Healthcare Realty Trust
HR
#2529
Rank
$7.14 B
Marketcap
$20.36
Share price
-0.05%
Change (1 day)
41.98%
Change (1 year)

Healthcare Realty Trust - 10-Q quarterly report FY


Text size:
000136060412/312026Q1FALSEhttp://fasb.org/us-gaap/2025#ServiceMemberhttp://fasb.org/us-gaap/2025#ServiceMemberP3Yxbrli:sharesiso4217:USDiso4217:USDxbrli:shareshr:propertyxbrli:purehr:stateutr:sqfthr:variable_interest_entityhr:note_receivablehr:joint_venturehr:segmenthr:financing_receivablehr:leasehr:derivative00013606042026-01-012026-03-3100013606042026-04-2700013606042026-03-3100013606042025-12-3100013606042025-01-012025-03-310001360604us-gaap:InterestRateSwapMember2026-01-012026-03-310001360604us-gaap:InterestRateSwapMember2025-01-012025-03-310001360604us-gaap:CommonStockMember2025-12-310001360604us-gaap:AdditionalPaidInCapitalMember2025-12-310001360604us-gaap:AccumulatedOtherComprehensiveIncomeMember2025-12-310001360604hr:CumulativeNetIncomeMember2025-12-310001360604hr:CumulativeDividendsMember2025-12-310001360604us-gaap:ParentMember2025-12-310001360604us-gaap:NoncontrollingInterestMember2025-12-310001360604us-gaap:CommonStockMember2026-01-012026-03-310001360604us-gaap:AdditionalPaidInCapitalMember2026-01-012026-03-310001360604us-gaap:ParentMember2026-01-012026-03-310001360604us-gaap:NoncontrollingInterestMember2026-01-012026-03-310001360604hr:CumulativeNetIncomeMember2026-01-012026-03-310001360604us-gaap:AccumulatedOtherComprehensiveIncomeMember2026-01-012026-03-310001360604hr:CumulativeDividendsMember2026-01-012026-03-310001360604us-gaap:CommonStockMember2026-03-310001360604us-gaap:AdditionalPaidInCapitalMember2026-03-310001360604us-gaap:AccumulatedOtherComprehensiveIncomeMember2026-03-310001360604hr:CumulativeNetIncomeMember2026-03-310001360604hr:CumulativeDividendsMember2026-03-310001360604us-gaap:ParentMember2026-03-310001360604us-gaap:NoncontrollingInterestMember2026-03-310001360604us-gaap:CommonStockMember2024-12-310001360604us-gaap:AdditionalPaidInCapitalMember2024-12-310001360604us-gaap:AccumulatedOtherComprehensiveIncomeMember2024-12-310001360604hr:CumulativeNetIncomeMember2024-12-310001360604hr:CumulativeDividendsMember2024-12-310001360604us-gaap:ParentMember2024-12-310001360604us-gaap:NoncontrollingInterestMember2024-12-3100013606042024-12-310001360604us-gaap:AdditionalPaidInCapitalMember2025-01-012025-03-310001360604us-gaap:ParentMember2025-01-012025-03-310001360604us-gaap:CommonStockMember2025-01-012025-03-310001360604us-gaap:NoncontrollingInterestMember2025-01-012025-03-310001360604hr:CumulativeNetIncomeMember2025-01-012025-03-310001360604us-gaap:AccumulatedOtherComprehensiveIncomeMember2025-01-012025-03-310001360604hr:CumulativeDividendsMember2025-01-012025-03-310001360604us-gaap:CommonStockMember2025-03-310001360604us-gaap:AdditionalPaidInCapitalMember2025-03-310001360604us-gaap:AccumulatedOtherComprehensiveIncomeMember2025-03-310001360604hr:CumulativeNetIncomeMember2025-03-310001360604hr:CumulativeDividendsMember2025-03-310001360604us-gaap:ParentMember2025-03-310001360604us-gaap:NoncontrollingInterestMember2025-03-3100013606042025-03-310001360604hr:RealEstatePropertiesHeldInJointVenturesMember2026-03-310001360604hr:HealthcareTrustofAmericaHoldingsLPMember2026-03-310001360604hr:HealthCareRealtyTrustIncorporatedMemberhr:OtherInvestorsMember2026-03-310001360604hr:PropertyEntitiesNotDeterminedToBeVIEsMember2026-03-310001360604hr:NonControllingInterestHoldersMemberhr:HealthcareTrustofAmericaHoldingsLPMember2026-03-310001360604us-gaap:VariableInterestEntityPrimaryBeneficiaryMember2026-03-310001360604us-gaap:VariableInterestEntityPrimaryBeneficiaryMember2025-12-310001360604hr:VariableInterestEntityMember2026-03-310001360604hr:VariableInterestEntityMember2026-01-012026-03-310001360604stpr:TXus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2026-03-310001360604hr:Texas1Memberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2026-03-310001360604hr:Texas2Memberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2026-03-310001360604hr:PowayCAMember2026-03-310001360604hr:PowayCAMember2025-12-310001360604hr:ColumbusOHMember2026-03-310001360604hr:ColumbusOHMember2025-12-310001360604stpr:AZhr:MezzanineLoanMember2026-03-310001360604stpr:TXhr:MezzanineLoanMember2026-03-310001360604stpr:WIhr:MezzanineLoanMember2026-03-310001360604hr:MezzanineLoanMember2026-03-310001360604stpr:CAhr:MortgageLoanMember2026-03-310001360604hr:Florida1Memberhr:MortgageLoanMember2026-03-310001360604stpr:TXhr:MortgageLoanMember2026-03-310001360604hr:Texas1Memberhr:MortgageLoanMember2026-03-310001360604hr:Texas2Memberhr:MortgageLoanMember2026-03-310001360604hr:MortgageLoanMember2026-03-310001360604us-gaap:SubsequentEventMember2026-04-3000013606042025-01-012025-12-310001360604us-gaap:NotesReceivableMember2026-01-012026-03-310001360604us-gaap:NotesReceivableMember2025-01-012025-03-310001360604hr:ParkingIncomeMember2026-01-012026-03-310001360604hr:ParkingIncomeMember2025-01-012025-03-310001360604hr:ManagementFeeIncomeMember2026-01-012026-03-310001360604hr:ManagementFeeIncomeMember2025-01-012025-03-310001360604srt:OtherPropertyMember2025-12-310001360604srt:OtherPropertyMember2024-12-310001360604srt:OtherPropertyMember2026-01-012026-03-310001360604srt:OtherPropertyMember2025-01-012025-03-310001360604srt:OtherPropertyMember2026-03-310001360604srt:OtherPropertyMember2025-03-310001360604hr:ClosedJointVenturesAndAssetSalesMemberus-gaap:SubsequentEventMember2026-04-272026-04-270001360604hr:ClosedJointVenturesAndAssetSalesMemberus-gaap:SubsequentEventMember2026-04-270001360604hr:CharlotteNCBuildingMemberus-gaap:SubsequentEventMember2026-04-242026-04-240001360604hr:CharlotteNCBuildingMemberus-gaap:SubsequentEventMember2026-04-240001360604hr:AtlantaGAMemberhr:RealEstateDispositionsMember2026-03-310001360604hr:AtlantaGAMemberhr:RealEstateDispositionsMember2026-01-012026-03-310001360604stpr:OKhr:RealEstateDispositionsMember2026-03-310001360604stpr:OKhr:RealEstateDispositionsMember2026-01-012026-03-310001360604hr:RealEstateDispositionsMember2026-03-310001360604hr:RealEstateDispositionsMember2026-01-012026-03-310001360604hr:TwoMedicalOutpatientPropertiesMemberus-gaap:CorporateJointVentureMember2026-03-310001360604us-gaap:DisposalGroupHeldforsaleNotDiscontinuedOperationsMember2026-03-310001360604us-gaap:DisposalGroupHeldforsaleNotDiscontinuedOperationsMember2025-12-310001360604srt:MinimumMember2026-03-310001360604srt:MaximumMember2026-03-310001360604us-gaap:RevolvingCreditFacilityMemberus-gaap:LineOfCreditMember2026-03-310001360604us-gaap:RevolvingCreditFacilityMemberus-gaap:LineOfCreditMember2025-12-310001360604hr:CommercialPaperProgramMemberus-gaap:MediumTermNotesMember2026-03-310001360604hr:CommercialPaperProgramMemberus-gaap:MediumTermNotesMember2025-12-310001360604hr:TermLoanDue2027Memberus-gaap:MediumTermNotesMember2026-03-310001360604hr:TermLoanDue2027Memberus-gaap:MediumTermNotesMember2025-12-310001360604hr:TermLoanDue2028Memberus-gaap:MediumTermNotesMember2026-03-310001360604hr:TermLoanDue2028Memberus-gaap:MediumTermNotesMember2025-12-310001360604hr:SeniorNotesDue2026Memberus-gaap:SeniorNotesMember2026-03-310001360604hr:SeniorNotesDue2026Memberus-gaap:SeniorNotesMember2025-12-310001360604hr:SeniorNotesDue2027Memberus-gaap:SeniorNotesMember2026-03-310001360604hr:SeniorNotesDue2027Memberus-gaap:SeniorNotesMember2025-12-310001360604hr:SeniorNotesdue2028Memberus-gaap:SeniorNotesMember2026-03-310001360604hr:SeniorNotesdue2028Memberus-gaap:SeniorNotesMember2025-12-310001360604hr:SeniorNotesDue2030NetOfDiscountAndIssuanceCostsMemberus-gaap:SeniorNotesMember2026-03-310001360604hr:SeniorNotesDue2030NetOfDiscountAndIssuanceCostsMemberus-gaap:SeniorNotesMember2025-12-310001360604hr:SeniorNotesdue2030Memberus-gaap:SeniorNotesMember2026-03-310001360604hr:SeniorNotesdue2030Memberus-gaap:SeniorNotesMember2025-12-310001360604hr:SeniorNotesDue2031Memberus-gaap:SeniorNotesMember2026-03-310001360604hr:SeniorNotesDue2031Memberus-gaap:SeniorNotesMember2025-12-310001360604hr:SeniorNotesDue2031NetOfDiscountAndIssuanceCostsMemberus-gaap:SeniorNotesMember2026-03-310001360604hr:SeniorNotesDue2031NetOfDiscountAndIssuanceCostsMemberus-gaap:SeniorNotesMember2025-12-310001360604hr:MortgageNotesPayableNetMemberus-gaap:MortgagesMember2026-03-310001360604hr:MortgageNotesPayableNetMemberus-gaap:MortgagesMember2025-12-310001360604hr:MortgageNotesPayableNetMembersrt:MinimumMemberus-gaap:MortgagesMember2026-03-310001360604hr:MortgageNotesPayableNetMembersrt:MaximumMemberus-gaap:MortgagesMember2026-03-310001360604hr:MortgageNotesPayableNetMemberus-gaap:MortgagesMember2026-01-012026-03-310001360604us-gaap:CommercialPaperMember2026-02-280001360604us-gaap:CommercialPaperMember2026-02-012026-02-2800013606042026-02-012026-02-280001360604hr:InterestRateSwapsMaturingIn2026And2027Member2026-02-280001360604hr:InterestRateSwapsMaturingIn2029Member2026-02-280001360604hr:InterestRateSwapExpiringMay12026Memberus-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:CashFlowHedgingMember2026-03-310001360604hr:InterestRateSwapExpiringJanuary12029Memberus-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:CashFlowHedgingMember2026-03-310001360604us-gaap:InterestRateSwapMemberus-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:CashFlowHedgingMember2026-03-310001360604hr:InterestRateSwap2019Memberus-gaap:OtherAssetsMemberus-gaap:DesignatedAsHedgingInstrumentMember2026-03-310001360604hr:InterestRateSwap2019Memberus-gaap:OtherAssetsMemberus-gaap:DesignatedAsHedgingInstrumentMember2025-12-310001360604hr:InterestRateSwap2022Memberus-gaap:OtherLiabilitiesMemberus-gaap:DesignatedAsHedgingInstrumentMember2026-03-310001360604hr:InterestRateSwap2022Memberus-gaap:OtherLiabilitiesMemberus-gaap:DesignatedAsHedgingInstrumentMember2025-12-310001360604hr:InterestRateSwaps2026Memberus-gaap:OtherAssetsMemberus-gaap:DesignatedAsHedgingInstrumentMember2026-03-310001360604hr:InterestRateSwaps2026Memberus-gaap:OtherAssetsMemberus-gaap:DesignatedAsHedgingInstrumentMember2025-12-310001360604us-gaap:InterestRateSwapMemberus-gaap:DesignatedAsHedgingInstrumentMember2026-03-310001360604us-gaap:InterestRateSwapMemberus-gaap:DesignatedAsHedgingInstrumentMember2025-12-310001360604us-gaap:InterestRateContractMemberus-gaap:InterestExpenseMember2026-01-012026-03-310001360604us-gaap:InterestRateContractMemberus-gaap:InterestExpenseMember2025-01-012025-03-310001360604us-gaap:TreasuryLockMemberus-gaap:InterestExpenseMember2026-01-012026-03-310001360604us-gaap:TreasuryLockMemberus-gaap:InterestExpenseMember2025-01-012025-03-310001360604us-gaap:InterestRateSwapMemberus-gaap:InterestExpenseMember2026-01-012026-03-310001360604us-gaap:InterestRateSwapMemberus-gaap:InterestExpenseMember2025-01-012025-03-310001360604us-gaap:InterestExpenseMember2026-01-012026-03-310001360604us-gaap:InterestExpenseMember2025-01-012025-03-310001360604us-gaap:CommonStockMember2025-01-012025-06-3000013606042025-01-012025-06-300001360604us-gaap:SubsequentEventMember2026-04-302026-04-3000013606042025-10-2800013606042024-10-2900013606042026-01-012026-01-310001360604us-gaap:EmployeeStockOptionMemberhr:OperatingPartnershipPerformanceUnitsMember2026-01-012026-03-310001360604us-gaap:EmployeeStockOptionMemberus-gaap:RestrictedStockUnitsRSUMember2026-01-012026-03-310001360604hr:ExecutiveIncentiveProgram1Memberhr:NonVestedStockAwardMember2026-01-012026-03-310001360604hr:NonVestedStockAwardMembersrt:MinimumMemberhr:ExecutiveIncentiveProgram1Member2026-01-012026-03-310001360604hr:NonVestedStockAwardMembersrt:MaximumMemberhr:ExecutiveIncentiveProgram1Member2026-01-012026-03-310001360604hr:ExecutiveIncentiveProgram1Memberus-gaap:RestrictedStockUnitsRSUMember2026-02-012026-02-280001360604us-gaap:RestrictedStockUnitsRSUMemberhr:MarketCondition2Member2026-02-012026-02-280001360604us-gaap:RestrictedStockUnitsRSUMember2026-02-012026-02-280001360604hr:LTIPSeriesCUnitsMembersrt:ExecutiveOfficerMemberus-gaap:ShareBasedPaymentArrangementNonemployeeMember2026-02-012026-02-280001360604hr:OperatingPartnershipPerformanceUnitsMemberhr:MarketCondition2Member2026-02-012026-02-280001360604hr:OperatingPartnershipPerformanceUnitsMember2026-02-012026-02-280001360604hr:StockIncentivePlanMember2025-12-310001360604hr:StockIncentivePlanMember2024-12-310001360604hr:StockIncentivePlanMember2026-01-012026-03-310001360604hr:StockIncentivePlanMember2025-01-012025-03-310001360604hr:StockIncentivePlanMember2026-03-310001360604hr:StockIncentivePlanMember2025-03-310001360604us-gaap:CarryingReportedAmountFairValueDisclosureMember2026-03-310001360604us-gaap:EstimateOfFairValueFairValueDisclosureMember2026-03-310001360604us-gaap:CarryingReportedAmountFairValueDisclosureMember2025-12-310001360604us-gaap:EstimateOfFairValueFairValueDisclosureMember2025-12-310001360604hr:PropertyTaxesMemberhr:MedialOutpatientPropertiesSegmentMember2026-01-012026-03-310001360604hr:PropertyTaxesMemberhr:MedialOutpatientPropertiesSegmentMember2025-01-012025-03-310001360604hr:PersonnelMemberhr:MedialOutpatientPropertiesSegmentMember2026-01-012026-03-310001360604hr:PersonnelMemberhr:MedialOutpatientPropertiesSegmentMember2025-01-012025-03-310001360604us-gaap:PublicUtilitiesMemberhr:MedialOutpatientPropertiesSegmentMember2026-01-012026-03-310001360604us-gaap:PublicUtilitiesMemberhr:MedialOutpatientPropertiesSegmentMember2025-01-012025-03-310001360604us-gaap:MaintenanceMemberhr:MedialOutpatientPropertiesSegmentMember2026-01-012026-03-310001360604us-gaap:MaintenanceMemberhr:MedialOutpatientPropertiesSegmentMember2025-01-012025-03-310001360604hr:MedialOutpatientPropertiesSegmentMember2026-01-012026-03-310001360604hr:MedialOutpatientPropertiesSegmentMember2025-01-012025-03-31

