0001360604False00013606042024-05-072024-05-07

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): May 7, 2024 (May 7, 2024)
Healthcare Realty Trust Incorporated
(Exact name of registrant as specified in its charter)
Maryland(Healthcare Realty Trust Incorporated)001-3556820-4738467
(State or other jurisdiction of incorporation or organization)(Commission File Number)(I.R.S. Employer Identification No.)
3310 West End Avenue, Suite 700Nashville,Tennessee37203
(615)
269-8175
(Address of Principal Executive Office and Zip Code)
(Registrant’s telephone number, including area code)
www.healthcarerealty.com
(Internet address)
(Former name or former address, if changed since last report)

Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading symbol(s)Name of each exchange on which registered
Class A Common Stock, $0.01 par value per shareHRNew York Stock Exchange
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
  
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
  
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
  
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter):
Healthcare Realty Trust IncorporatedEmerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
Healthcare Realty Trust Incorporated





Item 2.02Results of Operations and Financial Condition.
First Quarter Earnings Press Release
On May 7, 2024, Healthcare Realty Trust Incorporated (the “Company”) issued a press release announcing its earnings for the first quarter ended March 31, 2024. A copy of this press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference in its entirety.
Item 7.01Regulation FD Disclosure
First Quarter Supplemental Information
The Company is furnishing its Supplemental Information for the first quarter ended March 31, 2024, which is also contained on its website (www.healthcarerealty.com). See Exhibit 99.2 to this Current Report on Form 8-K.
Item 9.01Financial Statements and Exhibits.
(d) Exhibits.
99.1 
99.2 
104 Cover Page Interactive Data File (embedded within the Inline XBRL document)



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 undersigned hereunto duly authorized.
 Healthcare Realty Trust Incorporated  
Date: May 7, 2024By:/s/ J. Christopher Douglas   
  Name: J. Christopher Douglas 
  Title: Executive Vice President - Chief Financial Officer 




Ron Hubbard
Vice President, Investor Relations
P: 615.269.8290

News Release
HEALTHCARE REALTY TRUST REPORTS RESULTS FOR THE FIRST QUARTER

The Company is focused on its top priorities of capital allocation and operational momentum to accelerate FFO growth and improve dividend coverage.
CAPITAL ALLOCATION MOMENTUM
Announced a $383 million JV with KKR at a 6.6% cap rate with expected proceeds of $300 million
Expects additional proceeds of more than $300 million within 90 days from separate transactions
Repurchased 3.0 million shares totaling $41.7 million in April
OPERATIONAL MOMENTUM
Delivered multi-tenant absorption of 57,000 square feet, or 17 basis points, on pace with expectations
Generated strong new leasing momentum with new leases of approximately 440,000 square feet
Improved tenant retention to 84.8%, up from 78.2% in fourth quarter 2023

NASHVILLE, Tennessee, May 7, 2024 - Healthcare Realty Trust Incorporated (NYSE:HR) today announced results for the first quarter ended March 31, 2024. Net (loss) income attributable to common stockholders for the three months ended March 31, 2024 was $(310.8) million, or $(0.82) per diluted common share. Normalized FFO per share totaled $0.39 for the three months ended March 31, 2024.
CAPITAL ALLOCATION
The Company announced a strategic JV with KKR & Co., Inc. with the following key terms:
The Company will contribute 12 existing properties at a value of $382.5 million, representing a cap rate of approximately 6.6%.
KKR will make an initial capital contribution into the JV equal to 80% of the value of the properties.
The Company will retain a 20% interest and will manage the JV, as well as continue to oversee day-to-day operations and leasing of the properties.
The JV is expected to generate approximately $300 million of proceeds to the Company, and the contribution of the properties is expected to occur throughout May and June, subject to customary closing conditions.
Asset-level financing is not expected to be used for the initial JV seed portfolio or future investments.
KKR has also committed up to $600 million of additional equity capital to invest in high-quality stabilized MOBs, which may include additional contributions of the Company's properties.
The Company has additional transactions under contract and letters of intent that are expected to generate further proceeds of more than $300 million within 90 days.


hrlogo-rgb1.jpg
HEALTHCAREREALTY.COM | PAGE 1 OF 8


The impact of additional transactions as well as the KKR JV will be incorporated into the Company's guidance expectations when they are completed.
Proceeds are expected to be used to repurchase shares on a leverage neutral basis, maintaining debt to adjusted EBITDA between 6.0 and 6.5 times.
In April, the Company repurchased 3.0 million shares totaling $41.7 million at an average price of $14.07 per share.
The Company's Board of Directors has authorized the repurchase of up to $500.0 million of outstanding shares of the Company’s common stock.

MULTI-TENANT OCCUPANCY AND ABSORPTION
Multi-tenant sequential occupancy gains were in-line with expectations provided in the February 2024 Investor Presentation as shown below:
1Q 2024 ACTUAL
Absorption (SF)56,972
Change in occupancy (bps)+ 17

Strong multi-tenant absorption was noteworthy given the 1,603,000 square feet of expirations in first quarter, nearly double the expirations in the fourth quarter 2023 and the highest quarterly level scheduled in 2024.
The multi-tenant portfolio leased percentage was 87.1% at March 31, which was 170 basis points greater than occupancy of 85.4%.
Multi-tenant occupancy has increased by 70 basis points since third quarter of 2023. For the Legacy HTA properties, multi-tenant occupancy has increased by 130 basis points for the same period.
The multi-tenant occupancy and NOI bridge can be found on page 5 of the Key Highlights Investor Presentation.

LEASING
Portfolio leasing activity that commenced in the first quarter totaled 2,077,000 square feet related to 411 leases:
1,595,000 square feet of renewals
482,000 square feet of new and expansion lease commencements
The Company signed new leases totaling approximately 440,000 square feet in the quarter.

SAME STORE
Same Store cash NOI for the first quarter increased 3.0% over the same quarter in the prior year, up from 2.7% year over year growth in fourth quarter 2023.
Tenant retention for the first quarter was 84.8%, an increase from 78.2% in fourth quarter 2023.









HEALTHCARE REALTY TRUST INCORPORATED
HEALTHCAREREALTY.COM | PAGE 2 OF 8



Operating expense growth was 1.7% over the same quarter in the prior year, down from 4.1% year over year growth in fourth quarter 2023.
First quarter predictive growth measures in the Same Store portfolio include:
Average in-place rent increases of 2.8%
Future annual contractual increases of 2.9% for leases commencing in the quarter.
Weighted average MOB cash leasing spreads of 3.7% on 1,313,000 square feet renewed:
4% (<0% spread)
10% (0-3%)
54% (3-4%)
31% (>4%)
BALANCE SHEET
Net debt to adjusted EBITDA was 6.5 times at March 31, 2024.
In March 2024, the Company reduced its credit spread on its term loans and credit facility by 1 basis point as a result of meeting certain sustainability targets.
As of March 31, 2024, variable rate debt was 10% of outstanding, an improvement from 16% as of March 31, 2023.

DIVIDEND
The Company is focused on its top priorities of capital allocation and operational momentum to accelerate earnings growth and improve dividend coverage.
A dividend of $0.31 per share was paid in March 2024. A dividend of $0.31 per share will be paid on May 23, 2024 to stockholders and OP unitholders of record on May 13, 2024.

GUIDANCE
The Company affirms its 2024 Normalized FFO per share guidance as shown below:
ACTUALEXPECTED 2Q 2024EXPECTED 2024
1Q 2024LOWHIGHLOWHIGH
Earnings per share $(0.82)$(0.12)$(0.11)$(1.30)$(0.80)
NAREIT FFO per share $(0.30)$0.35$0.36$0.77$0.82
Normalized FFO per share$0.39$0.38$0.39$1.52$1.58

The Company's 2024 guidance range includes activities outlined in the Components of Expected FFO on page 27 of the Supplemental Information.
The Company's 2024 guidance range does not include any assumptions for recently announced or prospective JV seed portfolios, dispositions or share repurchases. These transactions will be incorporated into the Company's guidance expectations after completion.









HEALTHCARE REALTY TRUST INCORPORATED
HEALTHCAREREALTY.COM | PAGE 3 OF 8



The Company's earnings per share and NAREIT FFO per share guidance ranges have been updated to reflect the impact of non-cash goodwill and real estate impairments recognized in 1Q 2024, as applicable.


The 2024 annual guidance range reflects the Company's view of current and future market conditions, including assumptions with respect to rental rates, occupancy levels, interest rates, and operating and general and administrative expenses. The Company's guidance does not contemplate impacts from gains or losses from
dispositions, potential impairments, or debt extinguishment costs, if any. There can be no assurance that the Company's actual results will not be materially higher or lower than these expectations. If actual results vary from these assumptions, the Company's expectations may change.


EARNINGS CALL
On Tuesday, May 7, 2024, at 12:00 p.m. Eastern Time, Healthcare Realty Trust has scheduled a conference call to discuss earnings results, quarterly activities, general operations of the Company and industry trends.
Simultaneously, a webcast of the conference call will be available to interested parties at https://investors.healthcarerealty.com/corporate-profile/webcasts under the Investor Relations section. A webcast replay will be available following the call at the same address.
Live Conference Call Access Details:
Domestic Toll-Free Number: +1 833-470-1428 access code 240790;
All Other Locations: +1 404-975-4839 access code 240790.
Replay Information:
Domestic Toll-Free Number: +1 866-813-9403 access code 656103;
All Other Locations: +1 929-458-6194 access code 656103.

Healthcare Realty (NYSE: HR) is a real estate investment trust (REIT) that owns and operates medical outpatient buildings primarily located around market-leading hospital campuses. The Company selectively grows its portfolio through property acquisition and development. As the first and largest REIT to specialize in medical outpatient buildings, Healthcare Realty's portfolio includes nearly 700 properties totaling over 40 million square feet concentrated in 15 growth markets.
Additional information regarding the Company, including this quarter's operations, can be found at www.healthcarerealty.com. In addition to the historical information contained within, this press release contains certain forward-looking statements with respect to the Company. Forward-looking statements are statements that are not descriptions of historical facts and include statements regarding management’s intentions, beliefs, expectations, plans or predictions of the future, within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Because such statements include risks, uncertainties and contingencies, actual results may differ materially and in adverse ways from those expressed or implied by such forward-looking statements. These risks, uncertainties and contingencies include, without limitation, the following: the Company's expected results may not be achieved; failure to realize the expected benefits of the Merger; significant transaction costs and/or unknown or inestimable liabilities; risks related to future opportunities and plans for the Company, including the uncertainty of expected future financial performance and results of the Company; the possibility that, if the Company does not achieve the perceived benefits of the Merger as rapidly or to the extent anticipated by financial analysts or investors, the market price of the Company’s common stock could decline; general adverse economic and local real estate conditions; changes in economic conditions generally and the real estate market specifically; legislative and regulatory changes, including changes to laws governing the taxation of REITs and changes to laws governing the healthcare industry; the availability of capital; changes in interest rates; competition in the real estate industry; the supply and demand for operating properties in the Company’s proposed market areas; changes in accounting principles generally accepted in the US; policies and guidelines applicable to REITs; the availability of properties to acquire; the availability of financing; pandemics and other health concerns, and the measures intended to prevent their spread, including the currently ongoing COVID-19 pandemic; and the potential material adverse effect these matters may have on the Company’s business, results of operations, cash flows and financial condition. Additional information concerning the Company and its business, including additional factors that could materially and adversely affect the Company’s financial results, include, without limitation, the risks described under Part I, Item 1A - Risk Factors, in the Company’s 2023 Annual Report on Form 10-K and in its other filings with the SEC.









