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美國證券交易委員會
華盛頓特區20549
表格 10-Q
(標記一個)
 根據1934年證券交易所法第13或15(d)條的季度報告
截至季度結束 2024年9月30日
 根據1934年證券交易所法案第13或第15(d)條的過渡報告
過渡期從                                           
委員會文件號碼: 1-8923
welltower 公司
 
(註冊人的確切姓名,如其章程中指明
特拉華州
34-1096634
(成立的州或其他地區)
的)
(IRS雇主
識別號碼)
4500 Dorr StreetToledo,俄亥俄州43615
(總部辦公地址)(郵政編碼)
(419) -247-2800
(申報人電話號碼,包括區號)
不適用
(如與上次報告不同,列明前名稱、前地址及前財政年度)

根據本法第12(b)條所註冊的證券。
每種類別的名稱交易標的(s)每個註冊交易所的名稱
每股普通股,面額$1.00welltower紐約證券交易所
就Welltower OP LLC發行的到期日為2028年的4.800%票據提供保證WELL/28紐約證券交易所
Welltower OP LLC發行的2034年到期的4.500%票據的擔保well/34紐約證券交易所

請憑核取符號表示:(1)在過去的12個月內(或要求提交此類報告的較短期限內)已按照1934年證券交易法第13或15(d)條的規定提交了所有要提交的報告,並(2)過去90天內一直受到此類報告要求的影響。  þ¨
請用勾選標記表示,是否在過去12個月內,公司已按照Regulation S-t(本章節的§232.405)的規定,以電子方式提交了所有要求提交的互動數據文件(如果有的話),或者在公司需要提交和發帖這些文件的較短期間內。 þ¨
勾選此格以指示登記人是否為大型高速進行申報的申報人、高速進行申報的申報人、非高速進行申報的申報人、較小型報告公司或新興成長公司。請參閱《交易所法令》第120億2條中有關“大型高速進行申報人”、“高速進行申報人”、“較小型報告公司”和“新興成長公司”的定義。
大型加速歸檔人
 þ
 加速歸檔人
¨
 非加速歸檔人
¨
 小型報告公司
新興成長型企業
如果是新興增長公司,請用勾選號表示發行人是否選擇不使用按照交易所法案第13(a)條提供的遵守任何新的或修訂的財務會計準則的延長過渡期。 ¨
請在核准印章處打勾,表明公司是否為外殼公司(根據《交易所法》第120億2條所定義)。是 沒有 þ
截至 2024年10月25日Welltower公司有 622,689,523 股份。





目 錄
 
 
第一部分財務資料頁面
項目一。財務報表 (未經審核)
綜合資產負債表
綜合綜合收益表
綜合股權益表
綜合現金流量報表
未經審核合併財務報表附註
項目二。管理層對財務狀況及營運結果進行討論及分析
第三項目。關於市場風險的定量和定性披露
第四項。控制和程序
第二部分其他資訊 
項目一。法律程序
項目 1A。風險因素
項目二。非登記股份證券銷售及所得款項的使用
第五項。其他資訊
第六項。展品
簽名



第一部分. 財務資訊

合併資產負債表
welltower及其附屬公司
(以千為單位) 
2024年9月30日(未經查核)2023年12月31日(附註)
資產:  
  
房地產投資:  
  
擁有的房地產:
土地及土地改良工程$5,075,391 $4,697,824 
建築物及改良工程40,646,767 37,796,553 
取得的租賃無形資產2,268,889 2,166,470 
持有供出售之房地產,扣除累計折舊110,689 372,883 
施工中1,374,996 1,304,441 
減少累計折舊和攤銷(10,276,509)(9,274,814)
擁有的净房地產39,200,223 37,063,357 
使用權資產,淨額358,160 350,969 
銷售型租賃投資,淨額469,260  
應收房地產貸款,扣除信用準備金1,840,453 1,361,587 
凈房地產投資41,868,096 38,775,913 
其他資產:  
對非合併實體的投資 1,742,836 1,636,531 
商譽 68,321 68,321 
現金及現金等價物 3,564,942 1,993,646 
受限現金 219,466 82,437 
直線租金應收款518,387 443,800 
應收款項及其他資產 971,650 1,011,518 
其他資產總額 7,085,602 5,236,253 
總資產  
$48,953,698 $44,012,166 
負債和資本  
負債:  
未經擔保信貸及商業票據$ $ 
已發行無抵押票據 13,295,096 13,552,222 
已抵押債務 2,468,527 2,183,327 
租賃負債392,360 383,230 
應付費用及其他負債 1,733,712 1,521,660 
負債總額  
17,889,695 17,640,439 
可贖回的非控股權益  
270,182 290,605 
權益:  
普通股620,107 565,894 
超額股本37,949,035 32,741,949 
庫藏股(114,876)(111,578)
累積淨利潤9,976,753 9,145,044 
累積分紅派息(17,901,600)(16,773,773)
累計其他綜合收益(損失)(195,138)(163,160)
Welltower股東權益總額30,334,281 25,404,376 
非控股權益459,540 676,746 
股東權益總額  
30,793,821 26,081,122 
負債及股東權益總計  
$48,953,698 $44,012,166 
註: 截至2023年12月31日的綜合資產負債表是從該日期的經過審計的基本報表中派生出來的,但並不包括美國通用會計準則所要求的所有信息和附註,以完成基本報表。

3


綜合收益合併報表(未經審計)
welltower及其附屬公司
(以千計,每股數據除外) 
結束於三個月的期間九個月結束了
九月三十日,九月三十日,
 2024202320242023
收入:  
住戶費用及服務$1,511,524 $1,199,808 $4,265,271 $3,490,942 
租金收入 430,486 384,507 1,183,949 1,152,005 
利息收入69,046 42,220 185,163 117,335 
其他收益44,607 35,478 105,905 127,938 
總收益2,055,663 1,662,013 5,740,288 4,888,220 
費用:
營業費用1,212,701 995,273 3,420,911 2,911,698 
折舊與攤提403,779 339,314 1,151,687 1,020,371 
利息費用139,050 156,532 419,792 453,272 
總部及行政費用77,901 46,106 186,784 134,764 
衍生工具和金融工具的虧損(收益),淨額(9,906)2,885 (18,785)5,095 
債務償還的損益,淨額419 1 2,130 7 
貸款損失提列,淨額4,193 4,059 10,370 7,292 
資產減值23,421 7,388 69,146 21,103 
其他費用20,239 38,220 83,054 72,034 
總支出1,871,797 1,589,778 5,325,089 4,625,636 
扣除所得稅前淨利(淨損)與其他項目後之綜合淨利(淨損)183,866 72,235 415,199 262,584 
所得稅(費用)收益4,706 (4,584)(2,586)(11,132)
投資損益(損失)(4,038)(4,031)(6,925)(51,434)
房地產業處置及併購控制權之損益,淨額272,266 71,102 443,416 69,681 
繼續營運所得(損失)456,800 134,722 849,104 269,699 
凈利潤(損失)456,800 134,722 849,104 269,699 
減:歸屬非控制權益的凈利潤(淨虧損)(1)
6,951 7,252 17,395 13,516 
歸屬於普通股股東之凈利潤(損失)$449,849 $127,470 $831,709 $256,183 
流通的普通股加權平均數量:
基礎611,290 521,848 595,353 504,420 
稀釋618,306 525,138 600,191 507,353 
每股盈餘:
基本每份收益:
繼續營運所得(損失)$0.75 $0.26 $1.43 $0.53 
歸屬於普通股股東之凈利潤(損失)$0.74 $0.24 $1.40 $0.51 
稀釋後:
繼續營運所得(損失)$0.74 $0.26 $1.41 $0.53 
歸屬於普通股股東之凈利潤(損失)(2)
$0.73 $0.24 $1.39 $0.50 
每普通股宣布並支付的股息$0.67 $0.61 $1.89 $1.83 
(1) 包括歸屬於可贖回非控制性股權的金額。
(2) 調整分子以反映應分給經營業務單位和DownREIt單位的收入(損失)。

4



綜合收益表(未經審計)
welltower及其附屬公司
(以千爲單位)
 三個月之內結束九個月結束
2020年9月30日2020年9月30日
 2024202320242023
$456,800 $134,722 $849,104 $269,699 
其他綜合收益(損失):
外匯翻譯收益(損失)247,194 (165,186)133,024 35,098 
指定爲對沖的衍生品和金融工具獲得(損失)(194,988)106,449 (125,277)(49,173)
其他綜合收益(損失)總額52,206 (58,737)7,747 (14,075)
總綜合收益(損失)509,006 75,985 856,851 255,624 
淨利潤(虧損)歸屬於其他權益減少
歸屬於非控股權益(1)
7,730 2,283 9,938 16,410 
歸屬於普通股股東的綜合收益(損失)$501,276 $73,702 $846,913 $239,214 
(1) 包括歸屬於可贖回非控股權益的金額

5


未經審計的股東權益合併報表
welltower及其附屬公司
(以千爲單位)
2024年9月30日止九個月
普通股資本金
超額收益
票面價值
國庫
股票
外幣折算差額(2)
淨利潤
外幣折算差額(2)
股息
其他積累
綜合
收益(損失)
非控制權益
利益
總費用
2024年1月1日餘額
$565,894 $32,741,949 $(111,578)$9,145,044 $(16,773,773)$(163,160)$676,746 $26,081,122 
綜合收入:
   127,146   4,180 131,326 
其他綜合收益(損失)    (17,677)(6,075)(23,752)
總綜合收益       107,574 
非控制權益淨變動 (19,282)    6,191 (13,091)
根據Welltower OP所有權變動調整成員權益 (18,852)    18,852  
贖回OP單位和DownREIT單位19 825    (844) 
與股票激勵計劃相關的金額,扣除無效112 11,936 (3,264)    8,784 
普通股發行所得淨額26,612 2,388,521      2,415,133 
已支付的分紅派息:
股票送轉    (352,529)  (352,529)
2024年3月31日的結餘
$592,637 $35,105,097 $(114,842)$9,272,190 $(17,126,302)$(180,837)$699,050 $28,246,993 
綜合收入:
254,714 5,806 260,520 
其他綜合收益(損失)(18,656)(95)(18,751)
總綜合收益241,769 
非控制權益淨變動(49,943)(46,969)(256,613)(353,525)
根據Welltower OP所有權變更調整會員權益(1,833)1,833  
OP單位和DownREIt單位的贖回476 42,636 (101)43,011 
與股票激勵計劃相關的金額,扣除被取消資格的部分36 11,028 168 11,232 
普通股發行所得淨額16,710 1,586,298 1,603,008 
已支付的紅股和分紅派息:
股票送轉(366,182)(366,182)
2024年6月30日的餘額
$609,859 $36,693,283 $(114,674)$9,526,904 $(17,492,484)$(246,462)$449,880 $29,426,306 
綜合收入:
449,849 5,874 455,723 
其他綜合收益(損失)51,324 87 51,411 
總綜合收益507,134 
非控制權益淨變動(19,175)7,365 (11,810)
由於Welltower OP所有權變更而對成員權益進行調整3,666 (3,666) 
與股權激勵計劃相關的金額,扣除棄權後淨額6 39,912 (202)39,716 
普通股發行所得淨額10,242 1,231,349 1,241,591 
分紅派息:
股票送轉(409,116)(409,116)
2024年9月30日的餘額
$620,107 $37,949,035 $(114,876)$9,976,753 $(17,901,600)$(195,138)$459,540 $30,793,821 


6


未經審計的股東權益合併報表
welltower及其附屬公司
(以千爲單位)
 2023年9月30日止九個月
 普通股資本金
超額收益
票面價值
國庫
股票
外幣折算差額(2)
淨利潤
外幣折算差額(2)
股息
其他積累
綜合
收益(損失)
非控制權益
利益
總費用
2023年1月1日的餘額
$491,919 $26,742,750 $(111,001)$8,804,950 $(15,514,097)$(119,707)$714,739 $21,009,553 
綜合收入:
25,673 2,688 28,361 
其他綜合收益(損失)8,148 3,023 11,171 
總綜合收益39,532 
非控制權益淨變動(8,304)29,648 21,344 
根據在Welltower OP中所有權變更調整會員利益(6,139)6,139  
贖回OP單位和DownREIt單位272 17,515 (432)17,355 
與股票激勵計劃相關的金額,減去被取消的部分後的淨額134 9,330 (1,924)7,540 
普通股發行所得淨額5,603 404,862 410,465 
支付的分紅派息:
股票送轉(301,829)(301,829)
2023年3月31日的餘額
$497,928 $27,160,014 $(112,925)$8,830,623 $(15,815,926)$(111,559)$755,805 $21,203,960 
綜合收入:
103,040 3,505 106,545 
其他綜合收益(損失)28,651 4,410 33,061 
總綜合收益139,606 
非控制權益淨變動8,579 (12,686)(149,013)(153,120)
Welltower OP中所有權變更對成員權益的調整(4,794)4,794  
贖回OP單位和DownREIt單位1 18 (19) 
與股票激勵計劃相關的金額,扣除放棄部分後淨額43 11,088 893 12,024 
普通股發行所得淨額11,833 910,392 922,225 
分紅派息:
股票送轉(300,772)(300,772)
2023年6月30日的餘額
$509,805 $28,085,297 $(112,032)$8,933,663 $(16,116,698)$(95,594)$619,482 $21,823,923 
綜合收入:
127,470 6,586 134,056 
其他綜合收益(損失)(53,768)(4,330)(58,098)
總綜合收益75,958 
非控制權益淨變動56,824 (2,829)53,995 
Welltower OP股權變更對成員權益的調整(3,431)3,431  
贖回OP單位和DownREIt單位62 2,488 (2,550) 
與股票激勵計劃相關金額,扣除被放棄部分8 8,810 (281)8,537 
普通股發行所得淨額24,043 1,906,088 1,930,131 
支付的分紅派息:
股票送轉(318,718)(318,718)
2023年9月30日的餘額
$533,918 $30,056,076 $(112,313)$9,061,133 $(16,435,416)$(149,362)$619,790 $23,573,826 

7


綜合現金流量表(未經審計)
welltower及其附屬公司
(以千爲單位)
九個月結束
2020年9月30日
 20242023
經營活動:   
淨利潤 $849,104 $269,699 
調整淨利潤以協調提供經營活動淨現金的情況:
折舊和攤銷
1,151,687 1,020,371 
其他攤銷費用
43,165 31,002 
貸款減值準備淨額10,370 7,292 
資產減值
69,146 21,103 
基於股票的補償費用
62,308 28,781 
衍生工具和金融工具淨損益
(18,785)5,095 
債務減記利益(損失)淨額
2,130 7 
$
6,925 51,434 
租金收入少於(超過)現金收入
(31,805)(96,345)
與以上(以下)市場租約相關的攤銷淨額
166 (436)
房地產出售和控股權收購的淨利潤(損失)(443,416)(69,681)
利率互換結算款項的收入(支付)(59,555)(65,485)
未納入合併範圍實體派發的款項
12,845 9,055 
應計費用和其他負債的增加(減少)
135,926 95,695 
應收賬款和其他資產的減少(增加)
(93,002)(76,228)
經營活動產生的淨現金流量1,697,209 1,231,359 
投資活動:
用於收購的現金,扣除已獲得現金
(1,669,106)(1,073,627)
用於現有物業的資本改進支出
(538,752)(334,090)
用於在建工程的施工支出
(632,511)(730,712)
資本化利息
(43,955)(36,152)
投資應收款項
(603,619)(328,554)
應收貸款本金收回
250,791 68,404 
其他投資,減去支付
(49,271)(95,366)
對非合併實體的貢獻
(218,974)(267,359)
非合併實體分配
39,693 145,985 
淨投資套期交易結算所得款項10,712 3,933 
房地產業銷售收益
145,774 83,984 
投資活動提供的淨現金(3,309,218)(2,563,554)
籌資活動:
無擔保信貸額度和商業票據下的淨增加(減少)
  
發行高級無擔保票據所得淨款項1,015,063 1,011,780 
清償高級無擔保票據的支付
(1,350,000) 
發行擔保債務的淨款項
3,708 381,369 
擔保債務支付
(356,216)(439,027)
普通股發行的淨收益
5,262,364 3,265,056 
支付遞延融資費用和提前償還罰金
(23,460)(7,619)
非控股權益貢獻(1)
29,009 211,071 
對非控股權益的分配(1)
(104,268)(179,476)
向股東支付現金分配
(1,127,046)(922,288)
其他融資活動
(33,867)(9,763)
融資活動提供的淨現金(使用)3,315,287 3,311,103 
外幣兌換對現金及現金等價物和受限制現金的影響5,047 (14,489)
現金、現金等價物和受限制現金的增加(減少)1,708,325 1,964,419 
期初現金、現金等價物和受限制現金2,076,083 722,292 
期末現金、現金等價物和受限制現金$3,784,408 $2,686,711 
補充現金流量信息:
支付的利息$390,649 $422,327 
所得稅(實際支付)淨額8,383 4,092 
(1) 包括歸屬於可贖回非控股權益的金額

8

welltower及其附屬公司
未經審計的合併基本報表附註

1. 按照我們所處的風險和不確定性的假設,結果和在本招股書或在任何文檔中引用的前瞻性陳述中討論的事件可能不會發生。投資者應謹慎對待這些前瞻性陳述,它們僅在本招股書或在文檔中通過引用作爲參考,其僅在本招股書或在文檔中通過引用作爲參考的文件的日期發表時存在。我們沒有任何義務,並明確聲明不承擔任何義務,更新或更改任何前瞻性陳述,無論是基於新信息、未來事件或其他原因。我們或代表我們行事的任何人作出的所有後續前瞻性陳述,都受到本節中所包含或所提到的警示性聲明的明確限制。
Welltower Inc.,總部位於俄亥俄州托萊多的標普500公司,正在推動醫療保健基礎設施的轉型。我們與領先的老年人住房經營商、亞急性護理提供者和醫療體系合作,資助所需的房地產和製造行業,以擴展創新護理交付模型,並改善人們的健康和整體醫療保健體驗。welltower,一家股權房地產投資信託("REIT"),擁有集中在美國、加拿大和英國的("U.k.")主要高增長市場的房地產權益,包括老年人住房和亞急性社區以及門診醫療設施。
我們作爲傘形合夥REIt結構,幾乎所有業務均通過welltower OP LLC進行,該業務的日常管理完全由welltower Inc.控制。除非另有說明或上下文另有要求,「Welltower」指的是Welltower Inc.,「Welltower OP」指的是Welltower OP LLC。關於「我們」,「我們」和「我們」的指的是Welltower,Welltower OP及Welltower和/或Welltower OP擁有或控制的實體/ 子公司。Welltower對Welltower OP的加權平均所有權比例爲 99.730%,截至2024年9月30日的九個月結束。截至2024年9月30日,Welltower擁有Welltower OP已發行和流通單位的 99.701%,其他投資者持有剩餘 0.299%的流通單位。我們在每個期末調整非控股成員的權益,以反映他們對Welltower OP淨資產的權益。welltower OP。
2. 會計政策和相關事項
報告範圍
附註未經審計的合併基本報表已根據美國通用會計準則("美國通用會計準則")編制,用於期中基本信息,並遵循第10-Q表格季度報告和《S-X法規》第10條的說明。因此,它們不包括所有美國通用會計準則所要求的所有信息和附註,以獲得完整的基本報表。據管理部門意見,已包括所有必要的調整(如正常循環應計)以進行公正陳述。截至2024年9月30日的九個月的營運成果不一定能夠預示截至2024年12月31日的年度成果。欲獲取更多信息,請參閱附含在我們截至2023年12月31日年度報告中的財務報表和附註。
新的會計準則   
2023年11月,FASB發佈了會計準則更新2023-07號,「分部報告(主題280):報告性分部披露的改進」(「ASU 2023-07」),旨在通過增強有關重要分部費用的披露來改善報告性分部披露要求。該指南適用於2023年12月15日後開始的財政年度,以及2024年12月15日後開始的財政年度內的中期時段。該指南要求對財務報表中呈現的所有時期進行追溯應用。我們目前正在評估採用ASU 2023-07將對我們的合併基本報表和披露產生的影響。我們目前預計按照新準則的要求提供必要的重要分部費用披露,而在我們的合併基本報表中不會有其他更改。
2023年12月,FASb發佈了《會計準則更新2023-09號:所得稅(主題740):所得稅披露改進("ASU 2023-09")》,修改了有關所得稅披露的規則,要求實體披露(1)在稅率協調中的具體類別,(2)繼續經營前所得稅費用或利潤(國內和國外分開),以及(3)繼續經營的所得稅費用或利潤(按聯邦、州和國外分開)。ASU 2023-09還要求實體披露其向國際、聯邦、州和地方司法管轄區的所得稅支付情況,以及其他變更。該指南自2024年12月15日後開始的年度期間生效。允許提前採納尚未發佈或可用於發佈的年度財務報表適用ASU 2023-09的規定是透視性的基礎上,但允許追溯適用。我們目前正在評估採納這項新指南對我們的合併財務報表和披露可能產生的潛在影響。
3. 房地產收購和開發 
所有資產收購的總購買價格已根據相應公允價值基礎上的有形和可識別無形資產以及負債進行分配。承擔的負債和任何相關的非控股權益按公允價值計入。自收購日期起,這些收購的運營結果已包含在我們的合併運營結果中,並是適當板塊的組成部分。交易成本主要代表與收購相關的成本,包括盡職調查成本、法律和估值服務費、根據收購的資產公允價值計算的終止現有關係的費用、租約終止費用和其他與收購相關的成本。直接與資產收購相關的交易成本作爲購買價的組成部分進行資本化,而所有其他不可資本化的成本反映在我們的綜合收益表的其他費用中。我們對資產的收購有時受限於基於收購資產未來運營績效的盈餘條款,這可能導致將來支付額外款項。我們的政策是在解決潛在條件時確認此類有條件的對價。

