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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): February 19, 2025 (February 19, 2025)
Healthcare Realty Trust Incorporated
(Exact name of registrant as specified in its charter)
Maryland001-3556820-4738467
(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.
Fourth Quarter Earnings and Dividend Press Release
On February 19, 2025, Healthcare Realty Trust Incorporated (the “Company”) issued a press release announcing its earnings and dividend for the fourth quarter ended December 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
Fourth Quarter Supplemental Information
The Company is furnishing its Supplemental Information for the fourth quarter ended December 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: February 19, 2025By:/s/ Austen B. Helfrich   
  Name: Austen B. Helfrich 
  Title: Executive Vice President and Chief Financial Officer 





Ron Hubbard
Vice President, Investor Relations
P: 615.269.8290
News Release
HEALTHCARE REALTY TRUST REPORTS RESULTS FOR THE FOURTH QUARTER AND ANNOUNCES QUARTERLY DIVIDEND

NASHVILLE, Tennessee, February 19, 2025 - Healthcare Realty Trust Incorporated (NYSE:HR) today announced results for the fourth quarter ended December 31, 2024. Net (loss) income attributable to common stockholders for the three months ended December 31, 2024 was $(106.8) million, or $(0.31) per diluted common share. Additionally, the Company announced its quarterly dividend of $0.31 per share and operating partnership unit.
KEY FOURTH QUARTER AND ANNUAL HIGHLIGHTS
Normalized FFO per share totaled $0.40 for the quarter, at the high end of the previously provided guidance range and up 2.5% over the prior year period. Normalized FFO per share was $1.56 for the year ended December 31, 2024.
Cash NOI growth in the fourth quarter and year was as shown below (for more detail on the impact of Steward Health and Prospect Medical please see the related section herein):
ACTUAL
4Q 20242024
Same store3.1 %2.9 %
Same store excluding Steward Health and Prospect Medical3.6 %3.1 %
140,000 square feet, or 44 basis points, of multi-tenant absorption for the quarter and 479,000 square feet, or 149 basis points, for the year
686,000 square feet of signed new leases in the quarter, the sixth consecutive quarter above 400,000 and a new single-quarter high
CAPITAL ALLOCATION
The Company closed joint venture and asset sale transactions totaling $522 million in the fourth quarter, and generated approximately $1.3 billion of proceeds for the year, which includes the following:
$770 million from joint venture transactions
$491 million from asset sales
For the year, the Company repurchased approximately 31 million shares totaling $510 million at an average price of $16.56 per share.
The Company repaid its $350 million term loan maturing in 2025 and ended the year with leverage at 6.4 times net debt to adjusted EBITDA.
MULTI-TENANT GROWTH AND ABSORPTION
Compared to prior year periods, multi-tenant cash NOI growth in the fourth quarter and year was:
ACTUAL
4Q 20242024
Multi-tenant3.4 %3.0 %
Multi-tenant excluding Steward Health & Prospect Medical3.9 %3.2 %


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Multi-tenant occupancy gains at the high end of full year 2024 guidance were:
ACTUAL2024 GUIDANCE
4Q 20242024LOWHIGH
Absorption (SF)140,182479,439370,000490,000
Change in occupancy (bps)+ 44+ 149+ 100+ 150
At the end of the year, the multi-tenant portfolio occupancy rate was 86.3% and the leased percentage was 88.3%.
LEASING
Portfolio leasing activity that commenced in the fourth quarter totaled 1,534,000 square feet related to 349 leases:
954,000 square feet of renewals
580,000 square feet of new and expansion lease commencements
In the fourth quarter, the Company signed new leases totaling 686,000 square feet, a new, single-quarter high for the Company.
SAME STORE METRICS
Cash NOI for the fourth quarter increased 3.1% over the same quarter in the prior year, and 2.9% for the year ended December 31, 2024. Adjusted for the impact of Steward Health and Prospect Medical, cash NOI growth would have been 3.6% for the fourth quarter and 3.1% for the year.
Tenant retention for the fourth quarter was 81.6% and 83.4% for the year.
Operating expenses for the fourth quarter increased 2.7% over the same quarter in the prior year, and 0.2% for the year ended December 31, 2024.
MOB cash leasing spreads were 2.7% for the quarter and 3.4% for the year.
BALANCE SHEET
At year end, net debt to adjusted EBITDA was 6.4 times, down from 6.7 times at the end of the third quarter.
The Company fully repaid its $350 million Unsecured Term Loan maturing in 2025.
At year end, the Company had no balance on its revolving credit facility, resulting in $1.5 billion of availability.
In January 2025, the Company repaid $35 million of its term loans maturing in 2026.
LEADERSHIP / GOVERNANCE
Connie Moore appointed Interim President & Chief Executive Officer
Austen Helfrich promoted to Chief Financial Officer
Significant board refreshment in 2024, with four new directors joining, each with deep REIT industry and leadership experience
Tom Bohjalian appointed Independent Chair of the Board
Search committee of the board, chaired by Glenn Rufrano, conducting a search for a permanent President & Chief Executive Officer









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DIVIDEND
A common stock cash dividend in the amount of $0.31 per share will be paid on March 19, 2025 to Class A common stockholders of record on March 3, 2025. Additionally, the eligible holders of operating partnership units will receive a distribution of $0.31 per unit, equivalent to the Company's Class A common stock dividend.
STEWARD HEALTH AND PROSPECT MEDICAL UPDATE
During the fourth quarter, the Company made significant progress re-leasing space previously occupied by Steward Health, with leases in-place for over 80% of the previously occupied 593,000 square feet. Based on these actions, the Company entered 2025 having replaced approximately $19 million of the $27 million of pre-bankruptcy total exposure to Steward. Longer term, the Company continues to expect to recover over 80% of the pre-bankruptcy Steward Health revenue.
On January 11, 2025, Prospect Medical filed for Chapter 11 bankruptcy protection. Prospect Medical leases approximately 81,000 square feet of space from the Company accounting for approximately $2.9 million of annual revenue. 2025 guidance provided herein assumes no revenue collected from the Prospect leases.
GUIDANCE
The Company's 2025 per share estimated guidance ranges are as follows:
ACTUAL2025 GUIDANCE
2024LOWHIGH
Earnings per share $(1.81)$(0.28)$(0.20)
NAREIT FFO per share $0.52$1.44$1.48
Normalized FFO per share$1.56$1.56$1.60
The Company's 2025 same store cash NOI growth estimated guidance range is 3.00% to 3.75%, which excludes the impact of Prospect Medical and Steward Health.
The Company's 2025 guidance range includes activities outlined on page 29 of the Supplemental Information.

The 2025 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 Wednesday, February 19, 2025, at 11:00 a.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 Dial-In Number: +1 646-968-2525 access code 4950066;
All Other Locations: +1 888-596-4144 access code 4950066.
Replay Information:
Domestic Dial-In Number: +1 609-800-9909 access code 4950066;









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All Other Locations: +1 800-770-2030 access code 4950066.

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 over 650 properties totaling more than 38 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 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 2024 Annual Report on Form 10-K and in its other filings with the SEC.









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Consolidated Balance Sheets
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
ASSETS
4Q 20243Q 20242Q 20241Q 20244Q 2023
Real estate properties
Land $1,143,468 $1,195,116 $1,287,532 $1,342,895 $1,343,265 
Buildings and improvements 9,707,066 10,074,504 10,436,218 10,902,835 10,881,373 
Lease intangibles664,867 718,343 764,730 816,303 836,302 
Personal property9,909 9,246 12,501 12,720 12,718 
Investment in financing receivables, net 123,671 123,045 122,413 122,001 122,602 
Financing lease right-of-use assets 77,343 77,728 81,401 81,805 82,209 
Construction in progress31,978 125,944 97,732 70,651 60,727 
Land held for development52,408 52,408 59,871 59,871 59,871 
Total real estate investments11,810,710 12,376,334 12,862,398 13,409,081 13,399,067 
Less accumulated depreciation and amortization(2,483,656)(2,478,544)(2,427,709)(2,374,047)(2,226,853)
Total real estate investments, net9,327,054 9,897,790 10,434,689 11,035,034 11,172,214 
Cash and cash equivalents 1
68,916 22,801 137,773 26,172 25,699 
Assets held for sale, net12,897 156,218 34,530 30,968 8,834 
Operating lease right-of-use assets261,438 259,013 261,976 273,949 275,975 
Investments in unconsolidated joint ventures 473,122 417,084 374,841 309,754 311,511 
Other assets, net and goodwill507,496 491,679 559,818 605,047 842,898 
Total assets$10,650,923 $11,244,585 $11,803,627 $12,280,924 $12,637,131 
LIABILITIES AND STOCKHOLDERS' EQUITY
4Q 20243Q 20242Q 20241Q 20244Q 2023
Liabilities
Notes and bonds payable $4,662,771 $4,957,796 $5,148,153 $5,108,279 $4,994,859 
Accounts payable and accrued liabilities222,510 197,428 195,884 163,172 211,994 
Liabilities of properties held for sale1,283 7,919 1,805 700 295 
Operating lease liabilities224,499 229,925 230,601 229,223 229,714 
Financing lease liabilities72,346 71,887 75,199 74,769 74,503 
Other liabilities161,640 180,283 177,293 197,763 202,984 
Total liabilities5,345,049 5,645,238 5,828,935 5,773,906 5,714,349 
Redeemable non-controlling interests4,778 3,875 3,875 3,880 3,868 
Stockholders' equity
Preferred stock, $0.01 par value; 200,000 shares authorized— — — — — 
Common stock, $0.01 par value; 1,000,000 shares authorized3,505 3,558 3,643 3,815 3,810 
Additional paid-in capital9,118,229 9,198,004 9,340,028 9,609,530 9,602,592 
Accumulated other comprehensive (loss) income (1,168)(16,963)6,986 4,791 (10,741)
Cumulative net income attributable to common stockholders374,309 481,155 574,178 717,958 1,028,794 
Cumulative dividends (4,260,014)(4,150,328)(4,037,693)(3,920,199)(3,801,793)
Total stockholders' equity5,234,861 5,515,426 5,887,142 6,415,895 6,822,662 
Non-controlling interest66,235 80,046 83,675 87,243 96,252 
Total Equity5,301,096 5,595,472 5,970,817 6,503,138 6,918,914 
Total liabilities and stockholders' equity$10,650,923 $11,244,585 $11,803,627 $12,280,924 $12,637,131 









