UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
_______________
FORM 10-Q
(Mark One)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended:JuneSeptember 30, 2023
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from              to

Commission File Number: 001-35568 (Healthcare Realty Trust Incorporated)

HEALTHCARE REALTY TRUST INCORPORATED
(Exact name of Registrant as specified in its charter) 
Maryland20-4738467
(State or other jurisdiction of Incorporation or organization)(I.R.S. Employer Identification No.)
3310 West End Avenue, Suite 700
Nashville, Tennessee 37203
(Address of principal executive offices)
(615) 269-8175
(Registrant's telephone number, including area code)
www.healthcarerealty.com
(Internet address)

Securities Registered Pursuant to Section 12(b) of the Act:
Title of Each ClassTrading SymbolName of Each Exchange on Which Registered
Class A Common Stock, $0.01 par value per shareHRNew York Stock Exchange
Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Sections 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  

YesNo
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    

YesNo

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filerAccelerated filerNon-accelerated filer
Smaller reporting companyEmerging 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.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

YesNo






As of August 4,October 27, 2023, the Registrant had 380,857,532380,874,078 shares of Common Stock outstanding.




Explanatory Note

On July 20, 2022, pursuant to that certain Agreement and Plan of Merger dated as of February 28, 2022 (the “Merger Agreement”), by and among Healthcare Realty Trust Incorporated, a Maryland corporation (now known as HRTI, LLC, a Maryland limited liability company) (“Legacy HR”), Healthcare Trust of America, Inc., a Maryland corporation (now known as Healthcare Realty Trust Incorporated) (“Legacy HTA”), Healthcare Trust of America Holdings, LP, a Delaware limited partnership (now known as Healthcare Realty Holdings, L.P.) (the “OP”), and HR Acquisition 2, LLC, a Maryland limited liability company (“Merger Sub”), Merger Sub merged with and into Legacy HR, with Legacy HR continuing as the surviving entity and a wholly-owned subsidiary of Legacy HTA (the “Merger”). Immediately following the Merger, Legacy HR converted to a Maryland limited liability company and changed its name to “HRTI, LLC” and Legacy HTA changed its name to “Healthcare Realty Trust Incorporated”. In addition, the equity interests of Legacy HR were contributed by means of a contribution and assignment agreement to the OP, and Legacy HR became a wholly-owned subsidiary of the OP. As a result, Legacy HR became a part of an umbrella partnership REIT (“UPREIT”) structure, which is intended to align the corporate structure of the combined company after giving effect to the Merger and the UPREIT reorganization and to provide a platform for the combined company to more efficiently acquire properties in a tax-deferred manner. The combined company operates under the name “Healthcare Realty Trust Incorporated” and its shares of class A common stock, $0.01 par value per share, trade on the New York Stock Exchange under the ticker symbol “HR”.
For accounting purposes, the Merger was treated as a “reverse acquisition” in which Legacy HR was considered the accounting acquirer. As a result, the historical financial statements of the accounting acquirer, Legacy HR, became the historical financial statements of the Company, as defined below. Periodic reports for periods ending following the Merger reflect financial and other information of the Company. The acquisition was accounted for using the acquisition method of accounting in accordance with Accounting Standards Codification 805, Business Combinations (“ASC 805”), which requires, among other things, the assets acquired and the liabilities assumed to be recognized at their acquisition date fair value.
For purposes of this Quarterly Report on Form 10-Q, references to the “Company” are to Legacy HR for periods prior to the closing of the Merger and thereafter to the combined company after giving effect to the Merger.
In addition, the OP has issued unsecured notes described in Note 5 to the Company's Condensed Consolidated Financial Statements included in this report. All unsecured notes are fully and unconditionally guaranteed by the Company, and the OP is 98.8% owned by the Company. Effective January 4, 2021, the Securities and Exchange Commission (the “SEC”) adopted amendments to the financial disclosure requirements which permit subsidiary issuers of obligations guaranteed by the parent to omit separate financial statements if the consolidated financial statements of the parent company have been filed, the subsidiary obligor is a consolidated subsidiary of the parent company, the guaranteed security is debt or debt-like, and the security is guaranteed fully and unconditionally by the parent. Accordingly, separate consolidated financial statements of the OP have not been presented.
Additionally, as permitted under Rule 13-01(a)(4)(vi) of Regulation S-X, the Company has excluded the summarized financial information for the OP because the assets, liabilities, and results of operations of the OP are not materially different than the corresponding amounts in the Company's consolidated financial statements and management believes such summarized financial information would be repetitive and would not provide incremental value to investors.



HEALTHCARE REALTY TRUST INCORPORATED
FORM 10-Q
JuneSeptember 30, 2023


    Table of Contents
     
PART I - FINANCIAL INFORMATION
PART II - OTHER INFORMATION
Item 5Other Information
SIGNATURE



Table of Contents

PART I - FINANCIAL INFORMATION
Item 1. Financial Statements
Healthcare Realty Trust Incorporated
Condensed Consolidated Balance Sheets
Amounts in thousands, except per share data
ASSETSASSETSASSETS
Unaudited
JUNE 30, 2023
DECEMBER 31, 2022
Unaudited
SEPTEMBER 30, 2023
DECEMBER 31, 2022
Real estate propertiesReal estate propertiesReal estate properties
LandLand$1,424,453 $1,439,798 Land$1,387,821 $1,439,798 
Buildings and improvementsBuildings and improvements11,188,821 11,332,037 Buildings and improvements11,004,195 11,332,037 
Lease intangiblesLease intangibles922,029 959,998 Lease intangibles890,273 959,998 
Personal propertyPersonal property12,615 11,907 Personal property12,686 11,907 
Investment in financing receivable, netInvestment in financing receivable, net121,315 120,236 Investment in financing receivable, net120,975 120,236 
Financing lease right-of-use assetsFinancing lease right-of-use assets83,016 83,824 Financing lease right-of-use assets82,613 83,824 
Construction in progressConstruction in progress53,311 35,560 Construction in progress85,644 35,560 
Land held for developmentLand held for development78,411 74,265 Land held for development59,871 74,265 
Total real estate propertiesTotal real estate properties13,883,971 14,057,625 Total real estate properties13,644,078 14,057,625 
Less accumulated depreciation and amortizationLess accumulated depreciation and amortization(1,983,944)(1,645,271)Less accumulated depreciation and amortization(2,093,952)(1,645,271)
Total real estate properties, netTotal real estate properties, net11,900,027 12,412,354 Total real estate properties, net11,550,126 12,412,354 
Cash and cash equivalentsCash and cash equivalents35,904 60,961 Cash and cash equivalents24,668 60,961 
Assets held for sale, netAssets held for sale, net151 18,893 Assets held for sale, net57,638 18,893 
Operating lease right-of-use assetsOperating lease right-of-use assets333,224 336,983 Operating lease right-of-use assets323,759 336,983 
Investments in unconsolidated joint venturesInvestments in unconsolidated joint ventures327,245 327,248 Investments in unconsolidated joint ventures325,453 327,248 
GoodwillGoodwill250,530 223,202 Goodwill250,530 223,202 
Other assets, netOther assets, net547,266 469,990 Other assets, net571,554 469,990 
Total assetsTotal assets$13,394,347 $13,849,631 Total assets$13,103,728 $13,849,631 
LIABILITIES AND STOCKHOLDERS' EQUITYLIABILITIES AND STOCKHOLDERS' EQUITYLIABILITIES AND STOCKHOLDERS' EQUITY
LiabilitiesLiabilitiesLiabilities
Notes and bonds payableNotes and bonds payable$5,340,272 $5,351,827 Notes and bonds payable$5,227,413 $5,351,827 
Accounts payable and accrued liabilitiesAccounts payable and accrued liabilities196,147 244,033 Accounts payable and accrued liabilities204,947 244,033 
Liabilities of assets held for saleLiabilities of assets held for sale222 437 Liabilities of assets held for sale3,814 437 
Operating lease liabilitiesOperating lease liabilities278,479 279,895 Operating lease liabilities273,319 279,895 
Financing lease liabilitiesFinancing lease liabilities73,629 72,939 Financing lease liabilities74,087 72,939 
Other liabilitiesOther liabilities219,694 218,668 Other liabilities211,365 218,668 
Total liabilitiesTotal liabilities6,108,443 6,167,799 Total liabilities5,994,945 6,167,799 
Commitments and contingenciesCommitments and contingenciesCommitments and contingencies
Redeemable non-controlling interestsRedeemable non-controlling interests2,487 2,014 Redeemable non-controlling interests3,195 2,014 
Stockholders' equityStockholders' equityStockholders' equity
Preferred stock, $.01 par value per share; 200,000 shares authorized; none issued and outstandingPreferred stock, $.01 par value per share; 200,000 shares authorized; none issued and outstanding— — Preferred stock, $.01 par value per share; 200,000 shares authorized; none issued and outstanding— — 
Class A Common stock, $.01 par value per share; 1,000,000 shares authorized; 380,858 and 380,590 shares issued and outstanding at June 30, 2023 and December 31, 2022, respectively3,808 3,806 
Class A Common stock, $.01 par value per share; 1,000,000 shares authorized; 380,860 and 380,590 shares issued and outstanding at September 30, 2023 and December 31, 2022, respectivelyClass A Common stock, $.01 par value per share; 1,000,000 shares authorized; 380,860 and 380,590 shares issued and outstanding at September 30, 2023 and December 31, 2022, respectively3,809 3,806 
Additional paid-in capitalAdditional paid-in capital9,595,033 9,587,637 Additional paid-in capital9,597,629 9,587,637 
Accumulated other comprehensive (loss) income9,328 2,140 
Accumulated other comprehensive incomeAccumulated other comprehensive income17,079 2,140 
Cumulative net income attributable to common stockholdersCumulative net income attributable to common stockholders1,137,171 1,307,055 Cumulative net income attributable to common stockholders1,069,327 1,307,055 
Cumulative dividendsCumulative dividends(3,565,941)(3,329,562)Cumulative dividends(3,684,144)(3,329,562)
Total stockholders' equityTotal stockholders' equity7,179,399 7,571,076 Total stockholders' equity7,003,700 7,571,076 
Non-controlling interestNon-controlling interest104,018 108,742 Non-controlling interest101,888 108,742 
Total equityTotal equity7,283,417 7,679,818 Total equity7,105,588 7,679,818 
Total liabilities and equityTotal liabilities and equity$13,394,347 $13,849,631 Total liabilities and equity$13,103,728 $13,849,631 
The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, are an integral part of these financial statements.


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Table of Contents

Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Operations
For the Three and SixNine Months Ended JuneSeptember 30, 2023 and 2022
Amounts in thousands, except per share data
Unaudited
THREE MONTHS ENDED
June 30,
SIX MONTHS ENDED
June 30,
THREE MONTHS ENDED
September 30,
NINE MONTHS ENDED
September 30,
20232022202320222023202220232022
RevenuesRevenuesRevenues
Rental incomeRental income$329,680 $140,632 $653,773 $279,121 Rental income$333,335 $298,931 $987,109 $578,052 
Interest incomeInterest income4,233 1,957 8,448 3,887 Interest income4,264 3,366 12,711 7,253 
Other operatingOther operating4,230 2,738 8,847 5,213 Other operating4,661 4,057 13,508 9,270 
338,143 145,327 671,068 288,221 342,260 306,354 1,013,328 594,575 
ExpensesExpensesExpenses
Property operatingProperty operating125,395 57,010 247,436 114,474 Property operating131,639 112,473 379,074 226,947 
General and administrativeGeneral and administrative15,464 10,540 30,399 21,576 General and administrative13,396 16,741 43,796 38,317 
Acquisition and pursuit costsAcquisition and pursuit costs669 1,352 956 2,655 Acquisition and pursuit costs769 482 1,725 3,137 
Merger-related costsMerger-related costs(15,670)7,085 (10,815)13,201 Merger-related costs7,450 79,402 (3,366)92,603 
Depreciation and amortizationDepreciation and amortization183,193 55,731 367,671 109,772 Depreciation and amortization182,989 158,117 550,661 267,889 
309,051 131,718 635,647 261,678 336,243 367,215 971,890 628,893 
Other income (expense)Other income (expense)Other income (expense)
Gain on sales of real estate propertiesGain on sales of real estate properties7,156 8,496 8,162 53,280 Gain on sales of real estate properties48,811 143,908 56,974 197,188 
Interest expenseInterest expense(65,334)(15,543)(129,092)(29,204)Interest expense(66,304)(53,044)(195,397)(82,248)
Loss on extinguishment of debt— — — (1,429)
Gain (loss) on extinguishment of debtGain (loss) on extinguishment of debt62 (1,091)62 (2,520)
Impairment of real estate properties and credit loss reservesImpairment of real estate properties and credit loss reserves(55,215)— (86,637)25 Impairment of real estate properties and credit loss reserves(56,873)— (143,510)25 
Equity loss from unconsolidated joint venturesEquity loss from unconsolidated joint ventures(17)(307)(797)(652)Equity loss from unconsolidated joint ventures(456)(124)(1,253)(776)
Interest and other income (expense), netInterest and other income (expense), net592 (125)1,139 (206)Interest and other income (expense), net139 (172)1,278 (378)
(112,818)(7,479)(207,225)21,814 (74,621)89,477 (281,846)111,291 
Net (loss) incomeNet (loss) income$(83,726)$6,130 $(171,804)$48,357 Net (loss) income$(68,604)$28,616 $(240,408)$76,973 
Net loss attributable to non-controlling interests967 — 1,920 — 
Net loss (income) attributable to non-controlling interestsNet loss (income) attributable to non-controlling interests760 (312)2,680 (312)
Net (loss) income attributable to common stockholdersNet (loss) income attributable to common stockholders$(82,759)$6,130 $(169,884)$48,357 Net (loss) income attributable to common stockholders$(67,844)$28,304 $(237,728)$76,661 
Basic earnings per common shareBasic earnings per common share$(0.22)$0.04 $(0.45)$0.32 Basic earnings per common share$(0.18)$0.08 $(0.63)$0.36 
Diluted earnings per common shareDiluted earnings per common share$(0.22)$0.04 $(0.45)$0.32 Diluted earnings per common share$(0.18)$0.08 $(0.63)$0.35 
Weighted average common shares outstanding - basicWeighted average common shares outstanding - basic378,897 149,676 378,861 149,321 Weighted average common shares outstanding - basic378,925 328,805 378,886 209,807 
Weighted average common shares outstanding - dilutedWeighted average common shares outstanding - diluted378,897 149,739 378,861 149,397 Weighted average common shares outstanding - diluted378,925 332,031 378,886 210,944 

The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, are an integral part of these financial statements.


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Table of Contents

Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Comprehensive Income
For the Three and SixNine Months Ended JuneSeptember 30, 2023 and 2022
Amounts in thousands
Unaudited
THREE MONTHS ENDED
 June 30,
SIX MONTHS ENDED
June 30,
THREE MONTHS ENDED
 September 30,
NINE MONTHS ENDED
September 30,
20232022202320222023202220232022
Net (loss) incomeNet (loss) income$(83,726)$6,130 $(171,804)$48,357 Net (loss) income$(68,604)$28,616 $(240,408)$76,973 
Other comprehensive incomeOther comprehensive incomeOther comprehensive income
Interest rate swapsInterest rate swapsInterest rate swaps
Reclassification adjustments for (gains) losses included in net income (interest expense)Reclassification adjustments for (gains) losses included in net income (interest expense)(3,419)823 (5,703)1,909 Reclassification adjustments for (gains) losses included in net income (interest expense)(4,168)763 (9,874)2,672 
Gains arising during the period on interest rate swapsGains arising during the period on interest rate swaps21,523 1,663 12,981 6,822 Gains arising during the period on interest rate swaps12,016 6,083 24,999 12,905 
18,104 2,486 7,278 8,731 7,848 6,846 15,125 15,577 
Comprehensive (loss) incomeComprehensive (loss) income(65,622)8,616 (164,526)57,088 Comprehensive (loss) income(60,756)35,462 (225,283)92,550 
Less: comprehensive loss attributable to non-controlling interests745 — 1,830 — 
Less: comprehensive loss (income) attributable to non-controlling interestsLess: comprehensive loss (income) attributable to non-controlling interests663 (384)2,494 (384)
Comprehensive (loss) income attributable to common stockholdersComprehensive (loss) income attributable to common stockholders$(64,877)$8,616 $(162,696)$57,088 Comprehensive (loss) income attributable to common stockholders$(60,093)$35,078 $(222,789)$92,166 
The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, are an integral part of these financial statements.


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Table of Contents

Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Equity and Redeemable Non-Controlling Interests
For the Three Months Ended JuneSeptember 30, 2023 and 2022
Amounts in thousands, except per share data
Unaudited
Common
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Non-controlling InterestsTotal
Equity
Redeemable Non-controlling InterestsCommon
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Non-controlling InterestsTotal
Equity
Redeemable Non-controlling Interests
Balance at March 31, 2023$3,808 $9,591,194 $(8,554)$1,219,930 $(3,447,750)$7,358,628 $106,211 $7,464,839 $2,000 
Balance at June 30, 2023Balance at June 30, 2023$3,808 $9,595,033 $9,328 $1,137,171 $(3,565,941)$7,179,399 $104,018 $7,283,417 $2,487 
Issuance of common stock, net of issuance costsIssuance of common stock, net of issuance costs— 27 — — — 27 — 27 — Issuance of common stock, net of issuance costs— 33 — — — 33 — 33 — 
Common stock redemptionsCommon stock redemptions— (112)— — — (112)— (112)— Common stock redemptions— — — — — — 
Share-based compensationShare-based compensation— 3,924 — — — 3,924 — 3,924 — Share-based compensation2,555 — — — 2,556 — 2,556 — 
Net lossNet loss— — — (82,759)— (82,759)(967)(83,726)— Net loss— — — (67,844)— (67,844)(760)(68,604)— 
Reclassification adjustments for gains included in net income (interest expense)
Reclassification adjustments for gains included in net income (interest expense)
— — (3,377)— — (3,377)(42)(3,419)— Reclassification adjustments for gains included in net income (interest expense)
— — (4,118)— — (4,118)(50)(4,168)— 
Gains arising during the period on
interest rate swaps
Gains arising during the period on
interest rate swaps
— — 21,259 — — 21,259 264 21,523 — Gains arising during the period on interest rate swaps
— — 11,869 — — 11,869 147 12,016 — 
Contributions from non-controlling interests— — — — — — — — 487 
Contributions from redeemable non-controlling interestsContributions from redeemable non-controlling interests— — — — — — — — 710 
Dividends to common stockholders and distributions to non-controlling interest holders ($0.31 per share)Dividends to common stockholders and distributions to non-controlling interest holders ($0.31 per share)— — — — (118,191)(118,191)(1,448)(119,639)— Dividends to common stockholders and distributions to non-controlling interest holders ($0.31 per share)— — — — (118,203)(118,203)(1,467)(119,670)— 
Balance at June 30, 2023$3,808 $9,595,033 $9,328 $1,137,171 $(3,565,941)$7,179,399 $104,018 $7,283,417 $2,487 
Adjustments to redemption value of redeemable non-controlling interestsAdjustments to redemption value of redeemable non-controlling interests— — — — — — — — (2)
Balance at September 30, 2023Balance at September 30, 2023$3,809 $9,597,629 $17,079 $1,069,327 $(3,684,144)$7,003,700 $101,888 $7,105,588 $3,195 
Common
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Non-controlling InterestsTotal
Equity
Redeemable Non-controlling InterestsCommon
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Non-controlling InterestsTotal
Equity
Redeemable Non-controlling Interests
Balance at March 31, 2022$1,516 $3,999,060 $(3,736)$1,308,385 $(3,092,343)$2,212,882 $— $2,212,882 $— 
Balance at June 30, 2022Balance at June 30, 2022$1,516 $4,002,525 $(1,250)$1,314,515 $(3,139,440)$2,177,866 $— $2,177,866 $— 
Issuance of common stock, net of issuance costsIssuance of common stock, net of issuance costs— 110 — — — 110 — 110 — Issuance of common stock, net of issuance costs— 84 — — — 84 — 84 — 
Merger consideration transferredMerger consideration transferred2,289 5,574,174 — — — 5,576,463 110,702 5,687,165 — 
Non-controlling interests acquiredNon-controlling interests acquired— — — — — — 1,266 1,266 — 
Common stock redemptionsCommon stock redemptions— (41)— — — (41)— (41)— 
Share-based compensationShare-based compensation— 3,356 — — — 3,356 — 3,356 — Share-based compensation9,716 — — — 9,717 — 9,717 — 
Redemption of non-controlling interestRedemption of non-controlling interest— 98 — — — 98 (97)— 
Net incomeNet income— — — 6,130 — 6,130 — 6,130 — Net income— — — 28,304 — 28,304 312 28,616 — 
Reclassification adjustments for losses included in net income (interest expense)
Reclassification adjustments for losses included in net income (interest expense)
— — 823 — — 823 — 823 — Reclassification adjustments for losses included in net income (interest expense)
— — 755 — — 755 763 — 
Gains arising during the period on interest rate swaps
Gains arising during the period on interest rate swaps
— — 1,663 — — 1,663 — 1,663 — Gains arising during the period on interest rate swaps
— — 6,019 — — 6,019 64 6,083 — 
Dividends to common stockholders ($0.31 per share)— — — — (47,097)(47,097)— (47,097)— 
Balance at June 30, 2022$1,516 $4,002,526 $(1,250)$1,314,515 $(3,139,440)$2,177,867 $— $2,177,867 $— 
Dividends to common stockholders and distributions to non-controlling interest holders ($0.31 per share)Dividends to common stockholders and distributions to non-controlling interest holders ($0.31 per share)— — — — (72,052)(72,052)(442)(72,494)— 
Balance at September 30, 2022Balance at September 30, 2022$3,806 $9,586,556 $5,524 $1,342,819 $(3,211,492)$7,727,213 $111,813 $7,839,026 $— 

The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, are an integral part of these financial statements.





