |
Revenue attributable to development conversion |
|
|
(1,105 |
) |
|
|
(864 |
) |
|
|
(3,023 |
) |
|
|
(2,255 |
) |
Revenue attributable to Non-Core Properties |
|
|
(599 |
) |
|
|
(580 |
) |
|
|
(1,811 |
) |
|
|
(1,749 |
) |
Same-Store revenue (1) |
|
$ |
74,853 |
|
|
$ |
68,675 |
|
|
$ |
218,347 |
|
|
$ |
202,413 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Outpatient Medical |
|
|
|
|
|
|
|
|
|
|
|
|
||||
GAAP Revenue |
|
$ |
30,666 |
|
|
$ |
31,181 |
|
|
$ |
91,493 |
|
|
$ |
95,629 |
|
Straight line rent |
|
|
24 |
|
|
|
(243 |
) |
|
|
(434 |
) |
|
|
(675 |
) |
Other non-cash adjustments |
|
|
(343 |
) |
|
|
(380 |
) |
|
|
(1,223 |
) |
|
|
(1,054 |
) |
Cash revenue from dispositions |
|
|
1 |
|
|
|
(427 |
) |
|
|
— |
|
|
|
(887 |
) |
Cash revenue |
|
|
30,348 |
|
|
|
30,131 |
|
|
|
89,836 |
|
|
|
93,013 |
|
Revenue attributable to dispositions |
|
|
— |
|
|
|
(154 |
) |
|
|
— |
|
|
|
(4,044 |
) |
Revenue attributable to Non-Core Properties |
|
|
(1,838 |
) |
|
|
(2,230 |
) |
|
|
(5,485 |
) |
|
|
(7,157 |
) |
Same-Store revenue |
|
$ |
28,510 |
|
|
$ |
27,747 |
|
|
$ |
84,351 |
|
|
$ |
81,812 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Triple-Net Leased Properties |
|
|
|
|
|
|
|
|
|
|
|
|
||||
GAAP Revenue |
|
$ |
10,390 |
|
|
$ |
9,698 |
|
|
$ |
30,301 |
|
|
$ |
29,895 |
|
Straight line rent |
|
|
(321 |
) |
|
|
(487 |
) |
|
|
(1,146 |
) |
|
|
(1,611 |
) |
Other non-cash adjustments |
|
|
881 |
|
|
|
200 |
|
|
|
1,250 |
|
|
|
624 |
|
Cash revenue from dispositions |
|
|
— |
|
|
|
(25 |
) |
|
|
(27 |
) |
|
|
(25 |
) |
Cash revenue attributable to noncontrolling interest (1) |
|
|
(198 |
) |
|
|
(194 |
) |
|
|
(587 |
) |
|
|
(575 |
) |
Cash revenue (1) |
|
|
10,752 |
|
|
|
9,192 |
|
|
|
29,791 |
|
|
|
28,308 |
|
Debt investments (2) |
|
|
(2,771 |
) |
|
|
(1,165 |
) |
|
|
(5,100 |
) |
|
|
(3,809 |
) |
Revenue attributable to dispositions |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(52 |
) |
Revenue attributable to Non-Core Properties |
|
|
— |
|
|
|
(157 |
) |
|
|
(159 |
) |
|
|
(470 |
) |
Other normalizing revenue adjustments |
|
|
— |
|
|
|
— |
|
|
|
(354 |
) |
|
|
(522 |
) |
Same-Store revenue (1) |
|
$ |
7,981 |
|
|
$ |
7,870 |
|
|
$ |
24,178 |
|
|
$ |
23,455 |
|
Page | 12
AMERICAN HEALTHCARE REIT, INC.
Same-Store Revenue Reconciliation - (Continued)
For the Three and Nine Months Ended September 30, 2026 and 2025
(In thousands) (Unaudited)
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
||||||||||
|
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
||||
Total Portfolio |
|
|
|
|
|
|
|
|
|
|
|
|
||||
GAAP Revenue |
|
$ |
742,149 |
|
|
$ |
572,937 |
|
|
$ |
2,067,173 |
|
|
$ |
1,656,043 |
|
Straight line rent |
|
|
(297 |
) |
|
|
(730 |
) |
|
|
(1,580 |
) |
|
|
(2,286 |
) |
Other non-cash adjustments |
|
|
538 |
|
|
|
(180 |
) |
|
|
27 |
|
|
|
(430 |
) |
Cash revenue from dispositions |
|
|
1 |
|
|
|
(452 |
) |
|
|
(2,096 |
) |
|
|
(3,759 |
) |
Cash revenue attributable to noncontrolling interests (1) |
|
|
(2,127 |
) |
|
|
(472 |
) |
|
|
(3,083 |
) |
|
|
(1,399 |
) |
Cash revenue (1) |
|
|
740,264 |
|
|
|
571,103 |
|
|
|
2,060,441 |
|
|
|
1,648,169 |
|
Debt investments (2) |
|
|
(2,771 |
) |
|
|
(1,165 |
) |
|
|
(5,100 |
) |
|
|
(3,809 |
) |
Revenue attributable to new acquisitions/dispositions/other |
|
|
(265,769 |
) |
|
|
(125,347 |
) |
|
|
(677,066 |
) |
|
|
(343,858 |
) |
Revenue attributable to development conversion |
|
|
(1,105 |
) |
|
|
(864 |
) |
|
|
(3,023 |
) |
|
|
(2,255 |
) |
Revenue attributable to Non-Core Properties |
|
|
(6,013 |
) |
|
|
(9,622 |
) |
|
|
(21,153 |
) |
|
|
(28,634 |
) |
Other normalizing revenue adjustments |
|
|
(7,772 |
) |
|
|
— |
|
|
|
(8,126 |
) |
|
|
(522 |
) |
Same-Store revenue (1) |
|
$ |
456,834 |
|
|
$ |
434,105 |
|
|
$ |
1,345,973 |
|
|
$ |
1,269,091 |
|
Page | 13
AMERICAN HEALTHCARE REIT, INC.
Same-Store NOI Reconciliation
For the Three and Nine Months Ended September 30, 2026 and 2025
(In thousands) (Unaudited)
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
||||||||||
|
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
||||
ISHC |
|
|
|
|
|
|
|
|
|
|
|
|
||||
NOI |
|
$ |
90,047 |
|
|
$ |
62,168 |
|
|
$ |
239,965 |
|
|
$ |
176,093 |
|
Facility rental expense |
|
|
6,752 |
|
|
|
7,030 |
|
|
|
20,265 |
|
|
|
21,807 |
|
Cash NOI from dispositions |
|
|
— |
|
|
|
1 |
|
|
|
(328 |
) |
|
|
(472 |
) |
Cash NOI |
|
|
96,799 |
|
|
|
69,199 |
|
|
|
259,902 |
|
|
|
197,428 |
|
New acquisitions/dispositions/other |
|
|
(16,039 |
) |
|
|
(6,538 |
) |
|
|
(38,699 |
) |
|
|
(12,464 |
) |
Non-Core Properties |
|
|
(510 |
) |
|
|
(1,078 |
) |
|
|
(1,928 |
) |
|
|
(2,822 |
) |
Other normalizing adjustments |
|
|
(7,772 |
) |
|
|
1,044 |
|
|
|
(7,772 |
) |
|
|
1,044 |
|
Same-Store NOI |
|
$ |
72,478 |
|
|
$ |
62,627 |
|
|
$ |
211,503 |
|
|
$ |
183,186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
SHOP |
|
|
|
|
|
|
|
|
|
|
|
|
||||
NOI |
|
$ |
46,209 |
|
|
$ |
15,360 |
|
|
$ |
103,568 |
|
|
$ |
41,188 |
|
Other non-cash adjustments |
|
|
102 |
|
|
|
— |
|
|
|
102 |
|
|
|
— |
|
Cash NOI from dispositions |
|
|
— |
|
|
|
24 |
|
|
|
— |
|
|
|
88 |
|
Cash NOI attributable to noncontrolling interests (1) |
|
|
(536 |
) |
|
|
(58 |
) |
|
|
(648 |
) |
|
|
(185 |
) |
Cash NOI (1) |
|
|
45,775 |
|
|
|
15,326 |
|
|
|
103,022 |
|
|
|
41,091 |
|
New acquisitions/dispositions |
|
|
(28,092 |
) |
|
|
(1,921 |
) |
|
|
(54,829 |
) |
|
|
(2,771 |
) |
Development conversion |
|
|
(104 |
) |
|
|
343 |
|
|
|
207 |
|
|
|
980 |
|
Non-Core Properties |
|
|
(24 |
) |
|
|
(59 |
) |
|
|
(122 |
) |
|
|
(176 |
) |
Other normalizing adjustments |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
147 |
|
Same-Store NOI (1) |
|
$ |
17,555 |
|
|
$ |
13,689 |
|
|
$ |
48,278 |
|
|
$ |
39,271 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Outpatient Medical |
|
|
|
|
|
|
|
|
|
|
|
|
||||
NOI |
|
$ |
18,573 |
|
|
$ |
19,128 |
|
|
$ |
55,783 |
|
|
$ |
58,699 |
|
Straight line rent |
|
|
24 |
|
|
|
(243 |
) |
|
|
(434 |
) |
|
|
(675 |
) |
Other non-cash adjustments |
|
|
(68 |
) |
|
|
(85 |
) |
|
|
(382 |
) |
|
|
(162 |
) |
Cash NOI from dispositions |
|
|
(6 |
) |
|
|
(127 |
) |
|
|
4 |
|
|
|
(332 |
) |
Cash NOI |
|
|
18,523 |
|
|
|
18,673 |
|
|
|
54,971 |
|
|
|
57,530 |
|
Dispositions |
|
|
— |
|
|
|
83 |
|
|
|
— |
|
|
|
(1,763 |
) |
Non-Core Properties |
|
|
(956 |
) |
|
|
(1,259 |
) |
|
|
(2,764 |
) |
|
|
(4,183 |
) |
Same-Store NOI |
|
$ |
17,567 |
|
|
$ |
17,497 |
|
|
$ |
52,207 |
|
|
$ |
51,584 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Triple-Net Leased Properties |
|
|
|
|
|
|
|
|
|
|
|
|
||||
NOI |
|
$ |
9,966 |
|
|
$ |
9,159 |
|
|
$ |
28,221 |
|
|
$ |
27,600 |
|
Straight line rent |
|
|
(321 |
) |
|
|
(487 |
) |
|
|
(1,146 |
) |
|
|
(1,611 |
) |
Other non-cash adjustments |
|
|
900 |
|
|
|
218 |
|
|
|
1,305 |
|
|
|
679 |
|
Cash NOI from dispositions |
|
|
— |
|
|
|
— |
|
|
|
(27 |
) |
|
|
— |
|
Cash NOI attributable to noncontrolling interest (1) |
|
|
(198 |
) |
|
|
(193 |
) |
|
|
(586 |
) |
|
|
(573 |
) |
Cash NOI (1) |
|
|
10,347 |
|
|
|
8,697 |
|
|
|
27,767 |
|
|
|
26,095 |
|
Debt investments (2) |
|
|
(2,771 |
) |
|
|
(1,165 |
) |
|
|
(5,100 |
) |
|
|
(3,809 |
) |
Dispositions |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
3 |
|
Non-Core Properties |
|
|
— |
|
|
|
(157 |
) |
|
|
(159 |
) |
|
|
(464 |
) |
Same-Store NOI (1) |
|
$ |
7,576 |
|
|
$ |
7,375 |
|
|
$ |
22,508 |
|
|
$ |
21,825 |
|
Page | 14
AMERICAN HEALTHCARE REIT, INC.
Same-Store NOI Reconciliation - (Continued)
For the Three and Nine Months Ended September 30, 2026 and 2025
(In thousands) (Unaudited)
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
||||||||||
|
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
||||
Total Portfolio |
|
|
|
|
|
|
|
|
|
|
|
|
||||
NOI |
|
$ |
164,795 |
|
|
$ |
105,815 |
|
|
$ |
427,537 |
|
|
$ |
303,580 |
|
Straight line rent |
|
|
(297 |
) |
|
|
(730 |
) |
|
|
(1,580 |
) |
|
|
(2,286 |
) |
Facility rental expense |
|
|
6,752 |
|
|
|
7,030 |
|
|
|
20,265 |
|
|
|
21,807 |
|
Other non-cash adjustments |
|
|
934 |
|
|
|
133 |
|
|
|
1,025 |
|
|
|
517 |
|
Cash NOI from dispositions |
|
|
(6 |
) |
|
|
(102 |
) |
|
|
(351 |
) |
|
|
(716 |
) |
Cash NOI attributable to noncontrolling interests (1) |
|
|
(734 |
) |
|
|
(251 |
) |
|
|
(1,234 |
) |
|
|
(758 |
) |
Cash NOI (1) |
|
|
171,444 |
|
|
|
111,895 |
|
|
|
445,662 |
|
|
|
322,144 |
|
Debt investments (2) |
|
|
(2,771 |
) |
|
|
(1,165 |
) |
|
|
(5,100 |
) |
|
|
(3,809 |
) |
New acquisitions/dispositions/other |
|
|
(44,131 |
) |
|
|
(8,376 |
) |
|
|
(93,528 |
) |
|
|
(16,995 |
) |
Development conversion |
|
|
(104 |
) |
|
|
343 |
|
|
|
207 |
|
|
|
980 |
|
Non-Core Properties |
|
|
(1,490 |
) |
|
|
(2,553 |
) |
|
|
(4,973 |
) |
|
|
(7,645 |
) |
Other normalizing adjustments |
|
|
(7,772 |
) |
|
|
1,044 |
|
|
|
(7,772 |
) |
|
|
1,191 |
|
Same-Store NOI (1) |
|
$ |
115,176 |
|
|
$ |
101,188 |
|
|
$ |
334,496 |
|
|
$ |
295,866 |
|
Page | 15
AMERICAN HEALTHCARE REIT, INC.
Earnings Guidance Reconciliation
For the Year Ending December 31, 2026
(Dollars and shares in millions, except per share amounts) (Unaudited)
|
|
Full Year |
|
Prior Full Year |
||||
|
|
Low |
|
High |
|
Low |
|
High |
Net income attributable to common stockholders |
|
$123.2 |
|
$129.2 |
|
$108.5 |
|
$116.5 |
Depreciation and amortization (1) |
|
322.1 |
|
322.1 |
|
306.8 |
|
306.8 |
Impairment and gains/losses from dispositions (1) |
|
(3.5) |
|
(3.5) |
|
(3.9) |
|
(3.9) |
NAREIT FFO attributable to common stockholders |
|
$441.8 |
|
$447.8 |
|
$411.4 |
|
$419.4 |
Amortization of other intangible assets/liabilities (1) |
|
2.7 |
|
2.7 |
|
1.3 |
|
1.3 |
Change in deferred rent (1) |
|
(1.3) |
|
(1.3) |
|
(1.6) |
|
(1.6) |
Non-cash impact of changes to equity plan (1) (2) |
|
26.3 |
|
26.3 |
|
21.9 |
|
21.9 |
Other adjustments (1) (3) |
|
(6.2) |
|
(6.2) |
|
(0.2) |
|
(0.2) |
Normalized FFO attributable to common stockholders |
|
$463.3 |
|
$469.3 |
|
$432.8 |
|
$440.8 |
|
|
|
|
|
|
|
|
|
Net income per common share — diluted |
|
$0.59 |
|
$0.62 |
|
$0.54 |
|
$0.58 |
NAREIT FFO per common share — diluted |
|
$2.13 |
|
$2.16 |
|
$2.04 |
|
$2.08 |
Normalized FFO per common share — diluted |
|
$2.23 |
|
$2.26 |
|
$2.15 |
|
$2.19 |
NAREIT FFO and Normalized FFO weighted average |
|
207.7 |
|
207.7 |
|
201.3 |
|
201.3 |
|
|
|
|
|
|
|
|
|
Total Portfolio Same-Store NOI growth |
|
12.0% |
|
14.0% |
|
11.0% |
|
13.0% |
Segment-Level Same-Store NOI growth: |
|
|
|
|
|
|
|
|
ISHC |
|
14.5% |
|
16.5% |
|
13.0% |
|
16.0% |
SHOP |
|
23.0% |
|
26.0% |
|
18.0% |
|
21.0% |
Outpatient Medical |
|
0.5% |
|
1.0% |
|
0.0% |
|
1.0% |
Triple-Net Leased Properties |
|
2.5% |
|
3.5% |
|
2.0% |
|
3.0% |
Page | 16
Definitions
Page | 17
Page | 18

