American Healthcare REIT (NYSE: AHR) boosts 2026 NFFO and NOI guidance
American Healthcare REIT, Inc. delivered strong Q2 2026 results, reporting GAAP net income attributable to controlling interest of $30.6 million, or $0.16 per diluted share, on total revenues of $674.3 million. NAREIT FFO per diluted share was $0.51 and Normalized FFO $0.54, increases of 24.4% and 28.6% year over year.
Total portfolio Same-Store NOI grew 13.2%, led by senior housing operating properties and integrated senior health campuses with 20.5% and 16.1% growth. The company completed $126.9 million of SHOP acquisitions in the quarter and $1.4 billion year to date, then post‑quarter acquired 10 additional SHOP assets for about $1.0 billion and funded an $86.2 million loan with purchase options.
Leverage improved, with Net Debt‑to‑Annualized Adjusted EBITDA declining to 2.5x and liquidity of approximately $2.6 billion. Management raised 2026 guidance, including NFFO per diluted share to $2.15–$2.19 and total portfolio Same-Store NOI growth to 11.0%–13.0%, and paid a $0.25 per‑share quarterly dividend.
Positive
- Normalized FFO per diluted share rose 28.6% year over year in Q2 2026 to $0.54, alongside a 24.4% increase in NAREIT FFO per diluted share to $0.51.
- Total portfolio Same-Store NOI grew 13.2% in Q2 2026, with 20.5% growth in SHOP and 16.1% in ISHC, marking what management described as the tenth consecutive quarter of double-digit Same-Store NOI growth.
- 2026 Normalized FFO guidance was raised over 5% at the midpoint to $2.15–$2.19 per diluted share, and total portfolio Same-Store NOI growth guidance increased to 11.0%–13.0%.
- Net Debt‑to‑Annualized Adjusted EBITDA improved to 2.5x from 3.0x as of March 31, 2026, while total liquidity reached approximately $2.6 billion, reflecting a stronger balance sheet.
Negative
- None.
Filing Explained
As of August 6, 2026, 12,246,596 shares remained in unsettled forward-sale agreements; physical settlement would increase the common share count.
This Form 8-K furnishes the company’s second-quarter 2026 earnings release and supplemental data, reporting results and capital-markets activity as of
An at-the-market program allows an issuer to sell new shares gradually into the open market at prevailing prices. The balance sheet reports
During the quarter, the company issued
Issuing additional shares increases the total share count and reduces an existing holder’s percentage ownership absent offsetting changes, so the completed issuance is dilutive in structure and the unsettled agreements represent further conditional dilution. The filing’s next relevant state change is physical settlement of those forward-sale agreements.
8-K Event Classification
Key Figures
Key Terms
Normalized FFO financial
Same-Store NOI financial
RIDEA structure regulatory
Net Debt-to-Annualized Adjusted EBITDA financial
At-the-market equity offering program financial
Triple-Net Leased financial
Earnings Snapshot
For 2026, management raised net income per diluted share guidance to $0.54–$0.58, NAREIT FFO per diluted share to $2.04–$2.08, Normalized FFO per diluted share to $2.15–$2.19, and total portfolio Same-Store NOI growth to 11.0%–13.0%, with higher ISHC and SHOP Same-Store NOI ranges.
AI-generated analysis. How Rhea-AI works. Not financial advice.
FAQ
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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): |
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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 August 6, 2026, we issued an earnings release announcing our financial position as of June 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 August 6, 2026, we released certain supplemental data for the quarter ended June 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.
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 August 6, 2026 |
99.2 |
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American Healthcare REIT, Inc. Second 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: |
August 6, 2026 |
By: |
/s/ Jeffrey T. Hanson |
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Jeffrey T. Hanson, Chief Executive Officer |
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EExhibit 99.1
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Press Release |
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Irvine, CA – August 6, 2026 |
Contact: Alan Peterson Email: investorrelations@ahcreit.com |
American Healthcare REIT Announces Second 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 second quarter 2026 results and increasing full year 2026 guidance.
Key Highlights:
"Our results this quarter reflect a deliberate strategy: concentrate capital in senior housing and care, partner with operators who deliver quality outcomes, and support them with our platform that improves how those assets perform," said Jeff Hanson, the Company's Chairman and Chief Executive Officer. "That approach produced our tenth consecutive quarter of double-digit Same-Store NOI growth. We combined that strong organic growth with over $1.4 billion in new investments year-to-date. Our conviction in this opportunity is not new. We have been building toward it for years. What has strengthened is our capacity to act on it at scale. Our underwriting standards have not changed; what has changed is the quality and depth of the opportunities available to us, which reflects our strengthening position as the industry's partner of choice.
Page | 1
Second Quarter 2026 Results
The Company’s Same-Store NOI growth results for the three and six months ended June 30, 2026 are detailed below. Same-Store NOI growth in the second 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 disciplined revenue management and effective expense control by its regional operating partners.
Three Months Ended June 30, 2026 Relative to Three Months Ended June 30, 2025 |
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Segment |
Same-Store NOI Growth |
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ISHC |
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16.1 |
% |
SHOP |
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20.5 |
% |
Outpatient Medical |
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1.7 |
% |
Triple-Net Leased Properties |
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2.1 |
% |
Total Portfolio |
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13.2 |
% |
Six Months Ended June 30, 2026 Relative to Six Months Ended June 30, 2025 |
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Segment |
Same-Store NOI Growth |
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ISHC |
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15.3 |
% |
SHOP |
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20.1 |
% |
Outpatient Medical |
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1.6 |
% |
Triple-Net Leased Properties |
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3.3 |
% |
Total Portfolio |
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12.7 |
% |
"This quarter was operating execution, not just favorable conditions," said Gabe Willhite, AHR's President and Chief Operating Officer. "Same-Store occupancy gains year-over-year, dynamic revenue management, and expense discipline turned into 20.5% same-store NOI growth in SHOP and 16.1% in ISHC. We are extending our platform capabilities to our regional operating partners to facilitate growth, and we expect that work to compound through the second half.”
Transactional Activity
During the three months ended June 30, 2026, the Company:
Subsequent to the quarter ended June 30, 2026, the Company:
Following the Company's completed transaction activity during the three months ended June 30, 2026, and subsequent to quarter end, the Company's investments pipeline consists of over $800 million which includes newly awarded deals and deals in the pipeline previously disclosed in the Company's First Quarter 2026 Earnings Release that have yet to close. While the Company expects to close the deals in its investments pipeline by the end of 2026, 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 investments pipeline, in its 2026 guidance, beyond the transactions disclosed as completed.
Page | 2
Development Activity
The Company's total in-process development and expansion pipeline is expected to cost approximately $197.5 million, of which $72.0 million had been funded as of June 30, 2026.
Capital Markets and Balance Sheet Activity
As of June 30, 2026, the Company had total consolidated indebtedness of $1.4 billion and approximately $2.6 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 June 30, 2026, was 2.5x.
During the three months ended June 30, 2026, as previously announced, the Company amended its credit facility by increasing the size of the unsecured revolving credit facility portion from $600 million to $800 million, thereby increasing the total aggregate credit facility including term loan to $1.35 billion. The revolving portion of the credit facility now matures on April 1, 2030, and may be extended for two 6-month periods, subject to certain conditions. Further, the Company may increase the aggregate incremental amount of the entire credit facility from $1.35 billion to $1.85 billion, subject to certain terms and conditions. The Company's existing unsecured term loan facility within the credit facility in the initial aggregate amount of $550 million remains unchanged.
During the three months ended June 30, 2026, the Company entered into forward sale agreements pursuant to its ATM Program, to sell 8,786,880 shares of common stock for approximately $433.2 million in gross proceeds. Subsequent to quarter end, the Company entered into additional forward sale agreements pursuant to its ATM Program to sell 4,706,002 shares of common stock for approximately $254.7 million in gross proceeds, assuming full physical settlement.
The Company also completed a follow-on common equity offering in May 2026, entering into new forward sale agreements to issue 16,100,000 shares of common stock for gross proceeds of approximately $811.4 million.
During the three months ended June 30, 2026, the Company issued 4,704,556 shares of common stock to physically settle sales under previously announced forward sale agreements pursuant to its ATM Program for gross proceeds of approximately $228.7 million. Subsequent to quarter end, the Company issued an additional 23,334,350 shares of common stock to physically settle sales under forward sale agreements from its ATM Program and its May 2026 follow-on common equity offering for gross proceeds of approximately $1.18 billion. As of August 6, 2026, pursuant to its ATM Program and its May 2026 follow-on common equity offering, the Company had unsettled forward sale agreements outstanding relating to 12,246,596 shares of common stock that would result in approximately $630.5 million in gross proceeds assuming full physical settlement.
"With strong results in the first half and expectation of carrying that momentum through the second half we are raising full-year guidance for both NFFO per diluted share and Same-Store NOI growth," said Chief Financial Officer Brian Peay. "NFFO per diluted share is now expected to be between $2.15 to $2.19 in 2026, which would translate to over 25% per share growth versus 2025. Additionally, we funded our acquisitions with forward equity we prudently raised and still improved Net Debt-to-Adjusted EBITDA by half a turn during the quarter."
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 any 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 |
$0.56 |
$0.54 to $0.58 |
$0.51 to $0.57 |
NAREIT FFO per diluted share |
$2.06 |
$2.04 to $2.08 |
$1.93 to $1.99 |
NFFO per diluted share |
$2.17 |
$2.15 to $2.19 |
$2.03 to $2.09 |
Total Portfolio SS NOI Growth |
12.0% |
11.0% to 13.0% |
9.0% to 12.0% |
Segment-Level SS NOI Growth: |
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ISHC |
14.5% |
13.0% to 16.0% |
11.0% to 15.0% |
SHOP |
19.5% |
18.0% to 21.0% |
15.0% to 19.0% |
Outpatient Medical |
0.5% |
0.0% to 1.0% |
0.0% to 2.0% |
Triple-Net Leased Properties |
2.5% |
2.0% to 3.0% |
2.0% to 3.0% |
Page | 3

