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HRHealthcare Realty Trust Incorporated
$17.96$6.3B
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  4. Financial Ratios

Healthcare Realty Trust Incorporated (HR) Financial Ratios

Latest Ratios: P/E Ratio -25.3x · EV/EBITDA 15.8x · ROE -4.9%. (1996–2025 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

HR Valuation Multiples

Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Market Cap$6.3B$5.9B$6.2B$6.5B$4.9B$4.5B$6.6B$7.0B$6.0B$6.0B$4.3B
Enterprise Value$10.4B$10.1B$11.1B$11.8B$10.5B$6.4B$8.3B$8.5B$7.3B$7.2B$5.5B
P/E Ratio →-25.30———128.4770.31123.33238.3627.8891.7791.88
P/S Ratio5.345.024.894.865.258.448.9310.088.599.719.24
P/B Ratio1.341.271.170.940.642.073.373.683.483.322.57
P/FCF49.6346.7124.5324.2944.8034.2217.4447.1143.4360.0253.27
P/OCF13.7812.9712.3513.0617.9419.4113.9632.8228.6733.1028.11

P/E links to full P/E history page with 30-year chart

HR EV Ratios

Enterprise-value multiples — capital-structure-neutral measures of total business value

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
EV / Revenue—8.518.748.7811.3012.0111.2412.2810.5211.7911.97
EV / EBITDA15.8215.2515.5815.1219.8122.2722.1125.0416.6318.8519.46
EV / EBIT109.77———57.6953.88154.37276.9222.9148.2450.96
EV / FCF—79.1743.8843.9196.4848.6821.9657.3753.1672.9169.03

HR Profitability

Margins and return-on-capital ratios measuring operating efficiency

Margins

Full margin charts and quarterly trend are on the Earnings History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Gross Margin-33.6%-33.6%-43.8%-46.0%-34.1%-15.5%-25.9%-28.4%-12.0%-11.1%-7.9%
Operating Margin8.0%8.0%2.9%3.7%8.4%16.0%9.5%7.2%23.0%22.6%23.1%
Net Profit Margin-20.8%-20.8%-51.6%-20.7%4.4%12.5%7.2%4.3%30.7%10.4%10.8%

Return on Capital

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
ROE-4.9%-4.9%-10.7%-3.8%0.8%3.2%2.7%1.7%12.2%3.7%3.4%
ROA-2.5%-2.5%-5.6%-2.1%0.5%1.7%1.4%0.9%6.7%2.1%1.7%
ROIC0.7%0.7%0.2%0.3%0.7%1.7%1.5%1.2%3.9%3.5%2.9%
ROCE1.0%1.0%0.3%0.4%0.9%2.2%2.0%1.7%5.5%4.8%3.9%

HR Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Debt / Equity0.890.890.930.770.740.880.880.800.780.720.76
Debt / EBITDA6.296.296.976.7910.736.664.594.483.063.354.46
Net Debt / Equity—0.880.920.760.730.870.870.800.780.710.76
Net Debt / EBITDA6.256.256.876.7610.616.614.554.483.043.334.45
Debt / FCF—32.4719.3619.6251.6814.454.5210.269.7212.8915.77
Interest Coverage-0.21-0.21-1.60-0.051.292.27——3.141.781.91

HR Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Current Ratio1.751.752.350.900.680.461.990.350.480.691.05
Quick Ratio1.751.752.350.900.680.461.990.350.480.691.05
Cash Ratio0.080.080.310.050.100.040.190.000.020.020.03
Asset Turnover—0.130.120.110.070.130.190.190.220.190.15
Inventory Turnover———————————
Days Sales Outstanding———————————

HR Shareholder Yields

Earnings, FCF, buyback, and dividend yields — total returns to shareholders

Dividends

Full dividend history and growth charts are on the Dividend History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Dividend Yield6.2%6.5%7.4%7.2%28.8%3.9%2.5%2.2%2.5%2.4%3.1%
Payout Ratio————3441.2%263.2%308.9%515.2%70.4%222.7%263.8%

Total Shareholder Return Metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Earnings Yield————0.8%1.4%0.8%0.4%3.6%1.1%1.1%
FCF Yield2.0%2.1%4.1%4.1%2.2%2.9%5.7%2.1%2.3%1.7%1.9%
Buyback Yield0.1%0.1%8.4%0.0%0.1%0.1%0.0%0.1%0.1%0.0%0.0%
Total Shareholder Yield6.2%6.6%15.8%7.3%28.8%4.0%2.5%2.3%2.6%2.4%3.1%
Shares Outstanding—$350M$366M$379M$254M$143M$222M$210M$210M$185M$140M

Key Metrics

Growth RegimeContracting
ProfitabilityWeak
Balance SheetAdequate
Cash FlowDeteriorating
Top Statement Risk

Sustained negative margins and revenue decline

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q2)

Discount Persists Amid Earnings Volatility

HR trades at 12.47x forward P/FFO, a discount to healthcare REIT peers, yet negative AFFO in recent quarters suggests the market is pricing in recovery, per reported figures.