Third Quarter 2026 Supplemental
Exhibit 99.2
The Lodge at Historic Lewes
Lewes, DE
Disclaimers

Forward-Looking Statements
Certain statements contained in this supplemental, furnished in conjunction with the Third Quarter 2026 Earnings Press Release, including statements relating to American Healthcare REIT, Inc.'s (the "Company") expectations regarding its performance, interest expense, balance sheet, full year 2026 guidance and the assumptions therein, including net income or loss attributable to common stockholders and per diluted share, NAREIT FFO attributable to common stockholders and per diluted share, NFFO attributable to common stockholders and per diluted share, NOI growth, total portfolio Same-Store NOI growth, segment-level Same-Store NOI growth, Occupancy, revenue growth, purchases, sales, and development of assets, may be considered forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. The Company intends for all such forward-looking statements to be covered by the applicable safe harbor provisions for forward-looking statements contained in those acts. Such forward-looking statements generally can be identified by the use of forward-looking terminology such as “may,” “will,” “can,” “expect,” “intend,” “anticipate,” “estimate,” “believe,” “continue,” “possible,” “initiatives,” “focus,” “seek,” “objective,” “goal,” “strategy,” “plan,” “potential,” “potentially,” “preparing,” “projected,” “future,” “long-term,” “once,” “should,” “could,” “would,” “might,” “uncertainty,” or other similar words. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this supplemental. Any such forward-looking statements are based on current expectations, estimates and projections about the industry and markets in which the Company operates and beliefs of, and assumptions made by, the Company's management and involve known and unknown risks and uncertainties that could cause actual results to differ materially from those expressed or implied therein, including, without limitation, changing macroeconomic, domestic legal and fiscal policies; geopolitical conditions and other risks disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2025, filed on February 27, 2026, and other periodic reports as filed with the Securities and Exchange Commission. Except as required by law, the Company does not undertake any obligation to update or revise any forward-looking statement.
Non-GAAP Financial Measures
The Company’s reported results are presented in accordance with generally accepted accounting principles in the United States ("GAAP"). The Company also discloses the following non-GAAP financial measures: EBITDA, Adjusted EBITDA, Net Debt-to-Annualized Adjusted EBITDA, NAREIT FFO, NFFO, NOI, Same-Store NOI, Cash NOI, Pro-Rata Cash NOI, Annualized Cash NOI, Interest Coverage Ratio, Fixed Charge Coverage Ratio and constant currency Same-Store NOI. The Company believes these non-GAAP financial measures are useful supplemental measures of its operating performance and are used by investors and analysts to compare the operating performance of the Company between periods and to other real estate investment trusts ("REITs") or companies on a consistent basis without having to account for differences caused by unanticipated and/or incalculable items. Definitions of the non-GAAP financial measures used herein and reconciliations to the most directly comparable financial measure calculated in accordance with GAAP can be found at the end of this supplemental. See below and the appendix for further information regarding the Company's non-GAAP financial measures.
EBITDA and Adjusted EBITDA
Management uses earnings before interest, taxes, depreciation and amortization (“EBITDA”) and Adjusted EBITDA to facilitate internal and external comparisons to our historical operating results and in making operating decisions. EBITDA and Adjusted EBITDA are widely used by investors, lenders, credit and equity analysts in the valuation, comparison, and investment recommendations of companies. Additionally, EBITDA and Adjusted EBITDA are utilized by our Board of Directors to evaluate management. Neither EBITDA nor Adjusted EBITDA represents net income (loss) or cash flows provided by operating activities as determined in accordance with GAAP and should not be considered as alternative measures of profitability or liquidity. In addition, management uses Net Debt-to-Annualized Adjusted EBITDA as a measure of our ability to service our debt. Finally, EBITDA and Adjusted EBITDA may not be comparable to similarly titled items reported by other REITs or other companies.
NAREIT Funds from Operations (FFO) and Normalized Funds from Operations (NFFO)
We believe that the use of FFO, which excludes the impact of real estate-related depreciation and amortization and impairments, provides a further understanding of our operating performance to investors, industry analysts and our management, and when compared year over year, reflects the impact on our operations from trends in Occupancy rates, rental rates, operating costs, general and administrative expenses and interest costs, which may not be immediately apparent from net income (loss) as determined in accordance with GAAP. However, FFO and NFFO should not be construed to be (i) more relevant or accurate than the current GAAP methodology in calculating net income (loss) as an indicator of our operating performance, (ii) more relevant or accurate than GAAP cash flows from operations as an indicator of our liquidity or (iii) indicative of funds available to fund our cash needs, including our ability to make distributions to our stockholders. The method utilized to evaluate the value and performance of real estate under GAAP should be construed as a more relevant measure of operational performance and considered more prominently than the non-GAAP FFO and NFFO measures and the adjustments to GAAP in calculating FFO and NFFO. Presentation of this information is intended to provide useful information to investors, industry analysts and management as they compare the operating performance metrics used by the REIT industry, although it should be noted that some REITs may use different methods of calculating funds from operations and normalized funds from operations, so comparisons with such REITs may not be meaningful.
Net Operating Income (NOI)
We believe that NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI are appropriate supplemental performance measures to reflect the performance of our operating assets because NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI exclude certain items that are not associated with the operations of the properties. We believe that NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI are widely accepted measures of comparative operating performance in the real estate community and are useful to investors in understanding the profitability and operating performance of our property portfolio. However, our use of the terms NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI may not be comparable to that of other real estate companies as they may have different methodologies for computing these amounts. NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI are not equivalent to our net income (loss) as determined under GAAP and may not be a useful measure of operational income or cash flows. Furthermore, NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI should not be considered as alternatives to net income (loss) as an indication of our operating performance or as an alternative to cash flows from operations as an indication of our liquidity. NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI should not be construed to be more relevant or accurate than the GAAP methodology in calculating net income (loss). NOI, Cash NOI, Pro-Rata Cash NOI and Same-Store NOI should be reviewed in conjunction with other measurements as an indication of our performance.
American Healthcare REIT | Q3 2026 Supplemental | Page 2
Pro-Rata Annualized Cash NOI

Overview (as of September 30, 2026)

(dollars in thousands, except per share and Pro-Rata)
Portfolio Overview
|
|
|
|
|
|
|
|
|
|
|
||
|
|
Campuses/ |
|
Beds/ |
|
Leased % (2) |
|
WALT |
|
Annualized |
|
|
Integrated Senior Health Campuses (ISHC) |
|
149 |
|
15,105 |
|
90.5% |
|
— |
|
$387,196 |
|
56.5% |
Senior Housing Operating Properties (SHOP) |
|
109 |
|
10,072 |
|
90.1% |
|
— |
|
183,100 |
|
26.7% |
Outpatient Medical (OM) |
|
70 |
|
3,654 |
|
87.7% |
|
4.9 |
|
74,092 |
|
10.8% |
Triple-Net Leased Properties |
|
17 |
|
1,364 |
|
89.8% |
|
12.1 |
|
30,304 |
|
4.4% |
Debt Investments (4) |
|
— |
|
— |
|
— |
|
— |
|
11,084 |
|
1.6% |
Total |
|
345 |
|
|
|
|
|
6.5 |
|
$685,776 |
|
100.0% |
Same-Store NOI Performance (3)
|
|
Campuses / |
|
Q3 2025 |
|
Q3 2026 |
|
% |
|
YTD |
|
YTD |
|
% |
ISHC |
|
115 |
|
$62,627 |
|
$72,478 |
|
15.7% |
|
$183,186 |
|
$211,503 |
|
15.5% |
SHOP |
|
64 |
|
13,689 |
|
17,555 |
|
28.2% |
|
39,271 |
|
48,278 |
|
22.9% |
OM |
|
65 |
|
17,497 |
|
17,567 |
|
0.4% |
|
51,584 |
|
52,207 |
|
1.2% |
Triple-Net Leased Properties |
|
17 |
|
7,375 |
|
7,576 |
|
2.7% |
|
21,825 |
|
22,508 |
|
3.1% |
Total |
|
261 |
|
$101,188 |
|
$115,176 |
|
13.8% |
|
$295,866 |
|
$334,496 |
|
13.1% |
Earnings Metrics (3)
|
Q3 2025 |
|
Q3 2026 |
|
% |
|
YTD |
|
YTD |
|
% |
NAREIT FFO per share - diluted |
$0.54 |
|
$0.55 |
|
1.9% |
|
$1.32 |
|
$1.55 |
|
17.4% |
Normalized FFO per share - diluted |
$0.44 |
|
$0.58 |
|
31.8% |
|
$1.25 |
|
$1.64 |
|
31.2% |
Balance Sheet Metrics
|
Coverage |
Interest Coverage Ratio |
8.7X |
|
|
Fixed Charge Coverage Ratio |
6.8X |
|
|
Net Debt-to-Annualized Adjusted EBITDA |
1.9X |
(1) |
OM presents GLA in thousands, rather than Beds/Units. |
(2) |
Occupancy for ISHC, SHOP, and Triple-Net Leased Properties is reported as a quarterly average, while OM Occupancy is reported on a quarter-end spot basis. Triple-Net Leased Properties exclude Hospitals. |
(3) |
See reconciliations in the appendix of this supplemental. Annualized Cash NOI shown as current quarter Cash NOI multiplied by four. |
(4) |
Relates to debt security investment and debt investment within Triple-Net Leased Properties. |
|
|
|
Note: Except as otherwise noted, all data herein is presented on a consolidated basis. The contents of this Supplemental are unaudited and totals may not add due to rounding. |
American Healthcare REIT | Q3 2026 Supplemental | Page 3
Integrated Senior Health Campuses