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 Second Quarter 2026 Supplemental Financial Information (“Supplemental”). A reconciliation of net income (loss) calculated in accordance with 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.
Distributions
As previously announced, the Company’s Board of Directors declared a cash distribution for the quarter ended June 30, 2026 of $0.25 per share of its common stock. The second quarter distribution was paid in cash on July 17, 2026, to stockholders of record as of June 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 six months ended, June 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 August 7, 2026. During the conference call, Company executives will review second 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/449803626.
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: 449 803 626
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; 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; and asset and revenue management strategy 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 conditions, domestic legal and fiscal policies, geopolitical
Page | 4
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.
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 and Same-Store NOI. The Company believes these non-GAAP financial measures are useful supplemental measures of its operating performance and 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, the EBITDA and Adjusted EBITDA may not be comparable to similarly entitled 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 in measuring 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)
Page | 5
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.
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 June 30, 2026 and December 31, 2025
(In thousands, except share and per share amounts) (Unaudited)
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June 30, |
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December 31, |
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ASSETS |
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Real estate investments, net |
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$ |
4,418,501 |
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$ |
4,183,419 |
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Debt security investment, net |
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92,463 |
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92,136 |
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Cash and cash equivalents |
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156,896 |
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114,836 |
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Restricted cash |
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34,726 |
|
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|
36,917 |
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Accounts and other receivables, net |
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229,631 |
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204,313 |
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Identified intangible assets, net |
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237,235 |
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253,236 |
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Goodwill |
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234,942 |
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234,942 |
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Operating lease right-of-use assets, net |
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124,383 |
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135,399 |
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Other assets, net |
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175,141 |
|
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|
171,028 |
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Total assets |
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$ |
5,703,918 |
|
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$ |
5,426,226 |
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LIABILITIES AND EQUITY |
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Liabilities: |
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Mortgage loans payable, net |
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$ |
873,352 |
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$ |
966,925 |
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Lines of credit and term loan, net |
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549,872 |
|
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549,761 |
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Accounts payable and accrued liabilities |
|
|
332,145 |
|
|
|
317,742 |
|
Identified intangible liabilities, net |
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|
1,848 |
|
|
|
2,110 |
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Financing obligations |
|
|
19,327 |
|
|
|
33,902 |
|
Operating lease liabilities |
|
|
124,859 |
|
|
|
135,603 |
|
Security deposits, prepaid rent and other liabilities |
|
|
60,624 |
|
|
|
59,568 |
|
Total liabilities |
|
|
1,962,027 |
|
|
|
2,065,611 |
|
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|
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|
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Commitments and contingencies |
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||
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Equity: |
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|
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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; |
|
|
1,942 |
|
|
|
1,852 |
|
Additional paid-in capital |
|
|
5,296,586 |
|
|
|
4,880,169 |
|
Accumulated deficit |
|
|
(1,601,768 |
) |
|
|
(1,559,279 |
) |
Accumulated other comprehensive loss |
|
|
(2,213 |
) |
|
|
(2,104 |
) |
Total stockholders’ equity |
|
|
3,694,547 |
|
|
|
3,320,638 |
|
Noncontrolling interests |
|
|
47,344 |
|
|
|
39,977 |
|
Total equity |
|
|
3,741,891 |
|
|
|
3,360,615 |
|
Total liabilities and equity |
|
$ |
5,703,918 |
|
|
$ |
5,426,226 |
|
Page | 7
AMERICAN HEALTHCARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME
For the Three and Six Months Ended June 30, 2026 and 2025
(In thousands, except share and per share amounts) (Unaudited)
|
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Three Months Ended June 30, |
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Six Months Ended June 30, |
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||||||||||
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2026 |
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2025 |
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2026 |
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2025 |
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Revenues: |
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Resident fees and services |
|
$ |
634,519 |
|
|
$ |
501,285 |
|
|
$ |
1,244,286 |
|
|
$ |
998,461 |
|
Real estate revenue |
|
|
39,731 |
|
|
|
41,218 |
|
|
|
80,738 |
|
|
|
84,645 |
|
Total revenues |
|
|
674,250 |
|
|
|
542,503 |
|
|
|
1,325,024 |
|
|
|
1,083,106 |
|
Expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Property operating expenses |
|
|
524,838 |
|
|
|
426,285 |
|
|
|
1,037,009 |
|
|
|
858,708 |
|
Rental expenses |
|
|
12,173 |
|
|
|
12,990 |
|
|
|
25,273 |
|
|
|
26,633 |
|
General and administrative |
|
|
19,891 |
|
|
|
14,943 |
|
|
|
37,496 |
|
|
|
28,098 |
|
Transaction, transition and restructuring costs |
|
|
2,786 |
|
|
|
(79 |
) |
|
|
4,757 |
|
|
|
1,758 |
|
Depreciation and amortization |
|
|
72,125 |
|
|
|
41,941 |
|
|
|
139,187 |
|
|
|
83,055 |
|
Total expenses |
|
|
631,813 |
|
|
|
496,080 |
|
|
|
1,243,722 |
|
|
|
998,252 |
|
Other income (expense): |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Interest expense: |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Interest expense, net |
|
|
(18,626 |
) |
|
|
(22,632 |
) |
|
|
(37,422 |
) |
|
|
(45,577 |
) |
Gain (loss) in fair value of derivative financial instruments |
|
|
357 |
|
|
|
(629 |
) |
|
|
1,884 |
|
|
|
(1,379 |
) |
Gain (loss) on dispositions of real estate investments, net |
|
|
5,647 |
|
|
|
(2,676 |
) |
|
|
5,647 |
|
|
|
(3,035 |
) |
Impairment of real estate investments |
|
|
(1,719 |
) |
|
|
(12,659 |
) |
|
|
(2,137 |
) |
|
|
(34,365 |
) |
Income (loss) from unconsolidated entities |
|
|
892 |
|
|
|
(1,238 |
) |
|
|
1,684 |
|
|
|
(3,086 |
) |
Foreign currency gain (loss) |
|
|
75 |
|
|
|
2,742 |
|
|
|
(744 |
) |
|
|
4,158 |
|
Other income, net |
|
|
1,914 |
|
|
|
1,480 |
|
|
|
4,249 |
|
|
|
3,005 |
|
Total net other expense |
|
|
(11,460 |
) |
|
|
(35,612 |
) |
|
|
(26,839 |
) |
|
|
(80,279 |
) |
Income before income taxes |
|
|
30,977 |
|
|
|
10,811 |
|
|
|
54,463 |
|
|
|
4,575 |
|
Income tax benefit (expense) |
|
|
3 |
|
|
|
(732 |
) |
|
|
528 |
|
|
|
(1,336 |
) |
Net income |
|
|
30,980 |
|
|
|
10,079 |
|
|
|
54,991 |
|
|
|
3,239 |
|
Net income attributable to noncontrolling interests |
|
|
(374 |
) |
|
|
(171 |
) |
|
|
(672 |
) |
|
|
(135 |
) |
Net income attributable to controlling interest |
|
$ |
30,606 |
|
|
$ |
9,908 |
|
|
$ |
54,319 |
|
|
$ |
3,104 |
|
Net income per common share attributable to controlling |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Basic |
|
$ |
0.16 |
|
|
$ |
0.06 |
|
|
$ |
0.29 |
|
|
$ |
0.02 |
|
Diluted |
|
$ |
0.16 |
|
|
$ |
0.06 |
|
|
$ |
0.28 |
|
|
$ |
0.02 |
|
Weighted average number of common shares outstanding: |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Basic |
|
|
192,711,623 |
|
|
|
160,499,581 |
|
|
|
190,030,463 |
|
|
|
158,721,080 |
|
Diluted |
|
|
193,347,757 |
|
|
|
161,143,556 |
|
|
|
190,708,621 |
|
|
|
159,318,503 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Net income |
|
$ |
30,980 |
|
|
$ |
10,079 |
|
|
$ |
54,991 |
|
|
$ |
3,239 |
|
Other comprehensive income (loss): |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Foreign currency translation adjustments |
|
|
11 |
|
|
|
343 |
|
|
|
(109 |
) |
|
|
519 |
|
Total other comprehensive income (loss) |
|
|
11 |
|
|
|
343 |
|
|
|
(109 |
) |
|
|
519 |
|
Comprehensive income |
|
|
30,991 |
|
|
|
10,422 |
|
|
|
54,882 |
|
|
|
3,758 |
|
Comprehensive income attributable to noncontrolling |
|
|
(374 |
) |
|
|
(171 |
) |
|
|
(672 |
) |
|
|
(135 |
) |
Comprehensive income attributable to controlling interest |
|
$ |
30,617 |
|
|
$ |
10,251 |
|
|
$ |
54,210 |
|
|
$ |
3,623 |
|
Page | 8
AMERICAN HEALTHCARE REIT, INC.
NAREIT FFO and Normalized FFO Reconciliation
For the Three and Six Months Ended June 30, 2026 and 2025
(In thousands, except share and per share amounts) (Unaudited)
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||
|
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
||||
Net income |
|
$ |
30,980 |
|
|
$ |
10,079 |
|
|
$ |
54,991 |
|
|
$ |
3,239 |
|
Depreciation and amortization related to real estate — |
|
|
72,056 |
|
|
|
41,850 |
|
|
|
139,049 |
|
|
|
82,865 |
|
Depreciation and amortization related to real estate — |
|
|
14 |
|
|
|
506 |
|
|
|
28 |
|
|
|
1,003 |
|
Impairment of real estate investments — |
|
|
1,719 |
|
|
|
12,659 |
|
|
|
2,137 |
|
|
|
34,365 |
|
(Gain) loss on dispositions of real estate investments, net — |
|
|
(5,647 |
) |
|
|
2,676 |
|
|
|
(5,647 |
) |
|
|
3,035 |
|
Net income attributable to noncontrolling interests |
|
|
(374 |
) |
|
|
(171 |
) |
|
|
(672 |
) |
|
|
(135 |
) |
Depreciation, amortization, impairments and net gain/loss on |
|
|
(772 |
) |
|
|
(803 |
) |
|
|
(1,556 |
) |
|
|
(1,695 |
) |
NAREIT FFO attributable to controlling interest |
|
$ |
97,976 |
|
|
$ |
66,796 |
|
|
$ |
188,330 |
|
|
$ |
122,677 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Transaction, transition and restructuring costs |
|
$ |
2,786 |
|
|
$ |
(79 |
) |
|
$ |
4,757 |
|
|
$ |
1,758 |
|
Amortization of above- and below-market leases |
|
|
300 |
|
|
|
355 |
|
|
|
630 |
|
|
|
768 |
|
Amortization of closing costs — debt security investment |
|
|
12 |
|
|
|
12 |
|
|
|
24 |
|
|
|
49 |
|
Change in deferred rent |
|
|
(354 |
) |
|
|
(720 |
) |
|
|
(936 |
) |
|
|
(1,392 |
) |
Non-cash impact of changes to equity instruments |
|
|
5,767 |
|
|
|
3,190 |
|
|
|
10,625 |
|
|
|
5,741 |
|
Non-cash income tax benefit |
|
|
(223 |
) |
|
|
— |
|
|
|
(947 |
) |
|
|
— |
|
Capitalized interest |
|
|
(711 |
) |
|
|
(345 |
) |
|
|
(1,355 |
) |
|
|
(442 |
) |
Loss on debt extinguishments |
|
|
147 |
|
|
|
1,298 |
|
|
|
147 |
|
|
|
1,806 |
|
(Gain) loss in fair value of derivative financial instruments |
|
|
(357 |
) |
|
|
629 |
|
|
|
(1,884 |
) |
|
|
1,379 |
|
Foreign currency (gain) loss |
|
|
(75 |
) |
|
|
(2,742 |
) |
|
|
744 |
|
|
|
(4,158 |
) |
Adjustments for unconsolidated entities |
|
|
— |
|
|
|
5 |
|
|
|
(1 |
) |
|
|
5 |
|
Adjustments for noncontrolling interests |
|
|
(79 |
) |
|
|
(22 |
) |
|
|
(130 |
) |
|
|
(72 |
) |
Normalized FFO attributable to controlling interest |
|
$ |
105,189 |
|
|
$ |
68,377 |
|
|
$ |
200,004 |
|
|
$ |
128,119 |
|
NAREIT FFO and Normalized FFO weighted average common |
|
|
193,347,757 |
|
|
|
161,143,556 |
|
|
|
190,708,621 |
|
|
|
159,318,503 |
|
NAREIT FFO per common share attributable to controlling |
|
$ |
0.51 |
|
|
$ |
0.41 |
|
|
$ |
0.99 |
|
|
$ |
0.77 |
|
Normalized FFO per common share attributable to controlling |
|
$ |
0.54 |
|
|
$ |
0.42 |
|
|
$ |
1.05 |
|
|
$ |
0.80 |
|
Page | 9
AMERICAN HEALTHCARE REIT, INC.
Adjusted EBITDA Reconciliation
For the Three Months Ended June 30, 2026
(In thousands) (Unaudited)
Net income |
|
$ |
30,980 |
|
Interest expense, net (including amortization of deferred financing costs, amortization of debt |
|
|
18,626 |
|
Income tax benefit |
|
|
(3 |
) |
Depreciation and amortization (including amortization of leased assets and accretion of lease liabilities) |
|
|
72,557 |
|
EBITDA |
|
|
122,160 |
|
Income from unconsolidated entities |
|
|
(892 |
) |
Straight line rent and amortization of above/below market leases |
|
|
(486 |
) |
Non-cash impact of changes to equity instruments |
