Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

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Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

Three Months EndedChangeSix Months EndedChange
June 30,June 30,
20252024$%20252024$%
Revenues:
Resident fees and services$1,971,044$1,393,473$577,57141%$3,835,574$2,753,747$1,081,82739%
Other income4,6881,9002,788147%8,0293,3634,666139%
Total revenues1,975,7321,395,373580,35942%3,843,6032,757,1101,086,49339%
Property operating expenses1,438,2771,034,906403,37139%2,822,9612,054,253768,70837%
NOI (1)537,455360,467176,98849%1,020,642702,857317,78545%
Other expenses:
Depreciation and amortization354,381253,531100,85040%695,137490,327204,81042%
Interest expense19,5817,32612,255167%35,85018,51217,33894%
Loss (gain) on extinguishment of debt, net—1,705(1,705)(100)%6,1561,7114,445260%
Impairment of assets10,2401,7788,462476%33,84145,109(11,268)(25)%
Other expenses14,95737,724(22,767)(60)%27,12446,481(19,357)(42)%
399,159302,06497,09532%798,108602,140195,96833%
Income (loss) from continuing operations before income taxes and other items138,29658,40379,893137%222,534100,717121,817121%
Income (loss) from unconsolidated entities(6,803)(2,854)(3,949)(138)%(8,785)(7,436)(1,349)(18)%
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net(1,244)137,061(138,305)(101)%52,038141,663(89,625)(63)%
Income (loss) from continuing operations130,249192,610(62,361)(32)%265,787234,94430,84313%
Net income (loss)130,249192,610(62,361)(32)%265,787234,94430,84313%
Less: Net income (loss) attributable to noncontrolling interests(686)(468)(218)(47)%(599)(1,484)88560%
Net income (loss) attributable to common stockholders$130,935$193,078$(62,143)(32)%$266,386$236,428$29,95813%
(1) See "Non-GAAP Financial Measures" below for additional information and reconciliations.

Resident fees and services and property operating expenses increased for the three and six month periods ended June 30, 2025 compared to the same periods in the prior year primarily due to acquisitions, including the acquisition of Care UK as described in Note 3 to our consolidated financial statements, construction conversions, and the conversions of Triple-net properties to Seniors Housing Operating RIDEA structures throughout 2024. Additionally, our Seniors Housing Operating revenues are dependent on occupancy and rate growth, both of which have continued to steadily increase from the prior year. Average occupancy is as follows:

Three Months Ended(1)
March 31,June 30,September 30,December 31,
202482.5%82.8%83.8%84.8%
202585.1%85.6%

(1) Average occupancy includes our minority ownership share related to unconsolidated properties and excludes the minority partners' noncontrolling ownership share related to consolidated properties. Also excludes land parcels and properties under development.

The following is a summary of our SSNOI at Welltower's share for the Seniors Housing Operating segment (in thousands):

QTD PoolYTD Pool
Three Months EndedChangeSix Months EndedChange
June 30,June 30,
20252024$%20252024$%
SSNOI (1)$379,900$309,094$70,80622.9%$739,824$601,001$138,82323.1%

(1) For the QTD Pool and YTD Pool, amounts relate to 673 and 667 same store properties. Please see "Non-GAAP Financial Measures" below for additional information and reconciliations.

Depreciation and amortization expense fluctuates as a result of acquisitions, dispositions and segment transitions. To the extent that we acquire, develop or dispose of additional properties in the future, our provision for depreciation and amortization will change accordingly.

During the six months ended June 30, 2025, we recorded $33,841,000 of impairment charges related to eight properties. During the six months ended June 30, 2024, we recorded impairment charges of $45,109,000 related to 11 properties.

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

Transaction costs related to asset acquisitions are capitalized as a component of the purchase price. The fluctuation in other expenses is primarily due to the timing of noncapitalizable transaction costs associated with acquisitions and operator transitions. Changes in the gain on sales of properties are related to the volume and timing of property sales and the sales prices, which are further discussed in Note 5 to our unaudited consolidated financial statements. The fluctuation in the gain on sales of properties is primarily related to the disposal of the Revera Canadian portfolio, which is further discussed in Note 5 to our unaudited consolidated financial statements.

During the six months ended June 30, 2025, we completed construction conversions representing $506,732,000 or $611,257 per unit. The following is a summary of our consolidated Seniors Housing Operating construction projects in process, excluding expansions (dollars in thousands):

As of June 30, 2025
Expected Conversion Year(1)PropertiesUnits/BedsAnticipated Remaining FundingConstruction in Progress Balance
2025111,923$73,055$383,508
202691,321196,345126,155
2027230366,79618,290
TBD(2)346,665
Total25$574,618
(1) Properties expected to be converted in phases over multiple years are reflected in the last expected year.
(2) Represents projects for which a final budget or expected conversion date are not yet known.

Interest expense represents secured debt interest expense, which fluctuates based on the net effect and timing of assumptions, segment transitions, fluctuations in foreign currency rates, extinguishments and principal amortizations. The fluctuations in loss (gain) on extinguishment of debt is primarily attributable to the volume of extinguishments and terms of the related secured debt.

The following is a summary of our Seniors Housing Operating segment property secured debt principal activity (in thousands):

Three Months EndedSix Months Ended
June 30,June 30,
2025202420252024
Beginning balance$2,253,663$1,804,419$2,042,583$1,955,048
Debt issued—1,493—2,872
Debt assumed152,261—469,130—
Debt extinguished(152,261)(75,993)(248,298)(196,939)
Debt disposed(1)—(164,640)—(164,640)
Principal payments(14,260)(9,136)(26,367)(19,983)
Effect of foreign currency46,710(5,979)49,065(26,194)
Ending balance$2,286,113$1,550,164$2,286,113$1,550,164
Ending weighted average interest4.16%4.53%4.16%4.53%
(1) Please see Note 5 for additional information.

A portion of our Seniors Housing Operating property investments are formed through partnership interests. Income (loss) from unconsolidated entities represents our share of net income or losses from partnerships where we are the noncontrolling partner. Net income attributable to noncontrolling interests represents our partners’ share of net income (loss) related to joint ventures.