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Table of Contents


Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Equity and Redeemable Non-Controlling Interests
For the SixNine Months Ended JuneSeptember 30, 2023 and 2022
Amounts in thousands, except per share data
Unaudited

Common
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Non-controlling InterestsTotal
Equity
Redeemable Non-controlling InterestsCommon
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Non-controlling InterestsTotal
Equity
Redeemable Non-controlling Interests
Balance at December 31, 2022Balance at December 31, 2022$3,806 $9,587,637 $2,140 $1,307,055 $(3,329,562)$7,571,076 $108,742 $7,679,818 $2,014 Balance at December 31, 2022$3,806 $9,587,637 $2,140 $1,307,055 $(3,329,562)$7,571,076 $108,742 $7,679,818 $2,014 
Issuance of common stock, net of issuance costsIssuance of common stock, net of issuance costs— 78 — — — 78 — 78 — Issuance of common stock, net of issuance costs— 112 — — — 112 — 112 — 
Common stock redemptionsCommon stock redemptions(1)(1,595)— — — (1,596)— (1,596)— Common stock redemptions— (1,587)— — — (1,587)— (1,587)— 
Share-based compensationShare-based compensation8,913 — — — 8,916 — 8,916 — Share-based compensation11,467 — — — 11,470 — 11,470 — 
Net lossNet loss— — — (169,884)— (169,884)(1,920)(171,804)— Net loss— — — (237,728)— (237,728)(2,680)(240,408)— 
Reclassification adjustments for gains included in net income (interest expense)
Reclassification adjustments for gains included in net income (interest expense)
— — (5,635)— — (5,635)(68)(5,703)— Reclassification adjustments for gains included in net income (interest expense)
— — (9,757)— — (9,757)(117)(9,874)— 
Gains arising during the period on interest rate swaps
Gains arising during the period on interest rate swaps
— — 12,823 — — 12,823 158 12,981 — Gains arising during the period on interest rate swaps
— — 24,696 — — 24,696 303 24,999 — 
Contributions from non-controlling interests— — — — — — — — 473 
Dividends to common stockholders and distributions to non-controlling interest holders ($0.62 per share)— — — — (236,379)(236,379)(2,894)(239,273)— 
Balance at June 30, 2023$3,808 $9,595,033 $9,328 $1,137,171 $(3,565,941)$7,179,399 $104,018 $7,283,417 $2,487 
Contributions from redeemable non-controlling interestsContributions from redeemable non-controlling interests— — — — — — — — 1,210 
Dividends to common stockholders and distributions to non-controlling interest holders ($0.93 per share)Dividends to common stockholders and distributions to non-controlling interest holders ($0.93 per share)— — — — (354,582)(354,582)(4,360)(358,942)— 
Adjustments to redemption value of redeemable non-controlling interestsAdjustments to redemption value of redeemable non-controlling interests— — — — — — — — (29)
Balance at September 30, 2023Balance at September 30, 2023$3,809 $9,597,629 $17,079 $1,069,327 $(3,684,144)$7,003,700 $101,888 $7,105,588 $3,195 
Common
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Non-controlling InterestsTotal
Equity
Redeemable Non-controlling InterestsCommon
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Non-controlling InterestsTotal
Equity
Redeemable Non-controlling Interests
Balance at December 31, 2021Balance at December 31, 2021$1,505 $3,972,917 $(9,981)$1,266,158 $(3,045,483)$2,185,116 $— $2,185,116 $— Balance at December 31, 2021$1,505 $3,972,917 $(9,981)$1,266,158 $(3,045,483)$2,185,116 $— $2,185,116 $— 
Issuance of common stock, net of issuance costsIssuance of common stock, net of issuance costs22,764 — — — 22,771 — 22,771 — Issuance of common stock, net of issuance costs22,847 — — — 22,855 — 22,855 — 
Merger consideration transferredMerger consideration transferred2,289 5,574,174 — — — 5,576,463 110,702 5,687,165 — 
Non-controlling interests acquiredNon-controlling interests acquired— — — — — — 1,266 1,266 — 
Common stock redemptionsCommon stock redemptions— (206)— — — (206)— (206)— Common stock redemptions— (248)— — — (248)— (248)— 
Share-based compensationShare-based compensation7,051 — — — 7,055 — 7,055 — Share-based compensation16,768 — — — 16,772 — 16,772 — 
Redemption of non-controlling interestRedemption of non-controlling interest— 98 — — — 98 (97)— 
Net incomeNet income— — — 48,357 — 48,357 — 48,357 — Net income— — — 76,661 — 76,661 312 76,973 — 
Reclassification adjustments for losses included in net income (interest expense)
Reclassification adjustments for losses included in net income (interest expense)
— — 1,909 — — 1,909 — 1,909 — Reclassification adjustments for losses included in net income (interest expense)
— — 2,664 — — 2,664 2,672 — 
Gains arising during the period on interest rate swaps
Gains arising during the period on interest rate swaps
— — 6,822 — — 6,822 — 6,822 — Gains arising during the period on interest rate swaps
— — 12,841 — — 12,841 64 12,905 — 
Dividends to common stockholders ($0.62 per share)— — — — (93,957)(93,957)— (93,957)— 
Balance at June 30, 2022$1,516 $4,002,526 $(1,250)$1,314,515 $(3,139,440)$2,177,867 $— $2,177,867 $— 
Dividends to common stockholders and distributions to non-controlling interest holders ($0.93 per share)Dividends to common stockholders and distributions to non-controlling interest holders ($0.93 per share)— — — — (166,009)(166,009)(442)(166,451)— 
Balance at September 30, 2022Balance at September 30, 2022$3,806 $9,586,556 $5,524 $1,342,819 $(3,211,492)$7,727,213 $111,813 $7,839,026 $— 

The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, are an integral part of these financial statements



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HealthcareRealty Trust Incorporated
Condensed Consolidated Statements of Cash Flows
For the Six Months Ended June 30, 2023 and 2022
Amounts in thousands
Unaudited

OPERATING ACTIVITIES
SIX MONTHS ENDED
June 30,
20232022
Net (loss) income$(171,804)$48,357 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization367,671 109,772 
Other amortization23,405 2,680 
Share-based compensation8,916 7,055 
Amortization of straight-line rent receivable (lessor)(19,313)(3,292)
Amortization of straight-line rent on operating leases (lessee)3,062 756 
Gain on sales of real estate properties(8,162)(53,280)
Loss on extinguishment of debt— 1,429 
Impairment of real estate properties and credit loss reserves86,637 (25)
Equity loss from unconsolidated joint ventures797 652 
Distributions from unconsolidated joint ventures3,031 108 
Non-cash interest from financing and notes receivable(488)(388)
Changes in operating assets and liabilities:
Other assets, including right-of-use-assets(17,502)540 
Accounts payable and accrued liabilities(38,601)(3,166)
Other liabilities16,673 2,923 
Net cash provided by operating activities254,322 114,121 
INVESTING ACTIVITIES
Acquisitions of real estate(39,301)(287,004)
Development of real estate(17,594)(7,475)
Additional long-lived assets(94,013)(45,631)
Funding of mortgages and notes receivable(11,503)— 
Investments in unconsolidated joint ventures(3,824)(49,599)
Investment in financing receivable(780)498 
Proceeds from sales of real estate properties and additional long-lived assets160,870 108,044 
Net cash used in investing activities(6,145)(281,167)
FINANCING ACTIVITIES
Net (repayments) borrowings on unsecured credit facility(31,000)280,500 
Repayments of notes and bonds payable(1,340)(18,224)
Redemption of notes and bonds payable— (2,184)
Dividends paid(236,105)(93,774)
Net proceeds from issuance of common stock77 22,768 
Common stock redemptions(1,842)(852)
Distributions to non-controlling interest holders(2,546)— 
Debt issuance and assumption costs(438)— 
Payments made on finance leases(40)(51)
Net cash (used in) provided by financing activities(273,234)188,183 
(Decrease) increase in cash and cash equivalents(25,057)21,137 
Cash and cash equivalents at beginning of period60,961 13,175 
Cash and cash equivalents at end of period$35,904 $34,312 
Supplemental Cash Flow Information
Interest paid$106,985 $26,641 
Mortgage note receivable taken in connection with sale of real estate$45,000 $— 
Invoices accrued for construction, tenant improvements and other capitalized costs$30,956 $18,874 
Capitalized interest$1,282 $145 
The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, are an integral part of these financial statements.


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HealthcareRealty Trust Incorporated
Condensed Consolidated Statements of Cash Flows
For the Nine Months Ended September 30, 2023 and 2022
Amounts in thousands
Unaudited
OPERATING ACTIVITIES
NINE MONTHS ENDED
September 30,
20232022
Net (loss) income$(240,408)$76,973 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization550,661 267,889 
Other amortization33,822 11,875 
Share-based compensation11,470 16,772 
Amortization of straight-line rent receivable (lessor)(29,320)(12,267)
Amortization of straight-line rent on operating leases (lessee)4,600 2,016 
Gain on sales of real estate properties(56,974)(197,188)
(Gain) loss on extinguishment of debt(62)2,520 
Impairment of real estate properties and credit loss reserves143,510 (25)
Equity loss from unconsolidated joint ventures1,253 776 
Distributions from unconsolidated joint ventures4,366 893 
Non-cash interest from financing and notes receivable(1,067)(1,901)
Changes in operating assets and liabilities:
Other assets, including right-of-use-assets(34,632)(19,230)
Accounts payable and accrued liabilities(32,060)35,769 
Other liabilities17,345 (58,213)
Net cash provided by operating activities372,504 126,659 
INVESTING ACTIVITIES
Acquisitions of real estate(48,106)(376,924)
Development of real estate(31,318)(17,572)
Additional long-lived assets(156,871)(97,797)
Funding of mortgages and notes receivable(14,597)(3,441)
Investments in unconsolidated joint ventures(3,824)(99,586)
Investment in financing receivable(310)167 
Contributions from redeemable non-controlling interests710 — 
Proceeds from sales of real estate properties and additional long-lived assets366,779 870,806 
Proceeds from notes receivable repayments— 500 
Cash assumed in Merger, including restricted cash for special dividend payment— 1,149,681 
Net cash provided by investing activities112,463 1,425,834 
FINANCING ACTIVITIES
Net repayments on unsecured credit facility(149,000)(154,400)
Borrowings on term loans— 666,500 
Repayment on term loan— (718,500)
Repayments of notes and bonds payable(11,988)(18,880)
Redemption of notes and bonds payable— (2,184)
Dividends paid(354,171)(165,735)
Special dividend paid in relation to the Merger— (1,123,648)
Net proceeds from issuance of common stock110 22,851 
Common stock redemptions(1,834)(894)
Distributions to non-controlling interest holders(3,836)(442)
Debt issuance and assumption costs(529)(12,753)
Payments made on finance leases(12)— 
Net cash used in financing activities(521,260)(1,508,085)
(Decrease) increase in cash and cash equivalents(36,293)44,408 
Cash and cash equivalents at beginning of period60,961 13,175 
Cash and cash equivalents at end of period$24,668 $57,583 


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Supplemental Cash Flow InformationNINE MONTHS ENDED
September 30,
20232022
Interest paid$185,402 $83,382 
Mortgage note receivable taken in connection with sale of real estate$45,000 $— 
Invoices accrued for construction, tenant improvements and other capitalized costs$32,590 $52,840 
Mortgage note payable assumed in connection with acquisition of real estate, net$5,284 $— 
Capitalized interest$2,077 $848 

The accompanying notes, together with the Notes to the Consolidated Financial Statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, are an integral part of these financial statements.


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Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

Note 1. Summary of Significant Accounting Policies
Business Overview
Healthcare Realty Trust Incorporated is a real estate investment trust ("REIT") that owns, leases, manages, acquires, finances, develops and redevelops income-producing real estate properties associated primarily with the delivery of outpatient healthcare services throughout the United States. As of JuneSeptember 30, 2023, the Company had gross investments of approximately $13.9$13.6 billion in 680663 wholly-owned real estate properties, construction in progress, redevelopments, financing receivables, financing lease right-of-use assets, land held for development and corporate property. The Company's 680 real663 real estate properties are located in 35 states and total approximately 39.8approximately 39.1 million square feet. The Company provided leasing and property management services to approximately 39.3approximately 38.6 million squaresquare feet nationwide.
In addition, as of JuneSeptember 30, 2023, the Company had a weighted average ownership interest of approximatelyapproximately 44% in 34 realreal estate properties held in joint ventures. See Note 3 below for more details regarding the Company's unconsolidated joint ventures.
Any references to square footage or occupancy percentage, and any amounts derived from these values in these notes to the Company's Condensed Consolidated Financial Statements, are outside the scope of our independent registered public accounting firm’s review.
Basis of Presentation
For purposes of this Quarterly Report on Form 10-Q, references to the “Company” are to Legacy HR for periods prior to the closing of the Merger and thereafter to Legacy HR and Legacy HTA as the combined company after giving effect to the Merger. The Merger is described in more detail in Note 2 to these Condensed Consolidated Financial Statements. The Condensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States ("GAAP") for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. They do not include all of the information and footnotes required by GAAP for complete financial statements. However, except as disclosed herein and specific disclosures included as a result of the Merger, management believes there has been no material change in the information disclosed in the Notes to the Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2022. All material intercompany transactions and balances have been eliminated in consolidation.
This interim financial information should be read in conjunction with the consolidated financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022. Management believes that all adjustments of a normal, recurring nature considered necessary for a fair presentation have been included. In addition, the interim financial information does not necessarily represent or indicate what the operating results will be for the year ending December 31, 2023 for many reasons including, but not limited to, acquisitions, dispositions, capital financing transactions, changes in interest rates and the effects of other trends, risks and uncertainties.
Principles of Consolidation
The Company’s Condensed Consolidated Financial Statements include the accounts of the Company, its wholly owned subsidiaries, and joint ventures and partnerships where the Company controls the operating activities. GAAP requires us to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of variable interest entities (“VIEs”). Accounting Standards Codification (“ASC”) Topic 810, Consolidation broadly defines a VIE as an entity in which either (i) the equity investors as a group, if any, lack the power through voting or similar rights to direct the activities of such entity that most significantly impact such entity’s economic performance or (ii) the equity investment at risk is insufficient to finance that entity’s activities without additional subordinated financial support. The Company identifies the primary beneficiary of a VIE as the enterprise that has both of the following characteristics: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance and (ii) the obligation to absorb losses or receive benefits of the VIE that could potentially be significant to the entity. The Company consolidates its investment in a VIE when it determines that it is the VIE’s primary beneficiary, with any minority interests reflected as non-controlling interests or redeemable non-controlling interests in the accompanying Condensed Consolidated Financial Statements.


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
The Company may change its original assessment of a VIE upon subsequent events such as the modification of contractual arrangements that affect the characteristics or adequacy of the entity’s equity investments at risk, the disposition of all or a portion of an interest held by the primary beneficiary, or changes in facts and circumstances that impact the power to direct activities of the VIE that most significantly impacts economic performance. The Company performs this analysis on an ongoing basis.
For property holding entities not determined to be VIEs, the Company consolidates such entities in which it owns 100% of the equity or has a controlling financial interest evidenced by ownership of a majority voting interest. All intercompany balances and transactions are eliminated in consolidation. For entities in which the Company owns less than 100% of the equity interest, the Company consolidates the entity if it has the direct or indirect ability to control the entities’ activities based upon the terms of the respective entities’ ownership agreements.
Healthcare Realty Holdings, L.P., a Delaware limited partnership (the "OP"), is 98.8% owned by the Company. Holders of operating partnership units (“OP Units”) are considered to be non-controlling interest holders in the OP and their ownership interests are reflected as equity on the accompanying Condensed Consolidated Balance Sheets. Further, a portion of the earnings and losses of the OP are allocated to non-controlling interest holders based on their respective ownership percentages. Upon conversion of OP Units to common stock, any difference between the fair value of the common stock issued and the carrying value of the OP Units converted to common stock is recorded as a component of equity. As of JuneSeptember 30, 2023, there were approximately 4.7 million OP Units, or 1.2% of OP units issued and outstanding, held by non-controlling interest holders. Additionally, the Company is the primary beneficiary of this VIE. Accordingly, the Company consolidates the interests in the OP.
As of JuneSeptember 30, 2023, the Company had four consolidated VIEs, in addition to the OP, where itconsisting of joint venture investments in which the Company is the primary beneficiary of the VIE based on the combination of operational control and the rights to receive residual returns or the obligation to absorb losses arising from the joint ventures. Accordingly, such joint ventures have been consolidated, and the table below summarizes the balance sheets of consolidated VIEs, excluding the OP, in the aggregate:
(dollars in thousands)JUNESEPTEMBER 30, 2023
Assets:
Net real estate investments$61,98072,756 
Cash and cash equivalents2,1071,766 
Receivables and other assets2,0152,594 
Total assets$66,10277,116 
Liabilities:
Accrued expenses and other liabilities$14,05816,909 
Total equity52,04460,207 
Total liabilities and equity$66,10277,116 
As of JuneSeptember 30, 2023, the Company had three unconsolidated VIEs consisting of two notes receivables and one joint venture. The Company does not have the power or economic interests to direct the activities of the VIEs on a stand-alone basis, and therefore it was determined that the Company was not the primary beneficiary. As a result, the Company accounts for the two notes receivables as amortized cost and a joint venture arrangement under the equity method. See below for additional information regarding the Company's unconsolidated VIEs.
(dollars in thousands) ORIGINATION DATE(dollars in thousands) ORIGINATION DATELOCATIONSOURCECARRYING AMOUNTMAXIMUM EXPOSURE TO LOSS(dollars in thousands) ORIGINATION DATELOCATIONSOURCECARRYING AMOUNTMAXIMUM EXPOSURE TO LOSS
20212021
Houston, TX 1
Note receivable$30,445 $31,150 2021
Houston, TX 1
Note receivable$30,797 $31,150 
20212021
Charlotte, NC 1
Note receivable5,691 6,000 2021
Charlotte, NC 1
Note receivable5,743 6,000 
20222022
Texas 2
Joint venture64,758 64,758 2022
Texas 2
Joint venture63,579 63,579 
1Assumed mortgage note receivable in connection with the Merger.
2Includes investments in seven properties.


