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    Ventas Reports Fourth Quarter and Full Year 2025 Results, Provides 2026 Outlook and Increases Dividend

    2/5/26 4:10:00 PM ET
    $VTR
    Real Estate Investment Trusts
    Real Estate
    Get the next $VTR alert in real time by email

    Ventas, Inc. (NYSE:VTR) ("Ventas" or the "Company") today reported results for the full year and fourth quarter ended December 31, 2025.

    CEO Remarks

    "Ventas delivered strong performance and enterprise growth in the fourth quarter and full year 2025. We executed our strategy to drive organic and external growth in senior housing and increased our participation in this multiyear growth opportunity," said Debra A. Cafaro, Ventas Chairman and CEO.

    "In 2025, we grew Same-Store Cash Net Operating Income ("NOI") by over 15% in our senior housing operating portfolio ("SHOP"). We capitalized on powerful secular demand trends and utilized our proprietary analytic and operational insights to deliver our fourth consecutive year of double-digit SHOP Same-Store Cash NOI growth. More seniors than ever are choosing to reside in senior housing for the safety, support and socialization benefits it provides.

    "We also built on our senior housing investment momentum and completed $2.5 billion of accretive investments.

    "We are increasing our quarterly dividend to common stockholders as a result of our strong results and positive outlook. In 2026 and beyond, the Ventas team remains focused on delivering exceptional performance at scale," Cafaro concluded.

    Fourth Quarter and Full Year 2025 Company Results

    For the Fourth Quarter and Full Year 2025, reported per share results were:

     

     

    Quarter Ended December 31,

     

     

    2025

     

    2024

     

    $ Change

     

    % Change

    Net Income Attributable to Common Stockholders ("Attributable Net Income")

     

    $0.15

     

    $0.13

     

    $0.02

     

    15%

    Nareit Funds From Operations* ("Nareit FFO")

     

    $0.91

     

    $0.85

     

    $0.06

     

    7%

    Normalized Funds From Operations* ("Normalized FFO")

     

    $0.89

     

    $0.81

     

    $0.08

     

    10%

     

     

    Year Ended December 31,

     

     

    2025

     

    2024

     

    $ Change

     

    % Change

    Attributable Net Income

     

    $0.54

     

    $0.19

     

    $0.35

     

    184%

    Nareit FFO*

     

    $3.50

     

    $3.14

     

    $0.36

     

    11%

    Normalized FFO*

     

    $3.48

     

    $3.19

     

    $0.29

     

    9%

     
    Some of the financial measures throughout this press release are non-GAAP measures. Refer to the Non-GAAP Financial Measures  Reconciliation tables at the end of this press release for additional information and a reconciliation to the most directly comparable GAAP measure.

    Fourth Quarter 2025 Highlights

    • Attributable Net Income per share of $0.15
    • Normalized FFO* per share of $0.89, an increase of approximately 10% compared to the prior year
    • Total Company NOI* year-over-year growth of 15% and Total Company Same-Store Cash NOI* year-over-year growth of 8%
    • On a Same-Store Cash NOI* basis, SHOP had over 15% year-over-year growth, with year-over-year average occupancy growth of 300 basis points and strong RevPOR growth
    • SHOP Same-Store Cash NOI* growth of over 15% year-over-year was led by 18% growth in the U.S. portfolio. U.S. average occupancy grew 370 basis points, including 490 basis points of growth at U.S. independent living communities
    • Ventas's Net Debt-to-Further Adjusted EBITDA* improved to 5.2x as of the end of the fourth quarter 2025, driven by SHOP segment growth and equity-funded senior housing investments
    • As of December 31, 2025, the Company had $5.3 billion in liquidity, supporting Ventas's growth and financial flexibility. Liquidity includes availability under the Company's unsecured revolving credit facility, cash and cash equivalents and unsettled equity forward sales agreements outstanding

    Full Year 2025 and Recent Highlights

    • Attributable Net Income per share of $0.54
    • Normalized FFO* per share of $3.48, an increase of approximately 9% compared to the prior year
    • Total Company NOI* year-over-year growth of 16% and Total Company Same-Store Cash NOI* year-over-year growth of 8%
    • On a Same-Store Cash NOI* basis, SHOP had over 15% year-over-year growth, led by the U.S. with growth of more than 18%
    • The Company closed $2.5 billion of senior housing investments in 2025 with attractive growth and financial return expectations
    • During 2025, the Company raised $3.2 billion of equity and currently has $1.2 billion of unsettled equity forward sales agreements outstanding

    Ventas Declares Quarterly Dividend of $0.52 Per Common Share, Representing 8% Increase

    The Company's Board of Directors has declared a quarterly dividend of $0.52 per share, representing an 8% increase, on the strength of the Company's expected cash flow growth and its positive outlook. The dividend will be payable in cash on April 16, 2026 to stockholders of record on March 31, 2026.

    Senior Housing Investments Year to Date

    Ventas has closed over $0.8 billion of senior housing investments year to date 2026. These investments follow the Company's Right Market, Right Asset, Right OperatorTM framework and are expected to enhance enterprise growth and generate attractive financial returns. The Company's senior housing investment momentum and pipeline remain strong. The year-to-date 2026 investments include relationship-driven transactions with existing and new SHOP operators.

    Full Year 2026 Guidance

    The Company's 2026 guidance contains forward-looking statements and is based on a number of assumptions; actual results may differ materially. Ventas expects to report 2026 per share Attributable Net Income, Nareit FFO and Normalized FFO within the following ranges:

     

    2026 Guidance As of 2/5/2026

    2025 Result

    $ Change

    % Change

    Attributable Net Income Per Share Range

    $0.52 - $0.62

     

     

     

    Attributable Net Income Per Share Midpoint

    $0.57

    $0.54

    $0.03

    6%

    Nareit FFO Per Share Range*

    $3.63 - $3.73

     

     

     

    Nareit FFO Per Share Midpoint*

    $3.68

    $3.50

    $0.18

    5%

    Normalized FFO Per Share Range*

    $3.78 - $3.88

     

     

     

    Normalized FFO Per Share Midpoint*

    $3.83†

    $3.56†

    $0.27

    8%

     

    †Beginning with the Company's reported results for the first quarter 2026, we intend to exclude from the calculation of Normalized FFO the full amount recorded for non-cash stock-based compensation expense as we believe this is more closely comparable to the presentation of similar measures by key industry peers and is also consistent with our calculation of Adjusted EBITDA and the calculations for our financial covenant ratios under our credit facilities and senior notes indentures. The Company's full year guidance for 2026 Normalized FFO per share gives effect to this exclusion. The Company's 2025 Normalized FFO per share as shown on this line item has been recalculated to give effect to this exclusion for illustrative comparative purposes only. The expected Normalized FFO per share year-over-year growth rate was calculated using a comparable methodology for both 2025 and 2026. This change in methodology in 2025 has, and in 2026 is expected to have, an impact on Normalized FFO per share of $0.08.

    Full Year 2026 Guidance Commentary

    In 2026, the Company expects to achieve significant NOI growth in the SHOP segment and to benefit from accretive senior housing investment activity. The Company's full year guidance for 2026 Attributable Net Income per share of $0.57 at the midpoint of the range compares to 2025 Attributable Net Income of $0.54. The Company's full year guidance for 2026 Normalized FFO per share of $3.83 at the midpoint represents 8% growth versus 2025 Normalized FFO per share, on a comparable basis. The year-over-year projected increase is composed primarily of: (1) the benefit of (a) NOI growth in the Company's SHOP segment and (b) accretive senior housing investment activity, partially offset by (2) the expiry of the non-cash rental income from the Brookdale lease on 12/31/25 as previously disclosed and the impact of higher net interest expense. The Company has included approximately $2.5 billion of 2026 investments focused on senior housing in its guidance.

