10-Q

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, 2020
OR
☐	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period             to For the transition period             to

Commission File Number: 001-11852

HEALTHCARE REALTY TRUST INCORPORATED

(Exact name of Registrant as specified in its charter) 

Maryland	62-1507028
(State or other jurisdiction of Incorporation or organization)	(I.R.S. Employer Identification No.)

3310 West End Avenue, Suite 700

Nashville, Tennessee 37203

(Address of principal executive offices)

(615) 269-8175

(Registrant's telephone number, including area code)

Securities Registered Pursuant to Section 12(b) of the Act:

Title of Each Class	Trading Symbol	Name of Each Exchange on Which Registered
Common stock, $0.01 par value per share	HR	New York Stock Exchange

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

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).    Yes  ☒    No  ☐

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). Yes  ☐    No  ☒

As of May 1, 2020, the Registrant had 134,932,261 shares of Common Stock outstanding.

HEALTHCARE REALTY TRUST INCORPORATED

FORM 10-Q

March 31, 2020

Table of Contents

 

PART I - FINANCIAL INFORMATION
Item 1	Financial Statements	1
	Condensed Consolidated Balance Sheets	1
	Condensed Consolidated Statements of Income	2
	Condensed Consolidated Statements of Comprehensive Income	3
	Condensed Consolidated Statements of Equity	4
	Condensed Consolidated Statements of Cash Flows	5
	Notes to the Condensed Consolidated Financial Statements	6
Item 2	Management’s Discussion and Analysis of Financial Condition and Results of Operations	16
Item 3	Quantitative and Qualitative Disclosures about Market Risk	26
Item 4	Controls and Procedures	27
PART II - OTHER INFORMATION
Item 1	Legal Proceedings	28
Item 1A	Risk Factors	28
Item 2	Unregistered Sales of Equity and Use of Proceeds	29
Item 6	Exhibits	30
SIGNATURE		32

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, 2020			DECEMBER 31, 2019
Real estate properties
Land	$	319,882		$	289,751
Buildings, improvements and lease intangibles	4,126,046			3,986,326
Personal property	10,783			10,538
Construction in progress	—			48,731
Land held for development	24,647			24,647
Total real estate properties	4,481,358			4,359,993
Less accumulated depreciation and amortization	(1,164,462		)	(1,121,102		)
Total real estate properties, net	3,316,896			3,238,891
Cash and cash equivalents	103,370			657
Assets held for sale, net	20			37
Operating lease right-of-use assets	125,040			126,177
Financing lease right-of-use assets	12,615			12,667
Other assets, net	189,708			185,426
Total assets	$	3,747,649		$	3,563,855
LIABILITIES AND STOCKHOLDERS' EQUITY
Liabilities
Notes and bonds payable	$	1,644,454		$	1,414,069
Accounts payable and accrued liabilities	64,574			78,517
Liabilities of properties held for sale	74			145
Operating lease liabilities	91,093			91,574
Financing lease liabilities	17,953			18,037
Other liabilities	70,073			61,504
Total liabilities	1,888,221			1,663,846
Commitments and contingencies
Stockholders' equity
Preferred stock, $.01 par value per share; 50,000 shares authorized; none issued and outstanding	—			—
Common stock, $.01 par value per share; 300,000 shares authorized; 134,932 and 134,706 shares issued and outstanding at March 31, 2020 and December 31, 2019, respectively	1,349			1,347
Additional paid-in capital	3,494,123			3,485,003
Accumulated other comprehensive loss	(19,777		)	(6,175		)
Cumulative net income attributable to common stockholders	1,131,619			1,127,304
Cumulative dividends	(2,747,886		)	(2,707,470		)
Total stockholders' equity	1,859,428			1,900,009
Total liabilities and stockholders' equity	$	3,747,649		$	3,563,855

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, 2019, are an integral part of these financial statements.

1

Healthcare Realty Trust Incorporated

Condensed Consolidated Statements of Income

For the Three Months Ended March 31, 2020 and 2019

Amounts in thousands, except per share data

Unaudited

	THREE MONTHS ENDED March 31,
	2020			2019
Revenues
Rental income	$	122,644		$	110,696
Other operating	2,163			1,961
	124,807			112,657
Expenses
Property operating	49,552			42,725
General and administrative	8,766			8,510
Acquisition and pursuit costs	750			305
Depreciation and amortization	47,497			42,662
	106,565			94,202
Other Income (Expense)
Gain (loss) on sales of real estate assets	(49		)	15
Interest expense	(13,960		)	(13,588		)
Interest and other income (expense), net	82			9
	(13,927		)	(13,564		)
Net Income	$	4,315		$	4,891
Basic earnings per common share	$	0.03		$	0.04
Diluted earnings per common share	$	0.03		$	0.04
Weighted average common shares outstanding - basic	133,036			124,130
Weighted average common shares outstanding - diluted	133,150			124,232
Dividends declared, per common share, during the period	$	0.30		$	0.30

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, 2019, are an integral part of these financial statements.

2

Healthcare Realty Trust Incorporated

Condensed Consolidated Statements of Comprehensive Income

For the Three Months Ended March 31, 2020 and 2019

Amounts in thousands

Unaudited

	THREE MONTHS ENDED March 31,
	2020			2019
Net income	$	4,315		$	4,891
Other comprehensive income (loss)
Interest rate swaps
Reclassification adjustments for losses included in net income (interest expense)	328			15
Losses arising during the period on interest rate swaps	(9,663		)	(724		)
Losses on settlement of treasury rate locks arising during the period	(4,267		)	—
	(13,602		)	(709		)
Comprehensive income	$	(9,287	)	$	4,182

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, 2019, are an integral part of these financial statements.

3

Healthcare Realty Trust Incorporated

Condensed Consolidated Statements of Equity

For the Three Months Ended March 31, 2020 and 2019

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
Balance at December 31, 2019	$	1,347	$	3,485,003		$	(6,175	)	$	1,127,304	$	(2,707,470	)	$	1,900,009
Issuance of common stock, net of issuance costs	2		7,319			—			—		—			7,321
Common stock redemptions	—		(798		)	—			—		—			(798		)
Share-based compensation	—		2,599			—			—		—			2,599
Net income	—		—			—			4,315		—			4,315
Reclassification adjustments for losses included in net income (interest expense)	—		—			328			—		—			328
Losses arising during the period on treasury rate locks	—		—			(13,930		)	—		—			(13,930		)
Dividends to common stockholders ($0.30 per share)	—		—			—			—		(40,416		)	(40,416		)
Balance at March 31, 2020	$	1,349	$	3,494,123		$	(19,777	)	$	1,131,619	$	(2,747,886	)	$	1,859,428
	Common Stock		Additional Paid-In Capital			Accumulated Other Comprehensive Income (Loss)			Cumulative Net Income		Cumulative Dividends			Total Stockholders’ Equity
Balance at December 31, 2018	$	1,253	$	3,180,284		$	(902	)	$	1,088,119	$	(2,552,112	)	$	1,716,642
Issuance of common stock, net of issuance costs	38		120,462			—			—		—			120,500
Common stock redemptions	—		(570		)	—			—		—			(570		)
Share-based compensation	1		2,638			—			—		—			2,639
Net income	—		—			—			4,891		—			4,891
Reclassification adjustments for losses included in net income (interest expense)	—		—			15			—		—			15
Losses arising during the period on interest rate swaps	—		—			(724		)	—		—			(724		)
Dividends to common stockholders ($0.30 per share)	—		—			—			—		(37,614		)	(37,614		)
Balance at March 31, 2019	$	1,292	$	3,302,814		$	(1,611	)	$	1,093,010	$	(2,589,726	)	$	1,805,779

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, 2019, 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, 2020 and 2019

Amounts in thousands

Unaudited

OPERATING ACTIVITIES
	THREE MONTHS ENDED  March 31,
	2020			2019
Net income	$	4,315		$	4,891
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	47,497			42,662
Other amortization	1,491			727
Share-based compensation	2,599			2,639
Amortization of straight-line rent receivable (lessor)	(1,043		)	(668		)
Amortization of straight-line rent on operating leases (lessee)	375			390
(Gain) loss on sales of real estate assets	49			(15		)
Loss from unconsolidated joint ventures	11			10
Distributions from unconsolidated joint ventures	118			88
Changes in operating assets and liabilities:
Other assets, including right-of-use-assets	(4,032		)	(4,971		)
Accounts payable and accrued liabilities	(10,005		)	(10,276		)
Other liabilities	(2,931		)	(673		)
Net cash provided by operating activities	38,444			34,804
INVESTING ACTIVITIES
Acquisitions of real estate	(83,580		)	(91,787		)
Development of real estate	(2,451		)	(5,712		)
Additional long-lived assets	(22,164		)	(11,741		)
Net cash used in investing activities	(108,195		)	(109,240		)
FINANCING ACTIVITIES
Net repayments on unsecured credit facility	(78,000		)	(2,000		)
Borrowings of notes and bonds payable	298,995			—
Repayments of notes and bonds payable	(7,202		)	(1,193		)
Dividends paid	(40,416		)	(37,614		)
Net proceeds from issuance of common stock	7,213			120,617
Common stock redemptions	(892		)	(2,442		)
Settlement of treasury rate locks	(4,267		)	—
Debt issuance and assumption costs	(2,646		)	—
Payments made on finance leases	(321		)	—
Net cash provided by financing activities	$	172,464		$	77,368
Increase in cash and cash equivalents	102,713			2,932
Cash and cash equivalents at beginning of period	657			8,381
Cash and cash equivalents at end of period	$	103,370		$	11,313
Supplemental Cash Flow Information
Interest paid	$	11,428		$	11,071
Invoices accrued for construction, tenant improvements and other capitalized costs	$	12,830		$	13,509
Mortgage notes payable assumed upon acquisition (adjusted to fair value)	$	19,269		$	—
Capitalized interest	$	421		$	307

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, 2019, are an integral part of these financial statements.

5

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, 2020, the Company had gross investments of approximately $4.4 billion in 212 real estate properties located in 25 states totaling approximately 15.8 million square feet. The Company provided leasing and property management services to approximately 12.0 million square feet nationwide. Square footage and property count disclosures in these Notes to the Company's Condensed Consolidated Financial Statements are unaudited.

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. However, except as disclosed herein, management believes there has been no material change in the information disclosed in the Notes to the Consolidated Financial Statements included in the Annual Report on Form 10-K for the year ended December 31, 2019. All material intercompany transactions and balances have been eliminated in consolidation.

The Company considered the impact of COVID-19 on these assumptions and estimates used and determined that there were no material adverse impacts on the Company's results of operations and financial position at March 31, 2020. A prolonged outbreak could have a material adverse impact on the financial results and business operations of the Company.

This interim financial information should be read in conjunction with the Company’s Annual Report on Form 10-K for the year ended December 31, 2019. 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, 2020 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, such as the impact of the COVID-19 pandemic.

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.

Revenue from Contracts with Customers (Topic 606)

The Company recognizes certain revenue under the core principle of Topic 606. This 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 Topic 606. To achieve the core principle, the Company applies the five step model specified in the guidance.

6

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, cont.

Revenue that is accounted for under Topic 606 is segregated on the Company’s Condensed Consolidated Statements of Income in the Other operating line item. This line item includes parking income, rental lease guaranty income, management fee income and other miscellaneous income. Below is a detail of the amounts by category:

	THREE MONTHS ENDED March 31,
in thousands	2020		2019
Type of Revenue
Parking income	$	2,051	$	1,734
Rental lease guaranty	—		128
Management fee income	78		69
Miscellaneous	34		30
	$	2,163	$	1,961

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

Accounting Standards Update No. 2016-13

In June 2016, the Financial Accounting Standards Board (the "FASB") issued ASU 2016-13, "Measurement of Credit Losses on Financial Instruments." This update is intended to improve financial reporting by requiring timelier recognition of credit losses on loans and other financial instruments that are not accounted for at fair value through net income, including loans held for investment, held-to-maturity debt securities, trade and other receivables, net investment in leases and other such commitments. This update requires that financial statement assets measured at an amortized cost and certain other financial instruments be presented at the net amount expected to be collected, through an allowance for credit losses that is deducted from the amortized cost basis. This standard is effective for annual and interim periods beginning after December 15, 2019 with early adoption permitted. Operating lease receivables, representing the majority of the Company's receivables, are not within the scope of the new standard. The Company adopted this standard as of January 1, 2020. There was not a material impact to the Condensed Consolidated Financial Statements resulting from the adoption of this standard.

Accounting Standards Update No. 2017-04

In January 2017, the FASB issued ASU 2017-04, "Simplifying the Test for Goodwill Impairment." This update eliminates Step 2 of the goodwill impairment test. As such, an entity will perform its annual, or interim, goodwill impairment test by comparing the fair value of a reporting unit with its carrying amount. An entity should recognize a goodwill impairment charge for the amount by which the reporting unit's carrying amount exceeds its fair value. This standard is effective for the Company for annual and interim periods beginning after December 15, 2019. The Company adopted this standard as of January 1, 2020. There was not a material impact to the Condensed Consolidated Financial Statements resulting from the adoption of this standard.

Accounting Standards Update No. 2020-04

On March 12, 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848). ASU 2020-04 contains practical expedients for reference rate reform related activities that impact debt, leases, derivatives and other contracts. The guidance in ASU 2020-04 is optional and may be elected over time as reference rate reform activities occur. The Company has elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future LIBOR-indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. The Company continues to evaluate the impact of the guidance and may apply other elections as applicable as additional changes in the market occur.

7

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, cont.

Note 2. Real Estate Investments

2020 Acquisitions

The following table details the Company's acquisitions for the three months ended March 31, 2020:

Dollars in millions	TYPE 1	DATE ACQUIRED	PURCHASE PRICE		MORTGAGE NOTES PAYABLE			CASH CONSIDERATION 2		REAL ESTATE		OTHER 3			SQUARE FOOTAGE
Los Angeles, CA	MOB	1/3/20	$	42.0	$	(19.3	)	$	22.8	$	42.4	$	(0.3	)	86,986
Atlanta, GA	MOB	2/13/20	12.0		—			11.8		12.1		(0.3		)	64,624
Raleigh, NC	MOB	2/25/20	6.3		—			6.5		6.5		—			15,964
Colorado Springs, CO	MOB	3/9/20	8.2		—			8.3		8.6		(0.3		)	34,210
Denver, CO 4	MOB	3/13/20	33.5		—			33.2		34.0		(0.8		)	136,994
Total real estate acquisitions			$	102.0	$	(19.3	)	$	82.6	$	103.6	$	(1.7	)	338,778
Land acquisition 5			1.6		—			1.7		1.7		—			—
			$	103.6	$	(19.3	)	$	84.3	$	105.3	$	(1.7	)	338,778

1 MOB = medical office building.

2 Cash consideration excludes prorations of revenue and expense due to/from seller at the time of the acquisition.

3 Includes other assets acquired, liabilities assumed, and intangibles recognized at acquisition.

4 Includes three properties.

5 The Company acquired land parcels under four existing buildings (previously ground leased from the hospital system).

Assets Held for Sale

As of March 31, 2020 and December 31, 2019, the Company had no properties classified as held for sale.

Note 3. Leases

Lessor Accounting

The Company’s properties generally are leased pursuant to non-cancelable, fixed-term operating leases with expiration dates through 2035. Some leases provide for fixed rent renewal terms in addition to 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 portfolio of single-tenant net leases generally requires 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 typically have escalators that are either based on a stated percentage or an index such as CPI (consumer price index). In addition, most of the Company's leases include nonlease 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 nonlease 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, 2020 was $122.6 million.

Future lease payments under the non-cancelable operating leases, excluding any reimbursements, as of March 31, 2020 were as follows:

In thousands
2020	$	280,413
2021	335,188
2022	294,771
2023	250,284
2024	193,772
2025 and thereafter	514,144
	$	1,868,572

8

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, cont.

Lessee Accounting

As of March 31, 2020, the Company was obligated, as the lessee, under operating lease agreements consisting primarily of the Company’s ground leases. As of March 31, 2020, the Company had 104 properties totaling 8.7 million square feet that were held under ground leases. Some of the ground leases' 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 2117. Any rental increases related to the Company’s ground leases are generally either stated or based on the CPI. The Company had 42 prepaid ground leases as of March 31, 2020. The amortization of the prepaid rent, included in the operating lease right-of-use asset, represented approximately $0.2 million and $0.1 million of the Company’s rental expense for the three months ended March 31, 2020 and March 31, 2019, respectively.

The Company’s future lease payments (primarily for its 62 non-prepaid ground leases) as of March 31, 2020 were as follows:

In thousands	OPERATING			FINANCING
2020	$	3,113		$	429
2021	4,844			754
2022	4,875			763
2023	4,913			774
2024	4,969			795
2025 and thereafter	307,665			83,404
Total undiscounted lease payments	330,379			86,919
Discount	(239,286		)	(68,966		)
Lease liabilities	$	91,093		$	17,953

9

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, cont.

