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Healthcare Realty Trust

hr · NYSE Real Estate
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Exchange NYSE
Sector Real Estate
Industry REIT - Healthcare Facilities
Employees 201-500
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FY2014 Annual Report · Healthcare Realty Trust
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2014
Healthcare Realty Trust
Annual Report to Shareholders

2014

Annual Report to Shareholders

Letter to
Shareholders

In 2014, Healthcare Realty Trust Incorporated continued to 

is projected to reach 19.3% of GDP by 2023. We believe 

execute its strategy of investing in medical office and outpa-

Healthcare Realty’s investments will benefit not only from 

tient facilities. Healthcare Realty’s low business-risk model 

this increased spending, but also from the need for more phy-

and its established relationships with investment-grade health 

sicians and outpatient facilities to treat the growing number 

systems have yielded a distinct portfolio of outpatient facili-

of insured patients, as well as elderly patients that histori-

ties with stable tenants, superior rent coverages and sustain-

cally require more frequent care. The population cohort over 

able growth.  

Revenue and FFO growth for the year showed positive gains 

from strong internal operations, recently completed devel-

opments and selective acquisitions. After streamlining the 

portfolio over the past several years, we continue to pursue 

opportunities to enhance the Company’s internal growth. 

Healthcare Realty’s operating metrics and active leasing 

reflected healthy momentum for the year. Occupancy in the 

same store portfolio remained consistent at 91%, and tenant 

the age of 65 is expected to surge from 14.9% of the popula-

tion in 2015 to 20.6% by 2030; and those over 65 years of 

age visit physician offices 6.9 times each year, compared to 

2.3 times for those under 45 years old. Moreover, contrary to 

common perception and negative headlines, physician income 

levels remain on the rise. Occupancy costs for Healthcare 

Realty’s physician tenants are generally only five percent of a 

typical practice’s revenue, thereby providing a healthy buffer 

against potential reimbursement changes. 

retention increased to approximately 89% in the multi-ten-

Despite the tumultuous rollout and ongoing legal and 

ant properties at year-end. Annual contractual rent growth 

political battles concerning the Affordable Care Act, health 

among in-place multi-tenant leases averaged 3% in 2014, 

systems are looking beyond its costly initial phase of imple-

and revenue per occupied square foot increased 2.1% over 

mentation. They are evaluating their assets to strategically 

the prior year.  

We believe the Company has a higher propensity for lease 

renewals and steady performance, with over 80% of our 

$3.2 billion in properties associated with credit-rated health 

systems and an average lease size of only 4,550 square feet 

in the multi-tenant properties. With stable tenants, aligned 

with well-established health systems, and consistent revenue 

increases combined with disciplined expense management, 

we foresee meaningful growth in the core portfolio and a 

positive backdrop to the Company’s investment activity.

Healthcare spending nationwide accounted for 17.4% of 

the nation’s gross domestic product (GDP) in 2013 and 

position themselves for the future of outcome-based, lower-

cost care with shared risk and reward payment models. The 

level of cost-savings these models will generate through 

accountable care organizations and other forms of bundled 

pay systems, remains to be seen. However, health systems are 

already expanding their outpatient services as a definitive, 

coordinated means to lower their cost of care. Furthermore, 

health systems are actively acquiring physician practices 

to create clinically-integrated networks that allow them 

to participate in these payment models, as well as increase 

their referral base. According to the American Hospital 

Association, outpatient services accounted for 25% of hospi-

tals’ overall gross revenues in 1992. By 2012, hospitals gen-

erated 44% of their revenue from outpatient care.  

2014 Letter to Shareholders

Healthcare employment reflects similar trends. The pace of 

Momentum at the Company’s development conversion prop-

job growth in healthcare services picked up pace toward the 

erties continued in 2014, achieving occupancy of 80% and 

end of 2014, with the largest gains in outpatient settings. For 

quarterly net operating income of $4.2 million by year-end. 

the twelve months that ended in January, the ambulatory 

Having reached these milestones, and with visible progress 

care workforce grew by 241,600 jobs, or 3.7%, versus hos-

ahead, these properties will shift to the stabilized portfolio in 

pital employment growth of 56,200 jobs, or 1.2%, a closely 

2015, where they will contribute to the Company’s internal 

watched indicator of anticipated healthcare spending.

growth profile. In the years ahead, the Company is well-

It is in the context of this changing healthcare environment 

that we believe Healthcare Realty is positioned to acceler-

positioned to initiate hospital-anchored, on-campus develop-

ments—primarily repeat business based on proven execution. 

ate the internal growth of its core portfolio, enabling the 

Healthcare Realty remained disciplined in its investment and 

Company to be selective in prospective acquisitions and 

capital markets activity in 2014. The Company raised $75.7 

opportunities for hospital-directed, outpatient facility devel-

million of equity during the year through its at-the-market 

opment.  With reimbursement policy now propelling out-

equity program, which allowed the Company to accre-

patient expansion, discussions with health systems for new 

tively match-fund its 2014 acquisitions. During 2014, the 

outpatient facilities are more active than we have seen in 

Company realized a full year’s benefit of the prior year’s debt 

some time.  

Healthcare Realty’s acquisitions in 2014 reflected our pursuit 

of value-creation—not mere top-line growth—by investing in 

facilities that are well-located, on leading hospital campuses, 

with low fungibility and embedded growth, all of which 

reduce risk and enhance long-term returns. The Company 

invested approximately $83.1 million in six medical office 

buildings. The properties are 97% leased, on average, at ini-

tial rates of return above our cost of capital and have strong 

refinancings, which lowered the Company’s annual interest 

expense and reduced the effective interest rate on its debt to 

4.75%. Those debt transactions, coupled with the perfor-

mance of the existing portfolio and occupancy gains in the 

development conversion properties, improved the Company’s 

fixed charge coverage to 2.8 times and debt-to-EBITDA ratio 

to 6.4 times. Healthcare Realty’s credit metrics should con-

tinue to improve in 2015 as we realize the growth from our 

core portfolio, new investments, and recent developments.

contractual rent increases. We continue to see opportunities 

As we begin our third decade, Healthcare Realty’s long-held 

for investment in 2015 in properties that meet our criteria 

investment strategy remains focused and relevant to the cur-

and will enhance the Company’s low business-risk profile. 

rent trends and changes in the healthcare industry, keeping 

In addition, in 2014, we improved the long-term perfor-

mance of the Company’s portfolio by divesting nine assets, 

totaling $34.9 million, including eight smaller, off-campus 

medical office buildings, and re-investing the proceeds in 

newer, on-campus medical office buildings with better long-

term growth prospects.  

the Company’s cash flow predictable and providing the foun-

dation for growth in the years to come. The Company’s port-

folio of well-located outpatient medical facilities, affiliated 

with respected healthcare providers, along with its financial 

and managerial resources, have and will continue to deliver 

lasting value to its shareholders.

Sincerely yours,

David R. Emery 

Chairman of the Board and Chief Executive Officer

ANNUAL REPORT TO SHAREHOLDERS | 3

Selected Properties

West Norman Professional Building
Oklahoma City, Oklahoma

First Hill Medical Building
Seattle, Washington

425 University Boulevard
 Round Rock, Texas

Fridley Medical Center
Minneapolis, Minnesota

Hale Pawa‘a
Honolulu, Hawai‘i

17 Davis Medical Building
Tampa, Florida

Management Team

B OA RD  OF  D IR ECTORS

LEFT TO RIGHT, STANDING

Dan S. Wilford  
Retired President and Chief Executive Officer, Memorial 
Hermann Healthcare System

J. Knox Singleton  
President and Chief Executive Officer, Inova Health Systems

David R. Emery  
Chairman of the Board and Chief Executive Officer,  
Healthcare Realty Trust Incorporated

Roger O. West  
Retired General Counsel, Healthcare Realty Trust Incorporated 

LEFT TO RIGHT, SEATED

C. Raymond Fernandez, M.D.  
Retired Chief Executive Officer, Piedmont Clinic 

Edwin B. Morris, III  
Managing Director, Morris & Morse Company, Inc. 

Bruce D. Sullivan  
Retired Audit Partner, Ernst & Young, LLP 

Errol L. Biggs, Ph.D.  
Director, Graduate Programs in Health Administration, 
University of Colorado

EXE CUT IVE  O FFI CER S

LEFT TO RIGHT

Scott W. Holmes  
Executive Vice President and Chief Financial Officer 

B. Douglas Whitman, II  
Executive Vice President, Corporate Finance 

David R. Emery  
Chief Executive Officer 

Todd J. Meredith  
Executive Vice President, Investments 

John M. Bryant, Jr.  
Executive Vice President and General Counsel  

MANAGEM ENT   TEA M

Marc Albright Vice President, Taxes and Risk Management

Andrew Loope Senior Vice President and Corporate Counsel

Anne Barbour Vice President, Leasing 

Amy Byrd Vice President, Management 

Amanda Callaway Vice President, Accounting

Cory McLeod Associate Vice President, Management

Revell Michael Vice President, Marketing

Becca Oberlander Vice President, Human Resources

Steve Cox Senior Vice President and Assistant General Counsel

Ivy Parry Associate Vice President, Management

Ryan Crowley Vice President, Acquisitions

Burney Dawkins Vice President, Dispositions

Robert Dillard Vice President, Technology Services

Amy Poley Vice President, Leasing

Sushil Puria Vice President, Acquisitions

Nancy Redden Associate Vice President, Management

Kris Douglas Senior Vice President, Acquisitions and Dispositions

Connie Seal Vice President, Tax

Joe Fogarty Associate Vice President, Investments

Glenn Herndon Vice President and Corporate Controller

Rob Hull Senior Vice President, Development

Jessica King Vice President, Asset Management

Rick Langreck Senior Vice President and Treasurer 

Matt Lederer Vice President, Development

Greg Smith Associate Vice President, Design and Construction

Tim Staggs Vice President, Internal Audit and Compliance

Steve Standifer Vice President, Design and Construction

Kim Sullivan Associate Vice President, Taxes and Risk Management

Rita Todd Corporate Secretary

Julie Wilson Senior Vice President, Leasing and Management

ANNUAL REPORT TO SHAREHOLDERS | 5

Property Locations

2014 Review

As of December 31, 2014, Healthcare Realty Trust had investments of approximately $3.2 billion in 199 real estate 

properties and mortgages. The Company’s 198 owned real estate properties are located in 30 states, totaling 

approximately 14.2 million square feet.  In addition, the Company provided property management services to 

approximately 9.5 million square feet nationwide.

(CHI)

(CHI)

(Ascension)

$3.2B

14.2M

83%

INVESTED IN 198 PROPERTIES

SQ FT OWNED IN 30 STATES

MULTI-TENANT

ASSET  M IX

84% 

   199 IN

V

E

S

$3.2B Total Assets

MOB/OUTPATIENT
INPATIENT
OTHER

T

M

E

N

T

S

2
%

14%

Portfolio

TOP MA RKE TS
TOP MA RKE TS

SQ FT

%

1 Dallas - Fort Worth

2,348,811

16.5%

2 Charlotte

3 Nashville

4 Denver - Colorado Springs

5 Houston

6 Richmond

7

8

Indianapolis

Los Angeles

9 Des Moines

10

11

San Antonio

Seattle - Bellevue

12 Memphis

13 Roanoke

14 Austin

15 Honolulu

16

Phoenix

17 Oklahoma City

18 Chicago

19 Washington, DC

20 Miami

820,457

762,708

724,410

591,027

558,801

558,694

551,371

532,610

523,597

521,451

515,876

466,204

417,820

298,427

288,511

268,860

243,491

241,739

215,980

5.8%

5.4%

5.1%

4.2%

3.9%

3.9%

3.9%

3.7%

3.7%

3.7%

3.6%

3.3%

2.9%

2.1%

2.0%

1.9%

1.7%

1.7%

1.5%

Other (33 markets)

2,778,093

19.5%

Total

14,228,938

100.0%

TOTAL  ASSETS W ITH  N EW  I NV E ST M E NTS

$276M

$88M

$389M

$332M

$179M

B
6
2
$

.

B
8
2
$

.

B
0
3
$

.

B
2
3
$

.

B
2
3
$

.

2010

2011

2012

2013

2014

NEW INVESTMENTS:

ACQUISITIONS

DEVELOPMENTS

ANNUAL REPORT TO SHAREHOLDERS | 7

Corporate Information

CORPORATE  AD D RE SS
Healthcare Realty Trust Incorporated 
3310 West End Avenue, Suite 700 
Nashville, Tennessee 37203 
Phone: 615.269.8175   Fax: 615.269.8461 
www.healthcarerealty.com 
communications@healthcarerealty.com

INDEPENDEN T  R EGI STER ED   P U B L IC 
ACCOUNTIN G  FI RM
BDO USA, LLP 
414 Union Street, Suite 1800   
Nashville, Tennessee 37219 

TRANSFE R AG ENT 
Wells Fargo Shareowner Services
1110 Centre Pointe Curve, Suite 101
Mendota Heights, Minnesota 55120-4100
1.800.468.9716
www.wellsfargo.com/shareownerservices

CUSIP NUMBE RS
Common Shares: 421946104 
Senior Notes Due 2017: 42225BAA4
Senior Notes Due 2021: 421946AG9
Senior Notes Due 2023: 421946AH7

COMPARATI VE  PER FOR M AN C E  GRA P H

E
U
L
A
V

X
E
D
N

I

250

225

200

175

150

125

100

75

12.31.09

12.31.10

12.31.11

12.31.12

12.31.13

12.31.14

TOTA L  RE TURN PERFO R MANC E

Healthcare Realty Trust Incorporated

Russell 3000

NAREIT All Equity REIT Index

DI VID END  REI NVE STMENT  P LAN
A Dividend Reinvestment Plan is offered as a convenience 
to shareholders of record who wish to increase their 
holdings in the Company. Additional shares may be 
purchased, without service or sales charge, through 
automatic reinvestment of quarterly cash dividends.  
For information write Wells Fargo Shareowner Services, 
P.O. Box 64856, St. Paul, Minnesota 55164-0856, or call 
1.800.468.9716. Information may also be obtained at the 
transfer agent’s website, www.shareowneronline.com.

DI RE CT DEP OSIT O F DIV IDE N DS
Direct deposit of dividends is offered as a convenience 
to shareholders of record. For information, write  
Wells Fargo Shareowner Services, P.O. Box 64856,  
St. Paul, Minnesota 55164-0856, or call 1.800.468.9716.  
Information may also be obtained at the transfer agent’s 
website, www.shareowneronline.com.

FOR M 10- K
The Company has filed an Annual Report on Form 10-K 
for the year ended December 31, 2014, with the Securities 
and Exchange Commission. Shareholders may obtain a 
copy of this report, without charge, by writing: Investor 
Relations, Healthcare Realty Trust Incorporated, 3310 
West End Avenue, Suite 700, Nashville, Tennessee 37203. 
Or, via e-mail: communications@healthcarerealty.com.

CERTI FI CATI ON S
The Company’s chief executive officer and chief financial 
officer have filed the certifications required by Section 302 
of the Sarbanes-Oxley Act of 2002 with the Securities 
and Exchange Commission as exhibits to the Company’s 
Annual Report on Form 10-K. In addition, the Company’s 
chief executive officer certified to the New York Stock 
Exchange in 2014 that he was not aware of any violation 
by the Company of the New York Stock Exchange’s 
corporate governance listing standards.

A NN UA L SHA RE HOLDER S M EET I NG
The annual meeting of shareholders will be held  
on May 12, 2015, at 10:00 a.m. Central Time at  
3310 West End Avenue, Suite 700, Nashville, Tennessee.

INDEX

PERIOD ENDING

12/31/09

12/31/10

12/31/11

12/31/12

12/31/13

12/31/14

Healthcare Realty Trust Incorporated

Russell 3000

NAREIT All Equity REIT Index

100.00

100.00

100.00

104.22

116.93

127.95

97.45

118.13

138.55

132.73

137.52

165.84

123.53

183.66

170.58

166.39

206.72

218.38

 
2014 Form 10-K

Table of Contents

PART I

Item 1

Item 1A

Item 1B

Item 2

Item 3

Item 4

PART II

Item 5

Item 6

Item 7

Business

Risk Factors

Unresolved Staff Comments

Properties

Legal Proceedings

Mine Safety Disclosures

Market for Registrant’s Common Equity, Related Stockholder 
Matters and Issuer Purchases of Equity Securities

Selected Financial Data

Management’s Discussion and Analysis of Financial Condition 
and Results of Operations

Item 7A

Quantitative and Qualitative Disclosures About Market Risk

Item 8

Item 9

Financial Statements and Supplementary Data

Changes in and Disagreements with Accountants on  
Accounting and Financial Disclosure

Item 9A

Controls and Procedures

PART III

Item 10

Item 11

Item 12

Item 13

Item 14

Item 15

SIGNATURES

Directors, Executive Officers and Corporate Governance

Executive Compensation

Security Ownership of Certain Beneficial Owners and  
Management and Related Stockholder Matters

Certain Relationships and Related Transactions, and  
Director Independence

Principal Accountant Fees and Services

Exhibits and Financial Statement Schedules

Page

1

6

13

13

13

13

14

16

17

40

41

86

86

88

89

89

89

89

90

94

UNITED STATES SECURITIES AND EXCHANGE COMMISSION 
Washington, D.C. 20549 

(Mark One) 
 ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 

For the fiscal year ended: December 31, 2014 

 TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 

For the transition period    

 to 

OR 

Form 10-K 

Commission File Number: 001-11852 

HEALTHCARE REALTY TRUST INCORPORATED 
(Exact name of Registrant as specified in its charter) 

Maryland 
(State or other jurisdiction of 
 Incorporation or organization)  

 62-1507028 
(I.R.S. Employer  
Identification No.) 

3310 West End Avenue 
Suite 700 
Nashville, Tennessee 37203 
(Address of principal executive offices) 
(615) 269-8175 
(Registrant’s telephone number, including area code) 
Securities Registered Pursuant to Section 12(b) of the Act: 

Common stock, $0.01 par value per share 

Title of Each Class 

Name of Each Exchange on Which Registered 

New York Stock Exchange 

Securities Registered Pursuant to Section 12(g) of the Act: 
None 
(Title of Class) 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  Yes   No  

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.  Yes   No  

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

Indicate by check mark whether the Registrant has submitted electronically and posted on its corporate Web site, if any, every 
Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the 
preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).  Yes   No  

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not 

contained herein, and will not be contained, to the best of Registrant’s knowledge, in definitive proxy or information statements 
incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.  

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

Large accelerated filer  
Non-accelerated filer  

(Do not check if a smaller reporting company) 

Accelerated filer  
Smaller reporting company  

Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act.)  Yes   No   

The aggregate market value of the shares of common stock (based upon the closing price of these shares on the New York Stock 

Exchange, Inc. on June 30, 2014) of the Registrant held by non-affiliates on June 30, 2014 was approximately $2,414,583,343. 

As of January 31, 2015, 99,409,062 shares of the Registrant’s common stock were outstanding. 

Portions of the Registrant’s definitive Proxy Statement relating to the Annual Meeting of Stockholders to be held on May 12, 2015 are 

DOCUMENTS INCORPORATED BY REFERENCE 

incorporated by reference into Part III of this Report. 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PART I

Item 1.   Business

Overview
Healthcare Realty Trust Incorporated (“Healthcare Realty” or the “Company”) was incorporated in Maryland in 1992, listed on 
the New York Stock Exchange in 1993, and is a self-managed and self-administered real estate investment trust (“REIT”) that 
owns, acquires, manages, finances and develops income-producing real estate properties associated primarily with the delivery 
of outpatient healthcare services throughout the United States. 

The Company operates so as to qualify as a REIT for federal income tax purposes. As a REIT, the Company is not subject to 
corporate federal income tax with respect to taxable income distributed to its stockholders. See “Risk Factors” in Item 1A for a 
discussion of risks associated with qualifying as a REIT.

The Company believes that its liquidity and sources of capital are adequate to satisfy its cash requirements.  The Company 
expects to meet its liquidity needs through cash on hand, cash flows from operations, equity and debt issuances in the public or 
private markets and borrowings under commercial credit facilities.

Real Estate Properties
The Company had investments of approximately $3.3 billion in 199 real estate properties, mortgages, land held for 
development and corporate property at December 31, 2014. The Company provided property management services for 135 
healthcare-related properties nationwide, totaling approximately 9.5 million square feet as of December 31, 2014. The 
Company’s real estate property investments by geographic area are detailed in Note 2 to the Consolidated Financial Statements.    

(Dollars and square feet in thousands)
Owned properties:

Multi-tenant leases

Medical office/outpatient
Other

Single-tenant net leases

Medical office/outpatient
Inpatient
Other

Land held for development
Corporate property

Total owned properties

Mortgage notes receivable:
Medical office/outpatient

Total real estate investments

Number of
Investments

Gross Investment

Square Feet

Amount

%

Footage

%

157
4
161

$ 2,443,784
61,634
2,505,418

74.9% 11,433
414
76.8% 11,847

1.9%

16
14
7
37

—
—
—
198

261,643
443,920
24,768
730,331

17,054
5,476
22,530
3,258,279

8.0%
13.6%
0.8%
22.4%

1,025
1,131
226
2,382

0.5%
0.2%
0.7%

—
—
—
99.9% 14,229

1
1
199

1,900
1,900
$ 3,260,179

0.1%
0.1%

—
—
100.0% 14,229

80.4%
2.9%
83.3%

7.2%
7.9%
1.6%
16.7%

—
—
—
100.0%

—
—
100.0%

1 
The following table details occupancy of the Company’s owned properties by facility type as of December 31, 2014 and 2013:

Medical office/outpatient

Inpatient

Other

Total

Investment 
as of Dec. 31, 2014 (1) 
(in thousands)

Percentage of 
Square Feet (1)

$

$

2,705,427

443,920

86,402

3,235,749

87.6%

7.9%

4.5%

100.0%

Occupancy as of December 31, (1)

2014

85.2%

2013

83.8%

100.0%

100.0%

85.8%

86.4%

83.4%

85.1%

______
(1)  The investment and percentage of square feet columns include all owned real estate properties excluding land held for 

development and corporate property. The occupancy columns represent the percentage of total rentable square feet leased 
(including month-to-month and holdover leases), excluding properties classified as held for sale (two properties as of 
December 31, 2014 and three properties as of December 31, 2013). Properties under property operating or single-tenant 
net lease agreements are included at 100% occupancy. Upon expiration of these agreements, occupancy reflects 
underlying tenant leases in the building.

Revenue Concentrations
The Company’s real estate portfolio is leased to a diverse tenant base. For the year ended December 31, 2014, the Company had 
one tenant that accounted for 10% or more of the Company’s consolidated revenues including revenues from discontinued 
operations and that was Baylor Scott &White Health at 10%. The Company had approximately 144 leases with this tenant in 22 
buildings throughout north and central Texas, including buildings at eight different hospital campuses.

Expiring Leases
As of December 31, 2014, the weighted average remaining years to maturity pursuant to the Company’s long-term single-tenant 
net leases, property operating agreements, and multi-tenant occupancy leases were approximately 5.1 years, with expirations 
through 2033. The table below details the Company’s lease maturities as of December 31, 2014, excluding two properties 
classified as held for sale. 

Expiration Year
2015

$

2016

2017

2018

2019

2020

2021

2022

2023

2024

Thereafter

Number of Leases

Annualized 
Minimum 
Rents (1) 
(in thousands)

Multi-Tenant
Properties

Single-Tenant 
Net Lease
Properties

Average 
Percentage 
of Revenues

Total
Square Feet

40,272

28,809

38,499

29,758

38,290

16,957

12,534

15,362

16,292

10,615

43,820

461

309

313

243

243

79

75

63

88

50

24

—

2

5

—

9

1

2

2

1

2

13.8%

1,580,574

9.9%

1,089,280

13.2%

10.2%

13.2%

5.8%

4.3%

5.3%

5.6%

3.7%

1,576,840

1,179,933

1,521,267

632,184

515,173

628,481

640,782

450,941

12

15.0%

1,384,835

______ 
(1)  Represents the annualized minimum rents on leases in-place as of December 31, 2014, excluding the impact of potential 

lease renewals, future increases in rent, property lease guaranty revenue under property operating agreements and straight-
line rent that may be recognized relating to the leases.

Mortgage Note Receivable
The Company’s $1.9 million mortgage note receivable is classified as held-for-investment based on management’s intent and 
ability to hold the note until maturity. The loan is carried at amortized cost and the Company’s mortgage note receivable is 
secured by an existing building. See Note 5 to the Consolidated Financial Statements for details of this mortgage note.

2 
 
 
 
Business Strategy
The Company owns and operates healthcare properties that facilitate the delivery of care in a lower-cost, primarily outpatient 
setting.  To execute its strategy, the Company integrates owning, managing, financing and developing such properties and 
provides a broad spectrum of real estate services including leasing, property management, acquisition and development.  The 
Company generates stable, growing income and lowers the long-term risk profile of its portfolio of properties by focusing on 
facilities located on or near the campuses of large, acute care hospitals associated with leading health systems.  The Company 
reduces financial and operational risk by owning properties in diverse geographic locations with a diversity of tenants, 
including over 30 physician specialties, as well as surgery, imaging, cancer and diagnostic centers.

2014 Acquisitions and Dispositions
The Company acquired six properties during 2014 for a total purchase price of $83.1 million including cash consideration of 
$64.9 million and the assumption of debt of $18.2 million (excluding $1.4 million fair value adjustment premiums recorded 
upon acquisition). In addition, the Company acquired ownership of a multi-tenanted office building in Iowa in satisfaction of a 
$40.0 million note receivable and purchased an $85.4 million property in Oklahoma. The purchase price for the property in 
Oklahoma was offset by the repayment of an $81.2 million construction mortgage note receivable provided by the Company to 
fund the development of the property prior to acquisition and is further discussed in "Investing Activities" in "Liquidity and 
Capital Resources". 

The Company disposed of nine medical office buildings during 2014 for a total sales price of $34.9 million, including cash 
consideration of $32.3 million, the origination of a $1.9 million Company-financed mortgage note receivable and $0.7 million 
of closing costs and adjustments. 

See the Company's discussion regarding the 2014 acquisitions and dispositions activity in Note 4 to the Consolidated Financial 
Statements.

Competition
The Company competes for the acquisition and development of real estate properties with private investors, healthcare 
providers, other REITs, real estate partnerships and financial institutions, among others. The business of acquiring and 
developing new healthcare facilities is highly competitive and is subject to price, construction and operating costs, and other 
competitive pressures. Some of the Company's competitors may have lower costs of capital.

The financial performance of all of the Company’s properties is subject to competition from similar properties. The extent to 
which the Company’s properties are utilized depends upon several factors, including the number of physicians using or 
referring patients to an associated healthcare facility, healthcare employment, competitive systems of healthcare delivery, and 
the area’s population, size and composition. Private, federal and state health insurance programs and other laws and regulations 
may also have an effect on the utilization of the properties. Virtually all of the Company’s properties operate in a competitive 
environment, and patients and referral sources, including physicians, may change their preferences for a healthcare facility from 
time to time.

Government Regulation
The facilities owned by the Company are utilized by medical tenants which are required to comply with extensive regulation at 
the federal, state, and local levels, including the Patient Protection and Affordable Care Act and the Health Care and Education 
Reconciliation Act of 2010 (collectively, the "Health Reform Law") and laws intended to combat fraud and waste such as the 
Anti-Kickback Statute, Stark Law, False Claims Act and Health Insurance Portability and Accountability Act of 1996. These 
laws and regulations establish, among other things, requirements for state licensure and criteria for medical tenants to 
participate in government-sponsored reimbursement programs, such as the Medicare and Medicaid programs. The Company's 
leases generally require the tenant to comply with all applicable laws relating to the tenant's use and occupation of the leased 
premises. Although lease payments to the Company are not directly affected by these laws and regulations, changes in these 
programs or the loss by a tenant of its license or ability to participate in government-sponsored reimbursement programs would 
have a material adverse effect on the tenant's ability to make lease payments and could impact facility revenues to the 
Company.

The Medicare and Medicaid programs are highly regulated and subject to frequent evaluation and change. Government 
healthcare spending has increased over time; however, changes from year to year in reimbursement methodology, rates and 
other regulatory requirements have resulted in a challenging operating environment for healthcare providers. Aggregate 
spending on government reimbursement programs for healthcare services is expected to continue to rise significantly over the 
next 20 years with population growth and the anticipated expansion of public insurance programs for the uninsured and senior 
populations. However, the profitability of providing care to the rising number of Medicare and Medicaid patients may decline, 
which could adversely affect tenants' ability to make lease payments to the Company.

3In March 2010, the Health Reform Law was signed into law to provide for comprehensive reform of the United States' 
healthcare system and extend health insurance benefits to the uninsured population, with the potential to alleviate high 
uncompensated care expense to healthcare providers. However, the law also increases regulatory scrutiny of providers by 
federal and state administrative authorities, lowers annual increases in Medicare payment rates and will gradually implement 
broad cost-saving measures and shared risk-and-reward payment models.  This may slow the growth of healthcare spending, 
while also requiring providers to expand access and quality of care, presenting the industry and its individual participants with 
uncertainty and greater financial risk.

The Supreme Court of the United States continues to hear legal challenges to certain items included in the Health Reform Law.  
The implementation or repeal of the Health Reform Law, in whole or in part, could affect the economic performance of some or 
all of the Company's tenants and borrowers. The Company cannot predict the degree to which these changes may affect 
indirectly the economic performance of the Company, positively or negatively.

The Protecting Access to Medicare Act of 2014 was signed into law on April 1, 2014 and delayed a scheduled cut in Medicare 
payment rates for physician and outpatient services and provided stable rates through March 31, 2015.  Currently, there is 
widespread support in Congress to revise the current formula that determines Medicare physician-payment rates and provide 
long-term visibility for stable physician reimbursement.  If these measures or other federal budget negotiations ultimately 
require cuts to other healthcare providers' Medicare reimbursement rates or the federal healthcare programs in general, the 
Company cannot predict the degree to which these changes may affect the economic performance of some or all of the 
Company's tenants, positively or negatively.

The Company expects healthcare providers to continue to adjust to new operating and reimbursement challenges, as they have 
in the past, by increasing operating efficiency and modifying their strategies to profitably grow operations.

Legislative Developments 
Each year, legislative proposals for health policy are introduced in Congress and state legislatures, and regulatory changes are 
enacted by government agencies. These proposals, individually or in the aggregate, could significantly change the delivery of 
healthcare services, either nationally or at the state level, if implemented. Examples of significant legislation currently under 
consideration, recently enacted or in the process of implementation include: 

• 

• 

• 

• 

the Health Reform Law and proposed amendments and repeal measures and related actions at the federal and state 
level;

quality control, cost containment, and payment system reforms for Medicaid, Medicare and other public funding, such 
as expansion of pay-for-performance criteria and value-based purchasing programs, bundled provider payments, 
accountable care organizations, increased patient cost-sharing, geographic payment variations, comparative 
effectiveness research, and lower payments for hospital readmissions;

implementation of state health insurance exchanges and regulations governing their operation, whether run by the state 
or by the federal government, whereby individuals and small businesses will purchase health insurance, including 
government-funded plans, many assisted by federal subsidies that are currently under legal challenge before the 
Supreme Court; 

reform of the Medicare physician fee-for-service reimbursement formula that dictates annual updates in Medicare 
payment rates for physician services, which in recent years has called for reductions in its “Sustainable Growth Rate.” 
As part of The Protecting Access to Medicare Act of 2014, Congress continued its practice of extending physician 
Medicare rates, currently through March 31, 2015, at which time Congress must pass another fix to avoid a substantial 
cut in Medicare rates to physicians; and

• 

tax law changes affecting non-profit providers.

The Company cannot predict whether any proposals will be fully implemented, adopted, repealed, or amended, or what effect, 
whether positive or negative, such proposals would have on the Company's business.

4Environmental Matters
Under various federal, state and local environmental laws, ordinances and regulations, an owner of real property (such as the 
Company) may be liable for the costs of removal or remediation of certain hazardous or toxic substances at, under, or disposed 
of in connection with such property, as well as certain other potential costs (including government fines and injuries to persons 
and adjacent property) relating to hazardous or toxic substances. Most, if not all, of these laws, ordinances and regulations 
contain stringent enforcement provisions including, but not limited to, the authority to impose substantial administrative, civil, 
and criminal fines and penalties upon violators. Such laws often impose liability, without regard to whether the owner knew of, 
or was responsible for, the presence or disposal of such substances, and may be imposed on the owner in connection with the 
activities of a tenant or operator of the property. The cost of any required remediation, removal, fines or personal or property 
damages and the owner’s liability therefore could exceed the value of the property and/or the aggregate assets of the owner. In 
addition, the presence of such substances, or the failure to properly dispose of or remediate such substances, may adversely 
affect the owner’s ability to sell or lease such property or to borrow using such property as collateral. A property can also be 
negatively impacted either through physical contamination, or by virtue of an adverse effect on value, from contamination that 
has or may have emanated from other properties.

Operations of the properties owned, developed or managed by the Company are and will continue to be subject to numerous 
federal, state, and local environmental laws, ordinances and regulations, including those relating to the following: the 
generation, segregation, handling, packaging and disposal of medical wastes; air quality requirements related to operations of 
generators, incineration devices, or sterilization equipment; facility siting and construction; disposal of non-medical wastes and 
ash from incinerators; and underground storage tanks. Certain properties owned, developed or managed by the Company 
contain, and others may contain or at one time may have contained, underground storage tanks that are or were used to store 
waste oils, petroleum products or other hazardous substances. Such underground storage tanks can be the source of releases of 
hazardous or toxic materials. Operations of nuclear medicine departments at some properties also involve the use and handling, 
and subsequent disposal of, radioactive isotopes and similar materials, activities which are closely regulated by the Nuclear 
Regulatory Commission and state regulatory agencies. In addition, several of the properties were built during the period that 
asbestos was commonly used in building construction and other such facilities may be acquired by the Company in the future. 
The presence of such materials could result in significant costs in the event that any asbestos-containing materials requiring 
immediate removal and/or encapsulation are located in or on any facilities or in the event of any future renovation activities.

The Company has had environmental site assessments conducted on substantially all of the properties currently owned. These 
site assessments are limited in scope and provide only an evaluation of potential environmental conditions associated with the 
property, not compliance assessments of ongoing operations. While it is the Company’s policy to seek indemnification relating 
to environmental liabilities or conditions, even where leases and sale and purchase agreements do contain such provisions, there 
can be no assurances that the tenant or seller will be able to fulfill its indemnification obligations. In addition, the terms of the 
Company’s leases or financial support agreements do not give the Company control over the operational activities of its tenants 
or healthcare operators, nor will the Company monitor the tenants or healthcare operators with respect to environmental 
matters.

Insurance
The Company carries comprehensive liability insurance and property insurance covering its owned and managed properties, 
including those held under long-term ground leases. In addition, tenants under long-term single-tenant net leases are required to 
carry property insurance covering the Company’s interest in the buildings. 

Employees
At December 31, 2014, the Company employed 239 people. The employees are not members of any labor union, and the 
Company considers its relations with its employees to be excellent.

Available Information
The Company makes available to the public free of charge through its internet website the Company’s Proxy Statement, Annual 
Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, and amendments to those reports filed 
or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, as soon as reasonably 
practicable after the Company electronically files such reports with, or furnishes such reports to, the Securities and Exchange 
Commission ("SEC"). The Company’s internet website address is www.healthcarerealty.com.

The public may read and copy any materials that the Company files with the SEC at the SEC’s Public Reference Room located 
at 100 F Street, NE, Washington, DC 20549. The public may obtain information on the operation of the Public Reference Room 
by calling the SEC at 1-800-SEC-0330. The SEC also maintains electronic versions of the Company’s reports on its website at 
www.sec.gov.

5Corporate Governance Principles
The Company has adopted Corporate Governance Principles relating to the conduct and operations of the Board of Directors. 
The Corporate Governance Principles are posted on the Company’s website (www.healthcarerealty.com) and are available in 
print to any stockholder who requests a copy.

Committee Charters
The Board of Directors has an Audit Committee, Compensation Committee, Corporate Governance Committee and Executive 
Committee. The Board of Directors has adopted written charters for each committee, except for the Executive Committee, 
which are posted on the Company’s website (www.healthcarerealty.com) and are available in print to any stockholder who 
requests a copy.

Executive Officers
Information regarding the executive officers of the Company is set forth in Part III, Item 10 of this report and is incorporated 
herein by reference.

Item 1A.   Risk Factors

The following are some of the risks and uncertainties that could negatively affect the Company’s consolidated financial condition, 
results of operations, business and prospects. These risk factors are grouped into three categories: risks relating to the Company’s 
business and operations; risks relating to the Company’s capital structure and financings; and risks arising from the Company’s 
status as a REIT and the regulatory environment in which it operates.

These risks, as well as the risks described in Item 1 under the headings “Competition,” “Government Regulation,” “Legislative 
Developments,”  and  “Environmental  Matters,”  and  in  Item 7  under  the  heading  “Disclosure  Regarding  Forward-Looking 
Statements”  should  be  carefully  considered  before  making  an  investment  decision  regarding  the  Company.  The  risks  and 
uncertainties described below are not the only ones facing the Company, and there may be additional risks that the Company does 
not presently know of or that the Company currently considers not likely to have a significant impact. If any of the events underlying 
the following risks actually occurred, the Company’s business, consolidated financial condition, operating results and cash flows, 
including distributions to the Company's stockholders, could suffer, and the trading price of its common stock could decline.