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

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended: March 31, 2026
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from              to

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

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

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

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

YesNo

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

Large accelerated filer Accelerated filer Non-accelerated filer
Smaller reporting company Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

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

YesNo






As of April 27, 2026, the Registrant had 346,521,578 shares of Common Stock outstanding.




HEALTHCARE REALTY TRUST INCORPORATED
FORM 10-Q
March 31, 2026


    Table of Contents
     


PART I - FINANCIAL INFORMATION
Item 1. Financial Statements
Healthcare Realty Trust Incorporated
Condensed Consolidated Balance Sheets
Amounts in thousands, except per share data
ASSETS
Unaudited
MARCH 31, 2026
DECEMBER 31, 2025
Real estate properties
Land$1,060,296 $1,060,254 
Buildings and improvements8,541,368 8,514,165 
Lease intangibles424,502 455,254 
Personal property7,316 7,056 
Investment in financing receivable, net122,346 123,249 
Financing lease right-of-use assets74,703 75,083 
Land held for development57,799 57,535 
Total real estate properties10,288,330 10,292,596 
Less accumulated depreciation and amortization(2,468,461)(2,397,795)
Total real estate properties, net7,819,869 7,894,801 
Cash and cash equivalents26,235 26,172 
Assets held for sale, net123,411 143,580 
Operating lease right-of-use assets202,710 204,906 
Investments in unconsolidated joint ventures467,459 453,607 
Other assets, net508,480 487,795 
Total assets$9,148,164 $9,210,861 
LIABILITIES, REDEEMABLE NON-CONTROLLING INTERESTS, AND STOCKHOLDERS' EQUITY
Liabilities
Notes and bonds payable$4,103,918 $3,911,423 
Accounts payable and accrued liabilities137,712 211,071 
Liabilities of assets held for sale13,576 15,160 
Operating lease liabilities162,380 162,922 
Financing lease liabilities73,679 73,130 
Other liabilities159,888 160,530 
Total liabilities4,651,153 4,534,236 
Commitments and contingencies
Redeemable non-controlling interests3,339 3,252 
Stockholders' equity
Preferred stock, $.01 par value per share; 200,000 shares authorized; none issued and outstanding
  
Class A Common stock, $.01 par value per share; 1,000,000 shares authorized; 346,534 and 351,603 shares issued and outstanding at March 31, 2026 and December 31, 2025, respectively
3,465 3,516 
Additional paid-in capital9,040,690 9,137,257 
Accumulated other comprehensive loss(2,421)(5,174)
Cumulative net income attributable to common stockholders128,182 128,238 
Cumulative dividends(4,730,746)(4,646,944)
Total stockholders' equity4,439,170 4,616,893 
Non-controlling interest54,502 56,480 
Total equity4,493,672 4,673,373 
Total liabilities, redeemable non-controlling interests, and stockholders' equity$9,148,164 $9,210,861 
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, 2025, are an integral part of these financial statements.


1


Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Operations
For the Three Months Ended March 31, 2026 and 2025
Amounts in thousands, except per share data
Unaudited
THREE MONTHS ENDED
March 31,
20262025
Revenues
Rental income$267,575 $288,857 
Interest income3,712 3,731 
Other operating7,703 6,389 
278,990 298,977 
Expenses
Property operating100,058 109,897 
General and administrative17,343 13,530 
Transaction costs937 1,011 
Depreciation and amortization128,985 156,035 
247,323 280,473 
Other income (expense)
Gain on sales of real estate properties and other assets10,777 2,904 
Interest expense(43,890)(54,812)
Loss on extinguishment of debt(21) 
Impairment of real estate properties and credit loss recoveries (reserves) 984 (12,081)
Equity income from unconsolidated joint ventures496 1 
Interest and other (expense) income, net8 95 
(31,646)(63,893)
Net income (loss)$21 $(45,389)
Net (income) loss attributable to non-controlling interests(77)516 
Net loss attributable to common stockholders$(56)$(44,873)
Basic earnings per common share $(0.00)$(0.13)
Diluted earnings per common share $(0.00)$(0.13)
Weighted average common shares outstanding - basic347,439 349,539 
Weighted average common shares outstanding - diluted347,439 349,539 

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, 2025, are an integral part of these financial statements.


2


Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Comprehensive Income (Loss)
For the Three Months Ended March 31, 2026 and 2025
Amounts in thousands
Unaudited
THREE MONTHS ENDED
 March 31,
20262025
Net income (loss)$21 $(45,389)
Other comprehensive loss
Interest rate derivatives
Reclassification adjustments for losses (gains) included in interest and other expense22 (941)
Gains (losses) arising during the period on interest rate swaps2,777 (5,178)
2,799 (6,119)
Comprehensive income (loss) 2,820 (51,508)
Less: comprehensive (gain) loss attributable to non-controlling interests(36)681 
Comprehensive income (loss) attributable to common stockholders$2,784 $(50,827)
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, 2025, are an integral part of these financial statements.


3


Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Equity and Redeemable Non-Controlling Interests
For the Three Months Ended March 31, 2026 and 2025
Amounts in thousands, except per share data
Unaudited
Common
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Non-controlling InterestsTotal
Equity
Redeemable Non-controlling Interests
Balance at December 31, 2025$3,516 $9,137,257 $(5,174)$128,238 $(4,646,944)$4,616,893 $56,480 $4,673,373 $3,252 
Common stock redemptions(1)(2,040)— — — (2,041)— (2,041)— 
Share-based compensation7 5,415 — — — 5,422 — 5,422 — 
Common stock repurchases(57)(99,942)— — — (99,999)— (99,999)— 
Redemption of non-controlling interest— — — — — — (769)(769)— 
Net (loss) income— — — (56)— (56)(10)(66)87 
Reclassification adjustments for losses included in net income (interest expense)
— — 22 — — 22 — 22 — 
Gains arising during the period on interest rate swaps
— — 2,731 — — 2,731 46 2,777 — 
Dividends to common stockholders and distributions to non-controlling interest holders ($0.24 per share)
— — — — (83,802)(83,802)(1,245)(85,047)— 
Balance at March 31, 2026$3,465 $9,040,690 $(2,421)$128,182 $(4,730,746)$4,439,170 $54,502 $4,493,672 $3,339 
Common
Stock
Additional
Paid-In
Capital
Accumulated
Other
Comprehensive
Income (Loss)
Cumulative
Net Income
Cumulative
Dividends
Total
Stockholders’
Equity
Non-controlling InterestsTotal
Equity
Redeemable Non-controlling Interests
Balance at December 31, 2024$3,505 $9,118,229 $(1,168)$374,309 $(4,260,014)$5,234,861 $66,235 $5,301,096 $4,778 
Common stock redemptions— (215)— — — (215)— (215)— 
Share-based compensation5 3,023 — — — 3,028 — 3,028 — 
Redemption of non-controlling interest— — — — — — (330)(330)— 
Net loss— — — (44,873)— (44,873)(600)(45,473)84 
Reclassification adjustments for gains included in net income (interest expense)
— — (928)— — (928)(13)(941)— 
Losses arising during the period on interest rate swaps
— — (5,110)— — (5,110)(68)(5,178)— 
Adjustments to redemption value of redeemable non-controlling interests— 232 — — — 232 — 232 (235)
Dividends to common stockholders and distributions to non-controlling interest holders ($0.31 per share)
— — — — (108,725)(108,725)(1,279)(110,004)— 
Balance at March 31, 2025$3,510 $9,121,269 $(7,206)$329,436 $(4,368,739)$5,078,270 $63,945 $5,142,215 $4,627 

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, 2025, are an integral part of these financial statements.




