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American Healthcare REIT, Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 5 November 2026: press release. Guidance figures: 9 raised. The quarter’s numbers.

Key takeaways

  • Net income and NFFO per share rose: Net income attributable to controlling interest was $31.2 million, or $0.14 per diluted share. NFFO was $0.58 per diluted share, against $0.44 in the same quarter of 2025. Source
  • SHOP led segment Same-Store growth: SHOP Same-Store NOI grew 28.2%, after 20.5% in the second quarter. ISHC grew 15.7%, after 16.1% in the second quarter. Source
  • Total portfolio Same-Store NOI rose: Total portfolio Same-Store NOI grew 13.8%, after 13.2% in the second quarter. Same-Store NOI was $115.2 million, against $101.2 million a year earlier. Source
  • Occupancy and pricing drove SHOP: Management attributed the SHOP and ISHC growth to occupancy gains, dynamic pricing management and tight expense control, executed with regional operating partners. Source
  • Ohio payments excluded from NFFO: About $8.8 million of Ohio Medicaid quality incentive payments in ISHC resident fees relate to periods outside the 2026 rate period and were removed from NFFO. Source
  • $1.69 billion of SHOP purchases: The company acquired 17 SHOP assets for about $1.69 billion in the quarter. Since January, it has completed about $2.07 billion of new investments. Source
  • Leverage fell to 1.9x: Net Debt-to-Annualized Adjusted EBITDA was 1.9x at September 30, from 2.5x at June 30. Total consolidated indebtedness was $1.38 billion, with about $2.35 billion of total liquidity. Source
  • Hanson named CEO while Chairman: Jeff Hanson was named Chief Executive Officer and continues as Chairman. The Q2 release had already described him as Chairman and Chief Executive Officer. Source

“We strengthened three things this quarter: the team, the portfolio and the platform that connects them,”

Jeff Hanson, the Company’s Chairman and Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Net income per diluted share SourceFull year 2026$0.59 to $0.62 (midpoint $0.605)Raised from $0.54 to $0.58
NAREIT FFO per diluted share SourceFull year 2026$2.13 to $2.16 (midpoint $2.145)Raised from $2.04 to $2.08
NFFO per diluted share SourceFull year 2026$2.23 to $2.26 (midpoint $2.245)Raised from $2.15 to $2.19
Normalized FFO attributable to common stockholders SourceFull year 2026$463.3 million to $469.3 millionRaised from $432.8 million to $440.8 million
Total Portfolio Same-Store NOI growth SourceFull year 202612.0% to 14.0% (midpoint 13.0%)Raised from 11.0% to 13.0%
ISHC Same-Store NOI growth SourceFull year 202614.5% to 16.5% (midpoint 15.5%)Raised from 13.0% to 16.0%
SHOP Same-Store NOI growth SourceFull year 202623.0% to 26.0% (midpoint 24.5%)Raised from 18.0% to 21.0%
Outpatient Medical Same-Store NOI growth SourceFull year 20260.5% to 1.0% (midpoint 0.75%)Raised from 0.0% to 1.0%
Triple-Net Leased Properties Same-Store NOI growth SourceFull year 20262.5% to 3.5% (midpoint 3.0%)Raised from 2.0% to 3.0%
NAREIT FFO and Normalized FFO weighted average shares, diluted SourceFull year 2026207.7 million

What changed from last quarter

  • Guidance raised: Full-year total portfolio Same-Store NOI growth guidance and NFFO per diluted share guidance were both increased. Source
  • Guidance raised: Full-year net income per diluted share and NAREIT FFO per diluted share guidance were increased. Source
  • New: The company completed a follow-on common equity offering in August 2026 with forward sale agreements for 15,237,500 shares. Source
  • New: Ohio House Bill 479 was enacted in June 2026, appropriating funding for nursing facility quality incentive payments. Source
  • New: Aric Chang was added as Chief Financial Officer, Jon Crosier as Chief Technology Officer, and Ann Lacey as Executive Vice President, Portfolio and Asset Management, Senior Housing. Source

Results and raised full-year guidance

  • Net income and NFFO per share rose: Net income attributable to controlling interest was $31.2 million, or $0.14 per diluted share. NFFO was $0.58 per diluted share, against $0.44 in the same quarter of 2025. Source
  • Nine-month NFFO per share rose: Nine-month NFFO per diluted share was $1.64, against $1.25 a year earlier. Nine-month NAREIT FFO per share was $1.55, against $1.32. Source
  • Revenue rose with resident fees: Total revenues were $742.1 million, against $572.9 million. Resident fees and services were $701.1 million, against $532.1 million in the year-earlier quarter. Source

Segments and regional growth

  • SHOP led segment Same-Store growth: SHOP Same-Store NOI grew 28.2%, after 20.5% in the second quarter. ISHC grew 15.7%, after 16.1% in the second quarter. Source
  • Total portfolio Same-Store NOI rose: Total portfolio Same-Store NOI grew 13.8%, after 13.2% in the second quarter. Same-Store NOI was $115.2 million, against $101.2 million a year earlier. Source
  • Smaller segments grew modestly: Outpatient Medical Same-Store NOI grew 0.4%, after 1.7% in the second quarter. Triple-Net Leased Properties grew 2.7%, after 2.1%. Source
  • Nine-month segment growth figures: Over nine months, Same-Store NOI growth was 22.9% in SHOP, 15.5% in ISHC, 1.2% in Outpatient Medical and 3.1% in Triple-Net Leased Properties. Source