(dollars in thousands)
Total Portfolio
|
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
Q3 2026 |
|
|
|
|
YTD 9/30/25 |
|
YTD |
|
|
Campuses |
|
135 |
|
149 |
|
149 |
|
148 |
|
149 |
|
|
|
|
— |
|
— |
|
|
IL units |
|
1,304 |
|
1,436 |
|
1,488 |
|
1,531 |
|
1,559 |
|
|
|
|
1,304 |
|
1,559 |
|
|
AL/MC units |
|
4,850 |
|
5,454 |
|
5,459 |
|
5,429 |
|
5,427 |
|
|
|
|
4,850 |
|
5,427 |
|
|
SNF beds |
|
7,601 |
|
8,275 |
|
8,275 |
|
8,137 |
|
8,119 |
|
|
|
|
7,601 |
|
8,119 |
|
|
Consolidated total beds/units |
|
13,755 |
|
15,165 |
|
15,222 |
|
15,097 |
|
15,105 |
|
|
|
|
13,755 |
|
15,105 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total average Occupancy |
|
89.6% |
|
90.1% |
|
89.9% |
|
89.5% |
|
90.5% |
|
|
|
|
89.0% |
|
90.0% |
|
|
IL/AL/MC average Occupancy |
|
91.4% |
|
91.9% |
|
90.4% |
|
90.5% |
|
91.0% |
|
|
|
|
89.5% |
|
90.6% |
|
|
SNF average Occupancy |
|
88.2% |
|
88.7% |
|
89.4% |
|
88.6% |
|
90.1% |
|
|
|
|
88.6% |
|
89.4% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash revenue (1) |
|
$455,453 |
|
$472,577 |
|
$502,743 |
|
$510,809 |
|
$534,189 |
|
|
|
|
$1,310,814 |
|
$1,547,741 |
|
|
Operating expenses |
|
386,254 |
|
401,798 |
|
424,223 |
|
426,226 |
|
437,390 |
|
|
|
|
1,113,386 |
|
1,287,839 |
|
|
Cash NOI (1) |
|
$69,199 |
|
$70,779 |
|
$78,520 |
|
$84,583 |
|
$96,799 |
|
|
|
|
$197,428 |
|
$259,902 |
|
|
Cash NOI Margin % |
|
15.2% |
|
15.0% |
|
15.6% |
|
16.6% |
|
18.1% |
|
|
|
|
15.1% |
|
16.8% |
|
|
Maintenance Capex |
|
$4,863 |
|
$5,026 |
|
$4,657 |
|
$5,606 |
|
$7,668 |
|
|
|
|
$12,683 |
|
$17,931 |
|
|
Same-Store
|
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
Q3 2026 |
|
Q3 2026 |
|
|
YTD 9/30/25 |
|
YTD |
|
YTD 2026 |
Campuses |
|
115 |
|
115 |
|
115 |
|
115 |
|
115 |
|
|
|
|
115 |
|
115 |
|
|
Consolidated beds/units |
|
11,711 |
|
11,708 |
|
11,710 |
|
11,721 |
|
11,708 |
|
|
|
|
11,711 |
|
11,708 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total average Occupancy |
|
90.1% |
|
90.5% |
|
91.2% |
|
90.7% |
|
91.2% |
|
111 bps |
|
|
89.3% |
|
91.0% |
|
170 bps |
IL/AL/MC average Occupancy |
|
91.7% |
|
92.0% |
|
91.9% |
|
91.9% |
|
92.6% |
|
87 bps |
|
|
90.1% |
|
92.1% |
|
205 bps |
SNF average Occupancy |
|
88.9% |
|
89.3% |
|
90.6% |
|
89.9% |
|
90.2% |
|
129 bps |
|
|
88.8% |
|
90.2% |
|
144 bps |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Same-Store revenue (1) |
|
$329,813 |
|
$333,382 |
|
$336,108 |
|
$337,499 |
|
$345,490 |
|
4.8% |
|
|
$961,411 |
|
$1,019,097 |
|
6.0% |
Same-Store operating expenses |
|
267,186 |
|
269,466 |
|
268,433 |
|
266,149 |
|
273,012 |
|
2.2% |
|
|
778,225 |
|
807,594 |
|
3.8% |
Compensation |
|
168,737 |
|
174,823 |
|
170,418 |
|
172,096 |
|
177,483 |
|
5.2% |
|
|
491,156 |
|
519,997 |
|
5.9% |
Controllable (2) |
|
88,503 |
|
87,008 |
|
88,210 |
|
84,131 |
|
85,260 |
|
(3.7%) |
|
|
256,529 |
|
257,601 |
|
0.4% |
Non-Controllable (3) |
|
9,946 |
|
7,635 |
|
9,805 |
|
9,922 |
|
10,269 |
|
3.2% |
|
|
30,540 |
|
29,996 |
|
(1.8%) |
Same-Store NOI (1) |
|
$62,627 |
|
$63,916 |
|
$67,675 |
|
$71,350 |
|
$72,478 |
|
15.7% |
|
|
$183,186 |
|
$211,503 |
|
15.5% |
Same-Store NOI Margin % |
|
19.0% |
|
19.2% |
|
20.1% |
|
21.1% |
|
21.0% |
|
199 bps |
|
|
19.1% |
|
20.8% |
|
170 bps |
(1) |
See reconciliations in the appendix of this supplemental. |
(2) |
Controllable expenses include utilities, food, repairs and maintenance, and other operating expenses. |
(3) |
Non-Controllable expenses include property taxes and insurance. |
American Healthcare REIT | Q3 2026 Supplemental | Page 4
ISHC Revenue per Payor and Bed Type

Consolidated
|
Average Daily Rate |
|
% of Resident Days |
|
% of Revenue |
||||||||
|
Q3 2025 |
|
Q3 2026 |
|
% change |
|
Q3 2025 |
|
Q3 2026 |
|
Q3 2025 |
|
Q3 2026 |
Medicare |
$696.98 |
|
$726.38 |
|
4.2% |
|
10.8% |
|
10.0% |
|
22.2% |
|
20.6% |
Medicare Advantage |
$581.03 |
|
$611.05 |
|
5.2% |
|
7.2% |
|
7.8% |
|
12.2% |
|
13.6% |
Private |
$403.90 |
|
$430.66 |
|
6.6% |
|
10.9% |
|
10.9% |
|
12.8% |
|
13.3% |
Managed care/insurance |
$409.83 |
|
$511.16 |
|
24.7% |
|
0.3% |
|
0.4% |
|
0.4% |
|
0.6% |
Medicaid |
$320.73 |
|
$326.57 |
|
1.8% |
|
24.4% |
|
23.4% |
|
22.8% |
|
20.9% |
Total skilled nursing |
$449.21 |
|
$468.38 |
|
4.3% |
|
53.6% |
|
52.5% |
|
70.4% |
|
69.0% |
Total senior housing |
$190.01 |
|
$199.65 |
|
5.1% |
|
46.4% |
|
47.5% |
|
25.7% |
|
26.9% |
Ancillary revenue |
$13.35 |
|
$14.46 |
|
8.4% |
|
0.0% |
|
0.0% |
|
3.9% |
|
4.1% |
Total |
$339.64 |
|
$352.69 |
|
3.8% |
|
100.0% |
|
100.0% |
|
100.0% |
|
100.0% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Quality Mix |
|
|
|
|
|
|
75.6% |
|
76.6% |
|
77.2% |
|
79.1% |
Same-Store (1)
|
Average Daily Rate |
|
% of Resident Days |
|
% of Revenue |
||||||||
|
Q3 2025 |
|
Q3 2026 |
|
% change |
|
Q3 2025 |
|
Q3 2026 |
|
Q3 2025 |
|
Q3 2026 |
Medicare |
$697.45 |
|
$729.42 |
|
4.6% |
|
11.3% |
|
10.8% |
|
23.4% |
|
22.3% |
Medicare Advantage |
$579.12 |
|
$610.95 |
|
5.5% |
|
7.4% |
|
8.1% |
|
12.8% |
|
14.0% |
Private |
$404.70 |
|
$432.44 |
|
6.9% |
|
11.1% |
|
11.7% |
|
13.4% |
|
14.3% |
Managed care/insurance |
$408.19 |
|
$523.10 |
|
28.2% |
|
0.3% |
|
0.5% |
|
0.4% |
|
0.7% |
Medicaid |
$324.53 |
|
$335.74 |
|
3.5% |
|
25.1% |
|
24.3% |
|
24.3% |
|
23.0% |
Total skilled nursing |
$451.61 |
|
$474.92 |
|
5.2% |
|
55.2% |
|
55.4% |
|
74.3% |
|
74.3% |
Total senior housing |
$192.72 |
|
$203.16 |
|
5.4% |
|
44.8% |
|
44.6% |
|
25.7% |
|
25.7% |
Total |
$335.75 |
|
$353.78 |
|
5.4% |
|
100.0% |
|
100.0% |
|
100.0% |
|
100.0% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Quality Mix |
|
|
|
|
|
|
74.9% |
|
75.7% |
|
75.7% |
|
77.0% |
American Healthcare REIT | Q3 2026 Supplemental | Page 5
Senior Housing Operating Properties

(dollars in thousands, except RevPOR and ExPOR, and Pro-Rata)
Total Portfolio
|
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
Q3 2026 |
|
|
|
|
YTD 9/30/25 |
|
YTD 9/30/26 |
|
|
Properties |
|
71 |
|
81 |
|
87 |
|
92 |
|
109 |
|
|
|
|
— |
|
— |
|
|
Consolidated total units |
|
5,724 |
|
6,978 |
|
7,486 |
|
8,042 |
|
10,072 |
|
|
|
|
5,724 |
|
10,072 |
|
|
Consolidated average Occupancy |
|
87.4% |
|
89.0% |
|
88.9% |
|
88.8% |
|
90.1% |
|
|
|
|
86.1% |
|
89.3% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash revenue (1) |
|
$76,327 |
|
$91,134 |
|
$106,737 |
|
$121,361 |
|
$164,975 |
|
|
|
|
$216,034 |
|
$393,073 |
|
|
Operating expenses |
|
61,001 |
|
71,423 |
|
80,957 |
|
89,894 |
|
119,200 |
|
|
|
|
174,943 |
|
290,051 |
|
|
Cash NOI (1) |
|
$15,326 |
|
$19,711 |
|
$25,780 |
|
$31,467 |
|
$45,775 |
|
|
|
|
$41,091 |
|
$103,022 |
|
|
Cash NOI Margin % |
|
20.1% |
|
21.6% |
|
24.2% |
|
25.9% |
|
27.7% |
|
|
|
|
19.0% |
|
26.2% |
|
|
RevPOR |
|
$5,177 |
|
$5,300 |
|
$5,600 |
|
$5,754 |
|
$6,613 |
|
|
|
|
$5,137 |
|
$6,038 |
|
|
ExPOR |
|
$4,138 |
|
$4,154 |
|
$4,247 |
|
$4,262 |
|
$4,787 |
|
|
|
|
$4,161 |
|
$4,459 |
|
|
Consolidated Maintenance Capex |
|
$4,559 |
|
$5,144 |
|
$3,586 |
|
$4,552 |
|
$7,698 |
|
|
|
|
$10,862 |
|
$15,836 |
|
|
Same-Store
|
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
Q3 2026 |
|
Q3 2026 |
|
|
YTD 9/30/25 |
|
YTD 9/30/26 |
|
YTD 2026 vs |
Properties |
|
64 |
|
64 |
|
64 |
|
64 |
|
64 |
|
|
|
|
64 |
|
64 |
|
|
Consolidated units |
|
5,103 |
|
5,103 |
|
5,107 |
|
5,107 |
|
5,127 |
|
|
|
|
5,103 |
|
5,127 |
|
|
Consolidated average Occupancy |
|
87.6% |
|
89.0% |
|
88.6% |
|
88.7% |
|
90.0% |
|
244 bps |
|
|
86.5% |
|
89.1% |
|
259 bps |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Same-Store revenue (1) |
|
$68,675 |
|
$69,917 |
|
$71,199 |
|
$72,295 |
|
$74,853 |
|
9.0% |
|
|
$202,413 |
|
$218,347 |
|
7.9% |
Same-Store operating expenses |
|
54,986 |
|
55,978 |
|
56,563 |
|
56,208 |
|
57,298 |
|
4.2% |
|
|
163,142 |
|
170,069 |
|
4.2% |
Compensation |
|
33,413 |
|
33,959 |
|
34,333 |
|
34,369 |
|
34,845 |
|
4.3% |
|
|
98,682 |
|
103,547 |
|
4.9% |
Controllable (2) |
|
18,492 |
|
18,759 |
|
19,097 |
|
18,750 |
|
19,169 |
|
3.7% |
|
|
55,074 |
|
57,016 |
|
3.5% |
Non-Controllable (3) |
|
3,081 |
|
3,260 |
|
3,133 |
|
3,089 |
|
3,284 |
|
6.6% |
|
|
9,386 |
|
9,506 |
|
1.3% |
Same-Store NOI (1) |
|
$13,689 |
|
$13,939 |
|
$14,636 |
|
$16,087 |
|
$17,555 |
|
28.2% |
|
|
$39,271 |
|
$48,278 |
|
22.9% |
Same-Store NOI Margin % |
|
19.9% |
|
19.9% |
|
20.6% |
|
22.3% |
|
23.5% |
|
352 bps |
|
|
19.4% |
|
22.1% |
|
271 bps |
RevPOR |
|
$5,161 |
|
$5,164 |
|
$5,281 |
|
$5,354 |
|
$5,442 |
|
5.4% |
|
|
$5,136 |
|
$5,360 |
|
4.4% |
ExPOR |
|
$4,132 |
|
$4,134 |
|
$4,195 |
|
$4,163 |
|
$4,166 |
|
0.8% |
|
|
$4,139 |
|
$4,174 |
|
0.8% |
(1) |
See reconciliations in the appendix of this supplemental. |
(2) |
Controllable expenses include utilities, food, repairs and maintenance, and other operating expenses. |
(3) |
Non-Controllable expenses include property taxes and insurance. |
American Healthcare REIT | Q3 2026 Supplemental | Page 6


