Global Medical REIT Q1 2025 Earnings Report

Global Medical REIT EPS Results

• Actual EPS: $0.22
• Consensus EPS: $0.22
• Beat/Miss: Met Expectations
• One Year Ago EPS: N/A

Global Medical REIT Revenue Results

• Actual Revenue: $34.60 million
• Expected Revenue: $35.49 million
• Beat/Miss: Missed by -$890.00 thousand
• YoY Revenue Growth: N/A

Global Medical REIT Announcement Details

• Quarter: Q1 2025
• Date: 5/7/2025
• Time: After Market Closes
• Conference Call Date: Thursday, May 8, 2025
• Conference Call Time: 9:00AM ET

Global Medical REIT (NYSE:GMRE) (GMRE) is a net-lease medical office real estate investment trust (REIT) that owns and acquires healthcare facilities and leases those facilities to physician groups and regional and national healthcare systems.

Global Medical REIT Q1 2025 Earnings Call Transcript

Key Takeaways

• First quarter results showed 95.6% portfolio occupancy, a 5.6-year weighted average lease term and 4.4× rent coverage, with net income of $2.1 million ($0.03 per share), FFO of $0.20 per unit and AFFO of $0.22 per unit.
• The company acquired a five-property medical portfolio for $69.6 million at a 9% cap rate, closing three assets in Q1 and the remaining two post-quarter, all featuring procedure-based, on-campus, triple-net leases.
• GMRE completed the sale of two medical facilities for gross proceeds of $8.2 million, generating an aggregate gain of $1.4 million as part of its capital recycling strategy.
• In response to Prospect Medical’s bankruptcy, GMRE received $250,000 of post-petition rent for its East Orange facility and is re-leasing the space to subtenants at expected net rents in the mid-teens.
• The board has narrowed its CEO search and expects to appoint a new CEO by June 30, 2025, with founder Jeff Busch transitioning to the role of chairman.

Presentation

[Operator]

Greetings, and welcome to the Global Medical REIT First Quarter twenty twenty five Earnings Conference Call. At this time, all participants are in a listen only mode. A brief question and answer session will follow the formal presentation. As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Steve Sweatt, Investor Relations.

[Operator]

Thank you, sir. You may begin.

[Stephen Swett, Partner at ICR]

Thank you. Good morning, everyone, and welcome to Global Medical REIT's first quarter twenty twenty five earnings conference call. On the call today are Jeff Busch, Chief Executive Officer Alfonso Leon, Chief Investment Officer and Bob Kiernan, Chief Financial Officer. Please note the use of forward looking statements by the company on this conference call. Statements made on this call may include statements which are not historical facts and are considered forward looking.

[Stephen Swett, Partner at ICR]

Company intends these forward looking statements to be covered by the Safe Harbor provisions for forward looking statements contained in the Private Securities Litigation Reform Act of 1995 and is making a statement for purpose of complying with those Safe Harbor provisions. Furthermore, actual results may differ materially from those described in the forward looking statements and will be affected by a variety of risks and factors that are beyond the company's control, including without limitation, those contained in the company's 10 ks for the year ended 12/31/2024 and its other SEC filings. The company assumes no obligation to update publicly any forward looking statements, whether as a result of new information, future events or otherwise. Additionally, on this call, the company may refer to certain non GAAP financial measures such as funds from operations attributable to common shareholders and non controlling interest, adjusted funds from operations attributable to common stockholders and non controlling interest, EBITDAre and adjusted EBITDAre. You can find a tabular reconciliation of these non GAAP financial measures to the currently comparable GAAP numbers in the company's earnings release and filings with the SEC.

[Stephen Swett, Partner at ICR]

Additional information may be found in the Investor Relations page of the company's website at www.globalmedicalreit.com. I would now like to turn the call over to Jeff Busch, Chief Executive Officer of Global Medical REIT. Jeff?

[Jeffrey Busch, Chairman, President & CEO at Global Medical REIT]

Thank you, Steve. Good morning and thank you for joining our first quarter twenty twenty five earnings call. Our high quality diversified portfolio continues to produce steady results. At the end of the first quarter, portfolio occupancy was 95.6% with a weighted average lease term of five point six years and portfolio average rent coverage ratio of 4.4 times. For the first quarter, net income attributable to common shareholders was $2,100,000 or $03 per share compared to $800,000 or $01 per share in the first quarter of twenty twenty four.

