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.

26,7 %

20,6 %

3,1 %

+9,1 %

— American Healthcare REIT, Inc.
%
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.

The company’s customers are primarily healthcare operators rather than end consumers, because its revenue comes from...

  • Senior housing operatorsprimary

    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 operatorsprimary

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

  • Outpatient medical tenantssecondary

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

  • Healthcare borrowerssecondary

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

  • Joint venture operating partnerssecondary

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

American Healthcare REIT operates primarily in the United States, which is the core market for its senior housing, SNF,...

  • United States is the main operating market and revenue base
  • United Kingdom adds exposure to a separate healthcare property market
  • Isle of Man is part of the company’s non-U.S. operating footprint
  • Geographic mix affects labor costs, occupancy, and operator performance
  • Foreign operations add currency and regulatory exposure

The company’s strategy is to own and operate healthcare real estate that produces current income while maintaining...

01
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.

02
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.

03
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.

04
Preserve REIT compliance and tax efficiencylong-term

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

The company is exposed to tenant and operator credit risk because a meaningful part of its revenue depends on...

high

Major tenant, operator, or borrower financial distress

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

Scope
Senior housing operators, SNF operators, and healthcare borrowers
Materiality
high
high

Operating risk in RIDEA structures

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

Scope
Integrated senior health campuses and senior housing operating properties
Materiality
high
high

Government reimbursement and regulatory scrutiny

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

Scope
Skilled nursing and senior housing assets
Materiality
high
high

REIT qualification risk

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

Scope
Corporate tax structure
Materiality
high
medium

Interest rate and refinancing risk

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

Scope
Secured debt and future acquisitions
Materiality
high
medium

Foreign currency and cross-border operating risk

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

Scope
United Kingdom and Isle of Man assets
Materiality
medium
Real estate investments purchase price allocation
Can materially change reported asset values and earnings timing
Impairment of long-lived assets
May create non-cash write-downs
Goodwill impairment
Could result in a material impairment charge
Derivative accounting
Can increase earnings volatility
Revenue recognition in operating properties
Affects quarterly comparability and operating income

: 11/08/2026