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Published: 2024-02-13 00:00:00 ET
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EX-99.1 2 a4q23earningsrelease991.htm EX-99.1 Document


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FOR IMMEDIATE RELEASE
February 13, 2024
For more information contact:
Tim McHugh (419) 247-2800
Welltower Reports Fourth Quarter 2023 Results
Toledo, Ohio, February 13, 2024…..Welltower Inc. (NYSE:WELL) today announced results for the quarter ended December 31, 2023.
Recent Highlights
Reported net income attributable to common stockholders of $0.15 per diluted share
Reported quarterly normalized funds from operations ("FFO") attributable to common stockholders of $0.96 per diluted share, an increase of 15.7% over the prior year
Reported total portfolio year-over-year same store NOI ("SSNOI") growth of 12.5%, driven by SSNOI growth in our Seniors Housing Operating ("SHO") portfolio of 23.7%
SHO portfolio year-over-year same store ("SS") revenue increased 9.7% in the fourth quarter, with 330 basis points ("bps") of year-over-year average occupancy growth
SHO portfolio year-over-year SSNOI margin expanded by 290 bps driven primarily by strong Revenue per Occupied Room ("RevPOR" or "Unit Revenue") growth which continued to meaningfully outpace Expense per Occupied Room ("ExpPOR" or "Unit Expense") growth
During the fourth quarter, we completed $3.0 billion of pro rata gross investments, including $2.8 billion in acquisitions and loan funding and $277 million in development funding
As of December 31, 2023, we had approximately $6.1 billion of available liquidity inclusive of $2.1 billion of available cash and restricted cash and full capacity under our $4.0 billion line of credit
Annual Highlights
Reported net income attributable to common stockholders of $0.66 per diluted share
Reported annual normalized FFO attributable to common stockholders of $3.64 per diluted share
Reported total portfolio year-over-year average SSNOI growth of 12.6%, driven by SSNOI growth in our SHO portfolio of 24.4%
Completed $5.9 billion of pro rata gross investments during 2023, including property acquisitions at substantial discounts to replacement cost and highly-structured debt and equity investments with significant downside protection
Improved net debt to Adjusted EBITDA to 5.03x at December 31, 2023 from 6.31x at December 31, 2022
Announced dissolution of joint ventures with Revera and Chartwell, representing key milestones in our seven-year contract modernization initiative and driving regional density and improved operator alignment across our Canadian portfolio. Additionally, unwound our Outpatient Medical joint venture with Canadian Pension Plan Investment Board ("CPPIB") through the acquisition of CPPIB's 45% interest in the 10-property portfolio, principally located in Beverly Hills, CA for a pro rata investment of $161 million
Continued to deepen relationships with best-in-class operators including Avery Healthcare, Cogir Management Corporation ("Cogir"), Kisco Senior Living, Legend Senior Living ("Legend"), Oakmont Management Group, StoryPoint Senior Living ("StoryPoint") and Retirement Unlimited, Inc. ("RUI"), in a further expansion of our regional densification strategy
Capital Activity and Liquidity During the fourth quarter, net debt to consolidated enterprise value improved to 20.9% at December 31, 2023 from 29.5% at December 31, 2022. During the fourth quarter and subsequent to quarter end, we sourced over $3 billion of attractively priced capital, including debt, equity and proceeds from dispositions and loan payoffs to fund accretive capital deployment opportunities and to further strengthen our already robust liquidity profile. We reduced our share of variable rate debt to 8.7% as of December 31, 2023 from 16.0% as of December 31, 2022.

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4Q23Earnings ReleaseFebruary 13, 2024
Notable Investment Activity Completed During the Quarter In the fourth quarter, we completed $3.0 billion of pro rata gross investments, including $2.8 billion in acquisitions and loan funding and $277 million in development funding. We opened 11 development projects, including partial conversions and expansions, for an aggregate pro rata investment amount of $335 million. Additionally, during the fourth quarter we completed pro rata property dispositions and loan payoffs of $43 million.
Cogir As previously disclosed, we     continued to grow our relationship with Cogir, closing on a portfolio of 12 best-in-class senior living communities in Quebec for a pro rata purchase price of $885 million CAD. Cogir will continue to manage the properties in a 95/5 joint venture.
