National Health Investors
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National Health Investors (NHI) investor relations material

National Health Investors Q4 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2025 earnings summary27 Feb, 2026

Executive summary

  • Achieved Normalized FFO per share growth of 8.9% in Q4 and 10.6% for the full year, exceeding initial 2025 guidance midpoints by 6%.

  • SHOP NOI increased 124.9%–125% year-over-year in Q4 and 57% for the year, with $6M from transitions/acquisitions and the largest acquisition in company history at $105.5M.

  • Total investments in 2025 reached $392M–$392.4M, the most active year since 2016, with $218M in Q4 alone and a robust 2026 pipeline.

  • SHOP investment doubled to $740M in the last 12 months, now 12% of total annualized NOI.

  • Leverage remains below 4.0x net debt to Adjusted EBITDA, positioning for future opportunities.

Financial highlights

  • Net income per share for Q4 was $0.80, down from $0.95 YoY, with full year net income per share at $3.02.

  • Nareit FFO per share for Q4 and full year were $1.22 and $4.65; Normalized FFO per share at $1.22 and $4.91, up 8.9% and 10.6% respectively.

  • FAD for Q4 and full year increased 11.1% and 13.7% to $57.9M and $232.1M.

  • Lease revenue rose 7.2% YoY to $67.2M in Q4; rental income increased $4.5M (6.8%) YoY.

  • ROIC reached 8.38% in Q4 2025, surpassing pre-pandemic levels.

Outlook and guidance

  • 2026 guidance: Normalized FFO per share growth of 1.2% at midpoint, with a 2-year CAGR of ~6%.

  • 2026 Nareit FFO and NFFO per share expected at $4.94–$4.99; FAD to grow to $248.9M–$251.4M.

  • Guidance includes $230M in new investments (70% in SHOP), $111M in non-strategic asset dispositions, and 7–8% same-store SHOP NOI growth.

  • Total SHOP NOI growth projected at 105–109% YoY before new investments.

What drives 7-8% Same Store SHOP NOI growth?
How will $230M unidentified 2026 investments be funded?
What 2025 non-recurring costs are excluded from 2026 guidance?
Outline path to 30%+ SHOP NOI contribution
Explain 2026 NFFO growth beyond 1.2% guidance
NHC lease and non-core asset optimization strategy
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Frequently asked questions

Incorporated in 1991, National Health Investors, Inc. is a real estate investment trust specializing in sale-leaseback, joint-venture, mortgage and mezzanine financing of need-driven and discretionary senior housing and medical investments. NHI's portfolio consists of independent, assisted and memory care communities, entrance-fee retirement communities, skilled nursing facilities, medical office buildings and specialty hospitals.

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