
American Healthcare REIT Second Quarter 2025 Results Key Highlights & Financial Performance The company reported strong Q2 2025 results with robust NOI growth and improved leverage, leading to increased full-year guidance Key Financial Metrics (Q2 2025) | Metric | Value | Period | | :--- | :--- | :--- | | GAAP Net Income (controlling interest) | $9.9 million | Q2 2025 | | GAAP Net Income per Diluted Share | $0.06 | Q2 2025 | | Normalized FFO (NFFO) per Diluted Share | $0.42 | Q2 2025 | | Total Portfolio Same-Store NOI Growth (YoY) | 13.9% | Q2 2025 | - The company's Net Debt-to-Annualized Adjusted EBITDA ratio improved significantly, decreasing from 4.5x as of March 31, 2025, to 3.7x as of June 30, 20255 - Year-to-date investment activity has been strong, with the company closing on approximately $255 million of new investments5 - The company raised significant capital through its at-the-market (ATM) equity offering program, issuing over 5.4 million shares for gross proceeds of approximately $188.6 million during the quarter5 Detailed Operating Results Total portfolio Same-Store NOI grew 13.9% in Q2, driven by exceptional performance in the SHOP and ISHC segments Same-Store NOI Growth by Segment | Segment | Same-Store NOI Growth (Q2 2025 vs Q2 2024) | Same-Store NOI Growth (YTD 2025 vs YTD 2024) | | :--- | :--- | :--- | | ISHC | 18.3% | 19.0% | | Outpatient Medical | 1.4% | 1.7% | | SHOP | 23.0% | 26.6% | | Triple-Net Leased Properties | 1.4% | 0.0% | | Total Portfolio | 13.9% | 14.5% | - Operational performance was supported by proactive expense management, incremental occupancy gains, and mid-single-digit Revenue per Occupied Room (RevPOR) growth7 - The SHOP segment saw its highest quarterly move-in volume since before the pandemic, pushing spot Same-Store occupancy above 87.5% by the end of the quarter8 Investment & Development Activities The company actively managed its portfolio through acquisitions, dispositions, and joint venture buyouts while advancing its development pipeline - During Q2 2025, the company acquired a SHOP asset for approximately $65.0 million and sold four Non-Core Properties for gross proceeds of approximately $33.5 million10 - Subsequent to quarter end, the company purchased its partners' 51% outstanding interests in an unconsolidated joint venture of five campuses for total consideration of approximately $118.4 million912 - The company has over $300 million of awarded deals in its investments pipeline, which it expects to close by the end of the year13 - The 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, 202514 Balance Sheet & Capital Markets The company maintained a strong balance sheet with $733.5 million in liquidity and reduced leverage to 3.7x through active capital raising Key Balance Sheet Metrics | Metric | Value (as of June 30, 2025) | | :--- | :--- | | Total Consolidated Indebtedness | $1.55 billion | | Total Liquidity | $733.5 million | | Net-Debt-to-Annualized Adjusted EBITDA | 3.7x | - During Q2 2025, the company issued 5,451,577 shares through its ATM program for gross proceeds of approximately $188.6 million16 - Subsequent to quarter end, the company settled a forward sales agreement by issuing 3,554,525 shares for net cash proceeds of approximately $126.0 million16 Full Year 2025 Guidance The company raised its full-year 2025 guidance for NFFO per share and Same-Store NOI growth due to strong performance Updated Full-Year 2025 Guidance | Metric | Current FY 2025 Range | Prior FY 2025 Range | | :--- | :--- | :--- | | NFFO per diluted share | $1.64 to $1.68 | $1.58 to $1.64 | | Net income per diluted share | $0.33 to $0.37 | $0.29 to $0.35 | | Total Portfolio SS NOI Growth | 11.0% to 14.0% | 9.0% to 13.0% | | ISHC SS NOI Growth | 15.0% to 19.0% | 12.0% to 16.0% | | Outpatient Medical SS NOI Growth | 1.0% to 1.5% | (1.0%) to 1.0% | - The increase in guidance is primarily attributed to strong operating results in the ISHC and SHOP segments, as well as recent accretive capital allocation activity518 Shareholder Distributions The Board of Directors declared a second-quarter 2025 cash distribution of $0.25 per share of common stock - A cash distribution of $0.25 per share was declared for the quarter ended June 30, 2025, and paid in July 2025 to stockholders of record as of June 30, 202521 Financial Statements & Reconciliations This section presents detailed unaudited financial statements and reconciliations of GAAP measures to key non-GAAP metrics Condensed Consolidated Financial Statements The financial statements show total assets of $4.51 billion and a Q2 net income of $9.9 million, a significant year-over-year increase Condensed Consolidated Balance Sheet | Balance Sheet (in thousands) | June 30, 2025 | December 31, 2024 | | :--- | :--- | :--- | | Total Assets | $4,506,650 | $4,488,057 | | Total Liabilities | $2,044,006 | $2,183,895 | | Total Equity | $2,462,644 | $2,303,942 | Condensed Consolidated Income Statement | Income Statement (in thousands) | Three Months Ended June 30, 2025 | Three Months Ended June 30, 2024 | | :--- | :--- | :--- | | Total Revenues | $542,503 | $504,581 | | Total Expenses | $496,080 | $472,912 | | Net Income (loss) attributable to controlling interest | $9,908 | $1,979 | Non-GAAP Reconciliations Detailed reconciliations from GAAP Net Income show Q2 2025 Normalized FFO of $68.4 million and Adjusted EBITDA of $93.1 million FFO Reconciliation (Q2 2025) | FFO Reconciliation (in thousands) | Three Months Ended June 30, 2025 | | :--- | :--- | | Net income (loss) | $10,079 | | Adjustments (Depreciation, Impairment, etc.) | +$56,888 | | NAREIT FFO attributable to controlling interest | $66,796 | | Normalizing Adjustments | +$1,581 | | Normalized FFO attributable to controlling interest | $68,377 | EBITDA Reconciliation (Q2 2025) | EBITDA Reconciliation (in thousands) | Three Months Ended June 30, 2025 | | :--- | :--- | | Net income | $10,079 | | Interest, Taxes, Depreciation & Amortization | +$65,751 | | EBITDA | $75,830 | | Other Adjustments | +$17,267 | | Adjusted EBITDA | $93,097 | Earnings Guidance Reconciliation The guidance reconciles projected full-year 2025 Net Income per share to Normalized FFO per share - The guidance reconciliation bridges the gap between projected GAAP Net Income ($0.33-$0.37/share) and Normalized FFO ($1.64-$1.68/share) by accounting for items like depreciation and amortization64 Definitions & Disclosures This section provides legal disclaimers and detailed definitions for non-GAAP financial measures used in the report - The report includes a "Forward-Looking Statements" safe harbor provision, cautioning readers that statements regarding future expectations are subject to risks and uncertainties26 - The report provides detailed definitions for key non-GAAP financial measures used, including EBITDA, Adjusted EBITDA, NAREIT FFO, NFFO, and NOI2766707274