12Q 2024 cash and cash equivalents includes $96.0 million of proceeds held in a cash escrow account from a portfolio disposition that closed on June 28, 2024 and was received by the Company on July 1, 2024.
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Consolidated Statements of Income
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA

THREE MONTHS ENDED DECEMBER 31,TWELVE MONTHS ENDED DECEMBER 31,
2024202320242023
Revenues
Rental income 1
$300,065$322,076$1,232,776$1,309,184
Interest income4,0764,42216,38317,134
Other operating5,6253,94319,15717,451
309,766330,4411,268,3161,343,769
Expenses
Property operating114,415121,362473,444$500,437 
General and administrative34,20814,60983,121$58,405 
   Normalizing items 2
(22,991)(1,445)(29,852)(1,720)
Normalized general and administrative11,21713,16453,26956,685
Transaction costs 1,5773013,1222,026
Merger-related costs 1,414(1,952)
Depreciation and amortization160,330180,049675,152730,709
310,530317,7351,234,8391,289,625
Other income (expense)
Interest expense before merger-related fair value(47,951)(52,387)(201,758)(215,699)
   Merger-related fair value adjustment(10,314)(10,800)(40,667)(42,885)
Interest expense(58,265)(63,187)(242,425)(258,584)
Gain on sales of real estate properties and other assets32,08220,573109,75377,546
(Loss) gain on extinguishment of debt(237)(237)62
Impairment of real estate assets and credit loss reserves(81,098)(11,403)(313,547)(154,912)
Impairment of goodwill(250,530)
Equity income (loss) from unconsolidated joint ventures224(430)(135)(1,682)
Interest and other (expense) income, net(154)65(260)1,343
(107,448)(54,382)(697,381)(336,227)
Net (loss) income$(108,212)$(41,676)$(663,904)$(282,083)
Net loss (income) attributable to non-controlling interests1,3661,1439,4193,822
Net (loss) income attributable to common stockholders$(106,846)$(40,533)$(654,485)$(278,261)
Basic earnings per common share$(0.31)$(0.11)$(1.81)$(0.74)
Diluted earnings per common share$(0.31)$(0.11)$(1.81)$(0.74)
Weighted average common shares outstanding - basic351,560379,044365,553378,928
Weighted average common shares outstanding - diluted 3
351,560379,044365,553378,928














1In 4Q 2024, rental income was reduced by $0.7 million for Prospect Medical revenue reserves. In 2Q 2024, rental income was reduced by $3.0 million for Steward Health revenue reserves.
2Normalizing items primarily include restructuring, severance-related costs and non-routine advisory fees associated with shareholder engagement.
3Potential common shares are not included in the computation of diluted earnings per share when a loss exists, as the effect would be an antidilutive per share amount. As a result, the outstanding limited partnership units in the Company's operating partnership ("OP"), totaling 3,622,036 units were not included.
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Reconciliation of FFO, Normalized FFO and FAD 1,2,3
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
THREE MONTHS ENDED DECEMBER 31,TWELVE MONTHS ENDED DECEMBER 31,
2024202320242023
Net loss attributable to common stockholders$(106,846)$(40,533)$(654,485)$(278,261)
Net loss attributable to common stockholders/diluted share 3
$(0.31)$(0.11)$(1.81)$(0.74)
Gain on sales of real estate assets(32,082)(20,573)(104,684)(77,546)
Impairments of real estate assets75,423 11,403 249,909 149,717 
Real estate depreciation and amortization164,656 182,272 690,988 738,526 
Non-controlling loss from operating partnership units(1,422)(491)(9,149)(3,426)
Unconsolidated JV depreciation and amortization5,9134,44220,67818,116
FFO adjustments$212,488$177,053$847,742$825,387
FFO adjustments per common share - diluted$0.60$0.46$2.29$2.15
FFO $105,642$136,520$193,257$547,126
FFO per common share - diluted 4
$0.30$0.36$0.52$1.43
Transaction costs 1,5773013,122 2,026
Merger-related costs
1,414— (1,952)
Lease intangible amortization(2,348)261(2,054)860
Non-routine legal costs/forfeited earnest money received 306 (100)1,077 175 
Debt financing costs237237 (62)
Restructuring and severance-related charges22,9911,44529,852 1,445
Credit losses and gains (losses) on other assets, net 5
4,58259,707 8,599
Impairment of goodwill250,530 
Merger-related fair value adjustment 10,31410,80040,667 42,885
Unconsolidated JV normalizing items 6
11389390389
Normalized FFO adjustments$37,772$14,210$383,528$54,365
Normalized FFO adjustments per common share - diluted$0.11$0.04$1.04$0.14
Normalized FFO
$143,414$150,730$576,785$601,491
Normalized FFO per common share - diluted$0.40$0.39$1.56$1.57
Non-real estate depreciation and amortization4046851,4782,566
Non-cash interest amortization, net 7
1,2391,2655,1014,968
Rent reserves, net 8
(369)1,4047143,163
Straight-line rent income, net(7,051)(7,872)(27,254)(32,592)
Stock-based compensation3,0283,56614,03613,791
Unconsolidated JV non-cash items 9
(277)(206)(923)(1,034)
Normalized FFO adjusted for non-cash items
140,388149,572569,937592,353
2nd generation TI(20,003)(18,715)(69,445)(66,081)
Leasing commissions paid(11,957)(14,978)(47,450)(36,391)
Building capital(8,347)(17,393)(33,934)(49,343)
Total maintenance capex(40,307)(51,086)(150,829)(151,815)
FAD$100,081$98,486$419,108$440,538
Quarterly/dividends and OP distributions$110,808$118,897$462,746477,239
FFO wtd avg common shares outstanding - diluted 10
355,874383,326369,767383,381
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 are 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.
54Q 2024 includes $1.6 million of credit loss reserves, net of recoveries and a $4.1 million loss on other assets. These amounts were partially offset by a $1.1 million recovery of prior-period Steward Health straight-line rent for leases assumed. 3Q 2024 includes $46.8 million of credit loss reserves and $0.2 million gain on other assets. 2Q 2024 includes $11.2 million of credit loss reserves and $2.2 million write-off of prior period Steward Health straight-line rent, offset by $4.9 million gain on other assets.
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.
82Q 2024 includes $0.8 million related to the Steward Health revenue reserve for March.
9Includes the Company's proportionate share of straight-line rent, net and rent reserves, net related to unconsolidated joint ventures.
10The Company utilizes the treasury stock method, which includes the dilutive effect of nonvested share-based awards outstanding of 691,557 for the three months ended December 31, 2024. Also includes the diluted impact of 3,622,036 OP units outstanding.
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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, and 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.

Cash NOI and 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 Cash NOI as rental income and less property operating expenses. 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. Cash NOI is historical and not necessarily indicative of future results.

Same Store Cash NOI compares 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
























4Q2024
Supplemental Information
FURNISHED AS OF FEBRUARY 19, 2025 - UNAUDITED
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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," "will," "run-rate," 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, 2024, 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
JV and Disposition Activity
Joint Ventures
Re/development Activity
Portfolio
Health Systems
MOB Proximity to Hospital
Lease Maturity & Occupancy
Leasing Statistics
Same Store
NOI Reconciliations
27EBITDA Reconciliations
Components of Net Asset Value
2025 Guidance




















HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 3
    


Highlights
Net (loss) income attributable to common stockholders for the three months ended December 31, 2024 was $(106.8) million or $(0.31) per diluted common share. Net (loss) income attributable to common stockholders for the year ended December 31, 2024 was $(654.5) million or $(1.81) per diluted common share.

KEY FOURTH QUARTER AND ANNUAL HIGHLIGHTS
Normalized FFO per share totaled $0.40 for the quarter, at the high end of the previously provided guidance range and up 2.5% over the prior year period. Normalized FFO per share was $1.56 for the year ended December 31, 2024.
Cash NOI growth in the fourth quarter and year was as shown below (for more detail on the impact of Steward Health and Prospect Medical please see the related section herein):

ACTUAL
4Q 20242024
Same store3.1 %2.9 %
Same store excluding Steward Health & Prospect Medical3.6 %3.1 %

140,000 square feet, or 44 basis points, of multi-tenant absorption for the quarter and 479,000 square feet, or 149 basis points, for the year
686,000 square feet of signed new leases in the quarter, the sixth consecutive quarter above 400,000 and a new single-quarter high

CAPITAL ALLOCATION
The Company closed joint venture and asset sale transactions totaling $522 million in the fourth quarter, and generated approximately $1.3 billion of proceeds for the year, which includes the following:
$770 million from joint venture transactions
$491 million from asset sales
For the year, the Company repurchased approximately 31 million shares totaling $510 million at an average price of $16.56 per share.
The Company repaid its $350 million term loan maturing in 2025 and ended the year with leverage at 6.4 times net debt to adjusted EBITDA.

MULTI-TENANT GROWTH AND ABSORPTION
Compared to prior year periods, multi-tenant cash NOI growth in the fourth quarter and year was:

ACTUAL
4Q 20242024
Multi-tenant3.4 %3.0 %
Multi-tenant excluding Steward Health & Prospect Medical3.9 %3.2 %

Multi-tenant occupancy gains at the high end of full year 2024 guidance were:

ACTUAL2024 GUIDANCE
4Q 20242024LOWHIGH
Absorption (SF)140,182479,439370,000490,000
Change in occupancy (bps)+ 44+ 149+ 100+ 150

At the end of the year, the multi-tenant portfolio occupancy rate was 86.3% and the leased percentage was 88.3%.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 4
    


Highlights
LEASING
Portfolio leasing activity that commenced in the fourth quarter totaled 1,534,000 square feet related to 349 leases:
954,000 square feet of renewals
580,000 square feet of new and expansion lease commencements
In the fourth quarter, the Company signed new leases totaling 686,000 square feet, a new, single-quarter high for the Company.
SAME STORE METRICS
Cash NOI for the fourth quarter increased 3.1% over the same quarter in the prior year, and 2.9% for the year ended December 31, 2024. Adjusted for the impact of Steward Health and Prospect Medical, cash NOI growth would have been 3.6% for the fourth quarter and 3.1% for the year.
Tenant retention for the fourth quarter was 81.6% and 83.4% for the year.
Operating expenses for the fourth quarter increased 2.7% over the same quarter in the prior year, and 0.2% for the year ended December 31, 2024.
MOB cash leasing spreads were 2.7% for the quarter and 3.4% for the year.
BALANCE SHEET
At year end, net debt to adjusted EBITDA was 6.4 times, down from 6.7 times at the end of the third quarter.
The Company fully repaid its $350 million Unsecured Term Loan maturing in 2025.
At year end, the Company had no balance on its revolving credit facility, resulting in $1.5 billion of availability.
In January 2025, the Company repaid $35 million of its term loans maturing in 2026.
LEADERSHIP / GOVERNANCE
Connie Moore appointed Interim President & Chief Executive Officer
Austen Helfrich promoted to Chief Financial Officer
Significant board refreshment in 2024, with four new directors joining, each with deep REIT industry and leadership experience
Tom Bohjalian appointed Independent Chair of the Board
Search committee of the board, chaired by Glenn Rufrano, conducting a search for a permanent President & Chief Executive Officer
DIVIDEND
A common stock cash dividend in the amount of $0.31 per share will be paid on March 19, 2025 to Class A common stockholders of record on March 3, 2025. Additionally, the eligible holders of operating partnership units will receive a distribution of $0.31 per unit, equivalent to the Company's Class A common stock dividend.