    Investor Presentation

    An Earnings Presentation is posted to the Events & Presentations section of Ventas's website at ir.ventasreit.com/events-and-presentations. Additional information regarding the Company can be found in its Supplemental posted at ir.ventasreit.com. The information contained on, or that may be accessed through, the Company's website, including the information contained in the aforementioned Earnings Presentation and Supplemental, is not incorporated by reference into, and is not part of, this document.

    Fourth Quarter and Full Year 2025 Results Conference Call

    Ventas will hold a conference call to discuss this earnings release on Friday, February 6, 2026 at 10:00 a.m. Eastern Time (9:00 a.m. Central Time).

    The dial-in number for the conference call is (888) 330-3576 (or +1 (646) 960-0672 for international callers), and the participant passcode is 7655497. A live webcast can be accessed from the Investor Relations section of www.ventasreit.com.

    A telephonic replay will be available at (800) 770-2030 (or +1 (609) 800-9909 for international callers), passcode 7655497, after the earnings call and will remain available for 30 days. The webcast replay will be posted in the Investor Relations section of www.ventasreit.com.

    About Ventas

    Ventas, Inc. (NYSE:VTR) is an S&P 500 company enabling exceptional environments that benefit a large and growing aging population. With approximately 1,400 properties in North America and the United Kingdom, Ventas occupies an essential role in the longevity economy. The Company's growth is fueled by its over 850 senior housing communities, which provide valuable services to residents and enable them to thrive in supported environments. Ventas aims to deliver outsized performance by leveraging its operational expertise, data-driven insights from its Ventas OITM platform, extensive relationships and strong financial position. The Ventas portfolio also includes outpatient medical buildings, research centers and healthcare facilities. Ventas's seasoned team of talented professionals shares a commitment to excellence, integrity and a common purpose of helping people live longer, healthier, happier lives.

    Non-GAAP Financial Measures

    This press release of Ventas, Inc. (the "Company," "we," "us," "our" and similar terms) includes certain financial performance measures not defined by generally accepted accounting principles in the United States ("GAAP"), such as Nareit FFO, Normalized FFO, Net Operating Income ("NOI"), Same-Store Cash NOI, Same-Store Cash NOI Growth and Net Debt to Further Adjusted EBITDA. Reconciliations of these non-GAAP financial measures to the most directly comparable GAAP measures are included in the appendix to this press release. Our definitions and calculations of these non-GAAP measures may not be the same as similar measures reported by other REITs.

    These non-GAAP financial measures should not be considered as alternatives for, or superior to, financial measures calculated in accordance with GAAP.

    Cautionary Statements

    This press release includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. These forward-looking statements include, among others, statements of expectations, beliefs, future plans and strategies, anticipated results from operations and developments and other matters that are not historical facts. Forward-looking statements include, among other things, statements regarding our and our officers' intent, belief or expectation as identified by the use of phrases or words such as "assume," "may," "will," "project," "expect," "believe," "intend," "anticipate," "seek," "target," "forecast," "plan," "line-of-sight," "outlook," "potential," "opportunity," "estimate," "could," "would," "should" and other comparable and derivative terms or the negatives thereof.

    Forward-looking statements are based on management's beliefs as well as on a number of assumptions concerning future events. You should not put undue reliance on these forward-looking statements, which are not a guarantee of performance and are subject to a number of uncertainties and other factors that could cause actual events or results to differ materially from those expressed or implied by the forward-looking statements. We do not undertake a duty to update these forward-looking statements, which speak only as of the date on which they are made. We urge you to carefully review the disclosures we make concerning risks and uncertainties that may affect our business and future financial performance, including those made below and in our filings with the Securities and Exchange Commission, such as in the sections titled "Cautionary Statements — Summary Risk Factors" and "Risk Factors" in our Annual Report on Form 10-K for the year ended December 31, 2025, "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our subsequent Quarterly Reports on Form 10-Q and our Current Reports on Form 8-K as we file them with the Securities and Exchange Commission.

    Certain factors that could affect our future results and our ability to achieve our stated goals include, but are not limited to: (a) our exposure and the exposure of our managers, tenants and borrowers to complex and evolving governmental policy, laws and regulations, including relating to healthcare, data privacy, cybersecurity, artificial intelligence, international trade and environmental matters, the impact of such policies, laws and regulations on our and our managers', tenants' and borrowers' business and the challenges and expense associated with complying with such policies, laws and regulations; (b) the impact of market, macroeconomic and general economic conditions on us, our managers, tenants and borrowers and in areas in which our properties are geographically concentrated, including changes in or elevated inflation, interest rates and exchange rates, labor market dynamics and rises in unemployment, tightening of lending standards and reduced availability of credit or capital, events that affect consumer confidence, and the actual and perceived state of the real estate markets and public and private capital markets; (c) our ability, and the ability of our managers, tenants and borrowers, to navigate the trends impacting our or their businesses and the industries in which we or they operate, including their ability to respond to the impact of the U.S. political environment on government funding and reimbursement programs, and the financial condition or business prospect of our managers, tenants and borrowers; (d) our ability to achieve the anticipated benefits and synergies from, and effectively integrate, our completed or anticipated acquisitions and investments; (e) our ability to identify and consummate future investments in healthcare assets and effectively manage our portfolio opportunities and our investments in co-investment vehicles, joint ventures and minority interests; (f) the potential for significant general and commercial claims, legal actions, investigations, regulatory proceedings and enforcement actions that could subject us or our managers, tenants or borrowers to increased operating costs, uninsured liabilities, including fines and other penalties, reputational harm or significant operational limitations, including the loss or suspension of or moratoriums on accreditations, licenses or certificates of need, suspension of or nonpayment for new admissions, denial of reimbursement, suspension, decertification or exclusion from federal, state or foreign healthcare programs or the closure of facilities or communities; (g) our reliance on third-party managers and tenants to operate or exert substantial control over properties they manage for, or lease from, us, which limits our control and influence over such properties, their operations and their performance; (h) our reliance and the reliance of our managers, tenants and borrowers on the financial, credit and capital markets and the risk that those markets may be disrupted or become constrained; (i) the risk of bankruptcy, inability to obtain benefits from governmental programs, insolvency or financial deterioration of our managers, tenants, borrowers and other obligors which may, among other things, have an adverse impact on the ability of such parties to make payments or meet their other obligations to us; (j) our dependency on a limited number of managers and tenants for a significant portion of our revenues and operating income; (k) our exposure to various operational risks, liabilities and claims from our operating assets; (l) our exposure to particular risks due to our specific asset classes and operating markets, such as adverse changes affecting our specific asset classes and the healthcare real estate sector, the competitiveness or financial viability of hospitals on or near the campuses where our outpatient medical buildings are located, our relationships with universities, the level of expense and uncertainty of our research tenants, and the limitation of our uses of some properties we own that are subject to ground lease, air rights or other restrictive agreements; (m) our ownership of properties or operation of business outside of the U.S. that may subject us to different or greater risks than those associated with our domestic operations; (n) the risk that our management agreements or leases are not renewed or are renewed on less favorable terms, that our managers or tenants default under those agreements or that we are unable to replace managers or tenants on a timely basis or on favorable terms, if at all; (o) the risk that the borrowers under our loans or other investments default or that, to the extent we are able to foreclose or otherwise acquire the collateral securing our loans or other investments, we will be required to incur additional expense or indebtedness in connection therewith, that the assets will underperform expectations or that we may not be able to subsequently dispose of all or part of such assets on favorable terms; (p) risks related to the recognition of reserves, allowances, credit losses or impairment charges which are inherently uncertain and may increase or decrease in the future and may not represent or reflect the ultimate value of, or loss that we ultimately realize with respect to, the relevant assets; (q) the risk of exposure to unknown liabilities from our investments in properties or businesses; (r) the impact of merger, acquisition and investment activity in the healthcare industry or otherwise affecting our managers, tenants or borrowers; (s) risks related to development, redevelopment and construction projects, including costs associated with inflation, rising or elevated interest rates, labor conditions and supply chain pressures, and risks related to increased construction and development in markets in which our properties are located, including adverse effect on our future occupancy rates; (t) our current and future amount of outstanding indebtedness, and our ability to access capital and to incur additional debt which is subject to our compliance with covenants in instruments governing our and our subsidiaries' existing indebtedness; (u) increases in our borrowing costs as a result of becoming more leveraged, including in connection with acquisitions or other investment activity and rising or elevated interest rates; (v) the risk of potential dilution resulting from future sales or issuances of our equity securities; (w) the availability, adequacy and pricing of insurance coverage provided by our policies and policies maintained by our managers, tenants, borrowers or other counterparties; (x) the risks or uncertainties relating to the use of, or inability to take advantage of, the benefits of artificial intelligence by us or our managers, tenants or borrowers; (y) the occurrence of cybersecurity threats and incidents that could disrupt our or our managers', tenants' or borrower's operations, result in the loss of confidential or personal information or damage our business relationships and reputation; (z) the risk of catastrophic or extreme weather and other natural events; (aa) our ability to attract and retain talented employees; (bb) our ability to maintain a positive reputation for quality and service with our key stakeholders; (cc) the limitations and significant requirements imposed upon our business as a result of our status as a REIT and the adverse consequences (including the possible loss of our status as a REIT) that would result if we are not able to comply with such requirements; (dd) the ownership limits contained in our certificate of incorporation with respect to our capital stock in order to preserve our qualification as a REIT, which may delay, defer or prevent a change of control of our company; and (ee) the other factors set forth in our periodic filings with the Securities and Exchange Commission.