The following table provides details of the Company's total lease expense for the three months ended March 31, 2020 and 2019:

	THREE MONTHS ENDED MARCH 31,
In thousands	2020			2019
Operating lease cost
Operating lease expense	$	1,174		$	1,116
Variable lease expense	800			740
Finance lease cost
Amortization of right-of-use assets	70			—
Interest on lease liabilities	237			—
Total lease expense	$	2,281		$	1,856
Other information
Operating cash flows outflows related to operating leases	$	2,550		$	2,771
Financing cash flows outflows related to financing leases	$	321		$	—
Right-of-use assets obtained in exchange for new finance lease liabilities	$	—		$	—
Weighted-average remaining lease term (excluding renewal options) - operating leases	49.4			54.0
Weighted-average remaining lease term (excluding renewal options) -finance leases	64.9			—
Weighted-average discount rate - operating leases	5.7		%	5.5		%
Weighted-average discount rate - finance leases	5.4		%	—		%

10

NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, cont.

Note 4. Notes and Bonds Payable

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

	MATURITY DATES	BALANCE AS OF				EFFECTIVE INTEREST RATE as of 3/31/2020
Dollars in thousands		3/31/2020		12/31/2019
$700 million Unsecured Credit Facility	5/23	$	215,000	$	293,000	1.89	%
$200 million Unsecured Term Loan Facility, net of issuance costs 1	5/24	199,069		199,013		3.20	%
$150 million Unsecured Term Loan due 2026 2	6/26	—		—		N/A
Senior Notes due 2023, net of discount and issuance costs	4/23	248,647		248,540		3.95	%
Senior Notes due 2025, net of discount and issuance costs 3	5/25	248,584		248,522		4.08	%
Senior Notes due 2028, net of discount and issuance costs	1/28	295,768		295,651		3.84	%
Senior Notes due 2030, net of discount and issuance costs 4	3/30	296,211		—		2.71	%
Mortgage notes payable, net of discounts and issuance costs and including premiums	7/20-5/40	141,175		129,343		4.70	%
		$	1,644,454	$	1,414,069

1 The effective interest rate includes the impact of interest rate swaps on $175.0 million at a weighted average rate of 2.29% (plus the applicable margin rate, currently 100 basis points).

2 As of March 31, 2020, there were no outstanding loans under the $150.0 million unsecured term loan due June 2026. This term loan has a delayed draw feature that allows the Company until May 29, 2020 to draw against the commitments.

3 The effective interest rate includes the impact of the $1.7 million settlement of a forward-starting interest rate swap that is included in Accumulated other comprehensive loss on the Company's Condensed Consolidated Balance Sheets.

4 The effective interest rate includes the impact of the $4.3 million settlement of a forward-starting interest rate swap that is included in Accumulated other comprehensive loss on the Company's Condensed Consolidated Balance Sheets.

Changes in Debt Structure

On February 3, 2020, the Company repaid in full a mortgage note payable bearing interest at a rate of 6.10% per annum with an outstanding principal of $5.9 million. The mortgage note encumbered a 68,860 square foot property in Oklahoma.

On March 4, 2020, the Company issued $300.0 million of unsecured senior notes due 2030 (the "Senior Notes due 2030") in a registered public offering. The Senior Notes due 2030 bear interest at 2.40%, payable semi-annually on March 15 and September 15, beginning September 15, 2020, and are due on March 15, 2030, unless redeemed earlier by the Company. The notes were issued at a discount of approximately $1.0 million and the Company incurred approximately $2.8 million in debt issuance costs. Concurrent with this transaction, the Company settled two treasury rate locks for $4.3 million. Inclusive of the discount, debt issuance costs and settlement of the treasury rate locks, the effective interest rate was 2.71%. The Senior Notes due 2030 have various financial covenants that are required to be met on a quarterly and annual basis.

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.

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NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, cont.

Cash Flow Hedges of Interest Rate Risk

The Company’s objectives in using interest rate derivatives are to add stability to interest expense and to manage its exposure to interest rate movements. To accomplish this objective, 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.

On February 24 and 25, 2020, the Company entered into two treasury rate locks totaling $75.0 million and $40.0 million, respectively. The treasury rate locks were settled for an aggregate amount of $4.3 million on March 4, 2020 concurrent with the Company's issuance of its Senior Notes due 2030. The settlement will be amortized over the 10-year term of the notes.

As of March 31, 2020, the Company had eight outstanding interest rate derivatives that were designated as cash flow hedges of interest rate risk:

DERIVATIVE INSTRUMENT	NUMBER OF INSTRUMENTS	NOTIONAL AMOUNT in millions
Interest rate swaps	8	$175.0

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, as well as their classification on the Condensed Consolidated Balance Sheet as of March 31, 2020.

	BALANCE AT MARCH 31, 2020
In thousands	BALANCE SHEET LOCATION	FAIR VALUE
Derivatives designated as hedging instruments
Interest rate swaps	Other liabilities	$	14,672
Total derivatives designated as hedging instruments		$	14,672

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, 2020 and 2019 related to the Company's outstanding interest rate swaps.

	LOSS RECOGNIZED IN AOCI ON DERIVATIVE three months ended March 31,					(GAIN) LOSS RECLASSIFIED FROM AOCI INTO INCOME three months ended March 31,
In thousands	2020		2019			2020		2019
Interest rate swaps	$	9,663	$	724	Interest expense	$	271	$	(27	)
Settled treasury hedges	4,267		—		Interest expense	15		—
Settled interest rate swaps	—		—		Interest expense	42		42
	$	13,930	$	724	Total interest expense	$	328	$	15

The Company estimates that $4.0 million will be reclassified from AOCI to interest expense over the next 12 months.

Credit-risk-related Contingent Features

The Company's agreements with each of its derivative counterparties contain a cross-default provision under which the Company could be declared in default of its derivative obligations if repayment of the underlying indebtedness is accelerated by the lender due to the Company's default on the indebtedness.

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NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, cont.

As of March 31, 2020, the fair value of derivatives in a net liability position including accrued interest but excluding any adjustment for nonperformance risk related to these agreements was $15.2 million. As of March 31, 2020, the Company has not posted any collateral related to these agreements and was not in breach of any agreement.

Note 6. Commitments and Contingencies

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.

Redevelopment Activity

The Company initiated the redevelopment of a 110,883 square foot medical office building in Memphis, Tennessee ("Memphis Redevelopment") in December 2019. The Company funded approximately $1.5 million, excluding the purchase price of $8.7 million for the land and building. The building will continue to operate with in-place leases during construction. The Memphis Redevelopment is expected to be completed in the first quarter of 2021.

Development Activity

The Company completed the development of a 151,031 square foot medical office building in Seattle, Washington. As of March 31, 2020, the Company had funded approximately $54.1 million towards the development. The Company expects to fund an additional amount of approximately $10.0 million for additional tenant improvements associated with this project. The first tenant took occupancy in the first quarter of 2020.

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, 2020 and the year ended December 31, 2019:

	MARCH 31, 2020	DECEMBER 31, 2019
Balance, beginning of period	134,706,154	125,279,455
Issuance of common stock	210,271	9,251,440
Nonvested share-based awards, net of withheld shares	15,781	175,259
Balance, end of period	134,932,206	134,706,154

At-The-Market Equity Offering Program

On February 14, 2020, the Company entered into sales agreements with six investment banks to allow sales under its at-the-market equity offering program of up to an aggregate of $500.0 million of common stock. During the first quarter of 2020, the Company sold 196,250 shares under the Company's at-the-market equity offering program generating approximately $7.0 million in net proceeds at prices to the public ranging from $33.00 to $36.15 per share (weighted average of $36.09 per share). No shares were sold from March 18, 2020 through the date of this filing. The Company had $492.9 million remaining available to be sold under the current sales agreements at the date of this filing.

Common Stock Dividends

During the three months ended March 31, 2020, the Company declared and paid common stock dividends totaling $0.30 per share. On May 5, 2020, the Company declared a quarterly common stock dividend in the amount of $0.30 per share payable on May 29, 2020 to stockholders of record on May 15, 2020.

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NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, cont.

Earnings Per Common Share

The Company uses the two-class method of computing net earnings per common shares. The Company's nonvested 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, 2020 and 2019.

	THREE MONTHS ENDED MARCH 31,
Dollars in thousands, except per share data	2020			2019
Weighted average common shares outstanding
Weighted average common shares outstanding	134,758,335			125,908,335
Non-vested shares	(1,722,090		)	(1,778,700		)
Weighted average common shares outstanding - basic	133,036,245			124,129,635
Weighted average common shares outstanding - basic	133,036,245			124,129,635
Dilutive effect of employee stock purchase plan	113,321			102,132
Weighted average common shares outstanding - diluted	133,149,566			124,231,767
Net Income	$	4,315		$	4,891
Dividends paid on nonvested share-based awards	(517		)	(536		)
Net income applicable to common stockholders	$	3,798		$	4,355
Basic earnings per common share - net income	$	0.03		$	0.04
Diluted earnings per common share - net income	$	0.03		$	0.04

Incentive Plans

A summary of the activity under the Company's share-based incentive plans for the three months ended March 31, 2020 and 2019 is included in the table below.

	THREE MONTHS ENDED MARCH 31,
	2020		2019
Share-based awards, beginning of period	1,754,066		1,769,863
Granted	39,344		64,771
Vested	(68,649	)	(50,507	)
Share-based awards, end of period	1,724,761		1,784,127

During the three months ended March 31, 2020 and 2019, the Company withheld 23,563 and 19,546 shares of common stock, respectively, from participants to pay estimated withholding taxes related to shares that vested.

In addition to the share-based incentive plans, the Company maintains the 2000 Employee Stock Purchase Plan (the "Purchase Plan"). A summary of the activity under the Purchase Plan for the three months ended March 31, 2020 and 2019 is included in the table below.

	THREE MONTHS ENDED MARCH 31,
	2020		2019
Outstanding and exercisable, beginning of period	332,659		328,533
Granted	212,716		235,572
Exercised	(11,904	)	(14,630	)
Forfeited	(22,981	)	(16,625	)
Expired	(139,794	)	(142,074	)
Outstanding and exercisable, end of period	370,696		390,776

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NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, cont.

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 due to the short term maturity of these investments.

• Borrowings under the Unsecured Credit Facility and the Term Loan Due 2024 - 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 liabilities on the Company's Consolidated Balance Sheets at fair value. Fair value is estimated by utilizing pricing models that consider forward yield curves and discount rates.

The table below details the fair values and carrying values for notes and bonds payable at March 31, 2020 and December 31, 2019.

	MARCH 31, 2020				DECEMBER 31, 2019
Dollars in millions	CARRYING VALUE		FAIR VALUE		CARRYING VALUE		FAIR VALUE
Notes and bonds payable 1	$	1,644.5	$	1,706.7	$	1,414.1	$	1,425.8

1 Level 2 – model-derived valuations in which significant inputs and significant value drivers are observable in active markets.

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NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, cont.

Note 9. Subsequent Events

COVID-19 Update

Since being reported in December 2019, COVID-19 has spread globally, including to every state in the United States. On March 11, 2020, the World Health Organization declared COVID-19 a pandemic, and on March 13, 2020, the United States declared a national emergency with respect to COVID-19.

All of the states and cities in which the Company owns properties, manages properties, and/or has development or redevelopment projects have instituted quarantines, restrictions on travel, “shelter in place” rules, restrictions on types of businesses that may continue to operate, and/or restrictions on the types of construction projects that may continue. As a result, a number of the Company's tenants have temporarily closed their offices or clinical space or have operated on a reduced basis in response to government requirements or recommendations. Through May 5, 2020, the Company has collected 89% of April 2020 aggregate tenant billings and has agreed to various forms of rent deferrals representing approximately 7% of April 2020 aggregate tenant billings. The tenant deferral agreements require the deferred amounts to be repaid in the third and fourth quarters of 2020. However, if tenants are unable to timely repay, or repay at all, deferred rent, if they request additional rent deferrals or abatements, decide not to renew leases, or renew leases at lower cash leasing spreads, the impact on the Company’s results of operations and financial condition could be material. Given the daily evolution of the COVID-19 pandemic and the global responses to curb its spread, the Company is not able to estimate the effects of the COVID-19 pandemic on its results of operations, financial condition, or liquidity for the fiscal year 2020. The Company continues to evaluate the impact of various forms of governmental assistance that may be or become available to the Company or its tenants, including the Coronavirus Aid, Relief, and Economic Security Act or the “CARES Act".

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

Disclosure Regarding Forward-Looking Statements

This report and other materials the Company has filed or may file with the Securities and Exchange Commission, as well as information included in oral statements or other written statements made, or to be made, by management of the Company, contain, or will contain, disclosures that are “forward-looking statements.” Forward-looking statements include all statements that do not relate solely to historical or current facts and can be identified by the use of words such as “may,” “will,” “expect,” “believe,” “anticipate,” “target,” “intend,” “plan,” “estimate,” “project,” “continue,” “should,” “could," "budget" and other comparable terms. These forward-looking statements are based on the current plans and expectations of management and are subject to a number of risks and uncertainties, including  the duration and scope of the COVID-19 pandemic; the impact of the COVID-19 pandemic on occupancy rates for the Company's properties, actions governments take in response to the COVID-19 pandemic, including the introduction of public health measures and other regulations affecting the Company’s properties and the operations of the Company and its tenants; the effects of health and safety measures adopted by the Company and its tenants related to the COVID-19 pandemic; the impact of the COVID-19 pandemic on the operations, business and financial condition of the Company and its tenants; general economic uncertainty in key markets as a result of the COVID-19 pandemic and a worsening of global economic conditions or low levels of economic growth; the status of capital markets, including availability and cost of capital; and the risks described in this report and the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, that could significantly affect the Company’s current plans and expectations and future financial condition and results.

The Company undertakes no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Stockholders and investors are cautioned not to unduly rely on such forward-looking statements when evaluating the information presented in the Company’s filings and reports, including, without limitation, estimates and projections regarding the performance of development projects the Company is pursuing.

For a detailed discussion of the Company’s risk factors, please refer to the Company’s filings with the Securities and Exchange Commission, including this report and its Annual Report on Form 10-K for the year ended December 31, 2019.

COVID-19 Update

Since being reported in December 2019, COVID-19 has spread globally, including to every state in the United States. On March 11, 2020, the World Health Organization declared COVID-19 a pandemic, and on March 13, 2020, the United States declared a national emergency with respect to COVID-19.

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All of the states and cities in which the Company owns properties, manages properties, and/or has development or redevelopment projects have instituted quarantines, restrictions on travel, “shelter in place” rules, restrictions on types of businesses that may continue to operate, and/or restrictions on the types of construction projects that may continue. As a result, a number of the Company's tenants have temporarily closed their offices or clinical space or have operated on a reduced basis in response to government requirements or recommendations. Through May 5, 2020, the Company has collected 89% of April 2020 aggregate tenant billings and has agreed to various forms of rent deferrals representing approximately 7% of April 2020 aggregate tenant billings. The tenant deferral agreements require the deferred amounts to be repaid in the third and fourth quarters of 2020. The tenant deferral agreements require the amounts to be repaid in the third and fourth quarters of 2020. Many of these tenants have requested, and the Company management expects more will likely seek, rent deferral or abatement for May 2020 and subsequent months, though it cannot predict how many.

Management believes that many of its tenants who have experienced disruption to their businesses as a result of the COVID-19 pandemic will qualify for various forms of government financial assistance including pursuant to the CARES Act, which was signed into law on March 27, 2020. Accordingly, the Company has undertaken efforts to promote awareness of the availability of these initiatives to its tenants. At this time, the Company expects to collect the deferred rent prior to the end of 2020. However, if tenants are unable to timely repay, or repay at all, deferred rent, if they request additional rent deferrals or abatements, decide not to renew leases, or renew leases at lower cash leasing spreads (See “Expiring Leases” below), the impact on the Company’s results of operations and financial condition could be material. As a result, the Company cannot estimate at this time the overall effect that the COVID-19 pandemic might have on its business.

At March 31, 2020, the Company had available $738.4 million in liquidity (See “Sources and Uses of Cash” and “Financing Activities” below) and no significant debt maturities prior to 2023. The COVID-19 pandemic has affected the availability and cost of capital and may continue to do so for some time. Management believes that the Company currently has adequate liquidity to operate its business without significant disruption. However, if the pandemic continues to have an impact on the availability and cost of capital, the Company’s business could be materially affected.

Liquidity and Capital Resources

Sources and Uses of Cash

The Company’s primary sources of cash include rent receipts from its real estate portfolio based on contractual arrangements with its tenants, borrowings under the Company's Unsecured Credit Facility and Term Loan, proceeds from the sales of real estate properties and proceeds from public or private debt or equity offerings. As of March 31, 2020, the Company had $485.0 million available to be drawn on its Unsecured Credit Facility, $103.4 million in cash, and has the ability to draw $150.0 million on its unsecured term loan due 2026.

