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
The following is a reconciliation of the properties included in our QTD Pool and YTD Pool for SSNOI:
| QTD Pool | YTD Pool | |||||||||||||||||||||||||||||||||||||||||||||||||
| SSNOI Property Reconciliations: | Seniors Housing Operating | Triple-net | Outpatient Medical | Total | Seniors Housing Operating | Triple-net | Outpatient Medical | Total | ||||||||||||||||||||||||||||||||||||||||||
| Consolidated properties | 1,869 | 829 | 54 | 2,752 | 1,869 | 829 | 54 | 2,752 | ||||||||||||||||||||||||||||||||||||||||||
| Unconsolidated properties | 125 | — | 73 | 198 | 125 | — | 73 | 198 | ||||||||||||||||||||||||||||||||||||||||||
| Total properties | 1,994 | 829 | 127 | 2,950 | 1,994 | 829 | 127 | 2,950 | ||||||||||||||||||||||||||||||||||||||||||
| Recent acquisitions/development conversions(1) | (636) | (320) | (4) | (960) | (756) | (379) | (7) | (1,142) | ||||||||||||||||||||||||||||||||||||||||||
| Under development | (41) | — | — | (41) | (41) | — | — | (41) | ||||||||||||||||||||||||||||||||||||||||||
| Under redevelopment(2) | (2) | — | — | (2) | (2) | — | — | (2) | ||||||||||||||||||||||||||||||||||||||||||
| Current held for sale | (22) | (2) | (29) | (53) | (22) | (2) | (29) | (53) | ||||||||||||||||||||||||||||||||||||||||||
| Land parcels, loans and leased properties | (171) | (4) | (5) | (180) | (171) | (4) | (5) | (180) | ||||||||||||||||||||||||||||||||||||||||||
| Transitions(3) | (134) | (3) | — | (137) | (87) | (3) | — | (90) | ||||||||||||||||||||||||||||||||||||||||||
| Other(4) | (8) | (1) | — | (9) | (8) | (1) | — | (9) | ||||||||||||||||||||||||||||||||||||||||||
| Same store properties | 980 | 499 | 89 | 1,568 | 907 | 440 | 86 | 1,433 | ||||||||||||||||||||||||||||||||||||||||||
| (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. |
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 Pool | YTD Pool | |||||||||||||||||||||||||
| Three Months Ended | Six Months Ended | |||||||||||||||||||||||||
| June 30, | June 30, | |||||||||||||||||||||||||
| SSNOI Reconciliations: | 2026 | 2025 | 2026 | 2025 | ||||||||||||||||||||||
| Seniors Housing Operating: | ||||||||||||||||||||||||||
| Consolidated NOI | $ | 867,227 | $ | 537,455 | $ | 1,642,240 | $ | 1,020,642 | ||||||||||||||||||
| NOI attributable to unconsolidated investments | 21,125 | 18,381 | 41,137 | 38,927 | ||||||||||||||||||||||
| NOI attributable to noncontrolling interests | (15,462) | (12,726) | (29,567) | (25,811) | ||||||||||||||||||||||
| NOI attributable to non-same store properties | (288,148) | (58,945) | (577,766) | (149,635) | ||||||||||||||||||||||
| Non-cash NOI attributable to same store properties | (1,294) | (1,614) | (2,775) | (6,055) | ||||||||||||||||||||||
| Currency and ownership adjustments(1) | (833) | (939) | (2,268) | 6,888 | ||||||||||||||||||||||
| SSNOI at Welltower Share | 582,615 | 481,612 | 1,071,001 | 884,956 | ||||||||||||||||||||||
| Triple-net: | ||||||||||||||||||||||||||
| Consolidated NOI | 407,498 | 265,102 | 791,804 | 511,314 | ||||||||||||||||||||||
| NOI attributable to noncontrolling interests | (1,031) | (3,690) | (2,067) | (7,407) | ||||||||||||||||||||||
| NOI attributable to non-same store properties | (172,508) | (45,299) | (398,668) | (138,709) | ||||||||||||||||||||||
| Non-cash NOI attributable to same store properties | (37,391) | (35,676) | (51,763) | (54,053) | ||||||||||||||||||||||
