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Side-by-side financial comparison of American Healthcare REIT, Inc. (AHR) and CASELLA WASTE SYSTEMS INC (CWST). 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 $557.2M, roughly 1.0× CASELLA WASTE SYSTEMS INC). American Healthcare REIT, Inc. runs the higher net margin — 1.9% vs -1.0%, a 2.9% gap on every dollar of revenue. On growth, American Healthcare REIT, Inc. posted the faster year-over-year revenue change (13.5% vs 9.6%). Over the past eight quarters, CASELLA WASTE SYSTEMS INC's revenue compounded faster (21.5% 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...
Casella Waste Systems, Inc. is a waste management company based in Rutland, Vermont, United States. Founded in 1975 with a single truck, Casella is a regional, vertically integrated solid waste services company. Casella provides resource management expertise and services to residential, commercial, municipal and industrial customers, primarily in the areas of solid waste collection and disposal, transfer, recycling and organics services. The company provides integrated solid waste services in...
AHR vs CWST — Head-to-Head
Income Statement — Q4 FY2025 vs Q1 FY2026
| Metric | | |
|---|---|---|
| Revenue | $564.0M | $557.2M |
| Net Profit | $10.8M | $-5.5M |
| Gross Margin | 14.8% | — |
| Operating Margin | 19.8% | 0.9% |
| Net Margin | 1.9% | -1.0% |
| Revenue YoY | 13.5% | 9.6% |
| Net Profit YoY | 133.9% | -15.2% |
| EPS (diluted) | $0.07 | $-0.09 |
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 | — | $557.2M | ||
| Q4 25 | $564.0M | $469.1M | ||
| Q3 25 | $532.1M | $485.4M | ||
| Q2 25 | $501.3M | $465.3M | ||
| Q1 25 | $497.2M | $417.1M | ||
| Q4 24 | $496.8M | $427.5M | ||
| Q3 24 | $476.8M | $411.6M | ||
| Q2 24 | $458.0M | $377.2M |
| Q1 26 | — | $-5.5M | ||
| Q4 25 | $10.8M | $-2.5M | ||
| Q3 25 | $55.9M | $10.0M | ||
| Q2 25 | $9.9M | $5.2M | ||
| Q1 25 | $-6.8M | $-4.8M | ||
| Q4 24 | $-31.8M | $4.9M | ||
| Q3 24 | $-4.1M | $5.8M | ||
| Q2 24 | $2.0M | $7.0M |
| Q1 26 | — | — | ||
| Q4 25 | 14.8% | 33.3% | ||
| Q3 25 | 14.6% | 35.0% | ||
| Q2 25 | 15.0% | 33.8% | ||
| Q1 25 | 13.0% | 32.8% | ||
| Q4 24 | 13.3% | 33.2% | ||
| Q3 24 | 12.5% | 35.1% | ||
| Q2 24 | 12.1% | 35.4% |
| Q1 26 | — | 0.9% | ||
| Q4 25 | 19.8% | 2.5% | ||
| Q3 25 | 19.9% | 6.1% | ||
| Q2 25 | 20.6% | 4.1% | ||
| Q1 25 | 19.0% | 0.8% | ||
| Q4 24 | 20.0% | 4.3% | ||
| Q3 24 | 19.6% | 5.9% | ||
| Q2 24 | 19.4% | 6.1% |
| Q1 26 | — | -1.0% | ||
| Q4 25 | 1.9% | -0.5% | ||
| Q3 25 | 10.5% | 2.1% | ||
| Q2 25 | 2.0% | 1.1% | ||
| Q1 25 | -1.4% | -1.2% | ||
| Q4 24 | -6.4% | 1.1% | ||
| Q3 24 | -0.9% | 1.4% | ||
| Q2 24 | 0.4% | 1.9% |
| Q1 26 | — | $-0.09 | ||
| Q4 25 | $0.07 | $-0.04 | ||
| Q3 25 | $0.33 | $0.16 | ||
| Q2 25 | $0.06 | $0.08 | ||
| Q1 25 | $-0.04 | $-0.08 | ||
| Q4 24 | $-0.23 | $0.08 | ||
| Q3 24 | $-0.03 | $0.10 | ||
| Q2 24 | $0.01 | $0.12 |