9

welltower及其附屬公司
未經審計的合併基本報表附註
並且考慮變得應付。在2024年第四季度,我們預計將支付約$的盈利獎金150 百萬美元。我們將對任何支付的款項進行資本化,作爲收購的額外成本。
以下是我們按分部分類呈現的房地產投資活動摘要(以千爲單位):
 九個月結束
 2024年9月30日2023年9月30日
老年人住房運營三重淨門診
醫療
總計老年人住房經營三重淨租金門診
醫療
總計
土地及土地附屬物$208,219 $63,075 $10,160 $281,454 $58,049 $58,797 $72,992 $189,838 
建築物和改善1,446,475 621,378 34,481 2,102,334 411,273 430,041 314,892 1,156,206 
取得租賃無形資產89,460 33,232 2,193 124,885 25,617  45,936 71,553 
施工進度45,983   45,983 165,934   165,934 
待售的房地產資產 297,000  297,000     
使用權資產,淨額    16,539  927 17,466 
房地產資產的淨額合計1,790,137 1,014,685 46,834 2,851,656 677,412 488,838 434,747 1,600,997 
應收賬款和其他資產9,592 1,118 112 10,822 16,789  545 17,334 
獲取的總資產(1)
1,799,729 1,015,803 46,946 2,862,478 694,201 488,838 435,292 1,618,331 
有擔保債務 (350,978)(465,820) (816,798)(292,160) (40,953)(333,113)
租賃負債    (16,539) (953)(17,492)
應計費用及其他負債(19,752)(20,309)(182)(40,243)(10,825) (10,832)(21,657)
全部負債 (370,730)(486,129)(182)(857,041)(319,524) (52,738)(372,262)
非控制權益(25,787)  (25,787)  (775)(775)
非現金收購相關活動(2)
(119,012)(191,532) (310,544)(171,667)  (171,667)
用於收購的現金支出1,284,200 338,142 46,764 1,669,106 203,010 488,838 381,779 1,073,627 
在建工程新增424,827 28 269,840 694,695 450,205 25,646 297,862 773,713 
減:資本化利息(36,247) (7,708)(43,955)(28,289)(2,416)(5,447)(36,152)
應計項(3)
1,217 126 (19,572)(18,229)3,447 (2,692)(7,604)(6,849)
用於施工中的現金支出389,797 154 242,560 632,511 425,363 20,538 284,811 730,712 
對現有房地產的資本改進448,144 19,870 70,738 538,752 261,935 17,933 54,222 334,090 
用於房地產投資的總現金,減去取得的現金$2,122,141 $358,166 $360,062 $2,840,369 $890,308 $527,309 $720,812 $2,138,429 
(1) Excludes $33,577,000 and $6,431,000 of unrestricted and restricted cash acquired during the nine months ended September 30, 2024 and September 30, 2023, respectively.
(2) Primarily relates to the acquisition of assets previously financed as real estate loans receivable, the acquisition of assets previously recognized as investments in unconsolidated entities, the acquisition of assets for which consideration was only partially funded at close, and the $179,770,000 gain on acquisition of controlling interests described below.
(3) Represents non-cash accruals for amounts to be paid in future periods for properties that converted, offset by amounts paid in the current period.
Significant Joint Venture Transactions
During the three months ended September 30, 2023, we paid $69,606,000 to acquire the 45% redeemable noncontrolling ownership interest in two consolidated joint ventures with the Canadian Pension Plan Investment Board, which owned interests in ten medical office buildings. In conjunction with the transaction $118,256,000 was removed from redeemable noncontrolling interests with the difference recorded to capital in excess of par value on our Consolidated Balance Sheets. The transaction is excluded from the table above.
On September 30, 2024, the Company, which held a 25% minority interest in an existing equity method joint venture that owned 39 properties subject to triple-net leases with two tenants, acquired the remaining beneficial interest for $205,029,000 in cash, net of cash and restricted cash acquired. The properties were encumbered with secured debt with an aggregate principal balance of $532,575,000. We evaluated the acquisition and determined that the entity meets the criteria of a variable interest entity ("VIE") and that we are its primary beneficiary; therefore, upon consolidation we recognized a gain of $179,770,000 in gains (losses) on real estate dispositions and acquisitions of controlling interests, net in the Consolidated Statements of Comprehensive Income during the period ended September 30, 2024. The fair value of the assets acquired and liabilities assumed is included in the Triple-net segment in the table above.
10

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
Affinity Living Communities
In February 2024, we entered into a definitive agreement to acquire 25 Seniors Housing Operating properties for a total purchase price of approximately $969 million, which will be managed under the Affinity brand. During the three months ended September 30, 2024, we closed on the acquisition of 20 properties with a purchase price of $690,510,000 through a combination of cash, the issuance of 203,328 OP Units, and the assumption of $364,130,000 of secured debt. The acquisition of the remaining properties is expected to close by the end of the year, subject to customary closing conditions and lender consents.
Announced Acquisitions
In July 2024, we entered into a definitive agreement to acquire a seniors housing portfolio of 136 properties and leasehold interests in the U.K. for approximately $1.0 billion of consideration. The transaction closed in October 2024.
Construction Activity 
The following is a summary of the construction projects that were placed into service and began generating revenues during the periods presented (in thousands):
 Nine Months Ended
 September 30, 2024September 30, 2023
Development projects:
Seniors Housing Operating
$462,246 $280,333 
Triple-net
 141,142 
Outpatient Medical
162,699 30,071 
Total development projects
624,945 451,546 
Expansion projects
20,229 62,292 
Total construction in progress conversions$645,174 $513,838 
4. Real Estate Intangibles 
The following is a summary of our real estate intangibles, excluding those related to ground leases or classified as held for sale, as of the dates indicated (dollars in thousands):
 September 30, 2024December 31, 2023
Assets:
In place lease intangibles$2,079,917 $2,001,827 
Above market tenant leases71,892 66,663 
Lease commissions117,080 97,980 
Gross historical cost2,268,889 2,166,470 
Accumulated amortization(1,784,900)(1,651,656)
Net book value$483,989 $514,814 
Liabilities:
Below market tenant leases$71,224 $70,364 
Accumulated amortization(51,400)(47,939)
Net book value$19,824 $22,425 
The following is a summary of real estate intangible amortization income (expense) for the periods presented (in thousands):
Three Months Ended September 30,Nine Months Ended September 30,
2024202320242023
Rental income related to (above)/below market tenant leases, net$(189)$152 $(274)$327 
Amortization related to in place lease intangibles and lease commissions(61,872)(47,556)(169,539)(157,481)
5. Dispositions, Real Property Held for Sale and Impairment
We periodically sell properties for various reasons, including favorable market conditions, the exercise of tenant purchase options or reduction of concentrations (i.e., property type, relationship or geography). At September 30, 2024, seven Seniors Housing Operating properties and ten Triple-net properties with an aggregate real estate balance of $110,689,000 were classified as held for sale. Expected gross sales proceeds related to these held for sale properties are approximately $131,558,000.
11

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
The net book value of real property owned is reviewed quarterly on a property by property basis to determine if facts and circumstances suggest that a property may be impaired. If the estimated undiscounted cash flows indicate that the carrying value of the property will not be recoverable, the carrying of the property is reduced to the estimated fair market value and an impairment charge is recognized. Properties that meet the held for sale criteria are recorded at the lesser of fair value less costs to sell or the carrying value. During the nine months ended September 30, 2024, we recorded impairment charges of $69,146,000 related to 14 Seniors Housing Operating properties and two Triple-net properties. During the nine months ended September 30, 2023, we recorded $21,103,000 of impairment charges related to six Seniors Housing Operating properties and two Triple-net properties.
Operating results attributable to properties sold or classified as held for sale which do not meet the definition of discontinued operations are not reclassified on our Consolidated Statements of Comprehensive Income. We recognized income (loss) from continuing operations before income taxes and other items from properties sold or classified as held for sale as of September 30, 2024 of $(15,905,000) and $(62,121,000) for the three and nine months ended September 30, 2024 and $(4,893,000) and $64,266,000 for the same periods in 2023, respectively.
The following is a summary of our real property disposition activity for the periods presented (in thousands):
 Nine Months Ended
 September 30, 2024September 30, 2023
Real estate dispositions:(1)
Seniors Housing Operating$366,255 $371,143 
Triple-net(2)
170 6,391 
Outpatient Medical
42,761  
Total dispositions
409,186 377,534 
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net(3)
171,053 69,681 
Net other assets/(liabilities) disposed(139)(1,401)
 Non-cash consideration (434,326)(361,830)
Cash proceeds from real estate dispositions$145,774 $83,984 
(1) The nine months ended September 30, 2024 includes the disposition of unconsolidated equity method investments that owned six Seniors Housing Operating properties and one Outpatient Medical property.
(2) Excludes $376,695,000 of net real property derecognized related to 15 properties upon the reclassification of two leases from operating to sales-type (see Note 6 for additional details).
(3) Excludes the $179,770,000 gain recognized in conjunction with the joint venture consolidation (see Note 3 for additional details) and the $92,593,000 gain recognized as a result of the reclassification of two leases from operating to sales-type (see Note 6 for additional details).
Strategic Dissolution of Revera Joint Ventures
During the quarter ended June 30, 2023, we entered into definitive agreements to dissolve our existing Revera joint venture relationships across the U.S., U.K. and Canada. The transactions included acquiring the remaining interests in 110 properties from Revera, while simultaneously selling interests in 31 properties to Revera.
In June 2023, we closed the U.K. portfolio portion of the transaction through the acquisition of the remaining ownership interest in 29 properties previously held in two separate consolidated joint venture structures in which we owned 75% and 90% of the interests in exchange for the disposition to Revera of our interests in four properties. In addition, we received cash from Revera of $107,341,000 relating to the net settlement of loans previously made to the joint ventures. Operations for the 29 retained properties were transitioned to Avery Healthcare.
Total proceeds related to the four properties disposed were $222,521,000, which included non-cash consideration from Revera of $241,728,000, comprised of the fair value of interests received by us of $198,837,000 and an allocation of Revera's noncontrolling interests of $42,891,000, partially offset by $9,049,000 of transaction-related expenses as well as the $10,158,000 of cash paid to equalize the value exchanged between the parties. We disposed of net real property owned of $224,208,000, resulting in a loss of $1,687,000 recognized within gain (loss) on real estate dispositions and acquisitions of controlling interests, net within our Consolidated Statements of Comprehensive Income. Consideration transferred to acquire the additional interests in the 29 properties was comprised of the fair value of interests transferred by us of $198,837,000 and $5,776,000 of cash paid for transaction-related expenses. We derecognized $180,497,000 of noncontrolling interests and $22,270,000 of liabilities previously due to Revera with an adjustment of $1,846,000 recognized in capital in excess of par value.
We closed the portion of the transactions predominantly related to the U.S. portfolio during the third quarter of 2023 through (i) the acquisition of the remaining interests in ten properties currently under development or recently developed by Sunrise Senior Living that were previously held within an equity method joint venture owned 34% by us and 66% by Revera, (ii) the disposition of our minority interests in 12 U.S. properties and one Canadian development project and (iii) the disposition of our 34% interest in the Sunrise Senior Living management company. We recorded net real estate investments of $479,525,000
12

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
related to the ten acquired and now consolidated properties, which was comprised of $31,456,000 of cash consideration and $448,069,000 of non-cash consideration. Non-cash consideration primarily includes $270,486,000 of assumed mortgage debt secured by the acquired properties, which was subsequently repaid in full by us immediately following the transaction, $47,734,000 of carryover investment from our prior 34% equity method ownership interest and $119,258,000 of fair value interests in the 13 properties transferred by us to Revera. We also derecognized $56,905,000 of equity method investments related to the 13 properties retained by Revera and recorded a gain on real estate dispositions of $62,075,000. In conjunction with this transaction, operations for two of the now wholly-owned properties, along with operations for 26 existing wholly-owned properties, transitioned to Oakmont Management Group.
In April 2024, we closed the Canadian portfolio portion of the transaction through the acquisition of the remaining ownership interest in 71 properties previously held in consolidated joint venture structures in which we owned 75% of the interests, in exchange for the disposition to Revera of our interests in 14 properties. In addition, we received cash of $60,614,000 relating to the net settlement of loans previously made to Revera to fund its share of the pay-off of third party secured debt of the joint ventures. Operations for the 71 retained properties previously transitioned to Cogir Senior Living (53), Levante Living (12) and Optima Living (6) during 2023.
Total net proceeds related to the 14 properties disposed were $430,898,000, which included non-cash consideration from Revera of $434,326,000, comprised primarily of the net fair value of interests received by us of $219,940,000, debt which we were relieved of in the amount of $164,640,000 and an allocation of Revera's noncontrolling interests in the disposed properties of $53,174,000. We disposed of net real property owned of $293,257,000 and paid $3,428,000 of cash transaction-related expenses for the sale of the 14 properties, resulting in a gain of $137,641,000 recognized within gain (loss) on real estate dispositions and acquisitions of controlling interests, net within our Consolidated Statements of Comprehensive Income. Consideration transferred to acquire the additional interests in the 71 properties was primarily comprised of the fair value of interests transferred by us of $219,940,000, a cash payment of $51,986,000 to equalize the value exchanged between the parties and $17,258,000 of cash paid for transaction-related expenses. We derecognized $246,564,000 of Revera's noncontrolling interests in the acquired properties with an adjustment of $42,619,000 recognized in capital in excess of par value.
The non-cash investing activity with respect to the sale of the properties to Revera and non-cash financing activity with respect to the acquisition of Revera's interests have been excluded from our Consolidated Statement of Cash Flows.
Genesis HealthCare
As part of the substantial exit of the Genesis HealthCare ("Genesis") operating relationship, which we disclosed on March 2, 2021, we transitioned the sublease of a portfolio of seven facilities from Genesis to Complete Care Management in the second quarter of 2021. As part of the March 2021 transaction, we entered into a forward sale agreement for the seven properties valued at $182,618,000, which was expected to close when the Welltower-held purchase option became exercisable. As of March 31, 2023, the right of use assets related to the properties were $115,359,000 and were reflected as held for sale with the corresponding lease liabilities of $66,530,000 on our Consolidated Balance Sheet.
On May 1, 2023, we executed a series of transactions that included the assignment of the leasehold interest to a newly formed tri-party unconsolidated joint venture together with Aurora Health Network, Peace Capital (an affiliate of Complete Care Management) and us, and culminated with the closing of the purchase option by the joint venture. The transactions resulted in net cash proceeds to us of $104,240,000 (excluded from the dispositions table above) after our retained interest of $11,571,000 in the joint venture and a gain from the loss of control and derecognition of the leasehold interest of $65,485,000, which we recorded in other income within our Consolidated Statements of Comprehensive Income.
6. Leases
Lessee
We lease land, buildings, office space and certain equipment. Many of our leases include a renewal option to extend the term from one to 25 years or more. Renewal options that we are reasonably certain to exercise are recognized in our right-of-use assets and lease liabilities.
13

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
The components of lease expense were as follows for the periods presented (in thousands):
Nine Months Ended
 ClassificationSeptember 30, 2024September 30, 2023
Operating lease cost: (1)
Real estate lease expenseProperty operating expenses$17,837 $16,663 
Non-real estate investment lease expenseGeneral and administrative expenses4,838 5,392 
Finance lease cost:
Amortization of leased assetsProperty operating expenses3,278 4,774 
Interest on lease liabilitiesInterest expense2,923 3,008 
Sublease incomeRental income (3,933)
Total $28,876 $25,904 
(1) Includes short-term leases which are immaterial.
Supplemental balance sheet information related to leases in which we are the lessee is as follows (in thousands):
 ClassificationSeptember 30, 2024December 31, 2023
Right of use assets:
Operating leases - real estateRight of use assets, net$280,295 $283,293 
Finance leases - real estateRight of use assets, net77,865 67,676 
Real estate right of use assets, net358,160 350,969 
Operating leases - non-real estate investmentsReceivables and other assets8,734 11,338 
Total right of use assets, net$366,894 $362,307 
Lease liabilities:
Operating leases$301,046 $303,553 
Finance leases91,314 79,677 
Total$392,360 $383,230 
Lessor
Substantially all of our operating leases in which we are the lessor contain escalating rent structures. Leases with fixed annual rental escalators are generally recognized on a straight-line basis over the initial lease period, subject to a collectability assessment. Rental income related to leases with contingent rental escalators is generally recorded based on the contractual cash rental payments due for the period. During the nine months ended September 30, 2024, we wrote off previously recognized straight-line rent receivable and unamortized lease incentive balances of $97,674,000 through a reduction of rental income, which related to leases for which the collection of substantially all contractual lease payments was no longer probable due primarily to agreements reached to convert Triple-net leased properties to Seniors Housing Operating RIDEA structures (see Note 19). During the nine months ended September 30, 2023, we wrote off previously recognized straight-line rent receivable and unamortized lease incentive balances of $12,309,000 for which collection was no longer deemed probable.
Leases in our Triple-net and Outpatient Medical portfolios recognized under ASC 842, "Leases" ("ASC 842"), typically include some form of operating expense reimbursement by the tenant. For the nine months ended September 30, 2024, we recognized $1,183,949,000 of rental income related to operating leases, of which $165,863,000 was for variable lease payments that primarily represents the reimbursement of operating costs such as common area maintenance expenses, utilities, insurance and real estate taxes. For the nine months ended September 30, 2023, we recognized $1,152,005,000 of rental income related to operating leases, of which $163,980,000 was for variable lease payments.
For the majority of our Seniors Housing Operating segment, revenue from resident fees and services is predominantly service-based, and as such, resident agreements are accounted for under ASC 606, "Revenue from Contracts with Customers." Within that reportable segment, we also recognize revenue from residential seniors apartment leases in accordance with ASC 842. The amount of revenue related to these leases was $417,490,000 and $341,172,000 for the nine months ended September 30, 2024 and 2023, respectively.
For sales-type leases, we record any selling profit or loss arising from leases at inception within gain (loss) on real estate dispositions and acquisitions of controlling interests, net in the Consolidated Statements of Comprehensive Income. The investments in sales-type leases, net represents the lease receivable, the components of which are the future lease payments and any guaranteed or unguaranteed residual value for the underlying assets expected at the end of the lease term, measured at the net present value discounted using a rate implicit in the lease. Interest income is recognized in the Consolidated Statements of Comprehensive Income over the lease term using the effective interest method.

14

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
On September 30, 2024, we reached agreements with our tenant to sell 15 properties, which are included in two master leases previously classified as operating leases. As a result of the agreement to sell the properties, the two leases were classified as sales-type leases in accordance with ASC 842 and a gain of $92,593,000 was recognized in gains (losses) on real estate dispositions and acquisitions of controlling interests, net in the Consolidated Statements of Comprehensive Income.
7. Loans Receivable
Loans receivable are recorded on our Consolidated Balance Sheets in real estate loans receivable, net of allowance for credit losses, or for non-real estate loans receivable, in receivables and other assets. Real estate loans receivable consists of mortgage loans and other real estate loans, which are primarily collateralized by a first, second or third mortgage lien, a leasehold mortgage on, or an assignment of the partnership interest in, the related properties, as well as corporate guarantees and/or personal guarantees. Non-real estate loans are generally corporate loans with no real estate backing. Interest income on loans is recognized as earned based upon the principal amount outstanding subject to an evaluation of the risk of credit loss. Accrued interest receivable was $33,992,000 and $31,798,000 as of September 30, 2024 and December 31, 2023, respectively, and is included in receivables and other assets on the Consolidated Balance Sheets. The following is a summary of our loans receivable (in thousands):
 September 30, 2024December 31, 2023
Mortgage loans$1,576,567 $1,057,516 
Other real estate loans290,419 324,660 
Allowance for credit losses on real estate loans receivable(26,533)(20,589)
Real estate loans receivable, net of credit allowance1,840,453 1,361,587 
Non-real estate loans274,814 503,993 
Allowance for credit losses on non-real estate loans receivable(27,396)(173,874)
Non-real estate loans receivable, net of credit allowance247,418 330,119 
Total loans receivable, net of credit allowance$2,087,871 $1,691,706 
The following is a summary of our loan activity for the periods presented (in thousands):    
 Nine Months Ended
 September 30, 2024September 30, 2023
Advances on loans receivable$603,619 $328,554 
Less: Receipts on loans receivable250,791 68,404 
Net cash advances (receipts) on loans receivable$352,828 $260,150 
During the nine months ended September 30, 2024, we provided a first mortgage loan collateralized by a portfolio of seniors housing communities for $456,199,000. The loan bears interest at 10% per annum.
In June 2024, certain secured and unsecured indebtedness payable by Genesis to us was modified to extend the maturity date to June 30, 2025, with no other changes to the terms. In September 2024, we sold the entirety of the unsecured notes receivable from Genesis for cash proceeds of $24,246,000, which was equal to the carrying value after application of the allowance for credit losses and unrecognized interest. In addition, we sold a portion of the secured notes receivable from Genesis for cash proceeds of $55,504,000. The cash proceeds from these sales are included in receipts on loans receivable in the summary of loan activity above. Additionally, the secured notes were modified to extend the maturity date to June 30, 2026, and to convert to cash-pay interest beginning January 1, 2025.
The allowance for credit losses on loans receivable is maintained at a level believed adequate to absorb potential losses in our loans receivable. The determination of the credit allowance is based on a quarterly evaluation of each of these loans, including general economic conditions and estimated collectability of loan payments. We evaluate the collectability of our loans receivable based on a combination of credit quality indicators, including, but not limited to, payment status, historical loan charge-offs, financial strength of the borrower and guarantors, and nature, extent, and value of the underlying collateral.
A loan is considered to have deteriorated credit quality when, based on current information and events, it is probable that we will be unable to collect all amounts due as scheduled according to the contractual terms of the loan agreement. For those loans we identified as having deteriorated credit quality, we determine the amount of credit loss on an individual basis. Placement on non-accrual status may be required. Consistent with this definition, all loans on non-accrual are deemed to have deteriorated credit quality. To the extent circumstances improve and the risk of collectability is diminished, we will return these loans to income accrual status. While a loan is on non-accrual status, any cash receipts are applied against the outstanding principal balance.

