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Side-by-side financial comparison of American Healthcare REIT, Inc. (AHR) and Custom Truck One Source, Inc. (CTOS). Click either name above to swap in a different company.
American Healthcare REIT, Inc. is the larger business by last-quarter revenue ($564.0M vs $422.2M, roughly 1.3× Custom Truck One Source, Inc.). American Healthcare REIT, Inc. runs the higher net margin — 1.9% vs -4.2%, a 6.1% gap on every dollar of revenue. On growth, American Healthcare REIT, Inc. posted the faster year-over-year revenue change (13.5% vs -8.5%). Over the past eight quarters, Custom Truck One Source, Inc.'s revenue compounded faster (14.8% CAGR vs 11.7%).
Medical Properties Trust, Inc. (MPT) is an international real estate investment trust (REIT) based in Birmingham, Alabama that purchases and invests in healthcare facilities and for-profit healthcare holding companies, primarily in the United States and Europe. Their property acquisitions often come in the form of sale-leaseback agreements, in which the original property owner sells the property to MPT and becomes their tenant. MPT's tenants are generally subject to long-term triple net lease...
Custom Truck One Source, Inc. is a leading provider of specialized heavy truck and equipment solutions in North America. It offers custom vehicle manufacturing, equipment sales and rentals, aftermarket parts, and maintenance services, serving core infrastructure, utility, construction, and energy industry segments.
AHR vs CTOS — Head-to-Head
Income Statement — Q4 FY2025 vs Q1 FY2026
| Metric | | |
|---|---|---|
| Revenue | $564.0M | $422.2M |
| Net Profit | $10.8M | $-17.8M |
| Gross Margin | 14.8% | 20.3% |
| Operating Margin | 19.8% | 2.9% |
| Net Margin | 1.9% | -4.2% |
| Revenue YoY | 13.5% | -8.5% |
| Net Profit YoY | 133.9% | -333.7% |
| EPS (diluted) | $0.07 | $-0.08 |
Green = leading value per metric. Periods may differ when fiscal calendars don't align.
8-Quarter Revenue & Profit Trend
Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.
| Q1 26 | — | $422.2M | ||
| Q4 25 | $564.0M | $387.3M | ||
| Q3 25 | $532.1M | $359.9M | ||
| Q2 25 | $501.3M | $392.2M | ||
| Q1 25 | $497.2M | $307.1M | ||
| Q4 24 | $496.8M | $398.3M | ||
| Q3 24 | $476.8M | $337.5M | ||
| Q2 24 | $458.0M | $320.6M |
| Q1 26 | — | $-17.8M | ||
| Q4 25 | $10.8M | $20.9M | ||
| Q3 25 | $55.9M | $-5.8M | ||
| Q2 25 | $9.9M | $-28.4M | ||
| Q1 25 | $-6.8M | $-17.8M | ||
| Q4 24 | $-31.8M | $27.6M | ||
| Q3 24 | $-4.1M | $-17.4M | ||
| Q2 24 | $2.0M | $-24.5M |
| Q1 26 | — | 20.3% | ||
| Q4 25 | 14.8% | 31.8% | ||
| Q3 25 | 14.6% | 28.0% | ||
| Q2 25 | 15.0% | 26.1% | ||
| Q1 25 | 13.0% | 27.9% | ||
| Q4 24 | 13.3% | 29.7% | ||
| Q3 24 | 12.5% | 27.2% | ||
| Q2 24 | 12.1% | 27.8% |
| Q1 26 | — | 2.9% | ||
| Q4 25 | 19.8% | 13.4% | ||
| Q3 25 | 19.9% | 9.1% | ||
| Q2 25 | 20.6% | 7.1% | ||
| Q1 25 | 19.0% | 4.0% | ||
