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American Healthcare REIT, Inc.

For the period ended Dec 31, 2025. Filed Feb 27, 2026.

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About this filing

A company's yearly report to the SEC, with audited financial statements. It is the fullest account a company gives of its business, its finances and the risks it sees.

FY2025 · Filed Feb 27, 2026

AHR$59.39+0.7%Stored close · as of Nov 10, 2026

Extracted filing text, with the paragraph anchors used by the comparison.

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Contents

Real Estate and Accumulated Depreciation (Schedule III)

Initial Cost to Company · Gross Amount of Which Carried at Close of Period(e)
Description(a) · Encumbrances · Land andImprovements · Buildings andImprovements · Cost CapitalizedSubsequent toAcquisition(b) · Land and Improvements · Buildings andImprovements · Total(d) · AccumulatedDepreciation(f)(g) · Date ofConstruction · Date Acquired
Integrated Senior Health Campuses (ISHC)
Homewood Health CampusLebanon, IN$7,889$973$9,702$3,508$1,161$13,022$14,183$(3,244)200012/01/15
Ashford Place Health CampusShelbyville, IN5,30666412,6621,52687613,97614,852(3,932)200412/01/15
Mill Pond Health CampusGreencastle, IN6,2791,5768,1241,0541,6609,09410,754(2,435)200512/01/15
St. Andrews Health CampusBatesville, IN3,9615528,2139987998,9649,763(2,563)200512/01/15
Hampton Oaks Health CampusScottsburg, IN5,5777208,1451,0338669,0329,898(2,583)200612/01/15
Forest Park Health CampusRichmond, IN6,0905359,3991,34565210,62711,279(2,993)200712/01/15
The Maples at Waterford CrossingGoshen, IN5,2253448,0272,61453910,44610,985(2,400)200612/01/15
Morrison Woods Health CampusMuncie, IN26,4281,90321,8062,1362,08423,76125,845(5,557)2008/202212/01/15, 09/14/16and 03/03/21
Woodbridge Health CampusLogansport, IN7,46822811,8121,23456512,70913,274(3,480)200312/01/15
Bridgepointe Health CampusVincennes, IN6,4007477,4692,1489179,44710,364(2,494)2002/202212/01/15
Greenleaf Living CenterElkhart, IN10,26049212,1571,35652113,48414,005(3,715)200012/01/15
The Meadows of Kalida Health CampusKalida, OH7,0772987,6281,2714608,7379,197(2,391)200712/01/15
The HeritageFindlay, OH11,4971,31213,4753,0981,69016,19517,885(4,103)197512/01/15
Genoa Retirement VillageGenoa, OH7,5258818,1131,8701,1019,76310,864(2,718)198512/01/15
Waterford CrossingGoshen, IN7,0183444,3811,3543725,7076,079(1,536)200412/01/15
St. Elizabeth HealthcareDelphi, IN7,7395225,4635,89166511,21111,876(3,017)198612/01/15
Cumberland PointeWest Lafayette, IN8,1891,64513,6969931,90514,42916,334(4,340)198012/01/15
Franciscan Healthcare CenterLouisville, KY9,1888088,4394,7831,01913,01114,030(3,660)197512/01/15
Blair Ridge Health CampusPeru, IN6,90873411,6482,46980214,04914,851(4,091)200112/01/15
Glen Oaks Health CampusNew Castle, IN4,5493848,1891,1225039,1929,695(2,337)201112/01/15
Covered Bridge Health CampusSeymour, IN—3869,6991,2738011,27811,358(3,175)200212/01/15
Stonebridge Health CampusBedford, IN8,9791,0877,9652,6351,17810,50911,687(2,603)200412/01/15
RiverOaks Health CampusPrinceton, IN13,3684408,9533,03578611,64212,428(3,006)200412/01/15
Park Terrace Health CampusLouisville, KY—2,1777,6263,3232,17710,94913,126(2,958)197712/01/15
Cobblestone CrossingTerre Haute, IN—1,46213,8606,1451,64919,81821,467(5,296)200812/01/15
Creasy Springs Health CampusLafayette, IN14,8202,11114,3376,4532,51320,38822,901(5,348)201012/01/15
Avalon Springs Health CampusValparaiso, IN16,1211,54214,1071,4931,60715,53517,142(3,990)201212/01/15
Prairie Lakes Health CampusNoblesville, IN8,1262,20413,2272,1562,40415,18317,587(3,937)201012/01/15
RidgeWood Health CampusLawrenceburg, IN12,7131,24016,1186501,27816,73018,008(4,323)200912/01/15
Westport Place Health CampusLouisville, KY15,1301,2459,9461,4781,28311,38612,669(2,999)201112/01/15
Amber Manor Care CenterPetersburg, IN5,1434466,0639635156,9577,472(1,934)199012/01/15
The Meadows of Leipsic Health CampusLeipsic, OH—1,2426,9881,1841,4917,9239,414(2,323)198612/01/15
Springview ManorLima, OH—2603,9688724084,6925,100(1,316)197812/01/15
Initial Cost to Company · Gross Amount of Which Carried at Close of Period(e)
Description(a) · Encumbrances · Land andImprovements · Buildings andImprovements · Cost CapitalizedSubsequent toAcquisition(b) · Land and Improvements · Buildings andImprovements · Total(d) · AccumulatedDepreciation(f)(g) · Date ofConstruction · Date Acquired
