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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
_____________________________
SCHEDULE 14A
(Rule 14a-101)
_____________________________
INFORMATION REQUIRED IN PROXY STATEMENT
SCHEDULE 14A INFORMATION
Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934
_____________________________
Filed by the Registrant ☒
Filed by a Party other than the Registrant ☐
Check the appropriate box:
☐ Preliminary Proxy Statement
☐ Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2))
☒ Definitive Proxy Statement
☐ Definitive Additional Materials
☐ Soliciting Material Pursuant to §240.14a-12
_____________________________
HEALTHCARE REALTY TRUST INCORPORATED
(Exact name of Registrant as specified in its charter)
(Name of Person(s) Filing Proxy Statement, if other than the Registrant)
Payment of Filing Fee (Check the appropriate box):
☒ No fee required.
☐ Fee paid previously with preliminary materials.
☐ Fee computed on table below per Exchange Act Rules 14a-6(i)(1) and 0-11.

3310 West End Avenue, Suite 700
Nashville, Tennessee 37203
P 615.269.8175 F 615.269.8461
www.healthcarerealty.com
April 9, 2024
Annual Meeting
of Stockholders
TO OUR STOCKHOLDERS:
You are cordially invited to attend the 2024 annual meeting of stockholders of Healthcare Realty Trust Incorporated (the "Company"), to be held on May 21, 2024, at 10:00 a.m. (local time) at the Company's corporate offices, located at 3310 West End Avenue, Suite 700, Nashville, Tennessee 37203.
The following pages contain the formal notice of the annual meeting and our proxy statement, which describe the specific business to be considered and voted upon at the annual meeting. Whether or not you plan to attend the meeting, we would greatly appreciate your efforts to vote your shares as soon as possible by following the instructions located in the Notice of Internet Availability of Proxy Materials sent to you or in our proxy statement. If you attend the meeting and wish to vote in person, you may withdraw your proxy and vote your shares personally.
Sincerely,
John Knox Singleton
Chairman of the Board of Directors

3310 West End Avenue, Suite 700
Nashville, Tennessee 37203
P 615.269.8175 F 615.269.8461
www.healthcarerealty.com
April 9, 2024
Notice of Annual Meeting
of Stockholders
TO OUR STOCKHOLDERS:
The annual meeting of stockholders of Healthcare Realty Trust Incorporated (the “Company”) will be held on Tuesday, May 21, 2024, at 10:00 a.m. (local time) at the Company's corporate offices, located at 3310 West End Avenue, Suite 700, Nashville, Tennessee 37203, for the following purposes:
(1)To elect eleven nominees as directors to serve one-year terms expiring at the 2025 annual meeting of stockholders or until their successors are duly elected and qualified;
(2)To ratify the appointment of BDO USA, P.C. as the independent registered public accounting firm for the Company and its subsidiaries for the Company’s 2024 fiscal year;
(3)To vote to approve, on a non-binding advisory basis, a resolution approving the Company’s compensation of its named executive officers as disclosed pursuant to Item 402 of Regulation S-K; and
(4)To transact any other business that properly comes before the meeting or any postponement or adjournment thereof.
The Board recommends that the stockholders vote FOR the election of the nominees to the Board of Directors and FOR each of proposals 2 and 3 listed above. Holders of record of the Company’s common stock at the close of business on March 28, 2024 are entitled to vote at the meeting or at any postponement or adjournment of the meeting.
By order of the Board of Directors,
Andrew E. Loope
Senior Vice President, Corporate Counsel and Secretary

Proxy Statement
Proposal Overview

Page 2 | Proposal 1
Election of Directors
BOARD RECOMMENDATION: | Vote FOR

Page 17 | Proposal 2
Ratification of Appointment of Independent Registered Public Accounting Firm
BOARD RECOMMENDATION: | Vote FOR

Page 45 | Proposal 3
Non-Binding Advisory Vote on Executive Compensation
BOARD RECOMMENDATION: | Vote FOR

Table of Contents

| Proxy Statement | 1
| Proposal 1 - Election of Directors | 2
| Corporate Governance | 8
| Security Ownership of Certain Beneficial Owners and Management | 15
| Proposal 2 - Ratification of Appointment of Independent Registered Public Accounting Firm | 17
| Audit Committee Report | 18
| Compensation Discussion and Analysis | 20
| Compensation Committee Report | 32
| Executive Compensation (includes CEO Pay Ratio and Pay Versus Performance) | 33
| Proposal 3 - Non-Binding Advisory Vote on Executive Compensation | 46
| Director Compensation | 47
| Certain Relationships and Related Transactions | 49
| Compensation Committee Interlocks and Insider Participation | 50
| Use of Non-GAAP Financial Measures; Reconciliations | 50
| General Information | 55

Proxy Statement
This Proxy Statement contains information related to the annual meeting of stockholders of Healthcare Realty Trust Incorporated (the "Company") to be held at the Company's corporate offices, located at 3310 West End Avenue, Suite 700, Nashville, Tennessee 37203, on Tuesday, May 21, 2024, at 10:00 a.m. (l ocal time) for the purposes set forth in the accompanying notice, and any postponement or adjournment thereof (the "Annual Meeting"). This Proxy Statement and the Annual Report to Stockholders for the Year Ended December 31, 2023 (the "Annual Report to Stockholders") are available to you on the Internet or, upon your request, will be delivered to you by mail or email in connection with the solicitation of proxies by the Board of Directors of the Company to be voted at the Annual Meeting. The Notice of Internet Availability of Proxy Materials (the "Notice of Internet Availability") is scheduled to be distributed on or about April 9, 2024.
Under rules adopted by the Securities and Exchange Commission (the "SEC"), the Company is making this Proxy Statement and the Annual Report to Stockholders available on the Internet instead of mailing a printed copy of these materials to each stockholder. Stockholders who receive the Notice of Internet Availability by mail will not receive a printed copy of these materials other than as described below. Instead, the Notice of Internet Availability contains instructions as to how stockholders may access and review the materials on the Internet, including information about how stockholders may submit proxies by telephone or over the Internet.
You can ensure that your shares are voted at the Annual Meeting by submitting your instructions by telephone or Internet, or, if you requested a printed copy of the proxy materials, by completing, signing, dating and returning the proxy card accompanying the materials in the envelope provided to you. Submitting your instructions or proxy by any of these methods will not affect your right to attend and vote at the Annual Meeting. We encourage our stockholders to submit proxies in advance of the Annual Meeting. A stockholder who gives a proxy may revoke it at any time before it is exercised by voting in person at the Annual Meeting by delivering a subsequent proxy or by notifying the inspectors of election in writing of such revocation. If your shares are held for you in a brokerage, bank or other institutional account, you must obtain a proxy from that entity and bring it with you to hand in with your ballot in order to be able to vote your shares at the Annual Meeting.
The close of business on March 28, 2024 has been fixed as the record date for the determination of stockholders entitled to vote at the meeting. The presence at the meeting, in person or by proxy, of the holders of a majority of the shares of the Company's Class A common stock, $0.01 par value per share (the "Common Stock"), outstanding on the record date will constitute a quorum, permitting the conduct of business at the meeting. Without your instructions, your broker or nominee is permitted to use its own discretion and vote your shares on certain routine matters (such as Proposal 2), but is not permitted to use its discretion and vote your shares on non-routine matters (such as Proposals 1 and 3). We urge you to give voting instructions to your broker or nominee on all proposals. Shares that are not permitted to be voted by your broker or nominee because you did not execute or return the proxy with instructions are called "broker non-votes." These so-called "broker non-votes" will be included in the calculation of the number of votes considered to be present at the meeting for purposes of determining a quorum. Additionally, the inspectors of election for the Annual Meeting will treat shares represented by proxies that reflect abstentions as shares that are present and entitled to vote for purposes of determining the presence of a quorum.
As of the close of business on the record date, the Company had 1,000,000,000 authorized shares of Common Stock, of which 381,512,684 shares were outstanding and entitled to vote. The Common Stock is the Company’s only outstanding class of voting stock. Each share of Common Stock will have one vote on each matter to be voted upon at the meeting.
1

Proposal 1
Election of Directors
The Board of Directors is organized in a single class, and the stockholders vote on the entire Board of Directors each year. There are currently 13 members of the Board of Directors; however, the number of directors to serve on the Board has been set at 11, provided that the tenure of office of a current director is not affected by the decrease in the number of directors. As described below, 11 current directors have been nominated to serve on the Board of Directors.
The Company's Fifth Articles of Amendment and Restatement, as amended and supplemented, do not provide for cumulative voting and, accordingly, each stockholder may cast one vote per share of Common Stock for each nominee. Pursuant to the Company's Fourth Amended and Restated Bylaws ("bylaws"), to elect a director nominee, the affirmative vote of a majority of all votes cast at a meeting at which a quorum is present must be cast in favor of the nominee. This means a director nominee must receive more votes “for” than “against” to be elected, with abstentions and broker non-votes not counting as votes “for” or “against.” If an incumbent director nominee fails to receive the required number of votes for reelection, then under Maryland law, he or she will continue to serve as a “holdover” director until his or her successor is duly elected and qualified. The Company has a director resignation policy that is applicable to any director that does not receive a majority of votes cast "for" his or her election to the Board in an uncontested election. This policy is described in greater detail beginning on page 10 of this Proxy Statement.
Unless a proxy specifies otherwise or results in a broker non-vote, the persons named in the proxy will vote the shares covered thereby for the nominees designated by the Board of Directors listed below. Should any nominee become unavailable for election, shares covered by a proxy will be voted for a substitute nominee selected by the Board of Directors upon the recommendation of the Nominating and Corporate Governance Committee. For more detail about this process, see page 13.
Qualifications of Nominees to be Directors
As described in the table below, the 11 nominees to serve on the Board of Directors are individuals from diverse backgrounds and experiences. The Board believes that each nominee possesses unique qualifications, skills and attributes that complement the performance of the full Board. The experiences that each has obtained from their respective professional backgrounds, as set forth individually in the table below, have qualified them to serve on the Board of Directors. The Board believes that the nominees set forth below work together well and contribute individual strengths and skills to effectively carry out the Board’s duties. Four director nominees are female (Ms. Agee, Ms. Booth, Ms. Moore, and Ms. Vasquez) and two director nominees represent racial/ethnic minority groups (Mr. Gupta and Ms. Vasquez).
2

Director Nominees

| JOHN KNOX SINGLETON | AGE: 75 | DIRECTOR SINCE 1993
Chairman of the Board; Retired CEO, Inova Health System
Mr. Singleton retired in 2018 from his position as Chief Executive Officer of Inova Health System headquartered in Falls Church, Virginia. He previously served as a director of Washington Mutual Investors Fund, a mutual fund located in Los Angeles, California and currently serves on a variety of for-profit and not-for-profit health related governing boards. The experience Mr. Singleton has gained in these roles has enabled him to provide the Board with insight regarding the business of large, not-for-profit health systems, as well as general compensation practices and governance matters.
Current Committee Role: Chair of Compensation and Human Capital Committee Committee Role Following Annual Meeting: Chair of Compensation and Human Capital Committee Highlighted Skills: Healthcare; Executive Leadership; Corporate Governance

| TODD J. MEREDITH | AGE: 49 | DIRECTOR SINCE 2017
President and CEO, Healthcare Realty
Mr. Meredith was appointed President and Chief Executive Officer of the Company in December 2016. Previously, he served as the Company's Executive Vice President - Investments since 2011, where he was responsible for overseeing the Company's investment activities, including the acquisition, financing, and development of medical office buildings. Mr. Meredith has been with the Company since 2001 and provides the Board with strategic vision and depth of understanding of the Company's business from his many years of experience in directing and shaping key aspects of the business.
Committee Role: As President and CEO, no committee assignments Highlighted Skills: Executive Leadership; Real Estate; Corporate Finance

| JOHN V. ABBOTT | AGE: 69 | DIRECTOR SINCE 2019
Retired CEO, Aviation Asset Management Group, General Electric Company
Mr. Abbott retired from the General Electric Company in 2015 after over 38 years with the firm. At the time of his retirement, he was Executive Vice President of GE Capital Aviation Services, where he served as President and Chief Executive Officer of the Asset Management Group. Prior to that, Mr. Abbott held several leadership positions in GE's aircraft engine manufacturing business, including serving as Chief Financial Officer of multiple divisions. Mr. Abbott's experience in business leadership, finance, and innovation adds valuable perspective and oversight capability to the Board.
Current Committee Role: Compensation and Human Capital Committee Committee Role Following the Annual Meeting: Compensation and Human Capital Committee Highlighted Skills: Executive Leadership; Corporate Governance; Human Capital

3

| NANCY H. AGEE | AGE: 71 | DIRECTOR SINCE 2016
President and CEO, Carilion Clinic
Ms. Agee has served as the Chief Executive Officer of Carilion Clinic, a not-for-profit healthcare organization based in Roanoke, Virginia, since 2011. During the previous ten years, she served as the Chief Operating Officer of Carilion Clinic. Ms. Agee also serves as a director of RGC Resources, Inc., an energy company located in Roanoke, Virginia. In 2018, Ms. Agee served as the chair of the Board of Trustees of the American Hospital Association. Ms. Agee provides the Board with valuable insight regarding the real estate needs and concerns of major health systems. Ms. Agee also has extensive financial experience to be considered an audit committee financial expert.
Current Committee Role: Audit Committee Committee Role Following the Annual Meeting: Audit Committee Highlighted Skills: Executive Leadership; Healthcare; Financial Expert

| VICKI U. BOOTH | AGE: 60 | DIRECTOR SINCE 2022 (1)
President and Board Chair, Ueberroth Family Foundation
Ms. Booth was elected as an independent director of Healthcare Trust of America, Inc. ("Legacy HTA") in March 2018. Ms. Booth currently serves as the President and Board Chair of the Ueberroth Family Foundation and as a director of Hoag Hospital, where she chairs the Nominating and Governance Committee and serves on the Real Estate Committee, Women's Health Services Committee and Community Benefit Committee. She also serves as a Director of the Hoag Clinic. Ms. Booth brings to the Board experience within the healthcare sector through the various positions she has held with healthcare universities and hospitals. These roles have allowed Ms. Booth to develop extensive relationships with leading healthcare communities and provides her with in-depth knowledge and understanding of the healthcare industry. (1) Director of Legacy HTA from 2018 to 2022.
Current Committee Role: Nominating and Corporate Governance Committee Committee Role Following the Annual Meeting: Nominating and Corporate Governance Committee Highlighted Skills: Healthcare; Corporate Governance; Human Capital

| AJAY GUPTA | AGE: 46 | DIRECTOR SINCE 2021
CEO, Physical Rehabilitation Network
Mr. Gupta has served as the Chief Executive Officer of Physical Rehabilitation Network since 2019 and as Chief Executive Officer of Gupta Capital Partners since 2017. He previously served as the Chief Operating Officer and Chief Financial Officer of Envision Healthcare in the Evolution Health Division. From 2013 to 2015, Mr. Gupta was Chief Operating Officer and Chief Financial Officer of Integrated Oncology Network, LLC. In 2012, Mr. Gupta was a senior advisor at the Center for Medicare and Medicaid Services. Mr. Gupta was also as a division Chief Financial Officer for HCA Healthcare. Mr. Gupta's financial background, understanding of healthcare regulation and reimbursement, and expertise in the delivery of healthcare services provides valuable insight in the business of the Company's tenants and health system partners. Mr. Gupta has the requisite background and experience to be an audit committee financial expert.
Current Committee Role: Audit Committee Committee Role Following the Annual Meeting: Chair of the Audit Committee Highlighted Skills: Executive Leadership; Healthcare; Financial Expert

4

| JAMES J. KILROY | AGE: 51 | DIRECTOR SINCE 2020
President and Portfolio Manager, Willis Investment Counsel
Mr. Kilroy serves as President and Portfolio Manager at Willis Investment Counsel, an investment firm located in Gainesville, Georgia. Prior to joining Willis Investment Counsel in 2009, Mr. Kilroy was an analyst with a long/short hedge fund, a sell-side equity research analyst on Wall Street, and an investment banker specializing in real estate corporate finance. Mr. Kilroy’s diverse background of portfolio management, equity research and capital markets experience provide the Board with particular insight into capital allocation decisions and investment community perspectives.
Current Committee Role: Nominating and Corporate Governance Committee Committee Role Following the Annual Meeting: Nominating and Corporate Governance Committee Highlighted Skills: Capital Markets; Corporate Finance; Real Estate

| JAY P. LEUPP | AGE: 59 | DIRECTOR SINCE 2022 (1)
Managing Partner and Senior Portfolio Manager, Terra Firma Asset Management
Mr. Leupp is the Managing Partner and Senior Portfolio Manager for Terra Firma Asset Management, LLC ("TFAM"). He was elected as an independent director of Legacy HTA in January 2020. Prior to TFAM, Mr. Leupp was Managing Director, Senior Portfolio Manager for Lazard Asset Management LLC in San Francisco, where he worked from 2011 to June 2020. He currently serves on the Boards of Directors of G.W. Williams Company, Apartment Investment and Management Company, and Marathon Digital Holdings. Mr. Leupp brings to the Board extensive and broad real estate, financial, and capital markets expertise and has held several board of director and leadership positions. Mr. Leupp has the financial background and experience to be considered an audit committee financial expert. (1) Director of Legacy HTA from 2020 to 2022.
Current Committee Role: Audit Committee Committee Role Following the Annual Meeting: Audit Committee Highlighted Skills: Real Estate; Corporate Finance; Financial Expert

| PETER F. LYLE SR. | AGE: 59 | DIRECTOR SINCE 2016
EVP, Medical Management Associates
Mr. Lyle serves as Executive Vice President and Principal at Medical Management Associates, Inc., a healthcare consulting firm based in Atlanta, Georgia. Mr. Lyle's experience in advising health systems and physician practices on key aspects of practice management, mergers and acquisitions, and compensation adds to the Board's understanding of the business and delivery of healthcare services.
Current Committee Role: Compensation and Human Capital Committee Committee Role Following the Annnual Meeting: Compensation and Human Capital Committee Highlighted Skills: Healthcare; Human Capital; Corporate Finance

