The Tip Desk

American Healthcare REIT Raises 2026 Guidance Amid Leadership Shift

The company increased its full-year NFFO per diluted share guidance to a range of $2.03 to $2.09.

American Healthcare REIT (AHR), a healthcare real estate investment trust, raised its full-year 2026 financial outlook following a first quarter marked by steady growth in net operating income.

The company announced a leadership transition effective July 22, 2026, naming Jeff Hanson as CEO and elevating Gabe Willhite to President. These appointments followed the retirement of Danny Prosky as CEO. Scott Estes was also appointed Lead Independent Director on the same date.

For the first quarter of 2026, NFFO per diluted share was $0.50, up from $0.46 in the previous quarter. Total portfolio same-store NOI growth for the period was 12.1% year-over-year, a slight acceleration from the 11.8% growth recorded in the fourth quarter of 2025.

Performance diverged across the company's primary segments. Same-store NOI growth for the SHOP segment decelerated to 19.7% in the first quarter from 24.6% in the prior quarter. Growth in the ISHC segment remained stable, rising 14.5% compared to 14.0% in the fourth quarter of 2025.

American Healthcare REIT raised its full-year 2026 total portfolio same-store NOI growth guidance to between 9.0% and 12.0%, up from the initial range of 7.0% to 11.0%.

Leverage improved as of March 31, 2026, with net debt-to-annualized adjusted EBITDA falling to 3.0x from 3.4x at the end of 2025.