NOI Diversification

(Presented by percentage of Q3 2026 Pro-Rata Cash NOI, excluding other non-recurring items)
By Partner
|
Campuses/ |
|
Beds/Units |
|
ISHC |
|
SHOP |
|
SHOP+⁽¹⁾ |
Trilogy Management Services |
149 |
|
15,105 |
|
100.0% |
|
— |
|
65.9% |
Great Lakes Management |
8 |
|
1,134 |
|
— |
|
16.4% |
|
5.6% |
Heritage Senior Living |
7 |
|
933 |
|
— |
|
15.1% |
|
5.1% |
LCB Senior Living |
8 |
|
872 |
|
— |
|
14.9% |
|
5.1% |
Cogir Senior Living |
14 |
|
904 |
|
— |
|
10.5% |
|
3.6% |
Remaining |
72 |
|
6,229 |
|
— |
|
43.1% |
|
14.7% |
Total |
258 |
|
25,177 |
|
100.0% |
|
100.0% |
|
100.0% |
By State
|
Campuses/ |
|
Beds/Units |
|
ISHC |
|
SHOP |
|
SHOP+⁽¹⁾ |
Indiana |
75 |
|
7,520 |
|
52.8% |
|
2.8% |
|
35.8% |
Ohio |
39 |
|
4,197 |
|
20.4% |
|
— |
|
13.4% |
Michigan |
22 |
|
2,020 |
|
11.2% |
|
1.7% |
|
8.0% |
Kentucky |
19 |
|
1,808 |
|
11.5% |
|
— |
|
7.6% |
Minnesota |
7 |
|
992 |
|
— |
|
14.2% |
|
4.8% |
California |
10 |
|
1,249 |
|
— |
|
12.3% |
|
4.2% |
Pennsylvania |
7 |
|
750 |
|
— |
|
10.9% |
|
3.7% |
Virginia |
4 |
|
536 |
|
— |
|
8.7% |
|
3.0% |
North Carolina |
8 |
|
522 |
|
0.3% |
|
6.0% |
|
2.3% |
Oregon |
14 |
|
855 |
|
— |
|
5.0% |
|
1.7% |
Remaining |
53 |
|
4,728 |
|
3.8% |
|
38.4% |
|
15.5% |
Total |
258 |
|
25,177 |
|
100.0% |
|
100.0% |
|
100.0% |
(1) |
SHOP+ consists of ISHC and SHOP. See Defined Terms section of the appendix for more details. |
American Healthcare REIT | Q3 2026 Supplemental | Page 7
OM by Location

Outpatient Medical

(dollars and square feet in thousands, except revenue per square foot and Cash NOI per square foot)
Total Portfolio
|
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
Q3 2026 |
|
|
|
|
YTD 9/30/25 |
|
YTD 9/30/26 |
|
|
Properties |
|
73 |
|
71 |
|
71 |
|
70 |
|
70 |
|
|
|
|
— |
|
— |
|
|
Consolidated GLA (Sq. Ft.) |
|
3,825 |
|
3,685 |
|
3,685 |
|
3,654 |
|
3,654 |
|
|
|
|
3,825 |
|
3,654 |
|
|
Ending Occupancy |
|
86.5% |
|
88.9% |
|
88.2% |
|
88.4% |
|
87.7% |
|
|
|
|
86.5% |
|
87.7% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash revenue (1) |
|
$30,131 |
|
$29,558 |
|
$29,993 |
|
$29,495 |
|
$30,348 |
|
|
|
|
$93,013 |
|
$89,836 |
|
|
Operating expenses |
|
11,458 |
|
11,236 |
|
11,826 |
|
11,214 |
|
11,825 |
|
|
|
|
35,483 |
|
34,865 |
|
|
Cash NOI (1) |
|
$18,673 |
|
$18,322 |
|
$18,167 |
|
$18,281 |
|
$18,523 |
|
|
|
|
$57,530 |
|
$54,971 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash NOI Margin % |
|
62.0% |
|
62.0% |
|
60.6% |
|
62.0% |
|
61.0% |
|
|
|
|
61.9% |
|
61.2% |
|
|
Revenue per Sq. Ft. |
|
$31.51 |
|
$32.08 |
|
$32.56 |
|
$32.29 |
|
$33.22 |
|
|
|
|
$32.42 |
|
$32.78 |
|
|
Cash NOI per Sq. Ft. |
|
$19.53 |
|
$19.89 |
|
$19.72 |
|
$20.01 |
|
$20.28 |
|
|
|
|
$20.05 |
|
$20.06 |
|
|
Maintenance Capex |
|
$4,924 |
|
$8,225 |
|
$2,107 |
|
$2,190 |
|
$3,568 |
|
|
|
|
$15,183 |
|
$7,865 |
|
|
Same-Store
|
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
Q3 2026 |
|
Q3 2026 |
|
|
YTD 9/30/25 |
|
YTD 9/30/26 |
|
YTD 2026 vs |
Properties |
|
65 |
|
65 |
|
65 |
|
65 |
|
65 |
|
|
|
|
65 |
|
65 |
|
|
Consolidated GLA (Sq. Ft.) |
|
3,259 |
|
3,259 |
|
3,259 |
|
3,260 |
|
3,260 |
|
|
|
|
3,259 |
|
3,260 |
|
|
Ending Occupancy |
|
93.3% |
|
93.4% |
|
93.0% |
|
92.6% |
|
91.9% |
|
(146 bps) |
|
|
93.3% |
|
91.9% |
|
(146 bps) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Same-Store revenue (1) |
|
$27,747 |
|
$27,627 |
|
$28,119 |
|
$27,722 |
|
$28,510 |
|
2.7% |
|
|
$81,812 |
|
$84,351 |
|
3.1% |
Same-Store operating expenses |
|
10,250 |
|
9,885 |
|
10,870 |
|
10,331 |
|
10,943 |
|
6.8% |
|
|
30,228 |
|
32,144 |
|
6.3% |
Same-Store NOI (1) |
|
$17,497 |
|
$17,742 |
|
$17,249 |
|
$17,391 |
|
$17,567 |
|
0.4% |
|
|
$51,584 |
|
$52,207 |
|
1.2% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Same-Store NOI Margin % |
|
63.1% |
|
64.2% |
|
61.3% |
|
62.7% |
|
61.6% |
|
(144 bps) |
|
|
63.1% |
|
61.9% |
|
(116 bps) |
Same-Store revenue per Sq. Ft. |
|
$34.06 |
|
$33.91 |
|
$34.51 |
|
$34.01 |
|
$34.98 |
|
|
|
|
$33.47 |
|
$34.50 |
|
|
Same-Store NOI per Sq. Ft. |
|
$21.48 |
|
$21.78 |
|
$21.17 |
|
$21.34 |
|
$21.55 |
|
|
|
|
$21.10 |
|
$21.35 |
|
|
Tenants and Occupancy Metrics (as of September 30, 2026)
Tenants |
ABR |
|
% |
|
S&P Credit Rating |
Christus Good Shepherd Health System |
$8,089 |
|
9.5% |
|
A |
Prime Healthcare |
2,571 |
|
3.0% |
|
B |
Montefiore Medical Center |
2,519 |
|
2.9% |
|
BBB- |
Atrius Health, Inc. |
2,294 |
|
2.7% |
|
A+ |
Cullman Regional Medical Center |
1,994 |
|
2.3% |
|
- |
Remaining portfolio |
68,094 |
|
79.6% |
|
Various |
Total |
$85,560 |
|
100.0% |
|
|
OM Absorption |
|
Occupied Square Feet as of December 31, 2025 |
3,277 |
Expirations |
(264) |
Renewals |
156 |
New leases |
57 |
Terminations |
(8) |
Adjustment/remeasurement |
(3) |
Dispositions |
(10) |
Occupied Square Feet as of September 30, 2026 |
3,205 |
|
|
Trailing 12-months Retention |
55.9% |
(1) |
See reconciliations in the appendix of this supplemental. |
American Healthcare REIT | Q3 2026 Supplemental | Page 8
Triple-Net Leased Properties

(dollars in thousands and Pro-Rata)
Total Portfolio
|
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
Q3 2026 |
|
|
|
|
YTD |
|
YTD |
|
|
Properties |
|
18 |
|
18 |
|
18 |
|
17 |
|
17 |
|
|
|
|
— |
|
— |
|
|
AL/MC beds/units |
|
538 |
|
538 |
|
538 |
|
538 |
|
538 |
|
|
|
|
538 |
|
538 |
|
|
SNF beds |
|
882 |
|
882 |
|
882 |
|
826 |
|
826 |
|
|
|
|
882 |
|
826 |
|
|
Consolidated total beds/units (1) |
|
1,420 |
|
1,420 |
|
1,420 |
|
1,364 |
|
1,364 |
|
|
|
|
1,420 |
|
1,364 |
|
|
Average operator Occupancy (1) |
|
88.5% |
|
89.2% |
|
90.5% |
|
90.5% |
|
89.8% |
|
|
|
|
88.9% |
|
90.3% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash revenue (2) |
|
$8,027 |
|
$8,053 |
|
$8,591 |
|
$8,119 |
|
$7,981 |
|
|
|
|
$24,499 |
|
$24,691 |
|
|
Debt investments |
|
1,165 |
|
1,167 |
|
1,158 |
|
1,171 |
|
2,771 |
|
|
|
|
3,809 |
|
5,100 |
|
|
Operating expenses |
|
495 |
|
456 |
|
958 |
|
661 |
|
405 |
|
|
|
|
2,213 |
|
2,024 |
|
|
Cash NOI (2) |
|
$8,697 |
|
$8,764 |
|
$8,791 |
|
$8,629 |
|
$10,347 |
|
|
|
|
$26,095 |
|
$27,767 |
|
|
Cash NOI Margin % |
|
94.6% |
|
95.1% |
|
90.2% |
|
92.9% |
|
96.2% |
|
|
|
|
92.2% |
|
93.2% |
|
|
Same-Store
|
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
Q3 2026 |
|
Q3 2026 |
|
|
YTD |
|
YTD |
|
YTD 2026 vs |
Properties |
|
17 |
|
17 |
|
17 |
|
17 |
|
17 |
|
|
|
|
17 |
|
17 |
|
|
Consolidated beds/units (1) |
|
1,364 |
|
1,364 |
|
1,364 |
|
1,364 |
|
1,364 |
|
|
|
|
1,364 |
|
1,364 |
|
|
Average operator Occupancy (1) |
|
88.2% |
|
89.1% |
|
90.6% |
|
90.5% |
|
89.8% |
|
165 bps |
|
|
88.7% |
|
90.3% |
|
162 bps |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Same-Store revenue (2) |
|
$7,870 |
|
$7,896 |
|
$8,078 |
|
$8,119 |
|
$7,981 |
|
1.4% |
|
|
$23,455 |
|
$24,178 |
|
3.1% |
Same-Store operating expenses |
|
495 |
|
456 |
|
604 |
|
661 |
|
405 |
|
(18.2%) |
|
|
1,630 |
|
1,670 |
|
2.5% |
Same-Store NOI (2) |
|
$7,375 |
|
$7,440 |
|
$7,474 |
|
$7,458 |
|
$7,576 |
|
2.7% |
|
|
$21,825 |
|
$22,508 |
|
3.1% |
Same-Store NOI Margin % |
|
93.7% |
|
94.2% |
|
92.5% |
|
91.9% |
|
94.9% |
|
122 bps |
|
|
93.1% |
|
93.1% |
|
4 bps |
Same-Store NOI (constant currency) (3) |
|
$7,371 |
|
$7,455 |
|
$7,471 |
|
$7,461 |
|
$7,576 |
|
2.8% |
|
|
$21,914 |
|
$22,508 |
|
2.7% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Facilities are 100% triple-net leased and operators' occupancies exclude Hospitals. |
(2) |
See reconciliations in the appendix of this supplemental. |
(3) |
To eliminate the impact of exchange rate movements, the Company calculates Same-Store NOI on a constant currency basis, a non-GAAP measure, which includes currency adjustment for UK properties at September 30, 2026 YTD average GBP/USD rate of 1.34. |
American Healthcare REIT | Q3 2026 Supplemental | Page 9
Triple-Net Leased Properties Rent Coverage Stratification