The Company expects to continue to meet its liquidity needs, including funding additional investments, paying dividends, and funding debt service, through cash flows from operations and the cash flow sources described above. The Company had unencumbered real estate assets with a gross book value of approximately $4.1 billion at March 31, 2020, of which a portion could serve as collateral for secured mortgage financing. The Company believes that its liquidity and sources of capital are adequate to satisfy its cash requirements. The Company cannot, however, be certain that these sources of funds will be available at a time and upon terms acceptable to the Company in sufficient amounts to meet its liquidity needs.

Dividends paid by the Company for the three months ended March 31, 2020 were funded from cash flows from operations and the Unsecured Credit Facility, as cash flows from operations were not adequate to fully fund dividends paid at the rate per quarter of $0.30 per common share. The Company expects that additional cash flows from existing properties, acquisitions and developments will generate sufficient cash flows from operations such that dividends for the full year 2020 can be funded by cash flows from operations or other sources of liquidity described above.

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Investing Activities

Cash flows used in investing activities for the three months ended March 31, 2020 were approximately $108.2 million. Below is a summary of significant investing activities.

2020 Acquisitions

The following table details the Company's acquisitions for the three months ended March 31, 2020:

Dollars in millions	HEALTH SYSTEM AFFILIATION	DATE ACQUIRED	PURCHASE PRICE		SQUARE FOOTAGE	CAP RATE		MILES TO CAMPUS
Los Angeles, CA	MemorialCare Health	1/3/20	$	42.0	86,986	5.3	%	0.14
Atlanta, GA	Wellstar Health System	2/13/20	12.0		64,624	5.6	%	0.10
Raleigh, NC	WakeMed Health	2/25/20	6.3		15,964	6.7	%	0.04
Colorado Springs, CO	None	3/9/20	8.2		34,210	6.5	%	1.60
Denver, CO 1	UCHealth	3/13/20	33.5		136,994	6.1	%	0.24
Total real estate acquisitions			$	102.0	338,778	5.8	%
Land acquisition 2			1.6		—
			$	103.6	338,778

1 Includes three properties.

2 The Company acquired land parcels under four existing buildings (previously ground leased with the hospital system).

Capital Funding

During the three months ended March 31, 2020, the Company funded the following:

• $6.9 million toward development and redevelopment of properties;

• $2.7 million toward first generation tenant improvements and planned capital expenditures for acquisitions;

• $6.0 million toward second generation tenant improvements; and

• $3.5 million toward capital expenditures.

Financing Activities

Cash flows provided by financing activities for the three months ended March 31, 2020 were approximately $172.5 million. Inflows from equity related to the Company's common stock issuances and net borrowings totaled $306.2 million, net of issuance costs incurred. Aggregate cash outflows totaled approximately $133.7 million primarily associated with dividends paid to common stockholders and repayments on the Credit Facility. See Notes 4 and 7 to the Condensed Consolidated Financial Statements for more information about capital markets and financing activities.

Common Stock Issuances

On February 14, 2020, the Company entered into sales agreements with six investment banks to allow sales under its at-the-market equity offering program of up to an aggregate of $500.0 million of common stock. During the first quarter of 2020, the Company sold 196,250 shares under the Company's at-the-market equity offering program generating approximately $7.0 million in net proceeds at prices to the public ranging from $33.00 to $36.15 per share (weighted average of $36.09 per share). No shares were sold from March 18, 2020 through the date of this filing. The Company had $492.9 million remaining available to be sold under the current sales agreements at the date of this filing.

Debt Activity

On February 3, 2020, the Company repaid in full a mortgage note payable bearing interest at a rate of 6.10% per annum with an outstanding principal of $5.9 million. The mortgage note encumbered a 68,860 square foot property in Oklahoma.

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On March 4, 2020, the Company issued $300.0 million of the Senior Notes due 2030 in a registered public offering. The Senior Notes due 2030 bear interest at 2.40%, payable semi-annually on March 15 and September 15, beginning September 15, 2020, and are due on March 15, 2030, unless redeemed earlier by the Company. The notes were issued at a discount of approximately $1.0 million and the Company incurred approximately $2.8 million in debt issuance costs. Concurrent with this transaction, the Company settled two treasury rate locks for $4.3 million. Inclusive of the discount, debt issuance costs and settlement of the treasury rate locks, the effective interest rate was 2.71%. The Senior Notes due 2030 have various financial covenants that are required to be met on a quarterly and annual basis.

The Company has outstanding interest rate swaps totaling $175.0 million to hedge one-month LIBOR. The following details the amount and rate of each swap (dollars in thousands):

EFFECTIVE DATE	AMOUNT		WEIGHTED AVERAGE RATE		EXPIRATION DATE
December 18, 2017	$	25,000	2.18	%	December 16, 2022
February 1, 2018	50,000		2.46	%	December 16, 2022
May 1, 2019	50,000		2.33	%	May 1, 2026
June 3, 2019	50,000		2.13	%	May 1, 2026
	$	175,000	2.29	%

Operating Activities

Cash flows provided by operating activities increased from $34.8 million for the three months ended March 31, 2019 to $38.4 million for the three months ended March 31, 2020. Items impacting cash flows from operations include, but are not limited to, cash generated from property operations, interest payments and the timing related to the payment of invoices and other expenses.

The Company may, from time to time, sell properties and redeploy cash from property sales into new investments. To the extent revenues related to the properties being sold exceed income from these new investments, the Company's results of operations and cash flows could be adversely affected.

Off-Balance Sheet Arrangements

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

New Accounting Pronouncements

See Note 1 to the Company's Condensed Consolidated Financial Statements accompanying this report for information on new accounting standards.

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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 the operations of the Company. In addition to the matters discussed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, below are some of the factors and trends that management believes may impact future operations of the Company.

COVID-19 Pandemic

For information on the ways that the COVID-19 pandemic is impacting the Company and its tenants, see "COVID-19 Update" above and in Part II, Item 1A.

Expiring Leases

The Company expects that approximately 15% to 20% of the leases in its multi-tenanted portfolio will expire each year in the ordinary course of business. There are 583 leases totaling 2.1 million square feet in the Company's multi-tenant portfolio that will expire during the remainder of 2020. Approximately 85% of the leases expiring in 2020 are 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 multi-tenant property tenants upon expiration, and the retention ratio for the first three months of the year has been within this range.

Included in the 2020 lease expirations is a 111,000 square foot fitness center leased by Baylor Scott & White Health. The fitness center is located in a 217,000 square foot on-campus medical office building. The lease expired on March 31, 2020, and the tenant is currently under a month-to-month lease arrangement as the Company finalizes a new lease with an independent fitness center operator for approximately half the space. The Company expects to redevelop the remaining space for clinical use.

Also included in the 2020 lease expirations is the July 31 expiration of a 62,000 square foot office lease. A telecommunication company occupies three floors of a 145,000 square foot office building and is expected to vacate. The Company has begun marketing the space and anticipates that releasing efforts will include subdividing the space for multiple users. The Company recognized revenue of approximately $0.4 million related to this lease in the first quarter of 2020.

The Company has one single-tenant net leased, on-campus medical office building with a lease term scheduled to expire in the second quarter of 2020. The Company has been in discussions about a long-term lease renewal, but given the COVID-19 pandemic, plans to provide a 6-month extension to allow more time to finalize a long-term lease agreement.

Operating Expenses

The Company has historically 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 has historically incurred variability in portfolio utilities expense 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, 2020, leases for 89% of the Company's multi-tenant leased square footage allow for some recovery of operating expenses, with 31% having modified gross lease structures and 58% having net lease structures.

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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):

	NUMBER OF PROPERTIES		GROSS REAL ESTATE INVESTMENT AS OF MARCH 31, 2020
YEAR EXERCISABLE	MOB	INPATIENT	FAIR MARKET VALUE METHOD 1		NON FAIR MARKET VALUE METHOD 2		TOTAL
Current 3	3	1	$	96,233	$	—	$	96,233
2021	1	—	—		14,984		14,984
2022	—	—	—		—		—
2023	—	—	—		—		—
2024	—	—	—		—		—
2025	5	1	48,165		221,929		270,094
2026	—	—	—		—		—
2027	—	—	—		—		—
2028	1	—	43,943		—		43,943
2029	1	—	26,494		—		26,494
2030 and thereafter	4	—	100,151		—		100,151
Total	15	2	$	314,986	$	236,913	$	551,899

1 The purchase option price includes a fair market value component that is determined by an appraisal process.

2 Includes properties with stated purchase prices or prices based on fixed capitalization rates. These properties have purchase prices that are on average 17% greater than the Company's current gross investment.

3 These purchase options have been exercisable for an average of 11.6 years.

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.

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 to FFO acquisition-related costs, acceleration of debt issuance costs, debt extinguishment costs and other Company-

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defined normalizing items to evaluate operating performance. FAD is presented by adding to Normalized FFO non-real estate depreciation and amortization, deferred financing fees amortization, stock-based compensation expense and provision for bad debts, net; 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. 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. Normalized FFO and FAD should be reviewed in connection with GAAP financial measures.

Management believes FFO, Normalized FFO, FFO per 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 instead 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. The table below reconciles net income to FFO, Normalized FFO and FAD for the three months ended March 31, 2020 and 2019.

	THREE MONTHS ENDED MARCH 31,
Amounts in thousands, except per share data	2020			2019
Net income	$	4,315		$	4,891
(Gain) loss on sales of real estate assets	49			(15		)
Real estate depreciation and amortization	48,611			43,383
FFO attributable to common stockholders	$	52,975		$	48,259
Acquisition and pursuit costs 1	750			305
Lease intangible amortization	745			84
Normalized FFO attributable to common stockholders	$	54,470		$	48,648
Non-real estate depreciation and amortization	823			763
Non-cash interest expense amortization 2	746			702
Provision for bad debt, net	(83		)	(75		)
Straight-line rent, net	(660		)	(270		)
Stock-based compensation	2,599			2,639
Normalized FFO adjusted for non-cash items	$	57,895		$	52,407
2nd generation TI	(6,040		)	(4,326		)
Leasing commissions paid	(2,824		)	(1,347		)
Capital additions	(3,470		)	(3,462		)
FAD	$	45,561		$	43,272
FFO per common share - diluted	$	0.40		$	0.39
Normalized FFO per common share - diluted	$	0.41		$	0.39
FFO weighted average common shares outstanding - diluted 3	133,980			124,928

1 Acquisition and pursuit costs include third party and travel costs related to the pursuit of acquisitions and developments.

2 Includes the amortization of deferred financing costs, discounts and premiums.

3 The Company utilizes the treasury stock method which includes the dilutive effect of nonvested share-based awards outstanding of 830,024 and 696,432, respectively, for the three months ended March 31, 2020 and 2019.

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Cash 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 and property lease guaranty income less property operating expenses. Cash NOI excludes non-cash items such as above and below market lease intangibles, straight-line rent, lease inducements, 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 and include redevelopment projects. Accordingly, stabilized properties exclude properties that were recently acquired or disposed of, properties classified as held for sale, reposition properties and newly developed properties. The Company utilizes the reposition classification for properties experiencing a shift in strategic direction. Such a shift can occur for a variety of reasons, including a substantial change in the use of the asset, a change in strategy or closure of a neighboring hospital, or significant property damage. Such properties may require enhanced management, leasing, capital needs or a disposition strategy that differs from the rest of the portfolio. To identify properties exhibiting these reposition characteristics, the Company applies the following Company-defined criteria:

• Properties having less than 60% occupancy that is expected to last at least two quarters;

• Properties that experience a loss of occupancy over 30% in a single quarter; or

• Properties with negative net operating income that is expected to last at least two quarters.

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Any recently acquired property will be included in the same store pool once the Company has owned the property for eight full quarters. Newly developed properties will be included in the same store pool eight full quarters after substantial completion. Any additional square footage created by redevelopment projects at a same store property is included in the same store pool immediately upon completion. Any property included in the reposition property group will be included in the same store analysis once occupancy has increased to 60% or greater with positive net operating income and has remained at that level for eight full quarters. The following table reflects the Company's same store cash NOI for the three months ended March 31, 2020 and 2019.

	NUMBER OF PROPERTIES	GROSS INVESTMENT at March 31, 2020		SAME STORE CASH NOI for the three months ended March 31,
Dollars in thousands				2020		2019
Multi-tenant properties	157	$	3,248,042	$	57,981	$	56,751
Single-tenant net lease properties	14	460,433		10,449		10,271
Total	171	$	3,708,475	$	68,430	$	67,022

The following tables reconcile net income to same store NOI and the same store property metrics to the total owned real estate portfolio for the three months ended March 31, 2020 and 2019:

Reconciliation of Same Store Cash NOI

	THREE MONTHS ENDED MARCH 31,
Dollars in thousands	2020			2019
Net income	$	4,315		$	4,891
Other income (expense)	13,927			13,564
General and administrative expense	8,766			8,510
Depreciation and amortization expense	47,497			42,662
Other expenses 1	3,365			1,768
Straight-line rent revenue	(668		)	(277		)
Other revenue 2	(2,004		)	(1,468		)
Cash NOI	75,198			69,650
Cash NOI not included in same store	(6,529		)	(2,361		)
Same store cash NOI	68,669			67,289
Reposition NOI	(239		)	(267		)
Same store and reposition cash NOI	$	68,430		$	67,022

1 Includes acquisition and pursuit costs, bad debt, 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 terminations and tenant improvement overage amortization.

Reconciliation of Same Store Properties

	AS OF MARCH 31, 2020
	PROPERTY COUNT	GROSS INVESTMENT		SQUARE FEET	OCCUPANCY
Same store properties	171	$	3,708,475	13,439,999	89.0	%
Acquisitions	31	606,061		1,826,029	86.9	%
Development completions	1	53,669		151,031	20.2	%
Reposition	9	72,782		429,167	41.9	%
Total owned real estate properties	212	$	4,440,987	15,846,226	86.8	%

Results of Operations

Three Months Ended March 31, 2020 Compared to Three Months Ended March 31, 2019

The Company’s results of operations for the three months ended March 31, 2020 compared to the same period in 2019 were impacted by acquisitions, developments, dispositions, gains on sale, and capital markets transactions.

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Revenues

Total revenues increased $12.2 million, or 10.8%, to approximately $124.8 million for the three months ended March 31, 2020 compared to $112.7 million in the prior year period. This increase is comprised of the following:

	THREE MONTHS ENDED MARCH 31,				CHANGE
Dollars in thousands	2020		2019		$			%
Property operating	$	111,148	$	98,982	$	12,166		12.3	%
Single-tenant net lease	10,453		11,046		(593		)	(5.4	)%
Straight-line rent	1,043		668		375			56.1	%
Rental income	122,644		110,696		11,948			10.8	%
Other operating	2,163		1,961		202			10.3	%
Total revenues	$	124,807	$	112,657	$	12,150		10.8	%

Property operating revenue increased $12.2 million, or 12.3%, from the prior year period primarily as a result of the following activity:

• Acquisitions in 2019 and 2020 and a development in 2020 contributed $9.4 million.

• Leasing activity, including contractual rent increases, contributed $3.8 million.

• Dispositions in 2019 resulted in a decrease of $1.0 million.

Single-tenant net lease revenue decreased $0.6 million, or 5.4%, from the prior year period primarily as a result of the following activity:

• Dispositions in 2019 resulted in a decrease of $0.8 million.

• Leasing activity, including contractual rent increases, contributed $0.2 million.

Straight-line rent revenue increased $0.4 million or 56.1% from the prior year primarily due to acquisitions in 2019 and 2020 and a development in 2020.

Expenses

Property operating expenses increased $6.8 million, or 16.0%, for the three months ended March 31, 2020 compared to the prior year period primarily as a result of the following activity:

• Acquisitions in 2019 and 2020 and a development in 2020 resulted in an increase of $4.2 million.

• Increases in portfolio operating expenses as follows:

• Portfolio property tax expense of $1.2 million;

• Maintenance and repair expense of $0.3 million;

• Compensation related expenses of $0.2 million;

• Portfolio insurance expense of $0.2 million;

• Portfolio security expense of $0.2 million; and

• Portfolio janitorial expense of $0.1 million.

• Leasing commissions and legal fees increased approximately $0.4 million.

• Increase in intangible amortization expense totaling $0.7 million.

• Dispositions in 2019 resulted in a decrease of $0.7 million.

General and administrative expenses increased approximately $0.3 million, or 3.0%, for the three months ended March 31, 2020 compared to the prior year period primarily due to compensation expense.

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Depreciation and amortization expense increased $4.8 million, or 11.3%, for the three months ended March 31, 2020 compared to the prior year period primarily as a result of the following activity:

• Acquisitions in 2019 and 2020 and a development in 2020 resulted in an increase of $6.0 million.

• Various building and tenant improvement expenditures resulted in an increase of $2.8 million.

• Dispositions in 2019 resulted in a decrease of $1.4 million.

• Assets that became fully depreciated resulted in a decrease of $2.6 million.