STEWARD HEALTH AND PROSPECT MEDICAL UPDATE
During the fourth quarter, the Company made significant progress re-leasing space previously occupied by Steward Health, with leases in-place for over 80% of the previously occupied 593,000 square feet. Based on these actions, the Company entered 2025 having replaced approximately $19 million of the $27 million of pre-bankruptcy total exposure to Steward. Longer term, the Company continues to expect to recover over 80% of the pre-bankruptcy Steward Health revenue.





HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 5
    


Highlights

On January 11, 2025, Prospect Medical filed for Chapter 11 bankruptcy protection. Prospect Medical leases approximately 81,000 square feet of space from the Company accounting for approximately $2.9 million of annual revenue. 2025 guidance provided herein assumes no revenue collected from the Prospect leases.

GUIDANCE
The Company's 2025 per share estimated guidance ranges are as follows:
ACTUAL2025 GUIDANCE
2024LOWHIGH
Earnings per share $(1.81)$(0.28)$(0.20)
NAREIT FFO per share $0.52$1.44$1.48
Normalized FFO per share$1.56$1.56$1.60
The Company's 2025 same store cash NOI growth estimated guidance range is 3.00% to 3.75%, which excludes the impact of Prospect Medical and Steward Health.
The Company's 2025 guidance range includes activities outlined on page 29 of the Supplemental Information.

The 2025 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 Wednesday, February 19, 2025, at 11:00 a.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 Dial-In Number: +1 646-968-2525 access code 4950066;
All Other Locations: +1 888-596-4144 access code 4950066.
Replay Information:
Domestic Dial-In Number: +1 609-800-9909 access code 4950066;
All Other Locations: +1 800-770-2030 access code 4950066.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 6
    


 Salient Facts 1
Properties
salientfacts-q42024xgraphs.jpg
651 properties totaling 38.4M SF
65 markets in 34 states
92% managed by Healthcare Realty
93% outpatient medical facilities
59% of NOI in Top 15 Markets
Capitalization
$10.8B enterprise value as of 12/31/24
$6.0B market capitalization as of 12/31/24
354.1M shares/units outstanding as of 12/31/24
355.9M diluted WA shares outstanding
BBB/Baa2 S&P/Moody's
44.6% net debt to enterprise value at 12/31/24
6.4x net debt to EBITDA
salientfacts-q42024xmap.jpg
1Includes properties held in joint ventures.
HEALTHCARE REALTY
4Q 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 December 31, 2024, the Company was invested in 651 real estate properties in 34 states totaling 38.4 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 93% of its portfolio.

EXECUTIVE OFFICERS
Ryan E. Crowley
Executive Vice President and Chief Investment Officer
Austen B. Helfrich
Executive Vice President and Chief Financial Officer
Robert E. Hull
Executive Vice President and Chief Operating Officer
Andrew E. Loope
Executive Vice President, General Counsel and Secretary
Constance B. Moore
Interim President and Chief Executive Officer
Julie F. Wilson
Executive Vice President and Chief Administrative Officer
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
Nancy H. Agee
Retired President and Chief Executive Officer
Carilion Clinic

Thomas N. Bohjalian    
Chairman, Healthcare Realty Trust Incorporated
Retired Head of U.S Real Estate, Cohen & Steers

Ajay Gupta
Chief Executive Officer
Physician Rehabilitation Network

David B. Henry
Retired Vice Chairman and Chief Executive Officer
Kimco Realty Corporation

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
Interim President and Chief Executive Officer
Healthcare Realty Trust Incorporated

Glenn J. Rufrano
Executive Chairman
PREIT

Christann M. Vasquez
Retired Healthcare Executive


Donald C. Wood
Chief Executive Officer
Federal Realty Investment Trust

David R. Emery (1944-2019)
Chairman Emeritus
Healthcare Realty Trust Incorporated

HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 8
    


Balance Sheet
AMOUNTS IN THOUSANDS, EXCEPT PER SHARE DATA
ASSETS
4Q 20243Q 20242Q 20241Q 20244Q 2023
Real estate properties
Land $1,143,468 $1,195,116 $1,287,532 $1,342,895 $1,343,265 
Buildings and improvements 9,707,066 10,074,504 10,436,218 10,902,835 10,881,373 
Lease intangibles664,867 718,343 764,730 816,303 836,302 
Personal property9,909 9,246 12,501 12,720 12,718 
Investment in financing receivables, net 123,671 123,045 122,413 122,001 122,602 
Financing lease right-of-use assets 77,343 77,728 81,401 81,805 82,209 
Construction in progress31,978 125,944 97,732 70,651 60,727 
Land held for development52,408 52,408 59,871 59,871 59,871 
Total real estate investments11,810,710 12,376,334 12,862,398 13,409,081 13,399,067 
Less accumulated depreciation and amortization(2,483,656)(2,478,544)(2,427,709)(2,374,047)(2,226,853)
Total real estate investments, net9,327,054 9,897,790 10,434,689 11,035,034 11,172,214 
Cash and cash equivalents 1
68,916 22,801 137,773 26,172 25,699 
Assets held for sale, net12,897 156,218 34,530 30,968 8,834 
Operating lease right-of-use assets261,438 259,013 261,976 273,949 275,975 
Investments in unconsolidated joint ventures 473,122 417,084 374,841 309,754 311,511 
Other assets, net and goodwill507,496 491,679 559,818 605,047 842,898 
Total assets$10,650,923 $11,244,585 $11,803,627 $12,280,924 $12,637,131 
LIABILITIES AND STOCKHOLDERS' EQUITY
4Q 20243Q 20242Q 20241Q 20244Q 2023
Liabilities
Notes and bonds payable $4,662,771 $4,957,796 $5,148,153 $5,108,279 $4,994,859 
Accounts payable and accrued liabilities222,510 197,428 195,884 163,172 211,994 
Liabilities of properties held for sale1,283 7,919 1,805 700 295 
Operating lease liabilities224,499 229,925 230,601 229,223 229,714 
Financing lease liabilities72,346 71,887 75,199 74,769 74,503 
Other liabilities161,640 180,283 177,293 197,763 202,984 
Total liabilities5,345,049 5,645,238 5,828,935 5,773,906 5,714,349 
Redeemable non-controlling interests4,778 3,875 3,875 3,880 3,868 
Stockholders' equity
Preferred stock, $0.01 par value; 200,000 shares authorized— — — — — 
Common stock, $0.01 par value; 1,000,000 shares authorized3,505 3,558 3,643 3,815 3,810 
Additional paid-in capital9,118,229 9,198,004 9,340,028 9,609,530 9,602,592 
Accumulated other comprehensive (loss) income (1,168)(16,963)6,986 4,791 (10,741)
Cumulative net income attributable to common stockholders374,309 481,155 574,178 717,958 1,028,794 
Cumulative dividends (4,260,014)(4,150,328)(4,037,693)(3,920,199)(3,801,793)
Total stockholders' equity5,234,861 5,515,426 5,887,142 6,415,895 6,822,662 
Non-controlling interest66,235 80,046 83,675 87,243 96,252 
Total equity5,301,096 5,595,472 5,970,817 6,503,138 6,918,914 
Total liabilities and stockholders' equity$10,650,923 $11,244,585 $11,803,627 $12,280,924 $12,637,131 










12Q 2024 cash and cash equivalents includes $96.0 million of proceeds held in a cash escrow account from a portfolio disposition that closed on June 28, 2024 and was received by the Company on July 1, 2024.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 9
    


Statements of Income
DOLLARS IN THOUSANDS
4Q 20243Q 20242Q 20241Q 20244Q 2023
Revenues
Rental income 1
$300,065$306,499$308,135$318,076$322,076
Interest income4,0763,9043,8654,5384,422
Other operating5,6255,0204,3224,1913,943
309,766315,423316,322326,805330,441
Expenses
Property operating114,415120,232117,719121,078121,362
General and administrative34,20820,12414,00214,78714,609
Normalizing items 2
(22,991)(6,861)(1,445)
Normalized general and administrative11,21713,26314,00214,78713,164
Transaction costs1,577719431395301
Merger-related costs 1,414
Depreciation and amortization160,330163,226173,477178,119180,049
310,530304,301305,629314,379317,735
Other income (expense)
Interest expense before merger-related fair value(47,951)(50,465)(52,393)(50,949)(52,387)
Merger-related fair value adjustment(10,314)(10,184)(10,064)(10,105)(10,800)
Interest expense(58,265)(60,649)(62,457)(61,054)(63,187)
Gain on sales of real estate properties and other assets32,08239,31038,3382220,573
Loss on extinguishment of debt(237)
Impairment of real estate assets and credit loss reserves(81,098)(84,394)(132,118)(15,937)(11,403)
Impairment of goodwill(250,530)
Equity income (loss) from unconsolidated joint ventures224208(146)(422)(430)
Interest and other (expense) income, net(154)(132)(248)27565
(107,448)(105,657)(156,631)(327,646)(54,382)
Net (loss) income$(108,212)$(94,535)$(145,938)$(315,220)$(41,676)
Net loss (income) attributable to non-controlling interests1,3661,5122,1584,3841,143
Net (loss) income attributable to common stockholders$(106,846)$(93,023)$(143,780)$(310,836)$(40,533)
Basic earnings per common share$(0.31)$(0.26)$(0.39)$(0.82)$(0.11)
Diluted earnings per common share$(0.31)$(0.26)$(0.39)$(0.82)$(0.11)
Weighted average common shares outstanding - basic351,560358,960372,477379,455379,044
Weighted average common shares outstanding - diluted 3
351,560358,960372,477379,455379,044

