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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
 
FORM 8-K
 
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of Report (Date of Earliest Event Reported): August 7, 2025
 
American Healthcare REIT, Inc.
(Exact name of registrant as specified in its charter)
 
Maryland  
001-41951
  47-2887436
(State or other jurisdiction
of incorporation)
  (Commission
File Number)
  (I.R.S. Employer
Identification No.)
18191 Von Karman Avenue, Suite 300
Irvine, California
  92612
(Address of principal executive offices)   (Zip Code)
Registrant’s telephone number, including area code: (949) 270-9200
Not Applicable
(Former name or former address, if changed since last report)
 
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each class Trading Symbol(s) Name of each exchange on which registered
Common Stock, $0.01 par value per share AHR New York Stock Exchange

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

                                        Emerging growth company ☐ 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.    ☐ 



Item 2.02 Results of Operations and Financial Condition.
On August 7, 2025, we issued an earnings release announcing our financial position as of June 30, 2025 and our results for the quarter then ended. A copy of the earnings release is attached hereto as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated by reference herein.
Item 7.01 Regulation FD Disclosure.
On August 7, 2025, we released certain supplemental data for the quarter ended June 30, 2025. A copy of the supplemental data is attached hereto as Exhibit 99.2 to this Current Report on Form 8-K and is incorporated by reference herein.
The information contained in Items 2.02 and 7.01 hereof, including Exhibits 99.1 and 99.2 incorporated by reference herein, is being “furnished” and shall not be deemed “filed” for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liabilities of that section, nor shall such information be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, except as shall be expressly set forth by the specific reference in such filing.
Item 9.01 Financial Statements and Exhibits.
(d) Exhibits.
Exhibit No.   Description
     
104 Cover Page Interactive Data File (embedded within the Inline XBRL document)




SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
American Healthcare REIT, Inc.
August 7, 2025
        By: /s/ Danny Prosky                     
        Name: Danny Prosky
        Title: Chief Executive Officer and President

EX-99.1 2 pressrelease-q22025earning.htm EX-99.1 Document
logo.jpg
Exhibit 99.1


Press Release
Irvine, CA – August 7, 2025
Contact: Alan Peterson
Email: investorrelations@ahcreit.com
American Healthcare REIT (“AHR”) Announces Second Quarter 2025 Results;
Increases Full Year 2025 Guidance
American Healthcare REIT, Inc. (the “Company,” “we,” “our,” “management,” or “us”) (NYSE: AHR) announced today its second quarter 2025 results and is increasing full year 2025 guidance.
Key Highlights:
•Reported GAAP net income attributable to controlling interest of $9.9 million and GAAP net income attributable to common stockholders of $0.06 per diluted share for the three months ended June 30, 2025.
•Reported Normalized Funds from Operations attributable to common stockholders (“NFFO”) of $0.42 per diluted share for the three months ended June 30, 2025.
•Achieved total portfolio Same-Store Net Operating Income (“NOI”) growth of 13.9% for the three months ended June 30, 2025, compared to the same period in 2024.
•Achieved 23.0% and 18.3% Same-Store NOI growth during the three months ended June 30, 2025, from its senior housing operating properties (“SHOP”) and integrated senior health campuses (“ISHC”), respectively, compared to the same period in 2024.
•During the three months ended June 30, 2025, the Company acquired a new SHOP asset for approximately $65.0 million. Year-to-date 2025, the Company has closed on approximately $255 million of new investments.
•During the three months ended June 30, 2025, the Company issued 5,451,577 shares of common stock through its at-the-market equity offering program ("ATM program") for gross proceeds of approximately $188.6 million. Additionally, the Company entered into a forward sales agreement to sell 3,554,525 shares of common stock through its ATM program, which the Company settled subsequent to quarter end for net proceeds of approximately $126.0 million.
•Increasing total portfolio Same-Store NOI growth guidance for the year ending December 31, 2025, by 150 basis points at the midpoint from a range of 9.0% to 13.0% to a revised range of 11.0% to 14.0%, primarily due to strong operating results in its ISHC and SHOP segments during the three months ended June 30, 2025.
•Increasing NFFO guidance for the year ending December 31, 2025, by $0.05 at the midpoint from a range of $1.58 to $1.64 to a revised range of $1.64 to $1.68, due to increased expectations for full year 2025 NOI growth for its Same-Store portfolio and recent accretive capital allocation activity.
•Reported a 0.8x improvement to Net Debt-to-Annualized Adjusted EBITDA from 4.5x as of March 31, 2025 to 3.7x as of June 30, 2025.
•Awarded the Great Place To Work® Certification™ for 2025, based on direct feedback from employees and an independent analysis conducted by Great Place To Work®, the global authority on workplace culture.
“Fundamentals in the long-term care industry remain solid, as evidenced by our strong growth in the second quarter and year to date. This has prompted an increase in our Same-Store NOI growth and NFFO guidance for the full year 2025,” said Danny Prosky, the Company’s President and Chief Executive Officer. “We are also supplementing our robust organic growth with strategic external investments that we believe will be accretive to our future earnings. We've executed all of this, while still improving our financial position and capacity as highlighted by our Net Debt-to-Annualized Adjusted EBITDA of below 4.0x. As a company, our core mission is providing and facilitating high-quality care and outcomes for residents, and I'm proud that we are advancing that mission by adding more quality assets to our portfolio with best-in-class regional operating partners.”
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Second Quarter 2025 and Year-To Date 2025 Results
The Company’s Same-Store NOI growth results for the three and six months ended June 30, 2025 are detailed below. Same-Store NOI growth results from its operating portfolio, comprised of ISHC and SHOP segments, led the Company's growth in the second quarter of 2025, compared to the same period in 2024, supported by proactive expense management, incremental occupancy gains, and mid-single-digit RevPOR growth.
Three Months Ended June 30, 2025 Relative to Three Months Ended June 30, 2024
Segment
Same-Store NOI Growth
ISHC
18.3%
Outpatient Medical
1.4%
SHOP
23.0%
Triple-Net Leased Properties
1.4%
Total Portfolio
13.9%
Six Months Ended June 30, 2025 Relative to Six Months Ended June 30, 2024
Segment
Same-Store NOI Growth
ISHC
19.0%
Outpatient Medical
1.7%
SHOP
26.6%
Triple-Net Leased Properties
0.0%
Total Portfolio
14.5%
“Demand in the first quarter was primarily driven by the winter and flu season, which increased the need for post-acute care skilled nursing care within our ISHC segment, whereas independent and assisted living units saw more move-out activity in the first quarter," said Gabe Willhite, the Company’s Chief Operating Officer. "As the second quarter progressed, we observed demand become more broad-based for our operating portfolio, as ISHC continued to show steady occupancy gains, with stronger relative demand for independent living and assisted living units. Our SHOP segment saw a similar rise in demand, exhibiting consistent occupancy improvements throughout the quarter driven by the most move-ins we have realized in any quarter since prior to the onset of the pandemic, ultimately leading to spot Same-Store occupancy north of 87.5% by quarter end. Looking ahead, we anticipate higher move-in activity to continue through the busier summer selling season across our operating portfolio, which we believe will further increase occupancy. We believe this occupancy trend, coupled with our hands-on asset management approach and revenue management strategies, will provide for solid results in the second half of the year where we expect to continue achieving strong growth within our operating portfolio.”
Transactional Activity
During the three months ended June 30, 2025, the Company:
•Completed a previously announced acquisition of a SHOP asset for approximately $65.0 million. Operations at the property were transitioned to Heritage Senior Living, one of the Company's existing regional operators in a RIDEA structure.
•Sold four Non-Core Properties for gross proceeds of approximately $33.5 million, including three previously announced dispositions for gross proceeds of $29 million.
Subsequent to quarter end, the Company:
•Purchased its partners' 51% outstanding interests in an unconsolidated joint venture including five pre-stabilized campuses. The recently developed campuses contain 704 beds and will continue to be operated by Trilogy Management Services ("TMS"). Four of the campuses are not yet stabilized and opened within the last year. Total consideration for the acquisition of its partners' 51% interests, including the extinguishment of all partnership level debt, was approximately $118.4 million.
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•Completed the acquisition of two new SHOP assets for approximately $33.5 million. One of the properties is managed by one of the Company's existing regional operating partners, Compass Senior Living, which managed the asset for the previous owner. Upon acquisition of the other property, the Company installed Great Lakes Management, to operate the building establishing a new regional operator relationship.
•Acquired four new long-term care assets within the Company's ISHC property segment for approximately $65.3 million. These properties were operated by TMS prior to the Company's acquisition, and will continue to be operated by TMS.
•Completed a lease buyout within its ISHC segment for approximately $7.7 million.
•Sold one Non-Core Property for approximately $1.8 million.
Following the Company's completed transaction activity during the three months ended June 30, 2025, and subsequent to quarter end, the Company has over $300 million of awarded deals within its investments pipeline, which include existing and newly awarded deals since the Company's First Quarter 2025 Earnings Release. The Company expects to close the remaining pipeline by the end of the year, but it cannot guarantee, or provide certainty regarding timing on, the closings. Therefore, the Company is not including any additional transaction activity, including the awarded deals in its investments pipeline, beyond the transactions disclosed as completed in this section within its increased full-year 2025 guidance.
Development Activity
The Company did not start any new development projects during the three months ended June 30, 2025. The Company's total in-process development pipeline is expected to cost approximately $57.8 million, of which $23.8 million has been spent as of June 30, 2025.
Capital Markets and Balance Sheet Activity
As of June 30, 2025, the Company’s total consolidated indebtedness was $1.55 billion, and it had approximately $733.5 million of total liquidity, comprised of cash and undrawn capacity on its line of credit. The Company's Net-Debt-to-Annualized Adjusted EBITDA as of June 30, 2025, was 3.7x.
During the three months ended June 30, 2025, the Company issued 5,451,577 shares of common stock through its ATM program for gross proceeds of approximately $188.6 million, at an average price of $34.60 per share. Additionally, during the three months ended June 30, 2025, the Company entered into a forward sales agreement to sell 3,554,525 shares of common stock through its ATM program. Subsequent to quarter end, the Company settled the entire forward sales agreement by issuing the shares for net cash proceeds of approximately $126.0 million. Also subsequent to quarter end, the Company issued an additional 432,367 shares of common stock for gross proceeds of approximately $15.7 million through its ATM program, at an average price of $36.25 per share.
“I’m pleased with our ability to deliver exceptional NFFO per share growth all while continuing to de-lever the balance sheet - our strong earnings growth and strategic equity issuances utilizing the ATM program have helped us create capacity for future investment activity.” said Brian Peay, the Company’s Chief Financial Officer.  “Our strong operating performance achieved by our impressive operating partners is driving an increase in our full-year 2025 total portfolio Same-Store NOI growth and NFFO per share guidance.”
Full Year 2025 Guidance
The Company is increasing guidance for the year ending December 31, 2025 to reflect its improved outlook on operations, capital markets activity and capital allocation activity executed during the second quarter of 2025, as well as activity completed subsequent to quarter end. Guidance does not assume additional transaction or capital markets activity beyond the items previously disclosed or items disclosed in this earnings release. Updated guidance ranges are detailed in the table on the next page:
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Full Year 2025 Guidance
Metric Midpoint Current FY 2025 Range Prior FY 2025 Range
Net income per diluted share $0.35 $0.33 to $0.37 $0.29 to $0.35
NAREIT FFO per diluted share
$1.59 $1.57 to $1.61 $1.49 to $1.55
NFFO per diluted share
$1.66 $1.64 to $1.68 $1.58 to $1.64
Total Portfolio SS NOI Growth 12.5% 11.0% to 14.0% 9.0% to 13.0%
Segment-Level SS NOI Growth / (Decline):
ISHC 17.0% 15.0% to 19.0% 12.0% to 16.0%
Outpatient Medical 1.3% 1.0% to 1.5% (1.0%) to 1.0%
SHOP 22.0% 20.0% to 24.0% 20.0% to 24.0%
Triple-Net Leased Properties (0.5%) (0.8%) to (0.3%) (1.5%) to (0.5%)
Certain of the assumptions underlying the Company’s 2025 guidance can be found within the Non-GAAP reconciliations in this earnings release and in the appendix of the Company’s Second Quarter 2025 Supplemental Financial Information (“Supplemental”). A reconciliation of net income (loss) calculated in accordance with GAAP to NAREIT FFO and NFFO can be found within the Non-GAAP reconciliations in this earnings release. Non-GAAP financial measures and other terms, as used in this earnings release, are also defined and further explained in the Supplemental. The Company is unable to provide, without unreasonable effort, guidance for the most comparable GAAP financial measures of total revenues and property operating and maintenance expenses. Additionally, a reconciliation of the forward-looking Non-GAAP financial measures of Same-Store NOI growth to the comparable GAAP financial measures cannot be provided without unreasonable effort because the Company is unable to reasonably predict certain items contained in the GAAP measures, including non-recurring and infrequent items that are not indicative of the Company’s ongoing operations. Such items include, but are not limited to, impairment on depreciated real estate assets, net gain or loss on sale of real estate assets, stock-based compensation, casualty loss, non-Same-Store revenue and non-Same-Store operating expenses. These items are uncertain, depend on various factors and could have a material impact on the Company’s GAAP results for the guidance period.

