American Healthcare REIT, Inc. quarterly report, Q1 FY2020

Business context and reporting period

This is Griffin-American Healthcare REIT IV, Inc.’s unaudited Form 10-Q for the quarter ended March 31, 2020. The filing identifies the registrant as a healthcare-focused REIT investing in medical office buildings, senior housing, skilled nursing facilities and RIDEA-operated senior housing. At quarter-end, it owned 89 properties comprising 94 buildings and approximately 4.9 million square feet, plus a 6% interest in a joint venture.

Key financial metrics

MetricQ1 2020Q1 2019 / prior period
Total revenue$37.5 million$25.8 million
Net loss$7.9 million$12.4 million
Net loss attributable to controlling interest$7.8 million; $0.10 per share$12.3 million; $0.16 per share
Segment NOI$18.7 million; approximately 49.8% of revenue$13.4 million; approximately 51.8% of revenue
Operating cash flow$9.8 million$6.2 million
Cash and restricted cash$20.9 million$45.3 million at March 31, 2019
Debt$492.3 million principal: $473.1 million credit facility and $19.2 million mortgagesCredit facility borrowings were $396.8 million at December 31, 2019

Revenue increased approximately 45%, reflecting portfolio growth and operating structure changes. Segment NOI increased approximately 40%. The net loss narrowed, but results included a $4.6 million non-cash fair-value loss on interest-rate derivatives, versus $2.0 million a year earlier. The prior period also included substantial depreciation and amortization related to a 2019 operator-contract termination. FFO attributable to controlling interest was $5.4 million ($0.07 per share), and MFFO was $9.1 million ($0.11 per share); both are non-GAAP measures.

Material changes and liquidity

  • Q1 property acquisitions totaled approximately $64.7 million of contract purchase price, primarily three senior housing RIDEA transactions. Investing cash outflow was $68.3 million, including $65.5 million of acquisitions.
  • Borrowings under the credit facility rose to $473.1 million from $396.8 million at year-end; $56.9 million remained available at March 31. In April, the company drew all remaining availability as a precautionary liquidity measure.
  • Quarter-end total assets were $1.129 billion and total liabilities were $548.3 million. The company reported compliance with debt covenants. The credit facility matures November 2021, with a conditional one-year extension option.
  • Cash distributions declared for Q1 totaled $12.0 million, exceeding operating cash flow of $9.8 million. The filing reports that 18.4% of distributions were sourced from borrowing proceeds; on an FFO basis, 54.9% were funded from borrowings. Distributions may include a return of capital.

Outlook, risks and unusual items

  • COVID-19 had not required material financial-statement adjustments through March 31, but management warned that a prolonged outbreak could materially disrupt operations and financial performance. Senior housing RIDEA occupancy had declined amid reduced move-ins; operators faced higher protective-equipment and staffing costs. Medical office tenants, especially providers of elective or non-essential services, could face rent-payment pressure.
  • To preserve liquidity, the board reduced the annualized distribution rate from $0.60 to $0.40 per share for April and May 2020, suspended most share repurchases effective for second-quarter requests, and the company suspended non-essential discretionary capital improvements. Future distribution levels and the pandemic’s effects remain uncertain; no specific earnings guidance was provided.
  • The April 2020 estimated NAV remained $9.54 per share, based on a December 31, 2019 valuation predating the reported U.S. emergence of COVID-19. The company cautioned that this estimate is not audited, is not GAAP fair value, and may not reflect realizable share or asset value.
  • Interest-rate swaps had an $8.99 million liability at quarter-end. Debt was primarily variable-rate; management estimated a 0.50 percentage-point rate increase would add approximately $1.13 million to annualized interest expense.
  • Tenant concentration is material: RC Tier Properties represented approximately 10.4% of portfolio annualized base rent or NOI; Missouri represented approximately 11.5%. Management reported no material litigation and no material change in disclosure controls.

Investor verification points

  1. Confirm the post-quarter credit-facility draw, resulting debt balance, covenant headroom and refinancing plan.
  2. Track COVID-related occupancy, rent collections, operating costs and financial support received by RIDEA operators and tenants.
  3. Assess whether distributions remain supported by recurring operating cash flow and FFO, rather than borrowings or capital returned to investors.
  4. Review the basis and limitations of the $9.54 estimated NAV, which predates COVID-19’s impact.
  5. Monitor RC Tier Properties and Missouri exposure, as well as interest-rate and derivative valuation risks.