Healthcare Realty Trust 10Q 2008 Q1 Quarterly report

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)


þ		QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended: March 31, 2008


o		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: 001-11852

HEALTHCARE REALTY TRUST INCORPORATED

(Exact name of Registrant as specified in its charter)


Maryland		62 — 1507028
(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)

Indicate by check mark whether the Registrant (1) has filed all reports to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes þ No o

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


Large accelerated filer þ	Accelerated filer o	Non-accelerated filer o	Smaller reporting company o
	(Do not check if a smaller reporting company)

Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o No þ

As of April 30, 2008, 50,735,697 shares of the Registrant’s Common Stock were outstanding.

HEALTHCARE REALTY TRUST INCORPORATED

FORM 10-Q

March 31, 2008

TABLE OF CONTENTS


	Page
Part I — Financial Information

Item 1. Financial Statements
Condensed Consolidated Balance Sheets		1
Condensed Consolidated Statements of Income		2
Condensed Consolidated Statements of Cash Flows		3
Notes to Condensed Consolidated Financial Statements		4

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations		20

Item 3. Quantitative and Qualitative Disclosures about Market Risk		30

Item 4. Controls and Procedures		30

Part II — Other Information

Item 1. Legal Proceedings		31

Item 1A. Risk Factors		32

Item 6. Exhibits		32

Signature		34
Ex-31.1 Section 302 Certification of the CEO
Ex-31.2 Section 302 Certification of the CFO
Ex-32 Section 906 Certification of the CEO & CFO

Part I. FINANCIAL INFORMATION

Item 1. Financial Statements.

Healthcare Realty Trust Incorporated
Condensed Consolidated Balance Sheets
(Dollars in thousands, except per share data)


	(Unaudited)
	March 31,			December 31,
	2008			2007
ASSETS
Real estate properties:
Land	$	102,173		$	102,321
Buildings, improvements and lease intangibles		1,507,678			1,483,547
Personal property		16,425			16,305
Construction in progress		86,711			94,457

		1,712,987			1,696,630
Less accumulated depreciation		(357,779	)		(345,457	)

Total real estate properties, net		1,355,208			1,351,173

Cash and cash equivalents		11,068			8,519

Mortgage notes receivable		31,376			30,117

Assets held for sale and discontinued operations, net		13,413			15,639

Other assets, net		82,296			90,044


Total assets	$	1,493,361		$	1,495,492


LIABILITIES AND STOCKHOLDERS’ EQUITY
Liabilities:
Notes and bonds payable	$	792,361		$	785,289

Accounts payable and accrued liabilities		39,320			37,376

Liabilities of discontinued operations		119			34

Other liabilities		41,101			40,798


Total liabilities		872,901			863,497

Commitments and contingencies

Stockholders’ equity:
Preferred stock, $.01 par value; 50,000,000 shares authorized; none issued and outstanding		—			—

Common stock, $.01 par value; 150,000,000 shares authorized; 50,735,092 and 50,691,331 shares issued and outstanding at March 31, 2008 and December 31, 2007, respectively		507			507

Additional paid-in capital		1,287,270			1,286,071

Accumulated other comprehensive loss		(4,346	)		(4,346	)

Cumulative net income		701,981			695,182

Cumulative dividends		(1,364,952	)		(1,345,419	)


Total stockholders’ equity		620,460			631,995


Total liabilities and stockholders’ equity	$	1,493,361		$	1,495,492

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, 2007, are an integral part of these financial statements.

Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Income
For The Three Months Ended March 31, 2008 and 2007
(Dollars in thousands, except per share data)
(Unaudited)


	2008			2007
REVENUES
Master lease rent	$	16,268		$	15,691
Property operating		34,039			31,540
Straight-line rent		(64	)		61
Mortgage interest		525			352
Other operating		4,237			4,997

		55,005			52,641

EXPENSES
General and administrative		6,045			6,175
Property operating		19,028			17,985
Bad debts, net of recoveries		218			5
Interest		11,286			13,514
Depreciation		12,181			10,813
Amortization		594			1,415

		49,352			49,907


INCOME FROM CONTINUING OPERATIONS		5,653			2,734

DISCONTINUED OPERATIONS
Income from discontinued operations		538			6,013
Impairments		(29	)		(2,792	)
Gain on sales of real estate properties		637			30,389

INCOME FROM DISCONTINUED OPERATIONS		1,146			33,610


NET INCOME	$	6,799		$	36,344


Basic Earnings Per Common Share
Income from continuing operations per common share	$	0.11		$	0.06
Discontinued operations per common share		0.03			0.72

Net income per common share	$	0.14		$	0.78


Diluted Earnings Per Common Share
Income from continuing operations per common share	$	0.11		$	0.06
Discontinued operations per common share		0.02			0.70

Net income per common share	$	0.13		$	0.76


Weighted Average Common Shares Outstanding — Basic		49,413,058			46,547,152


Weighted Average Common Shares Outstanding — Diluted		50,407,119			47,598,736


Dividends Declared, per Common Share, During the Period	$	0.385		$	5.410

Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Cash Flows
For The Three Months Ended March 31, 2008 and 2007
(Dollars in thousands)
(Unaudited)


	2008			2007
Operating Activities
Net income	$	6,799		$	36,344
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation and amortization		13,119			14,574
Stock-based compensation		1,296			1,712
Straight-line rent receivable		64			(61	)
Straight-line rent liability		43			810
Gain on sales of real estate properties		(637	)		(30,389	)
Impairments		29			2,792
Equity in losses from unconsolidated LLCs		264			97
Provision for bad debts, net of recoveries		217			5
Changes in operating assets and liabilities:
Other assets		6,374			45
Accounts payable and accrued liabilities		3,779			1,725
Other liabilities		408			825

Net cash provided by operating activities		31,755			28,479

Investing Activities
Acquisition and development of real estate properties		(19,560	)		(17,806	)
Funding of mortgages and notes receivable		(1,265	)		(3,926	)
Distributions received from unconsolidated LLCs		423			262
Proceeds from sales of real estate		3,415			110,205
Proceeds from mortgages and notes receivable repayments		36			13,007

Net cash provided by (used in) investing activities		(16,951	)		101,742

Financing Activities
Borrowings on notes and bonds payable		26,000			72,839
Repayments on notes and bonds payable		(18,907	)		(169,873	)
Dividends paid		(19,533	)		(31,563	)
Proceeds from issuance of common stock		185			273
Common stock redemption		—			(14	)

Net cash used in financing activities		(12,255	)		(128,338	)


Increase in cash and cash equivalents		2,549			1,883
Cash and cash equivalents, beginning of period		8,519			1,950

Cash and cash equivalents, end of period	$	11,068		$	3,833


Supplemental Cash Flow Information:
Interest paid	$	2,775		$	4,341
Capitalized interest		1,658			722
Capital expenditures accrued		4,842			5,120
Mortgage note payable assumed		—			1,840

Healthcare Realty Trust Incorporated

Notes to Condensed Consolidated Financial Statements

March 31, 2008
(Unaudited)

Note 1. Summary of Significant Accounting Policies

Business Overview

Healthcare Realty Trust Incorporated (the “Company”) is a real estate investment trust (“REIT”) that integrates owning, developing, financing and managing income-producing real estate properties associated primarily with the delivery of outpatient healthcare services throughout the United States. The Company had investments of approximately $1.8 billion in 186 real estate properties and mortgages as of March 31, 2008, excluding assets classified as held for sale and including investments in three unconsolidated joint venture limited liability companies (“LLCs”). The Company’s 179 owned real estate properties, excluding assets classified as held for sale, are comprised of six facility types, located in 24 states, totaling approximately 11.0 million square feet. In addition, the Company provided property management services to approximately 7.3 million square feet nationwide.

Principles of Consolidation

The accompanying Condensed Consolidated Financial Statements include the accounts of the Company, its wholly owned subsidiaries, consolidated variable interest entities (“VIEs”) and certain other affiliated entities with respect to which the Company controlled or controls the operating activities and receives substantially all of the economic benefits. The Company did not consolidate any variable interest entities in the first quarter of 2008 as the real estate properties relating to its variable interest entities were sold during 2007 with the sale of the senior living assets.

The Company accounts for its joint venture investments in accordance with the American Institute of Certified Public Accountants Statement of Position 78-9, “Accounting for Investments in Real Estate Ventures,” which provides guidance on whether an entity should consolidate an investment or account for it under the equity or cost methods.

The Condensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States of America for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements that are included in the Company’s Annual Report to Shareholders on Form 10-K for the year ended December 31, 2007. Management believes, however, that all adjustments of a normal, recurring nature considered necessary for a fair presentation have been included. All significant inter-company accounts and transactions have been eliminated in the Condensed Consolidated Financial Statements.

This interim financial information should be read in conjunction with the financial statements and Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) included in the Company’s Annual Report to Shareholders on Form 10-K for the year ended December 31, 2007. This interim financial information does not necessarily represent or indicate what the operating results will be for the year ending December 31, 2008 due to many reasons including, but not limited to, acquisitions, dispositions, capital financing transactions, changes in interest rates and the effects of trends.

Variable Interest Entities

In accordance with FASB Financial Interpretation No. 46R, “Consolidation of Variable Interest Entities an Interpretation of Accounting Research Bulletin No. 51” (“FIN No. 46R”), a company must evaluate whether certain relationships it has with other entities constitute a variable interest in a variable interest entity (“VIE”). Prior to the sale of the Company’s senior living assets in 2007, the Company had concluded it had a variable interest in 21 VIEs and had also concluded that it was the primary beneficiary in six of the 21 VIEs. Therefore, in accordance with FIN No. 46R, the Company had consolidated the six entities into its Consolidated Financial Statements. As such, the Company’s Condensed Consolidated Income Statement for the three months ended March 31, 2007 includes, as part of discontinued operations, the operations of the six VIEs through their respective disposition dates. As of March 31, 2008, the Company concluded that it does not have any relationships with other entities constituting a variable interest in any VIEs.

Use of Estimates in the Condensed Consolidated Financial Statements

Preparation of the Condensed Consolidated Financial Statements in accordance with accounting principles generally accepted in the United States of America 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.