[Jeffrey Busch, Chairman, President & CEO at Global Medical REIT]

FFO attributable to common shareholders and non controlling interest in the first quarter was $0.20 per share and unit, down $01 from the prior year quarter. AFFO attributable to common stockholders and non controlling interest was $0.22 per share and unit, down $01 from the prior year quarter. Regarding our acquisition activity, last year we entered into a purchase agreement to acquire a five property portfolio of medical facilities for an aggregate purchase price of $69,600,000 at a 9% cap rate. These properties are a great strategic fit to our overall portfolio given the procedure based nature of the tenant specialties. The close proximity of the buildings to the hospital campuses, each of which promotes tenant retention and that almost 70% of the leases are triple net leases.

[Jeffrey Busch, Chairman, President & CEO at Global Medical REIT]

During the first quarter, we closed on the first tranche of this acquisition consisting of three properties for $31,500,000 And subsequent to the quarter end, in April, we completed the acquisition of the remaining two properties. We are pleased about the addition of these assets and we'll continue to monitor the transaction market and remain disciplined in executing our acquisition strategy. Turning to dispositions, during the quarter, we completed the sale of two medical properties, generating aggregate gross proceeds of $8,200,000 resulting in an aggregate gain of $1,400,000 Finally, I would like to update everyone on the progress we made in our CEO succession plan. The nominating and corporate government committee has done an excellent job conducting multiple interviews with highly qualified candidates to become the company's next CEO. The committee has narrowed the candidate pool to a few final candidates and expects to have a new CEO in place by 06/30/2025.

[Jeffrey Busch, Chairman, President & CEO at Global Medical REIT]

As this is my last earnings call, as I transition from my role as CEO, I would like to thank the entire GMRE team for their dedication and contributions to our success over the years. I'm deeply grateful to have served as CEO and founder and proud of what we have built together. And I'm confident in where the company is positioned today and look forward to continuing in my role as chairman. We have built a highly experienced team, robust infrastructure and maintained our core focus on generating consistent results and creating value for our shareholders. With that, I turn the call over to Alfonso to discuss our investment activity and the current market conditions in more detail.

[Alfonzo Leon, CIO at Global Medical REIT]

Thank you, Jeff. As Jeff mentioned, in February and in April, we closed on a previously announced five property, 487,000 square foot portfolio for an aggregate purchase price of $69,600,000 with an aggregate annualized base rent of $6,300,000 equating to a 9% cap rate. At this pricing, we acquired this portfolio at approximately $143 per square foot, which is substantially below replacement cost. Relative to the condition of the properties, note that we acquired these properties from the original developer who has maintained them to institutional quality standards. In addition, these properties are each approximately a hundred thousand square feet outpatient facilities, four of which are on campus.

[Alfonzo Leon, CIO at Global Medical REIT]

Following are some additional details on the properties. In the February closing, we acquired two on campus multi tenant medical facilities located in Tucson, Arizona with St. Joseph's Hospital as a primary tenant at one of the facilities. St. Joseph's Hospital is part of Tenet Healthcare, a publicly traded healthcare system.

[Alfonzo Leon, CIO at Global Medical REIT]

Services performed at these facilities include cardiology, oncology, urology, and orthopedics. In addition, we acquired one off campus multi tenant medical facility located in Slippery Rock, Pennsylvania. Services performed at this facility include physical therapy, musculoskeletal, and orthopedics. In the April closing, we acquired two on campus multi tenant medical facilities located in Des Moines, Iowa with MercyOne as a primary tenant. MercyOne is a credit rated hospital system ranked as the number two hospital in Iowa per US News and World Report.

[Alfonzo Leon, CIO at Global Medical REIT]

GMRE has extensive relationships with Mercy, which represents 55% of the portfolio. Services performed at these facilities include gastroenterology, orthopedics, cardiology, oncology, and endocrinology. I would also like to mention that the portfolio was approximately 92% leased upon acquisition, and we are working to lease up the acquired vacancy, which will provide additional returns above the 9% in place cap rate at acquisition. We are very excited about this transaction as most of these facilities are on campus with a good tenant mix of procedural based practices that squarely fit within our investment criteria. We believe this transaction showcases our ability to find accretive acquisition opportunities in a higher cost of capital environment.

