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Second Quarter 2026 Supplemental

Talamore Senior Living

Sun Prairie, WI

Exhibit 99.2

 

 


 

 

Disclaimers

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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

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Overview (as of June 30, 2026)

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(dollars in thousands, except per share and Pro-Rata)

Portfolio Overview

 

 

 

 

 

 

 

 

 

 

 

 

 

Campuses/
Properties

 

Beds/
Units
 (1)

 

Leased % (2)

 

WALT
(years)

 

Annualized
Cash NOI
(3)

 

 

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 /
Properties

 

Q2 2025

 

Q2 2026

 

%
Change

 

YTD
6/30/25

 

YTD
6/30/26

 

%
Change

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

 

%
Change

 

YTD
6/30/2025

 

YTD
6/30/2026

 

%
Change

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)
OM presents GLA in thousands, rather than Beds/Units.
(2)
Occupancy for ISHC, SHOP, and Triple-Net Leased Properties is reported as a quarterly average, while OM Occupancy is reported on a quarter-end spot basis. Triple-Net Leased Properties exclude Hospitals.
(3)
See reconciliations in the appendix of this supplemental. Annualized Cash NOI shown as current quarter Cash NOI multiplied by four.

 

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

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(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
Q2 2025

 

 

YTD 6/30/25

 

YTD 6/30/26

 

YTD 2026 vs
YTD 2025

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

 

 

 

 

 

 

 

 

(1)
See reconciliations in the appendix of this supplemental.
(2)
Controllable expenses include utilities, food, repairs and maintenance, and other operating expenses.
(3)
Non-Controllable expenses include property taxes and insurance.

American Healthcare REIT | Q2 2026 Supplemental | Page 4


 

ISHC Revenue per Payor and Bed Type

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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%

 

 

 

 

 

 

 

 

 

 

(1)
Does not include ancillary revenue.

American Healthcare REIT | Q2 2026 Supplemental | Page 5


 

Senior Housing Operating Properties

img33188571_5.jpg

(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
Q2 2025

 

 

YTD 6/30/25

 

YTD 6/30/26

 

FY 2026 vs
FY 2025

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%

 

 

 

 

 

 

 

(1)
See reconciliations in the appendix of this supplemental.
(2)
Controllable expenses include utilities, food, repairs and maintenance, and other operating expenses.
(3)
Non-Controllable expenses include property taxes and insurance.

American Healthcare REIT | Q2 2026 Supplemental | Page 6


OM by Location

img33188571_7.jpg

 

Outpatient Medical

img33188571_6.jpg

(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
Q2 2025

 

 

YTD 6/30/25

 

YTD 6/30/26

 

FY 2026 vs
FY 2025

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%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)
See reconciliations in the appendix of this supplemental.

American Healthcare REIT | Q2 2026 Supplemental | Page 7


 

Triple-Net Leased Properties

img33188571_8.jpg

(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
Q2 2025

 

 

YTD 6/30/25

 

YTD 6/30/26

 

FY 2026 vs
FY 2025

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%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)
Facilities are 100% triple-net leased and operators' occupancies exclude Hospitals.
(2)
See reconciliations in the appendix of this supplemental.
(3)
To eliminate the impact of exchange rate movements, the Company calculates Same-Store NOI on a constant currency basis, a non-GAAP measure, which includes currency adjustment for UK properties at 6/30/2026 YTD average GBP/USD rate of 1.34.

American Healthcare REIT | Q2 2026 Supplemental | Page 8


 

Triple-Net Leased Properties Rent Coverage Stratification

img33188571_9.jpg

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
(years)

Number of
Leases

< 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
(years)

Number of
Leases

< 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%

 

 

 

 

 

(1)
Represents trailing twelve month coverage metrics as of March 31, 2026. Percentages are based on Pro-Rata Cash NOI for the three months ended June 30, 2026.
(2)
Represents combined coverage metrics for all leases within each property type and total segment.

American Healthcare REIT | Q2 2026 Supplemental | Page 9


 

Revenue and Lease Expiration (1)

img33188571_10.jpg

(dollars in thousands, as of June 30, 2026)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OM

 

Triple-Net Leased Properties

 

 

 

 

 

 

Year

 

ABR (2)

%
of ABR

 

# of Expiring Leases

Total
Sq. Ft.