Distributions
As previously announced, the Company’s Board of Directors declared a cash distribution for the quarter ended June 30, 2025 of $0.25 per share of its common stock. The second quarter distribution was paid in cash on or about July 18, 2025, to stockholders of record as of June 30, 2025.
Supplemental Information
The Company has disclosed supplemental information regarding its portfolio, financial position and results of operations as of, and for the three and six months ended June 30, 2025, and certain other information, which is available on the Investor Relations section of the Company's website at https://ir.americanhealthcarereit.com.
Conference Call and Webcast Information
The Company will host a webcast and conference call at 1:00 p.m. Eastern Time on August 8, 2025. During the conference call, Company executives will review second quarter 2025 results, discuss recent events and conduct a question-and-answer period.
To join via webcast, investors may use the following link: https://events.q4inc.com/attendee/185284343.
To join the live telephone conference call, please dial one of the following numbers at least five minutes prior to the start time:
North America - Toll-Free: (800) 715-9871
International Toll: +1 (646) 307-1963
Conference ID: 2930459
A digital replay of the call will be available on the Investor Relations section of the Company’s website at https://ir.americanhealthcarereit.com shortly after the conclusion of the call.
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Forward-Looking Statements
Certain statements contained in this press release, including statements relating to the Company's expectations regarding its performance, interest expense savings, balance sheet, net income or loss per diluted share, NAREIT FFO per diluted share, NFFO per diluted share, total portfolio Same-Store NOI growth, segment-level Same-Store NOI growth or decline, occupancy, NOI growth, revenue growth, margin expansion, purchases and sales of assets, development plans, and plans for Trilogy may be considered forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. The Company intends for all such forward-looking statements to be covered by the applicable safe harbor provisions for forward-looking statements contained in those acts. Such forward-looking statements generally can be identified by the use of forward-looking terminology, such as “may,” “will,” “can,” “expect,” “intend,” “anticipate,” “estimate,” “believe,” “continue,” “possible,” “initiatives,” “focus,” “seek,” “objective,” “goal,” “strategy,” “plan,” “potential,” “potentially,” “preparing,” “projected,” “future,” “long-term,” “once,” “should,” “could,” “would,” “might,” “uncertainty” or other similar words. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this press release. Any such forward-looking statements are based on current expectations, estimates and projections about the industry and markets in which the Company operates, and beliefs of, and assumptions made by, the Company's management and involve known and unknown risks and uncertainties that could cause actual results to differ materially from those expressed or implied therein, including, without limitation, changing macroeconomic conditions, domestic legal and fiscal policies, and geopolitical conditions and other risks disclosed in the Company's Annual Report on Form 10-K for the year ended December 31, 2024, filed on February 28, 2025, and other periodic reports filed with the Securities and Exchange Commission. Except as required by law, the Company does not undertake any obligation to update or revise any forward-looking statements contained in this release.
Non-GAAP Financial Measures
The Company’s reported results are presented in accordance with GAAP. The Company also discloses the following non-GAAP financial measures: EBITDA, Adjusted EBITDA, Net Debt-to-Annualized Adjusted EBITDA, NAREIT FFO, NFFO, NOI and Same-Store NOI. The Company believes these non-GAAP financial measures are useful supplemental measures of its operating performance and used by investors and analysts to compare the operating performance of the Company between periods and to other REITs or companies on a consistent basis without having to account for differences caused by unanticipated and/or incalculable items. Definitions of the non-GAAP financial measures used herein and reconciliations to the most directly comparable financial measure calculated in accordance with GAAP can be found at the end of this earnings release. See below and "Definitions" for further information regarding the Company's non-GAAP financial measures.
EBITDA and Adjusted EBITDA
Management uses earnings before interest, taxes, depreciation and amortization (“EBITDA”) and Adjusted EBITDA to facilitate internal and external comparisons to our historical operating results and in making operating decisions. EBITDA and Adjusted EBITDA are widely used by investors, lenders, credit and equity analysts in the valuation, comparison, and investment recommendations of companies. Additionally, EBITDA and Adjusted EBITDA are utilized by our Board of Directors to evaluate management. Neither EBITDA nor Adjusted EBITDA represents net income (loss) or cash flows provided by operating activities as determined in accordance with GAAP and should not be considered as alternative measures of profitability or liquidity. Finally, the EBITDA and Adjusted EBITDA may not be comparable to similarly entitled items reported by other REITs or other companies. In addition, management uses Net Debt-to-Annualized Adjusted EBITDA as a measure of our ability to service our debt.
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.
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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
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.
About American Healthcare REIT, Inc.
American Healthcare REIT, Inc. (NYSE: AHR) is a real estate investment trust that acquires, owns and operates a diversified portfolio of clinical healthcare real estate, focusing primarily on senior housing communities, skilled nursing facilities, and outpatient medical buildings across the United States, and in the United Kingdom and the Isle of Man.
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AMERICAN HEALTHCARE REIT, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
As of June 30, 2025 and December 31, 2024
(In thousands, except share and per share amounts) (Unaudited)
June 30,
2025
December 31,
2024
ASSETS
Real estate investments, net $ 3,346,121  $ 3,366,648 
Debt security investment, net 91,849  91,264 
Cash and cash equivalents 133,494  76,702 
Restricted cash 36,497  46,599 
Accounts and other receivables, net 224,072  211,104 
Identified intangible assets, net 155,886  161,473 
Goodwill 234,942  234,942 
Operating lease right-of-use assets, net 147,893  163,987 
Other assets, net 135,896  135,338 
Total assets $ 4,506,650  $ 4,488,057 
LIABILITIES, REDEEMABLE NONCONTROLLING INTERESTS AND EQUITY
Liabilities:
Mortgage loans payable, net
$ 983,510  $ 982,071 
Lines of credit and term loan, net
549,632  688,534 
Accounts payable and accrued liabilities
273,702  258,324 
Identified intangible liabilities, net 2,618  3,001 
Financing obligations
34,364  34,870 
Operating lease liabilities
148,215  165,239 
Security deposits, prepaid rent and other liabilities
51,965  51,856 
Total liabilities 2,044,006  2,183,895 
Commitments and contingencies
Redeemable noncontrolling interests
—  220 
Equity:
Stockholders’ equity:
Preferred stock, $0.01 par value per share; 200,000,000 shares authorized; none issued and outstanding
—  — 
Common Stock, $0.01 par value per share; 700,000,000 shares authorized; 164,578,233 and 157,446,697 shares issued and outstanding as of June 30, 2025 and December 31, 2024, respectively
1,638  1,564 
Additional paid-in capital 3,957,653  3,720,268 
Accumulated deficit (1,536,301) (1,458,089)
Accumulated other comprehensive loss (1,993) (2,512)
Total stockholders’ equity 2,420,997  2,261,231 
Noncontrolling interests
41,647  42,711 
Total equity 2,462,644  2,303,942 
Total liabilities, redeemable noncontrolling interests and equity $ 4,506,650  $ 4,488,057 
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AMERICAN HEALTHCARE REIT, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS)
For the Three and Six Months Ended June 30, 2025 and 2024
(In thousands, except share and per share amounts) (Unaudited)
Three Months Ended June 30,
Six Months Ended June 30,
2025 2024 2025 2024
Revenues:
Resident fees and services $ 501,285  $ 458,013  $ 998,461  $ 910,131 
Real estate revenue 41,218  46,568  84,645  93,983 
Total revenues 542,503  504,581  1,083,106  1,004,114 
Expenses:
Property operating expenses 426,285  402,564  858,708  806,193 
Rental expenses 12,990  13,323  26,633  27,050 
General and administrative 14,943  11,746  28,098  23,574 
Business acquisition expenses (79) 15  1,758  2,797 
Depreciation and amortization 41,941  45,264  83,055  88,031 
Total expenses 496,080  472,912  998,252  947,645 
Other income (expense):
Interest expense:
Interest expense, net (22,632) (30,596) (45,577) (67,034)
(Loss) gain in fair value of derivative financial instruments (629) 388  (1,379) 6,805 
(Loss) gain on dispositions of real estate investments, net (2,676) (2) (3,035) 2,261 
Impairment of real estate investments (12,659) —  (34,365) — 
Loss from unconsolidated entities (1,238) (1,035) (3,086) (2,240)
Foreign currency gain (loss) 2,742  82  4,158  (344)
Other income, net 1,480  3,106  3,005  4,969 
Total net other expense (35,612) (28,057) (80,279) (55,583)
Income before income taxes 10,811  3,612  4,575  886 
Income tax expense (732) (686) (1,336) (964)
Net income (loss) 10,079  2,926  3,239  (78)
Net income attributable to noncontrolling interests (171) (947) (135) (1,835)
Net income (loss) attributable to controlling interest $ 9,908  $ 1,979  $ 3,104  $ (1,913)
Net income (loss) per share of Common Stock, Class T common stock and Class I common stock attributable to controlling interest:
Basic $ 0.06  $ 0.01  $ 0.02  $ (0.02)
Diluted $ 0.06  $ 0.01  $ 0.02  $ (0.02)
Weighted average number of shares of Common Stock, Class T common stock and Class I common stock outstanding:
Basic 160,499,581  130,532,144  158,721,080  117,413,643 
Diluted 161,143,556  130,689,889  159,318,503  117,413,643 
Net income (loss) $ 10,079  $ 2,926  $ 3,239  $ (78)
Other comprehensive income (loss):
Foreign currency translation adjustments 343  12  519  (31)
Total other comprehensive income (loss) 343  12  519  (31)
Comprehensive income (loss) 10,422  2,938  3,758  (109)
Comprehensive income attributable to noncontrolling interests (171) (947) (135) (1,835)
Comprehensive income (loss) attributable to controlling interest $ 10,251  $ 1,991  $ 3,623  $ (1,944)

