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Healthcare Realty Trust Reports Results for the Fourth Quarter

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Healthcare Realty Trust Incorporated (HR) announced Q4 results with a net loss of $(40.5) million, normalized FFO of $150.7 million, and Merger Combined Same Store cash NOI growth. The company reported dispositions and improved balance sheet metrics. The 2024 guidance range was provided, showing expected earnings and FFO per share.
Positive
  • The Company reported a net loss of $(40.5) million for Q4 2023.
  • Normalized FFO for the same period was $150.7 million.
  • Merger Combined Same Store cash NOI increased by 2.7% in Q4.
  • The Company sold 27 properties totaling $338 million in Q4 2023.
  • Net debt to adjusted EBITDA was 6.4 times at the end of the quarter.
  • The Company provided 2024 guidance for earnings and FFO per share.
Negative
  • None.

Insights

The reported net loss of $(40.5) million for Q4 2023 by Healthcare Realty Trust Incorporated (HR) contrasts with the normalized Funds from Operations (FFO) of $150.7 million for the same period, indicating a discrepancy between net income and operational cash flow. The negative net income could be attributed to non-cash items or one-time expenses not reflected in FFO, a key metric for REIT performance. The normalized FFO per share of $0.39 for Q4 and $1.57 for the full year provides a more stable view of the company's operational performance.

The increase in Merger Combined Same Store cash Net Operating Income (NOI) by 2.7% for the quarter and 2.8% for the year suggests organic growth within the existing property portfolio, which is a positive indicator for investors. The average in-place rent increases and future contractual increases are in line with industry norms for medical office buildings (MOBs), reflecting steady rental income growth.

However, the net debt to adjusted EBITDA ratio of 6.4 times signifies a higher leverage than the industry average, which typically ranges around 5 to 6 times for healthcare REITs. This could raise concerns about the company's debt levels and its ability to service this debt, especially in a rising interest rate environment.

The reported sequential occupancy improvement and the positive leasing spreads indicate a robust demand for HR's multi-tenant properties, which is a critical factor for revenue stability. Tenant retention at 78.2% is solid, although there may be room for improvement when compared to the industry average, which often hovers around 80-85% for MOBs.

The sale of 27 properties totaling $338 million in Q4 and the additional dispositions throughout 2023 are strategic moves to optimize the portfolio. These dispositions, at an average cap rate of 6.6%, suggest the company is divesting non-core assets to focus on higher growth potential properties, which may enhance the portfolio's quality over time.

Furthermore, the distinction between multi-tenant occupancy and leased percentages reflects a leasing buffer that could potentially translate into future revenue as leases commence. The difference of 210 basis points between leased and occupied space at the end of December 2023 provides a cushion that could mitigate the impact of any unexpected tenant departures.

The focus on medical outpatient buildings around market-leading hospital campuses is a strategic advantage for Healthcare Realty Trust, as these locations are typically more resilient to economic downturns due to the non-discretionary nature of healthcare services. The growth in the Merger Combined Same Store portfolio suggests that the merger with Legacy HTA is beginning to yield operational benefits, potentially creating synergies and economies of scale.

The company's position as a specialized REIT in medical outpatient buildings is unique and aligns with the broader trend in healthcare towards outpatient services. This focus on outpatient facilities is driven by the shift towards value-based care, technological advancements that enable complex procedures to be performed outside the hospital setting and patient preference for convenience.

The guidance for 2024, with an expected normalized FFO per share ranging from $1.52 to $1.58, reflects cautious optimism, accounting for market conditions such as rental rates and occupancy levels. Investors should note that the guidance does not include potential gains or losses from dispositions, which could materially affect the actual results.

NASHVILLE, Tenn., Feb. 16, 2024 (GLOBE NEWSWIRE) -- Healthcare Realty Trust Incorporated (NYSE:HR) today announced results for the fourth quarter ended December 31, 2023. The Company reported net income (loss) attributable to common stockholders of $(40.5) million, or $(0.11) per diluted common share, for the quarter ended December 31, 2023. Normalized FFO for the three months ended December 31, 2023 totaled $150.7 million, or $0.39 per diluted common share.  

