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                              May 5, 2023

       J. Christopher Douglas
       Chief Financial Officer
       Healthcare Realty Trust Incorporated
       3310 West End Avenue
       Suite 700
       Nashville, Tennessee 37203

                                                        Re: Healthcare Realty
Trust Incorporated
                                                            Form 10-K for the
fiscal year ended December 31, 2022
                                                            Response dated
April 28, 2023
                                                            File No. 001-35568

       Dear J. Christopher Douglas:

              We have reviewed your April 28, 2023 response to our comment
letter and have the
       following comments. In some of our comments, we may ask you to provide
us with information
       so we may better understand your disclosure.

              Please respond to these comments within ten business days by
providing the requested
       information or advise us as soon as possible when you will respond. If
you do not believe our
       comments apply to your facts and circumstances, please tell us why in
your response.

              After reviewing your response to these comments, we may have
additional
       comments. Unless we note otherwise, our references to prior comments are
to comments in our
       April 17, 2023 letter.

       Form 10-K for the year ended December 31, 2022

       Same Store Cash NOI, page 43

   1.                                                   We are considering your
response to comment 3. In that regard, please address the
                                                        following points:

                                                              Please provide us
an expanded explanation of why you believe it would not be
                                                            helpful to provide
investors only same store disclosure for the Company's portfolio
                                                            for the periods
prior to the merger. In your response, tell us how your retroactive
                                                            presentation of
same store disclosure, as a result of the merger, is consistent with the
                                                            objective of
providing the operating results of your stabilized properties, which
                                                            excludes properties
that are acquired or disposed of during the year-over-year
 J. Christopher Douglas
Healthcare Realty Trust Incorporated
May 5, 2023
Page 2
              comparison period.

                Please tell us how you considered the effects of the merger on
net income available to
              common shareholders and on each of the adjusting items used to
calculate cash NOI.
              Absent consideration of the effects of the merger on these line
items, please tell us
              how you determined that the pre-merger legacy HTA NOI adjustment
and the pro
              forma cash NOI measure are reliable.

                Please provide us an expanded discussion of why you believe it
is critical to investors
              to present this information, clarifying what it is you are
attempting to communicate to
              investors about your operations.

       You may contact Paul Cline at 202-551-3851 or Isaac Esquivel at
202-551-3395 if you
have any questions.



FirstName LastNameJ. Christopher Douglas                       Sincerely,
Comapany NameHealthcare Realty Trust Incorporated
                                                               Division of
Corporation Finance
May 5, 2023 Page 2                                             Office of Real
Estate & Construction
FirstName LastName