Tenant EBITDAR Coverage
|
Contribution to Pro-Rata Cash NOI at each Coverage Stratification for Q3 2026 (1) |
|||||
Coverage |
Senior Housing-Leased |
SNFs |
Hospitals |
Total |
WALT |
Number of |
< 0.80x |
— |
— |
1.1% |
1.1% |
10.7 |
1 |
0.80x - 0.89x |
— |
— |
— |
— |
— |
— |
0.90x - 0.99x |
— |
1.1% |
— |
1.1% |
14.8 |
1 |
1.00x - 1.09x |
0.4% |
— |
— |
0.4% |
5.7 |
1 |
1.10x - 1.19x |
0.8% |
— |
— |
0.8% |
24.0 |
1 |
1.20x - 1.29x |
— |
— |
— |
— |
— |
— |
1.30x - 1.39x |
— |
— |
— |
— |
— |
— |
1.40x - 1.49x |
— |
— |
— |
— |
— |
— |
1.50x - 1.59x |
— |
— |
— |
— |
— |
— |
1.60x - 1.69x |
— |
— |
— |
— |
— |
— |
1.70x - 1.79x |
— |
— |
— |
— |
— |
— |
1.80x - 1.89x |
— |
— |
— |
— |
— |
— |
1.90x - 1.99x |
— |
— |
— |
— |
— |
— |
> 2.00x |
— |
0.8% |
0.2% |
1.0% |
4.7 |
2 |
Total |
1.2% |
1.9% |
1.3% |
4.4% |
12.1 |
6 |
|
|
|
|
|
|
|
Segment rent coverage (2) |
1.14x |
1.52x |
0.98x |
1.24x |
|
|
|
|
|
|
|
|
|
Tenant Occupancy |
89.0% |
90.4% |
N/A |
89.8% |
|
|
Tenant EBITDARM Coverage
|
Contribution to Pro-Rata Cash NOI at each Coverage Stratification for Q3 2026 (1) |
|||||
Coverage |
Senior Housing-Leased |
SNFs |
Hospitals |
Total |
WALT |
Number of |
< 0.80x |
— |
— |
1.1% |
1.1% |
10.7 |
1 |
0.80x - 0.89x |
— |
— |
— |
— |
— |
— |
0.90x - 0.99x |
— |
— |
— |
— |
— |
— |
1.00x - 1.09x |
— |
— |
— |
— |
— |
— |
1.10x - 1.19x |
— |
— |
— |
— |
— |
— |
1.20x - 1.29x |
0.4% |
— |
— |
0.4% |
5.7 |
1 |
1.30x - 1.39x |
— |
— |
— |
— |
— |
— |
1.40x - 1.49x |
0.8% |
1.1% |
— |
1.9% |
17.8 |
2 |
1.50x - 1.59x |
— |
— |
— |
— |
— |
— |
1.60x - 1.69x |
— |
— |
— |
— |
— |
— |
1.70x - 1.79x |
— |
— |
— |
— |
— |
— |
1.80x - 1.89x |
— |
— |
— |
— |
— |
— |
1.90x - 1.99x |
— |
— |
— |
— |
— |
— |
> 2.00x |
— |
0.8% |
0.2% |
1.0% |
4.7 |
2 |
Total |
1.2% |
1.9% |
1.3% |
4.4% |
12.1 |
6 |
|
|
|
|
|
|
|
Segment rent coverage (2) |
1.39x |
2.02x |
1.23x |
1.59x |
|
|
|
|
|
|
|
|
|
Tenant Occupancy |
89.0% |
90.4% |
N/A |
89.8% |
|
|
(1) |
Represents trailing twelve month coverage metrics as of June 30, 2026. Percentages are based on Pro-Rata Cash NOI for the three month ended |
(2) |
Represents combined coverage metrics for all leases within each property type and total segment. |
American Healthcare REIT | Q3 2026 Supplemental | Page 10
Revenue and Lease Expiration (1)

(dollars in thousands, as of September 30, 2026)
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|||||||||
|
|
OM |
|
Triple-Net Leased Properties |
|
|
|
|
|
|
|||||||
Year |
|
ABR (2) |
% |
|
# of Expiring Leases |
Total |
|
% |
|
ABR (2) |
% |
|
Interest Income (3) |
|
Total |
||
2026 |
|
$645 |
0.7% |
|
14 |
54 |
|
1.7% |
|
$— |
0.0% |
|
$— |
0.0% |
|
$645 |
0.4% |
2027 |
|
8,332 |
8.5% |
|
59 |
292 |
|
9.0% |
|
— |
0.0% |
|
6,922 |
63.3% |
|
15,254 |
10.5% |
2028 |
|
14,221 |
14.5% |
|
65 |
487 |
|
15.1% |
|
— |
0.0% |
|
4,013 |
36.7% |
|
18,234 |
12.5% |
2029 |
|
14,825 |
15.1% |
|
68 |
524 |
|
16.2% |
|
— |
0.0% |
|
— |
0.0% |
|
14,825 |
10.2% |
2030 |
|
11,541 |
11.8% |
|
50 |
379 |
|
11.7% |
|
5,779 |
15.8% |
|
— |
0.0% |
|
17,320 |
11.9% |
Thereafter |
|
48,651 |
49.4% |
|
139 |
1,495 |
|
46.3% |
|
30,773 |
84.2% |
|
— |
0.0% |
|
79,424 |
54.5% |
Total |
|
$98,215 |
100.0% |
|
395 |
3,231 |
|
100.0% |
|
$36,552 |
100.0% |
|
$10,935 |
100.0% |
|
$145,702 |
100.0% |
American Healthcare REIT | Q3 2026 Supplemental | Page 11
Debt Maturities

(dollars in thousands, as of September 30, 2026)
Period |
|
Lines of Credit |
|
Mortgage |
|
Combined |
|
% of |
|
Weighted |
2026 |
|
$— |
|
$4,888 |
|
$4,888 |
|
0.4% |
|
3.52% |
2027 |
|
550,000 |
|
56,182 |
|
606,182 |
|
43.9% |
|
4.74% |
2028 |
|
— |
|
139,740 |
|
139,740 |
|
10.1% |
|
4.40% |
2029 |
|
— |
|
16,963 |
|
16,963 |
|
1.2% |
|
3.36% |
2030 |
|
— |
|
44,732 |
|
44,732 |
|
3.2% |
|
4.51% |
Thereafter (1) |
|
— |
|
568,262 |
|
568,262 |
|
41.2% |
|
3.74% |
Total |
|
$550,000 |
|
$830,767 |
|
$1,380,767 |
|
100.0% |
|
|
Weighted interest rate (2)_(3) |
|
4.86% |
|
3.87% |
|
4.26% |
|
|
|
|
Weighted average maturity (years) |
|
0.3 |
|
20.7 |
|
12.6 |
|
|
|
|
Percentage of variable-rate debt |
|
— % |
|
— % |
|
— % |
|
|
|
|
(1) |
Debt maturing after 2030 has a weighted average maturity date of April 2053 (27 Years). |
(2) |
Interest rates reflect two in-place swap derivatives for $350 million and $200 million with strikes at 3.51% and 3.52%, respectively, which mature on January 19, 2027. |
(3) |
Does not include interest rate impact from mortgage insurance premiums and equipment financing. |
American Healthcare REIT | Q3 2026 Supplemental | Page 12
2026 Real Estate Acquisitions and Dispositions

(dollars in thousands)
Acquisitions
Reportable Segment/Quarter |
|
Number of Properties |
|
Beds/Units |
|
Gross Purchase Price |
|
Average |
SHOP |
|
|
|
|
|
|
|
|
Q1 2026 |
|
7 |
|
501 |
|
$162,750 |
|
$325 |
Q2 2026 |
|
5 |
|
558 |
|
126,917 |
|
227 |
Q3 2026 |
|
17 |
|
2,011 |
|
1,693,000 |
|
842 |
Total |
|
29 |
|
3,070 |
|
$1,982,667 |
|
$646 |
Dispositions
Reportable Segment/Quarter |
|
Number of Properties/ Campuses |
|
Beds/Units/GLA (1) |
|
Gross Proceeds |
|
|
ISHC |
|
|
|
|
|
|
|
|
Q2 2026 |
|
1 |
|
83 |
|
$14,150 |
|
|
|
|
|
|
|
|
|
|
|
OM |
|
|
|
|
|
|
|
|
Q2 2026 |
|
1 |
|
32 |
|
1,000 |
|
|
|
|
|
|
|
|
|
|
|
Triple-Net Leased Properties |
|
|
|
|
|
|
|
|
Q2 2026 |
|
1 |
|
56 |
|
7,100 |
|
|
|
|
|
|
|
|
|
|
|
Total |
|
3 |
|
|
|
$22,250 |
|
|
(1) |
OM presents GLA in thousands, rather than Beds/Units. |
American Healthcare REIT | Q3 2026 Supplemental | Page 13
Real Estate Developments & Expansions

(dollars in thousands)
In-Process Pipeline
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Development Timing |
||
Project Name |
|
State |
|
Segment |
|
Type of |
|
Beds/Units |
|
Spent to |
|
Total |
|
Construction |
|
Expected |
Portage |
|
MI |
|
ISHC |
|
New Campus |
|
108 |
|
$25,344 |
|
$25,344 |
|
Q3 2024 |
|
Q4 2026 |
Mooresville |
|
IN |
|
ISHC |
|
Wing Expansion |
|
27 |
|
4,329 |
|
4,463 |
|
Q1 2025 |
|
Q4 2026 |
Scio Township |
|
MI |
|
ISHC |
|
New Campus |
|
109 |
|
14,339 |
|
26,651 |
|
Q3 2025 |
|
Q2 2027 |
Holly |
|
MI |
|
ISHC |
|
New Campus |
|
114 |
|
5,320 |
|
29,692 |
|
Q3 2025 |
|
Q1 2028 |
Lowell |
|
IN |
|
ISHC |
|
IL Villas |
|
50 |
|
4,033 |
|
14,484 |
|
Q3 2025 |
|
Q3 2027 |
Noblesville |
|
IN |
|
ISHC |
|
IL Villas |
|
32 |
|
5,914 |
|
10,401 |
|
Q3 2025 |
|
Q4 2026 |
Lafayette |
|
IN |
|
ISHC |
|
IL Villas |
|
8 |
|
1,561 |
|
2,505 |
|
Q3 2025 |
|
Q4 2026 |
LaGrange |
|
KY |
|
ISHC |
|
IL Villas |
|
26 |
|
6,047 |
|
8,791 |
|
Q3 2025 |
|
Q1 2027 |
Tiffin |
|
OH |
|
ISHC |
|
IL Villas |
|
30 |
|
2,751 |
|
8,429 |
|
Q3 2025 |
|
Q2 2027 |
Tiffin |
|
OH |
|
ISHC |
|
Wing Expansion |
|
18 |
|
1,245 |
|
2,968 |
|
Q3 2025 |
|
Q1 2027 |
Jasper |
|
IN |
|
ISHC |
|
Wing Expansion |
|
17 |
|
777 |
|
2,754 |
|
Q3 2025 |
|
Q2 2027 |
Warsaw |
|
IN |
|
ISHC |
|
Wing Expansion |
|
24 |
|
5,908 |
|
5,908 |
|
Q3 2025 |
|
Q4 2026 |
Waunakee - Phase I |
|
WI |
|
ISHC |
|
New Campus |
|
108 |
|
2,796 |
|
3,760 |
|
Q1 2026 |
|
Q4 2026 |
Delaware City |
|
OH |
|
ISHC |
|
New Campus |
|
136 |
|
5,606 |
|
35,032 |
|
Q2 2026 |
|
Q1 2028 |
Sun Prairie |
|
WI |
|
ISHC |
|
Wing Expansion |
|
10 |
|
1,205 |
|
2,069 |
|
Q2 2026 |
|
Q4 2026 |
Kendallville |
|
IN |
|
ISHC |
|
IL Villas |
|
32 |
|
1,028 |
|
9,613 |
|
Q3 2026 |
|
Q4 2027 |
Total |
|
|
|
|
|
|
|
849 |
|
$88,203 |
|
$192,864 |
|
|
|
|
Completed Projects (1)
Project Name |
|
State |
|
Segment |
|
Type of |
|
Beds/Units |
|
Total Cost |
|
Construction |
|
|
|
|
Harrodsburg |
|
KY |
|
ISHC |
|
IL Villas |
|
32 |
|
$9,622 |
|
Q1 2026 |
|
|
|
|
Sylvania |
|
OH |
|
ISHC |
|
IL Villas |
|
26 |
|
8,741 |
|
Q1 2026 |
|
|
|
|
Ottawa |
|
OH |
|
ISHC |
|
IL Villas |
|
30 |
|
8,511 |
|
Q1 2026 |
|
|
|
|
Greenfield |
|
IN |
|
ISHC |
|
IL Villas |
|
16 |
|
4,731 |
|
Q2 2026 |
|
|
|
|
Howell |
|
MI |
|
ISHC |
|
Wing Expansion |
|
36 |
|
2,346 |
|
Q3 2026 |
|
|
|
|
Total |
|
|
|
|
|
|
|
140 |
|
$33,951 |
|
|
|
|
|
|
(1) |
Includes projects that have been completed through YTD September 30, 2026. Certain projects that have been completed may not yet be stabilized. |
American Healthcare REIT | Q3 2026 Supplemental | Page 14
Full Year 2026 Guidance (1)

