Yesterday we issued our third quarter 2025 earnings release, presentation materials, and supplemental information package, which are available on the Ventas website at ir.ventasreit.com. For a more detailed discussion of those factors, please refer to our earnings release for this quarter and to our most recent SEC filings, all of which are available on the Ventas website. I'd like to welcome all of our shareholders and other participants to the Ventas third quarter 2025 earnings call. Building on our momentum, Ventas delivered excellent performance and growth in the quarter as we continue to execute on our 1-2-3 strategy.

As one of the world's largest owners and acquirers of private pay senior housing, we are positioned to capitalize on the sustained growth and demand from a large and expanded aging population. We are doing both as we expect 2025 to be our fourth year of double-digit SHOP NOI growth, and we anticipate closing $2.5 billion of private pay U.S. Most importantly, we foresee at least another decade of accelerating demand for senior housing. The Ventas strategy, organization, and team have been built to meet this moment and capitalize on the favorable external demand backdrop.

Our SHOP percentage of NOI has increased nearly 2,000 basis points to represent half our business. Demographic demand is accelerating as baby boomers are starting to turn 80 this coming year, and more people than ever are choosing senior housing for the valuable benefits it provides. Yet senior housing supply is at record lows in both inventory growth and the number of new construction starts, with just over 1,200 units started in the third quarter. Our strategy is producing strong results, increasing our enterprise growth rate and building financial strength.

What went well
  • Normalized FFO per share of $0.88 grew 10% year-over-year, with full-year guidance raised again to a $3.47 midpoint (9% growth).
  • SHOP same-store NOI grew 16% year-over-year (U.S. up 19%) with margin up 200 basis points to 28% on over 50% incremental margin.
  • Best key selling season in a number of years with 230 basis points of growth, plus industry-leading sequential occupancy growth of 160 bps overall and 200 bps in the U.S., expected to continue into Q4.
  • Leverage improved to 5.3x, a full turn better than Q3 2024, driven by organic growth and equity-funded investments; over $4 billion of liquidity with the $2.5 billion investment guidance fully equity-funded ($2.6 billion raised).
  • Closed $2.2 billion of senior housing acquisitions year to date ($4.1 billion since mid-2024, $3.5 billion in the past four quarters) and raised investment guidance to $2.5 billion amid a growing pipeline.
What went wrong
  • Research business (8% of NOI) same-store cash NOI was about $400,000 lower year-over-year, driven by lower rents on certain Innovation Flex Space tenants, with restructurings (initial rent reductions) ongoing.
  • Canadian SHOP NOI grew only about 7.4%, constrained by very high occupancy limiting pricing upside and mix volatility in high-RevPOR Sunrise communities; viewed as a high single-digit grower.
  • Increased competition and new capital entering the senior housing market, though the pipeline grew faster than competitive pressure.
  • RevPOR growth of 4.7% was pulled down by mix as outsized occupancy growth came from lower-priced independent living.

Guidance Changes

MetricPeriodCurrent guidance
Normalized FFO per shareFY2025$3.47 midpoint (+$0.03), 9% YoY growth
Net income per shareFY2025$0.49-$0.52
Total company same-store cash NOI growthFY20257.5% (+50 bps)
SHOP same-store NOI growthFY202514%-16%, 15% midpoint (+100 bps)
SHOP occupancy growthFY2025270 bps (maintained)
SHOP RevPOR growthFY2025higher RevPOR, greater than 4.5%
Senior housing investment volumeFY2025$2.5 billion

Performance Breakdown

MetricYoYNote
Normalized FFO per share 10% ($0.88) Total company same-store cash NOI of 8% led by SHOP growth of 16%.
SHOP same-store NOI 16% (U.S. 19%) Strength in both occupancy and pricing; margin up 200 bps to 28% on over 50% incremental margin.
SHOP average occupancy +270 bps (U.S. +340 bps) Broad-based demand with particularly strong contribution from independent living; outperformed NIC top 99 by 120 bps.
SHOP RevPOR 4.7% Dynamic pricing striking the balance between price and volume; move-in rents and in-house rates both increasing.
OMAR same-store cash NOI 3.7% Led by outpatient medical; occupancy improved 50 bps year-over-year to 90.6% with 87% TTM tenant retention (up 200 bps).
Research same-store cash NOI -$400,000 Lower rents on certain Innovation Flex Space tenants.
Leverage (net debt to EBITDA) 5.3x Full turn improvement from Q3 2024 via organic growth and equity-funded senior housing investments.

