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Side-by-side financial comparison of American Healthcare REIT, Inc. (AHR) and Natural Grocers by Vitamin Cottage, Inc. (NGVC). 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 $335.6M, roughly 1.7× Natural Grocers by Vitamin Cottage, Inc.). Natural Grocers by Vitamin Cottage, Inc. runs the higher net margin — 3.4% vs 1.9%, a 1.5% gap on every dollar of revenue. On growth, American Healthcare REIT, Inc. posted the faster year-over-year revenue change (13.5% vs 1.6%). Over the past eight quarters, American Healthcare REIT, Inc.'s revenue compounded faster (11.7% CAGR vs 4.4%).

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...

Natural Grocers by Vitamin Cottage, Inc. is a U.S.-based specialty retail chain that offers certified organic groceries, dietary supplements, natural personal care items, and eco-friendly household products. It serves health-conscious consumers across multiple U.S. states, following strict quality standards that exclude artificial preservatives, colors, flavors and harmful additives.

AHR vs NGVC — Head-to-Head

Bigger by revenue
AHR
AHR
1.7× larger
AHR
$564.0M
$335.6M
NGVC
Growing faster (revenue YoY)
AHR
AHR
+11.9% gap
AHR
13.5%
1.6%
NGVC
Higher net margin
NGVC
NGVC
1.5% more per $
NGVC
3.4%
1.9%
AHR
Faster 2-yr revenue CAGR
AHR
AHR
Annualised
AHR
11.7%
4.4%
NGVC

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
AHR
AHR
NGVC
NGVC
Revenue
$564.0M
$335.6M
Net Profit
$10.8M
$11.3M
Gross Margin
14.8%
29.5%
Operating Margin
19.8%
4.4%
Net Margin
1.9%
3.4%
Revenue YoY
13.5%
1.6%
Net Profit YoY
133.9%
14.0%
EPS (diluted)
$0.07
$0.49

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
NGVC
NGVC
Q4 25
$564.0M
$335.6M
Q3 25
$532.1M
$336.1M
Q2 25
$501.3M
$328.7M
Q1 25
$497.2M
$335.8M
Q4 24
$496.8M
$330.2M
Q3 24
$476.8M
$322.7M
Q2 24
$458.0M
$309.1M
Q1 24
$452.1M
$308.1M
Net Profit
AHR
AHR
NGVC
NGVC
Q4 25
$10.8M
$11.3M
Q3 25
$55.9M
$11.8M
Q2 25
$9.9M
$11.6M
Q1 25
$-6.8M
$13.1M
Q4 24
$-31.8M
$9.9M
Q3 24
$-4.1M
$9.0M
Q2 24
$2.0M
$9.2M
Q1 24
$-3.9M
$8.0M
Gross Margin
AHR
AHR
NGVC
NGVC
Q4 25
14.8%
29.5%
Q3 25
14.6%
29.5%
Q2 25
15.0%
29.9%
Q1 25
13.0%
30.3%
Q4 24
13.3%
29.9%
Q3 24
12.5%
29.6%
Q2 24
12.1%
29.2%
Q1 24
10.7%
29.3%
Operating Margin
AHR
AHR
NGVC
NGVC
Q4 25
19.8%
4.4%
Q3 25
19.9%
4.6%
Q2 25
20.6%
4.7%
Q1 25
19.0%
5.2%
Q4 24
20.0%
4.0%
Q3 24
19.6%
3.7%
Q2 24
19.4%
4.2%
Q1 24
18.2%
3.7%
Net Margin
AHR
AHR
NGVC
NGVC
Q4 25
1.9%
3.4%
Q3 25
10.5%
3.5%
Q2 25
2.0%
3.5%
Q1 25
-1.4%
3.9%
Q4 24
-6.4%
3.0%
Q3 24
-0.9%
2.8%
Q2 24
0.4%
3.0%
Q1 24
-0.9%
2.6%
EPS (diluted)
AHR
AHR
NGVC
NGVC
Q4 25
$0.07
$0.49
Q3 25
$0.33
$0.51
Q2 25
$0.06
$0.50
Q1 25
$-0.04
$0.56
Q4 24
$-0.23
$0.43
Q3 24
$-0.03
$0.38
Q2 24
$0.01
$0.40
Q1 24
$-0.04
$0.35

