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AHR vs. O: American Healthcare REIT vs. Realty Income Stock Comparison

How do American Healthcare REIT (AHR) and Realty Income (O) stack up? This page sets them side by side across company profile, performance and risk, profitability, growth, financial strength, dividends, and valuation, with selected fundamentals also measured against each stock's industry-group peers.

Company Profile

American Healthcare REIT (AHR) and Realty Income (O) both fall under the Equity Real Estate Investment Trusts (REITs) industry group, but AHR is classified in Diversified REITs while O is classified in Retail REITs.

Realty Income (O) carries decades of public-market history since October 18, 1994, while American Healthcare REIT (AHR) listed on February 7, 2024 — long-window comparisons have far more historical data on the O side.

Both American Healthcare REIT (AHR) and Realty Income (O) are REITs — read their payout ratios and P/E alongside FFO (funds from operations) rather than at face value.

Company profile comparison for American Healthcare REIT (AHR) and Realty Income (O)
Profile ItemAHRO
NameAmerican Healthcare REIT, Inc.Realty Income Corp.
Country/RegionUnited StatesUnited States
GICS SectorReal EstateReal Estate
GICS Industry GroupEquity Real Estate Investment Trusts (REITs)Equity Real Estate Investment Trusts (REITs)
GICS IndustryDiversified REITsRetail REITs
GICS Sub-IndustryDiversified REITsRetail REITs
Market Capitalization13.40 billion USD56.31 billion USD
CurrencyUSDUSD
ExchangeNYSENYSE
Listing DateFebruary 7, 2024October 18, 1994
Security TypeREITREIT

Price Performance

Cumulative Growth

AHR
O
GSPC
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American Healthcare REIT (AHR) vs. Realty Income (O), with S&P 500 (GSPC) for reference: Growth of a $10,000 investment over the past five years. Adjusted for dividends and splits.

Trailing Returns

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Trailing total returns for American Healthcare REIT (AHR) and Realty Income (O). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for American Healthcare REIT (AHR) and Realty Income (O). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for American Healthcare REIT (AHR) and Realty Income (O)
MetricAHRO
Total Return (1Y)19.64%10.34%
Total Return (3Y, Annualized)--11.84%
Total Return (5Y, Annualized)--2.34%

Risk Profile

Drawdown History

AHR
O
GSPC
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American Healthcare REIT (AHR) vs. Realty Income (O), with S&P 500 (GSPC) for reference: Drawdown from the running peak over the past five years. Each line shows the decline from its prior peak; 0% marks a new high.

Return Distribution

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Distribution of monthly total returns for American Healthcare REIT (AHR) and Realty Income (O). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for American Healthcare REIT (AHR) and Realty Income (O)
MetricAHRO
Volatility (1Y, Annualized)26.52%16.95%
Beta (5Y)0.720.63
Max Drawdown (5Y)-14.05%-34.47%
Avg. Volume (3M)3.20M7.39M

Risk-Adjusted Performance

Risk-Return Positioning

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AHR and O are plotted by 1-year volatility (risk) and 1-year return. The dashed Capital Allocation Line runs from the risk-free rate through the shared industry median.

Risk-Adjusted Metrics

Risk-adjusted metrics for American Healthcare REIT (AHR) and Realty Income (O)
MetricAHRO
Sharpe Ratio (1Y)0.580.36
Sortino Ratio (1Y)0.840.52

Profitability

ROE (TTM)

Both American Healthcare REIT (AHR) at 2.33% and Realty Income (O) at 3.48% land near their industries’ usual ROE ranges, so capital efficiency looks broadly in line with peers on both sides.

AHR

Equity Real Estate Investment Trusts (REITs) industry group

2.33%

Max
22.74%
Q3
10.54%
Median
6.38%
AHR
2.33%
Q1
1.69%
Min
-10.86%

O

Equity Real Estate Investment Trusts (REITs) industry group

3.48%

Max
22.74%
Q3
10.54%
Median
6.38%
O
3.48%
Q1
1.69%
Min
-10.86%
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American Healthcare REIT (AHR) vs. Realty Income (O): A comparison of their ROE against the Equity Real Estate Investment Trusts (REITs) industry group benchmark.

Net Margin (TTM)

Neither American Healthcare REIT (AHR) in Equity Real Estate Investment Trusts (REITs) nor Realty Income (O) in Equity Real Estate Investment Trusts (REITs) is well served by net margin: heavy depreciation makes net income a poor profitability proxy in their businesses, where FFO-based measures are the standard read.

Operating Margin (TTM)

Neither side reports a meaningful operating margin: for American Healthcare REIT (AHR) in Equity Real Estate Investment Trusts (REITs) and Realty Income (O) in Equity Real Estate Investment Trusts (REITs), funding costs are part of the core business, so net margin and ROE are the cleaner profitability reads.

Profitability Metrics

Profitability metrics for American Healthcare REIT (AHR) and Realty Income (O)
MetricAHRO
ROE (TTM)2.33%3.48%
ROA (TTM)1.82%2.44%
Net Margin (TTM)----
Operating Margin (TTM)----
Gross Margin (TTM)----

Growth

Revenue Growth

Both American Healthcare REIT (AHR) at 9.15% and Realty Income (O) at 9.07% land near their industries' usual revenue growth ranges, so top-line momentum looks broadly in line with peers on both sides.

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American Healthcare REIT (AHR) vs. Realty Income (O): A comparison of their Revenue Growth across different time periods.

EPS Growth

EPS growth isn't a meaningful figure for either American Healthcare REIT (AHR) in Equity Real Estate Investment Trusts (REITs) or Realty Income (O) in Equity Real Estate Investment Trusts (REITs) under our convention.

