Strong Same-Store NOI Performance
Total portfolio same-store NOI growth of 11.8% in Q4 2025 and 14.2% for full-year 2025, marking a second consecutive year of double-digit same-store NOI growth.
Trilogy Segment Outperformance
Trilogy same-store NOI +14.0% in Q4 and +18.4% for full-year 2025; same-store occupancy reached 90.6% (up ~275 basis points YoY); Medicare/Medicare Advantage mix improvements delivered ~220 basis points of quality-mix improvement.
SHOP Segment Leading Growth
SHOP same-store NOI +24.6% in Q4 and +25.2% for full-year 2025; same-store occupancy ~90.6% (up ~290 basis points YoY); SHOP delivered the strongest portfolio growth and is expected to lead in 2026.
Margin Expansion and Operating Leverage
NOI margin expansion: Trilogy margins expanded ~130 basis points and SHOP margins expanded ~280 basis points in 2025 vs. 2024; management cited high operating leverage as occupancies rose toward ~90%.
Strong NFFO Results and Guidance
Normalized FFO (NFFO) of $0.46 per diluted share in Q4 and $1.72 per diluted share for FY2025 (+22% YoY NFFO per share growth). 2026 NFFO guidance of $1.99–$2.05 per diluted share (implying another year of double-digit NFFO per share growth).
2026 Same-Store NOI Guidance
Company guidance for 2026 total portfolio same-store NOI growth of 7%–11% with segment ranges: Trilogy 8%–12%, SHOP 15%–19%, Outpatient Medical 0%–2%, Triple-Net Leased 2%–3%.
Active and Accretive Capital Deployment
Closed over $950 million of new investments in 2025 (including ~$665 million closed in Q4). Early 2026 closings of ~$117.5 million and a pipeline of over $230 million; acquisitions largely relationship-sourced and targeted at higher-acuity and newer assets.
Balance Sheet and Capital Markets Execution
Improved leverage (debt-to-EBITDA improved nearly a full turn in 2025); reported net debt-to-EBITDA of 3.4x entering 2026 (excluding ~$287 million of unsettled forward agreements). Opportunistic equity issuance (ATM and November follow-on) used to fund acquisitions and development.
Platform & Development Advantages
Operating portfolio (Trilogy + SHOP) contributes ~76.9% of consolidated cash NOI; Trilogy development/expansion pipeline prioritized to generate incremental yields with limited market risk; new supply remains historically low (<1% deliveries), supporting long-term demand/supply dynamics.
Revenue Management & Operator Alignment
Piloting revenue management tools (originating from Trilogy) across SHOP operators to capture pricing power and improve RevPOR; management alignment via LTIP and equity-based incentives to share platform improvements.