Kayne Anderson Real Estate ("Kayne") Acquisition During the fourth quarter, we acquired a portfolio of ten seniors housing communities for a total purchase price of $469 million from Kayne. The portfolio, with an average age of 11 years, was acquired at a material discount to replacement cost.
Seniors Housing Operating Portfolio Acquisition During the quarter, we expanded our relationship with StoryPoint, Legend and RUI, through the acquisition of eight class-A seniors housing communities from a joint venture between a global real estate investment manager and global financial institution. The portfolio carries an average age of less than four years and was acquired for a total purchase price of $260 million, representing a substantial discount to estimated replacement cost. The seniors housing communities will operate under a RIDEA 4.0 contract and are expected to generate an unlevered IRR in the low double digits.
Quality Senior Living ("QSL") In the fourth quarter, we expanded our relationship with QSL through the acquisition of seven properties in the Mid-Atlantic and Southeastern U.S. regions for a total purchase price of $195 million.
Other Transactions Additionally during the fourth quarter, we acquired properties totaling $968 million at our share across seniors housing, wellness housing, outpatient medical and long-term/post-acute sectors largely across granular, privately-negotiated, off-market transactions.
Notable Investment Activity Completed During 2023
During 2023, we completed $5.9 billion of pro rata gross investments including $4.8 billion in acquisitions and loan funding and $1.1 billion in development funding. We converted development projects for an aggregate pro rata amount of $908 million. Additionally, during the year we completed pro rata dispositions and loan payoffs of $893 million.
Revera Joint Venture As previously disclosed, during the second quarter we entered into definitive agreements to dissolve our existing Revera joint venture relationship across the U.S., United Kingdom and Canada. The transactions include acquiring the remaining interests in 110 properties from Revera while simultaneously selling interests in 31 properties to Revera. During the second quarter, we closed the U.K. portfolio portion of the transaction and during the third quarter we closed the U.S. portfolio portion. We anticipate closing the remainder of the real estate transaction and operator transitions related to our Canadian portfolio during the first half of 2024 subject to customary closing conditions. The Canadian portfolio consists of 85 properties in a joint venture owned 75% by us and 25% by Revera. As a part of the transaction, we intend to acquire Revera's interest in 71 properties and sell our interests in the remaining 14 properties. Operations for the 71 retained properties have transitioned to new operators. The acquisition and simultaneous dispositions are expected to be largely cash neutral.
Announced Future Investment Activity
Chartwell As previously disclosed, we entered into a mutually beneficial, definitive agreement to dissolve the existing Chartwell joint venture relationship across 39 properties in Canada. In conjunction with the transaction, which is subject to customary closing conditions, we will acquire the remaining interest in 23 high-quality seniors housing properties from Chartwell and other joint venture partners while simultaneously selling our interest in 16 properties to Chartwell. Following the joint venture dissolution, certain properties will be transitioned to Cogir with the remaining properties transitioned to the Welltower/Cogir PLR platform.
Affinity Living Communities ("Affinity") Subsequent to quarter end, we entered into a definitive agreement, which is subject to customary closing conditions, to acquire a portfolio of 25 age-restricted active adult communities for $969 million through a privately negotiated, off-market transaction. The highly-amenitized Affinity branded portfolio encompasses nearly 3,900 units and is largely concentrated in the Pacific Northwest, enabling us to strategically scale the geographic reach of our Wellness Housing portfolio into markets with a projected 5-year 55+ population growth more than 2.5 times higher than the U.S. average. The transaction is expected to be funded through cash and the assumption of $523 million of below market rate debt with an average interest rate of 3.8% and a nine-year weighted average maturity. With the closing of this transaction, Welltower, as the largest owner of moderately priced age-restricted and age-targeted rental housing in the U.S., will significantly expand its market leadership with a total of nearly 25,000 units.
Environmental, Social and Governance (“ESG”) We released our 2023 Green Bond Allocation report, highlighting the full allocation of $1.04 billion of net proceeds from the December 2019 and March 2022 green bond issuances to eligible green building projects, including LEED, BREEAM and ENERGY STAR certified properties.