The following applies to all same store disclosures reported in this press release. Subsequent to its merger with Healthcare Trust of America ("Legacy HTA") on July 20, 2022, the Company began reporting combined same store results in the third quarter of 2022, which are now referred to as Merger Combined Same Store. Merger Combined Same Store includes the Company’s same store properties, including Legacy HTA properties, that were owned for the full comparative period, and that meet all elements of the Company’s same store criteria. The Company presents the combined companies’ same store portfolios to provide an understanding of the operating performance and growth potential of the combined company.

RESULTS

  • Net (loss) income attributable to common stockholders for the three months ended December 31, 2023 was $(40.5) million or $(0.11) per diluted common share. Net (loss) income attributable to common stockholders for the year ended December 31, 2023 was $(278.3) million or $(0.74) per diluted common share.
  • Normalized FFO per share totaled $0.39 and $1.57 for the three months and year ended December 31, 2023, respectively.

MERGER COMBINED SAME STORE

  • Merger Combined Same Store cash NOI for the fourth quarter increased 2.7% over the prior year, and 2.8% for the year ended December 31, 2023.
  • Fourth quarter predictive growth measures in the Merger Combined Same Store portfolio include:
    • Average in-place rent increases of 2.8%
    • Future annual contractual increases of 2.9% for leases commencing in the quarter.
    • Weighted average MOB cash leasing spreads of 3.3% on 607,000 square feet renewed:
      • 3% (<0% spread)
      • 6% (0-3%)
      • 76% (3-4%)
      • 16% (>4%)
    • Tenant retention of 78.2%

MULTI-TENANT OCCUPANCY AND ABSORPTION

  • During the quarter, the multi-tenant portfolio had sequential occupancy improvement of 175,000 square feet, or 53 basis points.

 4Q 2023
(in thousands, except % and bps)NOVEMBER 2023
PROJECTION
ACTUAL
Total multi-tenant SF33,55233,371
Starting occupancy85.1%84.7%
Absorption (SF)120-180175
Ending occupancy85.4-85.6%85.2%
Change in occupancy (bps)+ 30-50+ 53
 
  • Total multi-tenant square feet changes from the November 2023 projection to 4Q 2023 actual include the sale of properties comprising 287,000 square feet offset by a 106,000 square feet development completion.
  • The multi-tenant portfolio leased percentage was 87.3% at December 31, which was 210 basis points greater than occupancy.   
    • The multi-tenant Legacy HTA portfolio leased percentage was 85.5%, which was 230 basis points greater than occupancy.
  • An updated multi-tenant occupancy and NOI bridge can be found on page 21 of the Investor Presentation.

LEASING

  • Portfolio leasing activity that commenced in the fourth quarter totaled 1,224,000 square feet related to 340 leases:
    • 703,000 square feet of renewals
    • 508,000 square feet of new and 13,000 square feet of expansion leases
  • The Company executed new leases totaling 425,000 square feet in the quarter that will commence in future periods.

DISPOSITIONS

  • During the fourth quarter, the Company sold 27 properties totaling $338 million.
  • Additional dispositions in 2023 totaled 36 properties for $656 million at an average cap rate of 6.6%. These dispositions generated proceeds of $597 million and $59 million of seller financing.
  • The 2023 additional dispositions do not include the January 2023 dispositions of $112 million to repay the balance on the asset sale term loan.
  • The 2023 total dispositions improved the quality and growth profile of the portfolio as seen through the following characteristics:
    • 34% non-MOB
    • 54% off campus MOB
    • 63% single-tenant
    • 1.9% average in-place escalators

 

BALANCE SHEET

  • Net debt to adjusted EBITDA was 6.4 times at the end of the quarter.
  • During the fourth quarter, the Company executed interest rate swaps totaling $275 million. In January 2024, $200 million of interest rate swaps expired.
  • As of December 31, 2023, including the effect of the expiration of the January 2024 interest rate swap, variable rate debt was 8%. This reflects an improvement from 13% as of December 31, 2022.
  • As of December 31, 2023, the Company's line of credit balance was fully repaid.

DIVIDEND

  • A dividend of $0.31 per share was paid in November 2023. A dividend of $0.31 per share will be paid on March 14, 2024 to stockholders and OP unitholders of record on February 26, 2024.