Other income (expense)

Interest expense increased $0.4 million, or 2.7%, for the three months ended March 31, 2020 compared to the prior year period. The components of interest expense are as follows:

	THREE MONTHS ENDED MARCH 31,						CHANGE
Dollars in thousands	2020			2019			$			%
Contractual interest	$	13,398		$	13,193		$	205		1.6	%
Net discount/premium accretion	52			52			—			—	%
Deferred financing costs amortization	637			608			29			4.8	%
Interest rate swap amortization	42			42			—			—	%
Treasury hedge amortization	15			—			15			—	%
Interest cost capitalization	(421		)	(307		)	(114		)	37.1	%
Right-of-use assets financing amortization	237			—			237			—	%
Total interest expense	$	13,960		$	13,588		$	372		2.7	%

Contractual interest expense increased $0.2 million, or 1.6%, primarily due to the following activity:

• The Unsecured Credit Facility rate decrease accounted for a decrease of approximately $0.4 million.

• The Term Loan due 2024 accounted for an increase of approximately $0.4 million due to the following:

◦ An increase in principal balance of $50 million accounted for an increase of approximately $0.5 million;

◦ A decrease in the interest rate accounted for a decrease of approximately $0.5 million

◦ The impact of the swaps accounted for an increase of approximately $0.3 million; and

◦ Unutilized fee expense relating to the Term Loan due 2026 accounted for an increase of approximately $0.1 million.

• Senior Notes due 2030 accounted for an increase of approximately $0.3 million.

• Mortgage notes repayments accounted for a decrease of $0.1 million.

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, 2020, 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, 2019.

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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.

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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

In addition to the other information set forth in this report, an investor should carefully consider the factors discussed in Part I, “Item 1A. Risk Factors” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, which could materially affect the Company’s business, financial condition or future results. The risks, as described in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, are not the only risks facing the Company. Additional risks and uncertainties not currently known to management or that management currently deems immaterial also may materially, adversely affect the Company’s business, financial condition, operating results or cash flows.

The ongoing COVID-19 pandemic and measures intended to prevent its spread could have a material adverse effect on the Company's business, results of operations, cash flows and financial condition.

Since being reported in December 2019, COVID-19 has spread globally, including to every state in the United States. On March 11, 2020, the World Health Organization declared COVID-19 a pandemic, and on March 13, 2020, the United States declared a national emergency with respect to COVID-19.

The COVID-19 pandemic has had, and another pandemic in the future could have, repercussions across regional and global economies and financial markets. The outbreak of COVID-19 in many countries has significantly adversely impacted global economic activity and has contributed to significant volatility and negative pressure in financial markets. The global impact of the outbreak has been rapidly evolving and many countries, including the United States, have reacted by instituting quarantines, mandating business and school closures and restricting travel.

All of the states and cities in which the Company owns properties, manages properties, and/or has development or redevelopment projects have instituted quarantines, restrictions on travel, “shelter in place” rules, restrictions on types of businesses that may continue to operate, and/or restrictions on the types of construction projects that may continue. As a result, a number of the Company's tenants have temporarily closed their offices or clinical space or have operated on a reduced basis in response to government requirements or recommendations. Through May 5, 2020, the Company has collected 89% of April 2020 aggregate tenant billings and has agreed to various forms of rent deferrals representing approximately 7% of April 2020 aggregate tenant billings. The tenant deferral agreements require the deferred amounts to be repaid in the third and fourth quarters of 2020. The tenant deferral agreements require the amounts to be repaid in the third and fourth quarters of 2020. Many of these tenants have requested, and the Company management expects more will likely seek, rent deferral or abatement for May 2020 and subsequent months, though it cannot predict how many.

The COVID-19 pandemic has also caused, and is likely to continue to cause, severe economic, market and other disruptions worldwide. There can be no assurance that conditions in the bank lending, capital and other financial markets will not continue to deteriorate as a result of the pandemic, or that the Company's access to capital and other sources of funding will not become constrained, which could adversely affect the availability and terms of future borrowings, renewals or refinancings. In addition, the deterioration of economic conditions as a result of the pandemic may ultimately decrease occupancy levels and average rent per square foot across the Company's portfolio as tenants reduce or defer their spending.

The extent of the COVID-19 pandemic’s effect on the Company's operational and financial performance will depend on future developments, including the duration, spread and intensity of the outbreak, all of which are uncertain and difficult to predict. Due to the speed with which the situation is developing, the Company is not able at this time to estimate the effect of these factors on its business, but the adverse impact on the business, results of operations, financial condition and cash flows could be material. Moreover, many risk factors set forth in our Annual Report on

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Form 10-K for the year ended December 31, 2019 should be interpreted as heightened risks as a result of the impact of the COVID-19 pandemic.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

During the three months ended March 31, 2020, the Company withheld shares of Company common stock to satisfy employee tax withholding obligations payable upon the vesting of nonvested stock, as follows:

PERIOD	TOTAL NUMBER OF SHARES PURCHASED	AVERAGE PRICE PAID per share		TOTAL NUMBER OF SHARES purchased as part of publicly announced plans or programs	MAXIMUM NUMBER OF SHARES that may yet be purchased under the plans or programs
January 1 - January 31	18,753	$	33.20	—	—
February 1 - February 29	4,810	36.46		—	—
March 1 - March 31	—	—		—	—
Total	23,563

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Item 6. Exhibits

EXHIBIT	DESCRIPTION
Exhibit 3.1	Second Articles of Amendment and Restatement of the Company, as amended 1
Exhibit 3.2	Amended and Restated Bylaws of the Company, as amended 1
Exhibit 4.1	Specimen Stock Certificate 2
Exhibit 4.2	Indenture, dated as of May 15, 2001, by and between the Company and Branch Banking and Trust Company, as trustee (as successor to the trustee named therein) 3
Exhibit 4.3	Fifth Supplemental Indenture, dated March 26, 2013, by and between the Company and Branch Banking and Trust Company, as Trustee (as successor to the trustee named therein)4
Exhibit 4.4	Form of 3.75% Senior Notes due 2023 (set forth in Exhibit B to the Fifth Supplemental Indenture filed as Exhibit 4.3 thereto) 4
Exhibit 4.5	Sixth Supplemental Indenture, dated April 24, 2015, by and between the Company and Branch Banking and Trust Company, as Trustee (as successor to the trustee named therein) 5
Exhibit 4.6	Form of 3.875% Senior Notes due 2025 (set forth in Exhibit B to the Sixth Supplemental Indenture filed as Exhibit 4.5 thereto) 5
Exhibit 4.7	Seventh Supplemental Indenture, dated December 11, 2017, by and between the Company and Branch Banking and Trust Company, as Trustee. 8
Exhibit 4.8	Form of 3.625% Senior Note due 2028 (set forth in Exhibit B to the Seventh Supplemental Indenture filed as Exhibit 4.7 hereto). 6
Exhibit 4.9	Eighth Supplemental Indenture, dated March 18, 2020, by and between the Company and Branch Banking and Trust Company, as Trustee.7
Exhibit 4.10	Form of 2.400% Senior Note due 2030 (set forth in Exhibit B to the Eighth Supplemental Indenture filed as Exhibit 4.9 hereto).
Exhibit 10.1	First Amendment to Amended and Restated Term Loan, dated March 4, 2020, by and among the Company, Wells Fargo Bank, National Association, as Administrative Agent, and the other Lenders party thereto. (filed herewith)
Exhibit 10.2	Amendment No. 1 to Third Amended and Restated Employment Agreement, dated February 12, 2020, between the Company and Todd J. Meredith.8
Exhibit 10.3	Amendment No. 1 to Third Amended and Restated Employment Agreement, dated February 12, 2020, between the Company and John M. Bryant, Jr..8
Exhibit 10.4	Amendment No. 1 to Amended and Restated Employment Agreement, dated February 12, 2020, between the Company and Robert E. Hull.8
Exhibit 10.5	Amendment No. 1 to Amended and Restated Employment Agreement, dated February 12, 2020, between the Company and J. Christopher Douglas.8
Exhibit 31.1	Certification of the Chief Executive Officer of Healthcare Realty Trust Incorporated pursuant to Rule 13a-14 of the Securities Exchange Act of 1934, as amended, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)
Exhibit 31.2	Certification of the Chief Financial Officer of Healthcare Realty Trust Incorporated pursuant to Rule 13a-14 of the Securities Exchange Act of 1934, as amended, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith)
Exhibit 32	Certifications pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (furnished herewith)
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)

1 Filed as an exhibit to the Company's Annual Report on Form 10-K for the year ended December 31, 2018 filed February 13, 2019 and hereby incorporated by reference.

2 Filed as an exhibit to the Company’s Registration Statement on Form S-11 (Registration No. 33-60506) filed April 2, 1993 and hereby incorporated by reference.

3 Filed as an exhibit to the Company's Current Report on Form 8-K filed May 17, 2001 and hereby incorporated by reference.

4 Filed as an exhibit to the Company's Current Report on Form 8-K filed March 26, 2013 and hereby incorporated by reference.

5 Filed as an exhibit to the Company's Current Report on Form 8-K filed April 24, 2015 and hereby incorporated by reference.

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6 Filed as an exhibit to the Company’s Current Report on Form 8-K filed December 11, 2017 and hereby incorporated by reference.

7 Filed as an exhibit to the Company's Current Report on Form 8-K filed March 18, 2020 and hereby incorporated by reference.

8 Filed as an exhibit to the Company's Annual Report on Form 10-K filed February 12, 2020 and hereby incorporated by reference.

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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/ J. CHRISTOPHER DOUGLAS
	J. Christopher Douglas
	Executive Vice President and Chief Financial Officer
	May 6, 2020

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EX-10.1

Execution Version

FIRST AMENDMENT TO AMENDED AND RESTATED TERM LOAN AGREEMENT

This FIRST AMENDMENT TO AMENDED AND RESTATED TERM LOAN AGREEMENT (this “Amendment”) dated as of March 4, 2020 by and among HEALTHCARE REALTY TRUST INCORPORATED, a corporation formed under the laws of the State of Maryland (the “Borrower”), each of the Lenders party hereto and WELLS FARGO BANK, NATIONAL ASSOCIATION, as Administrative Agent (the “Administrative Agent”).

WHEREAS, the Borrower, the Lenders, the Administrative Agent and certain other parties have entered into that certain Amended and Restated Term Loan Agreement dated as of May 31, 2019 (as amended and as in effect immediately prior to the effectiveness of this Amendment, the “Credit Agreement”); and

WHEREAS, the Borrower, the Lenders and the Administrative Agent desire to amend certain provisions of the Credit Agreement on the terms and conditions contained herein.

NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged by the parties hereto, the parties hereto agree as follows:

Section 1. Amendment to Credit Agreement. Effective as of February 28, 2020, the parties hereto agree that the Credit Agreement is hereby amended by restating the definition of “Commitment Period” contained in Section 1.01 thereof in its entirety as follows:

“Commitment Period” means the period from and including the Closing Date to the earlier of (a) the date which is twelve months following the Closing Date and (b) with respect to any Class, the date on which the Commitments of such Class shall have been terminated as provided herein.

Section 2. Conditions Precedent. The effectiveness of this Amendment is subject to receipt by the Administrative Agent of each of the following in form and substance satisfactory to the Administrative Agent:

(a)a counterpart of this Amendment duly executed by the Borrower, the Administrative Agent and each of the Tranche B Term Facility Lenders;

(b)the Administrative Agent and the Lenders shall have received a Compliance Certificate calculated on a pro forma basis for the Borrower’s fiscal quarter ending December 31, 2019;

(c)the Administrative Agent shall have received and reviewed, with results satisfactory to the Administrative Agent and its counsel, information regarding litigation, tax, accounting, labor, insurance, pension liabilities (actual or contingent), real estate leases, material contracts, debt agreements, property ownership, environmental matters, contingent liabilities and management of the Borrower and its Subsidiaries;

(d)a certificate of the Borrower, signed on behalf of the Borrower by the Borrower’s chief executive officer or chief financial officer, certifying that, (i) since December 31, 2019, there shall not have occurred a material adverse change in the condition (financial or otherwise), operations, business, assets, liabilities or prospects of the Consolidated Group taken as a whole or in the facts and information regarding such entities as represented to date, nor shall there have been a downgrade of the Borrower’s credit rating of two or more notches, and (ii) there is no action, suit, investigation or proceeding pending or threatened in any court or before any arbitrator or governmental authority that purports (x) to materially and adversely affect the Borrower or its subsidiaries, or (y) to affect any transaction contemplated by or under the Credit Agreement or the ability of the Borrower and its subsidiaries or any other obligor under the guarantees to perform their respective obligations under the Credit Agreement;

(e)the Borrower and each other Credit Party shall have provided all information requested by the Administrative Agent and each Lender in order to comply with applicable “know your customer” and anti-money laundering rules and regulations, including without limitation, the Patriot Act;

(f)evidence that all fees and expenses due and payable to the Administrative Agent, any of the Lenders and any of their respective Affiliates have been paid; and

(g)such other documents, agreements and instruments as the Administrative Agent may reasonably request.

Section 3. Representations. The Borrower represents and warrants to the Administrative Agent and the Lenders that:

(a)Corporate and Governmental Authorization; No Contravention. The execution and delivery by the Borrower of this Amendment and the performance by the Borrower of its obligations hereunder and under the Credit Agreement as amended by this Amendment are within the corporate power of the Borrower, have been duly authorized by all necessary corporate action, require no action by or in respect of, or filing with, any governmental body, agency or official or other Person (except for any such action or filing that has been taken and is in full force and effect) and do not contravene, or constitute a default under, any provision of applicable law or regulation or of the Organization Documents of the Borrower or of any material agreement, judgment, injunction, order, decree or other material instrument binding upon the Borrower or result in the creation or imposition of any Lien on any asset of the Borrower other than Liens created pursuant to the Credit Documents.

(b)Binding Effect. This Amendment and the Credit Agreement as amended by this Amendment constitute valid and binding agreements of the Borrower, enforceable against the Borrower in accordance with their terms.

(c)No Default. No Default or Event of Default has occurred and is continuing as of the date hereof nor will exist immediately after giving effect to this Amendment.

Section 4. Reaffirmation of Representations. The Borrower hereby repeats and reaffirms all representations and warranties made by the Borrower to the Administrative Agent and the Lenders in the Credit Agreement as amended by this Amendment and the other Credit Documents on and as of the date hereof with the same force and effect as if such representations and warranties were set forth in this Amendment in full.

Section 5. Certain References. Each reference to the Credit Agreement in any of the Credit Documents shall be deemed to be a reference to the Credit Agreement as amended by this Amendment. This Amendment is a Credit Document.

Section 6. Costs and Expenses. The Borrower shall reimburse the Administrative Agent for all reasonable out-of-pocket costs and expenses (including Attorney Costs) incurred by the Administrative Agent in connection with the preparation, negotiation and execution of this Amendment and the other agreements and documents executed and delivered in connection herewith.

Section 7. Benefits. This Amendment shall be binding upon and shall inure to the benefit of the parties hereto and their respective successors and assigns.

Section 8. GOVERNING LAW. THIS AMENDMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES UNDER THIS AMENDMENT SHALL BE GOVERNED BY, AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK (WITHOUT TAKING INTO ACCOUNT CONFLICT OF LAW PRINCIPLES THAT WOULD RESULT IN THE APPLICATION OF THE LAW OF ANOTHER JURISDICTION).

Section 9. Effect; Ratification. Except as expressly herein amended, the terms and conditions of the Credit Agreement and the other Credit Documents remain in full force and effect. The amendments contained herein shall

be deemed to have prospective application only. The Credit Agreement is hereby ratified and confirmed in all respects. Nothing in this Amendment shall limit, impair or constitute a waiver of the rights, powers or remedies available to the Administrative Agent or the Lenders under the Credit Agreement or any other Credit Document.

Section 10. Counterparts. This Amendment may be executed in any number of counterparts, each of which shall be deemed to be an original and shall be binding upon all parties, their successors and assigns.

Section 11. Definitions. All capitalized terms not otherwise defined herein are used herein with the respective definitions given them in the Credit Agreement.

[Signatures on Next Page]

IN WITNESS WHEREOF, the parties hereto have caused this First Amendment to Amended and Restated Term Loan Agreement to be executed as of the date first above written.