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AMERICAN HEALTHCARE REIT, INC.
NAREIT FFO and Normalized FFO Reconciliation
For the Three and Six Months Ended June 30, 2025 and 2024
(In thousands, except share and per share amounts) (Unaudited)
Three Months Ended June 30,
Six Months Ended June 30,
2025 2024 2025 2024
Net income (loss) $ 10,079  $ 2,926  $ 3,239  $ (78)
Depreciation and amortization related to real estate — consolidated properties 41,850  45,226  82,865  87,955 
Depreciation and amortization related to real estate — unconsolidated entities 506  186  1,003  372 
Impairment of real estate investments — consolidated properties 12,659  —  34,365  — 
Loss (gain) on dispositions of real estate investments, net — consolidated properties 2,676  3,035  (2,261)
Net income attributable to noncontrolling interests (171) (947) (135) (1,835)
Depreciation, amortization, impairments and net gain/loss on dispositions — noncontrolling interests (803) (5,647) (1,695) (11,109)
NAREIT FFO attributable to controlling interest $ 66,796  $ 41,746  $ 122,677  $ 73,044 
Business acquisition expenses $ (79) $ 15  $ 1,758  $ 2,797 
Amortization of above- and below-market leases 355  419  768  845 
Amortization of closing costs — debt security investment 12  80  49  156 
Change in deferred rent (720) (556) (1,392) (1,145)
Non-cash impact of changes to equity instruments 3,190  2,765  5,741  4,700 
Capitalized interest (345) (71) (442) (205)
Loss on debt extinguishments 1,298  —  1,806  1,280 
Loss (gain) in fair value of derivative financial instruments 629  (388) 1,379  (6,805)
Foreign currency (gain) loss (2,742) (82) (4,158) 344 
Adjustments for unconsolidated entities (138) (248)
Adjustments for noncontrolling interests (22) (50) (72) 75 
Normalized FFO attributable to controlling interest
$ 68,377  $ 43,740  $ 128,119  $ 74,838 
NAREIT FFO and Normalized FFO weighted average common shares outstanding — diluted 161,143,556  130,689,889  159,318,503  117,413,643 
NAREIT FFO per common share attributable to controlling interest — diluted $ 0.41  $ 0.32  $ 0.77  $ 0.62 
Normalized FFO per common share attributable to controlling interest — diluted $ 0.42  $ 0.33  $ 0.80  $ 0.64 
Page | 9



AMERICAN HEALTHCARE REIT, INC.
Adjusted EBITDA Reconciliation
For the Three Months Ended June 30, 2025
(In thousands) (Unaudited)
Net income $ 10,079 
Interest expense, net (including amortization of deferred financing costs, debt discount/premium and loss on debt extinguishments) 22,632 
Income tax expense 732 
Depreciation and amortization (including amortization of leased assets and accretion of lease liabilities) 42,387 
EBITDA $ 75,830 
Loss from unconsolidated entities 1,238 
Straight line rent and amortization of above/below market leases (811)
Non-cash impact of changes to equity instruments 3,190 
Business acquisition expenses (79)
Loss on dispositions of real estate investments, net 2,676 
Amortization of closing costs — debt security investment 12 
Foreign currency gain (2,742)
Loss in fair value of derivative financial instruments 629 
Impairment of real estate investments 12,659 
Non-recurring one-time items 495 
Adjusted EBITDA $ 93,097 
Page | 10


AMERICAN HEALTHCARE REIT, INC.
NOI and Cash NOI Reconciliation
For the Three and Six Months Ended June 30, 2025 and 2024
(In thousands) (Unaudited)
Three Months Ended June 30,
Six Months Ended June 30,
2025 2024 2025 2024
Net income (loss) $ 10,079  $ 2,926  $ 3,239  $ (78)
General and administrative 14,943  11,746  28,098  23,574 
Business acquisition expenses (79) 15  1,758  2,797 
Depreciation and amortization 41,941  45,264  83,055  88,031 
Interest expense 22,632  30,596  45,577  67,034 
Loss (gain) in fair value of derivative financial instruments 629  (388) 1,379  (6,805)
Loss (gain) on dispositions of real estate investments, net 2,676  3,035  (2,261)
Impairment of real estate investments 12,659  —  34,365  — 
Loss from unconsolidated entities 1,238  1,035  3,086  2,240 
Foreign currency (gain) loss (2,742) (82) (4,158) 344 
Other income, net (1,480) (3,106) (3,005) (4,969)
Income tax expense 732  686  1,336  964 
Net operating income $ 103,228  $ 88,694  $ 197,765  $ 170,871 
Straight line rent (821) (748) (1,556) (1,880)
Facility rental expense 7,278  7,888  14,777  16,728 
Other non-cash adjustments 182  315  384  706 
Cash NOI from dispositions (393) —  (614) — 
Cash NOI attributable to noncontrolling interests (1)
(261) (247) (517) (477)
Cash NOI $ 109,213  $ 95,902  $ 210,239  $ 185,948 
____________
(1)All periods are based upon current quarter's ownership percentage.
Page | 11


AMERICAN HEALTHCARE REIT, INC.
Same-Store NOI Reconciliation
For the Three and Six Months Ended June 30, 2025 and 2024
(In thousands) (Unaudited)
Three Months Ended June 30,
Six Months Ended June 30,
2025 2024 2025 2024
ISHC
NOI $ 60,068  $ 45,308  $ 112,785  $ 87,288 
Facility rental expense 7,278  7,888  14,777  16,728 
Cash NOI from dispositions (198) —  (472) — 
Cash NOI (1)
$ 67,148  $ 53,196  $ 127,090  $ 104,016 
New acquisitions/dispositions/other (1)
(5,065) (224) (5,624) (1,505)
Non-Core Properties (1)
—  (497) (563) (950)
Same-Store NOI (1)
$ 62,083  $ 52,475  $ 120,903  $ 101,561 
Outpatient Medical
NOI $ 19,062  $ 21,011  $ 39,571  $ 41,989 
Straight line rent (259) (128) (432) (286)
Other non-cash adjustments (36) 82  (77) 246 
Cash NOI from dispositions (203) —  (205) — 
Cash NOI (2)
$ 18,564  $ 20,965  $ 38,857  $ 41,949 
Dispositions —  (694) —  (1,456)
Non-Core Properties (355) (2,318) (2,421) (4,670)
Same-Store NOI (2)
$ 18,209  $ 17,953  $ 36,436  $ 35,823 
SHOP
NOI $ 14,932  $ 10,141  $ 26,968  $ 16,650 
Cash NOI from dispositions —  63  — 
Cash NOI attributable to noncontrolling interests (2)
(70) (60) (137) (106)
Cash NOI $ 14,870  $ 10,081  $ 26,894  $ 16,544 
New acquisitions/dispositions (4,002) (1,358) (6,141) (1,332)
Development conversion 277  510  637  1,050 
Non-Core Properties (35) (34) (117) (34)
Other normalizing adjustments 202  —  325  838 
Same-Store NOI $ 11,312  $ 9,199  $ 21,598  $ 17,066 
Triple-Net Leased Properties
NOI $ 9,166  $ 12,234  $ 18,441  $ 24,944 
Straight line rent (562) (620) (1,124) (1,594)
Other non-cash adjustments 218  233  461  460 
Cash NOI attributable to noncontrolling interest (2)
(191) (187) (380) (371)
Cash NOI $ 8,631  $ 11,660  $ 17,398  $ 23,439 
Debt security investment (1,163) (2,039) (2,644) (4,120)
Dispositions —  (2,127) —  (4,291)
Non-Core Properties (161) (286) (304) (576)
Same-Store NOI $ 7,307  $ 7,208  $ 14,450  $ 14,452 
Page | 12


AMERICAN HEALTHCARE REIT, INC.
Same-Store NOI Reconciliation - (Continued)
For the Three and Six Months Ended June 30, 2025 and 2024
(In thousands) (Unaudited)
Three Months Ended June 30,
Six Months Ended June 30,
2025 2024 2025 2024
Total Portfolio
NOI $ 103,228  $ 88,694  $ 197,765  $ 170,871 
Straight line rent (821) (748) (1,556) (1,880)
Facility rental expense 7,278  7,888  14,777  16,728 
Other non-cash adjustments 182  315  384  706 
Cash NOI from dispositions (393) —  (614) — 
Cash NOI attributable to noncontrolling interests (2)
(261) (247) (517) (477)
Cash NOI (1)(2)
$ 109,213  $ 95,902  $ 210,239  $ 185,948 
Debt security investment (1,163) (2,039) (2,644) (4,120)
New acquisitions/dispositions/other (1)
(9,067) (4,403) (11,765) (8,584)
Development conversion 277  510  637  1,050 
Non-Core Properties (1)
(551) (3,135) (3,405) (6,230)
Other normalizing adjustments (1)
202  —  325  838 
Same-Store NOI (1)(2)
$ 98,911  $ 86,835  $ 193,387  $ 168,902 
____________
(1)Prior periods' information is presented to reflect the increase in ownership to 100% in the Company's ISHC segment effective September 2024.
(2)All periods are based upon current quarter's ownership percentage.
Page | 13


AMERICAN HEALTHCARE REIT, INC.
Same-Store Revenue Reconciliation
For the Three and Six Months Ended June 30, 2025 and 2024
(In thousands) (Unaudited)
Three Months Ended June 30,
Six Ended June 30,
2025 2024 2025 2024
ISHC
GAAP revenue $ 423,825  $ 393,774  $ 847,189  $ 786,896 
Cash revenue from dispositions (1,201) —  (2,681) — 
Cash revenue (1)
$ 422,624  $ 393,774  $ 844,508  $ 786,896 
Revenue attributable to new acquisitions/dispositions/other (1)
(99,681) (98,521) (198,253) (196,469)
Revenue attributable to Non-Core Properties (1)
—  (3,506) (3,855) (6,906)
Same-Store revenue (1)
$ 322,943  $ 291,747  $ 642,400  $ 583,521 
Outpatient Medical
GAAP revenue $ 31,254  $ 33,682  $ 64,448  $ 67,749 
Straight line rent (259) (128) (432) (286)
Other non-cash adjustments (350) (267) (674) (452)
Cash revenue from dispositions (460) —  (460) — 
Cash revenue (2)
$ 30,185  $ 33,287  $ 62,882  $ 67,011 
Revenue attributable to dispositions —  (986) —  (2,148)
Revenue attributable to Non-Core Properties (1,508) (4,222) (5,399) (8,426)
Same-Store revenue (2)
$ 28,677  $ 28,079  $ 57,483  $ 56,437 
SHOP
GAAP revenue $ 77,460  $ 64,239  $ 151,272  $ 123,235 
Cash revenue from dispositions —  —  (166) — 
Cash revenue attributable to noncontrolling interests (2)
(310) (291) (613) (567)
Cash revenue $ 77,150  $ 63,948  $ 150,493  $ 122,668 
Revenue attributable to new acquisitions/dispositions (20,765) (12,161) (38,692) (20,482)
Revenue attributable to development conversion (753) (415) (1,391) (685)
Revenue attributable to Non-Core Properties (580) (524) (1,169) (1,006)
Other normalizing revenue adjustments —  —  —  174 
Same-Store revenue $ 55,052  $ 50,848  $ 109,241  $ 100,669 
Triple-Net Leased Properties
GAAP revenue $ 9,964  $ 12,886  $ 20,197  $ 26,234 
Straight line rent (562) (620) (1,124) (1,594)
Other non-cash adjustments 199  212  424  422 
Cash revenue attributable to noncontrolling interest (2)
(191) (186) (381) (372)
Cash revenue $ 9,410  $ 12,292  $ 19,116  $ 24,690 
Debt security investment (1,163) (2,039) (2,644) (4,120)
Revenue attributable to dispositions —  (2,169) —  (4,338)
Revenue attributable to Non-Core Properties (183) (319) (365) (633)
Other normalizing revenue adjustments (261) —  (522) — 
Same-Store revenue $ 7,803  $ 7,765  $ 15,585  $ 15,599 
Page | 14