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

Triple-net

The following is a summary of our results of operations for the Triple-net segment (in thousands):

Three Months EndedChangeSix Months EndedChange
June 30,June 30,
20252024$%20252024$%
Revenues:
Rental income$273,394$141,151$132,24394%$526,082$362,895$163,18745%
Interest income———n/a2,111—2,111n/a
Other income360931(571)(61)%5912,130(1,539)(72)%
Total revenues273,754142,082131,67293%528,784365,025163,75945%
Property operating expenses8,65210,495(1,843)(18)%17,47021,312(3,842)(18)%
NOI (1)265,102131,587133,515101%511,314343,713167,60149%
Other expenses:
Depreciation and amortization73,17561,76611,40918%150,859124,30126,55821%
Interest expense3,9903523,638n/a8,0007107,290n/a
Impairment of assets9,6366169,020n/a38,43761637,821n/a
Other expenses3808,420(8,040)(95)%1,0109,625(8,615)(90)%
87,18171,15416,02723%198,306135,25263,05447%
Income (loss) from continuing operations before income taxes and other items177,92160,433117,488194%313,008208,461104,54750%
Income (loss) from unconsolidated entities(575)322(897)(279)%(1,149)(5,315)4,16678%
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net(547)21,268(21,815)(103)%(7,044)21,294(28,338)(133)%
Income (loss) from continuing operations176,79982,02394,776116%304,815224,44080,37536%
Net income (loss)176,79982,02394,776116%304,815224,44080,37536%
Less: Net income (loss) attributable to noncontrolling interests1,7305,473(3,743)(68)%(633)10,971(11,604)(106)%
Net income attributable to common stockholders$175,069$76,550$98,519129%$305,448$213,469$91,97943%
(1) See "Non-GAAP Financial Measures" below for additional information and reconciliations.

The increase in rental income was primarily due to the write-off of straight-line receivable and unamortized lease incentive balances of $97,674,000 during the six months ended June 30, 2024, which related to leases for which the collection of substantially all contractual lease payments was no longer deemed probable due primarily to agreements reached to convert Triple-net properties to Seniors Housing Operating RIDEA structures. Additionally, a portion of the increase in rental income can be attributed to acquisitions.

Certain of our leases contain annual rental escalators that are contingent upon changes in the Consumer Price Index and/or changes in the gross operating revenues of the tenant’s properties. These escalators are not fixed, so no straight-line rent is recorded; however, rental income is recorded based on the contractual cash rental payments due for the period. If gross operating revenues at our facilities and/or the Consumer Price Index do not increase, a portion of our revenues may not continue to increase. During the six months ended June 30, 2025, our Triple-net portfolio had 31 leases with rental rate increases and a weighted average increase of 4.7%.

Interest income is primarily related to leases that were classified as sales-type leases.

The following is a summary of our SSNOI at Welltower's share for the Triple-net segment (in thousands):

QTD PoolYTD Pool
Three Months EndedChangeSix Months EndedChange
June 30,June 30,
20252024$%20252024$%
SSNOI (1)$154,305$148,507$5,7983.9%$307,385$296,034$11,3513.8%

(1) For the QTD Pool and YTD Pool, amounts relate to 469 and 469 same store properties. Please see "Non-GAAP Financial Measures" below for additional information and reconciliations.

Depreciation and amortization expense fluctuates as a result of the acquisitions, dispositions and segment transitions of Triple-net properties. To the extent we acquire or dispose of additional properties in the future, our provision for depreciation and amortization will change accordingly.

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

During the six months ended June 30, 2025, we recorded an impairment charge of $38,437,000 related to six properties. During the six months ended June 30, 2024, we recorded an impairment charge of $616,000 related to one property. Transaction costs related to asset acquisitions are capitalized as a component of purchase price. The fluctuation in other expenses is primarily due to noncapitalizable transaction costs from acquisitions and segment transitions. Changes in the gain (loss) on real estate dispositions and acquisitions of controlling interests, net were related to the volume, timing and price of related transactions.

Interest expense represents secured debt interest expense and related fees. The change in secured debt interest expense is due to the net effect and timing of assumptions, segment transitions, fluctuations in foreign currency rates, extinguishments and principal amortizations. The following is a summary of our Triple-net secured debt principal activity for the periods presented (in thousands):

Three Months EndedSix Months Ended
June 30,June 30,
2025202420252024
Beginning balance$333,773$38,023$335,552$38,260
Principal payments(1,794)(236)(3,573)(473)
Ending balance$331,979$37,787$331,979$37,787
Ending weighted average interest3.44%4.39%3.44%4.39%

A portion of our Triple-net property investments were formed through partnerships. Income (loss) from unconsolidated entities represents our share of net income or losses from partnerships where we are the noncontrolling partner. Net income attributable to noncontrolling interests represents our partners’ share of net income relating to those partnerships where we are the controlling partner.

Outpatient Medical

The following is a summary of our results of operations for the Outpatient Medical segment for the periods presented (in thousands):

Three Months EndedChangeSix Months EndedChange
June 30,June 30,
20252024$%20252024$%
Revenues:
Rental income$209,646$194,660$14,9868%$418,525$390,568$27,9577%
Other income2,1652,577(412)(16)%4,3024,979(677)(14)%
Total revenues211,811197,23714,5747%422,827395,54727,2807%
Property operating expenses62,83461,1851,6493%127,440123,6483,7923%
NOI (1)148,977136,05212,92510%295,387271,89923,4889%
Other expenses:
Depreciation and amortization67,48066,7487321%134,909133,2801,6291%
Interest expense1791,310(1,131)(86)%(402)3,028(3,430)(113)%
Other expenses52331(279)(84)%57940(883)(94)%
67,71168,389(678)(1)%134,564137,248(2,684)(2)%
Income (loss) from continuing operations before income taxes and other items81,26667,66313,60320%160,823134,65126,17219%
Income (loss) from unconsolidated entities(2,339)4,746(7,085)(149)%(1,885)4,320(6,205)(144)%
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net16,6418,1148,527105%21,6338,19313,440164%
Income (loss) from continuing operations95,56880,52315,04519%180,571147,16433,40723%
Net income (loss)95,56880,52315,04519%180,571147,16433,40723%
Less: Net income (loss) attributable to noncontrolling interests777218559256%1,550(134)1,684n/a
Net income (loss) attributable to common stockholders$94,791$80,305$14,48618%$179,021$147,298$31,72322%
(1) See "Non-GAAP Financial Measures" below for additional information and reconciliations.

