Diana Olick: Senior living. Long and under the radar real estate play with a sometimes unattractive reputation, but it is on the edge of a boom, a baby boom, to be exact, more than 4 million boomers will hit 80 in the next five years, and occupancy at both active adult and assisted living communities is already rising fast. This as annual inventory growth just dropped below 1% the first time that's happened since tracking began in 2006 ventas a $31 billion Senior Living.Reid is betting big on the longevity ...

Financial Performance - Bumrungrad Hospital Public Company Limited's total revenues decreased by 3.6% in 2Q25 compared to 2Q24 and decreased by 4.6% in 1H25 compared to 1H24 [26, 27] - Net profit also experienced a decrease of 3.8% in 2Q25 compared to 2Q24 and a decrease of 8.3% in 1H25 compared to 1H24 [26, 36] - The EBITDA margin reached a company record of 41.6% in 2Q25 [5, 26, 34] - Non-Thai patient revenue decreased by 6.6% in 2Q25 and 8.2% in 1H25 compared to the same periods in the previous year [14, 21, 46, 50] Revenue Analysis - Middle East market share revenue increased by 23% compared to Q1 2025, with notable growth in Qatar (18%), UAE (46%), Oman (28%), and Saudi Arabia (54%) [5] - Non-Thai revenue has shown a CAGR of +5.8% from Y2018 to Y2024 [7] - Middle East non-Thai revenue increased by 56.2% from Y2018 to Y2024, while non-Middle East non-Thai revenue increased by 31.7% during the same period [10] - Inpatient and outpatient services contributed roughly equally to revenues, with inpatient services accounting for 50% in 2Q25 and 49% in 1H25 [29] Business Updates and Developments - Bumrungrad International Hospital has been recognized in Newsweek's Best Specialized Hospitals Asia Pacific 2025 ranking across all 9 specialty fields [52] - The hospital has been approved for renewal of its Advanced Hospital Accreditation (Advanced HA) under the Hospital and Healthcare Standards, with a certification period from May 23, 2025 – May 22, 2029 [55, 56] - A new Bumrungrad Comprehensive Cancer Center is under development, expected to be completed in 2027, with the aim of expanding capacity and enhancing patient experience [78, 80, 105]

Financial Data and Key Metrics Changes - The company reported a normalized FFO per share of $0.87, representing a year-over-year growth of approximately 9% [31] - Total company same store cash NOI grew nearly 7%, with the SHOP segment increasing over 13% [31][34] - The full year normalized FFO guidance midpoint was raised to $3.44 per share, indicating an 8% year-over-year growth at the midpoint [7][34] Business Line Data and Key Metrics Changes - The SHOP communities in the U.S. delivered 18% same store cash NOI growth in Q2, with revenue growing over 8% for the entire same store SHOP portfolio [9][16] - The outpatient medical and research business reported same store cash NOI growth of 1.7% year-over-year, led by outpatient medical, which grew NOI by 2.2% [31] - The research business, representing about 8% of NOI, experienced a decline of less than 1% year-over-year due to lower rents on certain tenants [31] Market Data and Key Metrics Changes - The average occupancy in SHOP communities improved by 240 basis points year-over-year, with the U.S. leading with a growth of 290 basis points [16][19] - The outpatient medical segment increased same store occupancy by 20 basis points sequentially and 30 basis points year-over-year to 90.1% [32] Company Strategy and Development Direction - The company is executing a "one two three" strategy aimed at driving organic growth, making value-creating investments, and maximizing performance across its portfolio [6][7] - The focus is on expanding the SHOP footprint, with expectations that SHOP NOI will represent over half of the business by year-end [13] - The company anticipates significant demand growth in senior housing due to an aging population, with the 80+ population expected to grow by 28% in the next five years [12] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's positioning to capitalize on the growing aging population and the favorable supply-demand dynamics in the senior housing market [6][14] - The management team highlighted the importance of maintaining strong relationships with operators to drive performance and growth [21][22] - The company expects to continue experiencing strong occupancy and revenue growth, particularly in the SHOP segment, supported by data analytics and operational improvements [16][19] Other Important Information - The company raised its full year 2025 senior housing investment volume guidance to $2 billion, reflecting a growing pipeline of investment opportunities [10][28] - The balance sheet showed improvement, with a net debt to EBITDA ratio of 5.6 times, indicating a 40 basis point improvement since the start of the year [32] Q&A Session Summary Question: Can you provide additional color on the sequential occupancy gain in Q2 2025? - Management noted a strong movement activity throughout the year, particularly in June, with a sequential occupancy growth of 60 basis points [39] Question: How is the competitive landscape affecting your transaction activity? - Management indicated that while competition has increased, they have been able to maintain momentum in investment activity and continue to pursue high-performing communities [42][44] Question: Can you discuss the initiatives to improve move-ins? - Management highlighted the importance of data analytics and collaboration with operators to drive sales and improve occupancy rates [48] Question: What is the historical high for outpatient medical occupancy? - The historical high for outpatient medical occupancy is around 93-94%, with current occupancy hovering around 90% [58] Question: How does the company view the impact of the new healthcare bill? - Management expects minimal immediate impact from the bill, as many changes will take effect over a long period [53][54] Question: What are the expectations for the Brookdale transition? - The transition of 45 communities from triple net to SHOP is expected to double the NOI over time, with operators already engaged in the process [90][92]