AMERICAN HEALTHCARE REIT, INC.
Same-Store Revenue Reconciliation - (Continued)
For the Three and Six Months Ended June 30, 2025 and 2024
(In thousands) (Unaudited)
Three Months Ended June 30,
Six Months Ended June 30,
2025 2024 2025 2024
Total Portfolio
GAAP revenue $ 542,503  $ 504,581  $ 1,083,106  $ 1,004,114 
Straight line rent (821) (748) (1,556) (1,880)
Other non-cash adjustments (151) (55) (250) (30)
Cash revenue from dispositions (1,661) —  (3,307) — 
Cash revenue attributable to noncontrolling interests (2)
(501) (477) (994) (939)
Cash revenue (1)
$ 539,369  $ 503,301  $ 1,076,999  $ 1,001,265 
Debt security investment (1,163) (2,039) (2,644) (4,120)
Revenue attributable to new acquisitions/dispositions/other (1)
(120,446) (113,837) (236,945) (223,437)
Revenue attributable to development conversion (753) (415) (1,391) (685)
Revenue attributable to Non-Core Properties (1)
(2,271) (8,571) (10,788) (16,971)
Other normalizing revenue adjustments (1)
(261) —  (522) 174 
Same-Store revenue (1)(2)
$ 414,475  $ 378,439  $ 824,709  $ 756,226 
____________
(1)Prior periods' information is presented to reflect the increase in ownership to 100% in the Company's ISHC segment effective September 2024.
(2)All periods are based upon current quarter's ownership percentage.
Page | 15


AMERICAN HEALTHCARE REIT, INC.
Earnings Guidance Reconciliation
For the Year Ending December 31, 2025
(Dollars and shares in millions, except per share amounts) (Unaudited)
Current Full Year 2025 Guidance Prior Full Year 2025 Guidance
Low High Low High
Net income attributable to common stockholders
$ 53.70 $ 60.50 $ 46.70 $ 56.10
Depreciation and amortization(1)
168.30 168.30 167.60 167.60
Impairment and gains/losses from dispositions 37.40 37.40 22.10 22.10
NAREIT FFO attributable to common stockholders $ 259.40 $ 266.20 $ 236.40 $ 245.80
Amortization of other intangible assets/liabilities(1)
$ 1.60 $ 1.60 $ 1.80 $ 1.80
Change in deferred rent(1)
(2.80) (2.80) (2.70) (2.70)
Non-cash impact of changes to equity plan(1)(2)
12.50 12.50 12.10 12.10
Other adjustments(3)
(0.40) (0.40) 3.00 3.00
Normalized FFO attributable to common stockholders $ 270.30 $ 277.10 $ 250.60 $ 260.00
Net income per common share — diluted
$ 0.33 $ 0.37 $ 0.29 $ 0.35
NAREIT FFO per common share — diluted
$ 1.57 $ 1.61 $ 1.49 $ 1.55
Normalized FFO per common share — diluted
$ 1.64 $ 1.68 $ 1.58 $ 1.64
NAREIT FFO and Normalized FFO weighted average shares — diluted
165.0 165.0 158.5 158.5
Total Portfolio Same-Store NOI growth 11.0 % 14.0 % 9.0 % 13.0 %
Segment-Level Same-Store NOI growth / (decline):
ISHC 15.0 % 19.0 % 12.0 % 16.0 %
Outpatient Medical
1.0 % 1.5 % (1.0 %) 1.0 %
SHOP 20.0 % 24.0 % 20.0 % 24.0 %
Triple-Net Leased Properties (0.8 %) (0.3 %) (1.5 %) (0.5 %)
____________
(1)Amounts presented net of noncontrolling interests' share and AHR's share of unconsolidated entities.
(2)Amounts represent amortization of equity compensation and fair value adjustments to performance-based equity compensation.
(3)Includes adjustments for capitalized interest, business acquisition expenses and additional items as noted in the Company’s definition of NFFO.


Page | 16


Definitions
Adjusted EBITDA: EBITDA excluding the impact of gain or loss from unconsolidated entities, straight line rent and amortization of above/below market leases, non-cash stock-based compensation expense, business acquisition expenses, gain or loss on sales of real estate investments, 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.
Annualized Adjusted EBITDA: Current period (shown as quarterly) Adjusted EBITDA multiplied by 4.
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.
EBITDA: A Non-GAAP financial measure that is defined as earnings before interest, taxes, depreciation and amortization.
GAAP revenue: Revenue recognized in accordance with Generally Accepted Accounting Principles (“GAAP”), which includes straight line rent and other non-cash adjustments.
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.
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.
Net Debt: Total long-term 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, business acquisition expenses, 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 projected to be sold.
Normalized FFO or NFFO: FFO further adjusted for the following items included in the determination of GAAP net income (loss): expensed acquisition fees and costs, which we refer to as business acquisition expenses; 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.
Page | 17


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. Occupancy metrics are reflected at our Pro-Rata share.
Outpatient Medical or OM: Outpatient Medical buildings.
Pro-Rata: For the quarter ended June 30, 2025, we owned and/or operated eight buildings through entities of which we owned between 90.0% and 98.0% 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 cash flows 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.
RevPOR: Revenue per occupied room. RevPOR is calculated as total revenue generated by occupied rooms divided by the number of occupied rooms.
RIDEA: Used to describe properties within the portfolio that utilize the RIDEA structure as described in “RIDEA structure”.
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.
Same-Store or SS: 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 or SS 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.
SHOP: Senior housing operating properties.
Square Feet or Sq. Ft.: Net rentable square feet calculated utilizing Building Owners and Managers Association measurement standards.
Page | 18


Total Debt: The principal balances of the Company’s revolving credit facility, term loan and secured indebtedness as reported in the Company’s consolidated financial statements.
Trilogy: Trilogy Investors, LLC; one of our consolidated subsidiaries, in which we indirectly owned a 100% interest as of June 30, 2025.
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.
Page | 19
EX-99.2 3 exhibit992q22025suppleme.htm EX-99.2 exhibit992q22025suppleme
Second Quarter 2025 Supplemental Exhibit 99.2


 
2 Forward-Looking Statements Certain statements contained in this supplemental, filed in conjunction with the Second Quarter 2025 Earnings Press Release, including statements relating to American Healthcare REIT, Inc.'s (the "Company") expectations regarding its performance, interest expense savings, balance sheet, net income or loss per diluted share, NAREIT FFO per diluted share, NFFO per diluted share, NOI growth, total portfolio Same-Store NOI growth, segment-level Same-Store NOI growth or decline, occupancy, revenue growth, margin expansion, purchases and sales of assets, development plans, and plans for Trilogy 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, and 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 statements contained in this Supplemental. Disclaimers


 
3 Non-GAAP Financial Measures The Company’s reported results are presented in accordance with GAAP. The Company also discloses the following non-GAAP financial measures: EBITDA, Adjusted EBITDA, Net Debt-to-Annualized Adjusted EBITDA, NAREIT FFO, NFFO, NOI and Same-Store NOI. The Company believes these non-GAAP financial measures are useful supplemental measures of its operating performance and used by investors and analysts to compare the operating performance of the Company between periods and to other REITs or companies on a consistent basis without having to account for differences caused by unanticipated and/or incalculable items. Definitions of the non-GAAP financial measures used herein and reconciliations to the most directly comparable financial measure calculated in accordance with GAAP can be found at the end of this Supplemental. See below 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. Finally, EBITDA and Adjusted EBITDA may not be comparable to similarly entitled items reported by other REITs or other companies. In addition, management uses Net Debt-to-Annualized Adjusted EBITDA as a measure of our ability to service our debt. 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 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. Disclaimers


 
4 Overview & Financial Highlights (as of 6/30/2025) (dollars in thousands, except per share) Portfolio Overview Pro-Rata (3)(4) Consolidated (4) Campuses / Properties Beds/Units (1) Leased % (2) Wtd Avg Lease Term (years) Annualized Cash NOI Annualized Cash NOI Integrated Senior Health Campuses (ISHC) 124 12,657 88.8% — $ 268,592 61.5% $ 268,592 61.3% Outpatient Medical (OM) 78 3,952 86.1% 4.9 74,256 17.0% 74,256 17.0% Senior Housing Operating Properties (SHOP) 70 5,679 85.7% — 59,480 13.6% 59,760 13.6% Triple-Net Leased Properties 19 1,498 100.0% 13.3 29,872 6.8% 30,632 7.0% Debt Security Investment — — — — 4,652 1.1% 4,652 1.1% Total 291 6.8 $ 436,852 100.0% $ 437,892 100.0% CONSOLIDATED ANNUALIZED CASH NOI Debt Security Investment 1.1% OM 17.0% SHOP 13.6% ISHC 61.3% Triple-Net Leased Properties 7.0% (1) Outpatient Medical represents GLA in thousands, rather than Beds/Units. (2) ISHC and SHOP occupancies are quarterly averages, while OM and Triple-Net Leased Properties are quarter-end spot occupancies. (3) Represents all properties at Pro-Rata ownership based upon current quarter's ownership percentage. (4) See reconciliations in the appendix of this presentation. 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. Earnings Highlights (4) Q2 2024 Q2 2025 % Change YTD 6/30/2024 YTD 6/30/2025 % Change NAREIT FFO per share - diluted $ 0.32 $ 0.41 28.1 % $0.62 $0.77 24.2 % Normalized FFO per share - diluted $ 0.33 $ 0.42 27.3 % $0.64 $0.80 25.0 % Same-Store NOI Performance (3)(4) Campuses / Properties Q2 2024 Q2 2025 % Change YTD 6/30/2024 YTD 6/30/2025 % Change ISHC 116 $ 52,475 $ 62,083 18.3% $ 101,561 $ 120,903 19.0% OM 67 17,953 18,209 1.4% 35,823 36,436 1.7% SHOP 47 9,199 11,312 23.0% 17,066 21,598 26.6% Triple-Net Leased Properties 17 7,208 7,307 1.4% 14,452 14,450 —% Total 247 $ 86,835 $ 98,911 13.9 % $168,902 $193,387 14.5 %