Willows at BellevueBellevue, OH$15,094$587$15,575$1,635$792$17,005$17,797$(4,833)200812/01/15
Briar Hill Health CampusNorth Baltimore, OH—6732,6887107573,3144,071(1,008)197712/01/15
Cypress Pointe Health CampusEnglewood, OH—92110,29112,2341,85521,59123,446(4,731)201012/01/15
The Oaks at NorthPointe WoodsBattle Creek, MI—56712,7161,94067014,55315,223(3,654)200812/01/15
Westlake Health CampusCommerce, MI13,17281513,50231960114,03514,636(3,795)201112/01/15
Springhurst Health CampusGreenfield, IN18,33593114,1148,8372,33021,55223,882(5,619)200712/01/15 and 05/16/17
Glen Ridge Health CampusLouisville, KY—1,2089,7712,7231,44212,26013,702(3,663)200612/01/15
St. Mary HealthcareLafayette, IN4,8213482,7107723933,4373,830(959)196912/01/15
The Oaks at WoodfieldGrand Blanc, MI14,62689712,2707741,13812,80313,941(3,584)201212/01/15
Stonegate Health CampusLapeer, MI10,78853813,15957680913,46414,273(3,732)201212/01/15
Senior Living at Forest RidgeNew Castle, IN—2045,4708163256,1656,490(1,636)200512/01/15
River Terrace Health CampusMadison, IN——13,3785,2487618,55018,626(5,039)201603/28/16
St. Charles Health CampusJasper, IN10,54546714,5322,76460317,16017,763(4,866)200006/24/16 and 06/30/16
Bethany Pointe Health CampusAnderson, IN18,0812,33726,5243,9392,55930,24132,800(8,427)199906/30/16
River Pointe Health CampusEvansville, IN12,9811,11814,7362,6401,37317,12118,494(4,972)199906/30/16
Waterford Place Health CampusKokomo, IN13,7421,21918,55710,8002,03028,54630,576(6,498)2000/202206/30/16
Autumn Woods Health CampusNew Albany, IN18,3331,01613,4142,2171,17715,47016,647(4,734)200006/30/16
Oakwood Health CampusTell City, IN8,43678311,8802,70490714,46015,367(4,229)200006/30/16
Cedar Ridge Health CampusCynthiana, KY—1028,4353,87920512,21112,416(4,219)200506/30/16
Aspen Place Health CampusGreensburg, IN8,81398010,9701,1631,21811,89513,113(3,465)201208/16/16
The Willows at East LansingEast Lansing, MI15,2291,44915,1611,8311,52416,91718,441(5,078)201408/16/16
The Willows at HowellHowell, MI—1,05112,0996,9991,16718,98220,149(4,536)201508/16/16
The Willows at OkemosOkemos, MI6,9801,17112,3261,1041,22913,37214,601(4,003)201408/16/16
Shelby Crossing Health CampusMacomb, MI16,0052,53318,4402,4472,62420,79623,420(6,622)201308/16/16
The Oaks at BethesdaZanesville, OH4,23771410,79198781211,68012,492(3,402)201308/16/16
White Oak Health CampusMonticello, IN19,7441,00513,2078061,00614,01215,018(3,149)201009/23/16 and 07/30/20
Woodmont Health CampusBoonville, IN7,2767909,6331,3621,02410,76111,785(3,265)200002/01/17
Silver Oaks Health CampusColumbus, IN—1,77621,4201,7338824,84124,929(6,999)200102/01/17
Thornton Terrace Health CampusHanover, IN5,1577649,2092,23187311,33112,204(3,183)200302/01/17
Initial Cost to Company · Gross Amount of Which Carried at Close of Period(e)
Description(a) · Encumbrances · Land andImprovements · Buildings andImprovements · Cost CapitalizedSubsequent toAcquisition(b) · Land and Improvements · Buildings andImprovements · Total(d) · AccumulatedDepreciation(f)(g) · Date ofConstruction · Date Acquired
The Willows at HamburgLexington, KY$10,737$1,740$13,422$1,908$1,810$15,260$17,070$(3,995)201202/01/17
The Willows at WillardWillard, OH—61012,25610,01122322,65422,877(5,774)201202/01/17
Westlake Health Campus — Commerce VillaCommerce, MI—2616,6101,2705537,5888,141(1,920)201711/17/17
Orchard Grove Health CampusRomeo, MI14,5002,06511,51018,2953,57328,29731,870(5,675)201607/20/18 and 11/30/17
The Lakes at MonclovaMonclova, OH11,7262,86912,85510,5503,18223,09226,274(5,332)201312/01/17
The Meadows of OttawaOttawa, OH—6957,7529,65973617,37018,106(2,291)201412/15/17
Valley View Healthcare CenterFremont, OH9,7889307,6351,7961,1189,24310,361(1,879)201707/20/18
Novi Lakes Health CampusNovi, MI11,6551,6547,4942,8511,70210,29711,999(3,222)201607/20/18
The Willows at Fritz FarmLexington, KY8,5381,5388,6374951,5639,10710,670(1,813)201707/20/18
Paddock SpringsWarsaw, IN—488—11,90067111,71712,388(2,044)201902/14/19
Harrison Springs Health CampusCorydon, IN—2,01711,4876,0052,30517,20419,509(2,854)2016/202209/05/19
The Cloister at SilvercrestNew Albany, IN—1396346139640779(103)194010/01/19
Scenic Hills at the MonasteryFerdinand, IN———14,8142614,78814,814(2,309)201911/19/19
