NHI vs AHR vs HR Stock Comparison

National Health Investors, American Healthcare REIT and Healthcare Realty Trust Prices as of Nov 5, 2026 Peers: Industry group
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Head to Head

11 decided of 12

National Health Investors leads on 6 of the 12 questions below (National Health Investors 6, American Healthcare REIT 3, Healthcare Realty Trust 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionNHIAHRHRLeader
Larger companyMarket capitalisation $3.48B $11.15B $6.49B AHR
Cheaper on earningsLower P/E, profitable companies only 20.9x 92.1x -144.4x NHI
Cheaper on forward earningsLower price / next fiscal year consensus EPS 19.7x 91.9x — NHI
Faster revenue growthRevenue growth, trailing twelve months +23.9% +16.4% -5.8% NHI
More profitableNet margin, trailing twelve months 38.5% 4.8% -4.0% NHI
Better return on capitalReturn on invested capital — -35.5% — –
Less leveragedLower net debt / EBITDA 4.2x -0.8x — AHR
Higher dividend yieldTrailing dividend yield 0.00% 0.02% 0.05% HR
Better 1-year returnPrice return, last 12 months -6.2% +19.0% +6.2% AHR
Better 5-year returnAnnualised price return, 5 years +5.2%/yr — -10.3%/yr NHI
Less volatileAnnualised volatility, 1 year 24.3% 26.7% 20.3% HR
Higher overall scoreMean of the five percentile scores vs peers 54/100 45/100 40/100 NHI

Percentile Scorecard

NHIAHRHR

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisNHIAHRHR
Valuation 33 #98 of 146 5 #139 of 146 35 #95 of 146
Growth 60 #59 of 145 86 #21 of 145 45 #80 of 145
Profitability 81 #28 of 141 28 #102 of 141 36 #90 of 141
Financial Health 73 #40 of 146 79 #31 of 146 43 #83 of 146
Shareholder Returns 24 #104 of 136 26 #101 of 136 38 #85 of 136
Overall 54 45 40
  • NHI ranked among 149 companies in Property REITs
  • AHR ranked among 149 companies in Property REITs
  • HR ranked among 149 companies in Property REITs

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodNHIAHRHRSPY
1 month +9.0%+11.0%+11.8% -5.9%
3 months -5.3%+2.5%-5.8% -4.6%
6 months -4.8%+13.0%-4.8% +0.2%
Year to date -6.4%+19.1%+12.3% +7.5%
1 year -6.2%+19.0%+6.2% +8.2%
3 years +39.5%—+25.7% +68.3%
3 years, per year +11.8%—+7.9% +19.0%
5 years +28.9%—-41.8% +56.5%
5 years, per year +5.2%—-10.3% +9.4%
10 years -0.8%—-36.6% +251.5%
10 years, per year -0.1%—-4.5% +13.4%

Risk

MeasureNHIAHRHRSPY
Volatility, 1Y 24.3%26.7%20.3% 13.6%
Downside volatility, 1Y 26.1%27.5%19.6% 14.2%
Beta vs S&P 500, 1Y -0.290.000.12 1.00
Return / volatility, 1Y -0.250.710.30 0.60
Max drawdown, 5Y -29.7%-14.5%-60.6% -25.4%
From 52-week high -21.5%-3.0%-13.0% -5.9%
52-week high $91.02$57.74$21.89 $779.14
52-week low $63.97$45.69$16.34 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleNHIAHRHR
P/E now vs peer median 20.8xmedian 26.5x 89.2xmedian 26.5x -144.3xmedian 26.5x
P/S now vs peer median 8.0xmedian 4.2x 4.4xmedian 4.2x 5.7xmedian 4.2x
EV/EBITDA now vs peer median 16.0xmedian 14.4x -7.9xmedian 14.4x —median 14.4x
P/FCF now vs peer median -27.8xmedian 21.7x -17.8xmedian 21.7x 40.1xmedian 21.7x
P/B now vs peer median 2.2xmedian 1.3x 2.9xmedian 1.3x 1.6xmedian 1.3x
PEG now vs peer median 1.99median 1.78 2.61median 1.78 -3.34median 1.78

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsNHIAHRHR
Revenue $432.12M $2.50B $1.13B
Gross profit – $530.21M –
Operating income – -$1.81B –
Net income $166.80M $122.57M -$45.27M
Free cash flow -$124.29M -$613.49M $161.54M
EPS (diluted) $3.43 $0.63 $-0.13
Cash & equivalents $30.39M $191.62M $17.50M
Total debt $1.27B $1.42B $4.25B
Shares (diluted) 48.50M 193.35M 340.62M
Enterprise value $3.32B $10.47B $6.40B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricNHIAHRHR
P/E 20.8x 89.2x -144.3x
P/FCF -27.8x -17.8x 40.1x
P/Operating cash flow 13.9x 30.1x 14.4x
P/S 8.0x 4.4x 5.7x
P/B 2.2x 2.9x 1.6x
P/Tangible book 2.2x 3.1x 1.6x
EV/EBITDA 16.0x -7.9x –
EV/EBIT 22.9x -6.7x –
EV/Revenue 10.9x 4.9x 9.4x
EV/FCF -37.8x -19.8x 66.3x
EV/Operating cash flow 18.9x 33.5x 23.8x
PEG (3Y EPS CAGR) 1.99 2.61 -3.34