| Currency and ownership adjustments(1) | (259) | 1,983 | (554) | 5,359 | ||||||||||||||||||||||
| SSNOI at Welltower Share | 196,309 | 182,420 | 338,752 | 316,504 | ||||||||||||||||||||||
| Outpatient Medical: | ||||||||||||||||||||||||||
| Consolidated NOI | 38,034 | 148,977 | 91,333 | 295,387 | ||||||||||||||||||||||
| NOI attributable to unconsolidated investments | 4,450 | 4,170 | 8,706 | 8,204 | ||||||||||||||||||||||
| NOI attributable to noncontrolling interests | (969) | (2,626) | (2,184) | (5,181) | ||||||||||||||||||||||
| NOI attributable to non-same store properties | (11,584) | (120,466) | (45,004) | (245,698) | ||||||||||||||||||||||
| Non-cash NOI attributable to same store properties | (3,036) | (3,573) | (4,783) | (5,640) | ||||||||||||||||||||||
| SSNOI at Welltower Share | 26,895 | 26,482 | 48,068 | 47,073 | ||||||||||||||||||||||
| SSNOI at Welltower Share: | ||||||||||||||||||||||||||
| Seniors Housing Operating | 582,615 | 481,612 | 1,071,001 | 884,956 | ||||||||||||||||||||||
| Triple-net | 196,309 | 182,420 | 338,752 | 316,504 | ||||||||||||||||||||||
| Outpatient Medical | 26,895 | 26,482 | 48,068 | 47,073 | ||||||||||||||||||||||
| Total | $ | 805,819 | $ | 690,514 | $ | 1,457,821 | $ | 1,248,533 | ||||||||||||||||||
| (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: | 2026 | 2026 | 2025 | 2025 | 2025 | 2025 | |||||||||||||||||||||||||||||||||||||||||
| Net income (loss) | $ | 462,975 | $ | 752,324 | $ | 117,767 | $ | 282,186 | $ | 304,618 | $ | 257,266 | |||||||||||||||||||||||||||||||||||
| Interest expense | 181,914 | 192,715 | 203,784 | 162,052 | 141,157 | 144,962 | |||||||||||||||||||||||||||||||||||||||||
| Income tax expense (benefit) | (61,979) | 11,633 | (4,985) | 2,335 | 1,053 | (5,519) | |||||||||||||||||||||||||||||||||||||||||
| Depreciation and amortization | 737,764 | 622,752 | 594,151 | 509,812 | 495,036 | 485,869 | |||||||||||||||||||||||||||||||||||||||||
| EBITDA | $ | 1,320,674 | $ | 1,579,424 | $ | 910,717 | $ | 956,385 | $ | 941,864 | $ | 882,578 | |||||||||||||||||||||||||||||||||||
| Interest Coverage Ratio: | |||||||||||||||||||||||||||||||||||||||||||||||
| Interest expense | $ | 181,914 | $ | 192,715 | $ | 203,784 | $ | 162,052 | $ | 141,157 | $ | 144,962 | |||||||||||||||||||||||||||||||||||
| Capitalized interest | 8,851 | 8,449 | 7,476 | 6,150 | 8,653 | 11,520 | |||||||||||||||||||||||||||||||||||||||||
| Non-cash interest expense | (15,122) | (10,162) | (14,546) | (14,227) | (10,231) | (12,625) | |||||||||||||||||||||||||||||||||||||||||
| Total interest | 175,643 | 191,002 | 196,714 | 153,975 | 139,579 | 143,857 | |||||||||||||||||||||||||||||||||||||||||
| EBITDA | $ | 1,320,674 | $ | 1,579,424 | $ | 910,717 | $ | 956,385 | $ | 941,864 | $ | 882,578 | |||||||||||||||||||||||||||||||||||
| Interest coverage ratio | 7.52 | x | 8.27 | x | 4.63 | x | 6.21 | x | 6.75 | x | 6.14 | x | |||||||||||||||||||||||||||||||||||
| Fixed Charge Coverage Ratio: | |||||||||||||||||||||||||||||||||||||||||||||||
| Total interest | $ | 175,643 | $ | 191,002 | $ | 196,714 | $ | 153,975 | $ | 139,579 | $ | 143,857 | |||||||||||||||||||||||||||||||||||
| Secured debt principal payments | 19,798 | 17,056 | 16,698 | 16,707 | 16,558 | 14,444 | |||||||||||||||||||||||||||||||||||||||||
| Total fixed charges | 195,441 | 208,058 | 213,412 | 170,682 | 156,137 | 158,301 | |||||||||||||||||||||||||||||||||||||||||