15

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the remaining loans we assess credit loss on a collective pool basis and use our historical loss experience for similar loans to determine the reserve for credit losses. The following is a summary of our loans by credit loss category (in thousands):
September 30, 2024
Loan categoryYears of OriginationLoan Carrying ValueAllowance for Credit LossNet Loan BalanceNo. of Loans
Deteriorated loans2007 - 2023$28,526 $(26,370)$2,156 4 
Collective loan pool2010 - 2019153,610 (1,991)151,619 11 
Collective loan pool202033,534 (434)33,100 5 
Collective loan pool2021915,539 (12,040)903,499 10 
Collective loan pool2022105,701 (1,370)104,331 14 
Collective loan pool2023332,429 (4,307)328,122 11 
Collective loan pool2024572,461 (7,417)565,044 10 
Total loans$2,141,800 $(53,929)$2,087,871 65 

The total allowance for credit losses balance is deemed sufficient to absorb expected losses relating to our loan portfolio. The following is a summary of the allowance for credit losses on loans receivable for the periods presented (in thousands):                            
Nine Months Ended
September 30, 2024September 30, 2023
Balance at beginning of period$194,463 $164,249 
Provision for loan losses, net(1)
10,370 6,280 
Purchased deteriorated loan 19,077 
Reserve for unrecognized interest added to principal 2,066 
Loan write-offs(151,406) 
Foreign currency translation502 92 
Balance at end of period$53,929 $191,764 
(1) Excludes the provision for loan loss on held-to-maturity debt securities.
8. Investments in Unconsolidated Entities
We participate in a number of joint ventures, which generally invest in seniors housing and health care real estate. Our share of the results of operations for these properties has been included in our consolidated results of operations from the date of acquisition by the joint ventures and are reflected in our Consolidated Statements of Comprehensive Income as income or loss from unconsolidated entities. The following is a summary of our investments in unconsolidated entities (dollars in thousands): 
 
Percentage Ownership (1)
September 30, 2024December 31, 2023
Seniors Housing Operating
10% to 95%
$1,385,356 $1,248,774 
Triple-net
10% to 88%
111,278 147,679 
Outpatient Medical
15% to 50%
246,202 240,078 
Total$1,742,836 $1,636,531 
(1) As of September 30, 2024 and includes ownership of investments classified as liabilities and excludes ownership of in substance real estate.
At September 30, 2024, the aggregate unamortized basis difference of our joint venture investments of $190,830,000 is primarily attributable to the difference between the amount for which we purchased our interest in the entity, including transaction costs, and the historical carrying value of the net assets of the joint venture. This difference is being amortized over the remaining useful life of the related properties and included in the reported amount of income from unconsolidated entities.
We have made loans related to 25 properties as of September 30, 2024 for the development and construction of certain properties that have a carrying value of $901,777,000. We believe that such borrowers typically represent VIEs in accordance with ASC 810, "Consolidation." VIEs are required to be consolidated by their primary beneficiary, which is the enterprise that has both: (i) the power to direct the activities of the VIE that most significantly impacts the entity's economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. We have concluded that we are not the primary beneficiary of such borrowers, therefore, the loan arrangements were assessed based on, among other factors, the amount and timing of expected residual profits, the estimated fair value of the collateral and the significance of the borrower's equity in the project. Based on these assessments, the arrangements have been classified as in substance real estate investments. We are obligated to fund an additional $146,367,000 related to these investments.
16

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
9. Credit Concentration
We use consolidated net operating income (“NOI”) as our credit concentration metric. See Note 18 for additional information and reconciliation. The following table summarizes certain information about our credit concentration for the nine months ended September 30, 2024, excluding our share of NOI in unconsolidated entities (dollars in thousands):
Concentration by relationship: (1)
Number of PropertiesTotal NOI
Percent of NOI (2)
Cogir Management Corporation125 $173,822 7%
Integra Healthcare Properties147 161,430 7%
Sunrise Senior Living88 127,273 5%
Avery Healthcare84 104,667 5%
Oakmont Management Group66 101,703 4%
Remaining portfolio1,475 1,650,482 72%
Totals1,985 $2,319,377 100%
(1) Cogir Management Corporation, Sunrise Senior Living and Oakmont Management Group are in our Seniors Housing Operating segment. Integra Healthcare Properties is in our Triple-net segment. Avery Healthcare operates assets in both our Seniors Housing Operating and Triple-net segments.
(2) NOI with our top five relationships comprised 26% of total NOI for the year ended December 31, 2023.
In April 2024, we reached an agreement to transition 89 Atria Senior Living properties to six of our existing operating partners. In conjunction with the termination of the property management agreements, we recognized $26 million within other expenses on our Consolidated Statements of Comprehensive Income during the second quarter in excess of amounts already accrued. As of September 30, 2024, we have transitioned operations for all 89 properties.
10. Borrowings Under Credit Facilities and Commercial Paper Program 
At September 30, 2024, we had a primary unsecured credit facility with a consortium of 29 banks that included a $5,000,000,000 unsecured revolving credit facility, a $1,000,000,000 unsecured term credit facility and a $250,000,000 Canadian-denominated unsecured term credit facility. The unsecured revolving credit facility is comprised of a $2,000,000,000 tranche that matures on July 24, 2029 (none outstanding at September 30, 2024) and a $3,000,000,000 tranche that matures on July 24, 2028 (none outstanding at September 30, 2024). The term credit facilities mature on July 19, 2026. The $3,000,000,000 tranche of the revolving facility and term loans may be extended for two successive terms of six months at our option. We have an option, through an accordion feature, to upsize the $5,000,000,000 unsecured revolving credit facility and the $1,000,000,000 unsecured term credit facility by up to an additional $1,250,000,000, in the aggregate, and the $250,000,000 Canadian-denominated unsecured term credit facility by up to an additional $250,000,000. The primary unsecured credit facility also allows us to borrow up to $1,000,000,000 in alternate currencies (none outstanding at September 30, 2024). Borrowings under the unsecured revolving credit facility are subject to interest payable at the applicable margin over the secured overnight financing rate ("SOFR") interest rate. Based on our current credit ratings, the loans under the unsecured revolving credit facility currently bear interest at 0.725% over the adjusted SOFR rate at September 30, 2024. In addition, we pay a facility fee quarterly to each bank based on the bank’s commitment amount. The facility fee depends on our debt ratings and was 0.125% at September 30, 2024. 
Under the terms of our commercial paper program, we may issue unsecured commercial paper notes with maturities that vary, but do not exceed 397 days from the date of issue, up to a maximum aggregate face or principal amount outstanding at any time of $2,000,000,000 (none outstanding at September 30, 2024).
The following information relates to aggregate borrowings under the unsecured revolving credit facility and commercial paper program for the periods presented (dollars in thousands):
Three Months Ended September 30,Nine Months Ended September 30,
2024202320242023
Balance outstanding at quarter end$$ $$
Maximum amount outstanding at any month end$$ $$205,000
Average amount outstanding (total of daily principal balances divided by days in period)$$ $$21,703
Weighted average interest rate (actual interest expense divided by average borrowings outstanding) % % %5.05 %
17

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
11. Senior Unsecured Notes and Secured Debt 
At September 30, 2024, the annual principal payments due on our debt obligations were as follows (in thousands):
Senior
Unsecured Notes (1,2)
Secured
Debt (3)
Totals
2024$ $96,016 $96,016 
20251,260,000 279,372 1,539,372 
2026700,000 231,413 931,413 
2027 (4,5)
1,906,945 448,710 2,355,655 
2028 (6)
2,521,890 157,797 2,679,687 
Thereafter (7)
7,054,900 1,368,570 8,423,470 
Total principal balance13,443,735 2,581,878 16,025,613 
Unamortized discounts and premiums, net(23,230) (23,230)
Unamortized debt issuance costs, net(80,736)(16,747)(97,483)
Fair value adjustments and other, net(44,673)(96,604)(141,277)
Total carrying value of debt$13,295,096 $2,468,527 $15,763,623 
(1) Annual interest rates range from 2.05% to 6.50%. The ending weighted average interest rate, after considering the effects of interest rate swaps, was 3.87% and 4.02% as of September 30, 2024 and September 30, 2023, respectively.
(2) All senior unsecured notes with the exception of the $300,000,000 Canadian-denominated 2.95% senior unsecured notes due 2027 have been issued by Welltower OP and are fully and unconditionally guaranteed by Welltower. The $300,000,000 Canadian-denominated 2.95% senior unsecured notes due 2027 have been issued through private placement by a wholly-owned subsidiary of Welltower OP and are fully and unconditionally guaranteed by Welltower OP.
(3) Annual interest rates range from 1.31% to 8.00%. The ending weighted average interest rate, after considering the effects of interest rate swaps and caps, was 4.34% and 4.83% as of September 30, 2024 and September 30, 2023, respectively. Gross real property value of the properties securing the debt totaled $6,460,936,000 at September 30, 2024.
(4) Includes a $1,000,000,000 unsecured term loan and a $250,000,000 Canadian-denominated unsecured term loan (approximately $184,975,000 based on the Canadian/U.S. Dollar exchange rate on September 30, 2024). Both term loans mature on July 19, 2026 and may be extended for two successive terms of six months at our option. The loans bear interest at adjusted SOFR plus 0.85% (6.05% at September 30, 2024) and adjusted Canadian Overnight Repo Rate Average plus 0.85% (5.44% at September 30, 2024), respectively.
(5) Includes $300,000,000 Canadian-denominated 2.95% senior unsecured notes due 2027 (approximately $221,970,000 based on the Canadian/U.S. Dollar exchange rate on September 30, 2024).
(6) Includes £550,000,000 4.80% senior unsecured notes due 2028 (approximately $736,890,000 based on the Pounds Sterling/U.S. Dollar exchange rate in effect on September 30, 2024).
(7) Includes £500,000,000 4.50% senior unsecured notes due 2034 (approximately $669,900,000 based on the Pounds Sterling/U.S. Dollar exchange rate in effect on September 30, 2024).
The following is a summary of our senior unsecured notes principal activity during the periods presented (dollars in thousands):
 Nine Months Ended
 September 30, 2024September 30, 2023
Beginning balance$13,699,619 $12,584,529 
Debt issued1,035,000 1,035,000 
Debt extinguished(1,350,000) 
Foreign currency59,116 14,295 
Ending balance$13,443,735 $13,633,824 
Welltower, the parent entity that consolidates Welltower OP and all other subsidiaries, fully and unconditionally guarantees to each holder of all series of senior unsecured notes issued by Welltower OP that the principal of and premium, if any, and interest on the notes will be promptly paid in full when due, whether at the applicable maturity date, by acceleration or redemption or otherwise, and interest on the overdue principal of and interest on the notes, if any, if lawful, and all other obligations of Welltower OP to the holders of the notes will be promptly paid in full or performed. Welltower's guarantees of such notes are its senior unsecured obligation and rank equally with all of Welltower's other future unsecured senior indebtedness and guarantees from time to time outstanding. Welltower's guarantees of such notes are effectively subordinated to all liabilities of its subsidiaries and to its secured indebtedness to the extent of the assets securing such indebtedness. Because Welltower conducts substantially all of its business through its subsidiaries, Welltower's ability to make required payments with respect to the guarantees depends on the financial results and condition of its subsidiaries and its ability to receive funds from its subsidiaries, whether by dividends, loans, distributions or other payments.
18

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
We may repurchase, redeem or refinance senior unsecured notes from time to time, taking advantage of favorable market conditions when available. We may purchase senior notes for cash through open market purchases, privately negotiated transactions, a tender offer or, in some cases, through the early redemption of such securities pursuant to their terms. The senior unsecured notes are redeemable at our option, at any time in whole or from time to time in part, subject to certain contractual restrictions, at a redemption price equal to the sum of: (i) the principal amount of the notes (or portion of such notes) being redeemed plus accrued and unpaid interest thereon up to the redemption date and (ii) any "make-whole" amount due under the terms of the notes in connection with early redemptions. Redemptions and repurchases of debt, if any, will depend on prevailing market conditions, our liquidity requirements, contractual restrictions and other factors.
Exchangeable Senior Unsecured Notes
In May 2023, Welltower OP issued $1,035,000,000 aggregate principal amount of 2.750% exchangeable senior unsecured notes maturing May 15, 2028 (the "2028 Exchangeable Notes") unless earlier exchanged, purchased or redeemed. The 2028 Exchangeable Notes will pay interest semi-annually in arrears on May 15 and November 15 of each year. We recognized contractual interest expense on the 2028 Exchangeable Notes of approximately $7,116,000 and $21,348,000 for the three and nine months ended September 30, 2024, and $7,116,000 and $11,069,000 for the same periods in 2023, respectively. Additionally, amortization of related issuance costs were $1,168,000 and $3,500,000 for the three and nine ended September 30, 2024, and $1,117,000 and $1,810,000 for the same periods in 2023, respectively. Unamortized issuance costs were $16,790,000 as of September 30, 2024 and $20,245,000 as of December 31, 2023.
In July 2024, Welltower OP issued $1,035,000,000 aggregate principal amount of 3.125% exchangeable senior unsecured notes maturing July 15, 2029 (the "2029 Exchangeable Notes") unless earlier exchanged, purchased or redeemed. The 2029 Exchangeable Notes will pay interest semi-annually in arrears on January 15 and July 15 of each year. The net proceeds from the offering of the 2029 Exchangeable Notes were approximately $1,015,063,000 after deducting the underwriting fees and other expenses. During the quarter ended September 30, 2024, we recognized approximately $7,188,000 of contractual interest expense and amortization of issuance costs of $857,000 related to the 2029 Exchangeable Notes. Unamortized issuance costs were $19,079,000 as of September 30, 2024.
Prior to the close of business on the business day immediately preceding January 15, 2029, the 2029 Exchangeable Notes are exchangeable at the option of the holders only upon certain circumstances and during certain periods. On or after January 15, 2029, the 2029 Exchangeable Notes will be exchangeable at the option of the holders at any time prior to the close of business on the second scheduled trading day preceding the maturity date. Welltower OP will settle exchanges of the 2029 Exchangeable Notes by delivering cash up to the principal amount of the 2029 Exchangeable Notes exchanged and, in respect of the remainder of the exchanged value, if any, in excess thereof, cash or shares of Welltower's common stock, or a combination thereof, at the election of Welltower OP. The exchange rate initially equals 7.8177 shares of common stock per $1,000 principal amount of 2029 Exchangeable Notes (equivalent to an exchange price of approximately $127.91 per share of common stock). The exchange rate is subject to adjustment upon the occurrence of certain events, but will not be adjusted for any accrued and unpaid interest.
Welltower OP may redeem the 2029 Exchangeable Notes, at its option in whole or in part, on any business day on or after July 20, 2027, if the last reported sales price of the common stock has been at least 130% of the exchange price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading day period ending on, and including, the trading day immediately preceding the date on which Welltower OP provides notice of redemption. The redemption price will be equal to 100% of the principal amount of the 2029 Exchangeable Notes to be redeemed, plus accrued and unpaid interest, if any, to but excluding the redemption date.
The following is a summary of our secured debt principal activity for the periods presented (dollars in thousands): 
 Nine Months Ended
 September 30, 2024September 30, 2023
Beginning balance$2,222,445 $2,129,954 
Debt issued3,708 381,369 
Debt assumed896,705 344,023 
Debt extinguished(323,805)(397,381)
Debt disposed(1)
(164,640) 
Principal payments(32,411)(41,646)
Foreign currency(20,124)(188)
Ending balance$2,581,878 $2,416,131 
(1) Please see Note 5 for additional information.
19

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
Our debt agreements contain various covenants, restrictions and events of default. Certain agreements require us to maintain certain financial ratios and minimum net worth and impose certain limits on our ability to incur indebtedness, create liens and make investments or acquisitions. As of September 30, 2024, we were in compliance in all material respects with all of the covenants under our debt agreements. 
12. Derivative Instruments
We are exposed to, among other risks, the impact of changes in foreign currency exchange rates as a result of our non-U.S. investments and interest rate risk related to our capital structure. Our risk management program is designed to manage the exposure and volatility arising from these risks, and utilizes foreign currency forward contracts, cross currency swap contracts, interest rate swaps, interest rate locks and debt issued in foreign currencies to offset a portion of these risks.
Cash Flow Hedges and Fair Value Hedges of Interest Rate Risk
We enter into interest rate swaps in order to maintain a capital structure containing targeted amounts of fixed and floating-rate debt and manage interest rate risk. Interest rate swaps designated as cash flow hedges involve the receipt of variable amounts from a counterparty in exchange for our fixed-rate payments. These interest rate swap agreements are used to hedge the variable cash flows associated with variable-rate debt.
Interest rate swaps designated as fair value hedges involve the receipt of fixed amounts from a counterparty in exchange for our variable-rate payments. These interest rate swap agreements hedge the exposure to changes in the fair value of fixed-rate debt attributable to changes in the designated benchmark interest rate. For derivative instruments that are designated and qualify as a fair value hedge, the gain or loss on the derivative instrument, as well as the offsetting loss or gain on the hedged item attributable to the hedged risk, are recognized in earnings. We record the gain or loss on the hedged items in interest expense, the same line item as the offsetting loss or gain on the related interest rate swaps. In March 2022, we entered into a $550,000,000 fixed to floating swap in connection with our March 2022 senior note issuance. This swap was terminated in January 2024 resulting in a loss of $(59,555,000). As of September 30, 2024, the unamortized loss amount was $(54,720,000). In January 2024, we entered into a $550,000,000 forward-starting fixed to floating swap which converts a portion of cash flows on our $750,000,000 2.8% senior unsecured notes to floating rate. The swap is effective beginning in June 2025 and matures in December 2030. As of September 30, 2024, the carrying amount of the notes, exclusive of the hedge, is $743,393,000. The fair value of the swap as of September 30, 2024 was $10,047,000 and was recorded as a derivative asset with an offset to senior unsecured notes on our Consolidated Balance Sheets.
Periodically, we enter into and designate interest rate locks to partially hedge the risk of changes in interest payments attributable to increases in the benchmark interest rate during the period leading up to the probable issuance of fixed-rate debt. We designate our interest rate locks as cash flow hedges. Gains and losses when we settle our interest rate locks are amortized into earnings over the life of the related debt, except where a material amount is deemed to be ineffective, which would be immediately recognized in the Consolidated Statements of Comprehensive Income. Approximately $2,562,000 of losses, which are included in other comprehensive income ("OCI"), are expected to be reclassified into earnings in the next 12 months.
Cash flows from derivatives accounted for as a fair value or cash flow hedge are classified in the same category as the cash flows from the items being hedged in the Consolidated Statement of Cash Flows.
Foreign Currency Forward Contracts and Cross Currency Swap Contracts Designated as Net Investment Hedges
We use foreign currency forward and cross currency forward swap contracts to hedge a portion of the net investment in foreign subsidiaries against fluctuations in foreign exchange rates. For instruments that are designated and qualify as net investment hedges, the variability in the foreign currency to U.S. Dollar of the instrument is recorded as a cumulative translation adjustment component of OCI.
During the nine months ended September 30, 2024 and 2023, we settled certain net investment hedges generating cash proceeds of $9,213,000 and $1,994,000, respectively. The balance of the cumulative translation adjustment will be reclassified to earnings if the hedged investment is sold or substantially liquidated.
Derivative Contracts Undesignated
We use foreign currency exchange contracts to manage existing exposures to foreign currency exchange risk. Gains and losses resulting from the changes in fair value of these instruments are recorded in interest expense on the Consolidated Statements of Comprehensive Income and are substantially offset by net revaluation impacts on foreign currency denominated balance sheet exposures.
20

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
Equity Warrants
We received equity warrants through our lending activities, which were accounted for as loan origination fees. The warrants provide us the right to participate in the capital appreciation of the underlying HC-One Group real estate portfolio above a designated price upon liquidation and contain net settlement terms qualifying as derivatives under ASC Topic 815. The warrants are classified within receivables and other assets on our Consolidated Balance Sheets. These warrants are measured at fair value with changes in fair value being recognized within loss (gain) on derivatives and financial instruments in our Consolidated Statements of Comprehensive Income.
The following presents the notional amount of derivatives and other financial instruments as of the dates indicated (in thousands): 
 September 30, 2024December 31, 2023
Derivatives designated as net investment hedges:
Denominated in Canadian Dollars$2,900,000 $2,025,000 
Denominated in Pound Sterling£1,660,708 £1,660,708 
Financial instruments designated as net investment hedges:
Denominated in Canadian Dollars$250,000 $250,000 
Denominated in Pound Sterling£1,050,000 £1,050,000 
Interest rate swaps and caps designated as cash flow hedges:
Denominated in U.S. Dollars (1)
$522,601 $872,601 
Interest rate swaps designated as fair value hedges:
Denominated in U.S. Dollars$550,000 $550,000 
Derivative instruments not designated:
Foreign currency exchange contracts denominated in Canadian Dollars$80,000 $80,000 
(1) At September 30, 2024, the maximum maturity date was September 1, 2028.
The following presents the impact of derivative instruments on the Consolidated Statements of Comprehensive Income for the periods presented (in thousands):
Three Months Ended September 30,Nine Months Ended September 30,
DescriptionLocation2024202320242023
Gain (loss) on derivative instruments designated as hedges recognized in incomeInterest expense$6,394 $4,833 $17,045 $14,211 
Gain (loss) on derivative instruments not designated as hedges recognized in incomeInterest expense$(678)$1,488 $1,238 $59 
Gain (loss) on equity warrants recognized in incomeGain (loss) on derivatives and financial instruments, net$9,911 $(2,876)$18,790 $(5,003)
Gain (loss) on derivative and financial instruments designated as hedges recognized in OCIOCI$(194,988)$106,449 $(125,277)$(49,173)
13. Commitments and Contingencies
At September 30, 2024, we had 20 outstanding letter of credit obligations totaling $44,672,000 and expiring between 2024 and 2025. At September 30, 2024, we had outstanding construction in progress of $1,374,996,000 and were committed to providing additional funds of approximately $646,763,000 to complete construction. Additionally, at September 30, 2024, we had outstanding investments classified as in substance real estate of $901,777,000 and were committed to provide additional funds of $146,367,000 (see Note 8 for additional information). Purchase obligations at September 30, 2024 also include $75,074,000 of contingent purchase obligations to fund capital improvements. Rents due from the tenants are increased to reflect the additional investment in the property.
21