HEALTHCARE REALTY TRUST INCORPORATED

By: /s/ J. Christopher Douglas

Name: J. Christopher Douglas

Title: Chief Financial Officer

[Signatures Continued on Next Page]

[Signature Page to First Amendment to Amended and Restated Term Loan Agreement for Healthcare Realty Trust Incorporated]

Wells Fargo Bank, National Association, as Administrative Agent and as a Tranche B Term Facility Lender

By: /s/ Scott S. Solis

Name: Scott S. Solis

Title: Managing Director

[Signatures Continued on Next Page]

[Signature Page to First Amendment to Amended and Restated Term Loan Agreement for Healthcare Realty Trust Incorporated]

PNC BANK, National Association, as a Tranche B Term Facility Lender

By: /s/ Andrew T. White

Name: Andrew T. White

Title: Senior Vice President

[Signatures Continued on Next Page]

[Signature Page to First Amendment to Amended and Restated Term Loan Agreement for Healthcare Realty Trust Incorporated]

U.S. Bank, National Association, as a Tranche B Term Facility Lender

By: /s/ Lori Y. Jensen

Name: Lori Y. Jensen

Title: Senior Vice President

[Signatures Continued on Next Page]

[Signature Page to First Amendment to Amended and Restated Term Loan Agreement for Healthcare Realty Trust Incorporated]

Bank of Montreal, as a Tranche B Term Facility Lender

By: /s/ Michael Kaufman

Name: Michael Kaufman

Title: Managing Director

[Signatures Continued on Next Page]

[Signature Page to First Amendment to Amended and Restated Term Loan Agreement for Healthcare Realty Trust Incorporated]

Fifth Third Bank, as a Tranche B Term Facility Lender

By: /s/ Vera B. McEvoy

Name: Vera B. McEvoy

Title: Director II

[Signatures Continued on Next Page]

[Signature Page to First Amendment to Amended and Restated Term Loan Agreement for Healthcare Realty Trust Incorporated]

Truist Bank, as a Tranche B Term Facility Lender

By: /s/ Richard de la Vega

Name: Richard de la Vega

Title: Vice President

[Signatures Continued on Next Page]

[Signature Page to First Amendment to Amended and Restated Term Loan Agreement for Healthcare Realty Trust Incorporated]

First Tennessee Bank, National Association, as a Tranche B Term Facility Lender

By: /s/ Cathy Wind

Name: Cathy Wind

Title: SVP

[Signatures Continued on Next Page]

[Signature Page to First Amendment to Amended and Restated Term Loan Agreement for Healthcare Realty Trust Incorporated]

Pinnacle Bank, as a Tranche B Term Facility Lender

By: /s/ Todd Carter

Name: Todd Carter

Title: Senior Vice President

[Signatures Continued on Next Page]

[Signature Page to First Amendment to Amended and Restated Term Loan Agreement for Healthcare Realty Trust Incorporated]

Associated Bank, as a Tranche B Term Facility Lender

By: /s/ Michael J. Sedivy

Name: Michael J. Sedivy

Title: Senior Vice President

[Signatures Continued on Next Page]

[Signature Page to First Amendment to Amended and Restated Term Loan Agreement for Healthcare Realty Trust Incorporated]

United Bank, as a Tranche B Term Facility Lender

By: /s/ Frederick H. Denecke

Name: Frederick H. Denecke

Title: Senior Vice President

[Signatures Continued on Next Page]

[Signature Page to First Amendment to Amended and Restated Term Loan Agreement for Healthcare Realty Trust Incorporated]

First Financial Bank, as a Tranche B Term Facility Lender

By: /s/ John E. Wilgus, II

Name: John E. Wilgus, II

Title: Senior Vice President

EX-31.1

CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER PURSUANT TO SECTION 302

Exhibit 31.1

Healthcare Realty Trust Incorporated

Quarterly Certification

Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

I, Todd J. Meredith, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Healthcare Realty Trust Incorporated;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date:	May 6, 2020
		/s/ TODD J. MEREDITH
		Todd J. Meredith
		President and Chief Executive Officer

EX-31.2

CERTIFICATION OF THE CHIEF FINANCIAL OFFICER PURSUANT TO SECTION 302

Exhibit 31.2

Healthcare Realty Trust Incorporated

Quarterly Certification

Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

I, J. Christopher Douglas, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Healthcare Realty Trust Incorporated;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date:	May 6, 2020
		/s/ J. CHRISTOPHER DOUGLAS
		J. Christopher Douglas
		Executive Vice President and Chief Financial Officer

EX-32

CERTIFICATIONS PURSUANT TO 18 U.S.C. SECTION 1350 SECTION 906

Exhibit 32

Healthcare Realty Trust Incorporated

Certification Pursuant to

18 U.S.C. Section 1350,

as Adopted Pursuant to

Section 906 of the Sarbanes-Oxley Act of 2002

In connection with the Quarterly Report of Healthcare Realty Trust Incorporated (the “Company”) on Form 10-Q for the quarter ended March 31, 2020, as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Todd J. Meredith, President and Chief Executive Officer of the Company, and I, J. Christopher Douglas, Executive Vice President and Chief Financial Officer of the Company, each certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

1. The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

2. Information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date:	May 6, 2020
		/s/ TODD J. MEREDITH
		Todd J. Meredith
		President and Chief Executive Officer
		/s/ J. CHRISTOPHER DOUGLAS
		J. Christopher Douglas
		Executive Vice President and Chief Financial Officer

XML

Stockholders' Equity - Summary of activity under stock-based incentive plans (Details) - Stock Incentive Plan - shares	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Summary of the activity under the incentive plans
Share-based awards, beginning of period	1,754,066	1,769,863
Granted (shares)	39,344	64,771
Vested (shares)	(68,649)	(50,507)
Share-based awards, end of period	1,724,761	1,784,127
Restricted Stock
Summary of the activity under the incentive plans
Shares withheld to pay estimated withholding taxes	23,563	19,546

XML

Summary of Significant Accounting Policies - Revenue Recognition (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Disaggregation of Revenue [Line Items]
Revenue	$ 2,163	$ 1,961
Parking Income
Disaggregation of Revenue [Line Items]
Revenue	2,051	1,734
Rental Lease Guaranty
Disaggregation of Revenue [Line Items]
Revenue	0	128
Management Fee Income
Disaggregation of Revenue [Line Items]
Revenue	78	69
Miscellaneous
Disaggregation of Revenue [Line Items]
Revenue	$ 34	$ 30

XML

Derivative Financial Instruments (Tables)

3 Months Ended

Mar. 31, 2020

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss)

As of March 31, 2020, the Company had eight outstanding interest rate derivatives that were designated as cash flow hedges of interest rate risk:

DERIVATIVE INSTRUMENT	NUMBER OF INSTRUMENTS	NOTIONAL AMOUNT in millions
Interest rate swaps	8	$175.0

Schedule of Derivative Instruments in Statement of Financial Position, Fair Value

The table below presents the fair value of the Company's derivative financial instruments, as well as their classification on the Condensed Consolidated Balance Sheet as of March 31, 2020.

	BALANCE AT MARCH 31, 2020
In thousands	BALANCE SHEET LOCATION	FAIR VALUE
Derivatives designated as hedging instruments
Interest rate swaps	Other liabilities	$	14,672
Total derivatives designated as hedging instruments		$	14,672

Schedule of Derivative Instruments, Effect on Other Comprehensive Income (Loss)

The table below presents the effect of cash flow hedge accounting on AOCI during the three months ended March 31, 2020 and 2019 related to the Company's outstanding interest rate swaps.

	LOSS RECOGNIZED IN AOCI ON DERIVATIVE three months ended March 31,					(GAIN) LOSS RECLASSIFIED FROM AOCI INTO INCOME three months ended March 31,
In thousands	2020		2019			2020		2019
Interest rate swaps	$	9,663	$	724	Interest expense	$	271	$	(27	)
Settled treasury hedges	4,267		—		Interest expense	15		—
Settled interest rate swaps	—		—		Interest expense	42		42
	$	13,930	$	724	Total interest expense	$	328	$	15

XML

Leases - Future Minimum Lease Payments (Details) - USD ($) $ in Thousands	Mar. 31, 2020	Dec. 31, 2019
OPERATING
2020	$ 3,113
2021	4,844
2022	4,875
2023	4,913
2024	4,969
2025 and thereafter	307,665
Total undiscounted lease payments	330,379
Discount	(239,286)
Lease liabilities	91,093	$ 91,574
FINANCING
2020	429
2021	754
2022	763
2023	774
2024	795
2025 and thereafter	83,404
Total undiscounted lease payments	86,919
Discount	(68,966)
Lease liabilities	$ 17,953	$ 18,037

XML

Derivative Financial Instruments - Fair Value of Derivative Instruments on the Balance Sheet (Details) - Designated as Hedging Instrument - Interest Rate Swap $ in Thousands	Mar. 31, 2020 USD ($)
Derivative [Line Items]
Liability derivatives	$ 14,672
Other liabilities
Derivative [Line Items]
Liability derivatives	$ 14,672

XML

Condensed Consolidated Statements of Income (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Revenues
Rental income	$ 122,644	$ 110,696
Other operating	2,163	1,961
Revenues	124,807	112,657
Expenses
Property operating	49,552	42,725
General and administrative	8,766	8,510
Acquisition and pursuit costs	750	305
Depreciation and amortization	47,497	42,662
Total Expenses	106,565	94,202
Other Income (Expense)
Gain (loss) on sales of real estate assets	(49)	15
Interest expense	(13,960)	(13,588)
Interest and other income (expense), net	82	9
Total other income (expense)	(13,927)	(13,564)
Net Income	$ 4,315	$ 4,891
Basic earnings per common share (in dollars per share)	$ 0.03	$ 0.04
Diluted earnings per common share (in dollars per share)	$ 0.03	$ 0.04
Weighted average common shares outstanding - basic	133,036,245	124,129,635
Weighted average common shares outstanding - diluted	133,149,566	124,231,767
Dividends declared, per common share, during the period (in dollars per share)	$ 0.30	$ 0.30

XML

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
OPERATING ACTIVITIES
Net income	$ 4,315	$ 4,891
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	47,497	42,662
Other amortization	1,491	727
Share-based compensation	2,599	2,639
Amortization of straight-line rent receivable (lessor)	(1,043)	(668)
Amortization of straight-line rent on operating leases (lessee)	375	390
(Gain) loss on sales of real estate assets	49	(15)
Loss from unconsolidated joint ventures	11	10
Distributions from unconsolidated joint ventures	118	88
Changes in operating assets and liabilities:
Other assets, including right-of-use-assets	(4,032)	(4,971)
Accounts payable and accrued liabilities	(10,005)	(10,276)
Other liabilities	(2,931)	(673)
Net cash provided by operating activities	38,444	34,804
INVESTING ACTIVITIES
Acquisitions of real estate	(83,580)	(91,787)
Development of real estate	(2,451)	(5,712)
Additional long-lived assets	(22,164)	(11,741)
Net cash used in investing activities	(108,195)	(109,240)
FINANCING ACTIVITIES
Net repayments on unsecured credit facility	(78,000)	(2,000)
Borrowings of notes and bonds payable	298,995
Repayments on notes and bonds payable	(7,202)	(1,193)
Dividends paid	(40,416)	(37,614)
Net proceeds from issuance of common stock	7,213	120,617
Common stock redemptions	(892)	(2,442)
Settlement of treasury rate locks	(4,267)
Debt issuance and assumption costs	(2,646)
Payments made on finance leases	(321)	0
Net cash provided by financing activities	172,464	77,368
Increase in cash and cash equivalents	102,713	2,932
Cash and cash equivalents at beginning of period	657	8,381
Cash and cash equivalents at end of period	103,370	11,313
Supplemental Cash Flow Information
Interest paid	11,428	11,071
Invoices accrued for construction, tenant improvements and other capitalized costs	12,830	13,509
Mortgage notes payable assumed upon acquisition (adjusted to fair value)	19,269
Capitalized interest	$ 421	$ 307

XML

Stockholders' Equity

3 Months Ended

Mar. 31, 2020

Equity [Abstract]

Stockholders' Equity

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, 2020 and the year ended December 31, 2019:

	MARCH 31, 2020	DECEMBER 31, 2019
Balance, beginning of period	134,706,154	125,279,455
Issuance of common stock	210,271	9,251,440
Nonvested share-based awards, net of withheld shares	15,781	175,259
Balance, end of period	134,932,206	134,706,154

At-The-Market Equity Offering Program

On February 14, 2020, the Company entered into sales agreements with six investment banks to allow sales under its at-the-market equity offering program of up to an aggregate of $500.0 million of common stock. During the first quarter of 2020, the Company sold 196,250 shares under the Company's at-the-market equity offering program generating approximately $7.0 million in net proceeds at prices to the public ranging from $33.00 to $36.15 per share (weighted average of $36.09 per share). No shares were sold from March 18, 2020 through the date of this filing. The Company had $492.9 million remaining available to be sold under the current sales agreements at the date of this filing.

Common Stock Dividends

During the three months ended March 31, 2020, the Company declared and paid common stock dividends totaling $0.30 per share. On May 5, 2020, the Company declared a quarterly common stock dividend in the amount of $0.30 per share payable on May 29, 2020 to stockholders of record on May 15, 2020.

Earnings Per Common Share

The Company uses the two-class method of computing net earnings per common shares. The Company's nonvested 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, 2020 and 2019.

	THREE MONTHS ENDED MARCH 31,
Dollars in thousands, except per share data	2020			2019
Weighted average common shares outstanding
Weighted average common shares outstanding	134,758,335			125,908,335
Non-vested shares	(1,722,090		)	(1,778,700		)
Weighted average common shares outstanding - basic	133,036,245			124,129,635
Weighted average common shares outstanding - basic	133,036,245			124,129,635
Dilutive effect of employee stock purchase plan	113,321			102,132
Weighted average common shares outstanding - diluted	133,149,566			124,231,767
Net Income	$	4,315		$	4,891
Dividends paid on nonvested share-based awards	(517		)	(536		)
Net income applicable to common stockholders	$	3,798		$	4,355
Basic earnings per common share - net income	$	0.03		$	0.04
Diluted earnings per common share - net income	$	0.03		$	0.04

Incentive Plans

A summary of the activity under the Company's share-based incentive plans for the three months ended March 31, 2020 and 2019 is included in the table below.

	THREE MONTHS ENDED MARCH 31,
	2020		2019
Share-based awards, beginning of period	1,754,066		1,769,863
Granted	39,344		64,771
Vested	(68,649	)	(50,507	)
Share-based awards, end of period	1,724,761		1,784,127

During the three months ended March 31, 2020 and 2019, the Company withheld 23,563 and 19,546 shares of common stock, respectively, from participants to pay estimated withholding taxes related to shares that vested.

In addition to the share-based incentive plans, the Company maintains the 2000 Employee Stock Purchase Plan (the "Purchase Plan"). A summary of the activity under the Purchase Plan for the three months ended March 31, 2020 and 2019 is included in the table below.

	THREE MONTHS ENDED MARCH 31,
	2020		2019
Outstanding and exercisable, beginning of period	332,659		328,533
Granted	212,716		235,572
Exercised	(11,904	)	(14,630	)
Forfeited	(22,981	)	(16,625	)
Expired	(139,794	)	(142,074	)
Outstanding and exercisable, end of period	370,696		390,776

XML

Leases

3 Months Ended

Mar. 31, 2020

Leases [Abstract]

Leases

Leases

Lessor Accounting

The Company’s properties generally are leased pursuant to non-cancelable, fixed-term operating leases with expiration dates through 2035. Some leases provide for fixed rent renewal terms in addition to 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 portfolio of single-tenant net leases generally requires 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 typically have escalators that are either based on a stated percentage or an index such as CPI (consumer price index). In addition, most of the Company's leases include nonlease 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 nonlease 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, 2020 was $122.6 million.

Future lease payments under the non-cancelable operating leases, excluding any reimbursements, as of March 31, 2020 were as follows:

In thousands
2020	$	280,413
2021	335,188
2022	294,771
2023	250,284
2024	193,772
2025 and thereafter	514,144
	$	1,868,572

Lessee Accounting

As of March 31, 2020, the Company was obligated, as the lessee, under operating lease agreements consisting primarily of the Company’s ground leases. As of March 31, 2020, the Company had 104 properties totaling 8.7 million square feet that were held under ground leases. Some of the ground leases' 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 2117. Any rental increases related to the Company’s ground leases are generally either stated or based on the CPI. The Company had 42 prepaid ground leases as of March 31, 2020. The amortization of the prepaid rent, included in the operating lease right-of-use asset, represented approximately $0.2 million and $0.1 million of the Company’s rental expense for the three months ended March 31, 2020 and March 31, 2019, respectively.

The Company’s future lease payments (primarily for its 62 non-prepaid ground leases) as of March 31, 2020 were as follows:

In thousands	OPERATING			FINANCING
2020	$	3,113		$	429
2021	4,844			754
2022	4,875			763
2023	4,913			774
2024	4,969			795
2025 and thereafter	307,665			83,404
Total undiscounted lease payments	330,379			86,919
Discount	(239,286		)	(68,966		)
Lease liabilities	$	91,093		$	17,953

The following table provides details of the Company's total lease expense for the three months ended March 31, 2020 and 2019:

	THREE MONTHS ENDED MARCH 31,
In thousands	2020			2019
Operating lease cost
Operating lease expense	$	1,174		$	1,116
Variable lease expense	800			740
Finance lease cost
Amortization of right-of-use assets	70			—
Interest on lease liabilities	237			—
Total lease expense	$	2,281		$	1,856
Other information
Operating cash flows outflows related to operating leases	$	2,550		$	2,771
Financing cash flows outflows related to financing leases	$	321		$	—
Right-of-use assets obtained in exchange for new finance lease liabilities	$	—		$	—
Weighted-average remaining lease term (excluding renewal options) - operating leases	49.4			54.0
Weighted-average remaining lease term (excluding renewal options) -finance leases	64.9			—
Weighted-average discount rate - operating leases	5.7		%	5.5		%
Weighted-average discount rate - finance leases	5.4		%	—		%

Leases

Leases

Lessor Accounting

The Company’s properties generally are leased pursuant to non-cancelable, fixed-term operating leases with expiration dates through 2035. Some leases provide for fixed rent renewal terms in addition to 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 portfolio of single-tenant net leases generally requires 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 typically have escalators that are either based on a stated percentage or an index such as CPI (consumer price index). In addition, most of the Company's leases include nonlease 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 nonlease 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, 2020 was $122.6 million.