Segment Reporting

The Company is in the business of owning, developing, managing, and financing healthcare-related properties. The Company is managed as one reporting unit, rather than multiple reporting units, for internal reporting purposes and for internal decision-making. Therefore, in accordance with Financial Accounting Standards Board (“FASB”) Statement of Financial Accounting Standards (“SFAS”) No. 131, “Disclosures about Segments of an Enterprise and Related Information,” the Company discloses its operating results in a single segment.

Reclassifications

Certain reclassifications have been made in the Condensed Consolidated Financial Statements for the three months ended March 31, 2007 to conform to the March 31, 2008 presentation.

Revenue Recognition

The Company recognizes revenue in accordance with the Securities and Exchange Commission Staff Accounting Bulletin No. 104, “Revenue Recognition” (“SAB No. 104”). SAB No. 104 includes four criteria that must be met before revenue is realized or realizable and earned. The Company begins recognizing revenue when all four criteria have been met, such as collectibility is reasonably assured and the tenant has taken possession of or controls the physical use of the leased asset.

The Company derives most of its revenues from its real estate property and mortgage notes receivable portfolio. The Company’s rental and mortgage interest income is recognized based on contractual arrangements with its tenants, sponsors or borrowers. These contractual arrangements fall into three categories: leases, mortgage notes receivable, and property operating agreements as described in the following paragraphs. The Company may accrue late fees based on the contractual terms of a lease or note. Such fees, if accrued, are included in master lease rent, property operating income, or mortgage interest income on the Company’s Condensed Consolidated Statements of Income, based on the type of contractual agreement.

Rental Income

Rental income related to non-cancelable operating leases is recognized as earned over the life of the lease agreements on a straight-line basis. Additional rent, generally defined in most lease agreements as the cumulative increase in a Consumer Price Index (“CPI”) from the lease start date to the CPI as of the end of the previous year, is calculated as of the beginning of each year, and is then billed and recognized as income during the year as provided for in the lease. Rental income from properties under a master lease arrangement with the tenant is included in master lease rent and rental income from properties with multiple tenant lease arrangements is included in property operating income on the Company’s Condensed Consolidated Statements of Income.

Interest Income

Mortgage interest income and notes receivable interest income are recognized based on the interest rates and maturity date or amortized period specific to each note.

Property operating income

As of March 31, 2008, the Company had property operating agreements, between the Company and a sponsoring health system, relating to 14 of the Company’s 170 owned real estate properties. The property operating agreements obligate the sponsoring health system to provide to the Company, for a short term, a minimum return on the Company’s investment in the property in return for the right to be involved in the operating decisions of the property, including tenancy. If the minimum return is not achieved through normal operations of the property, the sponsor is responsible to pay to the Company the shortfall under the terms of these agreements. The Company recognizes the shortfall income in other operating income on the Company’s Condensed Consolidated Statements of Income.

Accumulated Other Comprehensive Loss

SFAS No. 130, “Reporting Comprehensive Income,” requires that foreign currency translation adjustments, minimum pension liability adjustments, unrealized gains or losses on available-for-sale securities, as well as other items, be included in comprehensive income (loss). The Company has included in accumulated other comprehensive loss its cumulative adjustment related to the adoption and subsequent application of SFAS No. 158, “Employers’ Accounting for Defined Benefit Pension and Other Postretirement Plans, an amendment of SFAS No. 87, 88, 106 and 132(R).

Total comprehensive income for the three months ended March 31, 2008 and 2007 is detailed in the following table.


	Three Months Ended
	March 31,
(Dollars in thousands)	2008		2007

Net income	$	6,799	$	36,344
Other comprehensive income		—		120

Total comprehensive income	$	6,799	$	36,464

Income Taxes

No provision has been made for federal income taxes. The Company intends at all times to qualify as a real estate investment trust under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended. The Company must distribute at least 90% per annum of its real estate investment trust taxable income to its stockholders and meet other requirements to continue to qualify as a real estate investment trust.

The Company must pay certain state income taxes which are included in general and administrative expense on the Company’s Condensed Consolidated Statements of Income.

The Company classifies interest and penalties related to uncertain tax positions, if any, in the consolidated financial statements as a component of general and administrative expense.

Incentive Plans

The Company follows the provisions of SFAS No. 123(R), “Share-Based Payment,” for accounting for its stock-based awards. As of March 31, 2008, the Company had issued and outstanding various employee and non-employee stock-based awards. These awards included restricted stock issued to employees pursuant to the Company’s employee stock incentive plans, restricted stock issued to its Board of Directors under its non-employee director incentive plan, and options issued to employees pursuant to its employee stock purchase plan.

Accounting for Defined Benefit Pension Plans

The Company accounts for its pension plans in accordance with SFAS No. 158. The Company has pension plans under which the Company’s Board of Directors and certain designated employees may receive retirement benefits upon retirement and the completion of five years of service with the Company. The plans are unfunded and benefits will be paid from earnings of the Company.

Operating Leases

As described in more detail in the Company’s Annual Report on Form 10-K for the year ended December 31, 2007, the Company is obligated under operating lease agreements consisting primarily of the corporate office lease and various ground leases related to the Company’s real estate investments where the Company is the lessee.

Discontinued Operations and Assets Held for Sale

The Company periodically sells properties based on market conditions and the exercise of purchase options by tenants. The operating results of properties that have been sold or are held for sale are reported as discontinued operations in the Company’s Condensed Consolidated Statements of Income in accordance with the criteria established in SFAS No. 144, “Accounting for the Impairment or Disposal of Long-Lived Assets,” (“SFAS No. 144”). Pursuant to SFAS No. 144, a company must report discontinued operations when a component of an entity has either been disposed of or is deemed to be held for sale if (i) both the operations and cash flows of the component have been or will be eliminated from ongoing operations as a result of the disposal transaction, and (ii) the entity will not have any significant continuing involvement in the operations of the component after the disposal transaction. Long-lived assets classified as held for sale on the Company’s Condensed Consolidated Balance Sheet are reported at the lower of their carrying amount or their fair value less cost to sell. Further, depreciation of these assets ceases at the time the assets are classified as discontinued operations. Losses resulting from the sale of such properties are characterized as impairment losses relating to discontinued operations in the Condensed Consolidated Statements of Income. As of March 31, 2008, the Company had classified four real estate properties as held for sale.

Land Held for Development

Land held for development, which is included in construction in progress on the Company’s Condensed Consolidated Balance Sheet, includes parcels of land owned by the Company, upon which the Company intends to develop and own medical office and outpatient healthcare properties. See Note 5 for a detail of the Company’s land held for development.

New Pronouncements

Fair Value Measurements

In September 2006, the FASB issued SFAS No. 157, “Fair Value Measurements,” (“SFAS No. 157”), which is effective for fiscal years beginning after November 15, 2007. SFAS No. 157 defines fair value, establishes a framework for measuring fair value, and expands disclosures about fair value measurements. The statement applies to other current pronouncements that require or permit fair value measurements but does not require any new fair value measurements. In February 2008, the FASB issued FASB Staff Position No. FAS 157-2, “Effective Date of FASB Statement No. 157,” which delayed the effective date of SFAS No. 157 for all non-financial assets and liabilities, except those that are recognized or disclosed at fair value in the financial statements on a recurring basis (at least annually), until fiscal years beginning after November 15, 2008. The Company adopted SFAS No. 157 on January 1, 2008 for all financial assets and liabilities which are not recognized or disclosed on a recurring basis. However, the Company does not anticipate that the full adoption of SFAS No. 157 will have a significant impact on the Company’s financial statements.

The Fair Value Option for Financial Assets and Financial Liabilities

In February 2007, the FASB issued SFAS No. 159, “The Fair Value Option for Financial Assets and Financial Liabilities,” (“SFAS No. 159”). SFAS No. 159, which became effective for the Company on January 1, 2008, provides companies with an option to report selected financial assets and liabilities at fair value and establishes presentation and disclosure requirements designed to facilitate comparisons between companies that choose different fair value measurement attributes for similar types of assets and liabilities. The Company has elected not to report any of its financial assets or liabilities at fair value. As such, SFAS No. 159 has not had a material impact on the Company’s Condensed Consolidated Financial Statements.

Business Combinations and Noncontrolling Interests in Consolidated Financial Statements

In December 2007, the FASB issued SFAS No. 141(R), “Business Combinations,” (“SFAS No. 141(R)”) and SFAS No. 160, “Noncontrolling Interests in Consolidated Financial Statements,” (“SFAS No. 160”). These standards were designed to improve, simplify and converge internationally the accounting for business combinations and the reporting of noncontrolling interests in consolidated financial statements. SFAS No. 141(R) requires an acquiring entity in a business combination to recognize all (and only) the assets acquired and liabilities assumed in the transaction; establishes the acquisition-date fair value as the measurement objective for all assets acquired and liabilities assumed; and requires the acquirer to disclose to investors and other users all of the information needed to evaluate and understand the nature and financial effect of the business combination. SFAS No. 160 requires all entities to report noncontrolling (minority) interests in subsidiaries as equity in the consolidated financial statements. SFAS No. 160 also eliminates the diversity that currently exists in accounting for transactions between an entity and noncontrolling interests by requiring they be treated as equity transactions. SFAS No. 141(R) and SFAS No. 160 will be effective for fiscal years beginning after December 15, 2008. The Company has not yet concluded the impact these new standards will have, if any, on its Consolidated Financial Statements.

Note 2. Real Estate and Mortgage Notes Receivable Investments

The Company had investments of approximately $1.8 billion in 186 real estate properties and mortgage notes receivable as of March 31, 2008, excluding assets classified as held for sale and including investments in three unconsolidated limited liability companies. The Company’s 179 owned real estate properties, excluding assets classified as held for sale, are located in 24 states with approximately 11.0 million total square feet. The table below details the Company’s investments.