Rental income has increased due primarily to acquisitions and construction conversions that occurred during 2024 and year to date in 2025. Certain of our leases contain annual rental escalators that are contingent upon changes in the Consumer Price Index. These escalators are not fixed, so no straight-line rent is recorded; however, rental income is recorded based on the

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

contractual cash rental payments due for the period. If the Consumer Price Index does not increase, a portion of our revenues may not continue to increase. Our leases could renew above or below current rental rates, resulting in an increase or decrease in rental income. For the six months ended June 30, 2025, our consolidated Outpatient Medical portfolio signed 180,454 square feet of new leases and 889,273 square feet of renewals. The weighted-average term of these leases was 7 years, with a rate of $41.38 per square foot and tenant improvement and lease commission costs of $29.39 per square foot. Substantially all of these leases contain an annual fixed or contingent escalation rent structure ranging from 2.0% to 5.0%.

The following is a summary of our SSNOI at Welltower's share for the Outpatient Medical segment (in thousands):

QTD PoolYTD Pool
Three Months EndedChangeSix Months EndedChange
June 30,June 30,
20252024$%20252024$%
SSNOI (1)$134,381$129,401$4,9803.8%$265,641$257,904$7,7373.0%

(1) For the QTD Pool and YTD Pool, amounts relate to 417 and 416 same store properties. Please see "Non-GAAP Financial Measures" below for additional information and reconciliations.

Changes in the gain (loss) on real estate dispositions and acquisitions of controlling interests, net were related to the volume, timing, and price of related transactions.

During the six months ended June 30, 2025, we completed construction conversions representing $267,916,000 or $545 per square foot. The following is a summary of our consolidated Outpatient Medical construction projects in process, excluding expansions (dollars in thousands):

As of June 30, 2025
Expected Conversion YearPropertiesSquare FeetAnticipated Remaining FundingConstruction in Progress Balance
20252155,370$30,660$42,032
TBD(1)134,396
Total3$76,428
(1) Represents projects for which a final budget or expected conversion date are not yet known.

Total interest expense represents secured debt interest expense. The change in secured debt interest expense is primarily due to the net effect and timing of assumptions, extinguishments and principal amortizations. The following is a summary of our Outpatient Medical secured debt principal activity (in thousands):

Three Months EndedSix Months Ended
June 30,June 30,
2025202420252024
Beginning balance$64,734$228,334$89,088$229,137
Debt extinguished(14,360)(14,866)(38,156)(14,866)
Principal payments(504)(735)(1,062)(1,538)
Ending balance$49,870$212,733$49,870$212,733
Ending weighted average interest4.50%5.51%4.50%5.51%

A portion of our Outpatient Medical property investments were formed through partnerships. Income or loss from unconsolidated entities represents our share of net income or losses from partnerships where we are the noncontrolling partner. Net income attributable to noncontrolling interests represents our partners’ share of net income or loss relating to those partnerships where we are the controlling partner.

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

Non-segment/Corporate

The following is a summary of our results of operations for the Non-segment/Corporate activities for the periods presented (in thousands):

Three Months EndedChangeSix Months EndedChange
June 30,June 30,
20252024$%20252024$%
Revenues:
Interest income$62,057$63,453$(1,396)-2%$122,436$116,117$6,3195%
Other income24,89026,739(1,849)(7)%53,68150,8262,8556%
Total revenues86,94790,192(3,245)(4)%176,117166,9439,1745%
Property operating expenses4,9484,7112375%9,2308,9972333%
NOI(1)81,99985,481(3,482)(4)%166,887157,9468,9416%
Other expenses:
Interest expense117,407124,436(7,029)(6)%242,671258,492(15,821)(6)%
General and administrative expenses64,17555,5658,61015%127,933108,88319,05017%
Loss (gain) on derivatives and financial instruments, net(409)(5,825)5,41693%(3,619)(8,879)5,26059%
Provision for loan losses, net(1,113)5,163(6,276)(122)%(3,120)6,177(9,297)(151)%
Other expenses1,2092,209(1,000)(45)%2,4675,769(3,302)(57)%
181,269181,548(279)—%366,332370,442(4,110)(1)%
Income (loss) from continuing operations before income taxes and other items(99,270)(96,067)(3,203)(3)%(199,445)(212,496)13,0516%
Income tax benefit (expense)(1,053)(1,101)484%4,466(7,292)11,758161%
Income (loss) from unconsolidated entities2,3252,682(357)(13)%5,6905,5441463%
Income (loss) from continuing operations(97,998)(94,486)(3,512)(4)%(189,289)(214,244)24,95512%
Net income (loss)(97,998)(94,486)(3,512)(4)%(189,289)(214,244)24,95512%
Less: Net income (loss) attributable to noncontrolling interests90973317624%1,7211,09163058%
Net income (loss) attributable to common stockholders$(98,907)$(95,219)$(3,688)(4)%$(191,010)$(215,335)$24,32511%
(1) See "Non-GAAP Financial Measures" below for additional information and reconciliations.

Property operating expenses represent insurance costs related to our captive insurance company, which acts as a direct insurer of property level insurance coverage for our portfolio.