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
As of JuneSeptember 30, 2023, the Company's unconsolidated joint venture arrangements were accounted for using the equity method of accounting as the Company exercised significant influence over but did not control these entities. See Note 3 below for more details regarding the Company's unconsolidated joint ventures.
Use of Estimates in the Condensed Consolidated Financial Statements
Preparation of the Condensed Consolidated Financial Statements in accordance with GAAP requires management to make estimates and assumptions that affect amounts reported in the Condensed Consolidated Financial Statements and accompanying notes. Actual results may differ from those estimates.
Reclassifications
Certain reclassifications have been made on the Company's prior year Condensed Consolidated Balance Sheet to conform to current year presentation. Previously, the Company's Lease intangibles were included in Building, improvements and lease intangibles and Goodwill was included with Other assets, net. These amounts are now classified as separate line items on the Company's Condensed Consolidated Balance Sheets.                                                     
Redeemable Non-Controlling Interests
The Company accounts for redeemable equity securities in accordance with ASC Topic 480: Accounting for Redeemable Equity Instruments, which requires that equity securities redeemable at the option of the holder, not solely within our control, be classified outside permanent stockholders’ equity. The Company classifies redeemable equity securities as redeemable non-controlling interests in the accompanying Condensed Consolidated Balance Sheets. Accordingly, the Company records the carrying amount at the greater of the initial carrying amount (increased or decreased for the non-controlling interest’s share of net income or loss and distributions) or the redemption value. We measure the redemption value and record an adjustment to the carrying value of the equity securities as a component of redeemable non-controlling interest. As of JuneSeptember 30, 2023, the Company had redeemable non-controlling interests of $2.5$3.2 million.
Asset Impairment
The Company assesses the potential for impairment of identifiable, definite-lived, intangible assets and long-lived assets, including real estate properties, whenever the occurrence of an event or a change in circumstances indicates that the carrying value might not be fully recoverable. Indicators of impairment may include significant underperformance of an asset relative to historical or expected operating results; significant changes in the Company’s use of assets or the strategy for its overall business; plans to sell an asset before its depreciable life has ended; the expiration of a significant portion of leases in a property; or significant negative economic trends or negative industry trends for the Company or its tenants. During the three and sixnine months ended JuneSeptember 30, 2023, the Company recognized real estate impairments totaling $55.2$56.9 million and $81.4$138.3 million, respectively, as a result of completed or planned disposition activity.
Investments in Leases - Financing Receivables, Net
In accordance with ASC Topic 842: Leases, for transactions in which the Company enters into a contract to acquire an asset and leases it back to the seller (i.e., a sale leaseback transaction), control of the asset is not considered to have transferred when the seller-lessee has a purchase option. As a result, the Company does not recognize the underlying real estate asset but instead recognizes a financial asset in accordance with ASC Topic 310: Receivables. See below for additional information regarding the Company's financing receivables.
(dollars in thousands) ORIGINATION DATE(dollars in thousands) ORIGINATION DATELOCATIONINTEREST RATECARRYING VALUE as of JUNE 30, 2023(dollars in thousands) ORIGINATION DATELOCATIONINTEREST RATECARRYING VALUE as of SEPTEMBER 30, 2023
May 2021May 2021Poway, CA5.73%$113,967 May 2021Poway, CA5.73%$113,634 
November 2021November 2021Columbus, OH6.48%7,348 November 2021Columbus, OH6.48%7,341 
$121,315 $120,975 






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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
Real Estate Notes Receivable
Real estate notes receivable consists of mezzanine and other real estate loans, which are generally collateralized by a pledge of the borrower’s ownership interest in the respective real estate owner, a mortgage or deed of trust, and/or corporate guarantees. Real estate notes receivable are intended to be held-to-maturity and are recorded at amortized cost, net of unamortized loan origination costs and fees and allowance for credit losses. As of JuneSeptember 30, 2023, real estate notes receivable, net, which are included in Other assets on the Company's Condensed Consolidated Balance Sheets, totaled $151.5$155.0 million.
(dollars in thousands)(dollars in thousands)ORIGINATIONMATURITYSTATED INTEREST RATEMAXIMUM LOAN COMMITMENTOUTSTANDING as of
JUNE 30, 2023
ALLOWANCE FOR CREDIT LOSSESFAIR VALUE DISCOUNT AND FEESCARRYING VALUE as of JUNE 30, 2023(dollars in thousands)ORIGINATIONMATURITYSTATED INTEREST RATEMAXIMUM LOAN COMMITMENTOUTSTANDING as of
SEPT 30, 2023
ALLOWANCE FOR CREDIT LOSSESFAIR VALUE DISCOUNT AND FEESCARRYING VALUE as of SEPT 30, 2023
Mezzanine loansMezzanine loansMezzanine loans
TexasTexas6/24/20216/24/20248.00 %$54,119 $54,119 $(5,196)$(3,067)$45,856 Texas6/24/20216/24/20248.00 %$54,119 $54,119 $(5,196)$(3,067)$45,856 
Mortgage loansMortgage loansMortgage loans
TexasTexas6/30/202112/31/20237.00 %31,150 31,150 — (705)30,445 Texas6/30/202112/31/20237.00 %31,150 31,150 — (353)30,797 
North CarolinaNorth Carolina12/22/202112/22/20248.00 %6,000 6,000 — (309)5,691 North Carolina12/22/202112/22/20248.00 %6,000 6,000 — (257)5,743 
FloridaFlorida5/17/20222/27/20266.00 %65,000 24,556 — (55)24,501 Florida5/17/20222/27/20266.00 %65,000 27,651 — (49)27,602 
CaliforniaCalifornia3/30/20233/29/20266.00 %45,000 45,000 — — 45,000 California3/30/20233/29/20266.00 %45,000 45,000 — — 45,000 
147,150 106,706 — (1,069)105,637 147,150 109,801 — (659)109,142 
$201,269 $160,825 $(5,196)$(4,136)$151,493 $201,269 $163,920 $(5,196)$(3,726)$154,998 
Allowance for Credit Losses
Pursuant to ASC Topic 326, Financial Instruments - Credit Losses, the Company adopted a policy to evaluate current expected credit losses at the inception of loans qualifying for treatment under ASC Topic 326. The Company utilizes a probability of default method approach for estimating current expected credit losses and evaluates the liquidity and creditworthiness of its borrowers on a quarterly basis to determine whether any updates to the future expected losses recognized upon inception are necessary. The Company’s evaluation considers industry and economic conditions, credit enhancements, liquidity, and other factors.
In its assessment of current expected credit losses for real estate notes receivable, the Company utilizes past payment history of its borrowers, current economic conditions, and forecasted economic conditions through the maturity date of each note to estimate a probability of default and a resulting loss for each real estate note receivable. During the six months ended June 30,first quarter of 2023, the Company determined that the risk of credit loss on its mezzanine loans was no longer remote. Consequently, the Companyremote and recorded a credit loss reserve of $5.2 million for the six months ended June 30, 2023.million.
The following table summarizes the Company's allowance for credit losses on real estate notes receivable:
Dollars in thousandsJuneNINE MONTHS ENDED SEPTEMBER 30, 2023DecemberTWELVE MONTHS ENDED DECEMBER 31, 2022
Allowance for credit losses, beginning of period$— $— 
Credit loss reserves5,196 — 
Allowance for credit losses, end of period$5,196 $— 
Interest Income
Income from Lease Financing Receivables
The Company recognized the related income from two financing receivables totaling $2.1$2.0 million and $4.2$6.2 million, respectively, for the three and sixnine months ended JuneSeptember 30, 2023, and $2.0 million and $3.9$5.9 million, respectively for the three and sixnine months ended JuneSeptember 30, 2022, based on an imputed interest rate over the terms of the applicable lease. As a result, the interest recognized from the financing receivable in any particular period will not equal the cash payments from the lease agreement in that period.
Acquisition costs incurred in connection with entering into the financing receivable are treated as loan origination fees. These costs are classified with the financing receivable and are included in the balance of the net investment. Amortization of these amounts will be recognized as a reduction to Interest income over the life of the lease.


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
Amortization of these amounts will be recognized as a reduction to Income from financing receivable, net over the life of the lease.
Income from Real Estate Notes Receivable
During the three and sixnine months ended JuneSeptember 30, 2023, the Company recognized interest income of $2.2$2.3 million and $4.3$6.5 million, respectively, related to real estate notes receivable. The Company recognizes interest income on an accrual basis unless the Company has determined that collectability of contractual amounts is not reasonably assured, at which point the note is placed on non-accrual status and interest income is recognized on a cash basis. As of June 30,January 1, 2023, the Company placed two of its real estate notes receivable with principal balances of $48.9 million on non-accrual status and accordingly did not recognize any interest income for the three and sixnine month periods ended JuneSeptember 30, 2023.
Revenue from Contracts with Customers (ASC Topic 606)
The Company recognizes certain revenue under the core principle of Topic 606. This topic requires an entity to recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. Lease revenue is not within the scope of Topic 606. To achieve the core principle, the Company applies the five step model specified in the guidance.
Revenue that is accounted for under Topic 606 is segregated on the Company’s Condensed Consolidated Statements of Operations in the Other operating line item. This line item includes parking income, management fee income and other miscellaneous income. Below is a detail of the amounts by category:
THREE MONTHS ENDED
June 30,
SIX MONTHS ENDED
June 30,
THREE MONTHS ENDED
September 30,
NINE MONTHS ENDED
September 30,
in thousandsin thousands2023202220232022in thousands2023202220232022
Type of RevenueType of RevenueType of Revenue
Parking incomeParking income$2,370 $1,919 $4,761 $3,672 Parking income$2,751 $2,428 $7,511 $6,100 
Management fee income 1
Management fee income 1
1,597 783 3,570 1,438 
Management fee income 1
1,552 1,426 5,122 2,864 
MiscellaneousMiscellaneous263 36 516 103 Miscellaneous358 203 875 306 
$4,230 $2,738 $8,847 $5,213 $4,661 $4,057 $13,508 $9,270 
1 Includes the recovery of certain expenses under the financing receivable as outlined in the management agreement.

The Company’s major types of revenue that are accounted for under Topic 606 that are listed above are all accounted for as the performance obligation is satisfied. The performance obligations that are identified for each of these items are satisfied over time, and the Company recognizes revenue monthly based on this principle.

Note 2. Merger with HTA

On July 20, 2022 (the “Closing Date”), pursuant to the Agreement and Plan of Merger dated as of February 28, 2022 (the “Merger Agreement”), by and among Healthcare Realty Trust Incorporated, a Maryland corporation (now known as HRTI, LLC, a Maryland limited liability company) (“Legacy HR”), Healthcare Trust of America, Inc., a Maryland corporation (now known as Healthcare Realty Trust Incorporated) (“Legacy HTA”), the OP, and HR Acquisition 2, LLC, a Maryland limited liability company (“Merger Sub”), Merger Sub merged with and into Legacy HR, with Legacy HR continuing as the surviving entity and a wholly-owned subsidiary of Legacy HTA (the “Merger”).
On the Closing Date, each outstanding share of Legacy HR common stock, $0.01 par value per share (the “Legacy HR Common Stock”), was cancelled and converted into the right to receive one share of Legacy HTA class A common stock at a fixed ratio of 1.00 to 1.00. Per the terms of the Merger Agreement, Legacy HTA declared a special dividend of $4.82 (the “Special Dividend”) for each outstanding share of Legacy HTA class A common stock, $0.01 par value per share ( the “Legacy HTA Common Stock”), and the OP declared a corresponding distribution to the holders of its partnership units, payable to Legacy HTA stockholders and OP unitholders of record on July 19, 2022.


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
Immediately following the Merger, Legacy HR converted to a Maryland limited liability company and changed its name to HRTI, LLC and Legacy HTA changed its name to “Healthcare Realty Trust Incorporated”. In addition, the equity interests of Legacy HR were contributed by Legacy HTA by means of a contribution and assignment agreement to the OP, and Legacy HR became a wholly-owned subsidiary of the OP. The Company operates under the


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
name “Healthcare Realty Trust Incorporated” and its shares of class A common stock, $0.01 par value per share, trade on the New York Stock Exchange under the ticker symbol “HR”.
For accounting purposes, the Merger was treated as a “reverse acquisition” in which Legacy HTA was considered the legal acquirer and Legacy HR was considered the accounting acquirer based on various factors, including, but not limited to: (i) the composition of the board of directors of the combined company following the Merger, (ii) the composition of senior management of the combined company following the Merger, and (iii) the premium transferred to the Legacy HTA stockholders. As a result, the historical financial statements of the accounting acquirer, Legacy HR, became the historical financial statements of the Company.
The acquisition was accounted for using the acquisition method of accounting in accordance with ASC 805, Business Combinations, which requires, among other things, the assets acquired and the liabilities assumed and non-controlling interests, if any, to be recognized at their acquisition date fair value.
The implied consideration transferred on the Closing Date is as follows:
Dollars in thousands, except for per share data
Shares of Legacy HTA Common Stock outstanding as of July 20, 2022 as adjusted(a)
228,520,990 
Exchange ratio1.00 
Implied shares of Legacy HR Common Stock issued228,520,990 
Adjusted closing price of Legacy HR Common Stock on July 20, 2022(b)
$24.37 
Value of implied Legacy HR Common Stock issued$5,569,057 
Fair value of Legacy HTA restricted stock awards attributable to pre-Merger services(c)
7,406 
Consideration transferred$5,576,463 
(a) The number of shares of Legacy HTA Common Stock presented above was based on 228,857,717 total shares of Legacy HTA Common Stock outstanding as of the Closing Date, less 192 Legacy HTA fractional shares that were cancelled in lieu of cash and less 336,535 shares of Legacy HTA restricted stock (net of 215,764 shares of Legacy HTA restricted stock withheld). For accounting purposes, these shares were converted to Legacy HR Common Stock, at an exchange ratio of 1.00 share of Legacy HR Common Stock per share of Legacy HTA Common Stock.
(b) For accounting purposes, the fair value of Legacy HR Common Stock issued to former holders of Legacy HTA Common Stock was based on the per share closing price of Legacy HR Common Stock on July 20, 2022.
(c) Represents the fair value of Legacy HTA restricted shares which fully vested prior to the closing of the Merger or became fully vested as a result of the closing of the Merger and which are attributable to pre-combination services.















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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
PreliminaryFinal Purchase Price Allocation
The following table summarizes the preliminary estimated fair values of the assets acquired and liabilities assumed at the Closing Date:
Dollars in thousandsDollars in thousandsPRELIMINARY AMOUNTS RECOGNIZED ON THE CLOSING DATE CUMULATIVE MEASUREMENT PERIOD ADJUSTMENTSPRELIMINARY AMOUNTS RECOGNIZED ON THE CLOSING DATE
(as adjusted)
Dollars in thousandsPRELIMINARY AMOUNTS RECOGNIZED ON THE CLOSING DATE CUMULATIVE MEASUREMENT PERIOD ADJUSTMENTSAMOUNTS RECOGNIZED ON THE CLOSING DATE
(as adjusted)
ASSETSASSETSASSETS
Real estate investmentsReal estate investmentsReal estate investments
LandLand$985,926 $18,359 $1,004,285 Land$985,926 $18,359 $1,004,285 
Buildings and improvementsBuildings and improvements6,960,418 (119,135)6,841,283 Buildings and improvements6,960,418 (119,135)6,841,283 
Lease intangible assets(a)
Lease intangible assets(a)
831,920 1,839 833,759 
Lease intangible assets(a)
831,920 1,839 833,759 
Financing lease right-of-use assetsFinancing lease right-of-use assets9,874 3,146 13,020 Financing lease right-of-use assets9,874 3,146 13,020 
Construction in progressConstruction in progress10,071 (6,744)3,327 Construction in progress10,071 (6,744)3,327 
Land held for developmentLand held for development46,538 — 46,538 Land held for development46,538 — 46,538 
Total real estate investmentsTotal real estate investments$8,844,747 $(102,535)$8,742,212 Total real estate investments$8,844,747 $(102,535)$8,742,212 
Assets held for sale, netAssets held for sale, net707,442 (7,946)699,496 Assets held for sale, net707,442 (7,946)699,496 
Investments in unconsolidated joint venturesInvestments in unconsolidated joint ventures67,892 — 67,892 Investments in unconsolidated joint ventures67,892 — 67,892 
Cash and cash equivalentsCash and cash equivalents26,034 11,403 37,437 Cash and cash equivalents26,034 11,403 37,437 
Restricted cashRestricted cash1,123,647 (1,247)1,122,400 Restricted cash1,123,647 (1,247)1,122,400 
Operating lease right-of-use assetsOperating lease right-of-use assets198,261 16,370 214,631 Operating lease right-of-use assets198,261 16,370 214,631 
Other assets, net (b) (c)
Other assets, net (b) (c)
209,163 (3,840)205,323 
Other assets, net (b) (c)
209,163 (3,840)205,323 
Total assets acquiredTotal assets acquired$11,177,186 $(87,795)$11,089,391 Total assets acquired$11,177,186 $(87,795)$11,089,391 
LIABILITIESLIABILITIESLIABILITIES
Notes and bonds payableNotes and bonds payable$3,991,300 $— $3,991,300 Notes and bonds payable$3,991,300 $— $3,991,300 
Accounts payable and accrued liabilitiesAccounts payable and accrued liabilities1,227,570 17,374 1,244,944 Accounts payable and accrued liabilities1,227,570 17,374 1,244,944 
Liabilities of assets held for saleLiabilities of assets held for sale28,677 (3,939)24,738 Liabilities of assets held for sale28,677 (3,939)24,738 
Operating lease liabilitiesOperating lease liabilities173,948 10,173 184,121 Operating lease liabilities173,948 10,173 184,121 
Financing lease liabilitiesFinancing lease liabilities10,720 (855)9,865 Financing lease liabilities10,720 (855)9,865 
Other liabilitiesOther liabilities203,210 (8,909)194,301 Other liabilities203,210 (8,909)194,301 
Total liabilities assumedTotal liabilities assumed$5,635,425 $13,844 $5,649,269 Total liabilities assumed$5,635,425 $13,844 $5,649,269 
Net identifiable assets acquiredNet identifiable assets acquired$5,541,761 $(101,639)$5,440,122 Net identifiable assets acquired$5,541,761 $(101,639)$5,440,122 
Non-controlling interestNon-controlling interest$110,702 $— $110,702 Non-controlling interest$110,702 $— $110,702 
GoodwillGoodwill$145,404 $101,639 $247,043 Goodwill$145,404 $101,639 $247,043 
(a) The weighted average amortization period for the acquired lease intangible assets is approximately 6 years.(b) Includes $15.9 million of contractual accounts receivable, which approximates fair value.(c) Includes $78.7 million of gross contractual real estate notes receivable, the fair value of which was $74.8 million, and the Company preliminarily expects to collect substantially all of the real estate notes receivable proceeds as of the Closing Date.
The cumulative measurement period adjustments recorded through June 30, 2023 are final and primarily resulted from updated valuations related to the Company’s real estate assets and liabilities and additional information obtained by the Company related to the properties acquired in the Merger and their respective tenants, and resulted in an increase to goodwill of $101.6 million.
As of June 30, 2023,Based on the Company had not finalized the determinationfinal purchase price allocation of fair value, of certain tangible and intangible assets acquired and liabilities assumed, including, but not limited to real estate assets and liabilities, notes receivables and goodwill. As such, the assessment of fair value of assets acquired and liabilities assumed is preliminary and was based on information that was available at the time the Condensed Consolidated Financial Statements were prepared. The finalization of the purchase accounting assessment could result in material changes to the Company’s determination of the fair value of assets acquired and liabilities assumed, which will be recorded as measurement period adjustments in the period in which they are identified, up to one year from the Closing Date.