Risk relating to our business and operations

The Company's expected results may not be achieved.
The Company's expected results may not be achieved, and actual results may differ materially from expectations. This may be 
the result of various factors, including, but not limited to: changes in the economy; the availability and cost of capital at 
favorable rates; changes to facility-related healthcare regulations; changes in interest rates; competition for quality assets; 
negative developments in the operating results or financial condition of  the Company's tenants, including, but not limited to, 
their ability to pay rent and repay loans; the Company's ability to reposition or sell facilities with profitable results; the 
Company's ability to re-lease space at similar rates as vacancies occur; the Company's ability to timely reinvest proceeds from 
the sale of assets at similar yields; government regulations affecting tenants' Medicare and Medicaid reimbursement rates and 
operational requirements; unanticipated difficulties and/or expenditures relating to future acquisitions and developments;  
changes in rules or practices governing the Company's financial reporting; and other legal and operational matters. 

The Company’s long-term single-tenant net leases may not be extended.
While the Company has no long-term single-tenant net leases expiring in 2015, such leases expiring in future years may not be 
extended. To the extent these properties have vacancies or subleases at lower rates upon expiration, income may decline if the 
Company is not able to re-let the properties at rental rates that are as high as the former rates. For more specific information 
concerning the Company’s expiring long-term single-tenant net leases, see “Single-Tenant Net Leases” in “Trends and Matters 
Impacting Operating Results” section of this report.

The Company’s revenues depend on the ability of its tenants under its leases to generate sufficient income from their 
operations to make rent, loan and lease guaranty payments to the Company.
The Company’s revenues are subject to the financial strength of its tenants and sponsoring health systems. The Company has no 
operational control over the business of these tenants and sponsoring health systems who face a wide range of economic, 
competitive, government reimbursement and regulatory pressures and constraints. Any slowdown in the economy, decline in 
the availability of financing from the capital markets, and changes in healthcare regulations may adversely affect the businesses 
of the Company’s tenants to varying degrees. Such conditions may further impact such tenants’ abilities to meet their 
obligations to the Company and, in certain cases, could lead to restructurings, disruptions, or bankruptcies of such tenants. In 
turn, these conditions could adversely affect the Company’s revenues and could increase allowances for losses and result in 

6impairment charges, which could decrease net income attributable to common stockholders and equity, and reduce cash flows 
from operations.

The Company may decide or may be required under purchase options to sell certain properties. The Company may not be able 
to reinvest the proceeds from sale at rates of return equal to the return received on the properties sold.
The Company had approximately $162.2 million, or 5.0% of the Company’s real estate property investments, that were subject 
to purchase options held by lessees that were exercisable as of December 31, 2014 or could become exercisable in 2015. Other 
properties have purchase options that will become exercisable in future periods. Properties with options exercisable in 2015 
produced aggregate net operating income (operating revenues, such as property operating revenue, single-tenant net lease 
revenue, and property lease guaranty revenue, less property operating expense) of approximately $18.8 million in 2014.  The 
exercise of these purchase options exposes the Company to reinvestment risk and a reduction in investment return.  Certain 
properties subject to purchase options are producing returns above the rates of return the Company expects to achieve with new 
investments. If the Company is unable to reinvest the sale proceeds at rates of return equal to the return received on the 
properties that are sold, it may experience a decline in lease revenues and profitability and a corresponding material adverse 
effect on the Company’s business and financial condition, the Company’s ability to make distributions to its stockholders, and 
the market price of its common stock.

Owning real estate and indirect interests in real estate is subject to inherent risks.
The Company’s operating performance and the value of its real estate assets are subject to the risk that if its properties do not 
generate revenues sufficient to meet its operating expenses, including debt service, the Company’s cash flow and ability to pay 
dividends to stockholders will be adversely affected.

The Company may incur impairment charges on its real estate properties or other assets.
The Company performs an impairment review on its real estate properties every fiscal year. In addition, the Company assesses 
the potential for impairment of identifiable intangible assets and long-lived assets, including real estate properties, whenever 
events occur or a change in circumstances indicates that the recorded value might not be fully recoverable. The decision to sell 
a property also requires the Company to assess the potential for impairment. At some future date, the Company may determine 
that an impairment has occurred in the value of one or more of its real estate properties or other assets. In such an event, the 
Company may be required to recognize an impairment which could have a material adverse effect on the Company’s 
consolidated financial condition and results of operations.

If the Company is unable to promptly re-let its properties, if the rates upon such re-letting are significantly lower than the 
previous rates or if the Company is required to undertake significant expenditures to attract new tenants, then the Company’s 
business, consolidated financial condition and results of operations would be adversely affected.
A portion of the Company’s leases will expire over the course of any year. For more specific information concerning the 
Company’s expiring leases, see the “Trends and Matters Impacting Operating Results” section. The Company may not be able 
to re-let space on terms that are favorable to the Company or at all. Further, the Company may be required to make significant 
capital expenditures to renovate or reconfigure space to attract new tenants. If it is unable to promptly re-let its properties, if the 
rates upon such re-letting are significantly lower than the previous rates, or if the Company is required to undertake significant 
capital expenditures in connection with re-letting units, the Company’s business, consolidated financial condition and results of 
operations, the Company’s ability to make distributions to the Company’s stockholders and the trading price of the Company’s 
common stock may be materially and adversely affected.

Certain of the Company’s properties are special purpose healthcare facilities and may not be easily adaptable to other uses.
Some of the Company’s properties are specialized medical facilities. If the Company or the Company’s tenants terminate the 
leases for these properties or the Company’s tenants lose their regulatory authority to operate such properties, the Company 
may not be able to locate suitable replacement tenants to lease the properties for their specialized uses. Alternatively, the 
Company may be required to spend substantial amounts to adapt the properties to other uses. Any loss of revenues and/or 
additional capital expenditures occurring as a result may have a material adverse effect on the Company’s business, financial 
condition and results of operations, the Company’s ability to make distributions to its stockholders, and the market price of the 
Company’s common stock.

The Company has, and may have more in the future, exposure to fixed rent escalators, which could impact its growth and 
profitability.
The Company receives a significant portion of its revenues by leasing assets in which the rental rate is generally fixed with 
annual escalations. Most of these annual increases are based upon fixed percentage increases while some are based on increases 
in the Consumer Price Index. If the fixed percentage increases begin to lag behind inflation, the Company's growth and 
profitability would be negatively impacted.

7The Company’s real estate investments are illiquid and the Company may not be able to sell properties strategically targeted 
for disposition.
Because real estate investments are relatively illiquid, the Company’s ability to adjust its portfolio promptly in response to 
economic or other conditions is limited. Certain significant expenditures generally do not change in response to economic or 
other conditions, including debt service (if any), real estate taxes, and operating and maintenance costs. This combination of 
variable revenue and relatively fixed expenditures may result in reduced earnings and could have an adverse effect on the 
Company’s financial condition. In addition, the Company may not be able to sell properties targeted for disposition, including 
properties held for sale, due to adverse market conditions. This may negatively affect, among other things, the Company’s 
ability to sell properties on favorable terms, execute its operating strategy, repay debt, pay dividends or maintain its REIT 
status.

The Company is subject to risks associated with the development and redevelopment of properties.
The Company expects development and redevelopment of properties will continue to be a key component of its growth plans.  
The Company is subject to certain risks associated with the development of properties including the following:

•  The construction of properties generally requires various government and other approvals that may not be received 

when expected, or at all, which could delay or preclude commencement of construction;

•  Development opportunities that the Company pursued but later abandoned could result in the expensing of pursuit 

costs, which could impact the Company’s consolidated results of operations;

•  Construction costs could exceed original estimates, which could impact the building’s profitability to the Company;

•  Operating expenses could be higher than forecasted;

•  Time required to initiate and complete the construction of a property and to lease up a completed development 

property may be greater than originally anticipated, thereby adversely affecting the Company’s cash flow and liquidity;

•  Occupancy rates and rents of a completed development property may not be sufficient to make the property profitable 

to the Company; and

• 

Favorable capital sources to fund the Company’s development activities may not be available when needed.

The Company may make material acquisitions and undertake developments that may involve the expenditure of significant 
funds and may not perform in accordance with management’s expectations.
The Company regularly pursues potential transactions to acquire or develop additional real estate assets.  Future acquisitions 
could require the Company to issue equity securities, incur debt or other contingent liabilities or amortize expenses related to 
other intangible assets, any of which could adversely impact the Company’s consolidated financial condition or results of 
operations. In addition, equity or debt financing required for such acquisitions may not be available at favorable times or rates.

The Company’s acquired, developed and existing real estate properties may not perform in accordance with management’s 
expectations because of many factors including the following:

•  The Company’s purchase price for acquired facilities may be based upon a series of market or building-specific 

judgments which may be incorrect;

•  The costs of any maintenance or improvements for properties might exceed estimated costs;

•  The Company may incur unexpected costs in the acquisition, construction or maintenance of real estate assets that 

could impact its expected returns on such assets; and

•  Leasing of real estate properties may not occur within expected time frames or at expected rental rates.

Further, the Company can give no assurance that acquisition and development opportunities that meet management’s 
investment criteria will be available when needed or anticipated.

The Company is exposed to risks associated with entering new geographic markets.
The Company’s acquisition and development activities may involve entering geographic markets where the Company has not 
previously had a presence. The construction and/or acquisition of properties in new geographic areas involves risks, including 
the risk that the property will not perform as anticipated and the risk that any actual costs for site development and 
improvements identified in the pre-construction or pre-acquisition due diligence process will exceed estimates. There is, and it 

8is expected that there will continue to be, significant competition for investment opportunities that meet management’s 
investment criteria, as well as risks associated with obtaining financing for acquisition activities, if necessary.

Many of the Company’s properties are held under ground leases. These ground leases contain provisions that may limit the 
Company’s ability to lease, sell, or finance these properties.
As of December 31, 2014, the Company had 93 properties, representing an aggregate net investment of approximately $1.1 
billion, that were held under ground leases. The Company’s ground lease agreements with hospitals and health systems 
typically contain restrictions that limit building occupancy to physicians on the medical staff of an affiliated hospital and 
prohibit tenants from providing services that compete with the services provided by the affiliated hospital. Ground leases may 
also contain consent requirements or other restrictions on sale or assignment of the Company’s leasehold interest, including 
rights of first offer and first refusal in favor of the lessor. These ground lease provisions may limit the Company’s ability to 
lease, sell, or obtain mortgage financing secured by such properties which, in turn, could adversely affect the income from 
operations or the proceeds received from a sale. As a ground lessee, the Company is also exposed to the risk of reversion of the 
property upon expiration of the ground lease term, or an earlier breach by the Company of the ground lease, which may have a 
material adverse effect on the Company’s business, consolidated financial condition and results of operations, the Company’s 
ability to make distributions to the Company’s stockholders and the trading price of the Company’s common stock.

The Company may experience uninsured or underinsured losses related to casualty or liability.
The Company carries comprehensive liability insurance and property insurance covering its owned and managed properties. In 
addition, tenants under long-term single-tenant net leases are required to carry property insurance covering the Company’s 
interest in the buildings. Some types of losses, such as cyber breaches, however, either may be uninsurable or too expensive to 
insure against. Should an uninsured loss or a loss in excess of insured limits occur, the Company could lose all or a portion of 
the capital it has invested in a property, as well as the anticipated future revenue from the property. In such an event, the 
Company might remain obligated for any mortgage debt or other financial obligation related to the property. The Company 
cannot give assurance that material losses in excess of insurance proceeds will not occur in the future.

The Company is subject to cyber security risks.
A cyber-attack that bypasses the Company's information technology (“IT”) security systems causing an IT security breach, may 
lead to a material disruption of the Company's IT business systems and/or the loss of business information resulting in an 
adverse business impact. Risks may include:

• 

• 

• 

future results could be adversely affected due to the theft, destruction, loss, misappropriation or release of confidential 
data or intellectual property;

operational or business delays resulting from the disruption of IT systems and subsequent clean-up and mitigation 
activities; and/or

negative publicity resulting in reputation or brand damage with the Company's tenants, sponsoring health systems or 
other operators. 

Risks relating to our capital structure and financings

The Company has incurred significant debt obligations and may incur additional debt and increase leverage in the future.
As of December 31, 2014, the Company had approximately $1.4 billion of outstanding indebtedness and the Company’s 
leverage ratio [debt divided by (debt plus stockholders’ equity less intangible assets plus accumulated depreciation)] was 
42.4%. Covenants under the unsecured credit facility due 2017 (“Unsecured Credit Facility”), the Term Loan Agreement, dated 
as of February 27, 2014, among the Company, Wells Fargo Bank, National Association, as Administrative Agent, and the other 
lenders that are party thereto (the “Unsecured Term Loan due 2019 ”) and the indentures governing the Company’s senior notes 
permit the Company to incur substantial, additional debt, and the Company may borrow additional funds, which may include 
secured borrowings. A high level of indebtedness would require the Company to dedicate a substantial portion of its cash flows 
from operations to service the debt, thereby reducing the funds available to implement the Company’s business strategy and to 
make distributions to stockholders. A high level of indebtedness could also:

• 

• 

• 

limit the Company’s ability to adjust rapidly to changing market conditions in the event of a downturn in general 
economic conditions or in the real estate and/or healthcare industries;

impair the Company’s ability to obtain additional debt financing or require potentially dilutive equity to fund 
obligations and carry out its business strategy; and

result in a downgrade of the rating of the Company’s debt securities by one or more rating agencies, which would 
increase the costs of borrowing under the Unsecured Credit Facility and the cost of issuance of new debt securities, 
among other things.

9In addition, from time to time, the Company mortgages properties to secure payment of indebtedness. If the Company is unable 
to meet its mortgage payments, then the encumbered properties could be foreclosed upon or transferred to the mortgagee with a 
consequent loss of income and asset value. A foreclosure on one or more of the Company's properties could have a material 
adverse effect on the Company’s consolidated financial condition and results of operations.

Covenants in the Company’s debt instruments limit its operational flexibility, and a breach of these covenants could materially 
affect the Company’s consolidated financial condition and results of operations.
The terms of the Unsecured Credit Facility, the Unsecured Term Loan due 2019, the indentures governing the Company’s 
outstanding senior notes and other debt instruments that the Company may enter into in the future are subject to customary 
financial and operational covenants. These provisions include, among other things: a limitation on the incurrence of additional 
indebtedness; limitations on mergers, investments, acquisitions, redemptions of capital stock, transactions with affiliates; and 
maintenance of specified financial ratios. The Company’s continued ability to incur debt and operate its business is subject to 
compliance with these covenants, which limit operational flexibility. Breaches of these covenants could result in defaults under 
applicable debt instruments, even if payment obligations are satisfied. Financial and other covenants that limit the Company’s 
operational flexibility, as well as defaults resulting from a breach of any of these covenants in its debt instruments, could have a 
material adverse effect on the Company’s consolidated financial condition and results of operations.

A change to the Company’s current dividend payment may have an adverse effect on the market price of the Company’s 
common stock.
The ability of the Company to pay dividends is dependent upon its ability to maintain funds from operations and cash flow, to 
make accretive new investments and to access capital. There can be no assurance that the Company will continue to pay 
dividends at current amounts, or at all. A failure to maintain dividend payments at current levels could result in a reduction of 
the market price of the Company’s common stock.

If lenders under the Unsecured Credit Facility fail to meet their funding commitments, the Company’s operations and 
consolidated financial position would be negatively impacted.
Access to external capital on favorable terms is critical to the Company’s success in growing and maintaining its portfolio. If 
financial institutions within the Unsecured Credit Facility were unwilling or unable to meet their respective funding 
commitments to the Company, any such failure would have a negative impact on the Company’s operations, consolidated 
financial condition and ability to meet its obligations, including the payment of dividends to stockholders.

The unavailability of equity and debt capital, volatility in the credit markets, increases in interest rates, or changes in the 
Company’s debt ratings could have an adverse effect on the Company’s ability to meet its debt payments, make dividend 
payments to stockholders or engage in acquisition and development activity.
A REIT is required by the Internal Revenue Code of 1986, as amended (the “Internal Revenue Code”) to make dividend 
distributions, thereby retaining less of its capital for growth. As a result, a REIT typically grows through steady investments of 
new capital in real estate assets. However, there may be times when the Company will have limited access to capital from the 
equity and/or debt markets. Changes in the Company’s debt ratings could have a material adverse effect on its interest costs and 
financing sources. The Company’s debt rating can be materially influenced by a number of factors including, but not limited to, 
acquisitions, investment decisions, and capital management activities. In recent years, the capital and credit markets have 
experienced volatility and at times have limited the availability of funds. The Company’s ability to access the capital and credit 
markets may be limited by these or other factors, which could have an impact on its ability to refinance maturing debt, fund 
dividend payments and operations, acquire healthcare properties and complete construction projects. If the Company is unable 
to refinance or extend principal payments due at maturity of its various debt instruments, its cash flow may not be sufficient to 
repay maturing debt and, consequently, make dividend payments to stockholders. If the Company defaults in paying any of its 
debts or honoring its debt covenants, it could experience cross-defaults among debt instruments, the debts could be accelerated 
and the Company could be forced to liquidate assets for less than the values it would otherwise receive.

The Company is exposed to increases in interest rates, which could adversely impact its ability to refinance existing debt, sell 
assets or engage in acquisition and development activity.
The Company receives a significant portion of its revenues by leasing its assets under long-term leases in which the rental rate 
is generally fixed, subject to annual rent escalators. A significant portion of the Company’s debt may be from time to time 
subject to floating rates, based on LIBOR or other indices. The generally fixed nature of revenues and the variable rate of 
certain debt obligations create interest rate risk for the Company. Increases in interest rates could make the financing of any 
acquisition or investment activity more costly. Rising interest rates could limit the Company’s ability to refinance existing debt 
when it matures or cause the Company to pay higher rates upon refinancing. An increase in interest rates also could have the 
effect of reducing the amounts that third parties might be willing to pay for real estate assets, which could limit the Company’s 
ability to sell assets at times when it might be advantageous to do so.

10The Company may enter into swap agreements from time to time that may not effectively reduce its exposure to changes in 
interest rates. 
The Company has entered into swap agreements in the past and may enter into such agreements from time to time to manage 
some of its exposure to interest rate volatility. These swap agreements involve risks, such as the risk that counterparties may fail 
to honor their obligations under these arrangements. In addition, these arrangements may not be effective in reducing the 
Company’s exposure to changes in interest rates. When the Company uses forward-starting interest rate swaps, there is a risk 
that it will not complete the long-term borrowing against which the swap is intended to hedge. If such events occur, the 
Company’s results of operations may be adversely affected.

Risks relating to government regulations

If a healthcare tenant loses its licensure or certification, becomes unable to provide healthcare services, cannot meet its 
financial obligations to the Company or otherwise vacates a facility, the Company would have to obtain another tenant for the 
affected facility.
If the Company loses a tenant or sponsor health system and is unable to attract another healthcare provider on a timely basis 
and on acceptable terms, the Company’s cash flows and results of operations could suffer.  Transfers of operations of healthcare 
facilities are often subject to regulatory approvals not required for transfers of other types of commercial operations and real 
estate.

Adverse trends in the healthcare service industry may negatively affect the Company’s lease revenues and the values of its 
investments.
The healthcare service industry may be affected by the following:

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

trends in the method of delivery of healthcare services;

competition among healthcare providers;

lower reimbursement rates from government and commercial payors, high uncompensated care expense, investment 
losses and limited admissions growth pressuring operating profit margins for healthcare providers;

availability of capital;

credit downgrades;

liability insurance expense;

regulatory and government reimbursement uncertainty resulting from the Health Reform Law;

health reform initiatives to address healthcare costs through expanded value-based purchasing programs, bundled 
provider payments, health insurance exchanges, increased patient cost-sharing, geographic payment variations, 
comparative effectiveness research, lower payments for hospital readmissions, and shared risk-and-reward payment 
models such as accountable care organizations;

Supreme Court decisions on several cases challenging the legality of certain aspects of the Health Reform Law, in 
particular, federal subsidies to individuals enrolled in the federal health insurance exchange in states where a state-
based exchange has not been established;

federal and state government plans to reduce budget deficits and address debt ceiling limits by lowering healthcare 
provider Medicare and Medicaid payment rates, while requiring increased patient access to care;

congressional efforts to repeal the Health Reform Law in whole or in part;

congressional efforts to reform the Medicare physician fee-for-service formula that dictates annual updates in payment 
rates for physician services, including significant reductions in the Sustainable Growth Rate, whether through a short-
term fix or a more long-term solution;

heightened health information technology security standards and the meaningful use of electronic health records by 
healthcare providers; and

• 

potential tax law changes affecting non-profit providers.

11These changes, among others, can adversely affect the economic performance of some or all of the tenants and sponsoring 
health systems who provide financial support to the Company’s investments and, in turn, negatively affect the lease revenues 
and the value of the Company’s property investments.

If the Company fails to remain qualified as a REIT, the Company will be subject to significant adverse consequences, including 
adversely affecting the value of its common stock.
The Company intends to operate in a manner that will allow it to continue to qualify as a REIT for federal income tax purposes. 
Although the Company believes that it qualifies as a REIT, it cannot provide any assurance that it will continue to qualify as a 
REIT for federal income tax purposes. The Company’s continued qualification as a REIT will depend on the satisfaction of 
certain asset, income, organizational, distribution, stockholder ownership and other requirements on a continuing basis. The 
Company’s ability to satisfy the asset tests depends upon the characterization and fair market values of its assets. The 
Company’s compliance with the REIT income and quarterly asset requirements also depends upon the Company’s ability to 
successfully manage the composition of the Company’s income and assets on an ongoing basis. Accordingly, there can be no 
assurance that the Internal Revenue Service (“IRS”) will not contend that the Company has operated in a manner that violates 
any of the REIT requirements.

If the Company were to fail to qualify as a REIT in any taxable year, the Company would be subject to federal income tax, 
including any applicable alternative minimum tax, on its taxable income at regular corporate rates and possibly increased state 
and local taxes (and the Company might need to borrow money or sell assets in order to pay any such tax).  Further, dividends 
paid to the Company’s stockholders would not be deductible by the Company in computing its taxable income. Any resulting 
corporate tax liability could be substantial and would reduce the amount of cash available for distribution to the Company’s 
stockholders, which in turn could have an adverse impact on the value of, and trading prices for, the Company’s common stock. 
In addition, in such event the Company would no longer be required to pay dividends to maintain REIT status, which could 
adversely affect the value of the Company’s common stock. Unless the Company were entitled to relief under certain provisions 
of the Internal Revenue Code of 1986, as amended (the “Internal Revenue Code”), the Company also would continue to be 
disqualified from taxation as a REIT for the four taxable years following the year in which the Company failed to qualify as a 
REIT.

Even if the Company remains qualified for taxation as a REIT, the Company is subject to certain federal, state and local taxes 
on its income and assets, including taxes on any undistributed taxable income, and state or local income, franchise, property and 
transfer taxes.  These tax liabilities would reduce the Company’s cash flow and could adversely affect the value of the 
Company’s common stock. For more specific information on state income taxes paid, see Note 16 to the Consolidated Financial 
Statements.

The Company’s Articles of Incorporation contain limits and restrictions on transferability of the Company’s common stock which 
may have adverse effects on the value of the Company’s common stock.
In order to qualify as a REIT, no more than 50% of the value of the Company’s outstanding shares may be owned, directly or 
indirectly, by five or fewer individuals (as defined in the Internal Revenue Code to include certain entities) during the last half 
of a taxable year.  To assist in complying with this REIT requirement, the Company’s Articles of Incorporation contain 
provisions restricting share transfers where the transferee (other than specified individuals involved in the formation of the 
Company, members of their families and certain affiliates, and certain other exceptions) would, after such transfer, own (a) 
more than 9.9% either in number or value of the outstanding common stock of the Company or (b) more than 9.9% either in 
number or value of any outstanding preferred stock of the Company. If, despite this prohibition, stock is acquired increasing a 
transferee’s ownership to over 9.9% in value of either the outstanding common stock or any preferred stock of the Company, 
the stock in excess of this 9.9% in value is deemed to be held in trust for transfer at a price that does not exceed what the 
purported transferee paid for the stock, and, while held in trust, the stock is not entitled to receive dividends or to vote. In 
addition, under these circumstances, the Company has the right to redeem such stock.  These restrictions on transfer of the 
Company’s shares could have adverse effects on the value of the Company’s common stock.

Dividends payable by REITs do not qualify for the reduced tax rates available for some dividends. 
The federal tax rate applicable to income from “qualified dividends” payable to certain domestic stockholders that are 
individuals, trusts and estates is currently the preferential tax rate applicable to long-term capital gains. Dividends payable by 
REITs, however, are generally not qualified dividends and do not qualify for the preferential tax rate. The more favorable rates 
applicable to regular corporate qualified dividends could cause investors who are individuals, trusts and estates to perceive 
investments in REITs to be relatively less attractive than investments in the stocks of non-REIT corporations that pay dividends, 
which could adversely affect the value of the stock of REITs, including the Company’s common stock.

12Complying with the REIT requirements may cause the Company to forego otherwise attractive opportunities. 
To qualify as a REIT for federal income tax purposes, the Company must continually satisfy tests concerning, among other 
things, the sources of its income, the nature of its assets, the amounts it distributes to its stockholders and the ownership of its 
stock. The Company may be unable to pursue investments that would be otherwise advantageous to the Company in order to 
satisfy the source-of-income, or distribution requirements for qualifying as a REIT. Thus, compliance with the REIT 
requirements may hinder the Company’s ability to make certain attractive investments.

Qualifying as a REIT involves highly technical and complex provisions of the Internal Revenue Code. 
Qualification as a REIT involves the application of highly technical and complex provisions of the Internal Revenue Code for 
which only limited judicial and administrative authorities exist. Even a technical or inadvertent violation could jeopardize the 
Company’s REIT qualification. The Company’s continued qualification as a REIT will depend on the Company’s satisfaction of 
certain asset, income, organizational, distribution, stockholder ownership and other requirements on a continuing basis. In 
addition, the Company’s ability to satisfy the requirements to qualify as a REIT depends in part on the actions of third parties 
over which the Company has no control or only limited influence, including in cases where the Company owns an equity 
interest in an entity that is classified as a partnership for U.S. federal income tax purposes.

New legislation or administrative or judicial action, in each instance potentially with retroactive effect, could make it more 
difficult or impossible for the Company to qualify as a REIT. 
The present federal income tax treatment of REITs may be modified, possibly with retroactive effect, by legislative, judicial or 
administrative action at any time, which could affect the federal income tax treatment of an investment in the Company. The 
federal income tax rules that affect REITs are constantly under review by persons involved in the legislative process, the IRS 
and the U.S. Treasury Department, which results in statutory changes as well as frequent revisions to regulations and 
interpretations. Revisions in federal tax laws and interpretations thereof could cause the Company to change its investments and 
commitments and affect the tax considerations of an investment in the Company. There can be no assurance that new 
legislation, regulations, administrative interpretations or court decisions will not change the tax laws significantly with respect 
to the Company’s qualification as a REIT or with respect to the federal income tax consequences of qualification.

Item 1B.   Unresolved Staff Comments

None. 

Item 2.   Properties

In addition to the properties described in Item 1, “Business,” in Note 2 to the Consolidated Financial Statements, and in 
Schedule III of Item 15 of this Annual Report on Form 10-K, the Company leases office space from an unrelated third party for 
its headquarters, which are located at 3310 West End Avenue in Nashville, Tennessee. The Company’s corporate office lease 
currently covers approximately 36,653 square feet of rented space and expires on October 31, 2020. Annual base rent on the 
corporate office lease increases approximately 3.25% annually.  The Company’s base rent for 2014 was approximately $0.8 
million.    

Item 3.   Legal Proceedings

The Company is not aware of any pending or threatened litigation that, if resolved against the Company, would have a material 
adverse effect on the Company's consolidated financial position, results of operations, or cash flows.

Item 4.   Mine Safety Disclosures

Not applicable.

13PART II

Item 5.   Market for Registrant's Common Equity, Related Stockholder 
Matters and Issuer Purchases of Equity Securities

Shares of the Company’s common stock are traded on the New York Stock Exchange under the symbol “HR.” At December 31, 
2014, there were approximately 1,093 stockholders of record. The following table sets forth the high and low sales prices per 
share of common stock and the dividends declared and paid per share of common stock related to the periods indicated.

2014

First Quarter

Second Quarter

Third Quarter

Fourth Quarter (Payable on February 27, 2015)

2013

First Quarter

Second Quarter

Third Quarter

Fourth Quarter

High

Low

Dividends Declared 
and Paid per Share

$ 24.66

$ 20.85

$

26.03

25.96

28.00

23.88

23.41

23.50

$ 28.50

$ 24.07

$

30.59

27.37

24.77

23.40

21.78

20.91

0.30

0.30

0.30

0.30

0.30

0.30

0.30

0.30

Future dividends will be declared and paid at the discretion of the Board of Directors. The Company’s ability to pay dividends 
is dependent upon its ability to generate funds from operations and cash flows, and to make accretive new investments.

Equity Compensation Plan Information
The following table provides information as of December 31, 2014 about the Company’s common stock that may be issued 
upon grants of restricted stock and the exercise of options, warrants and rights under all of the Company’s existing 
compensation plans, including the 2007 Employees Stock Incentive Plan and the 2000 Employee Stock Purchase Plan.

Plan Category
Equity compensation plans approved by security
holders

Equity compensation plans not approved by security
holders

Total

Number of Securities to be 
Issued upon Exercise of 
Outstanding Options, 
Warrants and Rights (1)

Weighted Average
Exercise Price of 
Outstanding Options, 
Warrants and Rights (1)

Number of Securities 
Remaining Available for 
Future Issuance Under 
Equity Compensation Plans 
(Excluding Securities 
Reflected in the First
Column)

393,902

—

393,902

—

—

—

662,187

—

662,187

______
(1)  The Company’s outstanding rights relate only to its 2000 Employee Stock Purchase Plan. The Company is unable to 
ascertain with specificity the number of securities to be issued upon exercise of outstanding options under the 2000 
Employee Stock Purchase Plan or the weighted average exercise price of outstanding rights under that plan. The 2000 
Employee Stock Purchase Plan provides that shares of common stock may be purchased at a per share price equal to 85% 
of the fair market value of the common stock at the beginning of the offering period or a purchase date applicable to such 
offering period, whichever is lower.

14 
 
Issuer Purchases of Equity Securities
During the year ended December 31, 2014, the Company withheld shares of Company common stock to satisfy employee tax 
withholding obligations payable upon the vesting of non-vested shares, as follows:

Period

January 1 - January 31

February 1 - February 28

March 1 - March 31

April 1 - April 30

May 1 - May 31

June 1 - June 30

July 1 - July 31

August 1 - August 31

September 1 - September 30

October 1 - October 31

November 1 - November 30

December 1 - December 31

Total

Total Number of Shares
Purchased

Average Price Paid
per Share

Total Number of Shares
Purchased as Part of
Publicly Announced Plans
or Programs

Maximum Number of
Shares that May Yet Be
Purchased Under the Plans
or Programs

5,780 $

4,194

—

2,925

3,271

—

—

—

—

—

—

354,847

371,017

22.89

22.63

—

25.15

24.69

—

—

—

—

—

—

27.31

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

15Item 6.   Selected Financial Data

The following table sets forth financial information for the Company, which is derived from the Consolidated Financial 
Statements of the Company:

(Amounts in thousands except per share data)
Statement of Operations Data:

Total revenues
Total expenses
Other income (expense)
Income (loss) from continuing operations
Discontinued operations

Net income (loss) attributable to common

       stockholders

Diluted earnings per common share:

Income (loss) from continuing operations
Discontinued operations

Net income attributable to common

        stockholders

Weighted average common shares outstanding -

          Diluted

Balance Sheet Data (as of the end of the period):

Real estate properties, gross
Real estate properties, net
Mortgage notes receivable
Assets held for sale and discontinued
       operations, net
Total assets
Notes and bonds payable
Total equity

Other Data:

$

$
$

$

$

$

2014

2013 (1)

2012 (1)

2011 (1)

2010 (1)

Year Ended December 31,

$

370,855
267,100
(69,776)
33,979
$
(1,779) $

$

330,949
243,331
(100,710)

(13,092) $
$
20,075

$

297,682
224,592
(73,982)

(892) $
$
6,427

$

272,077
207,303
(77,125)
(12,351) $
$
12,167

229,721
173,513
(63,692)
(7,484)
15,728

31,887

$

6,946

$

5,465

$

(214) $

8,200

$

0.35
(0.02)

(0.14) $
0.22

(0.01) $
0.08

(0.17) $
0.17

(0.12)
0.25

0.33

$

0.08

$

0.07

$

(0.00) $

0.13

96,759

90,941

78,845

72,720

61,723

$ 3,258,279
$ 2,557,608
1,900
$

$ 3,067,187
$ 2,435,078
125,547
$

$ 2,821,323
$ 2,240,706
162,191
$

$ 2,778,903
$ 2,266,777
97,381
$

$ 2,562,570
$ 2,081,608
36,599
$

$
9,146
$ 2,757,510
$ 1,403,692
$ 1,221,054

$
6,852
$ 2,729,662
$ 1,348,459
$ 1,245,286

$
3,337
$ 2,539,972
$ 1,293,044
$ 1,120,944

$
28,650
$ 2,521,022
$ 1,393,537
$ 1,004,806

$
23,915
$ 2,357,309
$ 1,407,855
842,740
$

Funds from operations - Diluted (2)
$
Funds from operations per common share - Diluted (2) $
$
Cash flows from operations
$
Dividends paid
Dividends declared and paid per common share

$

143,493

1.48
125,370
116,371

1.20

$

$
$
$

$

90,153

0.98
120,797
111,571

1.20

$

$
$
$

$

104,665

1.31
116,397
96,356

1.20

$

$
$
$

$

84,682

1.15
107,852
89,270

1.20

$

$
$
$

$

79,084

1.26
87,756
75,821

1.20

______
(1)  The years ended December 31, 2013, 2012, 2011, and 2010 are restated to conform to the discontinued operations 

presentation for 2014. See Note 6 to the Consolidated Financial Statements for more information on the Company’s 
discontinued operations as of December 31, 2014.  

(2)  See “Management’s Discussion and Analysis of Financial Condition and Results of Operations” for a discussion of funds 
from operations (“FFO”), including why the Company presents FFO and a reconciliation of net income attributable to 
common stockholders to FFO.

16 
Item 7.   Management's Discussions and Analysis of Financial Condition 
and Results of Operations

Disclosure Regarding Forward-Looking Statements
This report and other materials Healthcare Realty has filed or may file with the Securities and Exchange Commission (“SEC”), 
as well as information included in oral statements or other written statements made, or to be made, by senior management of 
the Company, contain, or will contain, disclosures that are “forward-looking statements.” Forward-looking statements include 
all statements that do not relate solely to historical or current facts and can be identified by the use of words such as “may,” 
“will,” “expect,” “believe,” “anticipate,” “target,” “intend,” “plan,” “estimate,” “project,” “continue,” “should,” “could” 
and other comparable terms. These forward-looking statements are based on the current plans and expectations of management 
and are subject to a number of risks and uncertainties that could significantly affect the Company’s current plans and 
expectations and future financial condition and results.

Such risks and uncertainties include, among other things, the following:

•  The Company's expected results may not be achieved;

•  The Company's long-term single-tenant net leases may not be extended;

•  The Company’s revenues depend on the ability of its tenants to generate sufficient income from their operations to 

make rent, loan and lease guaranty payments to the Company;

•  The Company may decide or may be required under purchase options to sell certain properties. The Company may not 

be able to reinvest the proceeds from sale at rates of return equal to the return received on the properties sold;

•  Owning real estate and indirect interests in real estate is subject to inherent risks;

•  The Company may incur impairment charges on its real estate properties or other assets;

• 

If the Company is unable to promptly re-let its properties, if the rates upon such re-letting are significantly lower than 
the previous rates or if the Company is required to undertake significant expenditures to attract new tenants, then the 
Company’s business, financial condition and results of operations would be adversely affected;

•  Certain of the Company’s properties are special purpose healthcare facilities and may not be easily adaptable to other 

uses;

•  The Company has, and may have more in the future, exposure to fixed rent escalators, which could impact its growth 

and profitability;

•  The Company’s real estate investments are illiquid and the Company may not be able to sell properties strategically 

targeted for disposition;

•  The Company is subject to risks associated with the development and redevelopment of properties;

•  The Company may make material acquisitions and undertake developments that may involve the expenditure of 

significant funds and may not perform in accordance with management’s expectations;

•  The Company is exposed to risks associated with entering new geographic markets;

•  Many of the Company’s properties are held under ground leases. These ground leases contain provisions that may limit 

the Company’s ability to lease, sell, or finance these properties;

•  The Company may experience uninsured or underinsured losses related to casualty or liability;

•  The Company is subject to cyber security risks;

•  The Company has incurred significant debt obligations and may incur additional debt and increase leverage in the 

future;

•  Covenants in the Company’s debt instruments limit its operational flexibility, and a breach of these covenants could    

materially affect the Company’s financial condition and results of operations;

•  A change to the Company’s current dividend payment may have an adverse effect on the market price of the 

Company’s common stock;

• 

If lenders under the Unsecured Credit Facility fail to meet their funding commitments, the Company’s operations and 
consolidated financial position would be negatively impacted;

17•  The unavailability of equity and debt capital, volatility in the credit markets, increases in interest rates, or changes in 

the Company’s debt ratings could have an adverse effect on the Company’s ability to meet its debt payments, make 
dividend payments to stockholders or engage in acquisition and development activity;

•  The Company is exposed to increases in interest rates, which could adversely impact its ability to refinance existing 

debt, sell assets or engage in acquisition and development activity;

•  The Company may enter into swap agreements from time to time that may not effectively reduce its exposure to 

changes in interest rates;

• 

If a healthcare tenant loses its licensure or certification, becomes unable to provide healthcare services, cannot meet its 
financial obligations to the Company or otherwise vacates a facility, the Company would have to obtain another tenant 
for the affected facility;

•  Adverse trends in the healthcare service industry may negatively affect the Company’s lease revenues and the value of 

its investments;

• 

If the Company fails to remain qualified as a REIT, the Company will be subject to significant adverse consequences, 
including adversely affecting the value of its common stock;

•  The Company's Articles of Incorporation contain limits and restrictions on transferability of the Company's common 

stock which may have adverse effects on the value of the Company's common stock;

•  Dividends payable by REITs do not qualify for the reduced tax rates available for some dividends;

•  Complying with the REIT requirements may cause the Company to forego otherwise attractive opportunities;

•  Qualifying as a REIT involves highly technical and complex provisions of the Internal Revenue Code; and

•  New legislation or administrative or judicial action, in each instance potentially with retroactive effect, could make it 

more difficult or impossible for the Company to qualify as a REIT.