 
5 Integrated Senior Health Campuses (ISHC) (1) Prior periods' information is presented to reflect the increase in ownership to 100% in the Company's ISHC segment effective September 2024. (2) See reconciliations in the appendix of this presentation. (3) Controllable expenses include utilities, food, repairs and maintenance, and other operating expenses. (4) Non-Controllable expenses include property taxes and insurance. Total Portfolio (1) Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 YTD 6/30/24 YTD 6/30/25 Campuses 126 127 126 125 124 — — IL/AL/MC units 5,560 5,584 5,565 5,530 5,431 5,560 5,431 SNF beds 7,431 7,436 7,355 7,310 7,226 7,431 7,226 Consolidated total beds/units 12,991 13,020 12,920 12,840 12,657 12,991 12,657 Average occupancy 86.0% 86.9% 87.5% 88.5% 88.8% 85.8% 88.6% Cash Revenue (2) $ 393,774 $ 409,626 $ 421,516 $ 421,884 $ 422,624 $ 786,896 $ 844,508 Operating expenses 340,578 353,608 360,629 361,942 355,476 682,880 717,418 Cash NOI (2) $ 53,196 $ 56,018 $ 60,887 $ 59,942 $ 67,148 $ 104,016 $ 127,090 Cash NOI margin % 13.5% 13.7% 14.4% 14.2% 15.9% 13.2% 15.0% Maintenance Capex $ 3,371 $ 3,769 $ 4,569 $ 4,109 $ 3,711 $ 6,411 $ 7,820 Same-Store (1) Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 Q2 2025 vs Q2 2024 YTD 6/30/24 YTD 6/30/25 YTD 2025 vs YTD 2024 Campuses 116 116 116 116 116 116 116 Consolidated beds/units 11,928 11,944 11,940 11,942 11,936 11,928 11,936 Average occupancy 86.7% 87.4% 87.8% 88.8% 88.9% 219 bps 86.6% 88.9% 227 bps Same-Store revenue (2) $ 291,747 $ 299,030 $ 312,432 $ 319,457 $ 322,943 10.7% $ 583,521 $ 642,400 10.1% Same-Store operating expenses 239,272 246,983 256,019 260,637 260,860 9.0% 481,960 521,497 8.2% Compensation 153,261 157,092 165,918 162,590 165,088 7.7% 307,115 327,678 6.7% Controllable (3) 77,521 80,481 81,343 87,657 85,216 9.9% 157,601 172,873 9.7% Non-Controllable (4) 8,490 9,410 8,758 10,390 10,556 24.3% 17,244 20,946 21.5% Same-Store NOI (2) $ 52,475 $ 52,047 $ 56,413 $ 58,820 $ 62,083 18.3% $ 101,561 $ 120,903 19.0% Same-Store NOI margin % 18.0% 17.4% 18.1% 18.4% 19.2% 124 bps 17.4% 18.8% 142 bps (dollars in thousands)


 
6 ISHC Revenue per Payor and Bed Type Average Daily Rate % of Resident Days % of Revenue Q2 2024 Q2 2025 % change Q2 2024 Q2 2025 Q2 2024 Q2 2025 Private $ 380.37 $ 404.32 6.3 % 12.0 % 11.2 % 14.1 % 12.9 % Managed Care/Insurance $ 409.33 $ 431.79 5.5 % 0.4 % 0.3 % 0.5 % 0.4 % Medicaid $ 291.68 $ 319.39 9.5 % 23.1 % 22.1 % 20.8 % 20.3 % Hospice Medicaid $ 290.11 $ 314.36 8.4 % 3.1 % 3.3 % 2.8 % 3.0 % Medicare $ 644.11 $ 687.60 6.8 % 11.7 % 11.7 % 23.0 % 22.9 % Medicare Advantage $ 525.75 $ 572.21 8.8 % 5.8 % 7.2 % 9.4 % 11.9 % Total Skilled Nursing $ 408.87 $ 446.46 9.2 % 56.1 % 55.8 % 70.6 % 71.4 % Total Senior Housing $ 186.39 $ 194.80 4.5 % 43.9 % 44.2 % 25.2 % 24.7 % Ancillary revenue $ 13.74 $ 13.66 (0.6) % 0.0 % 0.0 % 4.2 % 3.9 % Total, including ancillary revenue $ 322.28 $ 347.31 7.8 % 100.0 % 100.0 % 100.0 % 100.0 % Quality Mix 73.8 % 74.6 % 76.4 % 76.7 %


 
7 Outpatient Medical (1) See reconciliations in the appendix of this presentation. Total Portfolio Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 YTD 6/30/24 YTD 6/30/25 Properties 83 83 81 81 78 — — Consolidated GLA (sq ft) 4,400 4,400 4,262 4,260 3,952 4,400 3,952 Ending occupancy 88.5% 88.1% 87.9% 87.4% 86.1% 88.5% 86.1% Cash revenue (1) $ 33,287 $ 33,305 $ 32,439 $ 32,697 $ 30,185 $ 67,011 $ 62,882 Operating expenses 12,322 12,300 12,115 12,404 11,621 25,062 24,025 Cash NOI (1) $ 20,965 $ 21,005 $ 20,324 $ 20,293 $ 18,564 $ 41,949 $ 38,857 Cash NOI margin % 63.0% 63.1% 62.7% 62.1% 61.5% 62.6% 61.8% Revenue per square foot $ 30.26 $ 30.28 $ 30.44 $ 30.70 $ 30.55 $ 30.46 $ 31.82 Cash NOI per square foot $ 19.06 $ 19.10 $ 19.07 $ 19.05 $ 18.79 $ 19.07 $ 19.66 Maintenance Capex $ 3,612 $ 2,962 $ 3,724 $ 7,355 $ 2,904 $ 5,333 $ 10,259 Same-Store Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 Q2 2025 vs Q2 2024 YTD 6/30/24 YTD 6/30/25 YTD 2025 vs YTD 2024 Properties 67 67 67 67 67 67 67 Consolidated GLA (sq ft) 3,493 3,493 3,493 3,490 3,493 3,493 3,493 Ending occupancy 91.9 % 92.1 % 92.3 % 92.2 % 91.7 % (18) bps 91.9 % 91.7 % (18) bps Same-Store revenue (1) $ 28,079 $ 28,327 $ 28,529 $ 28,806 $ 28,677 2.1% $ 56,437 $ 57,483 1.9% Same-Store operating expenses 10,126 10,269 10,365 10,579 10,468 3.4% 20,614 21,047 2.1% Same-Store NOI (1) $ 17,953 $ 18,058 $ 18,164 $ 18,227 $ 18,209 1.4% $ 35,823 $ 36,436 1.7% Same-Store NOI margin % 63.9 % 63.7 % 63.7 % 63.3 % 63.5 % (44) bps 63.5 % 63.4 % (9) bps Same-Store revenue per square foot $ 32.15 $ 32.44 $ 32.67 $ 33.02 $ 32.84 $ 32.31 $ 32.91 Same-Store NOI per square foot $ 20.56 $ 20.68 $ 20.80 $ 20.89 $ 20.85 $ 20.51 $ 20.86 (dollars and square feet in thousands, except revenue per square foot and NOI per square foot)


 
8 Outpatient Medical (as of 6/30/2025) Tenants ABR % S&P Credit Rating Christus Good Shepherd Health System $ 7,793 8.8% A Prime Healthcare 3,684 4.2% B- Montefiore Medical Center 2,464 2.8% BBB- Atrius Health, Inc. 2,249 2.6% BBB Cullman Regional Medical Center 1,939 2.2% — Remaining Portfolio 69,952 79.4% Total $ 88,081 100.0% Square Feet % On-Campus/Adjacent 1,821 46.1% Off-Campus Affiliated 1,149 29.1% Unaffiliated 981 24.8% Total 3,952 100.0% OM Absorption Occupied Square Feet as of December 31, 2024 3,747 Expirations (396) Renewals 335 New leases 27 Terminations (28) Adjustment/remeasurement — Dispositions (285) Occupied Square Feet as of June 30, 2025 3,400 Trailing 12-months Retention 81.2% (dollars and square feet in thousands)


 
9 (1) Includes future leases signed, but not commenced. (2) Indicates total ABR expiring in the applicable year. Expiring Leases (1) Year # of Expiring Leases Total Sq. Ft. % of GLA ABR (2) % of Total ABR Average Rent per Sq. Ft. 2025 55 249 7.4% $ 6,512 6.6% $ 26.15 2026 51 214 6.3% 4,930 5.0% 23.04 2027 60 441 13.0% 12,113 12.2% 27.47 2028 58 525 15.4% 15,580 15.7% 29.68 2029 63 524 15.4% 14,875 15.0% 28.39 Thereafter 156 1,450 42.5% 45,343 45.5% 31.27 Total 443 3,403 100.0% $ 99,353 100.0% $ 29.20 (dollars and square feet in thousands, except average rent per square foot) Outpatient Medical (as of 6/30/2025)


 
10 Senior Housing Operating Properties (SHOP) (1) See reconciliations in the appendix of this presentation. (2) Controllable expenses include utilities, food, repairs and maintenance, and other operating expenses. (3) Non-Controllable expenses include property taxes and insurance. Total Portfolio Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 YTD 6/30/24 YTD 6/30/25 Properties 64 69 70 69 70 — — IL/AL/MC units 5,076 5,353 5,465 5,391 5,578 5,076 5,578 SNF beds 95 95 100 100 101 95 101 Consolidated total beds/units 5,171 5,448 5,565 5,491 5,679 5,171 5,679 Average occupancy 84.0 % 85.2 % 86.0 % 85.5 % 85.7 % 83.2 % 85.6 % Cash revenue (1) $ 63,948 $ 66,912 $ 73,239 $ 73,343 $ 77,150 $ 122,668 $ 150,493 Operating expenses 53,867 55,683 60,644 61,319 62,280 106,124 123,599 Cash NOI (1) $ 10,081 $ 11,229 $ 12,595 $ 12,024 $ 14,870 $ 16,544 $ 26,894 Cash NOI margin % 15.8 % 16.8 % 17.2 % 16.4 % 19.3 % 13.5 % 17.9 % RevPOR $ 4,934 $ 5,006 $ 5,136 $ 5,246 $ 5,347 $ 4,867 $ 5,296 Maintenance Capex $ 3,496 $ 4,485 $ 4,393 $ 2,814 $ 3,489 $ 4,285 $ 6,303 Same-Store Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 Q2 2025 vs Q2 2024 YTD 6/30/24 YTD 6/30/25 YTD 2025 vs YTD 2024 Properties 47 47 47 47 47 47 47 Consolidated beds/units 4,082 4,081 4,108 4,122 4,122 4,082 4,122 Average occupancy 85.9% 87.1% 87.6% 86.6% 86.6% 67 bps 84.9% 86.6% 168 bps Same-Store revenue (1) $ 50,848 $ 52,033 $ 53,158 $ 54,189 $ 55,052 8.3% $ 100,669 $ 109,241 8.5% Same-Store operating expenses 41,649 42,540 43,324 43,903 43,740 5.0% 83,603 87,643 4.8% Compensation 25,060 25,136 25,662 25,447 25,756 2.8% 50,019 51,203 2.4% Controllable (2) 13,649 14,649 15,020 15,632 15,304 12.1% 27,801 30,936 11.3% Non-Controllable (3) 2,940 2,755 2,642 2,824 2,680 (8.8) % 5,783 5,504 (4.8) % Same-Store NOI (1) $ 9,199 $ 9,493 $ 9,834 $ 10,286 $ 11,312 23.0% $ 17,066 $ 21,598 26.6% Same-Store NOI margin % 18.1 % 18.2 % 18.5 % 19.0 % 20.5 % 246 bps 17.0 % 19.8 % 282 bps RevPOR $ 4,869 $ 4,924 $ 4,966 $ 5,112 $ 5,189 6.6% $ 4,846 $ 5,149 6.2% (dollars in thousands, except RevPOR, and Pro-Rata)