| EBITDA | $ | 1,320,674 | $ | 1,579,424 | $ | 910,717 | $ | 956,385 | $ | 941,864 | $ | 882,578 | |||||||||||||||||||||||||||||||||||
| Fixed charge coverage ratio | 6.76 | x | 7.59 | x | 4.27 | x | 5.60 | x | 6.03 | x | 5.58 | x |
| Six Months Ended | ||||||||||||||
| June 30, | ||||||||||||||
| EBITDA Reconciliations: | 2026 | 2025 | ||||||||||||
| Net income (loss) | $ | 1,215,299 | $ | 561,884 | ||||||||||
| Interest expense | 374,629 | 286,119 | ||||||||||||
| Income tax expense (benefit) | (50,346) | (4,466) | ||||||||||||
| Depreciation and amortization | 1,360,516 | 980,905 | ||||||||||||
| EBITDA | $ | 2,900,098 | $ | 1,824,442 | ||||||||||
| Interest Coverage Ratio: | ||||||||||||||
| Interest expense | $ | 374,629 | $ | 286,119 | ||||||||||
| Non-cash interest expense | (25,284) | (22,856) | ||||||||||||
| Capitalized interest | 17,300 | 20,173 | ||||||||||||
| Total interest | 366,645 | 283,436 | ||||||||||||
| EBITDA | $ | 2,900,098 | $ | 1,824,442 | ||||||||||
| Interest coverage ratio | 7.91 | x | 6.44 | x | ||||||||||
| Fixed Charge Coverage Ratio: | ||||||||||||||
| Total interest | $ | 366,645 | $ | 283,436 | ||||||||||
| Secured debt principal payments | 36,854 | 31,002 | ||||||||||||
| Total fixed charges | 403,499 | 314,438 | ||||||||||||
| EBITDA | $ | 2,900,098 | $ | 1,824,442 | ||||||||||
| Fixed charge coverage ratio | 7.19 | x | 5.80 | x |
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: | 2026 | 2026 | 2025 | 2025 | 2025 | 2025 | ||||||||||||||||||||||||||||||||||||||
| Net income (loss) | $ | 1,615,252 | $ | 1,456,895 | $ | 961,837 | $ | 967,823 | $ | 1,142,437 | $ | 1,098,489 | ||||||||||||||||||||||||||||||||
| Interest expense | 740,465 | 699,708 | 651,955 | 602,640 | 579,638 | 571,905 | ||||||||||||||||||||||||||||||||||||||
| Income tax expense (benefit) | (52,996) | 10,036 | (7,116) | (2,017) | (9,058) | (9,010) | ||||||||||||||||||||||||||||||||||||||
| Depreciation and amortization | 2,464,479 | 2,221,751 | 2,084,868 | 1,971,123 | 1,865,090 | 1,752,099 | ||||||||||||||||||||||||||||||||||||||
| EBITDA | 4,767,200 | 4,388,390 | 3,691,544 | 3,539,569 | 3,578,107 | 3,413,483 | ||||||||||||||||||||||||||||||||||||||
| Loss (income) from unconsolidated entities | 27,823 | 17,246 | 14,297 | 12,310 | 3,738 | (8,550) | ||||||||||||||||||||||||||||||||||||||
| Stock-based compensation expense | 1,556,076 | 1,555,786 | 1,555,858 | 61,467 | 85,827 | 80,645 | ||||||||||||||||||||||||||||||||||||||
| Loss (gain) on extinguishment of debt, net | 5,800 | 3,816 | 9,245 | 6,156 | 6,575 | 8,280 | ||||||||||||||||||||||||||||||||||||||
| Loss (gain) on real estate dispositions and acquisitions of controlling interests, net | (1,901,353) | (1,817,666) | (1,449,043) | (78,847) | (347,088) | (498,681) | ||||||||||||||||||||||||||||||||||||||
| Impairment of assets | 79,605 | 73,707 | 121,283 | 99,006 | 119,346 | 101,864 | ||||||||||||||||||||||||||||||||||||||
| Provision for loan losses, net | (2,481) | (5,777) | (9,416) | (2,277) | 828 | 7,104 | ||||||||||||||||||||||||||||||||||||||
| Loss (gain) on derivatives and financial instruments, net | 26,026 | 25,617 | 22,407 | 18,961 | (22,627) | (28,043) | ||||||||||||||||||||||||||||||||||||||
| Other expenses | 288,610 | 248,278 | 201,201 | 109,762 | 85,302 | 117,388 | ||||||||||||||||||||||||||||||||||||||
| Casualty losses, net of recoveries | 13,107 | 10,565 | 11,367 | 13,178 | 14,488 | 13,945 | ||||||||||||||||||||||||||||||||||||||