	Number of		Investment					Square
(Dollars and Square Feet in thousands)	Investments		Amount		%			Feet
Owned properties
Master leases
Medical office		14	$	91,673		5.2	%		716
Physician clinics		20		137,589		7.8	%		803
Ambulatory care/surgery		7		39,962		2.3	%		160
Specialty outpatient		6		27,700		1.6	%		118
Specialty inpatient		13		232,470		13.2	%		977
Other		10		43,741		2.5	%		498

		70		573,135		32.5	%		3,272
Financial support agreements
Medical office		14		149,243		8.5	%		1,048

		14		149,243		8.5	%		1,048
Multi-tenanted with occupancy leases
Medical office		79		852,652		48.4	%		6,177
Physician clinics		12		38,556		2.2	%		244
Ambulatory care/surgery		4		58,835		3.3	%		268
Other		—		10,047		0.6	%		—

		95		960,090		54.5	%		6,689


Land held for development		—		16,376		0.9	%		—
Corporate property		—		14,143		0.8	%		—

		—		30,519		1.7	%		—

Total owned properties		179		1,712,987		97.2	%		11,009

Mortgage notes receivable
Medical office		2		14,508		0.8	%		—
Physician clinics		2		16,868		1.0	%		—

		4		31,376		1.8	%		—
Unconsolidated LLC investments, net
Medical office		2		11,042		0.6	%		—
Other		1		6,627		0.4	%		—

		3		17,669		1.0	%		—

Total real estate investments		186	$	1,762,032		100.0	%		11,009

Asset Acquisitions

The Company did not complete any acquisitions during the first quarter of 2008 but continued construction on its properties under development.

Asset Dispositions

During the first quarter of 2008, the Company disposed of a 36,951 square foot building in Mississippi in which it had a total gross investment of approximately $2.9 million ($1.6 million, net). The purchase price was $2.0 million and the Company recognized a $0.3 million net gain from the sale, net of closing costs of $0.1 million. Also, the Company sold a 7,500 square foot physician clinic in Texas in which it had a total gross investment of approximately $0.5 million ($0.4 million, net). The purchase price was $0.5 million and the Company recognized a $0.1 million net gain from the sale. Finally, the Company disposed of a parcel of land in Pennsylvania for a purchase price of approximately $0.8 million, which approximated the Company’s net book value, and the Company recognized a $29,000 impairment charge

upon sale. During the first quarter of 2008, the Company also recorded a $0.2 million gain due to the collection of certain receivables by the Company relating to senior living properties sold during 2007.

Purchase Options Exercised

In April 2008, the Company received notice from a tenant of its intent to purchase four properties from the Company pursuant to purchase options contained in its leases with the Company. The Company’s aggregate investment in the buildings was approximately $23.0 million ($15.9 million, net) at March 31, 2008. The Company expects to sell these properties to the tenant in the first quarter of 2009 for approximately $21.7 million in net proceeds, including $0.8 million in lease termination fees, which will result in a gain on sale. In accordance with SFAS No. 144, the four properties remained in continuing operations as of and for the three months ended March 31, 2008, but will be reclassified to discontinued operations beginning with the second quarter of 2008 since the notices were not received by the Company until the second quarter of 2008.

During 2007, the Company received notice from a tenant of its intent to purchase two buildings from the Company pursuant to purchase options contained in each of the building leases. The Company’s aggregate investment in one of the buildings was approximately $18.5 million ($10.4 million, net) at March 31, 2008. The Company expects to sell this property to the tenant in the second quarter of 2008 for approximately $18.5 million in net proceeds, resulting in a gain on sale. As such, the assets and liabilities of the real estate property are included in assets held for sale and discontinued operations, and its results of operations are included in discontinued operations on the Company’s Consolidated Financial Statements as of March 31, 2008. The Company is in a dispute with the tenant concerning the price and enforceability of the option on the second property. The Company’s gross investment in the second building was approximately $46.8 million ($33.2 million, net) and the Company carried a mortgage note payable on the building with a principal balance of $19.9 million at March 31, 2008. The disputed range of purchase price is higher than the Company’s carrying amount of the building. The Company is uncertain as to when the second transaction might close, if at all. As a result, the second property has not been reclassified to assets held for sale and discontinued operations and its results of operations have not been reclassified to discontinued operations on the Company’s Consolidated Financial Statements as of and for the three months ended March 31, 2008.

Purchase Options Exercisable

Certain of the Company’s leases include purchase option provisions. The provisions vary from lease to lease but generally allow the lessee to purchase the property covered by the lease at the greater of fair market value or an amount equal to the Company’s gross investment. Other than the properties discussed in the preceding paragraph, as of March 31, 2008, the Company had a gross investment of approximately $174.8 million in real estate properties that were subject to outstanding, exercisable contractual options to purchase, with various conditions and terms, by the respective operators and lessees that had not been exercised.

Note 3. Notes and Bonds Payable

The table below details the Company’s notes and bonds payable.


	Mar. 31,		Dec. 31,		Maturity		Contractual			Principal	Interest
(In thousands)	2008		2007		Dates		Interest Rates			Payments	Payments

Unsecured Credit Facility due 2009	$	144,000	$	136,000		1/09	LIBOR + 0.90%			At maturity	Quarterly
Senior Notes due 2011, including premium		300,807		300,864		5/11		8.125	%	At maturity	Semi-Annual
Senior Notes due 2014, net of discount		299,012		298,976		4/14		5.125	%	At maturity	Semi-Annual
Mortgage notes payable		48,542		49,449		5/11-10/32		5.49%-8.50	%	Monthly	Monthly

	$	792,361	$	785,289

The Company’s various debt agreements contain certain representations, warranties, and financial and other covenants customary in such loan agreements. Among other things, these provisions require the Company to maintain certain financial ratios and minimum tangible net worth and impose certain limits on the Company’s ability to incur indebtedness and create liens or encumbrances. At March 31, 2008, the Company was in compliance with its financial covenant provisions under its various debt instruments.

Unsecured Credit Facility due 2009

The Company has a $400.0 million credit facility (the “Unsecured Credit Facility due 2009”) with a syndicate of 10 banks that it entered into in January 2006. The Unsecured Credit Facility due 2009 matures in January 2009, but the term may be extended one additional year at the option of the Company. Loans outstanding under the Unsecured Credit Facility due 2009 bear interest at a rate equal to (x) LIBOR or the base rate (defined as the higher of the Bank of America prime rate or the Federal Funds rate plus 0.50%) plus (y) a margin ranging from 0.60% to 1.20% (currently 0.90%), based upon the Company’s unsecured debt ratings. As of March 31, 2008, the weighted average rate on borrowings outstanding on the facility was approximately 3.92% and the remaining capacity on the facility was approximately $127.0 million. Additionally, the Company pays a facility fee per annum on the aggregate amount of commitments. The facility fee may range from 0.15% to 0.30% per annum (currently 0.20%), based on the Company’s unsecured debt ratings. On April 17, 2008, the Company entered into an amendment to its credit facility which modified certain financial covenants and had the effect of providing the Company full borrowing capacity under its credit facility. As such, at April 30, 2008, the Company had $150.0 million outstanding under the facility and had borrowing capacity remaining of $250.0 million.

Senior Notes due 2011

In 2001, the Company publicly issued $300.0 million of unsecured senior notes due 2011 (the “Senior Notes due 2011”). The Senior Notes due 2011 bear interest at 8.125%, payable semi-annually on May 1 and November 1, and are due on May 1, 2011, unless redeemed earlier by the Company. The notes were originally issued at a discount of approximately $1.5 million, which yielded an 8.202% interest rate per annum upon issuance. In 2001, the Company entered into interest rate swap agreements for notional amounts totaling $125.0 million to offset changes in the fair value of $125.0 million of the notes. In 2003, the Company terminated these interest rate swap agreements, received cash equal to the fair value of the terminated swaps of $18.4 million, and entered into new swap agreements. The swap agreements entered into in 2003 were then terminated in June 2006 and the Company paid cash equal to the fair value of the terminated swaps of $10.1 million. The net premium resulting from the terminations of the interest rate swaps, net of the original discount, is combined with the principal balance of the Senior Notes due 2011 on the Company’s Condensed Consolidated Balance Sheets and is being amortized against interest expense over the remaining term of the notes yielding an effective interest rate on the notes of 7.896%.

The following table reconciles the balance of the Senior Notes due 2011 on the Company’s Condensed Consolidated Balance Sheets.


	March 31,		December 31,
(In thousands)	2008		2007

Senior Notes due 2011 face value	$	300,000	$	300,000
Unamortized net gain (net of discount)		807		864

Senior Notes due 2011 carrying amount	$	300,807	$	300,864

Senior Notes due 2014

In 2004, the Company publicly issued $300.0 million of unsecured senior notes due 2014 (the “Senior Notes due 2014”). The Senior Notes due 2014 bear interest at 5.125%, payable semi-annually on April 1 and October 1, and are due on April 1, 2014, unless redeemed earlier by the Company. The notes were issued at a discount of approximately $1.5 million, yielding an effective interest rate of 5.19% per annum.

The following table reconciles the balance of the Senior Notes due 2014 on the Company’s Condensed Consolidated Balance Sheets.


	March 31,			December 31,
(In thousands)	2008			2007

Senior Notes due 2014 face value	$	300,000		$	300,000
Unaccreted discount		(988	)		(1,024	)

Senior Notes due 2014 carrying amount	$	299,012		$	298,976

In April 2008, the Company’s Board of Directors authorized the Company to repurchase in the open market up to $20 million of its Senior Notes due 2011 and $30 million of its Senior Notes due 2014. As of May 1, 2008, the Company had repurchased $3.5 million of its Senior Notes due 2011 and $1.2 million of its Senior Notes due 2014. The Company may elect, from time to time, to repurchase and retire its notes either when market conditions are appropriate or as a means to reinvest available cash.

Mortgage Notes Payable

The following table details the Company’s mortgage notes payable, with related collateral, at March 31, 2008.


											Investment in
			Effective					Number			Collateral		Contractual Balance at
	Original		Interest			Maturity		of Notes			at March 31,		Mar. 31,		Dec. 31,
(Dollars in millions)	Balance		Rate			Date		Payable		Collateral (6)	2008		2008		2007

Life Insurance Co. (1)	$	23.3		7.765	%		7/26		1	MOB	$	46.8	$	19.9	$	20.0
Life Insurance Co. (2)		4.7		7.765	%		1/17		1	MOB		11.2		2.9		3.0
Commercial Bank (3)		23.4		7.220	%		5/11		5	6 MOBs; 1 ASC		54.1		9.4		10.1
Commercial Bank (4)		1.8		5.550	%		10/32		1	OTH		7.3		1.8		1.8
Life Insurance Co. (5)		15.1		5.490	%		1/16		1	ASC		32.5		14.5		14.5

									9		$	151.9	$	48.5	$	49.4


(1)		Payable in monthly installments of principal and interest based on a 30-year amortization with the final payment due at maturity.