Other risks, uncertainties and factors that could cause actual results to differ materially from those projected are detailed in 
Item 1A “Risk Factors” of this report and in other reports filed by the Company with the SEC from time to time.

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

The purpose of this Management's Discussion and Analysis is to provide an understanding of the Company's consolidated 
financial condition, results of operations and cash flows by focusing on the changes in key measures from year to year.  This 
section is provided as a supplement to, and should be read in conjunction with, the Company's Consolidated Financial 
Statements and accompanying notes.  This section is organized in the following sections:

•  Overview

•  Liquidity and Capital Resources

•  Trends and Matters Impacting Operating Results

•  Non-GAAP Measures

•  Results of Operations

•  Off-balance Sheet Arrangements

•  Contractual Obligations

•  Application of Critical Accounting Policies

Overview
The Company owns and operates healthcare properties that facilitate the delivery of care in a lower-cost, primarily outpatient 
setting.  To execute its strategy, the Company integrates owning, managing, financing and developing such properties and 
provides a broad spectrum of real estate services including leasing, property management, acquisition and development.  The 
Company generates stable, growing income and lowers the long-term risk profile of its portfolio of properties by focusing on 
facilities located on or near the campuses of large, acute care hospitals associated with leading health systems.  The Company 
reduces financial and operational risk by owning properties in diverse geographic locations with a diversity of tenants, 
including over 30 physician specialties, as well as surgery, imaging, cancer and diagnostic centers.

18Liquidity and Capital Resources
The Company monitors its liquidity and capital resources and relies on several key indicators in its assessment of capital 
markets for financing acquisitions and other operating activities as needed, including the following:

•  Leverage ratios and lending covenants;

•  Dividend payout percentage; and

• 

Interest rates, underlying treasury rates, debt market spreads and equity markets.

The Company uses these indicators and others to compare its operations to its peers and to help identify areas in which the 
Company may need to focus its attention.

Sources and Uses of Cash
The Company's revenues are derived from its real estate property and mortgage portfolio based on contractual arrangements 
with its tenants, sponsoring health systems and borrowers. These sources of revenue represent the Company's primary source of 
liquidity to fund its dividends and its operating expenses, including interest incurred on debt, general and administrative costs, 
and other expenses incurred in connection with managing its existing portfolio and investing in additional properties.  To the 
extent additional investments are not funded by these sources, the Company will fund its investment activity generally through 
equity or debt issuances either in the public or private markets or through proceeds from its Unsecured Credit Facility.

The Company expects to continue to meet its liquidity needs, including capital for additional investments, dividend payments 
and debt service funds through cash on hand, cash flows from operations and the cash flow sources addressed above.  The 
Company also had unencumbered real estate assets with a gross book value of approximately $2.9 billion at December 31, 
2014, of which a portion could serve as collateral for secured mortgage financing.  The Company believes that its liquidity and 
sources of capital are adequate to satisfy its cash requirements.  The Company cannot, however, be certain that these sources of 
funds will be available at a time and upon terms acceptable to the Company in sufficient amounts to meet its liquidity needs.

The Company has some exposure to variable interest rates and its common stock price has been impacted by the volatility in the 
stock markets. However, the Company’s leases, which provide its main source of income and cash flow, have terms of 
approximately one to 20 years and have lease rates that generally increase on an annual basis at fixed rates or based on 
consumer price indices.

Operating Activities
Cash flows provided by operating activities for the three years ended December 31, 2014, 2013 and 2012 were $125.4 million, 
$120.8 million and $116.4 million, respectively. Several items impact cash flows from operating activities including, but not 
limited to, cash generated from property operations, interest payments and the timing related to the payment of invoices and 
other expenses and receipts of tenant rent.

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

See "Trends and Matters Impacting Operating Results" for additional information regarding the Company's operating activities.

Security Deposits and Letters of Credit
As of December 31, 2014, the Company held approximately $9.6 million in letters of credit and security deposits for the benefit 
of the Company in the event the obligated tenant fails to perform under the terms of its respective lease. Generally, the 
Company may, at its discretion and upon notification to the tenant, draw upon these instruments if there are any defaults under 
the leases.

19Investing Activities
The following table details the Company's cash flows used in investing activities for the years ended December 31, 2014, 2013 
and 2012:

(Dollars in thousands)
Acquisitions of real estate

Development of real estate

Additional long-lived assets

Funding of mortgages and notes receivable

Proceeds from acquisition of real estate upon mortgage note receivable default

Proceeds from sales of real estate

Proceeds from sale of cost method investment in real estate

Proceeds from mortgage repayment by previously consolidated VIE

Proceeds from mortgages and notes receivable repayments

Net cash used in investing activities

Year Ended December 31,

2014

2013

2012

$ (71,899) $ (177,744) $ (89,640)

—

—

(7,833)

(70,670)

(72,784)

(62,251)

(1,244)

(58,731)

(78,297)

204

32,398

—

—

5,623

—

96,132

2,717

—

2,464

—

74,817

—

35,057

14,893

$ (105,588) $ (207,946) $ (113,254)

A summary of the significant transactions impacting investing activities for the year ended December 31, 2014 is listed below.  
In addition, see Notes 4 and 5 to the Consolidated Financial Statements for more detail on these activities.

•  The Company acquired six medical office buildings during 2014 for a total purchase price of $83.1 million, including 

cash consideration of $64.9 million and the assumption of mortgage notes payable of $18.2 million. 

• 

• 

In March 2014, the Company also acquired ownership of a 93% leased multi-tenanted office building in Iowa in 
satisfaction of a $40.0 million mortgage note receivable that matured on January 10, 2014.

In May 2014, the Company purchased a build-to-suit facility in Oklahoma which is 100% leased to Missouri-based 
Mercy Health through 2028 for a purchase price of $85.4 million.  The purchase price was credited by an outstanding 
construction mortgage note receivable of $81.2 million and the Company paid an additional $4.2 million in cash 
consideration.  The Company funded $1.2 million on the outstanding construction mortgage note prior to purchasing 
the facility upon completion.  Subsequent to the purchase, the Company funded an additional $5.0 million and 
anticipates funding approximately $0.8 million to complete the $91.2 million development during 2015.

•  The Company disposed of nine medical office buildings in 2014 for a total sales price of $34.9 million, including cash 
consideration of $32.3 million, the origination of a $1.9 million Company-financed mortgage note receivable and $0.7 
million of closing costs and related adjustments.

•  The Company funded $40.0 million in tenant improvements at its owned properties during 2014, including $22.4 

million in first generation tenant improvements. 

•  The Company funded $15.6 million in capital additions at its owned properties during 2014, including $4.1 million 

related to ongoing redevelopment of properties.

Subsequent Acquisition

In January 2015, the Company acquired a 110,679 square foot medical office building in California for a purchase price and 
cash consideration of $39.3 million.  The property is located adjacent to two hospital campuses, one affiliated with Kaiser 
Permanente, a 106-bed hospital, and another affiliated with Washington Hospital Healthcare System, a 353-bed hospital.  This 
property was 97% leased, with leases to the two hospitals comprising 59% of the rentable square footage.

Development Opportunities

The Company is in the planning stages with several health systems and developers regarding new development opportunities, 
and management expects one or more developments to begin in 2015.  Individual properties developed by the Company 
typically range in size from 50,000 to 150,000 square feet, depending largely on the demand for hospital-based outpatient 
services and third-party medical office use.  Total costs to develop these properties can vary greatly depending on the scope and 
location of the facility, but typically range from $200 to $300 per square foot.  Construction of new buildings generally takes 12 
months or longer, and any development that starts in 2015 is not expected to have a material impact on 2015 results.  The 

20Company considers pursuing developments in light of existing obligations, the acquisition environment, capital availability, 
leasing activity, and cost, among other factors.

Financing Activities
The following table details the Company's cash flows provided by (used in) financing activities for the years ended December 
31, 2014, 2013 and 2012:

(Dollars in thousands)
Net borrowings (repayments) on unsecured credit facility

Borrowings on term loan

Borrowings on notes and bonds payable

Repayments on notes and bonds payable

Redemption of notes and bonds payable

Dividends paid

Net proceeds from issuance of common stock

Common stock redemptions

Capital contributions received from noncontrolling interests

Distributions to noncontrolling interest holders

Purchase of noncontrolling interests

Debt issuance and assumption costs

Year Ended December 31,

2014

2013

2012

$ (153,000) $ 128,000

$ (102,000)

200,000

—

—

247,948

—

—

(12,357)

(19,984)

(4,990)

—

(371,839)

—

(116,371)

(111,571)

(96,356)

76,856

220,252

202,352

(10,074)

—

(541)

(8,189)

(1,258)

(454)

1,806

(32)

—

(5,082)

(68)

—

(40)

—

(3)

Net cash provided by (used in) financing activities

$ (24,934) $

89,044

$

(1,105)

Below is a summary of the significant financing activity for the year ended December 31, 2014.  See Notes 10 and 11 to the 
Consolidated Financial Statements for more information on the capital markets and financing activities.

Changes in Debt Structure

• 

• 

• 

• 

In February 2014, the Company entered into a $200.0 million unsecured term loan facility ("Unsecured Term Loan due 
2019") with a syndicate of nine lenders that matures on February 26, 2019.  The Unsecured Term Loan due 2019 bears 
interest at a rate equal to (x) LIBOR plus (y) a margin ranging from 1.00% to 1.95% (currently 1.45%) based upon the 
Company's unsecured debt ratings.  Payments under the Unsecured Term Loan due 2019 are interest only, with the full 
amount of the principal due at maturity.  The Unsecured Term Loan due 2019 may be prepaid at any time, without 
penalty.  The proceeds from the Unsecured Term Loan due 2019 were used by the Company to repay borrowings on its 
unsecured revolving credit facility due 2017 ("Unsecured Credit Facility").  The Unsecured Term Loan due 2019 has 
various financial covenant provisions that are required to be met on a quarterly and annual basis that are equivalent to 
those of the Unsecured Credit Facility. 

In July 2014, upon the acquisition of a real estate property in Minnesota, the Company assumed a series 2010B Bond 
due 2017 totaling $0.5 million, a Series 2010A Bond due 2022 totaling $1.2 million, a Series 2010A Bond due 2030 
totaling $2.8 million and a Series 2010A Bond due 2040 totaling $7.0 million.  The aggregate outstanding balance of 
these bonds is approximately $11.4 million excluding a fair value adjustment premium recorded upon acquisition of 
approximately $1.0 million.  The mortgage notes payable have a weighted average contractual interest rate of 6.67% 
(effective rate of 4.79%).  The Series 2010A Bonds can be repaid without penalty on or after May 1, 2020.  See Note 4 
of the Consolidated Financial Statements for more information regarding this transaction.

In October 2014, upon the acquisition of a real estate property, the Company assumed a mortgage note payable totaling 
$6.8 million excluding the fair value premium of $0.4 million recorded upon acquisition.  This note bears a contractual 
interest rate of 6.10% (effective rate of 4.86%) and matures on August 1, 2020.  See Note 4 of the Consolidated 
Financial Statements for more information regarding this transaction.

In October 2014, the Company repaid three mortgage notes payable totaling $6.3 million bearing a weighted average 
contractual interest rate of 6.08% (effective rate of 4.06%) that encumbered two medical office buildings in Virginia.

As of December 31, 2014, 96.4% of the Company’s debt balances were due after 2015. Also, as of December 31, 2014, the 
Company’s stockholders’ equity totaled approximately $1.2 billion and its leverage ratio [debt divided by (debt plus 
stockholders’ equity less intangible assets plus accumulated depreciation)] was approximately 42.4%. The Company’s fixed 
charge ratio, calculated in accordance with Item 503 of Regulation S-K, includes only income from continuing operations 

21which is reduced by depreciation and amortization and the operating results of properties currently classified as held for sale, as 
well as other income from discontinued operations (see Note 6 to the Consolidated Financial Statements). In accordance with 
this definition, the Company’s earnings from continuing operations as of December 31, 2014 were sufficient to cover its fixed 
charges with a ratio of 1.46 to 1.00.  Calculated in accordance with the fixed charge covenant ratio under its Unsecured Credit 
Facility, the Company’s earnings covered its fixed charges 2.8 times.

The Company’s various debt agreements contain certain representations, warranties, and financial and other covenants 
customary in such debt agreements. Among other things, these provisions require the Company to maintain certain financial 
ratios and minimum tangible net worth and impose certain limits on the Company’s ability to incur indebtedness and create 
liens or encumbrances. At December 31, 2014, the Company was in compliance with the financial covenant provisions under 
all of its various debt instruments.

The Company plans to manage its capital structure to maintain compliance with its debt covenants consistent with its current 
profile. Downgrades in ratings by the rating agencies could have a material adverse impact on the Company’s cost and 
availability of capital, which could in turn have a material adverse impact on consolidated results of operations, liquidity and/or 
financial condition.

Common Stock Issuances 

The following table summarizes the sales of common stock under the Company's at-the-market equity program: 

2014

2013

Shares 
Sold

3,009,761

5,207,871

Sales Price 
Per Share

$24.35 - $27.53

$24.19 - $30.49

$

$

Net 
Proceeds
(in millions)

75.7

140.6

The Company used the net proceeds from the at-the-market equity offering program for general corporate purposes, including 
the acquisition and development of healthcare facilities, funding of mortgage loans and the repayment of debt.

Dividends Payable

The Company is required to pay dividends to its stockholders at least equal to 90% of its taxable income in order to maintain its 
qualification as a REIT. Common stock cash dividends paid during or related to 2014 are shown in the table below:

Quarter
4th Quarter 2013

1st Quarter 2014

2nd Quarter 2014

3rd Quarter 2014

4th Quarter 2014

Quarterly
Dividend

0.30

0.30

0.30

0.30

0.30

$

$

$

$

$

Date of Declaration

Date of Record

Date Paid/*Payable

February 4, 2014

February 18, 2014

February 28, 2014

April 29, 2014

May 16, 2014

May 30, 2014

July 29, 2014

August 14, 2014

August 29, 2014

November 4, 2014

November 14, 2014 November 28, 2014

February 3, 2015

February 17, 2015

* February 27, 2015

The ability of the Company to pay dividends is dependent upon its ability to generate cash flows and to make accretive new 
investments.

Noncontrolling Interest Purchase

In April 2014, the Company purchased the outstanding 40% noncontrolling equity interest in a consolidated partnership that 
owns a medical office building and parking garage in Texas, which were developed by the partnership, for an aggregate 
purchase price and cash consideration of $8.2 million.  The book value of the noncontrolling interest prior to the equity 
purchase was $1.6 million.  The remaining $6.6 million was recorded as a decrease to additional paid-in capital on the 
Company's Consolidated Balance Sheets.

Trends and Matters Impacting Operating Results
Management monitors factors and trends important to the Company and the REIT industry in order to gauge their potential 
impact on the operations of the Company. Discussed below are some of the factors and trends that management believes may 
impact future operations of the Company.

22 
Acquisitions and Dispositions 
The Company acquired six properties during 2014 for a total purchase price of $83.1 million including cash consideration of 
$64.9 million and the assumption of debt of $18.2 million (excluding $1.4 million fair value adjustment premiums recorded 
upon acquisition). In addition, the Company acquired ownership of a multi-tenanted office building in Iowa in satisfaction of a 
$40.0 million note receivable and purchased an $85.4 million property in Oklahoma.  The purchase price for the property in 
Oklahoma was offset by the repayment of an $81.2 million construction mortgage note receivable provided by the Company to 
fund the development of the property prior to acquisition and is discussed in Development Activity below.  The Company will 
continue to make selective acquisitions as it monitors the availability of properties that meet its criteria, capitalization rates, and 
cost of capital.

The Company disposed of nine medical office buildings during 2014 for a total purchase price of $34.9 million, including cash 
consideration of $32.3 million, the origination of a $1.9 million Company-financed mortgage receivable and $0.7 million of 
closing costs and adjustments. 

See the Company's discussion regarding the 2014 acquisitions and dispositions activity in Note 4 to the Consolidated Financial 
Statements.

Development Activity
In 2014, the Company had one development project in Oklahoma that was affiliated with Mercy Health, which is based in St. 
Louis, Missouri.  On May 22, 2014, the Company acquired a 100%-leased, medical office building in Oklahoma for $85.4 
million, including the elimination of the construction mortgage note receivable totaling $81.2 million.  During the second half 
of 2014, the Company recognized single-tenant net lease rental income of $3.5 million from this property.  See "Investing 
Activities" in "Liquidity and Capital Resources" for more detailed information on the Company’s activities related to this 
development projects.

No new development projects were started in 2014. During 2014, the Company saw steady leasing and occupancy improvement 
at the 12 properties categorized as development conversions. These properties were 80% occupied at December 31, 2014, 
compared to 63% occupied at the beginning of 2014. The Company has additional executed leases beyond the current 
occupancy and expects leasing momentum for these properties to continue throughout 2015. NOI for these properties increased 
from $2.3 million in the fourth quarter of 2013 to $4.2 million in the fourth quarter of 2014. During 2014, the Company funded 
$17.4 million toward first generation tenant improvements and related capital improvements at these properties.  The Company 
estimates it will need an incremental investment of at least $11.1 million for tenant improvements as these properties continue 
to lease up. Given the current level of occupancy and executed leases, the Company has moved these properties into its 
stabilized portfolio as of January 1, 2015.  These 12 properties will be included in the Company’s same store properties 
beginning in the first quarter of 2015.

The Company is in the process of redeveloping two properties in Tennessee and is in discussions to expand the scope and 
budget of those projects.  The Company has spent approximately $4.1 million toward these projects through December 31, 
2014.  In the first quarter of 2015, the Company expects to commence the redevelopment of a property in Alabama, including 
the construction of a parking garage.  The total redevelopment budget for this property is $15.4 million and it is expected that 
construction will be completed near the end of 2015.

Multi-Tenant Leases
The Company expects that approximately 15% to 20% of the leases in its multi-tenant portfolio will expire each year.  During 
2014, 499 leases in the Company's multi-tenant portfolio expired, of which 397 were renewed or the tenants continue to occupy 
the space. Demand for well-located real estate with complementary practice types and services remains consistent and the 
Company's 2014 quarterly tenant retention statistics ranged from 76% to 87%. In 2015, 411 leases in the Company's multi-
tenant portfolio are scheduled to expire. Of those leases, 89% are physician practices in on-campus buildings, which tend to 
have a higher tenant retention rate.  

23Multi-tenant Rental Rates and Lease Management
The Company continues to emphasize revenue growth for its in-place leases. In 2014, the Company experienced contractual 
rental rate growth which averaged 2.9% for in-place leases compared to 3.1% in 2013. The Company saw increases in its 
quarterly weighted average rental rate growth for renewing leases, unadjusted for rent abatements.  For the years ended 
December 31, 2014 and 2013, quarterly weighted average rental rate growth ("cash releasing spread") for renewing leases 
ranged from 1.1% to 4.4% and 0.5% to 2.5%, respectively. 

In a further effort to maximize revenue growth and reduce its exposure to uncontrollable expenses such as taxes and utilities, 
the Company carefully manages its balance of lease types.  Gross leases, wherein the Company has full exposure to all 
operating expenses, comprise 17% of its lease portfolio.  Generally, the Company seeks higher rental increases for gross leases 
to compensate for its exposure to all operating expenses.  Modified gross or base year leases, in which the Company and tenant 
both pay a share of operating expenses, comprise 35% of the Company's leased portfolio.  Net leases, in which tenants pay all 
allowable operating expenses, total 48% of the leased portfolio.  

Tenant Improvements
The Company may provide a tenant improvement allowance in new or renewal leases for the purpose of refurbishing or 
renovating tenant space. Shorter-term leases (one to two years) generally do not include a tenant improvement allowance. In 
instances where the Company negotiates a renewal lease but does not increase the rental rate in the first year of the renewal 
term, it limits or eliminates a tenant's improvement allowance.

Tenant improvements totaled approximately $40.0 million, or $2.81 per square foot in 2014, of which $22.4 million pertained 
to first generation space.  Tenant improvements in 2013 totaled $46.1 million, or $3.31 per square foot, of which $34.9 million 
pertained to first generation space.  If tenants spend more than the allowance, the Company generally offers the tenant the 
option to either amortize the overage over the lease term, with interest, or reimburse the overage to the Company in a lump 
sum. In either case, such overages are amortized by the Company as rental income over the term of the lease. Interest earned on 
tenant overages is included in other operating income in the Company's Consolidated Statements of Operations and totaled 
approximately $0.7 million in 2014 and $0.5 million in 2013. The tenant overage amount amortized to rent totaled 
approximately $4.2 million in 2014 and $3.9 million in 2013.

Leasing Commissions
In certain markets, the Company may pay leasing commissions to real estate brokers who represent either the Company's 
properties or prospective tenants, with commissions generally equating to 4% to 6% of the gross lease value for new leases and 
2% to 4% of the gross lease value for renewal leases.  In 2014, the Company paid leasing commissions of approximately $7.0 
million, or $0.49 per square foot, of which $2.5 million pertained to the leases for first generation space.  In 2013, the Company 
paid leasing commissions of approximately $7.8 million, or $0.56 per square foot, of which $4.1 million pertained to the leases 
for first generation space.  The amount of leasing commissions amortized over the term of the applicable leases and included in 
property operating expense in the Company's Consolidated Statements of Operations totaled $3.0 million, $2.0 million and $1.2 
million for the years ended December 31, 2014, 2013 and 2012, respectively.

Rent Abatements
Rent abatements, which generally take the form of deferred rent, are sometimes used to help induce a potential tenant to lease 
space in the Company's properties. Such abatements, when made, are amortized by the Company on a straight-line basis against 
rental income over the lease term. Rent abatements for 2014 totaled approximately $3.8 million, or $0.27 per square foot, of 
which $2.4 million pertained to leases for first generation space.  Rent abatements for 2013 totaled approximately $4.1 million, 
or $0.29 per square foot, of which $1.7 million pertained to leases for first generation space.

Single-Tenant Net Leases
Leases on eight single-tenant net lease properties expired in the second half of 2014.  These leases generated approximately 
$6.4 million in net operating income for the year ended December 31, 2014.  Seven of these leases renewed at favorable rates.  
The remaining lease relates to an 45,548 square foot on-campus medical office building 83% occupied by subtenants.  The 
Company is in the process of executing leases with the subtenants.

There are no single-tenant net leases with expiration dates in 2015.  The Company has a total of 36 single-tenant net leases with 
a weighted average remaining lease term of 10.5 years.

Operating Leases
As of December 31, 2014, the Company was obligated under operating lease agreements consisting primarily of the Company’s 
corporate office lease and ground leases related to 45 real estate investments, excluding those ground leases the Company has 
prepaid. These operating leases have expiration dates through 2105. Rental expense relating to the operating leases for the years 
ended December 31, 2014, 2013 and 2012 was $4.9 million, $4.4 million and $4.3 million, respectively.

24Capital Additions
As a part of the Company's leasing practice, the Company generates a return on capital additions by setting lease rates for each 
property based on the Company's gross investment, inclusive of any actual or expected capital additions.  The Company 
invested $15.6 million, or $1.10 per square foot, in capital additions in 2014 of which $4.0 million pertained to the 
redevelopment of two properties in Tennessee and $11.9 million, or $0.85 per square foot, in 2013 of which $0.1 million 
pertained to the redevelopment of two properties in Tennessee.  Capital additions are long-term investments made to maintain 
and improve the physical and aesthetic attributes of the Company's owned properties. Examples of such improvements include, 
but are not limited to, material changes to, or the full replacement of, major building systems (exterior facade, building 
structure, roofs, elevators, mechanical systems, electrical systems, energy management systems, upgrades to existing systems 
for improved efficiency) and common area improvements (furniture, signage and artwork, bathroom fixtures and 
finishes, exterior landscaping, parking lots or garages). These additions are capitalized into the gross investment of a property 
and then depreciated over their estimated useful lives, typically ranging from 7 to 20 years. Capital additions specifically do not 
include recurring maintenance expenses, whether direct or indirect, related to the upkeep and maintenance of major building 
systems or common area improvements. Capital additions also do not include improvements related to a specific tenant suite, 
unless the improvement is part of a major building system or common area improvement.

Purchase Options
The Company had approximately $162.2 million in real estate properties as of December 31, 2014 that were subject to 
exercisable purchase options or purchase options that become exercisable during 2015. The Company has approximately 
$470.9 million in real estate properties that are subject to purchase options that will become exercisable after 2015.  Additional 
information about the amount and basis for determination of the purchase price is detailed in the table below (dollars in 
thousands):

Year Exercisable
Current
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025 and thereafter
Total

Gross Real Estate Investment as of December 31, 2014

Fair Market Value Method (1)
110,041
20,740
13,203
—
—
41,521
—
16,578
19,356
—
16,012
79,372
316,823

$

$

Non Fair Market Value Method (2)
14,494
16,894
—
48,773
—
—
—
14,984
—
—
—
221,128
316,273

$

$

$

$

Total
124,535
37,634
13,203
48,773
—
41,521
—
31,562
19,356
—
16,012
300,500
633,096

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

(2) Includes properties with stated purchase prices or prices based on fixed capitalization rates.  These properties have purchase prices that are on average 12% 
greater than the Company's current gross investment.

Purchase Option Exercise

In September 2014, the Company received notice from a tenant of its intent to purchase a medical office building in 
Pennsylvania pursuant to a purchase option contained in its lease with the Company.  The Company's net investment in the 
building, included in assets held for sale, was $7.7 million at December 31, 2014, including straight-line rent receivables. The 
appraisal process is on-going and the purchase price, if the transaction closes, would be the greater of fair market value or 
approximately $15.0 million.

Discontinued Operations
As discussed in more detail in Note 1 to the Consolidated Financial Statements, the Company must present the results of 
operations of real estate assets disposed of or held for sale as discontinued operations. Therefore, the results of operations from 
such assets are classified as discontinued operations for the current period, and all prior periods presented are restated to 
conform to the current period presentation. However, as of January 1, 2015, the Company has adopted ASU 2014-08, which is 
discussed in more detail in Note 1 to the Consolidated Financial Statements.  The Company does not expect future disposals of 
individual properties to meet the definition of a discontinued operation and, therefore, the financial position and results of 
operations will not be reclassified.  

25Equity Issuances
The Company maintains an at-the-market equity offering program to sell shares of the Company's common stock from time to 
time in at-the-market sales transactions.  The primary use of the proceeds from these equity issuances is the acquisition and 
development of healthcare properties, the repayment of debt (primarily mortgage notes payable assumed through acquisitions),  
and other general corporate purposes.  The Company sold 3,009,761 shares under this program in 2014 generating net proceeds 
of $75.7 million.  In January 2015, the Company sold 531,153 shares of common stock, generating $14.9 million in net 
proceeds, leaving 1,850,486 authorized shares remaining available to be sold under the Company's existing sales agreements.

Debt Management 
The Company maintains a conservative and flexible capital structure that allows it to fund new investments and operate its 
existing portfolio.  In addition to its unsecured senior notes, Unsecured Credit Facility, and Unsecured Term Loan due 2019, the 
Company has approximately $173.3 million of mortgage notes payable, most of which were assumed when the Company 
acquired properties.  In 2015, approximately $45.4 million of these mortgage notes payable will mature.  The Company intends 
to repay the mortgage notes upon maturity.

Impact of Inflation
The Company is subject to the risk of inflation as most of its revenues are derived from long-term leases. Most of the 
Company's leases provide for fixed increases in base rents or increases based on the Consumer Price Index, and require the 
tenant to pay all or some portion of increases in operating expenses. The Company believes that these provisions mitigate the 
impact of inflation. However, there can be no assurance that the Company's ability to increase rents or recover operating 
expenses will always keep pace with inflation. 

Other Items Impacting Operations
General and administrative expenses will fluctuate quarter-to-quarter and the Company typically has higher general and 
administrative costs in the first quarter of every year as a result of employee benefit plan expenses, the expenses related to the 
grant of employee stock purchase plan options and contributions to healthcare savings accounts. These items will likely 
increase general and administrative expenses by approximately $0.5 million in the first quarter of 2015.  General and 
administrative expense is expected to be greater in 2015 as compared to 2014 due in part to an increase in non-cash pension 
expense of approximately $1.1 million.

Non-GAAP Measures
Management considers certain non-GAAP financial measures to be useful supplemental measures of the Company's operating 
performance. A non-GAAP financial measure is generally defined as one that purports to measure historical or future 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 generally accepted accounting principles ("GAAP"). Set forth below are 
descriptions of the non-GAAP financial measures management considers relevant to the Company's business and useful to 
investors, as well as reconciliations of these measures to the most directly comparable GAAP financial measures.

The non-GAAP financial measures 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. Management 
believes that in order to facilitate a clear understanding of the Company's historical consolidated operating results, these 
measures should be examined in conjunction with net income and cash flows from operations as presented in the Consolidated 
Financial Statements and other financial data included elsewhere in this Annual Report on Form 10-K.

Funds from Operations
Funds from operations (“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, plus depreciation and amortization, and after adjustments for unconsolidated partnerships and joint 
ventures.”

Management believes FFO and FFO per share provide an understanding of the operating performance of the Company’s 
properties without giving effect to certain significant non-cash items, primarily depreciation and amortization expense. 
Historical cost accounting for real estate assets in accordance with GAAP assumes that the value of real estate assets diminishes 
predictably over time. However, real estate values instead have historically risen or fallen with market conditions. The 
Company believes that by excluding the effect of depreciation, amortization and gains or losses from sales of real estate, all of 
which are based on historical costs and which may be of limited relevance in evaluating current performance, FFO and FFO per 

26share can facilitate comparisons of operating performance between periods. The Company reports FFO and FFO per share 
because these measures are observed by management to also be the predominant measures used by the REIT industry and by 
industry analysts to evaluate REITs and because FFO per share is consistently reported, discussed, and compared by research 
analysts in their notes and publications about REITs. For these reasons, management has deemed it appropriate to disclose and 
discuss FFO and FFO per share. However, FFO does not represent cash generated from operating activities determined in 
accordance with GAAP and is not necessarily indicative of cash available to fund cash needs. FFO should not be considered as 
an alternative to net income attributable to common stockholders as an indicator of the Company’s operating performance or as 
an alternative to cash flow from operating activities as a measure of liquidity.

The comparability of FFO for the year ended December 31, 2014 compared to 2013 was most significantly affected by the 
various property acquisitions during 2013 and 2014 and the results of operations of the portfolio from period to period, as well 
as the commencement of operations of properties that were previously under construction and continued leasing of the 
development conversion properties. FFO for the year ended December 31, 2013 was negatively affected by the $29.9 million in 
losses incurred on the early repayment of debt.  Also during 2013, the Company sold its interest in a cost method investment in 
an unconsolidated limited liability company and recognized a $1.5 million gain on the disposition.  This gain is included in 
FFO for the year ended December 31, 2013. Other items that impacted the comparability of FFO are discussed in the "Results 
of Operations" section.

The table below reconciles net income attributable to common stockholders to FFO for the years ended December 31, 2014, 
2013, and 2012.

(Amounts in thousands, except per share data)
Net income attributable to common stockholders

Gain on sales of real estate properties

Impairments

Real estate depreciation and amortization

Total adjustments

Funds from Operations

Funds from Operations per Common Share - Diluted

Weighted Average Common Shares Outstanding - Diluted

Year Ended December 31,

2014

$

31,887

$

2013

6,946

$

2012

5,465

(9,283)

12,029

108,860

111,606

143,493

1.48

96,759

$

$

(24,718)

(10,874)

9,889

98,036

83,207

90,153

0.98

92,387

$

$

14,908

95,166

99,200

104,665

1.31

80,128

$

$

Same Store NOI
NOI and same store NOI are non-GAAP historical financial measures of performance. 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 operating revenues (property operating revenue, single-tenant net lease 
revenue, and property lease guaranty revenue) less property operating expenses related specifically to the property portfolio. 
NOI excludes straight-line rent, general and administrative expenses, interest expense, depreciation and amortization, gains and 
losses from property sales, property management fees and other revenues and expenses not specifically related to the property 
portfolio. NOI may also be adjusted for certain expenses that are related to prior periods or are not considered to be part of the 
operations of the properties.   Same store NOI is historical and not necessarily indicative of future results.

27 
The following table reflects the Company's same store NOI for the twelve months ended December 31, 2014 and 2013. 

Same Store NOI for the

Twelve Months Ended December 31,

(Dollars in thousands)
Multi-tenant Properties

Number of Properties (1)

Investment at
December 31, 2014

2014

2013

115

$

1,527,356

$

119,648

$

118,642

Single-tenant Net Lease Properties

33

500,926

49,580

47,957

   Total

148

$

2,028,282

$

169,228

$

166,599

______
(1)  Mortgage notes receivable, corporate property and assets classified as held for sale are excluded.

Properties included in the same store analysis are stabilized properties that have been included in operations and were 
consistently reported as leased and stabilized properties for the duration of the year-over-year comparison period presented.  
Accordingly, properties that were recently acquired or disposed of, properties classified as held for sale, and properties in 
stabilization or conversion from stabilization are excluded from the same store analysis.  In addition, the Company excludes 
properties that meet the following Company-defined criteria to be included in the reposition property group:

• 

• 

Properties having less than 60% occupancy;

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

•  Anticipated significant or material changes to a particular property or its market environment; or

•  Conversions between the single-tenant net lease and multi-tenant portfolios.

28The following tables reconcile same store NOI to the respective line items in the Consolidated Statements of Operations and the 
same store property count to the total owned real estate portfolio: 

Twelve Months Ended December 31,

Reconciliation of Same Store NOI:

(Dollars in thousands)

Rental income

Property lease guaranty revenue (a)

Property operating expense

Exclude Straight-line rent revenue

NOI

NOI not included in same store

   Same store NOI

___________

   (a)  Other operating income reconciliation:

            Property lease guaranty revenue

            Interest income

            Other

2014

$

361,525

$

4,430

(134,057)

(10,969)

220,929

(51,701)

169,228

$

4,430

$

731

504

$

$

               Total consolidated other operating income $

5,665

$

Reconciliation of Same Store Property Count:

Same store properties

Acquisitions

Reposition

Development conversions

Total owned real estate properties

2013

312,322

5,114

(122,571)

(9,452)

185,413

(18,814)

166,599

5,114

457

355

5,926

Property Count as of
December 31, 2014

148

18

20

12

198

29Results of Operations
Twelve Months Ended December 31, 2014 Compared to Twelve Months Ended December 31, 2013 
The Company’s consolidated results of operations for 2014 compared to 2013 were significantly impacted by acquisitions, 
dispositions, development conversion properties, extinguishments of debt, gains on sale and impairment charges recorded on 
real estate properties.

Revenues
Rental income increased $49.2 million, or 15.8%, to approximately $361.5 million compared to $312.3 million in the prior year 
period and is comprised of the following:

(Dollars in thousands)

Property operating

Single-tenant net lease

Straight-line rent

Total Rental income

$

$

2014

2013

285,304

$

251,403

$

65,252

10,969

51,467

9,452

361,525

$

312,322

$

Change

$

33,901

13,785

1,517

49,203

%

13.5%

26.8%

16.0%

15.8%

Property operating income increased $33.9 million, or 13.5%, from the prior year as a result of the following activity:

•  Acquisitions in 2013 and 2014 contributed $20.6 million.

•  Additional leasing activity at development conversion properties contributed $9.5 million.

•  Net leasing activity including contractual rent increases and renewals contributed $3.8 million.  

Single-tenant net lease income increased $13.8 million, or 26.8%, from the prior year as a result of the following activity:

•  Acquisitions in 2013 and 2014 contributed $12.1 million.

•  New leasing activity including contractual rent increases contributed $1.7 million.

Straight-line rent income increased $1.5 million, or 16.0%, from the prior year as a result of the following activity:

•  Acquisitions in 2013 and 2014 contributed $2.7 million.

•  New leasing activity including contractual rent increases and the effects of current year rent abatements contributed 

$1.0 million.

•  The effects of prior year rent abatements that expired caused a decrease of $2.2 million.

Mortgage interest income decreased approximately $9.0 million, or 71.1%, from the prior year as a result of the following 
activity:

•  Acquisition in 2013 of a property in Missouri affiliated with Mercy Health previously funded under a construction 

mortgage note receivable resulted in a decrease of $4.2 million.

•  Acquisition in 2014 of a property in Oklahoma affiliated with Mercy Health previously funded under a construction 

mortgage note receivable resulted in a decrease of $2.6 million.

•  The Company's receipt of a deed in lieu of foreclosure related to a mortgage note receivable on a property in Iowa 

resulted in a decrease of $2.1 million.

Expenses
Property operating expenses increased $11.5 million, or 9.4%, for the twelve months ended December 31, 2014 compared to 
the prior year as a result of the following activity:

•  Acquisitions in 2013 and 2014 accounted for an increase of $8.5 million.

•  The Company experienced an overall increase in maintenance and repair of approximately $1.7 million, professional 

fees of approximately $0.6 million and utilities of approximately $0.6 million.

30General and administrative expenses decreased approximately $0.9 million, or 3.8%, for the twelve months ended 
December 31, 2014 compared to the prior year as a result of the following activity:

•  Decrease in compensation-related expenses totaling $0.7 million.

•  Decrease in expenses related to potential acquisitions and developments of $0.6 million.

• 

Increase in expenses related to state income taxes of $0.1 million and corporate office rent expense of $0.1 million.

