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Welltower(WELL) - 2023 Q4 - Annual Report

Revenue Segmentation - The Seniors Housing Operating segment accounted for 72% of total revenues for the year ended December 31, 2023, with a significant contribution from Sunrise Senior Living, which represented approximately 12% of total revenues[33]. - The Triple-net segment contributed 16% of total revenues for the year ended December 31, 2023, with Integra Healthcare Properties accounting for about 3% of total revenues[36]. - The Outpatient Medical segment represented 11% of total revenues for the year ended December 31, 2023, with no single tenant exceeding 20% of segment revenues[39]. Financial Commitments and Investments - As of December 31, 2023, the company had outstanding construction investments of 1,304,441,000andwascommittedtoprovideanadditional1,304,441,000 and was committed to provide an additional 966,829,000 to complete construction for consolidated investment properties[46]. - The company had outstanding loans, net of allowances, of 1,691,706,000withaninterestyieldofapproximately10.51,691,706,000 with an interest yield of approximately 10.5% per annum as of December 31, 2023[47]. - Investments in unconsolidated entities amounted to 1,636,531,000 as of December 31, 2023, representing interests ranging from 10% to 95% in real estate assets[48]. Risk Management - Approximately 97% of the company's triple-net properties were subject to master leases as of December 31, 2023, which helps spread risk among the entire group of properties[43]. - The outpatient medical leases had a weighted-average remaining term of seven years at December 31, 2023, with 62% of the portfolio including leases with full pass-through[45]. - The company focuses on diversifying its investment portfolio by property type, relationship, and geographic location to enhance operational efficiency[40]. Employee Engagement and Development - The company has a commitment to employee engagement, conducting annual surveys to measure progress on key issues such as manager relationships and employee empowerment[67]. - The company offers various employee development programs, including executive management coaching and mentorship, to support career advancement[68]. - The company provides a comprehensive compensation and benefits program, including annual bonuses, retirement plans, and health and wellness reimbursement programs[69]. Governance and Compliance - The company has maintained Prime status under the ISS-ESG Corporate Rating for five consecutive years, reflecting its commitment to governance practices[63]. - The company maintains a diverse Board of Directors, with 40% female representation and 20% Black or African American members as of December 31, 2023[64]. - The company has implemented numerous health and wellness programs to support the well-being of employees, tenants, and residents, focusing on safety and flexible work arrangements[70]. Regulatory Environment - Operators of U.S. seniors housing facilities primarily rely on private pay sources for revenue, with Medicaid as a secondary source under state waiver programs[76]. - Long-term/post-acute care facilities receive the majority of their revenues from Medicare and Medicaid, with changes in reimbursement policies potentially impacting operators' ability to cover expenses[76]. - The Health Insurance Portability and Accountability Act (HIPAA) and other laws impose significant compliance costs on operators, which could adversely affect their financial obligations[80]. REIT Compliance and Taxation - The company intends to maintain its REIT status, which allows it to avoid U.S. federal income tax on distributed taxable income, but must meet various qualification tests[87]. - The company must distribute at least 90% of its REIT taxable income to avoid corporate tax, with a 4% excise tax on any undistributed amounts[88]. - The company must ensure compliance with the 10% vote test, 10% value test, and other asset tests to maintain its REIT status[103]. Debt and Interest Rate Exposure - Welltower OP's total principal balance of debt was 14,425,617,withachangeinfairvalueof14,425,617, with a change in fair value of (573,789) as of December 31, 2023[382]. - A 1% increase in interest rates would lead to an additional annual interest expense of 14,964,000onvariableratedebtasofDecember31,2023[382].Thecompanyisexposedtomarketrisks,includingadversechangesininterestratesandforeigncurrencyexchangerates[380].ForeignCurrencyandInternationalOperationsThecompanyissubjecttocurrencyfluctuationsthatmayaffectitsfinancialconditionandresultsofoperations[383].A1014,964,000 on variable rate debt as of December 31, 2023[382]. - The company is exposed to market risks, including adverse changes in interest rates and foreign currency exchange rates[380]. Foreign Currency and International Operations - The company is subject to currency fluctuations that may affect its financial condition and results of operations[383]. - A 10% increase or decrease in the value of the Canadian Dollar or British Pounds Sterling relative to the U.S. Dollar would impact net income from investments in Canada and the UK by less than 9,000,000[383]. - The company plans to mitigate foreign currency exposures with non-U.S. denominated borrowings and gains and losses on derivative contracts[383].