(dollars in millions, except per share)
NAREIT FFO and Normalized FFO Attributable to Common Stockholders Reconciliation
|
Current |
|
|
Prior |
|
|
Guidance Adjustment ⁽²⁾ |
|
|||||||||
|
Low |
|
High |
|
|
Low |
|
High |
|
|
|||||||
Net income attributable to common stockholders |
$ |
123.2 |
|
$ |
129.2 |
|
|
$ |
108.5 |
|
$ |
116.5 |
|
|
$ |
13.7 |
|
Depreciation and amortization ⁽³⁾ |
|
322.1 |
|
|
322.1 |
|
|
|
306.8 |
|
|
306.8 |
|
|
|
15.3 |
|
Impairment and gain/losses from dispositions ⁽³⁾ |
|
(3.5 |
) |
|
(3.5 |
) |
|
|
(3.9 |
) |
|
(3.9 |
) |
|
|
0.4 |
|
NAREIT FFO attributable to common stockholders |
$ |
441.8 |
|
$ |
447.8 |
|
|
$ |
411.4 |
|
$ |
419.4 |
|
|
$ |
29.4 |
|
Amortization of other intangible assets/liabilities ⁽³⁾ |
|
2.7 |
|
|
2.7 |
|
|
|
1.3 |
|
|
1.3 |
|
|
|
1.4 |
|
Change in deferred rent ⁽³⁾ |
|
(1.3 |
) |
|
(1.3 |
) |
|
|
(1.6 |
) |
|
(1.6 |
) |
|
|
0.3 |
|
Non-cash impact of changes to equity plan ⁽³⁾⁽⁴⁾ |
|
26.3 |
|
|
26.3 |
|
|
|
21.9 |
|
|
21.9 |
|
|
|
4.4 |
|
Other adjustments ⁽⁵⁾ |
|
(6.2 |
) |
|
(6.2 |
) |
|
|
(0.2 |
) |
|
(0.2 |
) |
|
|
(6.0 |
) |
Normalized FFO attributable to common stockholders |
$ |
463.3 |
|
$ |
469.3 |
|
|
$ |
432.8 |
|
$ |
440.8 |
|
|
$ |
29.5 |
|
Weighted average diluted shares (in millions) |
|
207.7 |
|
|
207.7 |
|
|
|
201.3 |
|
|
201.3 |
|
|
|
6.4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Net income attributable to common stockholders - per share |
$ |
0.59 |
|
$ |
0.62 |
|
|
$ |
0.54 |
|
$ |
0.58 |
|
|
$ |
0.045 |
|
NAREIT FFO attributable to common stockholders - per share |
$ |
2.13 |
|
$ |
2.16 |
|
|
$ |
2.04 |
|
$ |
2.08 |
|
|
$ |
0.085 |
|
NFFO attributable to common stockholders - per share |
$ |
2.23 |
|
$ |
2.26 |
|
|
$ |
2.15 |
|
$ |
2.19 |
|
|
$ |
0.075 |
|
Same-Store NOI Growth
|
Current |
|
Prior |
|
Guidance Adjustment ⁽²⁾ |
||
|
Low |
High |
|
Low |
High |
|
|
Total Portfolio Same-Store NOI Growth |
12.0% |
14.0% |
|
11.0% |
13.0% |
|
100 bps |
Segment-Level Same-Store NOI Growth: |
|
|
|
|
|
|
|
ISHC |
14.5% |
16.5% |
|
13.0% |
16.0% |
|
100 bps |
SHOP |
23.0% |
26.0% |
|
18.0% |
21.0% |
|
500 bps |
Outpatient Medical |
0.5% |
1.0% |
|
— |
1.0% |
|
25 bps |
Triple-Net Leased Properties |
2.5% |
3.5% |
|
2.0% |
3.0% |
|
50 bps |
Other Select Guidance Assumptions
|
Current |
|
|
Prior |
|
|
Guidance Adjustment ⁽²⁾ |
|
|||||||||
|
Low |
|
High |
|
|
Low |
|
High |
|
|
|||||||
General and administrative expenses |
$ |
74 |
|
$ |
78 |
|
|
$ |
74 |
|
$ |
78 |
|
|
|
— |
|
Interest expense |
$ |
74 |
|
$ |
77 |
|
|
$ |
75 |
|
$ |
79 |
|
|
$ |
(1.5 |
) |
Other income, net |
$ |
6 |
|
$ |
9 |
|
|
$ |
5 |
|
$ |
8 |
|
|
$ |
1.0 |
|
Development funding – new starts and on-going projects |
$ |
100 |
|
$ |
110 |
|
|
$ |
150 |
|
$ |
170 |
|
|
$ |
(55.0 |
) |
Acquisitions / Investments |
No additional acquisitions or investments beyond ~$2.1B closed YTD |
|
|
No additional acquisitions or investments beyond ~$1.4B closed YTD |
|
|
|
|
|||||||||
American Healthcare REIT | Q3 2026 Supplemental | Page 15
Components of NAV (1)

(dollars and square feet in thousands)
Segment |
|
Campuses/ |
Square |
Total |
Q3 2026 |
Q3 2026 Annualized |
ISHC |
|
148 |
11,377 |
14,998 |
$87,530 |
$350,120 |
SHOP (3) |
|
109 |
9,380 |
10,072 |
46,016 |
184,064 |
Outpatient Medical |
|
69 |
3,643 |
|
18,570 |
74,280 |
Triple-Net Leased Properties (3) |
|
17 |
961 |
1,364 |
7,774 |
31,096 |
Total |
|
343 |
25,361 |
26,434 |
$159,890 |
$639,560 |
Obligations |
|
Pro-Rata |
|
Consolidated |
|
Weighted Avg. |
Mortgage debt |
|
$830,767 |
|
$830,767 |
|
3.87% |
Revolving LOC |
|
— |
|
— |
|
4.97% |
Term loan(4) |
|
550,000 |
|
550,000 |
|
4.86% |
Total debt |
|
1,380,767 |
|
1,380,767 |
|
|
Cash, cash equivalents and restricted cash pertaining to debt |
|
(247,566) |
|
(247,702) |
|
|
Net Debt |
|
$1,133,201 |
|
$1,133,065 |
|
|
Other tangible liabilities, net: |
|
|
|
|
|
|
Accounts payable and accrued liabilities |
|
$371,534 |
|
$371,593 |
|
|
Other |
|
66,457 |
|
66,538 |
|
|
Total other tangible liabilities, net |
|
437,991 |
|
438,131 |
|
|
Financing |
|
19,146 |
|
19,147 |
|
|
Lease obligations |
|
135,422 |
|
135,430 |
|
|
Net obligations |
|
$1,725,760 |
|
$1,725,773 |
|
|
|
|
|
|
|
|
|
Other Assets |
|
|
|
|
|
|
Debt investments, gross |
|
$238,254 |
|
$238,254 |
|
|
Other tangible assets: |
|
|
|
|
|
|
Accounts receivable |
|
228,503 |
|
228,503 |
|
|
Capital expenditures |
|
132,633 |
|
132,645 |
|
|
Inventory |
|
21,352 |
|
21,352 |
|
|
Other |
|
60,635 |
|
60,656 |
|
|
Total other tangible assets |
|
443,123 |
|
443,156 |
|
|
Sold assets/assets expected to be sold |
|
18,000 |
|
18,000 |
|
|
Total other assets |
|
$699,377 |
|
$699,410 |
|
|
|
|
|
|
|
|
|
Common Shares and OP Units Issued and Outstanding |
|
|
|
|
|
|
Total common shares |
|
231,479,253 |
|
231,479,253 |
|
|
Total OP Units |
|
1,936,425 |
|
1,936,425 |
|
|
Total common shares and OP Units |
|
233,415,678 |
|
233,415,678 |
|
|
American Healthcare REIT | Q3 2026 Supplemental | Page 16

Holbrook Sugar Hill
Sugar Hill, GA
Third Quarter 2026
Supplemental Appendix
Non-GAAP Reconciliations
&
Defined Terms
American Healthcare REIT | Q3 2026 Supplemental | Page 17
NAREIT FFO/NFFO Reconciliation (1)

(in thousands, except shares and per share amounts)
|
|
Q3 2026 |
|
Q3 2025 |
|
YTD |
|
YTD |
Net income |
|
$31,515 |
|
$56,639 |
|
$86,506 |
|
$59,878 |
Depreciation and amortization related to real estate — consolidated properties |
|
90,800 |
|
49,115 |
|
229,849 |
|
131,980 |
Depreciation and amortization related to real estate — unconsolidated entities |
|
43 |
|
15 |
|
71 |
|
1,018 |
Impairment of real estate investments — consolidated properties |
|
— |
|
3,768 |
|
2,137 |
|
38,133 |
(Gain) loss on dispositions of real estate investments, net — consolidated properties |
|
— |
|
(691) |
|
(5,647) |
|
2,344 |
Gain on re-measurement of previously held equity interest |
|
— |
|
(14,580) |
|
— |
|
(14,580) |
Net income attributable to noncontrolling interests |
|
(302) |
|
(712) |
|
(974) |
|
(847) |
Depreciation, amortization, impairments, net gain/loss on dispositions and gain on re-measurement — |
|
(1,449) |
|
(521) |
|
(3,005) |
|
(2,216) |
NAREIT FFO attributable to controlling interest |
|
120,607 |
|
93,033 |
|
308,937 |
|
215,710 |
Transaction, transition and restructuring costs |
|
5,113 |
|
50 |
|
9,870 |
|
1,808 |
Amortization of above- and below-market leases |
|
281 |
|
295 |
|
911 |
|
1,063 |
Amortization of direct origination and closing costs — debt investments |
|
739 |
|
11 |
|
763 |
|
60 |
Change in deferred rent |
|
(184) |
|
(485) |
|
(1,120) |
|
(1,877) |
Non-cash impact of changes to equity instruments (2) |
|
9,284 |
|
3,429 |
|
19,909 |
|
9,170 |
Non-cash income tax benefit |
|
(294) |
|
(21,401) |
|
(1,241) |
|
(21,401) |
Capitalized interest |
|
(834) |
|
(401) |
|
(2,189) |
|
(843) |
(Gain) loss on debt extinguishments |
|
— |
|
(22) |
|
147 |
|
1,784 |
Loss (gain) in fair value of derivative financial instruments |
|
106 |
|
(166) |
|
(1,778) |
|
1,213 |
Foreign currency loss (gain) |
|
619 |
|
977 |
|
1,363 |
|
(3,181) |
Other non-recurring income (3) |
|
(8,815) |
|
— |
|
(8,815) |
|
— |
Adjustments for unconsolidated entities |
|
(1) |
|
(1) |
|
(2) |
|
4 |
Adjustments for noncontrolling interests |
|
(62) |
|
211 |
|
(192) |
|
139 |
Normalized FFO attributable to controlling interest |
|
$126,559 |
|
$75,530 |
|
$326,563 |
|
$203,649 |
NAREIT FFO per common share attributable to controlling interest — diluted |
|
$0.55 |
|
$0.54 |
|
$1.55 |
|
$1.32 |
Normalized FFO per common share attributable to controlling interest — diluted |
|
$0.58 |
|
$0.44 |
|
$1.64 |
|
$1.25 |
NAREIT FFO and Normalized FFO weighted average common share outstanding — diluted |
|
217,711,583 |
|
169,802,090 |
|
199,494,794 |
|
162,908,219 |
Distributions paid to common stockholders |
|
$48,783 |
|
$41,241 |
|
$143,214 |
|
$120,666 |
American Healthcare REIT | Q3 2026 Supplemental | Page 18
Adjusted EBITDA, Coverage Ratios & Net Debt Reconciliation