Depreciation expense increased $13.1 million, or 15.2%, for the twelve months ended December 31, 2014 compared to the 
prior year .  Properties acquired in 2013 and 2014 and developments completed and commencing operations contributed a 
combined increase of $7.0 million.  The remaining $6.1 million increase is related to various building and tenant improvement 
expenditures.

Other Income (Expense)
Other income (expense) increased $30.9 million, or 30.7%, for the twelve months ended December 31, 2014 compared to the 
prior year period mainly due to the following activity:

Interest Expense
Interest expense decreased $1.1 million for the twelve months ended December 31, 2014 compared to the prior year. The 
components of interest expense are as follows:

(Dollars in thousands)

Contractual interest

Net discount/premium accretion

Deferred financing costs amortization

Interest cost capitalization

Total interest expense

2014

2013

$

68,327

$

69,334

$

954

3,132

—

1,132

3,228

(183)

Change

(1,007)

(178)

(96)

183

$

72,413

$

73,511

$

(1,098)

Percentage
Change
(1.5)%

(15.7%)

(3.0%)

(100.0)%

(1.5)%

Contractual interest decreased $1.0 million as a result of the following activity:

•  The Unsecured Credit Facility and Unsecured Term Loan due 2019 accounted for a net increase of $1.6 million.

• 

• 

Senior Notes due 2023 were issued in the first quarter of 2013 and accounted for an increase of $2.3 million.

Senior Notes due 2014 were repaid in the second quarter of 2013 and accounted for a decrease of $4.2 million.

•  Mortgage notes assumed upon acquisition of real properties accounted for an increase of $2.0 million, and mortgage 

notes repayments accounted for a decrease of $3.0 million.  

Deferred financing costs amortization decreased $0.2 million as a result of the Unsecured Credit Facility amendment in the first 
quarter on 2013 and related write-off of unamortized financing costs.

Loss on Extinguishments of Debt
In connection with the early repayments of debt during 2013, the Company incurred $29.6 million of losses on extinguishment 
of debt.

Gain on Sale of Cost Method Investment in Real Estate
In December 2013, the Company recognized a $1.5 million gain on the sale of a cost method investment in an unconsolidated 
limited liability company.

Interest and other income, net
In June 2014, the Company received a reimbursement of certain operating expenses paid for the years 2006 through 2013 of 
approximately $1.9 million.

Discontinued Operations
Loss from discontinued operations totaled $1.8 million and income from discontinued operations totaled $20.1 million, 
respectively, for the years ended December 31, 2014 and 2013, which includes the results of operations, impairments and gains 
on sale related to assets classified as held for sale as of December 31, 2014 or disposed of during 2014. The Company disposed 
of nine real estate properties in 2014 and disposed of 12 real estate properties and one land parcel in 2013 with two properties 
classified as held for sale as of December 31, 2014.

31Twelve Months Ended December 31, 2013 Compared to Twelve Months Ended December 31, 2012 
The Company’s consolidated results of operations for 2013 compared to 2012 were significantly impacted by acquisitions, 
dispositions, development conversion properties, gains on sale and impairment charges recorded on real estate properties.

Revenues
Rental income increased $29.9 million, or 10.6%, to approximately $312.3 million compared to $282.4 million in the prior year 
and is comprised of the following:

(Dollars in thousands)

Property operating

Single-tenant net lease

Straight-line rent

Total Rental income

$

$

2013

2012

251,403

$

233,662

$

51,467

9,452

42,183

6,599

312,322

$

282,444

$

Change

$

17,741

9,284

2,853

29,878

%

7.6%

22.0%

43.2%

10.6%

Property operating income increased $17.7 million, or 7.6%, from the prior year as a result of the following activity:

•  Acquisitions in 2012 and 2013 contributed $8.9 million.

•  Additional leasing activity at development conversion properties contributed $6.6 million. 

•  Net leasing activity including contractual rent increases and renewals contributed $2.2 million.

Single-tenant net lease income increased $9.3 million, or 22.0%, from the prior year as a result of the following activity:

•  Acquisitions in 2012 and 2013 contributed $7.7 million.

•  New leasing activity including contractual rent increases contributed $1.6 million.

Straight-line rent income increased $2.9 million, or 43.2%, from the prior year as a result of the following activity:

•  Acquisitions in 2012 and 2013 contributed $1.5 million.

•  New leasing activity including contractual rent increases and the effects of rent abatements contributed $1.4 million.

Mortgage interest increased $3.5 million, or 38.3% from the prior year as a result of the following activity:

•  Additional interest from fundings on two construction mortgage notes receivable for the two build-to-suit facilities 

affiliated with Mercy Health, one of which was acquired during 2013, of $4.4 million.

•  New Company-financed mortgage notes receivable funded during 2012 and 2013 of $0.2 million.  

•  A reduction in mortgage interest income from the repayment of mortgage notes totaling $1.1 million.

Expenses
Property operating expenses increased $9.3 million, or 8.2%, for the twelve months ended December 31, 2013 compared to the 
prior year as a result of the following activity:

•  Acquisitions in 2012 and 2013 accounted for an increase of $3.7 million.

• 

Properties that were previously under construction that commenced operations during 2012 accounted for an increase 
of $0.9 million.  

•  An overall increase in real estate taxes of approximately $3.7 million, professional fees of approximately $0.9 million 

and utility expense of approximately $0.1 million.

General and administrative expenses increased approximately $2.8 million, or 13.5%, for the twelve months ended 
December 31, 2013 compared to the prior year as a result of the following activity:

• 

• 

Increase in compensation-related expenses totaling $3.3 million including $1.8 million of non-cash, stock-based 
compensation.

Increase in expenses related to potential acquisitions and developments of $1.3 million.

•  Reduction in litigation costs of $1.7 million including a $1.0 million settlement recorded in 2012.

Depreciation expense increased $6.5 million, or 8.1%, for the twelve months ended December 31, 2013 compared to the prior 
year.  Properties acquired in 2012 and 2013 and developments completed and commencing operations contributed a combined 

32increase of $4.5 million.  The remaining $2.0 million increase is related to various building and tenant improvement 
expenditures.

Other Income (Expense)

Interest expense decreased $1.4 million for the twelve months ended December 31, 2013 compared to the prior year period.  
The components of interest expense are as follows:

(Dollars in thousands)

Contractual interest

Net discount accretion

Deferred financing costs amortization

Interest cost capitalization

Total interest expense

2013

2012

$

69,334

$

75,821

$

1,132

3,228

(183)

987

3,168

(5,021)

$

73,511

$

74,955

$

Change

(6,487)

145

60

4,838

(1,444)

Percentage
Change
(8.6)%

14.7 %

1.9 %

(96.4)%

(1.9)%

Contractual interest decreased $6.5 million primarily as a result of a lower average interest rate and lower average utilization on 
the Unsecured Credit Facility, the lower interest on the Senior Notes due 2023 issued in the first quarter of 2013 compared to 
the Senior Notes due 2014 that were repaid in the second quarter of 2013, and the repayment of a $77.3 million secured loan in 
the second quarter of 2013.  

Capitalized interest costs decreased $4.8 million due to decreased development expenditures upon completion of various 
projects in progress.

Loss on Extinguishments of Debt
In connection with the early repayments of debt during 2013, the Company incurred $29.6 million of losses on extinguishment 
of debt.

Gain on Sale of Cost Method Investment in Real Estate
In December 2013, the Company recognized a $1.5 million gain on the sale of a cost method investment in an unconsolidated 
limited liability company.

Discontinued Operations
Income from discontinued operations totaled $20.1 million and $6.4 million, respectively, for the year ended December 31, 
2013 and 2012, which includes the results of operations, impairments and gains on sale related to assets classified as held for 
sale as of December 31, 2013 or disposed of during 2013. The Company disposed of 12 real estate properties and one land 
parcel in 2013 and disposed of 19 properties in 2012 with three property classified as held for sale as of December 31, 2013.

Off-Balance Sheet Arrangements
The Company has no off-balance sheet arrangements that are reasonably likely to have a current or future material effect on its 
consolidated financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources.

33Contractual Obligations
The Company monitors its contractual obligations to manage the availability of funds necessary to meet obligations when due. 
The following table represents the Company’s long-term contractual obligations for which the Company was making payments 
as of December 31, 2014, including interest payments due where applicable. The Company is also required to pay dividends to 
its stockholders at least equal to 90% of its taxable income in order to maintain its qualification as a REIT under the Internal 
Revenue Code. The Company's material contractual obligations are included in the table below. As of December 31, 2014, the 
Company had no long-term capital lease obligations.

Payments Due by Period

(Dollars in thousands)
Long-term debt obligations, including interest (1)
Operating lease commitments (2)
Tenant improvements (3)
Pension obligations (4)

Total

Less than 
1 Year

1 -3 
Years

3 - 5 
Years

More than 5 
Years

$ 1,723,945

$

111,624

$ 550,362

$ 282,630

$

779,329

312,303

18,520

—

5,001

18,520

—

10,199

10,404

286,699

—

—

—

—

—

—

Total contractual obligations

$ 2,054,768

$

135,145

$ 560,561

$ 293,034

$ 1,066,028

______
(1)  The amounts shown include estimated interest on total debt other than the Unsecured Credit Facility, whose balance and 

interest rate may fluctuate from day to day. Excluded from the table above are the discounts on the Company's outstanding 
senior notes of approximately $4.6 million, and net premiums totaling approximately $0.7 million on 17 mortgage notes 
payable, which are included in notes and bonds payable on the Company’s Consolidated Balance Sheet as of 
December 31, 2014. The Company’s long-term debt principal obligations are presented in more detail in the table below. 

(In millions)

Unsecured Credit Facility

Unsecured Term Loan Facility

Senior Notes due 2017

Senior Notes due 2021

Senior Notes due 2023

Mortgage notes payable

Principal Balance 
at Dec. 31, 2014

Principal Balance 
at Dec. 31, 2013

Maturity 
Date

Contractual Interest
Rates at 
December 31, 2014

Principal 
Payments

Interest Payments

$

85.0

$

200.0

300.0

400.0

250.0

172.5

238.0

—

300.0

400.0

250.0

166.7

4/17

2/19

1/17

1/21

4/23

LIBOR + 1.40%

At maturity

LIBOR + 1.45%

At maturity

Quarterly

Quarterly

6.50%

At maturity

Semi-Annual

5.75%

At maturity

Semi-Annual

3.75%

At maturity

Semi-Annual

5/15-5/40

5.00%-7.63%

Monthly

Monthly

$

1,407.5

$

1,354.7

(2) 

Includes primarily the corporate office and ground leases, with expiration dates through 2105, related to various real estate 
investments for which the Company is currently making payments. 

(3)  The Company has remaining tenant improvement allowances related to first generation tenant improvements of 

approximately $5.1 million on properties that were developed by the Company.  Also, the Company has remaining tenant 
improvement allowances related to second generation tenant improvements of approximately $13.4 million.  The 
Company expects to fund these improvements in 2015. 

(4)  As of December 31, 2014, only the Company’s chief executive officer was eligible to retire under the Executive 

Retirement Plan. If the chief executive officer retired and received full retirement benefits based on his and his spouse's 
life expectancies, the future benefits to be paid are estimated to be approximately $24.5 million as of December 31, 2014. 
Because the Company does not know when its chief executive officer will retire, it has not projected when the retirement 
benefits would be paid in the table above. As of December 31, 2014, the Company had recorded a $16.5 million liability, 
included in other liabilities, related to its pension plan obligations.

34 
Application of Critical Accounting Policies to Accounting Estimates
The Company’s Consolidated Financial Statements are prepared in accordance with GAAP and the rules and regulations of the 
SEC. In preparing the Consolidated Financial Statements, management is required to exercise judgment and make assumptions 
that impact the carrying amount of assets and liabilities and the reported amounts of revenues and expenses reflected in the 
Consolidated Financial Statements.

Management routinely evaluates the estimates and assumptions used in the preparation of its Consolidated Financial 
Statements. These regular evaluations consider historical experience and other reasonable factors and use the seasoned 
judgment of management personnel. Management has reviewed the Company’s critical accounting policies with the Audit 
Committee of the Board of Directors.

Management believes the following paragraphs in this section describe the application of critical accounting policies by 
management to arrive at the critical accounting estimates reflected in the Consolidated Financial Statements. The Company’s 
accounting policies are more fully discussed in Note 1 to the Consolidated Financial Statements.

Principles of Consolidation
The Company’s Consolidated Financial Statements include the accounts of the Company, its wholly owned subsidiaries, joint 
ventures, partnerships and consolidated variable interest entities (“VIE”) where the Company controls the operating activities. 
All material intercompany accounts and transactions have been eliminated.

Management relies on a qualitative analysis based on power and benefits regarding the Company’s level of influence or control 
over an entity to determine whether or not the Company is the primary beneficiary of a variable interest entity. Consideration of 
various factors includes, but is not limited to, the Company’s ability to direct the activities that most significantly impact the 
entity’s economic performance, the Company’s form of ownership interest, the Company’s representation on the entity’s 
governing body, the size and seniority of the Company’s investment, the Company’s ability and the rights of other investors to 
participate in policy making decisions, the Company’s ability to replace the manager and/or liquidate the entity. Management’s 
ability to correctly assess its influence or control over an entity when determining the primary beneficiary of a VIE affects the 
presentation of these entities in the Company’s Consolidated Financial Statements.

If it is determined that the Company is the primary beneficiary of a VIE, the Company’s Consolidated Financial Statements 
would include the operating results of the VIE rather than the results of the variable interest in the VIE. The Company would 
also incorporate the VIE in its internal controls over financial reporting. Untimely or inaccurate financial information provided 
to the Company or deficiencies in the VIE's internal controls over financial reporting could impact the Company’s Consolidated 
Financial Statements and its internal control over financial reporting.

Capitalization of Costs
GAAP generally allows for the capitalization of various types of costs. The rules and regulations on capitalizing costs and the 
subsequent depreciation or amortization of those costs versus expensing them in the period incurred vary depending on the type 
of costs and the reason for capitalizing the costs.

Direct costs of a development project generally include construction costs, professional services such as architectural and legal 
costs, travel expenses, and land acquisition costs as well as other types of fees and expenses. These costs are capitalized as part 
of the basis of an asset to which such costs relate. Indirect costs include capitalized interest and overhead costs. Indirect costs 
are capitalized during construction and on the unoccupied space in a property for up to one year after the certificate of 
substantial completion is received. Capitalized interest is calculated using the weighted average interest rate of the Company's 
unsecured debt or the interest rate on project specific debt, if applicable. The Company’s overhead costs are based on overhead 
load factors that are charged to a project based on direct time incurred. The Company computes the overhead load factors 
annually for its acquisition and development departments, which have employees who are involved in the projects. The 
overhead load factors are computed to absorb that portion of indirect employee costs (payroll and benefits, training, occupancy 
and similar costs) that are attributable to the productive time the employee incurs working directly on projects. The employees 
in the Company’s development departments who work on these projects maintain and report their hours daily, by project. 
Employee costs that are administrative, such as vacation time, sick time, or general and administrative time, are expensed in the 
period incurred.

Acquisition-related costs of an existing real estate property include finder’s fees, advisory, legal, accounting, valuation, other 
professional or consulting fees, and certain general and administrative costs are expensed in the period incurred for acquisitions 
accounted for as a business combination under Accounting Standards Codification Topic 805, Business Combinations.  These 
costs associated with asset acquisitions are capitalized in accordance with GAAP.

35Management’s judgment is also exercised in determining whether costs that have been previously capitalized to a project should 
be reserved for or written off if or when the project is abandoned or circumstances otherwise change that would call the 
project’s viability into question. The Company follows a standard and consistently applied policy of classifying pursuit activity 
as well as reserving for these types of costs based on their classification.

The Company classifies its pursuit projects into two categories relating to development. The first category includes pursuits of 
developments that have a remote chance of producing new business. Costs for these projects are expensed in the period 
incurred. The second category includes those pursuits of developments that are either probable or highly probable to result in a 
project or contract.  Since the Company believes it is probable that these pursuits will result in a project or contract, it 
capitalizes these costs in full and records no reserve. 

Each quarter, all capitalized pursuit costs are again reviewed carefully for viability or a change in classification, and a 
management decision is made as to whether any additional reserve is deemed necessary. If necessary and considered 
appropriate, management would record an additional reserve at that time. Capitalized pursuit costs, net of the reserve, are 
carried in other assets in the Company’s Consolidated Balance Sheets, and any reserve recorded is charged to general and 
administrative expenses on the Consolidated Statements of Operations. All pursuit costs will ultimately be written off to 
expense or capitalized as part of the constructed real estate asset.

As of December 31, 2014 and 2013, the Company had fully reserved capitalized pursuit costs totaling $2.0 million and $4.0 
million, respectively.

Valuation of Long-Lived and Intangible Assets and Goodwill
Long-Lived Assets Held and Used
The Company assesses the potential for impairment of identifiable intangible assets and long-lived assets, primarily real estate 
properties, whenever events occur or a change in circumstances indicates that the carrying value might not be recoverable. 
Important factors that could cause management to review for impairment include significant underperformance of an asset 
relative to historical or expected operating results; significant changes in the Company's use of assets or the strategy for its 
overall business; plans to sell an asset before its depreciable life has ended; the expiration of a significant portion of leases in a 
property; or significant negative economic trends or negative industry trends for the Company or its operators. In addition, the 
Company reviews for possible impairment those assets subject to purchase options and those impacted by casualties, such as 
tornadoes and hurricanes. Management remains continuously alert to the factors above, and others, that could indicate an 
impairment exists.

The Company may, from time to time, be approached by a third party with interest in purchasing one or more of the Company's 
operating real estate properties that was otherwise not for sale. Alternatively, the Company may explore disposing of an 
operating real estate property but without specific intent to sell the property and without the property meeting the criteria to be 
classified as held for sale (see discussion below). In such cases, the Company and a potential buyer typically negotiate a letter 
of intent followed by a purchase and sale agreement that includes a due diligence time line for completion of customary due 
diligence procedures. Anytime throughout this period the transaction could be terminated by the parties. The Company views 
the execution of a purchase and sale agreement as a circumstance that warrants an impairment assessment and must include its 
best estimates of the impact of a potential sale in the recoverability test discussed in more detail below.

A property value is considered impaired only if management's estimate of current and projected (undiscounted and 
unleveraged) operating cash flows of the property is less than the net carrying value of the property. These estimates of future 
cash flows include only those that are directly associated with and that are expected to arise as a direct result of the use and 
eventual disposition of the property based on its estimated remaining useful life. These estimates, including the useful life 
determination which can be affected by any potential sale of the property, are based on management's assumptions about its use 
of the property. Therefore, significant judgment is involved in estimating the current and projected cash flows.  

When the Company executes a purchase and sale agreement for a held and used property, the Company performs the cash flow 
estimation described above. This assessment gives consideration to all available information, including an assessment of the 
likelihood the potential transaction will be consummated under the terms and conditions set forth in the purchase and sale 
agreement. Management will re-evaluate the recoverability of the property if and when significant changes occur as the 
transaction proceeds toward closing. Normally sale transactions will close within 15 to 30 days after the due diligence period 
expires. Upon expiration of the due diligence period, management will again re-evaluate the recoverability of the property, 
updating its assessment based on the status of the potential sale.

Whenever management determines that the carrying value of an asset that has been tested may not be recoverable, then an 
impairment charge would be recognized to the extent the current carrying value exceeds the current fair value of the asset. 
Significant judgment is also involved in making a determination of the estimated fair value of the asset.

36The Company also performs an annual goodwill impairment review. The Company's reviews are performed as of December 31 
of each year. The Company's 2014 and 2013 reviews indicated that no impairment had occurred with respect to the Company's 
$3.5 million goodwill asset.

Long-Lived Assets to be Disposed of by Planned Sale
From time to time management affirmatively decides to sell certain real estate properties under a plan of sale. The Company 
reclassifies the property or disposal group as held for sale when all the following criteria for a qualifying plan of sale are met:

•  Management, having the authority to approve the action, commits to a plan to sell the property or disposal group;

•  The property or disposal group is available for immediate sale (i.e., a seller currently has the intent and ability to 

transfer the property or disposal group to a buyer) in its present condition, subject only to conditions that are usual and 
customary for sales of such properties or disposal groups;

•  An active program to locate a buyer and other actions required to complete the plan to sell have been initiated;

•  The sale of the property or disposal group is probable (i.e., likely to occur) and the transfer is expected to qualify for 

recognition as a completed sale within one year, with certain exceptions;

•  The property or disposal group is being actively marketed for sale at a price that is reasonable in relation to its current 

fair value; and

•  Actions necessary to complete the plan indicate that it is unlikely significant changes to the plan will be made or that 

the plan will be withdrawn.

A property or disposal group classified as held for sale is initially measured at the lower of its carrying amount or fair value less 
estimated costs to sell. An impairment charge is recognized for any initial adjustment of the property's or disposal group's 
carrying amount to its fair value less estimated costs to sell in the period the held for sale criteria are met. The fair value less 
estimated costs to sell of the property (disposal group) should be assessed each reporting period it remains classified as held for 
sale. Depreciation ceases as long as a property is classified as held for sale.

If circumstances arise that were previously considered unlikely and a subsequent decision not to sell a property classified as 
held for sale were to occur, the property is reclassified as held and used. The property is measured at the time of reclassification 
at the lower of its (a) carrying amount before it was classified as held for sale, adjusted for any depreciation expense or 
impairment losses that would have been recognized had the property been continuously classified as held and used or (b) fair 
value at the date of the subsequent decision not to sell. The effect of any required adjustment is reflected in income from 
continuing operations at the date of the decision not to sell.

The Company recorded impairment charges totaling $12.0 million, $9.9 million, and $14.9 million, respectively, for the years 
ended December 31, 2014, 2013, and 2012 related to real estate properties and other long-lived assets. The impairment charges 
in 2014 related to seven properties sold, reducing the Company's carrying value on the property to the estimated fair value of 
the property less estimated costs to sell. The impairment charges in 2013 included $3.3 million related to one land parcel sold 
and $6.6 million related to three properties classified as held for sale and two properties sold, reducing the Company's carrying 
value on the property to the estimated fair value of the property less estimated costs to sell. The impairment charges in 2012 
included $11.1 million related to twelve properties sold and $3.8 million related to one property classified as held for sale, 
reducing the Company's carrying value on the property to the estimated fair value of the property less estimated costs to sell. 

Depreciation of Real Estate Assets and Amortization of Related Intangible Assets
As of December 31, 2014, the Company had investments of approximately $3.1 billion in depreciable real estate assets and 
related intangible assets. When real estate assets and related intangible assets are acquired or placed in service, they must be 
depreciated or amortized. Management’s judgment involves determining which depreciation method to use, estimating the 
economic life of the building and improvement components of real estate assets, and estimating the value of intangible assets 
acquired when real estate assets are purchased that have in-place leases.

As described in more detail in Note 1 to the Consolidated Financial Statements, when the Company acquires real estate 
properties with in-place leases, the cost of the acquisition must be allocated between the acquired tangible real estate assets “as 
if vacant” and any acquired intangible assets. Such intangible assets could include above- (or below-) market in-place leases 
and at-market in-place leases, which could include the opportunity costs associated with absorption period rentals, direct costs 
associated with obtaining new leases such as tenant improvements, and customer relationship assets. With regard to the 
elements of estimating the “as if vacant” values of the property and the intangible assets, including the absorption period, 
occupancy increases during the absorption period, and tenant improvement amounts, the Company uses the same absorption 

37period and occupancy assumptions for similar property types. Any remaining excess purchase price is then allocated to 
goodwill. The identifiable tangible and intangible assets are then subject to depreciation and amortization. Goodwill is 
evaluated for impairment on an annual basis unless circumstances suggest that a more frequent evaluation is warranted.

With respect to the building components, there are several depreciation methods available under GAAP. Some methods record 
relatively more depreciation expense on an asset in the early years of the asset’s economic life, and relatively less depreciation 
expense on the asset in the later years of its economic life. The straight-line method of depreciating real estate assets is the 
method the Company follows because, in the opinion of management, it is the method that most accurately and consistently 
allocates the cost of the asset over its estimated life. The Company assigns a useful life to its owned properties based on many 
factors, including the age and condition of the property when acquired.

Allowance for Doubtful Accounts and Credit Losses
Many of the Company’s investments are subject to long-term leases or other financial support arrangements with hospital 
systems and healthcare providers affiliated with the properties. Due to the nature of the Company’s agreements, the Company’s 
accounts receivable, notes receivable and interest receivables result mainly from monthly billings of contractual tenant rents, 
lease guaranty amounts, principal and interest payments due on notes and mortgage notes receivable, late fees and additional 
rent.

Payments on the Company’s accounts receivable are normally collected within 30 days of billing. When receivables remain 
uncollected, management must decide whether it believes the receivable is collectible and whether to provide an allowance for 
all or a portion of these receivables. Unlike a financial institution with a large volume of homogeneous retail receivables such 
as credit card loans or automobile loans that have a predictable loss pattern over time, the Company’s receivable losses have 
historically been infrequent, and are tied to a unique or specific event. The Company’s allowance for doubtful accounts is 
generally based on specific identification and is recorded for a specific receivable amount once determined that such an 
allowance is needed.

The Company also evaluates collectability of its mortgage notes and notes receivable. A loan is impaired when it is probable 
that a creditor will be unable to collect all amounts due according to the contractual terms of the loan as scheduled, including 
both contractual interest and principal payments.  This assessment also includes an evaluation of the loan collateral.

Management monitors the age and collectability of receivables on an ongoing basis. At least monthly, a report is produced 
whereby all receivables are “aged” or placed into groups based on the number of days that have elapsed since the receivable 
was billed. Management reviews the aging report for evidence of deterioration in the timeliness of payments from tenants, 
sponsoring health systems or borrowers. Whenever deterioration is noted, management investigates and determines the reason 
or reasons for the delay, which may include discussions with the delinquent tenant, sponsoring health system or borrower. 
Considering all information gathered, management’s judgment must be exercised in determining whether a receivable is 
potentially uncollectible and, if so, how much or what percentage may be uncollectible. Among the factors management 
considers in determining uncollectibility are the following:

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

type of contractual arrangement under which the receivable was recorded, e.g., a mortgage note, a triple net lease, a 
gross lease, a property operating agreement or some other type of agreement;

tenant’s or debtor’s reason for slow payment;

industry influences and healthcare segment under which the tenant or debtor operates;

evidence of willingness and ability of the tenant or debtor to pay the receivable;

credit-worthiness of the tenant or debtor;

collateral, security deposit, letters of credit or other monies held as security;

tenant’s or debtor’s historical payment pattern;

other contractual agreements between the tenant or debtor and the Company;

relationship between the tenant or debtor and the Company;

state in which the tenant or debtor operates; and

existence of a guarantor and the willingness and ability of the guarantor to pay the receivable.

Considering these factors and others, management must conclude whether all or some of the aged receivable balance is likely 
uncollectible. If management determines that some portion of a receivable, including straight-line rent receivables, is likely 
uncollectible, the Company records a provision for bad debt expense, or a reduction to straight-line rent revenue, for the amount 

38expected to be uncollectible. There is a risk that management’s estimate is over- or under-stated.  However, management 
believes that this risk is mitigated by the fact that it re-evaluates the allowance at least once each quarter and bases its estimates 
on the most current information available. As such, any over- or under-stated estimates in the allowance should be adjusted as 
soon as new and better information becomes available.

Derivative Instruments
Hedge accounting generally provides for the matching of the timing of gain or loss recognition on the derivative instrument 
with the recognition of the changes in the fair-value of the hedged asset or liability that are attributable to the hedged risk in a 
fair value hedge or the earnings effect of the hedged forecasted transaction in a cash flow hedge.  The accounting for a 
derivative requires that the Company make judgments in determining the nature of the derivatives and their effectiveness, 
including ones regarding the likelihood that a forecasted transaction will take place.  These judgments could materially affect 
our consolidated financial statements.  

The Company may enter into a derivative instrument to manage interest rate risk from time to time.  When a derivative 
instrument is initiated, the Company will assess its intended  use of the derivative instrument and may elect a hedging 
relationship and apply hedge accounting.  As required by the accounting literature, the Company will formally document the 
hedging relationship for all derivative instruments prior to or contemporaneous with entering into the derivative instrument.

39Item 7A.   Quantitative and Qualitative Disclosures About Market Risk

The Company is exposed to market risk in the form of changing interest rates on its debt and mortgage notes receivable. 
Management uses regular monitoring of market conditions and analysis techniques to manage this risk.

As of December 31, 2014, $1.1 billion of the Company’s $1.4 billion of outstanding debt bore interest at fixed rates. 
Additionally, all of the Company’s mortgage notes and other notes receivable bore interest at fixed rates.

The following table provides information regarding the sensitivity of certain of the Company’s financial instruments, as 
described above, to market conditions and changes resulting from changes in interest rates. For purposes of this analysis, 
sensitivity is demonstrated based on hypothetical 10% changes in the underlying market interest rates.

(Dollars in thousands)
Variable Rate Debt:

Unsecured Credit Facility

Term Note due 2017

Outstanding 
Principal Balance as of 
December 31, 2014

Calculated 
Annual 
Interest

Assuming 10% 
Increase in Market 
Interest Rates

Assuming 10% 
Decrease in Market Interest 
Rates

Impact on Earnings and Cash Flows

$

$

85,000

$

1,335

$

200,000

3,212

285,000

$

4,547

$

(14) $

(31)

(45) $

Fair Value

14

31

45

(Dollars in thousands)
Fixed Rate Debt:

Senior Notes due 2017, net of discount (2)

Senior Notes due 2021, net of discount (2)

Senior Notes due 2023, net of discount (2)

Mortgage Notes Payable (2)

Fixed Rate Receivables:

Mortgage Notes Receivable (3)

Carrying Value 
as of December 31, 
2014

December 31,
2014

Assuming 10% 
Increase in 
Market Interest 
Rates

Assuming 10% 
Decrease in 
Market Interest 
Rates

December 31,
2013 (1)

$

$

$

$

299,308

$

307,771

$

306,644

$

397,864

248,253

173,267

430,633

241,947

173,476

425,982

235,013

171,499

308,891

435,297

249,097

175,513

321,238

424,931

226,168

170,351

1,118,692

$ 1,153,827

$

1,139,138

$

1,168,798

$ 1,142,688

1,900

1,900

$

$

1,892

1,892

$

$

1,862

1,862

$

$

1,922

1,922

$

$

124,461

124,461

______
(1)  Fair values as of December 31, 2013 represent fair values of obligations or receivables that were outstanding as of that 

date, and do not reflect the effect of any subsequent changes in principal balances and/or additions or extinguishments of 
instruments.

(2)  Level 3 - Fair value derived from valuation techniques in which one or more significant inputs or significant drivers are 

unobservable.

(3)  Level 2 - Fair value based on quoted prices for similar instruments in active markets; quoted prices for identical or similar 
instruments in markets that are not active; and model-derived valuations in which significant inputs and significant value 
drivers are observable in active markets.

40 
 
 
 
 
 
 
Item 8.   Financial Statements and Supplementary Data

Report of
INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Board of Directors and Stockholders
Healthcare Realty Trust Incorporated
Nashville, Tennessee

We have audited the accompanying consolidated balance sheets of Healthcare Realty Trust Incorporated as of 

December 31, 2014 and 2013 and the related consolidated statements of operations, comprehensive income, equity, and cash 
flows for each of the three years in the period ended December 31, 2014. In connection with our audits of the financial 
statements, we have also audited the financial statement schedules listed in the accompanying index. These financial statements 
and schedules are the responsibility of the Company’s management. Our responsibility is to express an opinion on these 
financial statements and schedules based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United 
States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial 
statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and 
disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, 
as well as evaluating the overall presentation of the financial statements and schedules. We believe that our audits provide a 
reasonable basis for our opinion.

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial 
position of Healthcare Realty Trust Incorporated at December 31, 2014 and 2013, and the results of its operations and its cash 
flows for each of the three years in the period ended December 31, 2014, in conformity with accounting principles generally 
accepted in the United States of America.

Also, in our opinion, the financial statement schedules, when considered in relation to the basic consolidated financial 

statements taken as a whole, present fairly, in all material respects, the information set forth therein.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United 

States), Healthcare Realty Trust Incorporated’s internal control over financial reporting as of December 31, 2014, based on 
criteria established in Internal Control – Integrated Framework (2013) issued by the Committee of Sponsoring Organizations 
of the Treadway Commission (COSO) and our report dated February 17, 2015 expressed an unqualified opinion thereon.

                                                                                    /s/     BDO USA, LLP

Nashville, Tennessee
February 17, 2015 

41Healthcare Realty Trust Incorporated
Consolidated Balance Sheets
 (Amounts in thousands, except per share data)

ASSETS

Real estate properties:

Land

Buildings, improvements and lease intangibles

Personal property

Land held for development

Less accumulated depreciation

Total real estate properties, net

Cash and cash equivalents

Mortgage notes receivable

Assets held for sale and discontinued operations, net

Other assets, net

Total assets

LIABILITIES AND EQUITY

Liabilities:

Notes and bonds payable

Accounts payable and accrued liabilities

Liabilities of discontinued operations

Other liabilities

Total liabilities

Commitments and contingencies

Stockholders' Equity:

Preferred stock, $.01 par value; 50,000 shares authorized; none issued and outstanding

Common stock, $.01 par value; 150,000 shares authorized; 98,828 and 95,924 shares
issued and outstanding at December 31, 2014 and 2013, respectively.

Additional paid-in capital

Accumulated other comprehensive income (loss)

Cumulative net income attributable to common stockholders

Cumulative dividends

Total stockholders’ equity

          Noncontrolling interests

Total equity

Total liabilities and equity

See accompanying notes.

December 31,

2014

2013

$

183,060

$

178,931

3,048,251

2,861,935

9,914

17,054

9,267

17,054

3,258,279

3,067,187

(700,671)

(632,109)

2,557,608

2,435,078

3,519

1,900

9,146

185,337

8,671

125,547

6,852

153,514

$

2,757,510

$

2,729,662

$

1,403,692

$

1,348,459

70,240

372

62,152

73,741

1,112

61,064

1,536,456

1,484,376

—

988

—

959

2,389,830

2,325,228

(2,519)

51

840,249

808,362

(2,007,494)

(1,891,123)

1,221,054

1,243,477

—

1,809

1,221,054

1,245,286

$

2,757,510

$

2,729,662

42 
Healthcare Realty Trust Incorporated
Consolidated Statements of Operations
 (Amounts in thousands, except per share data)

REVENUES

Rental income

Mortgage interest

Other operating

EXPENSES

Property operating

General and administrative

Depreciation

Amortization

Bad debt, net of recoveries

OTHER INCOME (EXPENSE)

Loss on extinguishment of debt

Interest expense

Gain on sale of cost method investment in real estate

Interest and other income, net

INCOME (LOSS) FROM CONTINUING OPERATIONS

DISCONTINUED OPERATIONS

Income from discontinued operations

Impairments

Gain on sales of real estate properties

INCOME (LOSS) FROM DISCONTINUED OPERATIONS

NET INCOME

Less: Net income attributable to noncontrolling interests

NET INCOME ATTRIBUTABLE TO COMMON STOCKHOLDERS

BASIC EARNINGS (LOSS) PER COMMON SHARE:

Income (loss) from continuing operations

Discontinued operations

Net income attributable to common stockholders

DILUTED EARNINGS (LOSS) PER COMMON SHARE:

Income (loss) from continuing operations

Discontinued operations

Net income attributable to common stockholders

WEIGHTED AVERAGE COMMON SHARES OUTSTANDING - BASIC

WEIGHTED AVERAGE COMMON SHARES OUTSTANDING - DILUTED

See accompanying notes.

Year Ended December 31,

2014

2013

2012

$

361,525

$

312,322

$

282,444

3,665

5,665

12,701

5,926

9,186

6,052

370,855

330,949

297,682

134,057

122,571

113,287

22,808

99,384

10,820

31

23,704

86,239

10,645

172

20,881

79,776

10,418

230

267,100

243,331

224,592

—

(72,413)

—

2,637

(29,638)

(73,511)

1,492

947

—

(74,955)

—

973

(69,776)

(100,710)

(73,982)

33,979

(13,092)

(892)

967

(12,029)

9,283

(1,779)

32,200

(313)

5,246

(9,889)

24,718

20,075

6,983

(37)

10,461

(14,908)

10,874

6,427

5,535

(70)

31,887

$

6,946

$

5,465

0.35

$

(0.14) $

(0.01)

(0.02)

0.22

0.33

$

0.08

$

0.08

0.07

0.35

$

(0.14) $

(0.01)

(0.02)

0.22

0.33

$

0.08

$

95,279

96,759

90,941

90,941

0.08

0.07

78,845

78,845

$

$

$

$

$

43 
Healthcare Realty Trust Incorporated
Consolidated Statements of Comprehensive Income 
 (Amounts in thousands) 

NET INCOME

Other comprehensive income (loss):

Defined benefit pension plan net gain (loss) arising during the period

Other comprehensive income (loss)

COMPREHENSIVE INCOME

Less: Comprehensive income attributable to noncontrolling interests

COMPREHENSIVE INCOME ATTRIBUTABLE TO COMMON STOCKHOLDERS

See accompanying notes.