|
|
5,767 |
|
Transaction, transition and restructuring costs |
|
|
2,786 |
|
Gain on dispositions of real estate investments, net |
|
|
(5,647 |
) |
Amortization of closing costs — debt security investment |
|
|
12 |
|
Foreign currency gain |
|
|
(75 |
) |
Gain in fair value of derivative financial instruments |
|
|
(357 |
) |
Impairment of real estate investments |
|
|
1,719 |
|
Adjusted EBITDA |
|
$ |
124,987 |
|
Page | 10
AMERICAN HEALTHCARE REIT, INC.
NOI and Cash NOI Reconciliation
For the Three and Six Months Ended June 30, 2026 and 2025
(In thousands) (Unaudited)
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||
|
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
||||
Net income |
|
$ |
30,980 |
|
|
$ |
10,079 |
|
|
$ |
54,991 |
|
|
$ |
3,239 |
|
General and administrative |
|
|
19,891 |
|
|
|
14,943 |
|
|
|
37,496 |
|
|
|
28,098 |
|
Transaction, transition and restructuring costs |
|
|
2,786 |
|
|
|
(79 |
) |
|
|
4,757 |
|
|
|
1,758 |
|
Depreciation and amortization |
|
|
72,125 |
|
|
|
41,941 |
|
|
|
139,187 |
|
|
|
83,055 |
|
Interest expense |
|
|
18,626 |
|
|
|
22,632 |
|
|
|
37,422 |
|
|
|
45,577 |
|
(Gain) loss in fair value of derivative financial instruments |
|
|
(357 |
) |
|
|
629 |
|
|
|
(1,884 |
) |
|
|
1,379 |
|
(Gain) loss on dispositions of real estate investments, net |
|
|
(5,647 |
) |
|
|
2,676 |
|
|
|
(5,647 |
) |
|
|
3,035 |
|
Impairment of real estate investments |
|
|
1,719 |
|
|
|
12,659 |
|
|
|
2,137 |
|
|
|
34,365 |
|
(Income) loss from unconsolidated entities |
|
|
(892 |
) |
|
|
1,238 |
|
|
|
(1,684 |
) |
|
|
3,086 |
|
Foreign currency (gain) loss |
|
|
(75 |
) |
|
|
(2,742 |
) |
|
|
744 |
|
|
|
(4,158 |
) |
Other income, net |
|
|
(1,914 |
) |
|
|
(1,480 |
) |
|
|
(4,249 |
) |
|
|
(3,005 |
) |
Income tax (benefit) expense |
|
|
(3 |
) |
|
|
732 |
|
|
|
(528 |
) |
|
|
1,336 |
|
Net operating income |
|
|
137,239 |
|
|
|
103,228 |
|
|
|
262,742 |
|
|
|
197,765 |
|
Straight line rent |
|
|
(503 |
) |
|
|
(821 |
) |
|
|
(1,283 |
) |
|
|
(1,556 |
) |
Facility rental expense |
|
|
6,752 |
|
|
|
7,278 |
|
|
|
13,513 |
|
|
|
14,777 |
|
Other non-cash adjustments |
|
|
77 |
|
|
|
182 |
|
|
|
91 |
|
|
|
384 |
|
Cash NOI from dispositions |
|
|
(355 |
) |
|
|
(394 |
) |
|
|
(345 |
) |
|
|
(615 |
) |
Cash NOI attributable to noncontrolling interests (1) |
|
|
(250 |
) |
|
|
(255 |
) |
|
|
(500 |
) |
|
|
(506 |
) |
Cash NOI (1) |
|
$ |
142,960 |
|
|
$ |
109,218 |
|
|
$ |
274,218 |
|
|
$ |
210,249 |
|
Page | 11
AMERICAN HEALTHCARE REIT, INC.
Same-Store Revenue Reconciliation
For the Three and Six Months Ended June 30, 2026 and 2025
(In thousands) (Unaudited)
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||
|
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
||||
ISHC |
|
|
|
|
|
|
|
|
|
|
|
|
||||
GAAP Revenue |
|
$ |
512,878 |
|
|
$ |
429,350 |
|
|
$ |
1,015,621 |
|
|
$ |
858,042 |
|
Cash revenue from dispositions |
|
|
(2,069 |
) |
|
|
(1,201 |
) |
|
|
(2,069 |
) |
|
|
(2,681 |
) |
Cash revenue |
|
|
510,809 |
|
|
|
428,149 |
|
|
|
1,013,552 |
|
|
|
855,361 |
|
Revenue attributable to new acquisitions/dispositions/other |
|
|
(169,742 |
) |
|
|
(104,597 |
) |
|
|
(329,823 |
) |
|
|
(211,160 |
) |
Revenue attributable to Non-Core Properties |
|
|
(3,568 |
) |
|
|
(6,400 |
) |
|
|
(10,122 |
) |
|
|
(12,603 |
) |
Same-Store revenue |
|
$ |
337,499 |
|
|
$ |
317,152 |
|
|
$ |
673,607 |
|
|
$ |
631,598 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
SHOP |
|
|
|
|
|
|
|
|
|
|
|
|
||||
GAAP Revenue |
|
$ |
121,641 |
|
|
$ |
71,935 |
|
|
$ |
228,665 |
|
|
$ |
140,419 |
|
Cash revenue from dispositions |
|
|
— |
|
|
|
— |
|
|
|
— |
|
|
|
(166 |
) |
Cash revenue attributable to noncontrolling interests (1) |
|
|
(280 |
) |
|
|
(276 |
) |
|
|
(567 |
) |
|
|
(546 |
) |
Cash revenue (1) |
|
|
121,361 |
|
|
|
71,659 |
|
|
|
228,098 |
|
|
|
139,707 |
|
Revenue attributable to new acquisitions/dispositions |
|
|
(47,447 |
) |
|
|
(2,996 |
) |
|
|
(81,474 |
) |
|
|
(3,409 |
) |
Revenue attributable to development conversion |
|
|
(1,014 |
) |
|
|
(753 |
) |
|
|
(1,918 |
) |
|
|
(1,391 |
) |
Revenue attributable to Non-Core Properties |
|
|
(605 |
) |
|
|
(580 |
) |
|
|
(1,212 |
) |
|
|
(1,169 |
) |
Same-Store revenue (1) |
|
$ |
72,295 |
|
|
$ |
67,330 |
|
|
$ |
143,494 |
|
|
$ |
133,738 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Outpatient Medical |
|
|
|
|
|
|
|
|
|
|
|
|
||||
GAAP Revenue |
|
$ |
29,985 |
|
|
$ |
31,254 |
|
|
$ |
60,827 |
|
|
$ |
64,448 |
|
Straight line rent |
|
|
(100 |
) |
|
|
(259 |
) |
|
|
(458 |
) |
|
|
(432 |
) |
Other non-cash adjustments |
|
|
(389 |
) |
|
|
(350 |
) |
|
|
(880 |
) |
|
|
(674 |
) |
Cash revenue from dispositions |
|
|
(1 |
) |
|
|
(460 |
) |
|
|
(1 |
) |
|
|
(460 |
) |
Cash revenue |
|
|
29,495 |
|
|
|
30,185 |
|
|
|
59,488 |
|
|
|
62,882 |
|
Revenue attributable to dispositions |
|
|
— |
|
|
|
(894 |
) |
|
|
— |
|
|
|
(3,890 |
) |
Revenue attributable to Non-Core Properties |
|
|
(1,773 |
) |
|
|
(2,276 |
) |
|
|
(3,647 |
) |
|
|
(4,927 |
) |
Same-Store revenue |
|
$ |
27,722 |
|
|
$ |
27,015 |
|
|
$ |
55,841 |
|
|
$ |
54,065 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Triple-Net Leased Properties |
|
|
|
|
|
|
|
|
|
|
|
|
||||
GAAP Revenue |
|
$ |
9,746 |
|
|
$ |
9,964 |
|
|
$ |
19,911 |
|
|
$ |
20,197 |
|
Straight line rent |
|
|
(403 |
) |
|
|
(562 |
) |
|
|
(825 |
) |
|
|
(1,124 |
) |
Other non-cash adjustments |
|
|
169 |
|
|
|
199 |
|
|
|
369 |
|
|
|
424 |
|
Cash revenue from dispositions |
|
|
(27 |
) |
|
|
— |
|
|
|
(27 |
) |
|
|
— |
|
Cash revenue attributable to noncontrolling interest (1) |
|
|
(195 |
) |
|
|
(191 |
) |
|
|
(389 |
) |
|
|
(381 |
) |
Cash revenue (1) |
|
|
9,290 |
|
|
|
9,410 |
|
|
|
19,039 |
|
|
|
19,116 |
|
Debt security investment |
|
|
(1,171 |
) |
|
|
(1,163 |
) |
|
|
(2,329 |
) |
|
|
(2,644 |
) |
Revenue attributable to dispositions |
|
|
— |
|
|
|
(26 |
) |
|
|
— |
|
|
|
(52 |
) |
Revenue attributable to Non-Core Properties |
|
|
— |
|
|
|
(157 |
) |
|
|
(159 |
) |
|
|
(313 |
) |
Other normalizing revenue adjustments |
|
|
— |
|
|
|
(261 |
) |
|
|
(354 |
) |
|
|
(522 |
) |
Same-Store revenue (1) |
|
$ |
8,119 |
|
|
$ |
7,803 |
|
|
$ |
16,197 |
|
|
$ |
15,585 |
|
Page | 12
AMERICAN HEALTHCARE REIT, INC.
Same-Store Revenue Reconciliation - (Continued)
For the Three and Six Months Ended June 30, 2026 and 2025
(In thousands) (Unaudited)
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||
|
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
||||
Total Portfolio |
|
|
|
|
|
|
|
|
|
|
|
|
||||
GAAP Revenue |
|
$ |
674,250 |
|
|
$ |
542,503 |
|
|
$ |
1,325,024 |
|
|
$ |
1,083,106 |
|
Straight line rent |
|
|
(503 |
) |
|
|
(821 |
) |
|
|
(1,283 |
) |
|
|
(1,556 |
) |
Other non-cash adjustments |
|
|
(220 |
) |
|
|
(151 |
) |
|
|
(511 |
) |
|
|
(250 |
) |
Cash revenue from dispositions |
|
|
(2,097 |
) |
|
|
(1,661 |
) |
|
|
(2,097 |
) |
|
|
(3,307 |
) |
Cash revenue attributable to noncontrolling interests (1) |
|
|
(475 |
) |
|
|
(467 |
) |
|
|
(956 |
) |
|
|
(927 |
) |
Cash revenue (1) |
|
|
670,955 |
|
|
|
539,403 |
|
|
|
1,320,177 |
|
|
|
1,077,066 |
|
Debt security investment |
|
|
(1,171 |
) |
|
|
(1,163 |
) |
|
|
(2,329 |
) |
|
|
(2,644 |
) |
Revenue attributable to new acquisitions/dispositions/other |
|
|
(217,189 |
) |
|
|
(108,513 |
) |
|
|
(411,297 |
) |
|
|
(218,511 |
) |
Revenue attributable to development conversion |
|
|
(1,014 |
) |
|
|
(753 |
) |
|
|
(1,918 |
) |
|
|
(1,391 |
) |
Revenue attributable to Non-Core Properties |
|
|
(5,946 |
) |
|
|
(9,413 |
) |
|
|
(15,140 |
) |
|
|
(19,012 |
) |
Other normalizing revenue adjustments |
|
|
— |
|
|
|
(261 |
) |
|
|
(354 |
) |
|
|
(522 |
) |
Same-Store revenue (1) |
|
$ |
445,635 |
|
|
$ |
419,300 |
|
|
$ |
889,139 |
|
|
$ |
834,986 |
|
Page | 13
AMERICAN HEALTHCARE REIT, INC.
Same-Store NOI Reconciliation
For the Three and Six Months Ended June 30, 2026 and 2025
(In thousands) (Unaudited)
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||
|
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
||||
ISHC |
|
|
|
|
|
|
|
|
|
|
|
|
||||
NOI |
|
$ |
78,159 |
|
|
$ |
60,934 |
|
|
$ |
149,918 |
|
|
$ |
113,925 |
|
Facility rental expense |
|
|
6,752 |
|
|
|
7,278 |
|
|
|
13,513 |
|
|
|
14,777 |
|
Cash NOI from dispositions |
|
|
(328 |
) |
|
|
(199 |
) |
|
|
(328 |
) |
|
|
(473 |
) |
Cash NOI |
|
|
84,583 |
|
|
|
68,013 |
|
|
|
163,103 |
|
|
|
128,229 |
|
New acquisitions/dispositions/other |
|
|
(12,727 |
) |
|
|
(5,589 |
) |
|
|
(22,660 |
) |
|
|
(5,926 |
) |
Non-Core Properties |
|
|
(506 |
) |
|
|
(974 |
) |
|
|
(1,418 |
) |
|
|
(1,744 |
) |
Same-Store NOI |
|
$ |
71,350 |
|
|
$ |
61,450 |
|
|
$ |
139,025 |
|
|
$ |
120,559 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
SHOP |
|
|
|
|
|
|
|
|
|
|
|
|
||||
NOI |
|
$ |
31,522 |
|
|
$ |
14,066 |
|
|
$ |
57,359 |
|
|
$ |
25,828 |
|
Cash NOI from dispositions |
|
|
— |
|
|
|
8 |
|
|
|
— |
|
|
|
63 |
|
Cash NOI attributable to noncontrolling interests (1) |
|
|
(55 |
) |
|
|
(64 |
) |
|
|
(112 |
) |
|
|
(126 |
) |
Cash NOI (1) |
|
|
31,467 |
|
|
|
14,010 |
|
|
|
57,247 |
|
|
|
25,765 |
|
New acquisitions/dispositions |
|
|
(15,329 |
) |
|
|
(1,044 |
) |
|
|
(26,737 |
) |
|
|
(850 |
) |
Development conversion |
|
|
(19 |
) |
|
|
277 |
|
|
|
311 |
|
|
|
637 |
|
Non-Core Properties |
|
|
(32 |
) |
|
|
(35 |
) |
|
|
(98 |
) |
|
|
(117 |
) |
Other normalizing adjustments |
|
|
— |
|
|
|
147 |
|
|
|
— |
|
|
|
147 |
|
Same-Store NOI (1) |
|
$ |
16,087 |
|
|
$ |
13,355 |
|
|
$ |
30,723 |
|
|
$ |
25,582 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Outpatient Medical |
|
|
|
|
|
|
|
|
|
|
|
|
||||
NOI |
|
$ |
18,492 |
|
|
$ |
19,062 |
|
|
$ |
37,210 |
|
|
$ |
39,571 |
|
Straight line rent |
|
|
(100 |
) |
|
|
(259 |
) |
|
|
(458 |
) |
|
|
(432 |
) |
Other non-cash adjustments |
|
|
(111 |
) |
|
|
(36 |
) |
|
|
(314 |
) |
|
|
(77 |
) |
Cash NOI from dispositions |
|
|
— |
|
|
|
(203 |
) |
|
|
10 |
|
|
|
(205 |
) |
Cash NOI |
|
|
18,281 |
|
|
|
18,564 |
|
|
|
36,448 |
|
|
|
38,857 |
|
Dispositions |
|
|
— |
|
|
|
(261 |
) |
|
|
— |
|
|
|
(1,846 |
) |
Non-Core Properties |
|
|
(890 |
) |
|
|
(1,197 |
) |
|
|
(1,808 |
) |
|
|
(2,924 |
) |
Same-Store NOI |
|
$ |
17,391 |
|
|
$ |
17,106 |
|
|
$ |
34,640 |
|
|
$ |
34,087 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Triple-Net Leased Properties |
|
|
|
|
|
|
|
|
|
|
|
|
||||
NOI |
|
$ |
9,066 |
|
|
$ |
9,166 |
|
|
$ |
18,255 |
|
|
$ |
18,441 |
|
Straight line rent |
|
|
(403 |
) |
|
|
(562 |
) |
|
|
(825 |
) |
|
|
(1,124 |
) |
Other non-cash adjustments |
|
|
188 |
|
|
|
218 |
|
|
|
405 |
|
|
|
461 |
|
Cash NOI from dispositions |
|
|
(27 |
) |
|
|
— |
|
|
|
(27 |
) |
|
|
— |
|
Cash NOI attributable to noncontrolling interest (1) |
|
|
(195 |
) |
|
|
(191 |
) |
|
|
(388 |
) |
|
|
(380 |
) |
Cash NOI (1) |
|
|
8,629 |
|
|
|
8,631 |
|
|
|
17,420 |
|
|
|
17,398 |
|
Debt security investment |
|
|
(1,171 |
) |
|
|
(1,163 |
) |
|
|
(2,329 |
) |
|
|
(2,644 |
) |
Dispositions |
|
|
— |
|
|
|
(9 |
) |
|
|
— |
|
|
|
3 |
|
Non-Core Properties |
|
|
— |
|
|
|
(152 |
) |
|
|
(159 |
) |
|
|
(307 |
) |
Same-Store NOI (1) |
|
$ |
7,458 |
|
|
$ |
7,307 |
|
|
$ |
14,932 |
|
|
$ |
14,450 |
|
Page | 14
AMERICAN HEALTHCARE REIT, INC.
Same-Store NOI Reconciliation - (Continued)
For the Three and Six Months Ended June 30, 2026 and 2025
(In thousands) (Unaudited)
|
|
Three Months Ended June 30, |
|
|
Six Months Ended June 30, |
|
||||||||||
|
|
2026 |
|
|
2025 |
|
|
2026 |
|
|
2025 |
|
||||
Total Portfolio |
|
|
|
|
|
|
|
|
|
|
|
|
||||
NOI |
|
$ |
137,239 |
|
|
$ |
103,228 |
|
|
$ |
262,742 |
|
|
$ |
197,765 |
|
Straight line rent |
|
|
(503 |
) |
|
|
(821 |
) |
|
|
(1,283 |
) |
|
|
(1,556 |
) |
Facility rental expense |
|
|
6,752 |
|
|
|
7,278 |
|
|
|
13,513 |
|
|
|
14,777 |
|
Other non-cash adjustments |
|
|
77 |
|
|
|
182 |
|
|
|
91 |
|
|
|
384 |
|
Cash NOI from dispositions |
|
|
(355 |
) |
|
|
(394 |
) |
|
|
(345 |
) |
|
|
(615 |
) |
Cash NOI attributable to noncontrolling interests (1) |
|
|
(250 |
) |
|
|
(255 |
) |
|
|
(500 |
) |
|
|
(506 |
) |
Cash NOI (1) |
|
|
142,960 |
|
|
|
109,218 |
|
|
|
274,218 |
|
|
|
210,249 |
|
Debt security investment |
|
|
(1,171 |
) |
|
|
(1,163 |
) |
|
|
(2,329 |
) |
|
|
(2,644 |
) |
New acquisitions/dispositions/other |
|
|
(28,056 |
) |
|
|
(6,903 |
) |
|
|
(49,397 |
) |
|
|
(8,619 |
) |
Development conversion |
|
|
(19 |
) |
|
|
277 |
|
|
|
311 |
|
|
|
637 |
|
Non-Core Properties |
|
|
(1,428 |
) |
|
|
(2,358 |
) |
|
|
(3,483 |
) |
|
|
(5,092 |
) |
Other normalizing adjustments |
|
|
— |
|
|
|
147 |
|
|
|
— |
|
|
|
147 |
|
Same-Store NOI (1) |
|
$ |
112,286 |
|
|
$ |
99,218 |
|
|
$ |
219,320 |
|
|
$ |
194,678 |
|
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 |
|
$108.5 |
|
$116.5 |
|
$97.8 |
|
$109.1 |
Depreciation and amortization (1) |
|
306.8 |
|
306.8 |
|
271.0 |
|
271.0 |
Impairment and gains/losses from dispositions (1) |
|
(3.9) |
|
(3.9) |
|
0.4 |
|
0.4 |
NAREIT FFO attributable to common stockholders |
|
$411.4 |
|
$419.4 |
|
$369.2 |
|
$380.5 |
Amortization of other intangible assets/liabilities (1) |
|
1.3 |
|
1.3 |
|
1.3 |
|
1.3 |
Change in deferred rent (1) |
|
(1.6) |
|
(1.6) |
|
(2.3) |
|
(2.3) |
Non-cash impact of changes to equity plan (1) (2) |
|
21.9 |
|
21.9 |
|
20.0 |
|
20.0 |
Other adjustments (1) (3) |
|
(0.2) |
|
(0.2) |
|
(0.0) |
|
(0.0) |
Normalized FFO attributable to common stockholders |
|
$432.8 |
|
$440.8 |
|
$388.2 |
|
$399.5 |
Net income per common share — diluted |
|
$0.54 |
|
$0.58 |
|
$0.51 |
|
$0.57 |
NAREIT FFO per common share — diluted |
|
$2.04 |
|
$2.08 |
|
$1.93 |
|
$1.99 |
Normalized FFO per common share — diluted |
|
$2.15 |
|
$2.19 |
|
$2.03 |
|
$2.09 |
NAREIT FFO and Normalized FFO weighted average |
|
201.3 |
|
201.3 |
|
191.1 |
|
191.1 |
Total Portfolio Same-Store NOI growth |
|
11.0% |
|
13.0% |
|
9.0% |
|
12.0% |
Segment-Level Same-Store NOI growth: |
|
|
|
|
|
|
|
|
ISHC |
|
13.0% |
|
16.0% |
|
11.0% |
|
15.0% |
SHOP |
|
18.0% |
|
21.0% |
|
15.0% |
|
19.0% |
Outpatient Medical |
|
0.0% |
|
1.0% |
|
0.0% |
|
2.0% |
Triple-Net Leased Properties |
|
2.0% |
|
3.0% |
|
2.0% |
|
3.0% |
Page | 16
Definitions
Page | 17
Page | 18