    CONSOLIDATED BALANCE SHEETS

    (In thousands, except per share amounts; dollars in USD; unaudited)

     

     

     

     

     

    As of December 31,

     

     

    2025

     

     

     

    2024

     

    Assets

     

     

     

    Real estate investments:

     

     

     

    Land and improvements

    $

    2,962,738

     

     

    $

    2,775,790

     

    Buildings and improvements

     

    30,872,598

     

     

     

    28,717,990

     

    Construction in progress

     

    358,811

     

     

     

    336,231

     

    Acquired lease intangibles

     

    1,680,567

     

     

     

    1,558,751

     

    Operating lease assets

     

    295,838

     

     

     

    308,019

     

     

     

    36,170,552

     

     

     

    33,696,781

     

    Accumulated depreciation and amortization

     

    (12,043,619

    )

     

     

    (11,096,236

    )

    Net real estate property

     

    24,126,933

     

     

     

    22,600,545

     

    Secured loans receivable and investments, net

     

    143,913

     

     

     

    144,872

     

    Investments in unconsolidated real estate entities

     

    617,571

     

     

     

    626,122

     

    Net real estate investments

     

    24,888,417

     

     

     

    23,371,539

     

    Cash and cash equivalents

     

    741,067

     

     

     

    897,850

     

    Escrow deposits and restricted cash

     

    45,070

     

     

     

    59,383

     

    Goodwill

     

    1,046,072

     

     

     

    1,044,915

     

    Assets held for sale

     

    42,993

     

     

     

    18,625

     

    Deferred income tax assets, net

     

    2,797

     

     

     

    1,931

     

    Other assets

     

    825,529

     

     

     

    792,663

     

    Total assets

    $

    27,591,945

     

     

    $

    26,186,906

     

    Liabilities and equity

     

     

     

    Liabilities:

     

     

     

    Senior notes payable and other debt

    $

    13,011,016

     

     

    $

    13,522,551

     

    Accrued interest payable

     

    143,104

     

     

     

    143,345

     

    Operating lease liabilities

     

    208,602

     

     

     

    218,003

     

    Accounts payable and other liabilities

     

    1,240,820

     

     

     

    1,152,306

     

    Liabilities related to assets held for sale

     

    4,032

     

     

     

    2,726

     

    Deferred income tax liabilities

     

    23,409

     

     

     

    8,150

     

    Total liabilities

     

    14,630,983

     

     

     

    15,047,081

     

    Redeemable OP unitholder and noncontrolling interests

     

    375,154

     

     

     

    310,229

     

    Commitments and contingencies

     

     

     

    Equity:

     

     

     

    Ventas stockholders' equity:

     

     

     

    Preferred stock, $1.00 par value; 10,000 shares authorized, unissued

     

    —

     

     

     

    —

     

    Common stock, $0.25 par value; 1,200,000 shares authorized, 474,926 and 437,085 shares outstanding at December 31, 2025 and 2024, respectively

     

    118,732

     

     

     

    109,119

     

    Capital in excess of par value

     

    19,976,183

     

     

     

    17,607,482

     

    Accumulated other comprehensive loss

     

    (39,851

    )

     

     

    (33,526

    )

    Retained earnings (deficit)

     

    (7,527,777

    )

     

     

    (6,886,653

    )

    Treasury stock, 0 and 4 shares issued at December 31, 2025 and 2024, respectively

     

    (34

    )

     

     

    (25,155

    )

    Total Ventas stockholders' equity

     

    12,527,253

     

     

     

    10,771,267

     

    Noncontrolling interests

     

    58,555

     

     

     

    58,329

     

    Total equity

     

    12,585,808

     

     

     

    10,829,596

     

    Total liabilities and equity

    $

    27,591,945

     

     

    $

    26,186,906

     

    CONSOLIDATED STATEMENTS OF INCOME

    (In thousands, except per share amounts; dollars in USD; unaudited)

     

     

     

     

     

     

     

     

     

    For the Three Months Ended December 31,

     

    For the Twelve Months Ended December 31,

     

     

    2025

     

     

     

    2024

     

     

     

    2025

     

     

     

    2024

     

    Revenues

     

     

     

     

     

     

     

    Rental income:

     

     

     

     

     

     

     

    Triple-net leased properties

    $

    132,713

     

     

    $

    157,403

     

     

    $

    601,578

     

    $

    622,054

     

    Outpatient medical and research portfolio

     

    226,756

     

     

     

    216,199

     

     

     

    895,089

     

     

     

    874,886

     

     

     

    359,469

     

     

     

    373,602

     

     

     

    1,496,667

     

     

     

    1,496,940

     

    Resident fees and services

     

    1,185,999

     

     

     

    896,360

     

     

     

    4,276,163

     

     

     

    3,372,796

     

    Third-party capital management revenues

     

    4,322

     

     

     

    4,339

     

     

     

    17,547

     

     

     

    17,359

     

    Income from loans and investments

     

    8,350

     

     

     

    4,451

     

     

     

    22,593

     

     

     

    9,057

     

    Interest and other income

     

    7,877

     

     

     

    8,305

     

     

     

    21,010

     

     

     

    28,114

     

    Total revenues

     

    1,566,017

     

     

     

    1,287,057

     

     

     

    5,833,980

     

     

     

    4,924,266

     

    Expenses

     

     

     

     

     

     

     

    Interest

     

    154,468

     

     

     

    153,206

     

     

     

    612,246

     

     

     

    602,835

     

    Depreciation and amortization

     

    352,723

     

     

     

    308,772

     

     

     

    1,379,140

     

     

     

    1,253,143

     

    Property-level operating expenses:

     

     

     

     

     

     

     

    Senior housing

     

    855,147

     

     

     

    661,683

     

     

     

    3,092,099

     

     

     

    2,506,413

     

    Outpatient medical and research portfolio

     

    77,639

     

     

     

    73,617

     

     

     

    307,733

     

     

     

    298,320

     

    Triple-net leased properties

     

    3,000

     

     

     

    4,206

     

     

     

    13,505

     

     

     

    15,829

     

     

     

    935,786

     

     

     

    739,506

     

     

     

    3,413,337

     

     

     