Future lease payments under the non-cancelable operating leases, excluding any reimbursements, as of March 31, 2020 were as follows:

In thousands
2020	$	280,413
2021	335,188
2022	294,771
2023	250,284
2024	193,772
2025 and thereafter	514,144
	$	1,868,572

Lessee Accounting

As of March 31, 2020, the Company was obligated, as the lessee, under operating lease agreements consisting primarily of the Company’s ground leases. As of March 31, 2020, the Company had 104 properties totaling 8.7 million square feet that were held under ground leases. Some of the ground leases' 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 2117. Any rental increases related to the Company’s ground leases are generally either stated or based on the CPI. The Company had 42 prepaid ground leases as of March 31, 2020. The amortization of the prepaid rent, included in the operating lease right-of-use asset, represented approximately $0.2 million and $0.1 million of the Company’s rental expense for the three months ended March 31, 2020 and March 31, 2019, respectively.

The Company’s future lease payments (primarily for its 62 non-prepaid ground leases) as of March 31, 2020 were as follows:

In thousands	OPERATING			FINANCING
2020	$	3,113		$	429
2021	4,844			754
2022	4,875			763
2023	4,913			774
2024	4,969			795
2025 and thereafter	307,665			83,404
Total undiscounted lease payments	330,379			86,919
Discount	(239,286		)	(68,966		)
Lease liabilities	$	91,093		$	17,953

The following table provides details of the Company's total lease expense for the three months ended March 31, 2020 and 2019:

	THREE MONTHS ENDED MARCH 31,
In thousands	2020			2019
Operating lease cost
Operating lease expense	$	1,174		$	1,116
Variable lease expense	800			740
Finance lease cost
Amortization of right-of-use assets	70			—
Interest on lease liabilities	237			—
Total lease expense	$	2,281		$	1,856
Other information
Operating cash flows outflows related to operating leases	$	2,550		$	2,771
Financing cash flows outflows related to financing leases	$	321		$	—
Right-of-use assets obtained in exchange for new finance lease liabilities	$	—		$	—
Weighted-average remaining lease term (excluding renewal options) - operating leases	49.4			54.0
Weighted-average remaining lease term (excluding renewal options) -finance leases	64.9			—
Weighted-average discount rate - operating leases	5.7		%	5.5		%
Weighted-average discount rate - finance leases	5.4		%	—		%

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Summary of Significant Accounting Policies (Tables)

3 Months Ended

Mar. 31, 2020

Accounting Policies [Abstract]

Disaggreation of revenue

Below is a detail of the amounts by category:

	THREE MONTHS ENDED March 31,
in thousands	2020		2019
Type of Revenue
Parking income	$	2,051	$	1,734
Rental lease guaranty	—		128
Management fee income	78		69
Miscellaneous	34		30
	$	2,163	$	1,961

XML

Summary of Significant Accounting Policies

3 Months Ended

Mar. 31, 2020

Accounting Policies [Abstract]

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, 2020, the Company had gross investments of approximately $4.4 billion in 212 real estate properties located in 25 states totaling approximately 15.8 million square feet. The Company provided leasing and property management services to approximately 12.0 million square feet nationwide. Square footage and property count disclosures in these Notes to the Company's Condensed Consolidated Financial Statements are unaudited.

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. However, except as disclosed herein, management believes there has been no material change in the information disclosed in the Notes to the Consolidated Financial Statements included in the Annual Report on Form 10-K for the year ended December 31, 2019. All material intercompany transactions and balances have been eliminated in consolidation.

The Company considered the impact of COVID-19 on these assumptions and estimates used and determined that there were no material adverse impacts on the Company's results of operations and financial position at March 31, 2020. A prolonged outbreak could have a material adverse impact on the financial results and business operations of the Company.

This interim financial information should be read in conjunction with the Company’s Annual Report on Form 10-K for the year ended December 31, 2019. 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, 2020 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, such as the impact of the COVID-19 pandemic.

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.

Revenue from Contracts with Customers (Topic 606)

The Company recognizes certain revenue under the core principle of Topic 606. This 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 Topic 606. To achieve the core principle, the Company applies the five step model specified in the guidance.

Revenue that is accounted for under Topic 606 is segregated on the Company’s Condensed Consolidated Statements of Income in the Other operating line item. This line item includes parking income, rental lease guaranty income, management fee income and other miscellaneous income. Below is a detail of the amounts by category:

	THREE MONTHS ENDED March 31,
in thousands	2020		2019
Type of Revenue
Parking income	$	2,051	$	1,734
Rental lease guaranty	—		128
Management fee income	78		69
Miscellaneous	34		30
	$	2,163	$	1,961

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

Accounting Standards Update No. 2016-13

In June 2016, the Financial Accounting Standards Board (the "FASB") issued ASU 2016-13, "Measurement of Credit Losses on Financial Instruments." This update is intended to improve financial reporting by requiring timelier recognition of credit losses on loans and other financial instruments that are not accounted for at fair value through net income, including loans held for investment, held-to-maturity debt securities, trade and other receivables, net investment in leases and other such commitments. This update requires that financial statement assets measured at an amortized cost and certain other financial instruments be presented at the net amount expected to be collected, through an allowance for credit losses that is deducted from the amortized cost basis. This standard is effective for annual and interim periods beginning after December 15, 2019 with early adoption permitted. Operating lease receivables, representing the majority of the Company's receivables, are not within the scope of the new standard. The Company adopted this standard as of January 1, 2020. There was not a material impact to the Condensed Consolidated Financial Statements resulting from the adoption of this standard.

Accounting Standards Update No. 2017-04

In January 2017, the FASB issued ASU 2017-04, "Simplifying the Test for Goodwill Impairment." This update eliminates Step 2 of the goodwill impairment test. As such, an entity will perform its annual, or interim, goodwill impairment test by comparing the fair value of a reporting unit with its carrying amount. An entity should recognize a goodwill impairment charge for the amount by which the reporting unit's carrying amount exceeds its fair value. This standard is effective for the Company for annual and interim periods beginning after December 15, 2019. The Company adopted this standard as of January 1, 2020. There was not a material impact to the Condensed Consolidated Financial Statements resulting from the adoption of this standard.

Accounting Standards Update No. 2020-04

On March 12, 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848). ASU 2020-04 contains practical expedients for reference rate reform related activities that impact debt, leases, derivatives and other contracts. The guidance in ASU 2020-04 is optional and may be elected over time as reference rate reform activities occur. The Company has elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future LIBOR-indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. The Company continues to evaluate the impact of the guidance and may apply other elections as applicable as additional changes in the market occur.

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Leases - Lease Cost (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Operating lease cost
Operating lease expense	$ 1,174	$ 1,116
Variable lease expense	800	740
Amortization of right-of-use assets	70	0
Interest on lease liabilities	237	0
Lease, Cost	2,281	1,856
Other information
Operating cash flows outflows related to operating leases	2,550	2,771
Financing cash flows outflows related to financing leases	321	0
Right-of-use assets obtained in exchange for new finance lease liabilities	$ 0	$ 0
Weighted-average remaining lease term - operating leases	49 years 4 months 24 days	54 years
Weighted-average remaining lease term - finance leases	64 years 10 months 24 days
Weighted-average discount rate - operating leases	5.70%	5.50%
Weighted-average discount rate - finance leases	5.40%	0.00%

XML

Cover Page - shares	3 Months Ended
	Mar. 31, 2020	May 01, 2020
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Mar. 31, 2020
Document Transition Report	false
Entity File Number	001-11852
Entity Registrant Name	HEALTHCARE REALTY TRUST INCORPORATED
Entity Incorporation, State or Country Code	MD
Entity Tax Identification Number	62-1507028
Entity Address, Address Line One	3310 West End Avenue, Suite 700
Entity Address, City or Town	Nashville
Entity Address, State or Province	TN
Entity Address, Postal Zip Code	37203
City Area Code	615
Local Phone Number	269-8175
Title of 12(b) Security	Common stock, $0.01 par value per share
Trading Symbol	HR
Security Exchange Name	NYSE
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		134,932,261
Entity Central Index Key	0000899749
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2020
Document Fiscal Period Focus	Q1
Amendment Flag	false

XML

Derivative Financial Instruments - Effect of Cash Flow Hedging on AOCI (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Derivative [Line Items]
LOSS RECOGNIZED IN AOCI ON DERIVATIVE	$ 13,930	$ 724
(GAIN) LOSS RECLASSIFIED FROM AOCI INTO INCOME	(328)	(15)
Interest Rate Swaps
Derivative [Line Items]
LOSS RECOGNIZED IN AOCI ON DERIVATIVE	9,663	724
Treasury Hedges
Derivative [Line Items]
LOSS RECOGNIZED IN AOCI ON DERIVATIVE	4,267	0
Settled Interest Rate Swaps
Derivative [Line Items]
LOSS RECOGNIZED IN AOCI ON DERIVATIVE	0	0
Interest Expense
Derivative [Line Items]
(GAIN) LOSS RECLASSIFIED FROM AOCI INTO INCOME	328	15
Interest Expense | Interest Rate Swaps
Derivative [Line Items]
(GAIN) LOSS RECLASSIFIED FROM AOCI INTO INCOME	271	(27)
Interest Expense | Treasury Hedges
Derivative [Line Items]
(GAIN) LOSS RECLASSIFIED FROM AOCI INTO INCOME	15	0
Interest Expense | Settled Interest Rate Swaps
Derivative [Line Items]
(GAIN) LOSS RECLASSIFIED FROM AOCI INTO INCOME	$ 42	$ 42

XML

Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Statement of Comprehensive Income [Abstract]
Net income	$ 4,315	$ 4,891
Interest rate swaps
Reclassification adjustments for losses included in net income (interest expense)	328	15
Losses arising during the period on interest rate swaps	(9,663)	(724)
Losses on settlement of treasury rate locks arising during the period	(4,267)	0
Total other comprehensive income (loss)	(13,602)	(709)
Comprehensive income	$ (9,287)	$ 4,182

XML

Summary of Significant Accounting Policies (Policies)

3 Months Ended

Mar. 31, 2020

Accounting Policies [Abstract]

Business Overview

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, 2020, the Company had gross investments of approximately $4.4 billion in 212 real estate properties located in 25 states totaling approximately 15.8 million square feet. The Company provided leasing and property management services to approximately 12.0 million square feet nationwide.

Basis of Presentation

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. However, except as disclosed herein, management believes there has been no material change in the information disclosed in the Notes to the Consolidated Financial Statements included in the Annual Report on Form 10-K for the year ended December 31, 2019. All material intercompany transactions and balances have been eliminated in consolidation.

The Company considered the impact of COVID-19 on these assumptions and estimates used and determined that there were no material adverse impacts on the Company's results of operations and financial position at March 31, 2020. A prolonged outbreak could have a material adverse impact on the financial results and business operations of the Company.

This interim financial information should be read in conjunction with the Company’s Annual Report on Form 10-K for the year ended December 31, 2019. 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, 2020 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

Use of Estimates in the Condensed Consolidated Financial Statements

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.

Revenue from Contract with Customers (Topic 606)

Revenue from Contracts with Customers (Topic 606)

The Company recognizes certain revenue under the core principle of Topic 606. This 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 Topic 606. To achieve the core principle, the Company applies the five step model specified in the guidance.

Revenue that is accounted for under Topic 606 is segregated on the Company’s Condensed Consolidated Statements of Income in the Other operating line item. This line item includes parking income, rental lease guaranty income, management fee income and other miscellaneous income. Below is a detail of the amounts by category:

	THREE MONTHS ENDED March 31,
in thousands	2020		2019
Type of Revenue
Parking income	$	2,051	$	1,734
Rental lease guaranty	—		128
Management fee income	78		69
Miscellaneous	34		30
	$	2,163	$	1,961

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

New Accounting Pronouncements

Accounting Standards Update No. 2016-13

In June 2016, the Financial Accounting Standards Board (the "FASB") issued ASU 2016-13, "Measurement of Credit Losses on Financial Instruments." This update is intended to improve financial reporting by requiring timelier recognition of credit losses on loans and other financial instruments that are not accounted for at fair value through net income, including loans held for investment, held-to-maturity debt securities, trade and other receivables, net investment in leases and other such commitments. This update requires that financial statement assets measured at an amortized cost and certain other financial instruments be presented at the net amount expected to be collected, through an allowance for credit losses that is deducted from the amortized cost basis. This standard is effective for annual and interim periods beginning after December 15, 2019 with early adoption permitted. Operating lease receivables, representing the majority of the Company's receivables, are not within the scope of the new standard. The Company adopted this standard as of January 1, 2020. There was not a material impact to the Condensed Consolidated Financial Statements resulting from the adoption of this standard.

Accounting Standards Update No. 2017-04

In January 2017, the FASB issued ASU 2017-04, "Simplifying the Test for Goodwill Impairment." This update eliminates Step 2 of the goodwill impairment test. As such, an entity will perform its annual, or interim, goodwill impairment test by comparing the fair value of a reporting unit with its carrying amount. An entity should recognize a goodwill impairment charge for the amount by which the reporting unit's carrying amount exceeds its fair value. This standard is effective for the Company for annual and interim periods beginning after December 15, 2019. The Company adopted this standard as of January 1, 2020. There was not a material impact to the Condensed Consolidated Financial Statements resulting from the adoption of this standard.

Accounting Standards Update No. 2020-04

On March 12, 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848). ASU 2020-04 contains practical expedients for reference rate reform related activities that impact debt, leases, derivatives and other contracts. The guidance in ASU 2020-04 is optional and may be elected over time as reference rate reform activities occur. The Company has elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future LIBOR-indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. The Company continues to evaluate the impact of the guidance and may apply other elections as applicable as additional changes in the market occur.

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Commitments and Contingencies

3 Months Ended

Mar. 31, 2020

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

Commitments and Contingencies

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.

Redevelopment Activity

The Company initiated the redevelopment of a 110,883 square foot medical office building in Memphis, Tennessee ("Memphis Redevelopment") in December 2019. The Company funded approximately $1.5 million, excluding the purchase price of $8.7 million for the land and building. The building will continue to operate with in-place leases during construction. The Memphis Redevelopment is expected to be completed in the first quarter of 2021.

Development Activity

The Company completed the development of a 151,031 square foot medical office building in Seattle, Washington. As of March 31, 2020, the Company had funded approximately $54.1 million towards the development. The Company expects to fund an additional amount of approximately $10.0 million for additional tenant improvements associated with this project. The first tenant took occupancy in the first quarter of 2020.

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Real Estate Investments

3 Months Ended

Mar. 31, 2020

Business Combinations [Abstract]

Real Estate Investments

Real Estate Investments

2020 Acquisitions

The following table details the Company's acquisitions for the three months ended March 31, 2020:

Dollars in millions	TYPE 1	DATE ACQUIRED	PURCHASE PRICE		MORTGAGE NOTES PAYABLE			CASH CONSIDERATION 2		REAL ESTATE		OTHER 3			SQUARE FOOTAGE
Los Angeles, CA	MOB	1/3/20	$	42.0	$	(19.3	)	$	22.8	$	42.4	$	(0.3	)	86,986
Atlanta, GA	MOB	2/13/20	12.0		—			11.8		12.1		(0.3		)	64,624
Raleigh, NC	MOB	2/25/20	6.3		—			6.5		6.5		—			15,964
Colorado Springs, CO	MOB	3/9/20	8.2		—			8.3		8.6		(0.3		)	34,210
Denver, CO 4	MOB	3/13/20	33.5		—			33.2		34.0		(0.8		)	136,994
Total real estate acquisitions			$	102.0	$	(19.3	)	$	82.6	$	103.6	$	(1.7	)	338,778
Land acquisition 5			1.6		—			1.7		1.7		—			—
			$	103.6	$	(19.3	)	$	84.3	$	105.3	$	(1.7	)	338,778

1 MOB = medical office building.

2 Cash consideration excludes prorations of revenue and expense due to/from seller at the time of the acquisition.

3 Includes other assets acquired, liabilities assumed, and intangibles recognized at acquisition.

4 Includes three properties.

5 The Company acquired land parcels under four existing buildings (previously ground leased from the hospital system).

Assets Held for Sale

As of March 31, 2020 and December 31, 2019, the Company had no properties classified as held for sale.