| Other impairment (1) | — | 604 | 604 | 42,582 | 42,582 | 130,296 | ||||||||||||||||||||||||||||||||||||||
| Adjusted EBITDA | $ | 4,860,413 | $ | 4,500,566 | $ | 4,169,347 | $ | 3,821,867 | $ | 3,567,078 | $ | 3,337,731 | ||||||||||||||||||||||||||||||||
| Adjusted Interest Coverage Ratio: | ||||||||||||||||||||||||||||||||||||||||||||
| Interest expense | $ | 740,465 | $ | 699,708 | $ | 651,955 | $ | 602,640 | $ | 579,638 | $ | 571,905 | ||||||||||||||||||||||||||||||||
| Capitalized interest | 30,926 | 30,728 | 33,799 | 40,483 | 50,001 | 55,826 | ||||||||||||||||||||||||||||||||||||||
| Non-cash interest expense | (54,057) | (49,166) | (51,629) | (52,226) | (47,007) | (45,729) | ||||||||||||||||||||||||||||||||||||||
| Total interest | 717,334 | 681,270 | 634,125 | 590,897 | 582,632 | 582,002 | ||||||||||||||||||||||||||||||||||||||
| Adjusted EBITDA | $ | 4,860,413 | $ | 4,500,566 | $ | 4,169,347 | $ | 3,821,867 | $ | 3,567,078 | $ | 3,337,731 | ||||||||||||||||||||||||||||||||
| Adjusted interest coverage ratio | 6.78 | x | 6.61 | x | 6.57 | x | 6.47 | x | 6.12 | x | 5.73 | x | ||||||||||||||||||||||||||||||||
| Adjusted Fixed Charge Coverage Ratio: | ||||||||||||||||||||||||||||||||||||||||||||
| Total interest | $ | 717,334 | $ | 681,270 | $ | 634,125 | $ | 590,897 | $ | 582,632 | $ | 582,002 | ||||||||||||||||||||||||||||||||
| Secured debt principal payments | 70,259 | 67,019 | 64,408 | 62,627 | 56,337 | 49,886 | ||||||||||||||||||||||||||||||||||||||
| Total fixed charges | 787,593 | 748,289 | 698,533 | 653,524 | 638,969 | 631,888 | ||||||||||||||||||||||||||||||||||||||
| Adjusted EBITDA | $ | 4,860,413 | $ | 4,500,566 | $ | 4,169,347 | $ | 3,821,867 | $ | 3,567,078 | $ | 3,337,731 | ||||||||||||||||||||||||||||||||
| Adjusted fixed charge coverage ratio | 6.17 | x | 6.01 | x | 5.97 | x | 5.85 | x | 5.58 | x | 5.28 | x | ||||||||||||||||||||||||||||||||
| (1) 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, | |||||||||||||||||||||||||||||||||||||||
| 2026 | 2026 | 2025 | 2025 | 2025 | 2025 | |||||||||||||||||||||||||||||||||||||||
| Book capitalization: | ||||||||||||||||||||||||||||||||||||||||||||
| Unsecured credit facility and commercial paper | $ | — | $ | — | $ | — | $ | — | $ | — | $ | — | ||||||||||||||||||||||||||||||||
| Long-term debt obligations(1) | 18,218,544 | 18,455,978 | 19,737,446 | 16,960,008 | 16,079,566 | 15,831,799 | ||||||||||||||||||||||||||||||||||||||
| Cash and cash equivalents and restricted cash | (2,097,164) | (4,819,293) | (5,209,539) | (6,940,573) | (4,523,511) | (3,610,285) | ||||||||||||||||||||||||||||||||||||||
| Total net debt | 16,121,380 | 13,636,685 | 14,527,907 | 10,019,435 | 11,556,055 | 12,221,514 | ||||||||||||||||||||||||||||||||||||||
| Total equity and noncontrolling interests(2) | 47,663,572 | 44,929,270 | 43,202,939 | 39,312,382 | 36,546,301 | 34,581,977 | ||||||||||||||||||||||||||||||||||||||
| Book capitalization | $ | 63,784,952 | $ | 58,565,955 | $ | 57,730,846 | $ | 49,331,817 | $ | 48,102,356 | $ | 46,803,491 | ||||||||||||||||||||||||||||||||
| Net debt to book capitalization ratio | 25% | 23% | 25% | 20% | 24% | 26% | ||||||||||||||||||||||||||||||||||||||
| Undepreciated book capitalization: | ||||||||||||||||||||||||||||||||||||||||||||
| Total net debt | $ | 16,121,380 | $ | 13,636,685 | $ | 14,527,907 | $ | 10,019,435 | $ | 11,556,055 | $ | 12,221,514 | ||||||||||||||||||||||||||||||||
