HEALTHCARE REALTY TRUST INC
8-K, 1996-10-08
REAL ESTATE INVESTMENT TRUSTS
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                      SECURITIES AND EXCHANGE COMMISSION


                             WASHINGTON, D.C. 20549


                                                   


                                    FORM 8-K


                                 CURRENT REPORT
                       Pursuant to Section 13 or 15 (d) of
                       the Securities Exchange Act of 1934

                Date of Report (Date of earliest event reported):

                               September 30, 1996




                      Healthcare Realty Trust Incorporated


      Maryland                   1-11852                           62-1507028
   (State or Other            (Commission File                 (I.R.S. Employer
   Jurisdiction of                Number)                        Identification
    Incorporation)                                                   Number)


                      3310 West End Avenue
                            Suite 400
                      Nashville, Tennessee 37203
                 (Address of Principal Executive Offices)(Zip Code)


                              (615) 269-8175
               (Registrant's Telephone Number, Including Area Code


                                 Not Applicable
          (Former Name or Former Address, if Changed Since Last Report)




<PAGE>



Item 5. Other Events.  Healthcare Realty Trust  Incorporated (the "Company") has
filed this Current Report on Form 8-K to make certain cautionary statements with
respect to  forward-looking  statements  which the Company may make from time to
time.

         The Company  wishes to caution  readers  that the  following  important
factors,  among others,  could affect the Company's  actual  results,  and could
cause  those  results  to  differ   materially   from  those  expressed  in  any
forward-looking  statements made by, or on behalf of, the Company. Many of those
factors have been  discussed in the Company's  prior filings with the Securities
and Exchange Commission.

         All  references  to the Company in this Form 8-K include  entities with
the Company, including the Company's property management subsidiary,  Healthcare
Realty Management, Incorporated.

GENERAL GROWTH STRATEGY

         The Company follows a general growth  strategy of providing  integrated
real estate services to the healthcare industry,  including asset management and
strategic  planning for real estate,  property  administration,  management  and
leasing  services,   build-to-suit  development,  the  acquisition  of  existing
healthcare   properties  and  equity   co-investment   in  healthcare   provider
acquisition  transactions.  By providing these services, the Company believes it
can differentiate its market position,  acquire needed capital, expand its asset
base and increase  revenue;  however,  there are various risks  inherent in this
growth strategy. The following factors, among others, could affect the Company's
ability to  experience  growth  and  investors  should  consider  the  following
factors.


Access to Capital

Capital Markets. The Company requires capital for the purchase of, or investment
in, healthcare real estate.  Currently,  the Company has already invested all of
its equity and a significant  amount of its available  debt  commitments  in the
acquisition  of  healthcare  real  properties.  There is no  assurance  that the
Company will be able to obtain  additional equity or debt capital at the time it
requires  additional  capital;  nor that the Company can obtain such  capital on
terms that will permit the Company to acquire  healthcare  properties on a basis
that is competitive with other real estate investors.

Risks of Leverage  and Debt.  The Company has incurred and may continue to incur
indebtedness  and may mortgage its properties in furtherance of its  activities.
The Company may be required to borrow money and mortgage its  properties to fund
any shortfall of cash necessary to meet cash distribution requirements necessary
to maintain its REIT status.

Maintenance  of the  Company's  Dividend  Policy.  The  Company  has  raised its
quarterly  dividend each  consecutive  quarter  since the  Company's  formation.
Failure of the  Company to  maintain  or  increase  its  dividend  could make it
difficult for the Company to raise additional equity capital on favorable terms,
if at all.  The  ability to maintain or raise its  dividend is  dependent,  to a
large  part,  on growth of funds from  operations,  which in turn  depends  upon
increased revenues from investments in the form of additional investment, rental
increases and income from administrative and management services.  Impacting the
Company's  ability to continue to increase its dividends  also include the terms
described below.

         Under  the terms of its  current  debt  arrangements,  the  Company  is
prohibited from declaring or paying dividends at any time that the Company fails
to make any payment of  principal,  interest fees or other amounts when due, and
is further  prohibited  from  declaring or paying  dividends  (other than as the
Company determines necessary to maintain its status as a REIT for federal income
tax purposes) if, at the time of such action, any other event of default exists.
Repayment of any borrowings,  as well as the resulting interest expense and debt
amortization,   could  negatively   affect  the  Company's  cash  available  for
distribution. If the Company defaults on any loan secured by mortgages on any of
its  properties,  the lenders may  foreclose on such  property,  and the Company
would lose its investment herein.

Reduction  in  Dividends  from  Failure to Qualify as a REIT;  REIT  Taxes.  The
Company  intends  at all times to  operate  so as to qualify as a REIT under the
Code. If in any taxable year the Company does not qualify as a REIT, it would be
taxed as a  corporation  and  distributions  to the  shareholders  would  not be
deductible by the Company in computing its taxable  income.  Depending  upon the
circumstances,  a REIT  that  loses  is  qualification  in one  year  may not be
eligible to requalify during the four succeeding  years.  Failure to so qualify,
even in one taxable  year,  could cause the Company to  dramatically  reduce its
dividends.  Further,  certain  transactions  or other  events  could lead to the
Company being taxed at rates ranging from 4 to 100 percent on certain  income or
gains.


Revenue Growth

         The Company's general growth strategy implies  continuing growth in the
Company's  funds from  operations.  The Company's  funds from  operations can be
negatively affected by, among other items, the following factors.

Delays in Acquiring  Properties.  The purchase of one or more properties may not
be consummated or may be delayed for various  reasons.  Acquisition  delays will
negatively  impact  revenues and may have the potential to adversely  effect the
Company's ability to increase its distributions to shareholders.