%
of GLA

 

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%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)
Excludes ISHC and SHOP.
(2)
Total ABR expiring in the applicable year. Month-to-month leases are included as expirations in 2026.
(3)
Represents total interest income from debt security investment.

American Healthcare REIT | Q2 2026 Supplemental | Page 10


 

Debt Maturities and Principal Payments

img33188571_10.jpg

(dollars in thousands, as of June 30, 2026)

 

Period

 

Lines of Credit
and Term
Loan

 

Mortgage
Loans
Payable

 

Combined
Debt

 

% of
Combined
Debt

 

Weighted
Average
Interest
Rate
(2)_(3)

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

 

— %

 

— %

 

— %

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)
Debt maturing after 2030 has a weighted average maturity date of April 2053 (27 Years).
(2)
Interest rates reflect two in-place swap derivatives for $350 million and $200 million with strikes at 3.51% and 3.52%, respectively, which mature on January 19, 2027.
(3)
Does not include interest rate impact from mortgage insurance premiums and equipment financing.

American Healthcare REIT | Q2 2026 Supplemental | Page 11


 

Year to Date 2026 Real Estate Acquisitions and Disposition

img33188571_10.jpg

(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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)
OM presents GLA in thousands, rather than Beds/Units.

American Healthcare REIT | Q2 2026 Supplemental | Page 12


 

Real Estate Developments & Expansions

img33188571_10.jpg

(dollars in thousands)

 

In-Process Pipeline

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Development Timing

Project Name

 

State

 

Segment

 

Type of
Project

 

Beds/Units

 

Spent To
Date

 

Total
Expected
Cost

 

Construction
Start

 

Expected
Completion

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
Project

 

Beds/Units

 

Total Cost

 

Construction
Completion

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)
Certain projects that have been completed may not yet be stabilized.

American Healthcare REIT | Q2 2026 Supplemental | Page 13


 

2026 Guidance (1)

img33188571_10.jpg

(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

11.0% - 13.0%

Segment-Level Same-Store NOI Growth Guidance

ISHC: 13.0% - 16.0%
SHOP: 18.0% - 21.0%
Outpatient Medical: 0.0% - 1.0%
Triple-Net Leased Properties: 2.0 - 3.0%

 

Other Guidance Assumptions

General and administrative expenses of $74 million to $78 million
Interest expense of $75 million to $79 million
Other income, net of $5 million to $8 million
Expect to fund $150 million to $170 million for new development starts and on-going development projects
Does not assume additional acquisitions beyond the ~$1.4 billion closed YTD

 

 

 

 

 

(1)
The Company's guidance constitutes forward-looking statements within the meaning of the federal securities laws and is based on a number of assumptions that are subject to change and many of which are outside of the Company's control. Actual results may differ materially from the Company's expectations depending on factors discussed herein and in the Company's filings with the Securities and Exchange Commission. Totals may not add due to rounding. Non-GAAP financial measures and other terms, as used in this supplemental, are also defined and further explained in the appendix. 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. See reconciliations in the appendix of this presentation.
(2)
Amounts are presented net of noncontrolling interests' share and AHR's share of unconsolidated entities.
(3)
Amounts represent amortization of equity compensation and fair value adjustments to performance-based equity compensation.
(4)
Includes adjustments for capitalized interest, transaction, transition and restructuring costs and additional items as noted in the Company’s definition for NFFO.

American Healthcare REIT | Q2 2026 Supplemental | Page 14


 

Components of NAV (1)

img33188571_11.jpg

(dollars and square feet in thousands)

Segment

 

Campuses/
Properties

Square
Feet

Total
Beds/Units

Q2 2026
Cash NOI
 (2)

Q2 2026 Annualized
Cash NOI
 (2)

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.
Interest Rate

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

 

 

 

 

 

(1)
Dollars, square feet and beds/units are presented on a consolidated basis as of June 30, 2026.
(2)
Cash NOI is adjusted to exclude non-recurring items for the three months ended June 30, 2026.
(3)
Excludes interest income from debt security investment.
(4)
Weighted average rates reflect in-place swap derivatives.