HEALTHCARE REALTY TRUST INCORPORATED
HEALTHCAREREALTY.COM | PAGE 4 OF 8



Consolidated Balance Sheets
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
ASSETS
1Q 20244Q 20233Q 20232Q 20231Q 2023
Real estate properties
Land $1,342,895 $1,343,265 $1,387,821 $1,424,453 $1,412,805 
Buildings and improvements 10,902,835 10,881,373 11,004,195 11,188,821 11,196,297 
Lease intangibles816,303 836,302 890,273 922,029 929,008 
Personal property12,720 12,718 12,686 12,615 11,945 
Investment in financing receivables, net 122,001 122,602 120,975 121,315 120,692 
Financing lease right-of-use assets 81,805 82,209 82,613 83,016 83,420 
Construction in progress70,651 60,727 85,644 53,311 42,615 
Land held for development59,871 59,871 59,871 78,411 69,575 
Total real estate investments13,409,081 13,399,067 13,644,078 13,883,971 13,866,357 
Less accumulated depreciation and amortization(2,374,047)(2,226,853)(2,093,952)(1,983,944)(1,810,093)
Total real estate investments, net11,035,034 11,172,214 11,550,126 11,900,027 12,056,264 
Cash and cash equivalents26,172 25,699 24,668 35,904 49,941 
Assets held for sale, net30,968 8,834 57,638 151 3,579 
Operating lease right-of-use assets273,949 275,975 323,759 333,224 336,112 
Investments in unconsolidated joint ventures 309,754 311,511 325,453 327,245 327,746 
Other assets, net and goodwill605,047 842,898 822,084 797,796 795,242 
Total assets$12,280,924 $12,637,131 $13,103,728 $13,394,347 $13,568,884 
LIABILITIES AND STOCKHOLDERS' EQUITY
1Q 20244Q 20233Q 20232Q 20231Q 2023
Liabilities
Notes and bonds payable $5,108,279 $4,994,859 $5,227,413 $5,340,272 $5,361,699 
Accounts payable and accrued liabilities163,172 211,994 204,947 196,147 155,210 
Liabilities of properties held for sale700 295 3,814 222 277 
Operating lease liabilities229,223 229,714 273,319 278,479 279,637 
Financing lease liabilities74,769 74,503 74,087 73,629 73,193 
Other liabilities197,763 202,984 211,365 219,694 232,029 
Total liabilities5,773,906 5,714,349 5,994,945 6,108,443 6,102,045 
Redeemable non-controlling interests3,880 3,868 3,195 2,487 2,000 
Stockholders' equity
Preferred stock, $0.01 par value; 200,000 shares authorized— — — — — 
Common stock, $0.01 par value; 1,000,000 shares authorized3,815 3,810 3,809 3,808 3,808 
Additional paid-in capital9,609,530 9,602,592 9,597,629 9,595,033 9,591,194 
Accumulated other comprehensive (loss) income 4,791 (10,741)17,079 9,328 (8,554)
Cumulative net income attributable to common stockholders717,958 1,028,794 1,069,327 1,137,171 1,219,930 
Cumulative dividends (3,920,199)(3,801,793)(3,684,144)(3,565,941)(3,447,750)
Total stockholders' equity6,415,895 6,822,662 7,003,700 7,179,399 7,358,628 
Non-controlling interest87,243 96,252 101,888 104,018 106,211 
Total Equity6,503,138 6,918,914 7,105,588 7,283,417 7,464,839 
Total liabilities and stockholders' equity$12,280,924 $12,637,131 $13,103,728 $13,394,347 $13,568,884 





HEALTHCARE REALTY TRUST INCORPORATED
HEALTHCAREREALTY.COM | PAGE 5 OF 8


Consolidated Statements of Income
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA

1Q 20244Q 20233Q 20232Q 20231Q 2023
Revenues
Rental income$318,076$322,076$333,335$329,680$324,093
Interest income4,5384,4224,2644,2334,214
Other operating4,1913,9434,6614,2304,618
326,805330,441342,260338,143332,925
Expenses
Property operating121,078121,362131,639125,395122,040
General and administrative14,78714,60913,39615,46414,935
   Normalizing items 1
(1,445)(275)
Normalized general and administrative14,78713,16413,39615,18914,935
Transaction costs 395301769669287
Merger-related costs 1,4147,450(15,670)4,855
Depreciation and amortization178,119180,049182,989183,193184,479
314,379317,735336,243309,051326,596
Other income (expense)
Interest expense before merger-related fair value(50,949)(52,387)(55,637)(54,780)(52,895)
   Merger-related fair value adjustment(10,105)(10,800)(10,667)(10,554)(10,864)
Interest expense(61,054)(63,187)(66,304)(65,334)(63,759)
Gain on sales of real estate properties2220,57348,8117,1561,007
Gain (loss) on extinguishment of debt62
Impairment of real estate assets and credit loss reserves(15,937)(11,403)(56,873)(55,215)(31,422)
Impairment of goodwill(250,530)
Equity (loss) gain from unconsolidated joint ventures(422)(430)(456)(17)(780)
Interest and other income (expense), net27565139592547
(327,646)(54,382)(74,621)(112,818)(94,407)
Net (loss) income$(315,220)$(41,676)$(68,604)$(83,726)$(88,078)
Net loss (income) attributable to non-controlling interests4,3841,143760967953
Net (loss) income attributable to common stockholders$(310,836)$(40,533)$(67,844)$(82,759)$(87,125)
Basic earnings per common share$(0.82)$(0.11)$(0.18)$(0.22)$(0.23)
Diluted earnings per common share$(0.82)$(0.11)$(0.18)$(0.22)$(0.23)
Weighted average common shares outstanding - basic379,455379,044378,925378,897378,840
Weighted average common shares outstanding - diluted 2
379,455379,044378,925378,897378,840

















14Q 2023 normalizing items include severance costs and and 2Q 2023 includes non-routine legal costs..
2Potential common shares are not included in the computation of diluted earnings per share when a loss exists, as the effect would be an antidilutive per share amount. As a result, the Company's OP totaling 3,681,225 units was not included.
HEALTHCARE REALTY TRUST INCORPORATED
HEALTHCAREREALTY.COM | PAGE 6 OF 8



Reconciliation of FFO, Normalized FFO and FAD 1,2,3
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
1Q 20244Q 20233Q 20232Q 20231Q 2023
Net (loss) income attributable to common stockholders$(310,836)$(40,533)$(67,844)$(82,759)$(87,125)
Net loss attributable to common stockholders/diluted share 3
$(0.82)$(0.11)$(0.18)$(0.22)$(0.23)
Gain on sales of real estate assets(22)(20,573)(48,811)(7,156)(1,007)
Impairments of real estate assets15,937 11,403 56,873 55,215 26,227 
Real estate depreciation and amortization181,161 182,272 185,143 185,003 186,109 
Non-controlling loss from partnership units(4,278)(491)(841)(1,027)(1,067)
Unconsolidated JV depreciation and amortization4,5684,4424,4214,4124,841
FFO adjustments$197,366$177,053$196,785$236,447$215,103
FFO adjustments per common share - diluted$0.51$0.46$0.51$0.62$0.56
FFO $(113,470)$136,520$128,941$153,688$127,978
FFO per common share - diluted 4
$(0.30)$0.36$0.34$0.40$0.33
Transaction costs 395301769669287
Merger-related costs
1,4147,450(15,670)4,855
Lease intangible amortization175261213240146
Non-routine legal costs/forfeited earnest money received — (100)275
Debt financing costs(62)
Severance costs1,445
Impairment of goodwill250,530
Allowance for credit losses 5
8,599
Merger-related fair value adjustment 10,10510,80010,66710,55410,864
Unconsolidated JV normalizing items 6
87899093117
Normalized FFO adjustments$261,292$14,210$19,127$(3,839)$24,868
Normalized FFO adjustments per common share - diluted$0.68$0.04$0.05$(0.01)$0.06
Normalized FFO
$147,822$150,730$148,068$149,849$152,846
Normalized FFO per common share - diluted$0.39$0.39$0.39$0.39$0.40
Non-real estate depreciation and amortization485685475802604
Non-cash interest amortization, net 7
1,2771,2651,4021,618682
Rent reserves, net(151)1,404442(54)1,371
Straight-line rent income, net(7,633)(7,872)(8,470)(8,005)(8,246)
Stock-based compensation3,5623,5662,5563,9243,745
Unconsolidated JV non-cash items 8
(122)(206)(231)(316)(227)
Normalized FFO adjusted for non-cash items
145,240149,572144,242147,818150,775
2nd generation TI(20,204)(18,715)(21,248)(17,236)(8,882)
Leasing commissions paid(15,215)(14,978)(8,907)(5,493)(7,013)
Capital expenditures(5,363)(17,393)(14,354)(8,649)(8,946)
Total maintenance capex(40,782)(51,086)(44,509)(31,378)(24,841)
FAD$104,458$98,486$99,733$116,440$125,934
Quarterly/annual dividends $119,541$118,897$119,456$119,444$119,442
FFO wtd avg common shares outstanding - diluted 9
383,413383,326383,428383,409383,335

1Funds from operations (“FFO”) and FFO per share are operating performance measures adopted by NAREIT. NAREIT defines FFO as “net income (computed in accordance with GAAP) excluding depreciation and amortization related to real estate, gains and losses from the sale of certain real estate assets, gains and losses from change in control, and impairment write-downs of certain real assets and investments in entities when the impairment is directly attributable to decreases in the value of depreciable real estate held by the entity.”
2FFO, Normalized FFO and Funds Available for Distribution ("FAD") do not represent cash generated from operating activities determined in accordance with GAAP and is not necessarily indicative of cash available to fund cash needs. FFO, Normalized FFO and FAD should not be considered alternatives to net income attributable to common stockholders as indicators of the Company's operating performance or as alternatives to cash flow as measures of liquidity.
3Potential common shares are not included in the computation of diluted earnings per share when a loss exists, as the effect would be an antidilutive per share amount.
4For 1Q 2024, basic weighted average common shares outstanding was the denominator used in the per share calculation.
5In 1Q 2023, allowance for credit losses included a $5.2 million credit allowance for a mezzanine loan and a $3.4 million reserve for three skilled nursing facilities.
6Includes the Company's proportionate share of normalizing items related to unconsolidated joint ventures such as lease intangibles and acquisition and pursuit costs.
7Includes the amortization of deferred financing costs, discounts and premiums, and non-cash financing receivable amortization.
8Includes the Company's proportionate share of straight-line rent, net and rent reserves, net related to unconsolidated joint ventures.
9The Company utilizes the treasury stock method, which includes the dilutive effect of nonvested share-based awards outstanding of 254,261 for the three months ended March 31, 2024. Also includes the diluted impact of 3,681,225 OP units outstanding.
HEALTHCARE REALTY TRUST INCORPORATED
HEALTHCAREREALTY.COM | PAGE 7 OF 8



Reconciliation of Non-GAAP Measures
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA - UNAUDITED
Management considers funds from operations ("FFO"), FFO per share, normalized FFO, normalized FFO per share, funds available for distribution ("FAD") to be useful non-GAAP measures of the Company's operating performance. A non-GAAP financial measure is generally defined as one that purports to measure historical financial performance, financial position or cash flows, but excludes or includes amounts that would not be so adjusted in the most comparable measure determined in accordance with GAAP. Set forth below are descriptions of the non-GAAP financial measures management considers relevant to the Company's business and useful to investors.