    2,820,562

     

    Third-party capital management expenses

     

    1,610

     

     

     

    1,551

     

     

     

    6,579

     

     

     

    6,507

     

    General, administrative and professional fees

     

    41,008

     

     

     

    41,434

     

     

     

    177,400

     

     

     

    162,990

     

    Loss on extinguishment of debt, net

     

    53

     

     

     

    15

     

     

     

    172

     

     

     

    687

     

    Transaction, transition and restructuring costs

     

    (6,008

    )

     

     

    4,226

     

     

     

    10,073

     

     

     

    20,369

     

    Reversal of allowance on loans receivable and investments, net

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    (166

    )

    Shareholder relations matters

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    15,751

     

    Other expense

     

    10,091

     

     

     

    38,855

     

     

     

    30,712

     

     

     

    49,584

     

    Total expenses

     

    1,489,731

     

     

     

    1,287,565

     

     

     

    5,629,659

     

     

     

    4,932,262

     

    Income (loss) before unconsolidated entities, real estate dispositions, income taxes and noncontrolling interests

     

    76,286

     

     

     

    (508

    )

     

     

    204,321

     

     

     

    (7,996

    )

    (Loss) income from unconsolidated entities

     

    (7,727

    )

     

     

    6,969

     

     

     

    4,468

     

     

     

    1,563

     

    Gain on real estate dispositions

     

    3,311

     

     

     

    6,727

     

     

     

    38,579

     

     

     

    57,009

     

    Income tax benefit

     

    1,122

     

     

     

    45,539

     

     

     

    14,150

     

     

     

    37,775

     

    Net income

     

    72,992

     

     

     

    58,727

     

     

     

    261,518

     

     

     

    88,351

     

    Net income attributable to noncontrolling interests

     

    2,790

     

     

     

    1,892

     

     

     

    10,137

     

     

     

    7,198

     

    Net income attributable to common stockholders

    $

    70,202

     

     

    $

    56,835

     

     

    $

    251,381

     

     

    $

    81,153

     

    Earnings per common share

     

     

     

     

     

     

     

    Basic:

     

     

     

     

     

     

     

    Net income

    $

    0.15

     

     

    $

    0.14

     

     

    $

    0.57

     

     

    $

    0.21

     

    Net income attributable to common stockholders

     

    0.15

     

     

     

    0.13

     

     

     

    0.55

     

     

     

    0.20

     

    Diluted:

     

     

     

     

     

     

     

    Net income

    $

    0.15

     

     

    $

    0.14

     

     

    $

    0.57

     

     

    $

    0.21

     

    Net income attributable to common stockholders

     

    0.15

     

     

     

    0.13

     

     

     

    0.54

     

     

     

    0.19

     

    Weighted average shares used in computing earnings per common share

     

     

     

     

     

     

     

    Basic

     

    471,138

     

     

     

    421,496

     

     

     

    455,082

     

     

     

    411,770

     

    Diluted

     

    480,763

     

     

     

    427,612

     

     

     

    462,615

     

     

     

    416,366

     

    NON-GAAP FINANCIAL MEASURES RECONCILIATION

    Funds From Operations Attributable to Common Stockholders (FFO)

    (In thousands, except per share amounts; dollars in USD; totals may not sum due to rounding; unaudited)

     

     

     

     

     

     

    Q4 YoY

     

     

     

     

     

     

    2025

     

     

     

    2024

     

     

    Change

     

     

     

     

     

    Q4

     

    Q4

     

    '25-'24

     

     

    2025

     

     

     

    2024

     

    Net income attributable to common stockholders

    $

    70,202

     

     

    $

    56,835

     

     

    24%

     

    $

    251,381

     

     

    $

    81,153

     

    Net income attributable to common stockholders per share

    $

    0.15

     

     

    $

    0.13

     

     

    15%

     

    $

    0.54

     

     

    $

    0.19

     

    Adjustments:

     

     

     

     

     

     

     

     

     

    Depreciation and amortization on real estate assets

     

    351,039

     

     

     

    308,054

     

     

     

     

     

    1,372,904

     

     

     

    1,250,453

     

    Depreciation on real estate assets related to noncontrolling interests

     

    (4,450

    )

     

     

    (3,576

    )

     

     

     

     

    (16,846

    )

     

     

    (15,113

    )

    Depreciation on real estate assets related to unconsolidated entities

     

    22,523

     

     

     

    12,463

     

     

     

     

     

    78,046

     

     

     

    49,170

     

    Gain on real estate dispositions

     

    (3,311

    )

     

     

    (6,727

    )

     

     

     

     

    (38,579

    )

     

     

    (57,009

    )

    Gain on real estate dispositions related to noncontrolling interests

     

    —

     

     

     

    —

     

     

     

     

     

    —

     

     

     

    9

     

    Loss (gain) on real estate dispositions related to unconsolidated entities

     

    68

     

     

     

    (3,182

    )

     

     

     

     

    (27,960

    )

     

     

    (3,216

    )

    Subtotal: Nareit FFO adjustments

     

    365,869

     

     

     

    307,032

     

     

     

     

     

    1,367,565

     

     

     

    1,224,294

     

    Subtotal: Nareit FFO adjustments per share

    $

    0.76

     

     

    $

    0.72

     

     

     

     

    $

    2.96

     

     

    $

    2.94

     

    Nareit FFO attributable to common stockholders

    $

    436,071

     

     

    $

    363,867

     

     

    20%

     

    $

    1,618,946

     

     

    $

    1,305,447

     

    Nareit FFO attributable to common stockholders per share

    $

    0.91

     

     

    $

    0.85

     

     

    7%

     

    $

    3.50

     

     

    $

    3.14

     

     

     

     

     

     

     

     

     

     

     

    Adjustments:

     

     

     

     

     

     

     

     

     

    (Gain) loss on derivatives, net

     

    (46

    )

     

     

    18,405

     

     

     

     

     

    (1,026

    )

     

     

    11,942

     

    Non-cash impact of income tax benefit

     

    (2,148

    )

     

     

    (46,022

    )

     

     

     

     

    (24,150

    )

     

     

    (43,486

    )

    Loss on extinguishment of debt, net

     

    53

     

     

     

    15

     

     

     

     

     

    172

     

     

     

    687

     

    Transaction, transition and restructuring costs

     

    (6,008

    )

     

     

    4,226

     

     

     

     

     

    10,073

     

     

     

    20,369

     

    Amortization of other intangibles

     

    119

     

     

     

    112

     

     

     

     

     

    477

     

     

     

    400

     

    Non-cash impact of changes to executive equity compensation plan

     

    (2,787

    )

     

     

    (2,416

    )

     

     

     

     

    2,856

     

     

     

    180

     

    Significant disruptive events, net

     

    (297

    )

     

     

    2,603

     

     

     

     

     

    5,888

     

     

     

    8,230

     

    Reversal of allowance on loans receivable and investments, net

     

    —

     

     

     

    —

     

     

     

     

     

    —

     

     

     

    (166

    )

    Normalizing items related to noncontrolling interests and unconsolidated entities, net

     

    2,118

     

     

     

    (1,001

    )

     

     

     

     

    11,178

     

     

     

    (2,012

    )

    Other normalizing items, net (1)

     

    61

     

     

     

    7,445

     

     

     

     

     

    (14,236

    )

     

     

    25,856

     

    Subtotal: Normalized FFO adjustments

     

    (8,935

    )

     

     

    (16,633

    )

     

     

     

     

    (8,768

    )

     

     

    22,000

     

    Subtotal: Normalized FFO adjustments per share

     

    (0.02

    )

     

     

    (0.04

    )

     

     

     

     

    (0.02

    )

     

     

    0.05

     

    Normalized FFO attributable to common stockholders

    $

    427,136

     

     

    $

    347,234

     

     

    23%

     

    $

    1,610,178

     

     

    $

    1,327,447

     

    Normalized FFO attributable to common stockholders per share

    $

    0.89

     

     

    $

    0.81

     

     

    10%

     

    $

    3.48

     

     

    $

    3.19

     

    Weighted average diluted shares

     

    480,763

     

     

     

    427,612

     

     

     

     

     

    462,615

     

     

     

    416,366

     

     

    n/m - Not meaningful

    (1) For the year ended December 31, 2025, primarily related to the net non-cash revenue impact of changed revenue recognition from cash to straight-line related to a Senior Housing Triple-Net tenant. For the year ended December 31, 2024, primarily related to shareholder relations matters and certain legal matters.