 
11 ISHC & SHOP Partners (as of 6/30/2025) Partner/Operator State Number of Properties/Campuses Pro-Rata Share Beds/Units Consolidated Beds/ Units Trilogy Management Services KY,IN,MI,OH,WI 126 12,867 12,867 Senior Solutions Management Group AR,MS,TX,LA,MO,GA 20 1,652 1,685 Priority Life Care IN, MI 11 914 914 Compass Senior Living OR, WA 15 907 907 Cogir Senior Living NC,CA,UT,WA 14 904 904 Heritage Senior Living PA,VA 6 839 839 Heritage Communities NE 2 220 220 Total 194 18,303 18,336


 
12 Triple-Net Leased Properties (1) Facilities are 100% triple-net leased, and operators' occupancies excludes hospitals. (2) See reconciliations in the appendix of this presentation. (3) Includes currency adjustment for UK properties at 6/30/2025 YTD average GBP/USD rate of 1.30. Total Portfolio Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 YTD 6/30/24 YTD 6/30/25 Properties 27 27 19 19 19 — — AL/MC beds/units 538 538 538 538 538 538 538 SNF beds 2,061 2,061 956 960 960 2,061 960 Consolidated total beds/units 2,599 2,599 1,494 1,498 1,498 2,599 1,498 Average operator occupancy (1) 91.7% 91.4% 89.2% 89.0% 89.3% 91.3% 89.2% Cash revenue (2) $ 10,253 $ 10,305 $ 8,096 $ 8,225 $ 8,247 $ 20,570 $ 16,472 Debt security investment 2,039 2,453 2,117 1,481 1,163 4,120 2,644 Operating expenses 632 482 541 939 779 1,251 1,718 Cash NOI (2) $ 11,660 $ 12,276 $ 9,672 $ 8,767 $ 8,631 $ 23,439 $ 17,398 Cash NOI margin % 94.9% 96.2% 94.7% 90.3% 91.7% 94.9% 91.0% Same-Store Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 Q2 2025 vs Q2 2024 YTD 6/30/24 YTD 6/30/25 YTD 2025 vs YTD 2024 Properties 17 17 17 17 17 17 17 Consolidated beds/units 1,360 1,360 1,360 1,364 1,364 1,360 1,364 Average operator occupancy (1) 88.0 % 88.0 % 89.0 % 89.0 % 88.9 % 90 bps 87.6 % 88.9 % 128 bps Same-Store revenue (2) $ 7,765 $ 7,815 $ 7,823 $ 7,782 $ 7,803 0.5 % $ 15,599 $ 15,585 (0.1) % Same-Store operating expenses 557 451 516 639 496 (11.0) % 1,147 1,135 (1.0) % Same-Store NOI (2) $ 7,208 $ 7,364 $ 7,307 $ 7,143 $ 7,307 1.4% $ 14,452 $ 14,450 0.0% Same-Store NOI margin % 92.8 % 94.2 % 93.4 % 91.8 % 93.6 % 82 bps 92.6 % 92.7 % 7 bps Same-Store NOI (Constant Currency) (3) $ 7,242 $ 7,360 $ 7,324 $ 7,181 $ 7,269 0.4% $ 14,516 $ 14,450 (0.5) % (dollars in thousands and Pro-Rata)


 
13 Triple-Net Leased Properties Rent Payment Coverage Stratification (1) Represents trailing twelve month coverage metrics as of March 31, 2025. Percentages are based on Pro-Rata Cash NOI for the three months ended June 30, 2025. (2) Represents combined coverage metrics for all leases within each property type and total segment. Contribution to Pro-Rata Cash NOI at each Coverage Stratification for Q2 2025 (1) Tenant EBITDAR Coverage Tenant EBITDARM Coverage Coverage Senior Housing- Leased SNFs Hospital Total Weighted Average Maturity (years) Number of Leases Senior Housing- Leased SNFs Hospital Total Weighted Average Maturity (years) Number of Leases < 0.80x — — 1.7 % 1.7 % 11.9 1 — — 1.7 % 1.7 % 11.9 1 0.80x - 0.89x — — — — — — — — — — — — 0.90x - 0.99x 0.6 % — — 0.6 % 6.9 1 — — — — — — 1.00x - 1.09x — — — — — — — — — — — — 1.10x - 1.19x — 0.1 % — 0.1 % 8.8 1 0.6 % — — 0.6 % 6.9 1 1.20x - 1.29x 1.2 % — — 1.2 % 25.2 1 — — — — — — 1.30x - 1.39x — — — — — — — — — — — — 1.40x - 1.49x — 1.7 % — 1.7 % 16.0 1 — — — — — — 1.50x - 1.59x — — — — — — 1.2 % — — 1.2 % 25.2 1 1.60x - 1.69x — — — — — — — — — — — — 1.70x - 1.79x — — — — — — — 0.1 % — 0.1 % 8.8 1 1.80x - 1.89x — — — — — — — — — — — — 1.90x - 1.99x — 1.2 % — 1.2 % 5.3 1 — 1.7 % — 1.7 % 16.0 1 > 2.00x — — 0.3 % 0.3 % 8.4 1 — 1.2 % 0.3 % 1.5 % 5.9 2 Total 1.8 % 3.0 % 2.0 % 6.8 % 13.3 7 1.8 % 3.0 % 2.0 % 6.8 % 13.3 7 Segment Rent Coverage (2) 1.16x 1.65x 1.75x 1.56x 1.40x 2.12x 1.99x 1.90x Tenant Occupancy 87.2 % 90.5 % N/A 89.3 % 87.2 % 90.5 % N/A 89.3 %


 
14 Revenue and Lease Expiration(1) (as of 6/30/2025) (1) Excludes ISHC and SHOP. (2) Total ABR expiring in the applicable year. Month-to-month leases are included as expirations in 2025. (3) Represents total interest income from debt security investment. ABR of Expiring Leases (2) as % of Total ABR Year OM Triple-Net Leased Properties Interest Income (3) Total 2025 $ 6,512 6.6% $ — 0.0% $ — 0.0% $ 6,512 4.6% 2026 4,930 5.0% — 0.0% — 0.0% 4,930 3.5% 2027 12,113 12.2% — 0.0% — 0.0% 12,113 8.6% 2028 15,580 15.7% — 0.0% 4,013 100.0% 19,593 13.9% 2029 14,875 15.0% — 0.0% — 0.0% 14,875 10.6% Thereafter 45,343 45.5% 37,107 100.0% — 0.0% 82,450 58.8% Total $ 99,353 100.0% $ 37,107 100.0% $ 4,013 100.0% $ 140,473 100.0% (dollars in thousands)


 
15 (1) Debt maturing after 2029 has a weighted average maturity date of March 2052 (27 Years). (2) Interest rates reflect two in-place swap derivatives for $275 million each, which mature on January 19, 2026 with strikes at 4.41% and 3.74%. The Company has two additional interest rate swap derivatives for $350 million and $200 million with strikes at 3.51% and 3.52%, respectively, which will be effective on January 20, 2026 and mature on January 19, 2027. (3) Does not include interest rate impact from mortgage insurance premiums and equipment financing. Debt Maturities and Principal Payments (as of 6/30/2025) Period Line of Credit and Term Loan Mortgage Loans Payable Noncontrolling Interest's Share of Mortgage Loans Payable Combined Pro-Rata Debt % of Combined Pro-Rata Debt Weighted Average Interest Rate (2)(3) 2025 $ — $ 17,392 $ (136) $ 17,256 1.1% 3.64 % 2026 — 160,094 (8,077) 152,017 9.8% 3.06 % 2027 550,000 56,611 — 606,611 39.2% 5.25 % 2028 — 139,963 — 139,963 9.1% 4.40 % 2029 — 16,963 — 16,963 1.1% 3.36 % Thereafter (1) — 612,993 — 612,993 39.7% 3.79 % Total $ 550,000 $ 1,004,016 $ (8,213) $ 1,545,803 100.0% Weighted Interest Rate (2)(3) 5.43% 3.73% 2.64% 4.34% Weighted average maturity (years) 1.6 18.8 0.9 12.8 Percentage of variable-rate debt —% —% —% —% (dollars in thousands)


 
16 Year-to-Date 2025 Real Estate Acquisitions and Dispositions Acquisitions Reportable Segment Number of Properties/ Campuses Beds/Units Gross Purchase Price Average Cost per Bed/Unit Integrated Senior Health Campuses - Lease buyout 1 131 $16,087 $123 SHOP 1 187 $65,000 $348 Dispositions Reportable Segment Number of Properties/ Campuses Beds/Units/GLA (1) Gross Proceeds SHOP 1 88 $3,250 Outpatient Medical 3 311 $24,179 Integrated Senior Health Campuses 2 270 $16,000 (dollars and square feet in thousands) (1) Outpatient Medical represents Square Feet GLA in thousands.


 
17 Real Estate Development & Expansions 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 $9,912 $22,854 Q3 2024 Q3 2026 Sylvania OH ISHC IL Villas 26 5,435 8,175 Q3 2024 Q4 2025 Harrodsburg KY ISHC IL Villas 32 4,889 9,951 Q3 2024 Q4 2025 Greenfield IN ISHC IL Villas 16 800 3,752 Q4 2024 Q1 2026 Ottawa OH ISHC IL Villas 30 2,143 8,569 Q1 2025 Q4 2025 Mooresville IN ISHC Wing Expansion 27 649 4,463 Q1 2025 Q1 2026 Total 239 $23,828 $57,764 Recently Completed Projects(1) Project Name State Segment Type of Project Units/Beds Spent To Date Construction Completion Waterford Place IN ISHC IL Villas 22 $6,577 Q3 2024 Oak Ridge IN ISHC IL Villas 10 3,301 Q3 2024 Total 32 $9,878 (dollars in thousands) (1) Includes projects that have been completed in the last twelve months. Certain projects that have been completed more than twelve months ago may not yet be stabilized.


 
18 (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, business acquisition expenses and additional items as noted in the Company’s definition for NFFO. 2025 Guidance(1) NAREIT FFO and NFFO Attributable to Common Stockholders FY 2025 Total Portfolio Same-Store NOI Growth Guidance • 11.0% - 14.0% FY 2025 Segment-Level Same-Store NOI Growth / (Decline) Guidance • ISHC: 15.0% - 19.0% • Outpatient Medical: 1.0% - 1.5% • SHOP: 20.0% - 24.0% • Triple-Net Leased Properties: (0.8%) - (0.3%) 2025 Guidance - Revised FY 2025 FY 2025 - per diluted share Low High Low High Net income attributable to common stockholders $ 53.70 $ 60.50 $ 0.33 $ 0.37 Depreciation and amortization (2) 168.30 168.30 1.02 1.02 Impairment and gains/losses from dispositions 37.40 37.40 0.23 0.23 NAREIT FFO attributable to common stockholders $ 259.40 $ 266.20 $ 1.57 $ 1.61 Amortization of other intangible assets/liabilities (2) 1.60 1.60 0.01 0.01 Change in deferred rent (2) (2.80) (2.80) (0.02) (0.02) Non-cash impact of changes to equity plan (2)(3) 12.50 12.50 0.08 0.08 Other adjustments (4) (0.40) (0.40) 0.00 0.00 Normalized FFO attributable to common stockholders $ 270.30 $ 277.10 $ 1.64 $ 1.68 Weighted average diluted shares (in millions) 165.0 165.0 (dollars in millions, except per share) Other FY 2025 Guidance Assumptions • General and administrative expenses of $56 million to $58 million • Interest expense of $85 million to $90 million • Other income of $2 million to $4 million • Expect to spend $80 million to $100 million for new development starts and on- going development projects • Closed ~$250 million of new investments as of August 7, 2025.