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
A preliminary estimate of approximately $247.0 million has been allocated to goodwill. Goodwill represents the excess of the purchase price over the fair value of the net tangible and intangible assets acquired and liabilities assumed. The recognized goodwill is attributable to expected synergies and benefits arising from the Merger, including anticipated general and administrative cost savings and potential economies of scale benefits in both tenant and vendor relationships following the closing of the Merger. None of the goodwill recognized is expected to be deductible for tax purposes. During the third quarter of 2023, the Company experienced a sustained decline in the price per share of its common stock, which it identified as an indicator of goodwill impairment. As a result, the Company performed an interim goodwill evaluation. The fair value of the Company’s single reporting unit


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
was estimated using a combination of discounted cash flow models and earnings multiples techniques. The quantitative assessment as of September 30, 2023 indicated goodwill was not impaired.

Merger-related Costs
The Company incurred Merger-related costs of $(15.7)$7.5 million and $(10.8)$(3.4) million, respectively, during the three and sixnine months ended JuneSeptember 30, 2023, which were included within Merger-related costs in results of operations. The Merger-related costs primarily consist of legal, consulting, severance, and banking services and includedfor the nine months ended September 30, 2023 including a refund of $17.8 million for transfer taxes paid during the year ended December 31, 2022.
Subsequent Activity
As of the date of these financial statements, the purchase price allocation of fair value was finalized with no additional adjustments. The Company determined the final fair value of net assets acquired based on information available during the measurement period.
Note 3. Real Estate Investments
2023 Acquisition Activity
The following table details the Company's real estate acquisition activity for the sixnine months ended JuneSeptember 30, 2023:
Dollars in thousandsDollars in thousandsDATE ACQUIREDPURCHASE PRICE
CASH
CONSIDERATION
1
REAL
ESTATE
OTHER 2
SQUARE FOOTAGEDollars in thousandsDATE ACQUIREDPURCHASE PRICEMORTGAGE NOTES PAYABLE, NET
CASH
CONSIDERATION
1
REAL
ESTATE
OTHER 2
SQUARE FOOTAGE
Tampa, FLTampa, FL3/10/23$31,500 $30,499 $30,596 $(97)115,867 Tampa, FL3/10/23$31,500 $— $30,499 $30,596 $(97)115,867 
Colorado Springs, COColorado Springs, CO7/28/2311,450 (5,284)6,024 11,416 (108)42,770 
Total real estate acquisitionsTotal real estate acquisitions$42,950 $(5,284)$36,523 $42,012 $(205)158,637 
1Cash consideration excludes prorations of revenue and expense due to/from seller at the time of the acquisition.
2Includes other assets acquired, liabilities assumed, and intangibles recognized at acquisition.

In the secondthird quarter of 2023, the Company entered intoacquired a joint venture agreementparcel of land previously under a ground lease for the development of a medical office building in Scottsdale, Arizona. The Company holds a 90%$0.8 million and an additional interest in the joint venture and determined the arrangement meets the criteria to be consolidated. The joint venture acquired an $8.8 million land parcel to be developed with the Company contributing cash of $8.3operating property for $0.6 million.

Subsequent to June 30, 2023, the Company acquired the following property:
Dollars in thousandsDATE ACQUIREDPURCHASE PRICESQUARE FOOTAGE
Colorado Springs, CO7/28/23$11,450 42,770 


Unconsolidated Joint Ventures
The Company's investment in and loss recognized for the three and sixnine months ended JuneSeptember 30, 2023 and 2022 related to its unconsolidated joint ventures accounted for under the equity method are shown in the table below:


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
THREE MONTHS ENDED
June 30,
SIX MONTHS ENDED
June 30,
Dollars in thousands2023202220232022
Investments in unconsolidated joint ventures, beginning of period$327,746 $211,195 $327,248 $161,942 
New investment during the period 1
— — 3,824 49,599 
Equity loss recognized during the period(17)(307)(797)(652)
Owner distributions(484)(107)(3,030)(108)
Investments in unconsolidated joint ventures, end of period$327,245 $210,781 $327,245 $210,781 

THREE MONTHS ENDED
September 30,
NINE MONTHS ENDED
September 30,
Dollars in thousands2023202220232022
Investments in unconsolidated joint ventures, beginning of period$327,245 $210,781 $327,248 $161,942 
New investment during the period 1
— 117,880 3,824 167,479 
Equity loss recognized during the period(456)(124)(1,253)(776)
Owner distributions(1,336)(785)(4,366)(893)
Investments in unconsolidated joint ventures, end of period$325,453 $327,752 $325,453 $327,752 
1In 2023, this was an additional investment in an existing joint venture in which the Company ownsretained a 40% ownership interest. The investment consisted of athe Company's sale of a property in Dallas, Texas to the joint venture. See 2023 Real Estate Asset Dispositions below for additional information.










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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
2023 Real Estate Asset Dispositions
The following table details the Company's dispositions for the sixnine months ended JuneSeptember 30, 2023:
Dollars in thousandsDollars in thousandsDATE DISPOSEDSALE PRICECLOSING ADJUSTMENTSCOMPANY-FINANCED MORTGAGE NOTESNET PROCEEDSNET REAL ESTATE INVESTMENT
OTHER (INCLUDING RECEIVABLES) 1
GAIN/(IMPAIRMENT)SQUARE FOOTAGEDollars in thousandsDATE DISPOSEDSALE PRICECLOSING ADJUSTMENTSCOMPANY-FINANCED MORTGAGE NOTESNET PROCEEDSNET REAL ESTATE INVESTMENT
OTHER (INCLUDING RECEIVABLES) 1
GAIN/(IMPAIRMENT)SQUARE FOOTAGE
Tampa, FL & Miami, FL2
1/12/23$93,250 $(5,875)$— $87,375 $87,302 $(888)$961 224,037 
Tampa/Miami, FL2
Tampa/Miami, FL2
1/12/23$93,250 $(5,875)$— $87,375 $87,302 $(888)$961 224,037 
Dallas, TX 3
Dallas, TX 3
1/30/2319,210 (141)— 19,069 18,986 43 40 36,691 
Dallas, TX 3
1/30/2319,210 (141)— 19,069 18,986 43 40 36,691 
St. Louis, MOSt. Louis, MO2/10/23350 (18)— 332 398 — (66)6,500 St. Louis, MO2/10/23350 (18)— 332 398 — (66)6,500 
Los Angeles, CALos Angeles, CA3/23/2321,000 (526)— 20,474 20,610 52 (188)37,165 Los Angeles, CA3/23/2321,000 (526)— 20,474 20,610 52 (188)37,165 
Los Angeles, CA 4
Los Angeles, CA 4
3/30/2375,000 (8,079)(45,000)21,921 88,624 (803)(20,900)147,078 
Los Angeles, CA 4
3/30/2375,000 (8,079)(45,000)21,921 88,624 (803)(20,900)147,078 
Los Angeles, CA 5
Los Angeles, CA 5
5/12/233,300 (334)— 2,966 3,268 — (302)— 
Los Angeles, CA 5
5/12/233,300 (334)— 2,966 3,268 — (302)— 
Albany, NYAlbany, NY6/30/2310,000 (1,229)— 8,771 2,613 (1,040)7,198 40,870 Albany, NY6/30/2310,000 (1,229)— 8,771 2,613 (1,040)7,198 40,870 
Houston, TXHouston, TX8/2/238,320 (285)— 8,035 4,567 194 3,274 57,170 
Atlanta, GAAtlanta, GA8/22/2325,142 (66)— 25,076 23,226 (536)2,386 55,195 
Dallas, TXDallas, TX9/15/23115,000 (1,504)— 113,496 64,183 6,094 43,219 161,264 
Houston, TXHouston, TX9/18/23250 (24)— 226 1,998 — (1,772)52,040 
Chicago, ILChicago, IL9/27/2359,950 (870)— 59,080 74,710 (380)(15,250)104,912 
Total dispositionsTotal dispositions$222,110 $(16,202)$(45,000)$160,908 $221,801 $(2,636)$(13,257)492,341 Total dispositions$430,772 $(18,951)$(45,000)$366,821 $390,485 $2,736 $18,600 922,922 
1Includes straight-line rent receivables, leasing commissions and lease inducements.
2Includes two properties, sold in two separate transactions to the same buyer on the same date.
3The Company sold this property to a joint venture in which it retained a 40% interest. Sales price and square footage reflect the total sales price paid by the joint venture and total square footage of the property.
4The Company entered into a mortgage note agreement with the buyer for $45 million.
5The Company sold a land parcel totaling 0.34 acres.



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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
Subsequent to June 30, 2023, the Company disposed of the following property:
Dollars in thousandsDATE DISPOSEDSALES PRICESQUARE FOOTAGE
Houston, TX8/2/23$8,320 57,170 
Assets Held for Sale
The Company had three17 properties and one corporate entity classified as assets held for sale as of JuneSeptember 30, 2023. The net real estate assets held for sale includes $3.6the impact of $15.9 million and $46.4 million, respectively, of impairment charges for the sixthree and nine months ended JuneSeptember 30, 2023. The Company had one property classified as assets held for sale as of December 31, 2022, which was sold in the first quarter of 2023. The table below reflects the assets and liabilities classified as held for sale as of JuneSeptember 30, 2023 and December 31, 2022:
Dollars in thousandsDollars in thousandsJune 30, 2023December 31, 2022Dollars in thousandsSeptember 30, 2023December 31, 2022
Balance Sheet data:Balance Sheet data:Balance Sheet data:
LandLand$205 $1,700 Land$14,282 $1,700 
Building and improvementsBuilding and improvements1,736 15,164 Building and improvements41,538 15,164 
Lease intangiblesLease intangibles2,242 1,986 Lease intangibles12,938 1,986 
4,183 18,850 68,758 18,850 
Accumulated depreciationAccumulated depreciation(4,183)— Accumulated depreciation(13,634)— 
Real estate assets held for sale, netReal estate assets held for sale, net— 18,850 Real estate assets held for sale, net55,124 18,850 
Operating lease right-of-use assetsOperating lease right-of-use assets585 — 
Other assets, netOther assets, net151 43 Other assets, net1,929 43 
Assets held for sale, netAssets held for sale, net$151 $18,893 Assets held for sale, net$57,638 $18,893 
Accounts payable and accrued liabilitiesAccounts payable and accrued liabilities$222 $282 Accounts payable and accrued liabilities$1,716 $282 
Operating lease liabilitiesOperating lease liabilities1,020 — 
Other liabilitiesOther liabilities— 155 Other liabilities1,078 155 
Liabilities of assets held for saleLiabilities of assets held for sale$222 $437 Liabilities of assets held for sale$3,814 $437 


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
Note 4. Leases
Lessor Accounting
The Company’s properties generally wereare leased pursuant to non-cancelable, fixed-term operating leases with expiration dates through 2052. Some leases provide tenants with fixed rent renewal terms while others have market rent renewal terms. Some leases provide the lessee, during the term of the lease, with an option or right of first refusal to purchase the leased property. The Company’s single-tenant net leases generally require the lessee to pay minimum rent and all taxes (including property tax), insurance, maintenance and other operating costs associated with the leased property.
The Company's leases typically have escalators that are either based on a stated percentage or an index such as the consumer price index ("CPI"). In addition, most of the Company's leases include nonlease components, such as reimbursement of operating expenses as additional rent, or include the reimbursement of expected operating expenses as part of the lease payment. The Company adopted an accounting policy to combine lease and nonlease components. Rent escalators based on indices and reimbursements of operating expenses that are not included in the lease rate are considered variable lease payments. Variable payments are recognized in the period earned. Lease income for the Company's operating leases recognized for the three and sixnine months ended JuneSeptember 30, 2023 was $329.7$333.3 million and $653.8$987.1 million, respectively. Lease income for the Company's operating leases recognized for the three and sixnine months ended JuneSeptember 30, 2022 was $140.6$298.9 million and $279.1$578.1 million, respectively.


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
Future lease payments under the non-cancelable operating leases, excluding any reimbursements and theone sale-type lease, as of JuneSeptember 30, 2023 were as follows:
Dollars in thousandsDollars in thousandsOPERATINGDollars in thousandsOPERATING
20232023$467,393 2023$231,698 
20242024861,323 2024874,750 
20252025751,369 2025770,520 
20262026648,352 2026666,294 
20272027536,874 2027552,111 
2028 and thereafter2028 and thereafter1,950,019 2028 and thereafter1,918,689 
$5,215,330 $5,014,062 
Lessee Accounting
As of JuneSeptember 30, 2023, the Company was obligated, as the lessee, under operating lease agreements consisting primarily of the Company’s ground leases. As of JuneSeptember 30, 2023, the Company had 241240 properties totaling 17.517.4 million square feet that were held under ground leases. Some of the ground lease renewal terms are based on fixed rent renewal terms and others have market rent renewal terms. These ground leases typically have initial terms of 40 to 99 years with expiration dates through 2119. Any rental increases related to the Company’s ground leases are generally either stated or based on CPI. The Company had 75 prepaid ground leases as of JuneSeptember 30, 2023. The amortization of the prepaid rent, included in the operating lease right-of-use asset, represented approximately $0.3 million and $0.1 million of the Company’s rental expense for the three months ended JuneSeptember 30, 2023 and 2022, respectively, and $0.7$1.0 million and $0.3$0.4 million for the sixnine months ended JuneSeptember 30, 2023 and 2022, respectively.
The Company’s future lease payments (primarily for its 166 non-prepaid ground leases) as of June 30, 2023 were as follows:
Dollars in thousandsOPERATINGFINANCING
2023$7,315 $992 
202415,011 2,182 
202514,597 2,218 
202614,631 2,255 
202714,701 2,294 
2028 and thereafter929,853 396,398 
Total undiscounted lease payments996,108 406,339 
Discount(717,629)(332,710)
Lease liabilities$278,479 $73,629 


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
The Company’s future lease payments (primarily for its 165 non-prepaid ground leases) as of September 30, 2023 were as follows:
Dollars in thousandsOPERATINGFINANCING
2023$3,288 $513 
202414,062 2,182 
202514,253 2,218 
202614,392 2,255 
202714,630 2,294 
2028 and thereafter922,019 396,397 
Total undiscounted lease payments982,644 405,859 
Discount(709,325)(331,772)
Lease liabilities$273,319 $74,087 
The following table provides details of the Company's total lease expense for the three and sixnine months ended JuneSeptember 30, 2023 and 2022:
THREE MONTHS ENDED
June 30,
SIX MONTHS ENDED
June 30,
THREE MONTHS ENDED
September 30,
NINE MONTHS ENDED
September 30,
Dollars in thousandsDollars in thousands2023202220232022Dollars in thousands2023202220232022
Operating lease costOperating lease costOperating lease cost
Operating lease expenseOperating lease expense$5,329 $1,194 $10,436 $2,409 Operating lease expense$5,312 $4,204 $15,748 $6,613 
Variable lease expenseVariable lease expense2,235 1,038 4,371 2,062 Variable lease expense2,417 1,061 6,788 3,123 
Finance lease costFinance lease costFinance lease cost
Amortization of right-of-use assetsAmortization of right-of-use assets387 331 774 503 Amortization of right-of-use assets387 381 1,161 884 
Interest on lease liabilitiesInterest on lease liabilities923 765 1,841 1,052 Interest on lease liabilities928 861 2,770 1,913 
Total lease expenseTotal lease expense$8,874 $3,328 $17,422 $6,026 Total lease expense$9,044 $6,507 $26,467 $12,533 
Other informationOther informationOther information
Operating cash flows outflows related to operating leasesOperating cash flows outflows related to operating leases$5,230 $1,799 $11,190 $4,596 Operating cash flows outflows related to operating leases$5,281 $3,847 $16,475 $8,443 
Operating cash flows outflows related to financing leasesOperating cash flows outflows related to financing leases$541 $509 $1,094 $767 Operating cash flows outflows related to financing leases$524 $476 $1,592 $1,262 
Financing cash flows outflows related to financing leasesFinancing cash flows outflows related to financing leases$$— $17 $51 Financing cash flows outflows related to financing leases$$$12 $
Right-of-use assets obtained in exchange for new finance lease liabilitiesRight-of-use assets obtained in exchange for new finance lease liabilities$— $— $— $40,589 Right-of-use assets obtained in exchange for new finance lease liabilities$— $9,874 $— $50,463 
Right-of-use assets obtained in exchange for new operating lease liabilitiesRight-of-use assets obtained in exchange for new operating lease liabilities$— $198,261 $— $198,261 
Weighted-average years remaining lease term (excluding renewal options) - operating leasesWeighted-average years remaining lease term (excluding renewal options) - operating leases47.347.4Weighted-average years remaining lease term (excluding renewal options) - operating leases47.550.2
Weighted-average years remaining lease term (excluding renewal options) - finance leasesWeighted-average years remaining lease term (excluding renewal options) - finance leases58.461.7Weighted-average years remaining lease term (excluding renewal options) - finance leases58.260.1
Weighted-average discount rate - operating leasesWeighted-average discount rate - operating leases5.8 %5.6 %Weighted-average discount rate - operating leases5.8 %5.7 %
Weighted-average discount rate - finance leasesWeighted-average discount rate - finance leases5.0 %5.0 %Weighted-average discount rate - finance leases5.0 %5.0 %



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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
Note 5. Notes and Bonds Payable
The table below details the Company’s notes and bonds payable as of JuneSeptember 30, 2023 and December 31, 2022. 
MATURITY DATES
BALANCE 1 AS OF
EFFECTIVE INTEREST RATE
as of 6/30/2023
MATURITY DATES
BALANCE 1 AS OF
EFFECTIVE INTEREST RATE
as of 9/30/2023
Dollars in thousandsDollars in thousands6/30/202312/31/2022Dollars in thousands9/30/202312/31/2022
$1.5 billion Unsecured Credit Facility$1.5 billion Unsecured Credit Facility10/25$354,000 $385,000 6.05 %$1.5 billion Unsecured Credit Facility10/25$236,000 $385,000 6.24 %
$200 million Unsecured Term Loan$200 million Unsecured Term Loan5/24199,845 199,670 6.30 %
$350 million Unsecured Term Loan 2
$350 million Unsecured Term Loan 2
7/24349,499 349,114 6.21 %
$350 million Unsecured Term Loan 2
7/24349,711 349,114 6.30 %
$200 million Unsecured Term Loan5/24199,786 199,670 6.21 %
$300 million Unsecured Term Loan$300 million Unsecured Term Loan10/25299,947 299,936 6.21 %$300 million Unsecured Term Loan10/25299,952 299,936 6.30 %
$150 million Unsecured Term Loan
$150 million Unsecured Term Loan
6/26149,569 149,495 6.21 %
$150 million Unsecured Term Loan
6/26149,606 149,495 6.30 %
$200 million Unsecured Term Loan$200 million Unsecured Term Loan7/27199,432 199,362 6.21 %$200 million Unsecured Term Loan7/27199,467 199,362 6.30 %
$300 million Unsecured Term Loan$300 million Unsecured Term Loan1/28298,079 297,869 6.21 %$300 million Unsecured Term Loan1/28298,184 297,869 6.30 %
Senior Notes due 2025Senior Notes due 20255/25249,298 249,115 4.12 %Senior Notes due 20255/25249,391 249,115 4.12 %
Senior Notes due 2026
Senior Notes due 2026
8/26575,256 571,587 4.94 %
Senior Notes due 2026
8/26577,124 571,587 4.94 %
Senior Notes due 2027Senior Notes due 20277/27481,615 479,553 4.76 %Senior Notes due 20277/27482,665 479,553 4.76 %
Senior Notes due 2028Senior Notes due 20281/28297,138 296,852 3.85 %Senior Notes due 20281/28297,283 296,852 3.85 %
Senior Notes due 2030Senior Notes due 20302/30570,356 565,402 5.30 %Senior Notes due 20302/30572,883 565,402 5.30 %
Senior Notes due 2030Senior Notes due 20303/30296,579 296,385 2.72 %Senior Notes due 20303/30296,679 296,385 2.72 %
Senior Notes due 2031Senior Notes due 20313/31295,795 295,547 2.25 %Senior Notes due 20313/31295,706 295,547 2.25 %
Senior Notes due 2031Senior Notes due 20313/31640,999 632,693 5.13 %Senior Notes due 20313/31645,232 632,693 5.13 %
Mortgage notes payable
Mortgage notes payable
8/23-12/2682,924 84,247 3.57%-4.84%
Mortgage notes payable
12/23-12/2677,685 84,247 3.57%-6.88%
$5,340,272 $5,351,827 $5,227,413 $5,351,827 
.
1Balance is presented net of discounts and issuance costs and inclusive of premiums, where applicable.
2On April 26, 2023, the Company exercised its option to extend the maturity date for one year for a fee of approximately $0.4 million.