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4Q23Earnings ReleaseFebruary 13, 2024
Dividend On February 13, 2024, the Board of Directors declared a cash dividend for the quarter ended December 31, 2023 of $0.61 per share. This dividend, which will be paid on March 7, 2024 to stockholders of record as of February 23, 2024, will be our 211th consecutive quarterly cash dividend. The declaration and payment of future quarterly dividends remains subject to review and approval by the Board of Directors.
Outlook for 2024 We are introducing our 2024 earnings guidance and expect to report net income attributable to common stockholders in a range of $1.21 to $1.37 per diluted share and normalized FFO attributable to common stockholders in a range of $3.94 to $4.10 per diluted share. In preparing our guidance, we have made the following assumptions:
Same Store NOI: We expect average blended SSNOI growth of 8.25% to 11.50%, which is comprised of the following components:
Seniors Housing Operating approximately 15% to 21%
Seniors Housing Triple-net approximately 2.5% to 4.0%
Outpatient Medical approximately 2% to 3%
Long-Term/Post-Acute Care approximately 2% to 3%
Investments: Our earnings guidance includes only those acquisitions announced or closed to date. Furthermore, no transitions or restructures beyond those announced to date are included.
General and Administrative Expenses: We anticipate general and administrative expenses to be approximately $195 million to $205 million and stock-based compensation expense to be approximately $37 million.
Development: We anticipate funding an additional $819 million of development in 2024 relating to projects underway on December 31, 2023.
Dispositions: We expect pro rata disposition proceeds of $1.0 billion at a blended yield of 5.8% in the next twelve months. This includes approximately $950 million of consideration from expected property sales and $78 million of expected proceeds from loan repayments.
Pandemic Relief Funds: Our 2024 earnings guidance does not include the recognition of any pandemic relief funds which may be received during the year. In 2023, we recognized approximately $13 million at our share relating to Provider Relief Funds and similar programs in the United Kingdom and Canada.
Our guidance does not include any additional investments, dispositions or capital transactions beyond those we have announced, nor any other expenses, impairments, unanticipated additions to the loan loss reserve or other additional normalizing items. Please see the Supplemental Reporting Measures section for further discussion and our definition of normalized FFO and SSNOI and Exhibit 3 for a reconciliation of the outlook for net income available to common stockholders to normalized FFO attributable to common stockholders. We will provide additional detail regarding our 2024 outlook and assumptions on the fourth quarter 2023 conference call.
Conference Call Information We have scheduled a conference call on Wednesday, February 14, 2024 at 9:00 a.m. Eastern Time to discuss our fourth quarter 2023 results, industry trends and portfolio performance. Telephone access will be available by dialing (888) 340-5024 or (646) 960-0135 (international). For those unable to listen to the call live, a taped rebroadcast will be available beginning two hours after completion of the call through February 21, 2024. To access the rebroadcast, dial (800) 770-2030 or (647) 362-9199 (international). The conference ID number is 8230248. To participate in the webcast, log on to www.welltower.com 15 minutes before the call to download the necessary software. Replays will be available for 90 days.
Supplemental Reporting Measures We believe that net income and net income attributable to common stockholders ("NICS"), as defined by U.S. generally accepted accounting principles ("U.S. GAAP"), are the most appropriate earnings measurements. However, we consider funds from operations ("FFO"), normalized FFO, net operating income ("NOI"), same store NOI ("SSNOI"), revenue per occupied room ("RevPOR"), same store RevPOR ("SS RevPOR"), expense per occupied room ("ExpPOR"), same store ExpPOR ("SS ExpPOR"), EBITDA and Adjusted EBITDA to be useful supplemental measures of our operating performance. Excluding EBITDA and Adjusted EBITDA, these supplemental measures are disclosed on our pro rata ownership basis. Pro rata amounts are derived by reducing consolidated amounts for minority partners’ noncontrolling ownership interests and adding our minority ownership share of unconsolidated amounts. We do not control unconsolidated investments. While we consider pro rata disclosures useful, they may not accurately depict the legal and economic implications of our joint venture arrangements and should be used with caution.