Financial Data and Key Metrics Changes - Year over year normalized FFO per share grew by 9% to $0.87, with total company same store cash NOI increasing by 7% [5][29] - Full year normalized FFO guidance midpoint raised to $3.44 per share, representing 8% year over year growth at the midpoint [5][32] - Company-wide same store cash NOI growth expectations improved to 7% at the midpoint [6][33] Business Line Data and Key Metrics Changes - SHOP communities in the US delivered 18% same store cash NOI growth in Q2, with revenue growing over 8% for the entire same store SHOP portfolio [7][14] - Outpatient medical and research business reported same store cash NOI growth of 1.7% year over year, with outpatient medical growing NOI by 2.2% [29] - Research business, representing 8% of NOI, experienced a decline of less than 1% year over year due to lower rents on certain tenants [30] Market Data and Key Metrics Changes - The 65+ population is projected to represent 20% of the US population by 2030, driving demand for outpatient medical services [10] - New construction starts in senior housing are at record lows, with only 2,000 units started in Q2, leading to supply constraints [12] Company Strategy and Development Direction - The company is executing a "one two three" strategy focused on driving organic growth in SHOP communities, making value-creating investments in senior housing, and maximizing performance in the balance of the portfolio [5][6] - The strategy includes expanding the SHOP footprint and enhancing relationships with high-performing operators to drive growth [19][20] - The company anticipates continued multiyear NOI and occupancy growth opportunities due to favorable macro conditions and supply constraints [12][13] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's positioning to capitalize on the growing aging population and the favorable supply-demand dynamics in senior housing [4][10] - The company expects to continue improving its balance sheet and leverage through organic growth and equity-funded investments [30][31] - Management highlighted the importance of data analytics and operator relationships in driving performance and occupancy growth [20][79] Other Important Information - The company has raised its full year 2025 senior housing investment volume guidance to $2 billion, reflecting increased market activity and a growing pipeline of investments [8][25] - The company reported a record level of liquidity at $4.7 billion as of June 30, bolstered by recent capital raises [31] Q&A Session Summary Question: Can you provide additional color on the sequential occupancy gain in Q2 2025? - Management noted a strong occupancy growth of 60 basis points in June versus May, with July expected to maintain or exceed this momentum [36][38] Question: How is the competitive landscape affecting your transaction activity? - Management indicated that while competition has increased, they have been able to maintain momentum in investment activity and continue to pursue high-performing communities [39][40] Question: Can you discuss the initiatives to improve move-ins? - Management highlighted the effectiveness of data analytics and collaboration with operators to drive sales and improve occupancy, particularly in independent living [45][48] Question: What is the expected impact of the new healthcare bill? - Management expects minimal immediate impact from the bill, as many provisions will take effect over a long period, but sees potential benefits for outpatient medical services [51][52] Question: What is the historical high occupancy for the outpatient medical portfolio? - The historical high occupancy is around 93-94%, with current occupancy hovering around 90% [57][58] Question: How does the occupancy growth impact RevPOR? - Management explained that higher occupancy leads to better pricing opportunities, with significant margin expansion expected as occupancy increases [66][95]