Subsequent Changes in Debt StructureMortgage Notes Payable
On July 28, 2023, the Company assumed a mortgage note payable of $5.6 million in connection with the acquisition of a 42,770 square foot property in Colorado Springs, Colorado. The note bears interest at a rate of 4.5% per annum and matures on April 1, 2026.
On August 1, 2023, the Company repaid in full at maturity a mortgage note payable bearing interest at a rate of 3.31% per annum with an outstanding principal of $9.8 million. The mortgage note encumbered a 66,984 square foot property in Marietta, Georgia.
Note 6. Derivative Financial Instruments
Risk Management Objective of Using Derivatives
The Company is exposed to certain risks arising from both its business operations and economic conditions. The Company principally manages its exposures to a wide variety of business and operational risks through management of its core business activities. The Company manages economic risks, including interest rate, liquidity, and credit risk, primarily by managing the amount, sources, and duration of its assets and liabilities and the use of derivative financial instruments. Specifically, the Company enters into derivative financial instruments to manage exposures that arise from business activities that result in the receipt or payment of future known and uncertain cash amounts, the value of which are determined by interest rates. The Company’s derivative financial instruments are used to manage differences in the amount, timing, and duration of the Company’s known or expected cash receipts and its known or expected cash payments principally related to the Company’s borrowings.

Cash Flow Hedges of Interest Rate Risk
The Company’s objectives in using interest rate derivatives are to add stability to interest expense and to manage its exposure to interest rate movements. To accomplish this objective, the Company primarily uses interest rate swaps as part of its interest rate risk management strategy. Interest rate swaps designated as cash flow hedges involve the receipt of variable amounts from a counterparty in exchange for the Company making fixed-rate payments over the life of the agreements without exchange of the underlying notional amount. Such derivatives were used to hedge the variable cash flows associated with existing variable-rate debt.


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
life of the agreements without exchange of the underlying notional amount. Such derivatives were used to hedge the variable cash flows associated with existing variable-rate debt.
For derivatives designated, and that qualify, as cash flow hedges of interest rate risk, the gain or loss on the derivative is recorded in Accumulated Other Comprehensive Income (Loss) ("AOCI") and subsequently reclassified into interest expense in the same period(s) during which the hedged transaction affects earnings. Amounts reported in AOCI related to derivatives will be reclassified to interest expense as interest payments are made on the Company’s variable-rate debt.
As of JuneSeptember 30, 2023, the Company had 14 outstanding interest rate derivatives that were designated as cash flow hedges of interest rate risk:
EXPIRATION DATEAMOUNTWEIGHTED
AVERAGE RATE
January 15, 2024$200,000 1.21 %
May 1, 2026100,000 2.15 %
June 1, 2026150,000 3.83 %
December 1, 2026150,000 3.84 %
June 1, 2027150,000 4.13 %
December 1, 2027250,000 3.79 %
$1,000,000 3.17 %
Subsequent Activity
On October 19, 2023, the Company entered into two swap transactions totaling $100.0 million. The notional amounts were $50.0 million each with fixed rates of 4.71% and 4.67%. The swap agreements have effective dates of November 1, 2023 and termination dates of June 1, 2027 and December 1, 2027, respectively.
On October 23, 2023, the Company entered into two swap transactions totaling $100.0 million with an aggregate fixed rate of 4.73%. The swap agreements have effective dates of November 1, 2023 and termination dates of May 31, 2026.

Tabular Disclosure of Fair Values of Derivative Instruments on the Balance Sheet
The table below presents the fair value of the Company's derivative financial instruments, as well as their classification on the Condensed Consolidated Balance Sheet as of JuneSeptember 30, 2023.
BALANCE AT JUNESEPTEMBER 30, 2023
In thousandsBALANCE SHEET LOCATIONFAIR VALUE
Derivatives designated as hedging instruments
Interest rate swapsOther liabilities$(1,248)
Interest rate swapsOther assets$16,04621,499 
Total derivatives designated as hedging instruments$14,798 













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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
Tabular Disclosure of the Effect of Cash Flow Hedge Accounting on Accumulated Other Comprehensive Income (Loss)
The table below presents the effect of cash flow hedge accounting on AOCI during the three and sixnine months ended JuneSeptember 30, 2023 and 2022 related to the Company's outstanding interest rate swaps.
(GAIN)/LOSS RECOGNIZED IN
AOCI ON DERIVATIVE
three months ended June 30,
(GAIN)/LOSS RECLASSIFIED FROM
AOCI INTO INCOME
three months ended June 30,
(GAIN)/LOSS RECOGNIZED IN
AOCI ON DERIVATIVE
three months ended September 30,
(GAIN)/LOSS RECLASSIFIED FROM
AOCI INTO INCOME
three months ended September 30,
In thousandsIn thousands2023202220232022In thousands2023202220232022
Interest rate swapsInterest rate swaps$(21,523)$(1,663)Interest expense$(3,568)$674 Interest rate swaps$(12,016)$(6,083)Interest expense$(4,317)$614 
Settled treasury hedgesSettled treasury hedges— — Interest expense107 107 Settled treasury hedges— — Interest expense107 107 
Settled interest rate swapsSettled interest rate swaps— — Interest expense42 42 Settled interest rate swaps— — Interest expense42 42 
$(21,523)$(1,663)Total interest expense$(3,419)$823  $(12,016)$(6,083)Total interest expense$(4,168)$763 
(GAIN)/LOSS RECOGNIZED IN
AOCI ON DERIVATIVE
six months ended June 30,
(GAIN)/LOSS RECLASSIFIED FROM
AOCI INTO INCOME
six months ended June 30,
(GAIN)/LOSS RECOGNIZED IN
AOCI ON DERIVATIVE
nine months ended September 30,
(GAIN)/LOSS RECLASSIFIED FROM
AOCI INTO INCOME
nine months ended September 30,
In thousandsIn thousands2023202220232022In thousands2023202220232022
Interest rate swapsInterest rate swaps$(12,981)$(6,822)Interest expense$(6,000)$1,612 Interest rate swaps$(24,999)$(12,905)Interest expense$(10,320)$2,226 
Settled treasury hedgesSettled treasury hedges— — Interest expense213 213 Settled treasury hedges— — Interest expense126 320 
Settled interest rate swapsSettled interest rate swaps— — Interest expense84 84 Settled interest rate swaps— — Interest expense320 126 
$(12,981)$(6,822)Total interest expense$(5,703)$1,909  $(24,999)$(12,905)Total interest expense$(9,874)$2,672 



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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
The Company estimates that an additional $14.4$14.1 million related to active interest rate swaps will be reclassified from AOCI as a decrease to interest expense over the next 12 months, and that an additional $0.6 million related to settled interest rate swaps will be amortized from AOCI as an increase to interest expense over the next 12 months.
Credit-risk-related Contingent Features
The Company's agreements with each of its derivative counterparties contain a cross-default provision under which the Company could be declared in default of its derivative obligations if repayment of the underlying indebtedness is accelerated by the lender due to the Company's default on the indebtedness.
As of JuneSeptember 30, 2023, the fair value of derivatives in a net asset position including accrued interest but excluding any adjustment for nonperformance risk related to these agreements was $15.4$21.5 million. As of JuneSeptember 30, 2023, the Company had not posted any collateral related to these agreements and was not in breach of any agreement.
Note 7. Commitments and Contingencies
Legal Proceedings
The Company is, from time to time, involved in litigation arising in the ordinary course of business. The Company is not aware of any pending or threatened litigation that, if resolved against the Company, would have a material adverse effect on the Company’s consolidated financial position, results of operations or cash flows.
Development and Redevelopment Activity
DuringFor the first sixnine months ended September 30, 2023, the Company invested $55.3 million and $15.4 million toward active development and redevelopment of properties, respectively, and $9.2 million toward recently completed development and redevelopment projects.
In the second quarter of 2023, the Company incurred $49.0 million towardentered into a joint venture agreement for the development of a medical office building in Scottsdale, Arizona. The Company holds a 90% interest in the joint venture and redevelopmentdetermined the arrangement meets the criteria to be consolidated. The joint venture acquired an $8.8 million land parcel to be developed with the Company contributing cash of properties.$8.3 million. This is included in the Company's investment toward active development properties for the nine months ended September 30, 2023.


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

Note 8. Stockholders' Equity
Common Stock    
The following table provides a reconciliation of the beginning and ending shares of common stock outstanding for the sixnine months ended JuneSeptember 30, 2023 and the twelve months ended December 31, 2022:
SIX MONTHS ENDED JUNE 30, 2023TWELVE MONTHS ENDED DECEMBER 31, 2022NINE MONTHS ENDED SEPTEMBER 30, 2023TWELVE MONTHS ENDED DECEMBER 31, 2022
Balance, beginning of periodBalance, beginning of period380,589,894 150,457,433 Balance, beginning of period380,589,894 150,457,433 
Issuance of common stockIssuance of common stock4,817 229,618,304 Issuance of common stock7,397 229,618,304 
Non-vested share-based awards, net of withheld sharesNon-vested share-based awards, net of withheld shares262,821 514,157 Non-vested share-based awards, net of withheld shares262,821 514,157 
Balance, end of periodBalance, end of period380,857,532 380,589,894 Balance, end of period380,860,112 380,589,894 
At-The-Market Equity Offering Program
The Company has equity distribution agreements with various sales agents with respect to the at-the-market (“ATM”) equity offering program of common stock with an aggregate sales amount of up to $750.0 million. As of JuneSeptember 30, 2023, $750.0 million remained available for issuance under our current ATM equity offering program.
During the sixnine months ended JuneSeptember 30, 2023, the Company did not sell any shares or enter into any forward sale agreements to sell shares of common stock through its ATM equity offering program.
Common Stock Dividends
During the sixnine months ended JuneSeptember 30, 2023, the Company declared and paid common stock dividends totaling $0.62$0.93 per share. On August 1,October 30, 2023, the Company declared a quarterly common stock dividend in the amount of $0.31 per share payable on AugustNovember 30, 2023 to stockholders of record on August 15,November 14, 2023.


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

Earnings Per Common Share
The Company uses the two-class method of computing net earnings per common shares. The Company's non-vested share-based awards are considered participating securities pursuant to the two-class method.
The following table sets forth the computation of basic and diluted earnings per common share for the three and sixnine months ended JuneSeptember 30, 2023 and 2022.
THREE MONTHS ENDED JUNE 30,SIX MONTHS ENDED JUNE 30,THREE MONTHS ENDED SEPTEMBER 30,NINE MONTHS ENDED SEPTEMBER 30,
Dollars in thousands, except per share dataDollars in thousands, except per share data2023202220232022Dollars in thousands, except per share data2023202220232022
Weighted average common shares outstandingWeighted average common shares outstandingWeighted average common shares outstanding
Weighted average common shares outstandingWeighted average common shares outstanding380,829,011 151,620,897 380,812,981 151,230,064 Weighted average common shares outstanding380,857,560 330,788,997 380,828,004 211,740,767 
Non-vested sharesNon-vested shares(1,932,334)(1,945,042)(1,952,350)(1,908,652)Non-vested shares(1,932,221)(1,983,742)(1,941,897)(1,933,957)
Weighted average common shares outstanding - basicWeighted average common shares outstanding - basic378,896,677 149,675,855 378,860,631 149,321,412 Weighted average common shares outstanding - basic378,925,339 328,805,255 378,886,107 209,806,810 
Weighted average common shares outstanding - basicWeighted average common shares outstanding - basic378,896,677 149,675,855 378,860,631 149,321,412 Weighted average common shares outstanding - basic378,925,339 328,805,255 378,886,107 209,806,810 
Dilutive effect of forward equity sharesDilutive effect of forward equity shares— — — — 
Dilutive effect of OP UnitsDilutive effect of OP Units— 3,167,668 — 1,067,493 
Dilutive effect of employee stock purchase planDilutive effect of employee stock purchase plan— 62,694 — 75,394 Dilutive effect of employee stock purchase plan— 58,461 — 69,687 
Weighted average common shares outstanding - dilutedWeighted average common shares outstanding - diluted378,896,677 149,738,549 378,860,631 149,396,806 Weighted average common shares outstanding - diluted378,925,339 332,031,384 378,886,107 210,943,990 
Net (loss) income attributable to common stockholders$(82,759)$6,130 $(169,884)$48,357 
Dividends paid on nonvested share-based awards(588)(601)(1,193)(1,207)
Net (loss) incomeNet (loss) income$(68,604)$28,616 $(240,408)$76,973 
Income allocated to participating securitiesIncome allocated to participating securities(636)(610)(1,868)(1,817)
Loss (income) attributable to non-controlling interestLoss (income) attributable to non-controlling interest760 (312)2,680 (312)
Adjustment to loss attributable to non-controlling interest for legally outstanding restricted unitsAdjustment to loss attributable to non-controlling interest for legally outstanding restricted units(29)— (122)— 
Net (loss) income applicable to common stockholders - basicNet (loss) income applicable to common stockholders - basic$(83,347)$5,529 $(171,077)$47,150 Net (loss) income applicable to common stockholders - basic$(68,509)$27,694 $(239,718)$74,844 
Basic earnings per common share - net incomeBasic earnings per common share - net income$(0.22)$0.04 $(0.45)$0.32 Basic earnings per common share - net income$(0.18)$0.08 $(0.63)$0.36 
Diluted earnings per common share - net incomeDiluted earnings per common share - net income$(0.22)$0.04 $(0.45)$0.32 Diluted earnings per common share - net income$(0.18)$0.08 $(0.63)$0.35 
The effect of OP units totaling 4,042,993 shares, non-vested stock awards totaling 442,263 shares and options under the Company's Employee Stock Purchase Plan (the "ESPP") to purchase the Company's common stock totaling 27,48426,678 shares for the three months ended JuneSeptember 30,


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

2023 were excluded from the calculation of diluted loss per common share because the effect was anti-dilutive due to the loss from continuing operations incurred during that period.
Incentive Plans
Equity Awards
During the sixnine months ended JuneSeptember 30, 2023, the Company made the following equity awards:
During the first quarter of 2023, the Company granted non-vested stock awards to its named executive officers and other members of senior management and employees with a grant date fair value of $5.4 million, which consisted of an aggregate of 270,494 non-vested shares with vesting periods ranging from three to eight years.
During the second quarter of 2023, the Company granted to its 12 independent directors an aggregate of 42,768 shares of non-vested stock awards with a grant date fair value of $0.7 million, and an aggregate of 57,868 LTIP Series D units with a grant date fair value of $1.1 million. The Company also granted a non-vested stock award to a new employee, which consisted of 508 non-vested shares.
A summary of the activity under the Company's share-based incentive plans for the three and sixnine months ended JuneSeptember 30, 2023 and 2022 is included in the table below.
THREE MONTHS ENDED JUNE 30,SIX MONTHS ENDED JUNE 30,THREE MONTHS ENDED SEPTEMBER 30,NINE MONTHS ENDED SEPTEMBER 30,
2023202220232022 2023202220232022
Share-based awards, beginning of periodShare-based awards, beginning of period1,955,445 1,951,551 1,795,128 1,562,028 Share-based awards, beginning of period1,932,221 1,941,709 1,795,128 1,562,028 
GrantedGranted43,276 26,840 325,816 442,024 Granted— 71,852 313,770 513,876 
VestedVested(62,640)(36,682)(164,360)(61,047)Vested— (7,434)(152,314)(68,481)
ForfeitedForfeited(3,860)— (24,363)(1,296)Forfeited— (4,130)(24,363)(5,426)
Share-based awards, end of periodShare-based awards, end of period1,932,221 1,941,709 1,932,221 1,941,709 Share-based awards, end of period1,932,221 2,001,997 1,932,221 2,001,997 



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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

During the sixnine months ended JuneSeptember 30, 2023 and 2022, the Company withheld 38,632 and 6,727 8,745 shares of common stock, respectively, from participants to pay estimated withholding taxes related to shares that vested.
Restricted Stock Units
Prior to 2022, the Company granted long-term incentive awards, comprised of restricted stock, based on backward-looking performance measured at the end of the calendar year. The Company adopted a new incentive compensation structure effective January 2022, comprised of restricted stock and restricted stock units ("RSUs"). The RSUs are granted at the beginning of the year with three-year forward-looking performance targets.
On January 4, 2023, the Company granted RSUs to members of senior management, with a grant date fair value of $3.7 million, which consisted of an aggregate 165,174 RSUs with a five-year vesting period.
Approximately 43% of the RSUs vest based on two market performance conditions. Relative and absolute total shareholder return ("TSR") awards containing these market performance conditions were valued using independent specialists. The Company utilized a Monte Carlo simulation to calculate the weighted average grant date fair values of $24.23 for the absolute TSR component and $27.84 for the relative TSR component for the January 2023 grant using the following assumptions:
THREE MONTHS ENDED MARCH 31,
Volatility34.0 %
Dividend assumptionAccrued
Expected term3 years
Risk-free rate4.42 %
Stock price (per share)$20.21
The remaining 57% of the RSUs vest based upon certain operating performance conditions. With respect to the operating performance conditions of the January 4, 2023 grant, the grant date fair value was $20.21 based on the Company's share price on the date of grant. The combined weighted average grant date fair value of the January RSUs was $22.55 per share.