Oaks at Byron CenterByron Center, MI—2,000—15,9552,19315,76217,955(2,398)202007/08/20
Forest Springs Health CampusLouisville, KY—96416,6914751,02217,10818,130(2,668)201507/30/20
Taylor Springs Health CampusGahanna, OH—1,146—16,7821,21816,71017,928(2,225)202011/13/20
Gateway Springs Health CampusHamilton, OH—1,27710,9231,9311,45312,67814,131(1,745)202012/28/20
Orchard Pointe Health CampusKendallville, IN9,9761,8069,2437502,4179,38211,799(1,708)201601/19/21
The Meadows of DelphosDelphos, OH—2,3458,1501242,3828,23710,619(1,947)201801/19/21
The Springs of LimaLima, OH—2,3979,638662,4039,69812,101(2,055)201801/19/21
Wooded GlenSpringfield, OH—2,80311,9281192,82712,02314,850(2,432)201801/19/21
The Lakes of SylvaniaSylvania, OH—3,20815,0598,7634,40422,62627,030(3,177)201701/19/21
The GlenUnion Township, OH—2,78912,343922,80912,41515,224(2,419)201801/19/21
The Oaks of BelmontGrand Rapids, MI—76717,0432501,10116,95918,060(2,330)202103/13/21
Harrison Trial Health CampusHarrison, OH—1,75017,1141572,04816,97319,021(2,230)202104/28/21
Cedar Creek Health CampusLowell, IN—2,32612,6501,0902,86413,20216,066(1,567)201407/07/21
The Willows at SpringhurstLouisville, KY20,3121,87612,5957271,95313,24515,198(1,597)197901/01/22
Louisville, KY—1,1846,4834361,1846,9198,103(840)197901/01/22
The Willows at HarrodsburgHarrodsburg, KY—91810,18110,1971,60419,69221,296(1,294)201805/20/22
North River Health CampusEvansville, IN—2,61415,0311752,65115,16917,820(1,992)201705/20/22
The Springs at Stony BrookLouisville, KY—2,26514,0774572,27314,52616,799(1,673)201805/20/22
Initial Cost to Company · Gross Amount of Which Carried at Close of Period(e)
Description(a) · Encumbrances · Land andImprovements · Buildings andImprovements · Cost CapitalizedSubsequent toAcquisition(b) · Land and Improvements · Buildings andImprovements · Total(d) · AccumulatedDepreciation(f)(g) · Date ofConstruction · Date Acquired
Pickerington Health CampusPickerington, OH$—$860$15,575$34$880$15,589$16,469$(2,545)201905/20/22
Mt. Washington Development ProjectMt. Washington, KY—2,05410,225792,07910,27912,358(1,316)202005/20/22
Silvercrest Health CenterNew Albany, IN19,8381,92024,9651,0651,93826,01227,950(2,528)201308/01/22
The Springs of MooresvilleMooresville, IN13,5681,46012,6172,5491,47615,15016,626(1,248)201608/01/22
Hearthstone Health CampusBloomington, IN18,6162,14016,9288982,19717,76919,966(1,903)201408/01/22
The Legacy at English StationLouisville, KY—91210,1397691410,21311,127(814)201602/15/23
The Villages at Oak RidgeWashington, IN—1,48311,5513,4561,56714,92316,490(1,064)201507/13/23
Smith's Mill Health CampusNew Albany, OH—1,32315,2711161,34115,36916,710(1,284)201907/13/23
Oakwood Health Center VillasTell City, IN—5351,5556388351,8932,728(205)201307/13/23
The Willows at TiffinTiffin, OH—31812,84843335413,24513,599(645)201904/17/24
The Springs at Oldham ReserveLa Grange, KY—98717,8171,5771,65718,72420,381(832)202304/22/24
Vienna Springs Health CampusMiami Township, OH—1,01616,934511,04516,95618,001(822)202104/17/24
Trilogy Real Estate Bowling GreenBowling Green, OH18,39592515,8702,46592518,33519,260(893)202402/01/24
West River Health CampusEvansville, IN—2,20113,5783292,25213,85616,108(332)199902/26/25
Oaks at JamestownHudsonville, MI—1,40525,043381,41525,07126,486(364)202407/01/25
Harbor Terrace Senior LivingMuskegon, MI—1,72125,803291,74825,80527,553(364)202407/01/25
Norwich Springs Health CampusHilliard, OH—2,13823,526342,14023,55825,698(320)202107/01/25
The Springs at Wyandot TrailLancaster, OH—2,96323,991142,96324,00526,968(352)202407/01/25
Liberty Station Health CampusLiberty Township, OH—1,01823,816221,01823,83824,856(330)202307/01/25
Cooper Trail Senior LivingBardstown, KY—59412,064959412,07312,667(175)202007/16/25
Walker's Trail Senior LivingDanville, KY—1,36512,609361,36512,64514,010(172)202107/16/25
Shelby Farms Senior LivingShelbyville, KY—1,03913,549181,03913,56714,606(192)202207/16/25
Boonesboro Trail Senior LivingWinchester, KY—1,11212,269161,11512,28213,397(176)202107/16/25
Triple Creek Retirement CommunityColerain Township, OH—2,51019,7401442,52919,86522,394(166)200807/15/25 and 11/03/25
Kingston Residence of HickoryHickory, NC—45311,62223145311,85312,306—198712/16/25
Kingston Residence of Santa FeSanta Fe, NM—1,41910,9943071,41911,30112,720—199012/16/25
Kingston Care Center of Fort WayneFort Wayne, IN—1,10420,1303601,10420,49021,594—198912/16/25