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
14. Stockholders' Equity 
The following is a summary of our stockholders' equity capital accounts as of the dates indicated: 
 September 30, 2024December 31, 2023
Preferred Stock, $1.00 par value:
Authorized shares50,000,000 50,000,000 
Issued shares  
Outstanding shares  
Common Stock, $1.00 par value:
Authorized shares1,400,000,000 700,000,000 
Issued shares620,180,281 566,001,632 
Outstanding shares618,395,510 564,241,181 
Common Stock
In April 2024, we entered into an equity distribution agreement whereby we can offer and sell up to $3,500,000,000 aggregate amount of our common stock ("ATM Program"). Our prior equity distribution agreement dated February 15, 2024, allowing us to sell up to $3,500,000,000 aggregate amount of our common stock, was terminated as a result. The ATM Program allows us to enter into forward sale agreements (none outstanding at September 30, 2024). As of September 30, 2024, we had $1,222,550,000 of remaining capacity under the ATM Program. During October 2024, we sold 4,292,963 shares of common stock under our ATM Program.
The following is a summary of our common stock issuances during the nine months ended September 30, 2024 and 2023 (dollars in thousands, except shares and average price amounts): 
 Shares IssuedAverage PriceGross ProceedsNet Proceeds
2023 Option exercises1,708 $63.65 $109 $109 
2023 ATM Program issuances41,477,572 79.08 3,279,956 3,264,947 
2023 Redemption of OP Units and DownREIT Units334,582 — — 
2023 Stock incentive plans, net of forfeitures(54,317)— — 
2023 Totals41,759,545 $3,280,065 $3,265,056 
2024 Option exercises16,578 $65.57 $1,087 $1,087 
2024 ATM Program issuances53,547,363 98.76 5,288,418 5,261,277 
2024 Redemption of OP Units and DownREIT Units494,941 — — 
2024 Stock incentive plans, net of forfeitures95,447 — — 
2024 Totals54,154,329 $5,289,505 $5,262,364 
Dividends 
The following is a summary of our dividend payments (in thousands, except per share amounts): 
 Nine Months Ended
 September 30, 2024September 30, 2023
Per ShareAmountPer ShareAmount
Common stock$1.89 $1,127,827 $1.83 $921,319 
Accumulated Other Comprehensive Income 
The following is a summary of accumulated other comprehensive income (loss) as of the dates presented (in thousands):
September 30, 2024December 31, 2023
Foreign currency translation$(820,376)$(913,675)
Derivative and financial instruments designated as hedges625,238 750,515 
Total accumulated other comprehensive income (loss)$(195,138)$(163,160)
22

WELLTOWER INC.
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

15. Stock Incentive Plans
In March 2022, our Board of Directors approved the 2022 Long-Term Incentive Plan ("2022 Plan"), which authorizes up to 10,000,000 shares of common stock or units to be issued at the discretion of the Compensation Committee of the Board of Directors. Awards granted after March 28, 2022 are issued out of the 2022 Plan. The awards granted under the 2016 Long-Term Incentive Plan continue to vest and options expire ten years from the date of grant. Our non-employee directors, officers and key employees are eligible to participate in the 2022 Plan. The 2022 Plan allows for the issuance of, among other things, stock options, stock appreciation rights, restricted stock units, deferred stock units, performance units and dividend equivalent rights. Vesting periods for options, deferred stock units and restricted stock units generally range from three to five years. Options expire ten years from the date of grant. Stock-based compensation expense totaled $39,910,000 and $62,308,000 for the three and nine months ended September 30, 2024, and $8,821,000 and $28,781,000 for the same periods in 2023, respectively.
During December 2021 and January 2022, we granted special non-recurring performance-based stock option and restricted stock awards to executives and key employees. Since the grant dates, the likelihood of achievement of the performance goals related to these awards was deemed to be improbable and as a result no expense was recognized. During the quarter ended September 30, 2024, we determined that the performance goals were probable of being achieved, resulting in a cumulative catch up of stock compensation expense of $29,838,000 recognized in general and administrative expenses in the Consolidated Statements of Comprehensive Income in the current quarter.
16. Earnings Per Share
The following table sets forth the computation of basic and diluted earnings per share (in thousands, except per share data):
Three Months Ended September 30,Nine Months Ended September 30,
 2024202320242023
Numerator for basic earnings per share - net income (loss) attributable to common stockholders
$449,849 $127,470 $831,709 $256,183 
Adjustment for net income (loss) attributable to OP Units and DownREIT Units1,221 64 1,235 (103)
Numerator for diluted earnings per share
$451,070 $127,534 $832,944 $256,080 
Denominator for basic earnings per share - weighted average shares611,290 521,848 595,353 504,420 
Effect of dilutive securities:
Employee stock options
370 39 181 24 
Non-vested restricted shares and units2,517 1,141 1,686 968 
OP Units and DownREIT Units
2,123 2,085 2,192 1,914 
Employee stock purchase program
22 25 22 27 
2028 Exchangeable Notes1,984  757  
Dilutive potential common shares7,016 3,290 4,838 2,933 
Denominator for diluted earnings per share - adjusted weighted average shares
618,306 525,138 600,191 507,353 
Basic earnings per share$0.74 $0.24 $1.40 $0.51 
Diluted earnings per share$0.73 $0.24 $1.39 $0.50 
The 2028 Exchangeable Notes were not included in the computation of diluted earnings per share for the three and nine months ended September 30, 2023 as they were anti-dilutive. The 2029 Exchangeable Notes issued in 2024 were not included in the computation of diluted earnings per share for the three and nine months ended September 30, 2024 as they were anti-dilutive.
17. Disclosure about Fair Value of Financial Instruments 
Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. A three-level valuation hierarchy exists for disclosures of fair value measurements based upon the transparency of inputs to the valuation of an asset or liability as of the measurement date. A financial instrument's categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement. Please see Note 2 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2023 for additional information. The three levels are defined below: 

23

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
Level 1 - Quoted prices in active markets for identical assets or liabilities. 
Level 2 - Observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities, quoted prices in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.
Level 3 - Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.
The following methods and assumptions were used to estimate the fair value of each class of financial instruments for which it is practicable to estimate that value.                                     
Investments in Sales-Type Leases - The fair value of sales-type leases is generally estimated by using Level 2 and Level 3 inputs to discount the estimated future cash flows of the lease using rates implicit in the lease, and an estimate of the unguaranteed residual value.
Mortgage Loans, Other Real Estate Loans and Non-real Estate Loans Receivable — The fair value of mortgage loans, other real estate loans and non-real estate loans receivable is generally estimated by using Level 2 and Level 3 inputs such as discounting the estimated future cash flows using the current rates at which similar loans would be made to borrowers with similar credit ratings and for the same remaining maturities.
Cash and Cash Equivalents and Restricted Cash — The carrying amount approximates fair value. 
Equity Warrants The fair value of equity warrants is estimated using Level 3 inputs and includes data points such as enterprise value of the underlying HC-One Group real estate portfolio, marketability discount for private company warrants, dividend yield, volatility and risk-free rate. The enterprise value is driven by projected cash flows, weighted average cost of capital and a terminal capitalization rate.
Borrowings Under Primary Unsecured Credit Facility and Commercial Paper Program — The carrying amount of the primary unsecured credit facility and commercial paper program approximates fair value because the borrowings are interest rate adjustable. 
Senior Unsecured Notes — The fair value of the senior unsecured notes payable is estimated based on Level 1 publicly available trading prices. The carrying amount of the variable rate senior unsecured notes approximates fair value because they are interest rate adjustable. 
Secured Debt — The fair value of fixed rate secured debt is estimated using Level 2 inputs by discounting the estimated future cash flows using the current rates at which similar loans would be made with similar credit ratings and for the same remaining maturities. The carrying amount of variable rate secured debt approximates fair value because the borrowings are interest rate adjustable. 
Foreign Currency Forward Contracts, Interest Rate Swaps and Cross Currency Swaps — Foreign currency forward contracts, interest rate swaps and cross currency swaps are recorded in other assets or other liabilities on the balance sheet at fair value that is derived from Level 2 observable market data, including yield curves and foreign exchange rates.
Redeemable DownREIT Unitholder Interests — Our redeemable DownREIT Unitholder interests are recorded on the balance sheet at fair value using Level 2 inputs unless the fair value is below the initial amount, in which case the redeemable DownREIT Unitholder interests are recorded at the initial amount adjusted for distributions to the unitholders and income or loss attributable to the unitholders. The fair value is measured using the closing price of our common stock, as units may be redeemed at the election of the holder for cash or, at our option, one share of our common stock per unit, subject to adjustment in certain circumstances. 
24

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
The carrying amounts and estimated fair values of our financial instruments are as follows (in thousands):
 September 30, 2024December 31, 2023
 Carrying AmountFair ValueCarrying AmountFair Value
Financial assets:
Investments in sales-type leases, net$469,260 $469,260 $ $ 
Mortgage loans receivable1,555,962 1,622,078 1,043,252 1,105,260 
Other real estate loans receivable284,491 281,644 318,335 319,905 
Cash and cash equivalents3,564,942 3,564,942 1,993,646 1,993,646 
Restricted cash219,466 219,466 82,437 82,437 
Non-real estate loans receivable247,418 247,911 330,119 312,985 
Foreign currency forward contracts, interest rate swaps and cross currency swaps15,332 15,332 37,118 37,118 
Equity warrants57,037 57,037 35,772 35,772 
Financial liabilities:
Senior unsecured notes$13,295,096 $13,670,516 $13,552,222 $13,249,247 
Secured debt2,468,527 2,466,269 2,183,327 2,144,059 
Foreign currency forward contracts, interest rate swaps and cross currency swaps86,801 86,801 96,023 96,023 
Redeemable DownREIT Unitholder interests$50,007 $50,007 $77,928 $77,928 
Items Measured at Fair Value on a Recurring Basis
The market approach is utilized to measure fair value for our financial assets and liabilities reported at fair value on a recurring basis. The market approach uses prices and other relevant information generated by market transactions involving identical or comparable assets or liabilities. The following summarizes items measured at fair value on a recurring basis (in thousands):
 Fair Value Measurements as of September 30, 2024
 TotalLevel 1Level 2Level 3
Equity warrants$57,037 $ $ $57,037 
Foreign currency forward contracts, interest rate swaps and cross currency swaps, net asset (liability) (1)
(71,469) (71,469) 
Totals $(14,432)$ $(71,469)$57,037 
(1) Please see Note 12 for additional information.
The following table summarizes the change in fair value for equity warrants using unobservable Level 3 inputs for the periods presented (in thousands):
Nine Months Ended
 September 30, 2024September 30, 2023
Beginning balance$35,772 $30,436 
Mark-to-market adjustment18,791 (5,003)
Foreign currency2,474 423 
Ending balance$57,037 $25,856 
The most significant assumptions utilized in the valuation of the equity warrants are the cash flows of the underlying HC-One Group enterprise, as well as the terminal capitalization rate which was 9.5% and 11.0% at September 30, 2024 and 2023, respectively.
Items Measured at Fair Value on a Nonrecurring Basis 
In addition to items that are measured at fair value on a recurring basis, we also have assets and liabilities in our balance sheet that are measured at fair value on a nonrecurring basis that are not included in the tables above. Assets, liabilities and noncontrolling interests that are measured at fair value on a nonrecurring basis include those acquired, consolidated, exchanged or assumed. Asset impairments (if applicable, see Note 5 for impairments of real property and Note 7 for impairments of loans receivable) are also measured at fair value on a nonrecurring basis. We have determined that the fair value measurements included in each of these assets and liabilities rely primarily on company-specific inputs and our assumptions about the use of the assets and settlement of liabilities, as observable inputs are not available. As such, we have determined that each of these fair value measurements generally resides within Level 3 of the fair value hierarchy. We estimate the fair value of real estate
25

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
and related intangibles using the income approach and unobservable data such as net operating income and estimated capitalization and discount rates. We also consider local and national industry market data including comparable sales, and commonly engage an external real estate appraiser to assist us in our estimation of fair value. We estimate the fair value of assets held for sale based on current sales price expectations or, in the absence of such price expectations, Level 3 inputs described above. We estimate the fair value of loans receivable using projected payoff valuations based on the expected future cash flows and/or the estimated fair value of collateral, net of sales costs, if the repayment of the loan is expected to be provided solely by the collateral. We estimate the fair value of secured debt assumed in asset acquisitions using current interest rates at which similar borrowings could be obtained on the transaction date. 
18. Segment Reporting
We invest in seniors housing and health care real estate. We evaluate our business and make resource allocations on our three operating segments: Seniors Housing Operating, Triple-net and Outpatient Medical. Our Seniors Housing Operating properties include seniors apartments, assisted living, independent living/continuing care retirement communities, independent supportive living communities (Canada), care homes with and without nursing (U.K.) and combinations thereof that are generally owned and/or operated through RIDEA structures (see Note 19). Our Triple-net properties include the property types described above as well as long-term/post-acute care facilities. Under the Triple-net segment, we invest in seniors housing and health care real estate through acquisition and financing of primarily single tenant properties. Properties acquired are primarily leased under triple-net leases and we are not involved in the management of the property. Our Outpatient Medical properties are typically leased to multiple tenants and generally require a certain level of property management by us.
We evaluate performance based upon consolidated NOI of each segment. We define NOI as total revenues, including tenant reimbursements, less property operating expenses. We believe NOI provides investors relevant and useful information as it measures the operating performance of our properties at the property level on an unleveraged basis. We use NOI to make decisions about resource allocations and to assess the property level performance of our properties.
Non-segment revenue consists mainly of interest income on cash investments recorded in other income. Non-segment assets consist of corporate assets including cash, deferred loan expenses and corporate offices and equipment among others. Non-property specific revenues and expenses are not allocated to individual segments in determining NOI.
The accounting policies of the segments are the same as those described in the summary of significant accounting policies (see Note 2 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2023). The results of operations for all acquisitions described in Note 3 are included in our consolidated results of operations from the acquisition dates and are components of the appropriate segments. All inter-segment transactions are eliminated.
26

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
Summary information for the reportable segments is as follows (in thousands): 
Three Months Ended September 30, 2024Seniors Housing OperatingTriple-netOutpatient MedicalNon-segment/CorporateTotal
Resident fees and services$1,511,524 $ $ $ $1,511,524 
Rental income 227,531 202,955  430,486 
Interest income16,328 51,866 852  69,046 
Other income2,498 1,118 2,040 38,951 44,607 
Total revenues1,530,350 280,515 205,847 38,951 2,055,663 
Property operating expenses1,135,887 9,345 62,778 4,691 1,212,701 
Consolidated net operating income (loss)394,463 271,170 143,069 34,260 842,962 
Depreciation and amortization279,693 57,583 66,503  403,779 
Interest expense8,742 90 (573)130,791 139,050 
General and administrative expenses   77,901 77,901 
Loss (gain) on derivatives and financial instruments, net (9,906)  (9,906)
Loss (gain) on extinguishment of debt, net   419 419 
Provision for loan losses, net5,543 (1,345)(5) 4,193 
Impairment of assets20,887 2,534   23,421 
Other expenses17,914 2,445 (500)380 20,239 
Income (loss) from continuing operations before income taxes and other items61,684 219,769 77,644 (175,231)183,866 
Income tax (expense) benefit   4,706 4,706 
Income (loss) from unconsolidated entities4,247 (8,680)395  (4,038)
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net63 272,334 (131) 272,266 
Income (loss) from continuing operations65,994 483,423 77,908 (170,525)456,800 
Net income (loss)$65,994 $483,423 $77,908 $(170,525)$456,800 
Total assets$28,900,249 $9,845,405 $7,553,112 $2,654,932 $48,953,698 
Three Months Ended September 30, 2023Seniors Housing OperatingTriple-netOutpatient MedicalNon-segment/CorporateTotal
Resident fees and services$1,199,808 $ $ $ $1,199,808 
Rental income 194,912 189,595  384,507 
Interest income2,194 39,928 98  42,220 
Other income1,897 1,482 2,265 29,834 35,478 
Total revenues1,203,899 236,322 191,958 29,834 1,662,013 
Property operating expenses918,990 10,044 62,204 4,035 995,273 
Consolidated net operating income (loss)284,909 226,278 129,754 25,799 666,740 
Depreciation and amortization215,195 58,196 65,923  339,314 
Interest expense14,358 374 2,313 139,487 156,532 
General and administrative expenses   46,106 46,106 
Loss (gain) on derivatives and financial instruments, net 2,885   2,885 
Loss (gain) on extinguishment of debt, net  1  1 
Provision for loan losses, net384 3,675   4,059 
Impairment of assets2,400 4,988   7,388 
Other expenses34,865 1,627 

1,117 611 38,220 
Income (loss) from continuing operations before income taxes and other items17,707 154,533 60,400 (160,405)72,235 
Income tax (expense) benefit   (4,584)(4,584)
Income (loss) from unconsolidated entities(6,021)2,056 (66) (4,031)
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net71,173 (12)(59) 71,102 
Income (loss) from continuing operations82,859 156,577 60,275 (164,989)134,722 
Net income (loss)$82,859 $156,577 $60,275 $(164,989)$134,722 
27

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
Nine Months Ended September 30, 2024Seniors Housing OperatingTriple-netOutpatient MedicalNon-segment / CorporateTotal
Resident fees and services$4,265,271 $ $ $ $4,265,271 
Rental income 590,426 593,523  1,183,949 
Interest income37,428 145,183 2,552  185,163 
Other income5,861 3,248 7,019 89,777 105,905 
Total revenues4,308,560 738,857 603,094 89,777 5,740,288 
Property operating expenses3,190,140 30,657 186,426 13,688 3,420,911 
Consolidated net operating income (loss)1,118,420 708,200 416,668 76,089 2,319,377 
Depreciation and amortization770,020 181,884 199,783  1,151,687 
Interest expense27,254 800 2,455 389,283 419,792 
General and administrative expenses   186,784 186,784 
Loss (gain) on derivatives and financial instruments, net (18,785)  (18,785)
Loss (gain) on extinguishment of debt, net1,711   419 2,130 
Provision for loan losses, net13,253 (2,874)(9) 10,370 
Impairment of assets65,996 3,150   69,146 
Other expenses64,395 12,070 440 6,149 83,054 
Income (loss) from continuing operations before income taxes and other items175,791 531,955 213,999 (506,546)415,199 
Income tax (expense) benefit   (2,586)(2,586)
Income (loss) from unconsolidated entities(2,546)(9,219)4,840  (6,925)
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net141,726 293,628 8,062  443,416 
Income (loss) from continuing operations314,971 816,364 226,901 (509,132)849,104 
Net income (loss)$314,971 $816,364 $226,901 $(509,132)$849,104 

Nine Months Ended September 30, 2023Seniors Housing OperatingTriple-netOutpatient MedicalNon-segment / CorporateTotal
Resident fees and services$3,490,942 $ $ $ $3,490,942 
Rental income 596,247 555,758  1,152,005 
Interest income6,840 110,211 284  117,335 
Other income7,237 70,057 6,939 43,705 127,938 
Total revenues3,505,019 776,515 562,981 43,705 4,888,220 
Property operating expenses2,687,961 32,365 179,266 12,106 2,911,698 
Consolidated net operating income (loss)817,058 744,150 383,715 31,599 1,976,522 
Depreciation and amortization656,030 167,958 196,383  1,020,371 
Interest expense41,981 (436)9,569 402,158 453,272 
General and administrative expenses   134,764 134,764 
Loss (gain) on derivatives and financial
instruments, net
 5,095   5,095 
Loss (gain) on extinguishment of debt, net  7  7 
Provision for loan losses, net2,178 5,116 (2) 7,292 
Impairment of assets15,029 6,074   21,103 
Other expenses60,504 4,912 2,311 4,307 72,034 
Income (loss) from continuing operations before income taxes and other items41,336 555,431 175,447 (509,630)262,584 
Income tax (expense) benefit   (11,132)(11,132)
Income (loss) from unconsolidated entities(61,055)9,858 (237) (51,434)
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net69,910 436 (665) 69,681 
Income (loss) from continuing operations50,191 565,725 174,545 (520,762)269,699 
Net income (loss)$50,191 $565,725 $174,545 $(520,762)$269,699 