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 FFO as a supplemental measure of operating performance for REITs that excludes historical cost depreciation from net income. FFO attributable to common stockholders, as defined by NAREIT, means net income attributable to common stockholders, computed in accordance with U.S. GAAP, excluding gains (or losses) from sales of real estate and impairments of depreciable assets, plus real estate depreciation and amortization, and after adjustments for unconsolidated entities and

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4Q23Earnings ReleaseFebruary 13, 2024
noncontrolling interests. Normalized FFO attributable to common stockholders represents FFO attributable to common stockholders adjusted for certain items detailed in Exhibit 2. We believe that normalized FFO attributable to common stockholders is a useful supplemental measure of operating performance because investors and equity analysts may use this measure to compare the operating performance of Welltower between periods or as compared to other REITs or other companies on a consistent basis without having to account for differences caused by unanticipated and/or incalculable items.
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. 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. 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 the same store amounts five full quarters after acquisition or being placed into service. Land parcels, loans and sub-leases, as well as any properties sold or classified as held for sale during the period, are excluded from the same store amounts. 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 the same store amounts until five full quarters post completion of the redevelopment. Properties undergoing operator transitions and/or segment transitions are also excluded from the same store amounts until five full quarters post completion of the operator transition or segment transition. In addition, properties significantly impacted by force majeure, acts of God or other extraordinary adverse events are excluded from same store amounts until five full quarters after the properties are placed back into service. SSNOI excludes non-cash NOI and includes adjustments to present consistent property ownership percentages and to translate Canadian properties and UK properties using a consistent exchange rate. Normalizers include adjustments that in management’s opinion are appropriate in considering SSNOI, a supplemental, non-GAAP performance measure. None of these adjustments, which may increase or decrease SSNOI, are reflected in our financial statements prepared in accordance with U.S. GAAP. Significant normalizers (defined as any that individually exceed 0.50% of SSNOI growth per property type) are separately disclosed and explained. 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. No reconciliation of the forecasted range for SSNOI on a combined basis or by property type is included in this release because we are unable to quantify certain amounts that would be required to be included in the comparable GAAP financial measure without unreasonable efforts, and we believe such reconciliation would imply a degree of precision that could be confusing or misleading to investors.
RevPOR represents the average revenues generated per occupied room per month and ExpPOR represents the average expenses per occupied room per month at our Seniors Housing Operating properties. These metrics are calculated as our pro rata version of total resident fees and services revenues or property operating expenses from the income statement, divided by average monthly occupied room days. SS RevPOR and SS ExpPOR are used to evaluate the RevPOR and ExpPOR performance of our properties under a consistent population, which eliminates changes in the composition of our portfolio. They are based on the same pool of properties used for SSNOI and includes any revenue or expense normalizations used for SSNOI. We use RevPOR, ExpPOR, SS RevPOR and SS ExpPOR to evaluate the revenue-generating capacity and profit potential of our Seniors Housing Operating portfolio independent of fluctuating occupancy rates. They are also used in comparison against industry and competitor statistics, if known, to evaluate the quality of our Seniors Housing Operating portfolio.
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. We expect to maintain capitalization ratios and coverage ratios sufficient to maintain a capital structure consistent with our current profile. The ratios are based on EBITDA and Adjusted EBITDA. EBITDA is defined as earnings (net income per income statement) before interest expense, income 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/impairments on properties, gains/losses on derivatives and financial instruments, other expenses, other impairment charges and other adjustments deemed appropriate in management's opinion. 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. Our leverage ratios include net debt to Adjusted EBITDA. Net debt is defined as total long-term debt, excluding operating lease liabilities, less cash and cash equivalents and restricted cash. Consolidated enterprise value represents the sum of net debt, the fair market value of our common stock and noncontrolling interests.
Our supplemental reporting measures and similarly entitled financial measures are widely used by investors, equity and debt analysts and ratings agencies in the valuation, comparison, rating and investment recommendations of companies. Our management uses these financial measures to facilitate internal and external comparisons to historical operating results and in making operating decisions. Additionally, they are utilized by the Board of Directors to evaluate management. The supplemental reporting measures do

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4Q23Earnings ReleaseFebruary 13, 2024
not 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 reporting measures, as defined by us, may not be comparable to similarly entitled items reported by other real estate investment trusts or other companies. Please see the exhibits for reconciliations of supplemental reporting measures and the supplemental information package for the quarter ended December 31, 2023, which is available on Welltower's website (www.welltower.com), for information and reconciliations of additional supplemental reporting measures.