Initial Cost to Company · Gross Amount of Which Carried at Close of Period(e)
Description(a) · Encumbrances · Land andImprovements · Buildings andImprovements · Cost CapitalizedSubsequent toAcquisition(b) · Land and Improvements · Buildings andImprovements · Total(d) · AccumulatedDepreciation(f)(g) · Date ofConstruction · Date Acquired
Kingston Residence of Fort WayneFort Wayne, IN$—$1,790$2,664$427$1,790$3,091$4,881$—198312/16/25
Kingston at DupontFort Wayne, IN—5453,0751415453,2163,761—199912/16/25
Kingston of AshlandAshland, OH—3345,4382853345,7236,057—198512/16/25
Kingston Residence of MarionMarion, OH—62611,91039762612,30712,933—198612/16/25
Kingston of MiamisburgMiamisburg, OH—1,1104,5183051,1104,8235,933—197612/16/25
Kingston Rehabilitation of PerrysburgPerrysburg, OH—36614,15519836614,35314,719—201312/16/25
Kingston Residence of PerrysburgPerrysburg, OH—45910,80413045910,93411,393—199612/16/25
Kingston Care Center of SylvaniaSylvania, OH—84017,08241684017,49818,338—200412/16/25
Kingston Residence of SylvaniaSylvania, OH—88715,30228888715,59016,477—200112/16/25
Kingston of VermilionVermilion, OH—1,1237,6484191,1228,0689,190—198412/16/25
Kingston Residence of VermilionVermilion, OH—9745,7942269746,0206,994—199812/16/25
Leased properties(c)—1,13084,944189,0972,064273,107275,171(151,260)
ISHC Total$665,017$155,068$1,612,187$515,112$174,019$2,108,348$2,282,367$(476,507)
Senior Housing Operating Properties (SHOP)
Delta Valley ALF PortfolioSpringdale, AR$—$891$6,538$(415)$891$6,123$7,014$(1,883)1998/200501/08/15
Batesville, MS—3315,103(165)3314,9385,269(1,584)1999/200509/11/14
Cleveland, MS—3486,369(842)3485,5275,875(1,760)200409/11/14
North Carolina ALF PortfolioClemmons, NC—59613,237(54)59613,18313,779(4,199)201406/29/15
Garner, NC—1,72311,5174891,72312,00613,729(2,902)201403/27/19
Huntersville, NC—2,03311,4944402,03311,93413,967(3,420)201501/18/17
Matthews, NC—94912,53730494912,84113,790(3,182)201708/30/18
Mooresville, NC—83515,8945483515,94816,783(4,966)201201/28/15
Raleigh, NC—1,06921,235(174)1,06921,06122,130(6,286)201301/28/15
Wake Forest, NC—77213,596(101)77213,49514,267(4,030)201406/29/15
Mountain Crest Senior Housing PortfolioElkhart, IN—7936,0091,0467937,0557,848(2,406)199705/14/15
Elkhart, IN—7826,7601,1537827,9138,695(2,830)200005/14/15
Hobart, IN—60411,529(56)—12,07712,077(3,924)200805/14/15
LaPorte, IN—39214,894(5,478)—9,8089,808(5,006)200805/14/15
Initial Cost to Company · Gross Amount of Which Carried at Close of Period(e)
Description(a) · Encumbrances · Land andImprovements · Buildings andImprovements · Cost CapitalizedSubsequent toAcquisition(b) · Land and Improvements · Buildings andImprovements · Total(d) · AccumulatedDepreciation(f)(g) · Date ofConstruction · Date Acquired
Mishawaka, IN$—$3,670$14,416$4,050$3,670$18,466$22,136$(5,551)197807/14/15
Niles, MI—4045,0501,0944046,1446,548(2,215)200006/11/15 and 11/20/15
Nebraska Senior Housing PortfolioBennington, NE—98120,4272,45398122,88023,861(6,835)200905/29/15
Omaha, NE—1,27438,6192,8851,27441,50442,778(11,962)200005/29/15
Pennsylvania Senior Housing PortfolioBethlehem, PA—1,54222,2492,0741,54224,32325,865(7,751)200506/30/15
Boyertown, PA22,93248025,5441,65348027,19727,677(7,998)200006/30/15
York, PA12,43297229,8602,19697232,05633,028(9,175)198606/30/15
Richmond VA ALFNorth Chesterfield, VA—2,14656,6712,0792,14658,75060,896(16,321)200909/11/15
Pennsylvania Senior Housing Portfolio IIPalmyra, PA19,11483524,4241,62783526,05126,886(7,944)200702/01/16
Lafayette Assisted Living PortfolioLafayette, LA—1,2069,0768821,2069,95811,164(1,188)199610/01/21
Lafayette, LA—1,0394,6843101,0394,9946,033(641)201410/01/21
Northern California Senior Housing PortfolioBelmont, CA—10,4919,650(3,394)10,4916,25616,747(1,376)1958/200010/01/21
Central Wisconsin Senior Care PortfolioSun Prairie, WI—5432,5879945433,5814,124(549)1960/200610/01/21
Waunakee, WI—2,17110,1981,4522,17111,65013,821(1,685)1974/200510/01/21
Pinnacle Beaumont ALFBeaumont, TX—1,77517,541(13,744)—5,5725,572(1,677)201210/01/21
Pinnacle Warrenton ALFWarrenton, MO—5147,059(2,157)—5,4165,416(921)198610/01/21
Michigan ALF PortfolioGrand Rapids, MI—1,1968,9553961,1969,35110,547(1,215)1953/201610/01/21
Grand Rapids, MI9,1801,29111,3085091,29111,81713,108(1,498)198910/01/21
Holland, MI—7166,534777166,6117,327(990)2007/201710/01/21