(2)		Payable in monthly installments of principal and interest based on a 20-year amortization with the final payment due at maturity.

(3)		Payable in fully amortizing monthly installments of principal and interest due at maturity.

(4)		Payable in monthly installments of principal and interest based on a 27-year amortization with the final payment due at maturity.

(5)		Payable in monthly installments of principal and interest based on a 10-year amortization with the final payment due at maturity.

(6)		MOB-Medical office building; ASC-Ambulatory care/Surgery; OTH-Other.

The contractual interest rates for the nine outstanding mortgages ranged from 5.49% to 8.50% at March 31, 2008.

Other Long-Term Debt Information

Future maturities of the Company’s notes and bonds payable as of March 31, 2008 were as follows:


			Discount/			Total
	Principal		Premium			Notes and
(Dollars in thousands)	Maturities		Amortization			Bonds Payable		%

2008	$	2,804	$	70		$	2,874		0.4	%
2009⁽¹⁾		147,994		102			148,096		18.7	%
2010		4,296		115			4,411		0.5	%
2011		302,624		(72	)		302,552		38.2	%
2012		1,719		(178	)		1,541		0.2	%
2013 and thereafter		333,106		(219	)		332,887		42.0	%

	$	792,543	$	(182	)	$	792,361		100.0	%


⁽¹⁾		Includes $144.0 million outstanding on the Unsecured Credit Facility due 2009 which may be extended one additional year at the Company’s option.

Note 4. Other Assets

Other assets consist primarily of receivables, straight-line rent receivables, and intangible assets. Items included in other assets on the Company’s Condensed Consolidated Balance Sheets are detailed in the table below.


	March 31,		December 31,
(In thousands)	2008		2007

Straight-line rent receivables	$	23,158	$	23,222
Investments in unconsolidated LLCs		17,669		18,356
Accounts receivable, net		9,001		15,417
Prepaid assets		12,172		12,868
Notes receivable, net		590		624
Above-market intangible assets, net		6,634		6,660
Deferred financing costs, net		3,705		4,067
Goodwill		3,487		3,487
Acquired patient accounts receivable, net		1,865		1,912
Customer relationship intangible assets, net		1,302		1,311
Other		2,713		2,120

	$	82,296	$	90,044

Unconsolidated Limited Liability Companies

At March 31, 2008, the Company had investments in three joint venture LLCs that had investments in healthcare-related real estate properties. The Company invested in these LLCs during 2005 and 2006 and accounts for two of the investments under the equity method and one of the investments under the cost method. The Company’s net investments in the three LLCs are included in other assets on the Company’s Condensed Consolidated Balance Sheet, and the related income or loss is included in other operating income on the Company’s Condensed Consolidated Income Statement. The Company recognized income of approximately $269,000 and $258,000, respectively, for the three months ended March 31, 2008 and 2007 related to the LLC accounted for under the cost method. The Company’s income (loss) recognized and distributions received for each period related to its LLCs accounted for under the equity method are shown in the table below. The equity in losses recognized during the first quarter of 2008 by the Company includes $0.3 million relating to a depreciation adjustment recorded by the joint venture for the prior year.


	Three Months Ended March 31,
(Dollars in thousands)	2008			2007

Net LLC investments, beginning of period	$	18,356		$	20,079
Equity in losses recognized during the period		(264	)		(97	)
Distributions received during the period		(423	)		(262	)

Net LLC investments, end of period	$	17,669		$	19,720

Note 5. Commitments and Contingencies

Construction in Progress

As of March 31, 2008, the Company had nine medical office/outpatient buildings under development with estimated completion dates ranging from the third quarter of 2008 through the fourth quarter of 2010. The Company also had land held for development at March 31, 2008 of approximately $16.4 million on which the Company expects to develop and own medical office buildings and outpatient healthcare facilities. The table below details the Company’s construction in progress and land held for development as of March 31, 2008. The information included in the table below represents management’s estimates and expectations at March 31, 2008 which is subject to change. The Company’s disclosures regarding certain projections or estimates of completion dates and leasing may not reflect actual results.


	Estimated
	Completion		Property							Estimated		Estimated
	Date —		Type			Approximate		Investment		Remaining		Total
State	Core and Shell		(1)	Properties		Square Feet		To Date		Fundings		Investment

(Dollars in thousands)

Under construction:
Colorado		3Q 2008	MOB		2		169,000	$	15,597	$	11,803	$	27,400
Arizona		4Q 2008	MOB		2		188,000		13,297		17,703		31,000
Illinois		3Q 2009	MOB		1		100,000		6,540		19,860		26,400
Texas		3Q 2009	MOB		1		135,000		6,595		26,405		33,000
Texas		4Q 2009	MOB		1		120,000		6,347		22,253		28,600
Hawaii		1Q 2010	MOB		1		133,000		13,229		72,771		86,000
Texas		4Q 2010	MOB		1		90,000		8,730		17,570		26,300

Land held for development:
Texas									7,963
Illinois									8,413

					9		935,000	$	86,711	$	188,365	$	258,700


(1)		MOB-Medical office building

Other Construction

The Company also had various remaining first-generation tenant improvements budgeted as of March 31, 2008 totaling approximately $15.5 million related to properties that were developed by the Company, as well as a tenant improvement obligation totaling approximately $0.8 million related to a project developed by a joint venture in which the Company holds a 75% non-controlling equity interest.

Legal Proceedings

On October 9, 2003, HR Acquisition I Corporation (f/k/a Capstone Capital Corporation, “Capstone”), a wholly owned affiliate of the Company, was served with the Third Amended Verified Complaint in a shareholder derivative suit which was originally filed on August 28, 2002 in the Jefferson County, Alabama Circuit Court by a shareholder of HealthSouth Corporation. The suit alleges that certain officers and directors of HealthSouth, who were also officers and directors of Capstone, sold real estate properties from HealthSouth to Capstone and then leased the properties back to HealthSouth at artificially high values, in violation of their fiduciary obligations to HealthSouth. The Company acquired Capstone in a merger transaction in October 1998. None of the Capstone officers and directors remained in their positions following the Company’s acquisition of Capstone. The complaint seeks unspecified compensatory and punitive damages. Following the settlement of a number of claims unrelated to the claims against Capstone, the court lifted a lengthy stay on discovery in April 2007, and discovery is now proceeding. The Company will defend itself vigorously and believes that the claims brought by the plaintiff are not meritorious.

additional receivables due from Twin City for incurred but unreimbursed expenses related to the suit. The Company will continue to bill amounts to Twin City for its expenses incurred in defense of the underlying HealthSouth shareholder derivative litigation. The Company is recording these amounts as an offset to property operating expense on the Company’s Condensed Consolidated Statements of Income. The Company does not believe an appellate reversal of the partial summary judgment ruling is probable. However, if the ruling were to be reversed, the Company would be required to repay all monies received from Twin City.

In May 2006, Methodist Health System Foundation, Inc. (the “Foundation”) filed suit against a wholly owned affiliate of the Company in the Civil District Court for Orleans Parish, Louisiana. The Foundation is the sponsor under financial support agreements which support two of the Company’s medical office buildings adjoining the Methodist Hospital in east New Orleans. The Foundation received substantial cash proceeds from the sale of the Pendleton Memorial Methodist Hospital to an affiliate of Universal Health Services, Inc. in 2003. The Foundation’s assets and income are not primarily dependent upon the operations of Methodist Hospital, which has remained closed since Hurricane Katrina struck in August 2005. The Foundation’s suit alleges that Hurricane Katrina and its aftermath should relieve the Foundation of its obligations under the financial support agreements. The agreements do not contain any express provision allowing for termination upon a casualty event but do allow for a reduction in the Foundation’s obligation for any insurance proceeds received by the Company for business interruption related to a casualty event. As such, the Company has continued to record revenue under its financial support agreements with the Foundation with approximately $0.5 million recognized as revenue in 2008. The Company’s receivable from the Foundation totaled approximately $2.0 million as of March 31, 2008. The Company also had property and casualty receivables recorded, totaling approximately $1.3 million, due from the Company’s property insurance carrier to partially reimburse the Company for costs incurred related to rebuilding and reopening its medical office buildings which were damaged from Hurricane Katrina. During the first quarter of 2008, the Company received from its insurance carrier proceeds totaling approximately $3.8 million, of which approximately $2.5 million was applied to its business interruption claim, offsetting a portion of the Company’s receivable from the Foundation, and $1.3 million applied to its property casualty claim, offsetting the Company’s property casualty receivables. If the Foundation is relieved of its obligations to pay the remaining outstanding amounts to the Company, the Company’s cash flows and results of operations could be negatively impacted. The Company believes the Foundation’s claims are not meritorious and will vigorously defend the enforceability of the financial support agreements.

The Company is not aware of any other pending or threatened litigation that, if resolved against the Company, would have a material adverse effect on the Company’s financial condition or results of operations.

Note 6. Stockholders’ Equity

Earnings per share

The table below sets forth the computation of basic and diluted earnings per share as required by SFAS No. 128, “Earnings Per Share” for the three months ended March 31, 2008 and 2007.


	Three Months Ended
	March 31,
(Dollars in thousands, except per share data)	2008			2007


Weighted Average Shares
Weighted Average Shares Outstanding		50,732,112			47,822,755
Unvested Restricted Stock Shares		(1,319,054	)		(1,275,603	)

Weighted Average Shares — Basic		49,413,058			46,547,152

Weighted Average Shares — Basic		49,413,058			46,547,152
Dilutive effect of Restricted Stock Shares		939,270			994,487
Dilutive effect of Employee Stock Purchase Plan		54,791			57,097

Weighted Average Shares — Diluted		50,407,119			47,598,736

Net Income
Income from Continuing Operations	$	5,653		$	2,734
Discontinued Operations		1,146			33,610

Net Income	$	6,799		$	36,344


Basic Earnings per Common Share
Income from Continuing Operations per common share	$	0.11		$	0.06
Discontinued Operations per common share		0.03			0.72

Net Income per common share	$	0.14		$	0.78


Diluted Earnings per Common Share
Income from Continuing Operations per common share	$	0.11		$	0.06
Discontinued Operations per common share		0.02			0.70

Net Income per common share	$	0.13		$	0.76

Common Stock Dividends

On January 29, 2008, the Company declared its quarterly Common Stock dividend in the amount of $0.385 per share payable to shareholders of record on February 15, 2008. This dividend was paid on March 3, 2008.