About Welltower 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 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, Canada and the United Kingdom, consisting of seniors housing and post-acute communities and outpatient medical properties. More information is available at www.welltower.com. We routinely post important information on our website at www.welltower.com in the “Investors” section, including corporate and investor presentations and financial information. We intend to use our website as a means of disclosing material, non-public information and for complying with our disclosure obligations under Regulation FD. Such disclosures will be included on our website under the heading “Investors”. Accordingly, investors should monitor such portion of our website in addition to following our press releases, public conference calls and filings with the Securities and Exchange Commission. The information on our website is not incorporated by reference in this press release, and our web address is included as an inactive textual reference only.
Forward-Looking Statements and Risk Factors This press release contains “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. 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.

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4Q23Earnings ReleaseFebruary 13, 2024
Welltower Inc.
Financial Exhibits
Consolidated Balance Sheets (unaudited)
(in thousands)
 December 31,
 20232022
Assets  
Real estate investments:  
Land and land improvements$4,697,824 $4,249,834 
Buildings and improvements37,796,553 33,651,336 
Acquired lease intangibles2,166,470 1,945,458 
Real property held for sale, net of accumulated depreciation372,883 133,058 
Construction in progress1,304,441 1,021,080 
Less accumulated depreciation and intangible amortization(9,274,814)(8,075,733)
Net real property owned37,063,357 32,925,033 
Right of use assets, net350,969 323,942 
Real estate loans receivable, net of credit allowance1,361,587 890,844 
Net real estate investments38,775,913 34,139,819 
Other assets:  
Investments in unconsolidated entities1,636,531 1,499,790 
Goodwill68,321 68,321 
Cash and cash equivalents1,993,646 631,681 
Restricted cash82,437 90,611 
Straight-line rent receivable443,800 322,173 
Receivables and other assets1,011,518 1,140,838 
Total other assets5,236,253 3,753,414 
Total assets$44,012,166 $37,893,233 
Liabilities and equity  
Liabilities:  
Unsecured credit facility and commercial paper$— $— 
Senior unsecured notes13,552,222 12,437,273 
Secured debt2,183,327 2,110,815 
Lease liabilities383,230 415,824 
Accrued expenses and other liabilities1,521,660 1,535,325 
Total liabilities17,640,439 16,499,237 
Redeemable noncontrolling interests290,605 384,443 
Equity:  
Common stock565,894 491,919 
Capital in excess of par value32,741,949 26,742,750 
Treasury stock(111,578)(111,001)
Cumulative net income9,145,044 8,804,950 
Cumulative dividends(16,773,773)(15,514,097)
Accumulated other comprehensive income(163,160)(119,707)
Total Welltower Inc. stockholders’ equity25,404,376 20,294,814 
Noncontrolling interests676,746 714,739 
Total equity26,081,122 21,009,553 
Total liabilities and equity$44,012,166 $37,893,233 

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4Q23Earnings ReleaseFebruary 13, 2024
Consolidated Statements of Income (unaudited)
(in thousands, except per share data)
  Three Months EndedTwelve Months Ended
  December 31,December 31,
  2023202220232022
Revenues:    
 Resident fees and services$1,262,862 $1,100,671 $4,753,804 $4,173,711 
 Rental income404,068 372,002 1,556,073 1,451,786 
 Interest income51,019 36,646 168,354 150,571 
 Other income31,826 9,212 159,764 84,547 
Total revenues1,749,775 1,518,531 6,637,995 5,860,615 
Expenses:    
 Property operating expenses1,036,078 938,838 3,947,776 3,558,770 
 Depreciation and amortization380,730 342,286 1,401,101 1,310,368 
 Interest expense154,574 140,391 607,846 529,519 
 General and administrative expenses44,327 41,319 179,091 150,390 
 Loss (gain) on derivatives and financial instruments, net(7,215)258 (2,120)8,334 
 Loss (gain) on extinguishment of debt, net— 87 680 
Provision for loan losses, net2,517 10,469 9,809 10,320 
 Impairment of assets14,994 13,146 36,097 17,502 
 Other expenses36,307 24,954 108,341 101,670 
 Total expenses1,662,312 1,511,748 6,287,948 5,687,553 
Income (loss) from continuing operations before income taxes    
 and other items87,463 6,783 350,047 173,062 
Income tax (expense) benefit4,768 4,088 (6,364)(7,247)
Income (loss) from unconsolidated entities(2,008)(4,650)(53,442)(21,290)
Gain (loss) on real estate dispositions, net(1,783)(4,423)67,898 16,043 
Income (loss) from continuing operations88,440 1,798 358,139 160,568 
Net income (loss)88,440 1,798 358,139 160,568 
Less:
Net income (loss) attributable to noncontrolling interests (1)
4,529 5,526 18,045 19,354 
Net income (loss) attributable to common stockholders$83,911 $(3,728)$340,094 $141,214 
Average number of common shares outstanding:    
 Basic548,892 483,305 515,629 462,185 
 Diluted552,380 483,305 518,701 465,158 
Net income (loss) attributable to common stockholders per share:  
 Basic$0.15 $(0.01)$0.66 $0.31 
 
Diluted(2)
$0.15 $(0.01)$0.66 $0.30 
Common dividends per share$0.61 $0.61 $2.44 $2.44 
(1) Includes amounts attributable to redeemable noncontrolling interests.