28

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
Our portfolio of properties and other investments are located in the United States, the United Kingdom and Canada. Revenues and assets are attributed to the country in which the property is physically located. The following is a summary of geographic information for the periods presented (dollars in thousands): 
 Three Months EndedNine Months Ended
 September 30, 2024September 30, 2023September 30, 2024September 30, 2023
Revenues:Amount%Amount%
Amount(1)
%Amount%
United States$1,745,893 84.9 %$1,384,381 83.2 %$4,822,963 84.0 %$4,072,915 83.3 %
United Kingdom174,337 8.5 %153,765 9.3 %499,109 8.7 %455,669 9.3 %
Canada135,433 6.6 %123,867 7.5 %418,216 7.3 %359,636 7.4 %
Total$2,055,663 100.0 %$1,662,013 100.0 %$5,740,288 100.0 %$4,888,220 100.0 %
Three Months EndedNine Months Ended
September 30, 2024September 30, 2023September 30, 2024September 30, 2023
Resident Fees and Services:Amount%Amount%
Amount(1)
%Amount%
United States$1,255,020 83.0 %$967,360 80.7 %$3,501,168 82.1 %$2,806,301 80.4 %
United Kingdom125,581 8.3 %111,947 9.3 %360,254 8.4 %334,544 9.6 %
Canada130,923 8.7 %120,501 10.0 %403,849 9.5 %350,097 10.0 %
Total$1,511,524 100.0 %$1,199,808 100.0 %$4,265,271 100.0 %$3,490,942 100.0 %
 As of
 September 30, 2024December 31, 2023
Assets:Amount%Amount%
United States$40,861,259 83.4 %$36,929,186 83.9 %
United Kingdom4,930,587 10.1 %3,587,230 8.2 %
Canada3,161,852 6.5 %3,495,750 7.9 %
Total$48,953,698 100.0 %$44,012,166 100.0 %
19. Income Taxes and Distributions 
We elected to be taxed as a REIT commencing with our first taxable year. To qualify as a REIT for federal income tax purposes, at least 90% of taxable income (excluding 100% of net capital gains) must be distributed to stockholders. REITs that do not distribute a certain amount of taxable income in the current year are also subject to a 4% federal excise tax. The main differences between undistributed net income for federal income tax purposes and financial statement purposes are the recognition of straight-line rent for reporting purposes, basis differences in acquisitions, recording of impairments, differing useful lives and depreciation and amortization methods for real property and the provision for loan losses for reporting purposes versus bad debt expense for tax purposes. 
Under the provisions of the REIT Investment Diversification and Empowerment Act of 2007 ("RIDEA"), for taxable years beginning after July 30, 2008, a REIT may lease "qualified health care properties" on an arm's-length basis to a taxable REIT subsidiary ("TRS") if the property is operated on behalf of such TRS by a person who qualifies as an "eligible independent contractor." Generally, the rent received from the TRS will meet the related party rent exception and will be treated as “rents from real property.” A "qualified health care property" includes real property and any personal property that is, or is necessary or incidental to the use of, a hospital, nursing facility, assisted living facility, congregate care facility, qualified continuing care facility, or other licensed facility which extends medical or nursing or ancillary services to patients. We have entered into various joint ventures that were structured under RIDEA. Resident level rents and related operating expenses for these facilities are reported in the unaudited consolidated financial statements and are subject to federal and state income taxes as the operations of such facilities are included in TRS entities. Certain net operating loss carryforwards could be utilized to offset taxable income in future years. 
Income taxes reflected in the financial statements primarily represents U.S. federal, state and local income taxes as well as non-U.S. income based or withholding taxes on certain investments located in jurisdictions outside the U.S. The provision for income taxes for the nine months ended September 30, 2024 and 2023 was primarily due to operating income or losses, offset by certain discrete items at our TRS entities. In 2014, we established certain wholly-owned direct and indirect subsidiaries in Luxembourg and Jersey and transferred interests in certain foreign investments into this holding company structure. The structure includes a property holding company that is tax resident in the United Kingdom. No material adverse current tax consequences in Luxembourg, Jersey or the United Kingdom resulted from the creation of this holding company structure and most of the subsidiary entities in the structure are treated as disregarded entities of the company for U.S. federal income tax purposes. Subsequent to 2014, we transferred certain subsidiaries to the United Kingdom, while some wholly-owned direct and indirect subsidiaries remain in Luxembourg and Jersey. We reflect current and deferred tax liabilities for any such withholding
29

WELLTOWER INC. AND SUBSIDIARIES
 NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
taxes incurred from this holding company structure in its consolidated financial statements. Generally, given current statutes of limitations, we are subject to audit by the foreign, federal, state and local taxing authorities under applicable local laws.
The Organization for Economic Co-operation and Development has proposed a global minimum tax of 15% of reported profits ("Pillar 2") that has been agreed upon in principle by over 140 countries. During 2023, many countries incorporated Pillar 2 model rules into their laws and will continue to do so in 2024. The model rules provide a framework for applying the minimum tax and some countries have adopted Pillar 2 effective January 1, 2024; however, countries must individually enact Pillar 2 which may result in variation in the application of the model rules and timelines. We continue to evaluate the potential consequences of Pillar 2 on our longer-term financial position.
20. Variable Interest Entities 
We have entered into joint ventures and have certain subsidiaries that are either wholly owned by us or by consolidated joint ventures which own real estate investments and are deemed to be VIEs. Our VIEs primarily hold real estate assets within our Seniors Housing Operating and Triple-net portfolios, the nature and risk of which are consistent with our overall portfolio. We have concluded that we are the primary beneficiary of these VIEs based on a combination of operational control of the entities and the rights to receive residual returns or the obligation to absorb losses arising from the entities. Except for capital contributions associated with the initial entity formations, the entities have been and are expected to be funded from the ongoing operations of the underlying properties. Accordingly, such entities have been consolidated, and the table below summarizes the balance sheets of consolidated VIEs in the aggregate (in thousands):
September 30, 2024December 31, 2023
Assets:
Net real estate investments$3,881,149 $3,277,741 
Cash and cash equivalents15,986 19,529 
Receivables and other assets118,179 43,513 
Total assets (1)
$4,015,314 $3,340,783 
Liabilities and equity:
Secured debt$513,724 $76,507 
Lease liabilities2,537 2,539 
Accrued expenses and other liabilities20,555 13,850 
Total equity3,478,498 3,247,887 
Total liabilities and equity$4,015,314 $3,340,783 
(1) Note that assets of the consolidated VIEs can only be used to settle obligations relating to such VIEs. Liabilities of the consolidated VIEs represent claims against the specific assets of the VIEs and the VIE's creditors do not have recourse to Welltower.
We recognized revenues from consolidated VIEs in the aggregate of $100,951,000 and $297,866,000 for the three and nine months ended September 30, 2024, and $48,885,000 and $139,619,000 for the same periods in 2023, respectively.
In addition, we have certain entities that qualify as unconsolidated VIEs including borrowers of loans receivable and in substance real estate investments. Our maximum exposure on these entities is limited to the net carrying value of the investments. Refer to Note 7 and Note 8 for additional details.
30

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
EXECUTIVE SUMMARY
   
Company Overview
Business Strategy
Key Transactions
 Key Performance Indicators, Trends and Uncertainties
Corporate Governance
 LIQUIDITY AND CAPITAL RESOURCES
   
Sources and Uses of Cash
Off-Balance Sheet Arrangements
Contractual Obligations
Capital Structure
Supplemental Guarantor Information
   
 RESULTS OF OPERATIONS
   
Summary
Seniors Housing Operating
Triple-net
Outpatient Medical
Non-Segment/Corporate
   
 OTHER
   
 Non-GAAP Financial Measures
 Critical Accounting Policies and Estimates
 Cautionary Statement Regarding Forward-Looking Statements
31

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis should be read together with the Consolidated Financial Statements and related Notes thereto included in Item 1 of this Quarterly Report on Form 10-Q. Other important factors are identified in our Annual Report on Form 10-K for the year ended December 31, 2023, including factors identified under the headings "Business," "Risk Factors," and "Management’s Discussion and Analysis of Financial Condition and Results of Operations."
We are structured as an umbrella partnership REIT under which substantially all of our business is conducted through Welltower OP LLC, the day-to-day management of which is exclusively controlled by Welltower Inc. Welltower Inc. has no material assets or liabilities other than its investment in Welltower OP LLC. Welltower OP LLC is the borrower under, and Welltower Inc. is the guarantor of, all of the unsecured notes described in Note 11 to our unaudited consolidated financial statements.
Unless stated otherwise or the context otherwise requires, references to "Welltower" mean Welltower Inc. and references to "Welltower OP" mean Welltower OP LLC. References to "we," "us" and "our" mean collectively Welltower, Welltower OP and those entities/subsidiaries owned or controlled by Welltower and/or Welltower OP.
Executive Summary
Company Overview
Welltower Inc. (NYSE:WELL), a real estate investment trust ("REIT") and S&P 500 company headquartered in Toledo, Ohio, is driving the transformation of health care infrastructure. Welltower invests with leading seniors housing operators, post-acute providers and health systems to fund the real estate and infrastructure needed to scale innovative care delivery models and improve people’s wellness and overall health care experience. Welltower owns interests in properties concentrated in major, high-growth markets in the United States ("U.S."), Canada and the United Kingdom ("U.K."), consisting of seniors housing and post-acute communities and outpatient medical properties.
Welltower is the initial member and majority owner of Welltower OP, with an approximate ownership interest of 99.701% as of September 30, 2024. All of our property ownership, development and related business operations are conducted through Welltower OP and Welltower has no material assets or liabilities other than its investment in Welltower OP. Welltower issues equity from time to time, the net proceeds of which it is obligated to contribute as additional capital to Welltower OP. All debt including credit facilities, senior notes and secured debt is incurred by Welltower OP and its subsidiaries, and Welltower has fully and unconditionally guaranteed all existing senior unsecured notes.
The following table summarizes our consolidated portfolio for the three months ended September 30, 2024 (dollars in thousands):
  Percentage ofNumber of
Type of Property
NOI (1)
NOIProperties
Seniors Housing Operating$394,463 48.8 %1,008 
Triple-net271,170 33.5 %606 
Outpatient Medical143,069 17.7 %371 
Totals$808,702 100.0 %1,985 
(1) Represents consolidated NOI and excludes our share of investments in unconsolidated entities. Entities in which we have a joint venture with a minority partner are shown at 100% of the joint venture amount. See "Non-GAAP Financial Measures" below for additional information and reconciliation.
Business Strategy
Our primary objectives are to protect stockholder capital and enhance stockholder value. We seek to pay consistent cash dividends to stockholders and create opportunities to increase dividend payments to stockholders as a result of annual increases in NOI and portfolio growth. To meet these objectives, we invest across the full spectrum of seniors housing and health care real estate and diversify our investment portfolio by property type, relationship and geographic location.
Substantially all of our revenues are derived from operating lease rentals, resident fees and services, interest earned on outstanding loans receivable and interest earned on short-term deposits. These items represent our primary sources of liquidity to fund distributions and depend upon the continued ability of our obligors to make contractual rent and interest payments to us and the profitability of our operating properties. To the extent that our obligors/partners experience operating difficulties and become unable to generate sufficient cash to make payments or operating distributions to us, there could be a material adverse impact on our consolidated results of operations, liquidity and/or financial condition.
To mitigate this risk, we monitor our investments through a variety of methods determined by the type of property. Our asset management process for seniors housing properties generally includes review of monthly financial statements and other operating data for each property, review of obligor/partner creditworthiness, property inspections and review of covenant compliance relating to licensure, real estate taxes, letters of credit and other collateral. Our internal property management division manages and monitors the outpatient medical portfolio with a comprehensive process including review of tenant relations, lease expirations, the mix of health service providers, hospital/health system relationships, property performance,
32

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
capital improvement needs and market conditions among other things. We evaluate the operating environment in each property’s market to determine the likely trend in operating performance of the facility. When we identify unacceptable trends, we seek to mitigate, eliminate or transfer the risk. Through these efforts, we generally aim to intervene at an early stage to address any negative trends, and in so doing, support both the collectability of revenue and the value of our investment.
In addition to our asset management and research efforts, we aim to structure our relevant investments to mitigate payment risk. Operating leases and loans are normally credit enhanced by guarantees and/or letters of credit. Also, operating leases are typically structured as master leases and loans are generally cross-defaulted and cross-collateralized with other real estate loans, operating leases or agreements between us and the obligor and its affiliates.
For the nine months ended September 30, 2024, resident fees and services and rental income represented 74% and 21%, respectively, of total revenues. Substantially all of our operating leases are designed with escalating rent structures. Leases with fixed annual rental escalators are generally recognized on a straight-line basis over the initial lease period, subject to a collectability assessment. Rental income related to leases with contingent rental escalators is generally recorded based on the contractual cash rental payments due for the period. Our yield on loans receivable depends upon a number of factors, including the stated interest rate, the average principal amount outstanding during the term of the loan and any interest rate adjustments.
Our primary sources of cash include resident fees and services, rent and interest receipts, interest earned on short-term deposits, borrowings under our unsecured revolving credit facility and commercial paper program, public issuances of debt and equity securities, proceeds from investment dispositions and principal payments on loans receivable. Our primary uses of cash include dividend distributions, debt service payments (including principal and interest), real property investments (including acquisitions, capital expenditures, construction advances and transaction costs), loan advances, property operating expenses, general and administrative expenses and other expenses. Depending upon the availability and cost of external capital, we believe our liquidity is sufficient to fund these uses of cash.
We also continuously evaluate opportunities to finance future investments. New investments are generally funded from temporary borrowings under our unsecured revolving credit facility and commercial paper program, internally generated cash and the proceeds from investment dispositions. Our investments generate cash from NOI and principal payments on loans receivable. Permanent financing for future investments, which replaces funds drawn under our unsecured revolving credit facility and commercial paper program, has historically been provided through a combination of the issuance of public debt and equity securities and the incurrence or assumption of secured debt. Given the general economic conditions during 2023 and into 2024, investments were generally funded proactively via issuances of common stock.
Depending upon market conditions, we believe that new investments will be available in the future with spreads over our cost of capital that will generate appropriate returns to our stockholders. It is also likely that investment dispositions may occur in the future. To the extent that investment dispositions exceed new investments, our revenues and cash flows from operations could be adversely affected. We expect to reinvest the proceeds from any investment dispositions in new investments. To the extent that new investment requirements exceed our available cash on-hand, we expect to borrow under our unsecured revolving credit facility and commercial paper program. At September 30, 2024, we had $3,564,942,000 of cash and cash equivalents, $219,466,000 of restricted cash and $5,000,000,000 of available borrowing capacity under our unsecured revolving credit facility.
Key Transactions
Capital The following summarizes key capital transactions that occurred during the nine months ended September 30, 2024:
In April 2024, we entered into the ATM Program (as defined below) pursuant to which we may offer and sell up to $3,500,000,000 of common stock of Welltower from time to time. Our prior equity distribution agreement dated February 15, 2024, allowing us to sell up to $3,500,000,000 aggregate amount of our common stock, was terminated. During the nine months ended September 30, 2024, we sold 53,547,363 shares of common stock under our current and previous ATM Programs generating gross proceeds of approximately $5,288,418,000.
In January 2024, we repaid our $400,000,000 4.5% senior unsecured notes at maturity. In March 2024, we repaid our $950,000,000 3.625% senior unsecured notes at maturity.
In July 2024, we closed on an expanded $5,000,000,000 unsecured revolving credit facility, which replaced our $4,000,000,000 existing line of credit. The new facility is comprised of a $3,000,000,000 revolving line of credit maturing in June 2028 that can be extended for an additional year and a $2,000,000,000 revolving line of credit maturing in June 2029. The revolving lines of credit will bear interest at a borrowing rate of 0.725% over the adjusted SOFR rate and includes an annual facility fee of 0.125%.
In July 2024, Welltower OP issued $1,035,000,000 aggregate principal amount of 3.125% exchangeable senior unsecured notes maturing July 15, 2029 (the "2029 Exchangeable Notes") unless earlier exchanged, purchased or redeemed. The 2029 Exchangeable Notes will pay interest semi-annually in arrears on January 15 and July 15 of each year.
In August 2024, we increased the size of the commercial paper program to $2,000,000,000.
33

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
During the nine months ended September 30, 2024, we extinguished $323,805,000 of secured debt at a blended average interest rate of 6.69% and disposed $164,640,000 of secured debt at a blended average interest rate of 4.64%.
During the three months ended September 30, 2024, we assumed $896,705,000 of secured debt at a blended average interest rate of 4.01%.
Investments The following summarizes our property acquisitions and joint venture investments completed during the nine months ended September 30, 2024 (dollars in thousands): 
 Properties
Book Amount (1)
Capitalization Rates (2)
Seniors Housing Operating53$1,790,137 5.6 %
Triple-net46 1,014,685 11.9 %
Outpatient Medical46,834 7.7 %
Totals100 $2,851,656 5.8 %
(1) Represents amounts recorded in net real estate investments including fair value adjustments pursuant to U.S. GAAP. See Note 3 to our unaudited consolidated financial statements for additional information.
(2) Represents annualized contractual or projected NOI to be received in cash divided by investment amounts.
Dispositions The following summarizes property dispositions completed during the nine months ended September 30, 2024 (dollars in thousands): 
 Properties
Proceeds (1)
Book Amount (2)
Capitalization Rates (3)
Seniors Housing Operating(4)
27$508,774 $366,255 4.4 %
Triple-net(5)
121,509 170 — %
Outpatient Medical(4)
349,817 42,761 6.8 %
Totals31 $580,100 $409,186 4.5 %
(1) Represents net proceeds received upon disposition, excluding non-cash consideration.
(2) Represents carrying value of net real estate assets at time of disposition. See Note 5 to our unaudited consolidated financial statements for additional information.
(3) Represents annualized contractual income that was being received in cash at date of disposition divided by stated purchase price.
(4) Includes the disposition of unconsolidated equity method investments that owned six Seniors Housing Operating properties and one Outpatient Medical property.
(5) Excludes $376,695,000 of net real property derecognized related to 15 properties upon the reclassification of two leases from operating to sales-type (see Note 6 for additional details).
Strategic Dissolution of Revera Joint Ventures
During the second quarter of 2023, we entered into definitive agreements to dissolve our existing Revera joint venture relationships across the U.S., U.K. and Canada. The transactions included acquiring the remaining interests in 110 properties from Revera while simultaneously selling interests in 31 properties to Revera. See Note 5 to our unaudited consolidated financial statements for additional information regarding the transactions.
Dividends Our Board of Directors declared a cash dividend for the quarter ended September 30, 2024 of $0.67 per share. On November 21, 2024, we will pay our 214th consecutive quarterly cash dividend to stockholders of record on November 13, 2024.
Key Performance Indicators, Trends and Uncertainties
We utilize several key performance indicators to evaluate the various aspects of our business. These indicators are discussed below and relate to operating performance, credit strength and concentration risk. Management uses these key performance indicators to facilitate internal and external comparisons to our historical operating results, in making operating decisions and for budget planning purposes.
Operating Performance We believe that net income and net income attributable to common stockholders ("NICS") per the Consolidated Statements of Comprehensive Income are the most appropriate earnings measures. Other useful supplemental measures of our operating performance include funds from operations attributable to common stockholders ("FFO") and consolidated net operating income ("NOI"); however, these supplemental measures are not defined by U.S. GAAP. Please refer to the section entitled "Non-GAAP Financial Measures" for further discussion and reconciliations. These earnings measures are widely used by investors and analysts in the valuation, comparison and investment recommendations of companies.
34

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
The following table reflects the recent historical trends of our operating performance measures for the periods presented (in thousands):
 Three Months Ended
 September 30,June 30,March 31,December 31,September 30,June 30,March 31,
 2024202420242023202320232023
Net income (loss)$456,800 $260,670 $131,634 $88,440 $134,722 $106,342 $28,635 
NICS449,849 254,714 127,146 83,911 127,470 103,040 25,673 
FFO635,817 493,773 556,703 491,859 419,124 466,182 386,062 
NOI842,962 713,587 762,828 713,697 666,740 706,806 602,976 
Credit Strength We measure our credit strength both in terms of leverage ratios and coverage ratios. The leverage ratios indicate how much of our balance sheet capitalization is related to long-term debt, net of cash and restricted cash. The coverage ratios indicate our ability to service interest and fixed charges (interest and secured debt principal amortization). We expect to maintain capitalization ratios and coverage ratios sufficient to maintain a capital structure consistent with our current profile. The coverage ratios are based on earnings before interest, taxes, depreciation and amortization ("EBITDA") and adjusted earnings before interest, taxes, depreciation and amortization ("Adjusted EBITDA"). Please refer to the section entitled "Non-GAAP Financial Measures" for further discussion and reconciliation of these measures. Leverage ratios and coverage ratios are widely used by investors, analysts and rating agencies in the valuation, comparison, investment recommendations and rating of companies. The following table reflects the recent historical trends for our credit strength measures for the periods presented: 
 Three Months Ended
 September 30,June 30,March 31,December 31,September 30,June 30,March 31,
 2024202420242023202320232023
Net debt to book capitalization ratio28%27%29%34%36%38%40%
Net debt to undepreciated book capitalization ratio23%22%24%28%29%31%32%
Net debt to enterprise value ratio13%15%17%21%23%25%28%
Interest coverage ratio6.83x5.59x4.29x3.79x3.88x3.81x3.44x
Fixed charge coverage ratio6.37x5.21x3.98x3.52x3.60x3.51x3.13x
Concentration Risk We evaluate our concentration risk in terms of NOI by property mix, relationship mix and geographic mix. Concentration risk is a valuable measure in understanding what portion of our NOI could be at risk if certain sectors were to experience downturns. Property mix measures the portion of our NOI that relates to our various property types. Relationship mix measures the portion of our NOI that relates to our current top five relationships. Geographic mix measures the portion of our NOI that relates to our current top five states (or countries outside the United States).