The non-GAAP financial measures presented herein are not necessarily identical to those presented by other real estate companies due to the fact that not all real estate companies use the same definitions. These measures should not be considered as alternatives to net income (determined in accordance with GAAP), as indicators of the Company's financial performance, or as alternatives to cash flow from operating activities (determined in accordance with GAAP) as measures of the Company's liquidity, nor are these measures necessarily indicative of sufficient cash flow to fund all of the Company's needs.

FFO and FFO per share are operating performance measures adopted by the National Association of Real Estate Investment Trusts, Inc. (“NAREIT”). NAREIT defines FFO as “net income (computed in accordance with GAAP) excluding depreciation and amortization related to real estate, gains and losses from the sale of certain real estate assets, gains and losses from change in control, and impairment write-downs of certain real assets and investments in entities when the impairment is directly attributable to decreases in the value of depreciable real estate held by the entity.” The Company defines Normalized FFO as FFO excluding acquisition-related expenses, lease intangible amortization and other normalizing items that are unusual and infrequent in nature. FAD is presented by adding to Normalized FFO non-real estate depreciation and amortization, deferred financing fees amortization, share-based compensation expense and rent reserves, net; and subtracting maintenance capital expenditures, including second generation tenant improvements and leasing commissions paid and straight-line rent income, net of expense. The Company's definition of these terms may not be comparable to that of other real estate companies as they may have different methodologies for computing these amounts. FFO, Normalized FFO and FAD do not represent cash generated from operating activities determined in accordance with GAAP and are not necessarily indicative of cash available to fund cash needs. FFO, Normalized FFO and FAD should not be considered an alternative to net income as an indicator of the Company’s operating performance or as an alternative to cash flow as a measure of liquidity. FFO, Normalized FFO and FAD should be reviewed in connection with GAAP financial measures.

Management believes FFO, FFO per share, Normalized FFO, Normalized FFO per share, and FAD provide an understanding of the operating performance of the Company’s properties without giving effect to certain significant non-cash items, including depreciation and amortization expense. Historical cost accounting for real estate assets in accordance with GAAP assumes that the value of real estate assets diminishes predictably over time. However, real estate values instead have historically risen or fallen with market conditions. The Company believes that by excluding the effect of depreciation, amortization, gains or losses from sales of real estate, and other normalizing items that are unusual and infrequent, FFO, FFO per share, Normalized FFO, Normalized FFO per share and FAD can facilitate comparisons of operating performance between periods. The Company reports these measures because they have been observed by management to be the predominant measures used by the REIT industry and by industry analysts to evaluate REITs and because these measures are consistently reported, discussed, and compared by research analysts in their notes and publications about REITs.

Merger Combined Cash NOI and Merger Combined Same Store Cash NOI are key performance indicators. Management considers these to be supplemental measures that allow investors, analysts and Company management to measure unlevered property-level operating results. The Company defines Merger Combined Cash NOI as rental income and less property operating expenses. Merger Combined Cash NOI excludes non-cash items such as above and below market lease intangibles, straight-line rent, lease inducements, lease termination fees, tenant improvement amortization and leasing commission amortization. Merger Combined Cash NOI is historical and not necessarily indicative of future results.

Merger Combined Same Store Cash NOI compares Merger Combined Cash NOI for stabilized properties. Stabilized properties are properties that have been included in operations for the duration of the year-over-year comparison period presented. Accordingly, stabilized properties exclude properties that were recently acquired or disposed of, properties classified as held for sale, properties undergoing redevelopment, and newly redeveloped or developed properties.
The Company utilizes the redevelopment classification for properties where management has approved a change in strategic direction for such properties through the application of additional resources including an amount of capital expenditures significantly above routine maintenance and capital improvement expenditures.
Any recently acquired property will be included in the same store pool once the Company has owned the property for eight full quarters. Newly developed or redeveloped properties will be included in the same store pool eight full quarters after substantial completion.
HEALTHCARE REALTY TRUST INCORPORATED
HEALTHCAREREALTY.COM | PAGE 8 OF 8
























1Q2024
Supplemental Information
FURNISHED AS OF MAY 7, 2024 - UNAUDITED
hrlogo-rgba.jpg
























































FORWARD LOOKING STATEMENTS & RISK FACTORS
This Supplemental Information report contains disclosures that are “forward-looking statements” as defined in Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements include all statements that do not relate solely to historical or current facts and can be identified by the use of words and phrases such as “can,” “may,” “payable,” “indicative,” "predictive," “annualized,” “expect,” “expected,” “range of expectations,” "would have been," "budget," and other comparable terms in this report, and include, but are not limited to, statements related to the merger between Healthcare Realty Trust Incorporated (the “Company” or "HR") and Healthcare Trust of America, Inc. (“Legacy HTA”) that closed on July 20, 2022 (the “Merger”). These forward-looking statements are made as of the date of this report and are not necessarily indicative of future performance. These statements are based on the current plans and expectations of Company management and are subject to a number of unknown risks, uncertainties, assumptions and other factors that could cause actual results to differ materially from those described in this release or implied by such forward-looking statements. Such risks and uncertainties include, among other things, the following: the Company’s expected results may not be achieved; failure to realize the expected benefits of the Merger; risks related to future opportunities and plans for the Company, including the uncertainty of expected future financial performance and results of the Company; the possibility that, if the Company does not achieve the perceived benefits of the Merger as rapidly or to the extent anticipated by financial analysts or investors, the market price of the Company’s common stock could decline; pandemics or other health crises, such as COVID-19; increases in interest rates; the availability and cost of capital at expected rates; competition for quality assets; negative developments in the operating results or financial condition of the Company's tenants, including, but not limited to, their ability to pay rent; the Company's ability to reposition or sell facilities with profitable results; the Company's ability to release space at similar rates as vacancies occur; the Company's ability to renew expiring leases; government regulations affecting tenants' Medicare and Medicaid reimbursement rates and operational requirements; unanticipated difficulties and/or expenditures relating to future acquisitions and developments; changes in rules or practices governing the Company's financial reporting; the Company may be required under purchase options to sell properties and may not be able to reinvest the proceeds from such sales at rates of return equal to the return received on the properties sold; uninsured or underinsured losses related to casualty or liability; the incurrence of impairment charges on its real estate properties or other assets; and other legal and operational matters. Other risks, uncertainties and factors that could cause actual results to differ materially from those projected are detailed under the heading “Risk Factors,” in the Annual Report on Form 10-K filed with the Securities and Exchange Commission (“SEC”) for the year ended December 31, 2023, under the heading "Risk Factors" and other risks described from time to time thereafter in the Company's SEC filings. The Company undertakes no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.



Table of Contents
Highlights
Salient Facts
Corporate Information
Balance Sheet
Statements of Income
FFO, Normalized FFO, & FAD
Capital Funding & Commitments
Debt Metrics
Debt Covenants & Liquidity
Re/development Activity
Portfolio
Health Systems
MOB Proximity to Hospital
Lease Maturity & Occupancy
Leasing Statistics
Same Store
NOI Reconciliations
EBITDA Reconciliations
Components of Net Asset Value
Components of Expected FFO




















HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 3
    


Highlights
The Company is focused on its top priorities of capital allocation and operational momentum to accelerate FFO growth and improve dividend coverage.
CAPITAL ALLOCATION MOMENTUM

Announced a $383 million JV with KKR at a 6.6% cap rate with expected proceeds of $300 million
Expects additional proceeds of more than $300 million within 90 days from separate transactions
Repurchased 3.0 million shares totaling $41.7 million in April

OPERATIONAL MOMENTUM

Delivered multi-tenant absorption of 57,000 square feet, or 17 basis points, on pace with expectations
Generated strong new leasing momentum with new leases of approximately 440,000 square feet
Improved tenant retention to 84.8%, up from 78.2% in fourth quarter 2023

NET INCOME AND NORMALIZED FFO
Net (loss) income attributable to common stockholders for the three months ended March 31, 2024 was $(310.8) million or $(0.82) per diluted common share.
Normalized FFO per share totaled $0.39 for the three months ended March 31, 2024.

CAPITAL ALLOCATION
The Company announced a strategic JV with KKR & Co., Inc. with the following key terms:
The Company will contribute 12 existing properties at a value of $382.5 million, representing a cap rate of approximately 6.6%.
KKR will make an initial capital contribution into the JV equal to 80% of the value of the properties.
The Company will retain a 20% interest and will manage the JV, as well as continue to oversee day-to-day operations and leasing of the properties.
The JV is expected to generate approximately $300 million of proceeds to the Company, and the contribution of the properties is expected to occur throughout May and June, subject to customary closing conditions.
Asset-level financing is not expected to be used for the initial JV seed portfolio or future investments.
KKR has also committed up to $600 million of additional equity capital to invest in high-quality stabilized MOBs, which may include additional contributions of the Company's properties.
The Company has additional transactions under contract and letters of intent that are expected to generate further proceeds of more than $300 million within 90 days.
The impact of additional transactions as well as the KKR JV will be incorporated into the Company's guidance expectations when they are completed.
Proceeds are expected to be used to repurchase shares on a leverage neutral basis, maintaining debt to adjusted EBITDA between 6.0 and 6.5 times.
In April, the Company repurchased 3.0 million shares totaling $41.7 million at an average price of $14.07 per share.
The Company's Board of Directors has authorized the repurchase of up to $500.0 million of outstanding shares of the Company’s common stock.
.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 4
    


Highlights
MULTI-TENANT OCCUPANCY AND ABSORPTION
Multi-tenant sequential occupancy gains were in-line with expectations provided in the February 2024 Investor Presentation as shown below:
1Q 2024 ACTUAL
Absorption (SF)56,972
Change in occupancy (bps)+ 17

Strong multi-tenant absorption was noteworthy given the 1,603,000 square feet of expirations in first quarter, nearly double the expirations in the fourth quarter 2023 and the highest quarterly level scheduled in 2024.
The multi-tenant portfolio leased percentage was 87.1% at March 31, which was 170 basis points greater than occupancy of 85.4%.
Multi-tenant occupancy has increased by 70 basis points since third quarter of 2023. For the Legacy HTA properties, multi-tenant occupancy has increased by 130 basis points for the same period.
The multi-tenant occupancy and NOI bridge can be found on page 5 of the Key Highlights Investor Presentation.

LEASING
Portfolio leasing activity that commenced in the first quarter totaled 2,077,000 square feet related to 411 leases:
1,595,000 square feet of renewals
482,000 square feet of new and expansion lease commencements
The Company signed new leases totaling approximately 440,000 square feet in the quarter.

SAME STORE
Same Store cash NOI for the first quarter increased 3.0% over the same quarter in the prior year, up from 2.7% year over year growth in fourth quarter 2023.
Tenant retention for the first quarter was 84.8%, an increase from 78.2% in fourth quarter 2023.
Operating expense growth was 1.7% over the same quarter in the prior year, down from 4.1% year over year growth in fourth quarter 2023.
First quarter predictive growth measures in the Same Store portfolio include:
Average in-place rent increases of 2.8%
Future annual contractual increases of 2.9% for leases commencing in the quarter.
Weighted average MOB cash leasing spreads of 3.7% on 1,313,000 square feet renewed:
4% (<0% spread)
10% (0-3%)
54% (3-4%)
31% (>4%)











HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 5
    


Highlights
BALANCE SHEET
Net debt to adjusted EBITDA was 6.5 times at March 31, 2024.
In March 2024, the Company reduced its credit spread on its term loans and credit facility by 1 basis point as a result of meeting certain sustainability targets.
As of March 31, 2024, variable rate debt was 10% of outstanding, an improvement from 16% as of March 31, 2023.

