Healthcare Realty Trust Inc (NYSE: HR)

Sector: Real Estate Industry: REIT - Healthcare Facilities CIK: 0001360604
Market Cap 6.42 Bn
P/B 1.39
P/E -26.10
P/S 5.44
ROIC (Qtr) 1.02
Div Yield % 5.94
Rev 1y % (Qtr) -7.57
Total Debt (Qtr) 4.15 Bn
Debt/Equity (Qtr) 0.90
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About

Healthcare Realty Trust Inc, or HR, operates as a self-managed and self-administered real estate investment trust (REIT) in the healthcare industry. The company primarily focuses on the acquisition, development, financing, and management of healthcare-related properties throughout the United States. With a portfolio of 655 consolidated real estate properties, the company has a gross investment value of around $13.4 billion as of December 31, 2023. Healthcare Realty Trust's main business activities involve the leasing and management of medical office...

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Investment thesis

Bull case

  • Operating cash flow of 457.10M provides strong 20.42x coverage of stock compensation 22.39M, indicating sustainable incentive practices.
  • Strong operating cash flow of 457.10M provides 6.30x coverage of SG&A expenses 72.57M, showing efficient operational cost management.
  • Strong free cash flow of 1.12B provides 15.42x coverage of SG&A expenses 72.57M, indicating efficient cost management.
  • Free cash flow of 1.12B provides solid 1.98x coverage of operating expenses 566M, showing operational efficiency.
  • Free cash flow of 1.12B fully covers payables of 211.07M by 5.30x, indicating strong vendor payment capability.

Bear case

  • Operating cash flow of 457.10M barely covers its investment activities of 710.83M, with a coverage ratio of 0.64, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Operating cash flow of 457.10M provides thin coverage of dividend payments of (386.92M) with a -1.18 ratio, suggesting potential dividend sustainability issues if operational performance deteriorates.
  • Cash reserves of 26.17M provide limited coverage of acquisition spending of (2.19M), which is -11.96x, suggesting aggressive expansion might strain liquidity if market conditions deteriorate.
  • Free cash flow of 1.12B provides weak coverage of capital expenditures of (661.75M), with a -1.69 ratio suggesting additional external financing needs for growth initiatives.
  • Operating earnings of (33.53M) show weak coverage of depreciation charges of 614.52M, with a -0.05 ratio indicating high capital intensity and potential reinvestment needs.

Segments Breakdown of Revenue (2025)

Peer comparison

Companies in the REIT - Healthcare Facilities
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 WELL Welltower Inc. 143.17 Bn 152.82 13.21 21.38 Bn
2 VTR Ventas, Inc. 38.32 Bn 152.44 6.57 13.22 Bn
3 OHI Omega Healthcare Investors Inc 9.79 Bn 37.42 11.00 4.26 Bn
4 DOC Healthpeak Properties, Inc. 9.29 Bn 18.52 5.20 10.14 Bn
5 CTRE CareTrust REIT, Inc. 8.40 Bn 26.19 17.62 0.89 Bn
6 AHR American Healthcare REIT, Inc. 6.95 Bn -212.00 3.23 1.70 Bn
7 HR Healthcare Realty Trust Inc 6.42 Bn -26.10 5.44 4.15 Bn
8 NHI National Health Investors Inc 2.58 Bn 24.34 21.93 1.11 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 1.21 1.24
EV to Cash from Ops. EV/CFO 24.29 24.29
EV to Debt EV to Debt 2.68 3.18
EV to EBIT EV/EBIT -331.18 14.77
EV to EBITDA EV/EBITDA 15.70 19.20
EV to Free Cash Flow [EV/FCF] EV/FCF 9.92 1.78
EV to Market Cap EV to Market Cap 1.73 1.96
EV to Revenue EV/Rev 9.41 11.43
Price to Book Value [P/B] P/B 1.39 2.64
Price to Earnings [P/E] P/E -26.10 29.39
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Div Coverage (Qtr) -0.64 -1.90
Dividend Payout Ratio % Div Payout % (Qtr) -154.90 299.46
Dividend per Basic Share Div per Share (Qtr) 1.10 1.85
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 34.39 49.00
Interest Coverage Int. cover (Qtr) -0.16 2.08
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) -26.62 -326.40
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -62.02 31.24
Dividend Growth (1y) % Div 1y % (Qtr) -11.29 12.81
EBIAT Growth (1y) % EBIAT 1y % (Qtr) 91.86 35.66
EBITDA Growth (1y) % EBITDA 1y % (Qtr) -6.88 12.40
EBIT Growth (1y) % EBIT 1y % (Qtr) 91.86 25.81
EBT Growth (1y) % EBT 1y % (Qtr) 62.40 71.96
EPS Growth (1y) % EPS 1y % (Qtr) 60.77 29.36
FCF Growth (1y) % FCF 1y % (Qtr) -20.28 -181.35
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) -7.98 13.29
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.13 0.17
Cash Payout Ratio Cash Payout (Qtr) -1.89 0.07
Cash Ratio Cash Ratio 0.00 0.00
Current Ratio Current Ratio 0.00 0.00
Debt to Equity Ratio Debt/Equity (Qtr) 0.90 4.36
Interest Cover Ratio Int Coverage (Qtr) -0.16 2.08
Times Interest Earned Times Interest Earned (Qtr) -0.16 2.08
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) 49.20 55.93
EBIT Margin % EBIT Margin % (Qtr) -2.84 28.99
EBT Margin % EBT Margin % (Qtr) -20.84 13.55
Gross Margin % Gross Margin % (Qtr) 62.00 71.26
Net Profit Margin % Net Margin % (Qtr) -20.80 13.18