EXHIBIT 99.1 Healthcare Realty Trust Investor Slide Presentation April 2005 - -------------------------------------------------------------------------------- OVERVIEW o One of the largest REITs focused exclusively on healthcare with approximately $2.0 billion in investments and commitments. o 253 owned or financed properties diversified by client, location and facility type. o Relationships with leading publicly-traded and not-for-profit health systems. o Property management of 7.7 million square feet nationwide. - -------------------------------------------------------------------------------- OVERVIEW o Conservative investment standards based upon industry research, historical performance and prudent underwriting. o Maintenance of conservative financial policies. -- Capital structure. -- Payout ratio. -- Investment return criteria. -- Portfolio diversification. o Ranked 5th overall in financial flexibility among top 84 REITs: -- #10 Debt to Book Capitalization. -- #6 Fixed Charge Coverage. -- #17 Interest Coverage. o Low business-risk profile. o Management team with aligned ownership interest. o Significant experience in managing, leasing and construction of healthcare facilities. - -------------------------------------------------------------------------------- PORTFOLIO AND OPERATIONS CORPORATE GOVERNANCE o Corporate documents. -- Code of Business Conduct and Ethics. -- Corporate Governance Principles. -- Charter of the Corporate Governance Committee. -- Charter of the Audit Committee. -- Charter of the Compensation Committee. o Internal audit function. o Internal controls that facilitate certification requirements. - -------------------------------------------------------------------------------- PORTFOLIO AND OPERATIONS INVESTMENT BY FACILITY TYPE o Medical Office/Outpatient 67% o Skilled Nursing 10% o Assisted Living 10% o Inpatient Rehab 8% o Other Inpatient 2% o Independent Living 2% -- Information as of 12/31/04 - -------------------------------------------------------------------------------- PORTFOLIO AND OPERATIONS MEDICAL OFFICE/OUTPATIENT OCCUPANTS* (67% TOTAL INVESTMENTS) BY SQUARE FOOTAGE, AS A % OF 13.2 MILLION TOTAL SQUARE FEET o Entity Occupants of < 5.0% each 69% -- HCA 1.0% -- HLSH 0.8% -- THC 0.7% o Total Inpatient 31% * The Medical Office/Outpatient Portfolio consists of approximately 2,400 occupants with an average square footage of approximately 3,900 feet each. -- Information as of 12/31/04 - -------------------------------------------------------------------------------- PORTFOLIO AND OPERATIONS INPATIENT OCCUPANTS* (33% TOTAL INVESTMENTS) BY SQUARE FOOTAGE, AS A % OF 13.2 MILLION TOTAL SQUARE FEET o Entity Occupants of < 5.0% each 31% -- HLSH 4.9% o Total Outpatient 69% * The Inpatient Portfolio consists of approximately 18 operators with an average square footage of approximately 201,000 feet each. -- Information as of 12/31/04 - -------------------------------------------------------------------------------- HEALTHCARE ENVIRONMENT o Growing demand for healthcare services. -- 15.3% GDP, projected at 18.7% in 2014. -- Aging demographics. o Healthcare industry fundamentals remain stable. -- Positive commercial pricing. -- Moderating cost pressures. -- Higher reimbursement in 2005. o Improved operating environment for senior living facilities. o Continued emphasis on outpatient and lower-cost settings. o Capital needs heighten use of alternative sources of capital. - -------------------------------------------------------------------------------- HEALTHCARE ENVIRONMENT o Graphic Omitted: Inpatient Admissions per Thousand from 1950 to 2003 - -- Source: American Hospital Association, Hospital Statistics 2005, SMG Marketing Group 1997. o Graphic Omitted: Inpatient Days vs. Outpatient Visits from 1983 to 2003 - -- Source: American Hospital Association, Hospital Statistics 2005, SMG Marketing Group 1997. o Graphic Omitted: National Healthcare Spending - -- Source: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group, 2005. - -------------------------------------------------------------------------------- HEALTHCARE ENVIRONMENT HEALTHCARE LEGISLATION o Higher Medicare reimbursement in 2005. o Hospitals set to receive full market basket update through 2007. -- Proposed Congressional budgets for 2006 include full inflationary update for providers. -- MedPAC recommended an update minus 0.4%, in line with historical average. o SNF reimbursement rate reform expected for 2006. -- Expiration of $1.5 billion in temporary funding likely, to be partially offset by full update. o Medicaid outlook improving for most states, potential reform at federal level. o Federal deficits should not impact Medicare spending. -- No historical correlation between Medicare spending and federal deficits. -- Past Medicare cuts driven by high profit margins for providers and high cost growth. - -------------------------------------------------------------------------------- HEALTHCARE ENVIRONMENT o Graphic Omitted: % Change in Medicare YTY vs. $ Total Federal Surplus/(Deficit) - -- Source: Congressional Budget Office, Centers for Medicare and Medicaid Services and Bank of America Securities LLC, Gary Taylor "Hospital Industry," February 14, 2003. - -------------------------------------------------------------------------------- HEALTHCARE ENVIRONMENT o Graphic Omitted: Medicare % of GDP vs. Total Federal Surplus/(Deficit) % of GDP - -- Source: Congressional Budget Office, Centers for Medicare and Medicaid Services and Bank of America Securities LLC, Gary Taylor "Hospital Industry," February 14, 2003. - -------------------------------------------------------------------------------- STRATEGY INVESTMENT CRITERIA o Conservative growth profile. o Long-term client relationship with aligned interests paramount. o Properties integral to long-term growth strategy of hospital. o Health system strength, history, market position