(2) Includes adjustment to the numerator for income (loss) attributable to OP Units and DownREIT Units.

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4Q23Earnings ReleaseFebruary 13, 2024
FFO ReconciliationsExhibit 1
(in thousands, except per share data)Three Months EndedTwelve Months Ended
December 31,December 31,
2023202220232022
Net income (loss) attributable to common stockholders$83,911$(3,728)$340,094$141,214
Depreciation and amortization380,730342,2861,401,1011,310,368
Impairments and losses (gains) on real estate dispositions, net16,77717,569(31,801)1,459
Noncontrolling interests(1)
(11,436)(13,989)(46,393)(56,529)
Unconsolidated entities(2)
21,87715,847100,22681,560
NAREIT FFO attributable to common stockholders491,859357,9851,763,2271,478,072
Normalizing items, net(3)
37,76046,247122,31780,198
Normalized FFO attributable to common stockholders$529,619$404,232$1,885,544$1,558,270
Average diluted common shares outstanding
For net income (loss) purposes552,380483,305518,701465,158
For FFO purposes552,380486,419518,701465,158
Per diluted share data attributable to common stockholders:
Net income (loss)(4)
$0.15$(0.01)$0.66$0.30
NAREIT FFO$0.89$0.74$3.40$3.18
Normalized FFO$0.96$0.83$3.64$3.35
Normalized FFO Payout Ratio:
Dividends per common share$0.61$0.61$2.44$2.44
Normalized FFO attributable to common stockholders per share$0.96$0.83$3.64$3.35
Normalized FFO payout ratio64%73%67%73%
Other items:(5)
Net straight-line rent and above/below market rent amortization(6)
$(39,296)$(26,539)$(135,356)$(106,496)
Non-cash interest expenses(7)
7,6096,16727,25221,805
Recurring cap-ex, tenant improvements, and lease commissions(71,726)(62,122)(199,359)(179,133)
Stock-based compensation8,4186,56936,61126,027
(1) Represents noncontrolling interests' share of net FFO adjustments.
(2) Represents Welltower's share of net FFO adjustments from unconsolidated entities.
(3) See Exhibit 2.
(4) Includes adjustment to the numerator for income (loss) attributable to OP Units and DownREIT Units.
(5) Amounts presented net of noncontrolling interests' share and including Welltower's share of unconsolidated entities.
(6) Excludes normalized other impairment (see Exhibit 2).
(7) Excludes normalized foreign currency loss (gain) (see Exhibit 2).

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4Q23Earnings ReleaseFebruary 13, 2024
Normalizing ItemsExhibit 2
(in thousands, except per share data)Three Months EndedTwelve Months Ended
December 31,December 31,
2023202220232022
Loss (gain) on derivatives and financial instruments, net$(7,215)(1)$258 $(2,120)$8,334 
Loss (gain) on extinguishment of debt, net— 87 680 
Provision for loan losses, net2,517 (2)10,469 9,809 10,320 
Income tax benefits(6,731)(3)(6,784)(6,977)(6,784)
Other impairment4,333 (4)— 16,642 (620)
Other expenses36,307 (5)24,954 108,341 101,670 
Leasehold interest termination— — (65,485)(64,854)
Casualty losses, net of recoveries1,038 (6)7,377 10,107 10,391 
Foreign currency loss (gain)(1,139)(7)(1,090)(1,629)2,787 
Normalizing items attributable to noncontrolling interests and unconsolidated entities, net8,650 (8)10,976 53,622 18,274 
Net normalizing items$37,760 $46,247 $122,317 $80,198 
Average diluted common shares outstanding552,380 486,419 518,701 465,158 
Net normalizing items per diluted share$0.07 $0.10 $0.24 $0.17 
(1) Primarily related to mark-to-market of the equity warrants received as part of the Safanad/HC-One transactions.
