AHRNYSEReal Estate Investment TrustsUS GAAP · USD

American Healthcare REIT, Inc.

American Healthcare REIT, Inc. is a self-managed real estate investment trust that owns and operates clinical healthcare properties, with a portfolio centered on senior housing, skilled nursing facilities, outpatient medical buildings, and other healthcare-related assets. The company runs a fully integrated operating platform and uses RIDEA structures for certain senior housing and integrated senior health campus assets, which means it participates more directly in operating performance than a pure triple-net landlord. It also originates and acquires secured loans and may selectively develop healthcare properties when it sees attractive opportunities. The business is organized to qualify as a REIT for U.S. tax purposes and is listed on the New York Stock Exchange under the ticker AHR.

Revenue2,260m USD
+9.1 %y/y
Operating profit (EBIT)415m USD
+14.2 %y/y
EBIT margin18.4%
+0.8 ppy/y
Net income69.8m USD
+284.6 %y/y
Free cash flow294m USD
+67.2 %y/y

Fiscal year 2025 · change from previous year

Development 2020–2025

05001,0001,5002,0002,500m USD2020: 68 m USD2020: EBIT 218 m USD20202021: 1,124 m USD2021: EBIT 213 m USD20212022: 1,412 m USD2022: EBIT 302 m USD20222023: 1,867 m USD2023: EBIT 307 m USD20232024: 2,071 m USD2024: EBIT 364 m USD20242025: 2,260 m USD2025: EBIT 415 m USD20252,260415
RevenueOperating profit (EBIT)

Business

Share of revenue
Operating healthcare real estate55 %

Senior housing, ISHC, and SNF assets operated through RIDEA or similar structures where the company shares in property-level operating performance.

Medical office real estate20 %

Outpatient medical buildings leased to healthcare providers and related tenants for clinical and ambulatory care use.

Triple-net leased properties15 %

Healthcare properties leased on a triple-net basis, where tenants bear most operating costs and the company earns contractual rent.

Healthcare-related debt investments5 %

Secured loans and other real estate-related debt investments held opportunistically alongside owned properties.

Development and redevelopment5 %

Selective development or expansion of healthcare properties to add new assets or reposition existing ones.

Customers

The company’s customers are primarily healthcare operators rather than end consumers, because its revenue comes from tenants, managers, borrowers, and operating partners tied to its real estate assets. Senior housing and skilled nursing operators are especially important because they run facilities that depend on resident occupancy, reimbursement dynamics, and labor availability. Outpatient medical tenants include physician groups, health systems, and other clinical users that need well-located medical space close to patient demand. In its RIDEA-operated assets, the company is more directly exposed to the economics of senior housing operations, making operator quality and local market conditions central to performance.

Senior housing operators

Operators of independent living, assisted living, and related senior housing assets that generate occupancy-driven revenue and are central to the SHOP and ISHC portfolio.

Skilled nursing operators

Operators of SNF facilities that lease or manage specialized care properties and depend on reimbursement and staffing conditions.

Outpatient medical tenants

Medical practices, clinics, and health systems that lease OM space for patient access and clinical adjacency.

Healthcare borrowers

Borrowers on secured loans backed by healthcare real estate, used as an opportunistic capital deployment channel.

Joint venture operating partners

Partners involved in owned or co-owned assets where operating expertise and local market knowledge support performance.

Strategy

The company’s strategy is to own and operate healthcare real estate that produces current income while maintaining flexibility to selectively develop, acquire, or finance assets when opportunities are attractive. A key priority is managing a diversified mix of operating and leased healthcare properties so it can balance contractual rent streams with higher-upside operating exposure. The company also emphasizes disciplined capital allocation through secured loans and opportunistic real estate-related investments, which broadens deployment options beyond direct property ownership. Maintaining REIT qualification, access to capital, and strong operator relationships is central to preserving its ability to grow and distribute cash.

Expand and optimize the healthcare property portfolioMedium term

Scale and mix management are important because the company’s cash flow depends on occupancy, operator quality, and asset type diversification.

Strengthen operating performance in RIDEA assetsShort term

SHOP and ISHC assets expose the company to property-level operating results, so operator execution directly affects revenue and margins.

Maintain liquidity and capital flexibilityShort term

Healthcare real estate is capital intensive and the company needs financing capacity to refinance debt, fund acquisitions, and manage dispositions.