Earnings Call Themes & Trends

TopicPrevious mentionCurrent periodTrend
Longevity megatrend and demandAging population driving demand.Baby boomers start turning 80 next year; over-80 population expected to grow 28% in the next five years; at least another decade of accelerating demand foreseen.
Supply at record lowsConstrained new supply.Just over 1,200 units started in Q3, record lows in both inventory growth and new construction starts.
Triple net to SHOP conversion (Brookdale 45)121 triple-net communities transaction announced.27 of 45 communities converted from Brookdale lease to SHOP through October (finishing by year end); 78% occupied with refresh CapEx (~$2M per building) and over $50 million NOI upside over time; 65 communities renewed with 33% cash rent increase beginning 2026; 11 assets being disposed.
Ventas OI platform and operatorsPlatform evolving with growing operator base.Working with 40+ operators (75% of the sector operated by those with 50 or fewer assets); five-year track record of 215 acquisitions, 116 dispositions, 295 manager transitions, 307 refreshes, 157 triple-net-to-SHOP conversions; data delivered to operators at the unit level.
Investment pipeline and competitionGrowing pipeline, accelerating volume.$2.2 billion closed YTD across 20 transactions / 50 communities / ~6,200 units / 15 states; average deal size $110 million; more competition and new capital but a much bigger pipeline; institutional ownership still mid-teens, leaving long runway.
Research portfolio insulationSmall portion of business.8% of enterprise NOI; ~75% of base rents from creditworthy institutional tenants (WALT over nine years); only ~10% leased to pre-revenue or co-working tenants; no ground-up development in progress.

Q&A Summary

With lower cost of capital, are there plans to lower initial yield requirements to buy higher-growth properties?
Cafaro said Ventas will be ambitious in growing senior housing. Hutchens said $3.5 billion of the $4.1 billion closed over the past four quarters; the primary target metric is unlevered IRRs in the low to mid teens, achieved various ways, and they are leaning into assets delivering significant growth potential using the market-asset-operator framework.
What is the target leverage and how do you weigh equity versus debt for external growth?
Probst said they are pleased with leverage at 5.3x (a full turn improvement); the strategy of organic growth plus equity-funded investments is working and will continue as long as market conditions allow, recognizing equity is precious and must fund the best assets.
What revenue-generating CapEx will go into the Brookdale SHOP transitions and how disruptive will it be?
Hutchens said performance has been good with occupancy and NOI growth; a high-touch approach with operator CEOs on the ground. Most projects are routine refreshes (common area, paint, paper, furniture, fixtures, lighting) done with minimal disruption, plus a few larger ones like a full redevelopment of The Hallmark in Chicago.
How much faster can SHOP margins expand as occupancy moves above 90%?
Hutchens said the 50% incremental margin rule of thumb applies from 80% to 90% occupancy; above 90% toward 100% it rises closer to 70% as operating leverage kicks in. Price adds further upside—over-90% communities see roughly 2x the RevPOR growth and 2x the move-in rents.
What is the comfort level expanding the pipeline beyond U.S. SHOP into the U.K. or other areas?
Hutchens said the first, second, and third priorities are U.S. private-pay senior housing; they like the Canada footprint without major expansion plans. The U.K. is interesting—they set up a SHOP platform early this year with operator CCG delivering excellent results—and they will expand the U.K. footprint over time, but the U.S. is where the action is.
What is the finiteness of the external growth story and when does it transition to organic?
Cafaro expressed confidence in building investment momentum in quality U.S. senior housing for the foreseeable future alongside a strong internal growth story. Hutchens said they are not even close to a slowdown externally; institutional/long-term ownership is still mid-teens, with substantial private equity and friends-and-family equity that routinely trades assets.
Why has private equity not entered the space more aggressively given low-to-mid-teens unlevered IRRs?
Hutchens said PE and friends-and-family equity actually own more of the sector than public companies. For institutional PE to enter at scale, they would need a platform to manage many smaller operators (a barrier to entry), since the ideal of pairing with one large-scale operator is hard to find; Ventas's multi-operator platform (40+ and growing) is a differentiator, though more capital interest is expected given strong fundamentals.

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Reported 2025-10-30 · figures from the Ventas, Inc. Q3 2025 earnings call.

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