    
STATEMENTS OF INCOME SUPPLEMENTAL INFORMATION
4Q 20243Q 20242Q 20241Q 20244Q 2023
Interest income
Financing receivables$2,103$2,117$2,094$2,117$2,132
Interest on mortgage and mezzanine loans1,9731,7871,7712,4212,290
Total$4,076$3,904$3,865$4,538$4,422
Other operating income
Parking income$1,958$2,363$2,463$2,545$2,392
Management fee and miscellaneous income3,6672,6571,8591,6461,551
Total$5,625$5,020$4,322$4,191$3,943

1In 4Q 2024, rental income was reduced by $0.7 million for Prospect Medical revenue reserves. In 2Q 2024, rental income was reduced by $3.0 million for Steward Health revenue reserves.
2Normalizing items primarily include restructuring, severance-related costs and non-routine advisory fees associated with shareholder engagement.
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. As a result, the outstanding limited partnership units in the Company's operating partnership ("OP"), totaling 3,622,036 units were not included.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 10
    


FFO, Normalized FFO, & FAD 1,2,3
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
4Q 20243Q 20242Q 20241Q 20244Q 2023
Net loss attributable to common stockholders$(106,846)$(93,023)$(143,780)$(310,836)$(40,533)
Net loss attributable to common stockholders per diluted share 3
$(0.31)$(0.26)$(0.39)$(0.82)$(0.11)
Gain on sales of real estate assets$(32,082)$(39,148)$(33,431)$(22)$(20,573)
Impairments of real estate assets75,423 37,632 120,917 15,937 11,403 
Real estate depreciation and amortization164,656 167,821 177,350 181,161 182,272 
Non-controlling loss from operating partnership units(1,422)(1,372)(2,077)(4,278)(491)
Unconsolidated JV depreciation and amortization5,9135,3784,8184,5684,442
FFO adjustments$212,488$170,311$267,577$197,366$177,053
FFO adjustments per common share - diluted$0.60$0.47$0.71$0.51$0.46
FFO $105,642$77,288$123,797$(113,470)$136,520
FFO per common share - diluted 4
$0.30$0.21$0.33$(0.30)$0.36
Transaction costs1,577719431395301
Merger-related costs
1,414
Lease intangible amortization(2,348)(10)129 175 261 
Non-routine legal costs/forfeited earnest money received 306 306 465 — (100)
Debt financing costs237
Restructuring and severance-related charges 22,9916,8611,445
Credit losses and gains (losses) on other assets, net 5
4,58246,6008,525
Impairment of goodwill250,530
Merger-related fair value adjustment 10,31410,18410,06410,10510,800
Unconsolidated JV normalizing items 6
113101898789
Normalized FFO adjustments$37,772$64,761$19,703$261,292$14,210
Normalized FFO adjustments per common share - diluted$0.11$0.18$0.05$0.68$0.04
Normalized FFO
$143,414$142,049$143,500$147,822$150,730
Normalized FFO per common share - diluted$0.40$0.39$0.38$0.39$0.39
Non-real estate depreciation and amortization404276313485685
Non-cash interest amortization, net 7
1,2391,3191,2671,2771,265
Rent reserves, net 8
(369)(27)1,261(151)1,404
Straight-line rent income, net(7,051)(5,771)(6,799)(7,633)(7,872)
Stock-based compensation3,0284,0643,3833,5623,566
Unconsolidated JV non-cash items 9
(277)(376)(148)(122)(206)
Normalized FFO adjusted for non-cash items
140,388141,534142,777145,240149,572
2nd generation TI(20,003)(16,951)(12,287)(20,204)(18,715)
Leasing commissions paid(11,957)(10,266)(10,012)(15,215)(14,978)
Building capital(8,347)(7,389)(12,835)(5,363)(17,393)
Total maintenance capex(40,307)(34,606)(35,134)(40,782)(51,086)
FAD$100,081$106,928$107,643$104,458$98,486
Quarterly dividends and OP distributions$110,808$113,770$118,627$119,541$118,897
FFO wtd avg common shares outstanding - diluted 10
355,874363,370376,556383,413383,326

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 are 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.
54Q 2024 includes $1.6 million of credit loss reserves, net of recoveries and a $4.1 million loss on other assets. These amounts were partially offset by a $1.1 million recovery of prior-period Steward Health straight-line rent for leases assumed. 3Q 2024 includes $46.8 million of credit loss reserves and $0.2 million gain on other assets. 2Q 2024 includes $11.2 million of credit loss reserves and $2.2 million write-off of prior period Steward Health straight-line rent, offset by $4.9 million gain on other assets.
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.
82Q 2024 includes $0.8 million related to the Steward Health revenue reserve for March.
9Includes the Company's proportionate share of straight-line rent, net and rent reserves, net related to unconsolidated joint ventures.
10The Company utilizes the treasury stock method, which includes the dilutive effect of nonvested share-based awards outstanding of 691,557 for the three months ended December 31, 2024. Also includes the diluted impact of 3,622,036 OP units outstanding.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 11
    


Capital Funding & Commitments
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
ACQUISITION AND RE/DEVELOPMENT FUNDING
4Q 20243Q 20242Q 20241Q 20244Q 2023
Acquisitions 1
$—$—$—$—$—
Re/development 2
39,61144,59044,79621,58032,272
1st generation TI & acquisition capex 3
14,79415,67713,01012,4217,632
MAINTENANCE CAPITAL EXPENDITURES FUNDING
4Q 20243Q 20242Q 20241Q 20244Q 2023
2nd generation TI$20,003$16,951$12,287$20,204$18,715
Leasing commissions paid11,95710,26610,01215,21514,978
Building capital8,3477,38912,8355,36317,393
$40,307$34,606$35,134$40,782$51,086
% of Cash NOI
2nd generation TI10.6 %8.8 %6.2 %10.1 %9.2 %
Leasing commissions paid6.3 %5.3 %5.0 %7.6 %7.3 %
Building capital4.4 %3.8 %6.5 %2.7 %8.5 %
21.3 %17.9 %17.7 %20.4 %25.0 %
LEASING COMMITMENTS 4
4Q 20243Q 20242Q 20241Q 20244Q 2023
Renewals
Square feet783,975909,844788,8621,454,998582,239
2nd generation TI/square foot/lease year$2.20$1.91$1.81$2.39$1.89
Leasing commissions/square foot/lease year$1.48$1.36$1.33$0.90$1.66
Renewal commitments as a % of annual net rent14.1 %12.2 %13.6 %13.8 %12.7 %
WALT (in months) 5
59.750.352.360.543.1
New leases
Square feet299,950462,756252,795337,357315,243
2nd generation TI/square foot/lease year$7.30$7.18$6.90$7.32$5.98
Leasing commissions/square foot/lease year$1.82$1.91$1.98$1.68$1.72
New lease commitments as a % of annual net rent40.7 %39.9 %43.3 %42.8 %33.4 %
WALT (in months) 5
78.394.782.692.890.2
All
Square feet1,083,9251,372,6001,041,6571,792,355897,482
Leasing commitments as a % of annual net rent21.9 %24.0 %22.6 %20.5 %21.9 %
WALT (in months) 5
64.865.359.666.659.6




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
4Q 2024 SUPPLEMENTAL INFORMATION 12
    


Debt Metrics1
DOLLARS IN THOUSANDS
SUMMARY OF INDEBTEDNESS AS OF DECEMBER 31, 2024
PRINCIPAL BALANCE
BALANCE 1
MATURITY DATE 2
MONTHS TO MATURITY 2
4Q 2024 INTEREST EXPENSECONTRACTUAL INTEREST EXPENSECONTRACTUAL RATEEFFECTIVE RATEFAIR VALUE MERGER ADJUSTED
SENIOR NOTES$250,000$249,8685/1/2025$2,470$2,4223.88 %4.12 %
600,000586,8248/1/202619 7,2385,2513.50 %4.94 %Y
500,000488,1047/1/202730 5,8014,6873.75 %4.76 %Y
300,000298,0291/15/202837 2,7862,7193.63 %3.85 %
650,000586,0282/15/203062 7,7375,0373.10 %5.30 %Y
299,500297,1903/15/203063 1,9281,7972.40 %2.72 %
299,785296,3433/15/203175 1,5931,5362.05 %2.25 %
800,000667,2333/15/203175 8,5134,0002.00 %5.13 %Y
$3,699,285$3,469,61947 $38,066$27,4492.97 %4.44 %
TERM LOANS$200,000$199,8965/31/202617 2,9292,929SOFR + 1.04%5.59 %
150,000149,7906/1/202617 2,1972,197SOFR + 1.04%5.59 %
300,000299,98110/31/202622 4,3944,394SOFR + 1.04%5.59 %
200,000199,6417/20/202730 2,9292,929SOFR + 1.04%5.59 %
300,000298,7081/20/202836 4,3944,394SOFR + 1.04%5.59 %
$1,150,000$1,148,01626 $16,843$16,8435.59 %
$1.5B CREDIT FACILITY— — 10/31/202734 $2,904$2,904SOFR + 0.94%5.30 %
MORTGAGES$45,279$45,136various16 $449$4604.04 %4.17 %
$4,894,564$4,662,77142$58,262$47,6563.59 %4.72 %$2,550,000
Less cash(68,916)
Net debt$4,825,648
Interest on term loan fully repaid in October 2024$391$391
Interest rate swaps(2,135)(2,135)
Interest cost capitalization(1,083)
Unsecured credit facility fee & deferred financing costs1,918767
Financing right-of-use asset amortization912
$58,265$46,679


DEBT MATURITIES SCHEDULE AS OF DECEMBER 31, 2024
PRINCIPAL PAYMENTS
BANK
LOANS
SENIOR NOTESMORTGAGE NOTESTOTALWA RATE
2025$0$250,000$16,375$266,3753.90 %
2026650,000600,00028,9041,278,9044.57 %
2027200,000500,000— 700,0004.28 %
2028300,000300,000— 600,0004.61 %
2029— — — — %
Thereafter— 2,049,285— 2,049,2852.41 %
Total$1,150,000$3,699,285$45,279$4,894,5643.59 %
Net debt
$4,825,648
Fixed rate debt balance
$1,075,000$3,699,285$45,279$4,819,564
% fixed rate debt, net of cash
99.9 %
Company share of JV net debt
$31,455
INTEREST RATE SWAPS
MATURITYAMOUNTFIXED SOFR RATE
May 2026$275,0003.74 %
June 2026150,000 3.83 %
December 2026150,000 3.84 %
June 2027200,000 4.27 %
December 2027300,000 3.93 %
As of 12/31/2024$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
4Q 2024 SUPPLEMENTAL INFORMATION 13
    



