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 PoolYTD Pool
SSNOI Property Reconciliations:Seniors Housing OperatingTriple-netOutpatient MedicalTotalSeniors Housing OperatingTriple-netOutpatient MedicalTotal
Consolidated properties1,869829542,7521,869829542,752
Unconsolidated properties125—73198125—73198
Total properties1,9948291272,9501,9948291272,950
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 properties980499891,568907440861,433
(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 PoolYTD Pool
Three Months EndedSix Months Ended
June 30,June 30,
SSNOI Reconciliations:2026202520262025
Seniors Housing Operating:
Consolidated NOI$867,227$537,455$1,642,240$1,020,642
NOI attributable to unconsolidated investments21,12518,38141,13738,927
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 Share582,615481,6121,071,001884,956
Triple-net:
Consolidated NOI407,498265,102791,804511,314
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 Share196,309182,420338,752316,504
Outpatient Medical:
Consolidated NOI38,034148,97791,333295,387
NOI attributable to unconsolidated investments4,4504,1708,7068,204
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 Share26,89526,48248,06847,073
SSNOI at Welltower Share:
Seniors Housing Operating582,615481,6121,071,001884,956
Triple-net196,309182,420338,752316,504
Outpatient Medical26,89526,48248,06847,073
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:202620262025202520252025
Net income (loss)$462,975$752,324$117,767$282,186$304,618$257,266
Interest expense181,914192,715203,784162,052141,157144,962
Income tax expense (benefit)(61,979)11,633(4,985)2,3351,053(5,519)
Depreciation and amortization737,764622,752594,151509,812495,036485,869
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 interest8,8518,4497,4766,1508,65311,520
Non-cash interest expense(15,122)(10,162)(14,546)(14,227)(10,231)(12,625)
Total interest175,643191,002196,714153,975139,579143,857
EBITDA$1,320,674$1,579,424$910,717$956,385$941,864$882,578
Interest coverage ratio7.52x8.27x4.63x6.21x6.75x6.14x
Fixed Charge Coverage Ratio:
Total interest$175,643$191,002$196,714$153,975$139,579$143,857
Secured debt principal payments19,79817,05616,69816,70716,55814,444
Total fixed charges195,441208,058213,412170,682156,137158,301
EBITDA$1,320,674$1,579,424$910,717$956,385$941,864$882,578
Fixed charge coverage ratio6.76x7.59x4.27x5.60x6.03x5.58x
Six Months Ended
June 30,
EBITDA Reconciliations:20262025
Net income (loss)$1,215,299$561,884
Interest expense374,629286,119
Income tax expense (benefit)(50,346)(4,466)
Depreciation and amortization1,360,516980,905
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 interest17,30020,173
Total interest366,645283,436
EBITDA$2,900,098$1,824,442
Interest coverage ratio7.91x6.44x
Fixed Charge Coverage Ratio:
Total interest$366,645$283,436
Secured debt principal payments36,85431,002
Total fixed charges403,499314,438
EBITDA$2,900,098$1,824,442
Fixed charge coverage ratio7.19x5.80x

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:202620262025202520252025
Net income (loss)$1,615,252$1,456,895$961,837$967,823$1,142,437$1,098,489
Interest expense740,465699,708651,955602,640579,638571,905
Income tax expense (benefit)(52,996)10,036(7,116)(2,017)(9,058)(9,010)
Depreciation and amortization2,464,4792,221,7512,084,8681,971,1231,865,0901,752,099
EBITDA4,767,2004,388,3903,691,5443,539,5693,578,1073,413,483
Loss (income) from unconsolidated entities27,82317,24614,29712,3103,738(8,550)
Stock-based compensation expense1,556,0761,555,7861,555,85861,46785,82780,645
Loss (gain) on extinguishment of debt, net5,8003,8169,2456,1566,5758,280
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 assets79,60573,707121,28399,006119,346101,864
Provision for loan losses, net(2,481)(5,777)(9,416)(2,277)8287,104
Loss (gain) on derivatives and financial instruments, net26,02625,61722,40718,961(22,627)(28,043)
Other expenses288,610248,278201,201109,76285,302117,388
Casualty losses, net of recoveries13,10710,56511,36713,17814,48813,945
Other impairment (1)—60460442,58242,582130,296
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 interest30,92630,72833,79940,48350,00155,826
Non-cash interest expense(54,057)(49,166)(51,629)(52,226)(47,007)(45,729)
Total interest717,334681,270634,125590,897582,632582,002
Adjusted EBITDA$4,860,413$4,500,566$4,169,347$3,821,867$3,567,078$3,337,731
Adjusted interest coverage ratio6.78x6.61x6.57x6.47x6.12x5.73x
Adjusted Fixed Charge Coverage Ratio:
Total interest$717,334$681,270$634,125$590,897$582,632$582,002
Secured debt principal payments70,25967,01964,40862,62756,33749,886
Total fixed charges787,593748,289698,533653,524638,969631,888
Adjusted EBITDA$4,860,413$4,500,566$4,169,347$3,821,867$3,567,078$3,337,731
Adjusted fixed charge coverage ratio6.17x6.01x5.97x5.85x5.58x5.28x
(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,
202620262025202520252025
Book capitalization:
Unsecured credit facility and commercial paper$—$—$—$—$—$—
Long-term debt obligations(1)18,218,54418,455,97819,737,44616,960,00816,079,56615,831,799
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 debt16,121,38013,636,68514,527,90710,019,43511,556,05512,221,514
Total equity and noncontrolling interests(2)47,663,57244,929,27043,202,93939,312,38236,546,30134,581,977
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 ratio25%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 amortization11,533,47010,822,15110,350,62110,107,30911,673,30611,092,885
Total equity and noncontrolling interests(2)47,663,57244,929,27043,202,93939,312,38236,546,30134,581,977
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 ratio21%20%21%17%19%21%
Enterprise value:
Common shares outstanding718,902704,687696,507684,108665,120651,889
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 debt16,121,38013,636,68514,527,90710,019,43511,556,05512,221,514
Noncontrolling interests(2)1,249,2241,135,5951,073,441555,564645,775625,218
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 ratio9%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:

  • 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 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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