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Stockholders' Equity - Summary of activity under Employee Stock Purchase Plan (Details) - Employee Stock Purchase Plan - shares	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Summary of the Employee Stock Purchase Plan activity
Outstanding and exercisable, beginning of period (shares)	332,659	328,533
Granted (shares)	212,716	235,572
Exercised (shares)	(11,904)	(14,630)
Forfeited (shares)	(22,981)	(16,625)
Expired (shares)	(139,794)	(142,074)
Outstanding and exercisable, end of period (shares)	370,696	390,776

XML

Summary of Significant Accounting Policies (Details) ft² in Millions, $ in Billions	Mar. 31, 2020 USD ($) ft² state property
Business Overview:
Gross investment amount, total | $	$ 4.4
Number of real estate properties | property	212
Number of states that the Company owns real estate in, whole units | state	25
Square footage of owned real estate properties	15.8
Approximate square feet for which Nationwide property management services provided by company	12.0

XML

Notes and Bonds Payable (Tables)

3 Months Ended

Mar. 31, 2020

Debt Disclosure [Abstract]

Schedule of Debt

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

	MATURITY DATES	BALANCE AS OF				EFFECTIVE INTEREST RATE as of 3/31/2020
Dollars in thousands		3/31/2020		12/31/2019
$700 million Unsecured Credit Facility	5/23	$	215,000	$	293,000	1.89	%
$200 million Unsecured Term Loan Facility, net of issuance costs 1	5/24	199,069		199,013		3.20	%
$150 million Unsecured Term Loan due 2026 2	6/26	—		—		N/A
Senior Notes due 2023, net of discount and issuance costs	4/23	248,647		248,540		3.95	%
Senior Notes due 2025, net of discount and issuance costs 3	5/25	248,584		248,522		4.08	%
Senior Notes due 2028, net of discount and issuance costs	1/28	295,768		295,651		3.84	%
Senior Notes due 2030, net of discount and issuance costs 4	3/30	296,211		—		2.71	%
Mortgage notes payable, net of discounts and issuance costs and including premiums	7/20-5/40	141,175		129,343		4.70	%
		$	1,644,454	$	1,414,069

1 The effective interest rate includes the impact of interest rate swaps on $175.0 million at a weighted average rate of 2.29% (plus the applicable margin rate, currently 100 basis points).

2 As of March 31, 2020, there were no outstanding loans under the $150.0 million unsecured term loan due June 2026. This term loan has a delayed draw feature that allows the Company until May 29, 2020 to draw against the commitments.

3 The effective interest rate includes the impact of the $1.7 million settlement of a forward-starting interest rate swap that is included in Accumulated other comprehensive loss on the Company's Condensed Consolidated Balance Sheets.

4

The effective interest rate includes the impact of the $4.3 million settlement of a forward-starting interest rate swap that is included in Accumulated other comprehensive loss on the Company's Condensed Consolidated Balance Sheets.

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Fair Value of Financial Instruments

3 Months Ended

Mar. 31, 2020

Fair Value Disclosures [Abstract]

Fair Value of Financial Instruments

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 due to the short term maturity of these investments.

• Borrowings under the Unsecured Credit Facility and the Term Loan Due 2024 - 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 liabilities on the Company's Consolidated Balance Sheets at fair value. Fair value is estimated by utilizing pricing models that consider forward yield curves and discount rates.

The table below details the fair values and carrying values for notes and bonds payable at March 31, 2020 and December 31, 2019.

	MARCH 31, 2020				DECEMBER 31, 2019
Dollars in millions	CARRYING VALUE		FAIR VALUE		CARRYING VALUE		FAIR VALUE
Notes and bonds payable 1	$	1,644.5	$	1,706.7	$	1,414.1	$	1,425.8

1

Level 2 – model-derived valuations in which significant inputs and significant value drivers are observable in active markets.

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Notes and Bonds Payable

3 Months Ended

Mar. 31, 2020

Debt Disclosure [Abstract]

Notes and Bonds Payable

Notes and Bonds Payable

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

	MATURITY DATES	BALANCE AS OF				EFFECTIVE INTEREST RATE as of 3/31/2020
Dollars in thousands		3/31/2020		12/31/2019
$700 million Unsecured Credit Facility	5/23	$	215,000	$	293,000	1.89	%
$200 million Unsecured Term Loan Facility, net of issuance costs 1	5/24	199,069		199,013		3.20	%
$150 million Unsecured Term Loan due 2026 2	6/26	—		—		N/A
Senior Notes due 2023, net of discount and issuance costs	4/23	248,647		248,540		3.95	%
Senior Notes due 2025, net of discount and issuance costs 3	5/25	248,584		248,522		4.08	%
Senior Notes due 2028, net of discount and issuance costs	1/28	295,768		295,651		3.84	%
Senior Notes due 2030, net of discount and issuance costs 4	3/30	296,211		—		2.71	%
Mortgage notes payable, net of discounts and issuance costs and including premiums	7/20-5/40	141,175		129,343		4.70	%
		$	1,644,454	$	1,414,069

1 The effective interest rate includes the impact of interest rate swaps on $175.0 million at a weighted average rate of 2.29% (plus the applicable margin rate, currently 100 basis points).

2 As of March 31, 2020, there were no outstanding loans under the $150.0 million unsecured term loan due June 2026. This term loan has a delayed draw feature that allows the Company until May 29, 2020 to draw against the commitments.

3 The effective interest rate includes the impact of the $1.7 million settlement of a forward-starting interest rate swap that is included in Accumulated other comprehensive loss on the Company's Condensed Consolidated Balance Sheets.

4 The effective interest rate includes the impact of the $4.3 million settlement of a forward-starting interest rate swap that is included in Accumulated other comprehensive loss on the Company's Condensed Consolidated Balance Sheets.

Changes in Debt Structure

On February 3, 2020, the Company repaid in full a mortgage note payable bearing interest at a rate of 6.10% per annum with an outstanding principal of $5.9 million. The mortgage note encumbered a 68,860 square foot property in Oklahoma.

On March 4, 2020, the Company issued $300.0 million of unsecured senior notes due 2030 (the "Senior Notes due 2030") in a registered public offering. The Senior Notes due 2030 bear interest at 2.40%, payable semi-annually on March 15 and September 15, beginning September 15, 2020, and are due on March 15, 2030, unless redeemed earlier by the Company. The notes were issued at a discount of approximately $1.0 million and the Company incurred approximately $2.8 million in debt issuance costs. Concurrent with this transaction, the Company settled two treasury rate locks for $4.3 million. Inclusive of the discount, debt issuance costs and settlement of the treasury rate locks, the effective interest rate was 2.71%. The Senior Notes due 2030 have various financial covenants that are required to be met on a quarterly and annual basis.

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Stockholders' Equity - Reconciliation of beginning and ending common stock outstanding (Details) - shares	3 Months Ended	12 Months Ended
	Mar. 31, 2020	Dec. 31, 2019
Reconciliation of the beginning and ending common stock outstanding
Balance, beginning of period	134,706,000
Balance, end of period	134,932,000	134,706,000
Common Stock
Reconciliation of the beginning and ending common stock outstanding
Balance, beginning of period	134,706,154	125,279,455
Issuance of common stock	210,271	9,251,440
Nonvested share-based awards, net of withheld shares	15,781	175,259
Balance, end of period	134,932,206	134,706,154

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Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares	Mar. 31, 2020	Dec. 31, 2019
Statement of Financial Position [Abstract]
Preferred stock, par value (dollars per share)	$ 0.01	$ 0.01
Preferred stock, authorized shares	50,000,000	50,000,000
Preferred stock, issued shares	0	0
Preferred stock, outstanding shares	0	0
Common stock, par value (dollars per share)	$ 0.01	$ 0.01
Common stock, authorized shares	300,000,000	300,000,000
Common stock, issued shares	134,932,000	134,706,000
Common stock, outstanding shares	134,932,000	134,706,000

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Leases - Ground Leases (Details) ft² in Millions, $ in Millions	3 Months Ended
	Mar. 31, 2020 USD ($) ft² Lease property	Mar. 31, 2019 USD ($)
Lessee, Lease, Description [Line Items]
Number of properties subject to ground leases | property	104
Square feet subject to ground leases | ft²	8.7
Number of prepaid ground leases	42
Amortization of prepaid rent | $	$ 0.2	$ 0.1
Number of non-prepaid ground leases	62
Minimum
Lessee, Lease, Description [Line Items]
Ground lease, initial term	40 years
Maximum
Lessee, Lease, Description [Line Items]
Ground lease, initial term	99 years

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Condensed Consolidated Statements of Equity (Unaudited) (Parenthetical) - $ / shares	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Statement of Stockholders' Equity [Abstract]
Dividend per share to common Stockholders (in dollars per share)	$ 0.30	$ 0.30

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Derivative Financial Instruments - Derivative Instruments Designated as Cash Flow Hedges (Details) $ in Millions	Mar. 04, 2020 USD ($)	Mar. 31, 2020 USD ($) swap_agreement	Feb. 25, 2020 USD ($) treasury_lock	Feb. 24, 2020 USD ($)
Derivative [Line Items]
Derivatives in net liability position		$ 15.2
Treasury Lock
Derivative [Line Items]
Number of instruments | treasury_lock			2
Notional amount			$ 40.0	$ 75.0
Loss on derivative instrument agreement recognized in OCI	$ 4.3
Active Interest Rate Swap
Derivative [Line Items]
Interest rate cash flow hedge gain (loss) to be reclassified to interest expense during the next 12 months		$ 4.0
Cash Flow Hedging | Designated as Hedging Instrument | Interest Rate Swap
Derivative [Line Items]
Number of instruments | swap_agreement		8
Notional amount		$ 175.0

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Stockholders' Equity - Computation of basic and diluted earnings (loss) per common share (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Weighted average Common Shares outstanding
Weighted average Common Shares outstanding	134,758,335	125,908,335
Nonvested shares	(1,722,090)	(1,778,700)
Weighted average Common Shares—Basic	133,036,245	124,129,635
Dilutive effect of employee stock purchase plan	113,321	102,132
Weighted average Common Shares outstanding—Diluted	133,149,566	124,231,767
Net Income	$ 4,315	$ 4,891
Dividends paid on nonvested share-based awards	(517)	(536)
Net income applicable to common stockholders	$ 3,798	$ 4,355
Basic earnings per common share (in dollars per share)	$ 0.03	$ 0.04
Diluted earnings per common share (in dollars per share)	$ 0.03	$ 0.04

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Subsequent Events (Details) - Subsequent Event	1 Months Ended
	May 04, 2020	Apr. 30, 2020
Subsequent Event [Line Items]
Aggregate April tenant billings collected (percent)	89.00%
April tenant billings deferred under rent deferral agreements (percent)		7.00%

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Stockholders' Equity (Tables)

3 Months Ended

Mar. 31, 2020

Equity [Abstract]

Reconciliation of beginning and ending common stock outstanding

The following table provides a reconciliation of the beginning and ending shares of common stock outstanding for the three months ended March 31, 2020 and the year ended December 31, 2019:

	MARCH 31, 2020	DECEMBER 31, 2019
Balance, beginning of period	134,706,154	125,279,455
Issuance of common stock	210,271	9,251,440
Nonvested share-based awards, net of withheld shares	15,781	175,259
Balance, end of period	134,932,206	134,706,154

Earnings (loss) per share

The following table sets forth the computation of basic and diluted earnings per common share for the three months ended March 31, 2020 and 2019.

	THREE MONTHS ENDED MARCH 31,
Dollars in thousands, except per share data	2020			2019
Weighted average common shares outstanding
Weighted average common shares outstanding	134,758,335			125,908,335
Non-vested shares	(1,722,090		)	(1,778,700		)
Weighted average common shares outstanding - basic	133,036,245			124,129,635
Weighted average common shares outstanding - basic	133,036,245			124,129,635
Dilutive effect of employee stock purchase plan	113,321			102,132
Weighted average common shares outstanding - diluted	133,149,566			124,231,767
Net Income	$	4,315		$	4,891
Dividends paid on nonvested share-based awards	(517		)	(536		)
Net income applicable to common stockholders	$	3,798		$	4,355
Basic earnings per common share - net income	$	0.03		$	0.04
Diluted earnings per common share - net income	$	0.03		$	0.04

Summary of the activity under the Incentive Plan

A summary of the activity under the Company's share-based incentive plans for the three months ended March 31, 2020 and 2019 is included in the table below.

	THREE MONTHS ENDED MARCH 31,
	2020		2019
Share-based awards, beginning of period	1,754,066		1,769,863
Granted	39,344		64,771
Vested	(68,649	)	(50,507	)
Share-based awards, end of period	1,724,761		1,784,127

Summary of employee stock purchase plan activity

A summary of the activity under the Purchase Plan for the three months ended March 31, 2020 and 2019 is included in the table below.

	THREE MONTHS ENDED MARCH 31,
	2020		2019
Outstanding and exercisable, beginning of period	332,659		328,533
Granted	212,716		235,572
Exercised	(11,904	)	(14,630	)
Forfeited	(22,981	)	(16,625	)
Expired	(139,794	)	(142,074	)
Outstanding and exercisable, end of period	370,696		390,776

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Real Estate Investments (Tables)

3 Months Ended

Mar. 31, 2020

Business Combinations [Abstract]

Summary of acquisitions

The following table details the Company's acquisitions for the three months ended March 31, 2020:

Dollars in millions	TYPE 1	DATE ACQUIRED	PURCHASE PRICE		MORTGAGE NOTES PAYABLE			CASH CONSIDERATION 2		REAL ESTATE		OTHER 3			SQUARE FOOTAGE
Los Angeles, CA	MOB	1/3/20	$	42.0	$	(19.3	)	$	22.8	$	42.4	$	(0.3	)	86,986
Atlanta, GA	MOB	2/13/20	12.0		—			11.8		12.1		(0.3		)	64,624
Raleigh, NC	MOB	2/25/20	6.3		—			6.5		6.5		—			15,964
Colorado Springs, CO	MOB	3/9/20	8.2		—			8.3		8.6		(0.3		)	34,210
Denver, CO 4	MOB	3/13/20	33.5		—			33.2		34.0		(0.8		)	136,994
Total real estate acquisitions			$	102.0	$	(19.3	)	$	82.6	$	103.6	$	(1.7	)	338,778
Land acquisition 5			1.6		—			1.7		1.7		—			—
			$	103.6	$	(19.3	)	$	84.3	$	105.3	$	(1.7	)	338,778

1 MOB = medical office building.

2 Cash consideration excludes prorations of revenue and expense due to/from seller at the time of the acquisition.

3 Includes other assets acquired, liabilities assumed, and intangibles recognized at acquisition.

4 Includes three properties.

5

The Company acquired land parcels under four existing buildings (previously ground leased from the hospital system).

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Real Estate Investments - Acquisitions (Details) $ in Millions					3 Months Ended
	Mar. 09, 2020 USD ($) ft²	Feb. 25, 2020 USD ($) ft²	Feb. 13, 2020 USD ($) ft²	Jan. 03, 2020 USD ($) ft²	Mar. 31, 2020 USD ($) ft²	Dec. 31, 2019 property
Business Acquisition [Line Items]
Number of properties held for sale | property						0
Real Estate Acquisition
Business Acquisition [Line Items]
Purchase price					$ 102.0
Mortgage Notes Payable					(19.3)
Cash consideration					82.6
Real Estate					103.6
Other					$ (1.7)
Square footage | ft²					338,778
Land Acquisition
Business Acquisition [Line Items]
Purchase price					$ 1.6
Mortgage Notes Payable					0.0
Cash consideration					1.7
Real Estate					1.7
Other					$ 0.0
Square footage | ft²					0
Real Estate and Land Acquisitions
Business Acquisition [Line Items]
Purchase price					$ 103.6
Mortgage Notes Payable					(19.3)
Cash consideration					84.3
Real Estate					105.3
Other					$ (1.7)
Square footage | ft²					338,778
Medical Office Building | Los Angeles, CA | Real Estate Acquisition
Business Acquisition [Line Items]
Purchase price				$ 42.0
Mortgage Notes Payable				(19.3)
Cash consideration				22.8
Real Estate				42.4
Other				$ (0.3)
Square footage | ft²				86,986
Medical Office Building | Atlanta, GA | Real Estate Acquisition
Business Acquisition [Line Items]
Purchase price			$ 12.0
Mortgage Notes Payable			0.0
Cash consideration			11.8
Real Estate			12.1
Other			$ (0.3)
Square footage | ft²			64,624
Medical Office Building | Raleigh, NC | Real Estate Acquisition
Business Acquisition [Line Items]
Purchase price		$ 6.3
Mortgage Notes Payable		0.0
Cash consideration		6.5
Real Estate		6.5
Other		$ 0.0
Square footage | ft²		15,964
Medical Office Building | Colorado Springs, CO | Real Estate Acquisition
Business Acquisition [Line Items]
Purchase price	$ 8.2
Mortgage Notes Payable	0.0
Cash consideration	8.3
Real Estate	8.6
Other	$ (0.3)
Square footage | ft²	34,210
Medical Office Building | Denver, CO | Real Estate Acquisition
Business Acquisition [Line Items]
Purchase price	$ 33.5
Mortgage Notes Payable	0.0
Cash consideration	33.2
Real Estate	34.0
Other	$ (0.8)
Square footage | ft²	136,994

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Stockholders' Equity (Stock Transactions - Narrative) (Details) - USD ($)		2 Months Ended	3 Months Ended
	May 29, 2020	May 06, 2020	Mar. 31, 2020	Mar. 31, 2019	Feb. 14, 2020
Class of Stock [Line Items]
Stock repurchase program, authorized amount					$ 500,000,000.0
Proceeds from issuance of common stock			$ 7,213,000	$ 120,617,000
Dividends declared per common share, during the period (in dollars per share)			$ 0.30	$ 0.30
At The Market Equity Offering Program
Class of Stock [Line Items]
Issuance of common stock (shares)			196,250
Proceeds from issuance of common stock			$ 7,000,000.0
Shares issued during period, price per share			$ 36.09
Subsequent Event
Class of Stock [Line Items]
Stock repurchase program, remaining authorized repurchase amount		$ 492,900,000
Dividends declared per common share, during the period (in dollars per share)	$ 0.30
Subsequent Event | At The Market Equity Offering Program
Class of Stock [Line Items]
Issuance of common stock (shares)		0
Minimum | At The Market Equity Offering Program
Class of Stock [Line Items]
Shares issued during period, price per share			33.00
Maximum | At The Market Equity Offering Program
Class of Stock [Line Items]
Shares issued during period, price per share			$ 36.15

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Fair Value of Financial Instruments (Details) - USD ($) $ in Millions	Mar. 31, 2020	Dec. 31, 2019
Carrying Value
Derivative [Line Items]
Notes and bonds payable	$ 1,644.5	$ 1,414.1
Fair Value
Derivative [Line Items]
Notes and bonds payable	$ 1,706.7	$ 1,425.8

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Leases - Lease Income (Details) $ in Millions	3 Months Ended
	Mar. 31, 2020 USD ($)
Leases [Abstract]
Rental income	$ 122.6

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Fair Value of Financial Instruments (Tables)

3 Months Ended

Mar. 31, 2020

Fair Value Disclosures [Abstract]

Fair value and carrying values for notes and bonds payable, mortgage notes receivable, and notes receivable

The table below details the fair values and carrying values for notes and bonds payable at March 31, 2020 and December 31, 2019.