Year Ended December 31,

2014

2013

2012

$ 32,200

$ 6,983

$

5,535

(2,570)

(2,570)

29,630

2,143

2,143

9,126

1,240

1,240

6,775

(313)

(37)

(70)

$ 29,317

$ 9,089

$

6,705

44 
Healthcare Realty Trust Incorporated
Consolidated Statements of Equity
 (Amounts in thousands, except per share data) 

Preferred 
Stock

Common 
Stock

Additional 
Paid-In 
Capital

Accumulated 
Other 
Comprehensive 
Income (Loss)

Cumulative 
Net Income

Cumulative 
Dividends

Total 
Stockholders’ 
Equity

Non-
controlling 
Interests

Total 
Equity

Balance at December 31, 2011 $

— $

779

$1,894,604

$

(3,332) $

795,951

$ (1,683,196) $ 1,004,806

$

— $1,004,806

Issuance of stock, net of costs

Common stock redemption

Stock-based compensation

Net income

Defined benefit pension plan net
gain

Dividends to common
stockholders ($1.20 per share)

Distributions to noncontrolling
interests

Balance at December 31, 2012

Issuance of stock, net of costs

Common stock redemption

Stock-based compensation

Net income

Defined benefit pension plan net
gain

Dividends to common
stockholders ($1.20 per share)

Distributions to noncontrolling
interests

Proceeds from noncontrolling
interests

Balance at December 31, 2013

Issuance of stock, net of costs

Common stock redemption

Stock-based compensation

Net income

Defined benefit pension plan net
loss

Dividends to common
stockholders ($1.20 per share)

Distributions to noncontrolling
interests

Purchase of noncontrolling
interest in consolidated joint
ventures

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

—

93

—

3

—

—

—

—

202,272

(68)

3,489

—

—

—

—

—

—

—

—

1,240

—

—

—

—

—

5,465

—

—

—

—

—

—

—

—

202,365

(68)

3,492

5,465

1,240

(96,356)

(96,356)

—

—

—

70

—

—

202,365

(68)

3,492

5,535

1,240

(96,356)

—

—

(70)

(70)

875

2,100,297

(2,092)

801,416

(1,779,552)

1,120,944

— 1,120,944

83

—

1

—

—

—

—

959

31

(4)

2

—

—

—

—

—

220,176

(454)

5,209

—

—

—

—

2,325,228

76,800

(10,070)

4,449

—

—

—

—

(6,577)

—

—

—

—

2,143

—

—

51

—

—

—

—

(2,570)

—

—

—

—

—

—

6,946

—

—

—

—

—

—

—

—

220,259

(454)

5,210

6,946

2,143

(111,571)

(111,571)

—

—

—

808,362

(1,891,123)

1,243,477

—

—

—

—

—

76,831

(10,074)

4,451

31,887

(2,570)

(116,371)

(116,371)

—

—

—

31,887

—

—

—

—

—

—

—

37

—

—

220,259

(454)

5,210

6,983

2,143

(111,571)

(34)

(34)

1,806

1,809

1,806

1,245,286

—

—

—

313

—

—

76,831

(10,074)

4,451

32,200

(2,570)

(116,371)

—

—

—

(510)

(510)

(6,577)

(1,612)

(8,189)

Balance at December 31, 2014

$

— $

988

$2,389,830

$

(2,519) $

840,249

$ (2,007,494) $ 1,221,054

$

— $1,221,054

See accompanying notes.

45Healthcare Realty Trust Incorporated
Consolidated Statements of Cash Flows
(Amounts in thousands) 

OPERATING ACTIVITIES

Net income

Adjustments to reconcile net income to net cash provided by (used in) operating
activities:

Depreciation and amortization

Stock-based compensation

Straight-line rent receivable

Straight-line rent liability

Gain on sales of real estate properties

Gain on sale of cost method investment in real estate

Loss on extinguishment of debt

Net gain from mortgage repayment by previously consolidated VIE

Impairments

Provision for bad debt, net

Changes in operating assets and liabilities:

Other assets

Accounts payable and accrued liabilities

Other liabilities

Net cash provided by operating activities

INVESTING ACTIVITIES

Acquisitions of real estate

Development of real estate

Acquisition of additional long-lived assets

Funding of mortgages and notes receivable

Proceeds from acquisition of real estate upon mortgage note receivable default

Proceeds from sales of real estate

Proceeds from sale of cost method investment in real estate

Proceeds from mortgage repayment by previously consolidated VIE

Proceeds from mortgages and notes receivable repayments

Net cash used in investing activities

FINANCING ACTIVITIES

Net borrowings (repayments) on unsecured credit facility

Borrowings on term loan

Borrowings on notes and bonds payable

Repayments on notes and bonds payable

Redemption of notes and bonds payable

Dividends paid

Net proceeds from issuance of common stock

Common stock redemptions

Capital contributions received from noncontrolling interest

Distributions to noncontrolling interest holders

Purchase of noncontrolling interest

Year Ended December 31,

2014

2013

2012

$

32,200

$

6,983

$

5,535

116,049

105,318

101,444

4,451

(11,050)

721

5,210

(8,608)

426

3,492

(6,013)

418

(9,283)

(24,718)

(10,874)

—

—

—

12,029

34

(1,492)

29,907

—

9,889

185

—

—

(313)

14,908

240

(16,842)

(5,660)

(3,469)

(1,914)

(1,025)

740

2,617

(712)

11,741

125,370

120,797

116,397

(71,899)

(177,744)

(89,640)

—

—

(7,833)

(70,670)

(72,784)

(62,251)

(1,244)

(58,731)

(78,297)

204

32,398

—

—

5,623

—

96,132

2,717

—

2,464

—

74,817

—

35,057

14,893

(105,588)

(207,946)

(113,254)

(153,000)

128,000

(102,000)

200,000

—

—

247,948

—

—

(12,357)

(19,984)

(4,990)

—

(371,839)

—

(116,371)

(111,571)

(96,356)

76,856

220,252

202,352

(10,074)

—

(541)

(8,189)

(454)

1,806

(32)

—

(68)

—

(40)

—

46 
Debt issuance and assumption costs

Net cash provided by (used in) financing activities

Increase (decrease) in cash and cash equivalents

Cash and cash equivalents, beginning of period

Cash and cash equivalents, end of period

Supplemental Cash Flow Information:

Interest paid

Capitalized interest

Company-financed real estate property sales

Invoices accrued for construction, tenant improvement and other capitalized costs

Elimination of construction mortgage note receivable upon acquisition real estate
property
Mortgage notes payable assumed upon acquisition (adjusted to fair value)

Mortgage note receivable eliminated upon acquisition

Construction liabilities transferred upon deconsolidation of VIE

See accompanying notes.

$

$

$

$

$

$

$

$

$

(1,258)

(5,082)

(3)

(24,934)

89,044

(1,105)

(5,152)

8,671

1,895

6,776

3,519

$

8,671

$

68,173

$

71,025

— $

1,900

5,594

81,213

19,636

39,973

$

$

$

$

$

— $

$

$

$

$

$

$

183

4,241

10,885

97,203

40,992

— $

— $

2,038

4,738

6,776

75,348

5,021

11,200

4,297

—

5,171

—

3,450

47NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

1. Summary of Significant Accounting Policies

Business Overview
Healthcare Realty Trust Incorporated (the “Company”) is a real estate investment trust ("REIT") that owns, acquires, manages, 
finances and develops income-producing real estate properties associated primarily with the delivery of outpatient healthcare 
services throughout the United States of America. The Company had investments of approximately $3.3 billion in 199 real 
estate properties, mortgages, land held for development and corporate property as of December 31, 2014. The Company’s 198 
owned real estate properties are located in 30 states and total approximately 14.2 million square feet. The Company provided 
property management services to approximately 9.5 million square feet nationwide. Square footage disclosures in this Annual 
Report on Form 10-K are unaudited.

Principles of Consolidation
The Consolidated Financial Statements include the accounts of the Company, its wholly owned subsidiaries, joint ventures, 
partnerships and consolidated variable interest entities (“VIE”) where the Company controls the operating activities of the VIE.

In accordance with the consolidation accounting standards, the Company must evaluate each contractual relationship it has with 
its lessees, borrowers, or others to determine whether or not the contractual arrangement creates a variable interest in those 
entities. If the Company determines that it has a variable interest and the entity is a VIE, then management must determine 
whether or not the Company is the primary beneficiary of the VIE, resulting in consolidation of the VIE. A primary beneficiary 
has the power to direct those activities of the VIE that most significantly impact its economic performance and has the 
obligation to absorb the losses of, or receive the benefits from, the VIE. 

The Company had a variable interest in unconsolidated VIEs consisting of one construction mortgage notes receivable 
aggregating approximately $80.0 million as of December 31, 2013, in which management concluded that the Company was not 
the primary beneficiary.  See Note 5 for more information on this construction mortgage notes receivable.  There were no VIEs 
at December 31, 2014.

During 2014, the Company acquired the outstanding 40% noncontrolling interest holders' investment in a partnership, HRP 
MAC III, LLC, that held $18.0 million in real estate assets and owns 100% as of December 31, 2014.  During 2013, the 
Company received capital contributions of $1.8 million from a 40% noncontrolling interest holder in the partnership.  The 
Company reports noncontrolling interests in subsidiaries as a component of equity and the related net income or loss 
attributable to the noncontrolling interests as part of consolidated net income or loss in its Consolidated Financial Statements.  
See Note 4 for additional information.  

All significant intercompany accounts, transactions and balances have been eliminated upon consolidation in the Consolidated 
Financial Statements.

Use of Estimates in the Consolidated Financial Statements
Preparation of the Consolidated Financial Statements in accordance with accounting principles generally accepted in the United 
States of America requires management to make estimates and assumptions that affect amounts reported in the Consolidated 
Financial Statements and accompanying notes. Actual results may differ from those estimates.

Segment Reporting
The Company owns, acquires, manages, finances and develops outpatient and other healthcare-related properties. The Company 
is managed as one reporting unit, rather than multiple reporting units, for internal reporting purposes and for internal decision-
making. Therefore, the Company discloses its operating results in a single reportable segment.

Reclassifications
Certain reclassifications for discontinued operations have been made to the Consolidated Statements of Operations for the years 
ended December 31, 2013 and 2012 to conform to the 2014 presentation. The operating results of those assets have been 
reclassified from continuing to discontinued operations for all periods presented. 

48NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

Real Estate Properties
Real estate properties are recorded at cost or at fair value if acquired in a transaction that is a business combination under 
Accounting Standards Codification Topic 805, Business Combinations.  Cost or fair value at the time of acquisition is allocated 
among land, buildings, tenant improvements, lease and other intangibles, and personal property as applicable. The Company’s 
gross real estate assets, on a financial reporting basis, totaled approximately $3.3 billion as of December 31, 2014 and $3.1 
billion as of December 31, 2013.

During 2014 and 2013, the Company eliminated against accumulated depreciation approximately $9.5 million and $4.3 million, 
respectively, of fully amortized real estate intangibles that were initially recorded as a component of certain real estate 
acquisitions.  Also during 2014, approximately $0.4 million of fully depreciated tenant and capital improvements that were no 
longer in service were eliminated against accumulated depreciation. 

Depreciation and amortization of real estate assets and liabilities in place as of December 31, 2014, is provided for on a 
straight-line basis over the asset’s estimated useful life:     

Land improvements

Buildings and improvements

Lease intangibles (including ground lease intangibles)

Personal property

15.0 to 38.1 years

3.3 to 39.0 years

1.0 to 93.1 years

1.9 to 15.8 years

The Company capitalizes direct costs, including costs such as construction costs and professional services, and indirect costs, 
including capitalized interest and overhead costs, associated with the development and construction of real estate assets while 
substantive activities are ongoing to prepare the assets for their intended use. Capitalized interest cost is calculated using the 
weighted average interest rate of the Company's unsecured debt or the interest rate on project specific debt, if applicable. The 
Company continues to capitalize interest on the unoccupied portion of the properties in stabilization for up to one year after the 
buildings have been placed into service, at which time the capitalization of interest must cease.

Land Held for Development
Land held for development includes parcels of land owned by the Company, upon which the Company intends to develop and 
own outpatient healthcare facilities. The Company’s investment in land held for development totaled approximately $17.1 
million as of December 31, 2014 and 2013.

Asset Impairment
The Company assesses the potential for impairment of identifiable, definite-lived, intangible assets and long-lived assets, 
including real estate properties, whenever events occur or a change in circumstances indicates that the carrying value might not 
be fully recoverable. Indicators of impairment may include significant underperformance of an asset relative to historical or 
expected operating results; significant changes in the Company’s use of assets or the strategy for its overall business; plans to 
sell an asset before its depreciable life has ended; the expiration of a significant portion of leases in a property; or significant 
negative economic trends or negative industry trends for the Company or its operators. In addition, the Company reviews for 
possible impairment, those assets subject to purchase options and those impacted by casualties, such as tornadoes and 
hurricanes. If management determines that the carrying value of the Company’s assets may not be fully recoverable based on 
the existence of any of the factors above, or others, management would measure and record an impairment charge based on the 
estimated fair value of the property or the estimated fair value less costs to sell the property.

Acquisitions of Real Estate Properties with In-Place Leases
Acquisitions of real estate properties are accounted for at fair value. When a building with in-place leases is acquired, the cost 
of the acquisition must be allocated between the tangible real estate assets "as-if vacant" and the intangible real estate assets 
related to in-place leases based on their estimated fair values. Where appropriate, the intangible assets recorded could include 
goodwill or customer relationship assets. The values related to above- or below-market in-place lease intangibles are amortized 
to rental income where the Company is the lessor, are amortized to property operating expense where the Company is the 
lessee, and are amortized over the remaining term of the leases upon acquisition. 

The Company considers whether any of the in-place lease rental rates are above- or below-market. An asset (if the actual rental 
rate is above-market) or a liability (if the actual rental rate is below-market) is calculated and recorded in an amount equal to 
the present value of the future cash flows that represent the difference between the actual lease rate and the average market rate.  
If an in-place lease is identified as a below-market rental rate, the Company would also evaluate any renewal options associated 
with that lease to determine if the intangible should include those periods.

49NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

The Company also estimates an absorption period, which can vary by property, assuming the building is vacant and must be 
leased up to the actual level of occupancy when acquired. During that absorption period, the owner would incur direct costs, 
such as tenant improvements, and would suffer lost rental income. Likewise, the owner would have acquired a measurable asset 
in that, assuming the building was vacant, certain fixed costs would be avoided because the actual in-place lessees would 
reimburse a certain portion of fixed costs through expense reimbursements during the absorption period. 

All of these intangible assets (above- or below-market lease, tenant improvement costs avoided, rental income lost, and 
expenses recovered through in-place lessee reimbursements) are estimated and recorded in amounts equal to the present value 
of estimated future cash flows. The actual purchase price is allocated based on the various asset fair values described above. 

The building and tenant improvement components of the purchase price are depreciated over the estimated useful life of the 
building or the weighted average remaining term of the in-places leases. The above- or below-market rental rate assets or 
liabilities are amortized to rental income or property operating expense over the remaining term of the leases. The at-market, in-
place lease intangibles are amortized to amortization expense over the weighted average remaining term of the leases, customer 
relationship assets are amortized to amortization expense over terms applicable to each acquisition, and any goodwill recorded 
would be reviewed for impairment at least annually.

The fair values of at-market in-place lease and other intangible assets are amortized and reflected in amortization expense in the 
Company’s Consolidated Statements of Operations. See Note 9 for more details on the Company’s intangible assets.

Fair Value Measurements
Fair value is defined as the price that would be received to sell an asset, or paid to transfer a liability, in an orderly transaction 
between market participants. In calculating fair value, a company must maximize the use of observable market inputs, minimize 
the use of unobservable market inputs and disclose in the form of an outlined hierarchy the details of such fair value 
measurements.

A hierarchy of valuation techniques is defined to determine whether the inputs to a fair value measurement are considered to be 
observable or unobservable in a marketplace. Observable inputs reflect market data obtained from independent sources, while 
unobservable inputs reflect the Company’s market assumptions. This hierarchy requires the use of observable market data when 
available. These inputs have created the following fair value hierarchy:

• 

• 

• 

Level 1 – quoted prices for identical instruments in active markets;

Level 2 – quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in 
markets that are not active; and model-derived valuations in which significant inputs and significant value drivers are 
observable in active markets; and

Level 3 – fair value measurements derived from valuation techniques in which one or more significant inputs or 
significant value drivers are unobservable.

Executed purchase and sale agreements, that are binding agreements, are categorized as level one inputs. Brokerage estimates, 
letters of intent, or unexecuted purchase and sale agreements are considered to be level three as they are nonbinding in nature.

During 2014, in connection with the sales of six medical office buildings, the Company recorded impairment charges in 
discontinued operations of approximately $3.7 million based on the contractual sales price, a level one input.  The Company 
used level three inputs to record impairment charges of approximately $8.3 million related to two properties in held for sale and 
two properties that were reclassified to held for sale during 2014, reducing the Company's carrying value to the estimated fair 
value of the properties less costs to sell prior to sale. All four of these properties were sold during 2014.

Cash and Cash Equivalents
Cash and cash equivalents includes short-term investments with original maturities of three months or less when purchased.

50NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

Allowance for Doubtful Accounts and Credit Losses
Accounts Receivable
Management monitors the aging and collectibility of its accounts receivable balances on an ongoing basis. Whenever 
deterioration in the timeliness of payment from a tenant or sponsoring health system is noted, management investigates and 
determines the reason or reasons for the delay. Considering all information gathered, management’s judgment is exercised in 
determining whether a receivable is potentially uncollectible and, if so, how much or what percentage may be uncollectible. 
Among the factors management considers in determining collectibility are: the type of contractual arrangement under which the 
receivable was recorded (e.g., a triple net lease, a gross lease, a property operating agreement, or some other type of 
agreement); the tenant’s reason for slow payment; industry influences under which the tenant operates; evidence of willingness 
and ability of the tenant to pay the receivable; credit-worthiness of the tenant; collateral, security deposit, letters of credit or 
other monies held as security; tenant’s historical payment pattern; other contractual agreements between the tenant and the 
Company; relationship between the tenant and the Company; the state in which the tenant operates; and the existence of a 
guarantor and the willingness and ability of the guarantor to pay the receivable. Considering these factors and others, 
management concludes whether all or some of the aged receivable balance is likely uncollectible. Upon determining that some 
portion of the receivable is likely uncollectible, the Company records a provision for bad debts for the amount it expects will be 
uncollectible. When efforts to collect a receivable are exhausted, the receivable amount is charged off against the allowance. 
The Company does not hold any accounts receivable for sale.

Mortgage Notes
The Company had one and four mortgage notes receivable outstanding as of December 31, 2014 and 2013 with aggregate 
principal balances totaling $1.9 million and $125.5 million, respectively. The weighted average maturity of the notes was 
approximately 2.8 and 0.4 years, respectively, with an interest rate of 6.50% and interest rates ranging from 5.00% to 7.72%, as 
of December 31, 2014 and 2013, respectively.

No allowances were recorded on the Company's mortgage notes receivable during 2014 or 2013. The Company evaluates 
collectibility of its mortgage notes and records allowances on the notes as necessary. A loan is impaired when it is probable that 
a creditor will be unable to collect all amounts due according to the contractual terms of the loan as scheduled, including both 
contractual interest and principal payments. This assessment also includes an evaluation of the loan collateral.  If a mortgage 
loan becomes past due, the Company will review the specific circumstances and may discontinue the accrual of interest on the 
loan. The loan is not returned to accrual status until the debtor has demonstrated the ability to continue debt service in 
accordance with the contractual terms. Loans placed on non-accrual status will be accounted for either on a cash basis, in which 
income is recognized only upon receipt of cash, or on a cost-recovery basis, in which all cash receipts reduce the carrying value 
of the loan, based on the Company’s expectation of future collectibility. As of December 31, 2014 and 2013, there were no 
recorded investments in mortgage notes that were either on non-accrual status or were past due more than ninety days and 
continued to accrue interest. Also, as of December 31, 2014, the Company did not hold any of its mortgage notes available for 
sale.

In January 2014, one of the Company's mortgage notes receivable had a scheduled balloon payment due of $40.0 million that 
the borrower was not able to pay.  The Company initiated the default process and negotiated a deed in lieu of foreclosure from 
the borrower.  See Note 4 for additional information regarding this transaction.

Goodwill and Other Intangible Assets
Goodwill and intangible assets with indefinite lives are not amortized, but are tested at least annually for impairment. Intangible 
assets with finite lives are amortized over their respective lives to their estimated residual values and are reviewed for 
impairment only when impairment indicators are present.

Identifiable intangible assets of the Company are comprised of enterprise goodwill, in-place lease intangible assets, customer 
relationship intangible assets, and deferred financing costs. In-place lease and customer relationship intangible assets are 
amortized on a straight-line basis over the applicable lives of the assets. Deferred financing costs are amortized over the term of 
the related credit facility or other debt instrument under the straight-line method, which approximates amortization under the 
effective interest method. Goodwill is not amortized but is evaluated annually as of December 31 for impairment. Both the 
2014 and 2013 impairment evaluations indicated that no impairment had occurred with respect to the $3.5 million goodwill 
asset. See Note 9 for more detail on the Company’s intangible assets.

Contingent Liabilities
From time to time, the Company may be subject to loss contingencies arising from legal proceedings and similar matters. 
Additionally, while the Company maintains comprehensive liability and property insurance with respect to each of its 
properties, the Company may be exposed to unforeseen losses related to uninsured or underinsured damages.

51NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

The Company continually monitors any matters that may present a contingent liability, and, on a quarterly basis, management 
reviews the Company’s reserves and accruals in relation to each of them, adjusting provisions as necessary in view of changes 
in available information. Liabilities for contingencies are first recorded when a loss is determined to be both probable and can 
be reasonably estimated. Changes in estimates regarding the exposure to a contingent loss are reflected as adjustments to the 
related liability in the periods when they occur.

Because of uncertainties inherent in the estimation of contingent liabilities, it is possible that the Company’s provision for 
contingent losses could change materially in the near term. To the extent that any significant losses, in addition to amounts 
recognized, are at least reasonably possible, such amounts will be disclosed in the notes to the Consolidated Financial 
Statements.

Defined Benefit Pension Plan
The Company has a pension plan under which three of the Company’s founding officers may receive retirement benefits upon 
retirement (the “Executive Retirement Plan”). The plan is unfunded and benefits will be paid from cash flows of the Company. 
The Company recognizes pension expense on an accrual basis over an estimated service period. The Company calculates 
pension expense and the corresponding liability annually on the measurement date (December 31) which requires certain 
assumptions, such as a discount rate and the recognition of actuarial gains and losses. The maximum annual benefits payable to 
each individual under the plan have been frozen at $0.9 million, subject to cost-of-living adjustments.

Stock-Based Compensation
The Company has various employee and director stock-based awards outstanding. These awards include non-vested common 
stock and options to purchase common stock granted to employees pursuant to the 2007 Employees Stock Incentive Plan and its 
predecessor plan (the “Incentive Plan”) and the 2000 Employee Stock Purchase Plan (the “Employee Stock Purchase Plan”).  
The Company recognizes share-based payments to employees and directors in the Consolidated Statements of Operations on a 
straight-line basis over the requisite service period based on the fair value of the award on the measurement date.  

The Employee Stock Purchase Plan features a “look-back” provision which enables the employee to purchase a fixed number 
of common shares at the lesser of 85% of the market price on the date of grant or 85% of the market price on the date of 
exercise, with optional purchase dates occurring once each quarter for 27 months. The Company accounts for awards to its 
employees under the Employee Stock Purchase Plan based on fair value, using the Black-Scholes model, and generally 
recognizes expense over the award’s vesting period, net of estimated forfeitures. Since the options granted under the Employee 
Stock Purchase Plan immediately vest, the Company records compensation expense for those options when they are granted in 
the first quarter of each year and then may record additional compensation expense in subsequent quarters as warranted. In each 
of the years ended December 31, 2014, 2013 and 2012, the Company recognized in general and administrative expenses 
approximately $0.3 million, $0.3 million, and $0.4 million, respectively, of compensation expense related to the annual grant of 
options to its employees to purchase shares under the Employee Stock Purchase Plan.

See Note 13 for details on the Company’s stock-based awards. 

Accumulated Other Comprehensive Income (Loss)
Certain items must be included in comprehensive income, including items such as foreign currency translation adjustments, 
minimum pension liability adjustments, and unrealized gains or losses on available-for-sale securities. The Company’s 
accumulated other comprehensive income (loss) consists of only the cumulative pension liability adjustments, which are 
generally recognized in the fourth quarter of each year.

Revenue Recognition
The Company recognizes revenue when it is realized or realizable and earned. There are four criteria that must all be met before 
a Company may recognize revenue, including that persuasive evidence that an arrangement exists, delivery has occurred or 
services have been rendered (i.e., the tenant has taken possession of and controls the physical use of the leased asset), the price 
has been fixed or is determinable, and collectibility is reasonably assured. Income received but not yet earned is deferred until 
such time it is earned. Deferred revenue, included in other liabilities on the Consolidated Balance Sheets, was $35.4 million and 
$36.3 million, respectively, as of December 31, 2014 and 2013 which includes deferred tenant improvement reimbursements of 
$22.4 million and $21.9 million, respectively, which will be recognized as revenue over the life of each respective lease.

The Company derives most of its revenues from its real estate property and mortgage notes receivable portfolio. The 
Company’s rental and mortgage interest income is recognized based on contractual arrangements with its tenants, sponsoring 
health systems or borrowers. These contractual arrangements fall into three categories: leases, mortgage notes receivable, and 
property operating agreements as described in the following paragraphs. The Company may accrue late fees based on the 
contractual terms of a lease or note. Such fees, if accrued, are included in rental income or mortgage interest income on the 
Company’s Consolidated Statements of Operations, based on the type of contractual agreement.

52NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

Rental Income
Rental income related to non-cancelable operating leases is recognized as earned over the life of the lease agreements on a 
straight-line basis.  The Company's lease agreements generally include provisions for stated annual increases or increases based 
on a Consumer Price Index ("CPI"). Rental income from properties under multi-tenant office lease arrangements and rental 
income from properties with single-tenant lease arrangements are included in rental income on the Company's Consolidated 
Statements of Operations.  

The components of rental income are as follows:

(Dollars in thousands)
Property operating income

Single-tenant net lease

Straight-line rent

Rental income

Year Ended December 31,

2014

2013

2012

285,304

$

251,403

$

233,662

65,252

10,969

51,467

9,452

42,183

6,599

361,525

$

312,322

$

282,444

$

$

Operating expense recoveries, included in property operating income, were approximately $53.9 million, $40.9 million and 
$31.9 million, respectively, for the years ended December 31, 2014, 2013 and 2012.

Additional rent, generally defined in most lease agreements as the cumulative increase in CPI from the lease start date to the 
CPI as of the end of the previous year, is calculated as of the beginning of each year, and is then billed and recognized as 
income during the year as provided for in the lease. Included in rental income was additional rental income, net of reserves, of 
approximately $0.7 million for the years ended December 31, 2014, 2013 and 2012.

Mortgage Interest Income
Interest income on the Company’s mortgage notes receivable is recognized based on the interest rates, maturity dates and 
amortization periods in accordance with each note agreement. The interest rate on its one mortgage note receivable outstanding 
as of December 31, 2014 was fixed. The Company amortizes any fees paid related to its mortgage notes receivable to mortgage 
interest income over the term of the loan on a straight-line basis which approximates amortization under the effective interest 
method.

Other Operating Income
Other operating income on the Company’s Consolidated Statements of Operations was comprised of the following:

(Dollars in thousands)
Property lease guaranty revenue

Interest income

Management fee income

Other

Year Ended December 31,

2014

2013

$

4,430

$

5,114

$

731

289

215

457

164

191

2012

4,898

448

158

548

$

5,665

$

5,926

$

6,052

Five of the Company’s 198 owned real estate properties as of December 31, 2014 were covered under property operating 
agreements between the Company and a sponsoring health system, which contractually obligate the sponsoring health system to 
provide to the Company a minimum return on the Company’s investment in the property in exchange for the right to be 
involved in the operating decisions of the property, including tenancy. If the minimum return is not achieved through normal 
operations of the property, the Company calculates and accrues to property lease guaranty revenue, each quarter, any shortfalls 
due from the sponsoring health systems under the terms of the property operating agreement.  

Interest income generally relates to interest on tenant improvement reimbursements as defined in each note or lease agreement.

Management fees for property management services provided to third parties are generally calculated, accrued and billed 
monthly based on a percentage of cash collections of tenant receivables for the month or a stated amount per square foot.  
Management fees related to the Company’s owned properties are eliminated in consolidation. 

53 
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

Federal Income Taxes
No provision has been made for federal income taxes. The Company intends at all times to qualify as a REIT under Sections 
856 through 860 of the Internal Revenue Code of 1986, as amended (the “Internal Revenue Code”). The Company must 
distribute at least 90% per annum of its real estate investment trust taxable income to its stockholders and meet other 
requirements to continue to qualify as a real estate investment trust. See Note 16 for further discussion.

The Company classifies interest and penalties related to uncertain tax positions, if any, in the Consolidated Financial Statements 
as a component of general and administrative expenses. No such amounts were recognized during the three years ended 
December 31, 2014. 

Federal tax returns for the years 2011, 2012 and 2013 are currently subject to examination by taxing authorities.

State Income Taxes
The Company must pay certain state income taxes and the provisions for such taxes are generally included in general and 
administrative expense on the Company’s Consolidated Statements of Operations. See Note 16 for further discussion.

Sales and Use Taxes
The Company must pay sales and use taxes to certain state tax authorities based on rents collected from tenants in properties 
located in those states. The Company is generally reimbursed for these taxes by the tenant. The Company accounts for the 
payments to the taxing authority and subsequent reimbursement from the tenant on a net basis in revenues in the Company’s 
Consolidated Statements of Operations.

Discontinued Operations
The Company sells properties from time to time due to a variety of factors, including among other things, market conditions or 
the exercise of purchase options by tenants. The operating results of properties that have been sold or are held for sale are 
reported as discontinued operations in the Company’s Consolidated Statements of Operations for all periods presented. A 
company must report discontinued operations when a component of an entity has either been disposed of or is deemed to be 
held for sale if (i) both the operations and cash flows of the component have been or will be eliminated from ongoing 
operations as a result of the disposal transaction, and (ii) the entity will not have any significant continuing involvement in the 
operations of the component after the disposal transaction. Long-lived assets held for sale are reported at the lower of their 
carrying amount or their fair value less cost to sell estimate. Further, depreciation of these assets ceases at the time the assets are 
classified as discontinued operations. Losses resulting from the sale of such properties are characterized as impairment losses 
relating to discontinued operations in the Consolidated Statements of Operations. See Note 6 for more detail on discontinued 
operations.

Earnings per Share
Basic earnings per common share is calculated using weighted average shares outstanding less issued and outstanding non-
vested shares of common stock. Diluted earnings per common share is calculated using weighted average shares outstanding 
plus the dilutive effect of the outstanding stock options from the Employee Stock Purchase Plan and non-vested shares of 
common stock using the treasury stock method and the average stock price during the period. See Note 14 for the calculations 
of earnings per share.

New Accounting Pronouncements

Accounting Standards Update No. 2014-08

In April 2014, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update No. 2014-08, 
“Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity.”  This standard changes the 
requirements for reporting discontinued operations by raising the threshold for a disposal to qualify as a discontinued operation 
and requires new disclosures of both discontinued operations and certain other disposals that do not meet the definition of a 
discontinued operation.  The standard limits discontinued operations reporting to disposals of components of an entity that 
represent strategic shifts that have (or will have) a major effect on an entity’s operations and financial results.

This standard is effective for the Company on a prospective basis for annual periods beginning on January 1, 2015 and interim 
periods within that year.  Early adoption is permitted but only for disposals (or classifications as held for sale) that have not 
been reported in financial statements previously issued.  The Company adopted this standard on the effective date of January 1, 
2015 and does not expect it to have a material impact on the Company's consolidated financial position or cash flows, but could 
have a material impact on the presentation of the Consolidated Statement of Operations. 

54NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

Accounting Standards Update No. 2014-09

In May 2014, the FASB issued Accounting Standards Update No. 2014-09, "Revenue from Contracts with Customers", a 
comprehensive new revenue recognition standard that supersedes most all existing revenue recognition guidance, including 
sales of real estate.  This standard's core principle is that a company will recognize revenue when it transfers goods or services 
to customers in amounts that reflect the consideration to which the company expects to be entitled in exchange for those goods 
and services.  However, leasing contracts, representing the major source of the Company's revenues, are not within the scope of 
the new standard and will continue to be accounted for under existing standards.

This new standard is effective for the Company for annual and interim periods beginning on January 1, 2017 with early 
adoption prohibited.  The Company has not yet determined the effects on the Consolidated Financial Statements and related 
notes resulting from the adoption of this new standard.

55NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

2. Property Investments

The Company invests in healthcare-related properties and mortgages located throughout the United States. The Company 
provides management, leasing and development services, and capital for the construction of new facilities, as well as for the 
acquisition of existing properties. The Company had investments of approximately $3.3 billion in 199 real estate properties, 
mortgages, land held for development and corporate property as of December 31, 2014. The following table summarizes the 
Company’s investments.

(Dollars in thousands)
Medical office/outpatient:

Number of
Facilities

Arizona
California
Colorado
District of Columbia
Florida
Hawaii
Illinois
Indiana
Iowa
Michigan
Missouri
North Carolina
Oklahoma
Tennessee
Texas
Virginia
Washington
Other (12 states)

Inpatient:

Arizona
California
Colorado
Indiana
Missouri
Pennsylvania
Texas

Other:

Alabama
Indiana
Iowa
Michigan
Tennessee
Virginia

Land Held for Development
Corporate Property

Total owned properties
Mortgage notes receivable
Total real estate investments

9
9
9
2
8
3
3
5
6
3
4
16
2
14
43
13
8
16
173

1
1
1
1
1
4
5
14

1
1
1
5
1
2
11
—
—
—
198
1
199

$

$

Land

3,726
17,430
7,197
—
6,891
8,327
6,142
3,891
12,665
5
4,668
5,096
7,673
10,353
45,036
2,451
8,974
7,248
157,773

3,641
—
623
1,071
1,989
6,555
9,507
23,386

181
96
—
193
253
1,178
1,901
17,054
—
17,054
200,114
—
$ 200,114

$

Buildings,
Improvements,
and
Lease Intangibles

Personal
Property

Total

Accumulated
Depreciation

78,398
104,983
188,593
30,729
90,674
121,022
49,194
140,749
81,424
23,158
32,574
156,538
100,543
183,414
621,608
183,340
201,227
155,992
2,544,160

12,371
12,688
10,788
42,335
109,304
74,634
158,149
420,269

9,925
3,662
40,263
12,728
7,213
10,031
83,822
—
—
—
3,048,251
—
3,048,251

$

$

441
195
208
—
252
68
143
—
94
33
7
95
—
255
1,290
136
186
91
3,494

—
—
—
—
—
—
265
265

8
32
—
183
408
48
679
—
5,476
5,476
9,914
—
9,914

$

82,565
122,608
195,998
30,729
97,817
129,417
55,479
144,640
94,183
23,196
37,249
161,729
108,216
194,022
667,934
185,927
210,387
163,331
2,705,427

16,012
12,688
11,411
43,406
111,293
81,189
167,921
443,920

$

(22,521)
(53,254)
(18,338)
(8,992)
(43,774)
(17,726)
(11,100)
(22,575)
(13,346)
(7,644)
(16,998)
(34,824)
(1,486)
(58,932)
(145,509)
(36,277)
(22,784)
(49,142)
(585,222)

(1,839)
(6,630)
(362)
(9,227)
(3,503)
(38,166)
(24,558)
(84,285)

10,114
3,790
40,263
13,104
7,874
11,257
86,402
17,054
5,476
22,530
3,258,279
1,900
$ 3,260,179

(6,605)
(2,477)
(1,536)
(8,379)
(2,279)
(6,054)
(27,330)
(115)
(3,719)
(3,834)
(700,671)
—
$ (700,671)

56NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

3. Real Estate Leases 

Real Estate Leases
The Company’s properties are generally leased pursuant to non-cancelable, fixed-term operating leases or are supported 
through other financial support arrangements with expiration dates through 2033. Some leases and financial arrangements 
provide for fixed rent renewal terms in addition to market rent renewal terms. Some leases provide the lessee, during the term 
of the lease and for a short period thereafter, with an option or a right of first refusal to purchase the leased property. The 
Company’s portfolio of single-tenant net leases generally requires the lessee to pay minimum rent, additional rent based upon 
fixed percentage increases or increases in the Consumer Price Index and all taxes (including property tax), insurance, 
maintenance and other operating costs associated with the leased property.

Future minimum lease payments under the non-cancelable operating leases and guaranteed amounts due to the Company under 
property operating agreements as of December 31, 2014 are as follows (in thousands):     

2015

2016

2017

2018

2019

2020 and thereafter

$

$

290,283

263,505

235,690

203,285

166,003

679,757

1,838,523

Revenue Concentrations
The Company’s real estate portfolio is leased to a diverse tenant base.  The Company had one customer, Baylor Scott & White 
Health, that accounted for 10% or more of the Company’s consolidated revenues, including revenues from discontinued 
operations, for the years ended December 31, 2014 and 2013 at 10% and 11%, respectively.  The Company did not have any 
customers that accounted for 10% or more of the Company's consolidated revenues, including discontinued operations for the 
year ended December 31, 2012.

Purchase Option Provisions
Certain of the Company’s leases include purchase option provisions. The provisions vary by agreement but generally allow the 
lessee to purchase the property covered by the agreement at fair market value or an amount equal to the Company’s gross 
investment.  The Company expects that the purchase price from its purchase options will be greater than its net investment in 
the properties at the time of potential exercise.  The Company had approximately $162.2 million in real estate properties as of 
December 31, 2014 that were subject to purchase options that were exercisable or become exercisable during 2015. 

Purchase Option Exercise

In September 2014, the Company received notice from a tenant of its intent to purchase a medical office building in 
Pennsylvania pursuant to a purchase option contained in its lease with the Company.  The Company's net investment in the 
building, included in assets held for sale, was $7.7 million at December 31, 2014, including straight-line rent receivables. The 
appraisal process is on-going and the purchase price, if the transaction closes, would be the greater of fair market value or 
approximately $15.0 million.