(2) Primarily related to reserves for loan losses under the current expected credit losses accounting standard.
(3) Primarily related to the release of valuation allowances.
(4) Represents the write off of straight-line rent receivable balances relating to leases placed on cash recognition.
(5) Primarily related to non-capitalizable transaction costs and expenses associated with operator transitions.
(6) Primarily relates to casualty losses net of any insurance recoveries.
(7) Primarily relates to foreign currency gains and losses related to accrued interest on intercompany loans and third party debt denominated in a foreign currency.
(8) Primarily related to hypothetical liquidation at book value adjustments related to in substance real estate investments.

Outlook Reconciliation: Year Ending December 31, 2024Exhibit 3
(in millions, except per share data)Current Outlook
LowHigh
FFO Reconciliation:
Net income attributable to common stockholders$694 $785 
Impairments and losses (gains) on real estate dispositions, net(1,2)
(78)(78)
Depreciation and amortization(1)
1,636 1,636 
NAREIT FFO and Normalized FFO attributable to common stockholders2,252 2,343 
Diluted per share data attributable to common stockholders:
Net income$1.21 $1.37 
NAREIT FFO and Normalized FFO$3.94 $4.10 
Other items:(1)
Net straight-line rent and above/below market rent amortization$(138)$(138)
Non-cash interest expenses36 36 
Recurring cap-ex, tenant improvements, and lease commissions(226)(226)
Stock-based compensation39 39 
(1) Amounts presented net of noncontrolling interests' share and Welltower's share of unconsolidated entities.
(2) Includes estimated gains on projected dispositions.

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4Q23Earnings ReleaseFebruary 13, 2024
SSNOI ReconciliationsExhibit 4
(in thousands)Three Months Ended
 March 31, June 30, September 30, December 31,
20232022202320222023202220232022
Net income (loss)$28,635 $65,751 $106,342 $95,672 $134,722 $(2,653)$88,440 $1,798 
Loss (gain) on real estate dispositions, net(747)(22,934)2,168 3,532 (71,102)(1,064)1,783 4,423 
Loss (income) from unconsolidated entities7,071 2,884 40,332 7,058 4,031 6,698 2,008 4,650 
Income tax expense (benefit)3,045 5,013 3,503 3,065 4,584 3,257 (4,768)(4,088)
Other expenses22,745 26,069 11,069 35,166 38,220 15,481 36,307 24,954 
Impairment of assets12,629 — 1,086 — 7,388 4,356 14,994 13,146 
Provision for loan losses, net777 (804)2,456 165 4,059 490 2,517 10,469 
Loss (gain) on extinguishment of debt, net(12)603 — 87 
Loss (gain) on derivatives and financial instruments, net930 2,578 1,280 (1,407)2,885 6,905 (7,215)258 
General and administrative expenses44,371 37,706 44,287 36,554 46,106 34,811 44,327 41,319 
Depreciation and amortization339,112 304,088 341,945 310,295 339,314 353,699 380,730 342,286 
Interest expense144,403 121,696 152,337 127,750 156,532 139,682 154,574 140,391 
Consolidated NOI602,976 542,035 706,806 618,453 666,740 561,664 713,697 579,693 
NOI attributable to unconsolidated investments(1)
26,354 20,142 25,150 23,648 29,488 27,374 30,785 24,950 
NOI attributable to noncontrolling interests(2)
(25,057)(34,999)(24,262)(82,804)(22,838)(27,236)(22,402)(27,523)
Pro rata NOI604,273 527,178 707,694 559,297 673,390 561,802 722,080 577,120 
Non-cash NOI attributable to same store properties(19,694)(13,669)(15,671)(18,162)(14,036)(16,045)(10,999)(17,233)
NOI attributable to non-same store properties(144,558)(106,506)(242,710)(133,593)(190,461)(134,532)(243,171)(148,387)