5

| CONSTANCE B. MOORE | AGE: 68 | DIRECTOR SINCE 2022
Retired CEO and President of BRE Properties, Inc.
Ms. Moore was elected to the board of directors of Legacy HTA in March 2022. She has served as a director of Civeo Corporation and TriPointe Homes since 2014. From 2017 to 2021, she served as a director of Columbia Property Trust, including one year as chair of its board of directors. In 2009, she served as chair of Nareit. She served as President and CEO of BRE Properties, Inc., a publicly-traded REIT, from 2005 until the completion of its merger with Essex Property Trust in 2014. Ms. Moore's business and financial acumen, leadership, integrity, judgment, experience with public companies and extensive experience in the real estate industry provides substantial benefit to the Board.
Current Committee Role: Nominating and Corporate Governance Committee Committee Role Following the Annual Meeting: Compensation and Human Capital Committee Highlighted Skills: Executive Leadership; Real Estate; Corporate Governance

| CHRISTANN M. VASQUEZ | AGE: 63 | DIRECTOR SINCE 2015
Retired EVP and COO, Ascension Texas
Ms. Vasquez served as Chief Operating Officer of Ascension Texas from September 2019 to February 2023. Prior to that, she served as President of Dell Seton Medical Center at the University of Texas, a teaching hospital in Austin, President of Seton Shoal Creek Hospital, and President of Seton Medical Center Austin. From 2009 to 2014, Ms. Vasquez was Executive Vice President and Chief Operating Officer of University Health System in San Antonio. Ms. Vasquez's extensive experience in healthcare operations and leadership roles with large health systems further expands the Board's understanding of operational planning associated with the delivery of healthcare services in major markets by leading health systems.
Current Committee Role: Chair of the Nominating and Corporate Governance Committee Committee Role Following the Annual Meeting: Chair of the Nominating and Corporate Governance Committee Highlighted Skills: Executive Leadership; Healthcare; Corporate Governance

Except as indicated, each of the nominees has had the principal occupation indicated for more than five years.
Each nominee has consented to be a candidate and to serve if elected.
The Board of Directors recommends that the stockholders vote FOR the election of all of the proposed nominees
to the Board of Directors.
6

Retirement of Current Directors
The directors listed below currently serve on the Board of Directors and will retire at the expiration of their current terms at the conclusion of the Annual Meeting.

| W. BRADLEY BLAIR, II | AGE: 80 | DIRECTOR SINCE 2022 (1)
Retired Chairman, Healthcare Trust of America
Mr. Blair was chairman of the board of directors of Legacy HTA from August 2021 until the closing of the Merger in 2022, at which time he was appointed vice chair of the Board. Mr. Blair was previously appointed as the lead independent director of the board of directors of Legacy HTA in December 2014 and served as an independent director of Legacy HTA since September 2006. Mr. Blair provides the Board with broad real estate and legal experience, having served with a variety of companies in advisory, executive, and/or director roles for over 40 years, including over 10 years as chief executive officer, president and chairman of the board of directors of a publicly traded REIT. His diverse background in other business disciplines, coupled with his deep understanding and knowledge of real estate, contributes to the quality guidance and oversight he brings to the Board. (1) Director of Legacy HTA from 2006 to 2022.
Committee Role: Compensation and Human Capital Committee Highlighted Skills: Executive Leadership; Real Estate; Corporate Governance

| EDWARD H. BRAMAN | AGE: 67 | DIRECTOR SINCE 2018
Retired Audit Partner, Ernst & Young LLP
Mr. Braman served as a self-employed finance and accounting consultant from 2015 to 2018. He was a partner at Ernst & Young LLP from 1997 until his retirement in 2015. At Ernst & Young, Mr. Braman audited public and private companies in a variety of industries. He is a certified public accountant and previously served as a director and audit committee chairman of U.S. Xpress Enterprises, Inc., a publicly traded truckload carrier headquartered in Chattanooga, Tennessee. Mr. Braman brings to the Board extensive accounting and financial reporting experience and provides further depth as an audit committee financial expert.
Committee Role: Chair of Audit Committee Highlighted Skills: Audit Expert; Corporate Governance; Human Capital

The Board of Directors would like to thank Mr. Blair and Mr. Braman for their service as directors. Mr. Blair was a founding independent member of the board of Legacy HTA and served as its lead independent director starting in 2014 and chairman of the Legacy HTA board from August 2021 through the closing of the merger involving HRTI, LLC (formerly known as Healthcare Realty Trust Incorporated) ("Legacy HR") on July 20, 2022 (the "Merger"). His knowledge and wisdom gained through extensive experience in the REIT industry was invaluable in completing the Merger and establishing the strategy of the combined company moving forward.
Mr. Braman served on the Legacy HR board from 2018 until the Merger in 2022 and as a director and the Audit Committee Chair of the Company since the Merger through his current term. His knowledge and background in auditing and accounting have served the Company well through his term of service, especially through the merger process with Legacy HTA.
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Corporate Governance
Leadership Structure
The Company's Chairman of the Board and Chief Executive Officer positions are held by separate persons. John Knox Singleton is the independent Chairman of the Board and Todd J. Meredith serves as the Chief Executive Officer. The Board of Directors believes that separation of these roles is appropriate given the continuity provided by Mr. Singleton's long tenure on the Board and the leadership abilities demonstrated by Mr. Meredith to the Board of Directors.
Lead Independent Director; Non-Management Executive Sessions; Communicating With the Board
Periodically, the independent directors meet in executive session. As the independent Chairman of the Board, Mr. Singleton presides over the executive sessions. During 2023, the independent directors held four executive sessions. Any interested party may communicate with the independent directors as a group by contacting Mr. Singleton in writing c/o Healthcare Realty Trust Incorporated, 3310 West End Avenue, Suite 700, Nashville, Tennessee 37203. Any interested party may communicate directly with the full Board of Directors or any individual director by writing to Healthcare Realty Trust Incorporated, 3310 West End Avenue, Suite 700, Nashville, Tennessee 37203, Attention: Secretary. The Secretary of the Company will review all correspondence intended for the entire Board and will forward to the Board copies of all correspondence that, in the opinion of the Secretary, deals with the functions of the Board or committees thereof or that otherwise requires their attention.
Committee Membership
The Board of Directors has a Nominating and Corporate Governance Committee, Audit Committee, and Compensation and Human Capital Committee. The Board of Directors has adopted written charters for each committee. The committee charters are posted in the Corporate Governance section of the Company’s website, www.healthcarerealty.com, under the “Investor Relations” tab, and are available in print free of charge to any stockholder who requests a copy. All committee members are non-employee, independent directors.
The following sets forth the current members of the committees:

AUDIT (1) | COMPENSATION AND HUMAN CAPITAL | NOMINATING AND CORPORATE GOVERNANCE
Edward H. Braman, Chair | John Knox Singleton, Chair | Christann M. Vasquez, Chair
Nancy H. Agee | John V. Abbott | Vicki U. Booth
Ajay Gupta | W. Bradley Blair, II | James J. Kilroy
Jay P. Leupp | Peter F. Lyle | Constance B. Moore

(1) The Board has determined that Ms. Agee, Mr. Braman, Mr. Gupta, and Mr. Leupp meet the criteria to be audit committee financial experts.
The following sets forth the Company's expected committee assignments beginning on May 21, 2024, subject to each director being elected by the stockholders at the Annual Meeting:

AUDIT (1) | COMPENSATION AND HUMAN CAPITAL | NOMINATING AND CORPORATE GOVERNANCE
Ajay Gupta, Chair | John Knox Singleton, Chair | Christann M. Vasquez, Chair
Nancy H. Agee | John V. Abbott | Vicki U. Booth
Jay P. Leupp | Constance B. Moore | James J. Kilroy
| Peter F. Lyle |