Balance Sheet & Financial Strength

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

Metric
AHR
AHR
NGVC
NGVC
Cash + ST InvestmentsLiquidity on hand
$114.8M
$23.2M
Total DebtLower is stronger
Stockholders' EquityBook value
$3.3B
$220.0M
Total Assets
$5.4B
$668.6M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AHR
AHR
NGVC
NGVC
Q4 25
$114.8M
$23.2M
Q3 25
$147.4M
$17.1M
Q2 25
$133.5M
$13.2M
Q1 25
$86.1M
$21.2M
Q4 24
$76.7M
$6.3M
Q3 24
$67.8M
$8.9M
Q2 24
$52.1M
$13.9M
Q1 24
$77.0M
$11.0M
Stockholders' Equity
AHR
AHR
NGVC
NGVC
Q4 25
$3.3B
$220.0M
Q3 25
$2.7B
$212.4M
Q2 25
$2.4B
$202.5M
Q1 25
$2.3B
$193.0M
Q4 24
$2.3B
$181.9M
Q3 24
$2.2B
$174.3M
Q2 24
$1.9B
$167.8M
Q1 24
$2.0B
$160.0M
Total Assets
AHR
AHR
NGVC
NGVC
Q4 25
$5.4B
$668.6M
Q3 25
$4.8B
$670.5M
Q2 25
$4.5B
$659.0M
Q1 25
$4.5B
$664.6M
Q4 24
$4.5B
$648.9M
Q3 24
$4.7B
$655.5M
Q2 24
$4.6B
$654.4M
Q1 24
$4.7B
$656.6M

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
NGVC
NGVC
Operating Cash FlowLast quarter
$55.2M
$21.1M
Free Cash FlowOCF − Capex
$11.6M
FCF MarginFCF / Revenue
3.4%
Capex IntensityCapex / Revenue
2.9%
Cash ConversionOCF / Net Profit
5.12×
1.86×
TTM Free Cash FlowTrailing 4 quarters
$42.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AHR
AHR
NGVC
NGVC
Q4 25
$55.2M
$21.1M
Q3 25
$107.2M
$15.6M
Q2 25
$71.5M
$2.9M
Q1 25
$60.6M
$34.1M
Q4 24
$59.5M
$2.7M
Q3 24
$63.1M
$24.5M
Q2 24
$59.4M
$12.4M
Q1 24
$-6.0M
$20.2M
Free Cash Flow
AHR
AHR
NGVC
NGVC
Q4 25
$11.6M
Q3 25
$7.5M
Q2 25
$-4.2M
Q1 25
$27.6M
Q4 24
$-6.9M
Q3 24
$18.0M
Q2 24
$3.6M
Q1 24
$9.8M
FCF Margin
AHR
AHR
NGVC
NGVC
Q4 25
3.4%
Q3 25
2.2%
Q2 25
-1.3%
Q1 25
8.2%
Q4 24
-2.1%
Q3 24
5.6%
Q2 24
1.2%
Q1 24
3.2%
Capex Intensity
AHR
AHR
NGVC
NGVC
Q4 25
2.9%
Q3 25
2.4%
Q2 25
2.2%
Q1 25
1.9%
Q4 24
2.9%
Q3 24
2.0%
Q2 24
2.9%
Q1 24
3.4%
Cash Conversion
AHR
AHR
NGVC
NGVC
Q4 25
5.12×
1.86×
Q3 25
1.92×
1.32×
Q2 25
7.21×
0.25×
Q1 25
2.60×
Q4 24
0.27×
Q3 24
2.72×
Q2 24
30.02×
1.35×
Q1 24
2.54×

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%

NGVC
NGVC

Grocery$243.8M73%
Dietary Supplements$60.7M18%
Manufactured Product Other$31.0M9%

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