DIVIDEND
The Company is focused on its top priorities of capital allocation and operational momentum to accelerate earnings growth and improve dividend coverage.
A dividend of $0.31 per share was paid in March 2024. A dividend of $0.31 per share will be paid on May 23, 2024 to stockholders and OP unitholders of record on May 13, 2024.

GUIDANCE
The Company affirms its 2024 Normalized FFO per share guidance as shown below:
ACTUALEXPECTED 2Q 2024EXPECTED 2024
1Q 2024LOWHIGHLOWHIGH
Earnings per share $(0.82)$(0.12)$(0.11)$(1.30)$(0.80)
NAREIT FFO per share $(0.30)$0.35$0.36$0.77$0.82
Normalized FFO per share$0.39$0.38$0.39$1.52$1.58

The Company's 2024 guidance range includes activities outlined in the Components of Expected FFO on page 27 of the Supplemental Information.
The Company's 2024 guidance range does not include any assumptions for recently announced or prospective JV seed portfolios, dispositions or share repurchases. These transactions will be incorporated into the Company's guidance expectations after completion.
The Company's earnings per share and NAREIT FFO per share guidance ranges have been updated to reflect the impact of non-cash goodwill and real estate impairments recognized in 1Q 2024, as applicable.

The 2024 annual guidance range reflects the Company's view of current and future market conditions, including assumptions with respect to rental rates, occupancy levels, interest rates, and operating and general and administrative expenses. The Company's guidance does not contemplate impacts from gains or losses from
dispositions, potential impairments, or debt extinguishment costs, if any. There can be no assurance that the Company's actual results will not be materially higher or lower than these expectations. If actual results vary from these assumptions, the Company's expectations may change.

EARNINGS CALL
On Tuesday, May 7, 2024, at 12:00 p.m. Eastern Time, Healthcare Realty Trust has scheduled a conference call to discuss earnings results, quarterly activities, general operations of the Company and industry trends.
Simultaneously, a webcast of the conference call will be available to interested parties at https://investors.healthcarerealty.com/corporate-profile/webcasts under the Investor Relations section. A webcast replay will be available following the call at the same address.
Live Conference Call Access Details:
Domestic Toll-Free Number: +1 833-470-1428 access code 240790;
All Other Locations: +1 404-975-4839 access code 240790.
Replay Information:
Domestic Toll-Free Number: +1 866-813-9403 access code 656103;
All Other Locations: +1 929-458-6194 access code 656103.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 6
    


 Salient Facts 1
AS OF MARCH 31, 2024
Properties
salientfacts-q12024_grapha.jpg
687 properties totaling 40.3M SF
68 markets in 35 states
92% managed by Healthcare Realty
93% outpatient medical facilities
60% of NOI in Top 15 Markets
Capitalization
$10.8B enterprise value as of 3/31/24
$5.5B market capitalization as of 3/31/24
385.2M shares outstanding (including OP units)
$0.31 quarterly dividend per share
BBB/Baa2 S&P/Moody's
49.5% net debt to enterprise value at 3/31/24
6.5x net debt to adjusted EBITDA
salientfacts-q12024_mapa.jpg
1 Includes properties held in joint ventures.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 7
    


Corporate Information
Healthcare Realty (NYSE: HR) is a real estate investment trust (REIT) that owns and operates medical outpatient buildings primarily located around market-leading hospital campuses. The Company selectively grows its portfolio through property acquisition and development. As of March 31, 2024, the Company was invested in 687 real estate properties in 35 states totaling 40.3 million square feet and had an enterprise value of approximately $10.8 billion, defined as equity market capitalization plus the principal amount of debt less cash. The Company provided leasing and property management services to 92% of its portfolio.

EXECUTIVE OFFICERS
Todd J. Meredith
President and Chief Executive Officer
John M. Bryant, Jr.
Executive Vice President and General Counsel
J. Christopher Douglas
Executive Vice President and Chief Financial Officer
Robert E. Hull
Executive Vice President - Investments
Julie F. Wilson
Executive Vice President - Operations
ANALYST COVERAGE
BMO Capital Markets
BTIG, LLC
Citi Research
Deutsche Bank Securities
Green Street Advisors, Inc.
J.P. Morgan Securities LLC
Jefferies LLC
KeyBanc Capital Markets Inc.
Raymond James & Associates
Scotiabank
Wedbush Securities
Wells Fargo Securities, LLC

BOARD OF DIRECTORS
J. Knox Singleton    
Chairman, Healthcare Realty Trust Incorporated
Retired Chief Executive Officer, Inova Health System

W. Bradley Blair, II (retiring May 2024)
Vice Chairman, Healthcare Realty Trust Incorporated
Retired Chairman, Healthcare Trust of America

Todd J. Meredith
President and Chief Executive Officer
Healthcare Realty Trust Incorporated

John V. Abbott
Retired Chief Executive Officer
Aviation Asset Management Group, General Electric Company

Nancy H. Agee
President and Chief Executive Officer
Carilion Clinic

Vicki U. Booth
President and Board Chair
Ueberroth Family Foundation

Edward H. Braman (retiring May 2024)
Retired Audit Partner
Ernst & Young LLP


Ajay Gupta
Chief Executive Officer
Physician Rehabilitation Network

James J. Kilroy
President and Portfolio Manager
Willis Investment Counsel

Jay P. Leupp
Managing Partner and Senior Portfolio Manager
Terra Firma Asset Management, LLC

Peter F. Lyle
Executive Vice President
Medical Management Associates, Inc.

Constance B. Moore
Retired President and CEO
BRE Properties, Inc.

Christann M. Vasquez
Retired Healthcare Executive


David R. Emery (1944-2019)
Chairman Emeritus
Healthcare Realty Trust Incorporated
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 8
    


Balance Sheet
AMOUNTS IN THOUSANDS, EXCEPT PER SHARE DATA
ASSETS
1Q 20244Q 20233Q 20232Q 20231Q 2023
Real estate properties
Land $1,342,895 $1,343,265 $1,387,821 $1,424,453 $1,412,805 
Buildings and improvements 10,902,835 10,881,373 11,004,195 11,188,821 11,196,297 
Lease intangibles816,303 836,302 890,273 922,029 929,008 
Personal property12,720 12,718 12,686 12,615 11,945 
Investment in financing receivables, net 122,001 122,602 120,975 121,315 120,692 
Financing lease right-of-use assets 81,805 82,209 82,613 83,016 83,420 
Construction in progress70,651 60,727 85,644 53,311 42,615 
Land held for development59,871 59,871 59,871 78,411 69,575 
Total real estate investments13,409,081 13,399,067 13,644,078 13,883,971 13,866,357 
Less accumulated depreciation and amortization(2,374,047)(2,226,853)(2,093,952)(1,983,944)(1,810,093)
Total real estate investments, net11,035,034 11,172,214 11,550,126 11,900,027 12,056,264 
Cash and cash equivalents26,172 25,699 24,668 35,904 49,941 
Assets held for sale, net30,968 8,834 57,638 151 3,579 
Operating lease right-of-use assets273,949 275,975 323,759 333,224 336,112 
Investments in unconsolidated joint ventures 309,754 311,511 325,453 327,245 327,746 
Other assets, net and goodwill605,047 842,898 822,084 797,796 795,242 
Total assets$12,280,924 $12,637,131 $13,103,728 $13,394,347 $13,568,884 
LIABILITIES AND STOCKHOLDERS' EQUITY
1Q 20244Q 20233Q 20232Q 20231Q 2023
Liabilities
Notes and bonds payable $5,108,279 $4,994,859 $5,227,413 $5,340,272 $5,361,699 
Accounts payable and accrued liabilities163,172 211,994 204,947 196,147 155,210 
Liabilities of properties held for sale700 295 3,814 222 277 
Operating lease liabilities229,223 229,714 273,319 278,479 279,637 
Financing lease liabilities74,769 74,503 74,087 73,629 73,193 
Other liabilities197,763 202,984 211,365 219,694 232,029 
Total liabilities5,773,906 5,714,349 5,994,945 6,108,443 6,102,045 
Redeemable non-controlling interests3,880 3,868 3,195 2,487 2,000 
Stockholders' equity
Preferred stock, $0.01 par value; 200,000 shares authorized— — — — — 
Common stock, $0.01 par value; 1,000,000 shares authorized3,815 3,810 3,809 3,808 3,808 
Additional paid-in capital9,609,530 9,602,592 9,597,629 9,595,033 9,591,194 
Accumulated other comprehensive (loss) income 4,791 (10,741)17,079 9,328 (8,554)
Cumulative net income attributable to common stockholders717,958 1,028,794 1,069,327 1,137,171 1,219,930 
Cumulative dividends (3,920,199)(3,801,793)(3,684,144)(3,565,941)(3,447,750)
Total stockholders' equity6,415,895 6,822,662 7,003,700 7,179,399 7,358,628 
Non-controlling interest87,243 96,252 101,888 104,018 106,211 
Total equity6,503,138 6,918,914 7,105,588 7,283,417 7,464,839 
Total liabilities and stockholders' equity$12,280,924 $12,637,131 $13,103,728 $13,394,347$13,568,884






HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 9
    


Statements of Income
DOLLARS IN THOUSANDS
1Q 20244Q 20233Q 20232Q 20231Q 2023
Revenues
Rental income$318,076$322,076$333,335$329,680$324,093
Interest income4,5384,4224,2644,2334,214
Other operating4,1913,9434,6614,2304,618
326,805330,441342,260338,143332,925
Expenses
Property operating121,078121,362131,639125,395122,040
General and administrative14,78714,60913,39615,46414,935
Normalizing items 1
(1,445)(275)
Normalized general and administrative14,78713,16413,39615,18914,935
Transaction costs395301769669287
Merger-related costs 1,4147,450(15,670)4,855
Depreciation and amortization178,119180,049182,989183,193184,479
314,379317,735336,243309,051326,596
Other income (expense)
Interest expense before merger-related fair value(50,949)(52,387)(55,637)(54,780)(52,895)
Merger-related fair value adjustment(10,105)(10,800)(10,667)(10,554)(10,864)
Interest expense(61,054)(63,187)(66,304)(65,334)(63,759)
Gain on sales of real estate properties2220,57348,8117,1561,007
Gain on extinguishment of debt62
Impairment of real estate assets and credit loss reserves(15,937)(11,403)(56,873)(55,215)(31,422)
Impairment of goodwill(250,530)
Equity (loss) gain from unconsolidated joint ventures(422)(430)(456)(17)(780)
Interest and other income (expense), net27565139592547
(327,646)(54,382)(74,621)(112,818)(94,407)
Net (loss) income$(315,220)$(41,676)$(68,604)$(83,726)$(88,078)
Net loss (income) attributable to non-controlling interests4,3841,143760967953
Net (loss) income attributable to common stockholders$(310,836)$(40,533)$(67,844)$(82,759)$(87,125)
Basic earnings per common share$(0.82)$(0.11)$(0.18)$(0.22)$(0.23)
Diluted earnings per common share$(0.82)$(0.11)$(0.18)$(0.22)$(0.23)
Weighted average common shares outstanding - basic379,455379,044378,925378,897378,840
Weighted average common shares outstanding - diluted 2
379,455379,044378,925378,897378,840

    