Growth Metrics

Growth metrics for American Healthcare REIT (AHR) and Realty Income (O)
MetricAHRO
Revenue Growth (YoY)9.15%9.07%
Revenue Growth (3Y CAGR)11.80%19.80%
EPS Growth (YoY)----
EPS Growth (3Y CAGR)----

Financial Strength

Current Ratio (MRQ)

American Healthcare REIT (AHR) at 1.31 keeps current ratio within its industry’s typical mid-range, while Realty Income (O) at 2.17 sits above its industry’s typical mid-range — comfortable liquidity, though possibly with more idle current assets relative to peers.

AHR

Equity Real Estate Investment Trusts (REITs) industry group

1.31

Max
4.19
Q3
2.11
Median
1.31
AHR
1.31
Q1
0.62
Min
0.06

O

Equity Real Estate Investment Trusts (REITs) industry group

2.17

Max
4.19
O
2.17
Q3
2.11
Median
1.31
Q1
0.62
Min
0.06
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American Healthcare REIT (AHR) vs. Realty Income (O): A comparison of their current ratio against the Equity Real Estate Investment Trusts (REITs) industry group benchmark.

Debt / Equity (MRQ)

American Healthcare REIT (AHR) at 0.27 keeps leverage in the lower industry quartile, while Realty Income (O) at 0.75 runs a more typical debt-to-equity mix.

AHR

Equity Real Estate Investment Trusts (REITs) industry group

0.27

Max
2.72
Q3
1.59
Median
0.99
Q1
0.72
AHR
0.27
Min
0.20

O

Equity Real Estate Investment Trusts (REITs) industry group

0.75

Max
2.72
Q3
1.59
Median
0.99
O
0.75
Q1
0.72
Min
0.20
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American Healthcare REIT (AHR) vs. Realty Income (O): A comparison of their debt-to-equity ratio against the Equity Real Estate Investment Trusts (REITs) industry group benchmark.

Financial Strength Metrics

Financial strength metrics for American Healthcare REIT (AHR) and Realty Income (O)
MetricAHRO
Current Ratio (MRQ)1.312.17
Debt / Equity (MRQ)0.270.75
Net Debt / EBITDA2.685.77

Dividends

Dividend Yield (TTM)

Realty Income (O) at 5.45% pays a yield in its industry’s typical range, while American Healthcare REIT (AHR) at 1.78% falls in the bottom quartile of its peers.

AHR

Equity Real Estate Investment Trusts (REITs) industry group

1.78%

Max
8.62%
Q3
5.95%
Median
4.34%
Q1
3.26%
AHR
1.78%
Min
0.00%

O

Equity Real Estate Investment Trusts (REITs) industry group

5.45%

Max
8.62%
Q3
5.95%
O
5.45%
Median
4.34%
Q1
3.26%
Min
0.00%
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American Healthcare REIT (AHR) vs. Realty Income (O): A comparison of their dividend yield against the Equity Real Estate Investment Trusts (REITs) industry group benchmark.

Dividend Payout Ratio (TTM)

An earnings-based payout ratio fits neither American Healthcare REIT (AHR) in Equity Real Estate Investment Trusts (REITs) nor Realty Income (O) in Equity Real Estate Investment Trusts (REITs): their distributions are mandated and conventionally measured against FFO, so the accounting-earnings ratio overstates both.

Dividend Metrics

Dividend metrics for American Healthcare REIT (AHR) and Realty Income (O)
MetricAHRO
Dividend Yield (TTM)1.78%5.45%
Dividend Payout Ratio (TTM)----

Valuation

P/E Ratio (TTM)

P/E ratio is not a meaningful valuation yardstick for either American Healthcare REIT (AHR) in Equity Real Estate Investment Trusts (REITs) or Realty Income (O) in Equity Real Estate Investment Trusts (REITs): depreciation suppresses reported earnings in their businesses, and price-to-FFO is the conventional yardstick instead.

P/S Ratio (TTM)

American Healthcare REIT (AHR) at 5.01 is priced about in line with its industry on P/S ratio, while Realty Income (O) at 9.06 sits in the pricier quartile — O costs more per dollar of sales.

AHR

Equity Real Estate Investment Trusts (REITs) industry group

5.01

Max
14.47
Q3
8.02
Median
5.98
AHR
5.01
Q1
3.27
Min
0.43

O

Equity Real Estate Investment Trusts (REITs) industry group

9.06

Max
14.47
O
9.06
Q3
8.02
Median
5.98
Q1
3.27
Min
0.43
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American Healthcare REIT (AHR) vs. Realty Income (O): A comparison of their P/S ratio against the Equity Real Estate Investment Trusts (REITs) industry group benchmark.

P/B Ratio (MRQ)

On P/B ratio, both American Healthcare REIT (AHR) at 2.42 and Realty Income (O) at 1.42 are valued close to their industries’ norm against book — neither stands out from peers.

AHR

Equity Real Estate Investment Trusts (REITs) industry group

2.42

Max
4.06
Q3
2.53
AHR
2.42
Median
1.64
Q1
1.06
Min
0.21

O

Equity Real Estate Investment Trusts (REITs) industry group

1.42

Max
4.06
Q3
2.53
Median
1.64
O
1.42
Q1
1.06
Min
0.21
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American Healthcare REIT (AHR) vs. Realty Income (O): A comparison of their P/B ratio against the Equity Real Estate Investment Trusts (REITs) industry group benchmark.

Valuation Metrics

Valuation metrics for American Healthcare REIT (AHR) and Realty Income (O)
MetricAHRO
P/E Ratio (TTM)----
P/S Ratio (TTM)5.019.06
P/B Ratio (MRQ)2.421.42
Free Cash Flow Yield (TTM)----