4


Healthcare Realty Trust Incorporated
Condensed Consolidated Statements of Cash Flows
For the Three Months Ended March 31, 2026 and 2025
Amounts in thousands
Unaudited
THREE MONTHS ENDED
March 31,
OPERATING ACTIVITIES20262025
Net income (loss)$21 $(45,389)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization128,985 150,969 
Other amortization11,801 11,641 
Share-based compensation5,422 3,028 
Amortization of straight-line rent receivable (lessor)(8,459)(7,709)
Amortization of straight-line rent on operating leases (lessee)563 865 
Gain on sales of real estate properties and other assets(10,777)(2,904)
Loss on extinguishment of debt21  
Impairment of real estate properties and credit loss reserves(984)12,081 
Equity income from unconsolidated joint ventures (496)(1)
Distributions from unconsolidated joint ventures5,281 3,557 
Non-cash interest from financing and notes receivable(428)(178)
Changes in operating assets and liabilities:
Other assets, including right-of-use-assets(21,122)(27,748)
Accounts payable and accrued liabilities(55,537)(64,848)
Other liabilities(1,414)14,424 
Net cash provided by operating activities52,877 47,788 
INVESTING ACTIVITIES
Acquisitions of real estate(2,117) 
Development of real estate (3,414)
Additional long-lived assets(61,154)(69,128)
Investments in unconsolidated joint ventures(18,637)(852)
Investment in financing receivable1,003 (3)
Proceeds from sales of real estate properties and additional long-lived assets29,321 19,353 
Proceeds from insurance recovery4,935  
Proceeds from notes receivable repayments1,340 15,211 
Net cash used in investing activities(45,309)(38,833)
FINANCING ACTIVITIES
Borrowings on unsecured credit facility252,000 159,000 
Repayments on unsecured credit facility(316,500)(65,000)
Net borrowings on commercial paper program250,715  
Repayment on term loans (35,000)
Repayments of notes and bonds payable(5,500)(345)
Dividends paid(83,902)(108,809)
Common stock redemptions(2,041)(215)
Common stock repurchases(99,999) 
Distributions to non-controlling interest holders(1,060)(1,315)
Redemption of non-controlling interest(769)(330)
Debt issuance and assumption costs(425) 
Payments made on finance leases(24)(135)
Net cash used in financing activities(7,505)(52,149)
Increase (decrease) in cash and cash equivalents63 (43,194)
Cash and cash equivalents cash at beginning of period26,172 68,916 
Cash and cash equivalents at end of period26,235 25,722 



5


THREE MONTHS ENDED
March 31,
Supplemental Cash Flow Information20262025
Interest paid$60,785 $67,283 
Mortgage notes receivable taken in connection with sale of real estate$ $5,400 
Invoices accrued for construction, tenant improvements and other capitalized costs$38,372 $26,828 
Capitalized interest$3,471 $857 

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, 2025, are an integral part of these financial statements.


6



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

Note 1. Summary of Significant Accounting Policies
Business Overview
Healthcare Realty Trust Incorporated (the "Company") is a real estate investment trust ("REIT") that owns, leases, manages, acquires, finances, develops and redevelops income-producing real estate properties associated primarily with the delivery of outpatient healthcare services throughout the United States. As of March 31, 2026, the Company had gross investments of approximately $10.3 billion in 502 consolidated real estate properties, construction in progress, redevelopments, financing receivables, financing lease right-of-use assets, land held for development and corporate property, excluding assets held for sale. In addition, as of March 31, 2026, the Company had a weighted average ownership interest of approximately 30% in 62 real estate properties, excluding assets held for sale, held in unconsolidated joint ventures. See Note 2 below for more details regarding the Company's unconsolidated joint ventures. The Company's consolidated real estate properties are located in 27 states and total approximately 29.0 million square feet. The Company provided leasing and property management services to 92% of its portfolio nationwide as of March 31, 2026.
The Company is structured as an umbrella partnership REIT under which substantially all of its business is conducted through the operating partnership, Healthcare Realty Holdings, L.P. (the “OP”), the day-to-day management of which is exclusively controlled by the Company. As of March 31, 2026, the Company owned 98.8% of the issued and outstanding units of the OP (“OP Units”), with other investors owning the remaining 1.2% of OP Units.
Any references to square footage or occupancy percentage, and any amounts derived from these values in these notes to the Company's Condensed Consolidated Financial Statements, are outside the scope of our independent registered public accounting firm’s review.
Basis of Presentation
The Condensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States ("GAAP") for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. They do not include all of the information and footnotes required by GAAP for complete financial statements. All material intercompany transactions and balances have been eliminated in consolidation.
This interim financial information should be read in conjunction with the consolidated financial statements included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2025. Management believes that all adjustments of a normal, recurring nature considered necessary for a fair presentation have been included. In addition, the interim financial information does not necessarily represent or indicate what the operating results will be for the year ending December 31, 2026 for many reasons including, but not limited to, acquisitions, dispositions, capital financing transactions, changes in interest rates and the effects of other trends, risks and uncertainties.
Principles of Consolidation
The Company’s Condensed Consolidated Financial Statements include the accounts of the Company, its wholly owned subsidiaries, and joint ventures and partnerships where the Company controls the operating activities. GAAP requires us to identify entities for which control is achieved through means other than voting rights and to determine which business enterprise is the primary beneficiary of variable interest entities (“VIEs”). Accounting Standards Codification (“ASC”) Topic 810, Consolidation broadly defines a VIE as an entity in which either (i) the equity investors as a group, if any, lack the power through voting or similar rights to direct the activities of such entity that most significantly impact such entity’s economic performance or (ii) the equity investment at risk is insufficient to finance that entity’s activities without additional subordinated financial support. The Company identifies the primary beneficiary of a VIE as the enterprise that has both of the following characteristics: (i) the power to direct the activities of the VIE that most significantly impact the entity’s economic performance and (ii) the obligation to absorb losses or receive benefits of the VIE that could potentially be significant to the entity. The Company consolidates its investment in a VIE when it determines that it is the VIE’s primary beneficiary, with any minority interests reflected as non-controlling interests or redeemable non-controlling interests in the accompanying Condensed Consolidated Financial Statements.
The Company may change its original assessment of a VIE upon subsequent events, such as the modification of contractual arrangements that affect the characteristics or adequacy of the entity’s equity investments at risk, the


7



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
disposition of all or a portion of an interest held by the primary beneficiary, or changes in facts and circumstances that impact the power to direct activities of the VIE that most significantly impacts economic performance. The Company performs this analysis on an ongoing basis.
For property holding entities not determined to be VIEs, the Company consolidates such entities in which it owns 100% of the equity or has a controlling financial interest evidenced by ownership of a majority voting interest. All intercompany balances and transactions are eliminated in consolidation. For an entity in which the Company owns less than 100% of the equity interest, the Company consolidates the entity if it has the direct or indirect ability to control the entity's activities based upon the terms of the entity's ownership agreements.
The OP is 98.8% owned by the Company. Other holders of OP Units are considered to be non-controlling interest holders in the OP and their ownership interests are reflected as equity in the accompanying Condensed Consolidated Balance Sheets. Further, a portion of the earnings and losses of the OP are allocated to non-controlling interest holders based on their respective ownership percentages. Upon conversion of OP Units to common stock, any difference between the fair value of the common stock issued and the carrying value of the OP Units converted to common stock is recorded as a component of equity. As of March 31, 2026, there were approximately 4.3 million OP Units, or 1.2% of OP Units issued and outstanding, held by non-controlling interest holders. Additionally, the Company is the primary beneficiary of this VIE. Accordingly, the Company consolidates its interests in the OP.
As of March 31, 2026 and December 31, 2025, the Company had two consolidated VIEs, in addition to the OP, consisting of joint venture investments in which the Company is the primary beneficiary of the VIE based on the combination of operational control and the rights to receive residual returns or the obligation to absorb losses arising from the joint ventures. Accordingly, such joint ventures have been consolidated, and the table below summarizes the balance sheets of consolidated VIEs, excluding the OP, in the aggregate as of March 31, 2026 and December 31, 2025:
(dollars in thousands)March 31, 2026December 31, 2025
Assets:
Total real estate investments, net
$104,454 $103,092 
Cash and cash equivalents4,111 3,599 
Other assets, net
7,929 7,083 
Total assets
$116,494 $113,774 
Liabilities:
Notes and bonds payable
$74,846 $73,468 
Accounts payable and accrued liabilities2,131 1,678 
Other liabilities649 651 
Total liabilities
$77,626 $75,797 
As of March 31, 2026, the Company had three unconsolidated VIEs consisting of two notes receivable and one joint venture. The Company does not have the power or economic interests to direct the activities of these VIEs on a stand-alone basis, and therefore it was determined that the Company was not the primary beneficiary. As a result, the Company accounts for the two notes receivable as amortized cost and the joint venture arrangement under the equity method.








8



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
See below for additional information regarding the Company's unconsolidated VIEs.
(dollars in thousands) ORIGINATION DATELOCATIONSOURCECARRYING AMOUNTMAXIMUM EXPOSURE TO LOSS
2022
Texas 1
Equity method50,188 50,188 
2024
Texas 2
Note receivable9,691 16,729 
2024
Texas 2
Note receivable1 4,500 
1Includes investments in seven properties.
2The Company provided seller financing and entered into a mortgage loan and a mezzanine loan in connection with a property disposition.

Use of Estimates in the Condensed Consolidated Financial Statements
Preparation of the Condensed Consolidated Financial Statements in accordance with GAAP requires management to make estimates and assumptions that affect amounts reported in the Condensed Consolidated Financial Statements and accompanying notes. Actual results may differ from those estimates.
Reclassifications
Certain reclassifications have been made on the Company's Condensed Consolidated Statement of Cash Flows to conform to current year presentation. Previously, the Company's borrowings and repayments on the Company's unsecured credit facility ("Revolving Facility") were presented in a net line in the financing activities on the Company's Condensed Consolidated Statement of Cash Flows. These amounts are now presented as separate lines in the financing activities on the Company's Condensed Consolidated Statement of Cash Flows.
Certain reclassifications have been made on the Company's Condensed Consolidated Statement of Income to conform to current year presentation. Previously, the Company's leasing commission amortization was presented in property operating expense on the Company's Condensed Consolidated Statement of Income. These amounts are now presented in depreciation and amortization on the Company's Condensed Consolidated Statement of Income. This resulted in $5.1 million being reclassified into depreciation and amortization for the three months ended March 31, 2025.                                                    
Segment Reporting
The Company owns, leases, acquires, manages, finances, develops and redevelops outpatient and other healthcare-related properties. The Company is managed as one operating segment, rather than multiple operating segments, for internal reporting purposes and for internal decision-making and discloses its operating results in a single reportable segment. The Company's chief operating decision makers (“CODM”), represented by the Company's Chief Executive Officer, the Chief Financial Officer and the Chief Operating Officer, review financial information and assess the consolidated operations of the Company in order to make strategic decisions such as allocation of capital expenditures and other significant expenses. See Note 9 for additional information on segment reporting.
Redeemable Non-Controlling Interests
The Company accounts for redeemable equity securities in accordance with ASC Topic 480: Accounting for Redeemable Equity Instruments, which requires that equity securities redeemable at the option of the holder, not solely within our control, be classified outside permanent stockholders’ equity. The Company classifies redeemable equity securities as redeemable non-controlling interests in the accompanying Condensed Consolidated Balance Sheets. Accordingly, the Company records the carrying amount at the greater of the initial carrying amount (increased or decreased for the non-controlling interest’s share of net income or loss and distributions) or the redemption value. The Company measures the redemption value and records an adjustment to the carrying value of the equity securities as a component of redeemable non-controlling interest. As of March 31, 2026, the Company had redeemable non-controlling interests of $3.3 million.
Asset Impairment
The Company assesses the potential for impairment of identifiable, definite-lived, intangible assets and long-lived assets, including real estate properties, whenever the occurrence of an event or a change in circumstances indicates that the carrying value might not be fully recoverable. Indicators of impairment may include significant underperformance of an asset relative to historical or expected operating results; significant changes in the Company’s use of assets or the strategy for its overall business; plans to sell an asset before its depreciable life has


9



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
ended; the expiration of a significant portion of leases in a property; or significant negative economic trends or negative industry trends for the Company or its tenants.
Investments in Leases - Financing Receivables, Net
In accordance with ASC Topic 842: Leases, for transactions in which the Company enters into a contract to acquire an asset and leases it back to the seller (i.e., a sale leaseback transaction), control of the asset is not considered to have transferred when the seller-lessee has a purchase option. As a result, the Company does not recognize the underlying real estate assets but instead recognizes a financial asset in accordance with ASC Topic 310: Receivables. See below for additional information regarding the Company's financing receivables as of March 31, 2026 and December 31, 2025.
(dollars in thousands) CARRYING VALUE AS OF
ORIGINATION DATELOCATIONINTEREST RATEMARCH 31, 2026DECEMBER 31, 2025
May 2021Poway, CA5.62%$116,353 $117,260 
November 2021Columbus, OH6.48%5,993 5,989 
$122,346 $123,249 
Real Estate Notes Receivable
Real estate notes receivable consists of mezzanine and other real estate loans, which are generally collateralized by a pledge of the borrower’s ownership interest in the respective real estate owner, a mortgage or deed of trust, and/or corporate guarantees. Real estate notes receivable are intended to be held to maturity and are recorded at amortized cost, net of unamortized loan origination costs and fees and allowance for credit losses. As of March 31, 2026, real estate notes receivable, net, which are included in Other assets on the Company's Condensed Consolidated Balance Sheets, totaled $87.0 million.
(dollars in thousands)ORIGINATIONMATURITYSTATED INTEREST RATEMAXIMUM LOAN COMMITMENTOUTSTANDING as of MARCH 31, 2026INTEREST RECEIVABLE (OTHER ASSETS)ALLOWANCE FOR CREDIT LOSSESFAIR VALUE DISCOUNT AND FEESCARRYING VALUE as of MARCH 31, 2026
Mezzanine loans
Arizona12/21/202312/20/20269.00 %$6,000 $6,000 $38 $ $ $6,038 
Texas
10/03/202410/02/202911.00 %4,500 1    1 
Wisconsin 1
3/20/20253/19/203013.00 %8,500 8,500 753   9,253 
19,000 14,501 791   15,292 
Mortgage loans
California 2
3/30/20234/30/20266.50 %45,000 45,000 189   45,189 
Florida12/28/202312/28/20269.00 %7,700 4,916    4,916 
Texas
10/03/202410/02/20297.50 %16,729 9,629 62   9,691 
Texas3/20/20253/19/20306.75 %5,400 5,400 31   5,431 
Texas 1
12/30/202512/31/20266.75 %6,400 6,400 109   6,509 
81,229 71,345 391   71,736 
$100,229 $85,846 $1,182 $ $ $87,028 
1Outstanding principal and interest due upon maturity.
2Mortgage loan maturity was extended to April 30, 2026.