    Historical cost accounting for real estate assets implicitly assumes that the value of real estate assets diminishes predictably over time. However, since real estate values historically have risen or fallen with market conditions, many industry investors deem presentations of operating results for real estate companies that use historical cost accounting to be insufficient by themselves. For that reason, the Company considers Funds From Operations attributable to common stockholders ("FFO") and Normalized FFO attributable to common stockholders ("Normalized FFO") to be appropriate supplemental measures of operating performance of an equity REIT. The Company believes that the presentation of FFO, combined with the presentation of required GAAP financial measures, has improved the understanding of operating results of REITs among the investing public and has helped make comparisons of REIT operating results more meaningful. Management generally considers FFO to be a useful measure for understanding and comparing our operating results because, by excluding gains and losses related to sales of previously depreciated operating real estate assets, impairment losses on depreciable real estate and real estate asset depreciation and amortization (which can differ across owners of similar assets in similar condition based on historical cost accounting and useful life estimates), FFO can help investors compare the operating performance of a company's real estate across reporting periods and to the operating performance of other companies. The Company believes that Normalized FFO is useful because it allows investors, analysts and our management to compare our operating performance across periods on a consistent basis. In some cases, the Company provides information about identified non-cash components of FFO and Normalized FFO because it allows investors, analysts and our management to assess the impact of those items on our financial results.

    Nareit Funds From Operations Attributable to Common Stockholders ("Nareit FFO")

    The Company uses the National Association of Real Estate Investment Trusts ("Nareit") definition of FFO. Nareit defines FFO as net income attributable to common stockholders (computed in accordance with GAAP) excluding gains (or losses) from sales of real estate property, including gain (or loss) on re-measurement of equity method investments and impairment write-downs of depreciable real estate, plus real estate depreciation and amortization, and after adjustments for unconsolidated entities and noncontrolling interests. Adjustments for unconsolidated entities and noncontrolling interests will be calculated to reflect FFO on the same basis.

    Normalized FFO Attributable to Common Stockholders ("Normalized FFO")

    The Company defines Normalized FFO as Nareit FFO excluding the following income and expense items, without duplication: (a) gains and losses on derivatives, net and changes in the fair value of financial instruments; (b) the non-cash impact of income tax benefits or expenses; (c) gains and losses on extinguishment of debt, net including the write-off of unamortized deferred financing fees or additional costs, expenses, discounts, make-whole payments, penalties or premiums incurred as a result of early retirement or payment of our debt; (d) transaction, transition and restructuring costs; (e) amortization of other intangibles; (f) the non-cash impact of changes to our executive equity compensation plan; (g) net expenses or recoveries related to significant disruptive events; (h) the impact of expenses related to asset impairment and valuation allowances; (i) the financial impact of contingent consideration; (j) gains and losses on non-real estate dispositions and other normalizing items related to noncontrolling interests and unconsolidated entities; and (k) other items set forth in the Normalized FFO reconciliation included herein.

    Beginning with the Company's reported results for the first quarter 2026, we intend to exclude from the calculation of Normalized FFO the full amount recorded for non-cash stock-based compensation expense as we believe this is more closely comparable to the presentation of similar measures by key industry peers and is also consistent with our calculation of Adjusted EBITDA and the calculations for our financial covenant ratios under our credit facilities and senior notes indentures.

    Nareit FFO and Normalized FFO presented herein may not be comparable to those presented by other real estate companies due to the fact that not all real estate companies use the same definitions. Nareit FFO and Normalized FFO should not be considered as alternatives to net income attributable to common stockholders (determined in accordance with GAAP) as indicators of the Company's financial performance or as alternatives to cash flow from operating activities (determined in accordance with GAAP) as measures of the Company's liquidity, nor are they necessarily indicative of sufficient cash flow to fund all of the Company's needs. The Company believes that in order to facilitate a clear understanding of the consolidated historical operating results of the Company, Nareit FFO and Normalized FFO should be examined in conjunction with net income attributable to common stockholders as presented elsewhere herein.

    NON-GAAP FINANCIAL MEASURES RECONCILIATION

    Full Year 2026 Guidance1

    Net Income and FFO Attributable to Common Stockholders2

    (In millions, except per share amounts; dollars in USD; totals may not sum due to rounding; unaudited)

     

     

     

    FY 2026

     

    FY 2026 - Per Share

     

     

    Low

     

    High

     

    Low

     

    High

     

     

     

     

     

     

     

     

     

    Net income attributable to common stockholders

     

    $260

     

    $310

     

    $0.52

     

    $0.62

     

     

     

     

     

     

     

     

     

    Depreciation and amortization adjustments

     

    1,566

     

    1,566

     

    $3.11

     

    $3.11

     

     

     

     

     

     

     

     

     

    Nareit FFO attributable to common stockholders

     

    $1,826

     

    $1,876

     

    $3.63

     

    $3.73

     

     

     

     

     

     

     

     

     

    Other adjustments3,4

     

    76

     

    76

     

    $0.15

     

    $0.15

     

     

     

     

     

     

     

     

     

    Normalized FFO attributable to common stockholders4

     

    $1,902

     

    $1,952

     

    $3.78

     

    $3.88

    % Year-over-year growth4

     

     

     

     

     

    6%

     

    9%

     

     

     

     

     

     

     

     

     

    Weighted average diluted shares (in millions)

     

    503

     

    503

     

     

     

     

    1 The Company's guidance constitutes forward-looking statements within the meaning of the federal securities laws and is based on a number of assumptions that are subject to change and many of which are outside the control of the Company. Actual results may differ materially from the Company's expectations depending on factors discussed herein and in the Company's filings with the Securities and Exchange Commission.

    2 Totals may not add due to minor corporate-level adjustments.

    3 Other adjustments include the categories of adjustments presented in our FFO and FAD Reconciliation.

    4 Beginning with the first quarter 2026, the Company intends to add back non-cash stock-based compensation expense in its calculation of Normalized FFO. The Company's full year guidance for 2026 Normalized FFO per share gives effect to this change and the Normalized FFO per share year-over-year growth rate was calculated using a comparable methodology for both 2025 and 2026. This change in methodology in 2025 has, and in 2026 is expected to have, an impact on Normalized FFO per share of $0.08.