“Supply and demand dynamics alone do not guarantee success in this business,”

Gabe Willhite, AHR’s President and Chief Operating Officer

Occupancy, pricing and operators

  • Occupancy and pricing drove SHOP: Management attributed the SHOP and ISHC growth to occupancy gains, dynamic pricing management and tight expense control, executed with regional operating partners. Source
  • Rate growth lifted same-store results: Management said pricing power came from rate growth, and expense control by operating partners also supported same-store results across the operating portfolio. Source
  • New SHOP properties run by operators: The 17 SHOP properties acquired in the quarter are in various states and will be run by new and existing regional operating partners. Source

Costs and one-time items

  • Operating expenses rose with the portfolio: Property operating expenses were $564.7 million, against $454.5 million a year earlier. General and administrative expense was $21.6 million, against $14.1 million. Source
  • Ohio payments excluded from NFFO: About $8.8 million of Ohio Medicaid quality incentive payments in ISHC resident fees relate to periods outside the 2026 rate period and were removed from NFFO. Source
  • Equity award acceleration added expense: Stock compensation expense included $4.6 million from accelerated vesting tied to executive transitions. Transaction, transition and restructuring costs were $5.1 million. Source

“At the midpoint of revised guidance, we now expect 31% NFFO per diluted share growth over 2025, reflecting our continued focus on driving long-term shareholder value.”

Aric Chang, the Company’s Chief Financial Officer

Acquisitions and investment pipeline

  • $1.69 billion of SHOP purchases: The company acquired 17 SHOP assets for about $1.69 billion in the quarter. Since January, it has completed about $2.07 billion of new investments. Source
  • Seven-property loan with purchase options: A loan of about $86.2 million was funded on seven properties, with purchase options. An existing tenant operates the properties. Source
  • Investment pipeline above $1.0 billion: The pipeline includes newly awarded deals and previously disclosed deals not yet closed. Guidance excludes pipeline deals beyond transactions already completed. Source
  • Development spending outlined: In-process development and expansion is expected to cost about $192.9 million, with $88.2 million funded as of September 30, 2026. Source

Leverage, equity issuance and distribution

  • Leverage fell to 1.9x: Net Debt-to-Annualized Adjusted EBITDA was 1.9x at September 30, from 2.5x at June 30. Total consolidated indebtedness was $1.38 billion, with about $2.35 billion of total liquidity. Source
  • ATM forward sales during the quarter: The company entered forward sale agreements under its ATM Program for 14,385,140 shares, about $780.5 million gross. After quarter end, it added 1,522,952 shares for about $77.1 million. Source
  • Forward sales settled into shares: The company issued 36,833,346 shares on physical settlement of forward sales in the quarter, for about $1.88 billion gross. Shares outstanding were 231,479,253, up from 194,689,026 at June 30. Source
  • Distribution held at $0.25: The Board declared a $0.25 per share cash distribution for the quarter ended September 30, 2026. It was paid in cash on October 16, 2026. Source

Leadership and executive transitions

  • Hanson named CEO while Chairman: Jeff Hanson was named Chief Executive Officer and continues as Chairman. The Q2 release had already described him as Chairman and Chief Executive Officer. Source
  • Willhite named President, Estes lead director: Gabe Willhite was elevated to President while remaining Chief Operating Officer. Scott Estes was appointed Lead Independent Director. Source
  • Executive transitions were previously disclosed: The chief executive and chief financial officer transitions were disclosed earlier and took place in the third quarter, and led to the equity award acceleration noted under costs. Source

Coming up, as management said on 5 November 2026

  • Pipeline expected to close by Q1 2027: The company expects to close pipeline deals by the end of the first quarter of 2027, but cannot guarantee when or if they will close. Source
  • Forward sale shares to settle: Unsettled forward sale agreements cover 24,598,011 shares, which would produce about $1.32 billion gross if fully physically settled. Source
  • Foundation for growth entering 2027: Management said the third quarter left a foundation to enter the last quarter of 2026 and to support growth entering 2027. Source

Figures management reported

FigureReported
NFFO per diluted share Source$0.58
NAREIT FFO per diluted share Source$0.55
Same-Store NOI growth, total portfolio Source13.8%
Same-Store NOI growth, SHOP Source28.2%
Same-Store NOI growth, ISHC Source15.7%
Same-Store NOI growth, Outpatient Medical Source0.4%
Same-Store NOI growth, Triple-Net Leased Properties Source2.7%
Acquisitions Sourceapproximately $1.69 billion
Net Debt-to-Annualized Adjusted EBITDA Source1.9x

Risks management discussed

  • Demand: Management said supply and demand alone do not guarantee results in this business, so operator execution matters. Source
  • Operational: Management said it cannot guarantee when or if pipeline deals will close. Source
  • Financial: Management said certain GAAP items are uncertain and could have a material impact on GAAP results for the guidance period. Source
  • Regulatory: The Ohio Medicaid quality incentive payments are not treated as ongoing operating performance in the company's results. Source

Earlier plans management reported on

  • Not stated: The Q2 release gave the end of 2026 for pipeline closings. The Q3 release gives the end of the first quarter of 2027.
  • Not stated: The Q2 release expected platform work with regional operators to compound through the second half. The Q3 release gives no status on it.
  • Met: Management said the 17 SHOP assets were acquired as previously announced. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.