	MARCH 31, 2020				DECEMBER 31, 2019
Dollars in millions	CARRYING VALUE		FAIR VALUE		CARRYING VALUE		FAIR VALUE
Notes and bonds payable 1	$	1,644.5	$	1,706.7	$	1,414.1	$	1,425.8

1

Level 2 – model-derived valuations in which significant inputs and significant value drivers are observable in active markets.

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Leases (Tables)

3 Months Ended

Mar. 31, 2020

Leases [Abstract]

Future Minimum Lease Payments Receivable

Future lease payments under the non-cancelable operating leases, excluding any reimbursements, as of March 31, 2020 were as follows:

In thousands
2020	$	280,413
2021	335,188
2022	294,771
2023	250,284
2024	193,772
2025 and thereafter	514,144
	$	1,868,572

Future Minimum Operating Lease Payments

The Company’s future lease payments (primarily for its 62 non-prepaid ground leases) as of March 31, 2020 were as follows:

In thousands	OPERATING			FINANCING
2020	$	3,113		$	429
2021	4,844			754
2022	4,875			763
2023	4,913			774
2024	4,969			795
2025 and thereafter	307,665			83,404
Total undiscounted lease payments	330,379			86,919
Discount	(239,286		)	(68,966		)
Lease liabilities	$	91,093		$	17,953

Future Minimum Financing Lease Payments

The Company’s future lease payments (primarily for its 62 non-prepaid ground leases) as of March 31, 2020 were as follows:

In thousands	OPERATING			FINANCING
2020	$	3,113		$	429
2021	4,844			754
2022	4,875			763
2023	4,913			774
2024	4,969			795
2025 and thereafter	307,665			83,404
Total undiscounted lease payments	330,379			86,919
Discount	(239,286		)	(68,966		)
Lease liabilities	$	91,093		$	17,953

Lease Cost

The following table provides details of the Company's total lease expense for the three months ended March 31, 2020 and 2019:

	THREE MONTHS ENDED MARCH 31,
In thousands	2020			2019
Operating lease cost
Operating lease expense	$	1,174		$	1,116
Variable lease expense	800			740
Finance lease cost
Amortization of right-of-use assets	70			—
Interest on lease liabilities	237			—
Total lease expense	$	2,281		$	1,856
Other information
Operating cash flows outflows related to operating leases	$	2,550		$	2,771
Financing cash flows outflows related to financing leases	$	321		$	—
Right-of-use assets obtained in exchange for new finance lease liabilities	$	—		$	—
Weighted-average remaining lease term (excluding renewal options) - operating leases	49.4			54.0
Weighted-average remaining lease term (excluding renewal options) -finance leases	64.9			—
Weighted-average discount rate - operating leases	5.7		%	5.5		%
Weighted-average discount rate - finance leases	5.4		%	—		%

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Subsequent Events

3 Months Ended

Mar. 31, 2020

Subsequent Events [Abstract]

Subsequent Events

Subsequent Events

COVID-19 Update

Since being reported in December 2019, COVID-19 has spread globally, including to every state in the United States. On March 11, 2020, the World Health Organization declared COVID-19 a pandemic, and on March 13, 2020, the United States declared a national emergency with respect to COVID-19.

All of the states and cities in which the Company owns properties, manages properties, and/or has development or redevelopment projects have instituted quarantines, restrictions on travel, “shelter in place” rules, restrictions on types of businesses that may continue to operate, and/or restrictions on the types of construction projects that may continue. As a result, a number of the Company's tenants have temporarily closed their offices or clinical space or have operated on a reduced basis in response to government requirements or recommendations. Through May 5, 2020, the Company has collected 89% of April 2020 aggregate tenant billings and has agreed to various forms of rent deferrals representing approximately 7% of April 2020 aggregate tenant billings. The tenant deferral agreements require the deferred amounts to be repaid in the third and fourth quarters of 2020. However, if tenants are unable to timely repay, or repay at all, deferred rent, if they request additional rent deferrals or abatements, decide not to renew leases, or renew leases at lower cash leasing spreads, the impact on the Company’s results of operations and financial condition could be material. Given the daily evolution of the COVID-19 pandemic and the global responses to curb its spread, the Company is not able to estimate the effects of the COVID-19 pandemic on its results of operations, financial condition, or liquidity for the fiscal year 2020. The Company continues to evaluate the impact of various forms of governmental assistance that may be or become available to the Company or its tenants, including the Coronavirus Aid, Relief, and Economic Security Act or the “CARES Act".

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Derivative Financial Instruments

3 Months Ended

Mar. 31, 2020

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Derivative Financial Instruments

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 derivatives are to add stability to interest expense and to manage its exposure to interest rate movements. To accomplish this objective, 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.

On February 24 and 25, 2020, the Company entered into two treasury rate locks totaling $75.0 million and $40.0 million, respectively. The treasury rate locks were settled for an aggregate amount of $4.3 million on March 4, 2020 concurrent with the Company's issuance of its Senior Notes due 2030. The settlement will be amortized over the 10-year term of the notes.

As of March 31, 2020, the Company had eight outstanding interest rate derivatives that were designated as cash flow hedges of interest rate risk:

DERIVATIVE INSTRUMENT	NUMBER OF INSTRUMENTS	NOTIONAL AMOUNT in millions
Interest rate swaps	8	$175.0

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, as well as their classification on the Condensed Consolidated Balance Sheet as of March 31, 2020.

	BALANCE AT MARCH 31, 2020
In thousands	BALANCE SHEET LOCATION	FAIR VALUE
Derivatives designated as hedging instruments
Interest rate swaps	Other liabilities	$	14,672
Total derivatives designated as hedging instruments		$	14,672

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, 2020 and 2019 related to the Company's outstanding interest rate swaps.

	LOSS RECOGNIZED IN AOCI ON DERIVATIVE three months ended March 31,					(GAIN) LOSS RECLASSIFIED FROM AOCI INTO INCOME three months ended March 31,
In thousands	2020		2019			2020		2019
Interest rate swaps	$	9,663	$	724	Interest expense	$	271	$	(27	)
Settled treasury hedges	4,267		—		Interest expense	15		—
Settled interest rate swaps	—		—		Interest expense	42		42
	$	13,930	$	724	Total interest expense	$	328	$	15

The Company estimates that $4.0 million will be reclassified from AOCI to interest expense over the next 12 months.

Credit-risk-related Contingent Features

The Company's agreements with each of its derivative counterparties contain a cross-default provision under which the Company could be declared in default of its derivative obligations if repayment of the underlying indebtedness is accelerated by the lender due to the Company's default on the indebtedness.

As of March 31, 2020, the fair value of derivatives in a net liability position including accrued interest but excluding any adjustment for nonperformance risk related to these agreements was $15.2 million. As of March 31, 2020, the Company has not posted any collateral related to these agreements and was not in breach of any agreement.

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Condensed Consolidated Balance Sheets (Unaudited) - USD ($) $ in Thousands	Mar. 31, 2020	Dec. 31, 2019
Real estate properties
Land	$ 319,882	$ 289,751
Buildings, improvements and lease intangibles	4,126,046	3,986,326
Personal property	10,783	10,538
Construction in progress	0	48,731
Land held for development	24,647	24,647
Real estate properties, Total	4,481,358	4,359,993
Less accumulated depreciation and amortization	(1,164,462)	(1,121,102)
Total real estate properties, net	3,316,896	3,238,891
Cash and cash equivalents	103,370	657
Assets held for sale, net	20	37
Operating lease right-of-use assets	125,040	126,177
Financing lease right-of-use assets	12,615	12,667
Other assets, net	189,708	185,426
Total assets	3,747,649	3,563,855
Liabilities
Notes and bonds payable	1,644,454	1,414,069
Accounts payable and accrued liabilities	64,574	78,517
Liabilities of properties held for sale	74	145
Operating lease liabilities	91,093	91,574
Financing lease liabilities	17,953	18,037
Other liabilities	70,073	61,504
Total liabilities	1,888,221	1,663,846
Commitments and contingencies
Stockholders' equity
Preferred stock, $.01 par value per share; 50,000 shares authorized; none issued and outstanding	0	0
Common stock, $.01 par value per share; 300,000 shares authorized; 134,932 and 134,706 shares issued and outstanding at March 31, 2020 and December 31, 2019, respectively	1,349	1,347
Additional paid-in capital	3,494,123	3,485,003
Accumulated other comprehensive loss	(19,777)	(6,175)
Cumulative net income attributable to common stockholders	1,131,619	1,127,304
Cumulative dividends	(2,747,886)	(2,707,470)
Total stockholders' equity	1,859,428	1,900,009
Total liabilities and stockholders' equity	$ 3,747,649	$ 3,563,855

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Leases - Lessor Accounting (Details) $ in Thousands	Mar. 31, 2020 USD ($)
Future Lease Payments Receivable [Abstract]
2020	$ 280,413
2021	335,188
2022	294,771
2023	250,284
2024	193,772
2025 and thereafter	514,144
Total	$ 1,868,572

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Condensed Consolidated Statements of Equity (Unaudited) Statement - USD ($) $ in Thousands	Total	Common Stock	Additional Paid-In Capital	Accumulated Other Comprehensive Income (Loss)	Cumulative Net Income	Cumulative Dividends
Beginning balance at Dec. 31, 2018	$ 1,716,642	$ 1,253	$ 3,180,284	$ (902)	$ 1,088,119	$ (2,552,112)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net of issuance costs	120,500	38	120,462
Common stock redemptions	(570)		(570)
Share-based compensation	2,639	1	2,638
Net income	4,891				4,891
Reclassification adjustments for losses included in net income (interest expense)	15			15
Losses arising during the period on interest rate swaps	(724)			(724)
Dividends to common stockholders	(37,614)					(37,614)
Ending balance at Mar. 31, 2019	1,805,779	1,292	3,302,814	(1,611)	1,093,010	(2,589,726)
Beginning balance at Dec. 31, 2019	1,900,009	1,347	3,485,003	(6,175)	1,127,304	(2,707,470)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net of issuance costs	7,321	2	7,319
Common stock redemptions	(798)		(798)
Share-based compensation	2,599		2,599
Net income	4,315				4,315
Reclassification adjustments for losses included in net income (interest expense)	328			328
Losses arising during the period on interest rate swaps	(13,930)			(13,930)
Dividends to common stockholders	(40,416)					(40,416)
Ending balance at Mar. 31, 2020	$ 1,859,428	$ 1,349	$ 3,494,123	$ (19,777)	$ 1,131,619	$ (2,747,886)

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Notes and Bonds Payable (Details)			3 Months Ended
	Mar. 04, 2020 USD ($) derivative	Feb. 03, 2020 USD ($) ft²	Mar. 31, 2020 USD ($) ft²	Feb. 25, 2020 USD ($)	Feb. 24, 2020 USD ($)	Dec. 31, 2019 USD ($)
Debt Instrument [Line Items]
Notes and bonds payable			$ 1,644,454,000			$ 1,414,069,000
Area of real estate property | ft²			15,800,000
Line of Credit | $700 million Unsecured Credit Facility
Debt Instrument [Line Items]
Notes and bonds payable			$ 215,000,000			293,000,000
Effective interest rate			1.89%
Medium-term Notes | $200 million Unsecured Term Loan Facility, net of issuance costs
Debt Instrument [Line Items]
Notes and bonds payable			$ 199,069,000			199,013,000
Effective interest rate			3.20%
Medium-term Notes | $150 million Unsecured Term Loan due 2026
Debt Instrument [Line Items]
Notes and bonds payable			$ 0			0
Term-loan facility			150,000,000.0
Senior Notes | Senior Notes due 2023, net of discount and issuance costs
Debt Instrument [Line Items]
Notes and bonds payable			$ 248,647,000			248,540,000
Effective interest rate			3.95%
Senior Notes | Senior Notes due 2025, net of discount and issuance costs
Debt Instrument [Line Items]
Notes and bonds payable			$ 248,584,000			248,522,000
Effective interest rate			4.08%
Senior Notes | Senior Notes due 2028, net of discount and issuance costs
Debt Instrument [Line Items]
Notes and bonds payable			$ 295,768,000			295,651,000
Effective interest rate			3.84%
Senior Notes | Senior Notes due 2030, net of discount and issuance costs
Debt Instrument [Line Items]
Fixed interest rate	2.40%
Notes and bonds payable			$ 296,211,000			0
Term-loan facility	$ 300,000,000.0
Effective interest rate	2.71%		2.71%
Debt issuance costs	$ 2,800,000
Debt discount	$ 1,000,000.0
Number of Derivative Instruments Settled | derivative	2
Mortgages | Mortgage notes payable, net of discounts and issuance costs and including premiums
Debt Instrument [Line Items]
Notes and bonds payable			$ 141,175,000			$ 129,343,000
Effective interest rate			4.70%
Interest Rate Swap | Medium-term Notes | $200 million Unsecured Term Loan Facility, net of issuance costs
Debt Instrument [Line Items]
Notional amount			$ 175,000,000.0
Fixed interest rate			2.29%
Debt Instrument, Basis Spread on Variable Rate			100.00%
Interest Rate Swap | Senior Notes | Senior Notes due 2025, net of discount and issuance costs
Debt Instrument [Line Items]
Loss on derivative instrument agreement recognized in OCI			$ 1,700,000
Treasury Lock
Debt Instrument [Line Items]
Notional amount				$ 40,000,000.0	$ 75,000,000.0
Loss on derivative instrument agreement recognized in OCI	$ 4,300,000
Treasury Lock | Senior Notes | Senior Notes due 2025, net of discount and issuance costs
Debt Instrument [Line Items]
Loss on derivative instrument agreement recognized in OCI	$ 4,300,000		$ 4,300,000
Mortgages
Debt Instrument [Line Items]
Fixed interest rate		6.10%
Outstanding principal repaid		$ 5,900,000
Area of real estate property | ft²		68,860

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Commitments and Contingencies - Construction Activity (Details) $ in Millions	3 Months Ended
	Mar. 31, 2020 USD ($) ft²
Other Commitments [Line Items]
Approximate Square Feet | ft²	15,800,000
Medical Office Building Expansion | Memphis, Tennessee
Other Commitments [Line Items]
Approximate Square Feet | ft²	110,883
Medical Office Building | Memphis, Tennessee
Other Commitments [Line Items]
Construction Activity, Total Funding During the Period, Excluding Purchase of Land and Building	$ 1.5
Medical Office Building | Washington
Other Commitments [Line Items]
Approximate Square Feet | ft²	151,031
Total amount funded	$ 54.1
Estimated amount to complete project	10.0
Land and Building | Medical Office Building | Memphis, Tennessee
Other Commitments [Line Items]
Construction Activity, Total Funding During the Period	$ 8.7