Second Quarter 2026 Supplemental
Talamore Senior Living
Sun Prairie, WI
Exhibit 99.2
Disclaimers

Forward-Looking Statements
Certain statements contained in this supplemental, filed in conjunction with the Second 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, 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 conditions, domestic legal and fiscal policies, geopolitical conditions and other risks disclosed in the Company’s 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 and Same-Store NOI. The Company believes these non-GAAP financial measures are useful supplemental measures of its operating performance and 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 entitled 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 in measuring 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 | Q2 2026 Supplemental | Page 2
Pro-Rata Annualized Cash NOI

Overview (as of June 30, 2026)

(dollars in thousands, except per share and Pro-Rata)
Portfolio Overview
|
|
|
|
|
|
|
|
|
|
|
||
|
|
Campuses/ |
|
Beds/ |
|
Leased % (2) |
|
WALT |
|
Annualized |
|
|
Integrated Senior Health Campuses (ISHC) |
|
148 |
|
15,097 |
|
89.5% |
|
— |
|
$338,332 |
|
59.2% |
Senior Housing Operating Properties (SHOP) |
|
92 |
|
8,042 |
|
88.8% |
|
— |
|
125,868 |
|
22.0% |
Outpatient Medical (OM) |
|
70 |
|
3,654 |
|
88.4% |
|
5.0 |
|
73,124 |
|
12.8% |
Triple-Net Leased Properties |
|
17 |
|
1,364 |
|
90.5% |
|
12.4 |
|
29,832 |
|
5.2% |
Debt Security Investment |
|
— |
|
— |
|
— |
|
— |
|
4,684 |
|
0.8% |
Total |
|
327 |
|
|
|
|
|
6.7 |
|
$571,840 |
|
100.0% |
Same-Store NOI Performance (3)
|
|
Campuses / |
|
Q2 2025 |
|
Q2 2026 |
|
% |
|
YTD |
|
YTD |
|
% |
ISHC |
|
115 |
|
$61,450 |
|
$71,350 |
|
16.1% |
|
$120,559 |
|
$139,025 |
|
15.3% |
SHOP |
|
64 |
|
13,355 |
|
16,087 |
|
20.5% |
|
25,582 |
|
30,723 |
|
20.1% |
OM |
|
65 |
|
17,106 |
|
17,391 |
|
1.7% |
|
34,087 |
|
34,640 |
|
1.6% |
Triple-Net Leased Properties |
|
17 |
|
7,307 |
|
7,458 |
|
2.1% |
|
14,450 |
|
14,932 |
|
3.3% |
Total |
|
261 |
|
$99,218 |
|
$112,286 |
|
13.2% |
|
$194,678 |
|
$219,320 |
|
12.7% |
Earnings Metrics (3)
|
Q2 2025 |
|
Q2 2026 |
|
% |
|
YTD |
|
YTD |
|
% |
NAREIT FFO per share - diluted |
$0.41 |
|
$0.51 |
|
24.4% |
|
$0.77 |
|
$0.99 |
|
28.6% |
Normalized FFO per share - diluted |
$0.42 |
|
$0.54 |
|
28.6% |
|
$0.80 |
|
$1.05 |
|
31.3% |
Balance Sheet Metrics
|
Coverage |
Interest Coverage Ratio |
7.1X |
|
|
Fixed Charge Coverage Ratio |
5.5X |
|
|
Net Debt-to-Annualized Adjusted EBITDA |
2.5X |
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 | Q2 2026 Supplemental | Page 3
Integrated Senior Health Campuses

(dollars in thousands)
Total Portfolio
|
|
Q2 2025 |
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
|
|
|
YTD 6/30/25 |
|
YTD 6/30/26 |
|
|
Campuses |
|
126 |
|
135 |
|
149 |
|
149 |
|
148 |
|
|
|
|
— |
|
— |
|
|
IL/AL/MC units |
|
5,540 |
|
6,154 |
|
6,890 |
|
6,947 |
|
6,960 |
|
|
|
|
5,540 |
|
6,960 |
|
|
SNF beds |
|
7,327 |
|
7,601 |
|
8,275 |
|
8,275 |
|
8,137 |
|
|
|
|
7,327 |
|
8,137 |
|
|
Consolidated total beds/units |
|
12,867 |
|
13,755 |
|
15,165 |
|
15,222 |
|
15,097 |
|
|
|
|
12,867 |
|
15,097 |
|
|
Total average Occupancy |
|
88.8% |
|
89.6% |
|
90.1% |
|
89.9% |
|
89.5% |
|
|
|
|
88.6% |
|
89.7% |
|
|
IL/AL/MC average Occupancy |
|
89.3% |
|
91.4% |
|
91.9% |
|
90.4% |
|
90.5% |
|
|
|
|
88.4% |
|
90.5% |
|
|
SNF average Occupancy |
|
88.5% |
|
88.2% |
|
88.7% |
|
89.4% |
|
88.6% |
|
|
|
|
88.8% |
|
89.0% |
|
|
Cash revenue (1) |
|
$428,149 |
|
$455,453 |
|
$472,577 |
|
$502,743 |
|
$510,809 |
|
|
|
|
$855,361 |
|
$1,013,552 |
|
|
Operating expenses |
|
360,136 |
|
386,254 |
|
401,798 |
|
424,223 |
|
426,226 |
|
|
|
|
727,132 |
|
850,449 |
|
|
Cash NOI (1) |
|
$68,013 |
|
$69,199 |
|
$70,779 |
|
$78,520 |
|
$84,583 |
|
|
|
|
$128,229 |
|
$163,103 |
|
|
Cash NOI Margin % |
|
15.9% |
|
15.2% |
|
15.0% |
|
15.6% |
|
16.6% |
|
|
|
|
15.0% |
|
16.1% |
|
|
Maintenance Capex |
|
$3,711 |
|
$4,863 |
|
$5,026 |
|
$4,657 |
|
$5,606 |
|
|
|
|
$7,820 |
|
$10,263 |
|
|
Same-Store
|
|
Q2 2025 |
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
Q2 2026 vs |
|
|
YTD 6/30/25 |
|
YTD 6/30/26 |
|
YTD 2026 vs |
Campuses |
|
115 |
|
115 |
|
115 |
|
115 |
|
115 |
|
|
|
|
115 |
|
115 |
|
|
Consolidated beds/units |
|
11,709 |
|
11,711 |
|
11,708 |
|
11,710 |
|
11,721 |
|
|
|
|
11,709 |
|
11,721 |
|
|
Total average Occupancy |
|
88.9% |
|
90.1% |
|
90.5% |
|
91.2% |
|
90.7% |
|
180 bps |
|
|
89.0% |
|
90.9% |
|
200 bps |
IL/AL/MC average Occupancy |
|
89.9% |
|
91.7% |
|
92.0% |
|
91.9% |
|
91.9% |
|
200 bps |
|
|
89.3% |
|
91.9% |
|
263 bps |
SNF average Occupancy |
|
88.2% |
|
88.9% |
|
89.3% |
|
90.6% |
|
89.9% |
|
164 bps |
|
|
88.7% |
|
90.2% |
|
152 bps |
Same-Store revenue (1) |
|
$317,152 |
|
$329,813 |
|
$333,382 |
|
$336,108 |
|
$337,499 |
|
6.4% |
|
|
$631,598 |
|
$673,607 |
|
6.7% |
Same-Store operating expenses |
|
255,702 |
|
267,186 |
|
269,466 |
|
268,433 |
|
266,149 |
|
4.1% |
|
|
511,039 |
|
534,582 |
|
4.6% |
Compensation |
|
162,463 |
|
168,737 |
|
174,823 |
|
170,418 |
|
172,096 |
|
5.9% |
|
|
322,419 |
|
342,514 |
|
6.2% |
Controllable (2) |
|
82,842 |
|
88,503 |
|
87,008 |
|
88,210 |
|
84,131 |
|
1.6% |
|
|
168,026 |
|
172,341 |
|
2.6% |
Non-Controllable (3) |
|
10,397 |
|
9,946 |
|
7,635 |
|
9,805 |
|
9,922 |
|
(4.6%) |
|
|
20,594 |
|
19,727 |
|
(4.2%) |
Same-Store NOI (1) |
|
$61,450 |
|
$62,627 |
|
$63,916 |
|
$67,675 |
|
$71,350 |
|
16.1% |
|
|
$120,559 |
|
$139,025 |
|
15.3% |
Same-Store NOI Margin % |
|
19.4% |
|
19.0% |
|
19.2% |
|
20.1% |
|
21.1% |
|
177 bps |
|
|
19.1% |
|
20.6% |
|
155 bps |
American Healthcare REIT | Q2 2026 Supplemental | Page 4
ISHC Revenue per Payor and Bed Type

Consolidated
|
Average Daily Rate |
|
% of Resident Days |
|
% of Revenue |
||||||||
|
Q2 2025 |
|
Q2 2026 |
|
% change |
|
Q2 2025 |
|
Q2 2026 |
|
Q2 2025 |
|
Q2 2026 |
Medicare |
$687.60 |
|
$723.23 |
|
5.2% |
|
11.7% |
|
10.2% |
|
23.0% |
|
20.8% |
Medicare Advantage |
$572.21 |
|
$633.86 |
|
10.8% |
|
7.2% |
|
7.6% |
|
11.9% |
|
13.7% |
Private |
$404.32 |
|
$426.01 |
|
5.4% |
|
11.2% |
|
10.9% |
|
12.9% |
|
13.2% |
Managed care/insurance |
$431.79 |
|
$499.60 |
|
15.7% |
|
0.3% |
|
0.4% |
|
0.4% |
|
0.6% |
Medicaid |
$318.74 |
|
$316.09 |
|
(0.8%) |
|
25.4% |
|
23.5% |
|
23.2% |
|
20.9% |
Total skilled nursing |
$446.46 |
|
$465.66 |
|
4.3% |
|
55.8% |
|
52.6% |
|
71.4% |
|
69.2% |
Total senior housing |
$194.80 |
|
$201.82 |
|
3.6% |
|
44.2% |
|
47.4% |
|
24.7% |
|
27.0% |
Ancillary revenue |
$13.66 |
|
$13.78 |
|
0.9% |
|
0.0% |
|
0.0% |
|
3.9% |
|
3.8% |
Total |
$346.39 |
|
$351.50 |
|
1.5% |
|
100.0% |
|
100.0% |
|
100.0% |
|
100.0% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Quality Mix |
|
|
|
|
|
|
74.6% |
|
76.5% |
|
76.8% |
|
79.1% |
Same-Store
|
Average Daily Rate |
|
% of Resident Days |
|
% of Revenue |
||||||||
|
Q2 2025 |
|
Q2 2026 |
|
% change |
|
Q2 2025 |
|
Q2 2026 |
|
Q2 2025 |
|
Q2 2026 |
Medicare |
$688.58 |
|
$725.69 |
|
5.4% |
|
11.8% |
|
10.9% |
|
24.0% |
|
22.4% |
Medicare Advantage |
$571.48 |
|
$619.31 |
|
8.4% |
|
7.3% |
|
8.1% |
|
12.4% |
|
14.3% |
Private |
$405.30 |
|
$428.22 |
|
5.7% |
|
11.1% |
|
11.6% |
|
13.4% |
|
14.1% |
Managed care/insurance |
$429.15 |
|
$513.57 |
|
19.7% |
|
0.3% |
|
0.4% |
|
0.5% |
|
0.6% |
Medicaid |
$320.86 |
|
$326.03 |
|
1.6% |
|
25.1% |
|
24.5% |
|
23.9% |
|
22.7% |
Total skilled nursing |
$449.14 |
|
$470.11 |
|
4.7% |
|
55.6% |
|
55.5% |
|
74.2% |
|
74.1% |
Total senior housing |
$195.61 |
|
$205.18 |
|
4.9% |
|
44.4% |
|
44.5% |
|
25.8% |
|
25.9% |
Total (1) |
$336.51 |
|
$352.17 |
|
4.7% |
|
100.0% |
|
100.0% |
|
100.0% |
|
100.0% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Quality Mix (1) |
|
|
|
|
|
|
74.9% |
|
75.5% |
|
76.1% |
|
77.3% |
American Healthcare REIT | Q2 2026 Supplemental | Page 5
Senior Housing Operating Properties