American Healthcare REIT | Q2 2026 Supplemental | Page 15


img33188571_12.jpg

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)

img33188571_11.jpg

(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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)
Totals may not add due to rounding.

American Healthcare REIT | Q2 2026 Supplemental | Page 17


 

Adjusted EBITDA, Coverage Ratios & Net Debt Reconciliation

img33188571_11.jpg

(dollars in thousands)

Adjusted EBITDA Reconciliation

 

Q2 2026

 

 

 

 

Net income

$30,980

 

 

 

 

Interest expense, net (including amortization of deferred financing costs, amortization of debt
  discount/premium and loss on debt extinguishments)

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

 

 

(1)
Includes approximately $1.5 million of cash interest expense from mortgage insurance premiums and equipment financing.
(2)
Non-cash interest expense includes amortization of loan fees and debt discount/premium.
(3)
Interest Coverage Ratio calculated as Adjusted EBITDA divided by Total Interest. Fixed Charges Coverage Ratio calculated as Adjusted EBITDA divided by Total Fixed Charges.

American Healthcare REIT | Q2 2026 Supplemental | Page 18


 

Same-Store Property Reconciliation

img33188571_10.jpg

 

For the Six Months Ended June 30, 2026

 

ISHC

 

SHOP

 

OM

 

Triple-Net Leased
Properties

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

img33188571_11.jpg

(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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)
All periods are based upon current quarter's ownership percentage.

American Healthcare REIT | Q2 2026 Supplemental | Page 20


 

Same-Store Revenue Reconciliation

img33188571_13.jpg

(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

 

 

(1)
All periods are based upon current quarter's ownership percentage.

American Healthcare REIT | Q2 2026 Supplemental | Page 21


 

Same-Store NOI Reconciliation

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(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

 

(1)
All periods are based upon current quarter's ownership percentage.

American Healthcare REIT | Q2 2026 Supplemental | Page 22


 

Defined Terms

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Adjusted EBITDA: EBITDA excluding the impact of income or loss from unconsolidated entities, straight line rent and amortization of above/below market leases, non-cash impact of changes to equity instruments, transaction, transition and restructuring costs, gain or loss on sales of real estate investments, amortization of closing costs for debt security instrument, unrealized foreign currency gain or loss, change in fair value of derivative financial instruments, impairments of real estate investments, impairments of intangible assets and goodwill, and non-recurring one-time items.
Affiliated: An OM (as defined on the next page) that, as of a specified date, has 25.0% or more of its square footage occupied by at least one healthcare system.
AL: Assisted living units.
Annualized Adjusted EBITDA: Current period (shown as quarterly) Adjusted EBITDA multiplied by four.
ABR: Annualized Base Rent. ABR is calculated as contractual base rent for the last month of the applicable period multiplied by 12.
Cash NOI: NOI excluding the impact of, without duplication, (1) non-cash items such as straight-line rent and the amortization of lease intangibles, (2) third-party facility rent payments and (3) other items set forth in the Cash NOI reconciliation included herein. Both Cash NOI and Same-Store NOI include Pro-Rata ownership and other adjustments.
Cash NOI Margin: Calculated by dividing Cash NOI by cash revenue.
EBITDA: A non-GAAP financial measure that is defined as earnings before interest, taxes, depreciation and amortization.
EBITDAR: Earnings before interest, taxes, depreciation, amortization and facilities rent. We use unaudited, periodic financial information provided solely by tenants to calculate EBITDAR and have not independently verified the information.
EBITDAR Coverage: The ratio of EBITDAR to contractual rent for leases or interest and principal payments for loans. EBITDAR Coverage is a measure of a property’s ability to generate sufficient cash flows for the operator/borrower to pay rent and meet other obligations.
EBITDARM: Earnings before interest, taxes, depreciation, amortization, facilities rent and management fees. We use unaudited, periodic financial information provided solely by tenants to calculate EBITDARM and have not independently verified the information.
EBITDARM Coverage: The ratio of EBITDARM to contractual rent for leases or interest and principal payments for loans. EBITDARM Coverage is a measure of a property’s ability to generate sufficient cash flows for the operator or borrower to pay rent and meet other obligations, assuming that management fees are not paid.
ExPOR: Expense per occupied unit. ExPOR is calculated as total expense generated by occupied units divided by the number of occupied units.
GAAP Revenue: Revenue recognized in accordance with Generally Accepted Accounting Principles in the United States (“GAAP”), which includes straight line rent and other non-cash adjustments.
GLA: Gross leasable area.
Hospitals: Hospital properties typically will include acute care, long-term acute care, specialty and rehabilitation hospitals and generally will be leased to single tenants or operators under triple-net lease structures.
IL: Independent living units.
Integrated Senior Health Campuses or ISHC: Integrated senior health campuses include a range of senior care, including independent living, assisted living, memory care, skilled nursing services and certain ancillary businesses. Integrated senior health campuses are operated utilizing a RIDEA Structure (as defined on the next page).
Maintenance Capex: AHR-invested capital expenditures, whether routine or non-routine (including second generation tenant incentives and leasing commissions), that are not expected to generate incremental income for the Company.
MC: Memory-care units.
NAREIT FFO or FFO: Funds from operations attributable to controlling interest; a non-GAAP financial measure, consistent with the standards established by the White Paper on FFO approved by the Board of Governors of NAREIT (the “White Paper”). The White Paper defines FFO as net income (loss) computed in accordance with GAAP, excluding gains or losses from sales of certain real estate assets, gains or losses upon consolidation of a previously held equity interest, and impairment write-downs of certain real estate assets and investments, plus depreciation and amortization related to real estate, after adjustments for unconsolidated partnerships and joint ventures. While impairment charges are excluded from the calculation of FFO as described above, investors are cautioned that impairments are based on estimated future undiscounted cash flows. Adjustments for unconsolidated partnerships and joint ventures are calculated to reflect FFO.