Currency and ownership(3)
(576)(4,787)(1,738)(1,713)(1,513)2,746 (992)4,456 
Other adjustments(4)
4,558 (2,123)(3,378)(11,603)(1,489)(5,758)458 (362)
Same Store NOI (SSNOI)$444,003 $400,093 $444,197 $394,226 $465,891 $408,213 $467,376 $415,594 
Seniors Housing Operating$216,304 $175,325 $217,863 $175,416 $238,882 $189,440 $237,948 $192,324 
Seniors Housing Triple-net94,408 94,203 93,575 90,740 89,929 86,573 90,599 88,689 
Outpatient Medical109,983 108,201 113,097 109,547 117,217 113,344 118,912 115,643 
Long-Term/Post-Acute Care23,308 22,364 19,662 18,523 19,863 18,856 19,917 18,938 
Total SSNOI$444,003 $400,093 $444,197 $394,226 $465,891 $408,213 $467,376 $415,594 
Average
Seniors Housing Operating23.4 %24.2 %26.1 %23.7 %24.4 %
Seniors Housing Triple-net0.2 %3.1 %3.9 %2.2 %2.4 %
Outpatient Medical1.6 %3.2 %3.4 %2.8 %2.8 %
Long-Term/Post-Acute Care4.2 %6.1 %5.3 %5.2 %5.2 %
Total SSNOI growth11.0 %12.7 %14.1 %12.5 %12.6 %
Note: (1) Represents Welltower's interests in joint ventures where Welltower is the minority partner.
 (2) Represents minority partners' interests in joint ventures where Welltower is the majority partner.
 (3) Includes adjustments to reflect consistent property ownership percentages and foreign currency exchange rates for properties in the U.K. and Canada.
 (4) Includes other adjustments described in the accompanying Supplements.





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4Q23Earnings ReleaseFebruary 13, 2024
Net Debt to Adjusted EBITDA ReconciliationExhibit 5
(in thousands)Three Months Ended
December 31, 2023December 31, 2022
Net income (loss)$88,440 $1,798 
Interest expense154,574 140,391 
Income tax expense (benefit)(4,768)(4,088)
Depreciation and amortization380,730 342,286 
EBITDA618,976 480,387 
Loss (income) from unconsolidated entities2,008 4,650 
Stock-based compensation8,418 6,569 
Loss (gain) on extinguishment of debt, net— 87 
Loss (gain) on real estate dispositions, net1,783 4,423 
Impairment of assets14,994 13,146 
Provision for loan losses, net2,517 10,469 
Loss (gain) on derivatives and financial instruments, net(7,215)258 
Other expenses36,307 24,954 
Casualty losses, net of recoveries1,038 7,377 
Other impairment(1)
4,333 — 
Adjusted EBITDA$683,159 $552,320 
Total debt(2)
$15,815,226 $14,661,552 
Cash and cash equivalents and restricted cash(2,076,083)(722,292)
Net debt$13,739,143 $13,939,260 
Adjusted EBITDA annualized$2,732,636 $2,209,280 
Net debt to Adjusted EBITDA ratio5.03 x6.31 x
(1) Represents the write off of straight-line rent receivable balances for leases placed on cash recognition.
(2) Amounts include unamortized premiums/discounts, other fair value adjustments and financing lease liabilities. Excludes operating lease liabilities related to ASC 842 of $303,553,000 and $302,360,000 for the three months ended December 31, 2023 and 2022, respectively.
Net Debt to Consolidated Enterprise ValueExhibit 6
(in thousands, except share price)
December 31, 2023December 31, 2022
Common shares outstanding564,241 490,509 
Period end share price$90.17 $65.55 
Common equity market capitalization$50,877,611 $32,152,865 
Net debt$13,739,143 $13,939,260 
Noncontrolling interests(1)
967,351 1,099,182 
Consolidated enterprise value$65,584,105 $47,191,307 
Net debt to consolidated enterprise value20.9 %29.5 %
(1) Includes amounts attributable to both redeemable noncontrolling interests and noncontrolling interests as reflected on our consolidated balance sheets.

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