(dollars in thousands, except RevPOR and ExPOR, and Pro-Rata)
Total Portfolio
|
|
Q2 2025 |
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
|
|
|
YTD 6/30/25 |
|
YTD 6/30/26 |
|
|
Properties |
|
68 |
|
71 |
|
81 |
|
87 |
|
92 |
|
|
|
|
— |
|
— |
|
|
Consolidated total units |
|
5,469 |
|
5,724 |
|
6,978 |
|
7,486 |
|
8,042 |
|
|
|
|
5,469 |
|
8,042 |
|
|
Consolidated average Occupancy |
|
85.5% |
|
87.4% |
|
89.0% |
|
88.9% |
|
88.8% |
|
|
|
|
85.5% |
|
88.8% |
|
|
Cash revenue (1) |
|
$71,659 |
|
$76,327 |
|
$91,134 |
|
$106,737 |
|
$121,361 |
|
|
|
|
$139,707 |
|
$228,098 |
|
|
Operating expenses |
|
57,649 |
|
61,001 |
|
71,423 |
|
80,957 |
|
89,894 |
|
|
|
|
113,942 |
|
170,851 |
|
|
Cash NOI (1) |
|
$14,010 |
|
$15,326 |
|
$19,711 |
|
$25,780 |
|
$31,467 |
|
|
|
|
$25,765 |
|
$57,247 |
|
|
Cash NOI Margin % |
|
19.6% |
|
20.1% |
|
21.6% |
|
24.2% |
|
25.9% |
|
|
|
|
18.4% |
|
25.1% |
|
|
RevPOR |
|
$5,166 |
|
$5,177 |
|
$5,300 |
|
$5,600 |
|
$5,754 |
|
|
|
|
$5,115 |
|
$5,681 |
|
|
ExPOR |
|
$4,156 |
|
$4,138 |
|
$4,154 |
|
$4,247 |
|
$4,262 |
|
|
|
|
$4,173 |
|
$4,255 |
|
|
Consolidated Maintenance Capex |
|
$3,489 |
|
$4,559 |
|
$5,144 |
|
$3,586 |
|
$4,552 |
|
|
|
|
$6,303 |
|
$8,138 |
|
|
Same-Store
|
|
Q2 2025 |
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
Q2 2026 vs |
|
|
YTD 6/30/25 |
|
YTD 6/30/26 |
|
FY 2026 vs |
Properties |
|
64 |
|
64 |
|
64 |
|
64 |
|
64 |
|
|
|
|
64 |
|
64 |
|
|
Consolidated units |
|
5,098 |
|
5,103 |
|
5,103 |
|
5,107 |
|
5,107 |
|
|
|
|
5,098 |
|
5,107 |
|
|
Consolidated average Occupancy |
|
85.9% |
|
87.6% |
|
89.0% |
|
88.6% |
|
88.7% |
|
278 bps |
|
|
86.0% |
|
88.6% |
|
267 bps |
Same-Store revenue (1) |
|
$67,330 |
|
$68,675 |
|
$69,917 |
|
$71,199 |
|
$72,295 |
|
7.4% |
|
|
$133,738 |
|
$143,494 |
|
7.3% |
Same-Store operating expenses |
|
53,975 |
|
54,986 |
|
55,978 |
|
56,563 |
|
56,208 |
|
4.1% |
|
|
108,156 |
|
112,771 |
|
4.3% |
Compensation |
|
32,845 |
|
33,413 |
|
33,959 |
|
34,333 |
|
34,369 |
|
4.6% |
|
|
65,269 |
|
68,702 |
|
5.3% |
Controllable (2) |
|
18,076 |
|
18,492 |
|
18,759 |
|
19,097 |
|
18,750 |
|
3.7% |
|
|
36,582 |
|
37,847 |
|
3.5% |
Non-Controllable (3) |
|
3,054 |
|
3,081 |
|
3,260 |
|
3,133 |
|
3,089 |
|
1.1% |
|
|
6,305 |
|
6,222 |
|
(1.3%) |
Same-Store NOI (1) |
|
$13,355 |
|
$13,689 |
|
$13,939 |
|
$14,636 |
|
$16,087 |
|
20.5% |
|
|
$25,582 |
|
$30,723 |
|
20.1% |
Same-Store NOI Margin % |
|
19.8% |
|
19.9% |
|
19.9% |
|
20.6% |
|
22.3% |
|
242 bps |
|
|
19.1% |
|
21.4% |
|
228 bps |
RevPOR |
|
$5,159 |
|
$5,161 |
|
$5,164 |
|
$5,281 |
|
$5,354 |
|
3.8% |
|
|
$5,123 |
|
$5,318 |
|
3.8% |
ExPOR |
|
$4,136 |
|
$4,132 |
|
$4,134 |
|
$4,195 |
|
$4,163 |
|
0.7% |
|
|
$4,143 |
|
$4,179 |
|
0.9% |
American Healthcare REIT | Q2 2026 Supplemental | Page 6
OM by Location

Outpatient Medical

(dollars and square feet in thousands, except revenue per square foot and Cash NOI per square foot)
Total Portfolio
|
|
Q2 2025 |
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
|
|
|
YTD 6/30/25 |
|
YTD 6/30/26 |
|
|
Properties |
|
78 |
|
73 |
|
71 |
|
71 |
|
70 |
|
|
|
|
— |
|
— |
|
|
Consolidated GLA (sq ft) |
|
3,952 |
|
3,825 |
|
3,685 |
|
3,685 |
|
3,654 |
|
|
|
|
3,952 |
|
3,654 |
|
|
Ending Occupancy |
|
86.1% |
|
86.5% |
|
88.9% |
|
88.2% |
|
88.4% |
|
|
|
|
86.1% |
|
88.4% |
|
|
Cash revenue (1) |
|
$30,185 |
|
$30,131 |
|
$29,558 |
|
$29,993 |
|
$29,495 |
|
|
|
|
$62,882 |
|
$59,488 |
|
|
Operating expenses |
|
11,621 |
|
11,458 |
|
11,236 |
|
11,826 |
|
11,214 |
|
|
|
|
24,025 |
|
23,040 |
|
|
Cash NOI (1) |
|
$18,564 |
|
$18,673 |
|
$18,322 |
|
$18,167 |
|
$18,281 |
|
|
|
|
$38,857 |
|
$36,448 |
|
|
Cash NOI Margin % |
|
61.5% |
|
62.0% |
|
62.0% |
|
60.6% |
|
62.0% |
|
|
|
|
61.8% |
|
61.3% |
|
|
Revenue per square foot |
|
$30.55 |
|
$31.51 |
|
$32.08 |
|
$32.56 |
|
$32.29 |
|
|
|
|
$31.82 |
|
$32.56 |
|
|
Cash NOI per square foot |
|
$18.79 |
|
$19.53 |
|
$19.89 |
|
$19.72 |
|
$20.01 |
|
|
|
|
$19.66 |
|
$19.95 |
|
|
Maintenance Capex |
|
$2,904 |
|
$4,924 |
|
$8,225 |
|
$2,107 |
|
$2,190 |
|
|
|
|
$10,259 |
|
$4,297 |
|
|
Same-Store
|
|
Q2 2025 |
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
Q2 2026 vs |
|
|
YTD 6/30/25 |
|
YTD 6/30/26 |
|
FY 2026 vs |
Properties |
|
65 |
|
65 |
|
65 |
|
65 |
|
65 |
|
|
|
|
65 |
|
65 |
|
|
Consolidated GLA (sq ft) |
|
3,259 |
|
3,259 |
|
3,259 |
|
3,259 |
|
3,260 |
|
|
|
|
3,259 |
|
3,260 |
|
|
Ending Occupancy |
|
93.5% |
|
93.3% |
|
93.4% |
|
93.0% |
|
92.6% |
|
(87 bps) |
|
|
93.5% |
|
92.6% |
|
(87 bps) |
Same-Store revenue (1) |
|
$27,015 |
|
$27,747 |
|
$27,627 |
|
$28,119 |
|
$27,722 |
|
2.6% |
|
|
$54,065 |
|
$55,841 |
|
3.3% |
Same-Store operating expenses |
|
9,909 |
|
10,250 |
|
9,885 |
|
10,870 |
|
10,331 |
|
4.3% |
|
|
19,978 |
|
21,201 |
|
6.1% |
Same-Store NOI (1) |
|
$17,106 |
|
$17,497 |
|
$17,742 |
|
$17,249 |
|
$17,391 |
|
1.7% |
|
|
$34,087 |
|
$34,640 |
|
1.6% |
Same-Store NOI Margin % |
|
63.3% |
|
63.1% |
|
64.2% |
|
61.3% |
|
62.7% |
|
(59 bps) |
|
|
63.0% |
|
62.0% |
|
(101 bps) |
Same-Store revenue per Sq. Ft. |
|
$33.16 |
|
$34.06 |
|
$33.91 |
|
$34.51 |
|
$34.01 |
|
|
|
|
$33.18 |
|
$34.26 |
|
|
Same-Store NOI per square foot |
|
$21.00 |
|
$21.48 |
|
$21.78 |
|
$21.17 |
|
$21.34 |
|
|
|
|
$20.92 |
|
$21.25 |
|
|
Tenants and occupancy metrics (as of June 30, 2026)
Tenants |
ABR |
|
% |
|
S&P Credit Rating |
Christus Good Shepherd Health System |
$8,005 |
|
9.4% |
|
A |
Prime Healthcare |
2,611 |
|
3.1% |
|
B |
Montefiore Medical Center |
2,519 |
|
2.9% |
|
BBB- |
Atrius Health, Inc. |
2,294 |
|
2.7% |
|
A+ |
Cullman Regional Medical Center |
1,987 |
|
2.3% |
|
- |
Remaining portfolio |
68,045 |
|
79.6% |
|
Various |
Total |
$85,461 |
|
100.0% |
|
|
OM Absorption |
|
Occupied Square Feet as of December 31, 2025 |
3,277 |
Expirations |
(188) |
Renewals |
117 |
New leases |
37 |
Adjustment/remeasurement |
(3) |
Dispositions |
(10) |
Occupied Square Feet as of June 30, 2026 |
3,230 |
|
|
Trailing 12-months Retention |
65.2% |
American Healthcare REIT | Q2 2026 Supplemental | Page 7
Triple-Net Leased Properties

(dollars in thousands and Pro-Rata)
Total Portfolio
|
|
Q2 2025 |
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
|
|
|
YTD 6/30/25 |
|
YTD 6/30/26 |
|
|
Properties |
|
19 |
|
18 |
|
18 |
|
18 |
|
17 |
|
|
|
|
— |
|
— |
|
|
AL/MC beds/units |
|
538 |
|
538 |
|
538 |
|
538 |
|
538 |
|
|
|
|
538 |
|
538 |
|
|
SNF beds |
|
960 |
|
882 |
|
882 |
|
882 |
|
826 |
|
|
|
|
960 |
|
826 |
|
|
Consolidated total beds/units (1) |
|
1,498 |
|
1,420 |
|
1,420 |
|
1,420 |
|
1,364 |
|
|
|
|
1,498 |
|
1,364 |
|
|
Average operator Occupancy (1) |
|
89.3% |
|
88.5% |
|
89.2% |
|
90.5% |
|
90.5% |
|
|
|
|
89.2% |
|
90.5% |
|
|
Cash revenue (2) |
|
$8,247 |
|
$8,027 |
|
$8,053 |
|
$8,591 |
|
$8,119 |
|
|
|
|
$16,472 |
|
$16,710 |
|
|
Debt security investment |
|
1,163 |
|
1,165 |
|
1,167 |
|
1,158 |
|
1,171 |
|
|
|
|
2,644 |
|
2,329 |
|
|
Operating expenses |
|
779 |
|
495 |
|
456 |
|
958 |
|
661 |
|
|
|
|
1,718 |
|
1,619 |
|
|
Cash NOI (2) |
|
$8,631 |
|
$8,697 |
|
$8,764 |
|
$8,791 |
|
$8,629 |
|
|
|
|
$17,398 |
|
$17,420 |
|
|
Cash NOI Margin % |
|
91.7% |
|
94.6% |
|
95.1% |
|
90.2% |
|
92.9% |
|
|
|
|
91.0% |
|
91.5% |
|
|
Same-Store
|
|
Q2 2025 |
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
Q2 2026 vs |
|
|
YTD 6/30/25 |
|
YTD 6/30/26 |
|
FY 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) |
|
88.9% |
|
88.2% |
|
89.1% |
|
90.6% |
|
90.5% |
|
157 bps |
|
|
88.9% |
|
90.5% |
|
160 bps |
Same-Store revenue (2) |
|
$7,803 |
|
$7,870 |
|
$7,896 |
|
$8,078 |
|
$8,119 |
|
4.0% |
|
|
$15,585 |
|
$16,197 |
|
3.9% |
Same-Store operating expenses |
|
496 |
|
495 |
|
456 |
|
604 |
|
661 |
|
33.3% |
|
|
1,135 |
|
1,265 |
|
11.5% |
Same-Store NOI (2) |
|
$7,307 |
|
$7,375 |
|
$7,440 |
|
$7,474 |
|
$7,458 |
|
2.1% |
|
|
$14,450 |
|
$14,932 |
|
3.3% |
Same-Store NOI Margin % |
|
93.6% |
|
93.7% |
|
94.2% |
|
92.5% |
|
91.9% |
|
(178 bps) |
|
|
92.7% |
|
92.2% |
|
(53 bps) |
Same-Store NOI (constant currency) (3) |
|
$7,315 |
|
$7,371 |
|
$7,455 |
|
$7,471 |
|
$7,461 |
|
2.0% |
|
|
$14,543 |
|
$14,932 |
|
2.7% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
American Healthcare REIT | Q2 2026 Supplemental | Page 8
Triple-Net Leased Properties Rent Coverage Stratification