(dollars in thousands)
Adjusted EBITDA Reconciliation
|
Q3 2026 |
|
|
|
|
Net income |
$31,515 |
|
|
|
|
Interest expense, net (including amortization of deferred financing costs and amortization of debt |
17,773 |
|
Income tax expense |
740 |
|
Depreciation and amortization (including amortization of leased assets and accretion of lease liabilities) |
91,403 |
|
|
|
|
EBITDA |
141,431 |
|
|
|
|
Income from unconsolidated entities |
(49) |
|
Straight line rent and amortization of above/below market leases |
(437) |
|
Non-cash impact of changes to equity instruments |
9,284 |
|
Transaction, transition and restructuring costs |
5,113 |
|
Amortization of direct origination and closing costs — debt investments |
739 |
|
Foreign currency loss |
619 |
|
Loss in fair value of derivative financial instruments |
106 |
|
Other non-recurring income |
(8,815) |
|
|
|
|
Adjusted EBITDA |
$147,991 |
|
Coverage Ratios and Net Debt Reconciliation
|
Q3 2026 |
|
Interest Coverage Ratios |
|
|
Interest expense(1) |
$17,773 |
|
Capitalized interest |
834 |
|
Non-cash interest expense(2) |
(1,553) |
|
Total Interest |
$17,054 |
|
|
|
|
Interest Coverage Ratio(3) |
8.7X |
|
|
|
|
Fixed Charge Coverage Ratio |
|
|
Total interest |
$17,054 |
|
Secured debt principal amortization |
4,826 |
|
Total Fixed Charge |
$21,880 |
|
|
|
|
Fixed Charge Coverage Ratio(3) |
6.8X |
|
|
|
|
Total debt |
$1,380,767 |
|
Cash and cash equivalents |
(222,767) |
|
Restricted cash related to debt |
(24,935) |
|
Net Debt |
$1,133,065 |
|
|
|
|
Net Debt-to-Annualized Adjusted EBITDA |
1.9X |
|
(1) |
Includes approximately $1.4 million of cash interest expense from financing obligations, mortgage insurance premiums, and equipment financing. |
(2) |
Non-cash interest expense includes amortization of loan fees and debt discount/premium. |
(3) |
Interest Coverage Ratio calculated as Adjusted EBITDA divided by Total Interest. Fixed Charge Coverage Ratio calculated as Adjusted EBITDA divided by Total Fixed Charge. |
American Healthcare REIT | Q3 2026 Supplemental | Page 19
Same-Store Property Reconciliation

Total Property Count Reconciliation |
|
ISHC |
|
SHOP |
|
OM |
|
Triple-Net Leased Properties |
|
Total |
Prior quarter total property count (2Q26) |
|
148 |
|
92 |
|
70 |
|
17 |
|
327 |
3Q26 acquisitions |
|
— |
|
17 |
|
— |
|
— |
|
17 |
3Q26 completed expansion |
|
1 |
|
— |
|
— |
|
— |
|
1 |
Current quarter total property count (3Q26) |
|
149 |
|
109 |
|
70 |
|
17 |
|
345 |
Recent acquisitions |
|
(23) |
|
(43) |
|
— |
|
— |
|
(66) |
Non-Core Properties |
|
(1) |
|
(1) |
|
(5) |
|
— |
|
(7) |
Expansion and developments |
|
(10) |
|
(1) |
|
— |
|
— |
|
(11) |
Quarterly Same-Store property count (3Q26) |
|
115 |
|
64 |
|
65 |
|
17 |
|
261 |
|
|
|
|
|
|
|
|
|
|
|
Sequential Same-Store reconciliation |
|
ISHC |
|
SHOP |
|
OM |
|
Triple-Net Leased Properties |
|
Total |
Quarterly Same-Store property count (2Q26) |
|
115 |
|
64 |
|
65 |
|
17 |
|
261 |
Recent acquisitions |
|
— |
|
— |
|
— |
|
— |
|
— |
Dispositions |
|
— |
|
— |
|
— |
|
— |
|
— |
Expansion and developments |
|
— |
|
— |
|
— |
|
— |
|
— |
Current quarterly Same-Store property count (3Q26) |
|
115 |
|
64 |
|
65 |
|
17 |
|
261 |
American Healthcare REIT | Q3 2026 Supplemental | Page 20
Cash NOI Reconciliation

(in thousands)
|
Q3 2026 |
|
Q2 2026 |
|
Q1 2026 |
|
Q4 2025 |
|
Q3 2025 |
|
YTD 9/30/26 |
|
YTD 9/30/25 |
Net income |
$31,515 |
|
$30,980 |
|
$24,011 |
|
$10,940 |
|
$56,639 |
|
$86,506 |
|
$59,878 |
General and administrative |
21,582 |
|
19,891 |
|
17,605 |
|
16,529 |
|
14,108 |
|
59,078 |
|
42,206 |
Transaction, transition and restructuring costs |
5,113 |
|
2,786 |
|
1,971 |
|
3,295 |
|
50 |
|
9,870 |
|
1,808 |
Depreciation and amortization |
90,869 |
|
72,125 |
|
67,062 |
|
55,323 |
|
49,181 |
|
230,056 |
|
132,236 |
Interest expense |
17,773 |
|
18,626 |
|
18,796 |
|
19,806 |
|
20,392 |
|
55,195 |
|
65,969 |
Loss (gain) in fair value of derivative financial instruments |
106 |
|
(357) |
|
(1,527) |
|
(179) |
|
(166) |
|
(1,778) |
|
1,213 |
(Gain) loss on dispositions of real estate investments, net |
— |
|
(5,647) |
|
— |
|
621 |
|
(691) |
|
(5,647) |
|
2,344 |
Impairment of real estate investments |
— |
|
1,719 |
|
418 |
|
11,802 |
|
3,768 |
|
2,137 |
|
38,133 |
(Income) loss from unconsolidated entities |
(49) |
|
(892) |
|
(792) |
|
(657) |
|
(462) |
|
(1,733) |
|
2,624 |
Gain on re-measurement of previously held equity interest |
— |
|
— |
|
— |
|
— |
|
(14,580) |
|
— |
|
(14,580) |
Foreign currency loss (gain) |
619 |
|
(75) |
|
819 |
|
6 |
|
977 |
|
1,363 |
|
(3,181) |
Other income, net |
(3,473) |
|
(1,914) |
|
(2,335) |
|
(3,491) |
|
(2,309) |
|
(7,722) |
|
(5,314) |
Income tax expense (benefit) |
740 |
|
(3) |
|
(525) |
|
(2,415) |
|
(21,092) |
|
212 |
|
(19,756) |
Total NOI |
164,795 |
|
137,239 |
|
125,503 |
|
111,580 |
|
105,815 |
|
427,537 |
|
303,580 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Straight line rent |
(297) |
|
(503) |
|
(780) |
|
(793) |
|
(730) |
|
(1,580) |
|
(2,286) |
Facility rental expense |
6,752 |
|
6,752 |
|
6,761 |
|
6,849 |
|
7,030 |
|
20,265 |
|
21,807 |
Other non-cash adjustments |
934 |
|
77 |
|
14 |
|
163 |
|
133 |
|
1,025 |
|
517 |
Cash NOI from dispositions |
(6) |
|
(355) |
|
10 |
|
27 |
|
(102) |
|
(351) |
|
(716) |
Cash NOI attributable to noncontrolling interests (1) |
(734) |
|
(250) |
|
(250) |
|
(250) |
|
(251) |
|
(1,234) |
|
(758) |
Cash NOI (1) |
$171,444 |
|
$142,960 |
|
$131,258 |
|
$117,576 |
|
$111,895 |
|
$445,662 |
|
$322,144 |
(1) |
All periods are based upon current quarter's ownership percentage. |
American Healthcare REIT | Q3 2026 Supplemental | Page 21
Same-Store Revenue Reconciliation

(in thousands)
|
|
Q3 2026 |
|
Q2 2026 |
|
Q1 2026 |
|
Q4 2025 |
|
Q3 2025 |
|
YTD 9/30/26 |
|
YTD 9/30/25 |
Integrated Senior Health Campuses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
GAAP Revenue |
|
$534,189 |
|
$512,878 |
|
$502,743 |
|
$472,577 |
|
$455,452 |
|
$1,549,810 |
|
$1,313,494 |
Cash revenue from dispositions |
|
— |
|
(2,069) |
|
— |
|
— |
|
1 |
|
(2,069) |
|
(2,680) |
Cash revenue |
|
534,189 |
|
510,809 |
|
502,743 |
|
472,577 |
|
455,453 |
|
1,547,741 |
|
1,310,814 |
Revenue attributable to new acquisitions/dispositions/other |
|
(177,351) |
|
(169,742) |
|
(160,081) |
|
(132,515) |
|
(118,985) |
|
(507,174) |
|
(330,145) |
Revenue attributable to Non-Core Properties |
|
(3,576) |
|
(3,568) |
|
(6,554) |
|
(6,680) |
|
(6,655) |
|
(13,698) |
|
(19,258) |
Other normalizing revenue adjustments |
|
(7,772) |
|
— |
|
— |
|
— |
|
— |
|
(7,772) |
|
— |
Same-Store revenue |
|
$345,490 |
|
$337,499 |
|
$336,108 |
|
$333,382 |
|
$329,813 |
|
$1,019,097 |
|
$961,411 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SHOP |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
GAAP Revenue |
|
$166,904 |
|
$121,641 |
|
$107,024 |
|
$91,410 |
|
$76,606 |
|
$395,569 |
|
$217,025 |
Cash revenue from dispositions |
|
— |
|
— |
|
— |
|
— |
|
(1) |
|
— |
|
(167) |
Cash revenue attributable to noncontrolling interests (1) |
|
(1,929) |
|
(280) |
|
(287) |
|
(276) |
|
(278) |
|
(2,496) |
|
(824) |
Cash revenue (1) |
|
164,975 |
|
121,361 |
|
106,737 |
|
91,134 |
|
76,327 |
|
393,073 |
|
216,034 |
Revenue attributable to new acquisitions/dispositions |
|
(88,418) |
|
(47,447) |
|
(34,027) |
|
(19,788) |
|
(6,208) |
|
(169,892) |
|
(9,617) |
Revenue attributable to development conversion |
|
(1,105) |
|
(1,014) |
|
(904) |
|
(897) |
|
(864) |
|
(3,023) |
|
(2,255) |
Revenue attributable to Non-Core Properties |
|
(599) |
|
(605) |
|
(607) |
|
(532) |
|
(580) |
|
(1,811) |
|
(1,749) |
Same-Store revenue (1) |
|
$74,853 |
|
$72,295 |
|
$71,199 |
|
$69,917 |
|
$68,675 |
|
$218,347 |
|
$202,413 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outpatient Medical |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
GAAP Revenue |
|
$30,666 |
|
$29,985 |
|
$30,842 |
|
$30,449 |
|
$31,181 |
|
$91,493 |
|
$95,629 |
Straight line rent |
|
24 |
|
(100) |
|
(358) |
|
(363) |
|
(243) |
|
(434) |
|
(675) |
Other non-cash adjustments |
|
(343) |
|
(389) |
|
(491) |
|
(356) |
|
(380) |
|
(1,223) |
|
(1,054) |
Cash revenue from dispositions |
|
1 |
|
(1) |
|
— |
|
(172) |
|
(427) |
|
— |
|
(887) |
Cash revenue |
|
30,348 |
|
29,495 |
|
29,993 |
|
29,558 |
|
30,131 |
|
89,836 |
|
93,013 |
Revenue attributable to dispositions |
|
— |
|
— |
|
— |
|
— |
|
(154) |
|
— |
|
(4,044) |
Revenue attributable to Non-Core Properties |
|
(1,838) |
|
(1,773) |
|
(1,874) |
|
(1,931) |
|
(2,230) |
|
(5,485) |
|
(7,157) |
Same-Store revenue |
|
$28,510 |
|
$27,722 |
|
$28,119 |
|
$27,627 |
|
$27,747 |
|
$84,351 |
|
$81,812 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Triple-Net Leased Properties |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
GAAP Revenue |
|
$10,390 |
|
$9,746 |
|
$10,165 |
|
$9,644 |
|
$9,698 |
|
$30,301 |
|
$29,895 |
Straight line rent |
|
(321) |
|
(403) |
|
(422) |
|
(430) |
|
(487) |
|
(1,146) |
|
(1,611) |
Other non-cash adjustments |
|
881 |
|
169 |
|
200 |
|
200 |
|
200 |
|
1,250 |
|
624 |
Cash revenue from dispositions |
|
— |
|
(27) |
|
— |
|
— |
|
(25) |
|
(27) |
|
(25) |
Cash revenue attributable to noncontrolling interest (1) |
|
(198) |
|
(195) |
|
(194) |
|
(194) |
|
(194) |
|
(587) |
|
(575) |
Cash revenue (1) |
|
10,752 |
|
9,290 |
|
9,749 |
|
9,220 |
|
9,192 |
|
29,791 |
|
28,308 |
Debt investments (2) |
|
(2,771) |
|
(1,171) |
|
(1,158) |
|
(1,167) |
|
(1,165) |
|
(5,100) |
|
(3,809) |
Revenue attributable to dispositions |
|
— |
|
— |
|
— |
|
— |
|
— |
|
— |
|
(52) |
Revenue attributable to Non-Core Properties |
|
— |
|
— |
|
(159) |
|
(157) |
|
(157) |
|
(159) |
|
(470) |
Other normalizing revenue adjustments |
|
— |
|
— |
|
(354) |
|
— |
|
— |
|
(354) |
|
(522) |
Same-Store revenue (1) |
|
$7,981 |
|
$8,119 |
|
$8,078 |
|
$7,896 |
|
$7,870 |
|
$24,178 |
|
$23,455 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Portfolio |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
GAAP Revenue |
|
$742,149 |
|
$674,250 |
|
$650,774 |
|
$604,080 |
|
$572,937 |
|
$2,067,173 |
|
$1,656,043 |
Straight line rent |
|
(297) |
|
(503) |
|
(780) |
|
(793) |
|
(730) |
|
(1,580) |
|
(2,286) |
Other non-cash adjustments |
|
538 |
|
(220) |
|
(291) |
|
(156) |
|
(180) |
|
27 |
|
(430) |
Cash revenue from dispositions |
|
1 |
|
(2,097) |
|
— |
|
(172) |
|
(452) |
|
(2,096) |
|
(3,759) |
Cash revenue attributable to noncontrolling interests (1) |
|
(2,127) |
|
(475) |
|
(481) |
|
(470) |
|
(472) |
|
(3,083) |
|
(1,399) |
Cash revenue (1) |
|
740,264 |
|
670,955 |
|
649,222 |
|
602,489 |
|
571,103 |
|
2,060,441 |
|
1,648,169 |
Debt investments (2) |
|
(2,771) |
|
(1,171) |
|
(1,158) |
|
(1,167) |
|
(1,165) |
|
(5,100) |
|
(3,809) |
Revenue attributable to new acquisitions/dispositions/other |
|
(265,769) |
|
(217,189) |
|
(194,108) |
|
(152,303) |
|
(125,347) |
|
(677,066) |
|
(343,858) |
Revenue attributable to development conversion |
|
(1,105) |
|
(1,014) |
|
(904) |
|
(897) |
|
(864) |
|
(3,023) |
|
(2,255) |
Revenue attributable to Non-Core Properties |
|
(6,013) |
|
(5,946) |
|
(9,194) |
|
(9,300) |
|
(9,622) |
|
(21,153) |
|
(28,634) |
Other normalizing revenue adjustments |
|
(7,772) |
|
— |
|
(354) |
|
— |
|
— |
|
(8,126) |
|
(522) |
Same-Store revenue (1) |
|
$456,834 |
|
$445,635 |
|
$443,504 |
|
$438,822 |
|
$434,105 |
|
$1,345,973 |
|
$1,269,091 |
(1) |
All periods are based upon current quarter's ownership percentage. |
|
|
|
|
|
|
|
(2) |
Relates to debt security investment and debt investment within Triple-Net Leased Properties. |
|
|
|
|
|
|
|
American Healthcare REIT | Q3 2026 Supplemental | Page 22
Same-Store NOI Reconciliation

