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Indicate by check mark if the registrant is not required to file reports pursuant to Section13 or Section15(d) of the Act. Yes☐No☒ Indicate by check mark whether the Registrant (1)has filed all reports required to be filed by Section13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for suchshorter 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 every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) duringthe preceding 12 months (or for such shorter period that the registrant was required to submit such files).Yes☒No☐ Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitionsof “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and "emerging growth company" in Rule 12b-2 of the Exchange Act.: Large accelerated filer☒Acceleratedfiler☐Non-accelerated filer☐Smallerreportingcompany☐ Emerging growth company☐ If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period forcomplying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.☐ Indicate by check mark whether the registrant has filed a report on and attestation to management's assessment of the effectiveness of its internal control over financial reporting under Section 404(b)of the Sarbanes-Oxley Act (15- U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report.☒ If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction of an error to Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the Registrant’s executive officersduring the relevant recovery period pursuant to §240.10D-1(b).☐ 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 of the Registrant (based upon the closing price of these shares on the New York Stock Exchange on June30, 2024, held by non-affiliates onJune30, 2024 was$5,955,657,463. As of February14, 2025, there were350,820,406shares of the Registrant’s common stock outstanding. DOCUMENTS INCORPORATED BY REFERENCE Portions of the Registrant’s definitive Proxy Statement relating to the Annual Meeting of Stockholders to be held on May20, 2025 are incorporated by reference into Part III of this Report. Table of Contents Item 1BusinessItem 1ARisk FactorsItem 1BUnresolved Staff CommentsItem 1CCybersecurityItem 2PropertiesItem 3Legal ProceedingsItem 4Mine Safety Disclosures Item 5Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities23Item 6[Reserved]25Item 7Management’s Discussion and Analysis of Financial Condition and Results of Operations26Item 7AQuantitative and Qualitative Disclosures About Market Risk49Item 8Financial Statements and Supplementary Data50Item 9Changes in and Disagreements with Accountants on Accounting and Financial Disclosure93Item 9AControls and Procedures93Item 9BOther Information96Item 9CDisclosure Regarding Foreign Jurisdictions that Prevent Inspections96 PART IIIItem 10Item 11Item 12Item 13Item 14Item 15Item 16 Directors, Executive Officers and Corporate Governance97Executive Compensation98Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters98Certain Relationships and Related Transactions, and Director Independence99Principal Accountant Fees and Services99Exhibits and Financial Statement Schedules99Form 10-K Summary103 PART IItem 1. Business Healthcare Realty Trust Incorporated is a self-managed and self-administered real estate investment trust (“REIT”) that owns,leases, manages, acquires, finances, develops and redevelops income-producing real estate properties associated primarily withthe 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 tocorporate federal income tax with respect to taxable income distributed to its stockholders. See “Item 1A. Risk Factors” for adiscussion of risks associated with qualifying as a REIT. On July 20, 2022, pursuant to that certain Agreement and Plan of Merger dated as of February 28, 2022, by and among HealthcareRealty Trust Incorporated, a Maryland corporation (now known as HR