57 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

4. Acquisitions, Dispositions and Mortgage Repayments
2014 Real Estate Acquisitions

During 2014, the Company acquired the following properties:

• 

• 

• 

• 

• 

• 

• 

• 

a 152,655 square foot multi-tenanted office building in Iowa in which the Company acquired ownership in satisfaction 
of a $40.0 million mortgage note receivable that matured on January 10, 2014. The cash flows from the operations of 
the property were sufficient to pay the Company interest from the maturity date through the date of the transfer of 
ownership to the Company at the 7.7% fixed interest rate plus an additional 3% of interest for the default interest rate.  
The Company has accounted for this transaction as a business combination and recorded the acquisition of the 
property at its estimated fair value based primarily on level three inputs.  Upon acquisition, the property was 93% 
leased with expirations through 2023;

a 200,000 square foot medical office building in Oklahoma for a purchase price of approximately $85.4 million that 
was 100% leased to Mercy Health, based in Missouri, through 2028 under a single-tenant net lease. The Company 
funded the development of the facility through a construction mortgage loan of approximately $81.2 million that upon 
purchase was eliminated in the Company's Consolidated Financial Statements. At the closing of the purchase, the 
outstanding loan balance was credited to the purchase price and the Company paid an additional $4.2 million in cash 
consideration.  Subsequent to the purchase, the Company funded an additional $5.0 million and anticipates funding 
approximately $0.8 million to complete the $91.2 million development during 2015;   

56.9%  of a medical office building and related land in Texas through an equity interest in a limited liability company 
for a purchase price and cash consideration of $8.7 million.  Based on the nature of the transaction, the Company has 
accounted for the acquisition as an asset acquisition and has recorded the amounts in real estate assets on the 
Company's Consolidated Balance Sheet.  Upon acquisition, the property was 95% leased with expirations through 
2024.  The building is adjacent to Seton Medical Center, a 534-bed hospital;

a 35,292 square foot medical office building located in North Carolina for a purchase price and cash consideration of 
$6.5 million.  Upon acquisition, the property was 100% leased with expirations through 2024.  The building is adjacent 
to Wesley Long Hospital, a 175-bed hospital;

a 60,476 square foot medical office building located in Minnesota for a purchase price of $19.8 million including cash 
consideration of $8.4 million and the assumption of debt of $11.4 million (excluding a $1.0 million fair value premium 
recorded upon acquisition).  The mortgage notes payable assumed by the Company bear a weighted average 
contractual interest rate of 6.67% with maturities from 2017 to 2040.  The property was constructed in 2010 and, upon 
acquisition, was 100% leased with expirations through 2025.  The building is connected to Unity Hospital, a 220-bed 
hospital operated by Allina Health;

a 47,962 square foot medical office building located in Florida for a purchase price and cash consideration of $7.9 
million.  Upon acquisition, the property was 89% leased with expirations through 2019.  The building is adjacent to 
Tampa General Hospital, a 1,018-bed hospital;

a 68,860 square foot medical office building in Oklahoma for a purchase price of $17.5 million, including cash 
consideration of $10.7 million and the assumption of debt of $6.8 million (excluding a $0.4 million fair value premium 
recorded upon acquisition).  The mortgage note payable assumed by the Company bears a contractual interest rate of 
6.1% and matures on August 1, 2020.  Upon acquisition, the property was 97% leased with expirations through 2027.  
The building is located on the Norman Regional Healthplex campus, a 152-bed hospital; and

a 60,161 square foot medical office building in Washington for a purchase price and cash consideration of $22.7 
million.  Upon acquisition, the property was 98% leased with expirations through 2021 and is located on the Highline 
Medical Center campus, a 177-bed hospital.

58NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

The following table details the Company's acquisitions for the twelve months ended December 31, 2014:

(Dollars in millions)
Real estate acquisitions

Date
Acquired

Purchase
Price

Elimination
of Mortgage
Note
Receivable

Mortgage
Notes 
Payable 
Assumed (1)

Cash
Consideration (2)

Real
Estate

Other (3) 

Square
Footage

Iowa

Oklahoma

Texas

North Carolina
Minnesota 

Florida

Oklahoma

Washington

______

3/28/14

$

— $

(40.0) $

— $

— $

40.2

$

(0.2)

152,655

5/22/14

6/4/14

6/6/14

7/28/14

9/16/14

10/29/14

12/1/14

85.4

8.7

6.5

19.8

7.9

17.5

22.7

(81.2)

—

—

—

—

—

—

—

—

—

(11.4)

—

(6.8)

—

4.2

8.7

6.5

8.4

7.9

10.7

22.7

85.4

8.8

6.5

20.9

7.9

17.9

18.9

$

168.5

$

(121.2) $

(18.2) $

69.1

$ 206.5

$

— 200,000

(0.1)

—

(1.0)

—

(0.4)

3.8

2.1

48,048

35,292

60,476

47,962

68,860

60,161

673,454

(1) The mortgage notes payable assumed in the acquisitions do not reflect the fair value adjustment totaling $1.4 million 
recorded by the Company upon acquisition (included in Other).
(2)  Cash consideration excludes non-real estate assets acquired and liabilities assumed in the acquisitions.
(3)  Includes intangibles recognized at acquisition and fair value adjustments on debt assumed.

The following table summarizes the estimated fair values of the assets acquired and liabilities assumed in the real estate 
acquisitions for 2014 as of the acquisition date:

Estimated Fair Value

Estimated Useful Life

(In millions)

(In years)

Building

Land

Intangibles:

At-market lease intangibles

Below-market lease intangibles

Above-market ground lease intangibles

Below-market ground lease intangibles

Total intangibles

Mortgage notes payable assumed, including fair value adjustments

Foreclosed mortgage note receivable

Elimination of mortgage note receivable upon acquisition

Other assets acquired
Accounts payable, accrued liabilities and other liabilities assumed

Cash acquired

Total cash paid (1)

______

$

11.5-39.0

—

4.8-13.9

3.8-6.5

91.3

63.7

181.7

12.7

12.1

(0.4)

(0.1)

3.8

15.4

(19.6)

(40.0)

(81.2)

3.0

(2.3)

0.2

69.9

(1) Total cash paid includes receivables acquired net of liabilities assumed in the acquisitions of approximately $0.8 million.

2014 Noncontrolling Interest Purchase

In April 2014, the Company purchased the outstanding 40% noncontrolling equity interest in a consolidated partnership that 
owns a medical office building and parking garage in Texas, which were developed by the partnership, for an aggregate 
purchase price and cash consideration of $8.2 million.  The book value of the noncontrolling interest prior to the equity 
purchase was $1.6 million.  The remaining $6.6 million was recorded as a decrease to additional paid-in capital on the 
Company's Consolidated Balance Sheets.   The Company held a term loan that was secured by the property and was payable 
from the partnership.  Upon acquisition of the noncontrolling interest, the term loan, which was previously eliminated in the 
Company's Consolidated Financial Statements, was extinguished.

59 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

2013 Real Estate Acquisitions
During 2013, the Company acquired the following properties:

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

a 52,225 square foot medical office building in Tennessee for a purchase price and cash consideration of $16.2 million.  
The property was 100% leased to four tenants with expirations through 2021 and is adjacent to a 39,345 square foot 
medical office building the Company purchased in October 2012;

a 42,627 square foot inpatient rehabilitation facility in Texas for a purchase price and cash consideration of $16.3 
million.  The property was 100% leased to one tenant that expires in 2033;

a 205,573 square foot medical office building and garage in Indiana for a purchase price and cash consideration of 
$44.3 million.  The property was 87% leased with expirations through 2029.  The property is connected to and was 
48% leased by St. Joseph's Medical Center, which is part of the CHE Trinity system, that opened in December 2009; 

an 80,153 square foot medical office building in Colorado for a purchase price of approximately $33.2 million, 
including cash consideration of $21.2 million and the assumption of debt of $12.0 million (excluding a $0.7 million 
fair value adjustment premium recorded upon acquisition).  The mortgage note payable assumed by the Company 
bears a contractual interest rate of 6.17% and matures in 2027.  The building was 100% leased with lease expirations 
through 2028.  The property is connected to and was 71% leased by Poudre Valley Health System, which is part of the 
University of Colorado Health system;

a 186,000 square foot orthopedic facility in Missouri for a purchase price of approximately $102.6 million.  The 
Company funded the development of the facility through a construction mortgage loan of approximately $97.2 million 
that, upon acquisition, was eliminated in the Company's Consolidated Financial Statements. At the closing of the 
purchase, the outstanding loan balance was credited to the purchase price and the Company paid an additional $5.4 
million in cash consideration.  Subsequent to the acquisition, the Company funded an additional $6.5 million in 2013 
and $2.3 million during 2014 to complete the development.  The building was 100% leased to Mercy Health through 
2027;

an 81,956 square foot medical office building located in the state of Washington for a purchase price of $34.9 million.  
The property was 100% leased with lease expirations through 2020 and is adjacent to two hospital campuses and 
affiliated with Providence Health and Services.  The Company assumed a mortgage note payable of $16.6 million 
(excluding a $0.5 million fair value adjustment premium recorded upon acquisition) on the property that bears interest 
at a rate of 6.01% and matures in 2036;

a 70,138 square foot medical office building in Colorado for a purchase price and cash consideration of $21.6 million.  
The property was on the same campus as the 80,153 square foot medical office building the Company purchased in 
September 2013.  The building was 83% leased to three tenants with lease expirations through 2026.  The property is 
connected to and affiliated with the University of Colorado Health system; 

a 90,633 square foot medical office building in North Carolina for a purchase price of $20.1 million.  The property was 
100% leased with expirations through 2021 and is affiliated with CaroMont Health.  The Company assumed a 
mortgage note payable of $11.0 million (excluding a $0.2 million fair value adjustment premium recorded upon 
acquisition) on the property that bears interest at a rate of 5.86% and matures in 2016;

a 97,552 square foot medical office building located in Texas for a purchase price and cash consideration of $19.0 
million.  The property was 88% leased with expirations through 2026.  The property is affiliated with and was 24% 
leased by Seton Healthcare; and

a 34,068 square foot inpatient rehabilitation facility located in Colorado for a purchase price and cash consideration of 
$7.0 million.  Concurrent with the closing on the acquisition, the Company executed a single-tenant net lease that 
expires in 2029 for 100% of the property.  This transaction was accounted for as an asset acquisition.

60NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

A summary of the Company’s 2013 acquisitions is shown in the table below:

(Dollars in millions)
Real estate acquisitions

Date
Acquired

Purchase
Price

Elimination of
Construction
Mortgage Note
Receivable

Mortgage
Notes 
Payable 
Assumed(1)

Cash
Consideration (2)

Real
Estate

Other (3)

Square
Footage

Tennessee

Texas

        Indiana

        Colorado

        Missouri

        Washington

        Colorado

        North Carolina

        Texas

        Colorado

______

1/29/13

$

16.2

$

— $

— $

16.2

$

15.7

$

4/8/13

8/8/13

9/27/13

9/27/13

10/18/13

10/24/13

10/30/13

12/16/13

12/16/13

16.3

44.3

33.2

102.6

34.9

21.6

20.1

19.0

7.0

—

—

—

(97.2)

—

—

—

—

—

—

—

(12.0)

—

(16.6)

—

(11.0)

—

—

16.3

44.3

21.2

5.4

18.3

21.6

9.1

19.0

7.0

16.3

43.3

32.9

102.6

35.4

21.7

20.0

19.1

7.1

0.5

—

1.0

0.3

—

(0.5)

(0.1)

0.1

(0.1)

(0.1)

52,225

42,627

205,573

80,153

186,000

81,956

70,138

90,633

97,552

34,068

$ 315.2

$

(97.2) $

(39.6) $

178.4

$ 314.1

$

1.1

940,925

(1)  The mortgage notes payable assumed in the acquisitions do not reflect the fair value adjustments totaling $1.4 million 
recorded by the Company upon acquisition (included in Other).
(2)  Cash consideration excludes non-real estate assets acquired and liabilities assumed in the acquisitions.
(3)  Includes intangibles recognized at acquisition and fair value adjustments on debt assumed.

The following table summarizes the estimated fair values of the assets acquired and liabilities assumed in the real estate 
acquisitions for 2013 as of the acquisition date:

Buildings

Land

Personal property

Intangibles:

At-market lease intangibles

Above-market lease intangibles

Below-market lease intangibles

Total intangibles

Mortgage notes payable assumed, including fair value adjustments

Elimination of mortgage note receivable upon acquisition

Other assets acquired
Accounts payable, accrued liabilities and other liabilities assumed

Total cash paid (1)

Estimated 
Fair Value

Estimated 
Useful Life

(In millions)

(In years)

7.0-39.0

—

1.9

3.7-20.0

2.3-16.3

0.5-7.4

$

$

280.2

21.6

0.3

12.0

2.9

(0.4)

14.5

(41.0)

(97.2)

1.2

(1.9)

177.7

______
(1) Total cash paid includes liabilities assumed net of receivables acquired in the acquisitions of $0.7 million.

61 
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

2014 Real Estate Asset Dispositions

During 2014, the Company disposed of the following real estate assets:

• 

• 

• 

• 

• 

• 

• 

a 52,608 square foot off-campus, medical office building located in Florida in which the Company had a $1.7 million 
net investment, including the impact of impairment charges recorded prior to the sale of approximately $3.3 million.  
The sales price was $1.8 million, comprised of $1.7 million in net cash proceeds and closing costs of $0.1 million.  
This property was previously classified as held for sale;

a 58,365 square foot off-campus, medical office building located in Texas in which the Company had a $4.1 million 
net investment, including the impact of impairment charges recorded prior to the sale of approximately $2.6 million.  
The sales price was $4.4 million, comprised of $4.2 million in net cash proceeds and closing costs of $0.2 million.  
This property was previously classified as held for sale;

a 31,026 square foot on-campus, medical office building located in Nevada in which the Company had a $4.9 million 
net investment.  The sales price was approximately $2.3 million, comprised of net cash proceeds of approximately 
$0.2 million, a seller-financed mortgage note of $1.9 million, and closing costs of $0.2 million.  The Company 
recognized a $2.8 million impairment on the disposal of this property that was not previously classified as held for 
sale; 

two off-campus medical office buildings in Tennessee, totaling 32,204 square feet, in which the Company had an 
aggregate net investment of $3.2 million.  The sales price for the buildings was approximately $3.1 million comprised 
of net cash proceeds of $2.9 million and closing costs of approximately $0.2 million.  The Company recognized a $0.4 
million impairment on the disposal, net of straight-line rent receivables which were written off.  These properties were 
not previously classified as held for sale;

two off-campus medical office buildings in Texas, totaling 166,167 square feet, in which the Company had an 
aggregate net investment $12.1 million.  The sales price and net cash proceeds for the buildings was approximately 
$21.5 million.  The Company recognized a $9.2 million gain on the disposal, net of straight-line rent receivables which 
were written off.  These properties were not previously classified as held for sale;

a 26,166 square foot off-campus, medical office building located in Missouri in which the Company had a $1.4 million 
net investment, including a $3.1 million impairment charge recorded in the second quarter of 2014 as a result of the 
pending sale.  The sales price and net cash proceeds for the building was approximately $1.3 million.  The Company 
recognized a $0.2 million impairment on the disposal, net of straight-line rent receivables which were written off.  This 
property was previously classified as held for sale; and  

a 110,000 square foot off-campus, medical office building located in Illinois in which the Company had a $0.8 million 
net investment, including the impact of impairment charges prior to the sale of $5.6 million.  The sales price was $0.5 
million and the Company recognized a $0.3 million impairment on the disposal.  This property was previously 
classified as held for sale.

2014 Company-Financed Mortgage Notes

During 2014, the Company originated an $1.9 million seller-financed mortgage note receivable with the purchaser of a medical 
office building located in Nevada.  See "2014 Real Estate Asset Dispositions" above for more information.

Also during 2014, two Company-financed mortgage notes receivable totaling $4.9 million were repaid.

62NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

A summary of the Company's 2014 dispositions are as follows:

Sales
Price

Closing
Adjustments

Company-
financed
Mortgage
Notes

Net
Proceeds

Net Real
Estate
Investment

Other
(including
receivables)

Gain/
(Impairment)

Square
Footage

4/11/2014 $

$

(0.1) $

— $

(0.2)

(0.2)

(0.2)

—

—

—

(0.7)

—

$

1.7

4.2

0.2

2.9

21.5

1.3

0.5

32.3

4.9

1.7

4.1

4.9

3.2

12.1

1.4

0.8

28.2

—

$

— $

0.1

—

0.1

0.2

0.1

—

0.5

—

$ 37.2

$

28.2

$

0.5

$

—

(1.9)

—

—

—

—

(1.9)

4.9

3.0

—

—

(2.8)

(0.4)

52,608

58,365

31,026

32,204

9.2

166,167

(0.2)

26,166

(0.3)

110,000

5.5

—

5.5

476,536

—

476,536

Date
Disposed
(Dollars in millions)
Real estate dispositions
Florida (1)
Texas (1)

4/23/2014

Nevada
Tennessee (2)
Texas (2)
Missouri (1)
Illinois (1)

9/12/2014
11/14/2014

11/25/2014

12/18/2014

12/29/2014

Total dispositions

Mortgage note repayments

1.8

4.4

2.3

3.1

21.5

1.3

0.5

34.9

—

$ 34.9

$

(0.7) $

______

(1) Previously included in assets held for sale.

(2) Includes two properties.

2013 Real Estate Asset Dispositions
During 2013, the Company disposed of the following real estate assets:

• 

• 

• 

• 

• 

• 

15.1 acres of land in Texas in which the Company had an aggregate net investment of approximately $8.1 million.  The 
sales price was approximately $5.0 million, which included $1.1 million in net cash proceeds, the origination of a $3.7 
million Company-financed mortgage note receivable and closing costs of $0.2 million.   The Company recognized a 
$3.3 million impairment on the disposal; 

a 17,696 square foot medical office building in Tennessee, in which the Company had an aggregate net investment of 
$0.4 million, including the impact of impairment charges prior to the sale of $1.3 million.  The sales price of $0.6 
million was funded by the Company under a mortgage note receivable. The approximate $0.2 million gain was 
recognized as payments on the mortgage note were made under the installment method and fully recognized in 
October 2013 when the note was repaid.  The property was previously classified as held for sale;

an 8,000 square foot medical office building in Texas, in which the Company had an aggregate net investment of $0.9 
million.  The sales price was approximately $1.3 million comprised of $1.2 million in net cash proceeds and closing 
costs of $0.1 million.  The Company recognized a $0.3 million gain on the disposal.  The property was not previously 
classified as held for sale;

a 100,920 square foot medical office building in Texas. The Company had an aggregate net investment of $3.0 million 
in this property, including the impact of impairment charges prior to the sale of $6.8 million.  The sales price was 
approximately $3.2 million comprised of $3.0 million in net cash proceeds and closing costs of $0.2 million.  The 
Company recognized an immaterial gain on the disposal of this property that was previously classified as held for sale;

a 9,153 square foot medical office building and a 22,572 square foot medical office building, both in Iowa, in which 
the Company had an aggregate net investment of approximately $5.3 million.  The total sales price and net cash 
proceeds for the two properties were $6.9 million.  In connection with the sales, the Company repaid a mortgage note 
payable of $1.1 million and incurred debt extinguishment costs of $0.3 million.  The Company recognized a $1.4 
million aggregate gain on the disposal of the two properties, including the write-off of a straight-line rent receivable of 
$0.2 million.  The properties were not previously classified as held for sale;

a 62,782 square foot inpatient rehabilitation facility in Florida pursuant to a purchase option exercise and in which the 
Company had an aggregate net investment of $7.4 million.  The sales price was approximately $11.9 million 
comprised of $11.7 million in net cash proceeds and closing costs of $0.2 million.  The Company recognized a $4.3 
million gain on the disposal of this property that was previously classified as held for sale;

63NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

• 

• 

• 

• 

• 

• 

an 82,000 square foot inpatient rehabilitation facility in Alabama pursuant to a purchase option exercise and in which 
the Company had an aggregate net investment of $11.2 million.  The sales price was approximately $17.5 million 
comprised of $17.4 million in net cash proceeds and closing costs of $0.1 million.  The Company recognized a $6.2 
million gain on the disposal of this property that was previously classified as held for sale;

a 76,324 square foot inpatient rehabilitation facility in Pennsylvania pursuant to a purchase option exercise in which 
the Company had an aggregate net investment of $12.2 million.  The sales price was approximately $17.6 million 
comprised of $17.3 million in net cash proceeds and closing costs of $0.3 million.  The Company recognized a $5.1 
million gain on the disposal of this property.  This property was not previously classified as held for sale; 

a 79,560 square foot inpatient rehabilitation facility in Pennsylvania pursuant to a purchase option exercise in which 
the Company had an aggregate net investment of $12.6 million. The sales price was approximately $17.6 million 
comprised of $17.2 million in net cash proceeds and closing costs of $0.4 million.  The Company recognized a $4.6 
million gain on the disposal of this property.  This property was not previously classified as held for sale; 

a 14,322 square foot medical office building in Florida in which the Company had an aggregate net investment of $0.8 
million, including the impact of impairment charges prior to the sale of $0.1 million.  The sales price and net cash 
proceeds received were approximately $0.8 million.  This property was previously classified as held for sale;

a 57,580 square foot medical office building in North Carolina in which the Company had an aggregate net investment 
of $13.4 million.  The sales price and net cash proceeds received were approximately $17.6 million.  The Company 
recorded a $2.1 million gain on the disposal, net of approximately $2.1 million of straight-line rent receivables, 
prepaid ground lease payments and above-market lease intangibles which were written off.  This property was not 
previously classified as held for sale; and

a 10,593 square foot medical office building in Alabama in which the Company had an aggregate net investment of 
$1.4 million.  The sales price and net cash proceeds received were approximately $1.9 million.  The Company 
recorded a $0.5 million gain on the disposal of this property that was previously classified as held for sale. 

64NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

A summary of the Company’s 2013 dispositions follows:

(Dollars in millions)
Real estate dispositions

Date
Disposed

Sales
Price

Closing
Adjustments

Company
-financed
Mortgage
Notes

Net
Proceeds

Net Real
Estate
Investment

Other
(including
receivables)

Gain/
(Impairment)

Square
Footage

$

(0.2) $

(3.7) $

1.1

$

$

— $

(3.3)

—

Texas (land)
Tennessee (1)(4)

Texas
Texas (1)
Iowa (2) (3)
Florida (1)
Alabama (1)
Pennsylvania

Pennsylvania
Florida (1)
North Carolina
Alabama (1)
Total dispositions

3/25/13

$

4/30/13

5/15/13

5/24/13

6/3/13

7/15/13

7/31/13

9/30/13

9/30/13

10/31/13

12/5/13

12/31/13

5.0

0.6

1.3

3.2

6.9

11.9

17.5

17.6

17.6

0.8

17.6

1.9

Mortgage note repayments

______

—

(0.1)

(0.2)

—

(0.2)

(0.1)

(0.3)

(0.4)

—

—

—

(0.6)

—

—

—

—

—

—

—

—

—

—

(4.3)

0.6

—

1.2

3.0

6.9

11.7

17.4

17.3

17.2

0.8

17.6

1.9

96.1

0.6

8.1

0.4

0.9

3.0

5.3

7.4

11.2

12.2

12.6

0.8

13.4

1.4

76.7

—

101.9

—
$ 101.9

$

(1.5)

—
(1.5) $

(3.7) $

96.7

$

76.7

$

—

—

—

0.2

—

—

—

—

—

2.1

—

2.3

—

2.3

$

0.2

0.3

—

1.4

4.3

6.2

5.1

4.6

—

2.1

0.5

21.4

—

21.4

17,696

8,000

100,920

31,725

62,782

82,000

76,324

79,560

14,322

57,580

10,593

541,502

—

541,502

(1)  Previously included in assets held for sale.
(2) 
(3)  The Company repaid a mortgage note payable of $1.1 million upon sale and incurred debt extinguishment costs of $0.3 

Includes two properties.

million.

(4)  The Company-financed mortgage note receivable was repaid in October 2013.

2013 Company-Financed Mortgage Notes
During 2013, the Company originated the following Company-financed mortgage notes receivable in disposal transactions 
discussed in the "2013 Real Estate Asset Dispositions" section above: 

• 

• 

$3.7 million with the purchaser of the 15.1 acres of land located in Texas that were sold in March 2013.  The mortgage 
note receivable had an interest rate of 5.0% in the first year and 6.0% in the second year and was to mature in March 
2015.  This note was repaid in September 2014; and

$0.6 million with the purchaser of a medical office building in Tennessee that was sold in April 2013 that was to 
mature on April 30, 2018 and had an interest rate of 7.5% per annum.  This note was repaid in October 2013.

2013 Noncontrolling Interest Contribution
During 2013, the Company received $1.8 million in capital contributions from a 40% noncontrolling interest holder in a 
partnership that owned a medical office building and parking garage in Texas.  The partnership (HRP MAC III, LLC), in which 
the Company held a 60% majority controlling interest, was the borrower under a term loan from the Company of approximately 
$14.2 million, secured by the real estate assets, that matures in January 2016 and bears interest at 5.35%.  These buildings, 
which were constructed by the Company, were completed in July 2012 and were previously subject to a construction mortgage 
note totaling $13.7 million.  The Company's equity in and term loan to the partnership were eliminated in consolidation.

2015 Acquisition

In January 2015, the Company acquired a 110,679 square foot medical office building in California for a purchase price and 
cash consideration of  $39.3 million.  The property is located adjacent to two hospital campuses, one affiliated with Kaiser 
Permanente, a 106-bed hospital, and another affiliated with Washington Hospital Healthcare System, a 353-bed hospital.  Upon 
acquisition, this property was 97% leased, with leases to the two hospitals comprising 59% of the rentable square footage.

65NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

5. Mortgage Notes Receivable
The Company’s mortgage note receivable is classified as held-for-investment based on management’s intent and ability to hold 
the loans until maturity. As such, the loans are carried at amortized cost. Also, the Company’s mortgage note receivable is 
secured by an existing building. Approximately $1.2 million and $58.7 million, respectively, were funded on existing 
construction mortgage loans during the years ended December 31, 2014 and 2013.  A summary of the Company’s mortgage 
notes receivable for the years ended December 31, 2014 and 2013 is shown in the table below:

State

Property Type (1)

Face Amount

Interest Rate

Maturity Date

2014

2013

Balance as of December 31,

(dollars in thousands)

Construction mortgage notes:

Oklahoma

MOB

$

94,889

7.72%

09/30/14

$

— $

Total construction mortgage notes

Other mortgage notes:

Iowa

Florida

Texas

Nevada

Other

MOB

Land

MOB

40,000

3,750

3,666

1,900

7.70%

7.50%

5.00%-6.00%

01/10/14

04/10/15

03/25/15

6.50%

09/30/17

Total other mortgage notes

Total mortgage notes receivable

______
(1) MOB - Medical office building. 

—

—

—

—

1,900

1,900

79,969

79,969

39,973

3,750

1,855

—

45,578

$

1,900

$

125,547

Construction Mortgage Note Fundings
In May 2014, the Company acquired a medical office building in Oklahoma for $85.4 million, including the elimination of the 
construction mortgage note receivable totaling $81.2 million and cash consideration of approximately $4.2 million.  The 
building is 100% leased to Mercy Health.  The Company provided $1.2 million in fundings toward the facility under a 
construction mortgage note during 2014.  See Note 4 for details regarding the Company's acquisition.

Mortgage Note Receivable Default
As of December 31, 2013, the Company held a $40.0 million loan that was secured by a first position mortgage on a multi-
tenant office building in Iowa that is 93% leased.  Interest only payments at a fixed rate of 7.7% were due, and paid, through the 
maturity of the loan on January 10, 2014.  The borrower did not make the balloon principal payment at maturity.  The borrower 
transfered its interest in the property to the Company in satisfaction of the debt.  See Note 4 for details regarding the Company's 
acquisition.

6. Discontinued Operations
Assets and liabilities of properties sold or classified as held for sale on the Company’s Consolidated Balance Sheets, and the 
results of operations of such properties are included in discontinued operations on the Company’s Consolidated Statements of 
Operations for all periods presented. As of December 31, 2014 and 2013, the Company had two and three properties, 
respectively, classified as held for sale. 

The tables below reflect the assets and liabilities of the properties classified as held for sale and discontinued operations as of 
December 31, 2014 and 2013 and the results of operations of the properties included in discontinued operations on the 
Company’s Consolidated Statements of Operations for the years ended December 31, 2014, 2013 and 2012.

66NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

(Dollars in thousands)
Balance Sheet data (as of the period ended):

Land

Buildings, improvements and lease intangibles

Personal property

Accumulated depreciation

Assets held for sale, net

Other assets, net (including receivables)

Assets of discontinued operations, net

Assets held for sale and discontinued operations, net

Accounts payable and accrued liabilities

Other liabilities

Liabilities of discontinued operations

$

$

$

$

December 31,

2014

422

$

12,822

13

13,257

(4,464)

8,793

353

353

9,146

86

286

372

$

$

$

2013

1,578

15,400

—

16,978

(10,211)

6,767

85

85

6,852

1,091

21

1,112

67 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

(Dollars in thousands, except per share data)
Statements of Operations data:

Revenues (1)

Rental income
Other operating

Expenses (2)

Property operating
General and administrative
Depreciation
Amortization
Bad debt, net of recoveries

Other Income (Expense) (3)

Loss on extinguishment of debt
Interest expense
Interest and other income, net

Income from Discontinued Operations

Impairments (4)
Gain on sales of real estate properties (5)

Income (Loss) from Discontinued Operations
Income (Loss) from Discontinued Operations per
Common Share - Basic

Income (Loss) from Discontinued Operations per
Common Share - Diluted

______

$

$

$

$

Year Ended December 31,

2014

2013

2012

$

$

14,202
9
14,211

5,660
4
5,664

3,126
19
1,551
—
3
4,699

—
—
2
2
967
(12,029)

9,283

(1,779) $

(0.02) $

(0.02) $

24,290
69
24,359

6,894
33
6,888
147
10
13,972

—
(97)
171
74
10,461
(14,908)

10,874

6,427

0.08

0.08

4,830
26
3,794
63
13
8,726

(270)
(40)
71
(239)
5,246
(9,889)

24,718

20,075

0.22

0.22

$

$

$

(1)  Total revenues for the years ended December 31, 2014, 2013 and 2012 included $4.3 million, $12.6 million and $22.2 
million, respectively, related to properties sold; and $1.4 million, $1.6 million and $2.2 million, respectively, related to 
two properties held for sale as of December 31, 2014.

(2)  Total expenses for the years ended December 31, 2014, 2013 and 2012 included $4.7 million, $8.7 million and $13.5 

million, respectively, related to properties sold; and for the year ended December 31, 2012 included $0.5 million related 
to two properties held for sale as of December 31, 2014.

(3)  Other income (expense) for the years ended December 31, 2014, 2013, and 2012 included income (expense) related to 

(4) 

properties sold. 
Impairments for the year ended December 31, 2014 included $3.7 million in connection with the sale of three properties 
and $8.3 million on two properties in held for sale and two properties there were reclassified to held for sale during 2014.  
All four properties of these were subsequently sold;  December 31, 2013 included the following:  $3.3 million related to 
the sale of a land parcel; $0.4 million related to two properties classified as held for sale and subsequently sold for a gain; 
and $6.2 million related to three properties held for sale; and December 31, 2012 included $11.1 million related to 12 
properties sold and $3.8 million related to one properties held for sale.

(5)  Gain on sales of real estate properties for the years ended December 31, 2014, 2013 and 2012 included gains on the sale 

of three, 12 and seven properties, respectively.

7. Impairment Charges
An asset is impaired when undiscounted cash flows expected to be generated by the asset are less than the carrying value of the 
asset.  The Company must assess the potential for impairment of its long-lived assets, including real estate properties, whenever 
events occur or there is a change in circumstances, such as the sale of a property or the decision to sell a property, that indicate 
that the recorded value might not be fully recoverable. 

The Company recorded impairment charges on properties sold or classified as held for sale, which are included in discontinued 
operations, for the years ended December 31, 2014, 2013 and 2012 totaling $12.0 million, $9.9 million and $14.9 million, 

68 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

respectively. Both level 1 and level 3 fair value techniques were used to derive these impairment charges.  These impairment 
charges are discussed in more detail in Note 4.

8. Other Assets
Other assets consist primarily of straight-line rent receivables, prepaids, intangible assets, deferred financing costs and 
receivables.  Items included in "Other assets, net" on the Company’s Consolidated Balance Sheets as of December 31, 2014 and 
2013 are detailed in the table below: 

(Dollars in millions)
Prepaid assets

Straight-line rent receivables

Above-market intangible assets, net

Additional long-lived assets, net

Ground lease modification, net

Deferred financing costs, net

Accounts receivable

Allowance for uncollectible accounts

Goodwill

Customer relationship intangible assets, net

Other

Ground Lease Modification, net

$

December 31,

$

2014

61.4

52.6

17.3

14.4

11.7

9.9

8.7

(0.5)

3.5

1.9

4.4

2013

55.3

42.2

14.4

15.9

—

11.7

7.0

(0.5)

3.5

2.0

2.0

$

185.3

$

153.5

In May 2014, the Company modified the ground leases and property operating agreements of five on-campus medical office 
buildings, totaling 424,000 square feet, associated with the sponsoring health system.  The Company paid the health system 
$12.0 million to modify these agreements and eliminate exercisable purchase options that would have resulted in a purchase 
price below estimated fair market value.  This modification payment will be amortized over the remaining term of the in-place 
ground leases on a straight-line basis.

9. Intangible Assets and Liabilities
The Company has several types of intangible assets and liabilities included in its Consolidated Balance Sheets, including 
goodwill, deferred financing costs, above-, below-, and at-market lease intangibles, and customer relationship intangibles. The 
Company’s intangible assets and liabilities as of December 31, 2014 and 2013 consisted of the following:  

(Dollars in millions)
Goodwill
Deferred financing costs
Above-market lease intangibles
Customer relationship intangibles
Below-market lease intangibles
At-market lease intangibles

Gross Balance at
December 31,

2014
$ 3.5
17.6
21.1
2.6
(9.2)
130.7
$166.3

$

2013
3.5
16.4
17.3
2.6
(8.9)
118.6
$149.5

Accumulated
Amortization
at December 31,

2014

2013
$ — $ —
4.7
2.9
0.6
(4.1)
76.2
$ 80.3

7.7
3.8
0.7
(4.8)
86.9
$ 94.3

Weighted 
Avg. 
Remaining 
Life
(Years)
N/A
4.3
52.7
28.6
14.3
7.2
17.0

Balance Sheet
Classification
Other assets
Other assets
Other assets
Other assets
Other liabilities
Real estate properties

69 
 
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

The following table represents expected amortization of the Company’s intangible assets and liabilities, in place as of 
December 31, 2014:

(Dollars in millions)

Future Amortization of Intangibles, net

2015

2016

2017

2018

2019

$

$

$

$

$

12.4

11.4

8.3

6.5

4.9

10. Notes and Bonds Payable
The table below details the Company’s notes and bonds payable. 

(Dollars in thousands)
Unsecured Credit Facility

Unsecured Term Loan
Facility

Senior Notes due 2017, net
of discount

Senior Notes due 2021, net
of discount

Senior Notes due 2023, net
of discount

Mortgage notes payable,
net of discounts and
including premiums

December 31,

2014

2013

Maturity
Dates

Contractual
Interest Rates

Principal
Payments

Interest
Payments

$

85,000

$

238,000

4/17

LIBOR + 1.40%

At maturity

Quarterly

200,000

—

2/19

LIBOR + 1.45%

At maturity

Quarterly

299,308

299,008

397,864

397,578

248,253

248,077

1/17

1/21

4/23

6.500%

At maturity

Semi-Annual

5.750%

At maturity

Semi-Annual

3.750%

At maturity

Semi-Annual

173,267

165,796

5/15-5/40

     5.00%-7.63%

Monthly

Monthly

$ 1,403,692

$ 1,348,459

The Company’s various debt agreements contain certain representations, warranties, and financial and other covenants 
customary in such loan agreements. Among other things, these provisions require the Company to maintain certain financial 
ratios and minimum tangible net worth and impose certain limits on the Company’s ability to incur indebtedness and create 
liens or encumbrances. As of December 31, 2014, the Company was in compliance with its financial covenant provisions under 
its various debt instruments.

Unsecured Credit Facility due 2017
On October 14, 2011, the Company entered into a $700.0 million unsecured credit facility ("Unsecured Credit Facility") with a 
syndicate of 17 lenders. On February 15, 2013, the Company amended the facility to extend the original maturity date to April 
14, 2017. The amendment also provides the Company with two six-month extension options that could extend the maturity date 
to April 14, 2018. Each option is subject to an extension fee of 0.075% of the aggregate commitments. Amounts outstanding 
under the Unsecured Credit Facility bear interest at LIBOR plus an applicable margin rate. The margin rate, which depends on 
the Company's credit ratings, ranges from 0.95% to 1.75% (1.4% as of December 31, 2014). In addition, the Company pays a 
facility fee per annum on the aggregate amount of commitments ranging from 0.15% to 0.35% (0.30% as of December 31, 
2014). In connection with the amendment, the Company paid up-front fees to the lenders of approximately $2.7 million, which 
will be amortized over the term of the facility. The Company wrote-off certain unamortized deferred financing costs of the 
original facility of approximately $0.3 million upon execution of the amendment. As of December 31, 2014, the Company had 
$85.0 million outstanding under the Unsecured Credit Facility with a weighted average interest rate of approximately 1.6% and 
a remaining borrowing capacity of approximately $615.0 million.