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 | $126.9M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $3.3B | $1.6B |
| Total Assets | $5.4B | $3.3B |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | $126.9M | ||
| Q4 25 | $114.8M | $123.8M | ||
| Q3 25 | $147.4M | $192.7M | ||
| Q2 25 | $133.5M | $217.8M | ||
| Q1 25 | $86.1M | $267.7M | ||
| Q4 24 | $76.7M | $358.3M | ||
| Q3 24 | $67.8M | $519.0M | ||
| Q2 24 | $52.1M | $208.5M |
| Q1 26 | — | — | ||
| Q4 25 | — | $1.1B | ||
| Q3 25 | — | $1.1B | ||
| Q2 25 | — | $1.1B | ||
| Q1 25 | — | $1.1B | ||
| Q4 24 | — | $1.1B | ||
| Q3 24 | — | $1.0B | ||
| Q2 24 | — | $976.6M |
| Q1 26 | — | $1.6B | ||
| Q4 25 | $3.3B | $1.6B | ||
| Q3 25 | $2.7B | $1.6B | ||
| Q2 25 | $2.4B | $1.6B | ||
| Q1 25 | $2.3B | $1.5B | ||
| Q4 24 | $2.3B | $1.6B | ||
| Q3 24 | $2.2B | $1.5B | ||
| Q2 24 | $1.9B | $1.0B |
| Q1 26 | — | $3.3B | ||
| Q4 25 | $5.4B | $3.3B | ||
| Q3 25 | $4.8B | $3.3B | ||
| Q2 25 | $4.5B | $3.3B | ||
| Q1 25 | $4.5B | $3.2B | ||
| Q4 24 | $4.5B | $3.2B | ||
| Q3 24 | $4.7B | $3.1B | ||
| Q2 24 | $4.6B | $2.5B |
| Q1 26 | — | — | ||
| Q4 25 | — | 0.72× | ||
| Q3 25 | — | 0.72× | ||
| Q2 25 | — | 0.72× | ||
| Q1 25 | — | 0.72× | ||
| Q4 24 | — | 0.70× | ||
| Q3 24 | — | 0.68× | ||
| Q2 24 | — | 0.94× |
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 | $62.3M |
| Free Cash FlowOCF − Capex | — | $30.7M |
| FCF MarginFCF / Revenue | — | 5.5% |
| Capex IntensityCapex / Revenue | — | 9.0% |
| Cash ConversionOCF / Net Profit | 5.12× | — |
| TTM Free Cash FlowTrailing 4 quarters | — | $120.7M |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | $62.3M | ||
| Q4 25 | $55.2M | $96.6M | ||
| Q3 25 | $107.2M | $93.6M | ||
| Q2 25 | $71.5M | $89.5M | ||
| Q1 25 | $60.6M | $50.1M | ||
| Q4 24 | $59.5M | $109.8M | ||
| Q3 24 | $63.1M | $91.8M | ||
| Q2 24 | $59.4M | $72.1M |
| Q1 26 | — | $30.7M | ||
| Q4 25 | — | $39.3M | ||
| Q3 25 | — | $27.6M | ||
| Q2 25 | — | $23.1M | ||
| Q1 25 | — | $-5.4M | ||
| Q4 24 | — | $32.9M | ||
| Q3 24 | — | $40.4M | ||
| Q2 24 | — | $27.5M |
| Q1 26 | — | 5.5% | ||
| Q4 25 | — | 8.4% | ||
| Q3 25 | — | 5.7% | ||
| Q2 25 | — | 5.0% | ||
| Q1 25 | — | -1.3% | ||
| Q4 24 | — | 7.7% | ||
| Q3 24 | — | 9.8% | ||
| Q2 24 | — | 7.3% |
| Q1 26 | — | 9.0% | ||
| Q4 25 | — | 12.2% | ||
| Q3 25 | — | 13.6% | ||
| Q2 25 | — | 14.3% | ||
| Q1 25 | — | 13.3% | ||
| Q4 24 | — | 18.0% | ||
| Q3 24 | — | 12.5% | ||
| Q2 24 | — | 11.8% |
| Q1 26 | — | — | ||
| Q4 25 | 5.12× | — | ||
| Q3 25 | 1.92× | 9.37× | ||
| Q2 25 | 7.21× | 17.19× | ||
| Q1 25 | — | — | ||
| Q4 24 | — | 22.51× | ||
| Q3 24 | — | 15.91× | ||
| Q2 24 | 30.02× | 10.29× |
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% |
CWST
| Collection | $334.8M | 60% |
| Transfer station | $65.9M | 12% |
| Processing (ii) | $49.0M | 9% |
| Landfill | $48.0M | 9% |
| National Accounts (ii) | $45.6M | 8% |
| Transportation | $8.2M | 1% |
| Landfill gas-to-energy | $2.9M | 1% |