Equity Offering

On September 28, 2007, the Company sold 2,760,000 shares of common stock, par value $0.01 per share, at $24.85 per share to an investment bank. The transaction generated approximately $68.4 million in net proceeds to the Company. The proceeds were used to fund acquisitions under contract and construction underway of medical office and outpatient facilities and for other general purposes; and were used to temporarily repay a portion of amounts outstanding under the Company’s Unsecured Credit Facility due 2009.

Authorization to Repurchase Common Stock

In July 2006, the Company’s Board of Directors authorized the repurchase of up to 3,000,000 shares of the Company’s common stock. The Company may elect, from time to time, to repurchase shares either when market conditions are appropriate or as a means to reinvest excess cash flows from investing activities. Such purchases, if any, may be made either in the open market or through privately negotiated transactions. As of March 31, 2008, the Company had not repurchased any shares under this authorization.

Incentive Plans

As of March 31, 2008, the Company had issued and outstanding various employee and non-employee stock-based awards. These awards included restricted stock issued to employees pursuant to the Company’s employee stock incentive plans, restricted stock issued to its Board of Directors under its non-employee director incentive plan, and options issued to employees pursuant to its employee stock purchase plan.

A summary of the activity under the incentive plans for the three months ended March 31, 2008 and 2007 is included in the table below. During the first quarter of 2008, the Company recorded amortization expense relating to its deferred compensation arrangements with its executive officers and directors of which approximately $0.2 million related to the prior year.


	Three Months Ended
	March 31,
	2008			2007


Nonvested shares, beginning of period		1,289,646			1,261,613
Granted		49,704			20,374
Vested		(33,388	)		(26,360	)
Forfeited		(3,280	)		(2,251	)

Nonvested shares, end of period		1,302,682			1,253,376

Under the Company’s employee stock purchase plan, in January of each year each eligible employee is able to purchase up to $25,000 of Common Stock at the lesser of 85% of the market price on the date of grant or 85% of the market price on the date of exercise of such option. The number of shares subject to each year’s option becomes fixed on the date of grant. Options granted under the employee stock purchase plan expire if not exercised 27 months after each such option’s date of grant. In accordance with SFAS No. 123(R), the Company recorded approximately $216,000 to general and administrative expenses during the first quarter of 2008 relating to the annual grant of options to its employees under the employee stock purchase plan.

A summary of the activity under the employee stock purchase plan for the three months ended March 31, 2008 and 2007 is included in the table below.


	Three Months Ended
	March 31,
	2008			2007


Outstanding, beginning of period		179,603			171,481
Granted		194,832			128,928
Exercised		(2,104	)		(4,320	)
Forfeited		(11,767	)		(20,214	)
Expired		—			—

Outstanding and exercisable, end of period		360,564			275,875

Note 7. Defined Benefit Pension Plans

The Company has pension plans under which the Company’s Board of Directors and certain designated employees may receive certain retirement benefits upon retirement and the completion of five years of service with the Company. The plans are unfunded, and benefits will be paid from earnings of the Company. Net periodic benefit cost recorded related to the Company’s pension plans for the three months ended March 31, 2008 and 2007 is detailed in the table below.


	Three Months Ended
	March 31,
(In thousands)	2008		2007

Service costs	$	318	$	263
Interest costs		304		208
Amortization of net gain/loss		222		67

		844		538
Net loss recognized in other comprehensive loss		—		(120	)

Total recognized in net periodic benefit cost and other comprehensive loss	$	844	$	418

Note 8. Other Operating Income

Other operating income on the Company’s Condensed Consolidated Statements of Income generally includes shortfall income recognized under its property operating agreements, interest income on notes receivable, and other items as detailed in the table below.


	Three Months Ended
	March 31,
(In thousands)	2008		2007

Property lease guaranty revenue	$	3,308	$	3,674
Interest income		72		159
Management fee income		45		68
Replacement rent		616		619
Income from unconsolidated joint ventures		5		161
Other		191		316

	$	4,237	$	4,997

Note 9. Retirement and Termination Benefits in 2007

During the first quarter of 2007, the Company recorded a $1.5 million charge, included in general and administrative expenses on the Company’s Condensed Consolidated Income Statement, and established a severance and payroll tax liability relating to the retirement of the Company’s Chief Operating Officer and elimination of five other officer and employee positions in the Company’s corporate and regional offices. This charge is discussed in more detail in the Company’s Annual Report on Form 10-K for the year ended December 31, 2007.

Note 10. Taxable Income

Taxable Income

The Company has elected to be taxed as a REIT, as defined under the Internal Revenue Code of 1986, as amended. To qualify as a REIT, the Company must meet a number of organizational and operational requirements, including a requirement that it currently distribute at least 90% of its taxable income to its stockholders.

As a REIT, the Company generally will not be subject to federal income tax on taxable income it distributes currently to its stockholders. Accordingly, no provision for federal income taxes has been made in the accompanying Condensed Consolidated Financial Statements. If the Company fails to qualify as a REIT for any taxable year, then it will be subject to federal income taxes at regular corporate rates, including any applicable alternative minimum tax, and may not be able to qualify as a REIT for four subsequent taxable years. Even if the Company qualifies as a REIT, it may be subject to certain state and local taxes on its income and property and to federal income and excise tax on its undistributed taxable income.

Earnings and profits, the current and accumulated amounts of which determine the taxability of distributions to stockholders, vary from net income because of different depreciation recovery periods and methods, and other items.

The following table reconciles the Company’s consolidated net income to taxable income for the three months ended March 31, 2008 and 2007:


	Three Months Ended
	March 31,
(In thousands)	2008			2007

Net income	$	6,799		$	36,344
Items to Reconcile Net Income to Taxable Income:
Depreciation and amortization		2,878			4,064
Gain or loss on disposition of depreciable assets		(3,708	)		11,677
Straight-line rent		107			749
VIE consolidation		0			206
Receivable allowances		355			4,142
Stock-based compensation		1,602			1,892
Other		(443	)		(334	)


Taxable income⁽¹⁾	$	7,590		$	58,740


Dividends paid	$	19,533		$	31,563


⁽¹⁾		Before REIT dividend paid deduction.

State Income Taxes

State income tax expense and state income tax payments for the three months ended March 31, 2008 and 2007 are detailed in the table below.


	Three Months Ended
	March 31,
(In thousands)	2008		2007

State income tax expense:
Texas gross margins tax	$	98	$	98
Other		34		20

Total state income tax expense	$	132	$	118


State income tax payments, net of refunds	$	0	$	16

Note 11. Subsequent Events

Common Stock Dividend

On April 29, 2008, the Company’s Board of Directors declared a quarterly common stock cash dividend in the amount of $0.385 per share payable on June 3, 2008 to shareholders of record on May 15, 2008.

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.

Disclosure Regarding Forward-Looking Statements

This report and other material Healthcare Realty Trust Incorporated (the “Company”) has filed or may file with the Securities and Exchange Commission, as well as information included in oral statements or other written statements made, or to be made, by senior 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,” “intend,” “plan,” “estimate,” “project,” “continue,” “could,” “should” and other comparable terms. These forward-looking statements are based on the current plans and expectations of management and are subject to a number of risks and uncertainties, including the risk, as described in the Company’s Annual Report on Form 10-K, and in this report that could significantly affect the Company’s current plans and expectations and future financial condition and results.

The Company undertakes no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Shareholders 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 Securities and Exchange Commission, including its Annual Report on Form 10-K for the year ended December 31, 2007 and in Item 1A of Part II of this quarterly report on Form 10-Q.

Business Overview

The Company operates under the Internal Revenue Code of 1986, as amended, as an indefinite life real estate investment trust (“REIT”). The Company, a self-managed and self-administered REIT, integrates owning, managing and developing income-producing real estate properties and mortgages associated primarily with the delivery of outpatient healthcare services throughout the United States. Management believes that by providing a complete spectrum of real estate services, the Company can differentiate its competitive market position, expand its asset base and increase revenues over time.

Substantially all of the Company’s revenues are derived from rentals on its healthcare real estate properties. The Company typically incurs operating and administrative expenses, including compensation, office rental and other related occupancy costs, as well as various expenses incurred in connection with managing its existing portfolio, developing properties and acquiring additional properties. The Company also incurs interest expense on its various debt instruments and depreciation and amortization expense on its real estate portfolio.

Executive Overview

The Company continues to pursue opportunities to develop outpatient medical facilities. As of March 31, 2008, the Company had nine development projects underway with budgets totaling approximately $258.7 million. The Company expects completion of four of the nine projects with budgets totaling approximately $58.4 million during 2008 and expects the remaining five projects with budgets totaling approximately $200.3 million to be completed during 2009 and 2010. Beyond the projects currently under construction, the Company is working on several other projects. If the Company continues to pursue these other projects, it could have total project budgets of approximately $214.0 million and, based on management’s current estimates of when construction might start, could have completion dates in 2010 and 2011.

While the Company actively pursues existing property investments, management continues to see high valuations on properties in the medical office sector.

The Company’s real estate portfolio, diversified by facility type, geography, tenant and payor mix, helps mitigate its exposure to fluctuating economic conditions, tenant and sponsor credit risks, and changes in clinical practice patterns. As discussed in “Liquidity and Capital Resources - - Liquidity” below, management believes it is well-positioned from a capital structure and liquidity viewpoint to fund its investment activity. At March 31, 2008, the Company’s leverage ratio was approximately 44.7% (calculated in accordance with the credit facility, as amended in April 2008) and 80% of its existing debt portfolio had maturity dates after 2010. On April 17, 2008, the Company entered into an amendment to its credit facility which modified certain financial covenants and had the effect of providing the Company full borrowing capacity under its credit facility. As such, the Company had remaining borrowing capacity under its unsecured credit facility of $250.0 million at April 30, 2008.