(1) The Board has determined that Ms. Agee, Mr. Gupta, and Mr. Leupp meet the criteria to be audit committee financial experts.
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Committee Duties
Nominating and Corporate Governance Committee Four meetings in 2023
•Reviews and implements the Nominating and Corporate Governance Committee charter and reports to the Board.
•Develops and implements policies and practices relating to corporate governance.
•Monitors implementation of the Company’s Corporate Governance Principles.
•Develops criteria for selection of members of the Board.
•Seeks individuals qualified to become Board members for recommendation to the Board.
•Evaluates the independence and performance of the Board and Board committees.
•Provides oversight of the Company's sustainability programs, including environmental, social and governance ("ESG") initiatives.
Audit Committee Four meetings in 2023
•Reviews and implements the Audit Committee charter and reports to the Board.
•Selects the Company’s independent registered public accounting firm, whose duty it is to audit the consolidated financial statements and internal control over financial reporting of the Company for the fiscal year in which it is appointed, and has the sole authority and responsibility to negotiate and pre-approve all audit and audit-related fees and terms, as well as all permitted non-audit services by the Company’s independent registered public accounting firm.
•Meets with the Company's independent auditors periodically, both together with management and separately, to review and discuss the scope of the audit and all significant matters related to the audit.
•Meets with key members of management in separate executive sessions to discuss the Company's internal controls over financial reporting, the completeness and accuracy of the Company's financial statements and any other matters that the Committee or any of these persons believe should be discussed privately.
•Reviews the adequacy and effectiveness of the Company’s internal control over financial reporting with management, internal audit and compliance, and the independent auditors.
•Reviews the Company's financial statements, Forms 10-Q and 10-K, the earnings press releases and supplemental information and discusses them with the Chief Financial Officer, Chief Accounting Officer, and the independent auditors.
•Reviews and discusses with management the Company's major financial risk exposures and steps taken by management to monitor and mitigate such exposure.
•Reviews and discusses new accounting pronouncements with the Chief Financial Officer, Chief Accounting Officer and the independent auditors to assess applicability to and the effect on the Company.
•Performs an annual evaluation of the independent auditors' qualifications, assessing the firm's quality of service; the firm's sufficiency of resources; the quality of the communication and interaction with the firm; and the firm's independence, objectivity, and professional skepticism. The Audit Committee also considers whether to appoint a different independent auditor.
•Discusses items of interest or concern to the Audit Committee with management, internal audit and compliance, and/or the independent auditors.
•Assists the Board in its risk management function regarding cybersecurity oversight by regularly discussing with management any cybersecurity incidents and cybersecurity measures taken by the Company.
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Compensation and Human Capital Committee Nine meetings in 2023
•Reviews and implements the Compensation and Human Capital Committee charter and reports to the Board.
•Reviews corporate performance relevant to the compensation of the Company’s executive officers and key employees.
•Establishes a general compensation policy and approves salaries paid to the Chief Executive Officer and the other executive officers named in the Summary Compensation Table that appears under the section entitled “Executive Compensation” in this Proxy Statement (collectively, the “Named Executive Officers” or "NEOs") and fees paid to directors.
•Administers the Company’s cash and equity incentive plans. Determines, subject to the provisions of the Company’s plans, the directors, officers and employees of the Company eligible to participate in each of the plans, the extent of such participation and the terms and conditions under which benefits may be vested, received or exercised.
•Reviews the development and succession plans of the Named Executive Officers.
•Provides oversight on behalf of the full Board of the Company's human capital development and talent management.
Management Succession Planning
The Board believes that talent management and development is critical to achieving the Company's long-term strategic initiatives. The Board, led by the Compensation and Human Capital Committee, reviews CEO and other management succession, from both a Company and individual perspective at least annually. The process relates to all senior officers of the Company and involves both short-term and long-term succession planning for key management roles and takes into account talent development within the Company. The Board and committees of the Board have regular and direct exposure to senior leadership in meetings throughout the year.
Code of Ethics
The Company has adopted a Code of Business Conduct and Ethics (the “Code of Ethics”) that applies to all officers, directors, and employees of the Company, including its principal executive officer, principal financial officer, principal accounting officer, and controller, or persons performing similar functions. The Code of Ethics is posted in the Corporate Governance section of the Company’s website, www.healthcarerealty.com, under the “Investor Relations” tab. Interested parties may address a written request for a printed copy of the Code of Ethics to Healthcare Realty Trust Incorporated, 3310 West End Avenue, Suite 700, Nashville, Tennessee 37203, Attention: Investor Relations. The Company intends to satisfy the disclosure requirement regarding any amendment to or a waiver of a provision of the Code of Ethics for the Company’s principal executive officer, principal financial officer, principal accounting officer, controller, or persons performing similar functions by posting such information on its website.
Director Resignation Policy
The Company's bylaws provide for a majority vote standard for the election of directors. To elect a director nominee, the affirmative vote of a majority of all votes cast at a meeting at which a quorum is present must be cast in favor of the nominee. This means a director nominee must receive more votes “for” than “against” to be elected, with abstentions and broker non-votes not counting as votes “for” or “against.” If an incumbent director nominee fails to receive the required number of votes for reelection, then under Maryland law, he or she will continue to serve as a “holdover” director until his or her successor is duly elected and qualifies. In addition, the Company has a director resignation policy. The director resignation policy provides that, in an uncontested election, any director who receives a greater number of withheld votes than votes for election must tender his or her resignation to the Board promptly following certification of the stockholder vote. Upon such resignation, the Nominating and Corporate Governance Committee will have 45 days following certification of the stockholder vote to consider the resignation and recommend to the Board whether or not to accept such resignation. Following the recommendation of the Nominating and Corporate Governance Committee, the Board must decide within 90 days following certification of the stockholder vote whether or not to accept the resignation. After making its decision, the Board will promptly disclose the decision in a Current Report on Form 8-K filed with the SEC. The director resignation policy is included in the Company’s Corporate Governance Principles, which are posted in the Corporate Governance section of the Company’s website at www.healthcarerealty.com under the “Investor Relations” tab.
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Meeting Attendance
The Board of Directors held a total of seven meetings in 2023. Each director attended at least 75% of the meetings of the Board and committees of the Board on which such director served. The Company does not have a formal policy regarding director attendance at annual meetings of stockholders. One member of the Board attended the 2023 Annual Meeting of Stockholders.
Director Education
The Nominating and Corporate Governance Committee has adopted a set of education guidelines and encourages all directors to pursue ongoing education and development studies on topics that they deem relevant given their individual backgrounds and committee assignments on the Board of Directors. Each director is requested to attend at least one director education program every three years. The Company pays for each director’s expenses incurred to attend director education programs.
Risk Oversight
The Board of Directors is responsible for overseeing the Company's overall risk management practices to ensure its business strategy appropriately monitors and manages risks inherent in its efforts to create long-term value for the Company's stockholders. Assessing, identifying and managing material risks from cybersecurity threats are integrated into the Company's overall risk management process. The Board of Directors oversees the Company’s exposure to risk through various means, including specific communications with management. Board deliberations involving strategy and operational initiatives are integrated with reviews of risk exposure to the Company. In addition to reviewing significant transactions, such as capital raises, for consistency with the Company’s risk profile, the Board annually reviews risks affecting the Company as part of management’s review of appropriate risk factor disclosures. The Board regularly communicates with members of the management team, including officers responsible for identifying potential investments and bringing those investments to fruition, either through acquisition or development. The Board also discusses with management on at least a semi-annual basis the Company’s internal forecast, including discussions regarding the Company’s acquisition and development pipeline. The Audit Committee assists the Board of Directors in fulfilling its oversight responsibilities by monitoring, reviewing and discussing the Company’s financial risk exposures, including risks from cybersecurity threats. The Audit Committee considers enterprise level risks and financial risks and discusses with management those risks and the measures taken by the management team to mitigate such risks. The Compensation and Human Capital Committee assesses risks related to the Company's executive compensation programs, as discussed further on page 24 of this Proxy Statement. The Company believes that these interactions between the Board and the management team regarding risk exposures and mitigation strengthen and focus the combined efforts of management and the Board on developing strategies that contain risk and enhance long-term stockholder value.
MUTA Opt-Out
In 2017, the Board of Directors adopted a resolution prohibiting the Company from electing to be subject to Section 3-803 of Subtitle 8 of Title 3 of Maryland General Corporation Law (the “MGCL”) which is commonly referred to as MUTA. Section 3-803 of the MGCL, together with other provisions of Subtitle 8 of Title 3 of the MGCL, permits the board of directors of a Maryland corporation with a class of equity securities registered under the Securities Exchange Act of 1934, as amended (the "Exchange Act") and at least three independent directors to elect to classify the board of directors without stockholder approval. By adopting this resolution, the Company will be prohibited from classifying the Board of Directors without first obtaining stockholder approval. The Company filed Articles Supplementary with the State Department of Assessments and Taxation of Maryland reflecting the adoption of this resolution.
Proxy Access
In 2018, the Company amended its bylaws to provide stockholders with proxy access for director nominations subject to certain conditions. In summary, the proxy access provisions of the bylaws permit qualifying stockholders, or a qualifying group of no more than 20 stockholders, that have continuously owned at least 3% of the Company’s outstanding shares of common stock throughout at least a three-year period, to nominate and to require the Company to include in its proxy materials director nominees constituting up to the greater of two director nominees or 20% of the number of directors up for election, for inclusion in the Company’s proxy materials, provided that the stockholder(s) and the nominee(s) satisfy the requirements specified in the Company’s bylaws and subject to the terms and conditions therein.
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Anti-Hedging Policy
The Company's anti-hedging policy prohibits the purchase of financial instruments, including prepaid variable forward contracts, instruments for the short sale or purchase or sale of call or put options, equity swaps, collars, or units of exchangeable funds, that are designed to or that may reasonably be expected to have the effect of hedging or offsetting a decrease in the market value of any securities of the Company. The policy is applicable to all Company employees and directors.
Independence of Directors
The Board of Directors has adopted a set of Corporate Governance Principles (the “Principles”) addressing, among other things, standards for evaluating the independence of the Company’s directors. The full text of the Principles can be found in the Corporate Governance section of the Company’s website, www.healthcarerealty.com, under the “Investor Relations” tab. A copy may also be obtained upon request from the Company’s Secretary.
Pursuant to the Principles, the Board undertook its annual review of director independence under the leadership of the Nominating and Corporate Governance Committee in February 2024. During this review, the Nominating and Corporate Governance Committee and the Board considered transactions and relationships between each director and nominee or any member of his or her immediate family and the Company and its subsidiaries, affiliates and equity investors. The Nominating and Corporate Governance Committee and the Board also examined transactions and relationships between directors and nominees or their affiliates and members of senior management or their affiliates. As provided in the Principles, the purpose of this review was to determine whether any such relationship or transaction was inconsistent with a determination that a director or nominee is independent.
To aid in making its annual review of director and nominee independence, the Board has adopted categorical standards for determining independence consistent with New York Stock Exchange ("NYSE") requirements. A director or nominee is independent unless:
•The director or nominee is or has been an employee of the Company within the past three years or has an immediate family member that is or has been an executive officer of the Company within the past three years;
•The director or nominee, or his or her immediate family member, has received more than $120,000 within any of the past three years in direct compensation from the Company, other than director and committee fees and pension or other forms of deferred compensation for prior service (provided such compensation is not contingent in any way on continued service);
•(A) The director or nominee, or his or her immediate family member, is a current partner of a firm that is the Company’s internal or external auditor; (B) the director or nominee is a current employee of such firm; (C) the director or nominee has an immediate family member who is a current employee of such firm and who participates in the Company’s audit, assurance or tax compliance (but not tax planning) practice; or (D) the director or nominee, or his or her immediate family member, was within the last three years (but is no longer) a partner or employee of such firm and personally worked on the Company’s audit within that time;
•The director or nominee, or his or her immediate family member, has been employed as an executive officer of another company where any of the Company’s present executive officers at the same time serves or served on that company’s compensation committee within the past three years;
•The director or nominee is a current employee, or has an immediate family member that is an executive officer of a company that makes payments to, or receives payments from, the Company for property or services in an amount which, in any single fiscal year, exceeds the greater of $1 million or 2% of such company’s consolidated gross revenues within the past three years; or
•The director or nominee has any other material relationship with the Company, either directly or as a partner, stockholder or officer of an organization that has a relationship with the Company.
In addition to the above criteria, with respect to members of the Compensation and Human Capital Committee, the Board considers all factors relevant to determining whether a director has a relationship to the Company that is material to that director's ability to be independent from management in connection with the duties of a Compensation and Human Capital
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Committee member. Specifically, the Board considers the source of compensation of such director, and whether the director receives compensation from any person or entity that would impair his or her ability to make independent judgments about executive compensation. The Board also considers whether the director is affiliated with the Company, any subsidiary of the Company or any affiliate of a subsidiary of the Company.
As a result of this review, the Board affirmatively determined that, except for Mr. Meredith, all of the directors and nominees are independent of the Company and its management under the standards adopted pursuant to the Principles.
Director Nominee Evaluation Process
The Nominating and Corporate Governance Committee is responsible for developing and implementing policies and practices relating to corporate governance. As part of its duties, the Nominating and Corporate Governance Committee develops and reviews background information on candidates for the Board and makes recommendations to the Board regarding such candidates. The Committee also prepares and supervises the Board’s annual review of director independence and the Board’s performance self-evaluation. A copy of the Nominating and Corporate Governance Committee’s charter can be found in the Corporate Governance section of the Company’s website, www.healthcarerealty.com, under the “Investor Relations” tab.
Once the Nominating and Corporate Governance Committee has identified a prospective nominee, the Committee reviews the information provided to it with the recommendation of the prospective candidate, as well as the Committee’s own knowledge of the prospective candidate, which may be supplemented by inquiries to the person making the recommendation or others. The preliminary determination is based primarily on the need for additional Board members to fill vacancies or expand the size of the Board and the likelihood that the prospective nominee can satisfy the evaluation factors described below. The Nominating and Corporate Governance Committee then evaluates the prospective nominee against the following standards and qualifications:
•Personal integrity and reputation for high ethical standards;
•The ability to devote sufficient time to the duties of a director;
•Experience relevant to the Company's business, including real estate, health care, finance, accounting, investment banking, capital markets, or senior management;
•Depth and breadth of leadership experience, and a proven record of accomplishment;
•The ability to think independently and work collaboratively;
•The ability to satisfy the NYSE requirements of the Audit Committee and the Compensation and Human Capital Committee; and
•The ability to meet and comply with the requirements of the Code of Business Conduct and Ethics.
The Nominating and Corporate Governance Committee also considers other relevant factors as it deems appropriate, including the current composition and diversity of the Board, the need for Audit Committee expertise and the evaluations of other prospective nominees. The Nominating and Corporate Governance Committee is committed to the Company's goal to have females and/or minorities represent at least one-third of the Board of Directors. In connection with the evaluation process, the Committee determines whether to interview the prospective nominee and, if warranted, one or more members of the Committee, and others as appropriate, interview prospective nominees in person or by telephone. After completing this evaluation, the Nominating and Corporate Governance Committee makes a recommendation to the full Board as to the persons who should be nominated by the Board, and the Board determines whether to nominate such persons after considering the recommendation and report of the Nominating and Corporate Governance Committee.
Stockholder Recommendation or Nomination of Director Candidates
The Nominating and Corporate Governance Committee will consider candidates for our Board of Directors recommended by our stockholders. Properly communicated stockholder recommendations will be considered in the same manner as recommendations received from other sources. Recommendations should be delivered to Healthcare Realty Trust Incorporated, Board of Directors, 3310 West End Avenue, Suite 700, Nashville, Tennessee 37203, Attention: Secretary. Recommendations must include, among other things, the full name and age of the candidate, a brief description of the
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proposed candidate’s business experience for at least the previous five years and descriptions of the candidate’s qualifications and the relationship, if any, to the stockholder, and a representation that the nominating stockholder is a beneficial or record owner of our common stock. Any such submission must be accompanied by the written consent of the proposed nominee to be named as a nominee and to serve as a director if elected and a completed questionnaire (which questionnaire shall be provided by us, upon request, to the stockholder making the recommendation). Stockholders who are recommending candidates for consideration by our Board of Directors in connection with the next annual meeting of stockholders should submit their written recommendations not earlier than 150 days nor later than 120 days prior to the first anniversary of the date of this Proxy Statement.
Stockholders who wish to nominate an individual for election as a director in connection with an annual meeting of stockholders (as opposed to making a recommendation to the Nominating and Corporate Governance Committee as described above) must deliver written notice to our Secretary in the manner described in Article II, Section 11 of our current bylaws and within the time periods set forth herein under the section titled “General Information; Proposals for 2025 Annual Meeting of Stockholders” on page 55.
The Company’s stockholders also possess the right to nominate candidates for election to the Board through the “proxy access” provisions of the Company’s bylaws, pursuant to which stockholders may nominate up to the greater of two director nominees or 20% of the number of directors up for election for inclusion in the Company’s proxy materials.
Environmental, Social, and Governance Oversight and Practices
The Board of Directors and management believe that embedding and integrating leading environmental, social and governance practices into its culture, strategy, and operations is fundamental to the Company's long-term growth. The Board of Directors is committed to overseeing Healthcare Realty’s ESG initiatives, receiving quarterly updates from management regarding the Company’s strategy, goals, opportunities, risks, reporting, and performance. To underscore its importance to our overall strategy, an ESG performance metric has been incorporated into the Company’s executive officer short-term incentive plan, linking executive compensation to the Company’s ESG performance. For additional information, see this Proxy Statement’s "Compensation Discussion and Analysis" section below.
In 2023, the Company:
•Published its fifth Corporate Responsibility Report (CRR), highlighting the Company’s meaningful progress on its ESG initiatives and Key Performance Indicators ("KPIs") with expanded disclosures in alignment with leading industry frameworks including Sustainable Accounting Standards Board (SASB) and the Task Force on Climate-Based Financial Disclosures (TCFD);
•Received GRESB's 3 Green Star ranking, earning a score of 75 on its 2023 assessment. Additionally, we received a GRESB Public Disclosure rating of "A", ranking second out of a peer group of 10 real estate companies with respect to transparency of public reporting of sustainability practices;
•Achieved 57 green building certifications totaling 5.5 million square feet;
•Expanded physical climate risk assessments to measure risks across multiple climate scenarios and time horizons; and
•Added real-time electricity monitoring to 700,000 square feet, an increase of 20% over the prior year.
Additional information about the Company's ESG initiatives, KPIs, performance, and practices can be found in its 2023 Corporate Responsibility Report and Sustainability Principles and Policies published on its website www.healthcarerealty.com/sustainability.
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Security Ownership of Certain
Beneficial Owners and Management
The following table sets forth, as of February 15, 2024, the beneficial ownership of the Company’s equity securities as determined in accordance with Rule 13d-3 under the Exchange Act. Accordingly, all Company securities over which the directors, nominees and executive officers directly or indirectly have or share voting or investment power are listed as beneficially owned. As of March 28, 2024, there were 381,512,684 shares of the Company’s Common Stock outstanding.

NAME OF BENEFICIAL OWNER | COMMON SHARES BENEFICIALLY OWNED |  | PERCENT OF COMMON SHARES BENEFICIALLY OWNED
Todd J. Meredith | 737,098 |  | (1) | *
J. Christopher Douglas | 275,958 |  | (1) | *
John M. Bryant, Jr. | 232,526 |  | (1) | *
Robert E. Hull | 193,896 |  | (1) | *
Julie F. Wilson | 138,408 |  | (1) | *
John V. Abbott | 17,441 |  | (1) | *
Nancy H. Agee | 39,500 |  | (1)(2) | *
W. Bradley Blair, II | 170,306 |  | (1)(3) | *
Vicki U. Booth | 34,977 |  | (1) | *
Edward H. Braman | 35,693 |  | (1) | *
Ajay Gupta | 17,917 |  | (1) | *
James J. Kilroy | 33,729 |  | (1)(4) | *
Jay P. Leupp | 24,387 |  | (1) | *
Peter F. Lyle, Sr. | 23,228 |  | (1)(5) | *
Constance B. Moore | 16,932 |  | (1) | *
John Knox Singleton | 95,005 |  | (1)(6) | *
Christann M. Vasquez | 32,815 |  | (1) | *
All executive officers, directors, and nominees to be director as a group (17 persons) | 2,119,816 |  |  | 0.56 | %
Cohen & Steers, Inc. | 65,037,361 |  | (7) | 17.16 | %
The Vanguard Group | 53,523,080 |  | (8) | 14.05 | %
BlackRock, Inc. | 43,899,449 |  | (9) | 11.50 | %
State Street Corporation | 21,354,468 |  | (10) | 5.61 | %

* Less than 1%
(1) Includes shares of restricted stock.
(2) Includes 3,431 shares held in a living trust.
(3) Includes 11,750 shares held in IRAs, 1,000 shares held by spouse, and 67,500 units of limited partnership in the Company's operating partnership, Healthcare Realty Holdings, L.P. (formerly known as Healthcare Trust of America Holdings, LP prior to the Merger) (the "OP"), that are convertible into Common Stock.
(4) Includes 12,400 shares held in a 401(k) plan.
(5) Includes 6,652 shares held in a trust.
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(6) Includes 50,582 shares held in an IRA.
(7) Information is based on a Schedule 13G filed on February 14, 2024 by Cohen & Steers, Inc., an investment adviser located at 1166 Avenue of the Americas, 30th Floor, New York, New York 10036. Cohen & Steers, Inc. reported that, through various of its subsidiaries, it possesses the sole power to vote 45,229,490 shares and to dispose of 65,372,070 shares of the Common Stock.
(8) Information is based on a Schedule 13G filed on February 13, 2024 by The Vanguard Group, an investment adviser located at 100 Vanguard Blvd., Malvern, Pennsylvania 19355. The Vanguard Group, Inc. reported that it possesses no sole power to vote, shared power to vote 446,168 shares, sole power to dispose of 52,672,945 shares and shared power to dispose of 850,135 shares of the Common Stock.
(9) Information is based on a Schedule 13G filed on January 24, 2024 by BlackRock, Inc., a holding company located at 50 Hudson Yards, New York, New York 10001. BlackRock, Inc. reported that, through various of its subsidiaries, it possesses the sole power to vote 42,119,330 shares and to dispose of 43,899,449 shares of the Common Stock.
(10) Information is based on a Schedule 13G filed on January 30, 2024 by State Street Corporation, a holding company located at 1 Congress Street, Suite 1, Boston, Massachusetts 02114. State Street Corporation reported that it possesses no sole power to vote or dispose and shared power to vote 16,415,063 shares and shared power to dispose of 21,316,068 shares of the Common Stock.
Delinquent Section 16(a) Reports
Section 16(a) of the Exchange Act requires the Company’s directors, executive officers, and persons who own more than 10% of the Company’s Common Stock to file with the SEC initial reports of ownership and reports of changes in ownership of the Common Stock. These officers, directors and greater than 10% stockholders of the Company are required by SEC rules to furnish the Company with copies of all Section 16(a) reports they file. There are specific due dates for these reports and the Company is required to report in this Proxy Statement any failure to file reports as required during 2023.
During 2023, based upon a review of these filings and written representations from the Company’s directors and executive officers, the Company believes that all reports required to be filed with the SEC by Section 16(a) during the most recent fiscal year were timely filed, except for the annual equity grant to the independent directors that was inadvertently reported late. The grants were effective on June 5, 2023 but were not reported until June 27, 2023.
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Proposal 2
Ratification of Appointment of Independent Registered Public Accounting Firm
The Audit Committee has appointed BDO USA, P.C. ("BDO") as the Company’s independent registered public accounting firm for the fiscal year 2024. Representatives of BDO are expected to be present at the Annual Meeting and will have an opportunity to make a statement and will be available to respond to appropriate questions.
The affirmative vote of a majority of the votes cast at the meeting is needed to ratify the appointment of BDO as the Company’s independent registered public accounting firm for the fiscal year 2024. If the appointment is not ratified, the matter will be referred to the Audit Committee for further review. Abstentions and broker non-votes will have no effect on the outcome of the vote on this proposal.
Audit and Non-Audit Fees
The following table details fees and expenses for professional services rendered by BDO to the Company for the last two fiscal years.

| 2023 | 2022
Audit fees (1) | $ | 2,526,323 |  | $ | 3,558,899 |
Audit-related fees | — |  | — |
Tax fees | — |  | — |
All other fees | — |  | — |
Total | $ | 2,526,323 |  | $ | 3,558,899 |

(1) Includes fees for services related to the audit and quarterly reviews of the Company’s consolidated financial statements and internal control over financial reporting of $2,403,260 and $3,288,100, respectively, for 2023 and 2022, and fees in connection with the Company’s equity offerings of $123,063 and $270,799, respectively, for 2023 and 2022. Audit fees for 2023 included fees related to the Merger.
For the purpose of ensuring the continued independence of BDO, the Company determined that its independent registered public accounting firm will not provide consulting services to the Company. Additionally, the charter of the Audit Committee provides that the Audit Committee must pre-approve all services to be provided by the independent registered public accounting firm. Proposed services exceeding pre-approved cost levels or budgeted amounts also require specific pre-approval by the Audit Committee. All services provided by the Company’s independent registered public accounting firm were pre-approved by the Audit Committee, which concluded that the provision of such services by BDO was compatible with the maintenance of such accounting firm’s independence in the conduct of its auditing functions.
The Board of Directors recommends that the stockholders vote FOR ratification of the appointment of BDO USA, P.C. as the Company’s independent registered public accounting firm.
17