Operating  Risks.  Real property  investments  are subject to varying degrees of
risk. The investment  returns  available from equity  investments in real estate
depend in large part on the amount of income  earned  and  capital  appreciation
generated by the related properties as well as the expenses incurred.  To offset
the threat of  insufficient  revenue to meet operating  expenses,  debt service,
capital  expenditures  and dividend  payments,  the Company  requires net master
leases or equivalent credit support with primary terms.

         The terms of certain of the leases or credit support agreements provide
an option for  healthcare  providers to  repurchase  the subject  properties  at
specified  times during the term or the  agreement.  The provider may repurchase
the property for a price equal to the greater of the fair market value  purchase
price or the  minimum  repurchase  price.  No  assurances  can be given that the
Company could negotiate with the current healthcare provider should they wish to
repurchase  the  property  or find  another  provider  on a  timely  basis or on
acceptable terms. A failure of the Company to do so could have an adverse effect
on the  Company's  future  revenues.  Dependence  on  Healthcare  Providers  and
Potential  Reduction in Revenues.  The success of the Company's  investment in a
particular  property  will be dependent  upon the success of the business of the
healthcare  provider and, to the extent that a provider's  performance under the
lease or credit  arrangement  has been  guaranteed,  on the guarantor under such
arrangement.  There is no assurance  that the Company will be able to retain its
provider  upon  the  expiration  of the  leases  or that  unfavorable  economic,
demographic  or  competitive  conditions  or industry  reform will not adversely
affect the financial condition of providers and/or guarantors and, consequently,
lease revenues and the value of the Company's investments in the property.

Concentration on Few Healthcare Providers. Currently 28 percent of the Company's
portfolio is leased to  Columbia/HCA  Healthcare  Corporation  and 25 percent is
leased to OrNda HealthCorp.

Impact  of  Reduced  Occupancy  Rates.  Most  of the  hospitals  adjacent  to or
associated  with  the  Company's   properties   owned  or  to  be  acquired  are
substantially  less that fully  occupied on an  inpatient  basis.  Despite  such
occupancy  rates,  however,  the operating  cash flow produced by such hospitals
available  for the  related  payments  to the  Company  adequately  covers  such
payments. If the inpatient occupancy rate at such a hospital were to deteriorate
to a level at which  operating  cash flows  would be  insufficient  to cover the
payments to the Company on a particular ancillary hospital facility, the Company
would  have to rely upon the  general  credit  of the  provider  or the  related
guarantor, if any.

Potential Provider Loss of Licensure or Certification.  Healthcare providers are
subject to federal and state laws and  regulations  which govern  financial  and
other arrangements between healthcare operators.  A provider's loss of licensure
or  certification  would result in the Company having to obtain another provider
for the affected  facility.  No  assurances  can be given that the Company could
attract another  healthcare  provider on a timely basis or on acceptable  terms.
Failure to do so would have an adverse effect on the Company's revenues.

Failure  to  Successfully  Market  Property  Management  Services.  The  Company
employees its wholly owned subsidiary Healthcare Realty Management (HRM), in the
day-to-day management and leasing of multi-tenanted healthcare properties and in
the supervision of the development of new healthcare properties. There can be no
assurance  that the Company will be able to  successfully  market or  cross-sell
HRM's  services.  Current  revenues  from HRM's  management  agreements  may not
significantly affect the Company's 1996 funds from operations. Additionally, HRM
employs 75 individuals nationwide,  providing the Company with expanded overhead
expenses and labor liability not previously experienced.

Asset Growth

Inability to Complete Acquisitions. The Company's asset growth strategy would be
negatively  impacted if it is unable to find suitable properties and to purchase
those properties on terms which meet the Company's investment parameters.

Provider  Development  Arrangements.  The Company has entered  into  development
funding  arrangements with eight properties that are currently in progress.  The
Company believes that development  funding is an effective method to acquire new
healthcare  facilities  that  providers  have  determined are strategic to their
business.  The development funding  arrangements  require the Company to provide
the funding to enable healthcare operators to build facilities on property owned
or leased by the Company.  Risks of  development  funding are greater than those
risks  associated  with the purchase  and  lease-back  of  operating  properties
because of the potential for greater Company  involvement within the development
process.  There can be no assurance  that the current  portfolio of  development
funding  will  be  completed  in  1996  in  accordance  with  the  terms  of the
agreements;  however,  the Company  believes that it has the requisite access to
capital and development and construction experience to complete a development.

Limitations  on  Transfers  and  Alternative  Uses of  Facilities.  Transfers of
operations of  healthcare  facilities  are subject to  regulatory  approvals not
required for transfers of other types of commercial  operations  and other types
of  real  estate.  In  addition,  many  of the  Properties  are  special-purpose
facilities that may not be easily adaptable to uses unrelated to healthcare.

Market Competition

The Company competes for property management, development and acquisitions with,
among others,  investors,  healthcare  providers,  other healthcare related real
estate investment trusts, real estate  partnerships and financial  institutions.
The Company's properties will be also subject to competition from the properties
of other  healthcare  providers.  Certain of these  operators  may have  greater
capital resources that the provider leasing the Company's facilities. All of the
properties  operating  in a  competitive  environment  and patients and referral
sources,  including  physicians,  may change their  preferences for a healthcare
facility from time to time.



<PAGE>



                                   SIGNATURES

         Pursuant to the  requirements  of the Securities  Exchange Act of 1934,
the  Registrant  has duly  caused  this report to be signed on its behalf by the
undersigned hereunto duly authorized.


                                  HEALTHCARE REALTY TRUST INCORPORATED
                                  By:/s/ Roger O. West________________
                                                                     
                                  Executive Vice President
                                  Acquisitions and General Counsel


Date:  September 30, 1996


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