SCHEDULE 13G/A 0001085146-24-005632 0001218333 XXXXXXXX LIVE 2 Common Stock, $0.01 par value per share 06/30/2025 0001632970 American Healthcare REIT, Inc. 398182303 18191 VON KARMAN AVENUE SUITE 300 IRVINE CA 92612 Rule 13d-1(b) PRINCIPAL REAL ESTATE INVESTORS, LLC DE 0 8505227 0 8505227 8505227 N 5.3 IA PRINCIPAL GLOBAL INVESTORS DE 0 1116973 0 1116973 1116973 N 0.7 IA American Healthcare REIT, Inc. 18191 VON KARMAN AVENUE, SUITE 300, IRVINE, CALIFORNIA 92612 PRINCIPAL REAL ESTATE INVESTORS, LLC PRINCIPAL GLOBAL INVESTORS PRINCIPAL REAL ESTATE INVESTORS, LLC 711 HIGH STREET DES MOINES, Iowa 50392-0300 PRINCIPAL GLOBAL INVESTORS 711 HIGH STREET DES MOINES, Iowa 50392-0300 PRINCIPAL REAL ESTATE INVESTORS, LLC - DELAWARE PRINCIPAL GLOBAL INVESTORS - DELAWARE N IA 9,622,200 6.0 PRINCIPAL REAL ESTATE INVESTORS, LLC - 0 PRINCIPAL GLOBAL INVESTORS - 0 PRINCIPAL REAL ESTATE INVESTORS, LLC - 8,505,227 PRINCIPAL GLOBAL INVESTORS - 1,116,973 PRINCIPAL REAL ESTATE INVESTORS, LLC - 0 PRINCIPAL GLOBAL INVESTORS - 0 PRINCIPAL REAL ESTATE INVESTORS, LLC - 8,505,227 PRINCIPAL GLOBAL INVESTORS - 1,116,973 Y Y Y Y Y N By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under ?? 240.14a-11. This statement is filed by Principal Real Estate Investors LLC and Principal Global Investors LLC jointly pursuant to a Joint Filing Agreement, which is filed with this Schedule 13G as Exhibit 99.1. PRINCIPAL REAL ESTATE INVESTORS, LLC /s/ J. Markham Penrod 08/08/2025 PRINCIPAL GLOBAL INVESTORS /s/ J. Markham Penrod 08/08/2025