Howell, MI—8364,202(4,202)836—836—200310/01/21
Wyoming, MI—1,34313,3477491,34314,09615,439(1,743)1964/201610/01/21
Catalina West Haven ALFWest Haven, UT—1,93610,4155631,93610,97812,914(1,391)201210/01/21
Louisiana Senior Housing PortfolioGonzales, LA—1,1235,6683771,1236,0457,168(813)199610/01/21
Monroe, LA—8344,0376028344,6395,473(610)199410/01/21
New Iberia, LA—9525,2572069525,4636,415(698)199610/01/21
Shreveport, LA—1,1776,8103471,1777,1578,334(873)199610/01/21
Slidell, LA—8014,3484898014,8375,638(654)199610/01/21
Initial Cost to Company · Gross Amount of Which Carried at Close of Period(e)
Description(a) · Encumbrances · Land andImprovements · Buildings andImprovements · Cost CapitalizedSubsequent toAcquisition(b) · Land and Improvements · Buildings andImprovements · Total(d) · AccumulatedDepreciation(f)(g) · Date ofConstruction · Date Acquired
Catalina Madera ALFMadera, CA$—$1,312$15,299$1,065$1,312$16,364$17,676$(2,018)200510/01/21
AHR Texas ALF PortfolioCedar Park, TX—1,3475,2503231,3475,5736,920(622)199812/05/22
Corpus Christi, TX—1,22912,6635961,22913,25914,488(1,395)199712/05/22
League City, TX—1,43515,4759491,43516,42417,859(1,537)199912/05/22
Round Rock, TX—2,12414,8956472,12415,54217,666(1,462)199712/05/22
Sugarland, TX—2,67412,7515972,67413,34816,022(1,363)199912/05/22
Temple, TX—1,81911,0906741,81911,76413,583(1,248)199812/05/22
Tyler, TX—1,13110,5104861,13110,99612,127(1,173)199812/05/22
Timberwood ORAlbany, OR9,5384784,1852294784,4144,892(259)200202/01/24
Settler's Park ORBaker City, OR4,3089573,7178719574,5885,545(311)199902/01/24
Lone Oak OREugene, OR11,5931,6146,8574601,6147,3178,931(531)200002/01/24
The Suites ORGrants Pass, OR6,8978885,3195428885,8616,749(380)199602/01/24
Hawks Ridge ORHood River, OR8,5851,8045,5315121,8046,0437,847(426)200102/01/24
Junction City ORJunction City, OR4,1565982,7407275983,4674,065(220)198102/01/24
Wildflower Lodge ORLa Grande, OR6,6707575,0425057575,5476,304(438)200002/01/24
Vineyard Heights ALMcminnville, OR6,6721,8446,6422261,8446,8688,712(478)200102/01/24
Vineyard Heights ILMcminnville, OR3,1557102,71767102,7233,433(180)200102/01/24
Morrow Heights ORRogue River, OR4,0117092,6503157092,9653,674(218)200002/01/24
Callahan Court MCRoseburg, OR12,7875086,934525086,9867,494(430)199902/01/24
Callahan Village ALRoseburg, OR10,2724486,3851784486,5637,011(397)199902/01/24
Neawanna ORSeaside, OR5552,2922,8101902,2923,0005,292(267)199002/01/24
Silver Creek ORWoodburn, OR3,6906032,8201866033,0063,609(171)199502/01/24
Mallard Landing WABattle Ground, WA8,7371,1774,331(303)1,1774,0285,205(208)200209/03/24
Orchard Pointe WAPort Orchard, WA5,9987324,729(255)7324,4745,206(193)199909/03/24
Blossom Valley AL WAWenatchee, WA7,4998415,442(364)8415,0785,919(224)200509/03/24
Blossom Creek MC WAWenatchee, WA6,8111,1377,442(286)1,1377,1568,293(304)200209/03/24
Initial Cost to Company · Gross Amount of Which Carried at Close of Period(e)
Description(a) · Encumbrances · Land andImprovements · Buildings andImprovements · Cost CapitalizedSubsequent toAcquisition(b) · Land and Improvements · Buildings andImprovements · Total(d) · AccumulatedDepreciation(f)(g) · Date ofConstruction · Date Acquired
Eagle SpringsCollege Place, WA$6,948$910$6,236$(158)$910$6,078$6,988$(225)199909/03/24
Regal PointeMarietta, GA—1,9564,5453671,9564,9126,868(199)199710/01/24
Chancellor's VillageFredericksburg, VA—4,05255,9325534,05256,48560,537(1,198)199104/14/25
Seven HillsSaint Paul, MN—1,52723,387431,52723,43024,957(302)201907/01/25
HoneysuckleHayden, ID—8503,983188504,0014,851(57)199608/01/25
Pillars of Grand RapidsGrand Rapids, MN—1,00528,327901,00528,41729,422(366)202208/15/25
SpringvilleDraper, UT—4,86822,339474,86822,38627,254(153)201810/01/25
Springville, UT—2,39817,368512,39817,41919,817(122)201610/01/25
WellQuest of MurrietaMurrieta, CA—6,21322,1841586,21322,34228,555(162)201610/08/25
Talamore Sun PrairieSun Prairie, WI—2,12748,501—2,12748,50150,628(216)202110/24/25
Hayden GroveBloomington, MN—3,91749,63723,91749,63953,556(229)202110/30/25
The GroveFresno, CA—1,75712,337891,75712,42614,183(59)199810/31/25
Talamore St. CloudSaint Cloud, MN—2,85747,771—2,85747,77150,628(213)202011/04/25
Talamore WoodburyWoodbury, MN—8,03270,42988,03270,43778,469(162)202312/03/25
Orchards of MinnetonkaMinnetonka, MN—5,76045,241—5,76045,24151,001(110)201912/08/25