The following is a summary of our Non-segment/Corporate interest expense for the periods presented (in thousands):

Three Months EndedChangeSix Months EndedChange
June 30,June 30,
20252024$%20252024$%
Senior unsecured notes$104,214$118,212$(13,998)(12)%$220,638$246,172$(25,534)(10)%
Unsecured credit facility and commercial paper program3,4431,5331,910125%5,0213,0681,95364%
Loan expense9,7504,6915,059108%17,0129,2527,76084%
Totals$117,407$124,436$(7,029)(6)%$242,671$258,492$(15,821)(6)%

The change in interest expense on senior unsecured notes is due to the net effect of issuances and extinguishments, as well as the movement in foreign exchange rates and related hedge activity. Please refer to Note 11 to our unaudited consolidated financial statements for additional information. The change in interest expense on our unsecured revolving credit facility and commercial paper program is due primarily to the net effect and timing of draws, paydowns and variable interest rate changes. Please refer to Note 10 to our unaudited consolidated financial statements for additional information regarding our unsecured revolving credit facility and commercial paper program. Loan expenses represent the amortization of costs incurred in connection with senior unsecured notes issuances.

General and administrative expenses as a percentage of consolidated revenues for the six months ended June 30, 2025 and 2024 were 2.57% and 2.96%, respectively.

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

Loss (gain) on derivatives and financial instruments, net is primarily attributable to the mark-to-market of the equity warrants received as part of the HC-One Group transactions that closed in 2021 and 2023.

The fluctuation in provision for loan losses, net is related to adjustments to reserves for loan losses under the current expected credit losses accounting standard.

The provision for income taxes primarily relates to state taxes, foreign taxes and taxes based on income generated by entities that are structured as taxable REIT subsidiaries.

Other

Non-GAAP Financial Measures

We believe that net income and net income attributable to common stockholders, as defined by U.S. GAAP, are the most appropriate earnings measurements. However, we consider FFO, NOI, SSNOI, EBITDA and Adjusted EBITDA to be useful supplemental measures of our operating performance. Historical cost accounting for real estate assets in accordance with U.S. GAAP implicitly assumes that the value of real estate assets diminishes predictably over time as evidenced by the provision for depreciation. However, since real estate values have historically risen or fallen with market conditions, many industry investors and analysts have considered presentations of operating results for real estate companies that use historical cost accounting to be insufficient. In response, the National Association of Real Estate Investment Trusts ("NAREIT") created funds from operations attributable to common stockholders ("FFO") as a supplemental measure of operating performance for REITs that excludes historical cost depreciation from net income. FFO, as defined by NAREIT, means NICS, computed in accordance with U.S. GAAP, excluding gains (or losses) from sales of real estate and acquisitions of controlling interests, and impairment of depreciable assets, plus depreciation and amortization, and after adjustments for unconsolidated entities and noncontrolling interests.

NOI is used to evaluate the operating performance of our properties. We define NOI as total revenues, including tenant reimbursements, less property operating expenses. Property operating expenses represent costs associated with managing, maintaining and servicing tenants for our properties. These expenses include, but are not limited to, property-related payroll and benefits, property management fees paid to managers, marketing, housekeeping, food service, maintenance, utilities, property taxes and insurance. General and administrative expenses represent general overhead costs that are unrelated to property operations and unallocable to the properties. These expenses include, but are not limited to, payroll and benefits related to corporate employees, professional services, office expenses and depreciation of corporate fixed assets. Same store NOI ("SSNOI") is used to evaluate the operating performance of our properties using a consistent population which controls for changes in the composition of our portfolio. We believe the drivers of property level NOI for both consolidated properties and unconsolidated properties are generally the same and therefore, we evaluate SSNOI based on our ownership interest in each property ("Welltower Share"). To arrive at Welltower's Share, NOI is adjusted by adding our minority ownership share related to unconsolidated properties and by subtracting the minority partners' noncontrolling ownership interests for consolidated properties. We do not control investments in unconsolidated properties and while we consider disclosures at Welltower Share to be useful, they may not accurately depict the legal and economic implications of our joint venture arrangements and should be used with caution. As used herein, same store is generally defined as those revenue-generating properties in the portfolio for the relevant year-over-year reporting periods. Acquisitions and development conversions are included in SSNOI five full quarters or six full quarters after acquisition or being placed into service for the QTD Pool and YTD Pool, respectively. Land parcels, loans and leased properties, as well as any properties sold or classified as held for sale during the respective periods are excluded from SSNOI. Redeveloped properties (including major refurbishments of a Seniors Housing Operating property where 20% or more of units are simultaneously taken out of commission for 30 days or more or Outpatient Medical properties undergoing a change in intended use) are excluded from SSNOI until five full quarters or six full quarters post completion of the redevelopment for the QTD Pool and YTD Pool, respectively. Properties undergoing operator transitions and/or segment transitions are also excluded from SSNOI until five full quarters or six full quarters post completion of the transition for the QTD Pool and YTD Pool, respectively. In addition, properties significantly impacted by force majeure, acts of God, or other extraordinary adverse events are excluded from SSNOI until five full quarters or six full quarters after the properties are placed back into service for the QTD Pool and YTD Pool, respectively. SSNOI excludes non-cash NOI and includes adjustments to present consistent ownership percentages and to translate Canadian properties and U.K. properties using a consistent exchange rate. We believe NOI and SSNOI provide investors relevant and useful information because they measure the operating performance of our properties at the property level on an unleveraged basis. We use NOI and SSNOI to make decisions about resource allocations and to assess the property level performance of our portfolio.