Trends and Matters Impacting Operating Results

Management monitors factors and trends important to the Company and the REIT industry in order to gauge the potential impact on the operations of the Company. Discussed below and in the Company’s Annual Report on Form 10-K for the year ended December 31, 2007 are some of the factors and trends that management believes may impact future operations of the Company.

Development Activity

The Company continues to focus on developing medical office and outpatient facilities. The development investments that the Company pursues are either relationship-based, with a particular operator or hospital system, or they are market-driven, where the underlying fundamentals in a particular market make the development of medical office and outpatient facilities, without an existing healthcare system relationship, compelling. The Company’s market-driven development opportunities are generally on sites that are most often near acute-care hospitals and in markets with strong population growth and are advantageous because of fewer use and leasing restrictions, shorter development timelines, and the prospect for higher investment returns. The Company’s ability to complete, lease-up and operate these facilities in a given period of time will impact the Company’s results of operations and cash flows. More favorable completion dates, lease-up periods and rental rates will result in improved results of operations and cash flows, while lagging completion dates, lease-up periods and rental rates will likely result in less favorable results of operations and cash flows. The Company’s disclosures regarding certain projections or estimates of completion dates and leasing may not reflect actual results. See Note 5 to the Condensed Consolidated Financial Statements for more information on the Company’s development activities.

Purchase Option Provisions

Certain of the Company’s leases include purchase option provisions. These provisions vary from lease to lease but generally allow the lessee to purchase the property covered by the lease from the Company at the greater of fair market value or an amount equal to the Company’s gross investment. See “Liquidity and Capital Resources — Purchase Options” below and Note 2 to the Condensed Consolidated Financial Statements for more information on these purchase option provisions.

Expiring Leases and Financial Support Agreements

Master leases on four of the Company’s properties and financial support arrangements related to four of the Company’s properties will expire in 2008. If the Company is unable to negotiate renewals of these agreements at favorable rates or the underlying tenant rents do not support the current rental rates or returns, then the Company’s results of operations and cash flows could be negatively impacted.

In the multi-tenanted properties, leases are generally short-term in nature, resulting in a consistent and constant level of lease expirations each year. In 2008, over 400 leases in these properties will expire, but the Company anticipates that it will be able to renew the majority of these leases at favorable rates.

Funds from Operations

Funds from Operations (“FFO”) and FFO per share are operating performance measures adopted by the National Association of Real Estate Investment Trusts, Inc. (“NAREIT”). NAREIT defines FFO as the most commonly accepted and reported measure of a REIT’s operating performance equal to “net income (computed in accordance with generally accepted accounting principles), excluding gains (or losses) from sales of property, plus depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures.” Impairment charges may not be added back to net income in calculating FFO, which has the effect of decreasing FFO in the period recorded. In the first quarter of 2007, based on management’s decision to sell certain properties, the Company recorded impairment charges totaling $2.8 million, which reduced FFO per diluted share by approximately $0.06 for the three months ended March 31, 2007. Also, FFO for the first quarter of 2008 was impacted by the disposition of the senior living assets during 2007, because of the elimination of the operations of the divested assets. FFO and FFO per share generated by the senior living assets disposed of during 2007 totaled approximately $7.3 million, or $0.15 per diluted share, for the first quarter of 2007.

Management believes FFO and FFO per share to be supplemental measures of a REIT’s performance because they 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. Management uses FFO and FFO per share to compare and evaluate its own operating results from period to period, and to monitor the operating results of the Company’s peers in the REIT industry. The Company reports FFO and FFO per share 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 and because FFO per share is consistently reported, discussed, and compared by research analysts in their notes and publications about REITs. For these reasons, management has deemed it appropriate to disclose and discuss FFO and FFO per share.

However, FFO does not represent cash generated from operating activities determined in accordance with accounting principles generally accepted in the United States of America and is not necessarily indicative of cash available to fund cash needs. FFO should not be considered as an 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. The table below reconciles FFO to net income for the three months ended March 31, 2008 and 2007.


	Three Months Ended
	March 31,
(Dollars in thousands, except per share data)	2008			2007

Net income	$	6,799		$	36,344
Gain on sales of real estate properties		(637	)		(30,389	)
Real estate depreciation and amortization		13,273			14,371

Total adjustments		12,636			(16,018	)


Funds from Operations — Basic and Diluted	$	19,435		$	20,326


Funds from Operations per Common Share — Basic	$	0.39		$	0.44

Funds from Operations per Common Share — Diluted	$	0.39		$	0.43


Weighted Average Common Shares Outstanding — Basic		49,413,058			46,547,152

Weighted Average Common Shares Outstanding — Diluted		50,407,119			47,598,736

Results of Operations

First Quarter 2008 Compared to First Quarter 2007

Net income for the quarter ended March 31, 2008 totaled $6.8 million, or $0.14 per basic common share ($0.13 per diluted common share) compared with net income of $36.3 million, or $0.78 per basic common share ($0.76 per diluted common share) for the same period in 2007. Total revenues from continuing operations totaled $55.0 million for the three months ended March 31, 2008 compared to $52.6 million for the same period in 2007. Income from continuing operations for the quarter ended March 31, 2008 totaled $5.7 million, or $0.11 per basic and diluted common share, compared to $2.7 million, or $0.06 per basic and diluted share, for the same period in 2007.

The results of operations for the first quarter of 2008 compared to the results of operations for the first quarter of 2007 are impacted by several items. During 2007, the Company disposed of its senior living assets. The results of operations of the assets disposed of are included in discontinued operations on the Condensed Consolidated Income Statement for the three months ended March 31, 2007, including a net gain related to the disposition totaling approximately $30.4 million, or $0.65 per basic common share ($0.64 per diluted common share). Also, during the first quarter of 2007, the Company recorded a $1.5 million charge, or $0.03 per basic and diluted common share, related to the retirement and termination of several employees and a $2.8 million impairment charge, or $0.06 per basic and diluted share, related to four properties classified as held for sale. As a result of these and other items, the period-over-period comparisons of net income, net income per share, FFO, and FFO per share are impacted.


	Three Months Ended
	March 31,						Change
(Dollars in thousands)	2008			2007			$			%

REVENUES
Master lease rent	$	16,268		$	15,691		$	577			3.7	%
Property operating		34,039			31,540			2,499			7.9	%
Straight-line rent		(64	)		61			(125	)		-204.9	%
Mortgage interest		525			352			173			49.1	%
Other operating		4,237			4,997			(760	)		-15.2	%

		55,005			52,641			2,364			4.5	%

EXPENSES
General and administrative		6,045			6,175			(130	)		-2.1	%
Property operating		19,028			17,985			1,043			5.8	%
Bad debts, net of recoveries		218			5			213			4,260.0	%
Interest		11,286			13,514			(2,228	)		-16.5	%
Depreciation		12,181			10,813			1,368			12.7	%
Amortization		594			1,415			(821	)		-58.0	%

		49,352			49,907			(555	)		-1.1	%


INCOME FROM CONTINUING OPERATIONS		5,653			2,734			2,919			106.8	%

DISCONTINUED OPERATIONS
Income from discontinued operations		538			6,013			(5,475	)		-91.1	%
Impairments		(29	)		(2,792	)		2,763			-99.0	%
Gain on sales of real estate properties		637			30,389			(29,752	)		-97.9	%

INCOME FROM DISCONTINUED OPERATIONS		1,146			33,610			(32,464	)		-96.6	%


NET INCOME	$	6,799		$	36,344		$	(29,545	)		-81.3	%

Total revenues from continuing operations for the quarter ended March 31, 2008 increased $2.4 million, or 4.5%, compared to the same period in 2007, mainly for the reasons discussed below:

	•		Master lease income increased $0.6 million, or 3.7%, due mainly to a lease termination fee totaling $0.7 million received by the Company from one tenant.

	•		Property operating income increased $2.5 million, or 7.9%, due mainly to additional revenues totaling approximately $0.7 million from the commencement of operations of two medical office buildings previously under construction, additional revenues of approximately $0.5 million resulting from the acquisition of a medical office building in the third quarter of 2007, with the remaining $1.3 million generally related to additional revenues from new tenant lease agreements and stated annual rental increases.

	•		Other operating income decreased $0.8 million, or 15.2%, due mainly to the expiration of a property operating agreement during 2007, resulting in a decrease in lease guaranty revenue of approximately $0.3 million, proceeds received in the first quarter of 2007 from a settlement with an operator of approximately $0.1 million, and a decrease in net operating income of approximately $0.3 million relating to one of its joint venture investments due to a prior year depreciation adjustment recorded by the joint venture.

Total expenses for the quarter ended March 31, 2008 compared to the quarter ended March 31, 2007 decreased $0.6 million, or 1.1%, mainly for the reasons discussed below:

	•		General and administrative expenses decreased $0.1 million, or 2.1%. In the first quarter of 2007, the Company recorded a $1.5 million charge relating to the retirement of one officer and the termination of several other employees which was offset partially by costs incurred during the first quarter of 2008 relating to the Company’s development efforts of approximately $0.3 million, additional amortization expense relating to its deferred compensation arrangements with its executive officers and directors totaling approximately $0.4 million, of which approximately $0.2 million related to the prior year, other compensation related costs totaling approximately $0.4 million, and costs incurred relating to the Company’s annual filings totaling approximately $0.2 million.

	•		Property operating expense increased $1.0 million, or 5.8%, as compared to the same period in 2007 mainly due to additional expenses of approximately $0.5 million recognized from the commencement of operations of two medical office buildings previously under construction and approximately $0.3 million in additional expenses recognized related to the acquisition of a medical office building in the third quarter of 2007. Increase in utilities and personnel expenses were also recognized during the first quarter of 2008 totaling approximately $0.6 million. These amounts were offset by the recognition of straight-line rent expense during the first quarter of 2007 for prior periods totaling approximately $0.7 million related to ground leases where the Company is the lessee.

	•		Interest expense decreased $2.2 million, or 16.5%, due mainly to a decrease of $1.2 million related mainly to a lower average interest rate on the unsecured credit facility in the first quarter of 2008 as compared to the first quarter of 2007 and an increase in capitalized interest of approximately $1.0 million related to the Company’s development activities.