STATEMENTS OF INCOME SUPPLEMENTAL INFORMATION
1Q 20244Q 20233Q 20232Q 20231Q 2023
Interest income
Financing receivables$2,117$2,132$2,002$2,053$2,144
Interest on mortgage and mezzanine loans2,4212,2902,2622,1802,070
Total$4,538$4,422$4,264$4,233$4,214
Other operating income
Parking income$2,545$2,392$2,751$2,370$2,391
Management fee and miscellaneous income1,6461,5511,9101,8602,227
Total$4,191$3,943$4,661$4,230$4,618


14Q 2023 normalizing items include severance costs and 2Q 2023 includes non-routine legal costs.
2Potential common shares are not included in the computation of diluted earnings per share when a loss exists, as the effect would be an antidilutive per share amount. As a result, the Company's OP totaling 3,681,225 units was not included.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 10
    


FFO, Normalized FFO, & FAD 1,2,3
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
1Q 20244Q 20233Q 20232Q 20231Q 2023
Net (loss) income attributable to common stockholders$(310,836)$(40,533)$(67,844)$(82,759)$(87,125)
Net loss attributable to common stockholders per diluted share 3
$(0.82)$(0.11)$(0.18)$(0.22)$(0.23)
Gain on sales of real estate assets$(22)$(20,573)$(48,811)$(7,156)$(1,007)
Impairments of real estate assets15,937 11,403 56,873 55,215 26,227 
Real estate depreciation and amortization181,161 182,272 185,143 185,003 186,109 
Non-controlling loss from partnership units(4,278)(491)(841)(1,027)(1,067)
Unconsolidated JV depreciation and amortization4,5684,4424,4214,4124,841
FFO adjustments$197,366$177,053$196,785$236,447$215,103
FFO adjustments per common share - diluted$0.51$0.46$0.51$0.62$0.56
FFO $(113,470)$136,520$128,941$153,688$127,978
FFO per common share - diluted 4
$(0.30)$0.36$0.34$0.40$0.33
Transaction costs395301769669287
Merger-related costs
1,4147,450(15,670)4,855
Lease intangible amortization175 261 213 240146
Non-routine legal costs/forfeited earnest money received — (100)275
Debt financing costs(62)
Severance costs1,445
Allowance for credit losses 5
8,599
Impairment of goodwill250,530
Merger-related fair value adjustment 10,10510,80010,66710,55410,864
Unconsolidated JV normalizing items 6
87899093117
Normalized FFO adjustments$261,292$14,210$19,127$(3,839)$24,868
Normalized FFO adjustments per common share - diluted$0.68$0.04$0.05$(0.01)$0.06
Normalized FFO
$147,822$150,730$148,068$149,849$152,846
Normalized FFO per common share - diluted$0.39$0.39$0.39$0.39$0.40
Non-real estate depreciation and amortization485685475802604
Non-cash interest amortization, net 7
1,2771,2651,4021,618682
Rent reserves, net(151)1,404442(54)1,371
Straight-line rent income, net(7,633)(7,872)(8,470)(8,005)(8,246)
Stock-based compensation3,5623,5662,5563,9243,745
Unconsolidated JV non-cash items 8
(122)(206)(231)(316)(227)
Normalized FFO adjusted for non-cash items
145,240149,572144,242147,818150,775
2nd generation TI(20,204)(18,715)(21,248)(17,236)(8,882)
Leasing commissions paid(15,215)(14,978)(8,907)(5,493)(7,013)
Capital expenditures(5,363)(17,393)(14,354)(8,649)(8,946)
Total maintenance capex(40,782)(51,086)(44,509)(31,378)(24,841)
FAD$104,458$98,486$99,733$116,440$125,934
Quarterly dividends and OP distributions$119,541$118,897$119,456$119,444$119,442
FFO wtd avg common shares outstanding - diluted 9
383,413383,326383,428383,409383,335

1Funds from operations (“FFO”) and FFO per share are operating performance measures adopted by NAREIT. NAREIT defines FFO as “net income (computed in accordance with GAAP) excluding depreciation and amortization related to real estate, gains and losses from the sale of certain real estate assets, gains and losses from change in control, and impairment write-downs of certain real assets and investments in entities when the impairment is directly attributable to decreases in the value of depreciable real estate held by the entity.”
2FFO, Normalized FFO and Funds Available for Distribution ("FAD") do not represent cash generated from operating activities determined in accordance with GAAP and is not necessarily indicative of cash available to fund cash needs. FFO, Normalized FFO and FAD should not be considered alternatives to net income attributable to common stockholders as indicators of the Company's operating performance or as alternatives to cash flow as measures of liquidity.
3Potential common shares are not included in the computation of diluted earnings per share when a loss exists, as the effect would be an antidilutive per share amount.
4For 1Q 2024, basic weighted average common shares outstanding was the denominator used in the per share calculation.
5In 1Q 2023, allowance for credit losses included a $5.2 million credit allowance for a mezzanine loan and a $3.4 million reserve for three skilled nursing facilities.
6Includes the Company's proportionate share of normalizing items related to unconsolidated joint ventures such as lease intangibles and acquisition and pursuit costs.
7Includes the amortization of deferred financing costs, discounts and premiums, and non-cash financing receivable amortization.
8Includes the Company's proportionate share of straight-line rent, net and rent reserves, net related to unconsolidated joint ventures.
9The Company utilizes the treasury stock method, which includes the dilutive effect of nonvested share-based awards outstanding of 254,261 for the three months ended March 31, 2024. Also includes the diluted impact of 3,681,225 OP units outstanding.

HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 11
    


Capital Funding & Commitments
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
ACQUISITION AND RE/DEVELOPMENT FUNDING
1Q 20244Q 20233Q 20232Q 20231Q 2023
Acquisitions 1
$—$—$11,450$—$31,500
Re/development 2
21,58032,27230,94532,06816,928
1st generation TI & acquisition capex 3
12,4217,6329,01310,25811,870
MAINTENANCE CAPITAL EXPENDITURES FUNDING
1Q 20244Q 20233Q 20232Q 20231Q 2023
2nd generation TI$20,204$18,715$21,248$17,236$8,882
Leasing commissions paid15,21514,9788,9075,4937,013
Capital expenditures5,36317,39314,3548,6498,946
$40,782$51,086$44,509$31,378$24,841
% of Cash NOI
2nd generation TI10.1 %9.2 %10.4 %8.3 %4.2 %
Leasing commissions paid7.6 %7.3 %4.4 %2.6 %3.3 %
Capital expenditures2.7 %8.5 %7.0 %4.2 %4.3 %
20.4 %25.0 %21.8 %15.1 %11.8 %
LEASING COMMITMENTS 4
1Q 20244Q 20233Q 20232Q 20231Q 2023
Renewals
Square feet1,454,998582,239625,762638,587949,285
2nd generation TI/square foot/lease year$2.39$1.89$1.76$1.64$1.84
Leasing commissions/square foot/lease year$0.90$1.66$1.48$1.19$0.87
Renewal commitments as a % of annual net rent13.8 %12.7 %13.1 %12.8 %11.5 %
WALT (in months) 5
60.543.142.156.756.8
New leases
Square feet337,357315,243344,524205,565274,344
2nd generation TI/square foot/lease year$7.32$5.98$5.57$7.11$4.44
Leasing commissions/square foot/lease year$1.68$1.72$1.81$1.40$0.83
New lease commitments as a % of annual net rent42.8 %33.4 %32.1 %45.0 %21.6 %
WALT (in months) 5
92.890.285.881.384.7
All
Square feet1,792,355897,482970,286844,1521,223,629
Leasing commitments as a % of annual net rent20.5 %21.9 %22.6 %21.7 %14.7 %
WALT (in months) 5
66.659.657.662.763.1



1Acquisitions include properties acquired through joint ventures at the Company's ownership percentage.
2Re/development funding includes capital spend on re/developments, development completions and unstabilized properties.
3Acquisition capex includes near-term fundings underwritten as part of recent acquisitions. 1st generation tenant improvements for re/developments are excluded.
4Reflects leases commencing in the quarter. Excludes recently acquired or disposed properties, development completions, construction in progress, land held for development, corporate property, redevelopment properties, unstabilized properties, planned dispositions and assets classified as held for sale.
5WALT = weighted average lease term.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 12
    


Debt Metrics1
DOLLARS IN THOUSANDS
SUMMARY OF INDEBTEDNESS AS OF MARCH 31, 2024
PRINCIPAL BALANCE
BALANCE 1
MATURITY DATE
MONTHS TO MATURITY 2
INTEREST EXPENSECONTRACTUAL INTEREST EXPENSECONTRACTUAL RATEEFFECTIVE RATEFAIR VALUE MERGER ADJUSTED
SENIOR NOTES$250,000$249,5795/1/202513 $2,470$2,4223.88 %4.12 %
600,000580,9338/1/202628 7,1665,2503.50 %4.94 %Y
500,000484,8027/1/202739 5,7624,6883.75 %4.76 %Y
300,000297,5771/15/202846 2,7842,7193.63 %3.85 %
650,000578,0372/15/203071 7,6325,0373.10 %5.30 %Y
299,500296,8813/15/203072 1,9281,7972.40 %2.72 %
299,785295,9583/15/203184 1,5921,5362.05 %2.25 %
800,000653,8643/15/203184 8,3434,0002.00 %5.13 %Y
$3,699,285$3,437,63156 $37,677$27,4492.97 %4.43 %
TERM LOANS$350,000$349,8857/20/202516 $5,647$5,647SOFR + 1.04%6.36 %
200,000199,9615/31/202626 3,2273,227SOFR + 1.04%6.36 %
150,000149,6796/1/202626 2,4202,420SOFR + 1.04%6.36 %
300,000299,96410/31/202631 4,8414,841SOFR + 1.04%6.36 %
200,000199,5377/20/202739 3,2273,227SOFR + 1.04%6.36 %
300,000298,3931/20/202845 4,8414,841SOFR + 1.04%6.36 %
$1,500,000$1,497,41930 $24,203$24,2036.36 %
$1.5B CREDIT FACILITY$120,000$120,00010/31/202743 $676$676SOFR + 0.94%6.27 %
MORTGAGES$53,425$53,229various22 $550$5624.05 %4.18 %
$5,372,710$5,108,27946$63,106$52,8904.00 %5.04 %$2,550,000
Interest rate swaps(4,191)(4,191)
Interest cost capitalization(942)
Unsecured credit facility fee & deferred financing costs1,966759
Amortization of fair value of swap maturing January 2024 1771.21 %3.21 %
Y
Financing right-of-use asset amortization938
$61,054$49,458


DEBT MATURITIES SCHEDULE AS OF MARCH 31, 2024
PRINCIPAL PAYMENTS
BANK
LOANS
SENIOR NOTESMORTGAGE NOTESTOTALWA RATE
2024$8,146$8,1464.07 %
2025$350,000$250,00016,375616,3755.29 %
2026650,000600,00028,9041,278,9044.94 %
2027320,000500,000820,0004.75 %
2028300,000300,000600,0004.99 %
Thereafter2,049,2852,049,2852.41 %
Total$1,620,000$3,699,285$53,425$5,372,7104.00 %
Fixed rate debt balance
$1,075,000$3,699,285$53,425$4,827,710
% fixed rate debt
90 %
Company share of JV net debt
$23,276
    
INTEREST RATE SWAPS
MATURITYAMOUNTFIXED SOFR RATE
May 2026275,000 3.74 %
June 2026150,000 3.83 %
December 2026150,000 3.84 %
June 2027200,000 4.27 %
December 2027300,000 3.93 %
As of 3/31/2024$1,075,0003.92 %


1Balances are reflected net of discounts, fair value adjustments, and deferred financing costs and include premiums.
2Includes extension options.

HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 13
    


Debt Covenants & Liquidity
DOLLARS IN THOUSANDS

SELECTED FINANCIAL DEBT COVENANTS YEAR ENDED MARCH 31, 2024 1
CALCULATIONREQUIREMENTPER DEBT COVENANTS
Revolving credit facility and term loan
Leverage ratio Total debt/total capitalNot greater than 60%37.9 %
Secured leverage ratioTotal secured debt/total capitalNot greater than 30%0.4 %
Unencumbered leverage ratio Unsecured debt/unsecured real estateNot greater than 60%40.7 %
Fixed charge coverage ratioEBITDA/fixed chargesNot less than 1.50x3.1x
Unsecured coverage ratioUnsecured EBITDA/unsecured interestNot less than 1.75x3.1x
Asset investmentsUnimproved land, JVs & mortgages/total assetsNot greater than 35%8.4 %
Senior Notes
Incurrence of total debt Total debt/total assetsNot greater than 60%38.1 %
Incurrence of debt secured by any lienSecured debt/total assetsNot greater than 40%0.4 %
Maintenance of total unsecured assets Unencumbered assets/unsecured debtNot less than 150%259.8 %
Debt service coverageEBITDA/interest expenseNot less than 1.5x3.2x
Other
Net debt to adjusted EBITDA 2
Net debt (debt less cash)/adjusted EBITDANot required6.5x
Net debt to enterprise value 3
Net debt/enterprise valueNot required49.5 %

LIQUIDITY SOURCES
Cash$26,172
Unsecured credit facility availability1,380,000
Consolidated unencumbered assets (gross) 4
13,269,798
        

























1Does not include all financial and non-financial covenants and restrictions that are required by the Company's various debt agreements. Financial measures include the Company's proportionate share of unconsolidated joint ventures, as applicable.
2Net debt includes the Company's share of unconsolidated JV net debt. See page 25 for a reconciliation of adjusted EBITDA.
3Based on the closing price of $14.15 on March 28, 2024 and 385,159,184 shares outstanding including outstanding OP units.
4Annualized first quarter 2024 unencumbered asset NOI was $774.3 million.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 14
    


Re/development Activity
DOLLARS IN THOUSANDS

RE/DEVELOPMENT PROJECTS
MARKETASSOCIATED HEALTH SYSTEMSQUARE
FEET
CURRENT LEASED %BUDGETCOST TO COMPLETEESTIMATED COMPLETION/INITIAL LEASE COMMENCEMENT
Recently completed development
Nashville, TN Ascension 106,19488 %$44,000$6,670In service
Active development
Raleigh, NCUNC REX Health120,69442 %52,60018,2594Q 2024
Phoenix, AZHonorHealth101,00080 %54,00026,8534Q 2024
Orlando, FL 1
Advent Health156,56678 %65,00031,4022Q 2025
Total development484,45472 %$215,600$83,184
Projected stabilized yield - 6.5%-8.0%
Estimated stabilization period post completion - 12 - 36 months
Active redevelopment
Washington, DC
Inova Health
259,29085 %$17,557$7,5882Q 2024
Houston, TXHCA314,86163 %30,00022,9874Q 2025
Charlotte, NCNovant Health169,13558 %18,70013,1591Q 2026
Washington, DCInova Health57,32360 %10,0784,6301Q 2026
Total redevelopment800,60969 %$76,335$48,364
Occupied %64 %
Projected stabilized yield - 9.0%-12.0%
Estimated stabilization period post completion - 12 - 36 months
Total active re/development projects1,285,06370 %$291,935$131,548


























1Investment is a construction loan with purchase rights upon completion.

HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 15
    


Portfolio 1,2
DOLLARS IN THOUSANDS
MARKETS
WHOLLY OWNED COUNTSQUARE FEETWHOLLY OWNED
MARKETMSA RANKMOBINPATIENTOFFICEWHOLLY OWNED
JOINT VENTURES3
TOTAL% OF NOICUMULATIVE % OF NOI
Dallas, TX4433,230,488146,519199,8003,576,807226,0763,802,8838.9 %8.9 %
Seattle, WA15291,592,5011,592,5011,592,5016.3 %15.2 %
Houston, TX5312,351,13567,5002,418,6352,418,6354.8 %20.0 %
Charlotte, NC22321,792,9081,792,9081,792,9084.4 %24.4 %
Denver, CO19331,780,81993,8691,874,688116,6161,991,3044.2 %28.6 %
Los Angeles, CA2201,034,33663,0001,097,336702,4531,799,7894.2 %32.8 %
Atlanta, GA9271,423,1411,423,1411,423,1413.9 %36.7 %
Boston, MA1117806,410806,410806,4103.6 %40.3 %
Miami, FL7181,196,5311,196,5311,196,5313.2 %43.5 %
Raleigh, NC42291,115,7431,115,7431,115,7433.0 %46.5 %
Nashville, TN36131,241,872108,6911,350,5631,350,5633.0 %49.5 %
Phoenix, AZ10351,512,3041,512,3041,512,3042.9 %52.4 %
Tampa, FL1819971,975971,975971,9752.7 %55.1 %
Austin, TX2913863,700863,700863,7002.6 %57.7 %
Indianapolis, IN33401,162,95561,3981,224,353273,4791,497,8322.5 %60.2 %
New York, NY115704,415704,415704,4152.2 %62.4 %
Memphis, TN4311802,22154,416856,637856,6371.9 %64.3 %
San Francisco, CA126452,666452,666110,865563,5311.9 %66.2 %
Chicago, IL36607,845607,845607,8451.9 %68.1 %
Honolulu, HI566439,500439,500439,5001.8 %69.9 %
Other (48 markets)21010,678,027540,9741,228,36312,447,364519,91112,967,27530.1 %100.0 %
Total65335,761,492933,8071,630,72338,326,0221,949,40040,275,422100.0 %
Number of properties63015865334687
% of square feet93.3 %2.4 %4.3 %100.0 %
% multi-tenant85.9 %— %64.3 %82.9 %
Investment
$12,248,065$436,313$468,899$13,153,278
Quarterly cash NOI 1
$181,137$8,155$6,227$195,519
% of cash NOI92.6 %4.2 %3.2 %100.0 %


BY OWNERSHIP AND TENANT TYPE
WHOLLY OWNED
JOINT VENTURES3
MULTI-TENANTSINGLE-TENANTMULTI-TENANTSINGLE-TENANTTOTAL
Number of properties5281252410687
Square feet31,765,7336,560,2891,594,634354,76640,275,422
% of square feet78.8 %16.3 %4.0 %0.9 %100.0 %
Investment 1
$10,422,082$2,731,196$278,544$83,628$13,515,450
Quarterly cash NOI 1
$150,614$44,906$3,693$1,262$200,475
% of cash NOI75.1 %22.4 %1.9 %0.6 %100.0 %








1Gross investment and quarterly cash NOI are reflected at the Company's ownership percentage.
2Excludes assets held for sale, land held for development, construction in progress and corporate property.
3The Company's weighted average ownership percentage in its joint ventures was approximately 44%.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 16
    


Health Systems 1
MOB PORTFOLIO
BUILDING SQUARE FEET# OF BLDGSLEASED BY HEALTH SYSTEM% OF LEASED SF# OF LEASES
HEALTH SYSTEM
SYSTEM RANK 2
CREDIT RATING
ON/ADJACENT 3
OFF-CAMPUS AFFILIATED 4
TOTAL % OF NOI
HCA1BBB-/Baa32,105,415779,2882,884,703 438.6 %821,7242.6 %131
Baylor Scott & White21AA-/Aa32,570,18066,3762,636,556 296.8 %1,271,5094.1 %195
CommonSpirit4A-/A31,801,813540,8342,342,647 426.2 %728,9942.3 %143
Ascension Health3AA+/Aa22,262,56397,5512,360,114 255.8 %968,0773.1 %148
Advocate Health14AA/Aa3790,317496,1981,286,515 204.1 %1,130,8583.6 %104
Wellstar Health System75A+/A2896,77323,088919,861 182.8 %582,7541.9 %81
UW Medicine (Seattle)91AA+/Aaa461,363169,709 631,072 102.7 %294,9710.9 %32
AdventHealth11AA/Aa2758,638118,585877,223 132.6 %384,5291.2 %82
Trinity Health7AA-/Aa3830,772184,318 1,015,090 142.4 %542,0271.7 %73
Tenet Healthcare Corporation6B+/B1884,029238,375 1,122,404 172.3 %309,9491.0 %62
Baptist Memorial Health Care89A-2/--544,122252,414796,536 102.1 %434,7211.4 %56
Community Health Systems8CCC+/Caa2785,169— 785,169 162.0 %353,5581.1 %45
Providence Health & Services5A/A2330,28731,601361,888 81.7 %137,0320.4 %25
Cedars-Sinai Health Systems51AA-/Aa3199,70190,607290,308 51.7 %65,2780.2 %21
Hawaii Pacific Health181--/A1173,502124,925298,427 31.5 %98,3980.3 %39
Banner Health24AA-/--749,07531,039780,114 241.4 %134,1070.4 %34
WakeMed185--/A2380,141101,597 481,738 141.4 %144,2650.5 %21
Bon Secours Health System22A+/A2405,945— 405,945 61.3 %242,8170.8 %50
Sutter Health12A+/A1175,59176,507 252,098 31.2 %93,2290.3 %19
Overlake Health System291BBB+/Baa1230,710— 230,710 31.2 %73,6760.2 %7
Memorial Hermann Health39A+/Aa3444,780— 444,780 81.2 %257,4090.8 %4
Other (70 credit rated)6,953,0563,674,42310,627,479 206 29.6 %4,437,66214.2 %
Subtotal - credit rated 5
24,733,9427,097,43531,831,377 537 90.6 %13,507,54443.0 %
Other non-credit rated 6
1,042,749470,8511,513,600 344.5 %861,8802.8 %
Off-campus non-affiliated 7
2,416,5152,416,515 594.9 %— %
Wholly-owned25,776,6919,984,80135,761,492 630100.0 %14,369,42445.8 %
Joint ventures1,143,456579,8681,723,324 
Total26,920,14710,564,66937,484,816 










1Excludes construction in progress and assets classified as held for sale.
2Ranked by revenue based on Modern Healthcare's Healthcare Systems Financials Database.
3The Company defines an adjacent property as being no more than 0.25 miles from a hospital campus.
4Includes off-campus buildings where health systems lease 20% or more of the property and/or are located within 2 miles from a hospital campus.
5Based on square footage, 83% is associated and 41% is leased by an investment-grade rated healthcare provider.
6Includes 34 properties associated with hospital systems that are not credit rated. Steward Health leases 580,000 square feet and represents 1.6% of total company ABR.
7Includes off-campus buildings that are not 20% or more leased by a health system and are more than two miles from a hospital campus.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 17
    


MOB Proximity to Hospital 1,2
MOB BY LOCATION
# OF PROPERTIESSQUARE FEETTOTAL% GROUND LEASED
On campus23618,183,08148.5 %37.6 %
Adjacent to campus 3
1858,737,06623.3 %3.4 %
Total on/adjacent42126,920,14771.8 %41.0 %
Off campus - affiliated 4
1748,014,79321.4 %3.7 %
Off campus622,549,8766.8 %0.6 %
65737,484,816100.0 %45.3 %
Wholly-owned63035,761,492
Joint ventures271,723,324