[Alfonzo Leon, CIO at Global Medical REIT]

On a disposition front, during the quarter, we closed on the sale of two medical facilities for gross proceeds of $8,200,000 resulting in a gain of $1,400,000 Included in these dispositions was our facility located in Coos Bay, Oregon, receiving gross proceeds of $7,200,000 resulting in a gain of $1,300,000 and reflecting a cap rate of 6.7%. This sale was part of our capital recycling strategy, and we are pleased with the outcome of this transaction. Looking ahead, we remain persistent and disciplined in seeking opportunities that align with our investment strategy and underwriting standards or would be attractive additions to our joint venture with Heitman. We plan to leverage our competitive advantages of scale, capital access, and OP unit structuring capabilities to secure high quality acquisitions that allow us to grow our portfolio while maintaining our commitment to quality. I'd now like to turn the call over to Bob to discuss our financial results.

[Alfonzo Leon, CIO at Global Medical REIT]

Bob?

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

Thank you, Alfonso. At the end of the first quarter twenty twenty five, our portfolio consisted of gross investments in real estate of $1,500,000,000 and included 4,900,000 of total leasable square feet, 95.6% occupancy, five point six years of weighted average lease term, 4.4 times rent coverage, with 2.2% weighted average contractual rent escalations. In the first quarter of twenty twenty five, our total revenues decreased by approximately 1.4% compared to the prior year quarter to $34,600,000, and our total expenses for the first quarter of twenty twenty five were 32,200,000.0 compared to 32,800,000.0 in the prior year quarter. Our operating expenses for the first quarter of twenty twenty five were $7,600,000 compared to $7,400,000 in the prior year quarter. Regarding the first quarter twenty twenty five expenses, $5,200,000 related to net leases where the company recognized a comparable amount of expense recovery revenue and $1,400,000 related to gross leases.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

G and A expenses for the first quarter of twenty twenty five were $3,600,000 compared to $4,400,000 in the prior year quarter. The decrease primarily resulted from a decrease in noncash LTIP compensation expense related to the accounting treatment for Jeff's unvested LTIP awards pursuant to his transition and separation agreement. Cash g and a expenses, excluding CEO transition related costs, were $3,400,000 in the first quarter. And looking ahead, we expect our run rate for comparable cash g and a expenses to range between 3,400,000.0 and $3,600,000 on a quarterly basis for the remainder of 2025. Relative to noncash LTIP compensation expense, based on grants to date and the impact of the accounting treatment for Jeff's awards, we expect to recognize 4,200,000.0 of noncash LTIP expense over the remainder of the year, including 1,800,000.0 in the second quarter.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

Also, the first quarter, we completed two property dispositions that generated aggregate gross proceeds of $8,200,000 resulting in an aggregate gain of $1,400,000. Net income attributable to common stockholders in the first quarter of twenty twenty five was $2,100,000 or 3¢ per share compared to $800,000 or 1¢ per share in the first quarter of twenty twenty four. FFO attributable to common stockholders and noncontrolling interest in the first quarter of twenty twenty five was $14,800,000 or 20¢ per share in unit compared to $14,900,000 or 21¢ per share in unit in the first quarter of twenty twenty four. AFFO attributable to common stockholders and noncontrolling interest in the first quarter of twenty twenty five was $16,000,000 or 22¢ per share in unit compared to $16,500,000 or 23¢ per share in unit in the first quarter of twenty twenty four. Regarding capital expenditures on the portfolio, in the first quarter of twenty twenty five, our cash spend was approximately $2,600,000 with approximately 27% of that related to tenant improvements.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

Currently, we're projecting full year 2025 capital expenditures of approximately 12 to $14,000,000. In terms of tenant related items, on 01/11/2025, Prospect Medical Group filed for chapter 11 bankruptcy reorganization. At that time, Prospect had approximately $2,400,000 of outstanding lease payments related to three of our health care facilities, including $2,200,000 related to our facility in East Orange, New Jersey, which had been accounted for on a cash basis since the fourth quarter of twenty twenty three. As of year end 2024, prospect represented 0.8 of our of our total ABR. Regarding our exposure to Prospect Medical, we entered into a stipulation and agreed order with the bankruptcy courts whereby Prospect rejected its lease at our East Orange facility.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