Subsequent Loan Activity
In April 2026, the Company entered into a mezzanine loan agreement to provide funding up to $6.3 million for a future development. As of the date of this filing, no funding has been provided.
In April 2026, the Company received the full outstanding balance related to the California mortgage loan.
Allowance for Credit Losses
Pursuant to ASC Topic 326: Financial Instruments - Credit Losses, the Company adopted a policy to evaluate current expected credit losses at the inception of loans qualifying for treatment under ASC Topic 326. The Company utilizes a probability of default method approach for estimating current expected credit losses and evaluates the liquidity and


10



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
creditworthiness of its borrowers on a quarterly basis to determine whether any updates to the future expected losses recognized upon inception are necessary. The Company’s evaluation considers industry and economic conditions, credit enhancements, liquidity, and other factors. The determination of the credit allowance is based on a quarterly evaluation of all outstanding loans, including general economic conditions and estimated collectability of loan payments. The Company evaluates the collectability of loan receivables based on a combination of credit quality indicators, including, but not limited to, payment status, historical loan charge-offs, financial strength of the borrower and guarantors, and nature, extent, and value of the underlying collateral. A loan is considered to have deteriorated credit quality when, based on current information and events, it is probable that the Company will be unable to collect all amounts due as scheduled according to the contractual terms of the loan agreement. For those loans identified as having deteriorated credit quality, the amount of credit loss is determined on an individual basis. Placement on non-accrual status may be required. Consistent with this definition, all loans on non-accrual status are deemed to have deteriorated credit quality. To the extent circumstances improve and the risk of collectability is diminished, the loan may return to income accrual status. While a loan is on non-accrual status, any cash receipts are applied against the outstanding principal balance.
In the first quarter of 2026, the Company received $1.0 million related to a mortgage loan in which the Company previously reserved the remaining outstanding balance of $16.8 million. The Company no longer has a position in the loan.
The following table summarizes the Company's allowance for credit losses on real estate notes receivable:
Dollars in thousandsTHREE MONTHS ENDED MARCH 31, 2026TWELVE MONTHS ENDED DECEMBER 31, 2025
Allowance for credit losses, beginning of period$16,801 $16,801 
Credit loss reserves  1,571 
Recoveries (1,000) 
Write-off (15,801)(1,571)
Allowance for credit losses, end of period$ $16,801 
Interest Income
Income from Lease Financing Receivables
The Company recognized the related income from two financing receivables totaling $2.0 million and $2.0 million for the three months ended March 31, 2026 and 2025, respectively, based on an imputed interest rate over the terms of the applicable lease. As a result, the interest recognized from the financing receivable in any particular period will not equal the cash payments from the lease agreement in that period.
Acquisition costs incurred in connection with entering into the financing receivable are treated as loan origination fees. These costs are classified with the financing receivable and are included in the balance of the net investment. Amortization of these amounts will be recognized as a reduction to interest income over the life of the lease.
Income from Real Estate Notes Receivable
The Company recognized interest income related to real estate notes receivable of $1.7 million and $1.8 million for the three months ended March 31, 2026 and 2025, respectively. The Company recognizes interest income on an accrual basis unless the Company has determined that collectability of contractual amounts is not reasonably assured, at which point the note is placed on non-accrual status. The Company did not have any loans on non-accrual status as of March 31, 2026.
Revenue from Contracts with Customers (ASC Topic 606)
The Company recognizes certain revenue under the core principle of ASC Topic 606: Revenue from Contracts with Customers ("ASC Topic 606"). This topic requires an entity to recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. Lease revenue is not within the scope of ASC Topic 606. To achieve the core principle, the Company applies the five-step model specified in the guidance.


11



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
Revenue that is accounted for under ASC Topic 606 is segregated on the Company’s Condensed Consolidated Statements of Operations in the Other operating line item. This line item includes parking income, management fee income and other miscellaneous income. Below is a detail of the amounts by category:
THREE MONTHS ENDED
March 31,
in thousands20262025
Type of Revenue
Parking income$2,069 $1,863 
Management fee income/other 1
5,634 4,526 
$7,703 $6,389 
1 Includes the recovery of certain expenses under the financing receivable as outlined in the management agreement.
The Company’s major types of revenue that are accounted for under Topic 606 that are listed above are all accounted for as the performance obligation is satisfied. The performance obligations that are identified for each of these items are satisfied over time, and the Company recognizes revenue monthly based on this principle.
New Accounting Pronouncements
On November 4, 2024, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2024-03, Disaggregation of Income Statement Expenses, which will require entities to provide more detailed information in the notes to the financial statements related to certain expense captions on the face of the income statement. The ASU aims to increase transparency and provide investors with more detailed information about the nature of expenses reported on the face of the income statement. The new standard does not change the requirements for the presentation of expenses on the face of the income statement.
Under this ASU, entities are required to disaggregate, in a tabular format, expense captions presented on the face of the income statement — excluding earnings or losses from equity method investments — if they include any of the following expense categories: purchases of inventory, employee compensation, depreciation, intangible asset amortization, and depreciation or depletion. For any remaining items within each relevant expense caption, entities must provide a qualitative description of the nature of those expenses. The new ASU is effective for annual reporting periods beginning after December 15, 2026, and interim reporting periods beginning after December 15, 2027. Early adoption is permitted. The Company is evaluating the impact of the adoption of this ASU on its consolidated financial statements and compliance with these new disclosure requirements will begin with the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2027.
On November 25, 2025, the FASB issued ASU 2025-09, Derivatives and Hedging (Topic 815): Hedge Accounting Improvements, which amends certain aspects of the hedge accounting guidance in ASC 815. The update improves the application of hedge accounting in the following areas; (i) similar risk assessment for cash flow hedges, (ii) hedging interest payments on choose-your-rate debt, (iii) cash flow hedges on non-financial forecasted transactions, (iv) net written options as hedging instruments and (v) provide for additional flexibility in measuring hedge effectiveness.
The standard is effective for fiscal years beginning after December 15, 2026, including interim periods within those fiscal years. Early adoption is permitted and applied prospectively. The Company is currently evaluating the impact of the adoption of this ASU may have on its consolidated financial statements.
On December 8, 2025, the FASB issued ASU 2025-11, Interim Reporting (Topic 270): Narrow-Scope Improvements, to provide clarity on the current interim reporting requirements and the applicability of ASC 270. The new guidance creates a comprehensive list of interim disclosures required under GAAP and incorporates a disclosure principal that requires disclosures at interim periods when an event or change that has a material effect on an entity has occurred since the last annual reporting period. Some examples that may require disclosure under this new principal include changes in (i) accounting principles or estimates, (ii) status of long-term contracts, (iii) capitalization, such as new borrowings or financing modifications, and (iv) reporting entity resulting from business combinations or disposals.
The amendments are effective for interim periods within annual reporting periods beginning after December 15, 2027. Early adoption is permitted, and the guidance can be applied prospectively or retrospectively. The Company is


12



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
currently evaluating the impact of the adoption of this ASU may have on its interim consolidated financial statements.
Note 2. Real Estate Investments
Unconsolidated Joint Ventures
The Company's investment in and income (losses) recognized for the three months ended March 31, 2026 and 2025 related to its unconsolidated joint ventures accounted for under the equity method are shown in the table below:
THREE MONTHS ENDED
March 31,
Dollars in thousands20262025
Investments in unconsolidated joint ventures, beginning of period $453,607 $473,122 
New investment during the period 1
18,637 852 
Equity income recognized during the period 496 1 
Owner distributions(5,281)(3,557)
Investments in unconsolidated joint ventures, end of period $467,459 $470,418 
1In the first quarter 2026, the Company contributed $17.7 million towards the acquisition of a property in an existing joint venture.
Subsequent Activity
On April 27, 2026, an unconsolidated joint venture where the Company owns 50%, sold a property for a total purchase price of $18.7 million.

2026 Acquisition Activity
The Company had no real estate acquisition activity for the three months ended March 31, 2026.
Subsequent to March 31, 2026, the Company acquired the following property:
Dollars in thousandsDATE ACQUIREDPURCHASE PRICESQUARE FOOTAGE
Charlotte, NC 1
4/24/26$3,670 12,418 
1 Represents an additional fully leased condominium unit in an existing building, bringing the Company's ownership of the building to 93%.
2026 Disposition Activity
The following table details the Company's dispositions for the three months ended March 31, 2026.
Dollars in thousandsDATE DISPOSEDSALE PRICECLOSING ADJUSTMENTSNET PROCEEDSNET REAL ESTATE INVESTMENTOTHER (INCLUDING RECEIVABLES) GAIN/(IMPAIRMENT)SQUARE FOOTAGE
Atlanta, GA1/14/26$21,900 $(838)$21,062 $9,579 $338 $11,145 60,039 
Oklahoma City, OK 1
3/3/2611,500 (2,557)8,943 8,520 184 239 186,301 
Total dispositions$33,400 $(3,395)$30,005 $18,099 $522 $11,384 246,340 
1Includes two medical outpatient properties.
















13



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
Assets Held for Sale
The Company had 15 properties and one land parcel classified as assets held for sale as of March 31, 2026, and 18 properties and one land parcel classified as assets held for sale as of December 31, 2025.
The table below reflects the assets and liabilities classified as held for sale as of March 31, 2026 and December 31, 2025:
Dollars in thousandsMarch 31, 2026December 31, 2025
Balance Sheet data:
Land$17,761 $21,193 
Building and improvements141,531 161,365 
Lease intangibles7,822 7,822 
Personal property62 101 
167,176 190,481 
Accumulated depreciation(49,722)(55,908)
Real estate assets held for sale, net 1
117,454 134,573 
Operating lease right-of-use assets2,476 3,641 
Other assets, net3,481 5,366 
Assets held for sale, net$123,411 $143,580 
Accounts payable and accrued liabilities$4,203 $4,514 
Operating lease liabilities5,588 6,792 
Other liabilities3,785 3,854 
Liabilities of assets held for sale$13,576 $15,160 
1Net real estate assets held for sale include the impact of $0.4 million of impairment charges for the three months ended March 31, 2026.
Note 3. Leases
Lessor Accounting
The Company’s properties generally are leased pursuant to non-cancelable, fixed-term operating leases with expiration dates through 2054. Some leases provide tenants with fixed rent renewal terms while others have market rent renewal terms. Some leases provide the lessee, during the term of the lease, with an option or right of first refusal to purchase the leased property. The Company’s single-tenant net leases generally require the lessee to pay minimum rent and all taxes (including property tax), insurance, maintenance and other operating costs associated with the leased property.
The Company's leases have escalators that are predominately based on a stated percentage, while others are based on an index such as the Consumer Price Index ("CPI"). In addition, most of the Company's leases include non-lease components, such as reimbursement of operating expenses as additional rent, or include the reimbursement of expected operating expenses as part of the lease payment. The Company adopted an accounting policy to combine lease and non-lease components. Rent escalators based on indices and reimbursements of operating expenses that are not included in the lease rate are considered variable lease payments. Variable payments are recognized in the period earned. Lease income for the Company's operating leases, recognized for the three months ended March 31, 2026 and 2025 was $267.6 million and $288.9 million, respectively.