MOB BY CLUSTER 5
TOTAL
HOSPITAL CENTRIC 6
# OF PROPERTIESSQUARE FEET% OF MOB SQUARE FEET# OF PROPERTIESSQUARE FEET% OF MOB SQUARE FEET
Clustered47426,237,33970.0 %39122,916,99572.3 %
Non-clustered18311,247,47730.0 %1268,770,91527.7 %
Total 65737,484,816100.0 %51731,687,910100.0 %



















1Includes joint venture properties and excludes construction in progress and assets classified as held for sale.
2Proximity to hospital campus includes acute care hospitals with inpatient beds. The Company does not consider inpatient rehab hospitals (IRFs), skilled nursing facilities (SNFs) or long-term acute care hospitals (LTACHs) to be hospital campuses for distance calculations.
3The Company defines an adjacent property as being no more than 0.25 miles from a hospital campus.
4Includes off-campus buildings where health systems lease 20% or more of the property and/or are located within 2 miles from a hospital campus.
5A cluster is defined as at least two properties within a geographic radius of two miles. The Company believes clusters provide operational efficiencies and greater local leasing knowledge that accelerate NOI growth.
6Includes buildings that are located within two miles of a hospital campus.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 18
    


Lease Maturity & Occupancy1
LEASE MATURITY SCHEDULE
 SQUARE FEET# OF WHOLLY-OWNED LEASES
WHOLLY-OWNED AND JOINT VENTURE
 
MULTI-TENANT 2
SINGLE-TENANT TOTAL% OF TOTALJOINT VENTURESWHOLLY-OWNED
Month-to-month429,6432,946432,5891.2 %13,335419,254184
Q2 20241,042,01878,5841,120,6023.2 %55,3051,065,297340
Q3 20241,135,409456,5221,591,9314.5 %111,3971,480,534354
Q4 20241,054,603104,5171,159,1203.3 %28,9771,130,143304
20254,065,381933,0604,998,44114.2 %187,0844,811,3571,191
20263,938,139304,5794,242,71812.1 %135,6014,107,1171,066
20273,627,2131,030,0944,657,30713.2 %159,6434,497,664960
20283,162,337610,3323,772,66910.7 %106,3633,666,306847
20292,230,758871,2523,102,0108.8 %348,9822,753,028542
20301,869,407756,6942,626,1017.5 %87,7882,538,313370
20311,168,087236,6891,404,7764.0 %29,7601,375,016270
20321,856,514361,5732,218,0876.3 %62,4152,155,672301
2033963,068207,3701,170,4383.3 %40,8121,129,626204
Thereafter1,962,836748,2732,711,1097.6 %317,8262,393,283287
Total occupied28,505,4136,702,48535,207,89887.4 %1,685,28833,522,6107,220
Total building 33,360,3676,915,05540,275,4221,949,40038,326,022
Occupancy85.4 %96.9 %87.4 %86.5 %87.5 %
Leased %87.1 %96.9 %88.7 %86.7 %88.9 %
WALTR (months) 3
49.966.253.051.7
WALT (months) 3
95.5137.6103.5101.7



QUARTERLY LEASING ACTIVITY 4
MULTI-TENANTSINGLE-TENANTTOTAL
ABSORPTION ACTIVITYSQUARE FEETABSORPTION ACTIVITYSQUARE FEETABSORPTION ACTIVITYSQUARE FEET
Occupied square feet, beginning of period28,448,571 6,820,934 35,269,505 
Dispositions and assets held for sale(130)(24,580)(24,710)
Expirations and early vacates(1,603,203)(510,355)(2,113,558)
Renewals, amendments and extensions1,180,501 414,617 1,595,118 
New lease commencements479,674 1,869 481,543 
Absorption56,972 (93,869)(36,897)
Occupied square feet, end of period28,505,413 6,702,485 35,207,898 





1Excludes land held for development, construction in progress, corporate property and assets classified as held for sale, unless noted otherwise.
2The average lease size in the wholly-owned multi-tenant portfolio is 3,934 square feet.
3WALTR = weighted average lease term remaining; WALT = weighted average lease term.
4Excludes month-to-month activity until such time that a term renewal is signed or the tenant vacates.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 19
    



Leasing Statistics 1
SAME STORE RENEWALS 1
1Q 2024
MOB cash leasing spreads 2
3.7 %
MOB cash leasing spreads distribution
< 0% spread4.3 %
0-3% spread10.5 %
3-4% spread54.0 %
> 4% spread31.2 %
Total100.0 %
MOB tenant retention rate84.8 %

AVERAGE IN-PLACE CONTRACTUAL INCREASES 3
MULTI-TENANTSINGLE-TENANTTOTAL
% INCREASE% OF
BASE RENT
% INCREASE% OF
BASE RENT
% INCREASE% OF
BASE RENT
Same store 1
2.89 %72.6 %2.53 %18.5 %2.81 %91.1 %
Acquisitions3.16 %0.4 %— %— %3.16 %0.4 %
Other 4
2.70 %7.0 %2.19 %1.4 %2.61 %8.5 %
Total 2.87 %80.0 %2.51 %19.9 %2.80 %100.0 %
Escalator type
Fixed2.83 %96.9 %2.55 %88.4 %2.78 %95.2 %
CPI4.13 %3.1 %2.21 %11.6 %3.20 %4.8 %

SAME STORE TYPE AND OWNERSHIP STRUCTURE 1
MULTI-TENANTSINGLE-TENANTTOTAL
Tenant type
Hospital47.1 %69.4 %51.4 %
Physician and other52.9 %30.6 %48.6 %
Lease structure
Gross8.9 %1.9 %7.6 %
Modified gross31.3 %10.2 %27.3 %
Net59.8 %65.8 %60.9 %
Absolute net 5
— %22.1 %4.2 %
Ownership type
Ground lease44.3 %38.5 %43.3 %
Fee simple55.7 %61.5 %56.7 %
    
# OF LEASES BY SIZE 6
LEASED SQUARE FEET# OF LEASESWALTWALTR
0 - 2,5003,689 71.2 40.0 
2,501 - 5,0001,825 82.3 44.8 
5,001 - 7,500640 92.0 49.1 
7,501 - 10,000365 97.7 56.1 
10,001 +701 121.8 64.1 
Total Leases7,220 101.7 51.7 

1Same store properties are properties that have been included in operations for the duration of the year-over-year comparison period presented. Accordingly, same store properties exclude properties that were recently acquired or disposed of, properties classified as held for sale or intended for sale, properties undergoing redevelopment, and newly redeveloped or developed properties.
2Excludes non-MOB renewals of 68,000 square feet and 164,000 square feet for the first quarter and trailing twelve months, respectively.
3Excludes leases with lease terms of one year or less.
4Includes redevelopment properties, development completion, and joint ventures.
5Tenant is typically responsible for operating expenses and capital obligations.
6Excludes joint ventures, land held for development, construction in progress, corporate property and assets classified as held for sale.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 20
    


 Same Store1
DOLLARS IN THOUSANDS, EXCEPT PER SQUARE FOOT DATA

TOTAL CASH NOI
% of Total NOI1Q 2024 4Q 2023 1Q 2023 Y-o-Y% CHANGE
Multi-tenant73 %$146,339 $146,998 $143,231 2.2 %
Single-tenant22 %44,883 42,740 42,565 5.4 %
Joint venture%4,833 4,652 4,563 5.9 %
Same store98 %$196,055 $194,390 $190,359 3.0 %
Planned dispositions— %44 117 544 (91.9 %)
Re/development%2,814 3,478 3,610 (22.0 %)
Wholly owned and joint venture acquisitions— %835 614 148 464.2 %
Development completions— %731 687 443 65.0 %
Completed dispositions & assets held for sale— %(101)4,785 14,370 (100.7 %)
Total cash NOI100 %$200,378 $204,071 $209,474 (4.3 %)


PORTFOLIO OCCUPANCY AND ABSORPTION
OCCUPANCY %ABSORPTION
(square feet in thousands)
COUNTSQUARE FEET1Q 20244Q 20231Q 2023SEQUENTIALY-O-Y
Multi-tenant50229,750,17387.4 %87.2 %87.0 %46114
Single-tenant1226,351,13499.6 %99.6 %99.4 %14
Joint venture 331,912,70986.2 %86.0 %86.8 %4(11)
Same store65738,014,01689.3 %89.2 %89.0 %50117
Planned dispositions5227,68625.9 %25.5 %30.4 %1(10)
Re/development181,502,98951.7 %58.6 %59.6 %(104)(119)
Wholly owned and joint venture acquisitions3195,32897.8 %97.8 %95.2 %8
Development completions4335,40364.5 %59.7 %58.1 %1683
Total portfolio68740,275,42287.4 %87.5 %87.5 %(37)79
Joint ventures341,949,40086.5 %86.2 %87.0 %4(11)
Total wholly-owned65338,326,02287.5 %87.6 %87.5 %(41)90
Multi-tenant55233,360,36785.4 %85.3 %85.2 %57196




















1Same store properties are properties that have been included in operations for the duration of the year-over-year comparison period presented. Accordingly, same store properties exclude properties that were recently acquired or disposed of, properties classified as held for sale or intended for sale, properties undergoing redevelopment, and newly redeveloped or developed properties.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 21
    


 Same Store1, 2
DOLLARS IN THOUSANDS, EXCEPT PER SQUARE FOOT DATA
SAME STORE CASH NOI
TOTAL
1Q 2024 4Q 2023 1Q 2023
Base revenue$234,333$232,662$228,118
Op. exp. recoveries73,33171,37571,992
Revenues$307,664$304,037$300,110
Expenses111,609109,648109,751
Cash NOI$196,055$194,389$190,359
Revenue per occ SF 3
$36.26$35.91$35.50
Margin63.7 %63.9 %63.4 %
Average occupancy89.3 %89.1 %89.0 %
Period end occupancy89.3 %89.2 %89.0 %
Number of properties657657657
Year-Over-Year Change
Revenue per occ SF 3
2.1 %
Avg occupancy (bps)+30
Revenues2.5 %
Base revenue2.7 %
Exp recoveries1.9 %
Expenses1.7 %
Cash NOI3.0 %



























1Same store properties are properties that have been included in operations for the duration of the year-over-year comparison period presented. Accordingly, same store properties exclude properties that were recently acquired or disposed of, properties classified as held for sale or intended for sale, properties undergoing redevelopment, and newly redeveloped or developed properties.
2Excludes recently acquired or disposed properties, development completions, construction in progress, land held for development, corporate property, redevelopment properties, planned dispositions and assets classified as held for sale.
3Revenue per occ SF is calculated by dividing revenue by the average of the occupied SF for the period provided. Quarterly revenue per occ SF is annualized.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 22
    