EBITDA is defined as earnings (net income) before interest, taxes, depreciation and amortization. Adjusted EBITDA is defined as EBITDA excluding unconsolidated entities and including adjustments for stock-based compensation expense, provision for loan losses, gains/losses on extinguishment of debt, gains/losses on disposition of properties and acquisitions of controlling interests, impairment of assets, gains/losses on derivatives and financial instruments, other expenses, other impairment charges and other adjustments as deemed appropriate. We believe that EBITDA and Adjusted EBITDA, along with

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

net income, are important supplemental measures because they provide additional information to assess and evaluate the performance of our operations. We primarily use these measures to determine our interest coverage ratio, which represents EBITDA and Adjusted EBITDA divided by total interest, and our fixed charge coverage ratio, which represents EBITDA and Adjusted EBITDA divided by fixed charges. Fixed charges include total interest and secured debt principal amortization. Covenants in our unsecured senior notes and primary credit facility contain financial ratios based on a definition of EBITDA and Adjusted EBITDA that is specific to those agreements. Our leverage ratios are defined as the proportion of net debt to total capitalization and include book capitalization, undepreciated book capitalization and enterprise value. Book capitalization represents the sum of net debt (defined as total long-term debt, excluding operating lease liabilities, less cash and cash equivalents and restricted cash), total equity and redeemable noncontrolling interests. Undepreciated book capitalization represents book capitalization adjusted for accumulated depreciation and amortization. Enterprise value represents book capitalization adjusted for the fair market value of our common stock.

Our supplemental reporting measures and similarly entitled financial measures are widely used by investors, equity and debt analysts and rating agencies in the valuation, comparison, rating and investment recommendations of companies. Management uses these financial measures to facilitate internal and external comparisons to our historical operating results and in making operating decisions. Additionally, these measures are utilized by the Board of Directors to evaluate management. None of our supplemental measures represent net income or cash flow provided from operating activities as determined in accordance with U.S. GAAP and should not be considered as alternative measures of profitability or liquidity. Finally, the supplemental measures, as defined by us, may not be comparable to similarly entitled items reported by other real estate investment trusts or other companies.

The tables below reflect the reconciliation of FFO to NICS, the most directly comparable U.S. GAAP measure, for the periods presented. Noncontrolling interest and unconsolidated entity amounts represent adjustments to reflect our share of depreciation and amortization, gains/loss on real estate dispositions and acquisitions of controlling interests, and impairment of assets. Amounts are in thousands except for per share data.

Three Months Ended
June 30,March 31,December 31,September 30,June 30,March 31,
FFO Reconciliation:202520252024202420242024
Net income (loss) attributable to common stockholders$301,888$257,957$119,971$449,849$254,714$127,146
Depreciation and amortization495,036485,869480,406403,779382,045365,863
Impairment of assets19,87652,40223,64723,4212,39443,331
Loss (gain) on real estate dispositions and acquisitions of controlling interests, net(14,850)(51,777)(8,195)(272,266)(166,443)(4,707)
Noncontrolling interests(6,256)(9,468)(6,667)(5,801)(6,348)(11,996)
Unconsolidated entities30,02330,21427,97836,83527,41137,066
FFO$825,717$765,197$637,140$635,817$493,773$556,703
Average diluted shares outstanding668,140653,795634,259618,306604,563577,530
Per diluted share data:
Net income attributable to common stockholders(1)$0.45$0.40$0.19$0.73$0.42$0.22
FFO$1.24$1.17$1.00$1.03$0.82$0.96
(1) Includes adjustment to the numerator for income (loss) attributable to OP Unitholders.

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

Six Months Ended
June 30,
FFO Reconciliations:20252024
Net income (loss) attributable to common stockholders$559,845$381,860
Depreciation and amortization980,905747,908
Impairment of assets72,27845,725
Loss (gain) on real estate dispositions and acquisitions of controlling interests, net(66,627)(171,150)
Noncontrolling interests(15,724)(18,344)
Unconsolidated entities60,23764,477
FFO$1,590,914$1,050,476
Average diluted common shares outstanding:661,004591,047
Per diluted share data:
Net income attributable to common stockholders(1)$0.85$0.65
FFO$2.41$1.78
(1) Includes adjustment to the numerator for income (loss) attributable to OP unitholders.

The tables below reflect the reconciliation of consolidated NOI to net income, the most directly comparable U.S. GAAP measure, for the periods presented (dollars in thousands):

Three Months Ended
June 30,March 31,December 31,September 30,June 30,March 31,
NOI Reconciliations:202520252024202420242024
Net income (loss)$304,618$257,266$123,753$456,800$260,670$131,634
Loss (gain) on real estate dispositions and acquisitions of controlling interests, net(14,850)(51,777)(8,195)(272,266)(166,443)(4,707)
Loss (income) from unconsolidated entities7,392(1,263)(6,429)4,038(4,896)7,783
Income tax expense (benefit)1,053(5,519)114(4,706)1,1016,191
Other expenses16,59814,06034,40520,23948,68414,131
Impairment of assets19,87652,40223,64723,4212,39443,331
Provision for loan losses, net(1,113)(2,007)(245)4,1935,1631,014
Loss (gain) on extinguishment of debt, net—6,156—4191,7056
Loss (gain) on derivatives and financial instruments, net(409)(3,210)(9,102)(9,906)(5,825)(3,054)
General and administrative expenses64,17563,75848,70777,90155,56553,318
Depreciation and amortization495,036485,869480,406403,779382,045365,863
Interest expense141,157144,962154,469139,050133,424147,318
Consolidated net operating income (NOI)$1,033,533$960,697$841,530$842,962$713,587$762,828
NOI by segment:
Seniors Housing Operating$537,455$483,187$430,689$378,135$360,467$342,390
Triple-net265,102246,212185,032219,304131,587212,126
Outpatient Medical148,977146,410142,361142,217136,052135,847
Non-segment/Corporate81,99984,88883,448103,30685,48172,465
Total NOI$1,033,533$960,697$841,530$842,962$713,587$762,828

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

Six Months Ended
June 30,
NOI Reconciliations:20252024
Net income (loss)$561,884$392,304
Loss (gain) on real estate dispositions and acquisitions of controlling interests, net(66,627)(171,150)
Loss (income) from unconsolidated entities6,1292,887
Income tax expense (benefit)(4,466)7,292
Other expenses30,65862,815
Impairment of assets72,27845,725
Provision for loan losses, net(3,120)6,177
Loss (gain) on extinguishment of debt, net6,1561,711
Loss (gain) on derivatives and financial instruments, net(3,619)(8,879)
General and administrative expenses127,933108,883
Depreciation and amortization980,905747,908
Interest expense286,119280,742
Consolidated net operating income (NOI)$1,994,230$1,476,415
NOI by segment:
Seniors Housing Operating$1,020,642$702,857
Triple-net511,314343,713
Outpatient Medical295,387271,899
Non-segment/corporate166,887157,946
Total NOI$1,994,230$1,476,415