(in thousands)
|
|
Q3 2026 |
|
Q2 2026 |
|
Q1 2026 |
|
Q4 2025 |
|
Q3 2025 |
|
YTD 9/30/26 |
|
YTD 9/30/25 |
Integrated Senior Health Campuses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NOI |
|
$90,047 |
|
$78,159 |
|
$71,759 |
|
$63,930 |
|
$62,168 |
|
$239,965 |
|
$176,093 |
Facility rental expense |
|
6,752 |
|
6,752 |
|
6,761 |
|
6,849 |
|
7,030 |
|
20,265 |
|
21,807 |
Cash NOI from dispositions |
|
— |
|
(328) |
|
— |
|
— |
|
1 |
|
(328) |
|
(472) |
Cash NOI |
|
96,799 |
|
84,583 |
|
78,520 |
|
70,779 |
|
69,199 |
|
259,902 |
|
197,428 |
New acquisitions/dispositions/other |
|
(16,039) |
|
(12,727) |
|
(9,933) |
|
(5,852) |
|
(6,538) |
|
(38,699) |
|
(12,464) |
Non-Core Properties |
|
(510) |
|
(506) |
|
(912) |
|
(1,011) |
|
(1,078) |
|
(1,928) |
|
(2,822) |
Other normalizing adjustments |
|
(7,772) |
|
— |
|
— |
|
— |
|
1,044 |
|
(7,772) |
|
1,044 |
Same-Store NOI |
|
$72,478 |
|
$71,350 |
|
$67,675 |
|
$63,916 |
|
$62,627 |
|
$211,503 |
|
$183,186 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SHOP |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NOI |
|
$46,209 |
|
$31,522 |
|
$25,837 |
|
$19,764 |
|
$15,360 |
|
$103,568 |
|
$41,188 |
Other non-cash adjustments |
|
102 |
|
— |
|
— |
|
— |
|
— |
|
102 |
|
— |
Cash NOI from dispositions |
|
— |
|
— |
|
— |
|
4 |
|
24 |
|
— |
|
88 |
Cash NOI attributable to noncontrolling interests (1) |
|
(536) |
|
(55) |
|
(57) |
|
(57) |
|
(58) |
|
(648) |
|
(185) |
Cash NOI (1) |
|
45,775 |
|
31,467 |
|
25,780 |
|
19,711 |
|
15,326 |
|
103,022 |
|
41,091 |
New acquisitions/dispositions |
|
(28,092) |
|
(15,329) |
|
(11,408) |
|
(6,089) |
|
(1,921) |
|
(54,829) |
|
(2,771) |
Development conversion |
|
(104) |
|
(19) |
|
330 |
|
301 |
|
343 |
|
207 |
|
980 |
Non-Core Properties |
|
(24) |
|
(32) |
|
(66) |
|
16 |
|
(59) |
|
(122) |
|
(176) |
Other normalizing adjustments |
|
— |
|
— |
|
— |
|
— |
|
— |
|
— |
|
147 |
Same-Store NOI (1) |
|
$17,555 |
|
$16,087 |
|
$14,636 |
|
$13,939 |
|
$13,689 |
|
$48,278 |
|
$39,271 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outpatient Medical |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NOI |
|
$18,573 |
|
$18,492 |
|
$18,718 |
|
$18,717 |
|
$19,128 |
|
$55,783 |
|
$58,699 |
Straight line rent |
|
24 |
|
(100) |
|
(358) |
|
(363) |
|
(243) |
|
(434) |
|
(675) |
Other non-cash adjustments |
|
(68) |
|
(111) |
|
(203) |
|
(55) |
|
(85) |
|
(382) |
|
(162) |
Cash NOI from dispositions |
|
(6) |
|
— |
|
10 |
|
23 |
|
(127) |
|
4 |
|
(332) |
Cash NOI |
|
18,523 |
|
18,281 |
|
18,167 |
|
18,322 |
|
18,673 |
|
54,971 |
|
57,530 |
Dispositions |
|
— |
|
— |
|
— |
|
— |
|
83 |
|
— |
|
(1,763) |
Non-Core Properties |
|
(956) |
|
(890) |
|
(918) |
|
(898) |
|
(1,259) |
|
(2,764) |
|
(4,183) |
Other normalizing adjustments |
|
— |
|
— |
|
— |
|
318 |
|
— |
|
— |
|
— |
Same-Store NOI |
|
$17,567 |
|
$17,391 |
|
$17,249 |
|
$17,742 |
|
$17,497 |
|
$52,207 |
|
$51,584 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Triple-Net Leased Properties |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NOI |
|
$9,966 |
|
$9,066 |
|
$9,189 |
|
$9,169 |
|
$9,159 |
|
$28,221 |
|
$27,600 |
Straight line rent |
|
(321) |
|
(403) |
|
(422) |
|
(430) |
|
(487) |
|
(1,146) |
|
(1,611) |
Other non-cash adjustments |
|
900 |
|
188 |
|
217 |
|
218 |
|
218 |
|
1,305 |
|
679 |
Cash NOI from dispositions |
|
— |
|
(27) |
|
— |
|
— |
|
— |
|
(27) |
|
— |
Cash NOI attributable to noncontrolling interest (1) |
|
(198) |
|
(195) |
|
(193) |
|
(193) |
|
(193) |
|
(586) |
|
(573) |
Cash NOI (1) |
|
10,347 |
|
8,629 |
|
8,791 |
|
8,764 |
|
8,697 |
|
27,767 |
|
26,095 |
Debt investments (2) |
|
(2,771) |
|
(1,171) |
|
(1,158) |
|
(1,167) |
|
(1,165) |
|
(5,100) |
|
(3,809) |
Dispositions |
|
— |
|
— |
|
— |
|
— |
|
— |
|
— |
|
3 |
Non-Core Properties |
|
— |
|
— |
|
(159) |
|
(157) |
|
(157) |
|
(159) |
|
(464) |
Same-Store NOI (1) |
|
$7,576 |
|
$7,458 |
|
$7,474 |
|
$7,440 |
|
$7,375 |
|
$22,508 |
|
$21,825 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Portfolio |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NOI |
|
$164,795 |
|
$137,239 |
|
$125,503 |
|
$111,580 |
|
$105,815 |
|
$427,537 |
|
$303,580 |
Straight line rent |
|
(297) |
|
(503) |
|
(780) |
|
(793) |
|
(730) |
|
(1,580) |
|
(2,286) |
Facility rental expense |
|
6,752 |
|
6,752 |
|
6,761 |
|
6,849 |
|
7,030 |
|
20,265 |
|
21,807 |
Other non-cash adjustments |
|
934 |
|
77 |
|
14 |
|
163 |
|
133 |
|
1,025 |
|
517 |
Cash NOI from dispositions |
|
(6) |
|
(355) |
|
10 |
|
27 |
|
(102) |
|
(351) |
|
(716) |
Cash NOI attributable to noncontrolling interests (1) |
|
(734) |
|
(250) |
|
(250) |
|
(250) |
|
(251) |
|
(1,234) |
|
(758) |
Cash NOI (1) |
|
171,444 |
|
142,960 |
|
131,258 |
|
117,576 |
|
111,895 |
|
445,662 |
|
322,144 |
Debt investments (2) |
|
(2,771) |
|
(1,171) |
|
(1,158) |
|
(1,167) |
|
(1,165) |
|
(5,100) |
|
(3,809) |
New acquisitions/dispositions/other |
|
(44,131) |
|
(28,056) |
|
(21,341) |
|
(11,941) |
|
(8,376) |
|
(93,528) |
|
(16,995) |
Development conversion |
|
(104) |
|
(19) |
|
330 |
|
301 |
|
343 |
|
207 |
|
980 |
Non-Core Properties |
|
(1,490) |
|
(1,428) |
|
(2,055) |
|
(2,050) |
|
(2,553) |
|
(4,973) |
|
(7,645) |
Other normalizing adjustments |
|
(7,772) |
|
— |
|
— |
|
318 |
|
1,044 |
|
(7,772) |
|
1,191 |
Same-Store NOI (1) |
|
$115,176 |
|
$112,286 |
|
$107,034 |
|
$103,037 |
|
$101,188 |
|
$334,496 |
|
$295,866 |
(1) |
All periods are based upon current quarter's ownership percentage. |
|
|
|
|
|
|
|
(2) |
Relates to debt security investment and debt investment within Triple-Net Leased Properties. |
|
|
|
|
|
|
|
American Healthcare REIT | Q3 2026 Supplemental | Page 23
Defined Terms

American Healthcare REIT | Q3 2026 Supplemental | Page 24
Defined Terms, continued

American Healthcare REIT | Q3 2026 Supplemental | Page 25
Defined Terms, continued

American Healthcare REIT | Q3 2026 Supplemental | Page 26

https://www.americanhealthcarereit.com
18191 Von Karman Avenue, Suite 300
Irvine, California
American Healthcare REIT, Inc. (NYSE: AHR) is a real estate investment trust that acquires, owns and operates a diversified portfolio of clinical healthcare real estate, focusing primarily on senior housing communities, skilled nursing, and outpatient medical buildings across the United States, and in the United Kingdom and the Isle of Man.

American Healthcare REIT | Q3 2026 Supplemental | Page 27