Tenant EBITDAR Coverage
|
Contribution to Pro-Rata Cash NOI at each Coverage Stratification for Q2 2026 (1) |
|||||
Coverage |
Senior Housing-Leased |
SNFs |
Hospital |
Total |
WALT |
Number of |
< 0.80x |
— |
— |
1.3% |
1.3% |
10.9 |
1 |
0.80x - 0.89x |
— |
— |
— |
— |
— |
— |
0.90x - 0.99x |
0.4% |
— |
— |
0.4% |
5.9 |
1 |
1.00x - 1.09x |
— |
1.3% |
— |
1.3% |
15.0 |
1 |
1.10x - 1.19x |
1.0% |
— |
— |
1.0% |
24.2 |
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 |
— |
0.9% |
0.3% |
1.2% |
4.9 |
2 |
Total |
1.4% |
2.2% |
1.6% |
5.2% |
12.4 |
6 |
|
|
|
|
|
|
|
Segment rent coverage (2) |
1.09x |
1.55x |
1.08x |
1.28x |
|
|
|
|
|
|
|
|
|
Tenant Occupancy |
89.9% |
90.8% |
N/A |
90.5% |
|
|
Tenant EBITDARM Coverage
|
Contribution to Pro-Rata Cash NOI at each Coverage Stratification for Q2 2026 (1) |
|||||
Coverage |
Senior Housing-Leased |
SNFs |
Hospital |
Total |
WALT |
Number of |
< 0.80x |
— |
— |
1.3% |
1.3% |
10.9 |
1 |
0.80x - 0.89x |
— |
— |
— |
— |
— |
— |
0.90x - 0.99x |
— |
— |
— |
— |
— |
— |
1.00x - 1.09x |
— |
— |
— |
— |
— |
— |
1.10x - 1.19x |
0.4% |
— |
— |
0.4% |
5.9 |
1 |
1.20x - 1.29x |
— |
— |
— |
— |
— |
— |
1.30x - 1.39x |
— |
— |
— |
— |
— |
— |
1.40x - 1.49x |
1.0% |
— |
— |
1.0% |
24.2 |
1 |
1.50x - 1.59x |
— |
— |
— |
— |
— |
— |
1.60x - 1.69x |
— |
1.3% |
— |
1.3% |
15.0 |
1 |
1.70x - 1.79x |
— |
— |
— |
— |
— |
— |
1.80x - 1.89x |
— |
— |
— |
— |
— |
— |
1.90x - 1.99x |
— |
— |
— |
— |
— |
— |
> 2.00x |
— |
0.9% |
0.3% |
1.2% |
4.9 |
2 |
Total |
1.4% |
2.2% |
1.6% |
5.2% |
12.4 |
6 |
|
|
|
|
|
|
|
Segment rent coverage (2) |
1.34x |
2.04x |
1.32x |
1.62x |
|
|
|
|
|
|
|
|
|
Tenant Occupancy |
89.9% |
90.8% |
N/A |
90.5% |
|
|
American Healthcare REIT | Q2 2026 Supplemental | Page 9
Revenue and Lease Expiration (1)

(dollars in thousands, as of June 30, 2026)
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|||||||||
|
|
OM |
|
Triple-Net Leased Properties |
|
|
|
|
|
|
|||||||
Year |
|
ABR (2) |
% |
|
# of Expiring Leases |
Total |
% |
|
ABR (2) |
% of ABR |
|
Interest Income (3) |
|
Total |
|||
2026 |
|
$2,292 |
2.3% |
|
29 |
122 |
|
3.7% |
|
$— |
0.0% |
|
$— |
0.0% |
|
$2,292 |
1.6% |
2027 |
|
8,561 |
8.7% |
|
58 |
299 |
|
9.2% |
|
— |
0.0% |
|
— |
0.0% |
|
8,561 |
6.2% |
2028 |
|
14,381 |
14.6% |
|
63 |
493 |
|
15.1% |
|
— |
0.0% |
|
4,013 |
100.0% |
|
18,394 |
13.2% |
2029 |
|
14,629 |
14.8% |
|
64 |
517 |
|
15.8% |
|
— |
0.0% |
|
— |
0.0% |
|
14,629 |
10.5% |
2030 |
|
11,541 |
11.7% |
|
52 |
379 |
|
11.6% |
|
5,779 |
15.8% |
|
— |
0.0% |
|
17,320 |
12.5% |
Thereafter |
|
47,131 |
47.9% |
|
128 |
1,453 |
|
44.6% |
|
30,717 |
84.2% |
|
— |
0.0% |
|
77,848 |
56.0% |
Total |
|
$98,535 |
100.0% |
|
394 |
3,263 |
|
100.0% |
|
$36,496 |
100.0% |
|
$4,013 |
100.0% |
|
$139,044 |
100.0% |
American Healthcare REIT | Q2 2026 Supplemental | Page 10
Debt Maturities and Principal Payments

(dollars in thousands, as of June 30, 2026)
Period |
|
Lines of Credit |
|
Mortgage |
|
Combined |
|
% of |
|
Weighted |
2026 |
|
$— |
|
$64,192 |
|
$64,192 |
|
4.5% |
|
3.50% |
2027 |
|
550,000 |
|
56,182 |
|
606,182 |
|
42.1% |
|
4.74% |
2028 |
|
— |
|
139,740 |
|
139,740 |
|
9.7% |
|
4.40% |
2029 |
|
— |
|
16,963 |
|
16,963 |
|
1.2% |
|
3.36% |
2030 |
|
— |
|
44,732 |
|
44,732 |
|
3.1% |
|
4.51% |
Thereafter (1) |
|
— |
|
568,261 |
|
568,261 |
|
39.4% |
|
3.74% |
Total |
|
$550,000 |
|
$890,070 |
|
$1,440,070 |
|
100.0% |
|
|
Weighted interest rate (2)_(3) |
|
4.86% |
|
3.84% |
|
4.23% |
|
|
|
|
Weighted average maturity (years) |
|
0.6 |
|
19.7 |
|
12.4 |
|
|
|
|
Percentage of variable-rate debt |
|
— % |
|
— % |
|
— % |
|
|
|
|
American Healthcare REIT | Q2 2026 Supplemental | Page 11
Year to Date 2026 Real Estate Acquisitions and Disposition

(dollars in thousands)
Acquisitions
Reportable Segment/Quarter |
|
Number of Properties |
|
Beds/Units |
|
Gross Purchase Price |
|
Average Cost per Bed/Unit |
SHOP |
|
|
|
|
|
|
|
|
Q1 2026 |
|
7 |
|
501 |
|
$162,750 |
|
$325 |
Q2 2026 |
|
5 |
|
558 |
|
$126,917 |
|
$227 |
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 |
|
|
|
|
|
|
|
|
Q2 2026 |
|
1 |
|
56 |
|
$7,100 |
|
|
American Healthcare REIT | Q2 2026 Supplemental | Page 12
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 |
|
$23,634 |
|
$23,634 |
|
Q3 2024 |
|
Q3 2026 |
Mooresville |
|
IN |
|
ISHC |
|
Wing Expansion |
|
27 |
|
3,494 |
|
4,463 |
|
Q1 2025 |
|
Q3 2026 |
Scio Township |
|
MI |
|
ISHC |
|
New Campus |
|
109 |
|
11,899 |
|
26,651 |
|
Q3 2025 |
|
Q1 2027 |
Holly |
|
MI |
|
ISHC |
|
New Campus |
|
114 |
|
4,574 |
|
29,692 |
|
Q3 2025 |
|
Q4 2027 |
Lowell |
|
IN |
|
ISHC |
|
IL Villas |
|
50 |
|
2,881 |
|
13,627 |
|
Q3 2025 |
|
Q2 2027 |
Noblesville |
|
IN |
|
ISHC |
|
IL Villas |
|
32 |
|
4,379 |
|
10,401 |
|
Q3 2025 |
|
Q4 2026 |
Lafayette |
|
IN |
|
ISHC |
|
IL Villas |
|
8 |
|
773 |
|
2,505 |
|
Q3 2025 |
|
Q4 2026 |
LaGrange |
|
KY |
|
ISHC |
|
IL Villas |
|
26 |
|
3,606 |
|
8,791 |
|
Q3 2025 |
|
Q1 2027 |
Tiffin |
|
OH |
|
ISHC |
|
IL Villas |
|
30 |
|
1,280 |
|
8,429 |
|
Q3 2025 |
|
Q1 2027 |
Tiffin |
|
OH |
|
ISHC |
|
Wing Expansion |
|
18 |
|
804 |
|
2,968 |
|
Q3 2025 |
|
Q4 2026 |
Jasper |
|
IN |
|
ISHC |
|
Wing Expansion |
|
17 |
|
360 |
|
2,754 |
|
Q3 2025 |
|
Q2 2027 |
Warsaw |
|
IN |
|
ISHC |
|
Wing Expansion |
|
24 |
|
4,044 |
|
4,868 |
|
Q3 2025 |
|
Q4 2026 |
Waunakee |
|
WI |
|
ISHC |
|
New Campus |
|
176 |
|
2,280 |
|
19,283 |
|
Q1 2026 |
|
Q4 2027 |
Howell |
|
MI |
|
ISHC |
|
Wing Expansion |
|
36 |
|
2,346 |
|
2,346 |
|
Q1 2026 |
|
Q3 2026 |
Delaware City |
|
OH |
|
ISHC |
|
New Campus |
|
136 |
|
5,029 |
|
35,032 |
|
Q2 2026 |
|
Q1 2028 |
Sun Prairie |
|
WI |
|
ISHC |
|
Wing Expansion |
|
10 |
|
625 |
|
2,069 |
|
Q2 2026 |
|
Q4 2026 |
Total |
|
|
|
|
|
|
|
921 |
|
$72,009 |
|
$197,513 |
|
|
|
|
Completed YTD 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 |
|
|
|
|
Total |
|
|
|
|
|
|
|
104 |
|
$31,605 |
|
|
|
|
|
|
American Healthcare REIT | Q2 2026 Supplemental | Page 13
2026 Guidance (1)

(dollars in millions, except per share)
FY 2026 NAREIT FFO and Normalized FFO Attributable to Common Stockholders Reconciliation
|
|
|
2026 Guidance |
|
|
||
|
FY 2026 |
|
FY 2026 - per diluted share |
||||
|
Low |
|
High |
|
Low |
|
High |
Net income attributable to common stockholders |
$108.5 |
|
$116.5 |
|
$0.54 |
|
$0.58 |
Depreciation and amortization (2) |
$306.8 |
|
$306.8 |
|
1.52 |
|
1.52 |
Impairment and gain/losses from dispositions (2) |
$(3.9) |
|
$(3.9) |
|
(0.02) |
|
(0.02) |
NAREIT FFO attributable to common stockholders |
$411.4 |
|
$419.4 |
|
$2.04 |
|
$2.08 |
Amortization of other intangible assets/liabilities (2) |
$1.3 |
|
$1.3 |
|
0.01 |
|
$0.01 |
Change in deferred rent (2) |
$(1.6) |
|
$(1.6) |
|
(0.01) |
|
$(0.01) |
Non-cash impact of changes to equity plan (2)(3) |
$21.9 |
|
$21.9 |
|
0.11 |
|
$0.11 |
Other adjustments (4) |
$(0.2) |
|
$(0.2) |
|
(0.00) |
|
$(0.00) |
Normalized FFO attributable to common stockholders |
$432.8 |
|
$440.8 |
|
$2.15 |
|
$2.19 |
Weighted average diluted shares (in millions) |
201.3 |
|
201.3 |
|
|
|
|
FY 2026 Same-Store NOI Growth Guidance and Other Select Guidance Assumptions
Total Portfolio Same-Store NOI Growth Guidance
Segment-Level Same-Store NOI Growth Guidance
Other Guidance Assumptions
American Healthcare REIT | Q2 2026 Supplemental | Page 14
Components of NAV (1)