 
19 Components of NAV(1) (1) Dollars, square feet and beds/units are presented on a consolidated basis as of June 30, 2025. (2) Cash NOI is adjusted to exclude non-recurring items for the three months ended June 30, 2025. (3) Excludes interest income from debt security investment. (4) Weighted average interest rates reflect in-place swap derivatives. Segment # of Properties/ Campuses Square Feet Total Beds/ Units Q2 2025 Cash NOI (2) Q2 2025 Ann. Cash NOI (2) ISHC 124 9,142 12,657 $ 67,148 $ 268,592 Outpatient Medical 73 3,825 18,241 72,964 SHOP - Grouped by Avg Occupancy >80% 53 3,876 4,286 14,255 57,020 60%-80% 16 1,178 1,353 1,098 4,392 <60% 1 40 40 (200) (800) Triple-Net Leased Properties (3) 17 961 1,364 7,497 29,988 Total 284 19,022 19,700 $ 108,039 $ 432,156 Obligations (Outstanding principal balance as of 6/30/25) Pro-Rata Consolidated Weighted Avg. Interest Rate Mortgage Debt $ 995,803 $ 1,004,016 3.73% Revolving LOC — — 5.69% Term Loan (4) 550,000 550,000 5.43% Total Debt $ 1,545,803 $ 1,554,016 Cash, cash equivalents and restricted cash pertaining to debt (169,063) (169,188) Net Debt $ 1,376,740 $ 1,384,828 Other tangible liabilities, net: Accounts payable and accrued liabilities 273,544 273,624 Other 50,155 50,166 Total other tangible liabilities, net 323,699 323,790 Financing 34,254 34,254 Lease obligations 148,215 148,215 Net obligations $ 1,882,908 $ 1,891,087 Other Assets Debt security investment, gross $ 91,733 $ 91,733 Other tangible assets: Accounts receivable 224,066 224,072 Capital expenditures 41,933 41,940 Inventory 19,428 19,428 Other 40,294 40,311 Total other tangible assets 325,721 325,751 Sold assets/assets expected to be sold 20,125 20,125 Total other assets $ 437,579 $ 437,609 Common Shares and OP Units Issued and Outstanding Total Common Shares 164,578,233 164,578,233 Total OP units 2,004,216 2,004,216 Total Common Shares and OP Units 166,582,449 166,582,449 (dollars and square feet in thousands)


 
20 Second Quarter 2025 Supplemental Appendix Non-GAAP Reconciliations and Defined Terms


 
21 FFO / NFFO Reconciliation(1) (in thousands, except share and per share amounts) Q2 2025 Q2 2024 YTD 6/30/2025 YTD 6/30/2024 Net income (loss) $ 10,079 $ 2,926 $ 3,239 $ (78) Depreciation and amortization related to real estate — consolidated properties 41,850 45,226 82,865 87,955 Depreciation and amortization related to real estate — unconsolidated entities 506 186 1,003 372 Impairment of real estate investments — consolidated properties 12,659 — 34,365 — Loss (gain) on dispositions of real estate investments, net — consolidated properties 2,676 2 3,035 (2,261) Net income attributable to noncontrolling interests (171) (947) (135) (1,835) Depreciation, amortization, impairments and net gain/loss on dispositions — noncontrolling interests (803) (5,647) (1,695) (11,109) NAREIT FFO attributable to controlling interest $ 66,796 $ 41,746 $ 122,677 $ 73,044 Business acquisition expenses (79) 15 1,758 2,797 Amortization of above- and below-market leases 355 419 768 845 Amortization of closing costs — debt security investment 12 80 49 156 Change in deferred rent (720) (556) (1,392) (1,145) Non-cash impact of changes to equity instruments 3,190 2,765 5,741 4,700 Capitalized interest (345) (71) (442) (205) Loss on debt extinguishments 1,298 — 1,806 1,280 Loss (gain) in fair value of derivative financial instruments 629 (388) 1,379 (6,805) Foreign currency (gain) loss (2,742) (82) (4,158) 344 Adjustments for unconsolidated entities 5 (138) 5 (248) Adjustments for noncontrolling interests (22) (50) (72) 75 Normalized FFO attributable to controlling interest $ 68,377 $ 43,740 $ 128,119 $ 74,838 NAREIT FFO and Normalized FFO weighted average common shares outstanding — diluted 161,143,556 130,689,889 159,318,503 117,413,643 NAREIT FFO per common share attributable to controlling interest — diluted $ 0.41 $ 0.32 $ 0.77 $ 0.62 Normalized FFO per common share attributable to controlling interest — diluted $ 0.42 $ 0.33 $ 0.80 $ 0.64 Distributions paid in cash $ 39,877 $ 32,998 $ 79,425 $ 49,594 (1) Totals may not add due to rounding.


 
22 Q2 2025 Net income $ 10,079 Adjustments: Interest expense, net (including amortization of deferred financing costs, debt discount/ premium and loss on debt extinguishments) 22,632 Income tax expense 732 Depreciation and amortization (including amortization of leased assets and accretion of lease liabilities) 42,387 EBITDA $ 75,830 Loss from unconsolidated entities 1,238 Straight line rent and amortization of above/below market leases (811) Non-cash impact of changes to equity instruments 3,190 Business acquisition expenses (79) Loss on dispositions of real estate investments, net 2,676 Amortization of closing costs — debt security investment 12 Foreign currency gain (2,742) Loss in fair value of derivative financial instruments 629 Impairment of real estate investments 12,659 Non-recurring one-time items 495 Adjusted EBITDA $ 93,097 Adjusted EBITDA Reconciliation (in thousands)


 
23 Coverage Ratios and Net Debt Reconciliation(1) (1) The details of the Adjusted EBITDA calculation can be found on the previous page. (2) Includes approximately $1.7 million of cash interest expense from mortgage insurance premiums and equipment financing. (3) Non-cash interest expense includes amortization of loan fees and debt discount/premium. (4) Interest Coverage ratio calculated as Adjusted EBITDA divided by Total Interest. Fixed Charges Coverage ratio calculated as Adjusted EBITDA divided by Total Fixed Charges. Q2 2025 Interest Coverage Ratios Interest Expense (2) $ 22,632 Capitalized Interest - current period 183 Loss on extinguishment of debt (1,298) Non-Cash Interest Expense (3) (1,402) Total Interest $ 20,115 Interest Coverage ratio (4) 4.6x Fixed Charges Coverage Ratios Total Interest $ 20,115 Secured Debt Principal Amortization 5,335 Total Fixed Charges $ 25,450 Fixed Charge Coverage Ratio (4) 3.7x Total debt $ 1,554,016 Cash and cash equivalents (133,494) Restricted cash pertaining to debt (35,694) Net Debt $ 1,384,828 Net Debt-to-Annualized Adjusted EBITDA 3.7x (dollars in thousands)


 
24 Same-Store Property Reconciliation For the Three Months Ended June 30, 2025 Integrated Senior Health Campuses Outpatient Medical SHOP Triple-Net Leased Properties Total properties/campuses 124 78 70 19 Recent acquisition/development conversions — — (22) — Non-Core Properties — (11) (1) (2) Other (1) (8) — — — Same-Store properties 116 67 47 17 (1) ISHC includes six expansions and two campuses under development.


 
25 Cash NOI Reconciliation (1) All periods are based upon current quarter’s ownership percentage. Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 YTD 6/30/24 YTD 6/30/25 Net income (loss) $ 2,926 $ (3,093) $ (32,429) $ (6,840) $ 10,079 $ (78) $ 3,239 General and administrative 11,746 11,921 12,064 13,155 14,943 23,574 28,098 Business acquisition expenses 15 3,537 807 1,837 (79) 2,797 1,758 Depreciation and amortization 45,264 44,246 46,915 41,114 41,941 88,031 83,055 Interest expense 30,596 30,395 30,301 22,945 22,632 67,034 45,577 (Gain) loss in fair value of derivative financial instruments (388) 8,967 (3,192) 750 629 (6,805) 1,379 Loss (gain) on dispositions of real estate investments, net 2 4 (2,956) 359 2,676 (2,261) 3,035 Impairment of real estate investments — — 45,755 21,706 12,659 — 34,365 Loss from unconsolidated entities 1,035 2,123 2,505 1,848 1,238 2,240 3,086 Foreign currency (gain) loss (82) (2,689) 3,119 (1,416) (2,742) 344 (4,158) Other income, net (3,106) (2,138) (4,246) (1,525) (1,480) (4,969) (3,005) Income tax expense 686 263 486 604 732 964 1,336 Total NOI $ 88,694 $ 93,536 $ 99,129 $ 94,537 $ 103,228 $ 170,871 $ 197,765 Straight line rent (748) (682) (672) (735) (821) (1,880) (1,556) Facility rental expense 7,888 7,619 7,642 7,499 7,278 16,728 14,777 Other non-cash adjustments 315 323 158 202 182 706 384 Cash NOI from dispositions — — (2,508) (221) (393) — (614) Cash NOI attributable to noncontrolling interests (1) (247) (268) (271) (256) (261) (477) (517) Cash NOI $ 95,902 $ 100,528 $ 103,478 $ 101,026 $ 109,213 $ 185,948 $ 210,239 (in thousands)


 
26 Same-Store NOI Reconciliation (1/2) Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 YTD 6/30/24 YTD 6/30/25 Integrated Senior Health Campuses NOI $ 45,308 $ 48,399 $ 53,586 $ 52,717 $ 60,068 $ 87,288 $ 112,785 Facility rental expense 7,888 7,619 7,642 7,499 7,278 16,728 14,777 Cash NOI from dispositions — — (341) (274) (198) — (472) Cash NOI (1) $ 53,196 $ 56,018 $ 60,887 $ 59,942 $ 67,148 $ 104,016 $ 127,090 New acquisitions/dispositions/other (1) (224) (4,314) (4,013) (559) (5,065) (1,505) (5,624) Non-Core Properties (1) (497) (631) (461) (563) — (950) (563) Other normalizing adjustments (1) — 974 — — — — — Same-Store NOI (1) $ 52,475 $ 52,047 $ 56,413 $ 58,820 $ 62,083 $ 101,561 $ 120,903 Outpatient Medical NOI $ 21,011 $ 21,066 $ 20,800 $ 20,509 $ 19,062 $ 41,989 $ 39,571 Straight line rent (128) (148) (134) (173) (259) (286) (432) Other non-cash adjustments 82 87 (81) (41) (36) 246 (77) Cash NOI from dispositions — — (261) (2) (203) — (205) Cash NOI (2) $ 20,965 $ 21,005 $ 20,324 $ 20,293 $ 18,564 $ 41,949 $ 38,857 Dispositions (694) (663) — — — (1,456) — Non-Core Properties (2,318) (2,284) (2,160) (2,066) (355) (4,670) (2,421) Same-Store NOI (2) $ 17,953 $ 18,058 $ 18,164 $ 18,227 $ 18,209 $ 35,823 $ 36,436 SHOP NOI $ 10,141 $ 11,307 $ 12,675 $ 12,036 $ 14,932 $ 16,650 $ 26,968 Cash NOI from dispositions — — — 55 8 — 63 Cash NOI attributable to noncontrolling interests (2) (60) (78) (80) (67) (70) (106) (137) Cash NOI $ 10,081 $ 11,229 $ 12,595 $ 12,024 $ 14,870 $ 16,544 $ 26,894 New acquisitions/dispositions (1,358) (2,472) (3,156) (2,139) (4,002) (1,332) (6,141) Development conversion 510 664 576 360 277 1,050 637 Non-Core Properties (34) (61) (87) (82) (35) (34) (117) Other normalizing adjustments — 133 (94) 123 202 838 325 Same-Store NOI $ 9,199 $ 9,493 $ 9,834 $ 10,286 $ 11,312 $ 17,066 $ 21,598 (in thousands) (1) Prior periods' information is presented to reflect the increase in ownership to 100% in the Company's ISHC segment effective September 2024. (2) All periods are based upon current quarter’s ownership percentage.