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

The following is a summary of the RSU activity during the three and sixnine months ended JuneSeptember 30, 2023:
THREE MONTHS ENDED JUNE 30,SIX MONTHS ENDED JUNE 30,THREE MONTHS ENDED SEPTEMBER 30,NINE MONTHS ENDED SEPTEMBER 30,
Restricted Stock UnitsWeighted Average Grant Date Fair ValueRestricted Stock UnitsWeighted Average Grant Date Fair Value Restricted Stock UnitsWeighted Average Grant Date Fair ValueRestricted Stock UnitsWeighted Average Grant Date Fair Value
Non-vested, beginning of periodNon-vested, beginning of period363,250 $28.57 294,932 33.04 Non-vested, beginning of period363,250 $28.57 294,932 $33.04 
GrantedGranted— — 165,174 $22.55 Granted— — 165,174 22.55 
Vested/ForfeitedVested/Forfeited— — (17,606)33.04 Vested/Forfeited— — (17,606)33.04 
Probability adjustment of 2022 RSUs— — (79,250)31.68 
Probability adjustment of 2022 & 2023 RSUsProbability adjustment of 2022 & 2023 RSUs(47,196)20.21 (126,446)27.40 
Non-vested, end of periodNon-vested, end of period363,250 $28.57 363,250 28.57 Non-vested, end of period316,054 $27.77 316,054 $27.77 
LTIP Series C Units
In January 2023, the Company modified its incentive compensation structure to award LTIP Series C units ("LTIP-C units) in the OP to named executive officers in lieu of RSUs. The LTIP-C units arewere granted with three-year forward-looking performance targets, with a grant date fair value of $7.1 million, which consisted of an aggregate 448,249 LTIP-C units with a five-year vesting period.
Approximately 43% of the LTIP-C units vest based on two market performance conditions. Relative and absolute TSR awards containing these market performance conditions were valued using independent specialists. The Company utilized a Monte Carlo simulation to calculate the weighted average grant date fair values of $12.24 for the absolute TSR component and $13.98 for the relative TSR component for the January 2023 grant using the following assumption:


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

THREE MONTHS ENDED MARCH 31,
Volatility34.0 %
Dividend assumptionAccrued
Expected term3 years
Risk-free rate4.42 %
Stock price (per share)$20.21
The remaining 57% of the LTIP-C units vest based upon certain operating performance conditions. With respect to the operating performance conditions of the January 4, 2023 grant, the grant date fair value was $20.21 based on the Company's share price on the date of grant. The combined weighted average grant date fair value of the January LTIP-C units was $15.85 per share. The Company records amortization expense based on the probability of achieving certain operating performance conditions, which is evaluated throughout the performance period.
Employee Stock Purchase Plan
Legacy HR maintained an ESPP prior to the completion of the Merger. The outstanding options to purchase shares of the common stock of Legacy HR became options to purchase class A common stock of the Company upon completion of the Merger. No new options will be granted under the ESPP. A summary of the activity under the ESPP for the three and sixnine months ended JuneSeptember 30, 2023 and 2022 is included in the table below.
THREE MONTHS ENDED JUNE 30,SIX MONTHS ENDED JUNE 30,THREE MONTHS ENDED SEPTEMBER 30,NINE MONTHS ENDED SEPTEMBER 30,
2023202220232022 2023202220232022
Outstanding and exercisable, beginning of periodOutstanding and exercisable, beginning of period183,426 427,802 340,976 348,514 Outstanding and exercisable, beginning of period179,369 405,534 340,976 348,514 
GrantedGranted— — — 255,960 Granted— — — 255,960 
ExercisedExercised(1,687)(1,965)(4,817)(12,518)Exercised(2,580)(4,576)(7,397)(17,094)
ForfeitedForfeited(2,370)(20,303)(23,791)(45,789)Forfeited(4,680)(37,628)(28,471)(83,417)
ExpiredExpired— — (132,999)(140,633)Expired— — (132,999)(140,633)
Outstanding and exercisable, end of periodOutstanding and exercisable, end of period179,369 405,534 179,369 405,534 Outstanding and exercisable, end of period172,109 363,330 172,109 363,330 


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

The following table represents expected amortization of the Company's non-vested shares issued as of JuneSeptember 30, 2023:
Dollars in millionsDollars in millionsFUTURE AMORTIZATION
of non-vested shares
Dollars in millionsFUTURE AMORTIZATION
of non-vested shares
20232023$7.7 2023$4.1 
2024202413.3 202413.3 
2025202510.8 202510.8 
202620268.0 20268.0 
202720272.4 20272.4 
2028 and thereafter2028 and thereafter0.5 2028 and thereafter0.5 
TotalTotal$42.7 Total$39.1 
Note 9. Fair Value of Financial Instruments
The following methods and assumptions were used to estimate the fair value of each class of financial instrument for which it is practical to estimate that value.
Cash and cash equivalents - The carrying amount approximates fair value (level 1 inputs) due to the short term maturity of these investments.
Real estate notes receivable - Real estate notes receivable are recorded in other assets on the Company's Condensed Consolidated Balance Sheets. Fair value is estimated using cash flow analyses, based on current interest rates for similar types of arrangements.
Borrowings under the Unsecured Credit Facility and the Term Loans Due 2024 and 2026 - The carrying amount approximates fair value because the borrowings are based on variable market interest rates.
Senior Notes and Mortgage Notes payable - The fair value of notes and bonds payable is estimated using cash flow analyses, based on the Company’s current interest rates for similar types of borrowing arrangements.
Interest rate swap agreements - Interest rate swap agreements are recorded in other liabilities on the Company's Condensed Consolidated Balance Sheets at fair value. Fair value is estimated by utilizing pricing models, level 2 inputs, that consider forward yield curves and discount rates.


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NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

The table below details the fair values and carrying values for notes and bonds payable and real estate notes receivable at JuneSeptember 30, 2023 and December 31, 2022.
June 30, 2023December 31, 2022 September 30, 2023December 31, 2022
Dollars in millionsDollars in millionsCARRYING VALUEFAIR VALUECARRYING VALUEFAIR VALUEDollars in millionsCARRYING VALUEFAIR VALUECARRYING VALUEFAIR VALUE
Notes and bonds payable 1
Notes and bonds payable 1
$5,340.3 $5,107.5 $5,351.8 $5,149.6 
Notes and bonds payable 1
$5,227.4 $4,941.2 $5,351.8 $5,149.6 
Real estate notes receivable 1
Real estate notes receivable 1
$151.5 $149.0 $99.6 $99.6 
Real estate notes receivable 1
$155.0 $151.7 $99.6 $99.6 
1Level 2 – model-derived valuations in which significant inputs and significant value drivers are observable in active markets.



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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Disclosure Regarding Forward-Looking Statements
This report and other materials the Company has filed or may file with the SEC, as well as information included in oral statements or other written statements made, or to be made, by management of the Company, contain, or will contain, disclosures that are “forward-looking statements.” 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 such as “may,” “will,” “expect,” “believe,” “anticipate,” “target,” “intend,” “plan,” “estimate,” “project,” “continue,” “should,” “could," "budget" and other comparable terms. These forward-looking statements are based on the Company's current plans, objectives, estimates, expectations and intentions and inherently involve significant risks and uncertainties. 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; the risk that the Company’s and HTA’s respective businesses will not be integrated successfully or that such integration may be more difficult, time-consuming or costly than expected; 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; other legal and operational matters; and other risks and uncertainties affecting the Company, including those described from time to time under the caption “Risk Factors” and elsewhere in the Company’s filings and reports with the SEC, including the Company's Annual Report on Form 10-K for the year ended December 31, 2022. Moreover, other risks and uncertainties of which the Company is not currently aware may also affect the Company's forward-looking statements and may cause actual results and the timing of events to differ materially from those anticipated. The forward-looking statements made in this communication are made only as of the date hereof or as of the dates indicated in the forward-looking statements, even if they are subsequently made available by the Company on its website or otherwise. The Company undertakes no obligation to update or supplement any forward-looking statements to reflect actual results, new information, future events, changes in its expectations or other circumstances that exist after the date as of which the forward-looking statements were made, except as required by law.
Stockholders and investors are cautioned not to unduly rely on such forward-looking statements when evaluating the information presented in the Company’s filings and reports, including, without limitation, estimates and projections regarding the performance of development projects the Company is pursuing.
For a detailed discussion of the Company’s risk factors, please refer to the Company's filings with the SEC, including this report and the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.
Merger with Healthcare Trust of America
Completed Merger    
On July 20, 2022, Legacy HR, Legacy HTA, the OP and Merger Sub completed the Merger in accordance with the terms of the Merger Agreement. Immediately following the Merger, Legacy HR converted to a Maryland limited liability company and changed its name to “HRTI, LLC” and Legacy HTA changed its name to “Healthcare Realty Trust Incorporated”. In addition, the equity interests of Legacy HR were contributed by Legacy HTA by means of a contribution and assignment agreement to the OP such that Legacy HR became a wholly-owned subsidiary of the OP. As a result, Legacy HR became a part of an UPREIT structure, which is intended to align the corporate structure of the combined company after giving effect to the Merger and the UPREIT reorganization and to provide a platform for the combined company to more efficiently acquire properties in a tax-deferred manner. The Company operates under the name “Healthcare Realty Trust Incorporated” and its shares of class A common stock, $0.01 par value per share, trade on the New York Stock Exchange (the “NYSE”) under the ticker symbol “HR”. For additional information on the Merger, see Note 2 to the Condensed Consolidated Financial Statements.
Because Legacy HR was the accounting acquirer under GAAP in the transaction, its historical financial statements became the historical financial statements of the Company. For additional information, please refer to the Explanatory Note in this report.


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Liquidity and Capital Resources
Sources and Uses of Cash
The Company’s primary sources of cash include rent receipts from its real estate portfolio based on contractual arrangements with its tenants, proceeds from the sales of real estate properties, joint ventures, and proceeds from public or private debt or equity offerings. As of JuneSeptember 30, 2023, the Company had $1.1$1.3 billion available to be drawn on its Unsecured Credit Facility and $35.9$24.7 million in cash.
The Company expects to continue to meet its liquidity needs, including funding additional investments, paying dividends, and funding debt service, through cash flows from operations and liquidity sources, including the Unsecured Credit Facility. Management believes that the Company's liquidity and sources of capital are adequate to satisfy its cash requirements. The Company cannot, however, be certain that these sources of funds will be available at a time and upon terms acceptable to the Company in sufficient amounts to meet its liquidity needs.
Investing Activities
Cash flows used inprovided by investing activities for the sixnine months ended JuneSeptember 30, 2023 were approximately $6.1$112.5 million. Below is a summary of significant investing activities.
Acquisitions
The following table details the Company's sole acquisition activity for the sixnine months ended JuneSeptember 30, 2023:
Dollars in thousandsDollars in thousands
ASSOCIATED HEALTH SYSTEM/TENANCY 1
DATE ACQUIREDPURCHASE PRICESQUARE FOOTAGEMILES TO CAMPUSDollars in thousands
ASSOCIATED HEALTH SYSTEM/TENANCY 1
DATE ACQUIREDPURCHASE PRICESQUARE FOOTAGEMILES TO CAMPUS
Tampa, FLTampa, FLBayCare Health3/10/23$31,500 115,8670.06Tampa, FLBayCare Health3/10/23$31,500 115,8670.06
Colorado Springs, COColorado Springs, COUC Health7/28/2311,450 42,770 1.30
Total real estate acquisitionsTotal real estate acquisitions$42,950 158,637 
1Includes buildings located on-campus, adjacent and off-campus that are anchored by healthcare systems or located within two miles of a hospital campus.

Subsequent to June 30,In the third quarter of 2023, the Company acquired the following property:
Dollars in thousands
ASSOCIATED HEALTH SYSTEM/TENANCY 1
DATE ACQUIREDPURCHASE PRICESQUARE FOOTAGEMILES TO CAMPUS
Colorado Springs, COUC Health7/28/23$11,450 42,7701.30

a parcel of land previously under a ground lease for $0.8 million and an additional interest in an operating property for $0.6 million.
Dispositions
The Company disposed of seven12 properties during the sixnine months ended JuneSeptember 30, 2023 for a total sales price of $222.1$430.8 million, including cash proceeds of $160.9$366.8 million. The following table details these dispositions for the sixnine months ended JuneSeptember 30, 2023:
Dollars in thousandsDollars in thousandsDate DisposedSales PriceSquare FootageDollars in thousandsDate DisposedSales PriceSquare Footage
Tampa, FL & Miami, FL 1
Tampa, FL & Miami, FL 1
1/12/23$93,250 224,037
Tampa, FL & Miami, FL 1
1/12/23$93,250 224,037
Dallas, TX 2
Dallas, TX 2
1/30/2319,210 36,691
Dallas, TX 2
1/30/2319,210 36,691
St. Louis, MOSt. Louis, MO2/10/23350 6,500St. Louis, MO2/10/23350 6,500
Los Angeles, CALos Angeles, CA3/23/2321,000 37,165Los Angeles, CA3/23/2321,000 37,165
Los Angeles, CA3
Los Angeles, CA3
3/30/2375,000 147,078
Los Angeles, CA3
3/30/2375,000 147,078
Los Angeles, CA4
Los Angeles, CA4
5/12/233,300 
Los Angeles, CA4
5/12/233,300 
Albany, NYAlbany, NY6/30/2310,000 40,870Albany, NY6/30/2310,000 40,870
Houston, TXHouston, TX8/2/238,320 57,170
Atlanta, GAAtlanta, GA8/22/2325,142 55,195
Dallas, TXDallas, TX9/15/23115,000 161,264
Houston, TXHouston, TX9/18/23250 52,040
Chicago, ILChicago, IL9/27/2359,950 104,912
Total dispositionsTotal dispositions$222,110 492,341 Total dispositions$430,772 922,922 
1Includes two properties sold in two separate transactions to the same buyer on the same date.
2The Company sold this property to a joint venture in which it retained a 40% interest. Sales price and square footage reflect the total sales price paid by the joint venture and total square footage of the property.
3The Company entered into a mortgage note agreement with the buyer for $45 million.
4The Company sold a land parcel totaling 0.34 acres.


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Subsequent to June 30, 2023, the Company disposed of the following property:
Dollars in thousandsDATE DISPOSEDSALES PRICESQUARE FOOTAGE
Houston, TX8/2/23$8,320 57,170 

Capital Expenditures
During the sixnine months ended JuneSeptember 30, 2023, the Company incurred capital expenditures totaling $113.2$188.1 million for the following:
$49.070.7 million toward theactive development and redevelopment of properties;
$21.39.2 million toward completed development and redevelopment of properties;
$32.1 million toward first generation tenant improvements and planned capital expenditures for acquisitions;
$25.645.4 million toward second generation tenant improvements; and
$17.330.7 million toward capital expenditures.
Financing Activities
Cash flows used in financing activities for the sixnine months ended JuneSeptember 30, 2023 were approximately $273.2$521.3 million. See Notes 65 and 98 to the Condensed Consolidated Financial Statements accompanying this report for more information about capital markets and financing activities.
Common Stock Issuances
At-The-Market Equity Offering Program
The Company has equity distribution agreements with various sales agents with respect to our ATM equity offering program of common stock with an aggregate sales amount of up to $750.0 million. As of JuneSeptember 30, 2023, $750.0 million remained available for issuance under our current ATM equity offering program.
Debt Activity
As of JuneSeptember 30, 2023, the Company had outstanding interest rate derivatives totaling $1.0 billion to hedge one-month Term SOFR. The following details the amount and rate of each swap (dollars in thousands):
EXPIRATION DATEAMOUNTWEIGHTED
AVERAGE RATE
January 15, 2024$200,000 1.21 %
May 1, 2026100,000 2.15 %
June 1, 2026150,000 3.83 %
December 1, 2026150,000 3.84 %
June 1, 2027150,000 4.13 %
December 1, 2027250,000 3.79 %
$1,000,000 3.17 %
Subsequent Debt Activity
On AugustDuring the third quarter of 2023, the Company assumed a mortgage note payable of $5.6 million in connection with the acquisition of a 42,770 square foot property in Colorado Springs, Colorado. The note bears interest at a rate of 4.5% per annum and matures on April 1, 2023,2026. Additionally, the Company repaid in full at maturity a mortgage note payable bearing interest at a rate of 3.31% per annum with an outstanding principal of $9.8 million. The mortgage note encumbered a 66,984 square foot property in Marietta, Georgia.
Subsequent Debt Activity
On October 19, 2023, the Company entered into two swap transactions totaling $100.0 million. The notional amounts were $50.0 million each with fixed rates of 4.71% and 4.67%. The swap agreements have effective dates of November 1, 2023 and termination dates of June 1, 2027 and December 1, 2027, respectively.
On October 23, 2023, the Company entered into two swap transactions totaling $100.0 million with an aggregate fixed rate of 4.73%. The swap agreements have effective dates of November 1, 2023 and termination dates of May 31, 2026.
Operating Activities
Cash flows provided by operating activities increased from $114.1$126.7 million for the sixnine months ended JuneSeptember 30, 2022 to $254.3$372.5 million for the sixnine months ended JuneSeptember 30, 2023. Items impacting cash flows from operations include, but are not limited to, the Merger, cash generated from property operations, interest payments and the timing related to the payment of invoices and other expenses.
The Company may, from time to time, sell properties and redeploy cash from property sales into new investments. To the extent revenues related to the properties being sold exceed income from these new investments, the Company's results of operations and cash flows could be adversely affected.


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The Company may, from time to time, sell properties and redeploy cash from property sales into new investments or to repay indebtedness. The income from the new investments or reduction in interest expense could be less than the income from properties sold which would adversely affect the Company's results of operations and cash flows.
Trends and Matters Impacting Operating Results
Management monitors factors and trends important to the Company and the REIT industry to gauge the potential impact on the operations of the Company. In addition to the matters discussed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, below are some of the factors and trends that management believes may impact future operations of the Company.
Economic and Market Conditions
Rising interest rates and increased volatility in the capital markets have increased the Company’s cost and availability of debt and equity capital. Limited availability and increases in the cost of capital could adversely impact the Company’s ability to finance operations and acquire and develop properties. To the extent the Company’s tenants experience increased costs or financing difficulties due to the economic and market conditions, they may be unable or unwilling to make payments or perform their obligations when due. Additionally, increased interest rates may also result in less liquid property markets, limiting the Company’s ability to sell existing assets or obtain joint venture capital.
The Company reviews goodwill for impairment annually as of December 31 of each year or whenever events or changes in circumstances indicate that an impairment may exist. During the third quarter of 2023, management identified qualitative factors indicating that an impairment may exist, including the sustained decrease in stock price. As a result, the Company performed a quantitative assessment, and the fair value of the Company’s single reporting unit was estimated using a combination of discounted cash flow models and earnings multiples techniques. The determination of fair value using the discounted cash flow model technique requires the use of estimates and assumptions related to revenue and expense growth rates, capitalization rates, discount rates, capital expenditures and working capital levels. The determination of fair value using the earnings multiples technique requires assumptions to be made in relation to maintainable earnings and earnings multipliers. These forecasts and assumptions are highly subjective, and while we believe our assumptions are reasonable, changes in these assumptions may have a material impact on our financial results. Although the quantitative assessment as of September 30, 2023 indicated goodwill was not impaired, given the results of our quantitative assessment, the Company is at risk for future goodwill impairment because it is reasonably possible that, among other factors, continual stock price volatility and downward pressure on the Company's market capitalization could have a material impact on one or more of the estimates and assumptions used to evaluate goodwill.
Expiring Leases
The Company expects that approximately 15% ofof its leases will expire each year in the ordinary course of business. There are 857476 leases totaling 2.3 1.2 million square feet that will expire during the remainder of 2023. Approximately 76%73% of thethe leases expiring during the remainder of 2023 are for space in buildings located on or adjacent to hospital campuses, are distributed throughout the portfolio, and are not concentrated with any one tenant, health system or market area. The Company typically expects to retain 75% to 90% of tenants upon expiration, and the retention ratio for the first sixnine months of the year was within this range.
Operating Expenses
The Company historically has experienced increases in property taxes throughout its portfolio as a result of increasing assessments and tax rates levied across the country. The Company continues its efforts to appeal property tax increases and manage the impact of the increases. In addition, the Company historically has incurred variability in portfolio utilities expense based on seasonality, with the first and third quarters usually reflecting greater amounts. The effects of these operating expense increases are mitigated in leases that have provisions for operating expense reimbursement. As of JuneSeptember 30, 2023, leases for approximatelyapproximately 92% of the Company's total leased square footage allow for some recovery of operating expenses, with approximately 27% having modified gross lease structures and approximately 65% having net lease structures.