    Select Guidance Assumptions:

    • The Company's guidance includes the following investment and disposition assumptions:
      • Expect to close ~$2.5 billion of investments focused on senior housing
      • Disposition proceeds of ~$300 million
    • Additional guidance assumptions include:
      • Interest expense of ~$636M at midpoint
      • Interest and other income of ~$8M at midpoint
      • Full year weighted average diluted share count of 503 million
      • FAD capital expenditures of ~$400M at midpoint
      • Beginning with the first quarter of 2026, Normalized FFO excludes non-cash stock-based compensation expense4 estimated to be $0.08 per share for the full year

    NON-GAAP FINANCIAL MEASURES RECONCILIATION

    Fourth Quarter 2025 Same-Store Cash NOI by Segment

    (In thousands, unless otherwise noted; dollars in USD; totals may not sum due to rounding; unaudited)

     

     

     

    For the Three Months Ended December 31, 2025

     

     

    SHOP

     

    OM&R

     

    NNN

     

    Non-Segment

     

    Total

    Net income attributable to common stockholders

     

     

     

     

     

     

     

     

     

    $

    70,202

     

    Adjustments:

     

     

     

     

     

     

     

     

     

     

    Interest and other income

     

     

     

     

     

     

     

     

     

     

    (7,877

    )

    Interest expense

     

     

     

     

     

     

     

     

     

     

    154,468

     

    Depreciation and amortization

     

     

     

     

     

     

     

     

     

     

    352,723

     

    General, administrative and professional fees

     

     

     

     

     

     

     

     

     

     

    41,008

     

    Loss on extinguishment of debt, net

     

     

     

     

     

     

     

     

     

     

    53

     

    Transaction, transition and restructuring costs

     

     

     

     

     

     

     

     

     

     

    (6,008

    )

    Other expense

     

     

     

     

     

     

     

     

     

     

    10,091

     

    Loss from unconsolidated entities

     

     

     

     

     

     

     

     

     

     

    7,727

     

    Gain on real estate dispositions

     

     

     

     

     

     

     

     

     

     

    (3,311

    )

    Income tax benefit

     

     

     

     

     

     

     

     

     

     

    (1,122

    )

    Net income attributable to noncontrolling interests

     

     

     

     

     

     

     

     

     

     

    2,790

     

    NOI

     

    $

    330,852

     

     

    $

    149,896

     

     

    $

    129,713

     

     

    $

    10,283

     

     

    $

    620,744

     

    Adjustments:

     

     

     

     

     

     

     

     

     

     

    Straight-lining of rental income

     

     

    —

     

     

     

    (2,836

    )

     

     

    (7,231

    )

     

     

    —

     

     

     

    (10,067

    )

    Non-cash rental income

     

     

    —

     

     

     

    (2,853

    )

     

     

    (5,222

    )

     

     

    —

     

     

     

    (8,075

    )

    Cash payments, fees and other consideration

     

     

    —

     

     

     

    961

     

     

     

    —

     

     

     

    —

     

     

     

    961

     

    NOI not included in cash NOI1

     

     

    2,112

     

     

     

    (680

    )

     

     

    (2,724

    )

     

     

    —

     

     

     

    (1,292

    )

    Non-segment NOI

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    (10,283

    )

     

     

    (10,283

    )

    Cash NOI

     

    $

    332,964

     

     

    $

    144,488

     

     

    $

    114,536

     

     

    $

    —

     

     

    $

    591,988

     

     

     

     

     

     

     

     

     

     

     

     

    Adjustments:

     

     

     

     

     

     

     

     

     

     

    Cash NOI not included in Same-Store

     

     

    (97,343

    )

     

     

    (4,347

    )

     

     

    (4,001

    )

     

     

    —

     

     

     

    (105,691

    )

    Same-Store Cash NOI

     

    $

    235,621

     

     

    $

    140,141

     

     

    $

    110,535

     

     

    $

    —

     

     

    $

    486,297

     

     

     

     

     

     

     

     

     

     

     

     

    Percentage increase (decrease)

     

     

    15.4

    %

     

     

    3.7

    %

     

     

    (1.3

    %)

     

     

     

     

    7.8

    %

    1 Includes consolidated properties. Excludes sold assets, assets owned by unconsolidated real estate entities, assets held for sale, loan repayments, development properties not yet operational, land parcels and third-party management revenues from all periods. Assets that have undergone business model transitions are reflected within the new business segment as of the transition date.

     

     

    For the Three Months Ended December 31, 2024

     

     

    SHOP

     

    OM&R

     

    NNN

     

    Non-Segment

     

    Total

    Net income attributable to common stockholders

     

     

     

     

     

     

     

     

     

    $

    56,835

     

    Adjustments:

     

     

     

     

     

     

     

     

     

     

    Interest and other income

     

     

     

     

     

     

     

     

     

     

    (8,305

    )

    Interest expense

     

     

     

     

     

     

     

     

     

     

    153,206

     

    Depreciation and amortization

     

     

     

     

     

     

     

     

     

     

    308,772

     

    General, administrative and professional fees

     

     

     

     

     

     

     

     

     

     

    41,434

     

    Loss on extinguishment of debt, net

     

     

     

     

     

     

     

     

     

     

    15

     

    Transaction, transition and restructuring costs

     

     

     

     

     

     

     

     

     

     

    4,226

     

    Other expense

     

     

     

     

     

     

     

     

     

     

    38,855

     

    Income from unconsolidated entities

     

     

     

     

     

     

     

     

     

     

    (6,969

    )

    Gain on real estate dispositions

     

     

     

     

     

     

     

     

     

     

    (6,727

    )

    Income tax benefit

     

     

     

     

     

     

     

     

     

     

    (45,539

    )

    Net income attributable to noncontrolling interests

     

     

     

     

     

     

     

     

     

     

    1,892

     

    NOI

     

    $

    234,677

     

     

    $

    143,332

     

     

    $

    153,197

     

     

    $

    6,489

     

     

    $

    537,695

     

    Adjustments:

     

     

     

     

     

     

     

     

     

     

    Straight-lining of rental income

     

     

    —

     

     

     

    (1,014

    )

     

     

    2,389

     

     

     

    —

     

     

     

    1,375

     

    Non-cash rental income

     

     

    —

     

     

     

    (1,818

    )

     

     

    (11,129

    )

     

     

    —

     

     

     

    (12,947

    )

    NOI not included in cash NOI1

     

     

    1,296

     

     

     

    (2,262

    )

     

     

    (28,679

    )

     

     

    —

     

     

     

    (29,645

    )

    Non-segment NOI

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    (6,489

    )

     

     

    (6,489

    )

    NOI impact from change in FX

     

     

    237

     

     

     

    —

     

     

     

    131

     

     

     

    —

     

     

     

    368

     

    Cash NOI

     

    $

    236,210

     

     

    $

    138,238

     

     

    $

    115,909

     

     

    $

    —

     

     

    $

    490,357

     

     

     

     

     

     

     

     

     

     

     

     

    Adjustments:

     

     

     

     

     

     

     

     

     

     

    Cash NOI not included in Same-Store

     

     

    (32,044

    )

     

     

    (3,118

    )

     

     

    (3,877

    )

     

     

    —

     

     

     

    (39,039

    )

    NOI impact from change in FX not in Same-Store

     

     

    (14

    )

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    (14

    )

    Same-Store Cash NOI

     

    $

    204,152

     

     

    $

    135,120

     

     

    $

    112,032

     

     

    $

    —

     

     

    $

    451,304

     

    1 Includes consolidated properties. Excludes sold assets, assets owned by unconsolidated real estate entities, assets held for sale, loan repayments, development properties not yet operational, land parcels and third-party management revenues from all periods. Assets that have undergone business model transitions are reflected within the new business segment as of the transition date.