American Healthcare REIT | Q2 2026 Supplemental | Page 23


 

Defined Terms, continued

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NAV: Net asset value.
Net Debt: Total Debt, excluding operating lease liabilities, less cash and cash equivalents and restricted cash related to debt.
NOI: Net operating income; a non-GAAP financial measure that is defined as net income (loss), computed in accordance with GAAP, generated from properties before general and administrative expenses, transaction, transition and restructuring costs, depreciation and amortization, interest expense, gain or loss in fair value of derivative financial instruments, gain or loss on dispositions, impairments of real estate investments, impairments of intangible assets and goodwill, income or loss from unconsolidated entities, gain on re-measurement of previously held equity interest, foreign currency gain or loss, other income or expense and income tax benefit or expense.
Non-Core Properties: Assets that have been deemed not essential to generating future economic benefit or value to our day-to-day operations and/or are scheduled to be sold.
Normalized FFO or NFFO: FFO further adjusted for the following items included in the determination of GAAP net income (loss): transaction, transition and restructuring costs; amounts relating to changes in deferred rent and amortization of above and below-market leases (which are adjusted in order to reflect such payments from a GAAP accrual basis); the non-cash impact of changes to our equity instruments; non-cash or non-recurring income or expense; the noncash effect of income tax benefits or expenses; capitalized interest; impairments of intangible assets and goodwill; amortization of closing costs on debt investments; mark-to-market adjustments included in net income (loss); gains or losses included in net income (loss) from the extinguishment or sale of debt, hedges, foreign exchange, derivatives or securities holdings where trading of such holdings is not a fundamental attribute of the business plan; and after adjustments for consolidated and unconsolidated partnerships and joint ventures, with such adjustments calculated to reflect Normalized FFO on the same basis.
Occupancy: With respect to OM, the percentage of total rentable square feet leased and occupied, including month-to-month leases, as of the date reported. With respect to all other property types, occupancy represents average quarterly operating occupancy based on the most recent quarter of available data. The Company uses unaudited, periodic financial information provided solely by tenants to calculate occupancy and has not independently verified the information.
OM: Outpatient Medical properties.
OP Unit: Units of limited partnership interest in the Operating Partnership, which are redeemable for cash or, at our election, shares of our common stock on a one-for-one basis, subject to certain adjustments.
Operating Partnership: American Healthcare REIT Holdings, LP, a Delaware limited partnership, through which we conduct substantially all of our business and of which Continental Merger Sub, LLC, a Delaware limited liability company and our wholly-owned subsidiary, is the sole general partner.
Pro-Rata: As of June 30, 2026, we owned and/or operated six other buildings through entities of which we owned between 90.0% and 90.6% of the ownership interests. Because we have a controlling interest in these entities, these entities and the properties these entities own are consolidated in our financial statements in accordance with GAAP. However, while such properties are presented in our financial statements on a consolidated basis, we are only entitled to our Pro-Rata share of the net cashflows generated by such properties. As a result, we have presented certain property information herein based on our Pro-Rata ownership interest in these entities and the properties these entities own, as of the applicable date, and not on a consolidated basis. In such instances, information is noted as being presented on a “Pro-Rata share” basis.
Quality Mix: Total number of Medicare, Managed Care, Medicare Advantage and private days or revenue divided by the total number of actual patient days or total revenue for all payor types within Skilled Nursing and Senior Housing beds in the ISHC segment.
Retention: The ratio of total renewed square feet and month-to-month leases retained to the total square feet expiring, excluding the square feet for tenant leases terminated and leases in assets expected to be sold for the trailing 12-months.
RevPOR: Revenue per occupied room. RevPOR is calculated as total revenue generated by occupied units divided by the number of occupied units.
RIDEA Structure: A structure permitted by the REIT Investment Diversification and Empowerment Act of 2007, pursuant to which we lease certain healthcare real estate properties to a wholly-owned taxable REIT subsidiary (TRS), which in turn contracts with an eligible independent contractor (EIK) to operate such properties for a fee. Under this structure, the EIK receives management fees, and the TRS receives revenue from the operation of the healthcare real estate properties and retains, as profit, any revenue remaining after payment of expenses (including intercompany rent paid to us and any taxes at the TRS level) necessary to operate the property. Through the RIDEA Structure, in addition to receiving rental revenue from the TRS, we retain any after-tax profit from the operation of the healthcare real estate properties and benefit from any improved operational performance while bearing the risk of any decline in operating performance at the properties.