Second Quarter 2025 Performance - Normalized FFO per share was $0.87, a ~9% YoY increase, driven by SHOP NOI growth and senior housing investment activity[11] - Total Company Same-Store Cash NOI grew 6.6% YoY, led by SHOP[11] - SHOP Same-Store Cash NOI increased by 13.3% YoY, or 15% YoY excluding a $3 million property tax refund in Q2 2024[12] - U S SHOP growth was ~16%, or over 18% YoY excluding the prior year property tax refund[12] 2025 Outlook - Senior housing investment guidance increased from $1.5 billion to $2.0 billion[12] - Normalized FFO per share midpoint improved by $0.03 to $3.44[15] - SHOP Same-Store Cash NOI growth guidance range is 12% - 16%[14] Capital & Portfolio - $1.1 billion of accretive senior housing investments closed year-to-date[12, 55] - ~$1.8 billion of equity raised, including ~$0.7 billion of unsettled equity forward sales agreements[12] - Liquidity of $4.7 billion as of June 30, 2025[12] - Net Debt to Further Adjusted EBITDA improved to 5.6x, a 0.4x reduction from year-end 2024[12]

Summary of Ventas (VTR) 2025 Conference Call Company Overview - **Company**: Ventas, Inc. (VTR) - **Industry**: Senior Housing and Real Estate Investment Trust (REIT) - **Focus**: Serving the aging population within the longevity economy, capitalizing on strong demand trends and limited supply [1][2] Key Financial Metrics - **FFO per Share Growth**: Expected to increase by 7% at the midpoint for 2025 [1] - **Same Store Senior Housing Operating Portfolio (SHOP) Growth**: Expected growth rate revised to 12-16% [1][5] - **Occupancy Rate**: Approximately 86% across the total SHOP portfolio [2][13] Strategic Initiatives - **One Two Three Strategy**: Focused on driving multiyear Net Operating Income (NOI) growth through: - Organic growth contributing about $100 million annually [2] - Capital allocation for external growth, targeting $1.5 billion in investments for 2025 [3] - **Portfolio Composition**: Transitioning communities from triple net structure to SHOP structure to enhance occupancy and performance [11][14] Market Dynamics - **Demand Trends**: Strong demand for senior housing driven by a burgeoning senior population, with projections indicating a significant increase in the 80+ demographic [26] - **Occupancy Growth**: Sequential occupancy gains of 30-50 basis points observed from March to May, with a strong start to the key selling season [8][35] - **Pricing Power**: Strong revenue per occupied room (RevPOR) growth, with in-house rent increases around 7% and street rates catching up [17][18] Operational Insights - **Incremental Margins**: Expected incremental margins of 50% when moving from 80% to 90% occupancy, and 70% from 90% to 100% occupancy due to fixed costs [21][22] - **Mortality Impact**: Elevated mortality rates noted, impacting occupancy but not demand; strong move-ins recorded despite macroeconomic uncertainties [6][34] Investment Activity - **Investment Pipeline**: $2.8 billion in senior housing investments closed, with a projected $1.5 billion for 2025, focusing on high-performing communities [40][42] - **Sourcing Transactions**: 70% of transactions sourced through relationships with operators, indicating a competitive advantage in a fragmented market [44][46] Competitive Positioning - **Operator Relationships**: Ventas has expanded its operator pool to 33, enhancing its ability to manage diverse markets and asset classes [12][46] - **Analytics Platform**: Utilization of a data analytics platform to optimize pricing and operational performance, providing a competitive edge [51][52] Economic Resilience - **Market Resilience**: Historical performance indicates that senior housing remains resilient during economic downturns, with demand continuing to grow despite market shocks [28][30] Funding Strategy - **Funding Sources**: Primarily equity-funded investments, leading to improved leverage and attractive returns [58] Conclusion - **Outlook**: Ventas is well-positioned to capitalize on the growing demand for senior housing, with a robust strategy focused on organic and external growth, strong operator relationships, and a favorable market environment [4][25]

Cautionary Statements This presentation includes 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. These forward-looking statements include, among others, statements of expectations, beliefs, future plans and strategies, anticipated results from operations and developments and other matters that are not historical facts. Forward-looking statements include, among other things, statements ...