Birches of Lehigh ValleyEaston, PA—3,96830,73183,96730,74034,707(76)202412/15/25
SHOP Total$192,540$137,731$1,208,822$11,172$134,445$1,223,280$1,357,725$(162,954)
Outpatient Medical (OM)
Lee’s Summit MO OMLee’s Summit, MO$—$1,045$5,068$1,745$1,045$6,813$7,858$(2,694)200609/18/14
Carolina Commons OMIndian Land, SC—1,0289,4304,9651,02814,39515,423(6,115)200910/15/14
Mount Olympia OM PortfolioMount Dora, FL—3935,633(1,065)3934,5684,961(1,681)200912/04/14
East Texas OM PortfolioLongview, TX——19,94213,671—33,61333,613(8,264)200812/12/14
Longview, TX—7591,6961407591,8362,595(1,038)199812/12/14
Longview, TX——8,027270—8,2978,297(2,945)200412/12/14
Longview, TX——696146—842842(394)195612/12/14
Longview, TX——27,6016,751—34,35234,352(12,483)1985/1993/ 200412/12/14
Initial Cost to Company · Gross Amount of Which Carried at Close of Period(e)
Description(a) · Encumbrances · Land andImprovements · Buildings andImprovements · Cost CapitalizedSubsequent toAcquisition(b) · Land and Improvements · Buildings andImprovements · Total(d) · AccumulatedDepreciation(f)(g) · Date ofConstruction · Date Acquired
Marshall, TX$—$368$1,711$110$368$1,821$2,189$(963)197012/12/14
Premier OMNovi, MI—64410,4202,17464412,59413,238(4,444)200612/19/14
Independence OM PortfolioSouthgate, KY—41111,0052,38841113,39313,804(4,833)198801/13/15
Somerville, MA29,6491,50946,7756,5381,50953,31354,822(15,996)198501/13/15
Verona, NJ—1,6839,4052,9321,68312,33714,020(4,004)197001/13/15
Bronx, NY——19,5933,621—23,21423,214(7,735)1987/198801/26/15
Orange Star Medical PortfolioDurango, CO—62314,16653162314,69715,320(4,483)200402/26/15
Durango, CO—78810,4671,61178812,07812,866(3,927)200402/26/15
Friendswood, TX—5007,6641,4445009,1089,608(3,000)200802/26/15
Keller, TX—1,6047,9121,4281,6049,34010,944(3,176)201102/26/15
Kingwood OM PortfolioKingwood, TX—8208,5897668209,35510,175(3,023)200503/11/15
Kingwood, TX—7813,943647814,0074,788(1,361)200803/11/15
Mt. Juliet TN OMMount Juliet, TN—1,18810,7201,2451,18811,96513,153(3,579)201203/17/15
Paoli PA Medical PlazaPaoli, PA—2,31312,4479,1342,31321,58123,894(8,338)195104/10/15
Paoli, PA—1,6687,3573,4841,66810,84112,509(3,733)197504/10/15
Glen Burnie MD OMGlen Burnie, MD—2,69214,0957,0662,69221,16123,853(7,095)198105/06/15
Marietta GA OMMarietta, GA—1,34710,9471,0791,34712,02613,373(3,709)200205/07/15
Napa Medical CenterNapa, CA—1,17613,3284,3961,17617,72418,900(5,713)198007/02/15
Stockbridge GA OM IIStockbridge, GA—4998,3532,05548510,42210,907(3,258)200612/03/15
Lakeview IN Medical PlazaIndianapolis, IN—2,37515,91111,7022,37527,61329,988(9,695)198701/21/16
Snellville GA OMSnellville, GA—3327,7812,77231810,56710,885(3,565)200502/05/16
Stockbridge GA OM IIIStockbridge, GA—6067,9242,0536069,97710,583(3,380)200703/29/16
Austell GA OMAustell, GA—66310,54734466310,89111,554(3,154)200805/25/16
Voorhees NJ OMVoorhees, NJ—1,7278,4512,8971,72711,34813,075(3,684)200807/08/16
Norwich CT OM PortfolioNorwich, CT—4031,6011,2704032,8713,274(1,476)201412/16/16
Norwich, CT—80412,0942,29280414,38615,190(3,909)199912/16/16
Middletown OH OM IIMiddletown, OH——3,949(1,584)—2,3652,365(1,019)200712/20/17
Charlottesville OMCharlottesville, VA—4,90219,7416564,90220,39725,299(3,024)200110/01/21
Rochester Hills OMRochester Hills, MI—2,2188,3802,0202,21810,40012,618(1,464)199010/01/21
Cullman OM IIICullman, AL——19,224(557)—18,66718,667(2,051)201010/01/21
Initial Cost to Company · Gross Amount of Which Carried at Close of Period(e)
Description(a) · Encumbrances · Land andImprovements · Buildings andImprovements · Cost CapitalizedSubsequent toAcquisition(b) · Land and Improvements · Buildings andImprovements · Total(d) · AccumulatedDepreciation(f)(g) · Date ofConstruction · Date Acquired
Iron OM PortfolioCullman, AL$—$—$14,799$1,929$—$16,728$16,728$(3,068)199410/01/21
Cullman, AL——12,287373—12,66012,660(2,062)199810/01/21
Sylacauga, AL——11,2732,161—13,43413,434(1,708)199710/01/21
Mint Hill OMMint Hill, NC——24,110(46)—24,06424,064(3,035)200710/01/21
Reno OMReno, NV——82,5154,655—87,17087,170(10,420)200510/01/21
Athens OM PortfolioAthens, GA—8607,9891,4818609,47010,330(1,419)200610/01/21
Athens, GA—1,10611,531(423)1,10611,10812,214(1,400)200610/01/21
Lawrenceville OMLawrenceville, GA—1,66312,0192501,66312,26913,932(1,690)200510/01/21
Roseburg OMRoseburg, OR——28,140606—28,74628,746(4,103)200310/01/21