Preserve REIT compliance and tax efficiencyLong term

REIT status is essential to the company’s tax structure and distribution model.

Geography

Q1/2026

American Healthcare REIT operates primarily in the United States, which is the core market for its senior housing, SNF, OM, and triple-net portfolios. The company also has operations in the United Kingdom and the Isle of Man, giving it exposure to non-U.S. healthcare property markets and foreign currency movements. Because the business is asset-heavy and operator-dependent, geography matters not only for rent growth and occupancy but also for labor markets, reimbursement systems, and regulatory regimes. The international footprint is smaller than the U.S. base, but it adds diversification and introduces additional operational and FX complexity.

United States100 %
Other countries (US filing)0.3 %

Share of the revenue the company reports by geography.

Risks

The company is exposed to tenant and operator credit risk because a meaningful part of its revenue depends on healthcare operators, borrowers, and managers making timely payments and running facilities successfully. Its RIDEA-based senior housing and ISHC assets increase operating risk relative to a pure lease model, since occupancy, labor costs, and resident demand can move results materially. The company also faces regulatory and reimbursement risk in senior housing and skilled nursing, where Medicare, Medicaid, and other government reviews can affect operators’ economics and therefore the company’s cash flow. In addition, interest rates, refinancing conditions, foreign currency movements, and REIT qualification risk can all affect liquidity, distributions, and valuation.

Sorted by severity
LowMediumHighLowMediumHighImpact →Likelihood →Major tenant, operator, or borrower financial distress1Government reimbursement and regulatory scrutiny2REIT qualification risk3Interest rate and refinancing risk5Foreign currency and cross-border operating risk6
Impact is the risk’s severity and likelihood how probable it is over the next few years, both assessed from the company’s reports. Numbers match the list.
  1. Major tenant, operator, or borrower financial distressImpact: HighLikelihood: Medium

    Revenue depends on counterparties paying rent, fees, or debt service; insolvency can directly impair cash flow.

    ExposureSenior housing operatorsSNF operatorsHealthcare borrowers
  2. Government reimbursement and regulatory scrutinyImpact: HighLikelihood: Medium

    SNF and senior care economics depend on Medicare/Medicaid and healthcare regulation, which can change operator profitability.

    Exposure: Skilled nursing and senior housing assets

  3. REIT qualification riskImpact: HighLikelihood: Low

    Loss of REIT status would subject the company to corporate-level tax and reduce distributable cash.

    Exposure: Corporate tax structure

  4. Operating risk in RIDEA structuresImpact: High

    ISHC and SHOP assets are tied to operating performance, so occupancy and labor inflation can quickly affect results.

    Exposure: Integrated senior health campuses and senior housing operating properties

  5. Interest rate and refinancing riskImpact: MediumLikelihood: Medium

    Higher rates can increase interest expense, reduce asset values, and make debt refinancing more difficult.

    Exposure: Secured debt and future acquisitions

  6. Foreign currency and cross-border operating riskImpact: MediumLikelihood: Low

    UK and Isle of Man operations introduce FX translation and local regulatory exposure.

    Exposure: United Kingdom and Isle of Man assets

Accounting

Judgemental items
Real estate investments purchase price allocation

Management must allocate acquisition cost between land, buildings, intangibles, and liabilities, which affects depreciation and future gains or losses.

Impact: Can materially change reported asset values and earnings timing

Impairment of long-lived assets

Healthcare property values depend on occupancy, reimbursement, and cap rates, so impairment risk can rise when operating conditions weaken.

Impact: May create non-cash write-downs

Goodwill impairment

Goodwill is not amortized and is tested using subjective fair value assumptions tied to future cash flows.

Impact: Could result in a material impairment charge

Derivative accounting

Interest rate swaps and caps are used to manage rate risk, and fair value changes may affect interest expense if hedge accounting is not applied.

Impact: Can increase earnings volatility

Revenue recognition in operating properties

RIDEA and operating structures can create revenue patterns that differ from straight-line lease accounting and may vary with occupancy and operations.

Impact: Affects quarterly comparability and operating income

Publicly listed companies with a comparable business focus.

Last updated: 24/09/2026

American Healthcare REIT, Inc. (AHR) Revenue, Earnings & Financials 2025 – Clarifo