35

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
The following table reflects our recent historical trends of concentration risk by NOI for the periods indicated below: 
 Three Months Ended
September 30,June 30,March 31,December 31,September 30,June 30,March 31,
 2024202420242023202320232023
Property mix:(1)
     
Seniors Housing Operating49%54%47%43%45%40%42%
Triple-net34%26%35%37%35%42%37%
Outpatient Medical17%20%18%20%20%18%21%
Relationship mix: (1)
  
Cogir Management Corporation7%8%8%6%4%3%4%
Integra Healthcare Properties6%8%7%8%8%8%9%
Sunrise Senior Living5%6%5%5%5%7%6%
Avery Healthcare4%5%5%5%4%3%3%
Oakmont Management Group4%5%4%4%4%3%3%
Remaining relationships74%68%71%72%75%76%75%
Geographic mix:(1)
  
California11%13%11%11%11%11%13%
United Kingdom10%10%10%9%9%8%10%
Texas8%9%8%8%8%7%8%
Florida8%9%8%8%5%4%5%
Canada6%7%7%7%6%5%6%
Remaining geographic areas57%52%56%57%61%65%58%
(1) Excludes our share of investments in unconsolidated entities and non-segment/corporate NOI. Entities in which we have a joint venture with a minority partner are shown at 100% of the joint venture amount.
Operating Lease Expirations The following table sets forth information regarding operating lease expirations for certain portions of our portfolio as of September 30, 2024 (dollars in thousands):
 
Expiration Year (1)
 2024202520262027202820292030203120322033Thereafter
Triple-net:          
Properties— 16 10 19 155 42 322 
Base rent (2)
$— $8,016 $12,630 $1,259 $6,566 $1,083 $41,397 $11,074 $102,681 $59,482 $431,884 
% of base rent— %1.2 %1.9 %0.2 %1.0 %0.2 %6.1 %1.6 %15.2 %8.8 %63.8 %
Units/beds— 521 1,557 80 616 219 2,043 423 9,226 3,267 37,667 
% of units/beds— %0.9 %2.8 %0.1 %1.1 %0.4 %3.7 %0.8 %16.6 %5.9 %67.7 %
Outpatient Medical:          
Square feet991,1351,132,0451,368,0751,528,2721,535,9251,520,8771,355,7601,600,9651,694,0501,187,1865,767,000
Base rent (2)
$29,047$35,608$38,819$46,527$43,641$45,077$40,585$46,429$51,192$31,598$167,961
% of base rent5.0 %6.2 %6.7 %8.1 %7.6 %7.8 %7.0 %8.1 %8.9 %5.5 %29.1 %
Leases188 256 237 262 266 205 125 104 172 101 280 
% of leases8.6 %11.7 %10.8 %11.9 %12.1 %9.3 %5.7 %4.7 %7.8 %4.6 %12.8 %
(1) Excludes our share of investments in unconsolidated entities, developments, land parcels, loans receivable and sub-leases. Investments classified as held for sale are included in the current year.
(2) The most recent monthly cash base rent annualized. Base rent does not include tenant recoveries or amortization of above and below market lease intangibles or other non-cash income.
We evaluate our key performance indicators in conjunction with current expectations to determine if historical trends are indicative of future results. Our expected results may not be achieved, and actual results may differ materially from our expectations. Factors that may cause actual results to differ from expected results are described in more detail in "Cautionary Statement Regarding Forward-Looking Statements" and other sections of this Quarterly Report on Form 10-Q. Management regularly monitors economic and other factors to develop strategic and tactical plans designed to improve performance and maximize our competitive position. Our ability to achieve our financial objectives is dependent upon our ability to effectively execute these plans and to appropriately respond to emerging economic and company-specific trends. Please refer to our Annual Report on Form 10-K for the year ended December 31, 2023, under the headings "Business," "Risk Factors" and "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
Corporate Governance
Maintaining investor confidence and trust is important in today's business environment. Our Board of Directors and management are strongly committed to policies and procedures that reflect the highest level of ethical business practices. Our corporate governance guidelines provide the framework for our business operations and emphasize our commitment to increase stockholder value while meeting all applicable legal requirements. These guidelines meet the listing standards adopted by the New York Stock Exchange and are available on the Internet at www.welltower.com/investors/governance. The information on our website is not incorporated by reference in this Quarterly Report on Form 10-Q, and our web address is included as an inactive textual reference only.
Liquidity and Capital Resources
Sources and Uses of Cash
Our primary sources of cash include resident fees and services, rent and interest receipts, interest earned on short-term deposits, borrowings under our unsecured revolving credit facility and commercial paper program, public issuances of debt and equity securities, proceeds from investment dispositions and principal payments on loans receivable. Our primary uses of cash include dividend distributions, debt service payments (including principal and interest), real property investments (including acquisitions, capital expenditures, construction advances and transaction costs), loan advances, property operating expenses, general and administrative expenses and other expenses. Depending upon the availability and cost of external capital, we believe our liquidity is sufficient to fund these uses of cash. These sources and uses of cash are reflected in our Consolidated Statements of Cash Flows and are discussed in further detail below. 
The following is a summary of our sources and uses of cash flows for the periods presented (dollars in thousands):
 Nine Months EndedChange
September 30, 2024September 30, 2023$%
Cash, cash equivalents and restricted cash at beginning of period$2,076,083 $722,292 $1,353,791 187 %
Cash provided from (used in) operating activities1,697,209 1,231,359 465,850 38 %
Cash provided from (used in) investing activities(3,309,218)(2,563,554)(745,664)(29)%
Cash provided from (used in) financing activities3,315,287 3,311,103 4,184 — %
Effect of foreign currency translation5,047 (14,489)19,536 135 %
Cash, cash equivalents and restricted cash at end of period$3,784,408 $2,686,711 $1,097,697 41 %
Operating Activities Please see "Results of Operations" for discussion of net income fluctuations. For the nine months ended September 30, 2024 and 2023, cash flows provided from operations exceeded cash distributions to stockholders. 
Investing Activities The changes in net cash provided from/used in investing activities are primarily attributable to net changes in real property investments and dispositions, loans receivable and investments in unconsolidated entities, which are summarized above in "Key Transactions." Please refer to Notes 3 and 5 of our unaudited consolidated financial statements for additional information. The following is a summary of cash used in non-acquisition capital improvement activities for the periods presented (dollars in thousands): 
 Nine Months EndedChange
 September 30, 2024September 30, 2023$%
New development$632,511 $730,712 $(98,201)-13 %
Recurring capital expenditures, tenant improvements and lease commissions199,861 127,633 72,228 57 %
Renovations, redevelopments and other capital improvements338,891 206,457 132,434 64 %
Total$1,171,263 $1,064,802 $106,461 10 %
The change in new development is primarily due to the number and size of construction projects on-going during the relevant periods. Renovations, redevelopments and other capital improvements include expenditures to maximize property value, increase net operating income, maintain a market-competitive position and/or achieve property stabilization. The increase in renovations, redevelopments and other capital improvements is due primarily to portfolio growth. 
Financing Activities The changes in net cash provided from/used in financing activities are primarily attributable to changes related to our long-term debt arrangements, the issuances of common stock and dividend payments which are summarized above in "Key Transactions." Please refer to Notes 10, 11 and 14 to our unaudited consolidated financial statements for additional information.
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Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
In May 2023, we issued $1,035,000,000 aggregate principal amount of 2.75% exchangeable senior unsecured notes maturing May 15, 2028. In January 2024, we repaid our $400,000,000 4.5% senior unsecured notes at maturity. In March 2024, we repaid our $950,000,000 3.625% senior unsecured notes at maturity.
In July 2024, we issued $1,035,000,000 aggregate principal amount of 3.125% exchangeable senior unsecured notes maturing July 15, 2029.
Also in July 2024, we closed on an expanded $5,000,000,000 unsecured revolving credit facility, which replaced our $4,000,000,000 existing line of credit. The new facility is comprised of a $3,000,000,000 revolving line of credit maturing in June 2028 that can be extended for an additional year and a $2,000,000,000 revolving line of credit maturing in June 2029. The revolving lines of credit will bear interest at a borrowing rate of 0.725% over the adjusted SOFR rate and includes an annual facility fee of 0.125%.
Off-Balance Sheet Arrangements 
At September 30, 2024, we had investments in unconsolidated entities with our ownership generally ranging from 10% to 95%. We use financial derivative instruments to hedge interest rate and foreign currency exchange rate exposure. At September 30, 2024, we had 20 outstanding letter of credit obligations. Please see Notes 8, 12 and 13 to our unaudited consolidated financial statements for additional information.
Contractual Obligations
The following table summarizes our payment requirements under contractual obligations as of September 30, 2024 (in thousands):
 Payments Due by Period
Contractual ObligationsTotal20242025-20262027-2028Thereafter
Senior unsecured notes and term credit facilities: (1)
U.S. Dollar senior unsecured notes$10,620,000 $— $1,950,000 $2,285,000 $6,385,000 
Canadian Dollar senior unsecured notes (2)
221,970 — — 221,970 — 
Pounds Sterling senior unsecured notes (2)
1,406,790 — — 736,890 669,900 
U.S. Dollar term credit facility1,010,000 — 10,000 1,000,000 — 
Canadian Dollar term credit facility (2)
184,975 — — 184,975 — 
Secured debt: (1,2)
Consolidated2,581,878 96,016 510,785 606,507 1,368,570 
Unconsolidated870,888 98,880 545,788 100,788 125,432 
Contractual interest obligations: (3)
Senior unsecured notes and term loans (2)
3,328,995 174,199 948,908 719,559 1,486,329 
Consolidated secured debt (2)
636,414 27,860 186,563 134,767 287,224 
Unconsolidated secured debt (2)
51,502 7,748 25,668 10,225 7,861 
Financing lease liabilities (4)
427,281 1,087 9,405 9,299 407,490 
Operating lease liabilities (4)
945,715 5,131 34,006 32,963 873,615 
Purchase obligations (5)
868,203 295,683 558,390 401 13,729 
Total contractual obligations$23,154,611 $706,604 $4,779,513 $6,043,344 $11,625,150 
(1) Amounts represent principal amounts due and do not reflect unamortized premiums/discounts or other fair value adjustments as reflected on the balance sheet.
(2) Based on foreign currency exchange rates in effect as of the balance sheet date.
(3) Based on variable interest rates in effect as of the balance sheet date.
(4) See Note 6 to our unaudited consolidated financial statements for additional information.
(5) See Note 13 to our unaudited consolidated financial statements for additional information. Excludes amounts related to asset acquisitions under contract that have not yet closed as of September 30, 2024, including the acquisitions described in Note 3.
Capital Structure
Please refer to "Credit Strength" above for a discussion of our leverage and coverage ratio trends. Our debt agreements contain various covenants, restrictions and events of default. Certain agreements require us to maintain financial ratios and minimum net worth and impose certain limits on our ability to incur indebtedness, create liens and make investments or acquisitions. As of September 30, 2024, we were in compliance in all material respects with the covenants under our debt agreements. None of our debt agreements contain provisions for acceleration which could be triggered by our debt ratings.
38

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
However, under our primary unsecured credit facility, the ratings on our senior unsecured notes are used to determine the fees and interest charged. We plan to manage the company to maintain compliance with our debt covenants and with a capital structure consistent with our current profile. Any downgrades in terms of ratings or outlook by any or all of the rating agencies could have a material adverse impact on our cost and availability of capital, which could have a material adverse impact on our consolidated results of operations, liquidity and/or financial condition.
On April 1, 2022, Welltower and Welltower OP jointly filed with the Securities and Exchange Commission (the "SEC") an open-ended automatic or “universal” shelf registration statement on Form S-3 (the "Shelf Form S-3") covering an indeterminate amount of future offerings of Welltower's debt securities, common stock, preferred stock, depositary shares, guarantees of debt securities issued by Welltower OP, warrants and units and Welltower OP’s debt securities and guarantees of debt securities issued by Welltower. On April 1, 2022, Welltower also filed with the SEC a registration statement in connection with its enhanced dividend reinvestment plan ("DRIP") under which it may issue up to 15,000,000 shares of common stock. On May 3, 2023, Welltower and Welltower OP filed post-effective amendment no. 1 to the Shelf Form S-3 pursuant to which Welltower OP expressly adopted the Shelf Form S-3 as its own registration statement following its statutory conversion from a corporation to a limited liability company. As of October 25, 2024, 15,000,000 shares of common stock remained available for issuance under the DRIP registration statement.
On April 30, 2024, Welltower and Welltower OP entered into an equity distribution agreement (the "EDA") with (i) Barclays Capital Inc., BMO Capital Markets Corp., BNP Paribas Securities Corp., BNY Mellon Capital Markets, LLC, BofA Securities, Inc., BOK Financial Securities, Inc., Capital One Securities, Inc., Citigroup Global Markets Inc., Citizens JMP Securities, LLC, Credit Agricole Securities (USA) Inc., Deutsche Bank Securities Inc., Fifth Third Securities, Inc., Goldman Sachs & Co. LLC, Jefferies LLC, J.P. Morgan Securities LLC, KeyBanc Capital Markets Inc., Loop Capital Markets LLC, Mizuho Securities USA LLC, Morgan Stanley & Co. LLC, MUFG Securities Americas Inc., RBC Capital Markets, LLC, Regions Securities LLC, Robert W. Baird & Co. Incorporated, Scotia Capital (USA) Inc., Synovus Securities, Inc., TD Securities (USA) LLC, Truist Securities, Inc. and Wells Fargo Securities, LLC as sales agents and forward sellers and (ii) the forward purchasers named therein relating to issuances, offers and sales from time to time of up to $3,500,000,000 aggregate amount of common stock of Welltower (together with the existing master forward sale confirmations relating thereto, the "ATM Program"). The ATM Program also allows Welltower to enter into forward sale agreements. As of October 25, 2024, we had approximately $696,822,000 of remaining capacity under the ATM Program and there were no outstanding forward sales agreements. Depending upon market conditions, we anticipate issuing securities under our registration statements to invest in additional properties and to repay borrowings under our unsecured revolving credit facility and commercial paper program.
In connection with the filing of the Shelf Form S-3, Welltower also filed with the SEC a prospectus supplement that will continue an offering that was previously covered by a prior registration statement relating to the registration of up to 475,327 shares of common stock of Welltower Inc. (the "DownREIT II Shares") that may be issued from time to time if, and to the extent that, certain holders of Class A units (the "DownREIT II Units") of HCN G&L DownREIT II LLC, a Delaware limited liability company (the "DownREIT II"), tender such DownREIT II Units for redemption by the DownREIT II, and HCN DownREIT Member, LLC, a majority-owned indirect subsidiary of Welltower (including its permitted successors and assigns, the "Managing Member"), or a designated affiliate of the Managing Member, elects to assume the redemption obligations of the DownREIT II and to satisfy all or a portion of the redemption consideration by issuing DownREIT II Shares to the holders instead of or in addition to paying a cash amount. On July 22, 2022, Welltower filed with the SEC a prospectus supplement relating to the registration of up to 300,026 shares of common stock of Welltower Inc. that may be issued from time to time if, and to the extent that, certain holders of Class A Common Units (the "OP Units") of Welltower OP tender the OP Units for redemption by Welltower OP, and Welltower Inc. elects to assume the redemption obligations of Welltower OP and to satisfy all or a portion of the redemption consideration by issuing shares of its common stock to the holders instead of or in addition to paying a cash amount. On October 8, 2024, Welltower filed with the SEC a prospectus supplement relating to the registration of up to 23,471,419 shares of common stock of Welltower Inc. (the "Exchanged Shares") that may, under certain circumstances, be issuable upon exchange of 2.750% exchangeable senior notes due 2028 or 3.125% Exchangeable Senior Notes due 2029 of Welltower OP and the resale from time to time by the recipients of the Exchanged Shares.
Supplemental Guarantor Information
Welltower OP has issued the unsecured notes described in Note 11 to our unaudited consolidated financial statements. All unsecured notes are fully and unconditionally guaranteed by Welltower, and Welltower OP is 99.701% owned by Welltower as of September 30, 2024. Effective January 4, 2021, the SEC adopted amendments to the financial disclosure requirements applicable to registered debt offerings that include certain credit enhancements. We have adopted these new rules, which permits subsidiary issuers of obligations guaranteed by the parent to omit separate financial statements if the consolidated financial statements of the parent company have been filed, the subsidiary obligor is a consolidated subsidiary of the parent company, the guaranteed security is debt or debt-like, and the security is guaranteed fully and unconditionally by the parent. Accordingly, separate consolidated financial statements of Welltower OP have not been presented. Furthermore, Welltower and Welltower OP have no material assets, liabilities, or operations other than financing activities and their investments in non-
39

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
guarantor subsidiaries. Therefore, we meet the criteria in Rule 13-01 of Regulation S-X to omit the summarized financial information from our disclosures.
Results of Operations
Summary
Our primary sources of revenue include resident fees and services, rent, interest income and interest earned on short-term deposits. Our primary expenses include property operating expenses, depreciation and amortization, interest expense, general and administrative expenses and other expenses. We evaluate our business and make resource allocations on our three business segments: Seniors Housing Operating, Triple-net and Outpatient Medical. The primary performance measures for our properties are NOI and same store NOI ("SSNOI") and other supplemental measures include FFO and Adjusted EBITDA, which are further discussed below. Please see Non-GAAP Financial Measures for additional information and reconciliations related to these supplemental measures. 
 Three Months EndedChangeNine Months EndedChange
 September 30,  September 30,
 20242023Amount%20242023Amount%
Net income (loss)$456,800 $134,722 $322,078 239 %$849,104 $269,699 $579,405 215 %
NICS449,849 127,470 322,379 253 %831,709 256,183 575,526 225 %
FFO635,817 419,124 216,693 52 %1,686,293 1,271,368 414,925 33 %
EBITDA994,923 635,152 359,771 57 %2,423,169 1,754,474 668,695 38 %
NOI842,962 666,740 176,222 26 %2,319,377 1,976,522 342,855 17 %
SSNOI539,909 482,198 57,711 12 %1,472,719 1,330,919 141,800 11 %
Per share data (fully diluted):    
NICS$0.73 $0.24 $0.49 204 %$1.39 $0.50 $0.89 178 %
FFO$1.03 $0.80 $0.23 29 %$2.81 $2.51 $0.30 12 %
Interest coverage ratio6.83 x3.88 x2.95 x76 %5.55 x3.72 x1.83 x49 %
Fixed charge coverage ratio6.37 x3.60 x2.77 x77 %5.17 x3.42 x1.75 x51 %
40

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
Seniors Housing Operating
The following is a summary of our results of operations for the Seniors Housing Operating segment (dollars in thousands):
 Three Months EndedChangeNine Months EndedChange
 September 30,  September 30,
 20242023$%20242023$%
Revenues:    
Resident fees and services$1,511,524 $1,199,808 $311,716 26 %$4,265,271 $3,490,942 $774,329 22 %
Interest income16,328 2,194 14,134 644 %37,428 6,840 30,588 447 %
Other income2,498 1,897 601 32 %5,861 7,237 (1,376)(19)%
Total revenues1,530,350 1,203,899 326,451 27 %4,308,560 3,505,019 803,541 23 %
Property operating expenses1,135,887 918,990 216,897 24 %3,190,140 2,687,961 502,179 19 %
NOI (1)
394,463 284,909 109,554 38 %1,118,420 817,058 301,362 37 %
Other expenses:  
Depreciation and amortization279,693 215,195 64,498 30 %770,020 656,030 113,990 17 %
Interest expense8,742 14,358 (5,616)(39)%27,254 41,981 (14,727)(35)%
Loss (gain) on extinguishment of debt, net— — — n/a1,711 — 1,711 n/a
Provision for loan losses, net5,543 384 5,159 n/a13,253 2,178 11,075 508 %
Impairment of assets20,887 2,400 18,487 770 %65,996 15,029 50,967 339 %
Other expenses17,914 34,865 (16,951)(49)%64,395 60,504 3,891 %
332,779 267,202 65,577 25 %942,629 775,722 166,907 22 %
Income (loss) from continuing operations before income taxes and other items61,684 17,707 43,977 248 %175,791 41,336 134,455 325 %
Income (loss) from unconsolidated entities4,247 (6,021)10,268 171 %(2,546)(61,055)58,509 96 %
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net63 71,173 (71,110)(100)%141,726 69,910 71,816 103 %
Income (loss) from continuing operations65,994 82,859 (16,865)(20)%314,971 50,191 264,780 528 %
Net income (loss)65,994 82,859 (16,865)(20)%314,971 50,191 264,780 528 %
Less: Net income (loss) attributable to noncontrolling interests(465)1,208 (1,673)(138)%(1,909)(4,981)3,072 62 %
Net income (loss) attributable to common stockholders$66,459 $81,651 $(15,192)(19)%$316,880 $55,172 $261,708 474 %
(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 nine month periods ended September 30, 2024 compared to the same periods in the prior year primarily due to acquisitions and construction conversions outpacing dispositions during 2023 and year to date 2024, as well as the conversion of Triple-net properties to Seniors Housing Operating RIDEA structures in the second and third quarters of 2024. Additionally, our Seniors Housing Operating revenues are dependent on occupancy and rate growth, both of which have continued to steadily increase from prior year. Average occupancy is as follows:
Three Months Ended(1)
 March 31,June 30,September 30,December 31,
202379.0 %79.6 %80.7 %82.2 %
202482.5 %82.8 %83.8 %
    
(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.
Interest income increased for the three and nine month periods ended September 30, 2024 compared to the same periods in the prior year primarily due to an increase in third party real estate loans in connection with the various transactions that occurred during 2023 and year to date 2024. The provisions for loan losses will fluctuate based on our third party loan activity.
The following is a summary of our SSNOI at Welltower's share for the Seniors Housing Operating segment (dollars in thousands):
QTD PoolYTD Pool
 Three Months EndedChangeNine Months EndedChange
September 30,September 30,
 20242023$%20242023$%
SSNOI (1)
$277,912 $229,596 $48,316 21.0 %$720,750 $604,928 $115,822 19.1 %
(1) For the QTD Pool and YTD Pool, amounts relate to 620 and 547 same store properties, respectively. Please see "Non-GAAP Financial Measures" below for additional information and reconciliations.
41

