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National Health Investors Inc.: Q1 FY2026 earnings call

What management said about Q1 FY2026, from the documents filed with the SEC on 4 May 2026: press release. Guidance figures: 3 raised, 6 lowered, 1 kept. The quarter’s numbers.

Key takeaways

  • Per-share results rose year over year: Diluted EPS was $0.82 against $0.74. NAREIT FFO per diluted share was $1.23 against $1.14, and Normalized FFO per diluted share was $1.23 against $1.15. Source
  • Same-store SHOP net resident fees down 2.4%: Same-store resident fees and services, less senior housing operating expenses, declined 2.4%. Lower occupancy was partly offset by higher resident rental rates. Source
  • NHC portfolio sale for $560.0 million: 32 skilled nursing and three independent living facilities leased to NHC are being sold for $560.0 million net cash. Four Florida properties remain under a sublease, with their master lease assigned to the buyer. Source
  • Net debt $1.2 billion; leverage 4.0x: Consolidated net debt was $1.2 billion, including $309.0 million on the $700.0 million revolver, up from $204.0 million at year-end 2025. Net debt to adjusted EBITDA was 4.0x against a 3.5x-4.5x target. Source
  • 2026 guidance ranges lowered: NAREIT FFO, Normalized FFO and Normalized FAD ranges were reduced. The update includes assumptions and timing for certain transactions. Source
  • Bickford rent reset to $38.4 million: Rent on Bickford's 38 properties was reset to fair market value of $38.4 million annually in April 2026. Base rent escalates 2.0%-3.0% a year, and a new contingent rent clause was added. Source
  • Bickford stays on cash-basis recognition: Bickford remains a cash-basis tenant for accounting purposes until the going-concern doubt about its ability to continue is alleviated. Source

“NHI reported a solid start to 2026, with NAREIT FFO, Normalized FFO and FAD exceeding our internal expectations,”

Eric Mendelsohn, President and CEO

Guidance

AreaPeriodFigureAgainst last quarter
NAREIT FFO per diluted share Sourcefull year 2026$4.74 - $4.79Lowered from $4.94 - $4.99
Normalized FFO per diluted share Sourcefull year 2026$4.74 - $4.79Lowered from $4.94 - $4.99
Normalized FAD Sourcefull year 2026$240.6 million - $243.7 millionLowered from $248.9 million - $251.4 million
NAREIT FFO and Normalized FFO attributable to common stockholders (dollars) Sourcefull year 2026$232.3 million - $234.9 millionLowered from $241.9 million - $244.2 million
Weighted average diluted shares Sourcefull year 202649.0 millionKept
Same Store SHOP NOI growth Sourcefull year 2026, 15 properties1% - 3% year over yearLowered from 7.0% - 8.0% year-over-year
Total SHOP NOI on 42 properties, before unidentified new SHOP investments Sourcefull year 2026$44.1 million - $45.1 millionRaised from $39.2 million - $40.0 million
Unidentified new investments Sourcefull year 2026$180 million at 7.8% initial average NOI yield; about 60% SHOPLowered from $230.0 million at 7.8%; 70% SHOP
Expected disposition proceeds and gains Sourcefull year 2026about $665 million proceeds; gain $565.9 million - $566.3 millionRaised from $111.3 million through Q2 2026; gain $24.4 million - $24.7 million
Net income attributable to common stockholders Sourcefull year 2026$703.0 million - $705.2 millionRaised from $180.1 million - $182.4 million

What changed from last quarter

  • Guidance lowered: NAREIT FFO, Normalized FFO per diluted share and Normalized FAD ranges reduced for 2026. Source
  • Guidance lowered: Same Store SHOP NOI growth assumption reduced to 1%-3% from 7.0%-8.0%. Source
  • Guidance lowered: Unidentified new investment assumption reduced to $180 million from $230.0 million; SHOP share about 60% from 70%. Source
  • Guidance raised: Expected 2026 disposition proceeds raised to about $665 million from $111.3 million assumed through Q2 2026. Source
  • Guidance raised: Total SHOP NOI range on 42 properties raised to $44.1-$45.1 million from $39.2-$40.0 million. Source
  • New: Agreed sale of the NHC leased portfolio for $560.0 million net cash, announced April 21, 2026. Source
  • New: Acquisition of seven senior housing properties in Colorado, 532 units, for $106.9 million, in May 2026. Source
  • New: New equity distribution agreement allows sales of up to $500.0 million of common stock under the ATM program. Source
  • New: Bickford master leases reset to fair market value of $38.4 million annually in April 2026. Source