14



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
Future lease payments under the non-cancelable operating leases, excluding any reimbursements and one sales-type lease, as of March 31, 2026, were as follows:
Dollars in thousandsOPERATING
2026 (remaining)$576,155 
2027709,643 
2028627,977 
2029535,634 
2030439,661 
2031 and thereafter1,846,813 
$4,735,883 
Lessee Accounting
The Company has obligations, as the lessee, under operating lease agreements consisting primarily of the Company’s ground leases. As of March 31, 2026, the Company had 168 ground leases associated with properties covering 12.4 million square feet. Some of the Company's ground lease renewal terms are based on fixed rent renewal terms, and others have market rent renewal terms. These ground leases typically have initial terms of 40 to 99 years with expiration dates through 2119. Any rental increases related to the Company’s ground leases are generally stated in the lease or based on CPI. The Company had 60 prepaid ground leases as of March 31, 2026. The amortization of the prepaid rent, included in the operating lease right-of-use asset, represented approximately $0.3 million and $0.3 million of the Company's rental expense for each of the three months ended March 31, 2026 and 2025, respectively.
The Company’s future lease payments (primarily for its 108 non-prepaid ground leases), excluding amounts due for assets held for sale, as of March 31, 2026, were as follows:
Dollars in thousandsOPERATINGFINANCING
2026$6,552 $1,438 
20279,438 2,105 
20289,557 2,137 
20299,598 2,169 
20309,471 2,204 
2031 and thereafter422,051 379,720 
Total undiscounted lease payments466,667 389,773 
Discount(304,287)(316,094)
Lease liabilities$162,380 $73,679 


15



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
The following table provides details of the Company's total lease expense for the three months ended March 31, 2026 and 2025:
THREE MONTHS ENDED
March 31,
Dollars in thousands20262025
Operating lease cost
Operating lease expense$3,424 $4,358 
Variable lease expense1,502 1,328 
Finance lease cost
Amortization of right-of-use assets366 370 
Interest on lease liabilities928 916 
Total lease expense$6,220 $6,972 
Other information
Operating cash flows outflows related to operating leases$3,313 $4,492 
Operating cash flows outflows related to financing leases$354 $543 
Financing cash flows outflows related to financing leases$24 $134 
Weighted-average years remaining lease term (excluding renewal options) - operating leases39.944.0
Weighted-average years remaining lease term (excluding renewal options) - finance leases56.757.5
Weighted-average discount rate - operating leases5.6 %5.7 %
Weighted-average discount rate - finance leases5.0 %5.0 %

Note 4. Notes and Bonds Payable
The table below details the Company’s notes and bonds payable as of March 31, 2026 and December 31, 2025. 
 
MATURITY DATE 1
BALANCE AS OF 2
EFFECTIVE INTEREST RATE
as of 3/31/2026
Dollars in thousands3/31/202612/31/2025
$1.5 billion Revolving Facility 3
7/29$55,500 $120,000 4.47 %
Commercial Paper Program 4
7/29250,873  4.20 %
$200 million Unsecured Term Loan
7/27199,693 199,635 3.67 %
$300 million Unsecured Term Loan
1/28299,169 299,055 4.26 %
Senior Notes due 2026
8/26597,140 595,026 4.94 %
Senior Notes due 2027 7/27493,875 492,693 4.76 %
Senior Notes due 20281/28298,812 298,653 3.85 %
Senior Notes due 2030 2/30600,072 597,188 5.30 %
Senior Notes due 20303/30297,717 297,610 2.72 %
Senior Notes due 2031 3/31296,998 296,866 2.25 %
Senior Notes due 2031 3/31690,685 685,873 5.13 %
Mortgage notes payable 5
4/26-12/2623,384 28,824 
3.71% - 4.08%
$4,103,918 $3,911,423 
1Maturity date does not include extension options.
2Balance is presented net of discounts and issuance costs and inclusive of premiums, where applicable.
3As of March 31, 2026, the Company had $1.2 billion available to be drawn on its $1.5 billion Revolving Facility after Commercial Paper Program borrowings.
4Commercial Paper Program borrowings are backstopped by the availability under the Revolving Facility. As such, the Company uses the maturity date of the Revolving Facility. At March 31, 2026, the weighted average days remaining until maturity of the individual Commercial Paper Program borrowings was approximately 10 days.
5In March 2026, the Company repaid a mortgage note payable in full totaling $5.2 million. In April 2026, a mortgage note payable with a maturity date of April 2026 was extended to June 2026 and is expected to be repaid.



16



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.
Commercial Paper Program
In February 2026, the Company entered into a commercial paper dealer agreement to issue short-term commercial paper notes of up to $600.0 million, with maturities up to 364 days. The program is backstopped by the Revolving Facility. The notes will be issued at par less a discount representing an interest factor, or if interest bearing, at par. As of March 31, 2026, the Company had a principal balance of $251.0 million outstanding.
Note 5. Derivative Financial Instruments
Risk Management Objective of Using Derivatives
The Company is exposed to certain risks arising from both its business operations and economic conditions. The Company principally manages its exposures to a wide variety of business and operational risks through management of its core business activities. The Company manages economic risks, including interest rate, liquidity, and credit risk, primarily by managing the amount, sources, and duration of its assets and liabilities and the use of derivative financial instruments. Specifically, the Company enters into derivative financial instruments to manage exposures that arise from business activities that result in the receipt or payment of future known and uncertain cash amounts, the value of which are determined by interest rates. The Company’s derivative financial instruments are used to manage differences in the amount, timing, and duration of the Company’s known or expected cash receipts and its known or expected cash payments principally related to the Company’s borrowings.
Cash Flow Hedges of Interest Rate Risk
The Company’s objectives in using interest rate swaps are to add stability to interest expense and to manage its exposure to interest rate movements. To accomplish these objectives, the Company primarily uses interest rate swaps as part of its interest rate risk management strategy. Interest rate swaps designated as cash flow hedges involve the receipt of variable amounts from a counterparty in exchange for the Company making fixed-rate payments over the life of the agreements without exchange of the underlying notional amount. Such derivatives were used to hedge the variable cash flows associated with existing variable-rate debt.
For derivatives designated, and that qualify, as cash flow hedges of interest rate risk, the gain or loss on the derivative is recorded in Accumulated Other Comprehensive Income (Loss) ("AOCI") and subsequently reclassified into interest expense in the same period(s) during which the hedged transaction affects earnings. Amounts reported in AOCI related to derivatives will be reclassified to interest expense as interest payments are made on the Company’s variable-rate debt.
In February 2026, the Company terminated three interest rate swaps with a total notional value of $400.0 million that were set to mature in 2026 and 2027. The Company entered into two new interest rate swaps with a total notional value of $400.0 million, at a strike price of 3.32%, that mature in January 2029.
As of March 31, 2026, the Company had six outstanding interest rate swaps that were designated as cash flow hedges of interest rate risk:
MATURITYNOTIONAL AMOUNTWEIGHTED
AVERAGE RATE
May 2026$100,000 2.15 %
January 2029400,000 3.32 %
$500,000 3.09 %
Tabular Disclosure of Fair Values of Derivative Instruments on the Balance Sheet
The table below presents the fair value of the Company's derivative financial instruments and their classification on the Condensed Consolidated Balance Sheet as of March 31, 2026 and December 31, 2025.
AS OF MARCH 31, 2026AS OF DECEMBER 31, 2025
In thousandsBALANCE SHEET LOCATIONFAIR VALUEBALANCE SHEET LOCATIONFAIR VALUE
Interest rate swaps 2019Other Assets$126 Other Assets$488 
Interest rate swaps 2022Other Liabilities Other Liabilities(3,928)
Interest rate swaps 2026Other Assets2,226 Other Assets 
Total derivatives designated as hedging instruments$2,352 $(3,440)


17



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

Tabular Disclosure of the Effect of Cash Flow Hedge Accounting on Accumulated Other Comprehensive Income (Loss)
The table below presents the effect of cash flow hedge accounting on AOCI during the three months ended March 31, 2026 and 2025 related to the Company's outstanding interest rate swaps.
(GAIN)/LOSS RECOGNIZED IN
AOCI ON DERIVATIVE
three months ended March 31,
(GAIN)/LOSS RECLASSIFIED FROM
AOCI INTO INCOME
three months ended March 31,
In thousands2026202520262025
Interest rate swaps$(2,408)$5,178 Interest expense$(544)$(1,090)
Settled treasury hedges  Interest expense107 107 
Settled interest rate swaps(369) Interest expense459 42 
 $(2,777)$5,178 Total$22 $(941)
The Company estimates that an additional $1.4 million will be reclassified from accumulated other comprehensive loss as a net increase to interest expense over the next 12 months.
Credit-risk-related Contingent Features
The Company has agreements with each of its derivative counterparties providing that if the Company either defaults or is capable of being declared in default on any of its indebtedness, then the Company could also be declared in default on its derivative obligations.
As of March 31, 2026, the Company did not have any derivatives in a net liability position including accrued interest but excluding any adjustment for nonperformance risk related to these agreements. As of March 31, 2026, the Company had not posted any collateral related to these agreements and was not in breach of any agreement provisions.
Note 6. Commitments and Contingencies
Legal Proceedings
From time to time, the Company is involved in litigation arising in the ordinary course of business. The Company is not aware of any pending or threatened litigation that, if resolved against the Company, would have a material adverse effect on the Company’s consolidated financial position, results of operations or cash flows.
Note 7. Stockholders' Equity
Common Stock    
The following table provides a reconciliation of the beginning and ending shares of common stock outstanding for the three months ended March 31, 2026, and the twelve months ended December 31, 2025:
THREE MONTHS ENDED MARCH 31, 2026TWELVE MONTHS ENDED DECEMBER 31, 2025
Balance, beginning of period351,603,138 350,532,006 
Conversion of OP units to common stock 22,228 
Shares Repurchased(5,748,656) 
Non-vested share-based awards, net of withheld shares and forfeitures679,066 1,048,904 
Balance, end of period346,533,548 351,603,138 
Common Stock Dividends
During the three months ended March 31, 2026, the Company declared and paid common stock dividends totaling $0.24 per share. On April 30, 2026, the Company declared a quarterly common stock dividend in the amount of $0.24 per share payable on May 22, 2026 to stockholders of record on May 11, 2026.


18



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

Common Stock Repurchases
On October 28, 2025, the Company's Board of Directors authorized the repurchase of up to $500.0 million of outstanding shares of the Company's common stock, superseding the previous $300.0 million stock repurchase authorization. The stock repurchase authorization expires on October 27, 2026, and the Company may suspend or terminate repurchases at any time without prior notice. Under the Maryland General Corporation Law, outstanding shares of common stock acquired by a corporation become authorized but unissued shares, which may be re-issued.
During the three months ended March 31, 2026, the Company repurchased 5.7 million shares of its common stock at an average price of $17.38 per share for a total of $99.9 million. As of March 31, 2026, the Company had $400.1 million remaining under its current share repurchase authorization.
Earnings Per Common Share
The Company uses the two-class method of computing net earnings per common share. The Company's non-vested share-based awards are considered participating securities pursuant to the two-class method.
The following table sets forth the computation of basic and diluted earnings per common share for the three months ended March 31, 2026 and 2025.
THREE MONTHS ENDED MARCH 31,
Dollars in thousands, except per share data20262025
Weighted average common shares outstanding349,254,937 350,758,618 
Non-vested shares(1,815,533)(1,219,619)
Weighted average common shares outstanding - basic347,439,404 349,538,999 
Weighted average common shares outstanding - basic347,439,404 349,538,999 
Dilutive effect of OP Units  
Weighted average common shares outstanding - diluted347,439,404 349,538,999 
Net loss$21 $(45,389)
Income allocated to participating securities(758)(612)
(Income) loss attributable to non-controlling interest(77)516 
Adjustment to loss attributable to non-controlling interest for legally outstanding restricted units100 (17)
Net loss applicable to common stockholders - basic and diluted$(714)$(45,502)
Basic earnings per common share - net loss$(0.00)$(0.13)
Diluted earnings per common share - net loss$(0.00)$(0.13)
The effect of OP Units redeemable for 4,278,028 shares of common stock and Restricted Stock Units of 493,403 shares for the three months ended March 31, 2026, were excluded from the calculation of diluted loss per common share because the effect was anti-dilutive due to the loss from continuing operations incurred during those periods.
Stock Incentive Plan
The Company's stock incentive plan (the "Incentive Plan") permits the grant of incentive awards to its employees and directors in any of the following forms: options, stock appreciation rights, restricted stock, restricted or deferred stock units, performance awards, dividend equivalents, or other stock-based awards, including units in the OP.
Equity Incentive Plans
During the three months ended March 31, 2026, the Company made the following equity awards under the Incentive Plan:
Restricted Stock
During the first quarter of 2026, the Company granted non-vested stock awards to its named executive officers and other members of senior management with an aggregate grant date fair value of $13.2 million, which consisted of an aggregate of 771,426 non-vested shares of common stock with vesting periods ranging from three to eight years.


19



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

Restricted Stock Units ("RSUs")
In February 2026, the Company granted an aggregate of 45,009 RSUs to named executive officers, subject to a three-year performance period, with an aggregate grant date fair value of $1.1 million.
The RSUs vest based on relative total shareholder return ("TSR") performance and were valued using independent specialists. The Company utilized a Monte Carlo simulation to calculate the weighted average grant date fair value of $24.27 for the RSU grants using the following assumptions:
Volatility25.0 %
Dividend assumptionAccrued
Expected term 3 years
Risk-free rate3.63 %
Stock price (per share)$17.13
LTIP Series C Units ("LTIP-C units")
In February 2026, the Company granted an aggregate of 940,051 LTIP-C units in the OP to its named executive officers subject to a three-year performance period with an aggregate grant date fair value of $9.3 million.
The LTIP-C units in the OP vest based on relative TSR performance and were valued using independent specialists. The Company utilized a Monte Carlo simulation to calculate the weighted average grant date fair value of $10.93 for the LTIP-C grant using the following assumptions:
Volatility25.0 %
Dividend assumptionAccrued
Expected term 3 years
Risk-free rate3.63 %
Stock price (per share)$17.13
The Company records amortization expense based on the Monte Carlo simulation throughout the performance period.
The following table represents the summary of non-vested share-based awards under the Incentive Plan for the three months ended March 31, 2026 and 2025:
THREE MONTHS ENDED MARCH 31,
 20262025
Share-based awards, beginning of period2,565,437 1,799,737 
Granted 1
1,756,486 919,937 
Vested(327,836)(39,970)
Change in awards based on performance assessment(114,947)(59,762)
Forfeited(69,864) 
Share-based awards, end of period3,809,276 2,619,942 
1LTIP-C units in the OP are issued at the maximum number of units of the award and are reflected as such in this table until the performance conditions have been satisfied, and the exact number of awards are determinable.