	•		Depreciation expense increased $1.4 million, or 12.7%, due mainly to the acquisition of three real estate properties during 2007 and the commencement of operations of two medical office buildings that were previously under construction, as well as various building and tenant improvements.

	•		Amortization expense decreased $0.8 million, or 58.0%, mainly due to a decrease in amortization expense recognized on lease intangibles that have fully amortized.

Income from discontinued operations totaled $1.1 million and $33.6 million, respectively, for the three months ended March 31, 2008 and 2007, which includes the results of operations, gains on sale, and impairment charges related to property disposals during 2008 and 2007, as well as the results of operations related to assets classified as held for sale at March 31, 2008.

Liquidity and Capital Resources

The Company derives most of its revenues from its real estate property portfolio based on contractual arrangements with its tenants and sponsors. The Company may, from time to time, also generate funds from capital market financings, sales of real estate properties or mortgages, borrowings under its unsecured credit facility, or from other private debt or equity offerings. For the three months ended March 31, 2008, the Company generated approximately $31.8 million in cash from operations and used approximately $29.2 million in total cash from investing and financing activities, as detailed in the Company’s Condensed Consolidated Cash Flow Statement.

The Company had certain contractual obligations as of March 31, 2008 and is also required to pay dividends to its shareholders at least equal to 90% of its taxable income in order to maintain its qualification as a real estate investment trust under the Internal Revenue Code of 1986, as amended. The Company’s material contractual obligations for the remainder of 2008 through 2009 are included in the table below.


(In thousands)	2008		2009		Total

Long-term debt obligations, including interest⁽¹⁾	$	45,101	$	190,888	$	235,989
Operating lease commitments⁽²⁾		2,301		3,173		5,474
Construction in progress⁽³⁾		73,968		83,133		157,101
Tenant improvements⁽⁴⁾		16,232		—		16,232
Deferred gain⁽⁵⁾		3,995		—		3,995
Pension obligations⁽⁶⁾		—		—		—

	$	141,597	$	277,194	$	418,791


⁽¹⁾		Includes estimated cash interest due on total debt other than the unsecured credit facility. See Note 3 to the Condensed Consolidated Financial Statements.

⁽²⁾		Includes primarily two office leases and ground leases related to various properties for which the Company is currently making payments.

⁽³⁾		Includes cash flow projections of the remaining commitments on the construction of nine buildings. A portion of the remaining commitments is designated for tenant improvements that will generally be funded after the core and shell of the building is substantially completed.

⁽⁴⁾		Includes tenant improvement allowance obligations remaining on nine properties previously constructed by the Company and one property developed by a joint venture in which the Company holds a 75% non-controlling equity interest. For purposes of this table, the Company has assumed that these obligations will be funded in 2008.

⁽⁵⁾		As part of the sale of the senior living portfolio, the Company recorded a $5.7 million deferred gain related to one tenant under a lease assigned to one buyer. The Company may be required to pay a portion or all of the $5.7 million deferred gain to the buyer, but the actual amounts the Company will pay will be based upon the tenant’s performance under its lease through July 31, 2011. As of March 31, 2008, the Company had paid $1.7 million to the buyer which reduced the Company’s deferred gain. The payment or timing of future payments, if any, is unknown. As such, for purposes of this table, the Company has included the entire deferred gain in the 2008 column.

⁽⁶⁾		At March 31, 2008, three employees and five non-employee directors were eligible to retire under the Executive Retirement Plan and the Retirement Plan for Outside Directors. If these individuals retired at normal retirement age and received full retirement benefits based upon the terms of each applicable plan, the future benefits to be paid are estimated to be approximately $34.5 million, of which approximately $84,000 is currently being paid annually to one employee who is retired. Because the Company does not know when these individuals will retire, it has not projected when these amounts would be paid in this table.

As of March 31, 2008, approximately 80% of the Company’s outstanding debt balances were due after 2010, with the majority of the debt balances that were due prior to 2010 relating to the unsecured credit facility due 2009. The Company’s stockholders’ equity at March 31, 2008 totaled approximately $620.5 million, and its leverage ratio was approximately 44.7% (calculated in accordance with the credit facility, as amended in April 2008). For the three months ended March 31, 2008, the Company’s earnings covered fixed charges at a ratio of 1.30 to 1.0. On April 17, 2008, the Company entered into an amendment to its credit facility which modified certain financial covenants and had the effect of providing the

Company full borrowing capacity under its credit facility. As such, at April 30, 2008, the Company had $150.0 million outstanding under the facility and had borrowing capacity remaining of $250.0 million.

The Company’s senior debt is rated Baa3, BBB-, and BBB by Moody’s Investors Service, Standard and Poor’s, and Fitch Ratings, respectively.

Capital Markets

The Company may from time to time raise additional capital by issuing equity and debt securities under its currently effective shelf registration statement or by private offerings. Access to capital markets impacts the Company’s ability to refinance existing indebtedness as it matures and fund future acquisitions and development through the issuance of additional securities. The Company’s ability to access capital on favorable terms is dependent on various factors, including general market conditions, interest rates, credit ratings on its securities, perception of its potential future earnings and cash distributions, and the market price of its capital stock.

Security Deposits and Letters of Credit

As of March 31, 2008, the Company had approximately $4.4 million in letters of credit, security deposits, debt service reserves or capital replacement reserves for the benefit of the Company in the event the obligated lessee or operator fails to make payments under the terms of their respective lease or mortgage. Generally, the Company may, at its discretion and upon notification to the operator or tenant, draw upon these instruments if there are any defaults under the leases or mortgage notes.

Asset Acquisitions in 2008

The Company did not complete any acquisitions during the first quarter of 2008 but continued construction on its properties under development.

Asset Dispositions in 2008

Purchase Options

purchase options contained in its leases with the Company. The Company’s aggregate investment in the buildings was approximately $23.0 million ($15.9 million, net) at March 31, 2008. The Company expects to sell these properties to the tenant in the first quarter of 2009 for approximately $21.7 million in net proceeds, including $0.8 million in lease termination fees, which will result in a gain on sale. In accordance with SFAS No. 144, the four properties remained in continuing operations as of and for the three months ended March 31, 2008, but will be reclassified to discontinued operations beginning with the second quarter of 2008 since the notices were not received by the Company until the second quarter of 2008.

During 2007, the Company received notice from a tenant of its intent to purchase two buildings from the Company pursuant to purchase options contained in each of the building leases. The Company’s aggregate investment in one of the buildings was approximately $18.5 million ($10.4 million, net) at March 31, 2008. The Company expects to sell this property to the tenant in the second quarter of 2008 for approximately $18.5 million in net proceeds, resulting in a gain on sale. As such, the assets and liabilities of the real estate property are included in assets held for sale and discontinued operations, and its results of operations are included in discontinued operations on the Company’s Consolidated Financial Statements as of March 31, 2008. The Company is in a dispute with the tenant concerning the price and enforceability of the option on the second property. The Company’s gross investment in the second building was approximately $46.8 million ($33.2 million, net), and the Company carried a mortgage note payable on the building with a principal balance of $19.9 million at March 31, 2008. The disputed range of purchase price is higher than the Company’s carrying amount of the building. The Company is uncertain as to when the second transaction might close, if at all. As a result, the second property has not been reclassified to assets held for sale and discontinued operations, and its results of operations have not been reclassified to discontinued operations on the Company’s Consolidated Financial Statements as of and for the year ended March 31, 2008.

The Company also had a gross investment of approximately $174.8 million in real estate properties at March 31, 2008 that were subject to outstanding, exercisable contractual options to purchase, with various conditions and terms, by the respective operators and lessees that have not been exercised. On a probability-weighted basis, the Company estimates that approximately $32.8 million of these options exercisable might be exercised in the future. During the remainder of 2008, additional purchase options on other buildings become exercisable on properties in which the Company had a gross investment of approximately $10.8 million at March 31, 2008. The Company anticipates, on a probability-weighted basis, that approximately $8.1 million of these additional options might also be exercised in the future. Though other properties may have purchase options exercisable in 2009 and beyond, the Company does not believe it can reasonably estimate the probability of exercise of these purchase options in the future.

Construction in Progress

As of March 31, 2008, the Company had nine medical office/outpatient buildings under development with estimated completion dates ranging from the third quarter of 2008 through the fourth quarter of 2010. The Company also had land held for development at March 31, 2008 of approximately $16.4 million on which the Company expects to develop and own medical office buildings and outpatient healthcare facilities. The table below details the Company’s construction in progress and land held for development as of March 31, 2008. The information included in the table below represents management’s estimates and expectations at March 31, 2008 which are subject to change. The Company’s disclosures regarding certain projections or estimates of completion dates and leasing may not reflect actual results.


	Estimated
	Completion		Property							Estimated		Estimated
	Date –		Type			Approximate		Investment		Remaining		Total
State	Core and Shell		(1)	Properties		Square Feet		To Date		Fundings		Investment
(Dollars in thousands)
Under construction:
Colorado		3Q 2008	MOB		2		169,000	$	15,597	$	11,803	$	27,400
Arizona		4Q 2008	MOB		2		188,000		13,297		17,703		31,000
Illinois		3Q 2009	MOB		1		100,000		6,540		19,860		26,400
Texas		3Q 2009	MOB		1		135,000		6,595		26,405		33,000
Texas		4Q 2009	MOB		1		120,000		6,347		22,253		28,600
Hawaii		1Q 2010	MOB		1		133,000		13,229		72,771		86,000
Texas		4Q 2010	MOB		1		90,000		8,730		17,570		26,300

Land held for development:
Texas									7,963
Illinois									8,413

					9		935,000	$	86,711	$	188,365	$	258,700


(1)		MOB-Medical office building

Other Construction

Dividends

During 2008, the Company’s Board of Directors has declared common stock cash dividends as shown in the table below:

Per Share

Date of

Date Paid

Dividend

Amount

Declaration

Date of Record

(* Payable)

4^th Quarter 2007

0.385

January 29, 2008

February 15, 2008

March 3, 2008

1^st Quarter 2008

0.385

April 29, 2008

May 15, 2008

* June 3, 2008

As described in the Company’s Annual Report on Form 10-K for the year ended December 31, 2007 under the heading “Risk Factors,” the ability of the Company to pay dividends is dependent upon its ability to generate funds from operations and cash flows, and to make accretive new investments.