Debt Covenants & Liquidity
DOLLARS IN THOUSANDS

SELECTED FINANCIAL DEBT COVENANTS YEAR ENDED DECEMBER 31, 2024 1
CALCULATIONREQUIREMENTPER DEBT COVENANTS
Revolving credit facility and term loan
Leverage ratio Total debt/total capitalNot greater than 60%38.8 %
Secured leverage ratioTotal secured debt/total capitalNot greater than 30%0.4 %
Unencumbered leverage ratio Unsecured debt/unsecured real estateNot greater than 60%42.2 %
Fixed charge coverage ratioEBITDA/fixed chargesNot less than 1.50x2.8x
Unsecured coverage ratioUnsecured EBITDA/unsecured interestNot less than 1.75x2.9x
Asset investmentsUnimproved land, JVs & mortgages/total assetsNot greater than 35%10.5 %
Senior Notes
Incurrence of total debt Total debt/total assetsNot greater than 60%38.0 %
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%252.6 %
Debt service coverageEBITDA/interest expenseNot less than 1.5x2.9x
Other
Net debt to adjusted EBITDA 2
Net debt (debt less cash)/adjusted EBITDANot required6.4x
Net debt to enterprise value 3
Net debt/enterprise valueNot required44.6 %

LIQUIDITY SOURCES
Cash$68,916
Unsecured credit facility availability1,500,000
Consolidated unencumbered assets (gross) 4
11,688,475
        
























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 27 for a reconciliation of adjusted EBITDA.
3Based on the closing price of $16.95 on December 31, 2024 and 354,147,499 shares outstanding including outstanding OP units.
4Annualized fourth quarter 2024 unencumbered asset NOI was $720.0 million.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 14
    


JV & Disposition Activity
DOLLARS IN THOUSANDS

JV AND DISPOSITION ACTIVITY
LOCATIONCOUNTTYPECLOSINGSQUARE FEETLEASED %SALE
PRICE
PROCEEDS% OWNERSHIP RETAINED
Joint Ventures
KKR JV 1
10MOB5/23/2024556,27499 %$284,348$227,47820 %
KKR JV 1
1MOB6/6/2024129,879100 %54,85843,88620 %
KKR JV 1
4MOB8/23/2024266,78293 %118,00094,40020 %
Nuveen JV 2
7MOB8/27/2024473,00389 %177,250156,18020 %
KKR JV 1
8MOB12/18/2024766,62292 %310,250248,20020 %
Total 2024 joint venture activity302,192,56094 %$944,706$770,144
Dispositions
Albany, NY1MOB4/1/202414,800— %$725$725— 
San Angelo, TX1MOB4/12/202424,580100 %5,0855,085— 
Houston, TX1MOB5/20/202437,040%250250— 
Denver, CO1MOB5/30/202437,130100 %19,00019,000— 
Minneapolis, MN1MOB6/21/202450,29123 %1,0821,082— 
Greensboro/Raleigh, NC 3
9MOB6/28/2024309,42497 %99,51899,518— 
Albany, NY1OFFICE8/2/2024180,000100 %6,3006,300— 
Charlotte, NC1MOB8/6/202490,633100 %26,67026,670— 
Charleston, SC1MOB8/13/202446,71146 %14,50014,500— 
Austin, TX1MOB9/13/202476,246100 %42,28142,281— 
Raleigh, NC1MOB9/26/20245,934100 %1,8131,813— 
Houston, TX 4
1MOB10/3/2024140,01266 %12,0002,400— 
Greensboro, NC1MOB10/9/202435,373100 %12,51412,514— 
Des Moines, IA1MOB10/15/202495,48694 %31,75031,750— 
Albany, NY1MOB10/15/202480,67672 %9,5009,500— 
Salt Lake City, UT 5
1MOB10/24/2024112,19272 %30,71225,400— 
Miami, FL1MOB10/25/2024102,18696 %36,78936,789— 
Miami, FL2MOB10/25/202460,76192 %17,76717,767— 
Cleveland, OH1MOB12/10/202431,15258 %1,0001,000— 
Boise, ID3MOB12/12/202483,07895 %18,35018,350— 
Atlanta, GA1MOB12/20/202442,921100 %15,90015,900— 
Los Angeles, CA3MOB12/20/2024162,55494 %64,00064,000— 
Tampa, FL1MOB12/27/202495,896100 %37,50037,500— 
Wichita Falls, TX1MOB12/27/202425,133100 %600600— 
Total 2024 disposition activity371,940,20986 %$505,606$490,694
Total 2024 JV and disposition activity674,132,76989 %$1,450,312$1,260,838
Average cap rate 6
6.6 %
Subsequent Disposition Activity
Boston, MA1MOB2/7/202530,30441 %4,5004,500— 
Denver, CO2MOB2/14/202569,71554 %8,6008,600— 
1The Company sold the following MOBs into a joint venture, retaining 20% ownership: one in each of Raleigh, NC, New York, NY, Philadelphia, PA, Atlanta, GA, Austin, TX, Miami, FL, Denver, CO, Memphis, TN, Indianapolis, IN, and Honolulu, HI; two MOBs in Los Angeles; three MOBs in Houston, TX and Dallas, TX; and five in Seattle, WA.
2The Company sold the following MOBs into a joint venture, retaining 20% ownership: one in each of Dallas, TX, San Antonio, TX and Atlanta, GA; and two MOBs in each of Nashville, TN and Denver, CO. The joint venture obtained secured financing equal to approximately 40% of the contribution value. The proceeds are net of the Company's share of the secured financing.
3The Company sold seven MOBs in Greensboro, NC and two non-clustered single-tenant MOBs in Raleigh, NC to a single buyer in a single transaction.
4The Company provided seller financing of approximately $9.6 million in connection with this sale.
5The Company sold an MOB that was included in a consolidated joint venture in which the Company held a 63% ownership interest. Proceeds include the Company's pro-rata share of the purchase price as well as amounts due to the Company by the joint venture.
6Cap rate represents the in-place cash NOI divided by sales price.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 15
    


 Joint Ventures 1
DOLLARS IN THOUSANDS

PORTFOLIOS
WA OWNERSHIP INTEREST4Q 2024
JOINT VENTURE# OF PROPERTIESSQUARE FEETOCCUPANCYNOINOI AT SHARESAME STORE NOI AT SHARE
Nuveen40 %281,526,776 86 %$8,163$3,145$2,520
CBRE20 %4283,880 58 %1,066213190
KKR20 %231,719,557 96 %9,0831,817
Other 2
57 %10723,632 82 %4,3212,0201,710
Total654,253,845 87 %$22,633$7,195$4,420



BALANCE SHEET
JOINT VENTURE
REAL ESTATE INVESTMENT 3
DEBT 3
DEBT AT SHAREINTEREST RATE
Nuveen$600,089$71,900$14,3805.9 %
CBRE132,850 — — — 
KKR734,378 — — — 
Other 2
335,050 69,100 27,6405.3 %
Total$1,802,367$141,000$42,0205.6 %
Net debt at JV share$31,455





























1Excludes completed dispositions, assets held for sale and construction in progress.
2Ownership percentages are weighted based on investment.
3Represents 100% of the real estate assets and debt of the joint ventures.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 16
    


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
Raleigh, NCUNC REX Health122,99141 %$52,600$7,6064Q 2024
Phoenix, AZHonorHealth101,08689 %58,0003,0504Q 2024
Active development
Fort Worth, TX Baylor Scott & White101,00054 %48,20018,1244Q 2025
Total development325,07760 %$158,800$28,780
Projected stabilized yield - 7.0%-8.5%
Estimated stabilization period post completion - 12 - 36 months
Active redevelopment
Washington, DCInova Health259,29088 %$17,557$1,7044Q 2024
Charlotte, NCNovant Health169,13594 %18,7001,2912Q 2025
Washington, DCInova Health57,32387 %10,0781,0834Q 2025
White Plains, NYMontefiore Einstein/White Plains65,85189 %19,40014,7994Q 2025
Raleigh, NCUNC REX Health40,400100 %10,80010,0321Q 2026
Houston, TXHCA314,86167 %30,00016,4392Q 2026
Total redevelopment906,86083 %$106,535$45,348
Occupied %69 %
Projected stabilized yield - 9.0%-12.0%
Estimated stabilization period post completion - 12 - 36 months
Total active re/development projects1,231,93777 %$265,335$74,128
























HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 17
    


Portfolio 1,2
DOLLARS IN THOUSANDS
MARKETS
 COUNTSQUARE FEETWHOLLY OWNED
MARKETMSA RANKMOBINPATIENTOFFICEWHOLLY OWNEDJOINT VENTURESTOTAL% OF NOICUMULATIVE % OF NOI
Dallas, TX4502,875,468146,519199,8003,221,787581,0963,802,8839.0 %9.0 %
Seattle, WA15291,335,3801,335,380257,1211,592,5015.9 %14.9 %
Charlotte, NC23311,702,2751,702,2751,702,2754.9 %19.8 %
Houston, TX5291,924,92567,5001,992,425249,1582,241,5834.5 %24.3 %
Denver, CO19311,483,6411,483,641306,9491,790,5904.1 %28.4 %
Atlanta, GA8261,284,1121,284,11296,1081,380,2203.8 %32.2 %
Boston, MA1116776,106776,106776,1063.7 %35.9 %
Los Angeles, CA227787,71563,000850,715786,5201,637,2353.5 %39.4 %
Phoenix, AZ10361,512,3041,512,304101,0861,613,3903.3 %42.7 %
Raleigh, NC4127980,469980,469198,4851,178,9542.9 %45.6 %
Nashville, TN35131,134,891108,6911,243,582106,9811,350,5632.8 %48.4 %
Miami, FL915981,406981,40652,1781,033,5842.8 %51.2 %
Tampa, FL1818876,079876,079876,0792.7 %53.9 %
Indianapolis, IN33411,078,51961,3981,139,917357,9151,497,8322.7 %56.6 %
New York, NY115647,004647,00457,411704,4152.1 %58.7 %
Austin, TX2712657,575657,575129,879787,4542.1 %60.8 %
Washington, DC69692,107692,107692,1072.1 %62.9 %
Chicago, IL36607,845607,845607,8452.1 %65.0 %
San Francisco, CA139452,666452,666110,865563,5312.1 %67.1 %
Orlando, FL227359,47756,998416,475416,4751.9 %69.0 %
Other (45 Market)2049,750,704538,3921,048,36311,337,459862,09312,199,55231.0 %100.0 %
Total65131,900,668933,8071,356,85434,191,3294,253,84538,445,174100.0 %
Number of properties56515658665651
% of square feet93.3 %2.7 %4.0 %100.0 %
% multi-tenant86.3 %— %77.2 %83.6 %
Investment
$10,675,361$438,074$422,211$11,535,646
Quarterly cash NOI 2
$161,715$8,307$5,524$175,546
% of cash NOI92.2 %4.7 %3.1 %100.0 %


BY OWNERSHIP AND TENANT TYPE
WHOLLY OWNED
JOINT VENTURES
MULTI-TENANTSINGLE-TENANTMULTI-TENANTSINGLE-TENANTTOTAL
Number of properties4761105015651
Square feet28,583,2865,608,0433,554,671699,17438,445,174
% of square feet74.4 %14.6 %9.2 %1.8 %100.0 %
Investment 2
$9,150,489$2,385,157$456,411$100,487$12,092,543
Quarterly cash NOI 2
$137,349$38,197$5,630$1,565$182,741
% of cash NOI75.1 %20.9 %3.1 %0.9 %100.0 %







1Gross investment and quarterly cash NOI are reflected at the Company's ownership percentage. Lease and building level related metrics such as building square feet and occupancy are reflected at 100% of the buildings.
2Excludes assets held for sale, land held for development, construction in progress and corporate property.

HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 18
    


Health Systems 1,2
MOB PORTFOLIO
BUILDING SQUARE FEET# OF BLDGSLEASED BY HEALTH SYSTEM% OF LEASED SF# OF LEASES
HEALTH SYSTEM
SYSTEM RANK 3
CREDIT RATING
ON/ADJACENT 4
OFF-CAMPUS AFFILIATED 5
TOTAL % OF NOI
HCA1BBB-/Baa32,136,592770,4302,907,022 437.2 %813,2572.6 %134
CommonSpirit4A-/A31,801,813564,7902,366,603 436.5 %737,0022.3 %141
Baylor Scott & White21AA-/Aa32,493,93466,3762,560,310 286.5 %1,201,1103.8 %196
Ascension Health3AA/Aa22,262,56397,5512,360,114 255.7 %960,2773.1 %149
Advocate Health14AA/Aa3898,199388,3161,286,515 204.5 %1,069,8723.4 %99
Tenet Healthcare Corporation6B+/Ba31,024,007277,4471,301,454 222.9 %330,6991.1 %61
Wellstar Health System75A+/A2919,861— 919,861 182.8 %602,5551.9 %81
UW Medicine (Seattle)91AA+/Aaa461,363169,709631,072 102.7 %294,9710.9 %32
Providence Health & Services5A/A2614,16731,601 645,768 122.5 %238,3700.8 %48
AdventHealth11AA/Aa2662,742118,585 781,327 122.4 %288,6330.9 %72
Community Health Systems8CCC+/Caa2785,169785,169 162.1 %353,2641.1 %44
Indiana University Health26AA/Aa2416,978269,320 686,298 102.0 %376,8421.2 %50
Trinity Health7AA-/Aa3804,737 8,156 812,893 112.0 %454,9691.4 %54
Tufts MedicineNoneBBB-/Aa3252,087252,087 21.8 %254,6800.8 %3
WakeMed185--/A2374,207101,597475,804 131.5 %132,0150.4 %19
Cedars-Sinai Health Systems51AA-/Aa3199,70190,607290,308 51.5 %65,2780.2 %21
Banner Health24AA-/--749,07531,039 780,114 241.5 %125,6640.4 %33
Baptist Memorial Health Care89A-2/--544,122150,228 694,350 91.4 %407,8941.3 %50
Sutter Health12A+/A1175,59199,947 275,538 41.4 %105,7520.3 %22
MemorialCare Health Systems133AA-/--353,54148,759 402,300 51.4 %3,156— %2
Bon Secours Health System22A+/A2405,945— 405,945 61.4 %242,8170.8 %50
Other (71 Credit Rated)7,571,8863,544,35511,116,241 208 30.6 %4,669,02714.8 %
Subtotal - credit rated 6
25,908,2806,828,81332,737,093 546 92.3 %13,728,10443.5 %
Other non-credit rated 7
220,425456,005676,430 151.9 %249,6010.8 %
Off-campus non-affiliated 8
2,514,9142,514,914 625.8 %— %
Total26,128,7059,799,73235,928,437 623100.0 %13,977,70544.3 %
Joint ventures2,823,4641,204,3054,027,769 
Wholly-owned23,305,2418,595,42731,900,668 









1Gross investment and quarterly cash NOI are reflected at the Company's ownership percentage. Lease and building level related metrics such as building square feet and occupancy are reflected at 100% of the buildings.
2Excludes construction in progress and assets classified as held for sale.
3Ranked by revenue based on Modern Healthcare's Healthcare Systems Financials Database.
4The Company defines an adjacent property as being no more than 0.25 miles from a hospital campus.
5Includes off-campus buildings where health systems lease 20% or more of the property and/or are located within 2 miles from a hospital campus.
6Based on square footage, 92% is associated and 40% is leased by an investment-grade rated healthcare provider.
7Includes 15 properties associated with hospital systems that are not credit rated. Prospect Medical leases approximately 81,000 square feet and represents 0.2% of total company rental income.
8Includes 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
4Q 2024 SUPPLEMENTAL INFORMATION 19
    


MOB Proximity to Hospital 1,2,3
MOB BY LOCATION
# OF PROPERTIESSQUARE FEETTOTAL% GROUND LEASED
On campus25219,628,60454.6 %72.9 %
Adjacent to campus 4
1476,500,10118.1 %13.7 %
Total on/adjacent39926,128,70572.7 %58.2 %
Off campus - affiliated 5
1627,284,81820.3 %16.5 %
Off campus622,514,9147.0 %10.4 %
62335,928,437100.0 %46.4 %
Wholly-owned56531,900,668
Joint ventures584,027,769



MOB BY CLUSTER 6
TOTAL
HOSPITAL CENTRIC 7
# OF PROPERTIESSQUARE FEET% OF SQUARE FEET# OF PROPERTIESSQUARE FEET% OF SQUARE FEET
Clustered45525,561,43871.1 %37522,391,48573.1 %
Non-clustered16810,366,99928.9 %1158,238,10326.9 %
Total 62335,928,437100.0 %49030,629,588100.0 %


















1Gross investment and quarterly cash NOI are reflected at the Company's ownership percentage. Lease and building level related metrics such as building square feet and occupancy are reflected at 100% of the buildings.
2Includes joint venture properties and excludes construction in progress and assets classified as held for sale.
3Proximity 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.
4The Company defines an adjacent property as being no more than 0.25 miles from a hospital campus.
5Includes off-campus buildings where health systems lease 20% or more of the property and/or are located within 2 miles from a hospital campus.
6A 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.
7Includes buildings that are located within two miles of a hospital campus.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 20
    


Lease Maturity & Occupancy 1,2
LEASE MATURITY SCHEDULE
 SQUARE FEET# OF WHOLLY-OWNED LEASES
WHOLLY-OWNED AND JOINT VENTURE
 
MULTI-TENANT 3
SINGLE-TENANT TOTAL% OF TOTALJOINT VENTURESWHOLLY-OWNED
Month-to-month270,1232,946273,0690.9 %15,115257,954109
1Q 20251,176,527244,6601,421,1874.2 %67,9071,353,280357
2Q 2025927,189445,9671,373,1564.0 %144,5141,228,642295
3Q 20251,234,979157,4041,392,3834.1 %51,7881,340,595358
4Q 20251,026,267155,2251,181,4923.5 %70,5471,110,945303
20263,890,407300,8624,191,26912.4 %243,7903,947,4791,029
20274,022,4331,023,4955,045,92814.9 %492,3314,553,5971,071
20283,034,948585,1993,620,14710.7 %219,6403,400,507814
20293,224,097919,1924,143,28912.2 %595,2793,548,010804
20301,899,462547,4792,446,9417.2 %233,0082,213,933351
20311,475,992362,6741,838,6665.4 %231,9891,606,677315
20321,872,263359,8272,232,0906.6 %340,9881,891,102290
2033961,9900961,9902.8 %195,993765,997179
20341,242,095124,2041,366,2994.0 %256,7391,109,560197
Thereafter1,485,668939,0002,424,6687.1 %558,1891,866,479195
Total occupied27,744,4406,168,13433,912,57488.2 %3,717,81730,194,7576,667
Total building 32,137,9576,307,21738,445,1744,253,84534,191,329
Occupancy86.3 %97.8 %88.2 %87.4 %88.3 %
Leased %88.3 %97.8 %89.8 %89.8 %89.8 %
WALTR (months) 4
49.567.252.749.9
WALT (months) 4
91.5138.0100.099.3



QUARTERLY LEASING ACTIVITY 5
MULTI-TENANTSINGLE-TENANTTOTAL
ABSORPTION ACTIVITYSQUARE FEETABSORPTION ACTIVITYSQUARE FEETABSORPTION ACTIVITYSQUARE FEET
Occupied square feet, beginning of period27,881,907 6,270,282 34,152,189 
Dispositions and assets held for sale(277,649)(121,029)(398,678)
Expirations and early vacates(1,147,362)(226,896)(1,374,258)
Renewals, amendments and extensions834,287 119,315 953,602 
New lease commencements453,257 126,462 579,719 
Absorption140,182 18,881 159,063 
Occupied square feet, end of period27,744,440 6,168,134 33,912,574 

1Gross investment and quarterly cash NOI are reflected at the Company's ownership percentage. Lease and building level related metrics such as building square feet and occupancy are reflected at 100% of the buildings.
2Excludes land held for development, construction in progress, corporate property and assets classified as held for sale, unless noted otherwise.
3The average lease size in the wholly-owned multi-tenant portfolio is 3,868 square feet.
4WALTR = weighted average lease term remaining; WALT = weighted average lease term.
5Excludes month-to-month activity until such time that a term renewal is signed or the tenant vacates.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 21
    



Leasing Statistics 1,2
SAME STORE RENEWALS 2
4Q 20242024
MOB cash leasing spreads 3
2.7 %3.4 %
MOB cash leasing spreads distribution
< 0% spread4.6 %6.1 %
0-3% spread11.2 %8.9 %
3-4% spread72.2 %59.9 %
> 4% spread12.0 %25.1 %
Total100.0 %100.0 %
MOB tenant retention rate81.6 %83.4 %