Audit Committee Report
The following Report of the Audit Committee does not constitute soliciting material and should not be deemed filed or incorporated by reference into any other Company filing under the Securities Act of 1933, as amended (the "Securities Act"), or the Exchange Act, except to the extent the Company specifically incorporates this report by reference therein.
The Audit Committee of the Board of Directors of the Company consists entirely of directors who meet the independence and experience requirements of the NYSE. Audit Committee members may serve on the audit committees of no more than three public companies.
Pursuant to the Sarbanes-Oxley Act of 2002 and rules adopted by the SEC, the Company must disclose which members, if any, of the Audit Committee are “audit committee financial experts” (as defined in the SEC’s rules). The Company’s Board of Directors has determined that Edward H. Braman, the chairman of the Audit Committee, Nancy H. Agee, Ajay Gupta, and Jay P. Leupp meet the criteria to be “audit committee financial experts.”
The Company’s management has primary responsibility for preparing the Company’s Consolidated Financial Statements and implementing internal controls over financial reporting. The Company’s 2024 independent registered public accounting firm, BDO, is responsible for expressing an opinion on the Company’s Consolidated Financial Statements and on the effectiveness of its internal control over financial reporting.
The roles and responsibilities of the Audit Committee are set forth in its charter, which has been approved by the Board and is available on the Company’s website.
As more fully described in its charter, the Audit Committee reviews the Company’s financial reporting process on behalf of the Board. Management has the primary responsibility for the Consolidated Financial Statements and the reporting process. BDO is responsible for performing an integrated audit of the Company’s Consolidated Financial Statements in accordance with the standards of the Public Company Accounting Oversight Board (United States of America) and expressing an opinion on the conformity of the Consolidated Financial Statements to accounting principles generally accepted in the United States of America and on the effectiveness of internal control over financial reporting. The Company's internal audit function ("Internal Audit") is responsible to the Audit Committee and the Board for testing the integrity of the financial accounting and reporting control systems and such other matters as the Audit Committee and the Board determine.
To fulfill its responsibilities, the Audit Committee met and held discussions with management, Internal Audit, and BDO concerning the Consolidated Financial Statements for the fiscal year ended December 31, 2023 and the Company’s internal control over financial reporting as of December 31, 2023. Management, Internal Audit, and BDO made presentations to the Audit Committee throughout the year on specific topics of interest, including, among other items, the Company's (i) risk assessment process; (ii) information technology systems and controls; (iii) income tax risk and compliance; (iv) 2023 integrated audit plan; (v) updates on completion of the audit plan; (vi) critical accounting policies; (vii) assessment of the impact of new accounting guidance; (viii) compliance with the internal controls required under Section 404 of the Sarbanes-Oxley Act; (ix) ethics and compliance program; (x) strategy and management of the implementation of new systems; (xi) non-GAAP measures and key performance indicators; and (xii) cybersecurity. The Audit Committee also discussed all communications required by the standards of the Public Company Accounting Oversight Board, the NYSE and the SEC with BDO.
The Audit Committee met with BDO quarterly, both together with management and separately, to review and discuss the scope of the audit and all significant matters related to the audit. The Audit Committee also met with key members of management in separate executive sessions, including the Company's Chief Executive Officer, Chief Financial Officer, General Counsel, Corporate Counsel, Chief Accounting Officer, heads of investments, operations, technology services, taxation, and internal audit to discuss the Company's internal controls over financial reporting, the completeness and accuracy of the Company's Consolidated Financial Statements, and other matters.
The Audit Committee, along with the Company's management and Internal Audit, reviewed BDO's performance as a part of the Audit Committee's consideration whether to reappoint the firm as the Company's independent auditors. As part of this
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review, the Audit Committee considered (i) the continued independence of the audit firm; (ii) evaluations of the audit firm by management and Internal Audit; (iii) the audit firm's effectiveness of communications and working relationships with the Audit Committee, management and Internal Audit; (iv) the length of time the audit firm has served as the Company's independent auditors; and (v) the quality and depth of the audit firm and the audit team's expertise and experience in the industry. As a part of the appointment process, the Audit Committee approves the selection of the independent auditor's lead engagement partner and independent review partner at the respective mandatory five-year rotation periods. The Audit Committee also considered the advisability and potential impact of selecting a different independent registered public accounting firm.
In addition, the Audit Committee has received from BDO the written disclosures and the letter required by the applicable requirements of the Public Company Accounting Oversight Board regarding auditor communications with the Audit Committee concerning independence, and has discussed independence with BDO.
The Audit Committee discussed with management and Internal Audit the Company’s financial risk exposures, internal controls and reporting procedures. As part of this process, the Audit Committee continued to monitor the scope and adequacy of the Company’s internal auditing program, reviewing staffing levels and steps taken to implement recommended improvements in internal procedures and controls.
Based on the Audit Committee’s review of the audited Consolidated Financial Statements and discussions with management and BDO as described above and in reliance thereon, the Audit Committee recommended to the Company’s Board of Directors that the audited Consolidated Financial Statements for the fiscal year ended December 31, 2023 be included in the Company’s Annual Report on Form 10-K filed with the SEC.
Members of the Audit Committee
Edward H. Braman (Chair)
Nancy H. Agee
Ajay Gupta
Jay P. Leupp
19

Compensation Discussion and Analysis
2023 Compensation Highlights
Named Executive Officers

Todd J. Meredith |  | J. Christopher Douglas |  | John M. Bryant, Jr. |  | Robert E. Hull |  | Julie F. Wilson
President and Chief Executive Officer |  | Executive Vice President, Chief Financial Officer |  | Executive Vice President, General Counsel |  | Executive Vice President, Investments |  | Executive Vice President, Operations

2023 Compensation Mix(1)
At-Risk Performance Metrics (1)
(1) Assumes cash and equity incentive awards at target.
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2023 Financial and Operational Highlights
The following applies to all same store disclosures reported in this Proxy Statement. Subsequent to the Merger 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.
Significant results and activities in 2023 included:
•Signed new leases totaling 1.5 million square feet and signed lease renewals totaling 4.2 million square feet.
•Merger Combined Same Store revenue grew 3.3% over 2022.
•Reduced year over year Merger Combined Same Store operating expense growth by 200 basis points, to 4.3% in 2023 compared to 6.3% in 2022.
•Merger Combined Same Store cash NOI grew 2.8% over 2022.
•In the fourth quarter of 2023, multi-tenant sequential occupancy increased 175,000 square feet, or 53 basis points.
•In the fourth quarter of 2023, total multi-tenant NOI grew 3.3% over the fourth quarter of 2022.
•Completed asset sales totaling $769 million at an aggregate 6.5% cap rate, enhancing the quality of the Company's portfolio by reducing exposure to non-MOB, off-campus and single tenant assets and improving the average lease escalators.
•Net debt to adjusted EBITDA was 6.4x at December 31, 2023, within the Company's target range of 6.0x to 6.5x.
•Variable rate debt as a percentage of total debt was reduced from 13% at year end 2022 to 8% at year end 2023.
•The Company's outstanding balance on its $1.5 billion revolving credit facility was fully repaid, providing for full availability at the end of 2023.
•Achieved $35 million in annualized synergies following the Merger going into 2023, ahead of the projected schedule.
•The Company published its fifth annual Corporate Responsibility Report, highlighting progress in its ESG initiatives and its commitment to incorporate sustainability principles into the Company's business practices. Additional information about the Company's ESG practices can be found in its 2023 Corporate Responsibility Report published on its website.
Certain information included in the highlights above constitute Non-GAAP financial measures. Such measures are presented herein for reference in connection with our explanation of the relationship between executive pay and company performance. The most comparable measures determined in accordance with GAAP and a reconciliation of all Non-GAAP financial measures to such measures determined in accordance with GAAP are provided beginning on page 50 of this Proxy Statement.
Comprehensive Compensation Policy
The Compensation and Human Capital Committee (referred to in this section as the "Committee") believes that the compensation of the Company’s officers, including the NEOs, should align their interests with those of the stockholders, link compensation to the Company's overall performance, provide a competitive level of total compensation necessary to attract and retain talented and experienced officers, and motivate the officers to contribute to the Company’s success.
Executive Incentive Plan
The Company's Executive Incentive Program, dated August 1, 2022 (the "Executive Incentive Plan"), governed incentive compensation for the NEOs and served to connect executive compensation to Company performance in 2023. Under this plan, in 2023, the NEOs earned incentive awards in the form of cash, performance-based limited partnership interests in the OP ("LTIP Series C Units") and restricted stock. For 2023, Company performance was measured over the relevant period against targeted financial and operational metrics set in advance by the Committee. The various awards available under the Executive Incentive Plan are discussed below under the heading "Components of Compensation."
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Pay For Performance
The Executive Incentive Plan is designed to directly link compensation to performance. The Committee believes that the combination of objective Merger Combined Same Store revenue and NOI growth operating metrics, Normalized funds from operations ("FFO") and funds available for distribution ("FAD") per share growth, total shareholder return ("TSR"), and sustainability initiatives aligns the incentive structure with long-term stockholder value. For 2023 performance, 83% of the aggregate total compensation for NEOs was awarded in the form of at-risk or to-be-earned performance-based compensation, including restricted stock and LTIP Series C Units having vesting periods of five years. The Committee believes that this further demonstrates alignment of the interests of the NEOs with that of the Company’s stockholders.
Equity Incentive Awards
The Committee uses a mix of forward-looking, performance-based equity and retention-based restricted stock as a means of delivering long-term incentive compensation. In 2023, 70% of equity compensation awarded to NEOs was granted in the form of LTIP Series C Units and 30% was granted in the form of retention restricted stock. LTIP Series C Units are granted at the beginning of a three-year performance period and are earned subject to performance metrics measured over the performance period. At the end of the performance period, the Committee will review the actual performance and the LTIP Series C Units that are earned based on performance will be converted into a number of LTIP Series D Units of the OP with a value consistent with the multiples of base salary reflected in the tables set forth on pages 28 and 29. The LTIP Series D Units will then be subject to an additional two-year ratable vesting period. Holders of LTIP Series C Units are entitled to distributions equal to one-tenth of the dividend paid on Common Stock. Holders of LTIP Series D Units are entitled to distributions equal to the dividend paid on Common Stock. The Committee believes that LTIP Units provide an effective incentive to the NEOs with respect to key drivers of Company growth and performance.
The Committee has used restricted stock as a means of delivering long-term incentive compensation since the Company's inception and believes that restricted stock grants with long vesting periods align the interests of officers and stockholders and provide strong incentives to the officers both to grow the value of the stock and to maintain and grow the dividend payment. The officers personally benefit from these efforts through their restricted stock awards, which receive dividends at the same rate as unrestricted common stock. The 2023 restricted stock grants to the NEOs vest over a five-year service period. Prior to vesting, the restricted stock grants are subject to forfeiture in the event that the officer voluntarily leaves employment or is terminated for cause.
Status of Outstanding Equity Awards
The Company granted restricted stock units ("RSUs") in January of 2022 and LTIP Series C Units in January of 2023 to the NEOs. These awards are subject to three-year performance periods, as previously described. The table below illustrates the status of these awards as of December 31, 2023. The awards will be measured at the end of their respective performance periods and the status indicated for such awards at December 31, 2023 is not an indication or prediction of future performance of the Company.
STATUS OF OUTSTANDING EQUITY INCENTIVE AWARDS (1)

| Absolute TSR | Relative TSR | FFO/Sh | FAD/Sh
Weighting | 18% | 12% | 20% | 20%
2022 RSUs | Below Threshold | Below Threshold | Below Threshold | Below Threshold
2023 LTIP Series C Units | Below Target | Below Target | Below Target | Below Target

2022 | 2023 | 2024 | 2025
67% complete |
| 33% complete

(1) The status of the outstanding awards is based on valuations as of the end of 2023 and
does not reflect the Company's financial statement amortization expense for the awards.
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Compensation Parity
For 2023, there were no material differences in the compensation policies and decisions relating to the compensation of the different NEOs, other than scaling differences under various performance metrics.
Stock Ownership Guidelines
The Committee believes that it is in the best interests of the stockholders to encourage all employees, especially the NEOs, to increase their equity position in the Company and further align employee and stockholder interests. In 2011, the Committee adopted stock ownership guidelines applicable to the NEOs and directors. Under these guidelines, the Chief Executive Officer should hold Common Stock with a fair market value equal to five times his current base salary, net of elective deferrals, as of April 1 each year. All executive vice presidents ("EVPs") should hold Common Stock with a fair market value equal to three times their current base salary as of April 1 each year. Each non-employee director should hold common stock with a fair market value equal to three times such director’s then-current annual retainer. The guidelines provide that all owned stock, both restricted and unrestricted, counts towards the ownership guidelines for officers and directors. Officers and directors who are subject to these guidelines have five years from the date that they first become subject to the guidelines to comply with its terms.
As of April 1, 2024, all of the Company’s non-employee directors and the NEOs met the stock ownership guidelines. As of April 1, 2024, the multiples of stock held compared to base salary for the NEOs, excluding the effect of any elective base salary deferral, were as follows:

| FAIR MARKET VALUE OF STOCK HOLDINGS AS MULTIPLE OF CURRENT BASE SALARY
NAMED EXECUTIVE OFFICER | REQUIRED MULTIPLE | MULTIPLE AT FEBRUARY 15, 2024
Todd J. Meredith | 5x | 13.5x
J. Christopher Douglas | 3x | 8.6x
John M. Bryant, Jr. | 3x | 8.1x
Robert E. Hull | 3x | 6.1x
Julie F. Wilson | 3x | 4.8x

Compensation "Clawbacks"
The Committee believes it is important to promote and maintain a culture that emphasizes integrity and accountability. The Company adopted its current Policy for the Recovery of Erroneously Awarded Compensation on October 30, 2023, which conforms with the rules of the NYSE and supersedes the Company's previous compensation clawback policy. This policy applies to all executive officers of the Company (which includes all of the NEOs) who receive incentive-based compensation under a plan, agreement or other arrangement maintained by the Company from time to time.
Say-on-Pay
The Company received a favorable say-on-pay vote at its 2023 Annual Meeting of Stockholders, with approximately 90.5% of the votes cast supporting the Company's executive compensation. The Company's say-on-pay vote has averaged 95.1% in support over the last five years. The Committee believes that the vote reflected a favorable view of the alignment between pay and performance.
Compensation Methodology
Committee’s Governance
The Committee approves salaries and makes other compensation decisions for the NEOs and the Company's directors. The Committee also approves stock-based compensation awarded under the Company's 2006 Incentive Plan, as amended and restated in 2021 (the "2021 Plan"), to other officers and employees. Salaries and other compensation decisions for all other officers and employees are made by management within the parameters of the Company’s compensation policies and plans.
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The Committee meets at least four times each year and more often if necessary. Prior to each regular meeting, members of the Company’s management send materials to each of the Committee members, including minutes of the previous meeting, an agenda and recommendations for the upcoming meeting, and other materials relevant to the agenda items. Officers of the Company attend the Committee meetings as requested by the Committee. These officers provide information and discuss performance measures with the Committee relating to officer compensation. After every quarterly meeting, the Committee holds an executive session consisting only of the Committee members and also frequently meets with the Chief Executive Officer outside the presence of other officers.
The Committee reviews and approves, in advance, employment, severance or similar arrangements or payments to be made to any NEO. The Committee annually reviews all of the perquisites paid to the NEOs, as well as their compliance with the Company’s policies regarding perquisites. The Committee is also responsible for oversight of the Company's human capital development and talent management efforts.
Compensation Risk Assessment
The Committee believes its compensation policies and practices do not promote excessive risk-taking and are not likely to have a material adverse effect on the Company. In particular, the Committee believes that the following factors mitigate excessive risk-taking by the NEOs:
•The use of RSUs, LTIP Series C Units, and restricted stock, with long vesting periods during which the equity cannot be sold, provides an incentive to the NEOs to make decisions that contribute to long-term growth of the Company, the stability of earnings growth, and the payment of dividends to stockholders.
•The maximum potential cash and stock incentive payments are capped at levels such that total compensation would remain comparable with publicly-traded REITs of similar size.
•The Committee retains broad discretionary authority to adjust annual awards and payments, which further mitigates risks associated with the Company’s compensation plans and policies.
Peer Group
The Committee has selected the health care REITs in the FTSE NAREIT All Equity REITs Index as the peer group for purposes of measuring relative TSR performance. This index currently includes:

| American Healthcare REIT | CareTrust REIT, Inc. | Community Healthcare Trust Inc.
| Diversified Healthcare Trust | Healthcare Realty Trust Incorporated | Healthpeak Properties, Inc.
| Global Medical REIT Inc. | LTC Properties, Inc. | Medical Properties Trust, Inc.
| National Health Investors, Inc. | Omega Healthcare Investors, Inc. | Sabra Health Care REIT, Inc.
| Universal Health Realty Income Trust | Ventas, Inc. | Welltower Inc.