EARNINGS CALL

  • On Friday, February 16, 2024, at 11:00 a.m. Eastern Time, Healthcare Realty Trust has scheduled a conference call to discuss earnings results, quarterly activities, general operations of the Company and industry trends.
  • Simultaneously, a webcast of the conference call will be available to interested parties at https://investors.healthcarerealty.com/corporate-profile/webcasts under the Investor Relations section. A webcast replay will be available following the call at the same address.
  • Live Conference Call Access Details:
    • Domestic Dial-In Number: +1 404-975-4839 access code 926364;
    • All Other Locations: +1 833-470-1428 access code 926364.
  • Replay Information:
    • Domestic Dial-In Number: +1 929-458-6194 access code 512784;
    • All Other Locations: +1 866-813-9403 access code 512784.

GUIDANCE

  • The Company's 2024 guidance range represents the in-place portfolio as of February 16, 2024, and does not include any assumptions for prospective acquisitions, joint venture seed portfolios or other related balance sheet activities that have not closed unless otherwise noted. The 2024 guidance range expectations are as follows:


 ACTUALEXPECTED 1Q 2024EXPECTED 2024
 4Q 2023
  2023 LOW
 HIGH LOW
 HIGH 
Earnings per share$(0.11$(0.74$(0.12$(0.11$(0.60$(0.10)
NAREIT FFO per share$0.36 $1.43 $0.35 $0.36 $1.42 $1.48 
Normalized FFO per share$0.39 $1.57 $0.38 $0.39 $1.52 $1.58 
 
  • The 2024 annual guidance above includes the following significant changes from 2023 results (dollars in thousands, except per share data). Refer to page 28 for additional guidance detail including operating metrics and capital funding expectations.

4Q 2023 RUN-RATE NORMALIZED FFO RECONCILIATION  4Q 2023 DESCRIPTION
4Q 2023 normalized FFO  $150,730  
Non-recurring items (4,730)Property tax appeals/reductions and refunds
4Q 2023 run-rate normalized FFO $146,000  
     
  EXPECTED 2024 
KEY ASSUMPTIONS LOWHIGH DESCRIPTION
Annualized 4Q 2023 run-rate normalized FFO $584,000 $584,000  
Multi-tenant cash NOI 21,000 29,000 3.5% to 4.75% growth
Single-tenant cash NOI 1,000 3,000 0.5% to 1.5% growth
Straight-line rent (2,000)2,000  
Performance based compensation (5,500)(3,500)Return to run-rate
Interest rate swap maturity (6,500)(6,500)January 2024 expiration of 1.21%
Re/development and other capital funding (7,500)(5,500)$150-$250 million of dispositions
Other  1,500  
Expected normalized FFO $584,500 $604,000  
Expected normalized FFO per share$1.52 $1.58  
 

The 2024 annual guidance range reflects the Company's view of current and future market conditions, including assumptions with respect to rental rates, occupancy levels, interest rates, and operating and general and administrative expenses. The Company's guidance does not contemplate impacts from gains or losses from dispositions, potential impairments, or debt extinguishment costs, if any. There can be no assurance that the Company's actual results will not be materially higher or lower than these expectations. If actual results vary from these assumptions, the Company's expectations may change.

Healthcare Realty (NYSE: HR) is a real estate investment trust (REIT) that owns and operates medical outpatient buildings primarily located around market-leading hospital campuses. The Company selectively grows its portfolio through property acquisition and development. As the first and largest REIT to specialize in medical outpatient buildings, Healthcare Realty's portfolio includes nearly 700 properties totaling over 40 million square feet concentrated in 15 growth markets.

   