| Accumulated depreciation and amortization | 11,533,470 | 10,822,151 | 10,350,621 | 10,107,309 | 11,673,306 | 11,092,885 | ||||||||||||||||||||||||||||||||||||||
| Total equity and noncontrolling interests(2) | 47,663,572 | 44,929,270 | 43,202,939 | 39,312,382 | 36,546,301 | 34,581,977 | ||||||||||||||||||||||||||||||||||||||
| Undepreciated book capitalization | $ | 75,318,422 | $ | 69,388,106 | $ | 68,081,467 | $ | 59,439,126 | $ | 59,775,662 | $ | 57,896,376 | ||||||||||||||||||||||||||||||||
| Net debt to undepreciated book capitalization ratio | 21% | 20% | 21% | 17% | 19% | 21% | ||||||||||||||||||||||||||||||||||||||
| Enterprise value: | ||||||||||||||||||||||||||||||||||||||||||||
| Common shares outstanding | 718,902 | 704,687 | 696,507 | 684,108 | 665,120 | 651,889 | ||||||||||||||||||||||||||||||||||||||
| Period end share price | $ | 226.97 | $ | 197.71 | $ | 185.61 | $ | 178.14 | $ | 153.73 | $ | 153.21 | ||||||||||||||||||||||||||||||||
| Common equity market capitalization | $ | 163,169,187 | $ | 139,323,667 | $ | 129,278,664 | $ | 121,866,999 | $ | 102,248,898 | $ | 99,875,914 | ||||||||||||||||||||||||||||||||
| Total net debt | 16,121,380 | 13,636,685 | 14,527,907 | 10,019,435 | 11,556,055 | 12,221,514 | ||||||||||||||||||||||||||||||||||||||
| Noncontrolling interests(2) | 1,249,224 | 1,135,595 | 1,073,441 | 555,564 | 645,775 | 625,218 | ||||||||||||||||||||||||||||||||||||||
| Consolidated enterprise value | $ | 180,539,791 | $ | 154,095,947 | $ | 144,880,012 | $ | 132,441,998 | $ | 114,450,728 | $ | 112,722,646 | ||||||||||||||||||||||||||||||||
| Net debt to consolidated enterprise value ratio | 9% | 9% | 10% | 8% | 10% | 11% | ||||||||||||||||||||||||||||||||||||||
| (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:
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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
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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 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, 2025 for further information on significant accounting policies that impact us. There have been no material changes to these policies to date in 2026.
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. These statements include, among other things, the Company’s statements regarding its business strategy, expectations regarding new investments and investment dispositions, key underlying trends in its business and plans regarding future financing and availability of capital. 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 impact of macroeconomic and geopolitical developments, including economic downturns, elevated inflation and interest rates, political or social conflict, unrest or violence or similar events; 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, public health emergencies and extreme weather 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 and changes to U.S. and global monetary, fiscal or trade policies; Welltower’s approach to artificial intelligence; Welltower’s ability to maintain its qualification as a REIT; key management personnel recruitment and retention; geopolitical tensions or conflicts, such as the ongoing conflict between Russia and Ukraine and in the Middle East, 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, 2025, 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 unaudited 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
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