Owner Scorecard


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AHR, American Healthcare REIT Inc.

Revenue is ISHC (78%) and SHOP (15%).

Latest annual: FY2025 10-K
AHR · American Healthcare REIT Inc.
I

The business

What it sells, where the money comes from, the kind of company it is.

Revenue · FY2025
$2.3B
+9.1% YoY · 16% 5-yr CAGR
Vital signs · TTM, with 5-yr average
Revenue $2.5B 5-yr avg $1.7B
Cash margin 14% 5-yr avg 8%
Dividend / operating cash 49% 5-yr avg 73%
Debt / assets 15% 5-yr avg 22%

Next report By 11/8 · the 10-Q for the quarter ended late September · due within 40 days of period end · has filed ~39 days after · the wire records it on arrival

The business in brief

read the 10-K →

What this business is and what moves its needle, from its own SEC filings.

What it is
A property business, read on funds from operations and net asset value rather than reported earnings.
What moves the needle
Occupancy, rents, and the cost of debt. Read on funds from operations and net asset value, because GAAP depreciation distorts the earnings, and a property downturn meets a balance sheet built on leverage. On its own account, the filing leans hardest on concentrated dependence, set against the numbers in what the filing emphasizes, below.
Is it a good business?
Operating cash per share does not form a clean trend in the record. The dividend takes 49% of FFO, and is covered. Debt is 15% of assets, conservative for a REIT. The quality and location of the properties, the lease terms and occupancy, and the cost of the debt are what the 10-K settles, and no single ratio captures them.

Every line is arithmetic on the company's filings, shown in full in the sections below.

Where the money comes from

read the 10-K →

The biggest segment, ISHC, is also where the profit is made: 78% of revenue and 57% of segment operating profit.

Revenue by reportable segment, FY2025
Operating profit same segments
  • ISHC78%$1.8B57% of profit
  • SHOP15%$331M15% of profit
  • OM0%$019% of profit
  • Triple-net leased properties0%$09% of profit
By geographyUnited States100%International0%

From the segment footnote of the company's own 10-K. Shares are of total revenue; the profit bar shows each segment's share of segment operating profit, before unallocated corporate costs.

II

The record

Ten years of arithmetic, read across the cycle.

The record, 2016–2025

realized figures from each filing · older years to the left
2016’162017’172018’182019’192020’202021’212022’222023’232024’242025’25TTMTTMJun 2026
Income statement
$3M$33M$84M$1.1B$1.1B$1.1B$1.4B$1.9B$2.1B$2.3B$2.5BRevenueRevenue
($5M)$541K($8M)($5M)$2M($48M)($81M)($71M)($38M)$70M$121MNet incomeNet inc.
Cash flow & returns
$1M$14M$33M$111M$99M$133M$168M$183M$179M$188M$244MDepreciation & amortizationD&A
($4M)$12M$15M$117M$219M$18M$148M$99M$176M$294M$362MCash from operationsOp. cash
$549K$6M$14M$63M$27M$23M$51M$76M$121M$164M$179MDividends paidDiv. paid
Balance sheet
52%91%53%12%127%35%77%69%56%49%Dividend / operating cashPayout
Cash flow & returns
($133M)($331M)($412M)($103M)($148M)($139M)($119M)$9M($9M)($1.1B)Investing cash flowInv. cash
$139M$323M$404M$3M($9M)$94M($43M)($129M)($135M)$817MFinancing cash flowFin. cash
$145K($90K)($74K)$154K$7K($91K)$62KExchange-rate effectFX
$2M$5M$7M$17M$62M($27M)($14M)($21M)$33M$28MChange in cashΔ cash
Balance sheet
$119M$429M$757M$946M$2.8B$4.0B$4.2B$4.2B$4.2B$5.1B$5.5BReal estate (gross)RE gross
$143M$480M$896M$1.1B$3.2B$4.6B$4.8B$4.6B$4.5B$5.4B$5.7BTotal assetsAssets
24%74%25%24%26%18%15%Debt / assetsDebt/assets
$34M$12M$17M$793M$810M$1.1B$1.2B$1.3B$982M$967M$873MTotal debtDebt
$32M$4M($18M)$740M$697M$1.0B$1.2B$1.3B$905M$852M$716MNet debt / (cash)Net debt
$514K$3M$7M$79M$71M$81M$106M$163M$128M$86M$78MInterest expenseInt. exp.
-9.6×1.2×-0.2×2.8×3.1×2.6×2.8×1.9×2.8×4.8×6.2×Interest coverageInt. cov.
$92M$353M$1.2B$590M$866M$1.6B$1.4B$1.3B$2.3B$3.3B$3.7BShareholders’ equityEquity
Per share
6.3M55.5M110M364M90.0M100M132M132M131M167M191MShares out (diluted)Shares
$0.09$0.12$0.13$0.17$0.30$0.23$0.39$0.58$0.93$0.98$0.94Dividends / shareDiv/sh
$14.73$6.36$11.11$1.62$9.63$15.79$10.64$9.62$17.31$19.90$19.37Book value / shareBVPS

The diluted share count moved ×8.86 into 2017 — shares issued, not a split the totals corroborate — and the per-share figures carry the counts as filed.