Results and per-share growth

  • Per-share results rose year over year: Diluted EPS was $0.82 against $0.74. NAREIT FFO per diluted share was $1.23 against $1.14, and Normalized FFO per diluted share was $1.23 against $1.15. Source
  • Normalized FAD rose 11.6%: Normalized FAD was $62.5 million, up from $56.0 million in the prior-year quarter. Source
  • Prior-year one-time costs absent now: Prior-year quarter included $0.3 million of proxy contest expenses and $1.2 million of costs for a SHOP transaction that did not materialize. Neither appears in the current quarter. Source
  • Total NOI rose to $84.2 million: Total NOI was $84.2 million against $75.6 million. Real Estate Investments NOI was $75.3 million and SHOP NOI was $8.9 million. Source

SHOP segment and same-store results

  • SHOP NOI nearly tripled: SHOP NOI was $8.9 million against $3.1 million. Acquisitions and transitioned properties together contributed $5.9 million of the current quarter's SHOP NOI. Source
  • Same-store SHOP net resident fees down 2.4%: Same-store resident fees and services, less senior housing operating expenses, declined 2.4%. Lower occupancy was partly offset by higher resident rental rates. Source
  • Same Store SHOP NOI slightly lower: Same Store SHOP NOI component was $3.0 million against $3.1 million a year earlier. Source

“While same-store SHOP performance was impacted by near-term operating headwinds, we remain focused on executing our strategy and see solid performance from our recent SHOP additions.”

Eric Mendelsohn, President and CEO

Investments and dispositions

  • Investments reached $212.4 million year to date: Nine assisted living facilities in Kentucky, South Carolina and Tennessee (460 units, $105.5 million) were bought in February. Seven Colorado properties (532 units, $106.9 million) were bought in May. Source
  • Colorado deal uses 1031 exchange structure: Seven Colorado properties are in SHOP, managed by Generations, LLC. A qualified intermediary was used to facilitate a potential reverse exchange. Source
  • NHC portfolio sale for $560.0 million: 32 skilled nursing and three independent living facilities leased to NHC are being sold for $560.0 million net cash. Four Florida properties remain under a sublease, with their master lease assigned to the buyer. Source
  • Washington property sold for $39.0 million: Sold in May 2026 for $39.0 million net cash. A gain of about $20.1 million is to be recognized against a $18.3 million carrying amount. Source
  • Two smaller April 2026 property sales: A South Carolina property was sold for $3.2 million with a $0.8 million gain, after the tenant accelerated a purchase option. An Ohio property was sold for $4.5 million with a $0.9 million gain. Source
  • Signed letters of intent and pipeline: Signed letters of intent total $20.3 million at about a 7.5% initial yield, mainly SHOP. The evaluated pipeline is about $560.0 million and excludes portfolio deals. Source

Real Estate Investments segment

  • Rental income up 6.2%: Rental income rose $4.3 million. Acquisitions since January 2025 added $4.0 million, partly offset by $2.1 million lost from seven properties moved into SHOP in August 2025. Source
  • Notes interest down 23.8%: Interest income from mortgage and other notes fell $1.5 million, or 23.8%, after a net reduction in principal outstanding. Source
  • Michigan campus sale produced gain: Gains on dispositions were $2.6 million, mainly from the January 2026 sale of a 42-unit Michigan campus for $6.7 million net cash. Source
  • Interest and depreciation rose: Interest expense rose $0.7 million, or 4.9%, from the 2033 Senior Notes issued in September 2025, partly offset by lower revolver and term loan balances. Depreciation and amortization rose $4.5 million, or 23.7%. Source

“Following the pending sale of the NHC portfolio, we expect pro forma leverage to decline below our target range, providing additional financial flexibility.”