Additional information regarding the Company, including this quarter's operations, can be found at www.healthcarerealty.com. In addition to the historical information contained within, this press release contains certain forward-looking statements with respect to the Company. Forward-looking statements are statements that are not descriptions of historical facts and include statements regarding management’s intentions, beliefs, expectations, plans or predictions of the future, within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Because such statements include risks, uncertainties and contingencies, actual results may differ materially and in adverse ways from those expressed or implied by such forward-looking statements. These risks, uncertainties and contingencies include, without limitation, the following: the Company's expected results may not be achieved; failure to realize the expected benefits of the Merger; significant transaction costs and/or unknown or inestimable liabilities; the risk that HTA’s business will not be integrated successfully or that such integration may be more difficult, time-consuming or costly than expected; risks related to future opportunities and plans for the Company, including the uncertainty of expected future financial performance and results of the Company; the possibility that, if the Company does not achieve the perceived benefits of the Merger as rapidly or to the extent anticipated by financial analysts or investors, the market price of the Company’s common stock could decline; general adverse economic and local real estate conditions; changes in economic conditions generally and the real estate market specifically; legislative and regulatory changes, including changes to laws governing the taxation of REITs and changes to laws governing the healthcare industry; the availability of capital; changes in interest rates; competition in the real estate industry; the supply and demand for operating properties in the Company’s proposed market areas; changes in accounting principles generally accepted in the US; policies and guidelines applicable to REITs; the availability of properties to acquire; the availability of financing; pandemics and other health concerns, and the measures intended to prevent their spread, including the currently ongoing COVID-19 pandemic; and the potential material adverse effect these matters may have on the Company’s business, results of operations, cash flows and financial condition. Additional information concerning the Company and its business, including additional factors that could materially and adversely affect the Company’s financial results, include, without limitation, the risks described under Part I, Item 1A - Risk Factors, in the Company’s 2023 Annual Report on Form 10-K and in its other filings with the SEC.


Consolidated Balance Sheets
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
ASSETS     
 4Q 20233Q 20232Q 20231Q 20234Q 2022
Real estate properties     
Land$1,343,265 $1,387,821 $1,424,453 $1,412,805 $1,439,798 
Buildings and improvements 10,881,373  11,004,195  11,188,821  11,196,297  11,332,037 
Lease intangibles 836,302  890,273  922,029  929,008  959,998 
Personal property 12,718  12,686  12,615  11,945  11,907 
Investment in financing receivables, net 122,602  120,975  121,315  120,692  120,236 
Financing lease right-of-use assets 82,209  82,613  83,016  83,420  83,824 
Construction in progress 60,727  85,644  53,311  42,615  35,560 
Land held for development 59,871  59,871  78,411  69,575  74,265 
Total real estate investments 13,399,067  13,644,078  13,883,971  13,866,357  14,057,625 
Less accumulated depreciation and amortization (2,226,853) (2,093,952) (1,983,944) (1,810,093) (1,645,271)
Total real estate investments, net 11,172,214  11,550,126  11,900,027  12,056,264  12,412,354 
Cash and cash equivalents 25,699  24,668  35,904  49,941  60,961 
Assets held for sale, net 8,834  57,638  151  3,579  18,893 
Operating lease right-of-use assets 275,975  323,759  333,224  336,112  336,983 
Investments in unconsolidated joint ventures 311,511  325,453  327,245  327,746  327,248 
Other assets, net and goodwill 842,898  822,084  797,796  795,242  693,192 
Total assets$12,637,131 $13,103,728 $13,394,347 $13,568,884 $13,849,631 
      
LIABILITIES AND STOCKHOLDERS' EQUITY     
 4Q 20233Q 20232Q 20231Q 20234Q 2022
Liabilities     
Notes and bonds payable$4,994,859 $5,227,413 $5,340,272 $5,361,699 $5,351,827 
Accounts payable and accrued liabilities 211,994  204,947  196,147  155,210  244,033 
Liabilities of properties held for sale 295  3,814  222  277  437 
Operating lease liabilities 229,714  273,319  278,479  279,637  279,895 
Financing lease liabilities 74,503  74,087  73,629  73,193  72,939 
Other liabilities 202,984  211,365  219,694  232,029  218,668 
Total liabilities 5,714,349  5,994,945  6,108,443  6,102,045  6,167,799 
      
