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American Healthcare REIT

AHR
47
REIT - Healthcare Facilities · Real Estate
Price
$57.16
+0.57 (+1.01%)
Market Cap
$11.82B
Exchange
New York Stock Exchange
Winston Score
47
Winston is serious
Mixed quality — meaningful strengths and weaknesses.

Share count rising — dilution

+152.0% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 66.2M (2021) → 166.8M (2025)

American Healthcare REIT owns and operates a large portfolio of healthcare-related real estate across the United States. Its properties include senior housing communities, skilled nursing facilities, medical office buildings, and outpatient care centers. The company's tenants and residents are primarily older adults needing daily care or medical services, along with healthcare operators who lease space to run those facilities.

The company makes money in two main ways: collecting rent from healthcare operators who lease its properties, and directly operating some senior housing communities and sharing in their revenue. It is one of the larger healthcare-focused REITs in the U.S., with properties spread across dozens of states. Its competitive position depends on owning properties in locations where demand for senior care is high and new supply is limited. The biggest growth driver is the aging U.S. population, which is expected to increase demand for senior housing and care facilities over the next decade, though rising interest rates and high operating costs remain meaningful risks to profitability.

Winston Score History

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+20.4% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

+399.5% YoY

YoY Growth Rate

EPS growth accelerating

R&D Spend

$0/ year

0.0% of revenue

Below sector average (1%)

Research and development spending

Insider Activity

7.5%ownership

Insiders own a meaningful stake in the company

Cash Position

Cash flow positive

$4.5B cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Growth + cash flow

American Healthcare REIT is a rare growth stock that's already generating positive cash flow while growing at 20%. The Winston Score doesn't fully credit this transition from "burner" to "earner."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Gross Margin
-1.3%
Thin — -1.3% gross margin
Operating Margin
6.5%
Modest — 6.5% operating margin
ROCE
0.9%
Weak — 0.9% return on capital

ROIC between 0% and 5%. They earn a few cents back per dollar invested in the business.

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Growth

Sales YoY
+12.2%
Fast-growing sales (12.2% YoY)
EPS YoY
N/A
Data not available
EPS Consistency
8/8 quarters
Every recent quarter grew earnings vs last year

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Cash Flow

Cash Conversion
321%
Turns 321% of profit into real cash
FCF Margin
5.9%
Thin free cash flow (5.9%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

Debt / Equity
0.43
Conservative — low debt load (0.43)
Interest Cover
2.10x
Tight — interest eats into profit (2.1x)

Interest coverage between 1 and 3. Profits cover interest, but with little room to spare.

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Valuation

P/E Ratio (TTM)
98.1x
Expensive — P/E 98.1

P/E over 35. The market is pricing in heavy, sustained growth.

P/E vs Forward
+46.5
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (98.1 → 51.6)

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Dividends

Dividend Yield
1.85%
Small dividend — 1.85% yield

Modest yield. The bulk of any return needs to come from price appreciation.

Dividend Growth
+0.0%
Dividend flat

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