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Side-by-side financial comparison of American Healthcare REIT, Inc. (AHR) and Hess Midstream LP (HESM). 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 $404.2M, roughly 1.4× Hess Midstream LP). Hess Midstream LP runs the higher net margin — 23.1% vs 1.9%, a 21.2% gap on every dollar of revenue. On growth, American Healthcare REIT, Inc. posted the faster year-over-year revenue change (13.5% vs 2.1%). Over the past eight quarters, American Healthcare REIT, Inc.'s revenue compounded faster (11.7% CAGR vs 6.6%).

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...

Hess Corporation is an American global independent energy company involved in the exploration and production of crude oil and natural gas. It was formed by the merger of Hess Oil and Chemical and Amerada Petroleum in 1968. Leon Hess was CEO from the early 1960s until 1995, after which his son John B Hess succeeded him as chairman and CEO. The company agreed to be acquired by rival oil company Chevron in October 2023, and the acquisition closed in July 2025.

AHR vs HESM — Head-to-Head

Bigger by revenue
AHR
AHR
1.4× larger
AHR
$564.0M
$404.2M
HESM
Growing faster (revenue YoY)
AHR
AHR
+11.4% gap
AHR
13.5%
2.1%
HESM
Higher net margin
HESM
HESM
21.2% more per $
HESM
23.1%
1.9%
AHR
Faster 2-yr revenue CAGR
AHR
AHR
Annualised
AHR
11.7%
6.6%
HESM

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
AHR
AHR
HESM
HESM
Revenue
$564.0M
$404.2M
Net Profit
$10.8M
$93.3M
Gross Margin
14.8%
Operating Margin
19.8%
62.2%
Net Margin
1.9%
23.1%
Revenue YoY
13.5%
2.1%
Net Profit YoY
133.9%
32.5%
EPS (diluted)
$0.07

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.

Revenue
AHR
AHR
HESM
HESM
Q4 25
$564.0M
$404.2M
Q3 25
$532.1M
$420.9M
Q2 25
$501.3M
$414.2M
Q1 25
$497.2M
$382.0M
Q4 24
$496.8M
$395.9M
Q3 24
$476.8M
$378.5M
Q2 24
$458.0M
$365.5M
Q1 24
$452.1M
$355.6M
Net Profit
AHR
AHR
HESM
HESM
Q4 25
$10.8M
$93.3M
Q3 25
$55.9M
$97.7M
Q2 25
$9.9M
$90.3M
Q1 25
$-6.8M
$71.6M
Q4 24
$-31.8M
$70.4M
Q3 24
$-4.1M
$58.6M
Q2 24
$2.0M
$49.5M
Q1 24
$-3.9M
$44.6M
Gross Margin
AHR
AHR
HESM
HESM
Q4 25
14.8%
Q3 25
14.6%
Q2 25
15.0%
Q1 25
13.0%
Q4 24
13.3%
Q3 24
12.5%
Q2 24
12.1%
Q1 24
10.7%
Operating Margin
AHR
AHR
HESM
HESM
Q4 25
19.8%
62.2%
Q3 25
19.9%
61.5%
Q2 25
20.6%
62.8%
Q1 25
19.0%
62.1%
Q4 24
20.0%
61.4%
Q3 24
19.6%
61.2%
Q2 24
19.4%
60.8%
Q1 24
18.2%
62.4%
Net Margin
AHR
AHR
HESM
HESM
Q4 25
1.9%
23.1%
Q3 25
10.5%
23.2%
Q2 25
2.0%
21.8%
Q1 25
-1.4%
18.7%
Q4 24
-6.4%
17.8%
Q3 24
-0.9%
15.5%
Q2 24
0.4%
13.5%
Q1 24
-0.9%
12.5%
EPS (diluted)
AHR
AHR
HESM
HESM
Q4 25
$0.07
Q3 25
$0.33
Q2 25
$0.06
Q1 25
$-0.04
Q4 24
$-0.23
Q3 24
$-0.03
Q2 24
$0.01
Q1 24
$-0.04