Redeemable non-controlling interests 3,868  3,195  2,487  2,000  2,014 
      
Stockholders' equity     
Preferred stock, $0.01 par value; 200,000 shares authorized          
Common stock, $0.01 par value; 1,000,000 shares authorized 3,810  3,809  3,808  3,808  3,806 
Additional paid-in capital 9,602,592  9,597,629  9,595,033  9,591,194  9,587,637 
Accumulated other comprehensive (loss) income (10,741) 17,079  9,328  (8,554) 2,140 
Cumulative net income attributable to common stockholders 1,028,794  1,069,327  1,137,171  1,219,930  1,307,055 
Cumulative dividends (3,801,793) (3,684,144) (3,565,941) (3,447,750) (3,329,562)
Total stockholders' equity 6,822,662  7,003,700  7,179,399  7,358,628  7,571,076 
Non-controlling interest 96,252  101,888  104,018  106,211  108,742 
Total Equity 6,918,914  7,105,588  7,283,417  7,464,839  7,679,818 
Total liabilities and stockholders' equity$12,637,131 $13,103,728 $13,394,347 $13,568,884 $13,849,631 


Consolidated Statements of Income
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
     
 THREE MONTHS ENDED DECEMBER 31,TWELVE MONTHS ENDED DECEMBER 31,
  2023  2022  2023  2022 
Revenues    
Rental income$322,076 $329,399 $1,309,184 $907,451 
Interest income 4,422  4,227  17,134  11,480 
Other operating 3,943  4,436  17,451  13,706 
  330,441  338,062  1,343,769  932,637 
Expenses    
Property operating 121,362  117,009  500,437  344,038 
General and administrative 14,609  14,417  58,405  52,734 
Normalizing items 1 (1,445)   (1,720)  
Normalized general and administrative 13,164  14,417  56,685  52,734 
Acquisition and pursuit costs 2 301  92  2,026  3,229 
Merger-related costs 1,414  10,777  (1,952) 103,380 
Depreciation and amortization 180,049  185,275  730,709  453,082 
  317,735  327,570  1,289,625  956,463 
Other income (expense)    
Interest expense before merger-related fair value (52,387) (52,464) (215,699) (125,443)
Merger-related fair value adjustment (10,800) (11,979) (42,885) (21,248)
Interest expense (63,187) (64,443) (258,584) (146,691)
Gain on sales of real estate properties 20,573  73,083  77,546  270,271 
Gain (loss) on extinguishment of debt   119  62  (2,401)
Impairment of real estate assets and credit loss reserves (11,403) (54,452) (154,912) (54,427)
Equity (loss) gain from unconsolidated joint ventures (430) 89  (1,682) (687)
Interest and other income (expense), net 65  (1,168) 1,343  (1,546)
  (54,382) (46,772) (336,227) 64,519 
Net (loss) income$(41,676)$(36,280)$(282,083)$40,693 
Net loss (income) attributable to non-controlling interests 1,143  516  3,822  204 
Net (loss) income attributable to common stockholders$(40,533)$(35,764)$(278,261)$40,897 
     
     
Basic earnings per common share$(0.11)$(0.10)$(0.74)$0.15 
Diluted earnings per common share$(0.11)$(0.10)$(0.74)$0.15 
     
Weighted average common shares outstanding - basic 379,044  378,617  378,928  252,356 
Weighted average common shares outstanding - diluted 3 379,044  378,617  378,928  253,873 
 

1 4Q 2023 normalizing items include severance costs and YTD 2023 includes severance costs and non-routine legal costs.

2 Includes third party and travel costs related to the pursuit of acquisitions and developments.

3 Potential common shares are not included in the computation of diluted earnings per share when a loss exists, as the effect would be an antidilutive per share amount. As a result, the Company's OP totaling 3,966,365 units was not included.


Reconciliation of FFO, Normalized FFO and FAD 1,2,3
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA
     
 THREE MONTHS ENDED DECEMBER 31,TWELVE MONTHS ENDED DECEMBER 31,
  2023  2022  2023  2022 
Net (loss) income attributable to common stockholders$(40,533)$(35,764)$(278,261)$40,897 
Net loss attributable to common stockholders/diluted share 3$(0.11)$(0.10)$(0.74)$0.15 
     
Gain on sales of real estate assets (20,573) (73,083) (77,546) (270,271)
Impairments of real estate assets 11,403  54,452  149,717  54,427 
Real estate depreciation and amortization 182,272  186,658  738,526  459,211 
Non-controlling loss from partnership units (491) (382) (3,426) (5)
Unconsolidated JV depreciation and amortization 4,442  4,020  18,116  12,722 
FFO adjustments$177,053 $171,665 $825,387 $256,084 
FFO adjustments per common share - diluted$0.46 $0.45 $2.15 $1.01 
FFO$136,520 $135,901 $547,126 $296,981 
FFO per common share - diluted$0.36 $0.35 $1.43 $1.17 
     
