<?xml version="1.0" encoding="UTF-8"?><own:edgarSubmission xmlns:com="http://www.sec.gov/edgar/common" xmlns:own="http://www.sec.gov/edgar/ownership">
  <!-- Generated by Workiva -->
  <own:headerData>
    <own:submissionType>144</own:submissionType>
    <own:filerInfo>
      <own:filer>
        <own:filerCredentials>
          <own:cik>0001624433</own:cik>
          <own:ccc>XXXXXXXX</own:ccc>
        </own:filerCredentials>
      </own:filer>
      <own:liveTestFlag>LIVE</own:liveTestFlag>



    </own:filerInfo>
  </own:headerData>
  <own:formData>
    <own:issuerInfo>
      <own:issuerCik>0001360604</own:issuerCik>
      <own:issuerName>Healthcare Realty Trust Inc</own:issuerName>
      <own:secFileNumber>001-35568</own:secFileNumber>
      <own:issuerAddress>
        <com:street1>3310 West End Avenue</com:street1>
        <com:street2>Suite 700</com:street2>
        <com:city>Nashville</com:city>
        <com:stateOrCountry>TN</com:stateOrCountry>
        <com:zipCode>37203</com:zipCode>
      </own:issuerAddress>
      <own:issuerContactPhone>615-269-8175</own:issuerContactPhone>
      <own:nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Amanda L Callaway</own:nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <own:relationshipsToIssuer>
        <own:relationshipToIssuer>Officer</own:relationshipToIssuer>
      </own:relationshipsToIssuer>
    </own:issuerInfo>
    <own:securitiesInformation>
      <own:securitiesClassTitle>Common Stock</own:securitiesClassTitle>
      <own:brokerOrMarketmakerDetails>
        <own:name>Northwestern Mutual Investment Services LLC</own:name>
        <own:address>
          <com:street1>720 E Wisconsin Ave</com:street1>
          <com:city>Milwaukee</com:city>
          <com:stateOrCountry>WI</com:stateOrCountry>
          <com:zipCode>53202</com:zipCode>
        </own:address>
      </own:brokerOrMarketmakerDetails>
      <own:noOfUnitsSold>25767</own:noOfUnitsSold>
      <own:aggregateMarketValue>519462.72</own:aggregateMarketValue>
      <own:noOfUnitsOutstanding>346521578</own:noOfUnitsOutstanding>
      <own:approxSaleDate>06/23/2026</own:approxSaleDate>
      <own:securitiesExchangeName>NYSE</own:securitiesExchangeName>
    </own:securitiesInformation>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Common Stock</own:securitiesClassTitle>
      <own:acquiredDate>12/14/2020</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>Grant</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Issuer</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>864</own:amountOfSecuritiesAcquired>
      <own:paymentDate>12/14/2020</own:paymentDate>
      <own:natureOfPayment>Equity Compensation</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Common Stock</own:securitiesClassTitle>
      <own:acquiredDate>12/15/2021</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>Grant</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Issuer</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>8188</own:amountOfSecuritiesAcquired>
      <own:paymentDate>12/15/2021</own:paymentDate>
      <own:natureOfPayment>Equity Compensation</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Common Stock</own:securitiesClassTitle>
      <own:acquiredDate>02/03/2022</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>Grant</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Issuer</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>413</own:amountOfSecuritiesAcquired>
      <own:paymentDate>02/03/2022</own:paymentDate>
      <own:natureOfPayment>Equity Compensation</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Common Stock</own:securitiesClassTitle>
      <own:acquiredDate>12/04/2025</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>Grant</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Issuer</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>1739</own:amountOfSecuritiesAcquired>
      <own:paymentDate>12/04/2025</own:paymentDate>
      <own:natureOfPayment>Equity Compensation</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Common Stock</own:securitiesClassTitle>
      <own:acquiredDate>12/13/2025</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>Grant</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Issuer</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>4347</own:amountOfSecuritiesAcquired>
      <own:paymentDate>12/13/2025</own:paymentDate>
      <own:natureOfPayment>Equity Compensation</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Common Stock</own:securitiesClassTitle>
      <own:acquiredDate>01/03/2026</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>Grant</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Issuer</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>2975</own:amountOfSecuritiesAcquired>
      <own:paymentDate>01/03/2026</own:paymentDate>
      <own:natureOfPayment>Equity Compensation</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Common Stock</own:securitiesClassTitle>
      <own:acquiredDate>02/09/2026</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>Grant</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Issuer</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>4397</own:amountOfSecuritiesAcquired>
      <own:paymentDate>02/09/2026</own:paymentDate>
      <own:natureOfPayment>Equity Compensation</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Common Stock</own:securitiesClassTitle>
      <own:acquiredDate>02/10/2026</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>Grant</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Issuer</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>2844</own:amountOfSecuritiesAcquired>
      <own:paymentDate>02/10/2026</own:paymentDate>
      <own:natureOfPayment>Equity Compensation</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:nothingToReportFlagOnSecuritiesSoldInPast3Months>Y</own:nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <own:noticeSignature>
      <own:noticeDate>06/22/2026</own:noticeDate>
      <own:signature>Amanda L. Callaway</own:signature>
    </own:noticeSignature>
  </own:formData>
</own:edgarSubmission>