20



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

During the three months ended March 31, 2026 and 2025, the Company withheld 118,232 and 13,063 shares of common stock, respectively, from participants to pay estimated withholding taxes related to shares that vested.
The following table represents expected amortization of the Company's non-vested awards issued as of March 31, 2026:
Dollars in millionsFUTURE AMORTIZATION
of non-vested shares
2026 (remaining)$13.5 
202716.4 
202810.4 
20291.8 
2030 and thereafter0.5 
Total$42.6 
Note 8. Fair Value of Financial Instruments
The following methods and assumptions were used to estimate the fair value of each class of financial instrument for which it is practical to estimate that value.
Cash and cash equivalents - The carrying amount approximates fair value (level 1 inputs) due to the short-term maturity of these investments.
Real estate notes receivable - Real estate notes receivable are recorded in other assets on the Company's Condensed Consolidated Balance Sheets. Fair value is estimated using cash flow analyses, based on current interest rates for similar types of arrangements using level 2 inputs in the hierarchy.
Borrowings under the revolving facility, commercial paper program, and the term loans - The carrying amount approximates fair value because the borrowings are based on variable market interest rates.
Senior Notes and Mortgage Notes payable - The fair value of notes and bonds payable is estimated using cash flow analyses, based on the Company’s current interest rates for similar types of borrowing arrangements.
Interest rate swap agreements - Interest rate swap agreements are recorded in other assets/liabilities on the Company's Condensed Consolidated Balance Sheets at fair value. Fair value is estimated by utilizing pricing models, level 2 inputs, which consider forward yield curves and discount rates. See Note 5 for additional information.
The table below details the fair values and carrying values for notes and bonds payable and real estate notes receivable as of March 31, 2026, and December 31, 2025:
 March 31, 2026December 31, 2025
Dollars in millionsCARRYING VALUEFAIR VALUECARRYING VALUEFAIR VALUE
Notes and bonds payable 1, 2
$4,103.9 $4,070.4 $3,911.4 $3,928.8 
Real estate notes receivable$87.0 $86.7 $87.0 $86.5 
1Level 2 – model-derived valuations in which significant inputs and significant value drivers are observable in active markets.
2Fair value for senior notes includes accrued interest as of March 31, 2026 and December 31, 2025.
Note 9. Segment Reporting
The Company is a REIT that owns, leases, acquires, invests in joint ventures, manages, finances, develops and redevelops its medical outpatient properties and reports the operating results in the accompanying Condensed Consolidated Financial Statements as one reportable segment. The CODM assesses performance and allocates resources based on consolidated net income (loss) as reported on the Company's Condensed Consolidated Statements of Operations. The Company uses net income (loss) to monitor expected versus actual results to assess the segment's performance. The measure of the Company's reportable segment assets is reported on the Company's Condensed Consolidated Balance Sheets as total assets.
Pursuant to ASU 2023-07, Segment Reporting (Topic 280), public entities are required to disclose more detailed information about significant reportable segment expenses that are regularly provided to the CODM.
The table below details the significant expenses for the three months ended March 31, 2026 and 2025.


21



Table of Contents
NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS, cont.

THREE MONTHS ENDED MARCH 31,
Dollars in thousands20262025
Significant Segment Expenses:
Property taxes$26,025 $28,810 
Personnel24,561 24,379 
Utilities21,042 21,951 
Maintenance25,748 28,747 
Totals$97,376 $103,887 
The following schedule reconciles net income (loss) to segment expenses for the three months ended March 31, 2026 and 2025.
THREE MONTHS ENDED MARCH 31,
Dollars in thousands20262025
Revenue$278,990 $298,977 
Property taxes(26,025)(28,810)
Personnel(24,561)(24,379)
Utilities(21,042)(21,951)
Maintenance(25,748)(28,747)
Other segment expenses 1
(20,025)(19,540)
Transaction costs(937)(1,011)
Depreciation and amortization(128,985)(156,035)
Gain on sales of real estate properties and other assets10,777 2,904 
Interest expense(43,890)(54,812)
Loss on extinguishment of debt(21) 
Impairment of real estate properties and credit loss recoveries (reserves)984 (12,081)
Equity income from unconsolidated joint ventures496 1 
Interest and other (expense) income, net8 95 
Net income (loss)$21 $(45,389)
1    Other segment expenses are primarily related to administrative costs, travel, legal, technology, and insurance.


22


Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following discussion and analysis should be read together with the Condensed Consolidated Financial Statements and related Notes thereto included in Item 1 of this Quarterly Report on Form 10-Q. Other important factors are identified in our Annual Report on Form 10-K for the year ended December 31, 2025, including factors identified under the headings “Business,” “Risk Factors,” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations."

Unless stated otherwise or the context otherwise requires, references to the "Company," "we," "us," and "our" are to Healthcare Realty Trust and its consolidated subsidiaries, including the OP.

Disclosure Regarding Forward-Looking Statements
This report contains disclosures that are “forward-looking statements.” Forward-looking statements include all statements that do not relate solely to historical or current facts and can often be identified by the use of words such as “may,” “will,” “expect,” “believe,” “anticipate,” “target,” “intend,” “plan,” “estimate,” “project,” “continue,” “should,” “could” 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 that could materially affect the Company’s current plans and expectations and future financial condition and results. Such risks and uncertainties as more fully discussed in Item 1A “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2025 and in other reports filed by the Company with the SEC from time to time include, among other things, the following:
Risks relating to our business and operations

The Company's expected results may not be achieved;
The Company’s revenues depend on the ability of its tenants under its leases to generate sufficient income from their operations to make rental payments to the Company;
The Company's results of operations have been and will continue to be impacted negatively by the Prospect Medical bankruptcy;
Owning real estate and indirect interests in real estate is subject to inherent risks;
The Company may incur impairment charges on its real estate properties or other assets;
The Company has properties subject to purchase options that expose it to reinvestment risk and reduction in expected investment returns;
If the Company is unable to promptly re-let its properties, if the rates upon such re-letting are significantly lower than the previous rates or if the Company is required to undertake significant expenditures or make significant leasing concessions to attract new tenants, then the Company’s business, consolidated financial condition and results of operations would be adversely affected;
Certain of the Company’s properties are special purpose healthcare facilities and may not be easily adaptable to other uses;
The Company has, and in the future may have more exposure to fixed rent escalators, which could lag behind inflation and the growth in operating expenses such as real estate taxes, utilities, insurance, and maintenance expense;
The Company’s real estate investments are illiquid and the Company may not be able to sell properties strategically targeted for disposition;
The Company is subject to risks associated with the development and redevelopment of properties;
The Company may make material acquisitions and undertake developments and redevelopments that may involve the expenditure of significant funds and may not perform in accordance with management’s expectations;
The Company is exposed to risks associated with geographic concentration;
Many of the Company’s leases are dependent on the viability of associated health systems. Revenue concentrations relating to these leases expose the Company to risks related to the financial condition of the associated health systems;


23


Many of the Company’s properties are held under ground leases. These ground leases contain provisions that may limit the Company’s ability to lease, sell, or finance these properties;
The Company may experience uninsured or underinsured losses;
Damage from catastrophic weather and other natural events, whether caused by climate change or otherwise, could result in losses to the Company;
The Company faces risks associated with security breaches through cyber attacks, cyber intrusions, or otherwise, as well as other significant disruptions of its information technology networks and related systems;
The Company has structured and may in the future structure acquisitions of property in exchange for limited partnership units of the OP on terms that could limit its liquidity or flexibility;
Healthcare Realty Trust is a holding company with no direct operations and, as such, it relies on funds received from the OP to pay liabilities, and the interests of its stockholders will be structurally subordinated to all liabilities and obligations of the OP and its subsidiaries;
The Company cannot assure you that it will be able to continue paying dividends at or above the rates previously paid;
Pandemics, and measures intended to prevent their spread or mitigate their severity could have a material adverse effect on the Company's business, results of operations, cash flows and financial condition; and
The Company's success depends, in part, on its ability to attract and retain talented employees. The loss of any one of the Company's key personnel or the inability to maintain appropriate staffing could adversely impact the Company's business.
Risks relating to our capital structure and financings
The Company has incurred significant debt obligations and may incur additional debt and increase leverage in the future;
Covenants in the Company’s debt instruments limit its operational flexibility, and a breach of these covenants could materially affect the Company’s consolidated financial condition and results of operations;
If lenders under the Revolving Facility fail to meet their funding commitments, the Company’s operations and consolidated financial position would be negatively impacted;
The unavailability of equity and debt capital, volatility in the credit markets, increases in interest rates, or changes in the Company’s debt ratings could have an adverse effect on the Company’s ability to meet its debt payments, make dividend payments to stockholders or engage in acquisition and development activity;
Increases in interest rates could have a material adverse effect on the Company's cost of capital;
The Company's swap agreements may not effectively reduce its exposure to changes in interest rates;
The Company has entered into joint venture agreements that limit its flexibility with respect to jointly owned properties and may enter into additional such agreements in the future;
The U.S. federal income tax treatment of the cash that the Company might receive from cash settlement of a forward equity agreement is unclear and could jeopardize the Company's ability to meet the REIT qualification requirements; and
In case of our bankruptcy or insolvency, any forward equity agreements will automatically terminate, and the Company would not receive the expected proceeds from any forward sale of shares of its common stock.
Risks relating to government regulations
The Company's property taxes could increase due to reassessment or property tax rate changes;
Trends in the healthcare service industry, including the impact of the One Big Beautiful Bill Act passed during 2025 that is subject of ongoing analysis, may negatively affect the demand for the Company’s properties, lease revenues and the values of its investments;
The costs of complying with governmental laws and regulations may adversely affect the Company's results of operations;
Qualifying as a REIT involves highly technical and complex provisions of the Internal Revenue Code;


24


If the Company fails to remain qualified as a REIT, the Company will be subject to significant adverse consequences, including adversely affecting the value of its common stock;
The Company’s articles of incorporation, as well as provisions of the MGCL, contain limits and restrictions on transferability of the Company’s common stock which may have adverse effects on the value of the Company’s common stock;
Complying with the REIT requirements may cause the Company to forego otherwise attractive opportunities;
The prohibited transactions tax may limit the Company's ability to sell properties;
New legislation or administrative or judicial action, in each instance potentially with retroactive effect, could make it more difficult or impossible for the Company to qualify as a REIT;
New and increased transfer tax rates may reduce the value of the Company’s properties.
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. Stockholders and investors are cautioned not to unduly rely on such forward-looking statements, including, without limitation, estimates and projections regarding the performance of development projects the Company is pursuing.
Liquidity and Capital Resources
Sources and Uses of Cash
The Company's revenues are derived from its real estate property portfolio based on contractual arrangements with its tenants. These sources of revenue represent the Company's primary source of liquidity to fund its dividends and its operating expenses, including interest incurred on debt, principal payments on debt, general and administrative costs, capital expenditures and other expenses incurred in connection with managing its existing portfolio and investing in additional properties. To the extent additional investments are not funded by these sources, the Company expects to fund its investment activity generally through equity or debt issuances either in the public or private markets, asset sales and joint venture contributions or through proceeds from the Revolving Facility and Commercial Paper Program.
As of March 31, 2026, the Company had $1.2 billion available to be drawn on the Revolving Facility, net of Commercial Paper Program borrowings, and available cash.
The Company expects to continue to meet its liquidity needs, including capital for additional investments, tenant improvement allowances, operating and finance lease payments, paying dividends, share repurchases, and funding debt service, through cash on hand, cash flows from operations and the cash flow sources addressed above. Management believes that the Company's liquidity and sources of capital are adequate to satisfy our short and long-term 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.
Dividends paid by the Company for the three months ended March 31, 2026 were funded from cash flows from operations and the Revolving Facility, as cash flows from operations were not adequate to fully fund dividends, primarily as a result of the timing of interest payments. The Company expects that cash flows from operations will generate sufficient cash flows during 2026 such that dividends for the full year 2026 can be funded by cash flows from operations or other sources of liquidity described above.
See Notes 4 and 7 to the Condensed Consolidated Financial Statements in this report for more information about capital markets and financing activities.
Operating Activities
Cash flows provided by operating activities increased from $47.8 million for the three months ended March 31, 2025 to $52.9 million for the three months ended March 31, 2026. Items impacting cash flows from operations include, but are not limited to, cash generated from property operations, interest payments and the timing of the payment of invoices and other expenses.