The diluted share count moved ×1.98 into 2018 — shares issued, not a split the totals corroborate — and the per-share figures carry the counts as filed.

The diluted share count moved ×3.32 into 2019 — shares issued, not a split the totals corroborate — and the per-share figures carry the counts as filed.

The diluted share count moved ×1/4.04 into 2020 — shares retired, not a split the totals corroborate — and the per-share figures carry the counts as filed.

Share counts before 2024 are restated ×2 for a stock split, so per-share figures sit on one basis.

Per-share growththe realized rate an owner's share compounded
9-yr5-yr
Revenue / share+44.2%/yr+2.7%/yr
Owner earnings / share+39.3%/yr
EPS+77.1%/yr
Dividends / share+30.8%/yr+26.7%/yr
Capital spending / share+58.1%/yr (6-yr)+23.2%/yr
Book value / share+3.4%/yr+15.6%/yr
III

Quality & stewardship

Returns, the balance sheet, capital allocation, and pay.

Owner’s Scorecard

FY2025 10-K · source on SEC EDGAR →

Is it a good business?

  • Before capital spending
    Cash from operations $294M · capital spending not separately filed
    What this means

    Owner earnings is what a business produces in cash after the spending needed to keep it competitive. For a property trust that spending cannot be read: the filings mix the money that replaces a roof with the money that buys a building, and management decides which is which. Rather than model the split and publish a single figure, the two ends are shown. The upper end is operating cash, which no owner could exceed. The lower end deducts every dollar of capital spending, which is too harsh, since a trust that is growing is charged for buildings it is adding. A trust whose distribution sits near the lower end is paying it out of the properties; one whose distribution exceeds the upper end is paying it from somewhere else.

  • Ordinary for property
    Cash from operations $294M ÷ real estate at cost $5.1B
    What this means

    The cash the properties throw off, measured against what they cost to acquire and build rather than against a market value nobody filed. Read it across the record: a portfolio whose yield on cost is rising is either raising rents faster than it is adding buildings, or buying well. Gross cost is used deliberately, so accumulated depreciation cannot shrink the denominator and flatter the return.

  • Covered
    Dividends $164M ÷ cash from operations $294M
    Occupancy at fiscal year end, in the filing’s words
    Occupancy, as filed — the scope is the sentence’s own words91.3%
    “Scheduled Lease Expirations Excluding our ISHC and SHOP, as of December 31, 2025, our properties were 91.3% leased, and, during 2026, 6.6% of the leased GLA is scheduled to expire.”
    Occupancy, as filed — the scope is the sentence’s own words89.8%
    “Our combined ISHC and SHOP were 89.8% leased as of December 31, 2025.”
    ✓ each figure is its sentence’s own characters, dated to the fiscal year end inside the sentence
    What this means

    A REIT must distribute most of its taxable income, so a high payout is normal and the question is whether the cash covers it. This is a harder test than the industry's usual one: funds from operations adds depreciation back without deducting the capital that genuinely keeps buildings competitive, so a distribution can look covered on that measure and still be funded by borrowing or by selling buildings. Above 100% of operating cash, it is being funded by something other than the properties.

  • Withheld — not in the filings' structured data
    What this means

    Funds from operations is defined by the industry's trade association rather than by accounting rules, and no REIT tags it in the structured data behind this site. Rebuilding it from the standard tags misses the figure these companies report by as much as half, because the gains on property sales it must exclude sit behind each filer's own custom tags. Rather than publish an invented number under the industry's name, the record shows the cash the properties actually produced.

Is it sound?

  • Conservative
    Total debt $967M ÷ assets $5.4B
    Industry peers: median 45%
    What this means

    Every REIT runs on leverage; how much is the question. Heavy debt is what turns a property downturn into a wipeout, as 2008 showed, so a conservative balance sheet is part of the moat here, not a drag on it.