The P/FFO multiple has compressed from 17.15x in 2024Q1 to 12.47x in 2026Q2, reflecting deteriorating earnings power. However, with AFFO per share turning negative in three of the last ten quarters, the market may be assigning a low multiple to uncertain cash flows. The implied cap rate, derived from NOI and enterprise value, appears elevated relative to private market transactions, suggesting potential undervaluation if the portfolio stabilizes.

NOI Margin Recovery Masks Underlying Stress

NOI margin swung from -46.9% in 2024Q2 to 64.4% in 2026Q2, but operating expenses still consume over 35% of revenue, per income statement data.

The dramatic recovery in NOI margin from negative territory to 64.4% suggests a significant portfolio repositioning or accounting adjustments, yet the absolute level remains below the 70%+ typical for high-quality medical office portfolios. Revenue declined 6.9% year-over-year, indicating that margin improvement is not driven by organic growth but rather by cost cuts or asset sales. This raises questions about the sustainability of the margin recovery and whether FFO growth can be maintained without further portfolio churn.

Dividend Coverage Hangs by a Thread

FFO payout ratio spiked to 105.8% in 2025Q3, and AFFO covered dividends only 0.86x in 2026Q2, per reported figures, signaling persistent cash flow strain.

The FFO payout ratio has been volatile, ranging from 2.1% to 160.2% over the last ten quarters, with several quarters showing negative AFFO. In 2026Q2, AFFO per share of $0.08 covered the dividend of $0.24 only partially, implying the company is funding a portion of its dividend with external sources. Given the negative AFFO in three of the last ten quarters, the dividend appears vulnerable to a cut if cash flow does not improve.

Leverage Creeps Higher as Equity Erodes

Debt-to-equity rose from 0.83 in 2024Q1 to 1.03 in 2026Q2, while interest coverage fell below 1.0x in recent quarters, per balance sheet data.

Although total debt decreased from $5.4B to $4.4B, equity contracted even faster, from $6.4B to $4.2B, driving the D/E ratio higher. Interest coverage of 0.91x in 2026Q2 indicates that operating income is barely sufficient to cover interest expense, leaving little cushion for refinancing at higher rates. The company's reliance on floating-rate debt and upcoming maturities could exacerbate this strain, especially if NOI margins do not hold.

Occupancy and Capex Pressures Loom

With occupancy data unavailable, the negative NOI margins and heavy capex averaging $71M quarterly suggest portfolio stress, per reported financials.

The absence of disclosed occupancy rates is notable, but the negative NOI margins in several quarters and the high capital expenditure relative to AFFO indicate that the portfolio may be experiencing tenant retention issues or escalating tenant improvement costs. The on-campus strategy provides some defensive characteristics, but the capital intensity required to maintain aging facilities could continue to pressure AFFO. G&A efficiency appears strained, as operating expenses consume a significant portion of revenue.

P/E Misleads; AFFO Is the True Test

Standard P/E is distorted by depreciation and impairments, as evidenced by negative GAAP net income in nine of ten quarters, per reported figures.

Investors applying a traditional P/E to HR would see a negative multiple (-27.31x), which obscures the underlying cash-generating ability of the properties. FFO and AFFO are the appropriate metrics, but even AFFO has been negative in several quarters, highlighting that maintenance capex and tenant improvements are significant. The market should focus on AFFO payout ratio and same-store NOI growth, which are not disclosed, to assess true dividend sustainability.

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Includes 30+ ratios · 30 years · Updated daily

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HR — Frequently Asked Questions

Quick answers to the most common questions about buying HR stock.

What is Healthcare Realty Trust Incorporated's P/E ratio?

Healthcare Realty Trust Incorporated's current P/E ratio is -25.3x. The historical average is 53.2x.

What is Healthcare Realty Trust Incorporated's EV/EBITDA?

Healthcare Realty Trust Incorporated's current EV/EBITDA is 15.8x. This enterprise value multiple compares the company's total value (equity + debt - cash) to its EBITDA. The historical average is 25.7x.

What is Healthcare Realty Trust Incorporated's ROE?

Healthcare Realty Trust Incorporated's return on equity (ROE) is -4.9%. The historical average is 2.6%.

Is HR stock overvalued?

Based on historical data, Healthcare Realty Trust Incorporated is trading at a P/E of -25.3x. Compare with industry peers and growth rates for a complete picture.

What is Healthcare Realty Trust Incorporated's dividend yield?

Healthcare Realty Trust Incorporated's current dividend yield is 6.16%.

What are Healthcare Realty Trust Incorporated's profit margins?

Healthcare Realty Trust Incorporated has -33.6% gross margin and 8.0% operating margin.

How much debt does Healthcare Realty Trust Incorporated have?

Healthcare Realty Trust Incorporated's Debt/EBITDA ratio is 6.3x, indicating high leverage. A ratio above 4x may signal elevated financial risk.