(dollars and square feet in thousands)
Segment |
|
Campuses/ |
Square |
Total |
Q2 2026 |
Q2 2026 Annualized |
ISHC |
|
148 |
11,403 |
15,097 |
$84,583 |
$338,332 |
SHOP |
|
92 |
7,322 |
8,042 |
31,522 |
126,088 |
Outpatient Medical |
|
70 |
3,654 |
|
18,281 |
73,124 |
Triple-Net Leased Properties (3) |
|
17 |
961 |
1,364 |
7,653 |
30,612 |
Total |
|
327 |
23,340 |
24,503 |
$142,039 |
$568,156 |
Obligations |
|
Pro-Rata |
|
Consolidated |
|
Weighted Avg. |
Mortgage debt |
|
$890,070 |
|
$890,070 |
|
3.84% |
Revolving LOC |
|
— |
|
— |
|
4.69% |
Term loan(4) |
|
550,000 |
|
550,000 |
|
4.86% |
Total debt |
|
$1,440,070 |
|
$1,440,070 |
|
|
Cash, cash equivalents and restricted cash pertaining to debt |
|
(180,167) |
|
(180,300) |
|
|
Net Debt |
|
$1,259,903 |
|
$1,259,770 |
|
|
Other tangible liabilities, net: |
|
|
|
|
|
|
Accounts payable and accrued liabilities |
|
331,532 |
|
331,584 |
|
|
Other |
|
60,543 |
|
60,624 |
|
|
Total other tangible liabilities, net |
|
392,075 |
|
392,208 |
|
|
Financing |
|
19,258 |
|
19,258 |
|
|
Lease obligations |
|
124,850 |
|
124,859 |
|
|
Net obligations |
|
$1,796,086 |
|
$1,796,095 |
|
|
Other Assets |
|
|
|
|
|
|
Debt security investment, gross |
|
$92,394 |
|
$92,394 |
|
|
Other tangible assets: |
|
|
|
|
|
|
Accounts receivable |
|
229,631 |
|
229,631 |
|
|
Capital expenditures |
|
101,623 |
|
101,636 |
|
|
Inventory |
|
20,511 |
|
20,511 |
|
|
Other |
|
57,155 |
|
57,169 |
|
|
Total other tangible assets |
|
408,920 |
|
408,947 |
|
|
Total other assets |
|
$501,314 |
|
$501,341 |
|
|
Common Shares and OP Units Issued and Outstanding |
|
|
|
|
|
|
Total common shares |
|
194,689,026 |
|
194,689,026 |
|
|
Total OP Units |
|
1,936,425 |
|
1,936,425 |
|
|
Total common shares and OP Units |
|
196,625,451 |
|
196,625,451 |
|
|
American Healthcare REIT | Q2 2026 Supplemental | Page 15

Ashford of Springville
Springville, UT
Second Quarter 2026
Supplemental Appendix
Non-GAAP Reconciliations
&
Defined Terms
American Healthcare REIT | Q2 2026 Supplemental | Page 16
NAREIT FFO/NFFO Reconciliation (1)

(in thousands, except shares and per share amounts)
|
|
Q2 2026 |
|
Q2 2025 |
|
YTD 6/30/26 |
|
YTD 6/30/25 |
Net income |
|
$30,980 |
|
$10,079 |
|
$54,991 |
|
$3,239 |
Depreciation and amortization related to real estate — consolidated properties |
|
72,056 |
|
41,850 |
|
139,049 |
|
82,865 |
Depreciation and amortization related to real estate — unconsolidated entities |
|
14 |
|
506 |
|
28 |
|
1,003 |
Impairment of real estate investments — consolidated properties |
|
1,719 |
|
12,659 |
|
2,137 |
|
34,365 |
(Gain) Loss on dispositions of real estate investments, net — consolidated properties |
|
(5,647) |
|
2,676 |
|
(5,647) |
|
3,035 |
Net income attributable to noncontrolling interests |
|
(374) |
|
(171) |
|
(672) |
|
(135) |
Depreciation, amortization, impairments and net gain/loss on dispositions — noncontrolling interests |
|
(772) |
|
(803) |
|
(1,556) |
|
(1,695) |
NAREIT FFO attributable to controlling interest |
|
97,976 |
|
66,796 |
|
188,330 |
|
122,677 |
Transaction, transition and restructuring costs |
|
2,786 |
|
(79) |
|
4,757 |
|
1,758 |
Amortization of above- and below-market leases |
|
300 |
|
355 |
|
630 |
|
768 |
Amortization of closing costs — debt security investment |
|
12 |
|
12 |
|
24 |
|
49 |
Change in deferred rent |
|
(354) |
|
(720) |
|
(936) |
|
(1,392) |
Non-cash impact of changes to equity instruments |
|
5,767 |
|
3,190 |
|
10,625 |
|
5,741 |
Non-cash income tax benefit |
|
(223) |
|
— |
|
(947) |
|
— |
Capitalized interest |
|
(711) |
|
(345) |
|
(1,355) |
|
(442) |
Loss on debt extinguishments |
|
147 |
|
1,298 |
|
147 |
|
1,806 |
(Gain) loss in fair value of derivative financial instruments |
|
(357) |
|
629 |
|
(1,884) |
|
1,379 |
Foreign currency (gain) loss |
|
(75) |
|
(2,742) |
|
744 |
|
(4,158) |
Adjustments for unconsolidated entities |
|
— |
|
5 |
|
(1) |
|
5 |
Adjustments for noncontrolling interests |
|
(79) |
|
(22) |
|
(130) |
|
(72) |
Normalized FFO attributable to controlling interest |
|
$105,189 |
|
$68,377 |
|
$200,004 |
|
$128,119 |
NAREIT FFO and Normalized FFO weighted average common share outstanding — diluted |
|
193,347,757 |
|
161,143,556 |
|
190,708,621 |
|
159,318,503 |
NAREIT FFO per common share attributable to controlling interest — diluted |
|
$0.51 |
|
$0.41 |
|
$0.99 |
|
$0.77 |
Normalized FFO per common share attributable to controlling interest — diluted |
|
$0.54 |
|
$0.42 |
|
$1.05 |
|
$0.80 |
Distributions paid to common stockholders |
|
$47,609 |
|
$39,877 |
|
$94,431 |
|
$79,425 |
American Healthcare REIT | Q2 2026 Supplemental | Page 17
Adjusted EBITDA, Coverage Ratios & Net Debt Reconciliation

(dollars in thousands)
Adjusted EBITDA Reconciliation
|
Q2 2026 |
|
|
|
|
Net income |
$30,980 |
|
|
|
|
Interest expense, net (including amortization of deferred financing costs, amortization of debt |
18,626 |
|
Income tax benefit |
(3) |
|
Depreciation and amortization (including amortization of leased assets and accretion of lease liabilities) |
72,557 |
|
|
|
|
EBITDA |
122,160 |
|
|
|
|
Income from unconsolidated entities |
(892) |
|
Straight line rent and amortization of above/below market leases |
(486) |
|
Non-cash impact of changes to equity instruments |
5,767 |
|
Transaction, transition and restructuring costs |
2,786 |
|
Gain on dispositions of real estate investments, net |
(5,647) |
|
Amortization of closing costs — debt security investment |
12 |
|
Foreign currency gain |
(75) |
|
Gain in fair value of derivative financial instruments |
(357) |
|
Impairment of real estate investments |
1,719 |
|
|
|
|
Adjusted EBITDA |
$124,987 |
|
Coverage Ratios and Net Debt Reconciliation
|
Q2 2026 |
|
Interest Coverage Ratios |
|
|
Interest expense(1) |
$18,626 |
|
Capitalized interest |
711 |
|
Loss on extinguishment of debt |
(147) |
|
Non-cash interest expense(2) |
(1,599) |
|
Total Interest |
$17,591 |
|
|
|
|
Interest Coverage Ratio(3) |
7.1X |
|
|
|
|
Fixed Charges Coverage Ratio |
|
|
Total interest |
$17,591 |
|
Secured debt principal amortization |
5,025 |
|
Total Fixed Charges |
$22,616 |
|
|
|
|
Fixed Charge Coverage Ratio(3) |
5.5X |
|
|
|
|
Total debt |
$1,440,070 |
|
Cash and cash equivalents |
(156,896) |
|
Restricted cash related to debt |
(23,404) |
|
Net Debt |
$1,259,770 |
|
|
|
|
Net Debt-to-Annualized Adjusted EBITDA |
2.5X |
|
American Healthcare REIT | Q2 2026 Supplemental | Page 18
Same-Store Property Reconciliation

For the Six Months Ended June 30, 2026
|
ISHC |
|
SHOP |
|
OM |
|
Triple-Net Leased |
Total properties/campuses |
148 |
|
92 |
|
70 |
|
17 |
Recent acquisition |
(23) |
|
(26) |
|
— |
|
— |
Non-Core Properties |
(1) |
|
(1) |
|
(5) |
|
— |
Expansion and development |
(9) |
|
(1) |
|
— |
|
— |
Same-Store properties |
115 |
|
64 |
|
65 |
|
17 |
American Healthcare REIT | Q2 2026 Supplemental | Page 19
Cash NOI Reconciliation

(in thousands)
|
Q2 2025 |
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
YTD 6/30/25 |
|
YTD 6/30/26 |
Net income |
$10,079 |
|
$56,639 |
|
$10,940 |
|
$24,011 |
|
$30,980 |
|
$3,239 |
|
$54,991 |
General and administrative |
14,943 |
|
14,108 |
|
16,529 |
|
17,605 |
|
19,891 |
|
28,098 |
|
37,496 |
Transaction, transition and restructuring costs |
(79) |
|
50 |
|
3,295 |
|
1,971 |
|
2,786 |
|
1,758 |
|
4,757 |
Depreciation and amortization |
41,941 |
|
49,181 |
|
55,323 |
|
67,062 |
|
72,125 |
|
83,055 |
|
139,187 |
Interest expense |
22,632 |
|
20,392 |
|
19,806 |
|
18,796 |
|
18,626 |
|
45,577 |
|
37,422 |
Loss (gain) in fair value of derivative financial instruments |
629 |
|
(166) |
|
(179) |
|
(1,527) |
|
(357) |
|
1,379 |
|
(1,884) |
Loss (gain) on dispositions of real estate investments, net |
2,676 |
|
(691) |
|
621 |
|
— |
|
(5,647) |
|
3,035 |
|
(5,647) |
Impairment of real estate investments |
12,659 |
|
3,768 |
|
11,802 |
|
418 |
|
1,719 |
|
34,365 |
|
2,137 |
Loss (income) from unconsolidated entities |
1,238 |
|
(462) |
|
(657) |
|
(792) |
|
(892) |
|
3,086 |
|
(1,684) |
Gain on re-measurement of previously held equity interests |
— |
|
(14,580) |
|
— |
|
— |
|
— |
|
— |
|
— |
Foreign currency (gain) loss |
(2,742) |
|
977 |
|
6 |
|
819 |
|
(75) |
|
(4,158) |
|
744 |
Other income, net |
(1,480) |
|
(2,309) |
|
(3,491) |
|
(2,335) |
|
(1,914) |
|
(3,005) |
|
(4,249) |
Income tax expense (benefit) |
732 |
|
(21,092) |
|
(2,415) |
|
(525) |
|
(3) |
|
1,336 |
|
(528) |
Total NOI |
103,228 |
|
105,815 |
|
111,580 |
|
125,503 |
|
137,239 |
|
197,765 |
|
262,742 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Straight line rent |
(821) |
|
(730) |
|
(793) |
|
(780) |
|
(503) |
|
(1,556) |
|
(1,283) |
Facility rental expense |
7,278 |
|
7,030 |
|
6,849 |
|
6,761 |
|
6,752 |
|
14,777 |
|
13,513 |
Other non-cash adjustments |
182 |
|
133 |
|
163 |
|
14 |
|
77 |
|
384 |
|
91 |
Cash NOI from dispositions |
(394) |
|
(102) |
|
27 |
|
10 |
|
(355) |
|
(615) |
|
(345) |
Cash NOI attributable to noncontrolling interests (1) |
(255) |
|
(251) |
|
(250) |
|
(250) |
|
(250) |
|
(506) |
|
(500) |
Cash NOI (1) |
$109,218 |
|
$111,895 |
|
$117,576 |
|
$131,258 |
|
$142,960 |
|
$210,249 |
|
$274,218 |
American Healthcare REIT | Q2 2026 Supplemental | Page 20
Same-Store Revenue Reconciliation