25


The Company may, from time to time, sell properties and redeploy cash from property sales into new investments or to repay indebtedness. The income from the new investments or reduction in interest expense could be less than the income from properties sold which would adversely affect the Company's results of operations and cash flows.
Investing Activities
Cash flows used in investing activities for the three months ended March 31, 2026 and March 31, 2025, were approximately $45.3 million and $38.8 million, respectively. Below is a summary of the investing activities.
Acquisitions
The Company had no real estate acquisition activity for the three months ended March 31, 2026.

Subsequent to March 31, 2026, the Company acquired the following property:
Dollars in thousandsDATE ACQUIREDPURCHASE PRICESQUARE FOOTAGE
Charlotte, NC 1
4/24/26$3,670 12,418 
1.Represents an additional fully leased condominium unit, by Novant Health under a long-term lease in an existing building, bringing the Company's ownership of the building to 93%.

Dispositions
The Company disposed of three medical outpatient properties during the three months ended March 31, 2026 for a total sales price of $33.4 million, generating net proceeds of $30.0 million after closing credits. The following table details these dispositions for the three months ended March 31, 2026:
Dollars in thousandsDate DisposedSale PriceSquare Footage
Atlanta, GA1/14/26$21,900 60,039 
Oklahoma City, OK 1
3/3/2611,500 186,301 
Total$33,400 246,340 
1Includes two medical outpatient properties.

Capital Expenditures
During the three months ended March 31, 2026, the Company incurred capital costs totaling $49.1 million for the following:
$18.3 million toward development and redevelopment of properties;
$18.2 million toward first generation tenant improvements and planned capital expenditures for acquisitions;
$8.5 million toward second generation tenant improvements; and
$4.1 million toward building capital.
Investment in Unconsolidated Joint Venture
During the three months ended March 31, 2026, the Company invested additional funding of $18.6 million, of which $17.7 million related to a property acquisition, in existing joint ventures in which it holds a 20% interest.
Real Estate Notes Receivable
See Note 1 to the Condensed Consolidated Financial Statements in this report for more information about real estate notes receivable and allowance for credit losses.
Financing Activities
Cash flows used in financing activities for the three months ended March 31, 2026 and March 31, 2025, were approximately $7.5 million and $52.1 million, respectively. See Notes 4 and 7 to the Condensed Consolidated Financial Statements in this report for more information about capital markets and financing activities.


26


Debt Activity
On February 12, 2026, Healthcare Realty established its inaugural commercial paper program, with a total size of up to $600 million. As of March 31, 2026, the Company had a principal balance of $251.0 million outstanding.
In February 2026, the Company terminated three interest rate swaps with a total notional value of $400.0 million that were set to mature in 2026 and 2027. The Company entered into two new interest rate swaps with a total notional value of $400.0 million, at a strike price of 3.32%, that mature in January 2029.
As of March 31, 2026, the Company had six outstanding interest rate derivatives totaling $500.0 million to hedge the one-month term Secured Overnight Financing Rate ("SOFR"). As of March 31, 2026, all six of these swaps were designated as cash flow hedges. The following table details the amount and rate of each swap (dollars in thousands):
EXPIRATION DATETOTAL OUTSTANDING AMOUNTWEIGHTED
AVERAGE RATE
May 2026$100,000 2.15 %
January 2029400,000 3.32 %
$500,000 3.09 %
Supplemental Guarantor Information
The OP has issued unsecured notes described in Note 4 to the Company's Condensed Consolidated Financial Statements included in this report. All unsecured notes are fully and unconditionally guaranteed by the Company, and the OP is 98.8% owned by the Company. Effective January 4, 2021, the Securities and Exchange Commission (the “SEC”) adopted amendments to the financial disclosure requirements which permit subsidiary issuers of obligations guaranteed by the parent to omit separate financial statements if the consolidated financial statements of the parent company have been filed, the subsidiary obligor is a consolidated subsidiary of the parent company, the guaranteed security is debt or debt-like, and the security is guaranteed fully and unconditionally by the parent.
Accordingly, as permitted under Rule 13-01(a)(4)(vi) of Regulation S-X, the Company has excluded the summarized financial information for the OP because the assets, liabilities, and results of operations of the OP are not materially different than the corresponding amounts in the Company's consolidated financial statements and management believes such summarized financial information would be repetitive and would not provide incremental value to investors.

Trends and Matters Impacting Operating Results
Management monitors factors and trends important to the Company and the REIT industry to gauge the potential impact on Company operations. In addition to the matters discussed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2025, some of the factors and trends that management believes may impact future operations of the Company are outlined below.
Economic and Market Conditions
Increased volatility in interest rates and in the capital markets have increased the Company’s cost and impacted the availability of debt and equity capital. Limited availability and increases in the cost of capital could adversely impact the Company’s ability to finance operations and acquire, develop, and redevelop properties. To the extent the Company’s tenants experience increased costs or financing difficulties due to the economic and market conditions, they may be unable or unwilling to make payments or perform their obligations when due. Additionally, increased interest rates may also result in less liquid property markets, limiting the Company’s ability to sell existing assets or obtain joint venture capital.
Expiring Leases
The Company expects that approximately 10-15% of its leases will expire each year in the ordinary course of business. There are 768 multi-tenant and single-tenant leases totaling 2.2 million square feet that will expire during the remainder of 2026. Approximately 72% of the leases expiring during the remainder of 2026 are for space in buildings located on or adjacent to hospital campuses, are distributed throughout the portfolio, and are not concentrated with any one tenant, health system or market area. The Company typically expects to retain 75% to 90% of tenants upon expiration, and the retention ratio for the first three months of the year was within this range.


27


Operating Expenses
The Company historically has experienced increases in property taxes throughout its portfolio as a result of increasing assessments and tax rates levied across the country. The Company continues its efforts to appeal property tax increases and manage the impact of the increases. In addition, the Company historically has incurred variability in portfolio utilities expenses based on seasonality, with the first and third quarters usually reflecting greater amounts. The effects of these operating expense increases are mitigated in leases that have provisions for operating expense reimbursement. As of March 31, 2026, leases for approximately 92% of the Company's total leased square footage allow for some recovery of operating expenses, with approximately 30% having modified gross lease structures and approximately 62% having net lease structures.
Purchase Options
Information about the Company's unexercised purchase options and the amount and basis for determination of the purchase price is detailed in the table below (dollars in thousands):
YEAR EXERCISABLENUMBER OF PROPERTIES
GROSS REAL ESTATE INVESTMENT AS OF
MARCH 31, 2026 1
Current 2
$55,561 
2026 (remaining)152,129 
2027171,785 
2028157,118 
202977,658 
2030— — 
2031111,910 
203224,874 
2033— — 
2034— — 
203540,318 
2036 and thereafter 3
345,996 
Total40 $1,137,349 
1Purchase option prices are based on fair market value components that are determined by an appraisal process, except for two properties totaling $42.6 million with stated prices or prices based on fixed capitalization rates.
2These purchase options have been exercisable for an average of 21.7 years.
3Includes two medical outpatient properties that are recorded in the line item Investment in financing receivable, net on the Company's Condensed Consolidated Balance Sheets.

Non-GAAP Financial Measures and Key Performance Indicators
Management considers certain non-GAAP financial measures and key performance indicators to be useful supplemental measures of the Company's operating performance. A non-GAAP financial measure is generally defined as one that purports to measure financial performance, financial position or cash flows, but excludes or includes amounts that would not be so adjusted in the most comparable measure determined in accordance with GAAP. Set forth below are descriptions of the non-GAAP financial measures management considers relevant to the Company's business and useful to investors, as well as reconciliations of these measures to the most directly comparable GAAP financial measures.
The non-GAAP financial measures and key performance indicators presented herein are not necessarily identical to those presented by other real estate companies due to the fact that not all real estate companies use the same definitions. These measures should not be considered as alternatives to net income, as indicators of the Company's financial performance, or as alternatives to cash flow from operating activities as measures of the Company's liquidity, nor are these measures necessarily indicative of sufficient cash flow to fund all of the Company's needs. Management believes that in order to facilitate a clear understanding of the Company's historical consolidated operating results, these measures should be examined in conjunction with net income and cash flows from operations as presented in the Condensed Consolidated Financial Statements and other financial data included elsewhere in this Quarterly Report on Form 10-Q.


28


Funds from Operations ("FFO"), Normalized FFO and Funds Available for Distribution ("FAD")
FFO and FFO per share are operating performance measures adopted by the National Association of Real Estate Investment Trusts (“NAREIT”). NAREIT defines FFO as the most commonly accepted and reported measure of a REIT’s operating performance equal to “net income (computed in accordance with GAAP), excluding gains (or losses) from sales of property, plus depreciation and amortization, impairment, and after adjustments for unconsolidated partnerships and joint ventures.”
In addition to FFO, the Company presents Normalized FFO and FAD. Normalized FFO is presented by adding acquisition-related costs, acceleration of debt issuance costs, debt extinguishment costs, restructuring, severance and other Company-defined normalizing items to evaluate operating performance. FAD is presented by adding to Normalized FFO non-real estate depreciation and amortization, non-cash financing receivable amortization, loan origination cost amortization, deferred financing fees amortization, and stock-based compensation expense; and subtracting maintenance capital expenditures, including second generation tenant improvements and leasing commissions paid and straight-line rent income, net of expense. The Company's definition of these terms may not be comparable to that of other real estate companies as they may have different methodologies for computing these amounts. FFO, Normalized FFO and FAD should not be considered as an alternative to net income as an indicator of the Company's financial performance or to cash flow from operating activities as an indicator of the Company's liquidity. FFO, Normalized FFO and FAD should be reviewed in connection with GAAP financial measures.
Management believes FFO, Normalized FFO, FFO per common share, Normalized FFO per share and FAD ("Non-GAAP Measures") provide an understanding of the operating performance of the Company’s properties without giving effect to certain significant non-cash items, primarily depreciation and amortization expense. Historical cost accounting for real estate assets in accordance with GAAP assumes that the value of real estate assets diminishes predictably over time. However, real estate values have historically risen or fallen with market conditions. The Company believes that by excluding the effect of depreciation, amortization, impairments and gains or losses from sales of real estate, all of which are based on historical costs, and which may be of limited relevance in evaluating current performance, Non-GAAP Measures can facilitate comparisons of operating performance between periods. The Company reports Non-GAAP Measures because these measures are observed by management to also be the predominant measures used by the REIT industry and by industry analysts to evaluate REITs. For these reasons, management deems it appropriate to disclose and discuss these Non-GAAP Measures. However, none of these measures represent cash generated from operating activities determined in accordance with GAAP and are not necessarily indicative of cash available to fund cash needs. Further, these measures should not be considered as an 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.


29


The table below reconciles net loss to FFO, Normalized FFO and FAD for the three months ended March 31, 2026 and 2025:
THREE MONTHS ENDED MARCH 31,
Amounts in thousands, except per share data20262025
Net loss attributable to common stockholders$(56)$(44,873)
Net loss attributable to common stockholders per diluted share 1
$(0.00)$(0.13)
Gain on sales of real estate properties(10,777)(2,904)
Impairment of real estate properties16 10,145 
Real estate depreciation and amortization127,921 155,288 
Non-controlling loss from operating partnership units(10)(599)
Unconsolidated JV depreciation and amortization6,604 6,717 
FFO attributable to common stockholders$123,698 $123,774 
FFO attributable to common stockholders per common share - diluted $0.35 $0.35 
Transaction costs 937 1,011 
Debt financing costs 116 — 
Restructuring and severance-related charges7,562 502 
Merger-related fair value of debt instruments10,991 10,446 
Other1,078 1,989 
Normalized FFO attributable to common stockholders$144,382 $137,722 
Normalized FFO attributable to common stockholders per common share - diluted $0.41 $0.39 
Non-real estate depreciation and amortization663 1,269 
Non-cash interest amortization, net 1,367 1,217 
Straight-line rent, net(10,291)(7,891)
Stock-based compensation 3,927 3,028 
Unconsolidated JV non-cash items (89)(253)
Rent reserves, net— 94 
Maintenance capex(27,101)(32,966)
FAD$112,858 $102,220 
FFO weighted average common shares outstanding - diluted 2
352,211 353,522 

1Potential common shares are not included in diluted earnings per share when a loss exists as the effect would be antidilutive.
2 The Company utilizes the treasury stock method which includes the dilutive effect of nonvested share-based awards outstanding of 493,403 and 317,511, respectively, for the three months ended March 31, 2026 and 2025, and the dilutive impact of 4,278,028 OP Units outstanding for the three months ended March 31, 2026,

Cash Net Operating Income ("NOI") and Same Store Cash NOI
Cash NOI and Same Store Cash NOI are key performance indicators. Management considers these to be supplemental measures that allow investors, analysts and Company management to measure unlevered property-level operating results. The Company defines Cash NOI as rental income plus interest from financing receivables less property operating expenses. Cash NOI excludes non-cash items such as above and below market lease intangibles, straight-line rent, lease inducements, financing receivable amortization, tenant improvement amortization and leasing commission amortization. The Company also excludes cash lease termination fees. Cash NOI is historical and not necessarily indicative of future results.
Same Store Cash NOI compares Cash NOI for stabilized properties. Stabilized properties are properties that have been included in operations for the duration of the year-over-year comparison period presented. Accordingly, stabilized properties exclude properties that were recently acquired or disposed of, properties classified as held for sale or intended for sale, properties undergoing redevelopment, and newly redeveloped or developed properties.
The Company utilizes the redevelopment classification for properties where management has approved a change in strategic direction through the application of additional resources, including an amount of capital expenditures significantly above routine maintenance and capital improvement expenditures.