In consultation with the Committee's compensation consultant in 2023, the Committee established the following peer group to compare NEO compensation and structured 2024 target-level performance in cash and equity incentives for the CEO to be at approximately the median for CEO pay among the peer group. The Committee considered this peer group to be comparable in size to the Company and appropriate for benchmarking NEO compensation to remain competitive within the industry.

| Apartment Income REIT Corp | Camden Property Trust | CubeSmart
| Healthpeak Properties, Inc. | Medical Properties Trust, Inc. | NNN REIT, Inc.
| Omega Healthcare Investors, Inc. | Physicians Realty Trust | Regency Centers Corporation
| Sabra Health Care REIT, Inc. | Ventas, Inc. |

The Committee will review the benchmarking peer group periodically in consultation with its compensation consultant to make appropriate changes, such as adjustments necessitated following merger and acquisition activity within the group.
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Compensation Consultant
The Committee retains a compensation consultant to advise it regarding market trends and practices in executive compensation and with respect to specific compensation decisions. The Committee’s policy is to meet annually with a compensation consultant to discuss executive compensation trends. In 2023, the Committee engaged Ferguson Partners to provide a review of recent trends and developments in compensation practices within the Company’s industry. Representatives of Ferguson Partners attended two of the Committee's meetings in 2023.
Ferguson Partners received an aggregate of $82,500 for its compensation consulting services provided to the Committee in 2023.
Components of Compensation(1)
(1) Assumes cash and equity incentive awards at target.
Elements of Pay
In 2023, the Company’s compensation program for its NEOs consisted of the following key elements:
•annual base salaries that are paid in cash;
•the potential for cash incentive awards ("Company Performance Awards") based on defined performance targets set by the Committee, including:
◦FFO per share growth
◦Merger Combined Same Store revenue and NOI growth; and
◦achievement of ESG goals and initiatives.
•the potential for equity incentive awards in the form of LTIP Series C Units based on forward-looking performance targets set by the Committee, including:
◦absolute TSR
◦relative TSR compared to the peer group; and
◦growth in FFO and FAD per share.
•retention restricted stock awards subject to a five-year ratable vesting period; and
•elective base salary deferral, allowing NEOs to take restricted stock in lieu of cash, further aligning interests with stockholders and subjecting the value of elective restricted stock to market risk and risk of forfeiture.
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Annual Base Salary
The Committee monitors the base compensation for comparable executive officers in the benchmarking peer group as data points. The Committee believes that the current levels of base salary for the NEOs are competitive and reasonable compared to the peer group and will continue to review that periodically.
The base salaries of the NEOs for 2022, 2023, and 2024, before any elective deferral of cash in the form of restricted stock, are as follows:

| BASE SALARY
NAMED EXECUTIVE OFFICER | 2022 | 2023 | 2024
Todd J. Meredith President and Chief Executive Officer | $850,000 |  | $850,000 |  | $850,000 |
J. Christopher Douglas Executive Vice President and Chief Financial Officer | $500,000 |  | $500,000 |  | $500,000 |
John M. Bryant, Jr. Executive Vice President and General Counsel | $450,000 |  | $450,000 |  | $450,000 |
Robert E. Hull Executive Vice President, Investments | $500,000 |  | $500,000 |  | $500,000 |
Julie F. Wilson Executive Vice President, Operations | $450,000 |  | $450,000 |  | $450,000 |

Cash Incentive Awards
Company Performance Awards are based on the achievement of specific Company performance targets and include growth in Merger Combined Same Store NOI, Merger Combined Same Store revenue (referred to in this Compensation Discussion and Analysis section as "same store NOI" and "same store revenue," respectively) , and FFO per share. The specific targets are established by the Committee. These awards operate independently of one another and are payable in cash. For purposes of the Company Performance Awards, same store NOI and revenue growth are measured on a trailing twelve months basis and paid quarterly, and FFO per share growth is measured comparing the current quarter to the same quarter in the previous year. The potential awards are scaled against performance measures and offer the NEOs the opportunity to receive amounts set forth in the tables below, expressed as multiples of base salary. The Committee believes that the Company Performance Award program provides incentives for the NEOs to sustain growth in property operating revenues, to efficiently manage operating expenses and to grow FFO per share.
In 2023, the maximum, target, and threshold levels for Company Performance Awards set by the Committee and the actual awards achieved, expressed as multiples of base salary, were as follows:
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COMPANY PERFORMANCE | FFO PER SHARE GROWTH | AWARD MULTIPLE
CEO | EVP (1)
Weighting | 50% |  |
Maximum | 7.00% | 2.00x | 1.35x
Target | 5.00% | 1.00x | 0.90x
Threshold | 2.00% | 0.50x | 0.45x
| <2.00% | 0x | 0x
Actual | (7.01)% | 0x | 0x
(1) Mr. Hull's multiple at maximum performance is 1.80x.

COMPANY PERFORMANCE | SAME STORE REVENUE GROWTH | AWARD MULTIPLE | SAME STORE NOI GROWTH | AWARD MULTIPLE
CEO | EVP | CEO | EVP
Weighting | 20% |  |  | 20% |  |
Maximum | 3.00% | 0.60x | 0.54x | 3.50% | 0.60x | 0.54x
Target | 2.00% | 0.40x | 0.36x | 2.25% | 0.40x | 0.36x
Threshold | 1.00% | 0.20x | 0.18x | 1.25% | 0.20x | 0.18x
| <1.00% | 0x | 0x | <1.25% | 0x | 0x
Actual | 3.3% | 0.60x | 0.54x | 2.8% | 0.50x | 0.45x

Based on these results, the NEOs received the performance-based cash award multiples reflected in the table above, which were 61% of the aggregate target award. FFO per share growth in 2023 was negative and resulted in no awards. For 2023, the Company's quarterly trailing twelve month same store revenue growth averaged 3.3%, and quarterly trailing twelve-month same store NOI growth averaged 2.8%. This resulted in awards at maximum for same store revenue and 124% of target for same store NOI.
ESG Incentive Program
For 2023, the Company Performance Award program included incentives to NEOs for Company ESG performance equal to 10% of overall target cash awards. The maximum incentive opportunity under this program is equal to 0.20 times base salary for the CEO and 0.18 times base salary for the EVPs, payable in cash. The ESG goals and initiatives for 2023 included:
•monitoring, benchmarking, and reducing environmental resource use, including energy, water, solid waste, and greenhouse gas emissions;
•expansion and progress on social initiatives, including Company culture development, employee engagement, employee turnover, employee health and wellness, minority representation, tenant satisfaction, and charitable giving; and
•enhancement and promotion of stakeholder engagement around Company ESG efforts.
The Company's achievements in 2023 included:
•Awarded GRESB's 3 Green Star rating, earning a score of 75 on its 2023 assessment;
•Received GRESB's Public Disclosure rating of "A," ranking second out of a peer group of 10 real estate companies for transparency in public reporting on sustainability practices;
•Received an ESG Corporate Rating from ISS of "Prime" and a transparency level of "Very High;"
•Achieved 57 green building certifications totaling 5.5 million square feet;
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•Added real-time electricity monitoring to 700,000 square feet, an increase of 20% over the previous year; and
•Expanded TCFD alignment to include multiple climate scenarios and mitigation strategies.
Based on achievement of continued progress towards these goals and initiatives in 2023, the Committee awarded cash incentives of 0.20 times base salary for the CEO and 0.18 times base salary for the EVPs.
Equity Incentive Awards
For 2023, equity incentive awards were the largest component of compensation and were comprised of at-risk and performance based awards, including LTIP Series C Units subject to multiple, objective performance metrics and restricted stock subject to long vesting periods.
Performance Awards
The Committee granted performance-based equity incentive awards with respect to absolute and relative TSR, FFO per share growth, and FAD per share growth for 2023. These awards are in the form of LTIP Series C Units granted in January 2023, the beginning of the performance period. Performance is measured over a forward-looking three year period ending December 31, 2025. At the end of the performance period, the Committee will review the actual performance and the LTIP Series C Units earned based on performance will be converted into a number of LTIP Series D Units with a value consistent with the multiples of 2023 base salary reflected in the tables below. The LTIP Series D Units will then be subject to an additional two-year ratable vesting period. LTIP Series C Units are initially awarded at maximum performance potential, with any unearned award being forfeited at the end of the performance period. Holders of LTIP Series C Units are entitled to distributions equal to one-tenth of the dividend paid on common stock. LTIP Series C Unit awards comprised 70% of the NEO's 2023 long-term equity incentive compensation. Awards that convert into LTIP Series D Units are entitled to distributions equal to the dividends paid on common stock. The Committee believes that the LTIP Units awarded under this program provide an effective incentive to the NEOs with respect to key drivers of Company growth and performance.
For 2023 LTIP Series C Unit awards, the Committee established the following ranges for relative TSR and absolute TSR performance over a three-year period, with relative performance measured against the 2023 TSR peer group discussed above:

COMPANY PERFORMANCE | RELATIVE TSR PERCENTILE RANK | TSR AWARD MULTIPLES | ABSOLUTE TSR | TSR AWARD MULTIPLES
CEO | EVP | CEO | EVP
Weighting | 12% |  |  | 18% |  |
Maximum | 75 | 1.08x | 0.60x | 33.0% | 1.62x | 0.90x
Target | 50 | 0.54x | 0.30x | 21.0% | 0.81x | 0.45x
Threshold | 25 | 0.27x | 0.15x | 12.0% | 0.41x | 0.23x
| <25 | 0x | 0x | <12.0% | 0x | 0x

For 2023 LTIP Series C Unit awards, the Committee established the following range for normalized FFO and FAD per share growth over a three-year period, expressed as multiples of base salary:
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COMPANY PERFORMANCE | FFO PER SHARE GROWTH | FFO GROWTH MULTIPLES | FAD PER SHARE GROWTH | FAD GROWTH MULTIPLES
CEO | EVP | CEO | EVP
Weighting | 20% |  |  | 20% |  |
Maximum | 21.0% | 1.80x | 1.00x | 21.0% | 1.80x | 1.00x
Target | 12.0% | 0.90x | 0.50x | 12.0% | 0.90x | 0.50x
Threshold | 6.0% | 0.45x | 0.25x | 6.0% | 0.45x | 0.25x
| <6.0% | 0x | 0x | <6.0% | 0x | 0x

Awards earned at the end of the performance period will be calculated using linear interpolation for results between maximum, target, and threshold.
Retention Awards
The Committee awarded restricted stock to the NEOs in 2023, which included annual retention-based restricted stock for the purposes of aligning the NEO's interests with those of the stockholders of the Company. These awards granted in January 2023 were equal to 1.35 times base salary for the CEO and 0.75 times base salary for the other NEOs. Retention restricted stock awards comprised 30% of the NEO's 2023 long-term equity incentive compensation.
The above awards are subject to vesting periods of five years, with 60% of the award vesting after three years and 20% of the awards vesting after each of four and five years. The total multiples of base salary reflected by these awards, assuming target level performance, were as follows:

NAME |  |  |  | RESTRICTED STOCK AWARDS MULTIPLE OF BASE SALARY
Weighting |  |  |  | 30%
Todd J. Meredith |  |  |  | 1.35x
J. Christopher Douglas |  |  |  | 0.75x
John M. Bryant, Jr. |  |  |  | 0.75x
Robert E. Hull |  |  |  | 0.75x
Julie F. Wilson |  |  |  | 0.75x

Elective Deferral Awards
NEOs may elect to defer up to 25% of their base salaries in the form of shares of restricted stock subject to long-term vesting. The number of shares granted will be increased by a multiple of the amount of cash deferred depending on the length of the vesting period selected by the officer. Each officer who makes this election will be awarded additional shares at no additional cost to the officer according to the following multiple-based formula:

DURATION OF RESTRICTION PERIOD | RESTRICTION MULTIPLE
3 years | 1.3x
5 years | 1.5x
8 years | 2.0x

29

This program is designed to encourage share ownership and to provide officers with an incentive to remain with the Company long term. Restricted stock awarded through the salary deferral plan is subject to market risk and risk of forfeiture during the cliff vesting period. In the event that an officer voluntarily terminates employment or is terminated for cause from employment with the Company during the vesting period, both the shares purchased with deferred amounts and the shares received through the Company match are subject to forfeiture. Elective deferral awards are shown and expressed in dollar amounts in the Stock Awards column in the Summary Compensation Table found on page 33 below and in footnote 4 on page 34 below.
2024 Incentive Structure
The structure of cash and equity incentive awards for 2024 is generally consistent with 2023, with some changes to the allocation and target metrics established by the Committee. In consultation with its compensation consultant, the Committee determined that the incentive compensation opportunity for the CEO as measured against the benchmarking peer group was materially below median and made adjustments to provide increased opportunities to earn performance-based cash and equity compensation in 2024. The CEO’s total cash and equity incentive award opportunity at target level performance remains below the median of the benchmarking peer group. Performance at threshold is 50% of Target and performance at maximum is 200% of Target.
The metrics and relative weightings are set forth in the table below:

CASH INCENTIVE METRICS |  | CEO |  | EVP
Weighting | TOTAL MULTIPLE OF BASE SALARY AT TARGET | Weighting | TOTAL MULTIPLE OF BASE SALARY AT TARGET
Same Store Revenue Growth | 20% | 2.0x | 15.00% | 1.84x
Same Store NOI Growth | 20% | 15.00%
Multi-Tenant Occupancy | 25% | 18.75%
FFO per Share | 25% | 18.75%
ESG | 10% | 7.50%
Individual Performance | —% | 25%

30

EQUITY INCENTIVE METRICS |  | CEO |  | EVP
Weighting | TOTAL MULTIPLE OF BASE SALARY AT TARGET | Weighting | TOTAL MULTIPLE OF BASE SALARY AT TARGET
Time-Based Retention | 30% | 6.0x | 30% | 2.5x
Relative 3-Year TSR | 25% | 25%
FAD per Share | 20% | 20%
3-Year Multi-Tenant Occupancy Gains | 15% | 15%
FAD Payout Ratio | 10% | 10%

Termination and Change-in-Control Arrangements
Under the terms of the Company’s compensation plans and its employment agreements with the NEOs, the NEOs are entitled to payments and benefits upon the occurrence of specified events including termination of employment and upon a termination in connection with a change-in-control of the Company. The Company's employment agreements with its NEOs do not include single trigger change in control payments or excise tax gross up payments. The specific terms of these arrangements are discussed under the heading “Post-Employment Compensation - Termination and Change in Control Arrangements” under the section entitled “Executive Compensation” in this Proxy Statement beginning on page 46. In the case of the employment agreements, the terms of these arrangements were agreed to after arm's-length negotiations with each NEO. The Committee believes that these arrangements are appropriate under the Company’s current circumstances.
Perquisites
The Company provides its executive officers with perquisites that it believes are reasonable, competitive and consistent with the Company’s overall executive compensation program. These perquisites include reimbursement of supplemental term life insurance and supplemental disability insurance premiums capped at $15,000 annually.
Internal Revenue Code Section 162(m)
Section 162(m) of the Internal Revenue Code of 1986, as amended, generally disallows a tax deduction to public companies for compensation over $1 million paid to a corporation’s chief executive officer and the three other most highly compensated executive officers (excluding the chief financial officer). In 2017 and prior tax years, qualifying performance-based compensation was not subject to the deduction limit if certain requirements were met. Effective for tax years beginning on January 1, 2018, the tax reform legislation informally known as the Tax Cuts and Jobs Act of 2017 repealed the performance-based compensation exception to the Section 162(m) $1 million deduction limit. Compensation expense in the amount of $5.5 million in 2023, comprised of dividends on restricted shares and vesting of restricted shares awarded under the prior plan, was not deductible. As a qualifying REIT, the Company does not pay federal income tax; therefore, the unavailability of the Section 162(m) compensation deduction to the amounts in 2023 did not, and the tax reform legislation is not expected to, result in any increase in the Company’s federal income tax obligations.
Retirement Benefits
All NEOs are eligible to participate in the Company’s 401(k) plan, pursuant to which each participant may contribute up to the annual maximum allowed under IRS regulations ($22,500 for 2023 and $23,000 for 2024). All eligible participants over the age of 50 may also contribute an additional $7,500 per year to the plan in 2023 and 2024. The Company provides a dollar-for-dollar matching contribution up to an annual maximum of $2,800 per employee.
31

Compensation Committee Report
The following Compensation Committee Report does not constitute soliciting material and should not be deemed filed or incorporated by reference into any other Company filing under the Securities Act or the Exchange Act, except to the extent the Company specifically incorporates this Report by reference therein.
The Compensation and Human Capital Committee has reviewed and discussed the Compensation Discussion and Analysis contained in this Proxy Statement with management of the Company and, based on such review and discussions, the Compensation and Human Capital Committee has recommended to the Board of Directors that the Compensation Discussion and Analysis be included in this Proxy Statement.
Members of the Compensation and Human Capital Committee:
John Knox Singleton (Chair)
W. Bradley Blair II
John V. Abbott
Peter F. Lyle, Sr.
32

Executive Compensation
Summary Compensation Table
The following Summary Compensation Table reflects the total compensation of the Company’s Named Executive Officers:

NAME AND PRINCIPAL POSITION | YEAR | SALARY (1) | BONUS | STOCK AWARDS (2)(3)(4) | NON-EQUITY INCENTIVE PLAN COMPENSATION | ALL OTHER COMPENSATION | TOTAL
Todd J. Meredith | 2023 | $850,000 |  | $— |  | $4,380,592 |  | $1,049,034 |  | $— |  | $6,279,626 |
President and Chief Executive Officer | 2022 | $850,000 |  | $— |  | $6,324,463 |  | $1,423,035 |  | $— |  | $8,597,498 |
2021 | $800,000 |  | $— |  | $952,000 |  | $1,383,667 |  | $108,159 |  | $3,243,826 |
J. Christopher Douglas | 2023 | $450,000 |  | $— |  | $1,531,530 |  | $583,200 |  | $— |  | $2,564,730 |
Executive Vice President and Chief Financial Officer | 2022 | $450,000 |  | $— |  | $2,663,117 |  | $753,371 |  | $— |  | $3,866,488 |
2021 | $451,250 |  | $— |  | $531,942 |  | $704,189 |  | $67,527 |  | $1,754,908 |
John M. Bryant, Jr. | 2023 | $450,000 |  | $— |  | $1,288,412 |  | $472,314 |  | $— |  | $2,210,726 |
Executive Vice President and General Counsel | 2022 | $450,000 |  | $— |  | $2,343,173 |  | $678,034 |  | $— |  | $3,471,207 |
2021 | $378,000 |  | $— |  | $566,969 |  | $667,125 |  | $21,132 |  | $1,633,226 |
Robert E. Hull | 2023 | $500,000 |  | $— |  | $1,431,541 |  | $583,200 |  | $— |  | $2,514,741 |
Executive Vice President, Investments | 2022 | $500,000 |  | $— |  | $2,522,768 |  | $753,371 |  | $12,616 |  | $3,788,755 |
2021 | $337,500 |  | $— |  | $683,977 |  | $667,125 |  | $67,542 |  | $1,756,144 |
Julie F. Wilson | 2023 | $450,000 |  | $— |  | $1,288,412 |  | $524,880 |  | $— |  | $2,263,292 |
Executive Vice President, Operations | 2022 | $450,000 |  | $— |  | $2,151,939 |  | $678,034 |  | $— |  | $3,279,973 |
2021 | $387,500 |  | $— |  | $221,000 |  | $557,550 |  | $38,218 |  | $1,204,268 |