(in thousands)
|
|
Q2 2025 |
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
YTD 6/30/25 |
|
YTD 6/30/26 |
Integrated Senior Health Campuses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
GAAP Revenue |
|
$429,350 |
|
$455,453 |
|
$472,577 |
|
$502,743 |
|
$512,878 |
|
$858,042 |
|
$1,015,621 |
Cash revenue from dispositions |
|
(1,201) |
|
— |
|
— |
|
— |
|
(2,069) |
|
(2,681) |
|
(2,069) |
Cash revenue |
|
428,149 |
|
455,453 |
|
472,577 |
|
502,743 |
|
510,809 |
|
855,361 |
|
1,013,552 |
Revenue attributable to new acquisitions/dispositions/other |
|
(104,597) |
|
(118,985) |
|
(132,515) |
|
(160,081) |
|
(169,742) |
|
(211,160) |
|
(329,823) |
Revenue attributable to Non-Core Properties |
|
(6,400) |
|
(6,655) |
|
(6,680) |
|
(6,554) |
|
(3,568) |
|
(12,603) |
|
(10,122) |
Same-Store revenue |
|
$317,152 |
|
$329,813 |
|
$333,382 |
|
$336,108 |
|
$337,499 |
|
$631,598 |
|
$673,607 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SHOP |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
GAAP Revenue |
|
$71,935 |
|
$76,605 |
|
$91,410 |
|
$107,024 |
|
$121,641 |
|
$140,419 |
|
$228,665 |
Cash revenue from dispositions |
|
— |
|
— |
|
— |
|
— |
|
— |
|
(166) |
|
— |
Cash revenue attributable to noncontrolling interests (1) |
|
(276) |
|
(278) |
|
(276) |
|
(287) |
|
(280) |
|
(546) |
|
(567) |
Cash revenue (1) |
|
71,659 |
|
76,327 |
|
91,134 |
|
106,737 |
|
121,361 |
|
139,707 |
|
228,098 |
Revenue attributable to new acquisitions/dispositions |
|
(2,996) |
|
(6,208) |
|
(19,788) |
|
(34,027) |
|
(47,447) |
|
(3,409) |
|
(81,474) |
Revenue attributable to development conversion |
|
(753) |
|
(864) |
|
(897) |
|
(904) |
|
(1,014) |
|
(1,391) |
|
(1,918) |
Revenue attributable to Non-Core Properties |
|
(580) |
|
(580) |
|
(532) |
|
(607) |
|
(605) |
|
(1,169) |
|
(1,212) |
Same-Store revenue (1) |
|
$67,330 |
|
$68,675 |
|
$69,917 |
|
$71,199 |
|
$72,295 |
|
$133,738 |
|
$143,494 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outpatient Medical |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
GAAP Revenue |
|
$31,254 |
|
$31,181 |
|
$30,449 |
|
$30,842 |
|
$29,985 |
|
$64,448 |
|
$60,827 |
Straight line rent |
|
(259) |
|
(243) |
|
(363) |
|
(358) |
|
(100) |
|
(432) |
|
(458) |
Other non-cash adjustments |
|
(350) |
|
(380) |
|
(356) |
|
(491) |
|
(389) |
|
(674) |
|
(880) |
Cash revenue from dispositions |
|
(460) |
|
(427) |
|
(172) |
|
— |
|
(1) |
|
(460) |
|
(1) |
Cash revenue |
|
30,185 |
|
30,131 |
|
29,558 |
|
29,993 |
|
29,495 |
|
62,882 |
|
59,488 |
Revenue attributable to dispositions |
|
(894) |
|
(154) |
|
— |
|
— |
|
— |
|
(3,890) |
|
— |
Revenue attributable to Non-Core Properties |
|
(2,276) |
|
(2,230) |
|
(1,931) |
|
(1,874) |
|
(1,773) |
|
(4,927) |
|
(3,647) |
Same-Store revenue |
|
$27,015 |
|
$27,747 |
|
$27,627 |
|
$28,119 |
|
$27,722 |
|
$54,065 |
|
$55,841 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Triple-Net Leased Properties |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
GAAP Revenue |
|
$9,964 |
|
$9,698 |
|
$9,644 |
|
$10,165 |
|
$9,746 |
|
$20,197 |
|
$19,911 |
Straight line rent |
|
(562) |
|
(487) |
|
(430) |
|
(422) |
|
(403) |
|
(1,124) |
|
(825) |
Other non-cash adjustments |
|
199 |
|
200 |
|
200 |
|
200 |
|
169 |
|
424 |
|
369 |
Cash revenue from dispositions |
|
— |
|
(25) |
|
— |
|
— |
|
(27) |
|
— |
|
(27) |
Cash revenue attributable to noncontrolling interest (1) |
|
(191) |
|
(194) |
|
(194) |
|
(194) |
|
(195) |
|
(381) |
|
(389) |
Cash revenue (1) |
|
9,410 |
|
9,192 |
|
9,220 |
|
9,749 |
|
9,290 |
|
19,116 |
|
19,039 |
Debt security investment |
|
(1,163) |
|
(1,165) |
|
(1,167) |
|
(1,158) |
|
(1,171) |
|
(2,644) |
|
(2,329) |
Revenue attributable to dispositions |
|
(26) |
|
— |
|
— |
|
— |
|
— |
|
(52) |
|
— |
Revenue attributable to Non-Core Properties |
|
(157) |
|
(157) |
|
(157) |
|
(159) |
|
— |
|
(313) |
|
(159) |
Other normalizing revenue adjustments |
|
(261) |
|
— |
|
— |
|
(354) |
|
— |
|
(522) |
|
(354) |
Same-Store revenue (1) |
|
$7,803 |
|
$7,870 |
|
$7,896 |
|
$8,078 |
|
$8,119 |
|
$15,585 |
|
$16,197 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Portfolio |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
GAAP Revenue |
|
$542,503 |
|
$572,937 |
|
$604,080 |
|
$650,774 |
|
$674,250 |
|
$1,083,106 |
|
$1,325,024 |
Straight line rent |
|
(821) |
|
(730) |
|
(793) |
|
(780) |
|
(503) |
|
(1,556) |
|
(1,283) |
Other non-cash adjustments |
|
(151) |
|
(180) |
|
(156) |
|
(291) |
|
(220) |
|
(250) |
|
(511) |
Cash revenue from dispositions |
|
(1,661) |
|
(452) |
|
(172) |
|
— |
|
(2,097) |
|
(3,307) |
|
(2,097) |
Cash revenue attributable to noncontrolling interests (1) |
|
(467) |
|
(472) |
|
(470) |
|
(481) |
|
(475) |
|
(927) |
|
(956) |
Cash revenue (1) |
|
539,403 |
|
571,103 |
|
602,489 |
|
649,222 |
|
670,955 |
|
1,077,066 |
|
1,320,177 |
Debt security investment |
|
(1,163) |
|
(1,165) |
|
(1,167) |
|
(1,158) |
|
(1,171) |
|
(2,644) |
|
(2,329) |
Revenue attributable to new acquisitions/dispositions/other |
|
(108,513) |
|
(125,347) |
|
(152,303) |
|
(194,108) |
|
(217,189) |
|
(218,511) |
|
(411,297) |
Revenue attributable to development conversion |
|
(753) |
|
(864) |
|
(897) |
|
(904) |
|
(1,014) |
|
(1,391) |
|
(1,918) |
Revenue attributable to Non-Core Properties |
|
(9,413) |
|
(9,622) |
|
(9,300) |
|
(9,194) |
|
(5,946) |
|
(19,012) |
|
(15,140) |
Other normalizing revenue adjustments |
|
(261) |
|
— |
|
— |
|
(354) |
|
— |
|
(522) |
|
(354) |
Same-Store revenue (1) |
|
$419,300 |
|
$434,105 |
|
$438,822 |
|
$443,504 |
|
$445,635 |
|
$834,986 |
|
$889,139 |
American Healthcare REIT | Q2 2026 Supplemental | Page 21
Same-Store NOI Reconciliation

(in thousands)
|
|
Q2 2025 |
|
Q3 2025 |
|
Q4 2025 |
|
Q1 2026 |
|
Q2 2026 |
|
YTD 6/30/25 |
|
YTD 6/30/26 |
Integrated Senior Health Campuses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NOI |
|
$60,934 |
|
$62,169 |
|
$63,930 |
|
$71,759 |
|
$78,159 |
|
$113,925 |
|
$149,918 |
Facility rental expense |
|
7,278 |
|
7,030 |
|
6,849 |
|
6,761 |
|
6,752 |
|
14,777 |
|
13,513 |
Cash NOI from dispositions |
|
(199) |
|
— |
|
— |
|
— |
|
(328) |
|
(473) |
|
(328) |
Cash NOI |
|
68,013 |
|
69,199 |
|
70,779 |
|
78,520 |
|
84,583 |
|
128,229 |
|
163,103 |
New acquisitions/dispositions/other |
|
(5,589) |
|
(6,538) |
|
(5,852) |
|
(9,933) |
|
(12,727) |
|
(5,926) |
|
(22,660) |
Non-Core Properties |
|
(974) |
|
(1,078) |
|
(1,011) |
|
(912) |
|
(506) |
|
(1,744) |
|
(1,418) |
Other normalizing adjustments |
|
— |
|
1,044 |
|
— |
|
— |
|
— |
|
— |
|
— |
Same-Store NOI |
|
$61,450 |
|
$62,627 |
|
$63,916 |
|
$67,675 |
|
$71,350 |
|
$120,559 |
|
$139,025 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SHOP |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NOI |
|
$14,066 |
|
$15,359 |
|
$19,764 |
|
$25,837 |
|
$31,522 |
|
$25,828 |
|
$57,359 |
Cash NOI from dispositions |
|
8 |
|
25 |
|
4 |
|
— |
|
— |
|
63 |
|
— |
Cash NOI attributable to noncontrolling interests (1) |
|
(64) |
|
(58) |
|
(57) |
|
(57) |
|
(55) |
|
(126) |
|
(112) |
Cash NOI (1) |
|
14,010 |
|
15,326 |
|
19,711 |
|
25,780 |
|
31,467 |
|
25,765 |
|
57,247 |
New acquisitions/dispositions |
|
(1,044) |
|
(1,921) |
|
(6,089) |
|
(11,408) |
|
(15,329) |
|
(850) |
|
(26,737) |
Development conversion |
|
277 |
|
343 |
|
301 |
|
330 |
|
(19) |
|
637 |
|
311 |
Non-Core Properties |
|
(35) |
|
(59) |
|
16 |
|
(66) |
|
(32) |
|
(117) |
|
(98) |
Other normalizing adjustments |
|
147 |
|
— |
|
— |
|
— |
|
— |
|
147 |
|
— |
Same-Store NOI (1) |
|
$13,355 |
|
$13,689 |
|
$13,939 |
|
$14,636 |
|
$16,087 |
|
$25,582 |
|
$30,723 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outpatient Medical |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NOI |
|
$19,062 |
|
$19,128 |
|
$18,717 |
|
$18,718 |
|
$18,492 |
|
$39,571 |
|
$37,210 |
Straight line rent |
|
(259) |
|
(243) |
|
(363) |
|
(358) |
|
(100) |
|
(432) |
|
(458) |
Other non-cash adjustments |
|
(36) |
|
(85) |
|
(55) |
|
(203) |
|
(111) |
|
(77) |
|
(314) |
Cash NOI from dispositions |
|
(203) |
|
(127) |
|
23 |
|
10 |
|
- |
|
(205) |
|
10 |
Cash NOI |
|
18,564 |
|
18,673 |
|
18,322 |
|
18,167 |
|
18,281 |
|
38,857 |
|
36,448 |
Dispositions |
|
(261) |
|
83 |
|
— |
|
— |
|
— |
|
(1,846) |
|
— |
Non-Core Properties |
|
(1,197) |
|
(1,259) |
|
(898) |
|
(918) |
|
(890) |
|
(2,924) |
|
(1,808) |
Other normalizing adjustments |
|
— |
|
— |
|
318 |
|
— |
|
— |
|
— |
|
— |
Same-Store NOI |
|
$17,106 |
|
$17,497 |
|
$17,742 |
|
$17,249 |
|
$17,391 |
|
$34,087 |
|
$34,640 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Triple-Net Leased Properties |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NOI |
|
$9,166 |
|
$9,159 |
|
$9,169 |
|
$9,189 |
|
$9,066 |
|
$18,441 |
|
$18,255 |
Straight line rent |
|
(562) |
|
(487) |
|
(430) |
|
(422) |
|
(403) |
|
(1,124) |
|
(825) |
Other non-cash adjustments |
|
218 |
|
218 |
|
218 |
|
217 |
|
188 |
|
461 |
|
405 |
Cash NOI from dispositions |
|
— |
|
— |
|
— |
|
— |
|
(27) |
|
— |
|
(27) |
Cash NOI attributable to noncontrolling interest (1) |
|
(191) |
|
(193) |
|
(193) |
|
(193) |
|
(195) |
|
(380) |
|
(388) |
Cash NOI (1) |
|
8,631 |
|
8,697 |
|
8,764 |
|
8,791 |
|
8,629 |
|
17,398 |
|
17,420 |
Debt security investment |
|
(1,163) |
|
(1,165) |
|
(1,167) |
|
(1,158) |
|
(1,171) |
|
(2,644) |
|
(2,329) |
Dispositions |
|
(9) |
|
— |
|
— |
|
— |
|
— |
|
3 |
|
— |
Non-Core Properties |
|
(152) |
|
(157) |
|
(157) |
|
(159) |
|
— |
|
(307) |
|
(159) |
Same-Store NOI (1) |
|
$7,307 |
|
$7,375 |
|
$7,440 |
|
$7,474 |
|
$7,458 |
|
$14,450 |
|
$14,932 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Portfolio |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NOI |
|
$103,228 |
|
$105,815 |
|
$111,580 |
|
$125,503 |
|
$137,239 |
|
$197,765 |
|
$262,742 |
Straight line rent |
|
(821) |
|
(730) |
|
(793) |
|
(780) |
|
(503) |
|
(1,556) |
|
(1,283) |
Facility rental expense |
|
7,278 |
|
7,030 |
|
6,849 |
|
6,761 |
|
6,752 |
|
14,777 |
|
13,513 |
Other non-cash adjustments |
|
182 |
|
133 |
|
163 |
|
14 |
|
77 |
|
384 |
|
91 |
Cash NOI from dispositions |
|
(394) |
|
(102) |
|
27 |
|
10 |
|
(355) |
|
(615) |
|
(345) |
Cash NOI attributable to noncontrolling interests (1) |
|
(255) |
|
(251) |
|
(250) |
|
(250) |
|
(250) |
|
(506) |
|
(500) |
Cash NOI (1) |
|
109,218 |
|
111,895 |
|
117,576 |
|
131,258 |
|
142,960 |
|
210,249 |
|
274,218 |
Debt security investment |
|
(1,163) |
|
(1,165) |
|
(1,167) |
|
(1,158) |
|
(1,171) |
|
(2,644) |
|
(2,329) |
New acquisitions/dispositions/other |
|
(6,903) |
|
(8,376) |
|
(11,941) |
|
(21,341) |
|
(28,056) |
|
(8,619) |
|
(49,397) |
Development conversion |
|
277 |
|
343 |
|
301 |
|
330 |
|
(19) |
|
637 |
|
311 |
Non-Core Properties |
|
(2,358) |
|
(2,553) |
|
(2,050) |
|
(2,055) |
|
(1,428) |
|
(5,092) |
|
(3,483) |
Other normalizing adjustments |
|
147 |
|
1,044 |
|
318 |
|
— |
|
— |
|
147 |
|
— |
Same-Store NOI (1) |
|
$99,218 |
|
$101,188 |
|
$103,037 |
|
$107,034 |
|
$112,286 |
|
$194,678 |
|
$219,320 |
American Healthcare REIT | Q2 2026 Supplemental | Page 22
Defined Terms

American Healthcare REIT | Q2 2026 Supplemental | Page 23
Defined Terms, continued

American Healthcare REIT | Q2 2026 Supplemental | Page 24
Defined Terms, continued

American Healthcare REIT | Q2 2026 Supplemental | Page 25

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, the United Kingdom and the Isle of Man.

American Healthcare REIT | Q2 2026 Supplemental | Page 26