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
AHR
AHR
HESM
HESM
Cash + ST InvestmentsLiquidity on hand
$114.8M
$1.9M
Total DebtLower is stronger
$3.8B
Stockholders' EquityBook value
$3.3B
Total Assets
$5.4B
$4.4B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AHR
AHR
HESM
HESM
Q4 25
$114.8M
$1.9M
Q3 25
$147.4M
$5.5M
Q2 25
$133.5M
$4.5M
Q1 25
$86.1M
$6.1M
Q4 24
$76.7M
$4.3M
Q3 24
$67.8M
$10.3M
Q2 24
$52.1M
$99.6M
Q1 24
$77.0M
$4.2M
Total Debt
AHR
AHR
HESM
HESM
Q4 25
$3.8B
Q3 25
Q2 25
Q1 25
Q4 24
$3.5B
Q3 24
Q2 24
Q1 24
Stockholders' Equity
AHR
AHR
HESM
HESM
Q4 25
$3.3B
Q3 25
$2.7B
Q2 25
$2.4B
Q1 25
$2.3B
Q4 24
$2.3B
Q3 24
$2.2B
Q2 24
$1.9B
Q1 24
$2.0B
Total Assets
AHR
AHR
HESM
HESM
Q4 25
$5.4B
$4.4B
Q3 25
$4.8B
$4.4B
Q2 25
$4.5B
$4.4B
Q1 25
$4.5B
$4.3B
Q4 24
$4.5B
$4.2B
Q3 24
$4.7B
$4.1B
Q2 24
$4.6B
$4.1B
Q1 24
$4.7B
$3.9B

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
AHR
AHR
HESM
HESM
Operating Cash FlowLast quarter
$55.2M
$245.6M
Free Cash FlowOCF − Capex
$178.9M
FCF MarginFCF / Revenue
44.3%
Capex IntensityCapex / Revenue
16.5%
Cash ConversionOCF / Net Profit
5.12×
2.63×
TTM Free Cash FlowTrailing 4 quarters
$728.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AHR
AHR
HESM
HESM
Q4 25
$55.2M
$245.6M
Q3 25
$107.2M
$258.9M
Q2 25
$71.5M
$276.9M
Q1 25
$60.6M
$202.4M
Q4 24
$59.5M
$258.5M
Q3 24
$63.1M
$224.9M
Q2 24
$59.4M
$271.6M
Q1 24
$-6.0M
$185.3M
Free Cash Flow
AHR
AHR
HESM
HESM
Q4 25
$178.9M
Q3 25
$178.9M
Q2 25
$213.5M
Q1 25
$156.9M
Q4 24
$163.4M
Q3 24
$132.6M
Q2 24
$207.7M
Q1 24
$130.5M
FCF Margin
AHR
AHR
HESM
HESM
Q4 25
44.3%
Q3 25
42.5%
Q2 25
51.5%
Q1 25
41.1%
Q4 24
41.3%
Q3 24
35.0%
Q2 24
56.8%
Q1 24
36.7%
Capex Intensity
AHR
AHR
HESM
HESM
Q4 25
16.5%
Q3 25
19.0%
Q2 25
15.3%
Q1 25
11.9%
Q4 24
24.0%
Q3 24
24.4%
Q2 24
17.5%
Q1 24
15.4%
Cash Conversion
AHR
AHR
HESM
HESM
Q4 25
5.12×
2.63×
Q3 25
1.92×
2.65×
Q2 25
7.21×
3.07×
Q1 25
2.83×
Q4 24
3.67×
Q3 24
3.84×
Q2 24
30.02×
5.49×
Q1 24
4.15×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

AHR
AHR

Integrated Senior Health Campuses$467.0M83%
SHOP$97.0M17%

HESM
HESM

Gathering$217.3M54%
Processing And Storage$154.7M38%
Terminaling And Export$32.2M8%

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