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Purchase Options
Information about the Company's unexercised purchase options and the amount and basis for determination of the purchase price is detailed in the table below (dollars in thousands):
YEAR EXERCISABLEYEAR EXERCISABLENUMBER OF PROPERTIES
GROSS REAL ESTATE INVESTMENT AS OF
JUNE 30, 2023 1
YEAR EXERCISABLENUMBER OF PROPERTIES
GROSS REAL ESTATE INVESTMENT AS OF
SEPTEMBER 30, 2023 1
Current 2
Current 2
$112,669 
Current 2
$112,271 
20242024— — 2024— — 
20252025112,689 2025105,251 
20262026181,414 2026181,636 
20272027110,260 2027110,388 
20282028133,877 2028133,911 
2029202981,784 202981,815 
20302030— — 2030— — 
20312031108,818 2031108,894 
2032203224,619 203224,626 
2033 and thereafter 3
2033 and thereafter 3
10 340,128 
2033 and thereafter 3
317,650 
TotalTotal47 $1,206,258 Total45 $1,176,442 
1Includes three properties totaling $45.0$45.3 million with stated purchase prices or prices based on fixed capitalization rates.
2These purchase options have been exercisable for an average of 13.413.6 years.


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3Includes two medical office buildings that are recorded in the line item Investment in financing receivable, net on the Company's Condensed Consolidated Balance Sheet.

Non-GAAP Financial Measures and Key Performance Indicators
Management considers certain non-GAAP financial measures and key performance indicators to be useful supplemental measures of the Company's operating performance. A non-GAAP financial measure is generally defined as one that purports to measure 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, as well as reconciliations of these measures to the most directly comparable GAAP financial measures.
The non-GAAP financial measures and key performance indicators 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, as indicators of the Company's financial performance, or as alternatives to cash flow from operating activities 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. Management believes that in order to facilitate a clear understanding of the Company's historical consolidated operating results, these measures should be examined in conjunction with net income and cash flows from operations as presented in the Condensed Consolidated Financial Statements and other financial data included elsewhere in this Quarterly Report on Form 10-Q.
Funds from Operations ("FFO"), Normalized FFO and Funds Available for Distribution ("FAD")
FFO and FFO per share are operating performance measures adopted by the National Association of Real Estate Investment Trusts (“NAREIT”). NAREIT defines FFO as the most commonly accepted and reported measure of a REIT’s operating performance equal to “net income (computed in accordance with GAAP), excluding gains (or losses) from sales of property, plus depreciation and amortization, impairment, and after adjustments for unconsolidated partnerships and joint ventures.”
In addition to FFO, the Company presents Normalized FFO and FAD. Normalized FFO is presented by adding to FFO acquisition-related costs, acceleration of debt issuance costs, debt extinguishment costs and other Company-defined normalizing items to evaluate operating performance. FAD is presented by adding to Normalized FFO non-real estate depreciation and amortization, non-cash financing receivable amortization, loan origination cost


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amortization, deferred financing fees amortization, stock-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 should not be considered as an alternative to net income as an indicator of the Company's financial performance or to cash flow from operating activities as an indicator of the Company's liquidity. FFO, Normalized FFO and FAD should be reviewed in connection with GAAP financial measures.
Management believes FFO, Normalized FFO, FFO per common share, Normalized FFO per share and FAD ("Non-GAAP Measures") provide an understanding of the operating performance of the Company’s properties without giving effect to certain significant non-cash items, primarily 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, impairments and gains or losses from sales of real estate, all of which are based on historical costs and which may be of limited relevance in evaluating current performance, Non-GAAP Measures can facilitate comparisons of operating performance between periods. The Company reports Non-GAAP Measures because these measures are observed by management to also be the predominant measures used by the REIT industry and by industry analysts to evaluate REITs. For these reasons, management deems it appropriate to disclose and discuss these Non-GAAP Measures. However, none of these measures represent cash generated from operating activities determined in accordance with GAAP and are not necessarily indicative of cash available to fund cash needs. Further, these measures should not be considered as an


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alternative to net income as an indicator of the Company’s operating performance or as an alternative to cash flow from operating activities as a measure of liquidity.


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The table below reconciles net income to FFO, Normalized FFO and FAD for the three and sixnine months ended JuneSeptember 30, 2023 and 2022.
THREE MONTHS ENDED JUNE 30,SIX MONTHS ENDED JUNE 30,THREE MONTHS ENDED SEPTEMBER 30,NINE MONTHS ENDED SEPTEMBER 30,
Amounts in thousands, except per share dataAmounts in thousands, except per share data2023202220232022Amounts in thousands, except per share data2023202220232022
Net (loss) income attributable to common stockholdersNet (loss) income attributable to common stockholders$(82,759)$6,130 $(169,884)$48,357 Net (loss) income attributable to common stockholders$(67,844)$28,304 $(237,728)$76,661 
Net (loss) income attributable to common stockholders per share 1
$(0.22)$0.04 $(0.45)$0.32 
Net (loss) income attributable to common stockholders per diluted share 1
Net (loss) income attributable to common stockholders per diluted share 1
$(0.18)$0.08 $(0.63)$0.35 
Gain on sales of real estate propertiesGain on sales of real estate properties(7,156)(8,496)(8,162)(53,280)Gain on sales of real estate properties(48,811)(143,908)(56,974)(197,188)
Impairment of real estate propertiesImpairment of real estate properties55,215 — 81,442 (25)Impairment of real estate properties56,873 — 138,314 (25)
Real estate depreciation and amortizationReal estate depreciation and amortization185,003 57,334 371,112 112,991 Real estate depreciation and amortization185,143 159,643 556,255 272,634 
Non-controlling income from operating partnership units(1,027)— (2,094)— 
Non-controlling (loss) income from operating partnership unitsNon-controlling (loss) income from operating partnership units(841)377 (2,935)377 
Proportionate share of unconsolidated joint venturesProportionate share of unconsolidated joint ventures4,412 2,807 9,253 5,176 Proportionate share of unconsolidated joint ventures4,421 3,526 13,674 8,702 
FFO adjustmentsFFO adjustments$236,447 $51,645 $451,551 $64,862 FFO adjustments$196,785 $19,638 $648,334 $84,500 
FFO adjustments per common share - diluted 7
FFO adjustments per common share - diluted 7
$0.62 $0.34 $1.18 $0.43 
FFO adjustments per common share - diluted 7
$0.51 $0.06 $1.69 $0.40 
FFO attributable to common stockholdersFFO attributable to common stockholders$153,688 $57,775 $281,667 $113,219 FFO attributable to common stockholders$128,941 $47,942 $410,606 $161,161 
FFO attributable to common stockholders per common share - diluted 7
FFO attributable to common stockholders per common share - diluted 7
$0.40 $0.38 $0.73 $0.75 
FFO attributable to common stockholders per common share - diluted 7
$0.34 $0.14 $1.07 $0.76 
Acquisition and pursuit costs 2
Acquisition and pursuit costs 2
669 1,352 956 2,655 
Acquisition and pursuit costs 2
769 482 1,725 3,137 
Merger-related costs 3
Merger-related costs 3
(15,670)7,085 (10,815)13,201 
Merger-related costs 3
7,450 79,402 (3,366)92,603 
Merger-related fair value of debt instrumentsMerger-related fair value of debt instruments10,554 — 21,418 — Merger-related fair value of debt instruments10,667 — 32,085 — 
Lease intangible amortizationLease intangible amortization240 584 386 893 Lease intangible amortization213 (2)600 891 
Non-routine legal costs/forfeited earnest money receivedNon-routine legal costs/forfeited earnest money received275 140 275 231 Non-routine legal costs/forfeited earnest money received— 346 275 577 
Allowance for credit losses 4
Allowance for credit losses 4
— — 8,599 — 
Allowance for credit losses 4
— — 8,599 — 
Debt financing costsDebt financing costs— — — 1,429 Debt financing costs(62)1,091 (62)2,520 
Unconsolidated JV normalizing items 5
Unconsolidated JV normalizing items 5
93 83 210 178 
Unconsolidated JV normalizing items 5
90 154 300 332 
Normalized FFO adjustmentsNormalized FFO adjustments$(3,839)$9,244 $21,029 $18,587 Normalized FFO adjustments$19,127 $81,473 $40,156 $100,060 
Normalized FFO adjustments per common share - diluted 8
Normalized FFO adjustments per common share - diluted 8
$(0.01)$0.06 $0.05 $0.12 
Normalized FFO adjustments per common share - diluted 8
$0.05 $0.24 $0.10 $0.47 
Normalized FFO attributable to common stockholdersNormalized FFO attributable to common stockholders$149,849 $67,019 $302,696 $131,806 Normalized FFO attributable to common stockholders$148,068 $129,415 $450,762 $261,221 
Normalized FFO attributable to common stockholders per common share - diluted 8
Normalized FFO attributable to common stockholders per common share - diluted 8
$0.39 $0.45 $0.79 $0.88 
Normalized FFO attributable to common stockholders per common share - diluted 8
$0.39 $0.39 $1.18 $1.23 
Non-real estate depreciation and amortizationNon-real estate depreciation and amortization802 556 1,406 1,016 Non-real estate depreciation and amortization475 577 1,881 1,593 
Non-cash interest amortization 6
Non-cash interest amortization 6
1,618 747 2,300 1,458 
Non-cash interest amortization 6
1,402 8,924 3,703 10,382 
Rent reserves, netRent reserves, net(54)16 1,317 159 Rent reserves, net442 457 1,759 616 
Straight-line rent, netStraight-line rent, net(8,005)(1,327)(16,251)(2,536)Straight-line rent, net(8,470)(7,715)(24,720)(10,251)
Stock-based compensation3,924 3,356 7,669 7,055 
Share-based compensationShare-based compensation2,556 3,666 10,224 10,721 
Unconsolidated JV non-cash items 7
Unconsolidated JV non-cash items 7
(316)(242)(598)(513)
Unconsolidated JV non-cash items 7
(231)(377)(828)(890)
Normalized FFO adjusted for non-cash itemsNormalized FFO adjusted for non-cash items$147,818 $70,125 $298,539 $138,445 Normalized FFO adjusted for non-cash items$144,242 $134,947 $442,781 $273,392 
2nd generation TI2nd generation TI(17,236)(5,051)(26,118)(9,950)2nd generation TI(21,248)(10,147)(47,366)(20,097)
Leasing commissions paidLeasing commissions paid(5,493)(3,475)(12,506)(7,242)Leasing commissions paid(8,907)(8,283)(21,413)(15,525)
Capital additionsCapital additions(8,649)(4,557)(17,595)(7,177)Capital additions(14,354)(16,067)(31,949)(23,244)
FADFAD$116,440 $57,042 $242,320 $114,076 FAD$99,733 $100,450 $342,053 $214,526 
FFO weighted average common shares outstanding - diluted 8
FFO weighted average common shares outstanding - diluted 8
383,409 150,545 383,372 150,203 
FFO weighted average common shares outstanding - diluted 8
383,428 332,819 383,390 211,746 
1Potential 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.
2Acquisition and pursuit costs include third-party and travel costs related to the pursuit of acquisitions and developments.
3Includes costs incurred related to the Merger. For the three and sixnine months ended JuneSeptember 30, 2023, merger costs are net of a refund of $17.8 million for transfer taxes paid during the year ended December 31, 2022.
4For the sixnine months ended JuneSeptember 30, 2023, includes a $5.2 million credit allowance for a mezzanine loan included in "Impairment of real estate and credit loss reserves" on the Statement of Operations and $3.4 million reserve included in “Rental Income” on the Statement of Operations for previously deferred rent and straight line rent for three skilled nursing facilities.


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5Includes the Company's proportionate share of acquisition and pursuit costs related to unconsolidated joint ventures.
6Includes the amortization of deferred financing costs, discounts and premiums, and non-cash financing receivable amortization.
7Includes the Company's proportionate share of straight-line rent, net related to unconsolidated joint ventures.
8The Company utilizes the treasury stock method which includes the dilutive effect of nonvested share-based awards outstanding of 442,263432,597 and 806,310,426,940, respectively, for the three and nine months ended JuneSeptember 30, 2023, and 2022, and the diluted impact of 4,042,993 OP units outstanding for the three and sixnine months ended JuneSeptember 30, 2023.


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Cash Net Operating Income ("NOI") and Merger Combined Same Store Cash NOI
Cash NOI and Merger Combined Same Store Cash NOI are key performance indicators. Management considers these to be supplemental measures that allow investors, analysts and Company management to measure unlevered property-level operating results. The Company defines Cash NOI as rental income, interest from financing receivables less property operating expenses. Cash NOI excludes non-cash items such as above and below market lease intangibles, straight-line rent, lease inducements, financing receivable amortization, tenant improvement amortization and leasing commission amortization. The Company also excludes cash lease termination fees. Cash NOI is historical and not necessarily indicative of future results.
Merger Combined 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 or intended for sale, properties undergoing redevelopment, and newly redeveloped or developed properties.
Legacy HTA properties that met the same store criteria are included in both periods shown as if they were owned by the Company for the full analysis period. The Legacy HR same store pool represented approximately 35% of the NOI of the combined company at the time of the Merger. Management believes that continued reporting of the same store portfolio of only the pre-Merger accounting acquirer (i.e., Legacy HR) offered little value to the investor who was seeking to understand the operating performance and growth potential of the combined company. The Company was provided access to the underlying financial statements of Legacy HTA (which financial statements had been audited or, in the case of interim periods, reviewed) and other detailed information about each property, such as the acquisition date. Based on this available information, the Company was able to consistently apply its same store definition across the combined portfolio, resulting in approximately 85% of the combined portfolio being represented in the same store presentation.
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 merger combined same store pool once the Company has owned the property for eight full quarters. Newly developed or redeveloped properties will be included in the merger combined same store pool eight full quarters after substantial completion.
The following table reflects the Company's Merger Combined Same Store Cash NOI for the sixnine months ended JuneSeptember 30, 2023 and 2022.
NUMBER OF PROPERTIESGROSS INVESTMENT
at June 30, 2023
MERGER COMBINED SAME STORE CASH NOI for the six months ended June 30,NUMBER OF PROPERTIESGROSS INVESTMENT
at September 30, 2023
MERGER COMBINED SAME STORE CASH NOI for the nine months ended September 30,
Dollars in thousandsDollars in thousands20232022Dollars in thousands20232022
Merger combined same store propertiesMerger combined same store properties594 $11,934,872 $362,342 $353,606 Merger combined same store properties584 $11,868,621 $538,486 $524,066 
Joint venture same store propertiesJoint venture same store properties12 185,274 $7,617 $7,138 










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The following tables reconcile net income to Merger Combined Same Store NOI and the merger combined same store property metrics to the total owned real estate portfolio for the sixnine months ended JuneSeptember 30, 2023 and 2022:
Reconciliations of Legacy HR and Merger Combined Same Store Cash NOI
MERGER COMBINED SAME STORE RECONCILIATIONMERGER COMBINED SAME STORE RECONCILIATIONMERGER COMBINED SAME STORE RECONCILIATION
SIX MONTHS ENDED JUNE 30,NINE MONTHS ENDED SEPTEMBER 30,
Dollars in thousandsDollars in thousands20232022Dollars in thousands20232022
Net (loss) income attributable to common stockholdersNet (loss) income attributable to common stockholders$(169,884)$48,357 Net (loss) income attributable to common stockholders$(237,728)$76,661 
Other income (expense)207,225 (21,814)
Other expense (income)Other expense (income)281,846 (111,291)
General and administrative expenseGeneral and administrative expense30,399 21,576 General and administrative expense43,796 38,317 
Depreciation and amortization expenseDepreciation and amortization expense367,671 109,772 Depreciation and amortization expense550,661 267,889 
Other expenses 1
Other expenses 1
(4,029)20,963 
Other expenses 1
7,753 103,622 
Straight-line rent revenue, netStraight-line rent revenue, net(16,251)(2,536)Straight-line rent revenue, net(24,720)(10,251)
Joint venture propertiesJoint venture properties9,726 4,603 Joint venture properties14,418 8,480 
Other revenue 2
Other revenue 2
(7,643)(4,005)
Other revenue 2
(14,091)(9,247)
417,214 176,916 621,935 364,180 
Pre-Merger Legacy HTA NOIPre-Merger Legacy HTA NOI— 255,388 Pre-Merger Legacy HTA NOI— 282,502 
Cash NOICash NOI417,214 432,304 Cash NOI621,935 646,682 
Cash NOI not included in same storeCash NOI not included in same store(54,872)(78,698)Cash NOI not included in same store(75,832)(115,478)
Same store joint venture propertiesSame store joint venture properties(7,617)(7,138)
Merger combined same store cash NOIMerger combined same store cash NOI$362,342 $353,606 Merger combined same store cash NOI$538,486 $524,066 
1.Includes acquisition and pursuit costs, Merger-related costs, rent reserves, above and below market ground lease intangible amortization, leasing commission amortization and ground lease straight-line rent expense.
2.Includes management fee income, interest, above and below market lease intangible amortization, lease inducement amortization, lease terminations and tenant improvement overage amortization.

LEGACY HR SAME STORE RECONCILIATIONLEGACY HR SAME STORE RECONCILIATIONLEGACY HR SAME STORE RECONCILIATION
SIX MONTHS ENDED JUNE 30,NINE MONTHS ENDED SEPTEMBER 30,
Dollars in thousandsDollars in thousands20232022Dollars in thousands20232022
Net (loss) income attributable to common stockholdersNet (loss) income attributable to common stockholders$(169,884)$48,357 Net (loss) income attributable to common stockholders$(237,728)$76,661 
Other income (expense)207,225 (21,814)
Other expense (income)Other expense (income)281,846 (111,291)
General and administrative expenseGeneral and administrative expense30,399 21,576 General and administrative expense43,796 38,317 
Depreciation and amortization expenseDepreciation and amortization expense367,671 109,772 Depreciation and amortization expense550,661 267,889 
Other expenses 1
Other expenses 1
(4,029)20,963 
Other expenses 1
7,753 103,622 
Straight-line rent revenue, netStraight-line rent revenue, net(16,251)(2,536)Straight-line rent revenue, net(24,720)(10,251)
Joint venture propertiesJoint venture properties9,726 4,603 Joint venture properties14,418 8,480 
Other revenue 2
Other revenue 2
(7,643)(4,005)
Other revenue 2
(14,091)(9,247)
417,214 176,916 621,935 364,180 
Cash NOI not included in same storeCash NOI not included in same store(261,468)(26,048)Cash NOI not included in same store(383,036)(134,761)
Legacy HR same store cash NOI 3
Legacy HR same store cash NOI 3
$155,746 $150,868 
Legacy HR same store cash NOI 3
$238,899 $229,419 
1Includes acquisition and pursuit costs, Merger-related costs, rent reserves, above and below market ground lease intangible amortization, leasing commission amortization and ground lease straight-line rent expense.
2Includes management fee income, interest, above and below market lease intangible amortization, lease inducement amortization, lease terminations and tenant improvement overage amortization.
3Legacy HR same store cash NOI includes 205221 properties.


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Reconciliation of Merger Combined Same Store Properties
AS OF JUNE 30, 2023AS OF SEPTEMBER 30, 2023
Dollars and square feet in thousandsDollars and square feet in thousandsPROPERTY COUNT
GROSS INVESTMENT 1
SQUARE
FEET
OCCUPANCYDollars and square feet in thousandsPROPERTY COUNT
GROSS INVESTMENT 1
SQUARE
FEET
OCCUPANCY
Merger combined same store propertiesMerger combined same store properties594 $11,934,872 34,824 89.0 %Merger combined same store properties584 $11,868,621 34,798 89.2 %
Acquisitions62 1,087,583 2,878 87.3 %
Joint venture same store propertiesJoint venture same store properties12 185,274 998 87.9 %
Wholly owned and joint venture acquisitionsWholly owned and joint venture acquisitions72 977,461 2,895 90.2 %
Development completionsDevelopment completions134,733 266 84.9 %Development completions151,775 405 73.3 %
RedevelopmentsRedevelopments12 325,247 1,204 55.8 %Redevelopments16 408,316 1,368 51.1 %
Planned DispositionsPlanned Dispositions131,187 642 58.9 %Planned Dispositions137,017 582 71.1 %
TotalTotal697 $13,728,464 41,046 87.6 %
Joint venture propertiesJoint venture properties34 358,015 1,949 86.9 %
Total owned real estate propertiesTotal owned real estate properties680 $13,613,622 39,814 87.4 %Total owned real estate properties663 $13,370,449 39,097 87.6 %
1Excludes assets held for sale, construction in progress, land held for development, corporate property and financing lease right-of-use assets unrelated to an imputed lease arrangement as a result of a sale leaseback transaction.