American Healthcare REIT | Q2 2026 Supplemental | Page 24


 

Defined Terms, continued

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Same-Store: Properties owned or consolidated the full year in both comparison years and that are not otherwise excluded. Properties are excluded from Same-Store if they are: (1) sold, classified as held for sale or properties whose operations were classified as discontinued operations in accordance with GAAP; (2) impacted by materially disruptive events, such as flood or fire for an extensive period of time; or (3) scheduled to undergo or currently undergoing major expansions/renovations or business model transitions or have transitioned business models after the start of the prior comparison period.
Same-Store NOI: Cash NOI for our Same-Store properties. Same-Store NOI is used to evaluate the operating performance of our properties using a consistent population which controls for changes in the composition of our portfolio. Both Cash NOI and Same-Store NOI include ownership and other adjustments.
Same-Store NOI Margin: Calculated by dividing Same-Store NOI by Same-Store revenue.
Senior Housing-Leased: Senior housing facilities cater to different segments of the elderly population based upon their personal needs and include assisted living, memory care and independent living. Residents of assisted living facilities typically require limited medical care and need assistance with eating, bathing, dressing and/or medication management, and those services can be provided by staff at the facility. Resident programs offered at such facilities may include transportation, social activities and exercise and fitness programs. Our Senior Housing-Leased properties are triple-net leased.
SHOP: Senior housing operating properties.
SNFs: Skilled nursing facilities.
Square Feet or Sq. Ft.: Net rentable square feet calculated utilizing building owners and managers association measurement standards.
Total Debt: The principal balances of the Company’s revolving credit facilities, term loan and secured indebtedness as reported in the Company’s consolidated financial statements.
Triple-Net Leased: A lease where the tenant is responsible for making rent payments, maintaining the leased property, and paying property taxes and other expenses.
WALT: Weighted average lease term.

 

American Healthcare REIT | Q2 2026 Supplemental | Page 25


 

 

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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.

 

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American Healthcare REIT | Q2 2026 Supplemental | Page 26