Fairfield County OMTrumbull, CT—2,79710,4001,3752,79711,77514,572(1,969)198710/01/21
Sauk Prairie OMPrairie du Sac, WI—2,04419,6691,8962,04421,56523,609(3,531)201410/01/21
Surprise OMSurprise, AZ—1,82710,9685141,82711,48213,309(1,694)201210/01/21
Southfield OMSouthfield, MI—1,63416,5501,5501,63418,10019,734(2,807)1975/201410/01/21
Grand Junction OMGrand Junction, CO—2,46034,188842,46034,27236,732(4,641)201310/01/21
Edmonds OMEdmonds, WA—4,52322,4147404,52323,15427,677(3,418)1991/200810/01/21
Glendale OMGlendale, WI—6656,7823856657,1677,832(1,252)200410/01/21
Flemington OM PortfolioFlemington, NJ—1,41911,1101,1501,41912,26013,679(1,869)200210/01/21
Flemington, NJ—5783,3403195783,6594,237(714)199310/01/21
Lawrenceville OM IILawrenceville, GA—1,0589,7092,4471,05812,15613,214(2,084)199010/01/21
Mill Creek OMMill Creek, WA—1,3447,5166981,3448,2149,558(1,148)199110/01/21
Modesto OMModesto, CA——16,0651,434—17,49917,499(2,527)1991/201610/01/21
Lithonia OMLithonia, GA—1,67610,8711,2871,67612,15813,834(2,113)201510/01/21
Great Nord OM PortfolioTinley Park, IL——15,4232,003—17,42617,426(2,539)200210/01/21
Chesterton, IN—7439,0706997439,76910,512(1,528)200710/01/21
Plymouth, MN—1,49112,9941,0571,49114,05115,542(1,958)201410/01/21
Overland Park OMOverland Park, KS—2,80323,6398162,80324,45527,258(3,599)201710/01/21
Bloomington OMBloomington, IL—2,11417,363—2,11417,36319,477(2,081)199010/01/21
Haverhill OMHaverhill, MA—1,39315,4771,3221,39316,79918,192(2,537)198710/01/21
Fresno OMFresno, CA—1,5368,9646711,5369,63511,171(1,605)200710/01/21
Colorado Foothills OM PortfolioArvada, CO—6956,3691,1876957,5568,251(1,225)197910/01/21
Initial Cost to Company · Gross Amount of Which Carried at Close of Period(e)
Description(a) · Encumbrances · Land andImprovements · Buildings andImprovements · Cost CapitalizedSubsequent toAcquisition(b) · Land and Improvements · Buildings andImprovements · Total(d) · AccumulatedDepreciation(f)(g) · Date ofConstruction · Date Acquired
Centennial, CO$—$873$11,233$871$873$12,104$12,977$(1,785)197910/01/21
Colorado Springs, CO—2,22512,5203,0512,22515,57117,796(2,092)199910/01/21
OM Total$29,649$77,396$939,890$139,096$77,368$1,079,014$1,156,382$(244,026)
Triple-Net Leased Properties
Southlake TX HospitalSouthlake, TX$85,930$5,089$108,517$—$5,089$108,517$113,606$(32,244)201312/04/14
Crown Senior Care PortfolioPeel, Isle of Man—1,2317,347871,2317,4348,665(2,284)201509/15/15
St. Albans, UK—1,24113,0477201,24113,76715,008(4,283)201510/08/15
Salisbury, UK—131912,668591,31912,72714,046(3,912)201512/08/16
Felixstowe, UK—7446,1305437446,6737,417(1,829)2010/201111/15/16
Felixstowe, UK—5612,6873625613,0493,610(943)2010/201111/15/15
Aberdeen, UK—2,1406,3811,0512,1407,4329,572(1,819)198610/08/15
Washington DC SNFWashington, DC—1,19434,200—1,19434,20035,394(11,117)198310/29/15
Fox Grape SNF PortfolioBraintree, MA—1,84410,847311,84410,87812,722(2,910)201507/01/16
Duxbury, MA—2,92111,2441,9332,92113,17716,098(4,021)198307/01/16
Hingham, MA—2,31617,390(166)2,31617,22419,540(4,649)199007/01/16
Quincy, MA12,4293,53713,6976003,53714,29717,834(3,752)199511/01/16
SW Illinois Senior Housing PortfolioColumbia, IL—1,1179,700661,1179,76610,883(1,208)200710/01/21
Columbia, IL—1472,106—1472,1062,253(254)199910/01/21
Millstadt, IL—2593,980—2593,9804,239(484)200410/01/21
Red Bud, IL—6905,175—6905,1755,865(627)200610/01/21
Waterloo, IL—9348,932—9348,9329,866(1,087)201210/01/21
West Des Moines SNFWest Des Moines, IA—5093,813—5093,8134,322(491)200410/01/21
Triple-Net Leased Properties Total$98,359$27,793$277,861$5,286$27,793$283,147$310,940$(77,914)
Initial Cost to Company · Gross Amount of Which Carried at Close of Period(e)
Description(a)EncumbrancesLand andImprovementsBuildings andImprovementsCost CapitalizedSubsequent toAcquisition(b)Land and ImprovementsBuildings andImprovementsTotal(d)AccumulatedDepreciation(f)(g)
Summary
ISHC$665,017$155,068$1,612,187$515,112$174,019$2,108,348$2,282,367$(476,507)
SHOP192,540137,7311,208,82211,172134,4451,223,2801,357,725(162,954)
OM29,64977,396939,890139,09677,3681,079,0141,156,382(244,026)
Triple-Net Leased Properties98,35927,793277,8615,28627,793283,147310,940(77,914)
Construction in progress—4,1902,64131,8936,42132,30338,724(1,318)
Total$985,565$402,178$4,041,401$702,559$420,046$4,726,092$5,146,138$(962,719)

