1、2013Healthcare Realty TrustAnnual Report to Shareholders2013Annual Report to Shareholders2|HEALTHCARE REALTY ANNUAL REPORT TO SHAREHOLDERSIn 2013,Healthcare Realty Trust Incorporated completed its twentieth year in business and continued to execute its strategy of investing in medical office and out
2、patient facilities.Healthcare Realtys low business-risk model and its established relationships with investment-grade health systems have yielded a distinct portfolio of outpatient fa-cilities with stable tenants,superior rent coverages and sus-tainable growth.The Company reported significant leasin
3、g progress in its recently developed facilities,and positive same-store NOI growth in the core portfolio.After streamlining the portfolio over the past several years,we have begun to place even more emphasis on the internal growth opportunities intrinsic to our outpatient proper-ties.We believe the
4、Company has a higher propensity for lease renewals and steady performance,with nearly 80%of our$3.2 billion in properties associated with credit-rated health systems and an average lease size of only 4,400 square feet in the multi-tenant properties.Despite the tumultuous rollout of 2010s health insu
5、rance overhaul and Medicare cuts during the year,hospital and physician employment continued to expand,particularly in the medical office and outpatient care settings,strengthen-ing the Companys growth prospects.Healthcare spending accounted for 17.2%of GDP in 2012 and is projected to reach 19.9%of
6、GDP by 2022.We believe Healthcare Re-altys investments will benefit not only from this increased spending,but also from the need for more physicians and outpatient facilities to treat the growing elderly population that historically requires more frequent care.The popula-tion cohort over the age of