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

The following is a reconciliation of the properties included in our QTD Pool and YTD Pool for SSNOI:

QTD PoolYTD Pool
SSNOI Property Reconciliations:Seniors Housing OperatingTriple-netOutpatient MedicalTotalSeniors Housing OperatingTriple-netOutpatient MedicalTotal
Consolidated properties1,2216363702,2271,2216363702,227
Unconsolidated properties88—7616488—76164
Total properties1,3096364462,3911,3096364462,391
Recent acquisitions/development conversions(1)(206)(110)(12)(328)(212)(110)(13)(335)
Under development(24)—(2)(26)(24)—(2)(26)
Under redevelopment(2)—(1)(2)(3)—(1)(2)(3)
Current held for sale(10)(8)(3)(21)(10)(8)(3)(21)
Land parcels, loans and leased properties(108)(4)(9)(121)(108)(4)(9)(121)
Transitions(3)(283)(42)—(325)(283)(42)—(325)
Other(4)(5)(2)(1)(8)(5)(2)(1)(8)
Same store properties6734694171,5596674694161,552
(1) Acquisitions and development conversions will enter the QTD Pool after five full quarters and YTD Pool after six full quarters from acquisition or certificate of occupancy.
(2) Redevelopment properties will enter the QTD Pool after five full quarters and YTD Pool after six full quarters of operations post redevelopment completion.
(3) Transitioned properties will enter the QTD Pool after five full quarters and YTD Pool after six full quarters of operations with the new operator in place or under the new structure.
(4) Represents properties that are either closed or being closed.

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

The following is a reconciliation of our consolidated NOI to same store NOI for the periods presented for the QTD Pool and YTD Pool (dollars in thousands):

QTD PoolYTD Pool
Three Months EndedSix Months Ended
June 30,June 30,
SSNOI Reconciliations:2025202420252024
Seniors Housing Operating:
Consolidated NOI$537,455$360,467$1,020,642$702,857
NOI attributable to unconsolidated investments18,38123,04138,92744,822
NOI attributable to noncontrolling interests(12,726)(11,756)(25,811)(28,808)
NOI attributable to non-same store properties(157,200)(58,718)(285,990)(113,718)
Non-cash NOI attributable to same store properties(1,509)(2,557)(4,018)(5,077)
Currency and ownership adjustments (1)(4,501)(1,383)(3,926)925
SSNOI at Welltower Share379,900309,094739,824601,001
Triple-net:
Consolidated NOI265,102131,587$511,314343,713
NOI attributable to unconsolidated investments—1,265—2,348
NOI attributable to noncontrolling interests(3,690)(8,041)(7,407)(16,043)
NOI attributable to non-same store properties(86,510)41,078(156,778)984
Non-cash NOI attributable to same store properties(18,924)(20,201)(37,641)(40,478)
Currency and ownership adjustments (1)(1,673)2,819(2,103)5,510
SSNOI at Welltower Share154,305148,507307,385296,034
Outpatient Medical:
Consolidated NOI148,977136,052295,387271,899
NOI attributable to unconsolidated investments4,1704,3138,2049,024
NOI attributable to noncontrolling interests(2,626)(2,301)(5,181)(5,024)
NOI attributable to non-same store properties(10,712)(3,176)(22,421)(9,268)
Non-cash NOI attributable to same store properties(5,428)(5,548)(10,349)(8,855)
Currency and ownership adjustments (1)—611128
SSNOI at Welltower Share134,381129,401265,641257,904
SSNOI at Welltower Share:
Seniors Housing Operating379,900309,094739,824601,001
Triple-net154,305148,507307,385296,034
Outpatient Medical134,381129,401265,641257,904
Total$668,586$587,002$1,312,850$1,154,939
(1) Includes adjustments to reflect consistent property ownership percentages, to translate Canadian properties at a USD/CAD rate of 1.43 and to translate U.K. properties at a GBP/USD rate of 1.23.

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

The tables below reflect the reconciliation of EBITDA to net income, the most directly comparable U.S. GAAP measure, for the periods presented (dollars in thousands):

Three Months Ended
June 30,March 31,December 31,September 30,June 30,March 31,
EBITDA Reconciliations:202520252024202420242024
Net income (loss)$304,618$257,266$123,753$456,800$260,670$131,634
Interest expense141,157144,962154,469139,050133,424147,318
Income tax expense (benefit)1,053(5,519)114(4,706)1,1016,191
Depreciation and amortization495,036485,869480,406403,779382,045365,863
EBITDA$941,864$882,578$758,742$994,923$777,240$651,006
Interest Coverage Ratio:
Interest expense$141,157$144,962$154,469$139,050$133,424$147,318
Capitalized interest8,65311,52014,16015,66814,47813,809
Non-cash interest expense(10,231)(12,625)(15,143)(9,008)(8,953)(9,284)
Total interest139,579143,857153,486145,710138,949151,843
EBITDA$941,864$882,578$758,742$994,923$777,240$651,006
Interest coverage ratio6.75x6.14x4.94x6.83x5.59x4.29x
Fixed Charge Coverage Ratio:
Total interest$139,579$143,857$153,486$145,710$138,949$151,843
Secured debt principal payments16,55814,44414,91810,41710,10711,887
Total fixed charges156,137158,301168,404156,127149,056163,730
EBITDA$941,864$882,578$758,742$994,923$777,240$651,006
Fixed charge coverage ratio6.03x5.58x4.51x6.37x5.21x3.98x
Six Months Ended
June 30,
EBITDA Reconciliations:20252024
Net income (loss)$561,884$392,304
Interest expense286,119280,742
Income tax expense (benefit)(4,466)7,292
Depreciation and amortization980,905747,908
EBITDA$1,824,442$1,428,246
Interest Coverage Ratio:
Interest expense$286,119$280,742
Non-cash interest expense(22,856)(18,237)
Capitalized interest20,17328,287
Total interest283,436290,792
EBITDA$1,824,442$1,428,246
Interest coverage ratio6.44x4.91x
Fixed Charge Coverage Ratio:
Total interest$283,436$290,792
Secured debt principal payments31,00221,994
Total fixed charges314,438312,786
EBITDA$1,824,442$1,428,246
Fixed charge coverage ratio5.80x4.57x