Liquidity

Net cash provided by operating activities was $31.8 million and $28.5 million for the three months ended March 31, 2008 and 2007, respectively. The Company’s cash flows are dependent upon rental rates on leases, occupancy levels of the multi-tenanted buildings, acquisition and disposition activity during the year, and the level of operating expenses, among other factors.

The Company plans to continue to meet its liquidity needs, including funding additional investments in 2008 and 2009, paying dividends, and funding debt service, with cash flows from operations, proceeds from the Unsecured Credit Facility due 2009, proceeds of mortgage notes receivable repayments, and proceeds from sales of real estate investments or additional capital market financing. The Company believes that its 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.

The Company has not been significantly impacted by the recent turmoil in the credit markets. Though the Company does have some exposure to variable interest rates, and its stock price has been impacted by the volatility in the stock markets, the Company’s leases, which provide its main source of income and cash flow, are generally fixed in nature, have terms of approximately one to 15 years and have annual rate increases based generally on consumer price indices.

Impact of Inflation

Inflation has not significantly affected the Company’s earnings due to the moderate inflation rate in recent years and the fact that most of the Company’s leases and financial support arrangements require tenants and sponsors to pay all or some portion of the increases in operating expenses, thereby reducing the Company’s risk of the adverse effects of inflation. In addition, inflation will have the effect of increasing gross revenue the Company is to receive under the terms of certain leases and financial support arrangements. Leases and financial support arrangements vary in the remaining terms of obligations, further reducing the Company’s risk of any adverse effects of inflation. Interest payable under the Unsecured Credit Facility due 2009 is calculated at a variable rate; therefore, the amount of interest payable under the unsecured credit facility will be influenced by changes in short-term rates, which tend to be sensitive to inflation. Generally, changes in inflation and interest rates tend to move in the same direction. During periods where interest rate increases outpace inflation, the Company’s operating results should be negatively impacted. Conversely, when increases in inflation outpace increases in interest rates, the Company’s operating results should be positively impacted.

The Company has seen significant inflation in construction costs in recent years, which may negatively affect the profitability or suitability of new medical office and outpatient developments.

New Accounting Pronouncements

See Note 1 to the Condensed Consolidated Financial Statements for the impact of new accounting standards.

Off-Balance Sheet Arrangements

The Company has no off-balance sheet arrangements that are reasonably likely to have a current or future material effect on the Company’s financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.

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 and other notes receivable. Management uses regular monitoring of market conditions and analysis techniques to manage this risk. During the three months ended March 31, 2008, 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, 2007.

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.

In connection with the shareholder derivative suit discussed above, Capstone filed a claim with its directors’ and officers’ liability insurance carrier, Twin City Fire Insurance Company (“Twin City”), an affiliate of the Hartford family of insurance companies, for indemnity against legal and other expenses incurred by Capstone related to the suit and any judgment rendered. Twin City asserted that the Company’s claim was not covered under the D&O policy and refused to reimburse Capstone’s defense expenses. In September 2005, Capstone filed suit against Twin City for coverage and performance under its insurance policy. In the fourth quarter of 2007, the federal district judge in Birmingham, Alabama entered partial summary judgment on Capstone’s claim for advancement of defense costs under the policy. Capstone and Twin City have agreed to an interim plan for Twin City’s payment of defense costs, fees and expenses, subject to Twin City’s appeal of the partial summary judgment ruling. As of March 31, 2008, the Company had received $1.6 million from Twin City and had recorded approximately $0.5 million as a receivable due from Twin City for incurred but unreimbursed expenses related to the suit. The Company will continue to bill amounts to Twin City for its expenses incurred in defense of the underlying HealthSouth shareholder derivative litigation. The Company is recording these amounts as an offset to property operating expense on the Company’s Consolidated Income Statements. The Company does not believe an appellate reversal of the partial summary judgment ruling is probable. However, if the ruling were to be reversed, the Company would be required to repay all monies received from Twin City.

interruption claim, offsetting a portion of the Company’s receivable from the Foundation, and $1.3 million applied to its property casualty claim, offsetting the Company’s property casualty receivables. If the Foundation is relieved of its obligations to pay the remaining outstanding amounts to the Company, the Company’s cash flows and results of operations could be negatively impacted. The Company believes the Foundation’s claims are not meritorious and will vigorously defend the enforceability of the financial support agreements.

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, 2007, 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 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 or operating results.

Item 6. Exhibits.


Exhibit 3.1		Second Articles of Amendment and Restatement of the Company (1)

Exhibit 3.2		Amended and Restated Bylaws of the Company, as amended (2)

Exhibit 4.1		Specimen Stock Certificate (1)

Exhibit 4.2		Indenture, dated as of May 15, 2001, by the Company to HSBC Bank USA, National Association, as Trustee, (formerly First Union National Bank, as Trustee) (3)

Exhibit 4.3		First Supplemental Indenture, dated as of May 15, 2001, by the Company to HSBC Bank USA, National Association, as Trustee, (formerly First Union National Bank, as Trustee) (3)

Exhibit 4.4		Form of 8.125% Senior Note Due 2011 (3)

Exhibit 4.5		Second Supplemental Indenture, dated as of March 30, 2004, by the Company to HSBC Bank USA, National Association, as Trustee (formerly Wachovia Bank, National Association, as Trustee) (4)

Exhibit 4.6		Form of 5.125% Senior Note Due 2014 (4)

Exhibit 10.1		Credit Agreement, dated as of January 25, 2006, by and among the Company, Bank of America, N.A., as Administrative Agent, and the other lenders named herein (5)

Exhibit 10.2		Amendment No. 2, dated as of April 17, 2008, to that certain Credit Agreement, dated as of January 25, 2008, by and among the Company, Bank of America, N.A., as Administrative Agent, and the other lenders named herein (6)

Exhibit 11		Statement re: Computation of per share earnings (filed herewith in Note 6 to the Condensed Consolidated Financial Statements)


Exhibit 31.1		Certification of the Chief Executive Officer of Healthcare Realty Trust Incorporated pursuant to Rule 13a-14 of the Securities Exchange Act of 1934, as amended, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)

Exhibit 31.2		Certification of the Chief Financial Officer of Healthcare Realty Trust Incorporated pursuant to Rule 13a-14 of the Securities Exchange Act of 1934, as amended, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)

Exhibit 32		Certifications pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (furnished herewith)


(1)		Filed as an exhibit to the Company’s Registration Statement on Form S-11 (Registration No. 33-60506) previously filed pursuant to the Securities Act of 1933 and hereby incorporated by reference.

(2)		Filed as an exhibit to the Company’s Form 10-Q for the quarter ended September 30, 2007 and hereby incorporated by reference.

(3)		Filed as an exhibit to the Company’s Form 8-K filed May 17, 2001 and hereby incorporated by reference.

(4)		Filed as an exhibit to the Company’s Form 8-K filed March 29, 2004 and hereby incorporated by reference.

(5)		Filed as an exhibit to the Company’s Form 8-K filed January 26, 2006 and hereby incorporated by reference.

(6)		Filed as an exhibit to the Company’s Form 8-K filed April 21, 2008 and hereby incorporated by reference.

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/ SCOTT W. HOLMES
		Scott W. Holmes
		Executive Vice President and Chief Financial Officer

Date: May 5, 2008

Exhibit Index


Exhibit		Description
Exhibit 3.1		Second Articles of Amendment and Restatement of the Company (1)

Exhibit 3.2		Amended and Restated Bylaws of the Company, as amended (2)

Exhibit 4.1		Specimen Stock Certificate (1)

Exhibit 4.2		Indenture, dated as of May 15, 2001, by the Company to HSBC Bank USA, National Association, as Trustee, (formerly First Union National Bank, as Trustee) (3)

Exhibit 4.3		First Supplemental Indenture, dated as of May 15, 2001, by the Company to HSBC Bank USA, National Association, as Trustee, (formerly First Union National Bank, as Trustee) (3)

Exhibit 4.4		Form of 8.125% Senior Note Due 2011 (3)

Exhibit 4.5		Second Supplemental Indenture, dated as of March 30, 2004, by the Company to HSBC Bank USA, National Association, as Trustee (formerly Wachovia Bank, National Association, as Trustee) (4)

Exhibit 4.6		Form of 5.125% Senior Note Due 2014 (4)

Exhibit 10.1		Credit Agreement, dated as of January 25, 2006, by and among the Company, Bank of America, N.A., as Administrative Agent, and the other lenders named herein (5)

Exhibit 10.2		Amendment No. 2, dated as of April 17, 2008, to that certain Credit Agreement, dated as of January 25, 2008, by and among the Company, Bank of America, N.A., as Administrative Agent, and the other lenders named herein (6)

Exhibit 11		Statement re: Computation of per share earnings (filed herewith in Note 6 to the Condensed Consolidated Financial Statements)

Exhibit 31.1		Certification of the Chief Executive Officer of Healthcare Realty Trust Incorporated pursuant to Rule 13a-14 of the Securities Exchange Act of 1934, as amended, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)

Exhibit 31.2		Certification of the Chief Financial Officer of Healthcare Realty Trust Incorporated pursuant to Rule 13a-14 of the Securities Exchange Act of 1934, as amended, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)

Exhibit 32		Certifications pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (furnished herewith)


(1)		Filed as an exhibit to the Company’s Registration Statement on Form S-11 (Registration No. 33-60506) previously filed pursuant to the Securities Act of 1933 and hereby incorporated by reference.

(2)		Filed as an exhibit to the Company’s Form 10-Q for the quarter ended September 30, 2007 and hereby incorporated by reference.

(3)		Filed as an exhibit to the Company’s Form 8-K filed May 17, 2001 and hereby incorporated by reference.

(4)		Filed as an exhibit to the Company’s Form 8-K filed March 29, 2004 and hereby incorporated by reference.

(5)		Filed as an exhibit to the Company’s Form 8-K filed January 26, 2006 and hereby incorporated by reference.

(6)		Filed as an exhibit to the Company’s Form 8-K filed April 21, 2008 and hereby incorporated by reference.

Positive
Negative
Uncertain
Constraining
Legalese
Litigous
Readability	H.S. sophomore Avg

Healthcare Realty Trust 10-Q2008 Q1 Quarterly report

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