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
Depreciation and amortization expense fluctuates as a result of acquisitions, dispositions and 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 nine months ended September 30, 2024, we recorded $65,996,000 of impairment charges related to fourteen properties. During the nine months ended September 30, 2023, we recorded impairment charges of $15,029,000 related to six properties.
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. In April 2024, we reached an agreement to transition 89 Atria Senior Living properties to six of our existing operating partners. In conjunction with the termination of the property management agreements, we recognized $26 million within other expenses on our Consolidated Statements of Comprehensive Income during the second quarter in excess of amounts already accrued. As of September 30, 2024, we have transitioned operations for all 89 properties.
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.
During the nine months ended September 30, 2024, we completed construction conversions representing $462,246,000 or $379,824 per unit. The following is a summary of our consolidated Seniors Housing Operating construction projects in process, excluding expansions (dollars in thousands):
As of September 30, 2024
Expected Conversion Year(1)
PropertiesUnits/BedsAnticipated Remaining FundingConstruction in Progress Balance
202461,171 $44,253 $366,086 
2025122,251 214,528 484,445 
20261,102 224,945 71,929 
TBD(2)
567,332 
Total29$989,792 
(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 (dollars in thousands):
 Three Months EndedNine Months Ended
 September 30,September 30,
2024202320242023
Beginning balance$1,550,164 $2,094,793 $1,955,048 $1,701,939 
Debt transferred27,084 — 27,084 — 
Debt issued836 7,907 3,708 381,369 
Debt assumed364,130 270,352 364,130 297,282 
Debt extinguished— (284,748)(196,939)(288,063)
Debt disposed(1)
— — (164,640)— 
Principal payments(9,597)(11,288)(29,580)(36,292)
Foreign currency6,070 (20,969)(20,124)(188)
Ending balance$1,938,687 $2,056,047 $1,938,687 $2,056,047 
Ending weighted average interest4.44 %4.83 %4.44 %4.83 %
(1) Please see Note 5 for additional information.
The majority of our Seniors Housing Operating properties 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. Income (loss) from unconsolidated entities during the nine months ended September 30, 2023 includes an impairment charge of $28,708,000 related to an unconsolidated management company. Net income attributable to noncontrolling interests represents our partners’ share of net income (loss) related to joint ventures.
42

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 (dollars in thousands):
 Three Months EndedChangeNine Months EndedChange
 September 30,  September 30,
 20242023$%20242023$%
Revenues:    
Rental income$227,531 $194,912 $32,619 17 %$590,426 $596,247 $(5,821)(1)%
Interest income51,866 39,928 11,938 30 %145,183 110,211 34,972 32 %
Other income1,118 1,482 (364)(25)%3,248 70,057 (66,809)(95)%
Total revenues280,515 236,322 44,193 19 %738,857 776,515 (37,658)(5)%
Property operating expenses9,345 10,044 (699)(7)%30,657 32,365 (1,708)(5)%
NOI (1)
271,170 226,278 44,892 20 %708,200 744,150 (35,950)(5)%
Other expenses:    
Depreciation and amortization57,583 58,196 (613)(1)%181,884 167,958 13,926 %
Interest expense90 374 (284)(76)%800 (436)1,236 283 %
Loss (gain) on derivatives and financial instruments, net(9,906)2,885 (12,791)(443)%(18,785)5,095 (23,880)(469)%
Provision for loan losses, net(1,345)3,675 (5,020)(137)%(2,874)5,116 (7,990)(156)%
Impairment of assets2,534 4,988 (2,454)(49)%3,150 6,074 (2,924)(48)%
Other expenses2,445 1,627 818 50 %12,070 4,912 7,158 146 %
51,401 71,745 (20,344)(28)%176,245 188,719 (12,474)(7)%
Income (loss) from continuing operations before income taxes and other items219,769 154,533 65,236 42 %531,955 555,431 (23,476)(4)%
Income (loss) from unconsolidated entities(8,680)2,056 (10,736)(522)%(9,219)9,858 (19,077)(194)%
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net272,334 (12)272,346 n/a293,628 436 293,192 n/a
Income (loss) from continuing operations483,423 156,577 326,846 209 %816,364 565,725 250,639 44 %
Net income (loss)483,423 156,577 326,846 209 %816,364 565,725 250,639 44 %
Less: Net income (loss) attributable to noncontrolling interests5,523 5,686 (163)(3)%16,494 17,776 (1,282)(7)%
Net income attributable to common stockholders$477,900 $150,891 $327,009 217 %$799,870 $547,949 $251,921 46 %
(1) See "Non-GAAP Financial Measures" below for additional information and reconciliations.
The increase in rental income for the three months ended September 30, 2024 was primarily due to acquisitions, partially offset by the transition of Triple-net properties to Seniors Housing Operating structures during the second and third quarter of 2024, as well as annual rent increases.
The decrease in rental income for the nine months ended September 30, 2024 was primarily due to the write-off of straight-line receivable and unamortized lease incentive balances of $97,674,000, 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, partially offset by increases in rent due to acquisitions and annual rent increases. For the nine months ended September 30, 2024, we had leases with rental rate increases ranging from 0.05% to 20.05% in our Triple-net portfolio. 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.
The increase in interest income is primarily driven by increased advances on loans receivable during the second half of 2023.
As part of the substantial exit of the Genesis HealthCare operating relationship, which we disclosed on March 2, 2021, we transitioned the sublease of a portfolio of seven facilities from Genesis HealthCare to Complete Care Management in the second quarter of 2021. As part of the March 2021 transaction, we entered into a forward sale agreement for the seven properties valued at $182,618,000, which was expected to close when the Welltower-held purchase option became exercisable. As of March 31, 2023, the right of use assets related to the properties were $115,359,000 and were reflected as held for sale with the corresponding lease liabilities of $66,530,000 on our Consolidated Balance Sheet.
On May 1, 2023, we executed a series of transactions that included the assignment of the leasehold interest to a newly formed tri-party unconsolidated joint venture together with Aurora Health Network, Peace Capital (an affiliate of Complete Care Management) and us, and culminated with the closing of the purchase option by the joint venture. The transactions resulted in
43

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
net cash proceeds to us of $104,240,000 after our retained interest of $11,571,000 in the joint venture and a gain from the loss of control and derecognition of the leasehold interest of $65,485,000, which we recorded in other income within our Consolidated Statements of Comprehensive Income during the nine months ended September 30, 2023.
The following is a summary of our SSNOI at Welltower's share for the Triple-net segment (dollars in thousands):
QTD PoolYTD Pool
 Three Months EndedChangeNine Months EndedChange
September 30,September 30,
 20242023$%20242023$%
SSNOI (1)
$134,513 $128,789 $5,724 4.4 %$390,178 $371,950 $18,228 4.9 %
(1) For the QTD Pool and YTD Pool, amounts relate to 458 and 450 same store properties, respectively. 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. 
During the nine months ended September 30, 2024, we recorded an impairment charge of $3,150,000 related to two properties. During the nine months ended September 30, 2023, we recorded impairment charges of $6,074,000 related to two properties. 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 and timing and price of related transactions. During the quarter ended September 30, 2024, the Company, which held a 25% minority interest in an existing joint venture that owned 39 properties subject to triple-net leases with two tenants, acquired the remaining beneficial interest for $205,029,000 in cash, net of cash and restricted cash acquired. We evaluated the acquisition and determined that the entity meets the criteria of a variable interest entity ("VIE"). We consolidated the joint venture upon acquisition of the beneficial interests and recorded a gain on change of control of interests of $179,770,000 in gain (loss) on real estate dispositions and acquisitions of controlling interests, net on the Consolidated Statements of Comprehensive Income.
Additionally, on September 30, 2024, we reached agreements with our tenant to sell 15 properties, which are included in two master leases previously classified as operating leases. As a result of the agreement to sell the properties, the two leases were classified as sales-type leases and $92,593,000 was recognized in gain (loss) on real estate dispositions and acquisitions of controlling interests, net.
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 transactions that closed in 2021 and 2023.
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 (dollars in thousands):
 Three Months EndedNine Months Ended
September 30,September 30,
 2024202320242023
Beginning balance$37,787 $38,723 $38,260 $39,179 
Debt transferred(27,084)— (27,084)— 
Debt assumed532,575 — 532,575 — 
Principal payments(76)(228)(549)(684)
Ending balance$543,202 $38,495 $543,202 $38,495 
Ending weighted average interest4.01 %4.39 %4.01 %4.39 %
A portion of our Triple-net properties 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. The fluctuation in income (loss) from unconsolidated entities from the prior year relates primarily to the timing and amount of hypothetical liquidation at book value adjustments related to in substance real estate investments. Net income attributable to noncontrolling interests represents our partners’ share of net income relating to those partnerships where we are the controlling partner.
44

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
Outpatient Medical
The following is a summary of our results of operations for the Outpatient Medical segment for the periods presented (dollars in thousands):
 Three Months EndedChangeNine Months EndedChange
 September 30,  September 30,
 20242023$%20242023$%
Revenues:    
Rental income$202,955 $189,595 $13,360 %$593,523 $555,758 $37,765 %
Interest income852 98 754 769 %2,552 284 2,268 799 %
Other income2,040 2,265 (225)(10)%7,019 6,939 80 %
Total revenues205,847 191,958 13,889 %603,094 562,981 40,113 %
Property operating expenses62,778 62,204 574 %186,426 179,266 7,160 %
NOI (1)
143,069 129,754 13,315 10 %416,668 383,715 32,953 %
Other expenses:    
Depreciation and amortization66,503 65,923 580 %199,783 196,383 3,400 %
Interest expense(573)2,313 (2,886)(125)%2,455 9,569 (7,114)(74)%
Loss (gain) on extinguishment of debt, net— (1)(100)%— (7)(100)%
Provision for loan losses, net(5)— (5)n/a(9)(2)(7)(350)%
Other expenses(500)1,117 (1,617)(145)%440 2,311 (1,871)(81)%
65,425 69,354 (3,929)(6)%202,669 208,268 (5,599)(3)%
Income (loss) from continuing operations before income taxes and other items77,644 60,400 17,244 29 %213,999 175,447 38,552 22 %
Income (loss) from unconsolidated entities395 (66)461 698 %4,840 (237)5,077 n/a
Gain (loss) on real estate dispositions and acquisitions of controlling interests, net(131)(59)(72)(122)%8,062 (665)8,727 n/a
Income (loss) from continuing operations77,908 60,275 17,633 29 %226,901 174,545 52,356 30 %
Net income (loss)77,908 60,275 17,633 29 %226,901 174,545 52,356 30 %
Less: Net income (loss) attributable to noncontrolling interests609 636 (27)(4)%475 1,627 (1,152)(71)%
Net income (loss) attributable to common stockholders$77,299 $59,639 $17,660 30 %$226,426 $172,918 $53,508 31 %
(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 2023 and year to date in 2024. 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 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 nine months ended September 30, 2024, our consolidated Outpatient Medical portfolio signed 314,579 square feet of new leases and 1,536,738 square feet of renewals. The weighted-average term of these leases was 8 years, with a rate of $42.01 per square foot and tenant improvement and lease commission costs of $31.84 per square foot. Substantially all of these leases contain an annual fixed or contingent escalation rent structure ranging from 2.0% to 5.0%. 
The fluctuation in property operating expenses and depreciation and amortization are primarily attributable to acquisitions and construction conversions that occurred during 2023 and year to date in 2024. To the extent we acquire or dispose of additional properties in the future, these expenses will change accordingly. Changes in the gain on sales of properties are related to the volume and timing of property sales and the sales prices.
The following is a summary of our SSNOI at Welltower's share for the Outpatient Medical segment (dollars in thousands):
QTD PoolYTD Pool
 Three Months EndedChangeNine Months EndedChange
September 30,September 30,
 20242023$%20242023$%
SSNOI (1)
$127,484 $123,813 $3,671 3.0 %$361,791 $354,041 $7,750 2.2 %
(1) For the QTD Pool and YTD, amounts relate to 412 and 381 same store properties, respectively. Please see "Non-GAAP Financial Measures" below for additional information and reconciliations.
45

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
During the nine months ended September 30, 2024, we completed construction conversions representing $162,699,000 or $641 per square foot. The following is a summary of our consolidated Outpatient Medical construction projects in process, excluding expansions (dollars in thousands):
As of September 30, 2024
Expected Conversion YearPropertiesSquare FeetAnticipated Remaining FundingConstruction in Progress Balance
20245345,629 $55,123 $179,195 
20255355,794 107,913 94,415 
TBD(1)
133,912 
Total11$307,522 
(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 (dollars in thousands):
 Three Months EndedNine Months Ended
 September 30,September 30,
2024202320242023
Beginning balance$212,733 $363,075 $229,137 $388,836 
Debt assumed— — — 46,741 
Debt extinguished(112,000)(40,137)(126,866)(109,318)
Principal payments(744)(1,349)(2,282)(4,670)
Ending balance$99,989 $321,589 $99,989 $321,589 
Ending weighted average interest4.19 %4.87 %4.19 %4.87 %
A portion of our Outpatient Medical properties 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.
46

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 (dollars in thousands):
 Three Months EndedChangeNine Months EndedChange
 September 30,  September 30,
 20242023$%20242023$%
Revenues:    
Other income$38,951 $29,834 $9,117 31 %$89,777 $43,705 $46,072 105 %
Total revenues38,951 29,834 9,117 31 %89,777 43,705 46,072 105 %
Property operating expenses4,691 4,035 656 16 %13,688 12,106 1,582 13 %
Consolidated net operating income (loss) (1)
34,260 25,799 8,461 33 %76,089 31,599 44,490 141 %
Expenses:   
Interest expense130,791 139,487 (8,696)(6)%389,283 402,158 (12,875)(3)%
General and administrative expenses77,901 46,106 31,795 69 %186,784 134,764 52,020 39 %
Loss (gain) on extinguishment of debt, net419 — 419 n/a419 — 419 n/a
Other expenses380 611 (231)(38)%6,149 4,307 1,842 43 %
209,491 186,204 23,287 13 %582,635 541,229 41,406 %
Income (loss) from continuing operations before income taxes and other items(175,231)(160,405)(14,826)(9)%(506,546)(509,630)3,084 %
Income tax benefit (expense)4,706 (4,584)9,290 203 %(2,586)(11,132)8,546 77 %
Income (loss) from continuing operations(170,525)(164,989)(5,536)(3)%(509,132)(520,762)11,630 %
Net income (loss)(170,525)(164,989)(5,536)(3)%(509,132)(520,762)11,630 %
Less: Net income (loss) attributable to noncontrolling interests1,284 (278)1,562 562 %2,335 (906)3,241 358 %
Net income (loss) attributable to common stockholders$(171,809)$(164,711)$(7,098)(4)%$(511,467)$(519,856)$8,389 %
(1) See "Non-GAAP Financial Measures" below for additional information and reconciliations.
The increase in other income for nine month periods ended September 30, 2024 is primarily due to interest earned on deposits. Property operating expenses represent insurance costs related to our captive insurance company, which acts as a direct insurer of property level insurance coverage for our portfolio.
The following is a summary of our Non-Segment/Corporate interest expense for the periods presented (dollars in thousands):
 Three Months EndedChangeNine Months EndedChange
 September 30,  September 30,  
 20242023$%20242023$%
Senior unsecured notes$122,059 $133,173 $(11,114)(8)%$368,231 $379,438 $(11,207)(3)%
Unsecured credit facility and commercial paper program1,597 1,552 45 %4,665 5,425 (760)(14)%
Loan expense7,135 4,762 2,373 50 %16,387 17,295 (908)(5)%
Totals$130,791 $139,487 $(8,696)(6)%$389,283 $402,158 $(12,875)(3)%
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 nine months ended September 30, 2024 and 2023 were 3.25% and 2.76%, respectively. During the three months ended September 30, 2024, we recognized $29,838,000 as a cumulative catch up of stock compensation expense due to the change in the probability of achievement of specific performance goals related to special non-recurring performance-based stock option and restricted stock awards granted in December 2021 and January 2022. Please refer to Note 15 to our unaudited consolidated financial statements for additional information. The additional increase in general and administrative expenses during the nine months ended September 30, 2024 was driven by compensation costs associated with increased employee headcount.
47

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
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 seven full quarters after acquisition or being placed into service for the QTD Pool and YTD Pool, respectively. Land parcels, loans and sub-leases, 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 seven 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 seven 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 seven 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 properties.
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 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

48

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
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
 September 30,June 30,March 31,December 31,September 30,June 30,March 31,
FFO Reconciliation:2024202420242023202320232023
Net income (loss) attributable to common stockholders$449,849 $254,714 $127,146 $83,911 $127,470 $103,040 $25,673 
Depreciation and amortization403,779 382,045 365,863 380,730 339,314 341,945 339,112 
Impairment of assets23,421 2,394 43,331 14,994 7,388 1,086 12,629 
Loss (gain) on real estate dispositions and acquisitions of controlling interests, net(272,266)(166,443)(4,707)1,783 (71,102)2,168 (747)
Noncontrolling interests(5,801)(6,348)(11,996)(11,436)(8,789)(12,841)(13,327)
Unconsolidated entities36,835 27,411 37,066 21,877 24,843 30,784 22,722 
FFO$635,817 $493,773 $556,703 $491,859 $419,124 $466,182 $386,062 
Average diluted shares outstanding618,306 604,563 577,530 552,380 525,138 501,970 494,494 
Per diluted share data:     
Net income attributable to common stockholders(1)
$0.73 $0.42 $0.22 $0.15 $0.24 $0.20 $0.05 
FFO$1.03 $0.82 $0.96 $0.89 $0.80 $0.93 $0.78 
(1) Includes adjustment to the numerator for income (loss) attributable to OP Unitholders.
 Nine Months Ended
 September 30,
FFO Reconciliations:20242023
Net income (loss) attributable to common stockholders$831,709 $256,183 
Depreciation and amortization1,151,687 1,020,371 
Impairment of assets69,146 21,103 
Loss (gain) on real estate dispositions and acquisitions of controlling interests, net(443,416)(69,681)
Noncontrolling interests(24,145)(34,957)
Unconsolidated entities101,312 78,349 
FFO$1,686,293 $1,271,368 
Average diluted common shares outstanding:600,191 507,353
Per diluted share data:  
Net income attributable to common stockholders(1)
$1.39 $0.50 
FFO$2.81 $2.51 
(1) Includes adjustment to the numerator for income (loss) attributable to OP unitholders.
49

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
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
 September 30,June 30,March 31,December 31,September 30,June 30,March 31,
NOI Reconciliations:2024202420242023202320232023
Net income (loss)$456,800 $260,670 $131,634 $88,440 $134,722 $106,342 $28,635 
Loss (gain) on real estate dispositions and acquisitions of controlling interests, net(272,266)(166,443)(4,707)1,783 (71,102)2,168 (747)
Loss (income) from unconsolidated entities4,038 (4,896)7,783 2,008 4,031 40,332 7,071 
Income tax expense (benefit)(4,706)1,101 6,191 (4,768)4,584 3,503 3,045 
Other expenses20,239 48,684 14,131 36,307 38,220 11,069 22,745 
Impairment of assets23,421 2,394 43,331 14,994 7,388 1,086 12,629 
Provision for loan losses, net4,193 5,163 1,014 2,517 4,059 2,456 777 
Loss (gain) on extinguishment of debt, net419 1,705 — 
Loss (gain) on derivatives and financial instruments, net(9,906)(5,825)(3,054)(7,215)2,885 1,280 930 
General and administrative expenses77,901 55,565 53,318 44,327 46,106 44,287 44,371 
Depreciation and amortization403,779 382,045 365,863 380,730 339,314 341,945 339,112 
Interest expense139,050 133,424 147,318 154,574 156,532 152,337 144,403 
Consolidated net operating income (NOI)$842,962 $713,587 $762,828 $713,697 $666,740 $706,806 $602,976 
NOI by segment:     
Seniors Housing Operating$394,463 $376,544 $347,413 $301,077 $284,909 $279,252 $252,897 
Triple-net271,170 178,115 258,915 256,985 226,278 291,530 226,342 
Outpatient Medical143,069 136,900 136,699 135,484 129,754 127,495 126,466 
Non-segment/corporate34,260 22,028 19,801 20,151 25,799 8,529 (2,729)
Total NOI$842,962 $713,587 $762,828 $713,697 $666,740 $706,806 $602,976 
 Nine Months Ended
September 30,
NOI Reconciliations:20242023
Net income (loss)$849,104 $269,699 
Loss (gain) on real estate dispositions and acquisitions of controlling interests, net(443,416)(69,681)
Loss (income) from unconsolidated entities6,925 51,434 
Income tax expense (benefit)2,586 11,132 
Other expenses83,054 72,034 
Impairment of assets69,146 21,103 
Provision for loan losses, net10,370 7,292 
Loss (gain) on extinguishment of debt, net2,130 
Loss (gain) on derivatives and financial instruments, net(18,785)5,095 
General and administrative expenses186,784 134,764 
Depreciation and amortization1,151,687 1,020,371 
Interest expense419,792 453,272 
Consolidated net operating income (NOI)$2,319,377 $1,976,522 
NOI by segment:
Seniors Housing Operating$1,118,420 $817,058 
Triple-net708,200 744,150 
Outpatient Medical416,668 383,715 
Non-segment/corporate76,089 31,599 
Total NOI$2,319,377 $1,976,522 
50