Eric Mendelsohn, President and CEO

Costs and overhead

  • G&A rose on compensation: General and administrative expenses rose $1.0 million, or 15.0%, mainly on higher compensation costs. Source
  • Legal expense fell 78.6%: Legal expense fell $1.1 million, or 78.6%, because the prior-year quarter included $1.2 million of costs for a SHOP transaction that did not materialize. Source
  • Senior housing operating expenses more than doubled: Senior housing operating expenses were $28.2 million against $10.9 million a year earlier. Source

Balance sheet and funding

  • Net debt $1.2 billion; leverage 4.0x: Consolidated net debt was $1.2 billion, including $309.0 million on the $700.0 million revolver, up from $204.0 million at year-end 2025. Net debt to adjusted EBITDA was 4.0x against a 3.5x-4.5x target. Source
  • Investment grade ratings and covenant compliance: The company reported compliance with all debt covenants and investment grade ratings from Moody’s, S&P Global and Fitch Ratings. Source
  • Shelf renewed and $500 million ATM: The automatic shelf registration was renewed in March 2026, and a new equity distribution agreement was signed alongside it. Source
  • Forward ATM sales pending: Forward ATM agreements cover 0.6 million shares at a $68.81 weighted average price, with $44.2 million of undrawn net proceeds, maturing in Q2 2026. None were entered into or settled in the quarter. Source

Guidance revision

  • 2026 guidance ranges lowered: NAREIT FFO, Normalized FFO and Normalized FAD ranges were reduced. The update includes assumptions and timing for certain transactions. Source
  • Disposition proceeds assumption raised: Assumed 2026 disposition proceeds are about $665 million, against $111.3 million assumed through Q2 2026 in the prior guidance, with gains of $565.9-$566.3 million. Source
  • Unidentified investment assumption reduced: Guidance assumes $180 million of unidentified new investments at a 7.8% initial NOI yield, about 60% SHOP, versus $230.0 million and 70% previously. Source

Operator credit and tenant payments

  • Bickford rent reset to $38.4 million: Rent on Bickford's 38 properties was reset to fair market value of $38.4 million annually in April 2026. Base rent escalates 2.0%-3.0% a year, and a new contingent rent clause was added. Source
  • Bickford stays on cash-basis recognition: Bickford remains a cash-basis tenant for accounting purposes until the going-concern doubt about its ability to continue is alleviated. Source
  • Four master leases cover the portfolio: Four master lease agreements comprise the 38-property Bickford portfolio, and all four were reset in April 2026. Source

Coming up, as management said on 4 May 2026

  • NHC sale closing: Closing is anticipated July 1, 2026, subject to customary conditions including expiry of the HSR waiting period. Source
  • Forward ATM agreements mature: Remaining forward equity sales agreements mature in the second quarter of 2026. Source
  • Signed letters of intent pending: Signed letters of intent of $20.3 million are primarily structured as SHOP investments with an initial yield of about 7.5%. Source

Figures management reported

FigureReported
FFO per share SourceNAREIT FFO $1.23 per diluted share, up 7.9%; Normalized FFO $1.23, up 7.0%
Normalized FAD Source$62.5 million, up 11.6%
Occupancy Sourcedecline cited; no percentage given
Same-store NOI SourceSame Store SHOP resident fees less senior housing operating expenses down 2.4%; Same Store SHOP NOI $3.0 million against $3.1 million
Acquisitions Source$212.4 million announced year to date
Dispositions Source$39.0 million net cash for a Washington property (May 2026)
Leverage Sourcenet debt to adjusted EBITDA 4.0x; target range 3.5x to 4.5x

Risks management discussed

  • Demand: Occupancy declined at same-store SHOP properties, which weighed on same-store results. Source
  • Financial: Bickford's going-concern doubt keeps it on cash-basis recognition as a tenant. Source
  • Regulatory: The NHC sale closing is subject to expiry or termination of the Hart-Scott-Rodino waiting period. Source
  • External: Guidance rests on assumptions, many outside the company's control, and the ranges may change if results vary. Source

Earlier plans management reported on

  • Not stated: Management refers to the NHC purchase and sale agreement announced earlier, with closing still pending. Source
  • Not stated: Management says it remains focused on expanding its private-pay senior housing portfolio. 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.