70 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

Unsecured Term Loan Facility due 2019

In February 2014, the Company entered into a $200.0 million unsecured term loan facility ("Unsecured Term Loan due 2019") 
with a syndicate of nine lenders that matures on February 26, 2019.  The Unsecured Term Loan due 2019 bears interest at a rate 
equal to (x) LIBOR plus (y) a margin ranging from 1.00% to 1.95% (1.45% as of December 31, 2014) based upon the 
Company's unsecured debt ratings.  Payments under the Unsecured Term Loan due 2019 are interest only, with the full amount 
of the principal due at maturity.  The Unsecured Term Loan due 2019 may be prepaid at any time, without penalty.  The 
proceeds from the Unsecured Term Loan due 2019 were used by the Company to repay borrowings on its Unsecured Credit 
Facility.  The Unsecured Term Loan due 2019 has various financial covenant provisions that are required to be met on a 
quarterly and annual basis that are equivalent to those of the Unsecured Credit Facility.  As of December 31, 2014, the 
Company had $200.0 million outstanding under the Unsecured Term Loan due 2019 with a weighted average interest rate of 
approximately 1.6%.

Senior Notes due 2017
On December 4, 2009, the Company publicly issued $300.0 million of unsecured senior notes due 2017 (the "Senior Notes due 
2017"). The Senior Notes due 2017 bear interest at 6.50%, payable semi-annually on January 17 and July 17, and are due on 
January 17, 2017, unless redeemed earlier by the Company. The notes were issued at a discount of approximately $2.0 million, 
which yielded a 6.618% interest rate per annum upon issuance. For each of the years ended December 31, 2014, 2013 and 
2012, the Company amortized approximately $0.3 million of the discount which is included in interest expense on the 
Company’s Consolidated Statements of Operations. 

The Company's board of directors has authorized the repurchase of up to $50 million of the Company's Senior Notes due 2017 
in open market transactions from time to time.  The Company currently has no specific timeframe within which to purchase 
these notes and has no obligation to repurchase any notes prior to maturity.

The following table reconciles the balance of the Senior Notes due 2017 on the Company’s Consolidated Balance Sheets as of 
December 31, 2014 and 2013. 

(Dollars in thousands)
Senior Notes due 2017 face value

Unaccreted discount

Senior Notes due 2017 carrying amount

December 31,

2014

300,000

$

(692)

299,308

$

2013

300,000

(992)

299,008

$

$

Senior Notes due 2021
On December 13, 2010, the Company publicly issued $400.0 million of unsecured senior notes due 2021 (the "Senior Notes 
due 2021"). The Senior Notes due 2021 bear interest at 5.75%, payable semi-annually on January 15 and July 15, and are due 
on January 15, 2021, unless redeemed earlier by the Company. The notes were issued at a discount of approximately $3.2 
million, which yielded a 5.855% interest rate per annum upon issuance. For each of the years ended December 31, 2014, 2013 
and 2012, the Company amortized approximately $0.3 million of the discount which is included in interest expense on the 
Company’s Consolidated Statement of Operations. The following table reconciles the balance of the Senior Notes due 2021 on 
the Company’s Consolidated Balance Sheets as of December 31, 2014 and 2013.   

(Dollars in thousands)
Senior Notes due 2021 face value

Unaccreted discount

Senior Notes due 2021 carrying amount

December 31,

2014

400,000

$

(2,136)

397,864

$

2013

400,000

(2,422)

397,578

$

$

71 
 
 
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

Senior Notes due 2023
On March 26, 2013, the Company publicly issued $250.0 million of unsecured senior notes due 2023 (the "Senior Notes due 
2023"). The Senior Notes due 2023 bear interest at 3.75%, payable semi-annually on April 15 and October 15, beginning 
October 15, 2013, and are due on April 15, 2023, unless redeemed earlier by the Company. The notes were issued at a discount 
of approximately $2.1 million, which yielded a 3.849% interest rate per annum upon issuance. For the years ended 
December 31, 2014 and 2013, the Company amortized approximately $0.2 million and $0.1 million, respectively, of the 
discount which is included in interest expense on the Company’s Consolidated Statement of Operations. The following table 
reconciles the balance of the Senior Notes due 2023 on the Company’s Consolidated Balance Sheets as of December 31, 2014.   

(Dollars in thousands)
Senior Notes due 2023 face value

Unaccreted discount

Senior Notes due 2023 carrying amount

December 31,

2014

250,000

$

(1,747)

248,253

$

2013

250,000

(1,923)

248,077

$

$

Mortgage Notes Payable
The following table reconciles the Company’s aggregate mortgage notes principal balance with the Company’s Consolidated 
Balance Sheets as of December 31, 2014 and 2013. For the years ended December 31, 2014, 2013 and 2012, the Company 
amortized approximately $1.1 million, $1.2 million and $1.0 million of the discount and $1.0 million, $0.7 million, and $0.7 
million of the premium, respectively, on the mortgage notes payable which is included in interest expense on the Company’s 
Consolidated Statement of Operations. 

(Dollars in thousands)
Mortgage notes payable principal balance

Unamortized premium
Unaccreted discount

Mortgage notes payable carrying amount

December 31,

2014
172,530
3,205
(2,468)
173,267

$

$

2013
166,684
2,708
(3,596)
165,796

$

$

72 
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

The following table details the Company’s mortgage notes payable, with related collateral.  

Effective 
Interest 
Rate
(21)

Original
Balance

Maturity
Date

Collateral
(22)

Principal and Interest
Payments (20)

Investment in
Collateral at
December 31,

Balance at December
31,

2014

2014

Monthly/20-yr amort.

$

12.1

$

(Dollars in millions)

Life Insurance Co.

Commercial Bank

Life Insurance Co.

Commercial Bank (1)

Commercial Bank (2)

Commercial Bank (3)

Commercial Bank (4)

Life Insurance Co.

Investment Co.

Life Insurance Co. (5)

Life Insurance Co. (6)

Insurance Co. (7)

Commercial Bank (8)

Life Insurance Co. (9)

Life Insurance Co. (10)

Life Insurance Co. (11)

Commercial Bank (12)

Commercial Bank (13)

Commercial Bank (14)

Life Insurance Co. (15)

Municipal Government (16) (17)

$

4.7

1.8

15.1

17.4

12.0

15.2

12.9

7.0

4.6

13.9

21.5

7.3

8.1

5.3

3.1

7.9

15.0

18.3

13.1

7.3

11.9

7.77%

1/17

5.55%

10/30

5.49%

6.48%

6.11%

7.65%

6.43%

5.53%

5.25%

4.70%

4.70%

1/16

5/15

7/15

7/20

2/21

1/18

9/15

1/16

8/15

5.10%

12/18

4.54%

4.06%

4.06%

4.00%

5.25%

8/16

11/14

11/14

8/20

4/27

5.00%

12/16

5.00%

4.86%

4.79%

4/16

8/20

(18)

MOB

OTH

MOB

MOB

Monthly/27-yr amort.

Monthly/10-yr amort.

Monthly/10-yr amort.

2 MOBs

Monthly/10-yr amort.

MOB

MOB

MOB

MOB

MOB

MOB

MOB

MOB

MOB

MOB

MOB

MOB

MOB

MOB

MOB

MOB

(19)

Monthly/12-yr amort.

Monthly/15-yr amort.

Monthly/10-yr amort.

Monthly/25-yr amort.

Monthly/25-yr amort.

Monthly/25-yr amort.

Monthly/10-yr amort.

Monthly/25-yr amort.

Monthly/25-yr amort.

Monthly/15-yr amort.

Monthly/20-yr amort

Monthly/30-yr amort

Monthly/25-yr amort

Monthly/27-yr amort

Semi-Annual (18)

$

0.9

1.5

11.9

14.8

10.1

12.7

11.0

1.9

4.1

11.0

16.6

6.8

7.5

—

—

4.0

11.9

16.5

10.7

7.1

12.3

2013

1.2

1.5

12.3

14.7

10.0

12.7

11.1

2.5

4.2

11.5

17.4

7.0

7.6

4.3

2.5

4.6

12.5

17.0

11.2

—

—

7.9

36.1

20.2

19.4

20.2

20.7

14.9

6.5

26.7

41.5

13.7

15.7

—

—

20.7

33.4

33.6

20.1

17.8

20.9

$

402.1

$ 173.3

$

165.8

The unaccreted portion of a $2.7 million discount recorded on this note upon acquisition is included in the balance above.
The unaccreted portion of a $2.1 million discount recorded on this note upon acquisition is included in the balance above.
The unaccreted portion of a $2.4 million discount recorded on this note upon acquisition is included in the balance above.
The unaccreted portion of a $1.0 million discount recorded on this note upon acquisition is included in the balance above.
The unamortized portion of a $0.3 million premium recorded on this note upon acquisition is included in the balance above.
The unamortized portion of a $0.4 million premium recorded on this note upon acquisition is included in the balance above.
The unamortized portion of the $0.6 million premium recorded on this note upon acquisition is included in the balance above.
The unamortized portion of the $0.5 million premium recorded on this note upon acquisition is included in the balance above.
Balance consists of two notes secured by the same building.  The company repaid these notes in October 2014.

______ 
(1) 
(2) 
(3) 
(4) 
(5) 
(6) 
(7) 
(8) 
(9) 
(10)  The company repaid this mortgage note in October 2014.
(11)  The unamortized portion of the $0.3 million premium recorded on this note upon acquisition is included in the balance above.
(12)  The unamortized portion of the $0.7 million premium recorded on this note upon acquisition is included in the balance above.
(13)  The unamortized portion of the $0.5 million premium recorded on this note upon acquisition is included in the balance above.
(14)  The unamortized portion of the $0.2 million premium recorded on this note upon acquisition is included in the balance above.
(15)  The unamortized portion of the $0.4 million premium recorded on this note upon acquisition is included in the balance above.
(16)  Balance consists of four notes secured by the same building.
(17)  The unamortized portion of the $1.0 million premium recorded on the four notes upon acquisition is included in the balance above.
(18)  These four mortgage notes payable are series municipal bonds that have maturity dates ranging from from May 2017 to May 2040.  The note payable 

with the earliest maturity date will require principal and interest payments while the remaining notes payable will require interest only payments.   One 
of the notes payable matures in May 2017 and the remaining three have future maturity dates but allow repayment in May 2020 without penalty.  The 
Company intends on repaying all three notes payable at that time.  

(19)  Payable in monthly installments of interest only for 24 months and then installments of principal and interest based on an 11-year amortization with the 

final payment due at maturity.

(20)  Payable in monthly installments of principal and interest with the final payment due at maturity (unless otherwise noted).
(21)  The contractual interest rates for the 22 outstanding mortgage notes ranged from 5.0% to 7.6% as of December 31, 2014.
(22)  MOB-Medical office building; OTH-Other.

Subsequent Mortgage Note Payable Repayment
In February 2015, the Company repaid in full a secured loan from Wells Fargo Commercial Mortgage bearing an interest rate of 
5.45% consisting of outstanding principal of $15.0 million and accrued interest as of the redemption date of $0.1 million.

73 
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

Other Long-Term Debt Information
Future maturities of the Company’s notes and bonds payable as of December 31, 2014 were as follows: 

(Dollars in thousands)

Principal 
Maturities

Net Accretion/
Amortization (1)

Notes and
Bonds Payable

2015

2016

2017

2018

2019

2020 and thereafter

$

50,826

$

(624) $

58,698

388,181

8,420

202,633

698,772

(473)

(473)

(496)

(636)

(1,136)

50,202

58,225

387,708

7,924

201,997

697,636

%

3.6%

4.1%

27.6%

0.6%

14.4%

49.7%

______ 
(1) 

Includes discount accretion and premium amortization related to the Company’s Senior Notes due 2017, Senior Notes due 2021, Senior Notes due 2023, 
and 17 mortgage notes payable.

$

1,407,530

$

(3,838) $

1,403,692

100.0%

11. Stockholders’ Equity

Common Stock
The Company had no preferred shares outstanding and had common shares outstanding for the three years ended December 31, 
2014 as follows: 

Balance, beginning of year

Issuance of common stock

Year Ended December 31,

2014

2013

2012

95,924,339

87,514,336

77,843,883

3,073,445

8,293,369

9,275,895

Non-vested stock-based awards, net of withheld shares and forfeitures

(169,686)

116,634

394,558

Balance, end of year

98,828,098

95,924,339

87,514,336

Restricted Stock Vesting
The Company's Chairman and Chief Executive Officer, David R. Emery, has received multiple grants of restricted stock in prior 
years, 838,886 of which vested by their terms on December 31, 2014.  Mr. Emery surrendered 351,913 of these shares upon 
vesting to satisfy the Company's minimum income tax withholding requirement.  Together with his other holdings, Mr. Emery 
will continue to retain approximately 784,669 shares of the Company's common stock, 87,779 of which will continue to be 
restricted and subject to future vesting requirements.

Equity Offering
On July 19, 2013, the Company issued 3,000,000 shares of common stock, par value $0.01 per share, at $26.13 per share in an 
underwritten public offering pursuant to the Company's existing effective registration statement. The net proceeds of the 
offering, after underwriting discounts, commissions and offering expenses, were approximately $78.3 million. 

On September 28, 2012, the Company sold 9,200,000 shares of common stock at a gross price of $23.87 per share (net price of 
$22.85 per share) in an underwritten public offering pursuant to the Company's existing effective registration statement. The net 
proceeds of the offering, after underwriting discounts and commissions and estimated offering expenses, were approximately 
$201.1 million. 

At-The-Market Equity Offering Program
The Company has in place an at-the-market equity offering program to sell shares of the Company’s common stock from time 
to time in at-the-market sales transactions.  The following table details the shares sold under this program.

2014

2013

Shares Sold

Sales Price Per Share

3,009,761

$24.35 - $27.53

5,207,871

$24.19 - $30.49

Net Proceeds
 (in millions)

$

$

75.7

140.6

74 
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

As of December 31, 2014, there were 2,381,639 authorized shares remaining available to be sold under the Company's existing 
sales agreements. In January 2015, the Company sold 531,153 shares of common stock, generating $14.9 million in net 
proceeds. 

Dividends Declared
During 2014, the Company declared and paid common stock dividends aggregating $1.20 per share ($0.30 per share per 
quarter).

On February 3, 2015, the Company declared a quarterly common stock dividend in the amount of $0.30 per share payable on 
February 27, 2015 to stockholders of record on February 17, 2015.

Authorization to Repurchase Common Stock
The Company’s Board of Directors has authorized management to repurchase up to 3,000,000 shares of the Company’s 
common stock. As of December 31, 2014, the Company had not repurchased any shares under this authorization. The Company 
may elect, from time to time, to repurchase shares either when market conditions are appropriate or as a means to reinvest 
excess cash flows. Such purchases, if any, may be made either in the open market or through privately negotiated transactions.

Noncontrolling Interest Transfers
The  following  schedule  discloses  the  effects  of  changes  in  the  Company's  ownership  interest  in  its  less-than-wholly-owned 
subsidiary on the Company's stockholders' equity:

(Dollars in thousands)
Net income attributable to common stockholders

Transfers to noncontrolling interest:

Year Ended December 31,

2014

2013

2012

$ 31,887

$

6,946

$

5,465

Net decrease in the Company's additional paid-in capital for purchase of subsidiary
partnership interest

Net transfers to the noncontrolling interest

(6,577)

(6,577)

—

—

—

—

Change to the Company's total stockholders' equity from net income attributable to
common stockholders and transfers to noncontrolling interest

$ 25,310

$

6,946

$

5,465

Accumulated Other Comprehensive Income (Loss)
During the year ended December 31, 2014, the Company recorded an increase to future benefit obligations related to its pension 
plan of $2.6 million, resulting in an increase to Other liabilities and an offsetting increase to Accumulated other comprehensive 
income (loss) which is included in Stockholders' equity on the Consolidated Balance Sheets. During the year ended 
December 31, 2013, the Company had recorded a reduction to future benefit obligations related to its pension plan of $2.1 
million, resulting in a decrease to Other liabilities and an offsetting decrease to Accumulated other comprehensive income (loss) 
which is included in Stockholders' equity on the Consolidated Balance Sheets.

The following table represents the amounts reclassified out of Accumulated other comprehensive income (loss) related to the 
Company's pension plan during the years ended December 31, 2014 and 2013:

(Dollars in thousands)
Beginning balance

Other comprehensive income (loss) before reclassifications

Amounts reclassified from accumulated other comprehensive income (loss)

Net current-period other comprehensive income (loss)

Ending balance

Year Ended December 31,

2014

51

$

(1,850)

(720)

(2,570)

(2,519) $

2013

(2,092)

1,952

191

2,143

51

$

$

75 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

The following table represents the details regarding the reclassifications from Accumulated other comprehensive income (loss) 
related to the Company's pension plan during the years ended December 31, 2014:

Details about accumulated other comprehensive
income (loss) components

Amount reclassified from
accumulated other
comprehensive income (loss)

Affected line item in the statement where net income is
presented

(Dollars in thousands)
Prior service costs

Actuarial loss

12. Benefit Plans

$

$

(1,189)

469

(720)

General and administrative expenses

General and administrative expenses

Executive Retirement Plan
The Company has an Executive Retirement Plan under which three founding officers may receive pension benefits upon normal 
retirement (defined to be when the officer reaches age 65 and has completed five years of service with the Company) at an 
amount equal to 60% of the officer’s final average earnings (defined as the average of the executive’s highest three years’ 
earnings) plus 6% of final average earnings multiplied by the years of service after age 60 (but not more than five years), less 
100% of certain other retirement benefits received by the officer to be paid either in lump sum or in monthly installments over a 
period not to exceed the greater of the life of the retired officer or his surviving spouse.

In December 2008, the Company froze the maximum annual benefits payable to a single participant under the plan at $0.9 
million, plus cost of living increases, which resulted in a curtailment of benefits under the retirement plan for the Company’s 
chief executive officer. In 2008, the officers under the plan elected the manner in which they would receive retirement benefits 
upon retirement. The Company’s chief executive officer agreed to receive his retirement benefits under the plan in installment 
payments upon retirement, rather than in a lump sum. Of the two remaining officers in the plan, one has elected to receive 
benefits in monthly installments and one has elected a lump-sum payment upon retirement.

As of December 31, 2014, only the Company’s chief executive officer was eligible to retire under the plan. Upon retirement, the 
chief executive officer will be paid annual installments of approximately $0.9 million, increasing annually based on CPI.
Net periodic benefit cost for the Executive Retirement Plan for the three years in the period ended December 31, 2014 is 
comprised of the following: 

(Dollars in thousands)
Service cost

Interest cost

Amortization of prior service cost

Amortization of net gain

Year Ended December 31,

2014

2013

$

88

$

86

$

687

597

(1,189)

(1,189)

469

55

1,380

874

2012

77

725

(723)

990

1,069

Net (gain) loss recognized in Accumulated other comprehensive income (loss)

2,570

(2,143)

(1,240)

Total recognized in net periodic benefit gain and Accumulated other comprehensive income
(loss)

$

2,625

$ (1,269) $

(171)

The Company estimates that approximately $0.4 million of the amounts included in Accumulated other comprehensive income 
(loss) will be amortized to expense in 2015.

The Executive Retirement Plan is unfunded, and benefits will be paid from earnings of the Company. The following table sets 
forth the benefit obligations as of December 31, 2014 and 2013. 

76NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

(Dollars in thousands)
Benefit obligation at beginning of year

Service cost

Interest cost

Benefits paid

Actuarial (gain) loss, net

Benefit obligation at end of year

Amounts recognized in the Consolidated Balance Sheets are as follows: 

(Dollars in thousands)
Net liabilities included in other liabilities

Amounts recognized in accumulated other comprehensive income (loss)

Year Ended December 31,

2014

$

13,890

$

88

687

(42)

1,850

$

16,473

$

2013

15,201

86

597

(42)

(1,952)

13,890

Year Ended December 31,

2014

2013

$

(13,954) $

(13,941)

(2,519)

51

The Company's assumed discount rates and compensation increases, which are used to measure the year-end benefit obligations 
and earnings for the subsequent year related to the Executive Retirement Plan are detailed in the following table for the three 
years ended December 31, 2014:

Discount rates

Compensation increases

2014

4.08%

2.7%

2013

4.92%

2.7%

2012

3.91%

2.7%

13. Stock and Other Incentive Plans

Stock Incentive Plan
The Incentive Plan authorizes the Company to issue 2,390,272 shares of common stock to its employees and directors. The 
Incentive Plan will continue until terminated by the Company’s Board of Directors. As of December 31, 2014, 2013 and 2012, 
the Company had issued, net of forfeitures, a total of 1,816,580 shares, 1,693,266 shares and 1,576,632 shares, respectively, 
under the Incentive Plan for compensation-related awards to employees and directors, with a total of 573,692 authorized shares, 
697,006 authorized shares and 813,640 authorized shares, respectively, remaining which had not been issued. Non-vested 
shares issued under the Incentive Plan are generally subject to fixed vesting periods varying from three to eight years beginning 
on the date of issue. If a recipient voluntarily terminates his or her relationship with the Company or is terminated for cause 
before the end of the vesting period, the shares are forfeited, at no cost to the Company. Once the shares have been issued, the 
recipient has the right to receive dividends and the right to vote the shares. Compensation expense recognized during the years 
ended December 31, 2014, 2013 and 2012 from the amortization of the value of shares over the vesting period issued to 
employees was $3.6 million, $4.3 million and $2.5 million, respectively.

The Incentive Plan also authorizes the Company's Compensation Committee of its Board of Directors to grant restricted stock 
units or other performance awards to eligible employees.  Such awards, if issued, will also be subject to restrictions and other 
conditions as determined appropriate by the Compensation Committee.  Grantees of restricted stock units will not have 
stockholder voting rights and will not receive dividend payments.  The award of performance units does not create any 
stockholder rights.  Upon satisfaction of certain performance targets as determined by the Compensation Committee, payment 
of the performance units may be made in cash, shares of common stock, or a combination of cash and common stock, at the 
option of the Compensation Committee.  As of December 31, 2014, the Company had not granted any restricted stock units or 
other performance awards under the Incentive Plan.

Executive Incentive Program
On July 31, 2012, the Company adopted a new Executive Incentive Program. The Executive Incentive Program was adopted to 
provide specific award criteria with respect to incentive awards made under the Incentive Plan subject to the discretion of the 
Compensation Committee.  No new shares of common stock were authorized in connection with the Executive Incentive 
Program. Under the terms of the Executive Incentive Program, the Company's named executive officers, and certain other 
members of senior management beginning in 2013, may earn incentive awards in the form of cash and non-vested stock. Cash 
incentive awards are based on individual and Company performance. Company performance is measured over a four-quarter 
period against targeted financial and operational metrics set in advance by the Compensation Committee. Non-vested stock 

77NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

awards are based on the Company's relative total shareholder return performance over one-year and three-year periods, 
measured against the Company's peer group. The officers may also receive non-vested stock awards by electing to take cash 
incentive awards in the form of non-vested stock. The following details the awards that have been earned from this program:

•  On December 31, 2014, the Company granted performance-based awards to its five named executive officers and 
five senior vice presidents with a grant date fair value totaling $3.9 million, which were granted in the form of 
140,930 non-vested shares, with a three-year vesting period, which will result in annual compensation expense of 
$1.3 million for the years ended 2015, 2016 and 2017, respectively.

•  On December 31, 2013, the Company granted performance-based awards to its five named executive officers and 
six senior vice presidents with a grant date fair value totaling $1.0 million, which were granted in the form of 
47,709 non-vested shares, with a three-year vesting period, which will result in annual compensation expense of 
$0.3 million for the years ended 2014, 2015 and 2016, respectively.  

•  On December 31, 2012, the Company granted performance-based awards to its five named executive officers 

with a grant date fair value totaling $2.7 million, which were granted in the form of 112,132 non-vested shares, 
with a three-year vesting period, which will result in annual compensation expense of $0.9 million for the years 
ended 2013, 2014 and 2015, respectively.  

Long-Term Incentive Program
In the first quarter of 2014 and fourth quarter of 2012, the Company granted a performance-based award under the Long-term 
Incentive Program adopted under the Incentive Plan (the "LTIP") totaling approximately $0.6 million and $3.6 million, 
respectively, which was granted in the form of 27,094 non-vested shares and 154,696 non-vested shares, respectively. The 
shares have vesting periods ranging from three to eight years with a weighted average vesting period of approximately six 
years. No performance-based awards were released under the Incentive Plan during 2013. Beginning in 2012, the Company's 
executive officers were no longer eligible to participate in the LTIP and beginning in 2013, five senior vice presidents were also 
no longer eligible to participate. 

In the first quarter of 2014, the Company granted a special release of  2,968 non-vested shares to three of its officers in lieu of a 
cash compensation increase.  The shares have a vesting period of eight years.

Salary Deferral Plan
The Company's salary deferral plan allows officers to elect to defer up to 50% of their base salary in the form of non-vested 
shares subject to long-term vesting issued under the Incentive Plan.  The number of shares will be increased through a 
Company match depending on the length of the vesting period selected by the officer.  The officer's vesting period choices are: 
three years for a 30% match; five years for a 50% match; and eight years for a 100% match.  During 2014, 2013 and 2012, the 
Company issued 71,460, shares 66,787 shares and 89,421 shares, respectively, to its officers through the salary deferral plan. 

78NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

Non-employee Directors Incentive Plan
The Company issues non-vested shares to its non-employee directors under the Incentive Plan. The directors’ shares issued 
generally have a three-year vesting period and are subject to forfeiture prior to such date upon termination of the director’s 
service, at no cost to the Company. During 2014, 2013 and 2012, the Company issued 26,677 shares, 20,256 shares, and 27,864 
shares, respectively, to its non-employee directors through the Incentive Plan. For 2014, 2013 and 2012, compensation expense 
resulting from the amortization of non-vested share grants to directors was approximately $0.5 million, $0.6 million, and $0.6 
million, respectively.

 A summary of the activity under the Incentive Plan and related information for the three years in the period ended 
December 31, 2014 follows: 

Stock-based awards, beginning of year

Granted

Vested

Forfeited

Stock-based awards, end of year

Weighted-average grant date fair value of:

Stock-based awards, beginning of year

Stock-based awards granted during the year

Stock-based awards vested during the year

Stock-based awards forfeited during the year

Stock-based awards, end of year

Year Ended December 31,

2014

2013

2012

1,788,168

1,770,061

1,430,675

269,129

134,752

(931,767)

(116,645)

(67,798)

—

397,917

(58,531)

—

1,057,732

1,788,168

1,770,061

$

$

$

$

$

23.81

25.27

24.13

22.01

24.01

$

$

$

$

$

23.97

23.90

26.35

$

$

$

— $

23.81

$

24.42

22.35

23.99

—

23.97

Grant date fair value of shares granted during the year

$ 6,800,122

$ 3,220,623

$ 8,894,424

The vesting periods for the non-vested shares granted during 2014 ranged from three to eight years with a weighted-average 
amortization period remaining as of December 31, 2014 of approximately 3.7 years.

During 2014, 2013 and 2012, the Company withheld 371,017 shares, 18,118 shares and 3,359 shares, respectively, of common 
stock from its officers to pay estimated withholding taxes related to the vesting of shares.

401(k) Plan
The Company maintains a 401(k) plan that allows eligible employees to defer salary, subject to certain limitations imposed by 
the Code. The Company provides a matching contribution of up to 3% of each eligible employee’s salary, subject to certain 
limitations. The Company’s matching contributions were approximately $0.4 million during 2014, 2013 and 2012. 

Dividend Reinvestment Plan
The Company is authorized to issue 1,000,000 shares of common stock to stockholders under the Dividend Reinvestment Plan. 
As of December 31, 2014, the Company had issued 532,071 shares under the plan of which 12,606 shares were issued in 2014, 
16,422 shares were issued in 2013 and 16,732 shares were issued in 2012.

Employee Stock Purchase Plan
The Company has an Employee Stock Purchase Plan, pursuant to which the Company is authorized to issue shares of common 
stock. As of December 31, 2014, 2013 and 2012, the Company had a total of 88,495 shares, 142,367 shares and 169,099 shares 
authorized under the Employee Stock Purchase Plan, respectively, which had not been issued or optioned. Under the Employee 
Stock Purchase Plan, each eligible employee in January of each year is able to purchase up to $25,000 of common stock at the 
lesser of 85% of the market price on the date of grant or 85% of the market price on the date of exercise of such option. The 
number of shares subject to each year’s option becomes fixed on the date of grant. Options granted under the Employee Stock 
Purchase Plan expire if not exercised 27 months after each such option’s date of grant. Cash received from employees upon 
exercising options under the Employee Stock Purchase Plan was approximately $1.2 million for the year ended December 31, 
2014, $1.3 million for the year ended December 31, 2013, and $1.0 million for the year ended December 31, 2012.

79NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

A summary of the Employee Stock Purchase Plan activity and related information for the three years in the period ended 
December 31, 2014 is as follows:

Options outstanding, beginning of year

Granted

Exercised

Forfeited

Expired

Options outstanding and exercisable, end of year

Weighted-average exercise price of:

Options outstanding, beginning of year

Options granted during the year

Options exercised during the year

Options forfeited during the year

Options expired during the year

Options outstanding, end of year

Weighted-average fair value of options granted during the year (calculated as of the
grant date)

Year Ended December 31,

2014

391,108

275,655

(51,078)

(63,908)

2013

433,452

246,717

(69,076)

(49,434)

2012

425,196

327,936

(59,163)

(78,202)

(157,875)

(170,551)

(182,315)

393,902

391,108

433,452

$

$

$

$

$

$

$

17.05

18.11

17.76

18.58

15.80

19.17

4.35

$

$

$

$

$

$

$

16.78

20.41

17.09

17.98

17.99

17.05

5.08

$

$

$

$

$

$

$

15.80

15.80

16.18

16.74

18.24

16.78

4.13

Intrinsic value of options exercised during the year

$ 436,547

$ 375,335

$ 439,645

Intrinsic value of options outstanding and exercisable (calculated as of December 31)

Exercise prices of options outstanding (calculated as of December 31)

Weighted-average contractual life of outstanding options (calculated as of
December 31, in years)

$ 3,209,456

$ 1,665,331

$ 3,132,506

$

19.17

$

17.05

$

16.78

0.8

0.8

0.8

The fair values for these options were estimated at the date of grant using a Black-Scholes options pricing model with the 
weighted-average assumptions for the options granted during the period noted in the following table. The risk-free interest rate 
was based on the U.S. Treasury constant maturity-nominal two-year rate whose maturity is nearest to the date of the expiration 
of the latest option outstanding and exercisable; the expected dividend yield was based on the expected dividends of the current 
year as a percentage of the average stock price of the prior year; the expected life of each option was estimated using the 
historical exercise behavior of employees; expected volatility was based on historical volatility of the Company’s common 
stock; and expected forfeitures were based on historical forfeiture rates within the look-back period. 

Risk-free interest rates

Expected dividend yields

Expected life (in years)

Expected volatility

Expected forfeiture rates

2014

0.38%

4.94%

1.39

23.0%

75%

2013

0.25%

5.17%

1.35

25.6%

85%

2012

0.25%

6.17%

1.46

30.3%

70%

80NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

14. Earnings Per Share

The table below sets forth the computation of basic and diluted earnings per common share for the three years in the period 
ended December 31, 2014.

(Dollars in thousands, except per share data)
Weighted Average Common Shares

Weighted average Common Shares outstanding

Non-vested shares

Weighted average Common Shares - Basic

Weighted average Common Shares - Basic

Dilutive effect of non-vested shares

Dilutive effect of employee stock purchase plan

Weighted average Common Shares - Diluted

Net Income (loss)

Income (loss) from continuing operations

Noncontrolling interests’ share in earnings

Income (loss) from continuing operations attributable to common
stockholders

Discontinued operations

Net income attributable to common stockholders

Basic Earnings (loss) Per Common Share

Income (loss) from continuing operations

Discontinued operations

Net income attributable to common stockholders

Diluted Earnings (loss) Per Common Share
Income (loss) from continuing operations

Discontinued operations

Net income attributable to common stockholders

Year Ended December 31,

2014

2013

2012

97,093,960

92,725,112

80,360,422

(1,814,734)

(1,784,485)

(1,515,582)

95,279,226

90,940,627

78,844,840

95,279,226

90,940,627

78,844,840

1,364,236

115,948

—

—

—

—

96,759,410

90,940,627

78,844,840

$

33,979

$

(13,092) $

(313)

(37)

(892)

(70)

(962)

6,427

5,465

(13,129)

20,075

6,946

$

(0.14) $

(0.01)

0.22

0.08

0.08

0.07

33,666

(1,779)

31,887

0.35

(0.02)

0.33

$

$

0.35

$

(0.14) $

(0.01)

(0.02)

0.33

$

0.22

0.08

$

0.08

0.07

$

$

$

$

$

For the years ended December 31, 2013 and 2012, non-vested shares totaling 1,288,166 and 1,144,465, respectively, and 
options under the Employee Stock Purchase Plan to purchase shares totaling 157,733 and 138,578, respectively, of the 
Company’s common stock were excluded from the calculation of diluted earnings (loss) per common share because the effect 
was anti-dilutive due to the loss from continuing operations during those periods.

15. Commitments and Contingencies
Tenant Improvements
As of December 31, 2014, the Company had remaining funding commitments of tenant improvement allowances related to first 
generation tenant improvements ranging between $11.9 million and $15.6 million on properties that were developed by the 
Company.

The Company may provide a tenant improvement allowance in new or renewal leases for the purpose of refurbishing or 
renovating tenant space.  As of December 31, 2014, the Company had commitments of approximately $13.4 million that is 
expected to be spent on tenant improvements related second generation space throughout the portfolio.

Operating Leases
As of December 31, 2014, the Company was obligated under operating lease agreements consisting primarily of the Company’s 
corporate office lease and ground leases related to 45 real estate investments with expiration dates through 2105. The 
Company’s corporate office lease currently covers approximately 36,653 square feet of rented space and expires on October 31, 
2020.  Annual base rent on the corporate office lease increases approximately 3.25% annually. The Company’s ground leases 
generally increase annually based on increases in the consumer price index. Rental expense relating to the operating leases for 
the years ended December 31, 2014, 2013 and 2012 was $4.9 million, $4.4 million and $4.3 million, respectively. The 
Company prepaid certain of its ground leases which represented approximately $0.5 million, of the Company’s rental expense 

81 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

for the years ended December 31, 2014, 2013, and 2012. The Company’s future minimum lease payments for its operating 
leases, excluding leases that the Company has prepaid and leases in which an operator pays or fully reimburses the Company, 
as of December 31, 2014 were as follows (in thousands):   

2015

2016

2017

2018

2019

2020 and thereafter

$

5,001

5,070

5,129

5,154

5,250

286,699

$ 312,303

Legal Proceedings
The Company paid $950,000 in 2013, which was accrued in general and administrative expenses at the end of 2012, in 
connection with the settlement of one litigation matter. The Company is not aware of any pending or threatened litigation that, 
if resolved against the Company, would have a material adverse effect on the Company's consolidated financial position, results 
of operations, or cash flows.

16. Other Data
Taxable Income (unaudited)
The Company has elected to be taxed as a REIT, as defined under the Internal Revenue Code. To qualify as a REIT, the 
Company must meet a number of organizational and operational requirements, including a requirement that it currently 
distribute at least 90% of its taxable income to its stockholders. 

As a REIT, the Company generally will not be subject to federal income tax on taxable income it distributes currently to its 
stockholders. Accordingly, no provision for federal income taxes has been made in the accompanying Consolidated Financial 
Statements. If the Company fails to qualify as a REIT for any taxable year, then it will be subject to federal income taxes at 
regular corporate rates, including any applicable alternative minimum tax, and may not be able to qualify as a REIT for four 
subsequent taxable years. Even if the Company qualifies as a REIT, it may be subject to certain state and local taxes on its 
income and property and to federal income and excise tax on its undistributed taxable income.

Earnings and profits (as defined under the Internal Revenue Code), the current and accumulated amounts of which determine 
the taxability of distributions to stockholders, vary from net income attributable to common stockholders and taxable income 
because of different depreciation recovery periods, depreciation methods, and other items.

On a tax-basis, the Company’s gross real estate assets totaled approximately $3.3 billion, $3.1 billion, and $2.8 billion, 
respectively, for the three years ended December 31, 2014.

The following table reconciles the Company’s consolidated net income attributable to common stockholders to taxable income 
for the three years ended December 31, 2014: 

(Dollars in thousands)
Net income attributable to common stockholders

Reconciling items to taxable income:

Depreciation and amortization

Gain or loss on disposition of depreciable assets

Impairments

Straight-line rent

Receivable allowances

Stock-based compensation

Other

Taxable income (1)

Dividends paid

Year Ended December 31,

2014

2013

2012

$ 31,887

$

6,946

$

5,465

28,332

(4,940)

—

(12,203)

2,074

2,020

1,213

16,496

26,240

28,526

(3,656)

6,222

(6,493)

(716)

5,817

(1,866)

25,548

922

3,807

(6,075)

(74)

5,400

8,917

41,423

$ 48,383

$ 32,494

$ 46,888

$ 116,371

$ 111,571

$ 96,356

82 
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

______ 
 (1)  Before REIT dividend paid deduction.

Characterization of Distributions (unaudited)
Distributions in excess of earnings and profits generally constitute a return of capital. The following table gives the 
characterization of the distributions on the Company’s common stock for the three years ended December 31, 2014.

For the three years ended December 31, 2014, there were no preferred shares outstanding. As such, no dividends were 
distributed related to preferred shares for those periods.

2014

2013

2012

Per Share

%

Per Share

%

Per Share

%

Common stock:

Ordinary income

Return of capital

Unrecaptured section 1250 gain

$

0.50

0.70

—

42.0% $

58.0%

—%

Common stock distributions

$

1.20

100.0% $

0.27

0.80

0.13

1.20

22.2% $

66.3%

11.5%

100.0% $

0.63

0.56

0.01

1.20

52.3%

47.1%

0.6%

100.0%

State Income Taxes
The Company must pay certain state income taxes, which are included in general and administrative expense on the Company’s 
Consolidated Statements of Operations.

The State of Texas gross margins tax on gross receipts from operations is disclosed in the table below as an income tax because 
it is considered such by the Securities and Exchange Commission. 