 
27 Same-Store NOI Reconciliation (2/2) Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 YTD 6/30/24 YTD 6/30/25 Triple-Net Leased Properties NOI $ 12,234 $ 12,764 $ 12,068 $ 9,275 $ 9,166 $ 24,944 $ 18,441 Straight line rent (620) (534) (538) (562) (562) (1,594) (1,124) Other non-cash adjustments 233 236 239 243 218 460 461 Cash NOI from dispositions — — (1,906) — — — - Cash NOI attributable to noncontrolling interest (2) (187) (190) (191) (189) (191) (371) (380) Cash NOI $ 11,660 $ 12,276 $ 9,672 $ 8,767 $ 8,631 $ 23,439 $ 17,398 Debt security investment (2,039) (2,453) (2,117) (1,481) (1,163) (4,120) (2,644) Dispositions (2,127) (2,163) — — — (4,291) - Non-Core Properties (286) (296) (248) (143) (161) (576) (304) Same-Store NOI $ 7,208 $ 7,364 $ 7,307 $ 7,143 $ 7,307 $ 14,452 $ 14,450 Total Portfolio NOI $ 88,694 $ 93,536 $ 99,129 $ 94,537 $ 103,228 $ 170,871 $ 197,765 Straight line rent (748) (682) (672) (735) (821) (1,880) (1,556) Facility rental expense 7,888 7,619 7,642 7,499 7,278 16,728 14,777 Other non-cash adjustments 315 323 158 202 182 706 384 Cash NOI from dispositions — — (2,508) (221) (393) - (614) Cash NOI attributable to noncontrolling interests (2) (247) (268) (271) (256) (261) (477) (517) Cash NOI (1)(2) $ 95,902 $ 100,528 $ 103,478 $ 101,026 $ 109,213 $ 185,948 $ 210,239 Debt security investment (2,039) (2,453) (2,117) (1,481) (1,163) (4,120) (2,644) New acquisitions/dispositions/other (1) (4,403) (9,612) (7,169) (2,698) (9,067) (8,584) (11,765) Development conversion 510 664 576 360 277 1,050 637 Non-Core Properties (1) (3,135) (3,272) (2,956) (2,854) (551) (6,230) (3,405) Other normalizing adjustments (1) — 1,107 (94) 123 202 838 325 Same-Store NOI (1)(2) $ 86,835 $ 86,962 $ 91,718 $ 94,476 $ 98,911 $ 168,902 $ 193,387 (in thousands) (1) Prior periods' information is presented to reflect the increase in ownership to 100% in the Company's ISHC segment effective September 2024. (2) All periods are based upon current quarter’s ownership percentage.


 
28 Same-Store Revenue Reconciliation (1/2) (1) Prior periods' information is presented to reflect the increase in ownership to 100% in the Company's ISHC segment effective September 2024. (2) All periods are based upon current quarter’s ownership percentage. Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 YTD 6/30/24 YTD 6/30/25 Integrated Senior Health Campuses GAAP revenue $ 393,774 $ 409,626 $ 423,290 $ 423,364 $ 423,825 $ 786,896 $ 847,189 Cash revenue from dispositions — — (1,774) (1,480) (1,201) — (2,681) Cash revenue (1) $ 393,774 $ 409,626 $ 421,516 $ 421,884 $ 422,624 $ 786,896 $ 844,508 Revenue attributable to new acquisitions/dispositions/other (1) (98,521) (105,755) (105,457) (98,572) (99,681) (196,469) (198,253) Revenue attributable to Non-Core Properties (1) (3,506) (3,605) (3,627) (3,855) — (6,906) (3,855) Other normalizing revenue adjustments (1) — (1,236) — — — — — Same-Store revenue (1) $ 291,747 $ 299,030 $ 312,432 $ 319,457 $ 322,943 $ 583,521 $ 642,400 Outpatient Medical GAAP revenue $ 33,682 $ 33,715 $ 33,276 $ 33,194 $ 31,254 $ 67,749 $ 64,448 Straight line rent (128) (148) (134) (173) (259) (286) (432) Other non-cash adjustments (267) (262) (399) (324) (350) (452) (674) Cash revenue from dispositions — — (304) — (460) — (460) Cash revenue (2) $ 33,287 $ 33,305 $ 32,439 $ 32,697 $ 30,185 $ 67,011 $ 62,882 Revenue attributable to dispositions (986) (881) — — — (2,148) — Revenue attributable to Non-Core Properties (4,222) (4,097) (3,910) (3,891) (1,508) (8,426) (5,399) Same-Store revenue (2) $ 28,079 $ 28,327 $ 28,529 $ 28,806 $ 28,677 $ 56,437 $ 57,483 SHOP GAAP revenue $ 64,239 $ 67,208 $ 73,543 $ 73,812 $ 77,460 $ 123,235 $ 151,272 Cash revenue from dispositions — — — (166) — — (166) Cash revenue attributable to noncontrolling interests (2) (291) (296) (304) (303) (310) (567) (613) Cash revenue $ 63,948 $ 66,912 $ 73,239 $ 73,343 $ 77,150 $ 122,668 $ 150,493 Revenue attributable to new acquisitions/dispositions (12,161) (13,912) (18,916) (17,927) (20,765) (20,482) (38,692) Revenue attributable to development conversion (415) (411) (491) (638) (753) (685) (1,391) Revenue attributable to Non-Core Properties (524) (556) (580) (589) (580) $ (1,006) $ (1,169) Other normalizing revenue adjustments — — (94) — — $ 174 $ — Same-Store revenue $ 50,848 $ 52,033 $ 53,158 $ 54,189 $ 55,052 $ 100,669 $ 109,241 (in thousands)


 
29 Same-Store Revenue Reconciliation (2/2) Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 YTD 6/30/24 YTD 6/30/25 Triple-Net Leased Properties GAAP revenue $ 12,886 $ 13,265 $ 12,631 $ 10,233 $ 9,964 $ 26,234 $ 20,197 Straight line rent (620) (534) (538) (562) (562) (1,594) (1,124) Other non-cash adjustments 212 217 220 225 199 422 424 Cash revenue from dispositions — — (1,910) — — — — Cash revenue attributable to noncontrolling interest (2) (186) (190) (190) (190) (191) (372) (381) Cash revenue $ 12,292 $ 12,758 $ 10,213 $ 9,706 $ 9,410 $ 24,690 $ 19,116 Debt security investment (2,039) (2,453) (2,117) (1,481) (1,163) (4,120) (2,644) Revenue attributable to dispositions (2,169) (2,169) — — — (4,338) — Revenue attributable to Non-Core Properties (319) (321) (273) (182) (183) (633) (365) Other normalizing revenue adjustments — — — (261) (261) — (522) Same-Store revenue $ 7,765 $ 7,815 $ 7,823 $ 7,782 $ 7,803 $ 15,599 $ 15,585 Total Portfolio GAAP revenue $ 504,581 $ 523,814 $ 542,740 $ 540,603 $ 542,503 $ 1,004,114 $ 1,083,106 Straight line rent (748) (682) (672) (735) (821) (1,880) (1,556) Other non-cash adjustments (55) (45) (179) (99) (151) (30) (250) Cash revenue from dispositions — — (3,988) (1,646) (1,661) — (3,307) Cash revenue attributable to noncontrolling interests (2) (477) (486) (494) (493) (501) (939) (994) Cash revenue (1) $ 503,301 $ 522,601 $ 537,407 $ 537,630 $ 539,369 $ 1,001,265 $ 1,076,999 Debt security investment (2,039) (2,453) (2,117) (1,481) (1,163) (4,120) (2,644) Revenue attributable to new acquisitions/dispositions/other (1) (113,837) (122,717) (124,373) (116,499) (120,446) (223,437) (236,945) Revenue attributable to development conversion (415) (411) (491) (638) (753) (685) (1,391) Revenue attributable to Non-Core Properties (1) (8,571) (8,579) (8,390) (8,517) (2,271) (16,971) (10,788) Other normalizing revenue adjustments (1) — (1,236) (94) (261) (261) 174 (522) Same-Store revenue (1)(2) $ 378,439 $ 387,205 $ 401,942 $ 410,234 $ 414,475 $ 756,226 $ 824,709 (in thousands) (1) Prior periods' information is presented to reflect the increase in ownership to 100% in the Company's ISHC segment effective September 2024. (2) All periods are based upon current quarter’s ownership percentage.


 
30 • Adjusted EBITDA: EBITDA excluding the impact of gain or loss from unconsolidated entities, straight line rent and amortization of above/below market leases, non-cash stock-based compensation expense, business acquisition expenses, gain or loss on sales of real estate investments, 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 4. • Annualized Base Rent or ABR: 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. • 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. • GAAP revenue: Revenue recognized in accordance with Generally Accepted Accounting Principles (“GAAP”), which includes straight line rent and other non-cash adjustments. • GLA: Gross leasable area. • Hospital: 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. • 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. • NAV: Net asset value. • Net Debt: Total long-term debt, excluding operating lease liabilities, less cash and cash equivalents and restricted cash related to debt. Defined Terms


 
31 • 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, business acquisition expenses, 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. • NOI margin: Calculated by dividing NOI by revenue. • 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): expensed acquisition fees and costs, which we refer to as business acquisition expenses; 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 buildings. • 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: For the quarter ended June 30, 2025, we owned and/or operated eight other buildings through entities of which we owned between 90.0% and 98.0% 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 cash flows 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 rooms divided by the number of occupied rooms. • RIDEA: Used to describe properties within the portfolio that utilize the RIDEA structure as described in “RIDEA structure”. Defined Terms


 
32 • 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. • Same-Store or SS: 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 or SS 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. • 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 facility, term loan and secured indebtedness as reported in the Company’s consolidated financial statements. • Trilogy: Trilogy Investors, LLC; in which we indirectly owned a 100% interest in Trilogy as of June 30, 2025. • 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. Defined Terms