In accordance with the order, we received all post petition amounts due from Prospect from 01/11/2025 through 02/28/2025, totaling $250,000. In addition, effective in April, we gained access to the property allowing us to work directly with existing subtenants and market the remainder of the facility for leasing. As of 05/06/2025, Prospect had not decided it was going to accept or reject its remaining leases with us. During the first quarter of twenty twenty five, we had a 15,000 square feet of expiring leases. We're able to reduce 71,000 square feet or 62% of these expiring leases.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

For our expiring leases for the full year 2025, we expect to retain 75% on a square foot basis. Other activities impacting occupancy during the quarter, including absorption, tenant bankruptcies, as well as the impact on vacancies from acquisitions and dispositions largely offset each other. Moving on to the balance sheet. As of 03/31/2025, our gross investment in real estate was $1,500,000,000. Additionally, we had $681,000,000 of total gross debt with a weighted average remaining term of one point eight years.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

Seventy five percent of our total debt was fixed rate debt. Our leverage rate ratio was 46.1%, and our weighted average interest rate was 3.84%. As of today, the current unutilized borrowing capacity under the credit facility is a hundred and $87,000,000. Relative to equity, we did not issue any any shares of our common stock under our ATM program during the first quarter or to date in the second quarter of this year. Turning to our guidance, we are reaffirming our full year 2025 AFFO per share and unit range of $0.89 to $0.93 As a reminder, our 2025 guidance assumes no additional acquisition or disposition activity other than what has been either completed or announced, and no additional equity or debt issuances other than normal course revolver activity.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

AFFO guidance excludes one time expenses related to the CEO succession plan. In conclusion, we believe that our high quality portfolio positions us well to navigate the current environment, while our liquidity allows us to selectively acquire properties aligned with our strategic objectives. We remain confident in our disciplined execution of our business strategy and look forward to sharing our continued progress with you throughout the year. This concludes our prepared remarks. Operator, please open the call for questions.

[Operator]

Thank you. We will now be conducting a question and answer session. Our first question comes from the line of Austin Wurschmidt with KeyBanc. Please proceed with your question.

[Austin Wurschmidt, Senior Equity Research Analyst at KeyBanc Capital Markets]

Thanks. Good morning, everybody. I know it's still pretty early in the process, but can you just talk about the potential timeline, and amount of rent that you'd expect to collect upon releasing the East Orange facility?

[Executive]

Sorry. You said the East Orange facility?

[Austin Wurschmidt, Senior Equity Research Analyst at KeyBanc Capital Markets]

Yes. Correct.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

So we ahead.

[Executive]

Yeah. So, right, the first step we have to take, and just to kinda outline the the timeline that we're gonna have to go here, is convert the subtenants that are in there to direct tenants. And that's gonna take some time. It's in process. We're also working to get a budget prepared for the property and also looking to get taxes reassessed.

[Executive]

We've hired a broker to help us with the leasing effort. The hospital next door is in the process of getting a new operator that has a lot of surgical facilities in the area, which is very positive. They've expressed interest in leasing space in our building. There's been a group that's reached out to us that also wants to take a nice amount of space in the building. So we're pretty encouraged with the activity that we're experiencing in the facility.

[Executive]

And roughly rents in that building are in the mid thirties on a gross basis. And so if we can get expenses in line, our hope is to get a net rent in the call it mid, thirteen, fourteen, 15 range for that building. Which would get us pretty close to where we were before. But it's gonna take time to kind of work through all this activity. And we're not expecting it to change over the next few months dramatically, but as we approach year end, I think we're feeling pretty encouraged that we're gonna build the NOI in that property back up again.

[Executive]

By next year, then it should be at a point that's approaching where we were before.

[Austin Wurschmidt, Senior Equity Research Analyst at KeyBanc Capital Markets]

So is it fair to assume that there's nothing in guidance related to releasing this facility, one, And then more broadly related to the other prospect facilities in Connecticut, I mean, it your sense that the outcome there might be tied to what ultimately happens with the operations or real estate for other hospitals prospect leases within that region?

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

I mean, first on, in terms of the guidance, the impact of Prospect and the releasing that Alfonso mentioned is factored into our guidance. It's not a significant component of our outlook for this year. And in fact, it's relative to an overall NOI, again, very limited overall perspective. So I mean, that's really from a East Orange perspective. As it relates to our properties in Vernon, I mean, this point, we have not had any indication of the lease rejection.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

And I don't know if there's more we could say about the outlook for prospect strategy relative to those facilities. But to this point, from our perspective, there hasn't been any new activity.