State income tax expense and state income tax payments for the three years ended December 31, 2014 are detailed in the table 
below: 

(Dollars in thousands)
State income tax expense:

Texas gross margins tax (1)
Other

Total state income tax expense

State income tax payments, net of refunds and collections

Year Ended December 31,

2014

2013

2012

$

$

$

694

$ 649

$ 843

58

752

593

23

3

$ 672

$ 846

$ 768

$ 627

______
(1) 

In the table above, income tax expense for 2014 and 2012 includes approximately $0.1 million that was recorded to the gain on sale of real estate 
properties sold, which is included in discontinued operations rather than general and administrative expenses on the Company’s Consolidated Statements 
of Operations.

17. Fair Value of Financial Instruments

The carrying amounts of cash and cash equivalents, receivables and payables are a reasonable estimate of their fair value as of 
December 31, 2014 and 2013 due to their short-term nature. The fair value of notes and bonds payable is estimated using cash 
flow analyses as of December 31, 2014 and 2013, based on the Company’s current interest rates for similar types of borrowing 
arrangements. The fair value of the mortgage notes and notes receivable is estimated based either on cash flow analyses at an 
assumed market rate of interest or at a rate consistent with the rates on mortgage notes acquired by the Company or notes 
receivable entered into by the Company recently. 

83 
 
The table below details the fair value and carrying values for notes and bonds payable, mortgage notes receivable and notes 
receivable as of December 31, 2014 and 2013. 

(Dollars in millions)
Notes and bonds payable (1)

Mortgage notes receivable (2)

December 31, 2014

December 31, 2013

Carrying 
Value

Fair 
Value

1,403.7

$ 1,438.8

1.9

$

1.9

$

$

Carrying 
Value

Fair 
Value

1,348.5

$ 1,380.6

125.5

$

124.5

$

$

______ 
(1) Level 3 - Fair value derived from valuation techniques in which one of more significant inputs or significant value drivers are unobservable.
(2) Level 2 - Fair value based on quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are 
not active; and model-driven valuations in which significant inputs and significant value drivers are observable in active markets.

84 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (Continued)

18. Selected Quarterly Financial Data (unaudited)

Quarterly financial information for the year ended December 31, 2014 is summarized below. The results of operations have 
been restated, as applicable, to show the effect of reclassifying properties sold or to be sold as discontinued operations. 

(Dollars in thousands, except per share data)

2014
Revenues from continuing operations

Income from continuing operations

Discontinued operations

Net income

Less: (Income) from noncontrolling interests

Net income attributable to common stockholders

Net income attributable to common stockholders per share:

Basic earnings per common share

Diluted earnings per common share

______

March 31 (1)

June 30 (2)

September 30 (3)

December 31 (4)

Quarter Ended

$

90,571

$

91,671

$

93,612

$

95,001

7,477

(3,514)

3,963

(111)

9,005

(2,994)

6,011

(40)

8,437

(4,284)

4,153

(162)

9,060

9,013

18,073

—

3,852

$

5,971

$

3,991

$

18,073

0.04

0.04

$

$

0.06

0.06

$

$

0.04

0.04

$

$

0.19

0.18

$

$

$

(1)  The decreases in net income and amounts per share for the first quarter of 2014 are primarily attributable to impairment 
charges of $3.4 million.
(2)  The increases in net income and amounts per share for the second quarter of 2014 are primarily attributable to a $1.9 
million cash reimbursement received by the Company for certain operating expenses paid by the Company for years 2006 
through 2013. 
(3)  The decreases in net income and amounts per share for the third quarter of 2014 are primarily attributable to impairment 
charges of $4.5 million. 
(4)  The increases in net income and amounts per share for the fourth quarter of 2014 are primarily attributable to gains on sales 
of real estate totaling $9.3 million, partially offset by impairment charges of $1.0 million.

Quarterly financial information for the year ended December 31, 2013 is summarized below. The results of operations have 
been restated, as applicable, to show the effect of reclassifying properties sold or to be sold as discontinued operations. 

(Dollars in thousands, except per share data)

2013
Revenues from continuing operations

Income (loss) from continuing operations

Discontinued operations

Net income (loss)

Less: (Income) loss from noncontrolling interests

Net income (loss) attributable to common stockholders

Net income attributable to common stockholders per share:

Basic earnings (loss) per common share

Diluted earnings (loss) per common share

$

$

$

______

March 31 (1)

June 30 (2)

September 30 (3)

December 31 (4)

Quarter Ended

$

78,970

$

80,552

$

82,805

$

88,622

602

(27,861)

(1,620)

(1,018)

19

3,623

(24,238)

33

4,511

15,272

19,783

(17)

9,656

2,800

12,456

(72)

(999) $

(24,205) $

19,766

$

12,384

(0.01) $

(0.01) $

(0.27) $

(0.27) $

0.21

0.21

$

$

0.13

0.13

(1)  The decreases in net income and amounts per share for the first quarter of 2013 are primarily attributable to impairment 
charges of $3.6 million.
(2)  The decreases in net income and amounts per share for the second quarter of 2013 are primarily attributable to losses of 
extinguishment of debt of $29.9 million, of which $0.3 million is included in discontinued operations.  This amount is partially 
offset by gains on sales of real estate totaling $1.8 million.
(3)  The increases in net income and amounts per share for the third quarter of 2013 are primarily attributable to gains on sales 
of real estate totaling $20.2 million, partially offset by impairment charges of $6.3 million.
(4)  The increases in net income and amounts per share for the fourth quarter of 2013 are primarily attributable to gains on sales 
of real estate totaling $2.7 million.

85 
 
Item 9.   Changes in and Disagreements with Accountants on Accounting 
and Financial Disclosure

None.

Item 9A.   Controls and Procedures

Disclosure Controls and Procedures
The Company maintains disclosure controls and procedures designed to ensure that information required to be disclosed in the 
Company’s reports under the Securities Exchange Act of 1934, as amended (the “Securities Exchange Act”), is recorded, 
processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and 
forms. These disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that the 
information required to be disclosed is accumulated and communicated to management, including the Chief Executive Officer 
and Chief Financial Officer, to allow for timely decisions regarding required disclosure.

The Company’s management, with the participation of the Company’s Chief Executive Officer and Chief Financial Officer, has 
evaluated the effectiveness of the Company’s disclosure controls and procedures (as such term is defined in Rules 13a-15(e) 
and 15d-15(e) under the Securities Exchange Act) as of the end of the period covered by this Annual Report on Form 10-K. 
Based on such evaluation, the Company’s Chief Executive Officer and Chief Financial Officer have concluded that, as of the 
end of such period, the Company’s disclosure controls and procedures are effective in recording, processing, summarizing and 
reporting, on a timely basis, information required to be disclosed by the Company in the reports that it files or submits under the 
Securities Exchange Act.

Changes in the Company’s Internal Control over Financial Reporting
There have not been any changes in the Company’s internal control over financial reporting (as such term is defined in Rules 
13a-15(f) and 15d-15(f) under the Exchange Act) during the year to which this report relates that have materially affected, or 
are reasonably likely to materially affect, the Company’s internal control over financial reporting.

Management’s Annual Report on Internal Control Over Financial Reporting
The management of Healthcare Realty Trust Incorporated is responsible for establishing and maintaining adequate internal 
control over financial reporting as defined in Rules 13a-15(f) and 15d-15(f) under the Securities Exchange Act. The Company’s 
internal control over financial reporting is designed to provide reasonable assurance regarding the reliability of financial 
reporting and the preparation of financial statements for external purposes in accordance with accounting principles generally 
accepted in the United States of America. The Company’s internal control over financial reporting includes those policies and 
procedures that: (i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions 
and dispositions of the assets of the Company; (ii) provide reasonable assurance that transactions are recorded as necessary to 
permit preparation of financial statements in accordance with accounting principles generally accepted in the United States of 
America, and that receipts and expenditures of the Company are being made only in accordance with authorizations of 
management and directors of the Company; and (iii) provide reasonable assurance regarding prevention or timely detection of 
unauthorized acquisition, use or disposition of the Company’s assets that could have a material effect on the financial 
statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, 
projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate 
because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

Management assessed the effectiveness of the Company’s internal control over financial reporting as of December 31, 2014 
using the principles and other criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission 
(COSO) in Internal Control-Integrated Framework (2013). Based on that assessment, management concluded that the 
Company’s internal control over financial reporting was effective as of December 31, 2014. The Company’s independent 
registered public accounting firm, BDO USA, LLP, has also issued an attestation report on the effectiveness of the Company’s 
internal control over financial reporting included herein.

86Report of

INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

The Board of Directors and Stockholders
Healthcare Realty Trust Incorporated
Nashville, Tennessee

We have audited Healthcare Realty Trust Incorporated’s internal control over financial reporting as of December 31, 2014, 

based on criteria established in Internal Control-Integrated Framework (2013) issued by the Committee of Sponsoring 
Organizations of the Treadway Commission (the COSO criteria). Healthcare Realty Trust Incorporated’s management is 
responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of 
internal control over financial reporting, included in the accompanying Item 9A, Management’s Annual Report on Internal 
Control Over Financial Reporting. Our responsibility is to express an opinion on the Company’s internal control over financial 
reporting based on our audit.

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United 
States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective 
internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding 
of internal control over financial reporting, assessing the risk that a material weakness exists, and testing and evaluating the 
design and operating effectiveness of internal control based on the assessed risk. Our audit also included performing such other 
procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our 
opinion.

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the 
reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally 
accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures 
that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and 
dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit 
preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and 
expenditures of the company are being made only in accordance with authorizations of management and directors of the 
company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or 
disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, 

projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate 
because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

In our opinion, Healthcare Realty Trust Incorporated maintained, in all material respects, effective internal control over 

financial reporting as of December 31, 2014, based on the COSO criteria.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United 
States), the consolidated balance sheets of Healthcare Realty Trust Incorporated as of December 31, 2014 and 2013 and the 
related consolidated statements of operations, comprehensive income, equity, and cash flows for each of the three years in the 
period ended December 31, 2014 and our report dated February 17, 2015 expressed an unqualified opinion thereon.

/s/ BDO USA, LLP

Nashville, Tennessee
February 17, 2015 

87 
PART III

Item 10.   Directors, Executive Officers and Corporate Governance

Directors
Information with respect to the Company’s directors, set forth in the Company’s Proxy Statement relating to the Annual 
Meeting of Stockholders to be held on May 12, 2015 under the caption “Election of Directors,” is incorporated herein by 
reference.

Executive Officers
The executive officers of the Company are: 

Name
David R. Emery

Scott W. Holmes

John M. Bryant, Jr.

B. Douglas Whitman, II

Todd J. Meredith

Age

70

60

48

46

40

Position

Chairman of the Board & Chief Executive Officer

Executive Vice President & Chief Financial Officer

Executive Vice President & General Counsel

Executive Vice President - Corporate Finance

Executive Vice President - Investments

Mr. Emery formed the Company and has held his current positions since May 1992. Prior to 1992, Mr. Emery was engaged in 
the development and management of commercial real estate in Nashville, Tennessee. Mr. Emery has been active in the real 
estate industry for over 45 years.

Mr. Holmes has served as the Chief Financial Officer since January 2003 and was the Senior Vice President – Financial 
Reporting from October 1998 until January 2003. Mr. Holmes is a Certified Public Accountant. Prior to joining the Company in 
October 1998, he was with Ernst & Young LLP for more than 13 years. Mr. Holmes has previously served in a management 
capacity with two other public companies.

Mr. Bryant became the Company’s General Counsel in November 2003. From April 2002 until November 2003, Mr. Bryant 
was Vice President and Assistant General Counsel. Prior to joining the Company, Mr. Bryant was a shareholder with the law 
firm of Baker Donelson Bearman & Caldwell in Nashville, Tennessee.

Mr. Whitman joined the Company in 1998 and became the Executive Vice President – Corporate Finance in February 2011 and 
is responsible for all aspects of the Company’s financing activities, including capital raises, debt compliance, banking 
relationships and investor relations. Previously, Mr. Whitman led the Company's investment group and later served as the 
Company’s Chief Operating Officer from March 2007 until February 2011. Prior to joining the Company, Mr. Whitman worked 
for the University of Michigan Health System and HCA Inc.

Mr. Meredith was appointed Executive Vice President – Investments in February 2011 and is responsible for overseeing the 
Company’s investment activities, including the acquisition, financing and development of medical office and other primarily 
outpatient medical facilities. Prior to February 2011, he led the Company’s development activities as a Senior Vice President. 
Before joining the Company in 2001, Mr. Meredith worked in corporate finance, most recently with Robert W. Baird & Co.

Code of Ethics
The Company has adopted a Code of Business Conduct and Ethics (the “Code of Ethics”) that applies to its principal executive 
officer, principal financial officer, principal accounting officer and controller, or persons performing similar functions, as well 
as all directors, officers and employees of the Company. The Code of Ethics is posted on the Company’s website 
(www.healthcarerealty.com) and is available in print free of charge to any stockholder who requests a copy. Interested parties 
may address a written request for a printed copy of the Code of Ethics to: Investor Relations: Healthcare Realty Trust 
Incorporated, 3310 West End Avenue, Suite 700, Nashville, Tennessee 37203. 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 or controller, or persons performing similar functions 
by posting such information on the Company’s website.

88Section 16(a) Compliance
Information with respect to compliance with Section 16(a) of the Securities Exchange Act set forth in the Company’s Proxy 
Statement relating to the Annual Meeting of Stockholders to be held on May 12, 2015 under the caption “Security Ownership of 
Certain Beneficial Owners and Management – Section 16(a) Beneficial Ownership Reporting Compliance,” is incorporated 
herein by reference.

Stockholder Recommendation of Director Candidates
There have been no material changes with respect to the Company’s policy relating to stockholder recommendations of director 
candidates. Such information is set forth in the Company’s Proxy Statement relating to the Annual Meeting of Stockholders to 
be held on May 12, 2015 under the caption “Shareholder Recommendation or Nomination of Director Candidates,” and is 
incorporated herein by reference.

Audit Committee
Information relating to the Company’s Audit Committee, its members and the Audit Committee’s financial experts, set forth in 
the Company’s Proxy Statement relating to the Annual Meeting of Stockholders to be held on May 12, 2015 under the caption 
“Committee Membership,” is incorporated herein by reference.     

Item 11.   Executive Compensation

Information relating to executive compensation, set forth in the Company’s Proxy Statement relating to the Annual Meeting of 
Stockholders to be held on May 12, 2015 under the captions “Compensation Discussion and Analysis,” “Executive 
Compensation,” “Compensation Committee Interlocks and Insider Participation,” “Compensation Committee Report” and 
“Director Compensation,” is incorporated herein by reference.               

Item 12.   Security Ownership of Certain Beneficial Owners and 
Management and Related Stockholder Matters

Information relating to the security ownership of management and certain beneficial owners, set forth in the Company’s Proxy 
Statement relating to the Annual Meeting of Stockholders to be held on May 12, 2015 under the caption “Security Ownership of 
Certain Beneficial Owners and Management,” is incorporated herein by reference.

Information relating to securities authorized for issuance under the Company’s equity compensation plans, set forth in Item 5 of 
this report under the caption “Equity Compensation Plan Information,” is incorporated herein by reference.            

Item 13.   Certain Relationships and Related Transactions, and Director 
Independence 

Information relating to certain relationships and related transactions, and director independence, set forth in the Company’s 
Proxy Statement relating to the Annual Meeting of Stockholders to be held on May 12, 2015 under the captions “Certain 
Relationships and Related Transactions” and “Corporate Governance – Independence of Directors,” is incorporated herein by 
reference.            

Item 14.   Principal Accountant Fees and Services

Information relating to the fees paid to the Company’s accountants, set forth in the Company’s Proxy Statement relating to the 
Annual Meeting of Stockholders to be held on May 12, 2015 under the caption “Ratification of Appointment of Independent 
Registered Public Accounting Firm,” is incorporated herein by reference.

89Item 15.   Exhibits and Financial Statement Schedules

(a)  Index to Historical Financial Statements, Financial Statement Schedules and Exhibits

(1)  Financial Statements:

The following financial statements of Healthcare Realty Trust Incorporated are included in Item 8 of this Annual Report on 

Form 10-K.

•  Consolidated Balance Sheets – December 31, 2014 and December 31, 2013.

•  Consolidated Statements of Operations for the years ended December 31, 2014, December 31, 2013 and December 31, 
2012.

•  Consolidated Statements of Comprehensive Income for the years ended December 31, 2014, December 31, 2013 and 
December 31, 2012.

•  Consolidated Statements of Equity for the years ended December 31, 2014, December 31, 2013 and December 31, 
2012.

•  Consolidated Statements of Cash Flows for the years ended December 31, 2014, December 31, 2013 and 
December 31, 2012.

•  Notes to Consolidated Financial Statements.

(2)  Financial Statement Schedules:

Schedule II — Valuation and Qualifying Accounts for the years ended December 31, 2014, 2013, and 2012
Schedule III — Real Estate and Accumulated Depreciation as of December 31, 2014
Schedule IV — Mortgage Loans on Real Estate as of December 31, 2014

95
96
97

All other schedules are omitted because they are either not applicable, not required or because the information is included 

in the consolidated financial statements or notes thereto.

(3)  Exhibits:           

Exhibit
Number
1.1

1.2

1.3

1.4

3.1
3.2
4.1
4.2

4.3

4.4

4.5

Description of Exhibits

— Controlled Equity Offering Sales Agreement, dated as of March 29, 2013, between the Company and

Cantor Fitzgerald & Co. (1)

— Equity Distribution Agreement, dated as of March 29, 2013, between the Company and RBC Capital

Markets, LLC. (1)

— At The Market Equity Offering Sales Agreement, dated as of March 29, 2013, between the Company and

Merrill Lynch, Pierce, Fenner and Smith Incorporated. (1)

— Sales Agency Financing Agreement, dated March 29, 2013, between the Company and Scotia Capital

(USA) Inc.  (1)

— Second Articles of Amendment and Restatement of the Company. (2)
— Amended and Restated Bylaws of the Company. (3)
— Specimen stock certificate. (2)
— Indenture, dated as of May 15, 2001 by and between the Company and Regions Bank, or trustee (as

successor to the trustee named therein). (4)

— Third Supplemental Indenture, dated December 4, 2009, by and between the Company and Regions Bank

as Trustee. (5)

— Form of 6.50% Senior Note due 2017 (set forth in Exhibit B to the Third Supplemental Indenture filed as

Exhibit 4.2 thereto). (5)

— Fourth Supplemental Indenture, dated December 13, 2010, by and between the Company and Regions

Bank as Trustee. (6)

90 
 
4.6

4.7

4.80

10.1
10.2
10.3
10.4

10.5
10.6
10.7

10.8

10.9

10.10

10.11

10.12
10.13
10.14
10.15
10.16

10.17
10.18
10.19
10.20

— Form of 5.750% Senior Note due 2021 (set forth in Exhibit B to the Fourth Supplemental Indenture filed

as Exhibit 4.2 thereto). (6)

— Fifth Supplemental Indenture, dated March 26, 2013, by and between the Company and Regions Bank, as

Trustee. (7)

— Form of 3.75% Senior Note due 2023 (set forth in Exhibit B to the Fifth Supplemental Indenture filed as

Exhibit (4.8) hereto). (7)

— 1995 Restricted Stock Plan for Non-Employee Directors of the Company. (8)
— Amendment to 1995 Restricted Stock Plan for Non-Employee Directors of the Company. (9)
— Second Amended and Restated Executive Retirement Plan. (10)
— Amendment to Second Amended and Restated Executive Retirement Plan, dated as of October 30, 2012.

(11)

— 2000 Employee Stock Purchase Plan. (12)
— Dividend Reinvestment Plan, as Amended. (13)
— Second Amended and Restated Employment Agreement, dated July 31, 2012, between David R. Emery

and the Company. (14)

— Second Amended and Restated Employment Agreement, dated July 31, 2012, between Scott W. Holmes

and the Company. (14)

— Second Amended and Restated Employment Agreement, dated July 31, 2012, between John M. Bryant

and the Company. (14)

— Second Amended and Restated Employment Agreement, dated July 31, 2012, between Todd J. Meredith

and the Company. (14)

— Second Amended and Restated Employment Agreement, dated July 31, 2012, between B. Douglas

Whitman, II and the Company. (14)

— Healthcare Realty Trust Incorporated Executive Incentive Program. (14)
— The Company's Long-Term Incentive Program. (15)
— Amendment to Long-Term Incentive Program, dated July 31, 2012. (14)
— 2010 Restricted Stock Implementation for Non-Employee Directors, dated May 4, 2010. (16)
— Healthcare Realty Trust Incorporated Form of Restricted Stock Agreement for Non-Employee Directors.

(14)

— Healthcare Realty Trust Incorporated Form of Restricted Stock Agreement for Officers. (14)
— 2007 Employees Stock Incentive Plan. (17)
— Amendment, dated December 21, 2007, to 2007 Employees Stock Incentive Plan. (18)
— Credit Agreement, dated as of October 14, 2011, by and among the Company, as Borrower, Wells Fargo
Bank National Association, as Administrative Agent, JP Morgan Chase Bank, N.A., as Syndication
Agent, Barclays Bank PLC, Credit Agricole Corporate and Investment Bank and Bank of America, N.A.,
as Co-Documentation Agents, and the other Lenders named therein. (19)

10.21

— Amendment to Credit Agreement, dated as of February 15, 2013, by and among the Company, as

Borrower, Wells Fargo Bank National Association, as Administrative Agent, JP Morgan Chase Bank,
N.A., as Syndication Agent, Barclays Bank PLC, Credit Agricole Corporate and Investment Bank and
Bank of American, N.A., as Co-Documentation Agents, and the other Lenders named therein. (20)

10.22

__

10.23

10.24

11

21
23
31.1

Amendment No. 2 to Credit Agreement, dated as of February 27, 2014, among the Company, Wells Fargo
Bank, National Association, as Administrative Agent, and the other lenders that are party thereto. (21)
__ Term Loan Agreement, dated as of February 27, 2014, among the Company, Wells Fargo Bank, National

Association, as Administrative Agent, and the other lenders that are party thereto. (21)

— Amendment No. 1 to Restricted Stock Implementation for Non-Employee Directors, dated December 11,

2013. (22)

— Statement re: computation of per share earnings (contained in Note 14 to the Notes to the Consolidated

Financial Statements for the year ended December 31, 2013 in Item 8 to this Annual Report on Form 10-
K).

— Subsidiaries of the Registrant. (filed herewith)
— Consent of BDO USA, LLP, independent registered public accounting firm. (filed herewith)
— Certification of the Chief Executive Officer of the Company pursuant to Rule 13a-14 of the Securities
Exchange Act of 1934, as amended, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of
2002. (filed herewith)

9131.2

32

101.INS

101.SCH

101.CAL

101.LAB

101.DEF

101.PRE

— Certification of the Chief Financial Officer of the Company pursuant to Rule 13a-14 of the Securities
Exchange Act of 1934, as amended, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of
2002. (filed herewith)

— Certifications pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-

—

—

—

—

—

—

Oxley Act of 2002. (filed herewith)

XBRL Instance Document. (filed herewith)

XBRL Taxonomy Extension Schema Document. (filed herewith)

XBRL Taxonomy Extension Calculation Linkbase Document. (filed herewith)

XBRL Taxonomy Extension Labels Linkbase Document. (filed herewith)

XBRL Taxonomy Extension Definition Linkbase Document. (filed herewith)

XBRL Taxonomy Extension Presentation Linkbase Document. (filed herewith)

(1) 
(2) 

(3) 

(4) 
(5) 
(6) 
(7) 
(8) 

(9) 
(10) 
(11) 

(12) 

(13) 

(14) 

(15) 
(16) 

(17) 
(18) 

(19) 
(20) 

(21) 
(22) 

Filed as an exhibit to the Company’s Form 8-K filed March 29, 2013 and hereby incorporated by reference.
Filed as an exhibit to the Company’s Registration Statement on Form S-11 (Registration No. 33-60506) previously 
filed pursuant to the Securities Act of 1933 and hereby incorporated by reference.
Filed as an exhibit to the Company’s Form 10-Q for the quarter ended September 30, 2007 and hereby incorporated by 
reference.
Filed as an exhibit to the Company's Form 8-K filed May 17, 2001 and hereby incorporated by reference.
Filed as an exhibit to the Company’s Form 8-K filed December 4, 2009 and hereby incorporated by reference.
Filed as an exhibit to the Company’s Form 8-K filed December 13, 2010 and hereby incorporated by reference.
Filed as an exhibit to the Company's Form 8-K filed March 26, 2013 and hereby incorporated by reference.
Filed as an exhibit to the Company’s Form 10-K for the year ended December 31, 1995 and hereby incorporated by 
reference.
Filed as an exhibit to the Company’s Form 8-K filed December 31, 2008 and hereby incorporated by reference.
Filed as an exhibit to the Company's Form 8-K filed December 31, 2008 and hereby incorporated by reference. 
Filed as an exhibit to the Company's Form 10-Q for the quarter ended September 30, 2012 and hereby incorporated by 
reference.
Filed as an exhibit to the Company’s Form 10-K for the year ended December 31, 1999 and hereby incorporated by 
reference.
Filed as an exhibit to the Company’s Registration Statement on Form S-3 (Registration No. 33-79452) previously filed 
on September 26, 2003 pursuant to the Securities Act of 1933 and hereby incorporated by reference.
Filed as an exhibit to the Company's Form 10-Q for the quarter ended June 30, 2012 and hereby incorporated by 
reference.
Filed as an exhibit to the Company's Form 8-K filed December 14, 2007 and hereby incorporated by reference.
Filed as an exhibit to the Company's Form 10-Q for the quarter ended March 31, 2010 and hereby incorporated by 
reference. 
Filed as an exhibit to the Company’s Form 8-K filed May 21, 2007 and hereby incorporated by reference.
Filed as an exhibit to the Company’s Form 10-K for the year ended December 31, 2007 and hereby incorporated by 
reference.
Filed as an exhibit to the Company’s Form 8-K filed October 19, 2011 and hereby incorporated by reference.
Filed as an exhibit to the Company's Form 10-K for the year ended December 31, 2012 and hereby incorporated by 
reference.
Filed as an exhibit to the Company's Form 8-K filed February 28, 2014 and hereby incorporated by reference.
Filed as an exhibit to the Company's Form 10-K for the year ended December 31, 2013 and hereby incorporated by 
reference.

92Executive Compensation Plans and Arrangements

The following is a list of all executive compensation plans and arrangements filed as exhibits to this Annual Report on 
Form 10-K:

1.  1995 Restricted Stock Plan for Non-Employee Directors of the Company (filed as Exhibit 10.1)

2.  Amendment to 1995 Restricted Stock Plan for Non-Employee Directors of the Company (filed as Exhibit 10.2)

3.  Second Amended and Restated Executive Retirement Plan (filed as Exhibit 10.3)

4.  Amendment to Second Amended and Restated Executive Retirement Plan, dated as of October 30, 2012 (filed as 

Exhibit 10.4)

5.  2000 Employee Stock Purchase Plan (filed as Exhibit 10.5)

6.  Second Amended and Restated Employment Agreement, dated July 31, 2012, between David R. Emery and the 

Company (filed as Exhibit 10.7)

7.  Second Amended and Restated Employment Agreement, dated July 31, 2012, between Scott W. Holmes and the 

Company (filed as Exhibit 10.8)

8.  Second Amended and Restated Employment Agreement, dated July 31, 2012, between John M. Bryant and the 

Company (filed as Exhibit 10.9)

9.  Second Amended and Restated Employment Agreement, dated July 31, 2012, between Todd J. Meredith and the 

Company (filed as Exhibit 10.10)

10.  Second Amended and Restated Employment Agreement, dated July 31, 2012, between B. Douglas Whitman, II and the 

Company (filed as Exhibit 10.11)

11.  Healthcare Realty Trust Incorporated Executive Incentive Program (filed as Exhibit 10.12)

12.  The Company's Long-Term Incentive Program (filed as Exhibit 10.13)

13.  Amendment to Long-Term Incentive Program, dated July 31, 2012 (filed as Exhibit 10.14)

14.  2010 Restricted Stock Implementation for Non-Employee Directors, dated May 4, 2010 (filed as Exhibit 10.15)

15.  Amendment No. 1 to Restricted Stock Implementation for Non-Employee Directors (filed as Exhibit 10.22)

16.  Healthcare Realty Trust Incorporated Form of Restricted Stock Agreement for Non-Employee Directors (filed as 

Exhibit 10.16)

17.  Healthcare Realty Trust Incorporated Form of Restricted Stock Agreement for Officers (filed as Exhibit 10.17)

18.  2007 Employees Stock Incentive Plan (filed as Exhibit 10.18)

19.  Amendment, dated December 21, 2007, to 2007 Employees Stock Incentive Plan (filed as Exhibit 10.19)

93SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Company has duly caused this 
Report to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Nashville, State of Tennessee, on 
February 17, 2015.

HEALTHCARE REALTY TRUST INCORPORATED

By:

/s/ David R. Emery

  David R. Emery
  Chairman of the Board and Chief Executive Officer

Pursuant to the requirements of the Securities Exchange Act of 1934, this Report has been signed by the following persons on 
behalf of the Company and in the capacities and on the date indicated.

Signature

Title

Date

/s/ David R. Emery
David R. Emery

/s/ Scott W. Holmes

Scott W. Holmes

/s/ Amanda L. Callaway
Amanda L. Callaway

/s/ Errol L. Biggs, Ph.D.
Errol L. Biggs, Ph.D.

  Chairman of the Board and Chief Executive
Officer (Principal Executive Officer)

  February 17, 2015

  Executive Vice President and Chief Financial   February 17, 2015

Officer (Principal Financial Officer)

Vice President, Accounting
Officer (Principal Accounting Officer)

  February 17, 2015

Director

  February 17, 2015

/s/ Charles Raymond Fernandez, M.D.
Charles Raymond Fernandez, M.D.

Director

  February 17, 2015

/s/ Edwin B. Morris, III
Edwin B. Morris, III

/s/ John Knox Singleton
John Knox Singleton

/s/ Bruce D. Sullivan
Bruce D. Sullivan

/s/ Roger O. West
Roger O. West

/s/ Dan S. Wilford
Dan S. Wilford

Director

  February 17, 2015

Director

  February 17, 2015

Director

  February 17, 2015

Director

  February 17, 2015

Director

  February 17, 2015

94 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Schedule II – Valuation and Qualifying Accounts for the years ended 
December 31, 2014, 2013 and 2012 

(Dollars in thousands)

Description

Additions

Balance at
Beginning
of Period

Charged to 
Costs and
Expenses

Charged to
Other Accounts

Uncollectible
Accounts
Written-off

Balance
at End of
Period

2014

2013

2012

Accounts and notes receivable allowance

Accounts and notes receivable allowance

Accounts and notes receivable allowance

$

$

$

541

740

583

$

$

$

34

185

240

$

$

$

— $

— $

— $

110

384

83

$

$

$

465

541

740

95 
Schedule III – Real Estate and Accumulated Depreciation as of December 31, 
2014 

(Dollars in thousands) 

Land

Buildings, Improvements, Lease
Intangibles and CIP

Initial
Investment

Cost
Capitalized
Subsequent
to Acquisition

Total

Initial
Investment

Cost
Capitalized
Subsequent
to
Acquisition

Total

Personal
Property

(2) (3) (5) 
Total
Property

(1) (3) (5)
Accumulated
Depreciation

(4)
Encumbrances

Date
Acquired

Date
Constructed

$

155,470

$

2,725

$158,195

$ 2,200,146

$

356,836

$2,556,982

$

3,507

$ 2,718,684

$

589,686

$

171,796

1993-2014

1905 -2014

23,236

150

23,386

406,108

14,161

420,269

265

443,920

84,285

—

1994-2013

1983 -2013

1,828

73

1,901

76,014

7,808

83,822

679

86,402

27,330

1,471

1993-2014

1906 - 2008

180,534

2,948

183,482

2,682,268

378,805

3,061,073

4,451

3,249,006

701,301

173,267

17,054

—

17,054

—

—

—

—

—

—

—

—

—

—

17,054

115

5,476

5,476

3,719

—

—

Property 
Type

Medical
office/
outpatient

Number of
Properties

175

Inpatient

14

State

AL, AZ,
CA,
CO, DC, 
FL, GA, 
HI, IA,
IL, IN, 
KS,
LA, MD, 
MI, MN,
MO, MS, 
NC,
NV, OH, 
OK,
OR, SC, 
SD, TN,
TX, VA,
WA

AZ, CA,
CO,
IN, MO,
PA, TX

11

AL, IA,
IN, MI TN,
VA

200

—

—

Other

Total Real
Estate

Land Held
for
Develop.

Corporate
Property

Total
Properties

200

$

197,588

$

2,948

$200,536

$ 2,682,268

$

378,805

$3,061,073

$

9,927

$ 3,271,536

$

705,135

$

173,267

(1) 

Includes two assets held for sale as of December 31, 2014 of approximately $13.3 million (gross) and accumulated depreciation of $4.5 million, three asset held for sale as 
of December 31, 2013 of approximately $17.0 million (gross) and accumulated depreciation of $10.2 million; and one assets held for sale as of December 31, 2012 of 
$9.6 million (gross) and accumulated depreciation of $6.3 million. 

(2)  Total assets as of December 31, 2014 have an estimated aggregate total cost of $3.3 billion for federal income tax purposes.
(3)  Depreciation is provided for on a straight-line basis on buildings and improvements over 3.3 to 39.0 years, lease intangibles over 1.0 to 93.1 years, personal property over 

1.9 to 15.8 years, and land improvements over 15.0 to 38.1 years.
Includes unamortized premium of $3.2 million and unaccreted discount of $2.5 million as of December 31, 2014.

(4) 
(5)  A reconciliation of Total Property and Accumulated Depreciation for the twelve months ended December 31, 2014, 2013 and 2012 follows:

(Dollars in thousands)

Beginning Balance

Additions during the period:

Real Estate acquired

Other improvements

Acquisition through Foreclosure

Land held for development

Construction in Progress

Retirement/dispositions:

Real Estate

Disposal of previously
consolidated VIE

Land held for development

Year Ended
December 31, 2014 (1)

Year Ended
December 31, 2013 (1)

Year Ended
December 31, 2012 (1)

Total Property

Accumulated
Depreciation

Total Property

Accumulated
Depreciation

Total Property

Accumulated
Depreciation

$

3,084,166

$

642,320

$

2,830,931

$

586,920

$

2,831,732

$

536,682

166,290

55,340

40,247

—

—

2,272

105,257

1,536

26

—

314,159

58,849

—

—

—

1,046

97,255

—

26

—

104,810

55,299

—

—

5,608

1,079

94,250

—

26

—

(74,507)

(46,276)

(111,656)

(42,927)

(128,325)

(45,117)

—

—

—

—

—

(8,117)

—

—

(38,193)

—

—

—

Ending Balance

$

3,271,536

$

705,135

$

3,084,166

$

642,320

$

2,830,931

$

586,920

96 
 
 
 
 
 
 
 
 
 
 
Schedule IV – Mortgage Loans on Real Estate as of December 31, 2014 

(Dollars in thousands) 

Description
Permanent Mortgage Loans:

Medical office building in Nevada (1)

Total Mortgage Loans

Interest Rate

Maturity Date

Periodic
Payment
Terms

Original Face
Amount

Carrying
Amount (2)

Balloon

6.50 %

9/30/2017

(1) $

1,900

$

$

1,900

$

1,650

1,900

______ 
(1) 

Interest only until maturity.  The borrower is required to make a $0.3 million principal reduction in 2015.  Principal payments may be 
made during term without penalty with remaining principal balance due at maturity. 

(2)  A rollforward of Mortgage loans on real estate for the three years ended December 31, 2014 follows:

(Dollars in thousands)
Balance at beginning of period

Additions during period:

New or acquired mortgages

Increased funding on existing mortgages

Deductions during period:

Scheduled principal payments
Principal repayments and reductions (3)
Principal reductions due to acquisitions (4) (5)
Foreclosed mortgage note receivable (6)

Balance at end of period (7)

Year Ended December 31,

2014

2013

2012

$ 125,547

$ 162,191

$

97,381

1,900

1,244

3,144

4,241

58,731

62,972

11,200

78,297

89,497

—

(5,605)

(81,213)

(39,973)

—

(16)

(2,413)

(14,812)

(97,203)

(9,859)

—

—

(126,791)

(99,616)

(24,687)

$

1,900

$ 125,547

$ 162,191

(3)  Principal repayments for the years ended December 31, 2014, 2013 and 2012 include unscheduled principal reductions on mortgage 

(4) 

(5) 

(6) 

notes of $5.6 million, $2.4 million and $14.8 million, respectively.
In September, 2013, the Company acquired an orthopedic facility in Missouri for $102.6 million, including the elimination of the 
construction mortgage note receivable totaling $97.2 million.  In May 2012, the Company purchased a medical office building in Texas.  
Concurrent with the acquisition, the Company's construction mortgage note receivable totaling $9.9 million, which secured the 
building, was repaid.
In May 2014, the Company acquired a medical office building in Oklahoma for $85.4 million, including the elimination of the 
construction mortgage note receivable totaling $81.2 million and cash consideration of approximately $4.2 million. 
In March 2014, the Company acquired a medical office building in Iowa in satisfaction of a $40.0 million mortgage note receivable that 
matured on January 10, 2014.  The cash flows from the operations of the property were sufficient to pay the Company interest from the 
maturity date through the date of the transfer of ownership to the Company at the 7.7% fixed interest rate plus an additional 3% of 
interest for the default interest rate.  The Company did not recognize any of the $1.5 million exit fee receivable that was due upon 
maturity of the mortgage note receivable. 

(7)  Total mortgage loans as of December 31, 2014 had an aggregate total cost of $1.9 million for federal income tax purposes.

97