Results of Operations
Three Months Ended JuneSeptember 30, 2023 Compared to Three Months Ended JuneSeptember 30, 2022
The Company’s results of operations for the three months ended JuneSeptember 30, 2023 compared to the same period in 2022 were impacted by the Merger, acquisitions, developments, dispositions, gains on sale, and capital markets transactions.
Revenues
Rental income increased $189.0$34.4 million, or 134.4%11.5%, for the three months ended JuneSeptember 30, 2023 compared to the prior year period. This increase is primarily comprised of the following:
Acquisitions in 2022 and 2023 contributed $5.1$3.7 million.
Leasing activity, including contractual rent increases, contributed $5.0$9.1 million.
Dispositions in 2022 and 2023 resulted in a decrease of $6.2$5.7 million.
Impact from the Merger contributed $181.2$27.3 million.
Interest income increased $2.3$0.9 million, or 116.3%26.7%, for the three months ended JuneSeptember 30, 2023 compared to the prior year period primarily as a result of notes receivables assumed in the Merger and a note receivable entered into with a buyer upon disposition of a property in the first quarter of 2023.
Other operating income increased $1.5$0.6 million, or 54.5%14.9%, for the three months ended JuneSeptember 30, 2023 compared to the prior year period primarily as a result of variable parking and asset management fees assumed in the Merger.fees.
Expenses
Property operating expenses increased $68.4$19.2 million, or 120.0%17.0%, for the three months ended JuneSeptember 30, 2023 compared to the prior year period primarily as a result of the following activity:
Acquisitions in 2022 and 2023 resulted in an increase of $2.2$1.8 million.
Increases in portfolio operating expenses as follows:
Maintenance and repair expense of $1.1 million;
Utilities expense of $0.7$1.6 million;
Administrative, leasing commissions, and other legal expense of $0.8$0.7 million;
Maintenance and repair expense of $0.5 million;
Property taxes of $0.5 million;
Janitorial expense of $0.3$0.4 million; and
InsuranceSecurity expense of $0.5$0.2 million.
CompensationInsurance expense decreased $0.5 million.
Property taxes decreased $0.1 million.
Dispositions in 2022 and 2023 resulted in a decrease of $3.1 million.
Impact from the Merger resulted in an increase of $62.6$0.4 million.


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Dispositions in 2022 and 2023 resulted in a decrease of $5.2 million.
Impact from the Merger resulted in an increase of $19.1 million.
General and administrative expenses increaseddecreased approximately $4.9$3.3 million, or 46.7%20.0%, for the three months ended JuneSeptember 30, 2023 compared to the prior year period primarily as a result of the following activity:
Decrease in payroll and payroll related expenses of approximately $3.1 million.
Decrease in cash compensation incentive expense of $1.1$0.6 million.
Travel and related expenses increased $0.7Decrease in non-cash compensation incentive expense of $1.0 million.
Net increases, primarily due to impacts from the Merger, along withincluding professional fees, audit services, insurance and other administrative costs, of $5.3$1.4 million.
Merger-related costs decreased $22.8$72.0 million, or 321.2%90.6%, for the three months ended JuneSeptember 30, 2023 compared to the prior year period primarily due to a reduction in legal and consulting services in connection with the Merger including a refund of $17.8 million related to state transfer taxes.
Depreciation and amortization expense increased $127.5$24.9 million, or 228.7%15.7%, for the three months ended JuneSeptember 30, 2023 compared to the prior year period primarily as a result of the following activity:
Acquisitions in 2022 and 2023 resulted in an increase of $2.7$1.5 million.
Various building and tenant improvement expenditures resulted in an increase of $3.7$7.0 million.
Dispositions in 2022 and 2023 resulted in a decrease of 1.6$5.7 million.
Assets that became fully depreciated resulted in a decrease of $3.2$4.9 million.
Impact from the Merger resulted in an increase of $125.9$27.0 million.
Other Income (Expense)
Gains on sale of real estate properties
In the secondthird quarter of 2023, the Company recognized gains of approximately $7.2$48.8 million. In the secondthird quarter of 2022, the Company recognized gains of approximately $8.5$143.9 million.
Interest expense
Interest expense increased $49.8$13.3 million, or 320.3%25.0%, for the three months ended JuneSeptember 30, 2023 compared to the prior year period. The components of interest expense are as follows:
THREE MONTHS ENDED JUNE 30,CHANGETHREE MONTHS ENDED SEPTEMBER 30,CHANGE
Dollars in thousandsDollars in thousands20232022$%Dollars in thousands20232022$%
Contractual interestContractual interest$52,766 $13,950 $38,816 278.3 %Contractual interest$53,911 $42,019 $11,892 28.3 %
Net discount/premium accretionNet discount/premium accretion9,649 79 9,570 12,113.9 %Net discount/premium accretion9,785 7,617 2,168 28.5 %
Debt issuance costs amortizationDebt issuance costs amortization1,562 708 854 120.6 %Debt issuance costs amortization1,338 1,341 (3)(0.2)%
Amortization of interest rate swap settlementAmortization of interest rate swap settlement42 42 — — %Amortization of interest rate swap settlement42 42 — — %
Amortization of treasury hedge settlementAmortization of treasury hedge settlement107 107 — — %Amortization of treasury hedge settlement107 107 — — %
Fair value derivativeFair value derivative997 — 997 — %Fair value derivative988 1,732 (744)(43.0)%
Interest cost capitalizationInterest cost capitalization(712)(108)(604)559.3 %Interest cost capitalization(795)(703)(92)13.1 %
Interest on lease liabilitiesInterest on lease liabilities923 765 158 20.7 %Interest on lease liabilities928 889 39 4.4 %
Total interest expenseTotal interest expense$65,334 $15,543 $49,791 320.3 %Total interest expense$66,304 $53,044 $13,260 25.0 %
Contractual interest expense increased $38.8$11.9 million, or 278.3%28.3%, for the three months ended JuneSeptember 30, 2023 compared to the prior year period primarily as a result of the following activity:
Senior notes and unsecured term loans assumed in the Merger accounted for an increase of approximately $26.6$3.3 million.
New unsecured term loans executed with the amended credit facility accounted for an increase of approximately $9.9$8.4 million.
The Company's Unsecured Term LoanLoans due 2024 and 2026 accounted for an increase of approximately $3.8$2.7 million.


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The Unsecured Credit Facility accounted for an increase of approximately $3.8$2.0 million due to an increased weighted average balance outstanding and an increase in the weighted average interest rate.
Active interest rate derivatives accounted for a decrease of $5.2$4.4 million.
Mortgage note repayments, net of assumptions, accounted for a decrease of approximately $0.1 million.


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Impairment of Real Estate Properties
In the secondthird quarter of 2023, the Company recognized impairments totaling $55.2$56.9 million primarily due to fourthe sale of two properties, 12 properties classified into held for sale, and six properties with changes in the expected holding periods.
Equity loss from unconsolidated joint ventures
The Company recognized its proportionate share of losses from its unconsolidated joint ventures. These losses are primarily attributable to non-cash depreciation expense. See Note 3 to the Condensed Consolidated Financial Statements accompanying this report for more details regarding the Company's unconsolidated joint ventures.
SixNine Months Ended JuneSeptember 30, 2023 Compared to SixNine Months Ended JuneSeptember 30, 2022
The Company’s results of operations for the sixnine months ended JuneSeptember 30, 2023 compared to the same period in 2022 were impacted by the Merger, acquisitions, developments, dispositions, gains on sale, and capital markets transactions.
Revenues
Rental income increased $374.7$409.1 million, or 134.2%70.8%, for the sixnine months ended JuneSeptember 30, 2023 compared to the prior year period. This increase is primarily comprised of the following:
Acquisitions in 2022 and 2023 contributed $19.3$17.4 million.
Leasing activity, including contractual rent increases, contributed $3.5$4.5 million.
Dispositions in 2022 and 2023 resulted in a decrease of $14.2$20.0 million.
Impact from the Merger contributed $362.2$407.2 million.
Interest income increased $4.6$5.5 million, or 117.3%75.3%, from the prior year period primarily as result of notes receivables assumed in the Merger and a note receivable entered into with a buyer upon disposition of a property in the first quarter of 2023.
Other operating income increased $3.6$4.2 million, or 69.7%45.7%, from the prior year period primarily as a result of variable parking and asset management fees assumed in the Merger.
Expenses
Property operating expenses increased $133.0$152.1 million, or 116.2%67.0%, for the sixnine months ended JuneSeptember 30, 2023 compared to the prior year period primarily as a result of the following activity:
Acquisitions in 2022 and 2023 resulted in an increase of $5.8$7.8 million.
Increases in portfolio operating expenses as follows:
Utilities expense of $1.0$5.4 million;
Maintenance and repair of $2.2 million;
Administrative, leasing commissions, and other legal expense of $1.3$2.1 million;
Janitorial expense of $0.8$1.5 million;
Maintenance and repair expense of $1.2 million; and
Insurance expense of $0.8 million.$0.3 million; and
Property taxSecurity expense decreased of $0.5 million.
Compensation expense decreased $0.8$0.1 million.
Dispositions in 2022 and 2023 resulted in a decrease of $7.3$9.7 million.
Payroll expense resulted in a decrease of $1.0 million.
Impact from the Merger resulted in an increase of 126.8$143.4 million.


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General and administrative expenses increased approximately $8.8$5.5 million, or 40.9%14.3%, for the sixnine months ended JuneSeptember 30, 2023 compared to the prior year period primarily as a result of the following activity:
Incentive-basedDecrease in payroll and payroll related expenses of $1.2 million.
Decrease in incentive-based awards decreased $1.5of $1.1 million.
Decrease in non-cash compensation incentive expense of $0.7 million.
Net increases, primarily due to impacts from the Merger, including professional fees, audit services, insurance, travel and other administrative costs, of $10.3$8.5 million.


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Merger-related costs decreased $24.0$96.0 million, or 181.9%103.6%, for the sixnine months ended for the six months ended JuneSeptember 30, 2023 primarily due to a reduction in legal and consulting services in connection with the Merger, including a refund of $17.8 million related to state transfer taxes.
Depreciation and amortization expense increased $257.9$282.8 million, or 234.9%105.6%, for the sixnine months ended JuneSeptember 30, 2023 compared to the prior year period primarily as a result of the following activity:
Acquisitions in 2022 and 2023 resulted in an increase of $7.1$9.3 million.
Various building and tenant improvement expenditures resulted in an increase of $6.5$15.9 million.
Dispositions in 2022 and 2023 resulted in a decrease of $3.6$4.7 million.
Assets that became fully depreciated resulted in a decrease of $6.1$15.7 million.
Impact from the Merger including a reset for fair value resulted in an increase of $254.0$278.0 million.
Other Income (Expense)
Gains on sale of real estate properties
Gains on the sale of real estate properties for the sixnine months ended JuneSeptember 30, 2023 and 2022 totaled $8.2$57.0 million and $53.3$197.2 million, respectively.
Interest expense
Interest expense increased $99.9$113.1 million, or 342.0%137.6%, for the sixnine months ended JuneSeptember 30, 2023 compared to the prior year period. The components of interest expense are as follows:
SIX MONTHS ENDED JUNE 30,CHANGENINE MONTHS ENDED SEPTEMBER 30,CHANGE
Dollars in thousandsDollars in thousands20232022$%Dollars in thousands20232022$%
Contractual interestContractual interest$103,533 $26,452 $77,081 291.4 %Contractual interest$157,443 $68,470 $88,973 129.9 %
Net discount/premium accretionNet discount/premium accretion19,240 129 19,111 14,814.7 %Net discount/premium accretion29,025 7,747 21,278 274.7 %
Debt issuance costs amortizationDebt issuance costs amortization3,037 1,419 1,618 114.0 %Debt issuance costs amortization4,376 2,760 1,616 58.6 %
Amortization of interest rate swap settlementAmortization of interest rate swap settlement84 84 — — %Amortization of interest rate swap settlement126 126 — — %
Amortization of treasury hedge settlementAmortization of treasury hedge settlement213 213 — — %Amortization of treasury hedge settlement320 320 — — %
Fair value derivativeFair value derivative2,426 — 2,426 — %Fair value derivative3,414 1,732 1,682 97.1 %
Interest cost capitalizationInterest cost capitalization(1,282)(145)(1,137)784.1 %Interest cost capitalization(2,077)(848)(1,229)144.9 %
Interest on lease liabilitiesInterest on lease liabilities1,841 1,052 789 75.0 %Interest on lease liabilities2,770 1,941 829 42.7 %
Total interest expenseTotal interest expense$129,092 $29,204 $99,888 342.0 %Total interest expense$195,397 $82,248 $113,149 137.6 %
Contractual interest expense increased $77.1$89.0 million, or 291.4%129.9%, for the sixnine months ended JuneSeptember 30, 2023 compared to the prior year period primarily as a result of the following activity:
Senior notes and unsecured term loans assumed with the Merger accounted for an increase of approximately $52.4$55.8 million.
New unsecured term loans executed with the amended credit facility accounted for an increase of approximately $19.0$27.3 million.
The Company's Unsecured Term LoanLoans due 2024 and 2026, net of swaps, accounted for an increase of approximately $7.7$10.4 million.
The Unsecured Credit Facility accounted for an increase of approximately $8.1$10.1 million due to an increased weighted average balance outstanding and an increase in the weighted average interest rate.
Interest rate derivatives accounted for a decrease of $10.0$14.4 million.


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Mortgage note repayments, net of assumptions, accounted for a decrease of approximately $0.1$0.2 million.
Impairment of Real Estate Properties and Credit Loss Reserves
During the sixnine months ended JuneSeptember 30, 2023, the Company recognized impairments totaling $86.7$138.3 million relating to fivesix properties that were sold, one land parcel that was sold, three17 properties reclassified to held for sale and fourfive additional properties due to changes in the expected holding periods. In addition, the Company recorded $5.2 million in credit loss reserves related to notes receivables. See Note 1 to the Condensed Consolidated Financial Statements accompanying this report for more details regarding the Company's notes receivables and credit loss reserves.


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Equity loss from unconsolidated joint ventures
The Company recognized its proportionate share of losses from its unconsolidated joint ventures, These losses are primarily attributable to non-cash depreciation expense. See Note 3 to the Condensed Consolidated Financial Statements accompanying this report for more details regarding the Company's unconsolidated joint ventures.

Item 3. Quantitative and Qualitative Disclosures about Market Risk
The Company is exposed to market risk in the form of changing interest rates on its debt and mortgage notes. Management uses regular monitoring of market conditions and analysis techniques to manage this risk. During the sixnine months ended JuneSeptember 30, 2023, there were no material changes in the quantitative and qualitative disclosures about market risks presented in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022.

Item 4. Controls and Procedures
Disclosure Controls and Procedures
The Company’s management, with the participation of the Company’s Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of the Company’s disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”)), as of the end of the period covered by this report. Based on this evaluation, the Company’s Chief Executive Officer and Chief Financial Officer have concluded that, as of the end of such period, the Company’s disclosure controls and procedures were effective in recording, processing, summarizing and reporting, on a timely basis, information required to be disclosed by the Company in the reports it files or submits under the Exchange Act.
Changes in Internal Control over Financial Reporting
There have not been any changes in the Company’s internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the fiscal quarter to which this report relates that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

PART II - OTHER INFORMATION
Item 1. Legal Proceedings
The Company is, from time to time, involved in litigation arising in the ordinary course of business. The Company is not aware of any pending or threatened litigation that, if resolved against the Company, would have a material adverse effect on the Company’s consolidated financial position, results of operations or cash flows.


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Item 1A. Risk Factors
In addition to the other information set forth in this report, an investor should carefully consider the factors discussed in Part I, “Item 1A. Risk Factors” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, which could materially affect the Company’s business, financial condition or future results. The risks, as described in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, are not the only risks facing the Company. Additional risks and uncertainties not currently known to management or that management currently deems immaterial also may materially, adversely affect the Company’s business, financial condition, operating results or cash flows.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
During the sixnine months ended JuneSeptember 30, 2023, the Company withheld and canceled shares of Company common stock to satisfy employee tax withholding obligations payable upon the vesting of non-vested shares, as follows:
    


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PERIODPERIODTOTAL NUMBER OF SHARES PURCHASEDAVERAGE PRICE PAID per shareTOTAL NUMBER OF SHARES purchased as part of publicly announced plans or programsMAXIMUM NUMBER OF SHARES that may yet be purchased under the plans or programsPERIODTOTAL NUMBER OF SHARES PURCHASEDAVERAGE PRICE PAID per shareTOTAL NUMBER OF SHARES purchased as part of publicly announced plans or programsMAXIMUM NUMBER OF SHARES that may yet be purchased under the plans or programs
January 1 - January 31January 1 - January 31— $— — — January 1 - January 31— $— — — 
February 1 - February 28February 1 - February 2838,632 21.71 — — February 1 - February 2838,632 21.71 — — 
March 1 - March 31March 1 - March 31— — — — March 1 - March 31— — — — 
April 1 - April 30April 1 - April 30— — — — April 1 - April 30— — — — 
May 1 - May 31May 1 - May 31— — — — May 1 - May 31— — — — 
June 1 - June 30June 1 - June 30— — — — June 1 - June 30— — — — 
July 1 - July 31July 1 - July 31— — — — 
August 1 - August 31August 1 - August 31— — — — 
September 1 - September 30September 1 - September 30— — — — 
TotalTotal38,632 $21.71 Total38,632 $21.71 
Item 5. Other Information
During the three months ended JuneSeptember 30, 2023, no director or officer of the Company adopted or terminated a "Rule 10b5-1 trading agreement" or "non-Rule 10b5-1 trading agreement," as each term is defined in Item 408(a) of Regulation S-K.
Item 6. Exhibits
EXHIBITDESCRIPTION
Exhibit 3.1
Exhibit 3.2
Exhibit 4.1


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Exhibit 101.INSThe instance document does not appear in the interactive data file because its XBRL tags are embedded within the Inline XBRL document.
Exhibit 101.SCHXBRL Taxonomy Extension Schema Document (furnished electronically herewith)
Exhibit 101.CALXBRL Taxonomy Extension Calculation Linkbase Document (furnished electronically herewith)
Exhibit 101.LABXBRL Taxonomy Extension Labels Linkbase Document (furnished electronically herewith)
Exhibit 101.DEFXBRL Taxonomy Extension Definition Linkbase Document (furnished electronically herewith)
Exhibit 101.PREXBRL Taxonomy Extension Presentation Linkbase Document (furnished electronically herewith)
1 Filed as an exhibit to the Company'a (File No. 001-35568) Form 10-Q filed with the SEC on August 8, 2023 and hereby incorporated by reference.
2 Filed as an exhibit to Legacy HTA's (File No. 001-35568) Form 8-K filed with the SEC on April 29, 2020 and hereby incorporated by reference.





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SIGNATURE
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 thereunto duly authorized.
HEALTHCARE REALTY TRUST INCORPORATED
By:/s/ J. CHRISTOPHER DOUGLAS
J. Christopher Douglas
Executive Vice President and Chief Financial Officer
August 8,November 3, 2023


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