Acquisition and pursuit costs 301  92  2,026  3,229 
Merger-related costs 1,414  10,777  (1,952) 103,380 
Lease intangible amortization 261  137  860  1,028 
Non-routine legal costs/forfeited earnest money received (100) 194  175  771 
Debt financing costs   625  (62) 3,145 
Severance costs 1,445    1,445   
Allowance for credit losses 4     8,599   
Merger-related fair value adjustment 10,800  11,979  42,885  21,248 
Unconsolidated JV normalizing items 5 89  96  389  330 
Normalized FFO adjustments$14,210 $23,900 $54,365 $133,131 
Normalized FFO adjustments per common share - diluted$0.04 $0.06 $0.14 $0.52 
Normalized FFO$150,730 $159,801 $601,491 $430,112 
Normalized FFO per common share - diluted$0.39 $0.42 $1.57 $1.69 
     
Non-real estate depreciation and amortization 685  624  2,566  2,217 
Non-cash interest amortization, net 6 1,265  2,284  4,968  5,129 
Rent reserves, net 1,404  (100) 3,163  516 
Straight-line rent income, net (7,872) (9,873) (32,592) (20,124)
Stock-based compensation 3,566  3,573  13,791  14,294 
Unconsolidated JV non-cash items 7 (206) (316) (1,034) (1,206)
Normalized FFO adjusted for non-cash items 149,572  155,993  592,353  430,938 
2nd generation TI (18,715) (13,523) (66,081) (33,620)
Leasing commissions paid (14,978) (7,404) (36,391) (22,929)
Capital expenditures (17,393) (25,669) (49,343) (48,913)
Total maintenance capex (51,086) (46,596) (151,815) (105,462)
FAD$98,486 $109,397 $440,538 $325,476 
Quarterly/annual dividends $118,897 $119,323 $477,239 $285,774 
FFO wtd avg common shares outstanding - diluted 8 383,326  383,228  383,381  254,622 
            

1 Funds from operations (“FFO”) and FFO per share are operating performance measures adopted by NAREIT. NAREIT defines FFO as “net income (computed in accordance with GAAP) excluding depreciation and amortization related to real estate, gains and losses from the sale of certain real estate assets, gains and losses from change in control, and impairment write-downs of certain real assets and investments in entities when the impairment is directly attributable to decreases in the value of depreciable real estate held by the entity.”

2 FFO, Normalized FFO and Funds Available for Distribution ("FAD") do not represent cash generated from operating activities determined in accordance with GAAP and is not necessarily indicative of cash available to fund cash needs. FFO, Normalized FFO and FAD should not be considered alternatives to net income attributable to common stockholders as indicators of the Company's operating performance or as alternatives to cash flow as measures of liquidity.

3 Potential common shares are not included in the computation of diluted earnings per share when a loss exists, as the effect would be an antidilutive per share amount.

4 In Q1 2023, allowance for credit losses included a $5.2 million credit allowance for a mezzanine loan included in "Impairment of real estate and credit loss reserves" on the Statement of Income and $3.4 million reserve included in “Rental Income” on the Statement of Income for previously deferred rent and straight line rent for three skilled nursing facilities.

5 Includes the Company's proportionate share of normalizing items related to unconsolidated joint ventures such as lease intangibles and acquisition and pursuit costs.

6 Includes the amortization of deferred financing costs, discounts and premiums, and non-cash financing receivable amortization.

7 Includes the Company's proportionate share of straight-line rent, net and rent reserves, net related to unconsolidated joint ventures.

8 The Company utilizes the treasury stock method, which includes the dilutive effect of nonvested share-based awards outstanding of 308,389 for the three months ended December 31, 2023. Also includes the diluted impact of 3,966,365 OP units outstanding.


Reconciliation of Non-GAAP Measures
DOLLARS IN THOUSANDS, EXCEPT PER SHARE DATA - UNAUDITED
 

Management considers funds from operations ("FFO"), FFO per share, normalized FFO, normalized FFO per share, funds available for distribution ("FAD") to be useful non-GAAP measures of the Company's operating performance. A non-GAAP financial measure is generally defined as one that purports to measure historical 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.