(a)

We own 100% of our properties as of December 31, 2025, with the exception of our investments in Southlake TX Hospital and Louisiana Senior Housing Portfolio.

(b)

The cost capitalized subsequent to acquisition is shown net of dispositions and impairments.

(c)

Represents furniture, fixtures, equipment, land and improvements associated with properties under operating leases.

(d)

The changes in total real estate for the years ended December 31, 2025, 2024 and 2023 are as follows (in thousands):

Amount
Balance — December 31, 2022$4,236,447
Acquisitions55,658
Additions97,667
Dispositions and impairments(214,906)
Foreign currency translation adjustment2,729
Balance — December 31, 2023$4,177,595
Acquisitions$172,811
Additions90,312
Dispositions and impairments(204,269)
Foreign currency translation adjustment(835)
Balance — December 31, 2024$4,235,614
Acquisitions$925,216
Additions143,247
Dispositions and impairments(161,890)
Foreign currency translation adjustment3,951
Balance — December 31, 2025$5,146,138

(e)

As of December 31, 2025, the unaudited aggregate cost of our properties was $5,008,595 for U.S. federal income tax purposes.

(f)

The changes in accumulated depreciation for the years ended December 31, 2025, 2024 and 2023 are as follows (in thousands):

Amount
Balance — December 31, 2022$654,838
Additions147,587
Dispositions and impairments(50,790)
Foreign currency translation adjustment522
Balance — December 31, 2023$752,157
Additions$151,351
Dispositions and impairments(34,341)
Foreign currency translation adjustment(201)
Balance — December 31, 2024$868,966
Additions$156,449
Dispositions and impairments(63,648)
Foreign currency translation adjustment952
Balance — December 31, 2025$962,719

(g)

The cost of buildings and capital improvements is depreciated on a straight-line basis over the estimated useful lives of the buildings and capital improvements, up to 39 years, and the cost of tenant improvements is depreciated over the shorter of the lease term or useful life, up to 34 years. The cost of furniture, fixtures and equipment is depreciated over the estimated useful life, up to 28 years.

EXHIBITS LIST

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The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.