[Austin Wurschmidt, Senior Equity Research Analyst at KeyBanc Capital Markets]

Understood. And then I'm just curious, Jeff, if you can speak to it sounds like you have a successor in place, but just curious, moving towards a path of announcing that here soon, but curious, you had mentioned last quarter that the Board is always evaluating other strategic options. Curious if you went down that path and if there's anything you can share on that front as well. Thank you.

[Jeffrey Busch, Chairman, President & CEO at Global Medical REIT]

Yes, Austin, we always evaluate various options out there and it's always potential given the low price of the stock, the market, the value of our assets in our belief are well above what it's trading from. So that's always a potential out there. On the transition, we are in the process of having multiple good candidates. We're in the process of evaluating them. And we do expect in a very relatively short time to have a final candidate that we pick.

[Jeffrey Busch, Chairman, President & CEO at Global Medical REIT]

So the nomination committee has been very active with it. We're excited about bringing in somebody to add new skills and new others. I'm going over to be the chairman, so I'll still be involved with what I bring to the table. So I'm very excited what goes on in the future.

[Austin Wurschmidt, Senior Equity Research Analyst at KeyBanc Capital Markets]

Appreciate the time and thanks for

[Austin Wurschmidt, Senior Equity Research Analyst at KeyBanc Capital Markets]

the thoughts. All the best to you.

[Operator]

Our next question comes from the line of Wes Golladay with Baird. Please proceed with your question.

[Wesley Golladay, Senior Research Analyst at Robert W. Baird & Co]

Hey. Good morning, guys. And maybe just sticking with prospect for the 250,000 you're gonna get. Did you record anything in the first quarter for that, or is it gonna be the second quarter?

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

Was $150,000 in the first quarter and the 100,000 will be in the second quarter.

[Wesley Golladay, Senior Research Analyst at Robert W. Baird & Co]

Okay. And then can maybe talk about the outlook for dispositions and overall maybe capital markets activity for the second half to get the line balance. Will you keep it at the same level? Will you take it down? I guess how are you thinking about that as well?

[Alfonzo Leon, CIO at Global Medical REIT]

Just on the disposition side, I mean,

[Executive]

have regular discussions with the asset management team, and with Bob and Jeff in terms of just seeing where we are as a company and seeing if it makes sense to sell assets. So that's ongoing, but you know, in the near term what we have is what we've put in a press release, you know, just roughly million in process and nothing in the near term that we're planning on selling. But it's it's something that we discuss regularly.

[Wesley Golladay, Senior Research Analyst at Robert W. Baird & Co]

Okay. And then I guess on the line balance, will you just keep it at the same levels? Will you look to maybe term it out with another term loan? What are you thinking there?

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

So relative to the financing side, we've been in active discussions with our lenders know, updating and extending the facility and including the the term loan that that comes up comes up next year. So all all that is is on the table. You know, at a high level, the CEO succession plan is is really driving our our timing a bit on that. And we would look to execute something in the third quarter, early fourth quarter type of timeframe to move forward with those. But I think we'd be looking to do something relatively consistent with what we have today.

[Wesley Golladay, Senior Research Analyst at Robert W. Baird & Co]

Okay. And then just one last one. I think in the original guide, you had, I think, 4,500,000.0 to $4,700,000 per quarter, but it was ex the LTIP, I believe. So how are you thinking about GAAP G and

[Wesley Golladay, Senior Research Analyst at Robert W. Baird & Co]

A for the back half of the year?

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

Oh, so from a GAAP G and A perspective, it would again, it'll be a little bit from the perspective of the swing in stock compensation. But it could, know, from with the cash G and A running in that 3.4 to 3.6 and with, again, 4.2 of LTIP compensation expense, it'll be from the second quarter will be elevated into the, call it, 5.1 to 5.3 type of range and then prospectively be back in that range that we talked about previously of the kind of the 4.5 to 4.7 type range.

[Wesley Golladay, Senior Research Analyst at Robert W. Baird & Co]

Got it. Thank you so much.

[Operator]

Our next question comes from the line of Juan Cinavrio with BMO. Please proceed with your question.

[Juan Sanabria, Managing Director at BMO Capital Markets]

Hi. Just curious, as part of the search process and Jeff since we'll stay on the board hoping you could give some insights here, how you guys are thinking about the dividend? I mean, has it necessarily been covered if you think about CapEx, which was some guidance was given for. How are you thinking about the sustainability of that and the ability to do acquisitions when leverage is high? Just curious on the discussions.