(1) Salary is net of employee elective deferrals shown in Note 3 below.
(2) Amounts in this column represent the grant date fair value in accordance with ASC 718. The awards are described in more detail in the Grants of Plan-Based Awards section below. See Note 13 to the Consolidated Financial Statements contained in the Company’s 2023 Annual Report on Form 10-K for assumptions relevant to the valuation of stock awards.
(3) The 2022 and 2023 awards are subject to three-year performance periods followed by two-year vesting periods in the case of LTIP Series C Units and RSUs and five-year vesting periods in the case of retention restricted stock. See page 28 in Compensation Discussion and Analysis.
33

(4) The table below lists amounts included under the Stock Awards column that have been granted to the Named Executive Officers pursuant to the 2021 Plan:

NAME | YEAR | EMPLOYEE ELECTIVE DEFERRAL (a) | EXECUTIVE INCENTIVE PLAN (b) |  |  |  |  | TOTAL STOCK AWARDS
Todd J. Meredith | 2023 | $— |  | $4,380,592 |  |  |  |  |  | $4,380,592 |
2022 | $— |  | $6,324,463 |  |  |  |  |  | $6,324,463 |
2021 | $— |  | $952,000 |  |  |  |  |  | $952,000 |
J. Christopher Douglas | 2023 | $99,989 |  | $1,431,541 |  |  |  |  |  | $1,531,530 |
2022 | $99,948 |  | $2,563,169 |  |  |  |  |  | $2,663,117 |
2021 | $47,442 |  | $484,500 |  |  |  |  |  | $531,942 |
John M. Bryant, Jr. | 2023 | $— |  | $1,288,412 |  |  |  |  |  | $1,288,412 |
2022 | $— |  | $2,343,173 |  |  |  |  |  | $2,343,173 |
2021 | $107,969 |  | $459,000 |  |  |  |  |  | $566,969 |
Robert E. Hull | 2023 | $— |  | $1,431,541 |  |  |  |  |  | $1,431,541 |
2022 | $— |  | $2,522,768 |  |  |  |  |  | $2,522,768 |
2021 | $224,977 |  | $459,000 |  |  |  |  |  | $683,977 |
Julie F. Wilson | 2023 | $— |  | $1,288,412 |  |  |  |  |  | $1,288,412 |
2022 | $— |  | $2,151,939 |  |  |  |  |  | $2,151,939 |
2021 | $— |  | $221,000 |  |  |  |  |  | $221,000 |

(a) Determined based on the restriction multiples described on page 36 of this Proxy Statement and includes the Company's match.
(b) The 2023 Executive Incentive Plan awards are further detailed on page 35 below.
34

Grants of Plan-Based Awards
The following table provides additional information relating to grants of plan-based awards made to our Named Executive Officers during 2023:

|  |  | ESTIMATED POSSIBLE PAYOUTS UNDER NON-EQUITY INCENTIVE PLAN AWARDS (1) | ESTIMATED POSSIBLE PAYOUTS UNDER EQUITY INCENTIVE PLAN AWARDS (2) | ALL OTHER STOCK AWARDS
NAME | GRANT DATE (2023) | GRANT | THRESH- OLD ($) | TARGET ($) | MAXIMUM ($) | THRESH-OLD (#) | TARGET (#) | MAXIMUM (#) | NUMBER OF SHARES OF STOCK OR UNITS | GRANT DATE FAIR VALUE OF STOCK AWARDS
Todd J. Meredith |  | Annual Incentive | $ | 935,000 |  | $ | 1,700,000 |  | $ | 2,890,000 |  |  |  |  |  |
1/1 | Restricted Stock |  |  |  |  |  |  | 59,984 | $ | 1,212,277 |
1/3 | LTIP Series C |  |  |  | 69,982 | 139,963 | 279,927 |  | $ | 3,168,315.00 |
J. Christopher Douglas |  | Annual Incentive | $ | 495,000 |  | $ | 900,000 |  | $ | 1,305,000 |  |  |  |  |  |
1/1 | Elective Deferral |  |  |  |  |  |  | 5,296 | $ | 99,989 |
1/1 | Restricted Stock |  |  |  |  |  |  | 19,603 | $ | 396,177 |
1/3 | LTIP Series C |  |  |  | 22,870 | 45,740 | 91,479 |  | $ | 1,035,364 |
John M. Bryant, Jr. |  | Annual Incentive | $ | 445,500 |  | $ | 810,000 |  | $ | 1,174,500 |  |  |  |  |  |
1/1 | Restricted Stock |  |  |  |  |  |  | 17,642 | $ | 356,545 |
1/3 | LTIP Series C |  |  |  | 20,583 | 41,166 | 82,331 |  | $ | 931,867 |
Robert E. Hull |  | Annual Incentive | $ | 495,000 |  | $ | 900,000 |  | $ | 1,530,000 |  |  |  |  |  |
1/1 | Restricted Stock |  |  |  |  |  |  | 19,603 | $ | 396,177 |
1/3 | LTIP Series C |  |  |  | 22,870 | 45,740 | 91,479 |  | $ | 1,035,364 |
Julie F. Wilson |  | Annual Incentive | $ | 445,500 |  | $ | 810,000 |  | $ | 1,174,500 |  |  |  |  |  |
1/1 | Restricted Stock |  |  |  |  |  |  | 17,642 | $ | 356,545 |
1/3 | LTIP Series C |  |  |  | 20,583 | 41,166 | 82,331 |  | $ | 931,867 |

(1) The amounts shown represent each Named Executive Officer's threshold, target, and maximum annual cash incentive opportunities for performance in 2023. The actual amounts paid were based on the achievement of certain performance measures, as discussed beginning on page 27. The awards earned for 2023 are shown in the "Non-Equity Incentive Plan Compensation" column of the Summary Compensation Table above.
(2) The amounts shown represent each Named Executive Officer's threshold, target, and maximum opportunities for LTIP Units granted in 2023. The actual number of LTIP Series C Units that would convert to LTIP Series D Units will be based on the achievement of certain performance measures over a three-year performance period, as discussed beginning on page 28.
35

Pursuant to the elective salary deferral plan, Named Executive Officers may elect to defer up to 25% of their base salaries in 2023 in the form of shares of restricted stock. The officer must elect his or her participation level and vesting period for the coming year by December 31 of the current year. The number of restricted shares granted in January of each year is determined based on the average closing market price of the Company’s Common Stock on the last ten trading days of the calendar year preceding the year in which the shares are issued. The number of shares granted will be increased by a multiple of the amount of cash deferred depending on the length of the vesting period selected by the officer. Each officer who makes this election will be awarded additional shares at no additional cost to the officer according to the following multiple-based formula:

DURATION OF RESTRICTION PERIOD | RESTRICTION MULTIPLE
3 years | 1.3x
5 years | 1.5x
8 years | 2.0x

By way of example, if an officer elected to defer salary that was equivalent in value to 1,000 shares of stock and the officer elected an eight-year vesting period, the officer would receive the original 1,000 shares plus an additional 1,000 shares for electing the eight-year vesting period, resulting in a total award of 2,000 shares. The vesting period subjects the shares obtained by the cash deferral and the restriction multiple to the risk of forfeiture in the event an officer voluntarily terminates employment or is terminated for cause from employment with the Company.
Outstanding Equity Awards at Fiscal Year-End
The following table discloses the number of securities and market-based value of restricted shares outstanding that have not vested as of December 31, 2023.

NAME | NUMBER OF SHARES OR UNITS OF STOCK THAT HAVE NOT VESTED (1) | MARKET VALUE OF SHARES OR UNITS OF STOCK THAT HAVE NOT VESTED (2) | EQUITY INCENTIVE PLAN AWARDS: NUMBER OF UNEARNED SHARES, UNITS OR OTHER RIGHTS THAT HAVE NOT VESTED(3) | EQUITY INCENTIVE PLAN AWARDS: MARKET OR PAYOUT VALUE OF UNEARNED SHARES, UNITS OR OTHER RIGHTS THAT HAVE NOT VESTED(2)
Todd J. Meredith | 504,237 | $8,688,004 | 364,989 | $6,288,760
J. Christopher Douglas | 186,359 | $3,210,966 | 119,277 | $2,055,143
John M. Bryant, Jr. | 138,616 | $2,388,348 | 107,349 | $1,849,623
Robert E. Hull | 150,024 | $2,584,914 | 119,277 | $2,055,143
Julie F. Wilson | 86,194 | $1,485,117 | 107,349 | $1,849,623

(1) Vesting dates generally range from 2024 to 2030.
(2) Based on the closing price per share of the Common Stock on the NYSE on December 29, 2023 of $17.23.
(3) Represents restricted stock units and LTIP Series C Units granted in January 2022 and 2023, respectively.
36

Stock Vested in 2023
The following table reflects the shares of restricted stock held by the Named Executive Officers that vested in 2023 and the market value of such shares on the vesting date.

NAME | NUMBER OF SHARES THAT VESTED IN 2023 | MARKET VALUE OF SHARES THAT VESTED IN 2023
Todd J. Meredith | 59,213 |  | $946,332 |
J. Christopher Douglas | 31,711 |  | $500,717 |
John M. Bryant, Jr. | 35,591 |  | $568,804 |
Robert E. Hull | 31,711 |  | $500,717 |
Julie F. Wilson | 18,864 |  | $297,868 |

CEO Pay Ratio
Pursuant to rules adopted by the SEC under the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 (the "Dodd-Frank Act"), the Company is required to disclose the ratio of the annual total compensation for its CEO to the median annual total compensation for its employees other than the CEO. The Company identified the median employee by examining its payroll records for 2023 for all individuals other than the CEO that were employed by the Company at December 31, 2023. Compensation for employees that began employment during the year was annualized based on rate of pay (whether salary or hourly) applied to a full year.
As of December 31, 2023, the Company had 584 employees. These employees are all located within the United States and are comprised of Company officers, accountants, information technology staff, leasing personnel, asset management, maintenance engineers, administrative assistants, and employees with various other roles and responsibilities. At December 31, 2023, the Company identified its median employee as one making $79,942 per year. For 2023, the Company's CEO, Mr. Meredith, had total compensation of $6,279,626. This amount is comprised of several components, as reflected in the Summary Compensation Table on page 33. Additional information concerning Mr. Meredith's total compensation is provided in the Compensation Discussion and Analysis section beginning on page 20 and in the Executive Compensation section beginning on page 33.
The ratio of CEO pay to median employee pay at December 31, 2023 was 79:1.
The table below illustrates the details of the calculation.

| CEO TO MEDIAN EMPLOYEE PAY RATIO
| PRESIDENT AND CEO | MEDIAN EMPLOYEE
Salary and wages | $850,000 |  | $77,502 |
Bonus | — |  | 2,440 |
Performance based compensation |  |
Stock awards | 4,380,592 |  | — |
Non-equity incentive plan compensation | 1,049,034 |  | — |
Elective salary deferral award | — |  | — |
All other compensation |  | — |
Total | $6,279,626 |  | $79,942 |

37

Pay Versus Performance
The disclosure included in this section is prescribed by SEC rules in Item 402(v) of Regulation S-K. For a detailed discussion of the Company's executive compensation program, including how compensation is aligned with Company performance, see “Compensation Discussion and Analysis” beginning on page 20. The Compensation and Human Capital Committee did not consider the pay versus performance data presented below in making compensation decisions for any of the years shown.
The following table sets forth information concerning the compensation of our CEO and our other Named Executive Officers compared to Company performance for the years ended December 31, 2023, 2022, 2021 and 2020.

|  |  |  |  | VALUE OF INITIAL FIXED $100 INVESTMENT BASED ON: |  |
YEAR | SUMMARY COMPENSATION TABLE TOTAL FOR PEO (1)(2) | COMPENSATION ACTUALLY PAID TO PEO (3) | AVERAGE SUMMARY COMPENSATION TABLE TOTAL FOR NON-PEO NEOs (1)(2) | AVERAGE COMPENSATION ACTUALLY PAID TO NON-PEO NEOs (3) | TOTAL SHARE-HOLDER RETURN (4) | PEER GROUP TOTAL SHARE-HOLDER RETURN (4) | NET INCOME (GAAP) (5) | NORMALIZED FFO PER SHARE
2023 | $6,279,626 |  | $4,729,346 |  | $2,388,372 |  | $1,830,641 |  | $62.95 |  | $95.15 |  | ($278,261) |  | $1.57 |
2022 | $8,597,498 |  | $162,377 |  | $3,601,606 |  | $952,277 |  | $65.57 |  | $82.75 |  | $40,897 |  | $1.69 |
2021 | $3,243,826 |  | $6,458,026 |  | $1,594,637 |  | $2,452,347 |  | $102.50 |  | $103.97 |  | $66,659 |  | $1.71 |
2020 | $2,823,858 |  | $1,330,171 |  | $1,530,919 |  | $1,126,944 |  | $92.18 |  | $90.14 |  | $72,195 |  | $1.65 |

(1) For each year shown, except as noted below, the principal executive officer (the "PEO") was Todd J. Meredith and the other NEOs were J. Christopher Douglas, John M. Bryant, Jr., Robert E. Hull, and Julie F. Wilson. Ms. Wilson became a Named Executive Officer in 2021.
(2) The values reflected in this column represent the "Total" compensation set forth in the Summary Compensation Table ("SCT") on page 33. See footnotes to the SCT for further detail regarding the amounts in this column.
(3) Compensation actually paid ("CAP") is defined by the SEC and is computed in accordance with SEC rules by subtracting the amounts in the "Stock Awards" column of the SCT for each year from the "Total" column in the SCT and then: (i) adding the fair value as of the end of the reported year of all awards granted during the reported year that are outstanding and unvested as of the end of the reported year; (ii) adding the amount equal to the change as of the end of the reported year (from the end of the prior year) in fair value (whether positive or negative) of any awards granted in any prior year that are outstanding and unvested as of the end of the reported year; (iii) adding, for awards that are granted and vest in the reported year, the fair value as of the vesting date; (iv) adding the amount equal to the change as of the vesting date (from the end of the prior fiscal year) in fair value (whether positive or negative) of any awards granted in any prior year for which all applicable vesting conditions were satisfied at the end of or during the reported year; (v) subtracting, for any awards granted in any prior year that are forfeited during the reported year, the amount equal to the fair value at the end of the prior year; and (vi) adding the value of dividends (or dividend equivalents) paid in the reported year on unvested equity awards and the value of accrued dividends (or dividend equivalents) paid on performance awards that vested in the reported year. The tables following these footnotes reflect the adjustments made to SCT total compensation to compute CAP for our PEO and average CAP for our other NEOs.
(4) Reflects the cumulative TSR of the Company and the health care REITs excluding the Company in the FTSE NAREIT All Equity REITs Index for the year ended December 31, 2020, the two years ended December 31, 2021, the three years ended December 31, 2022, and the four years ending December 31, 2023 assuming a $100 investment at the closing price on December 31, 2019 and the reinvestment of dividends.
(5) Amounts in thousands.
38

PEO RECONCILIATION | 2023 | 2022 | 2021 | 2020
Deduction for Change in Actuarial Present Values reported under Change in Pension Value and Nonqualified Deferred Compensation Earnings Column of SCT | $— |  | $— |  | $— |  | $— |
Increase for "Service Cost" for Pension Plans | $— |  | $— |  | $— |  | $— |
Increase for "Prior Service Cost" for Pension Plans | $— |  | $— |  | $— |  | $— |
Deduction for Amounts Reported under the "Stock Awards" Column in the SCT | ($4,380,592) |  | ($6,324,463) |  | ($952,000) |  | ($816,719) |
Deduction for Amounts Reported under the "Options Awards" Column in SCT | $— |  | $— |  | $— |  | $— |
Increase for Fair Value of Awards Granted during year that Remain Unvested as of the Year End | $3,440,897 |  | $3,700,178 |  | $1,042,137 |  | $758,641 |
Increase for Fair Value of Awards Granted during year that Vest during year | $— |  | $— |  | $— |  | $— |
Increase/Deduction for Change in Fair Value from prior Year-end to current Year-end of Awards Granted Prior to year that were Outstanding and Unvested as of Year-end | ($1,114,566) |  | ($5,435,460) |  | $2,268,601 |  | ($1,961,227) |
Increase/Deduction for Change in Fair Value from prior Year-end to Vesting Date of Awards Granted Prior to year that Vested during year | ($194,697) |  | ($1,036,781) |  | $272,898 |  | ($29,472) |
Deduction of Fair Value of Awards Granted Prior to year that were Forfeited during year | $— |  | $— |  | $— |  | $— |
Increase based upon incremental Fair Value of Awards Modified during year | $— |  | $— |  | $— |  | $— |
Increase based on Dividends or Other Earnings Paid during year prior to Vesting Date of Award | $698,678 |  | $661,405 |  | $582,564 |  | $555,090 |
Total Adjustments | ($1,550,280) |  | ($8,435,121) |  | $3,214,200 |  | ($1,493,687) |