    NON-GAAP FINANCIAL MEASURES RECONCILIATION

    Full Year 2025 Same-Store Cash NOI by Segment

    (In thousands, unless otherwise noted; dollars in USD; totals may not sum due to rounding; unaudited)

     

     

     

    For the Year Ended December 31, 2025

     

     

    SHOP

     

    OM&R

     

    NNN

     

    Non-Segment

     

    Total

    Net income attributable to common stockholders

     

     

     

     

     

     

     

     

     

    $

    251,381

     

    Adjustments:

     

     

     

     

     

     

     

     

     

     

    Interest and other income

     

     

     

     

     

     

     

     

     

     

    (21,010

    )

    Interest expense

     

     

     

     

     

     

     

     

     

     

    612,246

     

    Depreciation and amortization

     

     

     

     

     

     

     

     

     

     

    1,379,140

     

    General, administrative and professional fees

     

     

     

     

     

     

     

     

     

     

    177,400

     

    Loss on extinguishment of debt, net

     

     

     

     

     

     

     

     

     

     

    172

     

    Transaction, transition and restructuring costs

     

     

     

     

     

     

     

     

     

     

    10,073

     

    Other expense

     

     

     

     

     

     

     

     

     

     

    30,712

     

    Income from unconsolidated entities

     

     

     

     

     

     

     

     

     

     

    (4,468

    )

    Gain on real estate dispositions

     

     

     

     

     

     

     

     

     

     

    (38,579

    )

    Income tax benefit

     

     

     

     

     

     

     

     

     

     

    (14,150

    )

    Net income attributable to noncontrolling interests

     

     

     

     

     

     

     

     

     

     

    10,137

     

    NOI

     

    $

    1,184,064

     

     

    $

    590,169

     

     

    $

    588,073

     

     

    $

    30,748

     

     

    $

    2,393,054

     

    Adjustments:

     

     

     

     

     

     

     

     

     

     

    Straight-lining of rental income

     

     

    —

     

     

     

    (11,100

    )

     

     

    (37,752

    )

     

     

    —

     

     

     

    (48,852

    )

    Non-cash rental income

     

     

    —

     

     

     

    (9,263

    )

     

     

    (29,559

    )

     

     

    —

     

     

     

    (38,822

    )

    Cash payments, fees and other consideration

     

     

    —

     

     

     

    5,570

     

     

     

    —

     

     

     

    —

     

     

     

    5,570

     

    NOI not included in cash NOI1

     

     

    6,056

     

     

     

    (5,222

    )

     

     

    (59,414

    )

     

     

    —

     

     

     

    (58,580

    )

    Non-segment NOI

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    (30,748

    )

     

     

    (30,748

    )

    Cash NOI

     

    $

    1,190,120

     

     

    $

    570,154

     

     

    $

    461,348

     

     

    $

    —

     

     

    $

    2,221,622

     

     

     

     

     

     

     

     

     

     

     

     

    Adjustments:

     

     

     

     

     

     

     

     

     

     

    Cash NOI not included in Same-Store

     

     

    (312,122

    )

     

     

    (27,822

    )

     

     

    (36,303

    )

     

     

    —

     

     

     

    (376,247

    )

    Same-Store Cash NOI

     

    $

    877,998

     

     

    $

    542,332

     

     

    $

    425,045

     

     

    $

    —

     

     

    $

    1,845,375

     

     

     

     

     

     

     

     

     

     

     

     

    Percentage increase (decrease)

     

     

    15.4

    %

     

     

    2.5

    %

     

     

    (0.2

    %)

     

     

     

     

    7.6

    %

    1 Includes consolidated properties. Excludes sold assets, assets owned by unconsolidated real estate entities, assets held for sale, loan repayments, development properties not yet operational, land parcels and third-party management revenues from all periods. Assets that have undergone business model transitions are reflected within the new business segment as of the transition date.

     

     

    For the Year Ended December 31, 2024

     

     

    SHOP

     

    OM&R

     

    NNN

     

    Non-Segment

     

    Total

    Net income attributable to common stockholders

     

     

     

     

     

     

     

     

     

    $

    81,153

     

    Adjustments:

     

     

     

     

     

     

     

     

     

     

    Interest and other income

     

     

     

     

     

     

     

     

     

     

    (28,114

    )

    Interest expense

     

     

     

     

     

     

     

     

     

     

    602,835

     

    Depreciation and amortization

     

     

     

     

     

     

     

     

     

     

    1,253,143

     

    General, administrative and professional fees

     

     

     

     

     

     

     

     

     

     

    162,990

     

    Loss on extinguishment of debt, net

     

     

     

     

     

     

     

     

     

     

    687

     

    Transaction, transition and restructuring costs

     

     

     

     

     

     

     

     

     

     

    20,369

     

    Reversal of allowance on loans receivable and investments, net

     

     

     

     

     

     

     

     

     

     

    (166

    )

    Shareholder relations matters

     

     

     

     

     

     

     

     

     

     

    15,751

     

    Other expense

     

     

     

     

     

     

     

     

     

     

    49,584

     

    Income from unconsolidated entities

     

     

     

     

     

     

     

     

     

     

    (1,563

    )

    Gain on real estate dispositions

     

     

     

     

     

     

     

     

     

     

    (57,009

    )

    Income tax benefit

     

     

     

     

     

     

     

     

     

     

    (37,775

    )

    Net income attributable to noncontrolling interests

     

     

     

     

     

     

     

     

     

     

    7,198

     

    NOI

     

    $

    866,383

     

     

    $

    579,271

     

     

    $

    606,225

     

     

    $

    17,204

     

     

    $

    2,069,083

     

    Adjustments:

     

     

     

     

     

     

     

     

     

     

    Straight-lining of rental income

     

     

    —

     

     

     

    (10,181

    )

     

     

    5,087

     

     

     

    —

     

     

     

    (5,094

    )

    Non-cash rental income

     

     

    —

     

     

     

    (8,112

    )

     

     

    (46,015

    )

     

     

    —

     

     

     

    (54,127

    )

    Cash payments, fees and other consideration

     

     

    —

     

     

     

    3,000

     

     

     

    —

     

     

     

    —

     

     

     

    3,000

     

    NOI not included in cash NOI1

     

     

    5,610

     

     

     

    (10,611

    )

     

     

    (117,723

    )

     

     

     

     

    (122,724

    )

    Non-segment NOI

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    (17,204

    )

     

     

    (17,204

    )

    NOI impact from change in FX

     

     

    (3,860

    )

     

     

    —

     

     

     

    428

     

     

     

    —

     

     

     

    (3,432

    )

    Cash NOI

     

    $

    868,133

     

     

    $

    553,367

     

     

    $

    448,002

     

     

    $

    —

     

     

    $

    1,869,502

     

     

     

     

     

     

     

     

     

     

     

     

    Adjustments:

     

     

     

     

     

     

     

     

     

     

    Cash NOI not included in Same-Store

     

     

    (107,849

    )

     

     

    (24,065

    )

     

     

    (22,233

    )

     

     

    —

     

     

     

    (154,147

    )

    NOI impact from change in FX not in Same-Store

     

     

    247

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    247

     

    Same-Store Cash NOI

     

    $

    760,531

     

     

    $

    529,302

     

     

    $

    425,769

     

     

    $

    —

     

     

    $

    1,715,602

     

    1 Includes consolidated properties. Excludes sold assets, assets owned by unconsolidated real estate entities, assets held for sale, loan repayments, development properties not yet operational, land parcels and third-party management revenues from all periods. Assets that have undergone business model transitions are reflected within the new business segment as of the transition date.

    NON-GAAP FINANCIAL MEASURES RECONCILIATION

    Adjusted EBITDA and Net Debt

    (Dollars in thousands USD; totals may not sum due to rounding; unaudited)

     

     

     

    For the Year Ended

     

    For the Three Months Ended

     

     

    December 31, 2025

     

    December 31, 2025

     

    September 30, 2025

     

    December 31, 2024

    Net income attributable to common stockholders

     

    $

    251,381

     

     

    $

    70,202

     

     

    $

    66,047

     

     

    $

    56,835

     

    Adjustments:

     

     

     

     

     

     

     

     

    Interest expense

     

     

    612,246

     

     

     

    154,468

     

     

     

    158,124

     

     

     

    153,206

     

    Loss on extinguishment of debt, net

     

     

    172

     

     

     

    53

     

     

     

    119

     

     

     

    15

     

    Taxes (including tax amounts in general, administrative and professional fees)

     

     

    (10,128

    )

     

     

    (105

    )

     

     

    (5,210

    )

     

     

    (44,153

    )

    Depreciation and amortization

     

     

    1,379,140

     

     

     

    352,723

     

     

     

    357,173

     

     

     

    308,772

     

    Non-cash stock-based compensation expense

     

     

    38,734

     

     

     

    6,319

     

     

     

    5,905

     

     

     

    4,648

     

