Welltower owns real estate rather than providing care itself. Its largest segment, Seniors Housing Operating (SHO), holds independent living, assisted living and memory care communities under RIDEA structures: third-party operators run the buildings, and Welltower books resident fees and services as revenue and keeps the property-level operating profit after paying the operator a management fee. In FY2025 resident fees and services were $8.453 billion of the company's $10.838 billion in total revenues. The rest came mainly from rental income on triple-net leased seniors housing and long-term care properties and outpatient medical buildings ($1.968 billion) and interest income on real estate loans ($246 million). In October 2025 the company said it would sell an 18 million square foot outpatient medical portfolio for about $7.2 billion and raise the seniors housing share of its net operating income to the mid-80% range.