39

AVERAGE NON-PEO NEO RECONCILIATION | 2023 | 2022 | 2021 | 2020
Deduction for Change in Actuarial Present Values reported under Change in Pension Value and Nonqualified Deferred Compensation Earnings Column of SCT | $— |  | $— |  | $— |  | $— |
Increase for "Service Cost" for Pension Plans | $— |  | $— |  | $— |  | $— |
Increase for "Prior Service Cost" for Pension Plans | $— |  | $— |  | $— |  | $— |
Deduction for Amounts Reported under the "Stock Awards" Column in the SCT | ($1,384,974) |  | ($2,420,249) |  | ($500,972) |  | ($510,743) |
Deduction for Amounts Reported under the "Options Awards" Column in SCT | $— |  | $— |  | $— |  | $— |
Increase for Fair Value of Awards Granted during year that Remain Unvested as of the Year End | $1,068,249 |  | $1,476,823 |  | $548,423 |  | $347,450 |
Increase for Fair Value of Awards Granted during year that Vest during year | $— |  | $— |  | $— |  | $— |
Increase/Deduction for Change in Fair Value from prior Year-end to current Year-end of Awards Granted Prior to year that were Outstanding and Unvested as of Year-end | ($301,323) |  | ($1,322,857) |  | $493,688 |  | ($374,602) |
Increase/Deduction for Change in Fair Value from prior Year-end to Vesting Date of Awards Granted Prior to year that Vested during year | ($108,092) |  | ($544,489) |  | $172,861 |  | ($21,561) |
Deduction of Fair Value of Awards Granted Prior to year that were Forfeited during year | $— |  | $— |  | $— |  | $— |
Increase based upon incremental Fair Value of Awards Modified during year | $— |  | $— |  | $— |  | $— |
Increase based on Dividends or Other Earnings Paid during year prior to Vesting Date of Award | $168,409 |  | $161,443 |  | $143,710 |  | $155,481 |
Total Adjustments | ($557,731) |  | ($2,649,329) |  | $857,710 |  | ($403,975) |

40

Relationship of SEC CAP to Performance
The following graphs illustrate the relationship during 2020 through 2023 of the CAP to our PEO and the average CAP to our other Named Executive Officers to (i) our cumulative TSR and the cumulative TSR of the companies in the peer group; (ii) our GAAP net income; and (iii) our Normalized FFO per share.
41

Financial Performance Measures
The most important financial performance measures used by the Company in setting pay-for-performance compensation for the most recently completed fiscal year are described in the table below, in unranked fashion. The manner in which these measures, together with certain non-financial performance metrics, determine the amounts of incentive compensation paid to the Named Executive Officers is described above in Compensation Discussion and Analysis.
Significant Performance Measures:
•Normalized FFO per Share Growth
•FAD per Share Growth
•Merger Combined Same Store Revenue Growth
•Merger Combined Same Store NOI Growth
•Three-year Absolute and Relative TSR
•ESG Performance
42

Post-Employment Compensation
401(k) Plan
All eligible employees may participate in the Company's 401(k) plan, pursuant to which each employee may contribute a portion of his or her salary, to an annual maximum allowed under IRS regulations ($22,500 for 2023). Additionally, participants in the 401(k) plan receive dollar-for-dollar matching contributions from the Company of up to an annual maximum of $2,800.
Termination and Change in Control Arrangements
The Named Executive Officers have employment agreements with the Company that address, among other things, certain compensation in the event of a change in control. Payments in connection with a change in control are subject to a "double trigger" mechanism in which a Named Executive Officer is only entitled to change in control payments if he or she is terminated in connection with the change in control.
Chief Executive Officer
The Company has entered into an employment agreement with Mr. Meredith which provides that he will serve as President and Chief Executive Officer. The term of Mr. Meredith's agreement renews automatically for successive one-year terms. Mr. Meredith's agreement may be terminated for a variety of reasons, including: for cause, not for cause, voluntarily, death, disability, constructively, or following a change-in-control. In each case, Mr. Meredith would receive all accrued salary, bonus compensation that has been awarded but not yet paid, benefits under plans of the Company, including defined contribution or health and welfare plans, accrued vacation pay and reimbursement of appropriate business expenses.
In the case of termination other than for cause, including constructive termination, Mr. Meredith would also receive full vesting of any equity awards, with unearned RSUs and LTIP Units vesting at target-level performance, and severance compensation equal to his base salary for a period of 24 months and the greater of two times (i) his average annual bonus compensation, if any, that he earned in the two years immediately preceding the date of termination, or (ii) $560,000. He would also be paid a pro-rated portion of the bonus and/or equity compensation that he would have earned for a given period in which the termination occurs.
In the event that Mr. Meredith's agreement is terminated in connection with a change-in-control, Mr. Meredith would receive severance compensation equal to: (a) three times his annual base salary, plus (b) the greater of three times: (i) the average annual bonus compensation, if any, that he earned in the two years immediately preceding the date of termination; and (ii) $1,120,000, plus (c) a pro-rated portion of the bonus and/or equity compensation that he would have earned for a given period in which the termination occurs.
The Company has agreed to indemnify Mr. Meredith for certain liabilities arising from actions taken within the scope of his employment. Mr. Meredith's agreement contains restrictive covenants pursuant to which he has agreed not to compete with the Company during the period of employment and any period following termination of his employment during which he is receiving severance payments, except that in the event of a change-in-control of the Company, the restrictive period shall be for one year.
Other Executive Officers
The Company has entered into employment agreements with J. Christopher Douglas, Executive Vice President and Chief Financial Officer; John M. Bryant, Jr., Executive Vice President and General Counsel; Robert E. Hull, Executive Vice President - Investments, and Julie F. Wilson, Executive Vice President - Operations. Each agreement provides for benefits generally available to officers of the Company. The officers are eligible to participate in the Company’s incentive programs that provide for cash and equity incentives.
Each employment agreement may be terminated for a variety of reasons, including: for cause, not for cause, voluntarily by the officer, death, disability, constructively, or following a change in control. In all cases, the officer would receive all accrued salary, bonus compensation that has been awarded but not yet paid, benefits under plans of the Company, including defined contribution or health and welfare plans, accrued vacation pay and reimbursement of appropriate business expenses.
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In the case of a termination other than for cause, including a constructive termination, the officer would also receive full vesting of any equity awards, with unearned RSUs and LTIP Units vesting at target-level performance, and severance compensation equal to his or her base salary for a period of 18 months (24 months in the case of Mr. Douglas) and the greater of two times (i) his or her average annual bonus compensation, if any, that he or she earned in the two years immediately preceding the date of termination or (ii) $352,577. He or she would also be paid a pro-rated portion of the bonus and/or equity compensation that he or she would have earned for a given period in which the termination occurs.
In the event that the Employment Agreement is terminated in connection with a “change-in-control”, the officer would receive severance compensation equal to: (a) three times his or her annual base salary, plus (b) the greater of two times: (i) the average annual bonus compensation, if any, that he or she earned in the two years immediately preceding the date of termination; and (ii) $705,154, plus (c) a pro-rated portion of the bonus and/or equity compensation that he or she would have earned for a given period in which the termination occurs.
The Company has agreed to indemnify each of these officers for certain liabilities arising from actions taken within the scope of his or her employment. The Employment Agreement contains restrictive covenants pursuant to which the officer has agreed not to compete with the Company during the period of employment and any period following termination of his or her employment during which he or she is receiving severance payments, except that in the event of a change-in-control of the Company, the restrictive period shall be for one year.
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TODD J. MEREDITH President and Chief Executive Officer | VOLUNTARY TERMINATION | NOT FOR CAUSE TERMINATION | CHANGE-IN-CONTROL | DEATH OR DISABILITY | RETIREMENT
Cash Severance Benefit (1) | $— |  | $1,700,000 |  | $2,550,000 |  | $— |  | $— |
Short-Term Incentive Awards | $— |  | $2,524,635 |  | $3,786,953 |  | $— |  | $— |
Accelerated Vesting of Equity Awards (2) | $— |  | $12,565,219 |  | $12,565,219 |  | $12,565,219 |  | $— |
Total Value of Payments | $— |  | $16,789,854 |  | $18,902,172 |  | $12,565,219 |  | $— |
J. CHRISTOPHER DOUGLAS Executive Vice President and Chief Financial Officer | VOLUNTARY TERMINATION | NOT FOR CAUSE TERMINATION | CHANGE-IN-CONTROL | DEATH OR DISABILITY | RETIREMENT
Cash Severance Benefit (1) | $— |  | $1,000,000 |  | $1,500,000 |  | $— |  | $— |
Short-Term Incentive Awards | $— |  | $1,336,571 |  | $1,410,308 |  | $— |  | $— |
Accelerated Vesting of Equity Awards (2) | $— |  | $4,478,008 |  | $4,478,008 |  | $4,478,008 |  | $— |
Total Value of Payments | $— |  | $6,814,579 |  | $7,388,316 |  | $4,478,008 |  | $— |
JOHN M. BRYANT, JR. Executive Vice President and General Counsel | VOLUNTARY TERMINATION | NOT FOR CAUSE TERMINATION | CHANGE-IN-CONTROL | DEATH OR DISABILITY | RETIREMENT
Cash Severance Benefit (1) | $— |  | $675,000 |  | $1,350,000 |  | $— |  | $— |
Short-Term Incentive Awards | $— |  | $1,202,914 |  | $1,410,308 |  | $— |  | $— |
Accelerated Vesting of Equity Awards (2) | $— |  | $3,528,698 |  | $3,528,698 |  | $3,528,698 |  | $— |
Total Value of Payments | $— |  | $5,406,612 |  | $6,289,006 |  | $3,528,698 |  | $— |
ROBERT E. HULL Executive Vice President, Investments | VOLUNTARY TERMINATION | NOT FOR CAUSE TERMINATION | CHANGE-IN-CONTROL | DEATH OR DISABILITY | RETIREMENT
Cash Severance Benefit (1) | $— |  | $750,000 |  | $1,500,000 |  | $— |  | $— |
Short-Term Incentive Awards | $— |  | $1,336,571 |  | $1,410,308 |  | $— |  | $— |
Accelerated Vesting of Equity Awards (2) | $— |  | $3,851,956 |  | $3,851,956 |  | $3,851,956 |  | $— |
Total Value of Payments | $— |  | $5,938,527 |  | $6,762,264 |  | $3,851,956 |  | $— |
JULIE F. WILSON Executive Vice President, Operations | VOLUNTARY TERMINATION | NOT FOR CAUSE TERMINATION | CHANGE-IN-CONTROL | DEATH OR DISABILITY | RETIREMENT
Cash Severance Benefit (1) | $— |  | $675,000 |  | $1,350,000 |  | $— |  | $— |
Short-Term Incentive Awards | $— |  | $1,202,914 |  | $1,440,000 |  | $— |  | $— |
Accelerated Vesting of Equity Awards (2) | $— |  | $2,625,467 |  | $2,625,467 |  | $2,625,467 |  | $— |
Total Value of Payments | $— |  | $4,503,381 |  | $5,415,467 |  | $2,625,467 |  | $— |

(1) Represents the annual base salary at December 31, 2023, before elective deferral payable in equal semi-monthly installments over a period of not less than 18 months and not longer than 36 months, as outlined in the sections above. In certain events, the officer would have the option of taking the payments in the form of a present valued lump sum.
(2) Based upon the closing price of a share of the Company’s Common Stock on the New York Stock Exchange on December 29, 2023 of $17.23.
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Proposal 3
Non-Binding Advisory Vote on Executive Compensation
The Dodd-Frank Act enables the Company’s stockholders to vote to approve, on a non-binding advisory basis, the compensation of the Company’s Named Executive Officers as disclosed in this Proxy Statement in accordance with the SEC’s rules. This proposal, commonly known as a “say-on-pay” proposal, gives stockholders the opportunity to express views on the Company’s executive compensation for its Named Executive Officers.
As discussed in the Compensation Discussion and Analysis section of this Proxy Statement beginning on page 19, the Company’s executive compensation policies are designed to align the interests of the Named Executive Officers with the interests of our stockholders, link executive compensation to the Company’s overall performance, and attract, retain and motivate our Named Executive Officers. The Board believes that its executive compensation programs have been effective at appropriately aligning pay and Company performance, promoting the achievement of the long-term positive results in its performance criteria, and enabling the Company to attract and retain talented executives within its industry.
At our Annual Meeting of Stockholders in 2023, our stockholders voted to recommend that the Company hold a "say-on-pay" vote annually until 2029 when the Company is next required to hold an advisory vote on the frequency with which the Company will hold future "say-on-pay" votes. The Board is asking stockholders to indicate their support for the compensation of the Named Executive Officers described in this Proxy Statement. This vote is not intended to address any specific item of compensation, but rather the overall compensation of the Company’s Named Executive Officers and the policies and procedures described in this Proxy Statement. Accordingly, the Board asks stockholders to vote “FOR” the following resolution:
RESOLVED, that the stockholders of Healthcare Realty Trust Incorporated approve, on a non-binding advisory basis, the compensation of the Named Executive Officers as disclosed pursuant to Item 402 of Regulation S-K in the Company’s proxy statement for the 2024 Annual Meeting of Stockholders.
Although this is an advisory vote that will not be binding on the Compensation and Human Capital Committee or the Board, the Board will carefully review the results of the vote. The Compensation and Human Capital Committee will also carefully consider stockholders’ concerns when designing future executive compensation programs.
The Board of Directors recommends that the stockholders vote FOR the resolution approving the compensation of the Company’s Named Executive Officers.
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Director Compensation
Directors who are employees of the Company receive no additional compensation for their services as directors. Mr. Meredith was the only employee director on the Company’s Board during 2023. Each non-employee director was entitled to receive the following compensation from the Company in the June 2023 to May 2024 Board service term:
•An annual cash retainer of $80,000;
•An additional annual cash retainer for the independent chairman of $150,000;
•An additional annual cash retainer of $50,000 for the independent vice-chairman;
•Annual cash retainers for committee chairs and committee members as follows:
◦Audit Committee
▪$30,000 for chair
▪$10,000 for member
◦Compensation and Human Capital Committee
▪$22,500 for chair
▪$7,500 for member
◦Nominating and Corporate Governance Committee
▪$22,500 for chair
▪$7,500 for member
•An annual grant of restricted shares of Common Stock with a market value of $135,000 on the grant date, which is the date of the annual meeting of stockholders.
Stock Awards
Each non-employee director receives an automatic grant of restricted shares of Common Stock at the conclusion of each annual meeting, which shares are generally restricted for one year from the date of grant. During the restricted period, such shares are subject to forfeiture upon the occurrence of certain events. Restricted shares may not be sold, assigned, pledged or otherwise transferred. Subject to the risk of forfeiture and transfer restrictions, directors have all rights as stockholders with respect to restricted shares, including the right to vote and receive dividends or other distributions on such shares. Each non-employee director may elect to take all or a portion of their cash retainer in the form of restricted stock with a one-year vesting period. For any amount that is taken in the form of restricted stock, a multiple of 1.1 times is applied.
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Director Compensation Table
The following table sets forth the 2023 compensation for directors:

NAME | FEES EARNED OR PAID IN CASH (1) | STOCK AWARDS (2) | ALL OTHER COMPENSATION | TOTAL
John V. Abbott | $87,500 |  | $135,004 |  | $— |  | $222,504 |
Nancy H. Agee | $90,000 |  | $135,004 |  | $— |  | $225,004 |
W. Bradley Blair | $137,500 |  | $135,004 |  | $— |  | $272,504 |
Vicki U. Booth | $87,500 |  | $135,004 |  | $— |  | $222,504 |
Edward H. Braman | $120,000 |  | $135,004 |  | $— |  | $255,004 |
Ajay Gupta | $90,000 |  | $135,004 |  | $— |  | $225,004 |
James J. Kilroy | $87,500 |  | $135,004 |  | $— |  | $222,504 |
Jay P. Leupp | $90,000 |  | $135,004 |  | $— |  | $225,004 |
Peter F. Lyle, Sr. | $87,500 |  | $135,004 |  | $— |  | $222,504 |
Constance Moore | $87,500 |  | $135,004 |  | $— |  | $222,504 |
John Knox Singleton(3) | $130,000 |  | $420,998 |  | $— |  | $550,998 |
Christann M. Vasquez | $110,000 |  | $135,004 |  | $— |  | $245,004 |