[Jeffrey Busch, Chairman, President & CEO at Global Medical REIT]

Well,

[Jeffrey Busch, Chairman, President & CEO at Global Medical REIT]

we've been interviewing people for the CEO position and that is in line with everything else we are doing at the time. A dividend discussion, which is happening in almost all the REITs that refinance that very low rates is happening. But it's sort of being held off until we know our direction, some of our strategic direction, which we're sort of excited about from some of the candidates is in line with what we do. The refinance is in line with what we do. So there's multiple factors in there.

[Juan Sanabria, Managing Director at BMO Capital Markets]

Understood. Fair enough. And just curious on the first quarter, seemed like retention was a bit lower than what you're expecting for the balance of the year. Just curious if you can give any insights on to why that was the case and if there's any known move outs we should be kind of thinking of kind of looking forward.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

Sure, Juan. So in first quarter, retention at that lower 60% was lower than our typical. And if I look at the 40,000 or so square feet that didn't renew in the first quarter, just note about 80% of that is progressing well releasing. So overall, again, we're going start to trim back a little bit with, again, the specific expirations that were there in the first quarter. But relative to the overall occupancy percentage, when we talked at year end, we expected there to be some volatility in this number from quarter to quarter this year based on our outlook on expiring leases.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

And we factored that into our guidance for our AFFO guidance for the full year. And as we look ahead, in the second quarter, there will be a negative impact of things like the acquired vacancy from the portfolio acquisition that'll be there in Q2. We have a 50,000 square foot lease that's expiring in the second quarter that is not expected to renew. So there's gonna be some volatility in the number from period to period and expect that to go into, again, probably into the 94 to 95% range in the second and third quarters. But really, as we get our traction, those events and those activities, we expect that to move back up as we progress toward the back part of the year and look to have that back above 95% with the goal to be at 96 again at year end.

[Juan Sanabria, Managing Director at BMO Capital Markets]

Thanks. And when you said that the 80% is progressing towards releasing, does that mean there was your short term extensions? Because it did look like the 26 expirations picked up. I'm not sure if there were some shorter term extensions or just hoping you could give a little bit more color around that.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

Oh, sure. Sure. I that that what what that what that is is those were two leases that have termination options in them. So that really was the short term renewal. These are two leases that have termination options.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

And so those were in because that termination option was could have affected us in 2025, it was in our 2025 expiration or our lease expiration number. That is a lease those are two leases that go out through through 2029, but these they have termination options that are that are in them. And so we continue to put them again, that that's now in the 2026 number. So that's the unusual activity that you're that you're seeing in in that line.

[Juan Sanabria, Managing Director at BMO Capital Markets]

Thank you. Good luck with everything and congratulations and best of luck with everything, Jeff.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

Thank you. Appreciate.

[Operator]

Our next question comes from the line of Gaurav Mehta with Alliance Global Partners. Please proceed with your question.

[Gaurav Mehta, Managing Director at Alliance Global Partners]

Yeah. Thank you. Good morning. Good morning.

[Gaurav Mehta, Managing Director at Alliance Global Partners]

I wanted to

[Gaurav Mehta, Managing Director at Alliance Global Partners]

go back to your balance sheet, maybe touch upon leverage again, at 46.1 percent. If you were to find right acquisition opportunities this year, how, high are you willing to take that leverage?

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

We're really not looking to take the leverage very much higher than where we are. I think when you factor in the acquisitions that we closed in the second quarter, that'll move us up into 47 ish percent from an overall perspective. And, you know, our our target leverage remains 40 to 45. But for at moments like this and for opportunities like the grand portfolio purchase, we're willing to go above that target range. But, you know, again, we don't really we're not looking to move materially outside this band that we're in right now.

[Gaurav Mehta, Managing Director at Alliance Global Partners]

Okay.

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

From going high, they tend to go significantly higher than where we are.

[Gaurav Mehta, Managing Director at Alliance Global Partners]

Okay. And then then maybe follow-up on on the acquisition market. Hoping to get some some color on how your pipeline is looking.

[Executive]

Sure. So the investment market is started off pretty upbeat at the beginning of the year and really as a combination of many factors like the transaction volume's been relative to past years quiet in '23 and '24, you know, down significantly depending on what data set you look at, you know, 80% at its worst. And so there was an uptick at the end of twenty four and the thought was that the bid ask spread has narrowed, there is a lot of money sitting on the sidelines And there's the expectation that there's going to be a lot more volume this year, at least more than there was in '24. There's been an uptick in portfolios that are coming to market. And there's optimism in that regard.