| Q4 24 | 20.0% | 16.9% | ||
| Q3 24 | 19.6% | 6.8% | ||
| Q2 24 | 19.4% | 5.5% |
| Q1 26 | — | -4.2% | ||
| Q4 25 | 1.9% | 5.4% | ||
| Q3 25 | 10.5% | -1.6% | ||
| Q2 25 | 2.0% | -7.2% | ||
| Q1 25 | -1.4% | -5.8% | ||
| Q4 24 | -6.4% | 6.9% | ||
| Q3 24 | -0.9% | -5.2% | ||
| Q2 24 | 0.4% | -7.6% |
| Q1 26 | — | $-0.08 | ||
| Q4 25 | $0.07 | $0.10 | ||
| Q3 25 | $0.33 | $-0.03 | ||
| Q2 25 | $0.06 | $-0.13 | ||
| Q1 25 | $-0.04 | $-0.08 | ||
| Q4 24 | $-0.23 | $0.11 | ||
| Q3 24 | $-0.03 | $-0.07 | ||
| Q2 24 | $0.01 | $-0.10 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $114.8M | $6.3M |
| Total DebtLower is stronger | — | $25.9M |
| Stockholders' EquityBook value | $3.3B | $809.1M |
| Total Assets | $5.4B | $3.4B |
| Debt / EquityLower = less leverage | — | 0.03× |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | $6.3M | ||
| Q4 25 | $114.8M | $6.3M | ||
| Q3 25 | $147.4M | $13.1M | ||
| Q2 25 | $133.5M | $5.3M | ||
| Q1 25 | $86.1M | $5.4M | ||
| Q4 24 | $76.7M | $3.8M | ||
| Q3 24 | $67.8M | $8.4M | ||
| Q2 24 | $52.1M | $8.1M |
| Q1 26 | — | $25.9M | ||
| Q4 25 | — | $1.6B | ||
| Q3 25 | — | $1.6B | ||
| Q2 25 | — | $1.6B | ||
| Q1 25 | — | $1.6B | ||
| Q4 24 | — | $1.5B | ||
| Q3 24 | — | $1.6B | ||
| Q2 24 | — | $1.5B |
| Q1 26 | — | $809.1M | ||
| Q4 25 | $3.3B | $809.1M | ||
| Q3 25 | $2.7B | $784.7M | ||
| Q2 25 | $2.4B | $790.1M | ||
| Q1 25 | $2.3B | $813.4M | ||
| Q4 24 | $2.3B | $861.3M | ||
| Q3 24 | $2.2B | $837.5M | ||
| Q2 24 | $1.9B | $856.7M |
| Q1 26 | — | $3.4B | ||
| Q4 25 | $5.4B | $3.4B | ||
| Q3 25 | $4.8B | $3.5B | ||
| Q2 25 | $4.5B | $3.6B | ||
| Q1 25 | $4.5B | $3.5B | ||
| Q4 24 | $4.5B | $3.5B | ||
| Q3 24 | $4.7B | $3.6B | ||
| Q2 24 | $4.6B | $3.5B |
| Q1 26 | — | 0.03× | ||
| Q4 25 | — | 2.03× | ||
| Q3 25 | — | 2.10× | ||
| Q2 25 | — | 2.04× | ||
| Q1 25 | — | 1.97× | ||
| Q4 24 | — | 1.77× | ||
| Q3 24 | — | 1.87× | ||
| Q2 24 | — | 1.79× |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $55.2M | — |
| Free Cash FlowOCF − Capex | — | — |
| FCF MarginFCF / Revenue | — | — |
| Capex IntensityCapex / Revenue | — | — |
| Cash ConversionOCF / Net Profit | 5.12× | — |
| TTM Free Cash FlowTrailing 4 quarters | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | $55.2M | $47.3M | ||
| Q3 25 | $107.2M | $81.5M | ||
| Q2 25 | $71.5M | $125.7M | ||
| Q1 25 | $60.6M | $55.6M | ||
| Q4 24 | $59.5M | $82.1M | ||
| Q3 24 | $63.1M | $16.5M | ||
| Q2 24 | $59.4M | $37.8M |
| Q1 26 | — | — | ||
| Q4 25 | 5.12× | 2.27× | ||
| Q3 25 | 1.92× | — | ||
| Q2 25 | 7.21× | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | 2.98× | ||
| Q3 24 | — | — | ||
| Q2 24 | 30.02× | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
AHR
| Integrated Senior Health Campuses | $467.0M | 83% |
| SHOP | $97.0M | 17% |
CTOS
| Equipment sales | $273.9M | 65% |
| Rental revenue | $116.3M | 28% |
| Parts sales and services | $32.1M | 8% |