(1) Includes fees associated with chairing a Committee and, in the case of Mr. Singleton, serving as independent chairman.
(2) See Security Ownership of Certain Beneficial Owners and Management on page 15 for information about restricted stock awards held by directors. See Note 13 to the Consolidated Financial Statements contained in the Company's 2023 Annual Report on Form 10-K for assumptions relevant to the valuation of stock awards.
(3) Mr. Singleton elected to defer his cash retainers for the 2023-2024 term of service on the Board. Accordingly, 2023 total compensation includes cash retainers paid in 2023 for the 2022-2023 term of service and the grant date value of the equity awards taken in lieu of cash and includes a portion of cash compensation that would have been received in 2024 without the elective deferral.
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Certain Relationships
and Related Transactions
The Board of Directors recognizes that related party transactions present a heightened risk of conflicts of interest and/or improper valuation (or the perception thereof) and therefore has adopted the following policy in connection with all related party transactions involving the Company.
Under this policy, no transaction between the Company and an officer, director or five percent or greater stockholder (including any immediate family member or controlled entity) is allowed unless:
•the Nominating and Corporate Governance Committee has approved the transaction in accordance with the guidelines set forth in the policy and the transaction is on terms comparable to those that could be obtained in arm’s length dealings with an unrelated third party;
•the transaction is approved by the disinterested members of the Board of Directors; or
•the transaction involves compensation approved by the Compensation and Human Capital Committee.
No such approval is necessary for:
•transactions available to all employees generally; or
•transactions involving less than $5,000 when aggregated with all similar transactions.
The Board of Directors has determined that the Nominating and Corporate Governance Committee is best suited to review and approve related party transactions. Accordingly, management reports any related party transaction to be entered into by the Company to the Nominating and Corporate Governance Committee, including the proposed aggregate value of such transactions if applicable. After review, the Nominating and Corporate Governance Committee will approve or disapprove such transactions and, at each subsequently scheduled meeting, management will update the Nominating and Corporate Governance Committee as to any material change to those proposed transactions or any new transactions.
The Board of Directors recognizes that situations exist where a significant opportunity may be presented to management or a member of the Board of Directors that may equally be available to the Company, either directly or via referral. Before such an opportunity may be consummated by a related party, it must be presented to the Nominating and Corporate Governance Committee for consideration.
All related party transactions must be disclosed to the full Board of Directors. Additionally, related party transactions will be disclosed in the Company’s public filings in accordance with applicable federal securities law filings. The Company is not aware of any reportable related party transactions that occurred in 2023.
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Compensation Committee Interlocks
and Insider Participation
During 2023, John Knox Singleton (chair), John V. Abbott, W. Bradley Blair, II, and Peter F. Lyle, Sr. served on the Compensation and Human Capital Committee. There are no interlocks among the members of the Compensation and Human Capital Committee.
Use of Non-GAAP Financial Measures
Management considers FFO, FFO per share, normalized FFO, normalized FFO per share, FAD, NOI, cash NOI, same-store NOI, same-store cash NOI, EBITDA, Adjusted EBITDA, and Debt Covenant EBITDA 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 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 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 and impairments, plus depreciation and amortization (including amortization of leasing commissions), and after adjustments for unconsolidated partnerships and joint ventures.” The Company presents Normalized FFO by adding to FFO acquisition-related costs, acceleration of debt issuance costs, debt extinguishment costs, and other Company-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, share-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. FFO, Normalized FFO and FAD do not represent cash generated from operating activities determined in accordance with accounting principles generally accepted in the United States of America and is 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.
NOI and same store NOI are key performance indicators. Management considers same store NOI a supplemental measure because it allows investors, analysts and Company management to measure unlevered property-level operating results. The Company defines NOI as rental income and property lease guaranty income less property operating expenses. NOI excludes non-cash items such as straight-line rent, above and below market lease intangibles, leasing commission amortization, lease inducements, lease terminations and tenant improvement amortization. Same store NOI is historical and not necessarily indicative of future results.
Management of the Company believes that EBITDA, Adjusted EBITDA, and Debt Covenant EBITDA are useful to investors, analysts and Company management because they allow the comparison of the Company’s unlevered operating performance
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and credit strength between periods and to other real estate companies without the effect of items that by their nature are not comparable from period to period.
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, impairments, 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.
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Reconciliations

Reconciliation of FFO, Normalized FFO, and FAD | THREE MONTHS ENDED DECEMBER 31, | YEAR ENDED DECEMBER 31,
Amounts in thousands, except per share data Unaudited | 2023 | 2022 | 2023 | 2022
Net (loss) income | ($40,533) |  | ($35,764) |  | ($278,261) |  | $40,897 |
Gain on sales of real estate assets | (20,573) |  | (73,083) |  | (77,546) |  | (270,271) |
Impairment 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 income from operating partnership units | (491) |  | (382) |  | (3,426) |  | (5) |
Unconsolidated JV depreciation and amortization | 4,442 |  | 4,020 |  | 18,116 |  | 12,722 |
Funds from operations (FFO) | $136,520 |  | $135,901 |  | $547,126 |  | $296,981 |
Acquisition and pursuit costs (1) | 301 |  | 92 |  | 2,026 |  | 3,229 |
Merger-related costs | 1,414 |  | 10,777 |  | (1,952) |  | 103,380 |
Merger-related fair value of debt instruments | 10,800 |  | 11,979 |  | 42,885 |  | 21,248 |
Lease intangible amortization | 261 |  | 137 |  | 860 |  | 1,028 |
Allowance for credit losses | — |  | — |  | 8,599 |  | — |
Non-routine legal costs/forfeited earnest money received (2) | (100) |  | 194 |  | 175 |  | 771 |
Debt financing costs | — |  | 625 |  | (62) |  | 3,145 |
Severance costs | 1,445 |  | — |  | 1,445 |  | — |
Unconsolidated JV normalizing items | 89 |  | 96 |  | 389 |  | 330 |
Normalized FFO | $150,730 |  | $159,801 |  | $601,491 |  | $430,112 |
Non-real estate depreciation and amortization | 685 |  | 624 |  | 2,566 |  | 2,217 |
Non-cash interest expense amortization (3) | 1,265 |  | 2,284 |  | 4,968 |  | 5,129 |
Provision for bad debt, 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 | (206) |  | (316) |  | (1,034) |  | (1,206) |
Normalized FFO adjusted for non-cash items | 149,572 |  | 155,993 |  | 592,353 |  | 430,938 |
2nd generation tenant improvements | (18,715) |  | (13,523) |  | (66,081) |  | (33,620) |
Leasing commissions paid | (14,978) |  | (7,404) |  | (36,391) |  | (22,929) |
Capital additions | (17,393) |  | (25,669) |  | (49,343) |  | (48,913) |
Maintenance capital expenditures | (51,086) |  | (46,596) |  | (151,815) |  | (105,462) |
Funds available for distribution (FAD) | $98,486 |  | $109,397 |  | $440,538 |  | $325,476 |
FFO per common share - diluted | $0.36 |  | $0.35 |  | $1.43 |  | $1.17 |
Normalized FFO per common share - diluted | $0.39 |  | $0.42 |  | $1.57 |  | $1.69 |
FFO weighted average common shares outstanding - diluted (4) | 383,326 |  | 383,228 |  | 383,381 |  | 254,622 |

(1) Acquisition and pursuit costs include third party and travel costs related to the pursuit of acquisitions and developments.
(2) In the fourth quarter of 2022, the Company recorded non-routine legal costs related to disputes with a contractor and a tenant on a violation of use restrictions. In the second quarter of 2022, the Company recorded forfeited earnest money received related to a disposition that did not materialize.
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(3) Includes the amortization of deferred financing costs and discounts and premiums.
(4) 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.

Reconciliation of NOI & EBITDA | YEAR ENDED DECEMBER 31, |  |  |  |  |  |
Amounts in thousands Unaudited |  |  |  |  |  |
NOI | 2023 | 2022 | PERCENTAGE GROWTH |  |  |  |  |
Net (loss) income | ($278,261) |  | $40,897 |  |  |  |  |  |  |
Other income (expense) | 336,227 |  | (64,519) |  |  |  |  |  |  |
General and administrative expense | 58,405 |  | 52,734 |  |  |  |  |  |  |
Depreciation and amortization expense | 730,709 |  | 453,082 |  |  |  |  |  |  |
Other expenses (1) | 12,653 |  | 120,576 |  |  |  |  |  |  |
Straight-line rent revenue | (32,592) |  | (23,498) |  |  |  |  |  |  |
Joint venture properties | 19,176 |  | 15,222 |  |  |  |  |  |  |
Other revenue (2) | (20,311) |  | (16,577) |  |  |  |  |  |  |
| 826,006 |  | 577,917 |  |  |  |  |  |  |
Pre-Merger Legacy HTA NOI | — |  | 280,421 |  |  |  |  |  |  |
Cash NOI | 826,006 |  | 858,338 |  | (3.8) | % |  |  |  |  |
Cash NOI not included in same store | (87,282) |  | (139,430) |  |  |  |  |  |  |
Merger combined same store cash NOI, including joint ventures | 738,724 |  | 718,908 |  | 2.8 | % |  |  |  |  |
Same store joint venture properties | (12,150) |  | (11,523) |  |  |  |  |  |  |
Wholly-owned merger combined same store cash NOI | $726,574 |  | $707,385 |  | 2.7 | % |  |  |  |  |

(1) Includes acquisition and pursuit costs, Merger-related costs, rent reserves, above and below market ground lease intangible amortization, leasing commission amortization, and ground lease straight-line rent.
(2) Includes management fee income, interest, above and below market lease intangible amortization, lease inducement amortization, lease terminations and tenant improvement overage amortization.
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EBITDA | Q4 2023
Net loss | ($40,533) |
Interest expense | 63,187 |
Depreciation and amortization | 180,049 |
Unconsolidated JV depreciation and amortization | 4,836 |
EBITDA | $207,539 |
Acquisition and pursuit costs | 301 |
Merger-related costs | 1,414 |
Gain on sales of real estate properties | (20,573) |
Impairments on real estate assets | 11,403 |
Leasing commission amortization | 3,818 |
Lease intangible amortization | 261 |
Acquisition/disposition timing impact (1) | (4,155) |
Stock-based compensation | 3,566 |
Rent reserves, net | 1,404 |
Unconsolidated JV adjustments | 89 |
Adjusted EBITDA | $205,067 |
Annualized adjusted EBITDA | $820,268 |

(1) Adjusted to reflect quarterly EBITDA from properties acquired or disposed in the quarter.
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General Information
Electronic Access to Proxy Statement and Annual Report
The Company has elected to provide its Proxy Statement and Annual Report to Stockholders over the Internet through a “notice and access” model. The Notice of Internet Availability provides instructions on how you may access this Proxy Statement and the Annual Report to Stockholders on the Internet at www.viewproxy.com/HealthcareRealty/2024 or request a printed copy at no charge. In addition, the Notice of Internet Availability provides instructions on how you may request to receive, at no charge, all future proxy materials in printed form by mail or electronically by email. Your selection to receive proxy materials by mail or email will remain in effect until you revoke it.
Proposals for 2025 Annual Meeting of Stockholders
Stockholder Proposals for our Proxy Statement
Under SEC regulations, any stockholder desiring to make a proposal to be acted upon at the 2025 Annual Meeting of Stockholders must cause such proposal to be received at our principal executive offices located at 3310 West End Avenue, Suite 700, Nashville, Tennessee 37203, Attention: Secretary, no later than December 10, 2024, in order for the proposal to be considered for inclusion in our proxy statement for that meeting. Stockholders also must follow the procedures prescribed in SEC Rule 14a-8 promulgated under the Exchange Act.
If a stockholder wishes to present a director nomination or other business proposal at the 2025 Annual Meeting of Stockholders, our bylaws currently require that the stockholder give advance written notice to our Secretary at our offices no earlier than November 10, 2024 and no later than 5:00 p.m., Mountain Time, on December 10, 2024. Any stockholder nominations or proposals not received by us by 5:00 p.m., Mountain Time, on December 10, 2024, will be considered untimely and will be excluded from consideration at the meeting.
In addition to satisfying the foregoing advance notice requirements under the Company's bylaws, to comply with the universal proxy rules for the 2025 Annual Meeting of Stockholders, stockholders who intend to solicit proxies in support of director nominees other than the Company's nominees must provide notice that sets forth the information required by Rule 14a-19 under the Exchange Act.
Proxy Access Director Nominations
For a qualifying stockholder, or group of qualifying stockholders, to nominate a director nominee for election at our 2025 Annual Meeting of Stockholders pursuant to the “proxy access” provision of the Company’s bylaws, such qualifying stockholder or group of stockholders must comply with the then current advance notice requirements in the Company’s bylaws and deliver the proposal to our Secretary no earlier than November 10, 2024 and no later than 5:00 p.m., Central Time, on December 10, 2024 in order for such proposal to be considered timely. In addition, the Company’s bylaws require the qualifying stockholder or group of stockholders to update and supplement such information as of specified dates.
Counting of Votes
All matters specified in this Proxy Statement will be voted on at the Annual Meeting by written ballot. Inspectors of election will be appointed, among other things, to determine the number of shares of Common Stock outstanding, the shares of Common Stock represented at the Annual Meeting, the existence of a quorum and the authenticity, validity and effect of proxies, to receive votes of ballots, to hear and determine all challenges and questions in any way arising in connection with the right to vote, to count and tabulate all votes and to determine the results.
A stockholder's broker or nominee is permitted to vote on Proposal 2, which is considered to be a routine matter, without stockholder instructions. As a result, the inspectors of election will treat shares represented by proxies that reflect abstentions or broker non-votes as shares that are present and entitled to vote for purposes of determining the presence of a quorum. However, abstentions and broker non-votes, as applicable, do not constitute a vote “for” or “against” any matter, and thus will be disregarded in the calculation of "votes cast" (Proposals 1 and 3).
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Miscellaneous
The Company will bear the cost of printing, mailing and other expenses in connection with the Annual Meeting, including costs for mailing the Notice of Internet Availability, mailing printed proxy materials upon request, and the solicitation of proxies. The Company has retained Alliance Advisors and Okapi Partners to aid in the solicitation. For their services, the Company expects to pay fees of $45,300 and reimburse them for certain out-of-pocket disbursements and expenses. The Company also expects to reimburse, through Alliance Advisors or Okapi Partners, certain other persons holding shares in their names for others, or holding shares for others who have the right to give voting instructions, such as brokers, banks, fiduciaries and nominees, for such persons’ reasonable expenses in forwarding the Notice of Internet Availability and, if requested, printed proxy materials to their principals. Certain of the directors, officers and employees of the Company may, without any additional compensation, solicit proxies in person or by telephone.
Management of the Company is not aware of any matter other than those described in this Proxy Statement which may be presented for action at the meeting. If any other matters properly come before the meeting, it is intended that the proxies will be voted with respect thereto in accordance with the judgment of the person or persons voting such proxies subject to the direction of the Board of Directors.
HEALTHCARE REALTY TRUST INCORPORATED
Andrew E. Loope
Senior Vice President, Corporate Counsel and Secretary
April 9, 2024
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HEALTHCARE REALTY TRUST INCORPORATED
Common Stock Proxy
PROXY FOR ANNUAL MEETING OF SHAREHOLDERS
Important Notice Regarding the Availability of Proxy Materials
for the Shareholder Meeting to Be Held on May 21, 2024:
The Proxy Statement and the Company’s Annual Report to Stockholders for the year ended
December 31, 2023 are available at www.viewproxy.com/HealthcareRealty/2024.
The undersigned hereby appoints John M. Bryant, Jr. and Andrew E. Loope, and either of them, as proxies, with full power of substitution and resubstitution, to vote all of the shares of Common Stock which the undersigned is entitled to vote at the annual meeting of stockholders of Healthcare Realty Trust Incorporated, to be held at the Company's corporate offices, 3310 West End Avenue, Suite 700, Nashville, Tennessee 37203, on Tuesday, May 21, 2024, at 10:00 a.m. (local time), and at any postponement or adjournment thereof.
This proxy is being solicited by the Board of Directors and will be voted as specified. If not otherwise specified, the above named proxies will vote (1) FOR the election of the 11 nominees listed below to serve as directors until the Company's 2025 annual meeting of stockholders or until their successors are duly elected and qualified; (2) FOR the ratification of the appointment of BDO USA, P.C. as the independent registered public accounting firm for the Company and its subsidiaries for the Company's 2024 fiscal year; (3) FOR the resolution approving the compensation of the Company’s Named Executive Officers on a non-binding advisory basis; and (4) in accordance with the recommendations of the Board of Directors on any other matters that may properly come before the meeting. Pursuant to the rules of the New York Stock Exchange, if a stockholder holds shares through an account with a bank, broker or other nominee and does not provide voting instructions in accordance with this Proxy Statement, such shares may not be voted by the nominee for the above items (1) and (3) in each case resulting in a broker non-vote.

1. Election of Directors: |  |  |
| FOR | AGAINST | ABSTAIN
01 - Todd J. Meredith | ☐ | ☐ | ☐
02 - John V. Abbott | ☐ | ☐ | ☐
03 - Nancy H. Agee | ☐ | ☐ | ☐
04 - Vicki U. Booth | ☐ | ☐ | ☐
05 - Ajay Gupta | ☐ | ☐ | ☐
06 - James J. Kilroy | ☐ | ☐ | ☐
07 - Jay P. Leupp | ☐ | ☐ | ☐
08 - Peter F. Lyle | ☐ | ☐ | ☐
09 - Constance B. Moore | ☐ | ☐ | ☐
10 - John Knox Singleton | ☐ | ☐ | ☐
11 - Christann M. Vasquez | ☐ | ☐ | ☐

| FOR | AGAINST | ABSTAIN
2. To ratify the appointment of BDO USA, P.C. as the independent registered public accounting firm for the Company and its subsidiaries for the Company's 2024 fiscal year. | ☐ | ☐ | ☐
| FOR | AGAINST | ABSTAIN
3. To approve, on a non-binding advisory basis, the following resolution: RESOLVED, that the stockholders of Healthcare Realty Trust Incorporated approve, on a non-binding advisory basis, the compensation of the Named Executive Officers as disclosed pursuant to Item 402 of Regulation S-K in the Company’s proxy statement for the 2024 Annual Meeting of Stockholders. | ☐ | ☐ | ☐
4. In their discretion, the proxies are authorized to vote upon such other business as may properly come before the meeting or any postponement or adjournment thereof.

MARK HERE FOR ADDRESS CHANGE AND NOTE AT LEFT ☐
MARK HERE IF YOU PLAN TO ATTEND THE MEETING ☐
Date: |
Signature: |
IMPORTANT
Please sign exactly as your name or names appear on this proxy and mail promptly in the enclosed envelope. If you sign as agent or in any other capacity, please state the capacity in which you sign.