and strategy. o Maintain portfolio diversity (type of property, tenant, geographic). o Location, construction quality, condition and design. o HR's Internal Rate of Return exceeds its Weighted Average Cost of Capital. - -------------------------------------------------------------------------------- STRATEGY GROWTH PLANS o Selective acquisitions to build core relationships. o Build-to-suit development pipeline. o Emphasize existing portfolio performance. o Property management and services opportunities. o Cross-selling of services. - -------------------------------------------------------------------------------- STRATEGY DIVIDENDS PER SHARE* 4Q97 $0.510 1Q98 $0.515 2Q98 $0.520 3Q98 $0.525 4Q98 $0.530 1Q99 $0.535 2Q99 $0.540 3Q99 $0.545 4Q99 $0.550 1Q00 $0.555 2Q00 $0.560 3Q00 $0.565 4Q00 $0.570 1Q01 $0.575 2Q01 $0.580 3Q01 $0.585 4Q01 $0.590 1Q02 $0.595 2Q02 $0.600 3Q02 $0.605 4Q02 $0.610 1Q03 $0.615 2Q03 $0.620 3Q03 $0.625 4Q03 $0.630 1Q04 $0.635 2Q04 $0.640 3Q04 $0.645 4Q04 $0.650 *Note: HR has increased its dividend by half a cent every quarter since its inception in 1993. - -------------------------------------------------------------------------------- STRATEGY FINANCIAL OBJECTIVES o Debt-to-book capital leverage. -- 41.9% as of 12/31/04. -- 35-45% target. o IRR > WACC -- Terminal value = initial investment. -- Dividend discount model. o Financial flexibility. -- Substantial use of equity. -- Utilize targeted debt-to-book ratio. -- Minimal use of secured debt. o Target dividend payout ratio 85%-95%. o Improve investment-grade debt ratings. - -------------------------------------------------------------------------------- FINANCIAL POSITION DEBT MATURITIES 2005 $ 26.8 million 2006 $ 44.3 million 2007 $ 6.3 million 2008 $ 6.8 million 2009 $ 7.3 million 2010 & After $ 627.7 million - ------------------------------------------ Total $ 719.3 million -- Information as of 12/31/04 - -------------------------------------------------------------------------------- FINANCIAL POSITION PEER COMPARISON -- KEY INDICATORS HR (1) HCP HCN NHP - ------------------------------------------------------------------------------------------ Total Debt / Recurring EBITDA (x) 4.43 4.40 5.15 4.82 Recurring EBITDA / Fixed Charges (x) 3.56 3.07 2.69 2.58 Secured Debt % Gross Assets 2.5% 3.8% 5.8% 9.3% Total Debt + Pref. Equity % Gross Assets 35.1% 48.7% 53.1% 52.1% - ------------------------------------------------------------------------------------------ Information as of 12/31/04 (1) Calculations are based on preliminary numbers and are subject to completion of restated financial statements for the period indicated. Source: Company Reports. - -------------------------------------------------------------------------------- FINANCIAL POSITION PEER COMPARISON -- LEVERAGE STRESS TEST (RANKED OUT OF 84 REITS) HR HCP HCN NHP - -------------------------------------------------------------------------------------- Total Debt / Total Assets < 60% 10th 15th 25th 20th Total Secured Debt / Total Assets < 40% 6th 13th 14th 17th EBITDA / Interest Expense > 1.5x 15th 12th 33rd 34th - --------------------------------------------------------------------------------------- Information as of 9/30/04 Source: Credit Suisse First Boston, "REITs: 2005 Outlook and Recommendations," January 27, 2005. - -------------------------------------------------------------------------------- FINANCIAL POSITION PEER COMPARISON -- OTHER KEY MEASURES HR (1) HCP HCN NHP - ------------------------------------------------------------------------------------ Leverage: Debt / Book Capitalization 41.9% 49.4% 47.0% 50.8% Debt / Undepreciated Assets 35.1% 40.9% 42.8% 41.9% Secured Debt / Total Debt 7.1% 9.4% 13.5% 22.2% FFO / Debt + Preferred 16.4% 12.5% 10.0% 10.3% - ------------------------------------------------------------------------------------ Coverage: EBITDA / Interest Coverage (x) 3.7 3.8 3.2 3.1 Fixed Charge Coverage (x) 3.6 3.0 2.7 2.6 - ------------------------------------------------------------------------------------ Portfolio Concentration: Assisted Living 10% 27% 53% 63% Skilled Nursing 10% 20% 41% 33% Mortgages 2% 4% 9% 4% - ------------------------------------------------------------------------------------ Information as of 12/31/04 (1) Calculations are based on preliminary numbers and are subject to completion of restated financial statements for the period indicated. Source: Company Reports. - -------------------------------------------------------------------------------- SUMMARY CREDIT STRENGTHS o Conservative financial and investment policies. o Strongly positioned in the most stable healthcare sectors. o Geographically diverse portfolio with assets located in 31 states. o Predictable cash flow from lessees. o Minimal secured debt. o Low business-risk profile. o Sector leader in key financial indicators. - -------------------------------------------------------------------------------- HEALTHCARE REALTY TRUST HEALTHCARE'S REAL ESTATE COMPANY The matters discussed within may contain forward-looking statements that involve risks and uncertainties. These forward-looking statements are subject to completion of the restatement of prior period financial statements and selected financial data, the finalization of management's assessment of the effectiveness of the Company's internal controls over financial reporting as required by Section 404 of the Sarbanes-Oxley Act, the development of transactions that may materially differ from the projections and may be affected by other risks and uncertainties discussed in a 10-K filed with the SEC by Healthcare Realty Trust for the year ended December 31, 2003. Forward-looking statements represent the Company's judgment as of the date of this presentation and the Company's actual results could differ materially from such forward-looking statements. The Company disclaims any obligation to update forward-looking material.