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 properties
1,008 606 371 1,985 1,008 606 371 1,985 
Unconsolidated properties
76 — 76 152 76 — 76 152 
Total properties
1,084 606 447 2,137 1,084 606 447 2,137 
Recent acquisitions/development conversions(1)
(114)(92)(12)(218)(187)(100)(43)(330)
Under development
(31)— (11)(42)(31)— (11)(42)
Under redevelopment(2)
(2)(4)— (6)(2)(4)— (6)
Current held for sale(23)(10)— (33)(23)(10)— (33)
Land parcels, loans and subleases(3)
(15)(19)(9)(43)(15)(19)(9)(43)
Transitions(4)
(271)(19)— (290)(271)(19)— (290)
Other(5)
(8)(4)(3)(15)(8)(4)(3)(15)
Same store properties
620 458 412 1,490 547 450 381 1,378 
(1) Acquisitions and development conversions will enter the QTD Pool after five full quarters and YTD Pool after seven full quarters of acquisition or certificate of occupancy.
(2) Redevelopment properties will enter the QTD Pool after five full quarters and YTD Pool after seven full quarters of operations post redevelopment completion.
(3) Includes 15 Triple-net properties accounted for as sales-type leases expected to be sold to the tenant.
(4) Transitioned properties will enter the QTD Pool after five full quarters and YTD Pool after seven full quarters of operations with the new operator in place or under the new structure.
(5) Represents properties that are either closed or being closed.
51

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 EndedNine Months Ended
September 30,September 30,
SSNOI Reconciliations:2024202320242023
Seniors Housing Operating: 
Consolidated NOI$394,463 $284,909 $1,118,420 $817,058 
NOI attributable to unconsolidated investments22,709 19,037 67,530 44,793 
NOI attributable to noncontrolling interests(11,624)(15,656)(41,066)(47,891)
NOI attributable to non-same store properties(125,424)(58,152)(423,300)(209,470)
Non-cash NOI attributable to same store properties(840)(1,073)(438)(2,081)
Currency and ownership adjustments (1)
(1,372)531 (396)2,519 
SSNOI at Welltower Share277,912 229,596 720,750 604,928 
Triple-net:
Consolidated NOI271,170 226,278 708,200 744,150 
NOI attributable to unconsolidated investments5,214 5,705 16,177 21,863 
NOI attributable to noncontrolling interests(8,028)(8,010)(24,076)(23,342)
NOI attributable to non-same store properties(116,046)(74,338)(258,028)(307,696)
Non-cash NOI attributable to same store properties(16,985)(20,509)(50,750)(62,971)
Currency and ownership adjustments (1)
(812)(337)(1,345)(54)
SSNOI at Welltower Share134,513 128,789 390,178 371,950 
Outpatient Medical:
Consolidated NOI143,069 129,754 416,668 383,715 
NOI attributable to unconsolidated investments4,120 4,746 13,144 14,338 
NOI attributable to noncontrolling interests(2,382)(3,195)(7,406)(13,091)
NOI attributable to non-same store properties(10,224)(3,194)(46,498)(22,206)
Non-cash NOI attributable to same store properties(7,010)(5,131)(14,094)(14,868)
Currency and ownership adjustments (1)
(89)833 (23)6,153 
SSNOI at Welltower Share127,484 123,813 361,791 354,041 
SSNOI at Welltower Share:
Seniors Housing Operating277,912 229,596 720,750 604,928 
Triple-net134,513 128,789 390,178 371,950 
Outpatient Medical127,484 123,813 361,791 354,041 
Total$539,909 $482,198 $1,472,719 $1,330,919 
(1) Includes adjustments to reflect consistent property ownership percentages, to translate Canadian properties at a USD/CAD rate of 1.36 and to translate U.K. properties at a GBP/USD rate of 1.25.
52

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
 September 30,June 30,March 31,December 31,September 30,June 30,March 31,
EBITDA Reconciliations:2024202420242023202320232023
Net income (loss)$456,800 $260,670 $131,634 $88,440 $134,722 $106,342 $28,635 
Interest expense139,050 133,424 147,318 154,574 156,532 152,337 144,403 
Income tax expense (benefit)(4,706)1,101 6,191 (4,768)4,584 3,503 3,045 
Depreciation and amortization403,779 382,045 365,863 380,730 339,314 341,945 339,112 
EBITDA$994,923 $777,240 $651,006 $618,976 $635,152 $604,127 $515,195 
Interest Coverage Ratio:     
Interest expense$139,050 $133,424 $147,318 $154,574 $156,532 $152,337 $144,403 
Capitalized interest15,668 14,478 13,809 14,547 13,947 11,870 10,335 
Non-cash interest expense(9,008)(8,953)(9,284)(5,871)(6,716)(5,824)(5,083)
Total interest145,710 138,949 151,843 163,250 163,763 158,383 149,655 
EBITDA$994,923 $777,240 $651,006 $618,976 $635,152 $604,127 $515,195 
Interest coverage ratio6.83 x5.59 x4.29 x3.79 x3.88 x3.81 x3.44 x
Fixed Charge Coverage Ratio:     
Total interest$145,710 $138,949 $151,843 $163,250 $163,763 $158,383 $149,655 
Secured debt principal payments10,417 10,107 11,887 12,430 12,865 13,839 14,942 
Total fixed charges156,127 149,056 163,730 175,680 176,628 172,222 164,597 
EBITDA$994,923 $777,240 $651,006 $618,976 $635,152 $604,127 $515,195 
Fixed charge coverage ratio6.37 x5.21 x3.98 x3.52 x3.60 x3.51 x3.13 x


 Nine Months Ended
September 30,
EBITDA Reconciliations:20242023
Net income (loss)$849,104 $269,699 
Interest expense419,792 453,272 
Income tax expense (benefit)2,586 11,132 
Depreciation and amortization1,151,687 1,020,371 
EBITDA$2,423,169 $1,754,474 
Interest Coverage Ratio:  
Interest expense$419,792 $453,272 
Non-cash interest expense(27,245)(17,623)
Capitalized interest43,955 36,152 
Total interest436,502 471,801 
EBITDA$2,423,169 $1,754,474 
Interest coverage ratio5.55 x3.72 x
Fixed Charge Coverage Ratio:  
Total interest$436,502 $471,801 
Secured debt principal payments32,411 41,646 
Total fixed charges468,913 513,447 
EBITDA$2,423,169 $1,754,474 
Fixed charge coverage ratio5.17 x3.42 x





53

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
September 30,June 30,March 31,December 31,September 30,June 30,March 31,
Adjusted EBITDA Reconciliations:2024202420242023202320232023
Net income (loss)$937,544 $615,466 $461,138 $358,139 $271,497 $134,122 $123,452 
Interest expense574,366 591,848 610,761 607,846 593,663 576,813 552,226 
Income tax expense (benefit)(2,182)7,108 9,510 6,364 7,044 5,717 5,279 
Depreciation and amortization1,532,417 1,467,952 1,427,852 1,401,101 1,362,657 1,377,042 1,345,392 
EBITDA3,042,145 2,682,374 2,509,261 2,373,450 2,234,861 2,093,694 2,026,349 
Loss (income) from unconsolidated entities8,933 8,926 54,154 53,442 56,084 58,751 25,477 
Stock-based compensation expense69,542 38,364 38,829 36,611 34,762 32,299 27,709 
Loss (gain) on extinguishment of debt, net2,130 1,712 94 95 697 
Loss (gain) on real estate dispositions and acquisitions of controlling interests, net(441,633)(240,469)(71,858)(67,898)(65,258)4,780 6,144 
Impairment of assets84,140 68,107 66,799 36,097 34,249 31,217 30,131 
Provision for loan losses, net12,887 12,753 10,046 9,809 17,761 14,192 11,098 
Loss (gain) on derivatives and financial instruments, net(26,000)(13,209)(6,104)(2,120)5,353 9,373 5,751 
Other expenses119,361 137,342 99,727 108,341 96,988 74,249 98,346 
Lease termination and leasehold interest adjustment (1)
— — (65,485)(65,485)(65,485)(65,485)(56,397)
Casualty losses, net of recoveries8,373 6,163 7,778 10,107 16,446 15,760 14,865 
Other impairment (2)
102,007 114,316 25,998 16,642 12,309 — (620)
Adjusted EBITDA$2,981,885 $2,816,379 $2,669,153 $2,509,003 $2,378,164 $2,268,925 $2,189,550 
Adjusted Interest Coverage Ratio:     
Interest expense$574,366 $591,848 $610,761 $607,846 $593,663 $576,813 $552,226 
Capitalized interest58,502 56,781 54,173 50,699 45,914 40,830 35,347 
Non-cash interest expense(33,116)(30,824)(27,695)(23,494)(21,903)(21,946)(22,728)
Total interest599,752 617,805 637,239 635,051 617,674 595,697 564,845 
Adjusted EBITDA$2,981,885 $2,816,379 $2,669,153 $2,509,003 $2,378,164 $2,268,925 $2,189,550 
Adjusted interest coverage ratio4.97 x4.56 x4.19 x3.95 x3.85 x3.81 x3.88 x
Adjusted Fixed Charge Coverage Ratio:
Total interest$599,752 $617,805 $637,239 $635,051 $617,674 $595,697 $564,845 
Secured debt principal payments44,841 47,289 51,021 54,076 55,635 56,545 57,088 
Total fixed charges644,593 665,094 688,260 689,127 673,309 652,242 621,933 
Adjusted EBITDA$2,981,885 $2,816,379 $2,669,153 $2,509,003 $2,378,164 $2,268,925 $2,189,550 
Adjusted fixed charge coverage ratio4.63 x4.23 x3.88 x3.64 x3.53 x3.48 x3.52 x
(1) Primarily relates to the derecognition of leasehold interests and the gain recognized in other income.
(2) Represents the write-off or recovery of straight-line rent receivable and unamortized lease incentive balances relating to leases placed on cash recognition.
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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
 September 30,June 30,March 31,December 31,September 30,June 30,March 31,
 2024202420242023202320232023
Book capitalization:     
Unsecured credit facility and commercial paper$$$$$$$
Long-term debt obligations (1)
15,854,93714,027,12814,285,68615,815,22615,899,42016,040,53015,074,320
Cash and cash equivalents and restricted cash
(3,784,408)(2,863,598)(2,478,335)(2,076,083)(2,686,711)(2,299,069)(638,796)
Total net debt12,070,52911,163,53011,807,35113,739,14313,212,70913,741,46114,435,524
Total equity and noncontrolling interests(2)
31,064,00329,688,57928,547,90826,371,72723,818,61922,193,11421,596,155
Book capitalization$43,134,532$40,852,109$40,355,259$40,110,870$37,031,328$35,934,575$36,031,679
Net debt to book capitalization ratio28%27%29%34%36%38%40%
Undepreciated book capitalization:     
Total net debt$12,070,529$11,163,530$11,807,351$13,739,143$13,212,709$13,741,461$14,435,524
Accumulated depreciation and amortization10,276,5099,908,0079,537,5629,274,8148,868,6278,599,6228,417,151
Total equity and noncontrolling interests(2)
31,064,00329,688,57928,547,90826,371,72723,818,61922,193,11421,596,155
Undepreciated book capitalization$53,411,041$50,760,116$49,892,821$49,385,684$45,899,955$44,534,197$44,448,830
Net debt to undepreciated book capitalization ratio23%22%24%28%29%31%32%
Enterprise value:     
Common shares outstanding618,396608,151590,934564,241532,268508,159496,295
Period end share price$128.03$104.25$93.44$90.17$81.92$80.89$71.69
Common equity market capitalization$79,173,240$63,399,742$55,216,873$50,877,611$43,603,395$41,104,982$35,579,389
Total net debt12,070,52911,163,53011,807,35113,739,14313,212,70913,741,46114,435,524
Noncontrolling interests(2)
729,722712,153999,965967,351864,583988,6731,148,000
Consolidated enterprise value$91,973,491$75,275,425$68,024,189$65,584,105$57,680,687$55,835,116$51,162,913
Net debt to consolidated enterprise value ratio13%15%17%21%23%25%28%
(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 the ASC 842 adoption 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, 2023 for further information on significant accounting policies that impact us. There have been no material changes to these policies in 2024.
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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 health care 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 health care 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, 2023, 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 health care 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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Item 3. Quantitative and Qualitative Disclosures About Market Risk
 September 30, 2024December 31, 2023
 PrincipalChange inPrincipalChange in
 balancefair valuebalancefair value
Senior unsecured notes$12,748,760 $(519,319)$12,800,253 $(515,723)
Secured debt2,329,154 (91,362)1,625,364 (58,066)
Totals$15,077,914 $(610,681)$14,425,617 $(573,789)
Our variable rate debt, including our unsecured revolving credit facility and commercial paper program, is reflected at fair value. At September 30, 2024, we had $947,699,000 outstanding related to our variable rate debt after considering the effects of interest rate swaps. Assuming no changes in outstanding balances, a 1% increase in interest rates would result in increased annual interest expense of $9,477,000. At December 31, 2023, we had $1,496,447,000 outstanding under our variable rate debt. Assuming no changes in outstanding balances, a 1% increase in interest rates would have resulted in increased annual interest expense of $14,964,000. 
We are subject to currency fluctuations that may, from time to time, affect our financial condition and results of operations. Increases or decreases in the value of the Canadian Dollar or British Pounds Sterling relative to the U.S. Dollar impact the amount of net income we earn from our investments in Canada and the United Kingdom. Based solely on our results for the three months ended September 30, 2024, including the impact of existing hedging arrangements, if these exchange rates were to increase or decrease by 10%, our annualized net income from these investments would increase or decrease, as applicable, by less than $20,000,000. We will continue to mitigate these underlying foreign currency exposures with non-U.S. denominated borrowings and gains and losses on derivative contracts. If we increase our international presence through investments in, or acquisitions or development of, seniors housing and health care properties outside the U.S., we may also decide to transact additional business or borrow funds in currencies other than U.S. Dollars, Canadian Dollars or British Pounds Sterling. To illustrate the impact of changes in foreign currency markets, we performed a sensitivity analysis on our derivative portfolio whereby we modeled the change in net present values arising from a hypothetical 1% increase in foreign currency exchange rates to determine the instruments' change in fair value. The following table summarizes the results of the analysis performed (dollars in thousands):
 September 30, 2024December 31, 2023
 CarryingChange inCarryingChange in
 Valuefair valueValuefair value
Foreign currency exchange contracts$81,172 $(44)$10,811 $5,087 
Debt designated as hedges1,591,765 15,918 1,527,380 15,274 
Totals$1,672,937 $15,874 $1,538,191 $20,361 
For additional information regarding fair values of financial instruments, see "Item 2 — Management's Discussion and Analysis of Financial Condition and Results of Operations — Critical Accounting Policies" and Notes 12 and 17 to our unaudited consolidated financial statements.
Item 4. Controls and Procedures
Our management, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) of the Securities Exchange Act of 1934, as amended (the "Exchange Act")) as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on that evaluation, the Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures are effective in providing reasonable assurance that information required to be disclosed by us in the reports we file with or submit to the SEC under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC's rules and forms. No changes in our internal control over financial reporting occurred during the fiscal quarter covered by this Quarterly Report on Form 10-Q that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II. OTHER INFORMATION
Item 1. Legal Proceedings
From time to time, there are various legal proceedings pending against us that arise in the ordinary course of our business. Management does not believe that the resolution of any of these legal proceedings either individually or in the aggregate will have a material adverse effect on our business, results of operations or financial condition. Further, from time to time, we are party to certain legal proceedings for which third parties, such as tenants, operators and/or managers are contractually obligated to indemnify, defend and hold us harmless. In some of these matters, the indemnitors have insurance for the potential damages. In other matters, we are being defended by tenants and other obligated third parties and these indemnitors may not have sufficient insurance, assets, income or resources to satisfy their defense and indemnification obligations to us. The unfavorable resolution of such legal proceedings could, individually or in the aggregate, materially adversely affect the indemnitors’ ability to satisfy their respective obligations to us, which, in turn, could have a material adverse effect on our business, results of operations or financial condition. It is management’s opinion that there are currently no such legal proceedings pending that will, individually or in the aggregate, have such a material adverse effect. Despite management’s view of the ultimate resolution of these legal proceedings, we may have significant legal expenses and costs associated with the defense of such matters. Further, management cannot predict the outcome of these legal proceedings and if management’s expectation regarding such matters is not correct, such proceedings could have a material adverse effect on our business, results of operations or financial condition.
Item 1A. Risk Factors
There have been no material changes from the risk factors identified under the heading "Risk Factors" in our Annual Report on Form 10-K for the year ended December 31, 2023.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
During the three months ended September 30, 2024, we acquired shares of our common stock held by employees who tendered shares to satisfy tax withholding obligations upon the vesting of previously issued restricted stock awards. Specifically, the number of shares of common stock acquired from employees and the average prices paid per share for each month in the three months ended September 30, 2024 are as shown in the table below.
Issuer Purchases of Equity Securities
PeriodTotal Number of Shares PurchasedAverage Price Paid Per ShareTotal Number of Shares Purchased as Part of Publicly Announced Repurchase ProgramMaximum Dollar Value of Shares that May Yet Be Purchased Under the Repurchase Program
July 1, 2024 through July 31, 2024696 $105.65 — $3,000,000,000 
August 1, 2024 through August 31, 2024442 105.34 — 3,000,000,000 
September 1, 2024 through September 30, 2024668 120.68 — 3,000,000,000 
Totals1,806 $111.13 — $3,000,000,000 
Under the terms of various partnership agreements of certain of our affiliated limited partnerships, the interest of limited partners may be redeemed, subject to certain conditions, for cash or common shares, at our option. During the three months ended September 30, 2024, no OP Units were redeemed for common shares.
On November 7, 2022, our Board of Directors approved a share repurchase program for up to $3,000,000,000 of common stock (the "Stock Repurchase Program"). Under the Stock Repurchase Program, we are not required to purchase shares but may choose to do so in the open market or through privately-negotiated transactions, through block trades, by effecting a tender offer, by way of an accelerated share repurchase program, through the purchase of call options or the sale of put options, or otherwise, or by any combination of the foregoing. We expect to finance any share repurchases using available cash and may use proceeds from borrowings or debt offerings. The Stock Repurchase Program has no expiration date and does not obligate us to repurchase any specific number of shares. We did not repurchase any shares of our common stock through the Stock Repurchase Program during the three months ended September 30, 2024.
Item 5. Other Information 
(c) Trading Plans
During the three months ended September 30, 2024, no director or Section 16 officer adopted or terminated any Rule 10b5-1 trading arrangements or non-Rule 10b5-1 trading arrangements (in each case, as defined in Item 408(a) of Regulation S-K).

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Item 6. Exhibits
10.1
10.2
Amendment No. 4 to Credit Agreement, dated as of July 24, 2024, by and among the Company; the lenders therein; KeyBank National Association, as administrative agent and L/C issuer; BofA Securities, Inc., JPMorgan Chase Bank, N.A. and Wells Fargo Securities LLC, as joint book runners; BofA Securities, as book runner; BofA Securities, Inc., JPMorgan Chase Bank, N.A., Wells Fargo Securities LLC, as U.S. joint lead arrangers; BofA Securities, Inc., JPMorgan Chase Bank, N.A., KeyBanc Capital Markets Inc. and RBC Capital Markets, as Canadian joint lead arrangers; Bank of America, N.A., JPMorgan Chase Bank, N.A. and Wells Fargo Securities LLC as co-syndication agents; Bank of America, N.A. , as syndication agent; MUFG Bank, Ltd., Barclays Bank PLC, Citibank, N.A., Credit Agricole Corporate and Investment Bank, Deutsche Bank Securities Inc., Goldman Sachs Bank USA, Mizuho Bank, Ltd., Morgan Stanley Senior Funding, Inc., PNC Bank, National Association and Royal Bank of Canada, as co-documentation agents; BNP Paribas, Citizens Bank, N.A., Fifth Third Bank, National Association, The Huntington National Bank, Regions Bank, The Bank of Nova Scotia, The Toronto-Dominion Bank, New York Branch, TD Bank, NA, Truist Bank, The Bank of New York Mellon, Banco Bilbao Vizcaya Argentaria, S.A., New York Branch and Bank of Montreal, as co-senior managing agents, Capital One, National Association, as managing agent and Credit Agricole Corporate and Investment Bank, as sustainability structuring agent (filed with the Commission as Exhibit 10.1 to the Company's Form 8-K filed July 29, 2024 (File No. 001-08923), and incorporated herein by reference there to).
31.1
31.2
32.1
32.2
101.INSXBRL Instance Document. The instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCHXBRL Taxonomy Extension Schema Document
101.CALXBRL Taxonomy Extension Calculation Linkbase Document
101.LABXBRL Taxonomy Extension Label Linkbase Document
101.PREXBRL Taxonomy Extension Presentation Linkbase Document
101.DEFXBRL Taxonomy Extension Definition Linkbase Document
104
The cover page from the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2024, formatted in Inline XBRL
Certain instruments with respect to long-term debt of the Registrant and its consolidated subsidiaries are not filed herewith pursuant to Item 601(b)(4)(iii) of Regulation S-K under which the total amount of securities authorized under each such instrument does not exceed 10% of the total assets of the Registrant and its subsidiaries on a consolidated basis. The Registrant agrees to furnish a copy of any such instrument to the Securities and Exchange Commission upon request.
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the under signed thereunto duly authorized.

 
WELLTOWER INC.
  
 
Date:October 29, 2024By:  /s/ SHANKH MITRA 
 Shankh Mitra,  
 Chief Executive Officer
 (Principal Executive Officer) 
 
 
Date:October 29, 2024By:  /s/ TIMOTHY G. MCHUGH 
 Timothy G. McHugh,  
 Executive Vice President - Chief Financial Officer
 (Principal Financial Officer) 
 
 
Date:October 29, 2024By:  /s/ JOSHUA T. FIEWEGER 
 Joshua T. Fieweger,  
 Chief Accounting Officer
 (Principal Accounting Officer) 
 
60