  • Strong
    (operating income + depreciation) ÷ interest $86M
    Industry peers: median 2.9×
    What this means

    How many times the property cash earnings cover the interest bill. The bill counted here is every dollar of interest the trust incurred, including the part it charged into the cost of buildings under construction rather than against this year's earnings — that money is paid to lenders all the same, and leaving it out flatters exactly the trusts doing the most building. Comfortable coverage is what lets a REIT refinance through a tight credit market instead of being forced to sell into one.

  • Consolidated accounts only
    What this means

    These figures are the trust's consolidated accounts. Where a REIT owns buildings through joint ventures it does not control, its share of those properties — and of the debt against them — sits outside every line here, and the filings do not tag it in a form this pipeline can read. Read the equity-method and off-balance-sheet notes in the 10-K before concluding anything about total leverage.

All figures as filed; the source filing is linked above.

Not how much it owes, but when it falls due, and against what. The ladder the company files, beside cash on hand and a year's owner earnings.

'26$0
'27$0
'28$4M
'29$0
'30$0

Bars scaled to the largest single year.

Due in the next 12 months$0the first rung: what must be repaid or rolled over within the year
Within two years$0the near wall, the part most exposed to today’s credit conditions
Biggest single year$4Min 2028the lumpiest maturity, where a refinancing, if needed, is largest
Total scheduled principal$4Mevery year plus what lies beyond, as the footnote totals it

Maturity schedule extracted from the company’s Dec 31, 2025 annual report and reconciled to the total the table states.

Management, ownership & pay

read the proxy →

From the proxy: how much of the business the people running it own, and how they are paid, beside what the business earned for its owners in the same years.

Fiscal yearChief executivePay, as filed“Actually paid”Net income
2021Danny Prosky$2.4M$2.4M($48M)
2022Danny Prosky$1.8M$2.3M($81M)
2023Danny Prosky$3.8M$3.0M($71M)
2024Danny Prosky$7.7M$15.4M($38M)
2025Danny Prosky$6.7M$20.6M$70M

Both pay figures are the company’s own, from the pay-versus-performance table its proxy statement files. “As filed” is the Summary Compensation Table total: salary, bonus, and equity awards at their value on the day of grant. “Actually paid” is the SEC’s prescribed recalculation, which re-marks those equity awards to what they became as they vested; it can swing far above or below the filed figure in either direction, and negative years occur. Net income is the whole business's, as filed, for the same fiscal years.

  • Insider ownership<1%

    The stake all directors and executive officers hold together, per the 2026 proxy: skin in the game, the first thing Munger reads.

  • Stock-based compensation$15M

    The slice of the business handed to employees in shares in fiscal 2025, 0.6% of revenue, equal to 3.5% of operating profit. Buffett's oldest accounting fight: this is compensation, compensation is an expense, real whether or not the headline earnings admit it. One trap: the cash-flow statement adds SBC back, so the operating cash, and the owner earnings drawn from it, are flattered by exactly this amount; counted as the cost it is, what an owner keeps is lower.

What an owner would ask, FY2025

read the 10-K →
  • Which reported numbers are a judgment call?
    Management names Revenue recognition, Income taxes, Acquisitions as critical estimates

    each rests partly on management's judgment; the filing's note sets out the assumptionsverify →

The questions the record and the charts do not answer on their own; each carries the figure and the place to look.

Peers, Healthcare REITs

The same industry, side by side on the REIT lens. Each column names the period it is read over; the group median at the foot is the line to read each figure against.

CompanyRevenuelatest FY, USDCash marginmedian over the recordCash / assetsmedian over the recordDividend / cashmedian over the recordDebt / assetsmedian over the record
VTRVentas Inc.$5.8B33%5.8%64%49%
DOCHealthpeak$2.8B45%6.0%81%44%
AHRAmerican Healthcare REIT Inc.$2.3B11%2.8%56%24%
DHCDiversified Healthcare Trust$1.5B9%2.3%87%40%
OHIOmega Healthcare$1.2B69%6.9%90%53%
HRHealthcare Realty Trust$1.2B44%5.0%77%42%
MPTMedical Properties Trust Inc.$972M50%3.7%87%53%
SBRASabra Health Care REIT$775M53%5.9%89%45%
Group median44%5.4%84%44%
IV

The price

What a price has to assume.

What the price implies

reverse-DCF

A reit / real estate isn't read on an owner-earnings DCF; its economics live on the balance sheet (book value, the return earned on it, and the cash the assets throw off).

Cite: Owner Scorecard, "American Healthcare REIT Inc. (AHR), the owner's record," https://ownerscorecard.com/c/AHR, data as of 2026-08-17.

Manual order: ← AHCO its page in the Manual AHRT →

Industry order: the REITs — Health Care chapter CHCT →