NOI Reconciliations
DOLLARS IN THOUSANDS
BOTTOM UP RECONCILIATION
1Q 20244Q 2023 1Q 2023
Net loss($315,220)($41,676)($88,078)
Other income (expense)327,646 54,382 94,407 
General and administrative expense14,787 14,609 14,935 
Depreciation and amortization expense178,119 180,049 184,479 
Other expenses 1
4,727 4,899 7,940 
Straight-line rent expense935 1,484 1,537 
Straight-line rent revenue(8,568)(9,356)(9,782)
Other revenue 2
(7,006)(5,078)(733)
Joint venture property cash NOI4,958 4,758 4,769 
Cash NOI$200,378 $204,071 $209,474 
Planned dispositions(44)(117)(544)
Redevelopment(2,814)(3,478)(3,610)
Wholly owned and joint venture acquisitions(835)(614)(148)
Development completions(731)(687)(443)
Completed dispositions & assets held for sale101 (4,785)(14,370)
Same store cash NOI$196,055 $194,390 $190,359 
Same store joint venture properties(4,833)(4,652)(4,563)
Same store excluding JVs$191,222 $189,738 $185,796 
TOP DOWN RECONCILIATION
1Q 20244Q 2023 1Q 2023
Rental income before rent concessions$321,833 $325,772 $328,115 
Rent concessions(3,757)(3,696)(4,022)
Rental income318,076 322,076 324,093 
Parking income2,545 2,392 2,391 
Interest from financing receivable, net2,117 2,132 2,227 
Exclude straight-line rent revenue(8,568)(9,356)(9,782)
Exclude other non-cash revenue 3
(3,163)(1,513)3,594 
Cash revenue311,007 315,731 322,523 
Property operating expense(121,078)(121,362)(122,040)
Exclude non-cash expenses 4
5,491 4,944 4,222 
Joint venture property cash NOI4,958 4,758 4,769 
Cash NOI$200,378 $204,071 $209,474 
Planned dispositions(44)(117)(544)
Redevelopment(2,814)(3,478)(3,610)
Wholly owned and joint venture acquisitions(835)(614)(148)
Development completions(731)(687)(443)
Completed dispositions & assets held for sale101 (4,785)(14,370)
Same store cash NOI$196,055 $194,390 $190,359 
Same store joint venture properties(4,833)(4,652)(4,563)
Same store excluding JVs$191,222 $189,738 $185,796 






1Includes transaction costs, merger-related costs, rent reserves, above and below market ground lease intangible amortization, leasing commission amortization, non-cash adjustments for financing receivables, and ground lease straight-line rent.
2Includes management fee income, interest, above and below market lease intangible amortization, lease inducement amortization, lease termination fees, deferred financing cost amortization and principal related to investment in financing receivable, and tenant improvement overage amortization.
3Includes above and below market intangibles, lease inducements, lease termination fees, deferred financing cost amortization, financing receivable, and TI amortization.
4Includes above and below market ground lease intangible amortization, leasing commission amortization, and ground lease straight-line rent.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 23
    


NOI Reconciliations
DOLLARS IN THOUSANDS
RECONCILIATION OF NOI TO FULL QUARTER FFO AND NORMALIZED FFO
1Q 20244Q 20231Q 2023
Cash NOI$200,378 $204,071 $209,474 
General and administrative expense(14,787)(14,609)(14,935)
Straight-line rent8,568 9,356 9,782 
Interest and other income (expense), net275 65 547 
Management fees and other income1,646 1,551 2,227 
Note receivable interest income2,421 2,290 1,987 
Other non-cash revenue 1
2,939 1,237 (3,479)
Other non-cash expenses 2
(5,268)(4,668)(4,336)
Non-real estate impairment— — (5,196)
Income taxes336 330 382 
Unconsolidated JV adjustments(427)(352)(357)
Debt Covenant EBITDA$196,081 $199,271 $196,096 
Interest expense(61,054)(63,187)(63,759)
Transaction costs(395)(301)(287)
Merger-related costs— (1,414)(4,855)
Leasing commission amortization 3
4,467 3,818 3,002 
Non-real estate depreciation and amortization(1,424)(1,596)(1,372)
Non controlling interest106652(114)
Goodwill impairment(250,530)
Income taxes(336)(330)(382)
Unconsolidated JV adjustments(385)(393)(351)
FFO($113,470)$136,520 $127,978 
Transaction costs395301287
Merger-related costs1,4144,855
Lease intangible amortization175261146
Significant non-recurring legal fees/forfeited earnest money received(100)
Severance costs1,445
Merger-related fair value adjustment10,10510,80010,864
Allowance for credit losses8,599
Goodwill impairment250,530
Unconsolidated JV normalizing items8789117
Normalized FFO$147,822 $150,730 $152,846 










1Includes above and below market lease intangibles, interest income related to sales-type leases, lease inducements, lease termination fees, deferred financing cost amortization, and principle related to investment in financing receivable and TI amortization.
2Includes above and below market ground lease intangible amortization, leasing commission amortization, and ground lease straight-line rent.
3Leasing commission amortization is included in the real estate depreciation and amortization add-back for FFO.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 24
    


EBITDA Reconciliations
DOLLARS IN THOUSANDS
RECONCILIATION OF EBITDA
1Q 20244Q 20231Q 2023
Net loss($315,220)($41,676)($88,078)
Interest expense61,05463,18763,759
Income taxes336330382
Depreciation and amortization178,119180,049184,479
Unconsolidated JV depreciation, amortization, and interest4,9524,8365,192
EBITDA$(70,759)$206,726$165,734
Transaction costs395301287
Merger-related costs— 1,414 4,855
Gain on sales of real estate properties(22)(20,573)(1,007)
Impairments on real estate assets15,93711,40326,227
Goodwill Impairment250,530
Debt Covenant EBITDA$196,081$199,271$196,096
Leasing commission amortization 1
4,4673,8183,002
Lease intangibles, franchise taxes and prepaid ground amortization9754731,037
Timing impact 2
— (4,155)(945)
Stock based compensation3,5623,5663,745
Allowance for credit losses 8,599
Rent reserves, net(151)1,404 1,371
Unconsolidated JV adjustments8789117
Adjusted EBITDA$205,021$204,466$213,022
Annualized Adjusted EBITDA$820,084$817,864$852,088
RECONCILIATION OF NET DEBT
Debt (principal balance)$5,372,710 $5,270,037 $5,667,955 
Share of unconsolidated net debt23,27624,284 27,640 
Cash(26,172)(25,699)(49,941)
Net debt$5,369,814$5,268,622$5,645,654
Net debt to adjusted EBITDA6.5x6.4x6.6x
















1Leasing commission amortization is included in the real estate depreciation and amortization add-back for FFO.
2Timing adjustments to represent a full quarter impact of acquisitions and dispositions.

HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 25
    


Components of Net Asset Value
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
CASH NOI BY PROPERTY TYPE
1Q 2024
ASSET TYPE
 SAME STORE 1
ACQ./DEV. COMPLETIONS 2
REDEVELOPMENT
TIMING/OTHER ADJUSTMENTS 3
ADJUSTED CASH NOIANNUALIZED ADJUSTED NOI
MOB/Outpatient$180,960 $1,441 $2,822 $1,807 $187,030 $748,120 
Inpatient/Surgical8,860 125 — — 8,985 35,940 
Office6,235 — (8)— 6,227 24,908 
Total Cash NOI$196,055 $1,566 $2,814 $1,807 $202,242 $808,968 


DEVELOPMENT PROPERTIESTOTAL SHARES OUTSTANDING
Land held for development $59,871 
As of March 31, 2024 8
385,159,184
Re/development budget247,935 
$307,806 IMPLIED CAP RATE
STOCK PRICEIMPLIED CAP RATE
As of March 31, 2024 $14.158.0 %
OTHER ASSETS
Disposition pipeline 4
$77,969 1Q 2024 High $17.527.1 %
Unstabilized properties 5
293,845 1Q 2024 Low$12.948.4 %
Cash and other assets 6
450,740 
$822,554 
DEBT
Unsecured credit facility $120,000 
Unsecured term loans 1,500,000 
Senior notes 3,699,285 
Mortgage notes payable 53,425 
Company share of joint venture net debt23,276 
Remaining re/development funding124,878 
Other liabilities 7
286,039 
$5,806,903 






1See Same Store schedule on pages 21 - 22 for details on Same Store NOI.
2Adjusted to reflect quarterly NOI from properties acquired or stabilized re/developments completed during the full five quarter period that are not included in same store NOI.
3Timing adjustments include adjustments to reflect full quarterly stabilized NOI of a recently completed development of $0.7 million and management fee income of $1.5 million, offset by $0.3 million of positive NOI for unstabilized properties, which are shown in other assets.
4Includes assets held for sale and planned dispositions.
5Includes 35 properties at their gross book value. These properties were comprised of 1.3 million square feet that generated positive NOI of $0.3 million.
6Includes cash of $26.4 million, notes receivable of $174.4 million, prepaid assets of $139.0 million, accounts receivable of $67.8 million, prepaid ground leases of $19.5 million, and other investments of $6.0 million. In addition, includes the Company's occupied portion of its corporate headquarters in Nashville of $17.6 million.
7Includes only liabilities that are expected to reduce future cash or NOI and that are currently producing non-cash benefits to NOI. Included are accounts payable and accrued liabilities of $163.3 million, security deposits of $31.5 million, financing right of use liabilities of $74.8 million, and deferred operating expense reimbursements of $16.4 million.
8Total shares outstanding includes OP units.
HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 26
    


Components of Expected FFO
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
Guidance does not include any assumptions for the recently announced KKR JV, prospective JV seed portfolios, excess dispositions, or share repurchases. These transactions will be incorporated into the Company's guidance expectations after completion.
EXPECTED 2024ACTUAL
LOWHIGH1Q 2024
OPERATING METRICS
Multi-tenant absorption (bps)10015017
Multi-tenant portfolio cash NOI growth3.50 %4.75 %2.8 %
Single-tenant portfolio cash NOI growth0.50 %1.50 %2.1 %
Same store cash NOI growth, including Company's share of JVs2.50 %3.50 %3.0 %
Same store lease retention rate75.0 %85.0 %84.8 %
Normalized G&A$61,000$64,000$14,787
Straight-line rent, net30,00034,0007,633
CAPITAL FUNDING
Acquisitions $—$—$—
Dispositions 150,000250,000
Re/development100,000130,00021,580
1st generation TI and acq. capex30,00040,00012,421
Maintenance capex
2nd generation TI60,00070,00020,204
Leasing commissions paid35,00040,00015,215
Capital expenditures45,00050,0005,363
Total maintenance capex140,000160,00040,782
CASH YIELD
Acquisitions — %— %— %
Dispositions 6.0 %7.0 %— %
Development (stabilized)6.5 %8.0 %
Redevelopment (stabilized)9.0 %12.0 %
EARNINGS AND LEVERAGE
Earnings per share$(1.30)$(0.80)$(0.82)
Normalized FFO per share
$1.52$1.58$0.39
Net debt to adjusted EBITDA6.0x6.5x6.5x










HEALTHCARE REALTY
1Q 2024 SUPPLEMENTAL INFORMATION 27
    
v3.24.1.u1
Cover Page
May 07, 2024
Cover [Abstract]  
Document Type 8-K
Document Period End Date May 07, 2024
Entity Registrant Name Healthcare Realty Trust Incorporated
Entity Incorporation, State or Country Code MD
Entity File Number 001-35568
Entity Tax Identification Number 20-4738467
Entity Address, Address Line One 3310 West End Avenue, Suite 700
Entity Address, City or Town Nashville,
Entity Address, State or Province TN
Entity Address, Postal Zip Code 37203
City Area Code (615)
Local Phone Number 269-8175
Title of 12(b) Security Class A Common Stock, $0.01 par value per share
Trading Symbol HR
Security Exchange Name NYSE
Written Communications false
Soliciting Material false
Pre-commencement Tender Offer false
Pre-commencement Issuer Tender Offer false
Entity Emerging Growth Company false
Entity Central Index Key 0001360604
Amendment Flag false

Healthcare Realty (NYSE:HR)
Graphique Historique de l'Action
De Avr 2024 à Mai 2024 Plus de graphiques de la Bourse Healthcare Realty
Healthcare Realty (NYSE:HR)
Graphique Historique de l'Action
De Mai 2023 à Mai 2024 Plus de graphiques de la Bourse Healthcare Realty