AVERAGE IN-PLACE CONTRACTUAL INCREASES 4
MULTI-TENANTSINGLE-TENANTTOTAL
% INCREASE% OF
BASE RENT
% INCREASE% OF
BASE RENT
% INCREASE% OF
BASE RENT
Same store 2
2.87 %71.3 %2.48 %17.1 %2.80 %88.4 %
Acquisitions2.86 %6.0 %2.48 %1.3 %2.80 %7.3 %
Other 5
2.95 %3.9 %2.53 %0.4 %2.91 %4.3 %
Total 2.87 %81.2 %2.48 %18.8 %2.80 %100.0 %
Escalator type
Fixed2.86 %97.2 %2.52 %89.2 %2.80 %95.7 %
CPI3.36 %2.8 %2.18 %10.8 %2.81 %4.3 %
SAME STORE TYPE AND OWNERSHIP STRUCTURE 2
MULTI-TENANTSINGLE-TENANTTOTAL
Tenant type
Hospital45.7 %58.2 %48.0 %
Physician and other54.3 %41.8 %52.0 %
Lease structure
Gross9.3 %1.5 %7.9 %
Modified gross31.6 %10.0 %27.7 %
Net59.1 %64.8 %60.1 %
Absolute net 6
— %23.7 %4.3 %
Ownership type
Ground lease47.8 %39.8 %46.5 %
Fee simple52.2 %60.2 %53.5 %
    
# OF LEASES BY SIZE 7
LEASED SQUARE FEET# OF LEASESWALTWALTR
0 - 2,5003,481 70.4 36.8 
2,501 - 5,0001,668 79.8 41.2 
5,001 - 7,500583 90.8 46.1 
7,501 - 10,000318 97.3 52.7 
10,001 +617 119.2 58.1 
Total Leases6,667 99.3 49.9 
1Gross investment and quarterly cash NOI are reflected at the Company's ownership percentage. Lease and building level related metrics such as building square feet and occupancy are reflected at 100% of the buildings.
2Same 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.
3Excludes non-MOB renewals of 15,582 square feet and 146,082 square feet for the fourth quarter and full year 2024, respectively.
4Excludes leases with lease terms of one year or less.
5Includes redevelopment properties, development completion, and joint ventures.
6Tenant is typically responsible for operating expenses and capital obligations.
7Excludes joint ventures, land held for development, construction in progress, corporate property and assets classified as held for sale.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 22
    


 Same Store 1,2
DOLLARS IN THOUSANDS, EXCEPT PER SQUARE FOOT DATA

TOTAL CASH NOI
% of Total NOI4Q 20244Q 2023Y-o-Y% CHANGE20242023% CHANGE
Multi-tenant70 %$132,122 $128,558 2.8 %$520,725 $507,086 2.7 %
Single-tenant20 %37,924 36,509 3.9 %150,142 145,334 3.3 %
Joint venture%4,420 4,224 4.6 %17,595 16,869 4.3 %
Same store92 %$174,466 $169,291 3.1 %$688,462 $669,289 2.9 %
Planned dispositions— %40 86 (53.5 %)122 366 (66.7 %)
Re/development%3,974 4,747 (16.3 %)17,618 18,697 (5.8 %)
Wholly owned and joint venture acquisitions%3,220 614 424.4 %7,829 2,230 251.1 %
Development completions%1,043 656 59.0 %3,236 2,165 49.5 %
Completed dispositions & assets held for sale%6,032 28,677 (79.0 %)64,066 133,259 (51.9 %)
Total cash NOI100 %$188,775 $204,071 (7.5 %)$781,333 $826,006 (5.4 %)
Same store cash NOI w/o Steward Health & Prospect Medical$173,988 $167,987 3.6 %$684,216 $663,747 3.1 %


PORTFOLIO OCCUPANCY AND ABSORPTION
OCCUPANCY %ABSORPTION
(square feet in thousands)
COUNTSQUARE FEET4Q 20243Q 20244Q 2023SEQUENTIALY-O-Y
Multi-tenant45226,591,56088.0 %87.9 %87.1 %21240
Single-tenant1045,258,04799.3 %99.4 %99.5 %(9)(15)
Joint venture 291,636,23289.2 %89.8 %89.7 %(9)(9)
Same store58533,485,83989.8 %89.8 %89.2 %3216
Planned dispositions3143,93558.3 %26.3 %23.3 %4650
Re/development251,873,96663.0 %62.9 %62.0 %217
Wholly owned and joint venture acquisitions332,387,88894.3 %94.1 %92.3 %550
Development completions5553,54657.7 %65.6 %59.0 %103125
Total portfolio65138,445,17488.2 %88.3 %87.5 %159459
Joint ventures654,253,84587.4 %89.8 %89.7 %100103
Total wholly-owned58634,191,32988.3 %88.1 %87.3 %59356
Multi-tenant52632,137,95786.3 %86.5 %85.4 %140479















1Gross investment and quarterly cash NOI are reflected at the Company's ownership percentage. Lease and building level related metrics such as building square feet and occupancy are reflected at 100% of the buildings.
2Same 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
4Q 2024 SUPPLEMENTAL INFORMATION 23
    


 Same Store 1,2,3
DOLLARS IN THOUSANDS, EXCEPT PER SQUARE FOOT DATA
SAME STORE CASH NOI
TOTAL
4Q 20243Q 2024 2Q 20241Q 20244Q 202320242023
Base revenue$209,310$208,131$206,019$206,094$204,944$829,554$812,114
Op. exp. recoveries63,84064,12260,00661,99060,466249,958247,425
Revenues$273,150$272,253$266,025$268,084$265,410$1,079,512$1,059,539
Expenses98,684100,54094,96796,85996,119391,050390,250
Cash NOI$174,466$171,713$171,058$171,225$169,291$688,462$669,289
Revenue per occ SF 4
$36.33$36.29$35.57$35.90$35.58$36.02$35.51
Margin63.9 %63.1 %64.3 %63.9 %63.8 %63.8 %63.2 %
Average occupancy89.8 %89.6 %89.3 %89.2 %89.1 %89.5 %89.1 %
Period end occupancy89.8 %89.8 %89.4 %89.2 %89.2 %89.8 %89.2 %
Number of properties585585585585585585585
Year-Over-Year Change
Revenue per occ SF 4
2.1 %1.4 %
Avg occupancy (bps)+70+40
Revenues2.9 %1.9 %
Base revenue2.1 %2.1 %
Exp recoveries5.6 %1.0 %
Expenses2.7 %0.2 %
Cash NOI3.1 %2.9 %
Cash NOI w/o Steward Health & Prospect Medical3.6 %3.1 %
























1Gross investment and quarterly cash NOI are reflected at the Company's ownership percentage. Lease and building level related metrics such as building square feet and occupancy are reflected at 100% of the buildings.
2Same 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.
3Excludes 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.
4Revenue 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
4Q 2024 SUPPLEMENTAL INFORMATION 24
    


NOI Reconciliations 1
DOLLARS IN THOUSANDS
BOTTOM UP RECONCILIATION
4Q 20243Q 20242Q 20241Q 20244Q 2023 3Q 2023  2Q 2023  1Q 2023
Net loss($108,212)($94,535)($145,938)($315,220)($41,676)($68,604)($83,726)($88,078)
Other income (expense)107,448 105,657 156,631 327,646 54,382 74,621 112,818 94,407 
General and administrative expense34,208 20,124 14,002 14,787 14,609 13,396 15,464 14,935 
Depreciation and amortization expense160,330 163,226 173,477 178,119 180,049 182,989 183,193 184,479 
Other expenses 2
7,059 6,434 5,226 4,727 4,899 12,543 (11,969)7,940 
Straight-line rent expense917 965 1,063 935 1,484 1,538 1,525 1,537 
Straight-line rent revenue(9,061)(6,736)(5,630)(8,568)(9,356)(10,008)(9,530)(9,782)
Other revenue 3
(11,194)(8,334)(5,433)(7,006)(5,078)(6,446)(4,992)(733)
Joint venture property cash NOI7,280 6,477 5,504 4,958 4,758 4,692 4,957 4,769 
Cash NOI$188,775 $193,278 $198,902 $200,378 $204,071 $204,721 $207,740 $209,474 
Planned dispositions(40)14 (57)(39)(86)100 151 (531)
Redevelopment(3,974)(4,795)(4,276)(4,573)(4,747)(4,260)(4,649)(5,041)
Wholly owned and joint venture acquisitions(3,220)(2,406)(1,368)(835)(614)(817)(651)(148)
Development completions(1,043)(756)(738)(699)(656)(622)(435)(452)
Completed dispositions & assets held for sale(6,032)(13,622)(21,405)(23,007)(28,677)(32,650)(35,027)(36,905)
Same store cash NOI$174,466 $171,713 $171,058 $171,225 $169,291 $166,472 $167,129 $166,397 
Same store joint venture properties(4,420)(4,387)(4,395)(4,393)(4,224)(4,178)(4,318)(4,149)
Same store excluding JVs$170,046 $167,326 $166,663 $166,832 $165,067 $162,294 $162,811 $162,248 
TOP DOWN RECONCILIATION
4Q 20243Q 20242Q 20241Q 20244Q 2023 3Q 2023  2Q 2023  1Q 2023
Rental income before rent concessions$305,229 $310,080 $311,592 $321,833 $325,772 $336,503 $332,992 $328,115 
Rent concessions(5,164)(3,581)(3,457)(3,757)(3,696)(3,168)(3,312)(4,022)
Rental income$300,065 $306,499 $308,135 $318,076 $322,076 $333,335 $329,680 $324,093 
Parking income1,958 2,363 2,463 2,545 2,392 2,751 2,370 2,391 
Interest from financing receivable, net2,103 2,117 2,094 2,117 2,132 2,002 2,180 2,227 
Exclude straight-line rent revenue(9,061)(6,736)(5,630)(8,568)(9,356)(10,008)(9,530)(9,782)
Exclude other non-cash revenue 4
(5,697)(4,149)(2,018)(3,163)(1,513)(1,410)(1,018)3,594 
Cash revenue$289,368 $300,094 $305,044 $311,007 $315,731 $326,670 $323,682 $322,523 
Property operating expense(114,415)(120,232)(117,719)(121,078)(121,362)(131,639)(125,395)(122,040)
Exclude non-cash expenses 5
6,542 6,939 6,073 5,491 4,944 4,998 4,496 4,222 
Joint venture property cash NOI7,280 6,477 5,504 4,958 4,758 4,692 4,957 4,769 
Cash NOI$188,775 $193,278 $198,902 $200,378 $204,071 $204,721 $207,740 $209,474 
Planned dispositions(40)14 (57)(39)(86)100 151 (531)
Redevelopment(3,974)(4,795)(4,276)(4,573)(4,747)(4,260)(4,649)(5,041)
Wholly owned and joint venture acquisitions(3,220)(2,406)(1,368)(835)(614)(817)(651)(148)
Development completions(1,043)(756)(738)(699)(656)(622)(435)(452)
Completed dispositions & assets held for sale(6,032)(13,622)(21,405)(23,007)(28,677)(32,650)(35,027)(36,905)
Same store cash NOI$174,466 $171,713 $171,058 $171,225 $169,291 $166,472 $167,129 $166,397 
Same store joint venture properties(4,420)(4,387)(4,395)(4,393)(4,224)(4,178)(4,318)(4,149)
Same store excluding JVs$170,046 $167,326 $166,663 $166,832 $165,067 $162,294 $162,811 $162,248 