30


Any recently acquired property will be included in the same store pool once the Company has owned the property for five full quarters. Newly developed or redeveloped properties will be included in the same store pool five full quarters after substantial completion.
The following table reflects the Company's Same Store Cash NOI for the three months ended March 31, 2026 and 2025:
NUMBER OF PROPERTIESGROSS INVESTMENT
as of March 31, 2026
SAME STORE CASH NOI for the three months ended March 31,
Dollars in thousands20262025
Same store properties471 $8,984,154 $153,603 $143,475 
Joint venture same store properties58 $497,342 $7,479 $7,206 
The following tables reconcile net income (loss) to Same Store NOI and the same store property metrics to the total owned real estate portfolio for the three months ended March 31, 2026 and 2025:
Reconciliation of Same Store Cash NOI
THREE MONTHS ENDED MARCH 31,
Dollars in thousands20262025
Net income (loss)$21 $(45,389)
Other expense 31,646 63,893 
General and administrative expense17,343 13,530 
Depreciation and amortization expense128,985 156,035 
Other expenses 1
2,995 2,498 
Straight-line rent, net(7,896)(6,844)
Joint venture properties8,560 8,282 
Other revenue 2
(11,980)(9,907)
Cash NOI169,674 182,098 
Cash NOI not included in same store(8,592)(31,417)
Same store cash NOI161,082 150,681 
Same store joint venture properties(7,479)(7,206)
Same store cash NOI (excluding JVs)$153,603 $143,475 
1.Includes transaction costs, rent reserves, above and below market ground lease intangible amortization, leasing commission amortization and ground lease straight-line rent expense.
2.Includes management fee income, interest, above and below market lease intangible amortization, lease inducement amortization, lease termination fees and tenant improvement overage amortization.

Reconciliation of Same Store Properties
AS OF MARCH 31, 2026
Dollars and square feet in thousandsPROPERTY COUNT
GROSS INVESTMENT 1
SQUARE
FEET
OCCUPANCY
Same store properties
471 $8,984,154 26,102 92.1 %
Joint venture same store properties58 497,342 3,725 93.8 %
Wholly owned and joint venture acquisitions17,820 144 100.0 %
Developments87,595 224 60.5 %
Development completions53,900 107 89.6 %
Redevelopments23 822,621 2,071 69.5 %
Redevelopment completions156,027 510 79.9 %
Total 563 $10,619,459 32,883 90.5 %
Joint venture properties64 627,938 4,257 90.5 %
Total owned real estate properties499 $9,991,521 28,626 90.5 %
1Excludes assets held for sale, construction in progress, land held for development, corporate property and financing lease right-of-use assets unrelated to an imputed lease arrangement as a result of a sale leaseback transaction.


31


Results of Operations
Three Months Ended March 31, 2026, Compared to Three Months Ended March 31, 2025
The Company’s results of operations for the three months ended March 31, 2026, compared to the same period in 2025 were impacted by developments, dispositions, gain on sales and impairment charges recorded on real estate properties, and capital markets transactions.
Revenues
Rental income decreased $21.3 million, or 7.4%, for the three months ended March 31, 2026, compared to the prior year period. This decrease is primarily comprised of the following:
Dispositions in 2025 and 2026 resulted in a decrease of $32.8 million.
Leasing activity resulted in an increase of $10.9 million.
Developments completed in 2025 resulted in an increase of $0.6 million.
Other operating income increased $1.3 million, or 20.6%, for the three months ended March 31, 2026, compared to the prior year period primarily as a result of income from management fees.
Expenses
Property operating expenses decreased $9.8 million, or 9.0%, for the three months ended March 31, 2026, compared to the prior year period primarily as a result of the following activity:
Dispositions in 2025 and 2026 resulted in a decrease of $12.8 million.
Decreases in portfolio operating expenses as follows:
Property tax expense of $0.2 million; and
Other administrative and legal expenses of $0.2 million;
Increases in portfolio operating expenses as follows:
Utilities expense of $1.5 million;
Compensation expense of $0.9 million;
Maintenance and repair expense of $0.7 million; and
Janitorial expense of $0.1 million.
Developments completed in 2025 resulted in an increase of $0.2 million.
General and administrative expenses increased approximately $3.8 million, or 28.2%, for the three months ended March 31, 2026, compared to the prior year period primarily as a result of the following activity:
Increase in restructuring and severance-related charges of $7.1 million and non-cash incentive compensation expense of $0.9 million.
Decreases in the following expenses:
Cash compensation expense of $3.1 million;
Incentive based cash compensation expense of $0.4 million; and
Other decreases include legal and other administrative costs of $0.7 million.

Depreciation and amortization expense decreased $27.1 million, or 17.3%, for the three months ended March 31, 2026, compared to the prior year period primarily as a result of the following activity:
Dispositions in 2025 and 2026 resulted in a decrease of $19.9 million.
Assets that became fully depreciated resulted in a decrease of $17.3 million.
Various building and tenant improvement expenditures resulted in an increase of $9.8 million.
Developments completed in 2025 resulted in an increase of $0.3 million.




32


Other Income (Expense)
Gains on sale of real estate properties and other assets
In the three months ended March 31, 2026, the Company recognized gains on sale of real estate properties and other assets of approximately $10.8 million. In the three months ended March 31, 2025, the Company recognized gains on sale of real estate properties and other assets of approximately $2.9 million.
Interest expense
Interest expense decreased $10.9 million, or 19.9%, for the three months ended March 31, 2026, compared to the prior year period. The components of interest expense are as follows:
THREE MONTHS ENDED MARCH 31,CHANGE
Dollars in thousands20262025$%
Contractual interest$33,619 $42,885 $(9,266)(21.6)%
Net discount/premium accretion11,169 10,590 579 5.5 %
Debt issuance costs amortization1,258 1,129 129 11.4 %
Amortization of interest rate swap settlement280 42 238 566.7 %
Amortization of treasury hedge settlement107 107 — — %
Interest cost capitalization(3,471)(857)(2,614)305.0 %
Interest on lease liabilities928 916 12 1.3 %
Total interest expense$43,890 $54,812 $(10,922)(19.9)%
Contractual interest expense decreased $9.3 million, or 21.6%, for the three months ended March 31, 2026, compared to the prior year period primarily as a result of the following activity:
The unsecured term loans accounted for a decrease of approximately $9.2 million as a result of a decreased aggregate balance.
The Revolving Facility accounted for an increase of approximately $1.4 million as a result of an increased weighted average balance outstanding.
The repayment of the Senior Notes due 2025 accounted for a decrease of $2.4 million.
Active interest rate swaps accounted for an increase of $0.7 million.
Mortgage note repayments, net of assumptions, accounted for a decrease of approximately $0.2 million.
The commercial paper program accounted for an increase of approximately $0.4 million.
Impairment of real estate properties and credit loss reserves
In the first quarter of 2026, the Company recognized a $1.0 million credit loss recovery on one of its previously settled mortgage notes receivable. In the first quarter of 2025, the Company recognized impairments totaling $5.4 million on four properties sold and $4.8 million on three properties with changes in the expected holding periods. In addition, the Company recorded a $1.9 million fair value adjustment for an equity investment in other assets.
Equity loss from unconsolidated joint ventures
The Company recognized its proportionate share of income or losses from its unconsolidated joint ventures. Losses are primarily attributable to non-cash depreciation expense. See Note 2 to the Condensed Consolidated Financial Statements in this report for more details regarding the Company's unconsolidated joint ventures.

Item 3. Quantitative and Qualitative Disclosures about Market Risk
The Company is exposed to market risk in the form of changing interest rates on its debt and mortgage notes. Management uses regular monitoring of market conditions and analysis techniques to manage this risk. During the three months ended March 31, 2026, 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, 2025.


33


Item 4. Controls and Procedures
Disclosure Controls and Procedures
The Company’s management, with the participation of the Company’s Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of the Company’s disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”)), as of the end of the period covered by this report. Based on this evaluation, the Company’s Chief Executive Officer and Chief Financial Officer have concluded that, as of the end of such period, the Company’s disclosure controls and procedures were effective in recording, processing, summarizing and reporting, on a timely basis, information required to be disclosed by the Company in the reports it files or submits under the Exchange Act.
Changes in Internal Control over Financial Reporting
There have not been any changes in the Company’s internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the fiscal quarter to which this report relates that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.
PART II - OTHER INFORMATION
Item 1. Legal Proceedings
The Company is, from time to time, involved in litigation arising in the ordinary course of business. The Company is not aware of any pending or threatened litigation that, if resolved against the Company, would have a material adverse effect on the Company’s consolidated financial position, results of operations or cash flows.
Item 1A. Risk Factors
There have been no material changes to our risk factors and other risks and uncertainties as described in Part I, "Item 1A. Risk Factors" in the Company's Annual Report on Form 10-K for the year ended December 31, 2025.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
During the three months ended March 31, 2026, the Company repurchased shares of its common stock as follows:    
PERIOD
TOTAL NUMBER OF SHARES PURCHASED (1)
AVERAGE PRICE PAID per share
TOTAL NUMBER OF SHARES purchased as part of publicly announced plans or programs (2)
MAXIMUM NUMBER (or Approximate DOLLAR VALUE) OF SHARES that may yet be purchased under the plans or programs (2)
January 1 - January 31 (3)
2,949,338 $17.27 2,891,708 450,057,958 
February 1 - February 28
60,111 17.24 — 450,057,958 
March 1 - March 31 (4)
2,857,439 17.48 2,856,948 400,115,119 
Total5,866,888 $17.33 5,748,656 400,115,119 
1Share purchases in the three months ended March 31, 2026 represent shares of Company common stock withheld and cancelled to satisfy employee tax withholding obligations payable upon the vesting of non-vested shares, as well as shares repurchased under publicly announced programs.
2On October 28, 2025, the Company's Board of Directors authorized the repurchase of up to $500.0 million of outstanding shares of the Company's common stock, superseding the previous $300.0 million stock repurchase authorization. The stock repurchase authorization expires on October 27, 2026, and the Company may suspend or terminate repurchases at any time without prior notice.
3In January 2026, the Company repurchased 2.9 million shares of its common stock at an average price of $17.27 per share for a total of $49.9 million resulting in $450.1 million of authorized share repurchases remaining.
4In March 2026, the Company repurchased 2.9 million shares of its common stock at an average price of $17.48 per share for a total of $49.9 million resulting in $400.1 million of authorized share repurchases remaining.




34


Item 5. Other Information
During the three months ended March 31, 2026, no director or officer of the Company adopted or terminated a "Rule 10b5-1 trading agreement" or "non-Rule 10b5-1 trading agreement," as each term is defined in Item 408(a) of Regulation S-K.
Item 6. Exhibits
EXHIBITDESCRIPTION
Exhibit 3.1
Exhibit 3.2
Exhibit 3.3
Exhibit 3.4
Exhibit 10.1
Exhibit 10.2
Exhibit 101.INS
The instance document does not appear in the interactive data file because its XBRL tags are embedded within the Inline XBRL document.
Exhibit 101.SCH
XBRL Taxonomy Extension Schema Document (furnished electronically herewith)
Exhibit 101.CAL
XBRL Taxonomy Extension Calculation Linkbase Document (furnished electronically herewith)
Exhibit 101.LAB
XBRL Taxonomy Extension Labels Linkbase Document (furnished electronically herewith)
Exhibit 101.DEF
XBRL Taxonomy Extension Definition Linkbase Document (furnished electronically herewith)
Exhibit 101.PRE
XBRL Taxonomy Extension Presentation Linkbase Document (furnished electronically herewith)
Exhibit 104
Cover Page Interactive Data File (embedded within the Inline XBRL document)
1 Filed as an exhibit to the Company's (File No. 001-35568) Quarterly Report on Form 10-Q filed with the SEC on August 8, 2023, and hereby incorporated by reference.
2 Filed as an exhibit to the Company's (File No. 001-35568) Current Report on Form 8-K filed with the SEC on April 29, 2020, and hereby incorporated by reference.
3 Filed as an exhibit to the Company's (File No. 001-35568) Registration Statement on Form S-3 (Registration No. 333-273784) filed with the SEC on August 8, 2023, and hereby incorporated by reference.
4 Filed as an exhibit to the Company's (File No. 001-35568) Form 10-K for the year ended December 31, 2025 filed with the SEC on February 13, 2026 and hereby incorporated by reference.


35


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/ Daniel Gabbay
Daniel Gabbay
Executive Vice President and Chief Financial Officer
May 1, 2026


36