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

The table below reflects the reconciliation of Adjusted EBITDA to net income, the most directly comparable U.S. GAAP measure, for the periods presented (dollars in thousands):

Twelve Months Ended
June 30,March 31,December 31,September 30,June 30,March 31,
Adjusted EBITDA Reconciliations:202520252024202420242024
Net income (loss)$1,142,437$1,098,489$972,857$937,544$615,466$461,138
Interest expense579,638571,905574,261574,366591,848610,761
Income tax expense (benefit)(9,058)(9,010)2,700(2,182)7,1089,510
Depreciation and amortization1,865,0901,752,0991,632,0931,532,4171,467,9521,427,852
EBITDA3,578,1073,413,4833,181,9113,042,1452,682,3742,509,261
Loss (income) from unconsolidated entities3,738(8,550)4968,9338,92654,154
Stock-based compensation expense85,82780,64574,48269,54238,36438,829
Loss (gain) on extinguishment of debt, net6,5758,2802,1302,1301,7128
Loss (gain) on real estate dispositions and acquisitions of controlling interests, net(347,088)(498,681)(451,611)(441,633)(240,469)(71,858)
Impairment of assets119,346101,86492,79384,14068,10766,799
Provision for loan losses, net8287,10410,12512,88712,75310,046
Loss (gain) on derivatives and financial instruments, net(22,627)(28,043)(27,887)(26,000)(13,209)(6,104)
Other expenses85,302117,388117,459119,361137,34299,727
Lease termination and leasehold interest adjustment (1)—————(65,485)
Casualty losses, net of recoveries14,48813,94512,2618,3736,1637,778
Other impairment (2)42,582130,296139,652102,007114,31625,998
Adjusted EBITDA$3,567,078$3,337,731$3,151,811$2,981,885$2,816,379$2,669,153
Adjusted Interest Coverage Ratio:
Interest expense$579,638$571,905$574,261$574,366$591,848$610,761
Capitalized interest50,00155,82658,11558,50256,78154,173
Non-cash interest expense(47,007)(45,729)(42,388)(33,116)(30,824)(27,695)
Total interest582,632582,002589,988599,752617,805637,239
Adjusted EBITDA$3,567,078$3,337,731$3,151,811$2,981,885$2,816,379$2,669,153
Adjusted interest coverage ratio6.12x5.73x5.34x4.97x4.56x4.19x
Adjusted Fixed Charge Coverage Ratio:
Total interest$582,632$582,002$589,988$599,752$617,805$637,239
Secured debt principal payments56,33749,88647,32944,84147,28951,021
Total fixed charges638,969631,888637,317644,593665,094688,260
Adjusted EBITDA$3,567,078$3,337,731$3,151,811$2,981,885$2,816,379$2,669,153
Adjusted fixed charge coverage ratio5.58x5.28x4.95x4.63x4.23x3.88x
(1) Primarily relates to the derecognition of leasehold interests and the gain recognized in other income.
(2) Represents the write-off of straight-line rent receivable and unamortized lease incentive balances relating to leases placed on cash recognition.

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

Our leverage ratios include book capitalization, undepreciated book capitalization and enterprise value. Book capitalization represents the sum of net debt (defined as total long-term debt excluding operating lease liabilities less cash and cash equivalents and restricted cash), total equity and redeemable noncontrolling interests. Undepreciated book capitalization represents book capitalization adjusted for accumulated depreciation and amortization. Enterprise value represents book capitalization adjusted for the fair market value of our common stock. Our leverage ratios are defined as the proportion of net debt to total capitalization.

The table below reflects the reconciliation of our leverage ratios to our balance sheets for the periods presented. Amounts are in thousands, except share price.

As of
June 30,March 31,December 31,September 30,June 30,March 31,
202520252024202420242024
Book capitalization:
Unsecured credit facility and commercial paper$—$—$—$—$—$—
Long-term debt obligations (1)16,079,56615,831,79915,608,29415,854,93714,027,12814,285,686
Cash and cash equivalents and restricted cash(4,523,511)(3,610,285)(3,711,457)(3,784,408)(2,863,598)(2,478,335)
Total net debt11,556,05512,221,51411,896,83712,070,52911,163,53011,807,351
Total equity and noncontrolling interests(2)36,546,30134,581,97732,572,58631,064,00329,688,57928,547,908
Book capitalization$48,102,356$46,803,491$44,469,423$43,134,532$40,852,109$40,355,259
Net debt to book capitalization ratio24%26%27%28%27%29%
Undepreciated book capitalization:
Total net debt$11,556,055$12,221,514$11,896,837$12,070,529$11,163,530$11,807,351
Accumulated depreciation and amortization11,673,30611,092,88510,626,26310,276,5099,908,0079,537,562
Total equity and noncontrolling interests(2)36,546,30134,581,97732,572,58631,064,00329,688,57928,547,908
Undepreciated book capitalization$59,775,662$57,896,376$55,095,686$53,411,041$50,760,116$49,892,821
Net debt to undepreciated book capitalization ratio19%21%22%23%22%24%
Enterprise value:
Common shares outstanding665,120651,889635,289618,396608,151590,934
Period end share price$153.73$153.21$126.03$128.03$104.25$93.44
Common equity market capitalization$102,248,898$99,875,914$80,065,473$79,173,240$63,399,742$55,216,873
Total net debt11,556,05512,221,51411,896,83712,070,52911,163,53011,807,351
Noncontrolling interests(2)645,775625,218616,378729,722712,153999,965
Consolidated enterprise value$114,450,728$112,722,646$92,578,688$91,973,491$75,275,425$68,024,189
Net debt to consolidated enterprise value ratio10%11%13%13%15%17%
(1) Amounts include senior unsecured notes, secured debt and lease liabilities related to financing leases, as reflected on our Consolidated Balance Sheets. Operating lease liabilities related to ASC 842 are excluded.
(2) Includes amounts attributable to both redeemable noncontrolling interests and noncontrolling interests as reflected on our Consolidated Balance Sheets.