    Transaction, transition and restructuring costs

     

     

    10,073

     

     

     

    (6,008

    )

     

     

    5,472

     

     

     

    4,226

     

    Net income attributable to noncontrolling interests, adjusted for partners' share of consolidated entity EBITDA

     

     

    (31,914

    )

     

     

    (8,383

    )

     

     

    (8,061

    )

     

     

    (6,902

    )

    Income from unconsolidated entities, adjusted for Ventas' share of EBITDA from unconsolidated entities

     

     

    131,078

     

     

     

    42,820

     

     

     

    18,238

     

     

     

    24,368

     

    Gain on real estate dispositions

     

     

    (38,579

    )

     

     

    (3,311

    )

     

     

    (1,283

    )

     

     

    (6,727

    )

    Unrealized foreign currency gain

     

     

    270

     

     

     

    644

     

     

     

    234

     

     

     

    362

     

    (Gain) loss on derivatives, net

     

     

    (765

    )

     

     

    —

     

     

     

    8,362

     

     

     

    21,173

     

    Significant disruptive events, net

     

     

    5,888

     

     

     

    (297

    )

     

     

    1,161

     

     

     

    2,603

     

    Other normalizing items, net 1

     

     

    (14,292

    )

     

     

    9

     

     

     

    (14,298

    )

     

     

    7,446

     

    Adjusted EBITDA

     

    $

    2,333,304

     

     

    $

    609,134

     

     

    $

    591,983

     

     

    $

    525,872

     

    Adjustment for current period activity

     

     

    77,737

     

     

     

    (1,614

    )

     

     

    5,269

     

     

     

    15,885

     

    Further Adjusted EBITDA

     

    $

    2,411,041

     

     

    $

    607,520

     

     

    $

    597,252

     

     

    $

    541,757

     

     

     

     

     

     

     

     

     

     

    Further Adjusted EBITDA annualized

     

    $

    2,411,041

     

     

    $

    2,430,080

     

     

    $

    2,389,008

     

     

    $

    2,167,028

     

     

     

     

     

     

     

     

     

     

    Total debt

     

    $

    13,011,016

     

     

    $

    13,011,016

     

     

    $

    12,571,614

     

     

    $

    13,522,551

     

    Cash and cash equivalents

     

     

    (741,067

    )

     

     

    (741,067

    )

     

     

    (188,617

    )

     

     

    (897,850

    )

    Restricted cash pertaining to debt

     

     

    (24,845

    )

     

     

    (24,845

    )

     

     

    (36,515

    )

     

     

    (32,588

    )

    Partners' share of consolidated debt

     

     

    (328,171

    )

     

     

    (328,171

    )

     

     

    (324,932

    )

     

     

    (310,881

    )

    Ventas' share of unconsolidated debt

     

     

    732,515

     

     

     

    732,515

     

     

     

    724,279

     

     

     

    676,839

     

    Net debt

     

    $

    12,649,448

     

     

    $

    12,649,448

     

     

    $

    12,745,829

     

     

    $

    12,958,071

     

     

     

     

     

     

     

     

     

     

    Net debt / Further Adjusted EBITDA

     

    5.2 x

     

    5.2 x

     

    5.3 x

     

    6.0 x

     

     

     

     

     

     

     

     

     

    1 For the year ended December 31, 2025, principally due to the net non-cash revenue impact of changed revenue recognition from cash to straight-line related to a Senior Housing Triple-Net tenant. For the year ended December 31, 2024, primarily related to shareholder relations matters and certain legal matters.

    The Company believes that Net debt and Adjusted Pro Forma EBITDA are useful to investors, analysts and Company management because they allow the comparison of the Company's credit strength between periods and to other real estate companies without the effect of items that by their nature are not comparable from period to period.

    Adjusted EBITDA

    The Company defines Adjusted EBITDA as consolidated earnings before interest, taxes, depreciation and amortization (including non-cash stock-based compensation expense, asset impairment and valuation allowances), excluding (a) gains or losses on extinguishment of debt; (b) transaction, transition and restructuring costs; (c) noncontrolling interests' share of adjusted EBITDA; (d) net gains or losses on real estate activity; (e) gains or losses on re-measurement of equity interest upon acquisition; (f) unrealized foreign currency gains or losses; (g) gains or losses on derivatives, net and changes in the fair value of financial instruments; (h) net expenses or recoveries related to significant disruptive events; and (i) non-cash charges related to leases, and including (x) Ventas' share of adjusted EBITDA from unconsolidated entities and (y) the impact of other items set forth in the Adjusted EBITDA reconciliation included herein.

    Adjusted Pro Forma EBITDA

    Adjusted Pro Forma EBITDA considers the pro forma effect on Adjusted EBITDA of transactions and events that were completed during the period, as if the transaction or event had been consummated at the beginning of the relevant period and considers any other incremental items set forth in the Adjusted Pro Forma EBITDA reconciliation included herein.

    The Company considers NOI and Cash NOI as important supplemental measures because they allow investors, analysts and the Company's management to assess its unlevered property-level operating results and to compare its operating results with those of other real estate companies and between periods on a consistent basis.

    NOI

    The Company defines NOI as total revenues, less interest and other income, property-level operating expenses and third-party capital management expenses.

    Cash NOI

    The Company defines Cash NOI as NOI for its reportable business segments (i.e., SHOP, OM&R and NNN), determined on a Constant Currency basis, excluding the impact of, without duplication (i) non-cash items such as straight-line rent and the amortization of lease intangibles, (ii) sold assets, assets held for sale, development properties not yet operational and land parcels and (iii) other items set forth in the Cash NOI reconciliation included herein. In certain cases, results may be adjusted to reflect the receipt of cash payments, fees, and other consideration that is not fully recognized as NOI in the period.

    Same-Store

    The Company defines same-store as properties owned, consolidated and operational for the full period in both comparison periods and that are not otherwise excluded; provided, however, that the Company may include selected properties that otherwise meet the same-store criteria if they are included in substantially all of, but not a full, period for one or both of the comparison periods, and in the Company's judgment such inclusion provides a more meaningful presentation of its segment performance.

    Newly acquired development properties and recently developed or redeveloped properties in the Company's SHOP reportable segment will be included in same-store once they are stabilized for the full period in both periods presented. These properties are considered stabilized upon the earlier of (a) the achievement of 80% sustained occupancy or (b) 24 months from the date of acquisition or substantial completion of work. Recently developed or redeveloped properties in the Company's OM&R and NNN reportable segments will be included in same-store once substantial completion of work has occurred for the full period in both periods presented. Our SHOP and NNN that have undergone operator or business model transitions will be included in same-store once operating under consistent operating structures for the full period in both periods presented.

    Properties are excluded from same-store if they are: (i) sold, classified as held for sale or properties whose operations were classified as discontinued operations in accordance with GAAP; (ii) impacted by significant disruptive events such as flood or fire; (iii) for SHOP, those properties that are currently undergoing a significant disruptive redevelopment; (iv) for OM&R and NNN reportable segments, those properties for which management has an intention to institute, or has instituted, a redevelopment plan because the properties may require major property-level expenditures to maximize value, increase NOI, or maintain a market-competitive position and/or achieve property stabilization, most commonly as the result of an expected or actual material change in occupancy or NOI; or (v) for SHOP and NNN reportable segments, those properties that are scheduled to undergo operator or business model transitions, or have transitioned operators or business models after the start of the prior comparison period.

    Constant Currency

    To eliminate the impact of exchange rate movements, all portfolio performance-based disclosures assume constant exchange rates across comparable periods, using the following methodology: the current period's results are shown in actual reported USD, while prior comparison period's results are adjusted and converted to USD based on the average monthly exchange rate for the current period.

    View source version on businesswire.com: https://www.businesswire.com/news/home/20260205017229/en/

    BJ Grant

    (877) 4-VENTAS

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