1Gross investment and quarterly cash NOI are reflected at the Company's ownership percentage. Lease and building level related metrics such as building square feet and occupancy are reflected at 100% of the buildings.
2Includes 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.
3Includes 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.
4Includes above and below market intangibles, lease inducements, lease termination fees, deferred financing cost amortization, financing receivable, and TI amortization.
5Includes above and below market ground lease intangible amortization, leasing commission amortization, and ground lease straight-line rent.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 25
    


NOI Reconciliations 1
DOLLARS IN THOUSANDS
RECONCILIATION OF NOI TO FFO AND NORMALIZED FFO
4Q 20243Q 20242Q 20241Q 2024
Cash NOI$188,775 $193,278 $198,902 $200,378 
General and administrative expense(34,208)(20,124)(14,002)(14,787)
Straight-line rent9,061 6,736 5,630 8,568 
Interest and other income (expense), net(154)(132)(248)275 
Management fees and other income3,667 2,658 1,858 1,646 
Note receivable interest income1,973 1,787 1,771 2,421 
Other non-cash revenue 2
5,554 3,891 1,804 2,939 
Other non-cash expenses 3
(6,400)(6,687)(5,858)(5,268)
Non-real estate impairment(1,600)(46,762)(11,201)— 
Restructuring and severance-related costs19,288 — — — 
Income taxes657 448 454 336 
Unconsolidated JV adjustments(720)(401)(443)(427)
Debt Covenant EBITDA$185,893 $134,692 $178,667 $196,081 
Interest expense(58,265)(60,649)(62,457)(61,054)
Transaction costs(1,577)(719)(431)(395)
Leasing commission amortization 4
5,744 5,827 5,151 4,467 
Non-real estate depreciation and amortization(1,418)(1,232)(1,278)(1,424)
(Loss) gain on non-real estate assets(4,075)1624,907
Non-controlling interest(56)13981106
Goodwill impairment— (250,530)
Restructuring and severance-related costs(19,288)— — — 
Income taxes(657)(448)(454)(336)
Loss on extinguishment of debt(237)
Unconsolidated JV adjustments(422)(484)(389)(385)
FFO$105,642 $77,288 $123,797 ($113,470)
Transaction costs1,577719431395
Lease intangible amortization(2,348)(10)129175
Significant non-recurring legal fees/forfeited earnest money received306306465
Loss on extinguishment of debt237
Restructuring and severance-related costs22,9916,861
Merger-related fair value adjustment10,31410,18410,06410,105
Credit losses and gains on other assets, net 4,58246,6008,525
Goodwill impairment250,530
Unconsolidated JV normalizing items1131018987
Normalized FFO$143,414 $142,049 $143,500 $147,822 





1Gross investment and quarterly cash NOI are reflected at the Company's ownership percentage. Lease and building level related metrics such as building square feet and occupancy are reflected at 100% of the buildings.
2Includes above and below market lease intangibles, interest income related to sales-type leases, lease inducements, lease termination fees, deferred financing cost amortization, and principal related to investment in financing receivable and TI amortization.
3Includes above and below market ground lease intangible amortization, leasing commission amortization, and ground lease straight-line rent.
4Leasing commission amortization is included in the real estate depreciation and amortization add-back for FFO.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 26
    


EBITDA Reconciliations 1
DOLLARS IN THOUSANDS
RECONCILIATION OF EBITDA
4Q 20243Q 20242Q 20241Q 2024
Net loss($108,212)($94,535)($145,938)($315,220)
Interest expense58,26560,64962,45761,054
Income taxes657448454336
Depreciation and amortization160,330163,226173,477178,119
Unconsolidated JV depreciation, amortization, and interest6,3365,8635,2074,952
EBITDA$117,376$135,651$95,657$(70,759)
Transaction costs1,577719431395
Gain on sales of assets(32,082)(39,310)(38,338)(22)
Impairments on real estate assets79,49737,632120,91715,937
Restructuring and severance-related costs19,288
Goodwill Impairment250,530
Loss on extinguishment of debt237
Debt Covenant EBITDA$185,893$134,692$178,667$196,081
Leasing commission amortization 2
5,7445,8275,1514,467
Lease intangibles, franchise taxes and prepaid ground amortization(3,596)692980975
Timing impact 3
(2,125)(1,511)(1,438)— 
Stock based compensation3,0287,9083,3833,562
Allowance for credit losses 1,60046,76211,201
Rent reserves, net(369)(27)1,261 (151)
Unconsolidated JV adjustments1131018987
Adjusted EBITDA$190,288$194,444$199,294$205,021
Annualized Adjusted EBITDA$761,152$777,776$797,176$820,084
RECONCILIATION OF NET DEBT
Debt (principal balance)$4,894,564 $5,200,907 $5,402,290 $5,372,710 
Share of unconsolidated net debt31,45530,05420,29923,276
Cash 4
(68,916)(22,801)(137,773)(26,172)
Net debt$4,857,103$5,208,160$5,284,816$5,369,814
Net debt to adjusted EBITDA6.4x6.7x6.6x6.5x










1Gross investment and quarterly cash NOI are reflected at the Company's ownership percentage. Lease and building level related metrics such as building square feet and occupancy are reflected at 100% of the buildings.
2Leasing commission amortization is included in the real estate depreciation and amortization add-back for FFO.
3Timing adjustments to represent a full quarter impact of acquisitions and dispositions. Properties contributed into a joint venture are adjusted at the Company's share. Timing adjustments also include non-recurring impacts due to one-time items recognized in the quarter.
42Q 2024 cash includes $96.0 million of proceeds from a portfolio disposition held in a cash escrow account as of June 30, 2024.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 27
    


Components of Net Asset Value 1
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
CASH NOI
4Q 2024
Same store 2
$174,466 
Acquisition/Development Completions 3
4,263 
Re/development3,974 
Total$182,703 
Timing adjustments 4
631 
Total Cash NOI$183,334 

DEVELOPMENT & REDEVELOPMENT PROPERTIES
ESTIMATED COST TO COMPLETEESTIMATED TOTAL COSTPROJECTED STABILIZED ANNUAL CASH NOI
Developments$28,780 $158,800 $11,858 
Redevelopments 5
45,348 106,535 19,130 
$74,128 $265,335 $30,988 
LAND HELD FOR DEVELOPMENT, CASH, & OTHER ASSETS
Land held for development $52,408 
Disposition pipeline 6
67,801 
Unstabilized properties 7
234,842 
Cash and other assets 8
434,145 
$789,196 
DEBT
Unsecured credit facility $— 
Unsecured term loans 1,150,000 
Senior notes 3,699,285 
Mortgage notes payable 45,279 
Company share of joint venture net debt31,455 
Other liabilities 9
329,779 
$5,255,798 
TOTAL SHARES OUTSTANDING
As of December 31, 2024 10
354,147,499 

1Gross investment and quarterly cash NOI are reflected at the Company's ownership percentage. Lease and building level related metrics such as building square feet and occupancy are reflected at 100% of the buildings.
2See Same Store schedule on pages 23 - 24 for details on Same Store NOI.
3Adjusted 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.
4Timing adjustments include adjustments to reflect full quarterly stabilized NOI of a recently completed development of $0.7 million, full quarter NOI for JV contributed assets of $0.9 million, and management fee income of $3.5 million, offset by $2.9 million of in-place NOI on development and redevelopment properties and $1.6 million of positive NOI for unstabilized properties, which are shown in other assets.
5Estimated total cost includes only the incremental capital to complete the redevelopment. Projected Stabilized Annual Cash NOI is the total property NOI at stabilization.
6Includes assets held for sale and planned dispositions.
7Includes 27 properties at their gross book value. These properties were comprised of 1.2 million square feet that generated positive NOI of $1.6 million.
8Includes cash of $68.9 million, notes receivable of $127.6 million, prepaid assets of $162.1 million, accounts receivable of $36.7 million, prepaid ground leases of $18.9 million, and other investments of $1.9 million. In addition, includes the Company's occupied portion of its corporate headquarters in Nashville of $18.0 million.
9Includes 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 $223.2 million, security deposits of $30.9 million, financing right of use liabilities of $72.4 million, and deferred operating expense reimbursements of $3.3 million.
10Total shares outstanding includes OP units.
HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 28
    


2025 Guidance
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA

ACTUAL2025 GUIDANCE
2024LOWHIGH
OPERATING METRICS
Year-end same store net absorption (bps)7375125
Same store cash NOI growth 1
2.9 %3.00 %3.75 %
Same store MOB cash leasing spreads3.4 %2.0 %3.0 %
Same store lease retention rate83.4 %80.0 %85.0 %
Normalized G&A$53,269$52,000$56,000
CAPITAL FUNDING
Asset sales and JV contributions$1,260,838$400,000$500,000
Re/development150,57795,000115,000
1st generation TI and acq. capex55,90255,00065,000
Maintenance capex
2nd generation TI69,44555,00065,000
Leasing commissions paid47,45035,00045,000
Building capital33,93430,00040,000
Total maintenance capex150,829120,000150,000
CASH YIELD
Dispositions 6.6 %6.8 %7.3 %
EARNINGS AND LEVERAGE
Earnings per share$(1.81)$(0.28)$(0.20)
Normalized FFO per share
$1.56$1.56$1.60
Net debt to adjusted EBITDA
6.4x6.00x6.25x


1Same store cash NOI growth guidance excludes the impact of Prospect Medical and Steward Health.

HEALTHCARE REALTY
4Q 2024 SUPPLEMENTAL INFORMATION 29
    
v3.25.0.1
Cover Page
Feb. 19, 2025
Cover [Abstract]  
Document Type 8-K
Document Period End Date Feb. 19, 2025
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)
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