Critical Accounting Policies and Estimates

Our unaudited consolidated financial statements are prepared in accordance with U.S. GAAP, which requires us to make estimates and assumptions. Management considers an accounting estimate or assumption critical if:

  • the nature of the estimates or assumptions is material due to the levels of subjectivity and judgment necessary to account for highly uncertain matters or the susceptibility of such matters to change; and

  • the impact of the estimates and assumptions on financial condition or operating performance is material.

Management has discussed the development and selection of its critical accounting policies and estimates with the Audit Committee of the Board of Directors. Management believes the current assumptions and other considerations used to estimate amounts reflected in our unaudited consolidated financial statements are appropriate and are not reasonably likely to change in the future. However, since these estimates require assumptions to be made that were uncertain at the time the estimate was made, they bear the risk of change. If actual experience differs from the assumptions and other considerations used in estimating amounts reflected in our unaudited consolidated financial statements, the resulting changes could have a material

WELLTOWER INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

adverse effect on our consolidated results of operations, liquidity and/or financial condition. Please refer to Note 2 to our financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2024 for further information on significant accounting policies that impact us. There have been no material changes to these policies to date in 2025.

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

Cautionary Statement Regarding Forward-Looking Statements

This Quarterly Report on Form 10-Q may contain "forward-looking statements" as defined in the Private Securities Litigation Reform Act of 1995. When Welltower uses words such as "may," "will," "intend," "should," "believe," "expect," "anticipate," "project," "pro forma," "estimate" or similar expressions that do not relate solely to historical matters, Welltower is making forward-looking statements. Forward-looking statements are not guarantees of future performance and involve risks and uncertainties that may cause Welltower's actual results to differ materially from Welltower's expectations discussed in the forward-looking statements. This may be a result of various factors, including, but not limited to: the status of the economy; the status of capital markets, including availability and cost of capital; issues facing the healthcare industry, including compliance with, and changes to, regulations and payment policies, responding to government investigations and punitive settlements and operators'/tenants' difficulty in cost effectively obtaining and maintaining adequate liability and other insurance; changes in financing terms; competition within the healthcare and seniors housing industries; negative developments in the operating results or financial condition of operators/tenants, including, but not limited to, their ability to pay rent and repay loans; Welltower's ability to transition or sell properties with profitable results; the failure to make new investments or acquisitions as and when anticipated; natural disasters, health emergencies (such as the COVID-19 pandemic) and other acts of God affecting Welltower's properties; Welltower's ability to re-lease space at similar rates as vacancies occur; Welltower's ability to timely reinvest sale proceeds at similar rates to assets sold; operator/tenant or joint venture partner bankruptcies or insolvencies; the cooperation of joint venture partners; government regulations affecting Medicare and Medicaid reimbursement rates and operational requirements; liability or contract claims by or against operators/tenants; unanticipated difficulties and/or expenditures relating to future investments or acquisitions; environmental laws affecting Welltower's properties; changes in rules or practices governing Welltower's financial reporting; the movement of U.S. and foreign currency exchange rates; Welltower's ability to maintain its qualification as a REIT; key management personnel recruitment and retention; and other risks described in Welltower’s reports filed from time to time with the SEC. Other important factors are identified in the Company's Annual Report on Form 10-K for the year ended December 31, 2024, including factors identified under the headings "Business," "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations." Finally, Welltower undertakes no obligation to update or revise publicly any forward-looking statements, whether because of new information, future events or otherwise, or to update the reasons why actual results could differ from those projected in any forward-looking statements.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates and foreign currency exchange rates. We seek to mitigate the underlying foreign currency exposures with gains and losses on derivative contracts hedging these exposures. We seek to mitigate the effects of fluctuations in interest rates by matching the terms of new investments with new long-term fixed rate borrowings to the extent possible. We may or may not elect to use financial derivative instruments to hedge interest rate exposure. These decisions are principally based on our policy to match our variable rate investments with comparable borrowings, but are also based on the general trend in interest rates at the applicable dates and our perception of the future volatility of interest rates. This section is presented to provide a discussion of the risks associated with potential fluctuations in interest rates and foreign currency exchange rates. For more information, see Notes 12 and 17 to our consolidated financial statements.

We historically borrow on our unsecured revolving credit facility and commercial paper program to acquire, construct or make loans relating to healthcare and seniors housing properties. Then, as market conditions dictate, we will issue equity or long-term fixed rate debt to repay the borrowings under our unsecured revolving credit facility and commercial paper program. We are subject to risks associated with debt financing, including the risk that existing indebtedness may not be refinanced or that the terms of refinancing may not be as favorable as the terms of current indebtedness. The majority of our borrowings were completed under indentures or contractual agreements that limit the amount of indebtedness we may incur. Accordingly, in the event that we are unable to raise additional equity or borrow money because of these limitations, our ability to acquire additional properties may be limited.

A change in interest rates will not affect the interest expense associated with our fixed rate debt. Interest rate changes, however, will affect the fair value of our fixed rate debt. Changes in the interest rate environment upon maturity of this fixed rate debt could have an effect on our future cash flows and earnings, depending on whether the debt is replaced with other fixed rate debt, variable rate debt or equity or repaid by the sale of assets. To illustrate the impact of changes in the interest rate markets, we performed a sensitivity analysis on our fixed rate debt instruments after considering the effects of interest rate swaps, whereby we modeled the change in net present values arising from a hypothetical 1% increase in interest rates to determine the instruments' change in fair value. The following table summarizes the analysis performed as of the dates indicated (in thousands):

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