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
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
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
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