[Executive]

In the month of April with tariffs and the volatility in the market, it seems like there was a few weeks when there was concern among participants of the market, but it seems like there's just a lot of demand and I think there's sort of renewed optimism that there's going to be a good amount of transactions this year. So there is a lot of supply that's in the market and what's interesting is the spread in terms of cap rate from higher quality assets into lower quality assets. I mean that spreads about as wide as I think I've ever seen it, where like the really higher quality assets are in some cases trading even below six. And on the lower end of the spectrum there's some assets that are trading in the high sevens and even eights. So it's a pretty wide spread.

[Executive]

In terms of the assets that would fit our portfolio, there's a pretty good supply in that high seven cap rate range that we've targeted in the past. So, but our acquisitions is contingent on our cost of capital. So we continue monitoring the market, There is a good supply and to the extent that we have the cost of capital to pursue then, we'll take our share and do what we've done in the past.

[Gaurav Mehta, Managing Director at Alliance Global Partners]

All

[Gaurav Mehta, Managing Director at Alliance Global Partners]

right, that's all I had. Thanks for taking my questions.

[Operator]

Our next question comes from the line of John Massocca with B. Riley. Please proceed with your question.

[John Massocca, Senior Research Analyst at B Riley Financial]

Good morning. Kind of maybe with that last question in mind, I guess, there opportunities then to move a lot of that potential deal flow into the Heitman JV? Or is that are there any kind of other gating factors on maybe that being a source to where you pursue some of the stuff you traditionally would have, where your cost of capital not kind of where it is today?

[Executive]

Yes, absolutely. You know, we're pretty active looking for opportunities for them and are actively pursuing opportunities. And our hope is that we can try to get some deals with Heitman joint venture for sure.

[John Massocca, Senior Research Analyst at B Riley Financial]

Okay. And then we talked about the prospect, but I know it's the non Beaumont element of the portfolio is pretty small, but anything any update on releasing of the kind of the other Stewart assets or former Stewart assets?

[Robert Kiernan, CFO & Treasurer at Global Medical REIT]

So, yeah, the other Steward assets is in Hermitage, Pennsylvania. Those about 23,000 square feet, and and we're, you know, we're actively, you know, working to to to get those under under lease and are are are optimistic that that will be done, you know, by by, you know, by June 30. The impact of those properties is really minimal from an overall perspective.

[John Massocca, Senior Research Analyst at B Riley Financial]

And then anything you're seeing on the policy front, either kind of the government policy front, that's either kind of a positive or negative for tenant credit, tenant health? I know there's not life science isn't really a big focus, but that's been called out in kind of competitor calls. Anything maybe kind of you can provide about how the macro is impacting how your tenants are performing, positive or negative?

[Jeffrey Busch, Chairman, President & CEO at Global Medical REIT]

Well, the great thing about our portfolio is one, being relatively recession proof and also being that type of tenants we have, we're not a Medicaid based portfolio, have more Medicare, which is not being touched. Medicaid is being debated, but that's very, very limited. The most interesting thing to learn about our portfolio is when the pandemic occurred and our tenants couldn't operate or anything else, we still collected 99% of the rent. And that shows the strong portfolio. So in a recession, I do expect us to be a safety investment at that time also.

[John Massocca, Senior Research Analyst at B Riley Financial]

Yep, that's it for me. Thank you very much.

[Operator]

Thank you. We have reached the end of the question and answer session. And with that, the conclusion of today's call. Thank you for your participation. You may disconnect your lines at this time, and have a wonderful day.

Participants

Executives

• Jeffrey Busch, Chairman, President & CEO
• Alfonzo Leon, CIO
• Robert Kiernan, CFO & Treasurer

Analysts

• Stephen Swett, Partner at ICR
• Austin Wurschmidt, Senior Equity Research Analyst at KeyBanc Capital Markets
• Executive
• Wesley Golladay, Senior Research Analyst at Robert W. Baird & Co
• Juan Sanabria, Managing Director at BMO Capital Markets
• Gaurav Mehta, Managing Director at Alliance Global Partners
• John Massocca, Senior Research Analyst at B Riley Financial