The non-GAAP financial measures 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 (determined in accordance with GAAP), as indicators of the Company's financial performance, or as alternatives to cash flow from operating activities (determined in accordance with GAAP) 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.

FFO and FFO per share are operating performance measures adopted by the National Association of Real Estate Investment Trusts, Inc. (“NAREIT”). NAREIT defines FFO as “net income (computed in accordance with GAAP) excluding depreciation and amortization related to real estate, gains and losses from the sale of certain real estate assets, gains and losses from change in control, and impairment write-downs of certain real assets and investments in entities when the impairment is directly attributable to decreases in the value of depreciable real estate held by the entity.” The Company defines Normalized FFO as FFO excluding acquisition-related expenses, lease intangible amortization and other normalizing items that are unusual and infrequent in nature. FAD is presented by adding to Normalized FFO non-real estate depreciation and amortization, deferred financing fees amortization, share-based compensation expense and rent reserves, 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. FFO, Normalized FFO and FAD do not represent cash generated from operating activities determined in accordance with GAAP and are not necessarily indicative of cash available to fund cash needs. FFO, Normalized FFO and FAD should not be considered an alternative to net income as an indicator of the Company’s operating performance or as an alternative to cash flow as a measure of liquidity. FFO, Normalized FFO and FAD should be reviewed in connection with GAAP financial measures.

Management believes FFO, FFO per share, Normalized FFO, Normalized FFO per share, and FAD provide an understanding of the operating performance of the Company’s properties without giving effect to certain significant non-cash items, including 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, gains or losses from sales of real estate, and other normalizing items that are unusual and infrequent, FFO, FFO per share, Normalized FFO, Normalized FFO per share and FAD can facilitate comparisons of operating performance between periods. The Company reports these measures because they have been observed by management to be the predominant measures used by the REIT industry and by industry analysts to evaluate REITs and because these measures are consistently reported, discussed, and compared by research analysts in their notes and publications about REITs.

Merger Combined Cash NOI and Merger Combined 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 Merger Combined Cash NOI as rental income and less property operating expenses. Merger Combined Cash NOI excludes non-cash items such as above and below market lease intangibles, straight-line rent, lease inducements, lease termination fees, tenant improvement amortization and leasing commission amortization. Merger Combined Cash NOI is historical and not necessarily indicative of future results.

Merger Combined Same Store Cash NOI compares Merger Combined Cash NOI for stabilized properties. Stabilized properties are properties that have been included in operations for the duration of the year-over-year comparison period presented. Accordingly, stabilized properties exclude properties that were recently acquired or disposed of, properties classified as held for sale, properties undergoing redevelopment, and newly redeveloped or developed properties.

The Company utilizes the redevelopment classification for properties where management has approved a change in strategic direction for such properties through the application of additional resources including an amount of capital expenditures significantly above routine maintenance and capital improvement expenditures.

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 or redeveloped properties will be included in the same store pool eight full quarters after substantial completion.

Ron Hubbard
Vice President, Investor Relations
P: 615.269.8290 


FAQ

What were Healthcare Realty Trust's net income and normalized FFO for Q4 2023?

Healthcare Realty Trust reported a net loss of $(40.5) million and normalized FFO of $150.7 million for the fourth quarter of 2023.

How did Merger Combined Same Store cash NOI perform in Q4 2023?

Merger Combined Same Store cash NOI increased by 2.7% in the fourth quarter of 2023.

What dispositions did the Company make in Q4 2023?

In the fourth quarter of 2023, Healthcare Realty Trust sold 27 properties totaling $338 million.

What was the net debt to adjusted EBITDA ratio at the end of the quarter?

The net debt to adjusted EBITDA ratio was 6.4 times at the end of the quarter.

What guidance did Healthcare Realty Trust provide for 2024?

Healthcare Realty Trust provided guidance for 2024 showing expected earnings and FFO per share.

Healthcare Realty Trust Incorporated

NYSE:HR

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6.18B
352.20M
0.62%
109.12%
3.19%
REIT - Healthcare Facilities
Real Estate Investment Trusts
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United States of America
NASHVILLE