Growth

14 metrics
MetricNHIAHRHR
Revenue growth (1Y) 23.9% 16.4% -5.8%
Revenue CAGR (3Y) 12.0% 15.4% -5.7%
Gross profit growth (1Y) – 19.6% –
Gross profit CAGR (3Y) – 41.1% –
Operating income growth (1Y) – -17.0% –
Operating income CAGR (3Y) – -5.6% –
Net income growth (1Y) 16.7% 479.7% 87.8%
Net income CAGR (3Y) 14.7% 47.6% 45.3%
EPS growth (1Y) 12.6% 407.6% 87.4%
EPS CAGR (3Y) 10.4% 34.2% 43.2%
Operating cash flow growth (1Y) 17.0% 42.1% -2.8%
Operating cash flow CAGR (3Y) 13.2% 38.8% -4.6%
Free cash flow growth (1Y) -165.9% -1,653% 28.9%
Free cash flow CAGR (3Y) -43.5% -157.7% -1.8%

Profitability

14 metrics
MetricNHIAHRHR
Gross margin – 21.2% –
EBITDA margin 67.8% -61.2% –
Operating margin – -72.4% –
Pretax margin 33.7% 3.9% –
Net margin 38.5% 4.8% -4.0%
FCF margin -28.8% -24.5% 14.2%
Operating cash flow margin 57.5% 14.5% 39.7%
Return on equity 10.7% 3.4% -1.1%
Return on assets 5.7% 2.2% -0.5%
Return on invested capital – -35.5% –
Return on capital employed – – –
Asset turnover 0.1x 0.4x 0.1x
Cash conversion (OCF / net income) 1.5x 3.0x -9.9x
Stock comp / revenue 1.5% 0.8% 1.6%

Financial Health

11 metrics
MetricNHIAHRHR
Debt / assets 43.0% 25.0% 47.4%
Debt / equity 0.8x 0.4x 1.0x
Net debt / EBITDA 4.2x -0.8x –
Debt / FCF -10.3x -2.3x 26.3x
Liabilities / assets 46.7% 34.4% 53.9%
Equity / assets 53.3% 65.6% 46.1%
Interest coverage 3.5x -23.3x –
Current ratio – – –
Quick ratio – – –
Cash ratio – – –
Altman Z-score – – –

Shareholder Returns

7 metrics
MetricNHIAHRHR
Dividend yield 5.2% 1.8% 5.0%
Net buyback yield -3.0% -12.3% 3.5%
Shareholder yield 2.2% -10.5% 8.6%
Payout ratio (earnings) – 145.7% -735.1%
Payout ratio (FCF) – -29.1% 206.0%
Dividend growth (1Y) – 18.4% -19.3%
Dividend CAGR (3Y) – 40.8% -11.0%

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusNHIAHRHR
Forward P/E 19.7xFY2026 91.9xFY2026 –
EPS, next fiscal year $3.63FY2026 $0.61FY2026 $-0.11FY2026
EPS growth, next FY +20.2%FY2026 +45.2%FY2026 –
EPS growth, the year after -17.1% +31.1% –
Revenue, next fiscal year $295.49MFY2026 $2.64BFY2026 $1.17BFY2026
Revenue growth, next FY +8.8%FY2026 +16.7%FY2026 -0.7%FY2026
Revenue growth, the year after -0.4% +27.1% -8.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersNHIAHRHR
Held by institutions 78.7% 100.0% 100.0%
Institutions holding 305 573 460
Change in shares held, QoQ +11.1% +19.9% +0.8%
Institutions buying 157 335 226
Institutions selling 91 165 146
Buyers to sellers 1.73 2.03 1.55

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

NHIAHRHR
NHI 1.00 0.66 0.47
AHR 0.66 1.00 0.46
HR 0.47 0.46 1.00

Add a Peer

Largest companies in the same industry

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Frequently Asked Questions

Which is bigger, NHI, AHR and HR?

American Healthcare REIT (AHR) is the largest by market capitalisation: National Health Investors (NHI) $3.48B, American Healthcare REIT (AHR) $11.15B, Healthcare Realty Trust (HR) $6.49B.

Which stock is cheaper, NHI, AHR and HR?

National Health Investors (NHI) trades on the lowest price-to-earnings ratio (National Health Investors (NHI) 20.9x, American Healthcare REIT (AHR) 92.1x, Healthcare Realty Trust (HR) -144.4x). On next year's consensus earnings, National Health Investors (NHI) is cheapest (National Health Investors (NHI) 19.7x, American Healthcare REIT (AHR) 91.9x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

National Health Investors (NHI) grew revenue fastest over the trailing twelve months: National Health Investors (NHI) +23.9%, American Healthcare REIT (AHR) +16.4%, Healthcare Realty Trust (HR) -5.8%.

Which company is more profitable?

National Health Investors (NHI) has the highest net margin (National Health Investors (NHI) 38.5%, American Healthcare REIT (AHR) 4.8%, Healthcare Realty Trust (HR) -4.0%).

Which stock has performed better?

Over the past year American Healthcare REIT (AHR) returned the most: National Health Investors (NHI) -6.2%, American Healthcare REIT (AHR) +19.0%, Healthcare Realty Trust (HR) +6.2%. Over five years, National Health Investors (NHI) compounded fastest (National Health Investors (NHI) +5.2%/yr, Healthcare Realty Trust (HR) -10.3%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Healthcare Realty Trust (HR) has the highest dividend yield: National Health Investors (NHI) 0.00%, American Healthcare REIT (AHR) 0.02%, Healthcare Realty Trust (HR) 0.05%. National Health Investors (NHI) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Healthcare Realty Trust (HR) has been the steadiest (National Health Investors (NHI) 24.3%, American Healthcare REIT (AHR) 26.7%, Healthcare Realty Trust (HR) 20.3%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, NHI, AHR and HR?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, National Health Investors (NHI) leads on 6. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.